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HomeMy WebLinkAbout2015 CON Orkin Commercial Services - Pest Control ServicesSHORT FORM SERVICES AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND ORKIN COMMERCIAL SERVICES THIS AGREEMENT is entered into this 1st day of July, 2015, by and between the CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and ORKIN COMMERCIAL SERVICES (the "CONTRACTOR"). NOW, THEREFORE, CITY agrees to engage CONTRACTOR to perform the services set forth herein in accordance with the following terms and conditions: 1. Description of Services. CONTRACTOR shall provide City -Wide on -site pest control as needed for our fiscal year ending June 30, 2016, and as directed by Rick Hernandez, the City's Facilities Maintenance Supervisor 2. Length of Agreement. The duration of this agreement is through June 30, 2016. 3. Compensation. The total compensation to CONTRACTOR for providing the services set forth herein shall not exceed an annual total cost of $ 5,000.00. The compensation for CONTRACTOR'S work shall be based upon and not exceed the rates given in Exhibit "A" (the labor rates) without prior written authorization from CITY. 4. Payment Schedule. CITY will make payment within thirty (30) days of receiving and approving a billing statement for the satisfactorily completed services of CONTRACTOR. 5. Termination. CITY may terminate this Agreement at any time by providing a one (1) day written notice to CONTRACTOR. 6. Independent Contractor. It is agreed that CONTRACTOR is an independent Contractor, and all persons working for or under the direction of CONTRACTOR are CONTRACTOR'S agents, servants and employees, and said persons shall not be deemed agents, servants, or employees of CITY. 7. Insurance. CONTRACTOR shall obtain: A. U If checked, Professional Liability Insurance (errors and omissions) with minimum limits of $1,000,000 per occurrence. B. Automobile insurance covering all bodily injury and property damage incurred during the performance of this Agreement, with a minimum coverage of $1,000,000 combined single limit per accident. Such automobile insurance shall include owned, non -owned, and hired vehicles ("any auto"). C. Commercial general liability insurance, with minimum limits of $1,000,000 per occurrence/$2,000,000 aggregate, covering all bodily injury and property damage arising out of its operations under this Agreement. D. Workers' compensation insurance in an amount sufficient to meet statutory requirements covering all of CONTRACTOR'S employees and employers' liability insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed with a waiver of subrogation in favor of the City. Said endorsement shall be provided prior to commencement of work under this Agreement. E. The aforesaid policies shall constitute primary insurance as to the CITY, its officers, employees, and volunteers, so that any other policies held by the CITY shall not contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior written notice to the CITY of cancellation or material change. F. Said policies, except for the professional liability and workers' compensation policies, shall name the CITY and its officers, agents and employees as additional insureds, and separate additional insured endorsements shall be provided. G. If required insurance coverage is provided on a "claims made" rather than "occurrence" form, the CONTRACTOR shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date must be on or before the date of this Agreement. H. Insurance shall be written with only California admitted companies which hold a current policy holder's alphabetic and financial size category rating of not less than A VIII according to the current Best's Key Rating Guide, or a company equal financial stability that is approved by the City's Risk Manager. In the event coverage is provided by non -admitted "surplus lines" carriers, they must be included on the most recent California List of Eligible Surplus Lines Insurers (LESLI list) and otherwise meet rating requirements. I. This Agreement shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with, are filed with, and approved by the CITY's Risk Manager. If the CONTRACTOR does not keep all of such insurance policies in full force and effect at all times during the terms of this Agreement, the CITY may elect to treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. 