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HomeMy WebLinkAboutMARIPOSA LANDSCAPES, INC. (PARK MAINT.) - 2016 4TH AMENDCity of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM ?M9 J c c fll Use Only Please complete this form when the attached agreement and all CITY F SANTA ANA amendments (if any) are no longer in effect. CLERK OF COUNCIL Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with y' j oa ; Ley) c 'lea p2 , + No. was completed on 11,31 and final payment has been made. (List all amendments. Use space below if needed.) t�a-7 I Department: .PJZPC�44 —� oos Phone/Ext.: A- C&S lA "ap6-C3lS-Gi Signature: Date: INS URAN(,E (iN 4lL K;: WOnK MAY PROCEED UNTIL INS 1 AN SFX IHfaS %��o CLERK Or "'T'*FFD 2�1a FOURTH AMENDMENT TO LANDSCAPE AND MAINTENANCE AGREEMENT A-2014-015-01 THIS FOURTH AMENDMENT TO LANDSCAPE AND MAINTENANCE AGREEMENT is entered into this 13TH day of January 2016, by and between Mariposa Landscapes, Inc. a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Landscape and Maintenance Agreement No. A-2014-015, ("Agreemen(") dated, January 6, 2014, by which Contractor has provided park landscape maintenance services for Santa Ana Parks District 3, covering eleven (11) City properties. E. The parties have executed three amendments to the Agreement, Nos. A-2014-271, A-2015-008, and A-2015-028, respectively, through which the scope of services, compensation, and terms have been amended. C. The current term of the Agreement is for the period from February 1, 2015 through January 31, 2016, and the Agreement remains in effect. D. The parties now wish to further amend the Scope of Services, Compensation, and Term clauses of the Agreement by removing District 4 from the services to be performed by Contractor, adjusting the compensation accordingly, and extending the term of the Agreement for one year, The Parties therefore agree: 1. Section 1, SCOPE OF SERVICES, is amended by deleting all services for and references to District 4, effective February 1, 2016. 2. Section 3, COMPENSATION, is amended by deleting any and all compensation payments for services to District 4, effective February 1, 2016, 3. Section 4, TERM, is amended to extend the term of the Agreement for an additional one (1) year period, from. February 1, 2016 to January 31, 2017. 4. Except as modified by this Fourth Amendment, and all prior amendments, all terms and conditions of the Agreement remain unchanged and in Rill force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Fourth Amendment to the Agreement the date and year first above written, Page 1 of 2 ATTEST: M rta a D. Haizar Clerk of the Council APPROVED AS TO FORM: Sonia R. Carvalho, City Attorney B� John M. Fm k Assistant City Attorney RECOMMENDED FOR APPROVAL Gerardo MOuet Executive Director of Parks, Recreation, and Community Services Agency CITY OF SANTA ANA ` David avazos City Manager MARIPOSA LANDSCAPE, INC. Terry Noriega President Tax ID# 95-4245898 Pa.m2cf2 ROUTINE MAINTENANCE Item District 3 Acreage Monthly Cost Yearly Cost 1 Borne Koral 11.00 7962.40 $ 95,548.82 2 CDA Properties 1,2,3,7,8,9 -Note 1 0.59 169.50 $ 2,034.01 3 Delhi 9.001 7480.31 $ 89,763.73 4 Flower Trail 5.45 822.03 $ 9864.33 5 Lillie King 10.00 8868.76 $106,425.10 6 Madison 6.00 5365.81 $ 64,38775 7 Memorial 15.50 15158.44 $ 181,901.31 8 PE Trail 11.54 4054.87 $ 48,658.47 9 Sandpointe 7.64 3836.23 $ 46,034.71 10 Segerstrom 2.001 706.911 $ 8,482.93 11 Santa Ana Zoo 16.851 12408,741 $ 148,904.84 Total All Locations 95.571 $ 66,834.001 $ 802,008.00 10% Contingency $ 80,200.80 Amendment Amount $ 882,208.80 A`co,RO CERTIFICATE OF LIABILITY INSURANCE DAT1128/zo sem) 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 I Blvd., Suite 100 91107 rill". MllIrkr .B INSURED Mariposa Landscapes Inc 15529 Arrow Higghway Irwindale CA 9T706 0008309 INSURER c_ Berkshire Hathaway Homestate Ins Co - _ I 20044 _1 COVERAGES CERTIFICATE NUMBER: 9RasonRR REVISION NIIMRFR- 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. I S TYPE OF INSURANCE ADDL sUBRI - POLICY NUMBER POLICY EFF MMIDDIWVY POLICY EXP MMIDDn"Orr LIMITS A �/ COMMERCIAL GENERAL LIABILITY r/ 1000025381151 4/1/2015 4/1/2016 EACH OCCURRENCE_ 1,000,000 CLAIMS -MADE _-d OCCUR _$ DAMAGE TO RENTED ---- _PREMISES (Be occurrence) is 1.00,000 MED EXP (Any one person) $ 5,000 _ PERSONAL &ADV INJURY '$ 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY E1 JECT LOG GENERAL AGGREGATE $ 2,000,000 GENL 1, PRODUCTS - COMP/OP AGO $ 2,000,000 —..,..