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HomeMy WebLinkAboutG4S SECURE SOLUTIONS (USA) INC. (2ND AMEND)-2011City of Santa An? Clerk of the Counc. AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effJct7U FEB _b PM � V Return form to the Clerk of the Council Office (M-30). Call 647-5237 if you have any questions. CITY O" SANTA ANA CLE si OF COUNCIL The agreement with G =eat y. n e ((sfi, sty, No. _Q�—�Qj1-122--CZ was completed on t5l81116 and final payment has been made. Department: Phone/Ext.: Signature: Date: Revised 07-23-07 IN8Ur1ANc,I ON M -t_ WORT( MAY PROCEED UNTIL INSURANCE EXPIRES CLERI(OFC UNTIL DATE: � _ ._ i-5 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza M-36 s P.O. Box 1988 M-36 Santa Ana, California 92702 LA Wsanta-ana.orq G4S Secure Solutions (USA) Inc. ATTN: Jorge Villaverde 2300 E. Katella Avenue, Suite 150 Anaheim, CA 92806 May 13, 2015 Re: G4S Secure Solutions (USA) Inc. "Consultant Agreement" Extension Dear Mr. Villaverde: CITAeM'I&I22-02 David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D, Huizar Pursuant to Agreement No. A-2011-122 entered by G4S Secure Solutions (USA) Inc., and the City of Santa Ana, dated May 2, 2011, as amended by Agreement No A-2014-116, Section 3 "Term", the time period of said Agreement is hereby extended for an additional one (1) year period, through May 30, 2016. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the First, Second and Third Amendments to the Agreement remain unchanged and in full force and effect. Sincerely, Fred ousavipour Executive Director Public Works Agency APPROVED AS TO FORM: Sonia R. Carvalho Assistant City Attorney cc: Clerk of the Council CITY OF SANTA APIA David Cavazos ATTEST: Maria D. Fluizar Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulitlo Vincent F. Sarmiento Michele Madinez Angelica AmezcuaP. David Benavides Roman Reyna Sal Tinajero Mayor Mayor Pro Tam, Ward 1 Ward2 Ward3 Ward Ward Ward MPuldo0 arta-ana.oro VSarm entolv7santa-ana erg MMartinez sama-ana oro AAmezcuaAP.rta-ana.mg DeenaNdesiNsaneareero RReyna(1santa-anaora $Tin, eroralsanla- .i one erg MAYOR Miguel A. PulldoTEM MAYOR PRO TEM Vincent F. Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Sal Tinajero t CD. IN8Ur1ANc,I ON M -t_ WORT( MAY PROCEED UNTIL INSURANCE EXPIRES CLERI(OFC UNTIL DATE: � _ ._ i-5 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza M-36 s P.O. Box 1988 M-36 Santa Ana, California 92702 LA Wsanta-ana.orq G4S Secure Solutions (USA) Inc. ATTN: Jorge Villaverde 2300 E. Katella Avenue, Suite 150 Anaheim, CA 92806 May 13, 2015 Re: G4S Secure Solutions (USA) Inc. "Consultant Agreement" Extension Dear Mr. Villaverde: CITAeM'I&I22-02 David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D, Huizar Pursuant to Agreement No. A-2011-122 entered by G4S Secure Solutions (USA) Inc., and the City of Santa Ana, dated May 2, 2011, as amended by Agreement No A-2014-116, Section 3 "Term", the time period of said Agreement is hereby extended for an additional one (1) year period, through May 30, 2016. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the First, Second and Third Amendments to the Agreement remain unchanged and in full force and effect. Sincerely, Fred ousavipour Executive Director Public Works Agency APPROVED AS TO FORM: Sonia R. Carvalho Assistant City Attorney cc: Clerk of the Council CITY OF SANTA APIA David Cavazos ATTEST: Maria D. Fluizar Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulitlo Vincent F. Sarmiento Michele Madinez Angelica AmezcuaP. David Benavides Roman Reyna Sal Tinajero Mayor Mayor Pro Tam, Ward 1 Ward2 Ward3 Ward