HomeMy WebLinkAboutSIEMENS BUILDING TECHNOLOGIES 7B - 2011Pr-2-
City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
Office Use Only
2011 MAR 23
Please complete this form when the attached agreement and a[bITY OF SANTA ANA
amendments (if any) are no longer in effect. CLERK OF
Return form to the Clerk of the Council Office (M-30).
Call 647-! if you have any questions.
6520
The agreement with S-rEMC=�dJS
No. 4- 2009,1? "al Avas completed on /2-31-ZO 1/ and final payment has been made.
(List all amendments. Use space below if needed.)
A-zoaq- IRb C7)
# A-2DOq - 1q-02 (70)
Department: r N1 S }i ZLBC' MA-S/N7:
Phone/Ext.: X
Signature:
Date:
Revised 04-12-10 DELIVERED MAR 2 3 2016
A-2009-196-02
SECOND AMENDMENT TO AGREEMENT
THIS SECOND AMENDMENT TO AGREEMENT is entered into on December
1, 2011, by and between Siemens Building Technologies, Inc., a California corporation
("Contractor") 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:
I?N A. The parties entered into that certain Agreement A-2009-196, dated December 7,
2009, and subsequent amendment (hereinafter "said Agreement") by which
t Contractor has provided fire alarm maintenance and repair services.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
w exercise the second option to extend the term and increase compensation in order to
pay for services during the extended term.
Y
C? 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
Second Amendment to Agreement, the parties agree as follows:
Section 2, COMPENSATION, shall be deleted in its entirety and replaced with the
following:
"City agrees to pay, and Contractor agrees to accept as total payment for its test and
inspection services, an annual fee of $30,740.00, payable in quarterly payments of
$7,685.00. If additional parts or services are necessary, said services shall be
provided at the rates set forth in Appendix A of said Agreement, "Discounted Labor
& Material Pricing (Active Service Agreement Customers)". Additional parts shall be
priced pursuant to Contractor's Parts Price List on file with the City's Building
Maintenance Superintendent. The total sum to be expended under this Agreement
shall not exceed $38,000.00, annually, during the term of this Agreement."
2. Section 3, TERM, shall be amended to extend the term of said Agreement for an
additional one-year period, through December 31, 2012.
3. Except as hereinabove amended, all terms and conditions of said Agreement shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement on the date and year first written above.
ATTEST:
MARIA D. HUIZAR
Clerk of the Council
CITY OF SANTA ANA
PAUL M. WALTERS
Interim City Manager
APPROVED AS TO FORM:
JOSEPH STRAKA
Interim City Attorney ,,tt
By: i ch-t
Lau°ra Sheedy
Assistant City Attorney
SIEMENS BUILDING
TECHNOLW,IES, INC.
tlN Alm')
(Title)
RECOMMENDED FOR APPROVAL:
-1_111 > _ \?k L
FRANCISCO GUTIERREZ
Executive Director - Finance and
Management Services Agency
Siemens Industry, Inc.
September 15, 2011
Mario Ghizzi
City of Santa Ana
20 Civic Center Plaza, Rm. B-19
Santa Ana, CA 92702
Ref: Renewal - =-_L_ Service Agreement: 2600025786/Santa Ana Police Facilities
Our records indicate that the ? i:'w m service agreement between Siemens Industry, Inc. - Building
Technologies Division and City of Santa Ana Police Facilities expires December 31, 2011. We will renew
your contract with your authorization. The renewal dates and amounts are indicated below.
The intent of this letter is to inform you that Siemens Industry, Inc. - Building Technologies Division will
renew this contract based on our long time partnership with your facility and your Contractor Agreement A-
2009-196, dated 12/7/09. This renewal will commence with the same terms and conditions and the same
scope of work.
Contract Period & Amount:
1/112012 through 12/31/2012: $30,740.00 (Billed Quarterly $7,685/Quarter)
Upon review and acceptance, please complete the below "ACKNOWLEDGEMENT" section and fax this
letter to my attention Fax (866) 644-2315.
