HomeMy WebLinkAboutSERVICE FIRST CONTRACTORS DBA SERVICE 1ST 1A -2012qDCity of Santa Ana
Clerk of the Coun,- coic oabc-e use oMy
AGREEMENT TERMINATION FORM j
Please complete this form when the attached agreement and all 2(9 9 Fti
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements City OF SAN TA ANA
have been satisfied prior to signing the termination form. C ERK OF COUNCIL
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
i
The agreement with �l�?JYU1Q � !&
No. � b i I— /9 ffg was completed on
(List all amendments. Use space below if needed.)
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Revised: 01-07-16
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Department: V} tA+U
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Signature: fS A 0-�> t Ak4Cln
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CLERK )F �ntjCii
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FIRST AMENDMENT TO SERVICE AGREEMENT
THIS FIRST AMENDMENT TO AGREEMENT is entered into on February 21, 2012,
by and between Service First Contractors Network dba Service I", 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:
A. The parties entered into Agreement A-2011-249, dated November 7, 2011, (hereinafter "said
Agreement') by which Contractor has provided fountain maintenance and repair services.
B. In accordance with the terms and conditions, the parties wish to amend said Agreement to
include an additional fountain site for maintenance and repairs, increase compensation to pay
for the additional services and provide a contingency for unanticipated repairs that may be
required during 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 Amendment to
Agreement, the parties agree as follows:
1. Section 1, SCOPE OF SERVICES, shall be amended to include Contractor shall provide
maintenance and repair services for the fountain located at the Santa Ana Regional
Transportation Center (SARTC). Said SARTC maintenance shall be performed on a once a
week basis, and shall comply with the Specifications for maintenance and repair of the
fountains in Downtown Santa Ana and the Civic Center, set forth in said Agreement as
Exhibit A.
2. Section 2, COMPENSATION, shall be amended to increase compensation by $3,300, to pay
for the additional services at SARTC and an additional $6,000 contingency for unanticipated
maintenance and repairs required during the term of said Agreement. The total amount to be
expended shall not exceed $39,990, during the term of said Agreement.
3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in
full force and effect.
A-2012-033
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement
on the date and year first written above.
ATTEST:
yy—i a
MARIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH STRAKA
Interim City Attorney
By:' �Ll�r.4 6s17
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
GERARDO MOUET
Executive Director
Parks, Recreation and
Community Services Agency
CITY OF SANTA ANA
LV—
PAUL
M. WALTERS
Interim City Manager
SER
NETWORK
Client#: 663174
SERVFIRSI
ACORD,CERTIFICATE OF LIABILITY INSURANCE
DATE (MM1D01YYYY)
,ti,a,20„
THIS CERTIFICATE IS ISSUED ASA 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: Ifthe 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 -
Hub InternationalPHONE
HUB Int'I Insurance Serv. Inc.
1091 North Shoreline Blvd 200
Mountain View, CA 94043
NAME: Sara Pickens
Ey 916-770-2914 A� Ne
E-MMAL
ADDREss: sara.pickens@hubintenaional.com
INSURE S AFFORDING COVERAGE NAIC t:
INSURER A • Endurance American Specialty In 41718
INSURED { I fi{
Service First Contractors f 1 '� O ` `~� 1 1
INSURERS:
1/11/2011
Network, DBA: Service First
3505 Cadillac Ave Bldg F-9
Costa Mesa, CA 92626
INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.LTR
TYPE OF INSURANCE
NNW
POLICY NUMBER
MPOLICY EFF
MPOLICY EXP
LIMITS
A
GENERAL LIABILITY
X
ECC10101141801
1/11/2011