Ward Ward MPuldo0 arta-ana.oro VSarm entolv7santa-ana erg MMartinez sama-ana oro AAmezcuaAP.rta-ana.mg DeenaNdesiNsaneareero RReyna(1santa-anaora $Tin, eroralsanla- .i one erg A-2014-215 a. � CERTIFICATE QF LIABILITY INSURANCE Y DAT 09F2WmF0122NIUM YY} THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pp lcy(ies) must be Endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement{s). PRODUCER MRki 5I5 5eYVi CES, inC Df Florida IOQl Brl diBll Say pl"i Ye Suite 1100 Miami PL 33131 USA CONTACT P O EFAX (AID. Nv. EKY. 283-7122 IUC.Na.I: (BOOj 3tl3m010$ rv(8B4) EMAIL ARDRESS: INSURER(S) AFFORDING COVERAGE NAIL I2 X COMMERCIAL GENERAL LIABILITY INSURED INSURER A; National union Fire Ins Cc of Pittsburgh 19445 GAS secure solutions (USA) Inc. 1395 University BlvdINSURER Jupiter FIL 33458. USA INENNER s: New Hampshire ins Co 23841 C: S11tn0i 5. Ndti Dn2in51(1'anC2 Co 23817 INSURER n: INSURER INSURER F; t}(Umbiddedz 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 CONDMONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Limits Shown are as requested SISR TYPE OF INSURANCE AQQR AUTHORIZED REPRPSINTATIVE POLICY NUMBERMIDOIYYYY MR LIMITS X COMMERCIAL GENERAL LIABILITY 9/01/LU15 EACH OCCURRENCE $5,.000,000 CWMS-MAUEOCCUR -um.PREMISES Eaonce $5,000;000 MEUEXP(Anyonepereor) Excluded PERSONAL A AM INJURY $5,000,000 GEN'LAGGREOAi'E UNIT APPLES PER: GLIE.RALMOREGATE $5,490,000 % POLICY ❑PRO„ �ibC )ECT PRODUCTS, COM11OP AGE $5,000,000 .,,,,„ OTHER; A AUTOMOBILE LIABILITY CA 381-A7-70 ADS-^^-- 10(01 201414/01/207 CnMPINES SINGLE LIMIT $5000.,000 BODILY INJURY(PartrName-....ALL B CA 381-47-71 '10/01/201410/01/2015 SORILI' INJURY'(Par auidaMJAAUTOSAUTOS Oe4NER SCHEDULED MA HANYAUTO r`tREDAUTOs H 64 oWNEn AUTOS CA 381-47-72 VA 10/01/2014 10/01/2015 PROPPRTYDAMAGS PeracciGent , UMBRELLA LIAR OCCUR EAC14 OCCURRENCE ACrORF.cATE - EXCESS LIAR CLAIM¢ -MALE DED RETENTION 8 WORKERS COMPENSATION AND WCO28234486 14 1 2 1 4/01/2015 X i90 ! fl H- 1STATUTE A EMPLOYERS'LWDEITY ANY PRGPinE[oetPARrNERt Eacce"'s YHN OFiiCERtMEMOER EXCWDE4Y 1(unule(oryInNHI DYm,dvacAbxonder OeEe mama OF OPERATIONS below NIA WCO28234487 GA 10/01Q014 10/01/2015 EL EACHACGOENT 51,060,000 -- E.L. DISEAaE.FA.EiRPLOYEE 51,064,000 E.L. DI&EASE-POLICY UNIT $1,000,000 A Excess WC XWc6636322 1p/47./2 14 10 O1 Q1S EL Each Accident 1,000,000 OH -Statutory WC EL Disease - Policy $1,000,000 SIR applies per policy terns & condi ions E1.. D'isease - Ea ESP' %1,000,000 DESCRIPTION OF OPERm IONS I LOCATIONS I VEHICLES (MORD 101, Additional Romarm schedule, may he attached if more space la required) Contract Name: Agreement. for Provision 4f Securityy Guard services; service: Security Guard Services; Gas Office: LAN. The City Of Santa Ana,. its officers, employees, agents, volunteers and representatives are included as Additional insured with regards To the General Liability Policy. The ppolicies evidenced herein are primary and nun contributory to other insurance available to the certificate holder, but only to the extent required by written contract with tISa insured. This insurance shall not be cancelled, or materially reduced in coverage or limits except after 30. days written notice has been given to the City of Santa Ana. G46 SECURE SOLUTIONS( SA): AGREENIEN"L # A-2014-215 REVIEWED I EHE I P 7 I Cv CERTIFICATE HOLDER CANCELLATION 0 [)7988-20'14 ACORD CORPORATION.. All rights reserved. ADDED 25 (2014101) The ADDED name and logo are registered marks of ACORD SHOULD .ANY OF TBE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE. THEREOF, NOTICE Vta.L BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS, The