Please feel free to call me at 714-816-1424 if your have any questions or concerns.
Thank you.
002-. q
Kim Hackworth - Service/Renewals
714/816-14240ffice, (866) 644-2315 Fax
10775 Business Center Drive, Cypress, CA 90630
ACKNOWLEDGEMENT- lease fax to Kim Hackworth Fax 866 644-2315
Customer Representative
Accepted Bv: t
Name: 'I?lGllz L) Ca{t( ?I
Title: fC?CI LiTI MGtIVL-i?VIGtYICE S?.t.E'iNTDL?VCC
Date: i` I ?t 1
MARSH
Memo
To: To Whom It May Concern
Date: September 14, 2011
From: Marsh CSS
Subject: Siemens Corporation
Certificates of Insurance
2011 - 2012 Policy Year
Marsh USA Inc.
10900 Slonelake Blvd., 2"i Floor
Auslin, TX 78759
512 342 4400 Fax 212 948 0622
rA s iem ens . cs g9_bmars h. com
As a Siemens Corporation Certificate Holder, please find attached your company's renewal
certificate for the 10/1/2011 - 10/1/2012 policy period. If you do not require this Certificate of
insurance, please advice by marking "delete" on the certificate and returning it via email
(nisieuiens.csgCa)inarsh.com) or fax to (212) 948 0622.
Best regards,
Marsh CSS
E Marsh a Mkterrn.n c=V ies
HDI-GERLING AMERICA INSURANCE COMPANY
MANUSCRIPT ENDORSEMENT # 34
Policy Number
GLD11101-03
Named Insured
SIEMENS CORPORATION
Policy Period: Inception (M-D Y) Expiration (M-D-Y) Effective Date and
Time of Endorsement
10-01-11 10-01-12 10-01-11 12:01 am. Standard Time
at Address of the Insured.
This Endorsement Changes The Policy. Please Read It Carefully.
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Form
Who is an insured is amended to include as an insured any person whom you are required to add as an additional
insured on this policy under a written agreement. The insurance coverage provided to such additional insured applies
only to the extent required within the written agreement.
The insurance coverage provided to the additional insured person shall not provide any broader coverage than you
are required to provide to the additional insured person in the written agreement and shall not provide limits of
insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or the limits of insurance you
are required to provide in the written agreement.
The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other
insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a
loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance
apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance apply
on a primary and non-contributory basis this insurance is primary to other insurance available to the additional insured
and we will not share with that other insurance.
This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required
otherwise in the written agreement.
All terms and conditions of the policy remain unchanged.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS
WRITTEN.
Page I of I
A
,a?coRL7 CERTIFICATE OF LIABILITY INSURANCE DATE
09//,6/211„
_...
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 CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
MARSH USA, INC. .NAME:
445 SOUTH STREET PHONE
HONE FAX
_
?? U•-__._
Nol;
LC
1
MORRISTOWN, NJ 07950-11454 ___ _-- ----
,
_ -
-
E-MAIL
__- __ INSURER?AFFORDING COVERAGE
NAIC e
100129-6-7BA-SBT1-11/12 610 Guzma _
4
INSURER A; HDI-Gefllrlg America Insurance Company 41343
INSURED
SIEMENS INDUSTRY, INC. INCLUDING INSURER B Liberty Mutual Fire Ins Co 23035
-__
BUILDING TECHNOLOGIES DIVISION INSURER C : Liberty Insurance Corporabon 42404
1000 DEERFIELD PARKWAY -- --- - ----
BUFFALO GROVE, IL 60089A513 INSURER D_
INSURER E
INSURER F
--'-- '-- - nctleArV1717VM6LIY:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N
AMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE
P
S
ECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I
S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
.
