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HomeMy WebLinkAboutDAVID MORSE & ASSOCIATES (2)-2015tNShh&fANU OR BLE N-2015-161-001 @M14� K a�War PROCEED C MURARGE EMPIRE& CLERK OF i:OURCKI� FIRST AMENDMENT TO DATE, DEC 1 6 DAVID MORSE & ASSOCIATES AGREEMENT �.,%,"o (0 ` U`" Ol THIS FIRST AMENDMENT to the above-refercuced agreement is made and entered into on November 30, 2015 by and between David Morse & Associates ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing wider the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into the David Morse & Associates Agreement #N-2015-161, dated October 14, 2015 ("Agreement"), by which Consultant agreed to provide investigation and surveillance services in litigation matters to the City. B. The term of the Agreement is for a period of two years, from September 23, 2015 through June 30, 2017, and the Agreement remains in effect. C. Consultant represents that it is able and willing to provide such services to the City and has done so since 2011. D. This First Amendment to the Agreement is intended to provide payment for unpaid sums receivable by Consultant for services provided between June 14, 2015 up to and including September 22, 2015, that were incurred prior to the commencement date of the Agreement. This First Amendment is specifically authorizing payment of the prior services to assist the continued, uninterrupted, and valuable services provided by Consultant. The Parties therefore agree: 1. Section 2, Compensation, City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $25,000.00 for the initial Agreement period covering September 23, 2015 and ending June 30, 2017, and any unpaid sums receivable by Consultant for the prior period services commencing June 14, 2015 up to September 22, 2015 will be paid against that $25,000,00. Any services provided during the annual fiscal year beginning July 1, 2015 and ending June 30, 2016 shall not exceed $25,000.00, The total amount incurred under the Agreement shall not exceed $25,000.00 even if an optional annual extension is exercised. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in fall force and effect. [CONI 'INUED ON TIE NEXT PAGE] IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Ag •eement on the date and year first written above. ATTEST MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM SONIA R, CARVALHO CityAttorney % y'=-_ S'skl�l:1 SCII AI2ZMANN Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: }3D WARD RAYA. Executive Director of Personnel Services CITY OF SANTA ANA DAVID CAVALOS City Manager CONSULTANT I au1 Poulin Los Angeles Regional Manager David Morse & Associates David. Morse Associates Xilvealiantion 8"Vioes P,O. Box 26004, C londalo, CA 91222.6004 atnall�lranlnvastaura www,<itraalnvoaucaan (s:�s) a42.ssao m� ca2e> 542»6880 GENERAL ,TNFC)I MMATION LICENSING, Callfbrnln Investloatm Limse: PI 20833, volar states available itpon requsst I'IV'SCiII.ANCBj UO: $5,000,000 COLT $2,000,000 RATES,. Illvestigations $80/hour Surveillance $80/hour mlle4ge $,GS per mile CEN RAL ID:ISbP'A'I'CII FOR NEW ASSIGNMENTS, (800) 649-76021 {ax (860) 742.6989 assi�rutae�rta(a�clnvldmorse,cam NATIONAL HAIL C.UNTUR� David Morse & Asmociatas PO Box 7.6004 01e11t1410, CA 91222-6001 V J 271963 AC"Rc�® CERTIFICATE OF LIABILITY INSURANCE DA10/27I2DIYYYY) 10/27/2015 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 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 Commercial Lines - (818) 464-9300 Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 CONTACT NAME: PHONE FAX AIC No Ez[: Are, No: EMAIL ADDRESS: 15303 Ventura Boulevard, 7th Floor INSURERISI AFFORDING COVERAGE NAIC a Sherman Oaks, CA 91403-3197 INSURER A; Federal Insurance Company 20281 INSURED INSURER e: Employers Insurance Company of Wausau 21458 DMA Claims, Inc. INSURER C: MED EXP (Any one person) $ 10,000 330 North Brand Boulevard, Suite 230 INSURERD: INSURER E: Glendale, CA 91203 INSURER F: PERSONAL &ADV INJURY $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 9/41491 RFVISION NIIMRFR•. Seehelow 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, ILTR TYPE OF INSURANCE AODLSUBR JIM WFID POLICY NUMBER MPOLICY EFF MIODIYYYY POLICY EXP MMIDDIYYYv LIMITS A X COMMERCIAL GENERAL LI ABILITY CLAIMS -MADE � OCCUR X 35809642 02/10/2015 02/10/2016 EACHOCCURRENCE $ 1,000,000 AGE ORE TED PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 Dad: NII PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 GEN'L X POLICY D PRO- ❑ ECT LOC PRODUCTS-COMPIOPAGG $ Included $ OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE_LM IT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Persmidenl UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? N7 NIA WCCZ91438183015 EVIDENCE ONLY 7/1/2015 7/1/2016 X i STATUTE ETH E.L EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If ryE, describe under DE SCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 A Errors & Omissions/Cyber Liab 82250149 02/10/2015 02/10/2016 55,000,000 $50,000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rama rim Be middle, may be attached if more space is required) Certificate Holder is named as Additional Insured for General Liability only as respects operations of the Named Insured. Subject to policy terms, conditions, limitations and exclusions. HOLDER City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Cit Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATIVE �1 The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All righ is reserved. ACORD 28 (2014/01) �-�/A Ims oenma,a,agaa� aAn�mw ernnae lAam ormzrrenlN U q� N o"I;LP. 13 IL CHUMSLiability Insurance ` . Endorsement Policy Period FEBRUARY 10, 2015 TO FEBRUARY 10, 2016 Effective Date FEBRUARY 10, 2015 Policy Number 3580.46-42 WCE Insured DMA CLAIMS, INC Name of Company FEDERAL INSURANCE COMPANY Date Issued APRIL 14, 2015 This Endorsement applies to the following forms: GENERAL LIABILITY �Yd#2p.A'4ridt3.Y.a�3SHrFz<:a::i0'Xc:A#GYtiffR`YAl`F`Y£YRY.#GXAwy<C.vc::l3ry5k4G R4R.Y:::)Y.:'RYR::}:W.::.'isu<ax#<.urySS:d<biti^SiNR:Rv,,%x0.:r.W. .::.u�wrouep;yv�YbrtY#3T.'FRtiRtl: Y?,X<WAS�'aYeRS?XRk':ca;l::.. Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and. • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable (hereto). with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would. have in the absence of such contract or agreement, f^,tl'Y'�MIMIMSiKRGS?:'CSWk.A<rrR.:. Qe igrS.i6'.'^.vYR'4RN/..'=Y�11.:I'M2a%lrttlr."Fsar.:�'<L'.HS'4a:Ku��k£[9S`SX22i�: R6R C6skiFJY.3A"GR. n9.:F!wnv ^:?a`:'•.:,:n:.nx!:n>:#.:x� Liability Insurance Additional Insured - scheduled Person Or Organization continued Form 60-02-2367 (Rev. 5.07) Endorsement Page I aI3-�m Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance, Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative�Q-�� Liability Insuranoe Additional Insured - Scheduled Person Or Organization last page Form 60-02-2367 (Rev. 6-07) Endorsement _ Page 2 "I�'2or5=T(eP-�vl ACbRbs CERTIFICATE OF LIABILITY INSURANCE 114 �1 OPTE(MM/DYY, 2/8/201166 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: If the certificate holder is an ADDITIONAL INSURED, the policy(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 does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - (818) 464-9300PHONE Wells Fargo Insurance Services USA, Inc. • CA Llo#: OD08408 15303 Ventura Boulevard, 7th Floor CONAME'N PCT Norah Jacobo �I FAX ._818-464.9326 I roc. Not; 866-802.2516 E.MAILRESS, norah.JacoboQwellsfargo.com _ INSURER(SJ AFFORDING COVERAGE NAICR Sherman Oaks, CA 91403.3197 INSURER A: Federal Insurance Company 20281 INSURED DMA Claims, Inc. INSURER Do Employers Insurance Company