City of Santa Ana AUTHORIZED REPRPSINTATIVE 20 Civic Center Plata Santa Ana CA 9Z701 USA /--Y� y��y �/� rlG#2YA.ld of 3zut. r� e/ /e '.inti [)7988-20'14 ACORD CORPORATION.. All rights reserved. ADDED 25 (2014101) The ADDED name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10515775 LOC #: ADDITIONAL REMARKS SCHEDULE Page .. of , AGENCY Aon Risk 5erVi CeS, Inc of Florida NAMED INSURED G4S Secure Solutions (USA) Inc. POLICY NUMBER See Certificate Number: 570055188732 CARRIER See Certificate Number: 570655188732 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIOtNAL POLICIES If a policy belotY does not include limitInformation, refer to the corresponding policy on the ACORD certificate form for policy limits, INBIL LTR '11PE OF INSURANCE UNSDPOLI GVBD SURNW" WW POLICY NLrvIDER POLICY EFFECTIVE DATE NIMIDD"Y POLICY EXPIRATION PATE CoMinliNTYn 4IriLlTS WORKERS COMPENSATION C N/A wc028234488 FL 16/61/2014 10/01/2015 e N/A WCO28234493 MN 10/01/2014 10/01/2015 B N/A WCO28234491 MA, At 10/01/2014 10/01/2015 B N/A WCO28234490 IL,KY,NC,NH,UT,VT 1070-1720-14 10/01/2015 B N/A WCO28234489 AZ,GA,VA 10/01/2014 10/01/2015 B N/A WCO28234492 ME 10/01/2014 10/01/2015 6 NIA WCO28234494 Ng, PA 10/O /2014 10/01/2015 ACORD 101 1200 87011 The ACORD name and logo are registered marks of ACORD G4S SECURE SOLUTIONS ( SA : AGREEMENT # A-2014-215 REVIEWED BY: EUNICE HEREDIA © 2008 ACORD CORPORATION, All rights raaerved, (PG, 2 of 2) G14S SECURE SOLUTIONS(USA) A-2011-122-02 REVIEWEDBY� EUNICE HEREDIA (PG 'I OF 7) DATE(MMIDDN 2 CERTIFICATE OF LIABILITY INSURANCE 17 C9117101 1YYyI 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 poilcy(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 Aon Risk services, Inc of Florida 1001 Brickell Bay Drive CONTACT -NAME. PHONE (866) 283-7122 FAX (800) 363-01,05 (AIC. No. Ext): suite 1100 Miami FL 33131 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # POLICY EFF (MWDDfYYYY INSURED INSURER Ae National Union Fire Ins Co of Pittsburgh 19445 G4S Secure solutions (USA) Inc. 1395 University Blvd Jupiter FL 33,458 USA INSURER B: New Hampshire Ins Cc 23841 INSURER C: Illinois National insurance co 23817 INSURER O: I 01/2015 i 010112016 INSURER E: INSURER Fi CLAIMS -MADE FX 1 OCCUR COVERAGES CERTIFICATE NUMBER: 570059363686 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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. Limits shown are as requested INSR LTR TYPE E OF INSURANCE ADDL INS. 1 SUBR WVD POLICY NUMBER POLICY EFF (MWDDfYYYY POUCY EXP MMfDDffYYYI LIMITS " A X COMMERCIAL GENERAL LIABILITY GL333326i I 01/2015 i 010112016 EACH OCCURRENCE $5,000,000 CLAIMS -MADE FX 1 OCCUR DAG To $5,000,000 ,FM MED EXP (Any one person) Excluded PERSONAL & ADV INJURY $5,000,000 CENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY [] JEC7 PRO- D LOG PRODUCTS - COMPIOP AGO $5,000,000 OTHER: A AUTOMOWLE LIABILITY CA 746-98-77 1010112015 10/61/2016 COMBINED SINGLE LIMIT �Ea accident) $5,000,000 AOS BODILY INJURY C Per person) 6 X ANYAUTO CA 746-98-78 10/01/201510/61/2016.... ALL OWNED SCHEDULED MA tli BODILY INJURY (Per accident) A AUTOS AUTOS CA 74G-98-79 1010112015 10/01/2016 PROPERTY DAMAGE HIRED AUTOS NON -OWNED VA .2 AUTOS t ry UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DED � IRETENTION B WORKERS COMPENSATION AND Wc024781119 10/01/2015 10/01/2616 EMPLOYERS' LIABILITY YIN AOS E.L. EACH ACCIDENT $1,000,000 A ANYEXECUTIVE PROPRIETOR i PARTNER I N NIA wc624781120 10'10112015 10/01/2016 OFFtCEFJMEMBER EXCLUDED 7 (Mandatory in NHJ CA E.L. DISEASE -EA EMPLOYEE $1,000,000 II describe under yes, DESCRIPTION OF OPERA,rioNs betow