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Flagship Facility Services - 2012 Agreement - Amendment No. 4
AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND Flagship Services Inc. FOR 12- RFP -ASD -363 DATED July 1't, 2012 AMENDMENT NO.4 PO No. 170153 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 properly filled out. Upon acceptance by the City, the Consultant's copy will be returned to him as his authorily to proceed with the work. This Amendment extends the term of the Agreement for Custodial Services between the City of Gilroy and Flagship Services Inc., dated June 12`h, 2012 to September 30th, 2017, for an amount not to exceed $18,569.00 as per the attached quotation for custodial services. Alf 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. Flaghi"ervice`IRc. hereby agrees to perform the above work subject to the terms of this Amendment for pxfending the custodial service contract. Consultant: Fl ip Services Inc. 2F�i Date ACCEPTED: V 9 17 Project Manager n n Date 911111 Ci Administrato Date ro I.Qrrl O -Wr cvbfw kmjn6iy6AV�� A� E® CERTIFICATE OF LIABILITY INSURANCE 9/1/2017�°D"'Y"' 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 Woodruff- Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT -NAME Susan Stockdale PHONE FAX 415 - 391 - 2141x6426 415 - 989 -9923 E-MAIL sstockdale @wsandco com INSURERS AFFORDING COVERAGE NAIC A 7/1/2017 INSURER Zurich American Insurance Company 16535 $1,000,000 INSURED FLAGENT -01 INSURER B American Zurich Insurance Company 40142 Flagship Facility Services, Inc 1050 N Fifth Street INSURER C Liberty Mutual Insurance Company 23043 San Jose, CA 95112 INSURER D GEN'L AGGREGATE LIMIT APPLIES PER JECT PRO - X POLICY [::] PRO F-] LOC OTHER INSURER E $2,000,000 PRODUCTS - COMP /OP AGG INSURER F $ COVERAGES CFRTIFICOTF NIIMRFR• 2135820031 1?FVICInK1 NI IMRFL7- 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 I TYPE OF INSURANCE IN SD WVD POLICY NUMBER POLICY EFF MM/DDNYYY ) POLICY EXP (MM/DDfYYYYI LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE X OCCUR -- GL0829847716 7/1/2017 7/1/2018 EACH OCCURRENCE - $1,000,000 PR MISES EaxcuErrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER JECT PRO - X POLICY [::] PRO F-] LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Comp -Sche X 5K Coll -Sche BAP829847816 7/1/2017 7/1/2018 Ea accident $1,000,000 BODILY INJURY (Per person) $ NX5KANY BODILY INJURY Per accident ( ) $ P R AMA E par aciden $ $ C X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 100005243909 7/1/2017 7/1/2018 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory In ER EXCLUDED (Mandatary in NH) K es, describe under DE SCRIPTION n OPERATIONS below NIA WC829803618 7/1/2017 7/1/2018 x PER OTH- STATUTE I ER 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 / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Gilroy, Its officers, employees, agents, council members & other representatives are Included as Additional Insureds with respect to General Liability as required by written contract per attached endorsements. rr rV/11G rrVGYGr� 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 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GLOS29847716 COMMERCIAL GENERAL LIABILITY CG 20 10 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 SCHEDULE Name Of Additional Insured Person(s) Organization(s) Locations Of Covered Operations �� pF G��RpOr 0 91ITggTMQoFFIC�ERS�. EMPLRYEES AGENTS COUNCIL THE CITY OF GILROY ITS OFFICERS EMPLOYEES, AGENTS M 8, EPRESENTATIVES COUNCIL MEN,BERS & OTHER REPRESENTATIVES ARE INCLUDED 1MBREpRS HHER AS ADD ITICNAL ,NSUREDS WITH REPECT TO GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT GILROY.SCA 9502IREET 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(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 tho 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. 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 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 - C:,Wth' respect to the insurance afforded to these - 2.. Available under the eppllcs3ble Umlts of. additional Insureds, .the following is added to 'Insurance shown in the Declarations; .S®ctlon 111 = Limlts Of Insurance: wFifd�evee' Is_less. if coverage- provided to the additional Insured Is--., This° endorsement shall not Increase the requiredby a cbntract`or_agreement, the most we applicabte,.`Llmits of Insurance shown in the ;will pay on' behalf of the additional Insured_ Is the Declarations: amount of;lnsurance: ` •.1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Servlc s Me. Inc., 2012 }. CG 2010 0,413,