of Wausau 21458 IN$URER C ; 330 North Brand Boulevard, Suite 230 INSURER D: INSURER E i Glendale, CA 91203 1 INSURER F; COVERAGES CERTIFICATE NUMBER: 1U1233(1 REVISION NUMBER: See below 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, ILTRR TYPE OF INSURANCE P.O. Box 1988 POLICY NUMBER MM% IUmYV MMIODNYYY LIMITS A X COMMERCIALGeNERALQABILITY CLAIMS -MADE X❑ OCCUR X 35809642 02/10/2016 02/10/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Me occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 X Ded: NII PERSONALS ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000.000 X POLICY ❑ Pft0-JECT @..T<"_I LOC PRODUCTS - COMPIOP AGG $ Included 1 $ OTHER 1 AUTOMOBILE LIABILITY t;, COMBINED SINGLE LIMIT I 1Ee ecnd.rn $ We BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Peraceidenq $ NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE er ecom t $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN OANY FFICEFUMEM°ER EXCUDED ECUTIVE FN WCC -Z91.438183.015 EVIDENCE ONLY 7/1/2015 7/1/2016 X I DTATUTE I I 'ERT'_ E. L. EACH ACCIDENT $ LE. L. DISEASE -EA EMPLOYEE 5 (Mandatory In NH) Ifdescribe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT S A Errors ✓£ Omissions/Cyber Liab 82250149 02/10/2016 02/10/2017 s5,000,000 $60.000 Relenflon DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allachad if mora space is required) Certificate Holder is named as Additlonal Insured for General Liability only as respects operations of the Named Insured. Subject to policy terns, conditions, limitations and exclusions. CERTIFICATE HOLDER CANCELLATION City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic City Plaza ACCORDANCE WITH THE POLICY PROVISIONS.. P.O. Box 1988 Santa Ann, CA 92702-1988 AUTHORIZED REPRESENTATIVE /1 The ACORD name and logo are registered marks of ACORD ACORD 26 (2014/01) ©1988-2014 ACORD CORPORATION. All righty ryd NE 0HUR 10 Liability Insurance Endorsement Policy Perlod Effective Date Policy Number Insured Name of Company Date Issued FEBRUARY 10, 2016 TO FEBRUARY 10, 2017 FEBRUARY 10, 2016 3580-96-42 WCE DMA CLAIMS, INC FEDERAL INSURANCE COMPANY NOVEMBER 18, 2015 ,W`rRSCYfS.i.�S"',,i":,;:'«n."f,:SAR;�9.�3aa,:xexcW::9.'X1ttH�n:CttF2Yt5RY:?.istl:MAMee�,'>vyy.�x�TF'&5IakiXaY'.'O.di2Yo`tlR�:kY�h'9A�K'o'Y.6.na"',u:»':iiM:b:'.i.`k."�"`SrkLY.:Y4`HS?.Yfi^SL'.¢'6Yn1Yi:'�rbnokriA"akeY5::5XG? This Endorsement applies to the following forms: GENERAL LIABILITY Vii:: k6x'aC4'GinVx'M.A:6MXR'kN,Y�4??NC!?.R4tlfw"Ka:.."w>::.'Q2'"..;:V.Y.n::k?.,^RY.anW:.:uuey y..�Mn'A'tn'nSnun",Y4'M.ib:WLW.I'3M'a(.L'2iSX(5f:'k'+.'F:XtlfW'isW:.G>"/npxtafiYY3�`.4bXSifa•<d':»�:i: Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - persons or organizations shown in the Schedule are Insureds; but they are insureds only if you ',no Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. however, the person or organization is an Insured only: if and then only to the extent the person or organization is described in the Schedule; to the extent such contractor agreement requires the person or organization to be afforded status as an insured; for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more speoifically identified under ally other provision of the Who Is An Insured section (regardless of any limltation applicable thereto), with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contractor agreement. xxax. e. ..xarxu:..... ix:r.:y��Z:za:^r;.,xxe�'::,•'.:;'.,..,,:...nsr.;smhwz:smAxssrmnaYr,?xroxmro....:....+naor��. xXaaurexwnc,...,:,.n, Liability Insurance Additional Insured- scheduled Person Or Organization continued Penn 80-02-2367 (Rev. 5-07) Endorsement Page i Liability ,Endorsement (continued) Cinder Conditions, the following provision is added to the condition titled Other Insurance, Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown In the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribulionfrom insurance available to such person Person Or Organization or organization, .