1. All deductibles and self -insured retentions in excess of $10,000 must be disclosed to and approved by the CITY. K. Insurance certificates must specify certificate holder as: City of National City ATTN: Risk Manager 1243 National City Blvd National City, CA 91950-4301 8. Hold Harmless. CONTRACTOR shall defend, indemnify, and hold CITY, its Officers, employees, and agents harmless from any liability for damage or claims of same, including but not limited to personal injury, property damage and death, which may arise from CONTRACTOR, or CONTRACTOR'S subcontractors, agents or employees' operations under this Agreement. CITY shall cooperate reasonably in the defense of any action, and CONTRACTOR shall employ competent counsel, reasonably acceptable to the City Attorney. 9. Acceptability of Work. The City shall, with reasonable diligence, detettnine the quality or acceptability of the work, the manner of performance, and/or the compensation payable to the CONTRACTOR. 10. Business License. CONTRACTOR must possess or shall obtain business license from National City Finance Department before beginning work. Revised August 2014 2 11. Miscellaneous Provisions. A. Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which, together, shall constitute but one and the same instrument. B. Captions. Any captions to, or headings of, the sections or subsections of this Agreement are solely for the convenience of the parties hereto, are not a part of this Agreement, and shall not be used for the interpretation or determination of the validity of this Agreement or any provision hereof. C. No Obligations to Third Parties. Except as otherwise expressly provided herein, the execution and delivery of this Agreement shall not be deemed to confer any rights upon, or obligate any of the parties hereto, to any person or entity other than the parties hereto. D. Exhibits and Schedules. The Exhibits and Schedules attached hereto are hereby incorporated herein by this reference for all purposes. E. Amendment to this Agreement. The terms of this Agreement may not be modified or amended except by an instrument in writing executed by each of the parties hereto. F. Waiver. The waiver or failure to enforce any provision of this Agreement shall not operate as a waiver of any future breach of any such provision or any other provision hereof. G. Applicable Law. This Agreement shall be governed by and construed in accordance with the laws of the State of California. The CONTRACTOR shall comply with all laws, including federal, state, and local laws, whether now in force or subsequently enacted. H. Entire Agreement. This Agreement supersedes any prior agreements, negotiations and communications, oral or written, and contains the entire agreement between the parties as to the subject matter hereof. No subsequent agreement, representation, or promise made by either party hereto, or by or to an employee, officer, agent, or representative of any party hereto shall be of any effect unless it is in writing and executed by the party to be bound thereby. I. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the successors and assigns of the parties hereto. J. Construction. The parties acknowledge and agree that (i) each party is of equal bargaining strength, (ii) each party has actively participated in the drafting, preparation and negotiation of this Agreement, (iii) each such party has consulted with or has had the opportunity to consult with its own, independent counsel and such other professional advisors as such party has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv) any rule or construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement, or any portions hereof, or any amendments hereto. IN WITNESS WHEREOF, this Agreement is executed by CITY and by CONTRACTOR on the date and year first above written. Revised August 2014 3 CITY OF NATIONAL CITY Leslie Deese, City Manager OVED FORM. Claudia Gacitua Si a City Attorney CONTACT INFORMATION CITY OF NATIONAL CITY 1243 National City Boulevard National City, CA 91950-4301 Phone: (619)336- 4585 Fax: (619)336-4397 Contact: Rick Hernandez Title: Facilities Supervisor Dep.: Public Works Email: rickh@nationalcityca.gov ORKIN COMMERCIAL SERVICES (corporation- signatures of two corporate officers required) (Partnership - one signature) (Sole proprietorship — one signature) By: (\24 (Name) ()r oto r\ Ai 5 .W (Print) ODp-eSat or 5 \a r (Title) By: 17 (Name) (Print) S€rtJ; Mavc_te. (Title) ORKIN COMMERCIAL SERVICES Complete Address: 12175 Flint Place Poway, CA 92064 Phone 866-580-18I3 Fax 858-748-0788 Contact: Gordon Nasser Title: Operations Manager Email: gnasser@rollins.com rollins.com Taxpayer I.D. No 271239248 Revised August 2014 4 Commercial Services C?1. 