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HomeMy WebLinkAboutORANGE COUNTY CONTRACTORS DBA ORANGE COUNTY MAILBOXES AND CONSTRUCTION - 2011INSURANCE ON FILE A- 2011 -106 WORK MAY PROCEED UNTIL INSURANCE EX� �� G -!3' '� CLERK OF COUNCIL FIRST AMlLN1dMEHT..I,O AGRELMFIVT DATE- � ti —�� � , �' W �`�"�� THIS FIILST AMENDMENT TO AGREEMENT is entered into on April 18, 2011, by p��� and between Orange County Contractors Services dba Orange County Mailboxes and Gum\ \fin Constructio�tt, a sale ownership entity ("Co�tttractoi") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("'City'. RECITALS: A_ The parties entered into that certain Agreement N- 2010 -037, dated April 12, 201 O, (hereinafter "said Agrcement'� by which Contractor has provided general construction maintenance services. After the parties entered into said Agreement, the Santa Ana Public Works Agency issued Request far Quotes for guardrail, chain link fence, block wall and tratFic bollard. repair. Contractor was the successful bidder pursuant to the Request for Quotes. G. In accordance with the terms and conditions of said Agreement, the parties wish to increase the Scope of Services, increase compensation to pay for the additional services and extend the term. of said Agreement. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended. in this First An�endmeast to Agreement, the parties agrce as follows: Section 1, SCOPE OF SERVICES, shall be deleted in its entirety and replaced with the following: "s. Contractor shall perform general maintenance services far downtown Santa Ana, including, but not limited to, bollard repair, pavemem repair, electrical and plumbing work on a call -out basis, as set forth in City's Request for Proposal, attached as Exhibit A to said Agreement. b. Contractor shall assist the Santa Ana Public Works 1vlsintP*+a�ce Services Division with the installation, repair and removal of right -of- -way pedestrian and vehicle safety devices, including guardrail, chain link fencing, block wall and traffic bollards, on a call -out basis, as set forth in City of Santa Ana Annual City Guardrail, Chain Link Fence, Block Wall and Traffic Bollard Repair Contract Fiscal Year 2010 -201 1, attached hereto as Exhibit A -1 and incorporated by this reference." 2. Scetion 2, COMPENSATION, shall be amended to read as follows: Downtown Santa Ana maintenance services shall be charged on a time and material basis. The hourly rate of $60.00sha11 cover casts, including labor, overhead, travel, mileage, incidental supplies, hardware, screws, bolts, welding material, paint,. wires, disposal of material and concrete, etc. Spacial materials will be purchased by the Contractor only on authorization of the City Project Manager. Such special materials shall be charged at cost plus 10%. Compensation. for downtown Santa Ana maintenance services shall be increased $10,000, for a total not m exceed amount of $35,000, to pay for services provided. through the end of the current fiscal year. An additional $25,000 shall be available for downtown repair services provided during the 201 1f2012 fiscal year. Compensation for Public Works **+�++ntenance services shall be as agreed per Job Proposals prepared by Contractor and accepted by City. Total compensation shall not exceed $40,000 during the term commencing with the execution of this Second Amendment and n�*+*+ing through June 30, 2012. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City." 3. Section 3 TERM, shall be deleted in its entirety and replaced with the following: "This Agreement shall commence on April 12, 201 O and terminate on June 30, 2012, unless terminated earlier in accordance with Section 12, below. The term may be extended for up to two (2) additional twelve (12) month periods upon the agreement of the parties." 