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HomeMy WebLinkAboutGolden Gate Petroleum - Agreement for unleaded and bio-diesel fuels - Amendment No. 1AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND GOLDEN GATE PETROLEUM FOR AUTOMOTIVE FUEL PURCHASING DATED January 19, 2010 AME NDMENT NO. 1 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Consultant. All copies forwarded to Consultant for signature shall be returned to the City of Gilroy property filled out. Upon acceptance by the City, the Consultant's copy will be returned to him as his authority to proceed with the work. This Amendment extends the term of the Agreement for Services between the City of Gilroy and Golden Gate Petroleum, dated July 1, 2013 to June 30, 2015. All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by this Amendment. The contract time shall not extend unless expressly provided for in this Amendment. Golden Gate Petroleum hereby agrees to make the above changes subject to the terms of this Amendment for fuel purchasing services and delivery. Consultant: -Gol en Gate Petroleum By Per n s fining- s -name Date �cr � ACCEPTED: Head Date k4r� F0 Dat Lt)I3 Date ,4coRDO CERTIFICATE OF LIABILITY INSURANCE °ATE`MM / ° °"Y,"' 10/23/2013 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 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 Owen -Dunn Insurance Services 1455 Response Road, Suite 260 Sacramento CA 95815 CONT NAME: ACT ' Kelley Johnson PHONE FAX Mo. IC A C, /No E -MAIL ADDREss: INSURERS AFFORDING COVERAGE NAIC 9 0/1/2014 INSURER A $2,000,000 • INSURED BAYAREA -06 INSURER B:Nat onal Union Fore Ins Co of Pitts 19445 INSURER C : $1,000,000 Bay Area Diablo Petroleum Co. INSURERD: GENERAL AGGREGATE dba: Golden Gate Petroleum 1340 Arnold Drive„ Suite 231 Martinez CA 94553 INSURERE: PRODUCTS - COMP/OP AGG $2,000,000 $ INSURER F : , AUTOMOBILE COVERAGES CERTIFICATE NUMBER: 829799680 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. INSR LTR TYPE OF INSURANCE ADDL INSR UBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTI OCCUR Y EGGCD000061113 10/1/2013 0/1/2014 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $0 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: [_—] L POLICY PRO- PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS EAGCD000061113 10/1/2013 0/1/2014 Ea accident $2,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EXAGD0000061113 BE64196582 10/1/2013 10/1/2013 0/1/2014 0/1/2014 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 DED X RETENTION$10,000 B Ea Occ /A re ate $5,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I I EWGCD000061113 I 10/1/2013 0/1/2014 X WC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Agreement Services City of Gilroy is additional insured per terms & conditions of attached endorsements. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 ; 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of.ACORD M � ~ POLICY NUMBER: EGGCDO00061113 COMMERCIAL GENERAL LIABILITY CG 20 37 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: The City of Gilroy, its officers and employees Location And Description of Completed Operations: City of Gilroy, 613 Old Gilroy St. - Gilroy, CA 95020 Additional Premium: NIA (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the 'Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the 'schedule of this endorsement performed for that insured and included in the "products- completed operations haz- ard ". CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 ❑