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HomeMy WebLinkAboutSERVICE FIRST CONTRACTORS NETWORK DBA SERVICE FIRST 1EqDCity of Santa Ana Clerk of the Coun,- coic oabc-e use oMy AGREEMENT TERMINATION FORM j Please complete this form when the attached agreement and all 2(9 9 Fti amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements City OF SAN TA ANA have been satisfied prior to signing the termination form. C ERK OF COUNCIL Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. i The agreement with �l�?JYU1Q � !& No. � b i I— /9 ffg was completed on (List all amendments. Use space below if needed.) ft -apI1 -au9—o i A- 'g0la 6v3--0, I A--5Lai2)- lcj � Yh-o-Zo 14-0--�CjS' Revised: 01-07-16 I � and final payment has been made. Department: V} tA+U Phone/Ext.: (t Signature: fS A 0-�> t Ak4Cln Date: a hw INWHANC[ ON Ft WOIlK MAY PROCI NTILI I INSURANCE MAYOR Micyuet A. Puled OCLER F MAYOR PRO TEM DATE: 2�7 Vincent F. Sarmionto COUNCILMEMBERS Angelica Amezcua P. David Benavldes Whole Martinez Roman Reyna Sal Tinajero f V CITY OF SANTA ANA PARKS, RECREATION, AND COMMUNITY SERVICES AGENCY 20 Civic Center Plaza M-23 . P.O. Box 1988 M-23 Santa Ana, California 92702 LAnvwsanta-ana.orn January 8, 2016 Frank Vandenberg Service First Contractors Network dba Service 1 st 2510 N. Grand Ave, Suite 1.1.0 Santa Ana, CA 92705 Re: final Two -Year Extension of Fountain Maintenance Agreelmnt Agreement No. A-201.1-249 Dear Mr. Vandenberg: 063tS76ZII-OIIS1 CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Marla D. Huizar Pursuant to Section 3 of Agreement No. A-2011-249, entered into by Service Fust Contractors Network and the City of Santa Ana, dated November 7, 2011, and as previously amended and extended, the term of the Agreement is hereby extended for one final two (2) year period, from January 1, 2016 through December 31, 2017, by mutual consent of the parties, The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement, as amended, remain unchanged and in full force and effect. Sincerely, Gerardo Mouet Executive Dimtor of Parks, Recreation, and Community Services Agency CITY OF SANTA AN David Cavazos City Manager APPROVED AS TO FORM Assistant City Attorney ATTEST Marraizar Clerk of Council SANTA ANA CITY COUNCIL CONTRACTORS Rfi9vel A. Yuiicb Vincent F. S.CM d+Ncheie Marfine: I ArgWic� A+rezcu2 P. baud $9it&'v"' S.M. Rerle SmT"3'WQ Mayor Maynr Pro Tem. Wartlt YJartl2Ward3 Ward4 Ward5 War08 q�P jirLujQnalda-ana Orn yS yrpligntofonsanta-ane.olq Mi. fi4grinezRli sant.-,, org AAmezcuFl .[Zsanl. ara;yra naenavidesfo] rla-ana,yja RReynesn"no q STne srofo'13Irda-. -� SERVFIR-01 EVELASCO `� CERTIFICATE OF LIABILITY INSURANCE RA TE{h1MIDOIYYYY) lea. 9111 612015 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 PRODUCER Company Insurance Services, Inc. PH°N� F,,,, (9491 553-9$00 Irvine, CA 02614 _ INSURER(S,1A I NSURCR A: I ron$hore Spec INSURED INSURER B: Travelers f cop', Service First Contractors Network dba Service First N$URERC;Torus,National 2510 North Grand Ave, St 110INSURER D Santa Ana, GA 82706 A .,:C( �W'=4t`�.�INSURERS:..... Ins, Co. .asualty Co of America 'ance Co ne)VFRARFR CFRTIFICATE NUMBER- REVISION NUMBER - 553-0670 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. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTVVUH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Iri9fF..— _.__ tT_R TYPE OF INSURANCE A X COMMERCIAL ISENERAL LIABILITY ry� GLAIMSWAOE OCCUR u X -r TZODCY eFF POLICPEk�"--.._. D POLIGYNUMSER Ii,MMtDetYYYY MMl00%YYY AGS0082501 11111/2015 1111112016 .._........ — .._. LIMITS EACH OCCURRENCE $ 11000,000 AIaA _ _ �.... pREMI5E5 Ea occurrence _5_ 50,004 ...... _ MVO EXP (Any one person) It 5,000 PERSONAL B AW INJURY $ 1,000,000 {,GENI. ACIGREGA(L LIMIT APPLIES PER: i POLICY N dECT O LOG GENERALAGGREGATE $ 2,000,000 PRODUGTS-CONFIDE AGG $ 2,000,000 —_. OTHER: AUTOMOBILE LIABILITY $ COMBINED SING .E LIMIT S Ed sUtltlenq,. ANY AUTO 800I1Y INJURY (Pe, person) fi ALL OWNED SCHEDULED 8001LY INJURY (Per accigeng 5 AUTOS AUTOS NOWOWNED PROPERTY DAM" 61 $ _ _1 HIRED AUTOS AUTOS Per ryccidenD _ i UMBRELLA LIAO X OCCUR EACH OCCURRENCE S 6,000,00 jz— 8 X, EXCESS LIFE CLAIMS -MADE UP-51 M10018 -15 -NF 11/11/2D16 1111112016 AGGREcnre $ 6,000,000 DED I RETE $ IMPRESS COMPENSATION LII R/PABILITYE%ECU71V6 TUTE__ -LER _ 1 - __...