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HomeMy WebLinkAboutXANADU SERVICE SYSTEM (FNA BELL BUILDING MAINTENANCE INC.) 3D -2016RN'uUHAN t UN HU wogK MAY PROCEED UNTIL 4N6UNANCE ExC i4 }t CI E— 01- CQUNCit DATE, x_13 —L�i THIRD AMENDMENT TO CUSTODIAL SERVICES AGREEMENT A -2016 -121 11IIS THIRD AMENDMENT TO CUSTODIAL SERVICES AGREEMENT is entered into this 171H day of May 2016, by and between Xanadu Service System, Inc. ("Xanadu'), 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. On June 1, 2014, the City entered into Agreement #A- 2014.105 with Bell Building Maintenance Company, Inc. to provide janitorial and custodial services for park restrooms in Districts 1, 2, 3 and 4 for a one -year term with two one -year options exercisable by the City ( "Agreement "). B. By letter dated May 27, 2015, the City exercised the first option and extended the term of the Agreement for an additional one -year period, from June 1, 2015 to May 31, 2016. C. Effective June 1, 2015, Bell Building Maintenance Company merged with Xanadu and began doing business as Xanadu Service System, Inc. In view of this change, on June 12, 2015, the City entered into a First Amendment to Custodial Services Agreement #A- 2014 - 105 -01b with Xanadu to adjust the entity references and notice information accordingly. D. On December 15, 2015, the City entered into a. Second, Amendment to Custodial Services Agreement #A- 2015 -288 with Xanadu to expand the scope of services and the compensation to be expended under the Agreement for the remainder of the term through May 31, 2016, in support of the expanded services. E. The Agreement remains in effect, and the parties now seek to extend the term of the Agreement for the final one -year term, with the expanded scope of services still in effect, and to increase the compensation to be expended under the Agreement during the final term in support of the expanded services. The Parties therefore agree: 1. Section 1, SCOPE OF SERVICES, is re- stated to include custodial services at the additional City locations appearing on Exhibit A. 2, Section 3, COMPENSATION, is amended to include an additional $230,528 in support of the scope of services, as detailed in Exhibit A. This amount is comprised of (1) the suns of $209,571 and (2) a 10% contingency of rip to $20,957 for additional services as may be performed by Xanadu at the sole discretion of the City. 3. Section 4, TERM, is amended to extend the term of the Agreement from June 1, 2016 through May 31, 2017. Page 1 oft A. Except as modified by this Third Amendment, and all prior amendments, all tams and conditions of the Agreement shall remain in Rill force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to Custodial Services Agreement the date and year first above written. ATTEST: TA ANA MARIA D. HUIZAR- Clerk of the Council APPROVED AS TO FORM: Sonia R. Carvalho, City Attorney B&/ JOHN M. FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: GERARDO MOUET Executive Director of Parks, Recreation, and Community Services Agency XANADU SERVICE SYSTEM, INC. Name: 13ka CC, • f•tWAA; Title: jP&Gslpt:NT Page 2 of 2 EXHIBT A Fee Schedule Custodial Sites -Park Restrooms $ 5,400 Custodial Sites -Park Buildings DYSC "B" $ District Yearly Amount Stadium 4,320 Yearly Amount Jerome Campesino $ 3,840 Santa Anita Press Box $ 4,476. Thornton Edna $ 3,840 Windsor West Side Restrooms $ 4,476 Park Restrooms Subtotal El Salvador $ 3,840 East Side Restrooms $ 4,476 Riverview $ 3,840 Player Locker Rooms $ 4,476 Roslta $ 3,840 Off lcials Locker Room $ 4,476 District West Side Concession Bldg $ 4,476 Angels $ 3,840 East Side Concession Bldg $ 4,476 Cabrillo $ 3,840 District 