INSR ADDL UBR ---- - - -
POLICY EFF .? POLICY EXP-- -
- - --- ---- --- -" " ---""----
LTR TYPE Of INSURANCE
POLICY NUMBER
D/YYYY MM/DD/YVVY LIMITS
A GENERAL LIABILITY GLD11101-03 10/0112011 10101/2012 ?EACH
O
C 1
000
000,
X COMMERCIAL GENERAL LIABILITY ! C
URRLNCE
AMAd9 T?-RENTED ,
,
_X]
PREMISES LEa occurrence] 1,000,000
$
-- -
J CLAIMS-MADE
OCCUR
1 -- ----
r i M_ ED EXP (Any ale person)
1 ER°ONALBADV INJURY $ - 100,000
$ 1,000,000
j GENERAL AGGREGATE $ 10,000,000
GEN_ L AGGHEG_ArE LIMIT APPLIES PER:
-- -
f PRO'
X
PRODUCTS -COMP/OP AGG
--------------------
$ INC:.
POLICY LOC $
B AUTOMOBILE LIABILITY
-i AS2-631-004334-211 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT
E
000
000
2
X
ANY AUTO i I
, icciUrnt)
I .
,
§ -
__
X ALL OWNED SCHEDULED
AUTOS AUTOS
?
j BODfLV INJURY (Pa, person)
BODILY INJURY (Per accrtlenq I $ N/A
$ N/A
OWNED
X_ HIRED AUTOS I X NON PROPERTY DAMAGE -
$
N/A
j Per accident __- _ -
$
UMBRELLA LIAB
OCCUR
_
EXCESS LIAR
CLAIMS MADE EACH OCCURRENCE
""------ ----- - $
-"---
_
- -
- --- AGGREGATE $
DED
RETENTION --
$
C WORKERS COMPENSATION
AND EMPLOYERS' UABILnY WA7-63D•004 4.011 (AOS) 10/01/2011 10/0112012 WC STATU- 0TH-
_TT
C
C
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFiCERlMEMBE
EXCLUDED? N ' N/A WC7-631-004334-021 (OR, WI) 10/01/2011 10/01/2012 -
E.L. EACH ACCIDENT - --
1,000,000
$
(Mandator in NH
) EW5-63N-004334-421 (OH) 1 10/0112011 10/0112012 E 1000
000
D yes, describe under
ESCRIPTION OP UPERATIONS belo "1500K LIMIT I $5WK SIR" L DISEASE EA EMPLOYE ,
$
w E .L. DISEASE POLICY LIMIT $ 1,000,000,
f
i
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addhionat Remarks Schedule, if more space is required)
E: 401330, MAINTiREP ALARM SYSTEM - RD FACILITY 2600023858 ALL OPERATIONS I
i
EE ATTACHED
4v
;,e x
rFRTIFIrATF urm ncm
CITY OF SANTA ANA
ATTN: CLERK OF THE CITY COUNCIL
20 CIVIC CENTER PLAZA (M-30)
P.O. BOX 1988
SANTA ANA, CA 92702-1988
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee
ar rwoo-zwIu Acunu L;UKFaURATION. Ali rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
ACC OR
III.?
AGENCY CUSTOMER ID: 100129
LOC #: Morristown
ADDITIONAL REMARKS SCHEDULE
Page 2 of 2
AGENCY NAMEDINSURED
MARSH USA, INC SIEMENS INDUSTRY, INC INCLUDING
- BUILDING TECHNOLOGIES DIVISION
POLICY NUMBER 1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 60089-4513
CARRIER NAIL CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: _25 FORM TITLE: Certificate of Liability Insurance
RE. 401330, MAINT/REP ALARM SYSTEM - P.D FACILITY 2600023858 ALL OPERATIONS
THE CITY OF SANTA ANA 20 CIVIC CEN TER PLAZA, SANTA ANA, CALIFORNIA 92701 ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL
INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE
POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC OR ITS SUBCONTRACTORS WITH
RESPECT TO ALL OPERAI IONS
Acnnn In1 lomAimi
%0,9W5 Ag.;Urfu I;UHPUHATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD