HomeMy WebLinkAboutTSCM CORPORATION - 2014cJ
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nv U C (Wi ON FILE
WC ,qK fvi& tQ PROCEED
CLERK OF COUNCIL~
DATE: JAIA G 1.�,s
CONSULTANT AGREEMENT
A- 2014 -355
THIS AGREEMENT, made and entered into this I day of January 2015 by and
between T5C "M Corporation, (hereinafter "Consultant "), 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 (hereinafter "City ").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
power washing and sweeping of streets and sidwalks.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in die field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Consultant shall supply all labor, materials, equipment and transportation necessary for
maintaining clean and well swept all areas of the Santa Ana Regional Transportation Center
( "SARTC "), including the two parking lots, all paths of entry, bus parking stalls and driveways
and all four levels of the parking structure. In addition, Consultant shall conduct removal of
stains and deposits from cement and brick paver sidewalks at the SARTC as referenced in RFP
14 -079. At all times while providing power sweeping and washing services for City, Contractor
shall comply with all 'Federal, State and local requirements for collection, filtering mid disposal
of waste and water,
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
$725.00 per month for sweeping services and $2,250.00 per month for power washing services
for a total of $2,975.00 per month. The total sum to be expended under this Agreement shall not
exceed $35,700.00 annually during the terra of this Agreement, excluding any contingency
approved by City Council.
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.
[ Al41 01
This Agreement shall commence on the date first written above and terminate on
December 31, 2016, unless terminated earlier in accordance with Section 12, below. The term of
this Agreement maybe extended for no more than two (2) one year renewals options exercised
upon a writing executed by the City Manager Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire tenn of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer- employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5, INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit A upon
execution of this Agreement and shall be approved in form by the City Attorney,
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non -owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3700
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self- insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
e, The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
f If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right; at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including death, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terns
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify,, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and /or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential ffiformation" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and /or agent of the other
party is covered by this Agreement. The foregoing obligations of non -use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (o) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
With the exception of insurance certificates and renewals covered by Section 5.e.iv,
above, any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in writing and shall be deemed to be properly given if delivered in person or mailed by
first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic
communication in the manner provided in this Section, to the following persons:
To City. Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702, -1988
Fax 714- 647 -6956
With courtesy copies to:
City Attorney
City of Santa Ana
To Consultant:
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Fax 714- 647 -6515
TSCM Corporation
17791 Jamestown Lane
Huntington Beach, CA 92647
(714)841 -1988
(714)841 -3222 fax
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above, If sent by telefacsimile, communication shall be effective or
deemed to have been given twenty -four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes
of calculating these time flames, weekends, federal, state, County or City holidays shall be
excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
tenns of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to; the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements;
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. 'TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations,
14. JURISDICTION -VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venire for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the tern of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of its inability to obtain or maintain such permits; licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hercinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
MARIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARV
City Attprjacy `"\
City
-f At
rrc u rvivvarxvrru
Exe utive Director
Public Works Agency
AL:
Ci�I'ANTA A
DAVID CAVAZOS
City Manager
EXHIBIT A
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
( "additional insureds ") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3, 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 liability. 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 if not so included.
4. With respect to the additional insureds, this insurance 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 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy
Issued to
this endorsement form as a part of
Named Insured
Countersigned by ^_
Authorized Representative
p
CORP A-2014-355 REVIEWED ByY . EUINICE h EREDIA (PG 1 OF 9)
AC '"" I?
CERTIFICATE OF LIABILITY INSURANCE
r ATE (MMfDD7YYYYl
TYPE OF INSURANCE
6/3012015
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 INSURR(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 Spectrum Risk Management
CONTACT
NAME. Account Mania er
74 DISCC7Very
Irvine, CA 9261
PHONE FAX
949- 756.5730 WC, No: 949- 756 -5740
E -MAIL
ADDRESS: office@spectrumrisk.com
1/1/2016
INSURER (S) AFFORDING COVERAGE
NAIL p
INSURER A; Navigators Special Insurance Co.
36056
www.spectrumrisk.com OC77485
INSURED
TSCM Corp.
INSURER s: General Insurance Company of America
24732...
PERSONAL & ADV INJURY
TSCM Corporation of Arizona
INSURER C: National (Union Fire Insurance Co. of Pittsbur h PA
19445
INSURER D: Cypress Insurance CO.
10855
P ppano Investment Group, LLC
INSURER E
17791 Jamestown Lane
Huntington Beach CA 92647
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON - OWNED
HIRED AUTOS AUTOS
edcutible -0
INSURER F::
COVERAGES CERTIFICATE NUMBER: 25392074 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 TERM'S,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUER,
POLICY NUMBER
POLICY EFF
'MMIDDIYYYY
POLICY EXIP
MMIDDIYYYY..
