West Coast Arborists - 2011 Agreement - Amendment No. 2SECOND AMENDMENT TO WEST COAST ARBORISTS, INC., TREE SERVICES
CONTRACT
WHEREAS, the City of Gilroy, a municipal corporation ( "City "), and West Coast Arborist Inc.
entered into that certain agreement entitled Tree Services Contract, effective on Oct 12, 2015,
hereinafter referred to as "Original Agreement" P.O. #160166; and
WHEREAS, City and West Coast Arborists Inc. have determined it is in their mutual interest to
amend certain terms of the Original Agreement.
NOW, THEREFORE,, FOR VALUABLE CONSIDERATION, THE PAR'T'IES AGREE AS
FOLLOWS:
I . Compensation of the Original Agreement shall be amended to read as follows: Change amount
from $151,000.00 to 5202,400.00
2. Exhibit "A ", Article II. , A. For purposes of this Agreement, John Greer shall be the designated
City contact person(s).
3. This Amendment shall be effective on October 12, 2015. The agreement will continue in effect
through June 30, 2016 unless terminated in accordance with the provisions of Article 7 of this
Agreement.
4. Except as expressly modified herein, all of the provisions of the Original Agreement shall
rernain in full force and effect. In the case of any inconsistencies between the Original Agreement and
this Amendment, the terms of this Amendment shall control.
5. This Amendment may be executed in counterparts, each of which shall be deemed an original,
but all of which together shall constitute one and the same instrument.
IN WITNESS WHEREOF, the parties have caused this
dates set foith besides their signatures below.
CIT OF C I OY West Coast A
By: By:
1 2n S NG� \uvc� _
(anployeena e]
City Administrator
[6t1ddepa11nwnt]
Date:
Date: A2O A oh
4845-8215.5WO
N'DC MERVM6Q83 4-
to be executed as of the
V (siFnalwe]
Pa rick Mahon
[name]
President
10/12/15
Approved as to Form
- lk�
y Attorney
4845.82154%Nl
MOOLIJGERM7t16083 -2-
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN
INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE
LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT /LIMITS NOT LISTED BELOW.
This is to Certify that
I WEST COAST ARBORISTS, INC
2200 EAST VIA BURTON NAME AND
ANA Liberty Mutual.
ANAHEIM CA 92806 ADDRESS
OFINSURED
L INSURANCE
is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and
Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued.
If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date.
NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.)
BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE
INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE
OF SUCH CANCELLATION HAS BEEN MAILED TO:
FCity of Gilroy
7351 Rosanna Street
Gilroy CA 95020
'C 9
u�
L
Liberty Mutual
Insurance Group
Elaine Ulan
Los Angeles / 0603 AUTHORIZED REPRESENTATIVE
818 W 7th Street, Suite 850 0564408
Los Angeles CA 90017 213 - 624 -1171 6/1612015
OFFICE PHONE DATE ISSUED
This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07 -10
25113432 1 LM_2919 1 7/15 -7/16 - GL /2/1, AL /2, WC /1, U/5 I Nicholas Misoni 1 6/16/2015 12:06:22 PM (CDT) I Page 1 of 1
LDI COI 268896 02 11
EXP DATE
TYPE OF POLICY
❑ CONTINUOUS
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
❑ POLICY TERM
WORKERS
COMPENSATION
Statutory Limits
7/1/2016
WA7- 66D- 039499 -075
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
All States Except:
ND, OH, WA, WY
EMPLOYERS LIABILITY
Bodily Injury by Accident
1 OOO OOO Each Accident
Bodily Injury By Disease
$1,000,000
Bodily Injury By Disease
$1,000,000
COMMERCIAL
GENERAL LIABILITY
7/1/2016
TB2- 661- 039499 -015
General Aggregate
$2,000,000
m OCCURRENCE
Products / Completed Operations Aggregate
$2,000,000
❑ CLAIMS MADE
Each Occurrence
$1,000,000
Personal & Advertising Injury
$1,000,000 Pcr Person /Organization
RETRO DATE
Other 10ther
Damage to remises rented to
Medical Expense $5,000
you 0
AUTOMOBILE
LIABILITY
7/1/2016
AS7- 661 - 039499 -035
Each Accident — Single Limit
$2,000,000 B.I. And P.D. Combined
IJ OWNED
Each Person
Each Accident or Occurrence
NON -OWNED
�m
Ll HIRED
Each Accident or Occurrence
OTHER
7/1/2015 - 7/1/2016
TH7- 661 - 039499 -045
$5,000,000 Per Occurrence /Aggregate
Umbrella Excess Liability
ADDITIONAL COMMENTS
Per form CG 2010 the City of Gilroy, its officers and employees are included as Additional Insured(s) for the General Liability, but only if
required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Waiver of Subrogation In included
in favor of the City of Gilroy, its officers and employees.
If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date.
NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.)
BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE
INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE
OF SUCH CANCELLATION HAS BEEN MAILED TO:
FCity of Gilroy
7351 Rosanna Street
Gilroy CA 95020
'C 9
u�
L
Liberty Mutual
Insurance Group
Elaine Ulan
Los Angeles / 0603 AUTHORIZED REPRESENTATIVE
818 W 7th Street, Suite 850 0564408
Los Angeles CA 90017 213 - 624 -1171 6/1612015
OFFICE PHONE DATE ISSUED
This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07 -10
25113432 1 LM_2919 1 7/15 -7/16 - GL /2/1, AL /2, WC /1, U/5 I Nicholas Misoni 1 6/16/2015 12:06:22 PM (CDT) I Page 1 of 1
LDI COI 268896 02 11
POLICY NUMBER: T82- 661 - 039499 -015
COMMERCIAL GENERAL LIABILITY
CG 2010 0413
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
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 "bodly injury". "property
damage" or "personal and advertising injury"
caused, in whole or In part, by:
1. Your acts or om issions; 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
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
"property damage" occurring after
Name Of Additional Insured Persons)
Or Organization(s):
I. AU work, including materials, parts or
equipment famished 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
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
SCHEDULE
Any owner, lessee, or contractor for whom you have
agreed in writing prior to a toss to provide Wily insurance
9 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.
Locations) Of Covered Operations
Any location rusted in such agreement
Information required to complete this Scheele, if not shown above, will be shown in the Declarations.
CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -
CAUFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We wig not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us,)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in
the work desb ibed in the Schedule.
The additional premium for this endorsement shall be 2% of the Cardbrnis workers' cornpensstion premium
otherwise due on such remuneration.
Schedule
Additional premium Is a percent of the California Manual Workers Compensation premium. Subject to a minimum
premium -charge of $ 250.
Person or Ornanization Job Description
Where required by contract or
writtert agreement prior to lass and
allowed by law
Issued by Liberty Insurance Corporation 21814
For attachment to Policy No. WA7 -66D- 099499-075 Effective Date Premium $
Issued to West Coast Arborisis, Inc.
WC 04 03 06 Page I of I
Ed: 04/1884
POLICY NUMBER TB2- 661 -039499 -015
n Elk
This endorsement moddies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETEDOPERATIONS LIABILITY COVERAGE PART
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
below 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 below.
SCHEDULE
Name Of Person Or Organization:
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
Any person or organization wdh whom you have agreed in writing to waive arty right of recovery prior to a loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1