HomeMy WebLinkAboutTIBURON, INC. 4B - 2013INSURANCE ON N11
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A -2013 -175
A� �� SECOND AMENDMENT TO AGREEMENT
1
This SECOND AMENDMENT TO AGREEMENT is entered into this 1" day of
December, 2013, by and between TIBURON, INC., (hereinafter "Consultant'), and the City of
i Santa Ana, a charter city and municipal corporation organized and existing under the
\s Constitution and laws of the State of California (hereinafter "City "),
RECITALS
as
A. City and Consultant entered into Agreement #A- 2012 -065, dated March 19th, 2012,
(hereinafter said Agreement') by which Consultant was to provide the Santa Ana Police
Department with maintenance and support of its existing Computer Aided Dispatch (CAD)
system known as IQ /CAD and its related components.
B. By First Amendment to Agreement dated November 30, 201,2, the parties amended the
scope, compensation and term of the Agreement.
C. In accordance with the terms and conditions of said Agreement, the Parties desire to
extend the term of said Agreement for an additional one -year period and add additional
compensation for the period of extension.
NOW, THEREFORE, in consideration of the mutual and respective promises, and subject to all
the terms and conditions of said Agreement and the First Amendment to Agreement, except as
herein modified, the parties agree as follows:
1. Section 2, COMPENSATION, shall be amended to increase compensation to an amount
not to exceed $39,000.00 to pay for the services during the extended term.
2. Section 3, TERM, shall be amended to extend the term of said Agreement for an
additional one -year period through November 30, 2014.
Except as hereinabove modified, all terms and conditions of said Agreement and First
Amendment to Agreement shall remain in full force and effect.
Itl
11!
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement the date and year first above written.
ATTEST:
MARIA HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
OFFICE OF THE CITY ATTORNEY
By: 4""-0t L,UIG,.r �-. Ro"
Laura A. Rossini
Assistant City Att rney
RECOMMENDED FOR APPROVAL:
Ile
r
Carlos Rojas
Acting Chief of Police
CITY OF SANTA ANA
DAVID CA A OS
City Manager
TIBURON, INC.
By
Scott Carroll
Contracts Manager
Maintenance Renewal
For
Santa Ana, CA
Annual Maintenance
Yearly maintenance for 11 licenses of IQ/CAD, CAD Visor, 1 State Interface, 1 HML output for CAD to Police RMS and 100
licenses of IQ/Mobile only.
** ?fie prices indicated above do not include Installation ond/ar configuration of 3rd party software and /or hardware * **
* * *17buron requires remote VPN access to the customer site (minimum tMbps)* **
The information wnWhod In Ihv dccument is propnelaryto Ttbumn
shd1v oflucd solely for the purpose of MILYUpn'.
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CONFIDENTIAL
6130102A -Santa Ana,CA -IQCAD aad Mdblle Melnlenenca Rnnawal Summary
PRICING All prices are in U.S. Funds,
Taxes, If applicable, are extra.
PAYMENT 100Y. at signature
VALIDITY 60 days
- Services will be performed in accordance with the attached Maintenance and Support Guidelines,
which are incorporated herein.
By signing in the space provided below, I am representing that I am authorized to sign on behalf of Customer:
Signature Date
Tbetofenne0a anllaIned In 1pls do an. eat is pseekdary W Tiburon
and Is offered solely Wr the purpose of evelualion.
CopAht 2012 To..
CONFIDENTIAL
01901fiZA-Santa Ana,CA -ICCAD and Moblle Malnlenarea Rpnaml Notes
Revision History
Revision Level Reason for Revision pate Revised
Original
Price
The Inknandiion mntaiped In IRIS tlpcume.t[a proprlelery In Tnlden
.ad sRlrarndsolely forte parpoae a( ecaluellon.
Copyright 20121 tbumn
CONFIDENTIAL
0130162A -Santa Ana, CA- (GOAD and Moldle Maintenance Renewal - ReNSton Hlslory
August 16, 2013
January 16, 2014
Maintenance and Support Guidelines
Applicability........... ............................... . .............................. ............................... . .............
............................... . .............. 2
Description of Technical Support Services .....................................................................................
............................... 2
TechnicalSupport Services .........................................................................................................
............................... 2
HelpDesk Service .......................................................................................................................
............................... 2
HelpDesk Call Taking Process ...................................................................................................