4. Except as hereinabove amended, all tenors and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: �%�ww[ /�• �r �,� MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA Interim City Attorney �� sy: La ra Sheedy Assistant City Attorney CITY OF SArN'TA ANA l�t� --- /�/-'- D ID N. REAM ( City Manager ORANGE COUNTY CONTRACTORS SERVICES � i�t� e �6�'!C�J -ice EDWARD SCHADE Owner EXHIBIT A -1 R EQ1iJE$T RFQ DATE: 12 -1% -10 PURCHAS(NC? DfVISIq/Y M-ts �.:.. - ?O -CJV/C CENTER PLAZA, RM 429 FQ R QUOTE SANTA ANA, t1ALIFORNIA 92701 QUOTE NOc B1 Q842 CITY OF SANTA ANA QUOTE DUE: 1 -1 -11 BUYER: Bruce Perret (714) 647 -5469 wsrnucrioNs t. B1d moat -yo. on th4 brm. PAVMEM TERMS 2. Blel -cash item. rperat4y, 3. Rsed � tM - Inetl'wtlpn, tffrrte ertd. aondltions. DELIVERY �, Dlrat oorryepondanes /-1nquNlss to the Buyer. 5. Bid the tvleert rlet prlp, F.O.B. deetlmllon,ette smpleosd. �aw.�s+rr rlr,�r Wdw� B. Bids will a olaerted et' or hnmedletely - following [he. dos tlme. The sucosaetul tilAdar -mutt comply with S.A:M.C. Chepur 21 nperding peymerttotBUStneee Llosnea 7aa: REOUiAEMENT9 AND 9PECIFICATIONSY GUARDRAIL, .CHAIN LINK FENCE, BLOCK. WALL AND BOLLARD REPAIR The -City of Santa Ana is soliciting bids fiom qualified contractors to provide guardrail, chain -link fence,. block wall and bollard. repairs at various locations citywide. The tetzrt of this contract shall be for a period .of one year fibm the. date of award with - provision For three one -year extensions upon mutual agreement. The contractor shall provide. all labor, equipment and materials necessary to perform work.. in accordance witlt the specifications find prgvisons herein. Al] questions regarding the specifications must be submitted in writing to thc� - E3uyor. Fax all questions to 714 - 647 -G944 attention: Bruce Perret, nr email to: bperretC�santa- ana.org. A written response- will be provided. As .ti condition of this contract, the coneractor shall obtain and maintain throughout the term of the. contract. insurance as described below. A cei-tificace of insurance, naming the City of.Santa Ana as an additional insured, shall be provided to the Buyer before the award. • General Liability - $1,000,000 each occurrence • Workers Cornpensation — Within limits required by the State. of California • Automobile Insurance - $1,000,000 combined single limit Payment and perfortnanee bonds shall be executed by the successful bidder and returned within ten (] 0) days after the successful bidder has received notice.thut the contract has been awarded. Bids may bc: faxed, e- mailed, or delivered in person. EXHIBIT A -1 CounW Ae{lan. BIDDER'S STATEMENT: I hwe ned, understand, r,nd apnea to the tenna end condkione on all -pages o! trait Invitation For 91d. Uponrequast, I wgl trenafar and deliver goodsto the City M eecordanoe with sold terms andcontlltlona. Ta *naYer LD.Na: �� � _ ��5� /d �.-1.� T� - -__ t:.iJ n�viK v Pr4uW Nsree- TOTAL QUALITY SERVICE The City..cf Sania.Ana.. is committed to the principles of Total Quality Service (TQS) in serving its customers. All aspects of the C,ity':s service are affected Inclading our commitment to making on time oHVment. for material ands ®prices received. Since. vendors,. who. provide services and/or material to the City are indirectly serving the same customers, it is important for the City to expect vendors to share the'. same commitment to quality including price, delivery and product quality, es well Qs timely: response and' - service quality. Therefore, prepare a statement of your "quality commitment" to accompany your bid. The statement should address the following five items in regard to services and/or material provided to the City for ,your quoted .price: t . ON -TIME' DELIVERY: a commitment to delivering material &services on nr before- the promised time. 2. TIMELY RESPONSE: a commitment to consistent timely response to all service requests. 3. Q[J.4LlTY AS:SPECIFIED: a commitment to provide products and /or service meeting or exceeding the specification. at your quoted price. 4. QUALITY CONTROL:. a commitment to use methods or procedures: to assure quality control of service, material and invoicing.. 5. CUSTOMER SATISFACTION: a commitment tp resolve customer concerns regarding the quality of service or material supplied. The quality statement should be included with your bid. It is required as a orereoutslir�. 