$.._ OTHER' A AUTOMOBILE ✓ LIABILITY ANYAUTC SISIPCA08327115 4/1/2015 -4/1/2016 COM8B1NEDt SINGLE LIMIT ',.$ 1,000,000 _ BODILY INJURY (Per person) '.. $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per ... itlent)_ ,$ ✓ r NON -OWNED HIREDAUTOS ✓ AUTOS '', PROPERTY DAMAGE $ 11(Par acc ort) __. $ UMBRELLA LIAR ✓ LA15EXC840614C 4/1/2015 4/1/2016 I EACH OCCURRENCE $ 5000,000 — - ✓ E%CESS LIAB CLAIMS -MADE _ _ i —� AGGREGATE : $ 5,000,000 $ 1 DED RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 71 (Mandatary In NH) If yas, describe under DESCRIPTION OF OPERATIONS below NIA MAWC603388 4/1/2015 4/1/2016 STATUTE OE -- E. L. EACH ACCIDENT_ $ 1,000,000 -E. L. DISEASE - EA EMPLOYEE$ 1,000,000 E. L. DISEASE -POLICY LIMIT $ 1,000,000 A Physical Damage ISISIPCA08327115 4/1/2015 4/1/2016 Comp Dedt. $2,000 /Coll Dedt. $2,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) GL Additional insured apply per CG 20100413 and CG 20370413 attached, only if required by written contract/agreement. Additional Insured(s): City of Santa Ana, it's officers, employees, agents and representatives. �Pa Re: All Operations wtM CERTIFICATE HOLDER CANCELLATION ie/ —,( r' All Operations City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE At At Attn: Purchasing De a tment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Chau Tran © 1988-2074 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 28339065 1 MARILAN-01 1 15-16 GL, Auto Physical Damage ned Umbrella, WC I Aliso Lorca 11/26/2016 10:55:26 AN (PCT) I Page 1 of 4 POLICY NUMBER: 1000025381151 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 anization s Locations Of Covered Operations Where required by written contract. Where required by written contract. 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 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 damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 2• 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 10 04 13 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 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. reviewed >b�,,'(f,, �rilvla uevat�• ?9,11-1SW� Rdm © Insurance Services Office, Inc., 2012 28339065 1 MPILAN-01 115-16 GL, Auto Phyeical Damage Ded Umbrella, WC I A115a Lopez 11/28/2016 10:55:26 AM (PST( I Page 2 of 4 Page 1 of 2 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. ed`ay'. c � �ae�a Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413 28339065 I M ILM-01 115-16 GL, Auto Physical Damage Oed Umbrella, WC I Aliea Lopez 1 1/26/2016 10:55:26 AM (PST) I Page 3 of 4 POLICY NUMBER: 1000025381151 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 Person(s) Or Organization(s) Location And Description Of Completed Operations As Required By Written Contract As Required By Written Contract 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 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. CG 20 37 04 13 B. 