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HomeMy WebLinkAboutINSURE PROTECTIVE SECURITY (4) - 2017City of Santa P-+a t Clerk of the Cou!.._il coTc Office Use Only AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Ct=y of manta Ana Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form•-1J o 2 Ems' Is the agreement(s) a permanent record? Yes No Cierk of the Council Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with�� A-2017-217-02 No. _ was completed on L and final payment has been made. (List afi amendments. use space below if needed.) 1 Pr_,—I_�� Department: �•05W (t`y�YYytV� (�--(3r)11--:;)-`-1-0 i Phone/Ext.: 5DS� 14—aoll` l)SS— Signature: ��izliA,�C1/�il� Date: 7 !oZ% I---,,\-1 Revised: 10-18-16 INSURANCE NOT ON FILE Professional Liability Insurance A-2017-217 WORK MAY M' PROCEED required if contractor is or O tV CLERK OF COUNCIL employs a licensed professional r OATS; SEP t11W82017FIRST AMENDMENT TO AGREEMENT TO PROVIDE y .. PIS Ct j SECURITY SERVICES FOR VARIOUS CITY EVENTS THIS FIRST AMENDMENT to the above -referenced agreement is entered into on July 2017, by and between IPS Security, Inc., a California corporation ("Consultant"), 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-2017-055, dated March 21, 2014 ("Agreement"), by which Consultant agreed to provide security services for City events. B. The original term of the Agreement was from March 21, 2017 through December 31, 2017, The Agreement provides for two additional, one year renewal options, by a writing executed by the City Manager and the City Attorney. C. The parties wish to amend the Agreement to include additional funds to provide additional security guards for City events for the remainder of the original term of the Agreement and each annual renewal term, thereby increasing the overall not to exceed amount of the Agreement. The Parties therefore agree: I. Section 3, Compensation, is amended to include an additional $20,000 for the remainder of the tenn of this Agreement, and to each annual renewal term. The amount for each term shall not exceed Sixty -Five Thousand Dollar ($65,000). The total sum to be expended under this Agreement shall not exceed One Hundred and Ninety -Five Thousand Dollars ($195,000) for the entire term of the Agreement, including any renewals. 2. Except as modified by this First Amendment, all terns and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST MA IA D. HIIIZAR Clerk of the Council CITY OF SANTA ANA -- 4 natures continued on next page -- Page I oft Signature Page — First Amendment to Security Services Agreement with IPS Security, Inc. APPROVED AS TO FORM SONIA R. CARVALHO City Attorney ByjA! ULt LAURA A. ROSSINI Senior Assistant City Attorney FOR APPROVAL CONSULTANT 1 jr -mrme: Dav LSayed Title: President GERARDO MOUET Executive Director, Parks, Recreation and Community Services Agency Page 2 of 2 IPSSE•1 OF ID: JE CERTIFICATE OF LIABILITY INSURANCE OA0412112017YI 04/21I2017 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 endorsoment(s). PRODUCER Central Insurance Agency, Inc. 93 East Main Street Smithtown, NY 11787 George Gavaris CONTACT Central Insurance Agency P"CONI o EIS: 877-242.9600 ac Ne: 877-243.8996 - AI -- AonREss: cartificatesQ,clalnsures.com INSURER(S) AFFORDING COVERAGE NAIL a INSURER A; Acceptance Casualty Ins CO 10349 INSURED IPSSecDrily, Inc, Plea anion, CA Mali Rd,Ste300 Pleasanton, CA 94588P INEURERBILInItedFinancial Casualty 11770 INSURERC:Employers Assurance Company Y 25402 INSURER 01 INSURER E: _ INSURER F : CERTIFICATE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVNTHSTANDING 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 OFINSURANCE r AND POLICY NUMBER M IDD Y Y MMDIDM V LIMITS A GENERALLIABIUTY X COMMERCIALOENERALUABILITY CLAIMS -MADE (OCCUR X Errors &Omisaion _ X CLOO960530 09/22/20A 0912212017 EACH OCCURRENCE $ 1,000,000 -bA PREMISES Ee occurrence _ $ 100,000 NED EXP Any onepersen $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X Assault & Battery GENERAL AGGREGATE $ 2,000,00 GEN'L AGOREGATELIMIT APPLIES PER: X POLICY PED D. LOC PRODUCTS - COMPIOP AGO $ 1,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL AUSNED X SCHEDULED TO HIRED AUTOS NONONMEO AUTOS 039577650 10/18/2016 10/18/2017 a NEO SINGLE LIMIT Ea accident 100,000 BODILY INJURY (Par pereon) $ BODILY INJURY (Per accident) $ P 0 YDAMAGE PER ACCIDENT A X UMBRELLA LIAR EXBESSLIAs X OCCUR CLAIMS -MADE L00450188 09/2212016 00122/2017 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1,000,000 DED RETENTION _ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNERIEXECIJTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mnud.Wq id NH) %s, describeunder IFyyes,deaTION OFO OPERATIONS belrny NIA BIG 2418484-00 10/2812016 10/28/2017 VVC STATU- OTH- X TORY UM ,S_ ER E,L, EACH ACCIDENT $ 1,000,000 E,L DISEASE EA EMPLOYEE _ 1,000,000 E. L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS ILOCAVONS/VEHICLES (Aaach ACORD 101, Additional Rernarku Schedule, If,nore space la reggired) ' ON r. The City of Santa Ana, it's officers, employees, agents, and representat are included as an additional insured under the general liability with respect to the liability created by the negligent acts, errors and omissions of the named insured herein as required by written contract. CITYSA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Its officers ACCORDANCE WITH THE POLICY PROVISIONS, Employees, Agents, Volunteers and Representatives AUTHORIZED REPRESENTATIVE 2Civic Center Plaza 5 eC*O/ Z a, _ (Saa nta Ana, CA 92701 © 1988-2010 ACORD CORPORATION. All riahts reserved ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CL00960530 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Automatic Status Included Where Required by Written Contract, Automatic Status Included Where Required by Written Contract. Information required to complete this Schedule, if not shown above, will be shown in the declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) 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 your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 /'- N IPSSE-1 OP ID, , is.I CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYYI `01124/2019 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 877.242.9600 CONTACT George Gavaris Central Insurance Agency, Inc. NPHONEAME, 93 East Main Street AIC,, No, ExU: 877-242-9600- FAX No):877.243-8995 Smithtown, NY 11787 E-MAIL certifies&lainsures.com cat - - -- George Gavaris ADDRESS: __..... _ INSURER SAFFORDING COVERAGE NAIC N /� C-� INSURER A: Acceptance Casualty Ins Co 10349 INSURED IPS,Inc. A-��%QI �D1w INSU_RERa Employers Assurance Company - 25402 - -- 3002 Dow Avenue, Ste 512 Scottsdale Insurance Company--41297 Tustin, CA 92780 Fp1,'—gyp(��$�•% T INSURER CJ r, +O.r INSURERD: INSURER E : COVERAGES CERTIFICATE NUMBER- RFVISION NIIMRFR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIPTYPE OF INSURANCE ADDL BURR POLICY NUMBER POLICY EFF POLICY EXP vMIDOVYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMSMADE X OCCUR CLOO960530 09/22/2018 09/22/2019 Y DAMAGE TO RENTED PREMISES(Ea occurrence) S 100,000 _ X Assault&Battery- 5,000 MED EXP(Any one person) S _ X Errors & Omission 1,000,000 PER$ONALBADVINJURY S GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 X POLICY JERET LOG PRODUCTS COMPIOPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea_accitlent) _ _______$ ANY AUTO _ BODILY INJURY (Per person) __ S OWNED SCHEDULED ' AUTOS ONLY _AUTOS -BODILY INJURY (Per accitlenl) S HIRED NON -OWNED rggOPERTY DAMAGE AUTOS ONLY _. _ AUTOS ONLY PPeeraccdentl__ $ S A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $. 5,000,000 X EXCESS LIAB CLAIMS -MADE XL00450516 09/22/2018 09/22/2019 AGGREGATE S 5,000,000 DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER OTH- X -STATUTE _ OR YIN ANY PROPRIETORIPARTNERIEXECUTIVE EIG 2418484 02 10/28/2018 10/28/2019 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED' NIA (Mandatory in NH) ---- 1,000,000 If yes, describe under E. L. DISEASEEAEMPLOYEES ---- -' 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S C Excess Umbrella XLS0108378 10/19/2018 09/22/2019 Occ/Agg 4,000,000 VEHICLESDESCRIPTION OF OPERATIONS I LOCATIONS I Schedule, maybe The CitvofSanta Ana, tsOfficers,employees, DAdditionalRemarks anaoneaxmoreaPaoalaragairaa) and representative e,�u \� are itu �fuded as an additional insured under the general liability with respect to the liability created by the negligent ats, errors and omissionsP' of the named insured herein as required by written contract on a and primary non-contributory basis. yrdS ��`rX. CITYSA3 City of Santa Ana Its officers Employees, Agents, Volunteers and Representatives 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD lil111NYa!L111P,I-*I 0111i IIII1101I11-vol COMMERCIAL GENERAL LIABILITY CIGL 79 03 18 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 FIr3:l:1r1114 Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Automatic Status Included Where Required by Written Automatic Status Included Where Required by 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 or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your operations for the additional insured at the location shown in the Schedule. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; b. 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; and c. Regardless of the date of occurrence or when the injury or damage first occurs or is first discovered, a person's or organization's status as an additional insured under this endorsement ends upon the earliest of: (1) The completion or termination of the contract or agreement between you and the additional insured for the location shown in the Schedule; (2) The date you cease actively performing operations for the additional insured at the location shown in the Schedule; or (3) The expiration or termination date of the policy or this endorsement. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to liability or damages for "bodily injury", "property damage", or .per Ell and advertising injury": e ii�� CJ/ 1. Caused by, arising from, or included in the "products -completed operations hazard"; �e� "�v e� 2. Arising out of the additional insured's sole negligence; � 5 3. Arising out of work or operations performed by you that were completed prior to the effective daG�wo , endorsement; or P 4. Which continues or progressively deteriorates after you cease actively performing o i6�%�lra'r,` additional insured at the location shown in the Schedule, even if the injury or da a first �grt`3(ut�d, or is alleged to have first occurred, during the course of your operations for the additional injured. C. Solely for purposes of this endorsement, the following definition is deleted in its entirety and replaced by the following: CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 2 1. "'Products -completed operations hazard": a. Includes all "bodily injury' and "property damage" occurring away from premises you own or rent and arising out of "your product' or "your work' except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work' will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed; (b) When all of the work to be done at the location shown in the Schedule has been completed if your contract calls for work at more than one location; or (c) When that part of the work done at the location shown in the Schedule has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. D. 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. CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2 POLICY NUMBER: CL00960530 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any Person or Organization for whom the insured, prior to a claim, occurrence or incident for which the insured could reasonably expect a claim or occurrence to arise, was required via written agreement or contractual obligation, to waive such rights. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. Q�G CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PRIMARY AND NON-CONTRIBUTING INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART To the extent that this insurance is afforded to any additional insured under this policy, SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is deleted in its entirety and replaced with the following condition: 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and non-contributory, and the "insured contract' is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non-contributing only when and to the specific extent required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the proportional ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. 7 �ed�7 �e _,o Guv -1ct 4�G This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement is issued subsequent to preparation of the Policy.) Endorsement effective Policy No. CL00960530 Endorsement No. Named Insured Countersigned by CIGL 30 01 14