LIMITS
' A
�'
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE r_1/1 OCCUR
Deductible- $2500
LA15C'GL019568IC
1%1/2015
1/1/2016
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTE
PREMISES fEa occur ence
$ 100,000
✓
MED EXP (Any one person)
$ 5,000
„✓
GENT
Contractual Liability
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLUES PER,:
POLtOY I r Y I PE O LOC
OTHER:
GENERAL AGGREGATE
2,000 „000
PRODUCTS - COMP)OP AGG
$ 2,000,000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON - OWNED
HIRED AUTOS AUTOS
edcutible -0
24CC2983864
111/2015
1./1/20..16
2MBINEDSINGLIE LIMIT .
Ea accdent
1 000,.000
” J
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$...
PROPERTY DAMAGE
%Per accide,nt
$
$
C
UMBRELLA LIAE
EXCESS LIAB
✓
OCCUR
CLAIMS -MADE.
BE 029502009
1/102015
r7/ 12016
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DED ✓ RETENTION $0
...., $
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABI••LITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE �'
OFFICERIMENIBER, EXCLUDED?
(Mandatory inNH)
If yes, describe under
DESCRIPTION OF OPERATION'S below
NIA
TSWC603136
7/112015
/2016
✓ STEATUTE OTRH-
E.L. EACH ACCIDENT
$ 1,000,000
—
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE, POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Re: Parking lot sweeping services.
The City its officers, agents, employees are named additlonal insureds with resepect to the general liability and auto liability per the attached
blanket. Carrier farm.
a, ii U t:rl'.UTA l C InIVLL)MM L.AI4L.CLLF1. f II,TI1r
The City of Santa Ana
Community Development Agency
20 Civic Center Plaza M -26
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 _
Jim Waterhouse
tJ 1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
',11,307Q7s I Ginnia I 2015 . All L,n I P.inrnde Edaecamnntr_ 1 6/30/2015 11.55;06 AM (PDT) I Mage 1. of 5
TSCM CORP A-2014-355 REVIEWED BY� ZZ , �. EUl HEREDIA (PG �2 OF 9)
TSCIVI Corp.
EltsCorporation of Arizona 24CC2983864
icM I S I 11"11`1 ("', E"t ', COMMERCIAL AUTO
& CA 71 10 03 07
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
EXTENDED CANCELLATION CONDITION
Paragraph 2.b. of the CANCELLATION Common
Policy Condition is replaced by the following:
b. 60 days before the effective date of cancellation
if we cancel for any other reason,
TEMPORARY SUBSTITUTE AUTO — PHYSICAL
DAMAGE COVERAGE
Under paragraph C. — CERTAIN TRAILERS, MO-
BILE EQUIPMENT AND TEMPORARY SUBSTITUTE
AUTOS of SECTION 1 — COVERED AUTOS, the
following is added-
If Physical Damage coverage is provided by this Cov-
erage Form, then you have coverage for:
Any "auto" you do not own while used with the per-
mission of its owner as a temporary substitute for a
covered "auto" you own that is out of service be-
cause of its breakdown, repair, servicing, "loss" or
destruction.
SECTION 11 — LIABILITY COVERAGE — A.1. WHO
IS AN INSURED provision is amended by the addition
of the following:
d'. Any business entity newly acquired or formed by
you during the policy period provided you, own
50% or more of the business entity and the
business entity is not separately insured for
Business Auto Coverage. Coverage is extended
up to a maximum of 180 days following acquisi-
tion or formation of the business entity. Coverage
under this provision is afforded only until the end
of the policy period.
BLANKET ADDITIONAL INSURED
SECTION 11 — LIABILITY COVERAGE — A.1. WHO
IS AN INSURED provision is amended by the addition
of the following:
e. Any person or organization for whom you are re-
quired by an "insured contract" to provide insur-
ance is an "insured", subject to the following
additional provisions,
(1) The "insured contract" must be in effect
during the policy period shown in the Decla-
rations, and must have been executed prior
to the "bodily injury" or "property damage".
(2) This person or organization is an "insured"
only to the extent you are liable due to your
ongoing operations for that insured, whether
the work iis performed by you or for you, and
only to the extent your are held liable for an
"accident" occurring while a covered "auto"
is being driven by you or one of your em-
ployees.
(3) There is no coverage provided to this person
or organization for "bodily injury" to its em-
ployees, nor for "property damage,, to its
property,
(4) Coverage for this person or organization
shall be limited to the extent of your negli-
gence or fault according to the applicable
principles of comparative negligence or fault.
(5) The defense of any claim or "suit" must be
tendered by this person or organization as
soon as practicable to all other insurers
which potentially provide insurance for such
claim or ""suit",
lncludes copyrighted material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 1997
Safeco and the Safcco logo are registered trademarks of Safeco Corporallor
CA 71 10 G3 07 Page I of 6 EP
251120711 1 GIrMlw 1 12014 All Lines 11 Ci.11ie I 6/1m/2ol5 I1;583 06 AM (PUT) I P.9_ 2 of 9
TSCM C CRP A-201 4-355 REVIEWED BY� "A
ry
EUNICE HEREDIA (PG 3 OF 9)
(6) The coverage provided will not exceed the
lesser of:
(a) The coverage and/or limits of this policy;
or
(b) The coverage and/or limits required by
the "insured contract".