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 Declarratiio`S. �e�veye �1� C © Insurance Services Office, Inc., 2012 28339065 1 MA2ILAN-01 115-16 GL, Auto Physical Damage Ted IImbtella, WC I Aliea Lopez 11/29/2016 10:55:26 AM (PST) I Page 4 of 4 Page 1 of 1 AcoRL7rCERTIFICATE OF LIABILITY INSURANCE DATE(MMIOOIYYYYj 4/1/zols 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 pollcy(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). PRODUCERCI Landscape Contractors (Lic#0755906)PHC Insurance Services, Inc. 1835 N. Sine Avenue Fresno CA 93727 ME: T Benita Hall, CISR _ NE I: (559) 650-3555 FAX Noe tss3)sso-ssse ,bhall@lcisinc-com MSURERS AFFOROING COVERAGE NAIC# INSURERA.Atlantic Specialty Insurance 27154 INSURED Mariposa Landscapes Inc F4' --c 15529 Arrow Highway Irwindale CA 91706 INSURERB:Navig_atoxs Specialty Ins Co 36056 INSURERc: INSURER D: INSURERS: INSURER.:- COVERAGES CERTIFICATE NUMBER:16/17 Pkg,Auto & Umb REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE O.INSURANCE POLICY NUMBER IADOLSUBR ODIYYYCY F MMIDDIYYYLICY P LIMITS GENERAL LIAEILITY EACH OCCURRENCE $ 1,000,000 PREMISE^ negoe $ 500,000 A X COMMERCIALGENERALLIABLITY CLAIMS -MADE ®OCCUR 618-00-11-21-0000 /1/2016 /1/2017 MED EXP(.4ny,or,e peronj $ 5,000 PERSONAL S AOA&IJURY $ 1,000,000 X1 $1,000 Pd Ded GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY EINIB,1'1111LS%`INGLE LVAITA 11000,000 y9` X AHr AUTO ALL OVAIEG "CFI'D'LLEU AUT03 AVl`JS 618-00-11-21-0000 /1/2016 /i/20Y7 BODILY INJURY (Par persolr) $ BODILY IPIJIJP.'!(Par arwaeMl NONoVVED HIREDAUTOS' AUTOS P'ROPF,RI'Y DAMACa'E $ (pJ,domr _ Uninsured maroriri mAbmeU $� 2-000,000 X UMBRELLA LIAR X OCCUR-� EACH OCCURRENCE $ 5,000,000 B EXCESS LIAR CLAIMGMADE AGGREGATE $ 5,000,000 DED RETENTION, 5616EXC840614IC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRORRIETORIPARTIJER/ERECUTIVEE.L. OFTICERMNIE(MI in NHR EXCLUDELY) NfA VW STATU- 01'H - TORY LIMITS ER EALH ACCIDENT E.L. DSEASE-EA EMPLOY $ DE54'P.IPTIriIJ OF GPERATIOfIE balcv, „rs �iV�� X1CA5 F..L. DISEASE-POLK'Y LIMIT $ .N�y DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (AtlachACORD 101,Atldlllon emarka Sc ora space lxroqulrad) RE: All landscape operations performed by or on behalf the named insured Blanket Additional insured per attached OBPGGLO4340414 City of Santa Ana, it's officers, employees, agents and representatives (Excluding Professional Liability) are named as additional insured 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: Purchasing Department 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana„ CA 92701 B Hall, CISR/HRODEL ACORD 25 !20701051 INS025 (2nloc,IOI The ACORD name and logo are registered marks of ACORD TInnI All rinhrc --.d ACII CERTIFICATE OF LIABILITY INSURANCE DAT4nM016YYY1 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 certiflcato holdar In tion of such nndorsamentlsl. 3475 E. Foothill Blvd., Suite 100 PHONeFAX 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. Pasadena, CA 91107 (No.EA) _. (625) 799-7000 _ (Ale, No): (626) 583-21.17 EACHOCCURRENCE S ADDRESS: DAMAGE 10 RENTED - PREMISES_(Eaaccueeace) $__ _ MEDEXP(Anycne person) $ INSURER($) AFFORDING COVERAGE NAICN vwvw.bolionco.com 0008309 INSURERA: Berkshire Hathaway Homestate ins Cc _ 20044 INSURED Mari' Landscapes Inc. INSURER B: COMBINED SINGLE LIMIT S 15529 Arrow Higghway INSURERC: BODILY INJURY (Par person) S OWNED SCHEDULED— AUTOS ONLY AUros Irwindale CA 9T706 INSURER D: PROPERTYDAMAGE S AUTOS ONLY _._AUTOS ONLY LPoracadpnt). _. INSURER E UMBRELLA LIAR _ OCCUR EACHOCCURRENCE $ INSURER F: AGGREGATE 5 _ DEO RETENTIONS C0VPRAr1ES ftFRTIPICATP NIIMRPR• o, Iaa-re A WORKERS COMPENSATION �/ MAWC707593 4/1/2016 4/1/2017I/ RP\115V1N All IMRPG• EMPLOYERS' LIABILITY YIN 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 ADO�UBR - POLICY EFP- POLICYE%P p POLICY NUMBER ,,,DDIYYYY MMIDDM'WI --- - LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S CLAIMS -MADE OCCUR __._. DAMAGE 10 RENTED - PREMISES_(Eaaccueeace) $__ _ MEDEXP(Anycne person) $ PERSONAL&ADVINJURY S G•EN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGAF 5 POLICY PRO- _._ _.. JECT LOC - - - - PRODUCTS - COMPIOP AGO S OTHER'. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea smidaM) ANY AUTO BODILY INJURY (Par person) S OWNED SCHEDULED— AUTOS ONLY AUros BODILY INJURY (Per accidenQ S HIRED NON OWNED PROPERTYDAMAGE S AUTOS ONLY _._AUTOS ONLY LPoracadpnt). _. UMBRELLA LIAR _ OCCUR EACHOCCURRENCE $ EXCESS LIAR _CLAIMS -MADE AGGREGATE 5 _ DEO RETENTIONS 5 A WORKERS COMPENSATION �/ MAWC707593 4/1/2016 4/1/2017I/ STATUTE ORH EMPLOYERS' LIABILITY YIN AND -- ANYPROPRIETORlPARTNERMXECUTIVE EL EACH ACCIDENT S 1,000,000 OFFICERIMEMBEREXCWDE09 NIA _ (Mandatory In NH) EL DISEASE,EAEMPLOYEES 1,000,000 If yyes, desaiba under DF.SCRIPTIONOFOPERATIONS belm - -- _ - E. L. DISEASE - POLICY LIMIT S 1,000,000 f �aay DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Accidents; Romarke Schedule, maybe attached if more apace lsmotdred)e+ry '14 Re: Job: Median Landscape Maintenance Services. WC Waivers of Subrogation apply per WC99041OB0914 attached. �\\JG��,POj� ence Cityy of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Public Works A THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 South Daisy Avnue ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92703 AUTHORIZED REPRESENTATIVE Chau Tran ©1988-2015 ACORD CORPORATION. All riahts reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD J -e3.1971 1 rvLARILAN-0I I L6 I' Nc I A1iea lOpea 1 4/1/2014 1,01:.40 eM IPPI'I I Page 1 of 2 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. The following is added to Paragraph 2. In SECTION II -WHO IS AN INSURED: Any person or organization you are required by written contract or agreement to name as an additional insured subject to the following: Any such person or organization must be approved in writing by us as an additional insured. Coverage for such person or organization will begin on the date of our approval. a. No such person or organization is an additional insured for your acts, errors or omissions if such acts, errors or omissions are not also covered under such person or organization's liability insurance. a. No such person or organization is an additional insured for "bodily injury" or "property damage" for acts, errors or omissions of any additional Insured. A. With respect to the insurance afforded to the additional insureds under Paragraph A. above, the following is added to SECTION III - LIMITS OF INSURANCE: I� The most we will pay on behalf of the additional insured is the amount of insurance. 2d a. Required by the contract or agreement or�'�,e v� i a. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.��`t� i�,P4A This endorsement does not increase the applicable Limits of Insurance own in¢nEYeclarations. B. With respect to the insurance afforded to the additional insureds under Paragraph A. above, Paragraph I. Damage To Your Work in Paragraph 2. ExclLlslons of COVERAGE A — BODILIY INJURY AND PROPERTY DAMAGE LIABILITY in SECTION I — COVERAGES is replaced by the following This insurance does not apply to: 1. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". C. With respect to the insurance afforded to the additional insureds under Paragraph A. above, The following is added to Paragraph 4. Other Insurance in SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is primary if required by the contract or agreement. If there is no such requirement, this insurance will be excess and paragraph b. Excess Insurance applies. OBPG GL 0434 04 14 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page t of 2 Copyright, OneBeacon Insurance Group, 2014 COMMERCIAL GENERAL LIABILITY D. With respect to the insurance afforded to the additional insureds under Paragraph A. above, the following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us, in SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, we will waive our rights to recover against any additional insured for payments we make for injury or damage arising out of: a. Your ongoing operations, or b. "Your work' clone under the contract or agreement and included in the "products completed operations hazard" if such waiver is required by the contract or agreement, �e4Ne'41 