^k..L"K..RIS!*S.°e°S:n9RU.4Hh'h'S'15.w6'.Ya'Xe'fASR`i.W4ra"'.5#G'6R:.tlnW"M.J'XFi.t:HrYtiDY:Y:YP..?Y!a?n'fik1Y.tt. b4'RQ2W:5. Rdkk.UX:tikef.:-kih.R�PX.Y':.:F?.+'f0X'6�.`dYMRMtskKfl'fR�k6ki:F6RwieRLR4R,oY6.4Wr.'+Yk".3dYkd'Wwl Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy, All other terms andconditions remain unchanged. Authorized Representative \}a_—_AV-1—ha Liability Insurance Additional Insured - Scheduled person Or Organization fastpage Porm 80 -0;? -2267 (Rev. 5-07) Endorsement Pago 2 zry 1-601 ) A� RD CERTIFICATE OF LIABILITY INSURANCE nA E; ic C;HUE30 Liability Insurance Endorsement policy Parlod FEBRUARY 10, 2016 TO FEBRUARY 10, 2017 Effective Date FEBRUARY 10, 2015 Policy Nomber 3580-96-42 WCE Insured IFMA CLAIMS, INC !Mame of Company FEDERAL INSURANCE COMPANy Date Issued NOVEMBER 18, 2015 +Mrvv:�%�:L`�.�ti.'�i:rivnti4niinrl)�}}'.•if.C,+SiG;�MTt\�vv�5:��(`�NFYff'..w.•':.�:Li:i.�$. .�{{%:�Y{r�,Y�vi.i.�ti�'.. viP•}.iV�in�tas�w•'�r4$�+.x'yS.orihY:^^'.#6:Zb'AVT�W:vnwnvr'n'k:A w�ti•:�l.r. This Endorsement applies to the following forms: GENERAL LIABILITY 9_�.�r"w.`SR'tXwrio%O�}.•iih`�vCC{ii}..{}i:::.434,5i'n'CE.o%auCCYw+'ii:R'.R'fi4£.�i;:'i`nn^�"'.?7.2i'}Kq�;}»:{,N..u,NdEi`ff?%xidi.4%�.�W%vwo'�'i'irr'�.:_'�?x:�:'_.'�'''f.. ^>�'. �.yigivvC.._�..�_s,'7Ni.7$A`erG;:v�`icYifn�:.4:iin"v v'.'�!:;"Y�U.ai-.-:-�: U.a&r Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy_ However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organirationis an insured under this provision: • that is more specifically identified under my other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Q}.Obi'di'�:?:iYoxw�yK'.V.fi+'iJtdi, .'R.',`+vrvmw �'J.}i'�w��A::oikS.�.'-0jj;]ty'+�":i'4i2i`'�G�.'. C:vnv.n`-nr.'�'��$fYi.'P]_'y:N'df.P%9M'i.`u9F.5�°Avl,°S.<�y`j$1:.V,,�r-...:..X176?:�.�n,i}v'XOnt'Y.'S`%i�.'SiSA:A`e:%Haic:.N��'��t.:r4:fl'a0dIC5Y,•&�:� N.tr Liability Insurance Additional Insurod - Schedufed Person Or organization Form 80-02-2367 (Rev_ 5-07) Endorsomsnt continued Page i Liability Endorsement (6ontinued) Cinder Conditions, the following provision is added to the condition tided Other Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled tWs insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. <&a::dz6x.�a/.aX^�3.•.'dK<i4b'Ritti3.?K»X:'ikw� roxoz«:L'.�t l:1�r;?.3M`no—, „'Ry;+d»oo�v„y Sgyr,,;_,-,.v ;..., .,. 'q ,;Bq xS.b.:�iiCxex"2e&oRcclicc c ;"<L�'C67:dfiMk:o;. X,'Virii. ci6icc Schedule Fy Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain uuchauge& Authorized Representative Liability Insurance Additionallnsured - Soheduled person OrOrganiratlon iastpage Form eO-02 2367 (Rev. 5-07) Endarsement Page 2 aim nP CERTIFICATE QF LIABILITY INSURANCE DATED CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 2/10/20,7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 NmAME. Jonathan Allen Commercial Lines - 213-253-6700 PRONE FX213.253717 N.I. 866-802-2515 Wells Fargo Insurance Services, Inc. - CA Llc#: OD08408 hMAIL lonathan.n.allen@welig6rgo.com 333 S. Grand 02110/2018 EACH OCCURRENCE S 110130.000 INsu AFFORDING COVERAGE NAICiA Los Angeles, CA 90071 INSURER A; Federal Insurance Company 20281 INSURED INSURER B: Chubb lndemn' Insurance Co. 12777 DMA Claims, Ina Dusurmt a 330 North Brand Boulevard, Suite 230 INSURER 0: INSURER E : Glendale, CA 91203 INSURER F COVERAGES CERTIFICATE NUMBER: 11416373 REVISION NUMBER: See below 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 U POLICYNUMBER POLICY EFF MMID POLICY EXP WMD LIMITS A X COMMERC1ALGENERALUABILITY x 3580964202110f2017 02110/2018 EACH OCCURRENCE S 110130.000 PREMISES Eaoommenca $ 1.000,000 CLAIMSAIADE OCCUR X Ded: Nil MED EXP (Any am perspq) S 