(7) A person's or organization's status as an
"insured" under this subparagraph d ends
when your operations for that "insured" are
completed.
EMPLOYEE AS INSURED
Under Paragraph A. of Section 11 — LIABILITY COV-
ERAGE item f. is added as follows:
Your "employee,, while using his owned "auto", or an
'IaUtO" owned by a member of his or her household,
in your business or your personal affairs, provided you
do not own, hire or borrow that "auto", This coverage
is excess to any other collectible insurance coverage.
FELLOW EMPLOYEE COVERAGE
Exclusion 5. FELLOW EMPLOYEE of SECTION 11 —
LIABILITY COVERAGE — B. EXCLUSIONS is
amended by the addition: of the following:
However, this exclusion does not apply if the "bodily
injury" results from the use of a covered "auto" you
own or hire, and provided that any coverage under
this provision only applies in excess over any other
collectible insurance.
We waive the right of recovery we may have for pay-
ments made for "bodily injury" or "property damage"
on behalf of the persons or organizations added as
` °insureds" under Section III — LIABILITY COVERAGE
— AJ.D. BROAD FORM NAMED INSURED and
A.I.e. BLANKET ADDITIONAL INSURED.
PHYSICAL DAMAGE — ADDITIONAL TRANS-
PORTATION EXPENSE COVERAGE
The first sentence of paragraph A.4. of SECTION III
— PHYSICAL DAMAGE COVERAGE is amended as
follows:
We will pay up to $50 per day to a maximum of
S1,500 for temporary transportation expense incurred
by you because of the total theft of a covered "auto"'
of the private passenger type.
PERSONAL, EFFECTS COVERAGE
A. SECTION III — PHYSICAL DAMAGE COVER-
AGE, A.4. COVERAGE EXTENSIONS, is
amended by adding the following:
c. Personal Effects Coverage
For any Owned "auto," that is involved in a
covered "Joss", we will pay up to $500 for
"personal effects" that are lost or damaged
as a result of the covered' "loss", without
applying a deductible.
EXTRA EXPENSE — BROADENED COVERAGE
Paragraph A. — COVERAGE of SECTION III —
PHYSICAL DAMAGE COVERAGE is amended to
add:
5. We will pay for the expense of returning a stolen
covered "auto" to you.
AIRBAG COVERAGE
Under paragraph B. — EXCLUSIONS of SECTION III
— PHYSICAL DAMAGE COVERAGE, the following is
added:
The exclusion relating to mechanical breakdown does
not apply to the accidental discharge of an airbag.
NEW VEHICLE REPLACEMENT COST
Under Paragraph C — LIMIT OF INSURANCE of
Section III — PHYSICAL DAMAGE COVERAGE sec-
tion 2 is amended as follows;
2. An adjustment for depreciation and physical con-
clition will be made in determining actual cash
value in the event of a total loss. However, in the
event of a total loss to your "new vehicle" to
which this coverage applies, as shown in the
declarations, we will pay at your option:
a. The verifiable "new vehicle" purchase price
you paid for your damaged vehicle, not in-
cluding any insurance or warranties pur-
chased;
Page 2 c)f 6
b. The purchase price, as negotiated by us, of
a now vehicle of the same make, model and
equipment, not including any furnishings,
parts or equipment not installed by the
manufacturer or manufacturer's dealership.
If the same model is not available pay the
purchase price of the most similar model
available;
25392074 � Gii. 1 2✓15 Ala Lin— I Cinni� Suo-aman— I E/30/20 A,5 11 : 59 i 06 AV ODT) 1 uacp r, 3 of 9
TSCM CORP A-2014-355 REVIEWED BY: -EUNICE HEREDIA (PG 4 OF 9)
c. The market value of your damaged vehicle,
not including any furnishings, parts or equip-
ment not installed by the manufacturer or
manufacturer's dealership.
This coverage applies only to a covered "auto"
of the private passenger, light truck or medium
truck type (20,000 lbs or less gross vehicle
weight) and does not apply to initiation or set up
costs associated with loans or leases,
TWO OR MORE DEDUCTIBLES
Under SECTION III — PHYSICAL DAMAGE COV-
ERAGE, if two or more "company" policies or cover-
age forms apply to the same accident, the following
applies to paragraph D. Deductible:
a. If the applicable Business Auto deduct-
ible is the smaller (or smallest) deduct-
ible it will be waived; or
b. If the applicable Business Auto deduct-
ible is not the smaller (or smallest) de-
ductible it will be reduced by the amount
of the smaller (or smallest) deductible;
or
c. If the loss involves two or more Busi-
ness Auto coverage forms or policies
the smaller (or smallest) deductible will
be waived.