r � Policy Number: 618-00-11-21-0000 Name Insured: Mariposa Landscapes Inc This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date: 04/01/2016 OBPG GL 0434 04 14 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 2 of 2 Copyright, One8eacon Insurance Croup, 2014 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 04 10B (Ed. 0.14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA KANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is $350. This agreement shall riot operate directly or Indirectly to benefit anyone not named In the Schedule. SCHEDULE BLANKET WAIVER PsrsonlOrganizatlon Blanket Waiver—Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Joh Description Waiver Premium All CA Operations This endorsement changes the policy to which it Is attached and Is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is iesued subsequent to preparation of the policy.) Endorsement Effective 4/1/2016 Policy No. MAVVC707693 insured Mariposa Landscapes Inc. Insurance Company Berkshire Hathaway 1-lomostate Ins Cc Countersigned by WC 99 04 11 (Fd. 9.14) 23311991 1 t ItILP -01 I 19-1b }IC 1 811.9A Loadz 1 4/1/2016 1,01:90 em (PDT) I P6g6 2 OE 2 Endorsemeat No, Premium $ ,�^ 0 DATE (MM)DDIYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 8/17/2017 THIS CERTIFICATE IS ISSUED AS A MA'TTE'R 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 pollcy(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 CONTACT Benita Hall, CISR NAME: Landscape Contractors (Lic#0755906) PHCc Na Ext: (559) 650-3555 Fare No: (559)650-3558 Insurance Services, Inc. E-MAIL ADDRESS: all@lcisinc.00rn 1.835 N. Fine Avenue INSURER(S)AFFORDING COVERAGE NAIC Fresno CA 93727 INSURERA.Atlantic Specialty Insurance 27154 INSUREo .. INSURERIB :Navigators Specialty Ins Cc 36056... Mariposa Landscapes Inc INSURERC: 1552,9 Arrow Highway INSURERD: Irwindale CA 91706 1 INSURERF: COVERAGES CERTIFICATE NUMBER -17/18 Pkq & Auto REVISION NUMBER: THIS 15 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 SLIER POLICY'NUMBER MM)�QYYYY MMID�IYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 .....500,000 A CLAIMS -MADE ' ] OCCUR {w1 �- -mi PREMISES Ea occvrro=•nc� $ 618-011.1.1-2'..1-0001 4/1/2017 4/1./2'.018 EXP (Any one persan) $ 5,000 X $1,000 Pd bed Blanket Contractual -MED PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000. GENLAGGREGATE LIMIT APPLIES PER : Liability POLICY ,JE.C7PRO- LOC PRODUCTS ..COM1PdOPAGG $ __. 2,000,000 ''... OTHER Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITYIu111t11.. 'INGL. LMII $, 1,000,000Ea Brocade.' F3G...uFYIN,IU'RY(Perparson) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OvvlIED SCHEDULED AUTOS AUTOS 618-00-11-21-0001 4/1/2017 4/1/2018 xNON-OVI"ED PROPERTY DAMAGE $ HIRED AUTOS ALIT0 8 ,,.(Peracclidentrd Uninsured mol:05lcombined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE. $ 5,000,000 Fi E%OESSLIAB CLAIMS -MADE. $ DEL? RETENTIGN$ SFI7EXC840614IC 4/112017 4/1/2018 WORKERS COMPENSATION PER OTT -i- AND EMPLOYERS' LIABILITY' YIN STATUTE ER E..L EACH ACCIDENT $ ANY PROPPIETORIPARTNEWEXECUTIVE: OFFICER/MEMBER EXCLUDED? E NIA -- . E..L DISEASE - EA EMPLOYEE $ (Mandatory in NH) IR yes, describe under - DESCRIPTION OF OPERATIONS bdo,w E.I.. DISEASE - POLICY LIMIT Is Rented/Leased Equipment 618-00-11-21-0001 4/1/2017 4/1/2018 Limil:Ced$500 $300,000 Scheduled Equip 618-00-11-21.-0001 4/1/20..17 4/1/2018 Lim1t4-'ed.$5ffl $3,,762,565 DESCRIPTION OF OPERATIONS I LOCATIONS 1' VEHICLES(ACORD 181, Addlfional Remarks Schedule, may be attached if mere space Is required) RE: All landscape operations performed by or on behalf of the named insured Primary Insurance/Non Contributory Blanket Additional insured per attached OBPGGLO CIA & CG2001041.3 City of Santa Ana, it's officers, employees, agents and. representatives (Excl�( rofessional 000 Liability) are named as additional insured This revises certificate date 'A31-2017 p gym. City of Santa Alla Attn: Purchasing Department 20 Civic Center Plaza Santa.. Ana„ CA 92701 SHOULD ANY OF THE ABOVE DESC MP-OLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are reglisteredl marks of ACORD INS025 (201401 ) COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. The following is added to Paragraph 2. In SECTION II -WHO IS AN INSURED.