............................... 2
EscalationProcedure ...................................................................................................................
............................... 3
Table A: Ticket Priorities and the Service Level Agreement ( SLA) .............................................
............................... 4
SoftwareUpdates Program .........................................................................................................
............................... 5
Product Specialist and Training Services ........................................................................................
............................... 5
ClientResponsibilities .....................................................................................................................
............................... 5
Termination......................................................................................................................................
............................... 7
Exclusions to Technical Support Services ......................................................................................
............................... 8
Applicability
These Maintenance and Support Guidelines ( "Maintenance and Support Guidelines ") - applies -if the Client has ordered -any
of the services detailed herein pursuant to the receipt of a Price Quote from Tiburon, Inc. (hereinafter "Tiburon "). Any
services detailed herein that have not been ordered by the Client shall not apply or be provided to the Client by Tiburon.
These terms represent Tiburon's standard terms, These terms apply unless superseded by a specific Client agreement.
Description of Technical Support Services
Technical Support Services
Tiburon's Technical Support Services department consists of technical specialists dedicated to providing the
highest level of technical support services to its Clients.
Technical Support Services include the Help Desk Service, Software Updates Program, Product Specialist
Services and Training Services.
The Help Desk Service and Software Updates Program are provided on a per - product basis and available on an
annual or multi -year basis as detailed in the Client Quotation.
Help Desk Service
The Help Desk service includes technical support on products purchased from Tiburon including Tiburon licensed
products and 3rd party products.
The Help Desk provides 24 x 7 technical support to Clients for all Tiburon products. The Help Desk is staffed by
technical specialists, backed by 24 x 7 engineering support to handle high priority issues.
High priority issues that cannot be addressed expediently by the technical specialists alone are assigned to the 24
x 7 engineering support staff. If the issue cannot be addressed within the defined service level agreement (SLA)
in Table A, an escalation process is automatically triggered involving senior management in order to take
immediate action calling upon product experts as needed. This level of specialized technical support ensures
timely, accurate and effective support for Tiburon's Clients.
For urgent and high priority tickets (see Table A), Clients are requested to contact the Help Desk by phone in
order to obtain immediate technical support using the following toll -free number; 1 (877) 441 -4648.
For routine and lower priority tickets (see Table A), Clients are encouraged to send an email to
DispatchNowSupport(o)tiburoninc.com which includes caller contact information, site identification, affected
product and a short problem description. An email reply will acknowledge that Tiburon has received the Client's
email. A Help Desk representative will contact the Client with a ticket # and status within the timeframes defined in
the SLA (see below for details).
Help Desk Call Taking Process
When a Help Desk call is received, it is answered by a Help Desk representative. The representative takes the
caller's general information such as caller contact information, site identification, affected product and a short
problem description. Based on the priority definitions detailed in Table A, the caller advises the Help Desk
representative on the priority of the issue. The caller is given a ticket reference number and is passed onto a Help
Desk technical specialist for problem investigation and resolution. If there are no Help Desk technical specialists
available to immediately take the call, the caller is called back within the agreed upon SLA.
The Help Desk technical specialist will work over the phone and through remote high speed facilities (e.g. Cisco
VPN, Sonic Wall, Remotely Anywhere, Remote Desktop) to troubleshoot and resolve the issue. The ticket Is only
'closed' by Tiburon upon positive confirmation from the Client.
Escalation Procedure
When the call -back SLA specified in Table A is not met, the Help Desk is instructed to escalate the ticket to the
people identified below and advise the Client that this escalation is in progress. Should the Client not receive a
call from the Help Desk within the call -back SLA, the Client is free to contact the following escalation contacts
directly (in the order indicated):
Internal escalation is automatically triggered in the timeframes defined in the last two columns of Table A in order
to ensure that high priority tickets are resolved as quickly as possible.
Note:
The call -back time is defined as the interval of time from the moment Tiburon Help Desk received a call for
service to the moment a Tiburon technical specialist contacts the site.
Help Desk Team Leader
(514) 916 -0199
Director, Operations
(514) 804 -9334
Director, SW Development
(514) 916 -3995
Sr. VP, Products and Operations
(514) 916 -0423
Internal escalation is automatically triggered in the timeframes defined in the last two columns of Table A in order
to ensure that high priority tickets are resolved as quickly as possible.
Note:
The call -back time is defined as the interval of time from the moment Tiburon Help Desk received a call for
service to the moment a Tiburon technical specialist contacts the site.