For the purpose of this endorsement
"company" means,
a. Safeco Insurance Company of America
b. American States Insurance Company
c. General Insurance Company of America
d. American Economy Insurance Company
e. First National Insurance Company of
America
f. American States Insurance Company of
Texas
g. American States, Preferred Insurance
Company
h. Safeco Insurance Company of Illinois
LOANILEASE GAP COVERAGE
Under paragraph C — LIMIT OF INSURANCE of
SECTION III — PHYSICAL DAMAGE COVERAGE,
the following is added:
a. Actual cash value of the damaged or stolen
property as of the time of the "loss", less an
adjustment for depreciation and physical
condition; or
b. Balance due under the terms of the loan or
lease that the damaged covered "auto" is
subject to at the time of the "loss", less any
one or all of the following adjustments:
(111) Overdue payment and financial
penalties associated with those
payments as of the date of the
"loss
(2) Financial penalties imposed under a
lease due to high mileage, exces-
sive use or abnormal wear and tear.
(3) Costs for extended warranties, Cre-
dit Life Insurance, Health, Accident
or Disability Insurance purchased
with the loan or lease,
(4) Transfer or rollover balances from
previous loans or leases,
(5) Final payment due under a "Balloon
Loan ",
(6) The dollar amount of any
un-repaired damage that occurred
prior to the "total loss" of a covered
"auto".
(7) Security deposits not refunded by a
lessor.
(8) All refunds payable or paid to you
as a result of the early termination
of a lease agreement or any war-
ranty or extended service agree-
ment on a covered "auto".
(9) Any amount representing taxes.
(10) Loan or lease termination, fees
GLASS REPAIR — WAIVER OF DEDUCTIBLE
Under paragraph D. — DEDUCTIBLE of SECTION III
— PHYSICAL DAMAGE COVERAGE, the following is
added:
No deductible applies to glass damage if the glass is
repaired rather than replaced.
AMENDED DUTIES IN THE EVENT OF ACCI-
DENT, CLAIM, SUIT OR LOSS
4. The most we will pay for a total "loss" in any one The requirement in LOSS CONDITION 2.a. —
"accident" is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
to a S1,500 maximum limit: SUIT OR LOSS — of SECTION 1V — BUSINESS
AUTO CONDITIONS that you must notify us of an
CA 71 10 103 07 Page 3 of 6 EP
", � � 4
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TSCM CORP A-2014-355 REVIEWED BY
141"4�, � , EUNICE HEREDIA (PG 5 OF 9)
.accident" applies only when the "accident" is known deductible and excess provisions, we will provide
to: coverage equal to the broadest coverage applicable
(1) You, you are an Individual; to any covered "auto"' you own.
if
(2) A partner, if you are a partnership; or
(3) An executive officer or insurance manager, if you
are a corporation,
UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
SECTION IV — BUSINESS AUTO CONDITIONS —
B.2. is amended by the addition of the following.
If you unintentionally fail to disclose any hazards ex-
isting at the inception date of your policy, we will not
deny coverage under this Coverage Form because of
such failure. However, this provision does not affect
our right to collect additional premium or exercise our
right of cancellation or non-renewal.
HIRED AUTO — LIMITED WORLD WIDE COVER-
AGE
Under Section IV — Business Conditions, Paragraph
13.7.b.e(1) is replaced by the following:
(1) The "accident" or "loss" results
from the use of an "auto" hired for
30 days or less.
RESULTANT MENTAL ANGUISH COVERAGE
SECTION V — DEFINITIONS — C. is replaced by the
following:
"Bodily injury" means bodily injury, sickness or dis-
ease sustained by a person including mental anguish
or death resulting from any of these.
HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability cov-
erage and if Comprehensive, Specified Causes of
Loss or Collision coverages are provided under this
Coverage Form for any "auto" you own, then the
Physical Damage Coverages provided are extended
to "autos" you hire or borrow.
The most we will pay for loss to any hired "auto" is
550,000 or Actual Cash Value or Cost of Repair,
whichever is smallest, minus a deductible. The de-
ductible will be equal to the largest deductible appli-
cable to any owned "auto" of the private passenger
or light truck type for that coverage. Hired Auto Phy-
sical Damage coverage is excess over any other col-
lectible insurance. Subject to the above limit,
HIRED AUTO PHYSICAL DAMAGE COVERAGE
LOSS OF USE
SECTION III — PHYSICAL DAMAGE AA.b. Form
does not apply.
Subject to a maximum of $1,000 per accident, we will
cover loss of use of a hired "auto,, if it results from
an accident, you are legally liable and the lessor in-
curs an actual financial loss.
RENTAL REIMBURSEMENT COVERAGE
X We will pay for rental reimbursement expenses
incurred by you for the rental of an "auto" be-
cause of a covered "loss" to a covered "auto".
Payment applies in addition to the otherwise ap-
plicable amount of each coverage you have on a
covered "auto", No deductibles apply to this
coverage.