14o making .your bid resoonalve ah� therefore must be submitted before your bid is .evaluated. To the extent. that your statement enhance the quality of service or material provided to the. City, your statement will be incorporated in the terms and conditions of the contract. Please Complete This Self- Rating of Delivery (complete)- Performance: Circle One: on time late Previous Orders: �! 4 3 2 1 Service Response Performance: �5 .� 4 3 2 1 Order for items on this bid: 6 � 4 3 2 t Write you�r^'stateme- yn�.t�Lbelow or on an enclosed separate sheet. Signed: / - r- .�;Jr�� Date: /.,L' - --+' !'� //1 EXHIBIT A -1 V 4 -.�. Coirnfy Cot�tract`or rServic�s 8 e�r.�xe�,��� County Mai /bores 1.8100'KOVACS LN UNIT 27 MUNTINGTON. BEAGH GA 92648 Phone; 7'14 -87.8 -.3093 FAX: T1 �4- 9.07 -0644 December 29, 201 O City of Santa Ana 20 Civic Center Plaza Rm 429 Santa Ana, CA 92701 C /O: Bruce Perret Dear Mr. Perret: This letter is to address the Total Quality Service requirements of the City of Santa Ana. We at. Orange County Contractor'Services already believe -and practice quality customer service. OUr workmanship quality and , customer service has allowed us to -keep busy even- in -these tough economic times. We have shown our quality and customer service to the City of Santa Ana Public WoCks Agency and a long list of other customers. Below, I will address the specific areas that are. asked for. First, in regards to ON -TLME DELIVERY, we almost always deliver as promised. Sometimes that means adding .people and /or working late,_ but we do wha# it takes.. to get the job .done on time and on budget. We also don't: make promises. we can't keep, I believe that. it is better to under promise and over deliver. Second, as far as TIMELY RESPONSE, we strive to respond. in a reasonable time. By maintaining a good line pf communication with key city- personnel we can determine the urgency of a job request and respond. eccord.ingly. Third, QUALITY AS SPECIFIED is basically meeting the standard requirements. We try to. exceed those standard requirements whenever possible. If we do that little extra, people remember that and are usually very satisfied. This. has been a key to our success. Forth, QUALITY CONTROL is what is, important on every -job: 1 personally. check and' recheck jobs to make sure. it was- done correctly. :Finally; CUSTOMER SATISFACTION is meeting or exceeding the expectations of your customer. i try to ask myself• on :every job "would I be satisfied if I was: the paying customer". I also have the experience to correct and resolve any customer concerns or problems. Ln conclusion, Orange County Contractor Services already _does :and -will continue to maintain. a commitment to quality.: We are excited. to have this opportunity to .bid and possibly work with the City of Sarita -Arta. on another project. If you have any questions, please call me at 734 -8T8- 3093:. Thank you for your consideration. Sincerely.; Edward Schade EXHIBIT A -1 CERTIFICATION OF NONDISCRLMINATION BY CONTRACTORS As suppliers of goods or services to the Clty O:f Santa -Ana, the Firm listed below certifies that li -will not discriminate irr its .employment practices against any employee or applicant for employment beoause of such person's -race, religion, natianel origin, ancestry, sex, sexual orientation, age, physical handicap, mental disability, marital status, domestic partner status or medical condition; that it is in compliance with all federal, state and local directives and executive orders regarding nondiscrimination in empioyment;. and that it agrees to demonstrate positively and aggressively. the principle of -equal opportunity 'in employment. VVE AGREE'SPECIFICALLY: 1. To take affirmative steps to hire minority employees within the company.. 2. To establish or observe employment policies which affirmatively promote Opportunities fpr minority persons at all job levels. 3. To communicate -this ,policy to all persons concerned, including all company employees, outside recruiting services, especially those servicing minority Communities,. and to the minority communities et large. FIRM ��,' i.