E.L. DISEASE -POLICY LIMIT $1,000,000 A EXCDss, WC xwc1.103495 1061/2015 10/6172616 EL Each Accident $1,000,000 OH-StatUtary WC EL Disease - Policy $1,000,000 SIR applies per policy terns &condi ions EL Disease - Ea Emp s1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) iContract Name: Agreement for Provision of Securi ty Guard set -vices; Service: Security Guard Services; G4S Office: LAN. The City. ee lof Santa Ana, its officers eIoploy S, agents,volunteers and representatives are included as Additional Insured with h regards itvi �l i policies certificate to the General Liability p Icy. The evidenced herein are primary to other insurance available to the cprtrate ;holder, but only to the extent required by written, contract with the insured. This insurance shall not be cancelled, or materially r educed in coverage or limits except after 30 days written notice has been giver, to the city of Santa Ana, CERTIFICATE HOLDER CANCELLATION @11988-2014 ACORD CORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP�RATK)N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE V41TH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REP RESENTATIVE 20 civic center Plaza Santa Ana CA 92701 USA IV. AL_ e,5�Liw J. I " @11988-2014 ACORD CORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD G4S SECURE SOLUTIONS (USA) A-201 1-122-02 REVIEWED BY� AGENCY CUSTOM1(),,,i ICE HEREDIA (PG 2 OF 7) ER ID: ILOC #: ADDITIONAL REMARKS SCHEDULE Paae of AGENCY Aon Risk services, Inc of Florida NAMED INSURED G45 Secure Solutions (USA) Inc. POLICY NUMBER see certificate Number: 570059363686 CARRIER .See certificate Number: 570059363686 NAIC CODE --L— EFFECTIVE DATF - I ACORD 101 (20081011 @ 2008 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD G45 SECU RE SOW-nONS (USA) A-2011-122-02 REVIEWED BY� POLICY NUMBER: GL,333-32-83 EUMCE HEREDA (PG 3 OF 7) COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A I �119 is 6*11,10MA -4 11A*-JA— w4 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to 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 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 1. The insurance afforded to such additional I 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "prop" 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. CG 201st 0413 @) Insurance Services Office, Inc., 2012 Page 1 of 2 G4S SECURE SOLUTIONS (USA) A-201 1-122-02 REVIEWED BY 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 EUNICE HEREDIA (PG 4 OF 7) 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. Page 2 of 2 @ Insurance Services Office, Inc., 2.012 CG 20 10 0413 d G4S SECURE SOLUTIONS (USA)A-2011-122--02 REVIEWED BY� EUNICE HEREDIA (PG 5 OF 7) ENDORSEMENT # This endorsement, effective 12:01 A.M. 10101/2015 forms a part of Policy No. GL 333-32-83 issued to G4S HOLDING ONE, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies Insurance provided under the following. COMMERCIAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is amended by the addition of the following: However, coverage under this policy afforded to an additional Insured will apply as primary Insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. 