B. We will pay only for those expenses incurred:
during the policy period beginning 24 hours after
the "loss" and ending, regardless of the policy's
expiration, with the lesser of the following number
of days:
1. The number of days reasonably required to
repair or replace the covered "auto". If
"loss" is caused by theft, this number of
days is added to the number of days it takes
to locate the covered "auto" and return it to
you.
2. 30 days.
C. Our payment is limited to the lesser of the fol-
lowing amounts:
1. Necessary and actual expenses incurred.
2. $50 per day.
D. This coverage does not apply while there are
spare or reserve "autos" available to you for your
operations.
E. If "loss," results from the total theft of a covered
"auto" of the private passenger type, we will pay
under this coverage only that amount of your
rental reimbursement expenses which is not al-
ready provided for under the PHYSICAL DAM-
AGE COVERAGE Coverage Extension.
F. The Rental Reimbursement Coverage described
above does not apply to a covered "auto" that is
described or designated as a covered "auto" on
Page 4 of 6
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TSCM CORP /1-2014-355 REVIEWED BY EUNICE HEREDIA (PG 6 OF 9)
Rental Reimbursement Coverage Form
CA 99 2&
AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT COVERAGE
A. Coverage
1. We will pay with respect to a covered "auto"
for "loss" to any electronic equipment that
receives or transmits audio, visual or data
signals and that is not designed solely for the
reproduction of sound. This coverage applies
only if the equipment is permanently installed
in the covered "auto" at the time of the
"loss" or the equipment is removable from a
housing unit which is permanently installed
in the covered "auto" at the time of the
"loss", and such equipment is designed to
be solely operated by use of the power from
the "autols" electrical system, in or upon the
covered "auto".
2. We will pay with respect to a covered "auto"
for "loss" to any accessories used' with the
electronic equipment described in paragraph
A.1. above,
However, this does not include tapes,
records or discs.
3. If Audio, Visual and Data Electronic Equip-
ment Coverage form CA 99 60 or CA 99 94
is attached to this policy, then the Audio, Vi-
sual and Data Electronic Equipment Cover-
age described above does not apply.
B. Exclusions
The exclusions that apply to PHYSICAL DAM-
AGE COVERAGE, except for the exclusion relat-
ing to Audio, Visual and Data Electronic
Equipment, also apply to this coverage. In addi-
tion, the following exclusions apply:
We will not pay for either any electronic equip-
ment or accessories used with such electronic
equipment that is:
1. Necessary for the normal operation of the
covered "auto" for the monitoring of the
covered "auto's'" operating system; or
the manufacturer for the installation of a
radio.
C. Limit of Insurance
With respect to this coverage, the LIMIT OF IN-
SURANCE provision of PHYSICAL DAMAGE
COVERAGE is replaced by the following:
1. The most we will pay for "loss" to audio, vi-
sual or data electronic equipment and any
accessories used with this equipment as a
result of any one "accident" is the lesser of:
a. The actual cash value of the damaged
or stolen property as of the time of the
"loss"; or
lb. The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality,
2. An adjustment for depreciation and physical
condition will be made in determining actual
cash value at the time of the "loss".
3. If a repair or replacement results in better
than like kind or quality, we will' not pay for
the amount of the betterment.
D. Deductible
1. If "loss" to the audio, visual or data elec-
tronic equipment or accessories used with
this equipment is the result of a "loss" to the
covered "auto" under the Business Auto
Coverage Form's Comprehensive or Colli-
sion Coverage, then for each covered "auto"
our obligation to pay for, repair, return or re-
place damaged or stolen property will be re-
duced by the applicable deductible shown in
the Declarations. Any Comprehensive Cov-
erage deductible shown in the Declarations
does not apply to "loss"' to audio, visual or
data electronic equipment caused by fire or
lightning.
2.
a. an integral part of the same unit housing
any sound reproducing equipment de-
signed solely for the reproduction of
sound if the Sound reproducing 3.
equipment is permanently installed in
the covered "auto "„ and
b, permanently installed in the opening of
the dash or console normally used by
If "loss" to the audio, visual or data elec-
tronic equipment or accessories used with
this equipment is the result of a "loss" to the
covered "auto" under the Business Auto
Coverage Form's Specified Causes of Loss
Coverage, then for each covered "auto" our
obligation to pay for, repair, return or replace
damaged or stolen, property will be reduced
by a $100 deductible.