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Software Updates Program
If the Client has purchased the Software Updates Program, the Client will be entitled to receive
new General Availability (GA) releases of the Tiburon licensed software products purchased by
the Client.
The Software Updates Program provided hereunder does not include any of the following
(a) Installation, configuration and training services. Upon reasonable notice from the Client,
Tiburon will provide a Price Quote to the Client on a time and materials basis at Tiburon's then
current rates for such services;
(b) Modifications or customization of the Software other than corrections of Defects made or
provided under these Maintenance and Support Guidelines;
(c) Consultation for new programs or equipment;
(d) Correction of problems, and assistance regarding problems, caused by operator errors,
including but not limited to the entry of incorrect data and the maintenance of inadequate backup
copies and improper procedures; and /or
(e) Correction of errors attributable to software other than the licensed Software.
Upgrade of the Client's Hardware, Operating System, and /or third party software may be required
from time to time to support New Releases, Maintenance Releases or Upgrades of the Software,
The Client shall be solely responsible for the cost of such upgrades unless expressly stated
otherwise.
Product Specialist and Training Services
Clients can contact the Help Desk to request the services of Product Specialists and Trainers.
The Help Desk will direct the call to the appropriate technical services representative to provide
details on the services offered and their associated rates and to schedule resource availability.
Client Responsibilities
(a) Technical Service Tickets The Client shall provide all information requested by
Tiburon necessary to complete its Technical Support Services form for each request for
technical services, Enhancements, and Out of Scope Services.
(b) Remote Access The Client will facilitate high speed 512Kbps or greater remote
VPN access for Tiburon to access the servers and workstations at the Client Site.
Remote access will require the use of interactive applications including but not limited to
PC Anywhere, Remote Desktop, VNC, telnet, secure shell (ssh) , and application -level
TCP /IP socket connectivity as determined necessary by Tiburon. Tiburon personnel will
require local administrative control of all servers and workstations involved in Tiburon
implementation. In addition, Tiburon requires the ability to dynamically upload /download
files to the server(s) without third -party intervention. Tiburon technicians may need
remote access to the System to analyze the System configuration, aid in problem
analysis or to modify the System configuration for a problem work- around. Remote
access may also be used for transmission of Software updates to the Client. Remote
access must be available twenty -four (24) hours a day, seven (7) days a week.
Tiburon's request to halt any System functionality shall require the Client's appropriate
management approval. Tiburon shall not perform any service- affecting activity without
informing the Client's appropriate management in advance and receiving proper
authorization.
Tiburon recognizes the need for security of remote access facilities. Tiburon shall work
within the Client's security guidelines whenever possible. If the Client's remote access
facility is dysfunctional, Tiburon shall not be held liable for response times.
Tiburon shall not be responsible for any costs relating to the procurement, installation,
maintenance and use of such equipment and all associated telephone use charges.
Tiburon shall use the data connection solely in connection with the provision of its services
hereunder. The Client may be required to run tests deemed necessary by Tiburon
following each remote access as requested by Tiburon.
(c) Access The Client shall provide Tiburon's personnel or its local service provider
with full access to their site at all required times.
(d) Maintenance and Back -Ups The Client shall ensure that maintenance and back-
up activities relating to the Tiburon proprietary software and the System, including without
limitation backing up databases and journal logs, purging out of date records and running
reports and performing diagnostics, are timely carried out.
(e) Data Input The Client shall enter, update and maintain the input data as required
for satisfactory operation of the Tiburon proprietary software, and be responsible for the
accuracy of all Client - provided data.
(f) Third -Party Product Suppork Unless otherwise agreed, the Client shall obtain,
pay for and maintain in effect during the term of these Maintenance and Support Guidelines
the technical support contracts for certain third party products as specified by Tiburon, and
shall ensure that, in addition to authorizing the Client to request support services there
under, each such support contract also expressly authorizes Tiburon to request support
services there under on the Client's behalf.
(g) System Security The Client shall ensure that the security of the System conforms
in all respects to the federal, state, and/or local mandated law enforcement
telecommunications requirements.