74434 (10/99) G4S SECURE SOLUTIONS (USA), A-2011-122-02 REVIEWED BY EUNICE HEREDIA (PG 6 OF 7) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT # This endorsement, effective 12:01 A.M. 10/01/2015 forms a part of Policy No. GL 333-32-83 issued to G4S HOLDING ONE, INC By: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED This policy is amended as follows; In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled ;hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record', thee email address of a contact at each such entity, and 3. the Insurer received this Information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective data, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the 'Advice") via e-mail to each such Certificate Holders within [ 30 1 days after the First Named Insured provides such Information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the: Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy. All other terms, conditions and exclusions shall remain the same. 107414 (03/11) ��EUNICE HEREDIA (PG 7 OF 7) G4S SECURE SOLUTIONS (USA) A-2011-122-02 REVIEWED BY: AV 4&ULA4 Authorized Re'presentative 1074,14 (03/11) G14S SECURE SOLUTIONS (USA) A-2011-122-02 REVIEWEDBY� EUNICE HEREDIA (PG 'I OF 7) DATE(MMIDDN C91171201 1YYyI CERTIFICATE OF LIABILITY INSURANCE 17 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 poilcy(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 Aon Risk services, Inc of Florida 1001 Brickell Bay Drive CONTACT -NAME. PHONE (866) 283-7122 (800) 363-01,05 (AIC. No. Ext): suite 1100 Miami FL 33131 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY INSURED INSURER Ae National Union Fire Ins Co of Pittsburgh 19445 G4S Secure solutions (USA) Inc. 1395 University Blvd Jupiter FL 33,458 USA INSURER B: New Hampshire Ins Cc 23841 INSURER C: Illinois National insurance co 23817 INSURER O: INSURER E: INSURER Fi D 'AMAG To ,FM $5,000,000 COVERAGES CERTIFICATE NUMBER: 570059363686 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. Limits shown are as requested INSR LTR E OF INSURANCE TYPE ADDL INS. 1 SUBR WVD POLICY NUMBER POLICY EFF (MWDDfYYYY POUCY EXP MMfDDffYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY IV. AL_ e,5�Liw J. I " GL333326i I 01/2015 i 010112016 EACH OCCURRENCE $5,000,000 CLAIMS-MADE FX 1 OCCUR D 'AMAG To ,FM $5,000,000 MED EXP (Any one person) Excluded PERSONAL & ADV INJURY $5,000,000 CENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY [] PRO- D LOG JEC7 PRODUCTS - COMPIOP AGO $5,000,000 OTHER: I I A AUTOMOWLE LIABILITY CA 746-98-77 AOS 1010112015 10/61/2016 COMBINED SINGLE LIMIT �Ea accident) $5,000,000 BODILY INJURY C Per person) 6 Y, ANYAUTO CA 746-98-78 10/01/201510/61 / 2016..... A ALL OWNED SCHEDULED AUTOS AUTOS MA CA 746-98-79 1010112015 10/01/2016 BODILY INJURY (Per accident) HIRED AUTOS NON-OWNED AUTOS VA 'E. DAMAGE �,=;_ - UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS-MADE DED � IRETENTION B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN Y EXECUTIVE PROPRIETOR i PARTNER I N OFFtCEFJMEMBER EXCLUDED 7 (Mandatory in NHJ NIA Wc024781119 AOS wc024781120 CA 10/01/2015 10'10112015 10/01/2616 10/01/2016 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE-EA EMPLOYEE $1,000,000 II describe under yes, DESCRIPTION OF OPERA,rioNs betow E.L. DISEASE- POLICY LIMIT $1,000,000 A EXCDss, WC xwc1.103495 1061/2015 10/61/2016 EL, Each Accident $1,000,000 OH-StatUtary WC EL Disease - Policyj 11,000,000 SIR applies per policy terns & condi ions EL Disease - Ea Emp 51,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) iContract Name: Agreement for Provision of Security Guard set-vices; Service: Security Guard Services„ G4S Office: LAN. The City lof Santa Ana, its officers eIoploy S, agents, volunteers and representatives are included as Additional Insured with ith regards �l ee policies fi to the General Liability policy, The evidenced herein are primary to other insurance available to the certificate ;holder, but only to the extent required by written, contract with the insured. This