If "Joss" occurs solely to the audio, visual or
data electronic equipment or accessories
used with this equipment, then for each cov-
ered "auto" our obligation to pay for, repair,
CA 71 10 03 07 Page 5 ol' 6 EP
2S]92014 1 G.-n— 1 201s Alit td nes I Ci� Usk. I i/� (A /2015 11.53:05 AM tN)T)
rsciq CORP A-20,14-355 REVIEWED BY: EUNICE HEREDIA (PG 7 OF 9)
return or replace damaged or stolen property SECTION V — DEFINITIONS is amended by adding
will be reduced by a $100 deductible. the following;
4. In the event that there is more than one ap- Q. "Personal effects" means your tangible
plicable deductible, only the highest deduct- property that is worn or carried by you, ex-
ible will apply. In no event will more than one cept for tools, jewelry, money, or securities.
deductible apply. R. "New vehicle" means any "auto" of which
you are the original owner and the "auto"
has not been previously titled and is less
than 365 days past the purchase date.
Page 6 ot 6
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ORP A-2014-355 REVIEWED BY EUNICE HEREDIA (PG 8 OF 9)
6130Tk%c
POLICY NUMBER: LA15CGL0195681C
COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
A
This endorsement modifies insurance provided under the followinij.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMP'LETED OPERATIONS LIABILITY COVERAGE PART
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of Completed Operations
Any person or organization for whom you are
performing operations when you and such person or
organization have agreed In writing In a contract or
agreement that such person or organization he added
as an additional insured on your policy,
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 - Who Is An Insured is amended to
inaltiripas nn additional insured the pp.r,.;nn(.R) or
organizallon(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
.'yuui- work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
CG 20 37 0413
B. With respect to the insurance afforded to these
widifinnn] inqiirprls, the fnilowing is Added to
Section IIIII - Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown, in the Declarations,
@ Insurance Services Office, Inc., 2012
253921374 1 1 2015 All Lines 1 Gs-d. 13-1-1,11i— 1 6/311/200, 11,x8:01 M4 {-Mp I P 9 o I S
6/306 fb COR�P A-2014-355 REVIEWED BY E-UNICE HERE DA (PG 9 OF 9)
6
LA15CGL0195681C
COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
A
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY CO
The following is added to the Other Insurance (2)
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
VERAGE PART
You have agreed in writing in a contract or
agreement that this insurance, would be primary
and would not seek contribution from any other
insurance available to the additional insured.
CG 20 01 04 13 @ Insurance Services Office, Inc., 2012 Page 1 of I
2w392014 11 G—nie 1 12015 All Lines I Gj. Sus a�.nr I 6/+0,12015 11:x8;06 Am (11DTY p 1.g 9 t 9
AC" R" RrJa
i.. V'.a -I1A CERTIFICATE OF LIABILITY INSURANCE
r ATE (MMIDDr(YYY)
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
1212912015
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 pDlicy(ies) musk 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 ®
Spectrum PIS�C Managerrtent
CONTACT
NAME: Account Manager
74 Q ISCQVOry
Irvine, CA 9261$
PHONIE FAX
949 -76 -5730 Arc No : 949 756 -5740
E -MAIL
ADDRESS:, office@spectrumrisk.com
LAI6CGL0195681C
INSURER(S) AFFORDING COVERAGE NAIL N
INSURER A : Navigator's S ecialt Insurance Co.
36056
www.spectrumrisk.com OC77485
INSURED
TSCM Corp.
INSURER B :. General Insurance Company p of America
24732
TSCM Corporation of Arizona
ur INSURER C : National Union Fire Insurance Co. of Pittsb h,PA
19445
INSURER 0 Cypress Insurance Co.
10855
Pa ano Investment Group, LLC
Ml
Jamestown Lane
Huntington Beach CA 92647
INSURER
INSURER F
COVERAGES CERTIFICATE NUMBER: 27856147 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.
INSR
LTR
TYPE, OF INSURANCE
ADDL
INSO
SUBR
POLICY NUMBER
POLICY EFF
MWDOrYYYY
POLICY EXP
MMIDIDfYYYY
LIMITS
A
„/
',.. COMMERCIAL GENERALLIABILITY
LAI6CGL0195681C
11112016
1/1/2017
EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE ® OCCUR
DAMAGE TO RFN TED
PREMISES Fa occurrence '... $ 100,000
V
MED EXP IAny one person) $ 5,000
Deductible- '.`x2500
PERSONAL .BADVINJURY $ 1,000,000
V
Contractual Liability
GENERAL AGGREGATE $ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY. JPRO F-1 LOC
PRODUCTS - COMPIOPAGG $ 2.,000,000
$
ETHER:
B
AUTOMOBILE
LIABILITY
24CC2983865
11102016
1/1!2017
ECOMBINED INGLE LIMIT $ 1,000,000
BODILY INJURY I, Per person) $
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident) $
NON -OWNED
HIRED AUTOS AU'ros
PROPERTY DAMAGE $
P ®r accident..
✓
edcutible -0
C
✓
UMBRELLA LIAB
acUUR
BE 010338524
111/2016
111/2017
EACH OCCURRENCE $ 5,000,000
AGGREGATE $ 5..,000,000
EXCESS LIAa
CLAIIMS -MADE
nED ✓ R'ETENTION$O
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR PARTNEWEXECUTIVE Y
TSW'C603136
71112015
711/2016
/ STATUTE HRH
-
F.L. (EACH. ACCIDENT $ 1,000,000
OFEICERIMEMBER EXCLUDED?