> .f) /�r1 �r /' /�f+.J f? /)� / /it�n.., .w f.�JCUn v l..!/a 1r�3.rinr r,r ✓:�c �.i TITLB'OF PERSON SIC�NINr•G ���n ,-.r'' % SIGNATURE ���" BATE /1 - �9�/C.7 Please include any additional information available regarding -equal opportunity employment programs now in effect within your company. EXHIBIT A -1 CITY OF SANTA ANA ANNUAL CITY GUARDRAIL, CHAIN LINK FENCE, BLOCK WALL AND TRAFFIC BOLLARD REPAIR CONTRACT FISCAL YEAR 201 0 -201.1 BID: & CON'TRA�T AGREEIVIE'NT BtD FROPOS4L & CONTRi4CT AGREE�i1ENT TO: CITY COUNCIL OF THE CITY OF //SANTA ANA FROM.: / /i�.� cry C _r�r�� �.. �� %bd+� rr /��:� �� r•�.- �ru.�� ys REQUIREMENT: BLOCK -WALL, CHAIN LINK FENCE, GUARD RAIL, AND TRAFFIC BOLLARD REPAiR TYPICAL REPAIR SCENARIOS For bidding. purppses please ..provide lump sum prices for the repair work described below. Pricina shall include all installation accessories, e.o. bolts. nuts and other fittings. A. BLOCK WALL While backing -out of a: delivery drop off' spot, a truck damaged a City -owned block. wall {.See bebw). The existing. re -.bar is :intact; however; approximately 14 square feet of wall surface needs to be repaired (21- 6 "x 8 "x 16" blocks). Please provide a lump sum bid for repair of the wall according to Santa. Ana Improvement Standard 113 -A. The -bid shall include all applicable requirements of Standard 113 -A -.and disposal'of. all broken .masonry from'the site. Repair damage to block wall described. above_ ......................... .........LS =$ %� DAMAGED BLOCK WALL Not.Iq $gale (TO BE INCLUDED WITH BID PACKAGE) 1 of 16 EXHIBIT A -1 CITY OF SANTA ANA ANNUAL CITY GUARDRAIL, CHAIN. LINK FENCE, BLOCK WALL AND TRAFFIC' BOLLARD REPAIR CONTRACT FISCAL YEAR 200 -2U�� BID &:CONTRACT AGREEMENT TYPICAL RE -PAIR SCENARIOS. (cost.) For bidding; purposes please- provide prices for the repair work described below. B. CHAIN LfNK FENCING An errant- driver has destroyed 20LF (2 Panels) of 6' high chain link fencing 'located on a vacant Clty 'lot. Please prepare a lump sum bid for its repair based on the following items and all applicable requirements per Santa Ana Improvement Standard No. 310. 1. Disposal •of all destroyed fencing including 3. -- 2' -6 "x 8 "x 8° concrete footings. 2. Furnish and install: 3 -8'L x 1 -1/2" Dia. Galt'. Stl. Line Posts w /caps. 2 - � O'L x t -'1/4" Dia. Galt'. Stl. Pipe Top Rails 20 LF of 9 GA. 2" Mesh 60" Chain Link Fabric 40 LF of 7 GA. Spring Steel Tension Wire w1 9 GA. Wire Ties Repairdamage to ohain link fencing described above .... ...................,....._...LS _ $ wf0 �` C. GUARD RAIL On northbound- Fairview Street, between First and Willits Streets, a seotion of guardrail has been damaged (See photo next page). Please prepare a lump sum bid for -its repair based on the following items and- all applicable requirements per Santa Ana Improvement Standard No. 1 t T4. 1 . Disposal of all destroyed material .including:- 1- 12' -6 "L metal beam guard - rail &spade end 3- 8" x 8" x 5" posts and concrete footings 2. Furnish and Install: 'I- t2' -6 ".metal beam guardrail - terminal end section 3 - 8" x 8" x 5' pressure treated posts. w /concrete footings i� ` MetaLBeam Guardrail Element ...................F or Individual Unit Prioe = $ _J'/ 5' = Terminal End Section ._ ........................ ....................,Individual .Unit Price = $ f S/ 7 = °_ Pressure_. Treated Posts w /Concrete Footings............Individual Unit Price = $ y "To `�- _ Metal Posts ...................... ..,.....,..,.................. - .......Individual Unit Price = $ 1SO =- L "Pricinsr sha /I include ali irtslallation accessories e a bolts nuts and other �ttinas) Repair Damage to Guardrail Scenario Described Above " ........................ _.: LS = $ / ��5 � '" (TO BE INCLUDED -WITH -BID- PACKAGE). 