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN'LAWREGATELIMITAPPUESPER- X POLICY E JECT ❑ LOC GENERALAGGREGATE s Z000.0DD PRODUCTS -COMPIOPAGG S Included S OTHER: AUTOMOBILELIAMLITY COMBINED SINGLE IMT 5 a acd ANY AUTO BODILY INJURY (Perpersan) 5 OWNED SCHEDULED AUTOS ONLY ALn'OS BODILY INJURY Per acciderd ( ) 5 HIRED NON -OWNED AUTOS ONLY AUTOSONLY PROPERTY WMAG5 $ acc dertl S UMSREL" LAB HOCCUR EACH OCCURRENCE S EXCESSLIAS CLAIM"ADE AGGREGATE $ MO I I RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS• LIABILITY Y ! N ANYPROPRIETORIPARTNERIEXECUTIVEE.L. OFFICERIMEMBEREXCLUDED7 C MIA 71756501 7/1/2016 711/2017 x BAR EpTRIr{- EACHACCIDENT s E.L. DISEASE - EA Empayyg s (Mandatory in NH) Uyyeese descrme under DESCRIPriON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT s A Errors & Omissions Cyber Liab 82490972 82490972 0211012017 0211012017 02110/2018 02/1012018 s5.000.0M. LWI( Deo $1,000,000, MK Oed $50,000 ReI8n6on DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101. Additional RemrLs schedule. may be attached V mare space Is requhad) Certificate Holder is named as Additional Insured for General Liability only as respects operations of the Named Insured. Subject to policy terms, conditions, flmitations and exclusions. City of Santa Ana 20 CIVIC City Plaza P.O. Box 1988 Santa Ana, CA 92702-1988 ACORD 25 (2016103) LI L•i,`i 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 g[-1.�. r ne ra%.vnu name anu togo are regisrerea rrtarKs or AL;UKU C] 1933.2015 ACORD CORPORATION. All rights reserved `'`'e� , V I s Liability Insurance Endorsement Policy Period FEBRUARY 10, 2017 TO FEMRUAXY 10, 2418 Effective Date FEBRUARY 10, 2017 Policy Number 3580-96-42 WCI? Insured DMA CLAIMS, INC Name of:Company FEDERAL INSURANCE CGMP ANY $R'p?X���»"-��v'�v� �'imrw�n♦�i�Qf.�4F54NP]3$D�ChW:950.`SGMGOi�RirR�i,'i'k..�R�4::13:�OfO3�.a.�""'"' ���j'�Q,..:++yMERVj0.`C>y:68:4:00D3G"�C<��h�i� This Endorsement applies to the following forms., GFNERAL LIABILITY Muc .''. ;k rk. R_ r� cr nus as r :z w r„ x sY Under Who Is An Insured, the following provision is ailed. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described is the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that lid not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically idenphed under any other provision of the Who U An Insured section: (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. SNA°A4�m»oxaoCaa:.�,iSAbx�RdC�.a`.&s2YS�Y:s272�:tk�kYA.2�:Q�oo-dSR`ARi�91R6?p3R..._.. 4XRX0'.0`.x_Q??�7A��..7'�ca�fdlwac�:6�ddo;a"i.'sUW`Y.v.'fi�7�2;C':�??:c Liability Insurance Additional Insured- Scheduled Person Ororganization Form 80-02.2367 (Rev 5-07) Endorsement continued Page i Liability Endorsement (contlnued) Cinder Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance -- If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, /Voncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek confnbution from insurance available to such person Person Or Organization or organization. °� ;#'�"":"�i444�kK :' ttv.^.':X3c�4'46.RscicX4;SkY#«:?eC««�LR?as€�=:=:9oaa-^:��:^s>:maok«trr�cosa�aae'c:6aafC:L mo�»mamu Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions rmrmin unchanged. Authorized Representative Liability Insurance Additional insured - Scheduled Person Or Organlzahm fast page Form 80-12-2387 (Rev. 5-07) Endorsement � W Page 2 A.)- 41 1y AaC� D� CERTIFICATE QF LIABILITY INSURANCE °A 110/2°""""' 2!10!2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsemen s . PRODUCER Commercial Lines - 213-253-5700 Wells Fargo Insurance Services, Inc. - CA L.Ic#: OD08408 333 S. Grand Los Angeles, CA 90071 aMs Jonathan Allen PRONE FAX 213-253-6717 No). 