11/11/201
OCCURRENCE s2,000,000
X COMMERCIAL GENERAL LIABILITY
pEAACCH��T
PREM% a oaence $SO1 OOO
CLAIMS -MADE 51OCCUR
MED EXP one person $5,000
PERSONAL &ADV INJURY s2,000,000
X BI/PD Ded: $2,500
X CPL/PL Ded: $2,500
GENERAL AGGREGATE s2 00o OOo
GE N'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG s2,000,000
X1 POLICY F7 PRO- LOC
CPUPL $2 000 000
AUTOMOBILE UABLRYOM
INED SINGLE LIMIT
Ea acct ret
BODILY INJURY (Per person) S
ANY AUTO
ALL OWNEDSCHEDULED
AUTOS AUTOS
accident) BODILY INJURY (Per lderrt S
NON -OWNED
HIREOAUTOS AUTOS
PROPERTY DAMAGE
Per acCident $
s
A
UMBRELLA LIAB
OCCUR
EXS10101268901
1/11/2011
11/1112012
EACH OCCURRENCE $1000000
AGGREGATE S11,000,000
EXCESS LIAR
CLAIMS -MADE
DED X RETENTION s3.000
$
WORKERS COMNSATION
PEAND EMPLOYERS' LJABLLTY Y / N
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICER/MEMBER EXCLUDED
N / A
APPRO yr I� AS
TO l�U
MIFR
WC STATU- OTH-
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE S
(Mandatory In NH)
Ryes describe under
DESCRIPTION OF OPERATIONS be
��
/�
E.L. DISEASE - POLICY LIMIT S
JI_Rur�,;�fltt Sacedy
ASSistatK City ii,ttOrtiev
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Addlibnal Remarks Schedule, I mon space Is required) - {-
additional certificate holder. Parks, Recreation & Community Service Agency; Attn: Silvia Cuevas / City of
Santa Ana, its officers, agents & employees are reamed as additional insureds with respects to liability Z
arising out of the insured'$ operations per endorsement FEi-319-ECC-0708. *Primary Wording applies per C
attached endorsement.
`. co
City of Santa Ana
26 Civic Center Plaza
Santa Ana, CA 92701
ACORD 25 (2010/05) 1 of 1
#51435281IM 1404866
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
C 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo aro registered marks of ACORD
MV41
-"" Service First, Service First Contractors Network, dba:
E�urance Endorsement Number: 5
Automatic Additional Insured - Owners, Lessees or Contractors
This endorsement, effective 11/11/2011 attaches to and forms a part of Policy Number
ECC 10 10 1141801 This endorsement changes the Policy. Please read it. carefully.
This endorsementmodifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CONTRACTORS POLLUTION LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organisation:
Any person(s) or organi7,ation(s) whom the Named Insured agrees, in a
written contract, to name as an additional insured. However, this status
exists only for the Project specified in that contract.
The Person or organization shown in this Schedule is included as an insured, but
only with respect to that person's or organization's vicarious liability arising out
of your ongoing operations performed for that insured.
FEI-319-ECC-0708
✓k -ao11-049
Service First, Service First Contractors Network, dba:
E urance Endorsement Number. 14
Automatic Primary and Non -Contributory
Insurance Endorsement
Designated Work Or Project(s)
This endorsement, effective 11/11/2011, attaches to and firms a part of Policy Number
EM 0101141801 . This endorsement changes the Policy. Please read it carefully.
SCHEDULE
Name of Person or Organisation:
Any persons) or organization(s) whom the Named Insured agrees, in a written
contract, to provide Primary and/or Non-contributory status of this insurance.
However, this status exists only for the project specified in that contract.
In consideration of an additional premium of lied and notwithstanding
anything contained in this policy to the contrary, it is hereby agreed that this
policy shall be considered primary to any similar insurance held by third parties
in respect to work performed by you under any written contractual agreement
with such third party. it is further agreed that any other insurance which the
person(s) or organization(i) named in the schedule may have is excess and non-
contributory to this insurance.