2 of 16 EXHIBIT A -1 CITY OF SANTA ANA ANNUAL CITY GUARDRAIL, CHAIN. LINK FENCE, BLOCK WALL AND TRAFFIC BOLLARD REPAIR CONTRACT FISCAL YEAR 2010 -20'11 BLD &.CONTRACT` AGREEMENT TYPICAL REPAIR SCENARIOS (cont.) For bidding purposed please provide prices for the repair work described below. D. TRAFFIC BOLLARDS A❑ :automobile has damaged a Steel traffic bollard located at the northeast corner of Bristol Street and St. Andrew Place. Please pr ®pare a lump sum bid .for its repair based on the following items: 1 . Remove &dispose of all :damaged material including steel -post and concrete footing. 2. Furnish and install new 5'L x 8 -5/8" diameter galvanized. steel post in 18" square x 6" deep concrete footing (See drawing below). Includes end cap and steel eyebolt. Repair damage to traffic bollard described above ........ ......... .. ..................LS = $_ �� /U= i L -X 6- fi/B "D(a. QaW: Stt: Post alth talc- weided� cap �d eyeuolt Jew 16" square x 6" tleep concrete footing 3awcnq TYPICAL REPAIR SCENARIOS A +B +C +D = TOTAL BID.: $ l%6 1�i =" NAME: �� ®r�� �J r Ilci�.g ADDRESS: �,� /vii � uucr � � TELEP1- 1oNE/P =AX. 7 /i/-,>� %fJ`�L�'i � / � /�/ r�7_��%. 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T>ha taly al 3arrt+ Ana. 20 GNC Oartfsr P1ara, Santa Arta. Carfomia lIZ7t71: ib oRicars. amployeea, agents, volunteers and napresantrtlyga Pre ++synod ss additional lrrwreas Csdditional trtattrada'y with nsgard to pabfNty and dwNnse of soils arising from ttta oparatlorts and usas psrlbrrrted by or on bshaif of titer nark inaurad. �. V1fNh rasped to Claifl'M arising out of Iha oparationo acrd uses perforrrtad try or on betlaif of the - Warned inaunsd, such insuranca as is atTOrdad t7y ttiis peppy ss prbnery and b nW addiRbna! to or contributing tlrwlt any Whrr insurance vrrlad by or for tha t]w>tfit of the addMiortal inwrads. ,• This Inovrareoa applies taparalaiy to each insured agwMtst vMlwrn Clrim is made or wit 4 brought raoept with respect to tits co emits d Rapp parson Or Or�arrlratiort as art inarrrad shoot aRset �. Ttte inclusion pf any �y riglu which suplr parson er Organinstlon I�tld hive as a dalmant � not so InCludod. 4. 1+VRit raspaGt to >rte atldpior:al irtaurede. lhia irtsursnee eitwll nor be osnoeiietl, or lhl radurad b Cwrarape or Ilrrtlts erroaps afbar t1t41y 13p? dteys t+rrieesn rwtlae ltas bears gfvsn to tits cay of Santa Ana. 20 Ctvie Csntsr Plan. t3.artta Ana. CalNwnia li270 t _ (Completion of the following, inoludinq eo.,r,tar,rrignatura� t• re4uirad to t»ske this ar�dasantant elMettva.) '. Effedlw _ 3L1�J10 . this andoraarneTtt form ar a part of Po4Cy A _- 72 � �r322�0 iwuacl tt7 n+'r.*+�s �im� 71b�i ll�. -N.eo a4a ve�o �a 7s.�..� GoYnlarsignsd by D�7]� sryer�t EJCMI ®lT d Policy Number: Date Entered_ 07/08 J2011 '4� °_-RO® CERTIFICATE OF LIABILITY INSURANCE OATEIMM/DOJYI'VY} 7JB J2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER. THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED - REPRESENTATIVE OR PRODUCER, AND THE CF�L�I�ICjLlfE D �, , IMPORTANT; It the certificate holder is an ADDITIONALINSURE D, the pollcy(i¢s) must be ®ndorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain RgUFies may require an on dorsoment. A statement. on this certificate does not confer rights to th¢ certificate holder in lieu of such endorsoment(s[,. _ - � �� - - . , - PROOVCER )' �_" _ ACT BRIAN H . ZENZ SNSURP.NCE AGENCY;- INC . 9M€; - PHONE. (999) 833 -1541 4000 Sirch Street #115 - 1�- NC.._Extl: �- ___ ,_......... t.a c, NO)� (949)260 8080 Newport Beach, CA 92660 AoogESS. Pam @x ®nz in surance. com - -- -- INSURER(5) AFFORDING COVERAGE - NAIG b - INSURER A, SCOttsdalB In9vranCa COmp8ny - INSUasD Orange Count _Co t t _._. y n rac or $ @rv1 CO3 INSURER B:State CURp9n9 at3 nn Sn9v IIance -Ft1nd - 6 Orange County Mailboxes wsu RER C:...... _._. _....... __.. _... Edward Scha de 6 Jody Adams DBA: _.. 1810D Kovac Drive #27 � INSURER D.,... _.. __. _.... Huntington Beach, CA 92648 INSURER E _.. _. _ COVERAGES CERTIFICATE NUMBER: INSURER F: THtlS IS TO CERTIFY THAT" THE POLICIES OF INSURANCE REVISION NUMBER: LISTED BELOW HAVE BEEN ISSUED TO THE INSV RF..D NAMED ABOVE FOR THE POLICY PERIOD IND2C ATED.. NOTWITHSTANDING ANY REOUIR EMENL TERM OR CONDITION C E_RTIF ICRTE MAY BE ISSUED OR MAY PERTAIN, TH F_ INSURANCE AFFORDED OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPF_CT BY THE POLICIES DESCRIBED "T TO WHICH 'i'HIS EXCLVSIONS AN❑ CON Ull 10 NS OF SUCH POL ICIES LIMITS SHOWN MAY HAVE HEREIN IS SUBJ F..0 BEEN TO ALL TFiE TERMS. INSR -. ____. AOOL'SUBR LTR TYPE OF INSURANCE .. NSR ` {M /D PO CY U BER RED UC:ED BY PAID CLAIMS. -- ...... PO LICYEFF POLJCY E %P '. -_ -' _ GENERAL LIABILITY FMM/ODMYYYI fMMID YYY LIMITS - _, A %�L'OMMERCIAI. GENERAL LIABLLITY - !CP$13"T7665 ' EACH OCCURRENCE GS /2T /2Di1 0512'1 /2012 DAMAGE T'D REN7F'O �- §1, 0OO OOO. C'JUMS -MAUL X GCCiJR �.!� PREMISES (Ea pepurrsrvca) S 100,000 MEU EXP (Any ne L ration) g 5 , 000 . ',. '. _PER50NALBADV INJURY -,3� -. pDD, ODp _. GENL ArGRCG LIMIT APF'UCS PFR ...GENERAL AGGREGATE 32, 0OO, OQO.. _. \A/I!F , PRO_ ' PKODUCY -5 COMP /OP ACdG $1, pDD. OOO. POItCY / \: ' T ' LOC __ _ _ .._'. .- .. _._ AUTOMOBILE LIABILITY - '. __. "" S._ ji - I. LOMHINEO SINGLE LIMIT (Ea accldant) _ §1 r 000 , 000 _ . ANY At /TO !CP$1 $77665 I- __...._ _ __ Al k.:JVJN D SG YEDUI FP AVTOS __ AVTOS NON -OWNED %� OS ?27 /2011 OS /2 T/2012 UOOIIY INJURY(F Of pars �n) '. ___ pOUILY INJURY Lf`rnr at`LL1nn!) § $ b11RCD AU OS �- e__.... .- AUTOS PROPERTY tYAMAGF ` -_ � _ UMBRELLA LIAR : i OCCUR � 5 ._... ' _ --' '�, EACH OCCUR RE NC`E $ E %CESS LIAR i L'LAIMS MADE $ �.... DEU 7___- RF rENTlO 5 � ACCREGATC _... _ : WORKER$ COMPENSATON ' "- --' ' $ _ AND EMPLOYERS' LIABILITY ' � WC S "I'AiU OT11 - ANY PKOPRIETORfPART NE R/E XE ^,U'fNE Y/N rVRYyIMljS _ ER B OFFlCRlMEMBER EXGLUDErY? � -N /A'. 1962456 06 /UG J2U11 (J5 /OL /2012 FL EACH ACCIDENT §1, pp0, DDD- : (Mandatory In NHI _ _. If yys d95Cnbe unUaf E.i DISEASE. FA EMVI_VYEE $1. ODD, DOp, DESCRIPTION OF OPERA "I "IONS beivw �' - E.1_ bISEASC - POLICY LIMIT S 1 O D D , D D 0 -.- - DESCRIPTON OF OPERATONS : LOCATIONS /VEHICLES (Alta cM1 ACORO 101 Atlditional Ramarl(a Schedule, II mor pacs fs rogWrotl) - "` 30 day notice a£ can calla tion except on -pay, than 10 days applies _ Blanket additional insured #CG20330704 primary /non - contributory workding #GL529s (07/08), waiver of subrogation #CG24041093 along with per project aggregate #CG2503 3 -97 included as part o£ general liability policy. The Ci T_y o£ Santa Ana, its o££icers, employees, agents, vo hint ®ere and representatives era addi ti anal insured per company Forms listed above and city's Form, attached. CERTIFICATE HOLDER CANGELL.ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED @EFORE City of Santa Aria � ? THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN �� ��_� �___ _ ACCORDANCE WITH 7HE POLICY PROVISIONS. x�,.rblao wor)ca Rgan °y Laur it( Speedy -- 220 S.. Daisy Ava. M —BS gUTHORIZEO REPRESEI/Y�ATVE Banta rma, cA e27D2 /'�snis tar City AtTorn e�/ �, w � / f�� / Amon oc for..nrn �. O 7988 -20'10 ACORD CORPORATION_ All rights reservBd. - . -- - -� - -r ...� .- .....r«. name anD logo are registered marks o9 ACORD FmU�•ced umn3 F'orr.}s Roxs Plus snrtwarn. w�ww.FOfmsBOSa.ao.n: Imprne�rve Pubi�shm® 8G0.20k ? -T9?7 "- ,.2:)11 C 'J£ P}: OCK,AT i )TF =� ' 11 4 1,- 2 C tS 4.1 PA21 -:. "' ADDITIONAL INSURED ENDORSEMENT FOR GOMYERCIAL OENEFiAL LIABILITY POLICY Insurance Cdnpsny __S� ttsdz�lrns This endorsement modifies such insure nca as is afforded by the pro visions of Policy M _ C�'513776G.:i ,___._ relating 10 the following: �. 'The City of Santa Ana, 20 Civic Center Plaza.. Santa Ana, Califomia 82701: its officers. employoes, agents. volunteers and representatives are named as additions! tnau rode ( "eddHional Insureds') with -egard to Irabil_ty end defense of suits arisinfl from the oporatlons alsd uses performed by o. on Iaafra M` of tho named insured. 2. With respect to claims arising otrt of the operations OtId uses performed by or on behalf of the named insured, such insurance as i6 afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefh of the additional insureds. 3. This insurance applies s©parate!y to each insured against whom Clain is made or suit .s brought except with respect to the company's limits of liability. The Inclusion of any person or organization as an insured shall not affect any tight which such person or organization would have as a claimant if not so ircluded. 