- Any NSURED:Any person or organization you are required by written contract or agreement to name as an additional insured subject to the following: Any such person or organization must be approved in writing by us as an additional insured. Coverage for such person or organization will begin on the date of our approval. a. No such person or organization is an additional insured for your acts, errors or omissions if such acts, errors or omissions are not also covered under such person or organization's liability insurance. b. No such person or organization is an additional insured for "bodily injury" or "property damage" for acts, errors or omissions of any additional insured. B. With respect to the insurance afforded to the additional insureds under Paragraph A. above, the following is added to SECTION III - LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less, This endorsement does not increase the applicable Limits of Insurance shown in the Declarations. C. With respect to the insurance afforded to the additional insureds under Paragraph A. above, Paragraph I. Damage To Your Work in Paragraph 2. Exclusions of COVERAGE A — BODILIY INJURY AND PROPERTY DAMAGE LIABILITY in SECTION I — COVERAGES is replaced by the following This insurance does not apply to: I. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". D. With respect to the insurance afforded to the additional insureds under Paragra ��} s above, The foliowing is added to Paragraph 4. Other Insurance in SECTION IV — C,O�I�CIL GENERA LIABILITY CONDITIONS: z� This insurance is primary if required by the contract or agreement. If there is no s y.rent this insurance will be excess and paragraph b. Excess Insurance applies. OBPG GL 0434 04 14 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 2 Copyright, OneBeacon Insurance Group, 2014 COMMERCIAL GENERAL LIABILITY E. With respect to the insurance afforded to the additional insureds under Paragraph A. above, the following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us, in SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS: However, we will waive our rights to recover against any additional insured for payments we make for injury or damage arising out of: a. Your ongoing operations, or b. "Your work" done under the contract or agreement and included in the "products completed operations hazard" if such waiver is required by the contract or agreement. Policy Number: 618-00-11-21-0001 Name Insured: Mariposa Landscapes Inc This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Gate: 04/01/2017 e OBPG GL 0434 0414 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 2 of 2 Copyright, OneBeacon Insurance Group, 2014 Po [icy #6 19-00- 11-2 1 -00.01 COMMERCIAL iGENERAL LIA131LITY 00 2D 0104 U THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This andarsement Modifies insurance proVided ur the following: COMMERCI]AL GENERAL LIABILITY COVERAGE PART PRODUCTS/C014PLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes pmvision to tine contrary: Primary And Noncontributory Insuranoe This insurance is primary to and will not seek contibution frorT any tither Insurance avallable to an addifional insured under your policy :provided that., (1) The additional insured.; is a Named Insured ond8r such other insurance', and (2) You have agreed In wrifing In a. contract or agreement that this insurance would be primary and would nat wek contribution from any other insurance available to the additional insured, CG 20.01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1