�, YIN ._ — X[PEAR, C ANY PROPRETO �T10160290 11111/2015 11111/2016 EL EACH AGCipGNTPL J.. �k_ 1,000,000 lDEDR N!A OFFCFWMEMtmyBH) 4000,000 __ a.__.._._—...... _ IDESCRIVTIONOEOPERATIONSbolow EL_DISEASE -POLICY LIMIT. 1,000,00 �..— I If DESCRIPTION OF OPERATORS / LOCATIONS IVEHI""JACORD 191, Additional Remarks Schedule, may he attached if more space is required) `I " RE; All operations performed by the Named Insured during the current policy period, gialplmanual p�7 City of Santa Ana, its officers, agents, representatives, and employees are Included as Additional Insureds as respects GR 4114 11 y per attached endorsement, This Insurance shall apply as Primary and Non -Contributory per attached endorsement. S"��✓ CERTIFICATE HOT. DER CANCELLATION O 1088-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Attn: PRCSA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza M-23 - -- AUTHORIZED REPRESENTATIVE Santa Ana„ CA 92701 O 1088-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD A16. R AGENCY CUSTOMER ID, SERVFIR-01 LOC N: 1 ADDITIONAL REMARKS SCHEDULE EVELASCO Page _ 1 of 1 AGENCY NAMED INSURED The Wooditch Company Insurance Services, Inc. ---N --- Service First Contractors Network dos Service First 2510 North Grand Ave, St 110 Santa Ana, CA 82705 -- __._.._.._ ................ POLICY NUMBER EE PAGE 1 CARRIER NAIC GODS SEE PAGE I SEE P 1 EFFECTIVE DATE: hJ PA E 1 V VI1141Y/iL RGIYIMRRA THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certlflcete of LiabilityInsurance Remarks: Cancellation: *Except for 10 days notice of cancellation For non payment of premium. *Should this policy be cancelled before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* eaay', \i,e� e P ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved, „r: .,4484 naolc auu mye are regaTerea marxs of ACUKD POLICY NUMBER: AGS0082601 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL, LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anlzation(s) Location(s) Of Covered Operations As required by written contract. If required by your written contract or written agreement with such Additional Insured, this insurance is primary and non- contributory. If anyone, other than the Additional Insured, provides similar insurance for the Additional Insured, then this insurance will apply as outlined in SECTION IV — COMMERICAL LIABILITY CONDITIONS, paragraph 4. Other Insurance, subparagraph c. Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of �dby 400 �e liability. All other terms and conditions remain unchanged. cj`5G�P'P� information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 1. include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property 2 damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for B. the additional insured(s) at the location(s) designated above. However: The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. With respect to the additional insureds, exclusions apply: insurance afforded to these the following additional CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — 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. eaby', 'f ry \laro Q�a,G Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: AGS0082501 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(s) Location And Description Of Com leted Operations As required by written contract. If required by your The insurance afforded by this policy for the benefit of written contract or written agreement with such the additional insured does not apply to Additional Insured, this insurance is primary and non- 'property damage' to any building, structure or contributory, appurtenant structure intended to be occupied as a'private residence'. The term "private residence" If anyone, other than the Additional Insured, provides includes single family homes or residences, similar insurance for the Additional Insured, then this multi -family homes or residences. Apartments are not insurance will apply as outlined in SECTION IV — considered "private residences." COMMERICAL LIABILITY CONDITIONS, paragraph 4. Other Insurance, subparagraph c. Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. 0 1 c''¢ All other terms and conditions remain unchan ed. vaS Information required to com late this Schedule, if not shown above, will be shown i A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or 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 insureds, the following is added to Section III — Limits Of Insurance: CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 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 rot increase the applicable Limits of Insurance shown in the Declarations. fed �y . �ev0e }� P Page 2 of 2 0 ISO Properties, Inc., 2004 CG 20 37 04 13 ❑ ADDITIONAL INSURED CER'H ICA'I'E Insurance Company Ironshore Specialty Ins. Co. c/o The Wooditch Company This endorsement modifies such insurance as is afforded by the provisions of Policy # AGS0082501 relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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. With respect to clairns 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. 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 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 11/11/15 Policy # AGS0082501 Issued to Service First Contractors Network Name Insured Countersigned by this endorsement form as part of i Insurance Agent Signature qday'. ? SPI Pa it C SERVICE FI EVELASCO DATE IMMiDD1YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 1111412016 ._--.----_._.....-_-__m ....1_ THIIS 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(ios) 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). PRODUCERCON.9.TACT — The Wooditch Company Insurance Services, Inc. 1 Park Plaza, Suite 400 Irvine, CA 92614 INSURED A . -- o" k 'k ­ -, "Q I_F", — ) I Service First Contractors Network dba Service First 2510 North Grand Ave, St 110 Santa Ana, CA 92705 r1r)x1=0 A n=Q r'1=DTI=Jr'ATr- kil IRROMD- 553-9800 INSURERA:ASSOCialeO inciusiries ins. Lo. INSURER 13:: Starstone National Insurance Com INSURER C: INSURER D; INSURER E INSURER F I. =LTI LA 15613 0 A I III LT. I ±11 ADZ 553-0670 NAIC 9 ...... ........... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LUSTED 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--TYPE OF IN . SURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LTR i IMMIDONYYYI IMM/DD/YYYY) . ... .................. Ll MITS A X COMMERCIAL GENERAL LIABILITY EACH. OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR x AES1 043034 1 1111112016 1111112017�!(Eacccurrence) DAMAGE TO RENTED _PREMISES $ 100,000 5,000, MED EXP Any one person) S 1,000,000 PERSONAL & ADV INJURY S PERSONAL GENT AGGREGATE LIMIT APPLIES PER- ll, '0.••+° e .... . ... .. ..... ..... ..... ... GENIERALAGGREGAS 2,000,000 2,000,000 POLICY X LOC ;4N PRODUCTS - COMPIOP AGG S OTHER S AUTOMOBILE LIABILITYrbT COMBINED SINGLE LIMIT (Ea accudenl) . . . ..... ........... ........ S. ANY AUTO BODILY INJURY (Pet person) S OWNED SCHrDULrD AUTOS ONLY AUTOS . BODILY INJURY (Per accident). S ONLY AUTOS ONLY ASHIRED NON-CVVNED(yam PROPERTY DAMAGE (P., accident) -S... $ UMBRELLA LIAR OCCUR .. . ....... ...EACHOCCURRENCE EXCESS LIAB CLAIMSMADEAGGREGATE S DED RETENTION S S B WORKERS COMPENSATION X PER OH AND EMPLOYERS' LIABILITY YfN T1 0160299 1: 1111112016 1111112017 ' ---STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNEWEXECUTIVE i NIA E, L. EACH ACCIDENT S . . . .. ....... .... ... . ........ . ........ ..... - OFFICERMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S 1,000,000 lyes describe under ''. .. . ..................... ... . 1,000,000 DESCRIPTION OF OPERATIONS byelaw'.. F L DISEASE - POLICY LIMIT $ . . ........ .... ......... .. .... ------ ...... . DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: All operations performed by the Named Insured during the current policy period. glaip/manuall City of Santa Ana, its officers, agents, representatives, and employees are included as Additional Insureds as respects General Liability per attached endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: PRCSA 20 Civic Center Plaza M-23 Santa Ana,, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) @ 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID, SERVICE FI EVELASCO LOC ACC)R011 ' lk..� ADDITIONAL REMARKS SCHEDULE Page I of 1 ,GENCY NAMED INSURED Service First Contractors Network dba Service First 0 North Grand Ave, St 110 'OLICY NUMBER Santa Ana, CA 92706 EE PAGE 1 :ARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 LDDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability insurance Cancellation: *Except for 10 days notice of cancellation for non payment of premium. *Should this policy be cancelled!, before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101 (2008101) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy No. AES1043034 COMMERCIAL GENERAL LIABILITY CG 2o33004 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the hdlowing� COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 0—Who Is An Insured is amended to include amanadditional insured any person nror- ganization for whom you are performing opera- tions when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with re- spect to liability for "bodily injury~ 'property dam- age" or "personal em'oge"or"peraone| and advertising injury" caused, imwhole urinpart, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on you behalf; in the performance ofyour ongoing mp*maUoma for the additional insured. Aperson's ororganization's status as an addition- al insured under this endorsement ends when your operations for that additional insured are completed, w B, With respect to the insurance afforded to these additional insureds, the following additional exclu- sions This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the ren- dering of, or the failure to render, any profes- sional architectural, engineering or survey�ng services, including: a. The preparing, approving, or failing to pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; or b. Supervisory,inspection, architectural or engineering activities. 3. "Bodily injury" or"property damage" occurring a.All work, including materials, parts or equipment furnished in connection with such work, omthe project vico, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed; or b.That portion of"Your work" out ofwhich the injury or damage arises has been put to its intended use byany person ororganization 01 other than another contractor or subcon- tractor engaged in performing operations for eprincipal amapart mfthe same project. CG 20 33 0,7 04 @ ISO Properties, |mz,2004 Page 1of1 0 POLICY NUMBER: AES1043034 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IN r1% 0 10, S AT .JILSJZ , _.OIL This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ lzation(s): Location And Description Of Completed Opera - tions "All Persons Or Organizations Where Written Contract With The Named Insured Requires Additional insured Completed Operations" This Form Does Not Apply To Your Work On "Residential Property" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or 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". C, C% CON q I CG 20 37 07 04 @ ISO Properties, Inc., 2404 Page 1 of 1 0 POLICY NUMBER: AES1043034 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. "RIMARY AND NON-CONT'RIBUTING INSURANCF (THIRD -PARTY) TNs endorsement modifies insurance provided under the following: Third Party: All persons or organizations where required by written contract with the Named Insured (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following. - 4, Other Insurance: Wth respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance availabie to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission ADDITIONAL INSURED CERTIFICATE Insurance Company Associated Industries Insurance Company c/o The Wooditch Company This Certificate modifies such insurance as is afforded