1 Fisher Restroom $ 3,840 Rosita - Salgado $ 5,400 Fisher Cabin $ 3,840 Rosita - Salgado Pool $ 3,300 Logan $ 3,840 Rosita - Salgado Gym $ 7,500 Portola $ 3,840 District 2 Santiago RR "A" $ 2,520 Logan Center $ 4,740 Santiago RR "B" $ 2,520 Santiago Nature Center $ 4,200 Santiago Cabin $ 2,160 Santiago Lawn Bowling Center $ 3,540 Santiago Lawn Bowling Center- District 3 Lower Level $ 873 Deihl $ 4,320 Garfield School $ 5,125 Madison $ 4,320 Willard Intermediate $ 1,277 Memorial $ 4,320 District Sandpolnte $ 4,320 Memorial Center $ 3,300 District Memorial Pool $ 7,800 Adams $ 4,320 Sandpointe $ 3,840 Centennial "A" $ 3,000 Cypress Center $ 5,400 Centennial "B" $ 3,000 District Centennial 'V $ 3,000 Centennial Reservation Offices $ 7,584 Centennial HGHS $ 4,320 Park Buildings Subtotal $ 95,211 DYSC "A" includes locker room and restrooms $ 5,400 DYSC "B" $ 3,000 Total $ 209,571 Heritage $ 4,320 Contingency $ 20,957 Jerome $ 4,320 ContractAmount $ 230,528 Santa Anita $ 4,320 Thornton $ 4,320 Windsor $ 4,320 Park Restrooms Subtotal $ 11.4,360 ACCW& CERTIFICATE OF LIABILITY INSURANCE OATE(MMA)DIYYYY) i`4,... —''' 1 05/25/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY'. AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may reLjuire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NXMTA11 JIN KIM 4..., INSURANCE LAND INSURANCE SERVICES PHONE. 213- 388 -5505 _...� q)G I,Iq; 213 - 388 -'7146 4032 WILSHIRE BLVD s. no insuranceland6sbeglobal.net STE 309 INSURERj9)AFFORDING COVERAGE NAICN L08 ANGELES CA 90010 INSURERA: COLONY INSURANCE COMPANY 39993 INSURED INSURERS; EMPLOYER PREFERRED INSURANCE 10346 XANADU SERVICE SYSTEM, INC. INSURERC: I14TEGON PREFERRED INSURANCE _ 31488 3010 WILSHIRE BLVD. SUITE 315 PRODUCTS COMP /OPACIG ............... $ 1, 000, 000 INSURERD L. INSURER E LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NNO IN OWNED LOS ANGELES CA 90010 INSURER F; 06/04/201506/04 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. 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 INSURANd 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. NSR LTR TYPE OF INSURANCE o R POLICY.NUMBER POLICY EFF MMIDONYYY I POLICY ESP UNITS A SANTA ANA CA 92701 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �J ® Y Y GL4171421 09/15/2015 —(MMMONYYYI 09/35/2016 EACH OCCURRENCE $ 1,000,000 GEHL ETORE TED" ,p6,EMI5E9 tEa occurrencgl ..$ 100,000 MED EXP(Any one Person) $ 5 000 _ PERSONAL B ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: PRO- POLICY JEOT � LOC OTH R; GENERAL AGGREGATE S 2,000,000 PRODUCTS COMP /OPACIG ............... $ 1, 000, 000 L. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NNO IN OWNED 2003172588 - 06/04/201506/04 /2016 Ea accifi LE LIMIT g 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE $ -� LJ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED . RET NTI N $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE ��--� OFFIOERIMEMBER EXCLUDED? p (Mandatory In NH) L=1 If yes, describe under DESCRIPTION OF OPERATIONS below NIA EIG 1663447 03 04102/2016 04/02/2017 lHhK I I or F- .§IAT_UTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L, DISEASE - EA EMPLOYEE $ 1, 000, 000 EL DISEASE - POLICY LIMIT $ I, 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be akached If more space is required) //J� y( CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. %CevlewalJ7 /2y CERTIFICATE HOLDER CANCELLATION CLERK OF THE COUNCIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (14-30) AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD n CERTIFICATE OF LIABILITY INSURANCE r i? '3o 1 s mla �cK UrICA E 1 3 1 33 UED AS A MATTER OF INFORMATION N LY AND CONFERS