HomeMy WebLinkAboutMERCHANTS LANDSCAPE SERVICES, INC. 3a - 20160City of Sant�
2- � t ` a A 7
Clerk of the
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all P20 FE
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements CITY 6
have been satisfied prior to signing the termination form. CLERi
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
COTC Office Use Only
-6 PH 3-' 38
OF�COUNCIL
No. R--'daiG-aay was completed on and and final payment has been made.
(List all amendments. Use space below if needed.)
Revised: 0 1 -07-16
Department: Pf7yA
Phone/Ext.: lid II j
Signature:
Date: co �O�Q
A-2016-224
INSURANCE ON FILL
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
CLERK OF COUNCIL, FIRSTAMENDMENT TO AGREEMENT FOR LANDSCAPE
DATE: a—b a 1 U MAINTENANCE SERVICES (PARK DISTRICTS 1 AND 4)
4� THIS FIRST AMENDMENT to the above -referenced agreement is entered into on August 16, 2016 by and
between Merchants Landscape Services, Inc. ("Contractor"), and the City of Santa Ana, a charter city and
municipal corporation organized and existing under the Constitution and laws of the State of California ("City"),
RECITALS
A. The parties entered into Agreement #A-2016.002, dated January 19, 2016 ("Agreement"), by which
Contractor agreed to provide landscape maintenance services at City parks in Districts I and 4,
a
s B. The term of the Agreement is from February 1, 2016 through January 31, 2018, with an option for two (2)
one-year renewals, and the Agreement remains in effect.
C. The parties wish to amend the Agreement to expand the scope of Contractor's services to include the Memory
r ° Lane/Santa Ana River Park that was added to the City's inventory of parks on July 1, 2016, and to increase
the animal compensation in support of these additional services.
The Parties therefore agree:
1. Section 1, Scope of Services, is amended, effective September 1, 2016, to include the Memory Lane/Santa
Ana River Park among the parks for which Contractor is providing the services described in the Agreement.
A map of the park and service area is attached as Exhibit A.
2, Section 2, Compensation, is amended to increase the annual compensation under the Agreement by $5,225
for the period of February 1, 2016 through January 31, 2017, and by $12,540 for each remaining year of the
Agreement, including any renewal periods.
3. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full
force and effect.
IN WITNESS WHEREOF, the parties bereto have executed this First Arnendment to the Agreement on the date
and year first written above.
ATTEST
MARK D. FNS ZAR
Clerk of the Council
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By:_Q %. . r
JOI NI FUNK
Assistant City Attorney
Cly,"F SVA ,T ANA
DAVID CAVAZ0
City Manager
CONTRACTOR
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amTltnt� a(3RC�tat4�
Title: 9 9—CG 6 C7 hT
RECOM1Y N D F PROVAL
Gerardo Monet, Executive Director, Parks, Recreation, and Community Services Agency
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A� �® CERTIFICATE OF LIABILITY INSURANCE
DATE
6/24/2016YI
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements).
PRODUCER
Landscape Contractors (Lic#0755906)
Insurance Services, Inc.
1835 N. Fine Avenue
Fresno CA 93727
CONTACT NAME, Etacy Manning, CIBR
PHONE (559)650-3555 PAC No (559)650-3558
E'MAIL,', smarming®leisinc. com
INSURER(Sa AFFORDING COVERAGE
NAIC0
INSURERA:Atlantic Specialty Insurance
27154
INSURED
Merchants Landscape Services, Inc.
1190 Monterey Pass Road—a
FT -4
Monterey Park CA 91754
INSURER e :
_
INSURER C;
INSURERD:
INSURERE:
1 INSURER F:
COVERAGES CERTIFICATE NUMBER:16/17 Pkg & Auto 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.