4. With respect to the additional insureds, this inaurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92761. (Completion of ttw following. including countersignature, is required to make this endorsement effoctive.) Effective ._,7 /Ofix. 011 ______,___--- _______T_ this endorsement form as a par. of Policy N - .- --CPS13776fzS— - -- -_ —_ _. issued t0 _ r' cl1.._,`. ztlss. 3c:_fi_. J". ac% X_-- 2lCk:- C2t::an4e C:tiutit:z. Gouty NViilYx n:c.s Named Insured,? - ��7 r Countarsrgned by AU orizerd Respresentativa 2arrx_±la rX_�rn, EXHIBIT O .�'� ^� ® Policy Number: Date Enteretl: 07/08/2031 A� RL7 CERTIFICATE OF LIABILITY INSURANCE OATE,MNII °GIYVYYi 7/e/2D11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INS URER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE GF�t�IkIC�1fE DHR.+ �_ . � IMPORTANT; If the cartificatB holder is an ADDITIONAL INSURED, tha�polic (ies) must ba endorsed. li SUBROGATION IS WAIVED, subject to thB terms and conditions of the policy,. certain jp2gli.Fles may req uira an Bn dorsom ant. A statement on this certiflcata does not confer rights to the certificatB holder in lieu of such endorsement(sL. -'' - PR000CER ( � -- �. - - BRIAN H _ ZENZ SN SiJR.ANCE AGEYVCY �- INC . � NJYMEA T 4000 Birch Stra@t #115 1A[4 �ifn_.EIIL: (949) 833 -1541 EMAIL ... - -.... . -SA�. NOI (949)260 SOHO Newport Beach, CA 92660 wboRESS. Pam@xenzlnsurance. com OESCRIPTON OF OPERATON$ f LOCATIONS I VEHICLES (Alta cb ACO R° tb1, Additional Ramarlts ScN ad ula, Ir mere s ca fa ragylrotl>> '� 30 day notice of cancellation except on -pay, than 10 days appf ies_ Hlanket additional insured #CG20330704 primary /non - contributory workding #GLS29s (D7 /OH) waiver of subrogation #CG24041093 along with per project aggr @gate #CG2503 3 -97 included as part of general liability policy - The City of Santa Ana> its officers, employees, agents, vo lun toers and rep re san to fives era additional insured par company forms listed above and city's form, attach ®d. CERTIFICATE HOLDER CANCELLATION SHOVED ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ff//yy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f �, City of Santa Ana � � � —��`K �/� ACCORDANCE WITH THE POLICY PROVISIONS. Pub lie wot -)cH Ags:' °y Laur ttC Shccdy 220 S .. Daisy Ave. M -BS � AUTHORIZE° REPRESE ATIVE / Banta Ana, cA 927oz �'- »Ester C.i(y ALtorne�/ �,� �,.- / /�� J Jv"' - - -_ � '- �© 1988 -2010 ACORD CORPORATION. All rights reserved_ A rill � rl 1 - .- -' - - -. . L� "ra��rcv name anD logo are registered marks of ACORD . rrr�ocetl �s ny F'on =y� R<a »s Plus snflwnre. www.FCrmsRCas.am>. ImPreasive Pubasning SGO- ?OH -:9 %� INSURER($) AFFORDING COVERAGE _ NA)C y INSURERA SCO it9da16 =nHilran Ce COmp Bny IN SU REb Orange COUn ty COn tra CCOr SerV1 C05 State CUmpgn9 ation Sn9v ran Ca Rand INSURER B S Orange COUnty P1c'ailboX @S _.. _... INSURER C: Edward SchadEt 6 Jody Adams DBA: ,... 18100 Kovac Drives #27 � INSURER n.,... _... Huntington Heach, CA 9264H wsu RERE __ - COVERAGES CERTIFICATE NUMBER; INSURER F THIS IS 70 GER'TIFY THAT THE PUU CIES OF INSURANCE REVISION NUMBER: LISTED BELOW INOlGATE D. NOT\NITHS'rA NDING ANY REOUIR EMENT. HAVE BEEN ISSUED TO -THE INS'V RF..D NAMED ABOVE FOR THE POLICY PERIOD TERM UR CO NUITION C ER 1'IFICATE MAY BE ISSUED OR MAV PERTAIN, OF ANY CONTRACT UR OTNER DOCUMENT "' WITH RESPF_CT TO YVFIIGH T "FITS TH F_ INS URAN GE AFFUROED BY THE POLICIES DESCRIB EU NEREIN IS SUBJECr EXCLIJSIUNS ANU CONDII IONS OF SUCH POLICIES. LIMITS SHOWN MAY TO ALL TN F_ PERM S, IN$R' _. HAVE HEEN REDUCED BY PAID CLAIMS. AObI'- SIJHR" ...... LTR ! TYPE OF INSURANCE NSR' WV POLICY NU BER POLICY EFF - - POLJCY EXP ' - -' GENERAL LIABILYTY '. IMM1VOO/'1'YWI (MM/COMYYV LIMIT$ _.. �` X CACH OCCURRENCE 51.000, ODD . CUMM£F2CIAi. GENERAL LIA9IL YTY - - Cps1377665 ' OS/27 /2°11 p5 /J7 /2012 bAMAGE T'O RCN'fF0 - _ 1DD, DDD / CLAIMS -MAL`E X OCCUR )/ PREMISE $.LE rxcurranca) b MED EXP_ {AnY crx. Pacu>ry 5 S ,ODD - ' PER50NALBAOV INJURY $1, OOO DDD _ -- '. '. GENERAL AGGR( (lA TE 52 r 000 000 G£hL A. ^ >(iREGAIF LIMIT /LL >VVES PF.H - - , I '. ', PRO- ' ' F'RODUC.'1'S COMV /OP AGG $1,000,OOD_ POLICY / \':. T LOC _ ._._ _... AUTOMOBILE LIABILITY � COMHINEO SINGLE LIMIT aam.,nt) -' $1, 000, 000 '� ANY Al1TU _ _ - Cp$13']']665 SCHEDlJlEO ,..