IVO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T H E COVERAGE AFFORDED EVY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BENIBEN THE ISSUING INSURE R ( I. AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(I.,) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and cantlitlons of tho- policy, CeRair. pplktas may regDire an endorsement. A statement on this certificate does not confer rights to the oe rtificat, holder In Ilan of such "clorswmwwflel PRODUCER INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD STE 309 LOS ANGELES CA 90010 INSURED -- -- XANADU SERVICE SYSTEM, INC. 10002 PIONEER BLVD., STE 101 SANTA FE SPRINGS CA 90670 roorm, ar cNe�E,u.213- 388.5505 I aX•Na1.213- 388 -7148 "E -.MAIL INSURANCELA47DQSHCGLOHAL. NET ADDFE 9.5_ COLONY INSURANCE COMPANY O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDENAIMEDA80VE8 FOR THE POLICY PERIOD�I D. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OCHER DOCUMENT WITH RESPECT TO WHICH THIS ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN —___. TO ALL THE TERMSNS REDUCED BY PAID CLAIMS.. ADDIS elC R• TYPE OF INSURANCE I _ I POLICY�FP (( PPOLICYNUMBER MIDryYYY L1MIT;1 L LIABILITY F1W - MMERCIAL GENERALLIABILITY zags 09/15/201fi EACI CCCURRENCE 5 1 000,000 CLAIM9 -MADE OCCUR DAMAOE 1E4rp PREMI. B aa,, u,rerca , 6 100j 000 ! T L , A 5i 000 EH L x AOV INJURY s 1,000,000 _ 1$ .. - - EN LAGGREGAT LIMIT APPLIES PER. ENERLLAOGRE�A 2 DOD, 000 ' U ICY F LOC PRODLCTS - CCMPIOP OGIS 1 000,000 - r0 AUTOMOBILE LIABILITY 2003172$88 i OMBINLL SINCL INIT :06/04/2015 0 6 /q4/2016 I rlCNMI _ ANY AUTO C ALL OWPIEO SCHEDULED tlgOIL !'URY Pqr uers I > .. .AUTOS AUTOS NON- OVMJEC EGLILY NJUk'r( ar deuoonq 5 HIRED AUTOS AUTOS _ PRS.TY Di\.YT UHF. P_r,accmnnt. § S UMBRELLA LIPS OCCUR EXCESS ! CACH rI fUIPRENCE :{ LIPS JCL _. - ' At CREGArS TO NI R@ P7 Nl':UPlS i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN EIG 1663447 02 ANYPROPRIETORI EXECUTIVE 04/02/2015 04/02/2016 [ gLTATU- 0[[H I__. _ r- B OFFICER/MEMBER eXCLUDE01 NIA EXCLUDE (Mandatory In NH) CL EACH ACC DE IT ��E. 1as, dgicrica under ,CRIPTION JF OPERA7ICN5 bamw FL CIStASE EA ' "MPLOYRE 1�0�00 - - - E.. DISEASE - PnLUY UMIT 11i 11000,OGG DESCRIPTION OF OPERATIONS: LOCATICNS I VEHICLES (Attach ACORD 101, Addldanal Remade 661udWa, It Mora apace is required] /C', v r� CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. S CERTIFICATE HOLDER CLERK OF THE COUNCIL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (14-30) SANTA ANA ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION QATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Wfdfl jHE POLICY PROVISIONS, AUTHORIZED CA 92701 I J �. The ACORD name and logo are of ACORD TION. All rights reserved. e-a 1 0 GL4171.421 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 ccuGnni c Name of Additional Insured Persons) or Organization(s) (Additional Insured): Location(s) of Covered Operations: All persons cr organization as required by a written contract or agreement Locations as required by a with the named insured. written contract or agreement with the named insured. 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 for whom you are performing operations when you and such person or organization have agreed in writing in a contract: or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" casued, 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 the additional insured(s) at the location(s) designated above. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B, With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: Additional Insured Contractual Liability "Bodily injury" or "property damage" for which the additional insured(s) are obligated to pay damages by reason of the assumption of liability in a contract or agreement. Finished Operations or Work "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. Negligence of Additional Insured 61,01'. "Bodily injury" or "property damage" arising directly or indirectly a Wthe - naglIlge of the additional insured(s). J 1 ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN U U156 -0310 Includes copyrighted material of ISO Prope , li���` St� Page 1 of 1 with its permission.rt Insured hange THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IL 12 01 11 85 POLICY CHANGES POLICY NO. POLICY CHANGES COMPANY EFFECTIVE GL4171421 09/15/2015 Colony Insurance Company NAMED INSURED jAUTHORIZED REPRESENTATIVE Bruce Hwang DBA Xanadu Service System, Inc. I Harry W. Gorst Co„ Inc. COVERAGE PARTS AFFECTED Commercial General Liability CHANGES PRIMARY & NON - CONTRIBUTORY WORDING ENDORSEMENT It is further agreed that the insurance provided by the Blanket Additional Insured endorsement form U156 -0310 shall be primary and non - contributory, but only in the event of the Named Insured's sole negligence. V �1ry'dii?,,,� e I GU 269 (1 bas) Copyright, Insurance Servlcas Office, Inc., 1989 IL 12 01 11 85 Copyright, ISO Commercial Risk Services, Inc„ 1965 Page 1 of I Insured lC..vKL.J CERTIFICATE OF LIABILITY INSURANCE DATE(MM'F'D'YYYY) 05/25/2016 THIS CERTIFICATE 13 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 INSUR,ER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate 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 rerjulre an endorsement. A statement on this certificate does net confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER CONTACT JIN KIM INSURANCE LAND INSURANCE SERVICES PHONE. 213 -388- 4032 WILSHIRE BLVD 'MAT lnevraaC ADORES 9TE 309 NSURER S' LOS ANGELES CA 90030 INSURER A: COLONY INI INSURED INSURERS: EMPLOYER : XANADU SERVICE SYSTEM, INC. INSURERC: INTEGON PI 3010 WILSHIRE BLVD. SUITE 315 LOS ANGELES CA 90010. INSUneRF COVERAGES CERTIFICATE NUMBER RFVISInN NI IMRRR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR C�NOITION 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 AY HAVE BEEN REDUCED BY PAID CLAIMS. rjp TYPE OF INSURANCE ADD V pOLICYiNUMBER MMIDDIYYYY POLICDYYYP T LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE © GL4171421 09/15/2015 09/15/2016' ° ° °-°-- --�°— OCCUR PREMISESOMgyyal__ 5 100,000 MEDEXP(ARY One Perean) $ 5.,000 A Y Y PERSONAL& AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 :] PRO- [ C7 POLICY JECT OC ECT PRODUCTS - CONNOR AGO $ 1,000,000 OF R $ AUTOMOBILE LIABILITY 2003172568 06/04/2D1S 06/04/2016 Eae cid oSlNL ,$ 1,000,000 ANY AUTO BODILY INJURY(Perp.mm,) $ Le �AU OS SCHEDULED AUTOS AUTOS '.. BODILY INJURY (Par accidonl 1 $ HIREDAUTOS NON OWNED AUTOS PROPERTY DAMA E _. '$ _ If UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ ... CEO RETENTION $ WORKERS COMPENSATION TH- ANDEMPLOYERS'LIABILITY YIN BIG 16634¢7 03 04/02/301604/02 /2017 TA RITE R E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNER /EXECUTIVE '.. B OFFICERIMEMBER EXCLUDED? NIA El, DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory In NH) If yca, describe under DESCRIPTION OF OPERATIONS below E1. DISEASE - POLICY I -I WT $ 1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Renjarks Schedule, may bo adechad If more space Is required) CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. / $$ CLERK OF THE COUNCIL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M -30) SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 81: CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE 1 CA 92701 � ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD El 11 A� 'O °� CERTIFICATE