INSLTR
TYPE OF INSURANCE
DD
ANSR
R
VVVQ
POLICY NUMBER
POLICY
MIOI D/Y1'EYP
MM1�DYNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE_ $ 1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES I5 ece $„ 100,000
MED EXP Anyone person) $ 51000
A
CLAIMS -MADE ® OCCUR
518-00-06-75-0001
/1/2016
/1/2017
PERSONAL& ADV INJURY $ 1,000,000
X $1,000 Pd Dad
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMPIOP AGG $ 2,000,000
$
ii POLICY PRO- OC
AUTOMOBILE LIABILITY
CEOMBCI INEeDI SINGLE LIMIT 1 000 000
BODILY INJURY (Par person) $
A
R ANY AUTO
ALL OWNED SCHEDULED
A AUTOS L.A TOS MED
R
HIRED AUTOS AUTOS
618-00-06-75-0001
/1/2016
/1/2017
BODILY INJURY (Per accident) $
-
PROPERTY DAMAGE $
eraooidenl
Medical Pavments $ .51000
UMBRELLA LIABOCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
CLAIMS -MADE
'
DEO RETENTION$
Is
WORKERS COMPENSATION4\
EMPLOYERS' LIABILITY
PROPRIETORIPARTNERIEXECUTIVE YINj
AN YIN
OF FICERIMEMBER EXCLUDED?
(Mandatary In NH)
NIA
e
WC IM11AND
TORY
E.L. EACH ACCIDENT $
_
E. L. DISEASE -EA EMPLOYE $
E. L, DISEASE - POLICY LIMIT $
Use, describe under
DESCRIPTION OF OPERATIONS below
, aQjV
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SP,1Q'
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
RE: City Park in districts 1 and 4 Proposal #15-112
Primary Insurance/Non Contributory Blanket Additional insured per attached OBPGGLO4340414
City of Santa Ana, its officera, employees, agents, volunteers and representatives (Excluding
Professional Liability) are named as additional insured
City of Santa Ana
20 Civic Center Plaza (M-30)
PO Box 1988
Santa Ana, CA 92702
25 120101061
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
.-�r,�_.--- ---
Manning, CTSR/RRODE —L` <<.
ACORD CORPORATION. All rights reserved.
INS026(201006).01 The ACORD name and logo are registered marks of ACORD
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 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 — BODILIYURY AND
PROPERTY DAMAGE LIABILITY in SECTION I — COVERAGES is replaced by the �* i g✓
This insurance does not apply to: e��
L Damage To Your Work \G,S64
"Property damage" to "your work" arising out of it or any part of it and 1 t 1 tl6r {gypoducts-
completed operations hazard".�a
D. 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 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.
06�63�'
Policy Number: 618-00-06-75-0001
Name Insured: Merchants Landscape Services, Inc.
This endorsement is effective on the inception date of this policy unless otherwise stAted herein.
Endorsement Effective Date: 07/01/2016
OBPG GL 0434 04 14 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 2 of 2
Copyright, OneBeacon Insurance Group, 2014
STATE OF CALIFORNIA Arnold Schwarzone or, Gvveraor
NPAR TMEt' T M INDUST LA IONS
SELF-INSURANCE PLANS
2265 Watt Avenue, Suits 1
Sacramento, CA 95825 h
Phoria No. (916) 574.0300
PAX '(916) 483-1535
CERTIFICATION OF SELF-INSURANCE
OF WORKERS' COMPENSATION
TO WHOM IT MAY CONCERN:
This certifies that Certificate of Consent to Self -Insure No, 1799-E was issued
by the Director of Industrial Relations to:
MERCHANTS LAND$CAPE SERVICES, INC.
under the provisions of Section 3700, Labor Code of California, on January 1, 2003.
The Certificate is now and has been in full force and effective since that date.
Dated at Sacramento, California
ThisA91h day of January, 2007
Compliance Supervisor U
JMJdy
Orig: Vivian Quimiro
Corporate Services
1190 Monterey Pass Road
Monterey Park, CA 91754
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