A
NIA
I
F.L. DISEASE - FA EMPLOYEE! $ 1 ,000,000
(Mandatory in NH)
If yes . descnbe under
DESCRIPTION OF OPERATIONS below
E.. L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS P LOCATIONS f VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required)
Re: The Depot at Santa Ana -1000 E. Santa Area Blvd. Santa Ana CA
Dino, its officers, agents and employees and the City, its officers, agents and employees are additional insureds with respect to the general
liability per the attached' blanket carrier form. Primary and non - contributory wording applies.
R"IwV 1VEI) E "I'� ti Et NICEE HEREDIA FIG ol.._ ).
CERTIFICATE HOLDER CANCELLATION
Re: The Depot at Santa Ana -1000 E. Santa Ana Blvd. Santa Ana CA
Santa Ana ire NQnai Transportation Center
San Santa Ana orl Public Works t ion
Agency
20 Civic Center Plaza, M -21
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana CA 92701
AUTHORIZED REPRESENTATIVE
Jim Waterhouse
O 1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01,) The ACORD name and logo are registered marks of ACORD
27B,E147 i u s7 e 1 20.16 All Lines fi ,ulnae austarzante i 12L2_1/2rr_E 20:0E:20 IIA (e:,r) I ?age a, Of s
12/29/2015
POLICY NUMBER: LA16CGLO19568]C
COMMERCIAL GENERAL LIABILITY
CIS 20 37 04 13
a=
Ly =1 ■ youg givi I [q
This eridursernent modifies insurance provided under the fuWwiny:
=1=9X*1:1:3 VrAll 1111*104"FAIM111111
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of Completed Operations
Any person or organization ft-A- whom you are
performing operations when you and such person or
organization have agreed in writing in a contract or
Agreement that -qLir-h person or orannization he added
as an additional insured on your policy.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 - Who Is An Insured is amended to
inchirlp. as an additional insnrp.d: the par-,nn(s) nr
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured,
B. With respect to the insurance afforded to these
additional insi irp.ris, than fnllnwinC) m,; Pirldpril to
Section III - Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
wiil pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Avallabie under the applicable Limits of
Insurance shown in the Declarations;
whichever is less,
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations,
REVIEVVED BY�
CG 20 37 014 13 Oc Insurance Services Office, Inc., 2012
27655147 1 Gi� 1 1 2016 All Li—S 1 G4 �In1P BU,;taMant� 11 12/29/2913 la : C i ; 20 AM ( PST) 1 2 nP 3
E1,H',110E [-IEREDA (PG �,7, U
Page 1 of 1
12/29/2015
LA16CGL0195681C
COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
•
SM 1:4
RNA
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE, PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE, PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be primary
and would not seek contribution from any other
insurance available to the additional insured.
"IEWEDMED BY"�
CG 20 01 04 13 @ Insurance Services Office, Inc., 2012
2783S147 I Gin r. e 1 2D16 A'1. Lin--a I :iinnie Bust am.antc 4. 5 10: 03 : 20 AM I PST I I Page 3 of 3
EUN�CE HEFZED�A
L'31)
Page 11, of 1
AC OR 7 0
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDlYYYY)
6/28/2016
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(les) must have ADDITIONAL INSURED provisions or 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 Spectrum Risk Management
74 Discover y
Irvine, CA 9261 S
CONTACT
NAME: Account Manager
- ��PHONE
— FAX
t yA);___ -949- 756 -5730 (A19,_N__ol: 949- 756 -5740
E-MAIL
ADDRESS: office@ spectrumris k. com
INSURERS) AFFORDING COVERAGE
NAIC N
A__NaV_i- gators Specialty Insurance. Co, —
36056
www.spectrurnrisk.com OC77485 _INSURER
INSURED
TSCM Corp.
TSCM Corporation of Arizona
Pappano Investment Group, LLC
17781 Jamestown Lane
Huntington Beach CA 92647
INSURER B General Insurance Company_ of America
24732
INSURERC:: National Union Fire Insurance Co, of Pittsbur h PA
19445
INsuRago__ypress Insurance Co.