(h) System Chanae, Alteration, or Modification The Client shall ensure that, with
respect to the Tiburon proprietary software, such software is installed only on the
authorized server and workstations and only at the authorized site. The Client shall ensure
that each authorized site conforms in all respects to the site specifications as required by
Tiburon. The Client shall ensure that no change, alteration or modification is made to the
System configuration without the express prior written consent of Tiburon; provided,
however, that said consent is not intended to constitute in any manner Tiburon's approval,
certification; endorsement, or warranty of the System configuration or System performance.
(i) Database Administration Change Authorization Client shall maintain a system
to ensure that only authorized personnel have the ability to perform database
administration activities and that a list of all such authorized personnel (and any updates
thereto) be promptly delivered to the Tiburon's Technical Support Services department.
Database administration shall be in compliance with Tiburon provided guidelines. Tiburon
cannot assist Client personnel other than those on the most current authorization list.
(j) Authorized Client Representative The Client shall designate, in a written notice
a single individual to act as the Client's authorized representative for purposes of these
Maintenance and Support Guidelines. Such individual (a) must be authorized to act on the
Client's behalf with respect to all matters relating to these Maintenance and Support
Guidelines; (b) shall ensure the Client's compliance with its responsibilities under these
Maintenance and Support Guidelines; and (c) shall coordinate appropriate schedules in
connection with Tiburon's services under these Maintenance and Support Guidelines. The
Client may change the individual designated hereunder by providing Tiburon advance
written notice designating the new individual authorized to act as the Client Representative.
(k) Technical Support Coordinators The Client shall designate, in a written notice
one or more individuals to act as the Client's technical support coordinator (a "Technical
Support Coordinator'). The Client shall ensure that each Technical Support Coordinator
designated hereunder shall have received the appropriate Tiburon proprietary software and
System training and shall otherwise be familiar with the Tiburon proprietary software and
the System. The Client shall ensure that, at all times, a Technical Support Coordinator is
available (a) to screen operational assistance calls and handle operational problems, where
appropriate; (b) to provide access to the System as required; and (c) to provide on -site
technical assistance as required by Tiburon to aid Tiburon in performing its services
hereunder. The Client may change any individual designated hereunder by providing
Tiburon with advance written notice designating the new individual authorized to act as a
Technical Support Coordinator.
(1) Training The Client shall ensure that all Technical Support Coordinators and other
personnel have received appropriate training on the Tiburon proprietary software and the
System, and otherwise maintain sufficient personnel with sufficient training and experience
to perform its obligations under these Maintenance and Support Guidelines.
(m) Error Reproduction Upon detection of any error in any of the Tiburon proprietary
software applications, the Client shall provide Tiburon a listing of command input, resulting
output and any other data, including databases and back -up systems, that Tiburon may
reasonably request in order to reproduce operating conditions similar to those present
when the error occurred.
Termination
(a) Termination for Payment Defaults In the event that the Client fails to pay when due all or
any portion of the annual maintenance and support fees required, Tiburon may immediately, and
without further notice to the Client, terminate these Maintenance and Support Guidelines or
suspend all or any portion of the services hereunder for all or any portion of the Tiburon proprietary
software applications until the Client's account is brought current. .
(b) Termination for Other Defaults In the event that either party hereto materially defaults In
the performance of any of its obligations hereunder (other than payment defaults covered above),
the other party may, at its option, terminate these Maintenance and Support Guidelines, by
providing the defaulting party thirty (30) days' prior written notice of termination, which notice shall
identify and describe with specificity the basis for such termination. If, prior to the expiration of such
notice period, the defaulting party cures such default to the satisfaction of the non - defaulting party
(as evidenced by written notice delivered by the non - defaulting party, termination shall not take
place.
(c) Consequences of Termination Upon termination of this Agreement for whatever reason,
(a) Tiburon shall be under no further obligation to provide support or any other services hereunder;
(b) Tiburon shall return to the Client all Client confidential information in Tiburon's possession and
shall certify in a written document signed by an officer of Tiburon that all such Information has been
returned; (c) the Client shall return to Tiburon all Tiburon confidential information in the Client's
possession (including, without limitation, all devices, records, data, notes, reports, proposals, lists,
correspondence, specifications, drawings, blueprints, sketches, materials, equipment or other
documents or property relating to such Tiburon confidential information and all copies of any of
the foregoing (In whatever medium recorded) but not including any such information licensed to
and paid for by the Client and shall certify in a written document signed by the authorized Client
representative that all such information has been returned.