(Fd OS /27 /2011 DS/27/2012 BODIIX INJl1RY(Per Pr>r;can) E A:JT05 AVT05 �� -�� - NON�00.'NEU DOUIIV eNJIJHV F'uramldnnt ( ) __. $ ' ! IIR;-D AUTOS .._ AUTOS � PRVPERTV I)AMAGF I fPO ac .elan) $ 5 UMBRELLA LIAR OCCUR ': '. _ '' � ' E %CES$ LIAR -, � EACH OCCURRENCE $ �_._. CLAIMS MADE :... DEiJ RETENTION $ _ '. WORKERS COMPEH SATON - "' � -'" _ $ ANO EMPLOYERS' LIABILITY ._._ - WC S TArU - _ OTH _ - ' ANY PROPR:ETiJR/PnRTNE R/E- XE ^,Li LIVE Y/N $ ', TORY. LIMITS _ ER _. OFpIC. ^R1M£MBER E %GW:JEf» � -N /A'. .19624 rje 06/OG/2U11 D5 /OC /2012 El EACH ACCIDENT $1,000,000. (Mandatory le NHI �� - ... _ 'I'ybs descnbe unUar ' ' EL DISEASE FA EMVI -UYEE $1, DOD, 000. DESCRIPTION OF OPERAI'IC)N5 be'�ow E:.I_ DISEASP - POLICY LIMIT � $=_.i OOD , 00 D . OESCRIPTON OF OPERATON$ f LOCATIONS I VEHICLES (Alta cb ACO R° tb1, Additional Ramarlts ScN ad ula, Ir mere s ca fa ragylrotl>> '� 30 day notice of cancellation except on -pay, than 10 days appf ies_ Hlanket additional insured #CG20330704 primary /non - contributory workding #GLS29s (D7 /OH) waiver of subrogation #CG24041093 along with per project aggr @gate #CG2503 3 -97 included as part of general liability policy - The City of Santa Ana> its officers, employees, agents, vo lun toers and rep re san to fives era additional insured par company forms listed above and city's form, attach ®d. CERTIFICATE HOLDER CANCELLATION SHOVED ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ff//yy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f �, City of Santa Ana � � � —��`K �/� ACCORDANCE WITH THE POLICY PROVISIONS. Pub lie wot -)cH Ags:' °y Laur ttC Shccdy 220 S .. Daisy Ave. M -BS � AUTHORIZE° REPRESE ATIVE / Banta Ana, cA 927oz �'- »Ester C.i(y ALtorne�/ �,� �,.- / /�� J Jv"' - - -_ � '- �© 1988 -2010 ACORD CORPORATION. All rights reserved_ A rill � rl 1 - .- -' - - -. . L� "ra��rcv name anD logo are registered marks of ACORD . rrr�ocetl �s ny F'on =y� R<a »s Plus snflwnre. www.FCrmsRCas.am>. ImPreasive Pubasning SGO- ?OH -:9 %� AOdIT1ONAL 1HSUREd EHOOR3EtLfENT POR COMMERCIAL GENERAL LIABILITY POLICY insurance Company __SOOtt srlalc: ir\s[Tra_�.� c- �- ,..�y Thie endoreernent modifies such insurances as is afforded by the provisions of Polley ik _ Ci?51377665 _._._ raltfYing to the foltowing- 1. The City of Santa Ana, 20 Civic Canter Plaza, Santa Ana, California 92701 : its ofticers, employ � +es, agents. volunteers and representatives are named as additional insureds (`additional Insureds•) with regard to liability and defense of suits arising from the oparetlons and uses peAormed by or an behalf of the named insured. 2. With rospsct to claims arising ot.rt of the Operations and uses performed by or on behalf of the named Insured, much insurance as is afforded by this policy Is primary and Is not additional to ar contributing with any other insurance carried by or for the benelh of the additional insureds. 9. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of &ab0ity. The Inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant it not so included. 4. With respect to the additional insureds, this insurance st+ali not be cancelled , or materially reduced in coverage or IlmKs except after thirty (30) days written notice has been given to the Gity of Santa Anq, 20 Civic Center Plaza, Santa Ana. Cafifo rn is 92701. (Completion of It:e following, including countersignature, is required to make this endorsement effective.) Effective . 7 /O this endorsement form as a part of Policy t1 __CPS13776 -6r, ----_ -- -_- _- -__ -_- issued l0 _1 Ch,ra.rri_Schade� �_ r�n.Te Cczaat -y-cc ,r, -:.. Or.-19ga_ Coot -y M�iilbcrscE.s Named InsuYed\ Countersigned by __ 4. A Gthorizea Ropresen[ativi� Earrla 1.X�rn, agf�nt IEJ6HI0 IT D 17