10855
INSURER E:
INSURER F
_
CnVFRAGFS CERTIFICATE NUMBER: 'inhFAgAd 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. _
--
INSR
LT-
TYPE OF INSURANCE _
At DD
BURR
POLICY NUMBER
M� DDtYYYY
POLICY
LIMITS
A
COMMERCIALGENERALLIABILITY
LA16CGLO'195681C
1/1/2016
1/1/2017
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 1-41 OCCUR
_
DA
PREMISES (Ea occurrence)
$ 100,000
MED EXP (Any one person)
$ 5,000
✓
Deductible- $2500
✓.,
Contractual Liabil�,_
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLI ES PER:
GENERAL AGGREGATE
$ 2,000,000
r/ I PRO-
—� POLICY u JECT LOC
PRODUCTS COMPIOPAGO
$ 2,000,000
_ -_
$
OTHER:
B
AUTOMOBILE LIABILITY
24CC2983865
1/1/2016
1/1/2017
COMBINED ISINGLE LIMIT
$ 1,000000
BODILY INJURY (Per person)
$
✓ ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -AWNED
AUTOS ONLY _ AUTOS ONLY
BODILY INJURY (Per accident)
$
I PROPERTY DAMAGE
Per accidgpt? - -_ -_
$
$
Deduutible-0
i
C
/
UMBRELLA LAS
OCCUR
BE 010338524
111!2016
1/1/2017
EACHOCCURREN_CE
$ 5 000 000
AGGREGATE
$ 5,000,000
EXCESS LIAR
CLAIMS -MADE
'�,
DED ✓ RETENTION $0
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR /PARTNERIEXECUTIVE YIN
OFFICER /MEMBER EXCLUDED? �
(Mandatory In NH)
NIA
TSWC706736
7/1/2016
7/1/2017
PER OTH-
STATUTE __ER ___
E. L. EACH_ ACCIDENT
$ 1,000,000
- _ - - --- --
E. D EASE - EA EMPLOYEE
$ 1 000 000
E.L. DISEASE - POLICY LIMIT
S 1,000,000
If Yes, describe under
DESCRIPTION OF OPERATIONS below
�.C.VIFV'VED L"IY'.. r"r FUNIt '.
_ e_._...__,...,__ ......... ........._. �.... _. ..z-.
HER DIA (Pfa rJ1 1
.........._.....,�_....J
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Romarks Schodulo, may be attached If more space Is roquirad)
Re: The Depot at Santa Ana -1000 E. Santa Ana Blvd, Santa Ana CA
Dlne, Its officers, agents and employees and the City, its officers, agents and employees are additional insureds with respect to the general
liability per the attached blanket carrier form. Primary and non - contributory wording applies.
C
Santa Ana Regional Transportation Center
C/O Santa Ana Public Works Agency
20 Civic Center Plaza, M -21
Santa Ana CA 92701
ACORD 25 (2016103)
Santa
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
Jim Waterhouse
O 1988 -2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
3oG5039 I Ginnie 1 2016 A11 Liaee I Ginnie ruecamance 1 6/28/2016 3:49:57 PM (pD'r) I Page 1 of 3
POLICY NUMBER: LA16CGLO196681C
COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ lTCAREFULLY.
This endursenient modifies Insurance pruvided under the fullowing;
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s)
Location And Description Of Completed Operations
Any person or ory.anizatlon fbr W110111 YOU are
performing operatlons when you and such person or
organization have agreed In writing in a contract or
agreement that SLIch pers;on or organization he added
as an additional insured on your policy.
Information required to complete this Schedule, if not shown above, will be shown In the Declarations,
A, Section U~ Who IsAn Insured |a amended to
ind/xlp as nn n,NfihnnI inx ondthn (y) or
oqJon|ze1|on(s) shown |n the Schedule, but only
with respect ho liability for "bodily in]ury'nr
"property damage" caused, In whole or In part,,by
.'your d<' at the location designated ond
described |n the Schedule of this endorsement
performed for that additional Insured and Included
|n the "producte-oomp|e[adoperations hazard",
1. The Insurance afforded 1omuohaddidona
Insured only applies to the extent permitted by
/mm'. and
li If coverage provided to the additional Insured Is
required bya contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required bv the contract oragreement to
provide for Such additional Insured.
B, With respect to the Insurance afforded tothese
mid|d"on||m*/orly. the fn|lnw|nO|wnddedfn
Section U| ~ Limits Of Insurance:
If coverage provided to the additional Insured Is
required by a contract or agreement, the most we
will pay on behalf of the additional Insured Is the
amount of Insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Umitsof
Insurance shown |n the Declarations;
whichever |aless,
This endorsement shall not Increase the applicable
Limits of Insurance shown |n the Declarations,
CG2D37O413 K%Insurance Services Office, Inc,, 12 Page 1 of 1
REVIEWED BY. AZ EUW1EHEF,EMA(P(3Z_�F
COMMERCIAL GENERAL LIABILITY
CG2O01 O413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROD U CTS/COM PLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision tuthe
contrary:
Primary And Noncontributory Insurance
This insurance |a primary to and will not seek
contribution from any other Insurance available
boan additional insured under your policy
provided that
(1) The additional insured imo Named Insured
under such other insurance; and
CG 20 01 04 13
(2) You have agreed in writing ino contract or
agreement that this insurance would baprimary
and would not seek contribution from any other
insurance available to the additional insured,
@ Insurance Services Office, Inc,, 2012
30694939 1 Ginnie 1 m," All Linea | n^nn^°m=��"tO 1 wm/xm, 3.^9.57 W4 | my 3 )E 3
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