by the provisions of Policy # AES1043034 -relating to the following: 1 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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. L 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 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 11111/16 Policy # AES1043034 Issued to Service First Contractors Network Name Insured Countersigned by this certificate form as part of Insurance Agent SignatuTe * Subject to the terms, conditions and endorsments on the policy AC"RL> CERTIFICATE OF LIABILITY INSURANCI DATE (MMIDD(MY) 12/2012016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holderis an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I C2NTACT3OEY MONTGOMERY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD STATE FARM MUTUAL INSURANCE COMPANY -(PAHONE .Ext1„.714-526-7001 ialC. No):714-526-0348 Sti1Jc3Fa1yI1 1370 BREA ELVC? STE. 150 E-MAIL JO YMONTGOMERY.COM w FULLERTON, CA 92835 9 INSURERLS) AFFOROIMG COVERAGE ,_.... MAIC it NA W IMSURER a tate Farm Mutual Automobile Insurance Company 25178 INSURED SERVICE FIRST CONTRACTOR'S NETWORK INSURER B: : SERVICE FIRST � � INSURER __ ..,___ DAMAi RENTED 2510 N. GRAND AVENUE SUITE A 1I u� SANTA ANA 92705 LI D INSURER O : _ ...._ ..._ _. ...._..� .. INSURER E- CLAIMS -MADE OCCUR SCA I J+ INSURER P s COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY' PERIOD INDICATED. NOTVWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NINE BEEN REDUCED BY PAID CLAIMS. _ TYPE OF ...................____ .-.. . ... ,....._ .__..._. _... ....,,._.. .-..__.. _._ ......._....... ........._...-.__..._......... _ . _...,.._ ............. . ROLICY EPF POLICY EXP LIMITS ILTR AIN D ,l POLICY NUMBER IMMID MMIDW(YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE .m_. _........ 17 __ ..,___ DAMAi RENTED CLAIMS -MADE OCCUR PREMISES,(,Eaoacurrer„bcla. ff 44 MED E7tP la+iy orrye pecsonl-..._...... . .------..--------- I .... .. _ .._ ._.r - ... .. PERSONAL & ADV INJURY S _.—_.... ... _ .... „ .._ .. .._-.. GEN'L PER: AGGREGATE LIMIT APPLIES P a GENERALAGGREGATC $ .._..., Pot.1CY I 1PERcoiLOC _ PRODUCTS COMPIOP AGG OTHER: S A AUTOMOBILE LIABILITY � 133 3423-F09-76 _ 015107=16U015107=16iI 061071201770610712017COMBINED SINGLE LIMITEaacudemmi} � I000;000 ANY AUTOi ._ .....� ALL OWNED SCHEDULED BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ AUTOS __.. AUTOS NON-O%NED .�. _..._ 'ROPER7Y DAMAGE X ! HIRF0 AUTOS % AUTOS Il $ (Peracriaenl) _. .. _,_..............._ $ UMBRELLA LIAR I, � OCCUR --ill G EACH OCCURRENCE, S .W......,,._._ ..._.___...._......_�.�_ -- EXCESS CLAIMS-MADEV E1} y� AGGREGATES DED RETENTIONS $ WORKERS COMPENSATION WORKERS � AND EMPLOYERS' LIABILITY Y� � � ^� � � "'` �IN PER _ ER ANY PROPRIETORIPARTN ERIEKECUTlVE NIA E L EP.C)H ACCIDENT $ .__ ..... - _-_---____-. ......... OFFICERIMEMBER EXCLUDER? (Mandatory In NH) ,»,.,. e 11 L, DISEASE : EA. EMPLOYE=E S If yyes, dascdba tender It,� _._._. ' DE5CRIPTION OF OPERATIONS below �t^” E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedules, may be attathed it more space is rettuiredl CERTIFICATE HOLDER, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO AUTO LIABILITY 30 Day Notice of Cancellation (10 day notice for nen-payment of premium) UIcK I P,I^Ir.rA I t HULUEK t..AFMWsMILL A I Ivey CITY OF SANTA ANA ATTN: PRCSA 20 CIVIC CENTER PLAZA -M-23 SANTA ANA, CA 92701' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (0 1986-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (201'4101) The ACORD name and logo are registered' marks of ACORD 1001'486 132849.9 02-04-2014 JIHW Policy No,: 1333423FO975 6609 29 ake rawer SECTION 11 ADDITIONAL INSURED ENDORSEMENT I" Policy No.. 1333423FO975 Named Insured: SERVICE FIRST CONTRACTOR'S NETWORK DBA: SERVICE FIRST CITY OF SANTA ANA ATTN': PRCSA 20, CIVIC CENTER PLAZA -M-23 SANTA ANA, CA 92701 gevOt"d bN" CU 'J as fo-'0 WHO IS AN INSURED, under SECTION 11 DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. Primary insurance, The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE -6609 Printed in U.S.A.