866-802-2516 E� ADDRESS: ionathen.n.allen@wellsfaW.com INSURER(S) AFFOR13INGCOVERAGE NA1CiA INSURERA. Federal Insurance Company 20281 INSURED DMA Claims, Inc. 330 North Brand Boulevard, Suite 230 INsuRER B: Chubb Indemnity Insurance Co. 12777 INSURER C : WSURERD: INSURER E : Glendale, CA 91203 INSURER F COVERAGES CERTIFICATE NUMBER: 11418373 REVISION N!IMRF12- Sas- hp!DW 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 SUEUECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR PCLICYNUMBER POLICY EFF 2212 POLICY ECP IA MD LIMIT$ A X COMMERCUILGENERALLIABILITY X 35809642 02!1012017 02110)2018 EACH OCCURRENCE S �.�•� PREMISES Eaaeamence S 1,000,000 CLAIMSfiAADE OCCUR X Ded: ISI MED EXP (Anyone person) S 1x,000 PERSONAL & ADV INJURY s 1,000ADD GEN'LAGGREGATELIMITAPPLIESPER X POLICY JELO F GENERALAGGREGATE S 2,00DADD lnrudedC S OTHER; AUTOMOBILELIABILITY CONtBINEDSINGLE IMI 5 a acaa ANY AUTO BODILY INJURY OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident S ) HIRED NON-OWNEDPROPERTY AUTOS ONLY AUTOSONLY DAMAGE $ acckfwd $ UN!$RELLALAB HOCCUR EACH OCCURRENCE S EXCESSLIAS CLAJMS-MA13E AGGREGATE $ 15£0 I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIAMLITx YIN OFFICEANYPRIME143 REXC UDED (ECUTIVE OFFlCER1MEMBERI7CCLUDEO? C MIA 71756501 7111201 fi 711!2017 x BAR ER E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE S (Mandatory in NH) H yyeess descrme under DESCRIPriON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A ErrorS 1£ Omissions Cyber Liab 82490972 82490972 0211012017 0211012017 02!1012018 02/1012018 R%000.0W. LWK Ded $1,000,000, S25K Ded $K000 Relen6on DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101. AddEnnal Remarks schedule. may be attached E more space is regahad) Certificate Holder is named as Additional Insured for General Liability only as respects operations of the Named Insured. Subject to policy terms, conditions, limitation and exclusions. City of Santa Ana 20 Civic City Plaza P.O. BOX 1988 Santa Ana, CA 92702-1988 ACORD 25 (2016103) 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 9?— I no A1-vmu name ana logo are registerea marrcs at ACURD 01933.2015 ACORD CORPORATION. All rights reserved. Liability Insurance Endorsement Policy Period FEBRUARY 10, 2017 TO FEBRUARY 10, 2018 Effective Date FEBRUARY 14, 2017 Policy Number 3584-96-42 WCL; Insured DMA CLAIMS, INC Name of Company FEDERAL INSURANCE COMP ANY This Endorsement applies to the following forms: GF.NE:IiAL LIABILITY ser:::�::Y««uattx�^:ca?�a^.�,:,x,� x.���,.�s��c�ro-f�::>xa:::;�x:;,�r,:�xaa. .. -•r.n^^�s,�s�:xamrcR;z�..�.r„;�^%:,�x.Y Under Who Is An Insured, the following provision is aided. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insure! only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cast or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically idenphed under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such coulract or agreement. SNA°A4�m»oxaoCaa:.�iSAbx�RdC�.a`.&s2YS�Y:s272�:tk�kYA.2�:Q�oo-dSA`ARi�91R6?p3R...... 4XRX0'.0`.x.Q??�7A��..7'�ca�fdlwac�:6�ddo;a"i.'sUW`Y.v.'fi�7�2;C':�??:c Liability Insurance Additional Insured- Scheduled Person Ororganization continued Form 80-02.2367 (Rev 5-07) Endorsement Page i Liability Endorsement (continued) Clnder Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other insurance — if you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, nloncontrlbutory shown in the Schedule with primary insurance such as is afforded by tlTis policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution Pram insurance available to such person Person Or Organization or organization. RC'n`W n`2 A". 7.,`3."^..:"RMA w3`��i,v.^.'.'XfTt#'46hf:'riEY,4�fsK4�z?:? M'.: "eYR« z.".':" :':::_5 .:.^ tion¢a�¢-::s»:^iirni6Raeeia"e+aea�aeace'+:er�idE+i6 L rsuwx;areu Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. AuthorizedRepresentativa Q—A", Liability Insurance Additional Insured - Scheduled Person Or Organlzahm fast page Form 80-12-2387 (Rev. 5-07) Endorsamont � W Page 2