Exclusions to Technical Support Services
The following services are outside the scope of the Technical Support Services provided by
Tiburon and may result in additional charges, on a time and material basis;
(a) Repair of damage or the increase in service time due to any cause external to the
System which adversely affects its operability or serviceability, including but not be limited to, fire,
flood, water, wind, lightning, and transportation of the System from one location to another;
(b) Repair of damage or the increase in service time caused by failure to continually provide
a suitable installation environment, including, but not limited to, the failure to provide adequate
electrical power, air conditioning or humidity control, or the Client's improper use, management or
supervision of the System including, without limitation, the use of supplies and accessories.
Proper use and environmental requirements are determined by the Product documentation;
(c) Repair of problems caused by the use of the System for purposes other than for which it
is designed;
(d) Repair of problems caused by changes to the Hardware and /or the network made without
obtaining Tiburon's prior approval;
(e) Repair or replacement of any item of the System which has been repaired by others,
abused or improperly, handled, improperly stored, altered or used with third party material,
software or equipment, which material, software or equipment may be defective, of poor quality or
incompatible with the System, and Tiburon shall not be obligated to repair or replace any
component of the System which has not been installed by Tiburon or a Tiburon authorized
technician;
(f) Removal, relocation and /or reinstallation of the System or any component thereof;
(g) Diagnosis time directly related to unauthorized components and /or misuse of the System,
whether intentional or not
(h) Any design consultation such as, but not limited to, reconfiguration analysis, consultation
with the Client for modifications and upgrades which are not directly related to a problem
correction;
(i) Provision of any operational supplies, including by not limited to, printer paper, printer
ribbons, toner, printer cartridges, photographic paper, magnetic tape and any supplies beyond
those delivered with the System;
(j) Repair of problems caused by computer/ network security breaches and /or virus attacks;
(k) Repair or replacement of any Hardware not purchased from Tiburon and explicitly
covered by a Tiburon warranty or maintenance program.
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CERTIFICATE OF LIABILITY INSURANCE
DATE(MM70WYYYY)
1 021,012014
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: It 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 heu of such ondorsement(s),
PRODUCER
ADD Risk Insurance Services West, Inc.
LOS AnggeleS CA Office
CONTACT
NAME:
_
(NBC. Na. Extk (866) 283-7122 INC. NCI. 800 -363 -0105
707 wi lshire Boulevard
suite 2600
EOMMi. —"--
ADDRESS:
LOS Angeles CA 90017 -0460 USA
INSURER(S) AFFORDING COVERAGE
NAIC0
INSURED
INSURER A: Federal Insurance company
20281
Tiburon, Inc.
3000 mon Ci ve Parkway, Suite 5tl0
San Ramon CA 94583 USA
INSURER O: Great Northern Insurance Co.
20303
INSURER C: Pacific Indemnity co
20346
MED EXP(Any an. persoa
INSURER O: Continental Casualty Company
.20443
INSURER E:
$1,000,000
CELL AGGREGATE LIMIT APPLIES PER
POLICY EXPO ❑X LOS
OTHER:
INSURER F:
$210001000
COVERAGES CERTIFICATE NUMBER: 57U052d86954 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. Limits shown are as re oeated
INSR
L R
TYPE OF INSURANCE
ADDIL
INSD
SPUR
MD
POLICYNUNI
POLICY SEE
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POLIC
LIMITS
City Of Santa Ana
Attn: Lori smith
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COMMERCIALGENRRALLIABIUV
CLAIM &MADE ❑X OCCUR
20 Civic Center Plaza
Santa Ana CA 92701 USA
F.ACH000URRENCE
$1,000,000
HLL
PREMmgaLfLa ocow,noe
$11000,000
MED EXP(Any an. persoa
$10,000
PERSONAL B Ate INJURY
$1,000,000
CELL AGGREGATE LIMIT APPLIES PER
POLICY EXPO ❑X LOS
OTHER:
OCNERALAGGREGATE
$210001000
PRODUCTS - COMPIOP AGG
$2,000,000
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS SCHEDULED
AUT05
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09 /D1/ 201309
/01/2014
COMBINED SINGLE LIMIT
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$1,000,000
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SODILY INJURY(Parperson)
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09/01/2013
09/01/2014
EACHOCCURRENCE
$10,000,000
AGGREGATE
$10,000,000
DEO I
RETENTION
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WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY YIN
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71739717
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09 01 20 4
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$1,000,000
EL. DISFASE- EA EMPLOYEE
$1,000,000
EL. DISEASE - POLICY LIMIT
$1,000,000
DESCRIP'NON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD Tel, Additional Ramarka Sohadule, may be attachad It moro spaoo is ng/a�lnul))j,�1ry
A -rove
CERTIFICATE HOLDER
CANCELLATION
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE
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EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
III V
IN ACCORDANCE WITH THE 1 V
POLICY PROVISIONS.