insurance shall not be cancelled, or materially r educed in coverage or limits except after 30 days written notice has been giver, to the city of Santa Ana, CERTIFICATE HOLDER CANCELLATION @11988-2014 ACORD CORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD T S Ci Z tli .2 t_ L ry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP�RATK)N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE V41TH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REP RESENTATIVE 20 civic center Plaza Santa Ana CA 92701 USA IV. AL_ e,5�Liw J. I " @11988-2014 ACORD CORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD T S Ci Z tli .2 t_ L ry G4S SECURE SOLUTIONS (USA) A-201 1-122-02 REVIEWED BY� 1(),,,��ICE HEREDIA (PG 2 OF 7) AGENCY CUSTOMER ID: ILOC #: ADDITIONAL REMARKS SCHEDULE Paae of AGENCY Aon Risk services, Inc of Florida NAMED INSURED G45 Secure Solutions (USA) Inc. POLICY NUMBER see certificate Number: 570059363686 CARRIER .See certificate Number: 570059363686 NAIC CODE --L— EFFECTIVE DATF - I ACORD 101 (20081011 @ 2008 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD G45 SECU RE SOW-nONS (USA) A-2011-122-02 REVIEWED BY POLICY NUMBER: GL,333-32-83 EUMCE HEREDA (PG 3 OF 7) COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A I �119 is 6*11,10MA -4 11A*-JA- w4 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to 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 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 1. The insurance afforded to such additional I 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "prop" 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. CG 201st 0413 @) Insurance Services Office, Inc., 2012 Page 1 of 2 G4S SECURE SOLUTIONS (USA) A-201 1-122-02 REVIEWED BY 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 EUNICE HEREDIA (PG 4 OF 7) 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. Page 2 of 2 @ Insurance Services Office, Inc., 2.012 CG 20 10 0413 d G4S SECURE SOLUTIONS (USA)A-2011-122--02 REVIEWED BY� EUNICE HEREDIA (PG 5 OF 7) ENDORSEMENT # This endorsement, effective 12:01 A.M. 10101/2015 forms a part of Policy No. GL 333-32-83 issued to G4S HOLDING ONE, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies Insurance provided under the following. COMMERCIAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is amended by the addition of the following: However, coverage under this policy afforded to an additional Insured will apply as primary Insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. 74434 (10199) G4S SECURE SOLUTIONS (USA), A-2011-122-02 REVIEWED BY EUNICE HEREDIA (PG 6 OF 7) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT # This endorsement, effective 12:01 A.M. 10/01/2015 forms a part of Policy No. GL 333-32-83 issued to G4S HOLDING ONE, INC By: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED This policy is amended as follows; In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled ;hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record', thee email address of a contact at each such entity, and 3. the Insurer received this Information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective data, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the 'Advice") via e-mail to each such Certificate Holders within [ 30 1 days after the First Named Insured provides such Information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy. All other terms, conditions and exclusions shall remain the same. 1 07414 (03/11) ��EUNICE HEREDIA (PG 7 OF 7) G45 SECURE SOLUTIONS (USA) A-2011-122-02 REVIEWED BY: AV 4&ULA4 Authorized Re'presentative 1074,14 (03/11)