OF LIABILITY INSURANCE ia�4Mo'92 )M C - _ 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 SETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) must beg 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 RDArnren,>,e.dr�l PRODUCER INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD STE 309 LOS ANGELES CA 90010 INSURED XANADU SERVICE SYSTEM, INC. 10002 PIONEER BLVD., STE 101 SANTA FE SPRINGS CA 90670 213 -3 p,; 213 -385 -9148 MSURERRLAFFOROINOCOVERAG_E___ _ COLONY INSURANCE COMPANY THIS " "••"• "' IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW REVISION NUMBER: INDICATED. HAVE NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ILTN BEEN oDC'SOea' ._... -- - - -- REDUCED BY PAID CLAIMS. TYPE OFIN£URANCE POLICY NUMBER i MMI, Dp NriY' MMIMD[�Y LIMIT:? GENERAL LIABILITY 1 GL4171421 COMMERCIAL GENERAL LIABILITY Og/15/201509/15/2016 EACH OCCURRENCE S 1, DDD, DDD oA6fAO TO RENroC j CLAIMS MADE OCCUR I PREMISE 5'E� as c reel (e 100,000 = A _ Nr ED ENT (AY ono oervonl 3_ 31000 `PERSONA[. I ADVINJURY g 1 UD 0 ,_D00 —�5 "' -- -- GEN LAGGREI'GA�T LIMITAPIPPLIE'S PER ENERAL AGU'HEGfi 2 DDI), 000 POLICY PRA' L00 RGOUCTS - CGMI lOP'GG £ 1 BDD, DOQ AUTOMOBILE LIABILITY '2003172958 106/04/2015!O6/04/2016 COh13fNLD SINCE ?MIT S ] ANY AUTO I D ALL OVMIEO SCHEDULED i SOOT INJURY (Par person) S _i AUTOS AUTOS _ NON- OVNVEO E LILY INJURY (aeraccl n) 3_ . HIREUAUTOS AUTOS Pea cleo tnAMrtGE- .I -� - -- aRELLA LIAR GOO EXCESS LIgB IACG9EGAT.i EACH ^CCURRENCE GUMS -MAOC �t I — ... .. DED RE`NT1'IONS T— " " - - "'— A 1 AND EMPLOYERS' YERS' LI LIABILITY AND EMPLOYERS'LIABILITV Y!N BIG 1663447 D2 TATU X04/02 /201> p4/03/2016 TCgg1MIIE__ 3GCi ANY PROPRIETOR(PARTNERIEXECUTIVE I�—`' I B OFrICEPoMEMBER EXCLUDED? F. — -- F L EACH A..,n)Ell 1 1 000, DDD (Mandatory In NH) - -.- -lyas de scribe untlar I Co S..RIPTIONOP OPERATION5 Delrnv i E L DISEACE_ EA UMPLOV y; _ 3. 0PNO DGQD EL. DMEA8E- POLICY °.I D DD jhllTi aV$f DESCRIPTION OF OPERATIONS I LOCATIONaI VEHICLES ( Attach AGORD 10f, Addltianal R...6,. SChed lo, if inpm epaea lsrequlred)� CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED.' —";jam 'e,,��,5 CERTIFICATE HOi nrP _...__... _.__. CLERK OF THE COUNCIL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M -30) SANTA ANA ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA610ELLED BEFORE THE EXPIRATION ATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WW),Tf1IHE POLICY PROVISIONS, AUTHORIZED CA 92701 I U 582010 AC( The ACORD name and logo are registered rks of ACORD All rights reserved. E GL4171421 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 ar.NFnm F Name of Additional Insured Person(s) or Organization(s) {Additional Insured): Locations) of Covered Operations: All persons or organization as required Locations as required by a by a written contract or agreement with the named insured. written contract or agreement with the named insured. 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 for whom you are performing operations when you and such person or organization have agreed in writing in a contract: or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" casued, 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 the additional insured(s) at the location(s) designated above. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: Additional Insured Contractual Liability "Bodily injury" or "property damage" for which the additional insured(s) are obligated to pay damages by reason of the assumption of liability in a contract or agreement. Finished Operations or Work "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. Negligence of Additional Insured 61Q& "Bodily injury" or "property damage" arising directly or indirectly o' the, peglige of the additional lnsured(s).p, ALL OTHER TERMS AND CONDITIONS OF THE POLICY REM IN U156 -0310 Includes copyrighted material of ISO Prope , I�� C Page 1 of 1 with its permission.r2 Insured Policy Change Number Alli THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IL 12 01 11 85 POLICY CHANGES POLICY NO. POLICY CHANGES COMPANY r EFFECTIVE GL4171421 09/15/2015 Colony Insurance Company NAMED INSURED !AUTHORIZED REPRESENTATIVE Bruce Hwang DBA Xanadu Service System, Inc. Harry W. Gorst Co., Inc. i COVERAGE PARTS AFFECTED Commercial General Liability CHANGES 1 PRIMARY & NON - CONTRIBUTORY WORDING ENDORSEMENT It is further agreed that the insurance provided by the Blanket Additional Insured endorsement form U156 -0310 shall be primary and non - contributory, but only in the event of the Named Insuredrs sole negligence. {, I 4 GU 289 (11 -85) Copyright, Insurance Servlces OBice, Inc., 1989 IL 12 01 11 85 Copyright, [SO Commercial Risk Services, Inc., 1983 P.R. 1 & 1 Insured At <RE) CERTIFICATE OF LIABILITY INSURANCE DATED °` "r ° ° "YYY' os /1s /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 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 an this certificate does not confer rights to the certificate holder In lieu of such andoreement(s). PRODUCER INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD STE 309 LOS ANGELES CA 90010 n Cr — RIM PI{pNE ,INC No ExN; 213 - 365.5505 EMAIL tl isr®� il�la,aom _ ADDRESS: rian+lEllarid _. INSURERISI AFPORDINO COVERAGE HAM# A :COLONY IusuRSgA_COLONY YNSURANCE COMPANY 39993.,..... INSURED JA"�- ��(;)_` XANADU SStiVICE SYSTEM, INC, 3010 WILSHIRE BLVD. SUITE 315 LOS ANGELES CA 90010 Iwsunan B. EMPLOYER PREFERRED INSURANCE 10346 INSUREAC :IMEGON PREFERRED INSURANCE 31488 ... INSURER D: ._A INSURER F: _ r nlIMYJA r1FQ P OOTIVU-ATG All IRAMMO- RFVICInM NIIMRFR- THIS 18 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 WrrH 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. INtl -ik. .....__...._.._�_.�._._..._._. OI,��. .._..._.._.... P$rie (E:y.. .'Ib�T41E LT I TYPE OF INSURANCE POLICY NUMBER M I DIY Y 1 YY LIMITS - COMMERCIAL GENERAL LIABILITY CtAIMS.MADE OCCUR I OL4171421 09 /15 /2015 09 /IS /2010 EACH OCCURRENCE $ 110_00,000 al >YG'R'P:'FI rr .P_RSJ!K�S.iEasF,lw.tellDrJ.. 5�.. 100_ 000 000 A y y PERSONAL a ADV INJURY 6 1/000/000 AGGREGATE LIMIT APPLIES PER; POLICY J T Lac JEC0 GEN'L GENERALAGGREOATE $ 2,000,000 PRODUCTS COMPIOPAIV ` 5, 1, 000, 000 1 BTMI'R:�` A AUTOMOBILE UABIUTY _... 2003 Y72588 -01 tlE/tl4 /2olb 06 /Od /2017 OINEBS GL II}r1Tl $ 1_000, 000 _ BODILY INJURY (Nerpnnnnl BODILY INJURY b ,_ ANY AUTO ' C, _ ALL OWNED SCHEDULED AUTOS — NON AUTOS' . HIRED AUTOS AUTOS BODILY INJURY iPar TCCitlane '#ROPEIki"i'SAT,iAUE Par o�frLVUNI_ 9 t - W - _ a _ �� UMBRELLA LIAR EACH OCCURRENCE E NOCCUR EXCESS LIAR CLAIMS IADE AGGREGATE. b I BED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRDPRIETORMARTNEWEXECUTIVE OFPICERIMEMDER EXCLUDED? a (Mandatory In NH) 'II oa, deamlln Under OE SCRIPTION OF OPERATIONS below NIA EIG 1663447 03 04/02/201601/o2/2a17—STATUTE .�R�,,,,_ EL EACH ACCIBENT '–'--- El, DISEASE EA EMPLOYEE _ „___ $ 11000,000 $ 1, 0001 000 L. L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlUOael Remarks 80bedule, may be afaoh.d It mom o,,. ereq.,d) �p y> VV CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. ya x f 9 � 4.a � tt�. �10A CLERK OF THE COUNCIL CITY. OF SANTA ANA 20 CIVIC CENTER PLAZA (M -30) SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE! CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, CA 92701 ACORO 26 (2014101) The ACORD name and logo are registered marks of ACORD