City Of Santa Ana
Attn: Lori smith
AUTHORESS) REPRESENTATIVE
20 Civic Center Plaza
Santa Ana CA 92701 USA
HLL
9tG
01988 -2014 ACORD CORPO O All rights reserved.
ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
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Policy Period
Effective Date
Policy Number
Insured
Name of Company
Date Issued
This Endorsement applies to the following forms:
PROPERTY DECLARATIONS
LIABILITY DECLARATIONS
INTERNATIONALAUTOMOBILE LIABILITY
INTERNATIONAL WORKERS COMP
SEPTEMBER1,2013 TO SEPTEMBER1,2014
SEPTEMBER 1, 2013
3591 -10-23 LAO
GORES N-C HOLDINGS, LLC
FEDERAL INSURANCE COMPANY
SEPTEMBER20,2013
The Named Insured is amended to include the following:
Named insured
GORES N -C HOLDINGS, LLC
TIBURON CNC,
All other terms and conditions remain unchanged.
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(C) Authodzerf Raprasentativra
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PoBcy CondRtons Namedfnsured Reference Copy tastpage
Form 6"2-001 (Ed 2.98) E- ndorsement Page 1
A °® CERTIFICATE OF LIABILITY INSURANCE
DA'09fti2D14YY'
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: H the certificate holder Is an ADDITIONAL INSURED, the polley(les) 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 do" not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
ACT Risk Insurance Se rvice5 West, Inc.
Los Angeles CA Office
707 Wilshire Boulevard
Suite 2600
CONTACT
PNOH FAX
iNC. N. -Ern: (866) 283 -7122 me Ra ): 800- 363 -0105
EEAD RL95:
INSUREWS) AFFORDING COVERAGE
NAICR
Los Angeles CA 90017 -0460 USA
INSURED
INSURER A: Pacific Indemnity Co
20346
INSURER B: Federal Insurance Company
20281
Tiburon. Inc.
3000 Executive Parkway, Suite 500
San Ramon CA 94583 USA
INSURER C:
INSURER D:
INSURER E:
PREMISES Ea oxunence
$1'000'000
INSURER F:
Arzec LCOTICHEtA F IUIHURFR• 570055111111 REVISION NUMBER:
V 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. Limits shown are as requested
TR
TYPE OF INSURANCE
POLICY NUMBER
UNITS
B
X
COMMERCIAL GENERAL LIABILITY
EACHOCCURRENCE
$1,000,000
CLAIMS -MADE F] OCCUR
PREMISES Ea oxunence
$1'000'000
MED EXP IAny one person)
$10,000
PERSONAL 6 ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGO
$2,000,000
POLICY X❑PRO FX
JECT
OTHER.
B
AUTOMOBILE LIABILITY
09/01/201409/01
/2015
COMBINED SINGLE LIMIT
$1,000,000
X ANY AUTO
BODILY INJURY (P., pe,aon)
BODILY INJURY (Pera¢Itl'anl)
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS NON-OWNED
AUTOS
PROPERTY DAMAGE
Peram'deol
UMBRELLALIAS
OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESSLWB
CLAIMS-M4DE
DED I
IRETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS' UABILITY
ANY PROPRIETOR I PARTNER I EXECUDI YIN
OFFICEWMEMBER EXCLUDED?
(Mandatary In NH)
NIA
717 9717
0970-172-01-4
097o- 1
PER OTH-
X STATUTE
EL EACH ACCIDENT
$1,000,000
E.L. DISEASE-EA EMPLOYEE
$1,000,000
If ySCRIPcdbe under
DESCRIPTION OF OPERATIONS Irelow
E.L. DISEASE-POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS) LOCATKINS I VEHICLES (ACORD 101, AddlUanal Ramerks Schedule, may be.M.1wd if more apace Ia required)
City of Santa Ana its officers, employees, agents, volunteers and representatives is included as Additional Insured as required
by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with
respect to the General Liability and Automobile Liability policies.
pROVEU AS TO FORK,
CERTIFICATE HOLDERvllN USn
City of Santa Ana
60 Civic Center Plaza
Santa Ana CA 92701 USA
ACORD 25 (2014101)
Assistant City
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE mLL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVBIONS.