FEi-548-ECC-0708
AC"RL> CERTIFICATE OF LIABILITY INSURANCI
DATE (MMIDD(MY)
12/2012016
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 holderis 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 I C2NTACT3OEY MONTGOMERY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD
STATE FARM MUTUAL INSURANCE COMPANY
-(PAHONE
.Ext1„.714-526-7001 ialC. No):714-526-0348
Sti1Jc3Fa1yI1
1370 BREA ELVC? STE. 150
E-MAIL JO YMONTGOMERY.COM
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FULLERTON, CA 92835
9
INSURERLS) AFFOROIMG COVERAGE ,_.... MAIC it
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IMSURER a tate Farm Mutual Automobile Insurance Company 25178
INSURED
SERVICE FIRST CONTRACTOR'S NETWORK
INSURER B:
: SERVICE FIRST � �
INSURER
__ ..,___
DAMAi RENTED
2510 N. GRAND AVENUE SUITE A 1I u�
SANTA ANA 92705 LI
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INSURER O : _ ...._ ..._ _. ...._..� ..
INSURER E-
CLAIMS -MADE OCCUR
SCA
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INSURER P s
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD
INDICATED. NOTVWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WWITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NINE BEEN REDUCED BY PAID CLAIMS.
_ TYPE OF ...................____ .-.. . ... ,....._ .__..._. _... ....,,._.. .-..__.. _._ ......._....... ........._...-.__..._.........
_ . _...,.._ ............. . ROLICY EPF POLICY EXP LIMITS
ILTR AIN D ,l POLICY NUMBER IMMID MMIDW(YYY
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
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_........
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__ ..,___
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CLAIMS -MADE OCCUR
PREMISES,(,Eaoacurrer„bcla.
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.... ..
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_.—_.... ... _ .... „ .._ .. .._-..
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AGGREGATE LIMIT APPLIES P
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Pot.1CY I 1PERcoiLOC
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PRODUCTS COMPIOP AGG
OTHER:
S
A
AUTOMOBILE LIABILITY
� 133 3423-F09-76 _ 015107=16U015107=16iI
061071201770610712017COMBINED
SINGLE LIMITEaacudemmi} � I000;000
ANY AUTOi
._ .....� ALL OWNED SCHEDULED
BODILY INJURY (Per person) S
BODILY INJURY (Per accident) $
AUTOS __.. AUTOS
NON-O%NED
.�. _..._
'ROPER7Y DAMAGE
X ! HIRF0 AUTOS % AUTOS
Il
$
(Peracriaenl) _. .. _,_..............._
$
UMBRELLA LIAR I, � OCCUR
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.W......,,._._ ..._.___...._......_�.�_ --
EXCESS CLAIMS-MADEV
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AGGREGATES
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WORKERS COMPENSATION
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(Mandatory In NH)
,»,.,. e
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If yyes, dascdba tender
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_._._.
' DE5CRIPTION OF OPERATIONS below
�t^”
E.L. DISEASE -POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedules, may be attathed it more space is rettuiredl
CERTIFICATE HOLDER, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO AUTO LIABILITY
30 Day Notice of Cancellation (10 day notice for nen-payment of premium)
UIcK I P,I^Ir.rA I t HULUEK t..AFMWsMILL A I Ivey
CITY OF SANTA ANA
ATTN: PRCSA
20 CIVIC CENTER PLAZA -M-23
SANTA ANA, CA 92701'
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
(0 1986-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (201'4101) The ACORD name and logo are registered' marks of ACORD 1001'486 132849.9 02-04-2014
JIHW Policy No,: 1333423FO975
6609
29
ake rawer
SECTION 11 ADDITIONAL INSURED ENDORSEMENT I"
Policy No.. 1333423FO975
Named Insured: SERVICE FIRST CONTRACTOR'S NETWORK
DBA: SERVICE FIRST
CITY OF SANTA ANA
ATTN': PRCSA
20, CIVIC CENTER PLAZA -M-23
SANTA ANA, CA 92701
gevOt"d bN"
CU 'J as
fo-'0
WHO IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is amended to include as
an insured the Additional Insured shown above, but only to the extent that liability is imposed on that
Additional Insured solely because of your work performed for that Additional Insured shown above.
Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a
suit brought for damages for which you are provided coverage.
The Primary Insurance coverage below applies only when there is an "X" in the box.
Primary insurance, The insurance provided to the Additional Insured shown above shall be
primary insurance. Any insurance carried by the Additional Insured shall be noncontributory
with respect to coverage provided to you.
All other policy provisions apply.
FE -6609 Printed in U.S.A.