®1988 -2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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AGENCY CUSTOMER ID: 570000051058
LOC #:
,acoR °® AnniTIMIA1 RFMORKS SCHEDULE Page _ of _
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance
II INSURERS) AFFORDING COVERAGE I NAIC #
INSURER
INSURER
INSURER
If a policy below does not include limit information, refer to the corresponding policy on the ACORD II
ADDITIONAL POLICIES certificate form for policy limits.
INSR
LTR
TYPEOFINSURANCE
POLICY NUMBER
POLICY EFFECTIVE
ATE(MM/DD% YY)
AGENCY
NANED MURED
LIMITS
Ann Risk Insurance services west, Inc.
Tiburon, Inc.
POLICY NUMBER
See certificate Number: 570055110797
CARRIER
see Certificate Number: 570055110797
MAC CODE
EFFECTIVE GATE:
35911023
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance
II INSURERS) AFFORDING COVERAGE I NAIC #
INSURER
INSURER
INSURER
If a policy below does not include limit information, refer to the corresponding policy on the ACORD II
ADDITIONAL POLICIES certificate form for policy limits.
INSR
LTR
TYPEOFINSURANCE
POLICY NUMBER
POLICY EFFECTIVE
ATE(MM/DD% YY)
POLICY EXPIRATION
DATE (MMMIYD -YVV
COVERED PROPERTY
LIMITS
INLAND MARINE
A
Installtn Flotr
35911023
09/01/2014
09/01/2015
Installation
$2,000,000
ACORD 101 (2008/02) ® 2008 ACORD CORPORATION. All rights reserved.
ACORD name and logo are registered marks of ACORD
Liability Insurance
Endorsement
Policy Period
Effective Date
Policy Number
Insured
Name of Company
Date Issued
This Endorsement applies to the following forms:
GENERAL LIABILITY
SEPTEMBER 1, 2014 TO SEPTEMBER I, 2015
SEPTEMBER I, 2014
3591 -I0-23 LAO
GORES N -C HOLDINGS, LLC
FEDERAL INSURANCE COMPANY
SEPTEMBER 16, 2014
ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME OBLIGATED TO
INCLUDE AS AN ADDITIONAL INSURED UNDER THIS POLICY, AS A
RESULT OF ANY CONTRACT OR AGREEMENT YOU ENTER INTO WHICH
REQUIRES YOU TO FURNISH INSURANCE TO THAT PERSON OR
ORGANIZATION OF THE TYPE PROVIDED BY THIS POLICY, BUT ONLY
WITH RESPECT TO LIABILITY ARISING OUT OF YOUR OPERATIONS OR
PREMISES OWNED BY OR RENTED TO YOU.
HOWEVER, THE INSURANCE PROVIDED WILL NOT EXCEED THE LESSER OF:
- THE COVERAGE AND /OR LIMITS OF THIS POLICY, OR
- THE COVERAGE AND. /OR LIMITS REQUIRED BY SAID CONTRACT
OR AGREEMENT.
All other terms and conditions remain unchanged.
Qv��wed b1 J"
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Liability Insurance ADDITIONAL INSURED 80- 02- Beference Copy lastpage
Form 80-02 -2373 (Ed. 4 -94) Endorsement Page 1
Policy Conditions
Endorsement
Policy Period SEPTEMBER I, 2014 TO SEPTEMBER 1, 2015
Effective Date SEPTEMBER I, 2014
Policy Number 3591 -10 -23 LAO
Insured GORES N•C HOLDINGS, LLC
Name of Company FEDERAL INSURANCE COMPANY
Date Issued SEPTEMBER 16, 2014
This Endorsement applies to the following forms
PROPERTY DECLARATIONS
LIABILITY DECLARATIONS
INTERNATIONAL AUTOMOBILE LIABILITY
INTERNATIONAL WORKERS COMP
Named Insured
The Named Insured is amended to include the following:
GORES N -C HOLDINGS, LLC
TIBURON, INC.
All other terms and conditions remain unchanged.
Authorized Representative
Policy Conditions Named Insured Reference Copy lastpage
Form 80 -02 -9301 (Ed 2 -98) Endorsement Page 1