1t �1 Gordon Nasser San Diego Commercial 12175 Flint Place Poway, CA 92064 Ph: 866-580-1813 Fax: 858-748-0788 CITY OF NATIONAL CITY PRICE SCHEDULE (PER RFQ #928) REVISED 8/5/2015: Location Interior So. Ft Type of Service Treatment Per Cost per Interior Exterior Month Month Kimball Senior Center 6000 Yes No 1 $32.00 2938420 MLK Community Ctr 22,320 Yes No 1 $55.00 2938454 Casa De Salud 6400 Yes No 1 $33.00 2938493 Fire Station #31 5000 Yes No 1 $33.00 2938530 Fire Station #34 6000 Yes No 1 $48.00 8373380 Police Department 40,000 No Yes 1 $72.00 2938614 Civic Center 10,000 Yes No 1 $47.00 2938650 Art Center (old library) 19,802 Yes No 1 $42.00 2938689 Library (new) 49,000 Yes No 1 $54.50 8373365 Total Monthly Cost of Contract: $416.50 Total Annual Cost of Contract: $4998.00 Ace) CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 DATE (MMIDD/YYYY) 12/26/2014 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 notconfer rights to the certificate holder in lieu of such endorsement(s). PRODUCER INSURED Willis of Tennessee, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230-5191 Rollins, Inc. Orkin, LLC/Orkin Commercial Services Orkin Services of California, Inc. 2170 Piedmont Road NE Atlanta, GA 30324 CONTACT PHONE 877-945-7378 (AIC NO): 888-467-2378 -MAIL AO!]MESS' certificates@w1111s.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Old Republic insurance Company 29147-002 INSURERS:ACE Property and Casualty Insurance Compa 20699-001 INSURERC:New Hampshire Insurance Company 23841-001 INSURERD:National Union Fire Ins Co of Pittsburgh 19445-002 INSURER E: INSURER F: REVISION NUMBER: COVERAGES utK I IIIGc: A I t Numncras os.�o 7J. 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, OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS INSR ADDL SUER POLICY EFF POLICY EXP yyy MJDnty1 OMITS TYPE OF INSURANCE wan INVD POUCYNUMBER (MM/t)fIYYYY) (M LTR 1/1/2016 EACH OCCURRENCE $ 2,000,000 A X"_,.,_ COMMERCIAL GENERAL UABILITY Y MWZY303405 1/1/2015 ppqI�.,1pp��EE 77Q�ENTEp PREMISES (ta oa:urence) $ 2,, 00,000 i CLAIMS-MADE[_X-j OCCUR MED EXP(Any one Person) $ 10,000 $ . dF3grbicide Pesticx eL..- PERSONAL BADVINJURY $ 2,000,000 X Coverage GENERAL AGGREGATE. $ 2,000,_000____, GEN'L AGGREGATE LIMIT APPLIES PER: '-" - COMP/OPAGG $ 2,000,000 POLICY rii ECT h-i WePRODUCTS OTHER: $ AUTOMOBILEUABIUTY MWTB302897 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT _accident) $ 3r000,000___ A BODILY INJURY(Per person) $ X 'lt ANY AUTO ALLOWN ED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS _AUTOS X NON -OWNED PROPERTY (�AMAZas' (Per accident) ___...$.._-----._-----_.._._.. S x -----1--AUTOS HIRED AUTOS 1/1/2015 1/1/2016 EACHOCCURRENCE $ ,000,000 B X UMBRELLALIAB X OCCUR X00G27637036 AGGREGATE $ 5,000, 000 EXCESS UAB CLAIMS -MADE DED X 1RETENTION$ 50,000 $ 1/1/2015 1/1/2016 L RiA X ' PER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIry WCO24508414 E.L. EACH ACCIDENT s 2.000.000 ANY PROPRIETOWPARTNEMEXECUTIVE1-- OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE EA EMPLOYEE DE__..A...E--"----- $ 2,000,000 IMandator61: NH) tDyes,describeunder DESCRIPTION OF OPERATIONS Wow E.L. DISEASE -POLICY LIMIT S 2,000,000 D Excess Workers Comp WC Cover is Statutory WC9863934 1/1/2015 1/1/2016 $2,000,000 E.L. Each Accident $2,000,000 E.L. Disease -Ea Emp1. $2,000,000 E.L. Disease-Pol. Limit DESCRIPTION City solely OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached It more space is required) of National City is included as Additional Insured as respects to General Liability, but in regards to work being performed by or on behalf of the Named Insured. CERTIFICATE HOLDER City of National City Attn: Finance Dept/purchasing Div. 1243 National City Blvd. National City, CA 91950 ACORD 25 (2014/01) 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 Co11:4589415 Tp1 :1896772 Cert:2 41591 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Rollins, Inc. Policy Term: 111/2015 to 111/2016 Workers Compensation and Employers Liability Policies Coverage Policy Number Carrier Work Comp/EL WCO24508414 New Hampshire Ins. Co. - covers states of AL,AR,CO,CT,DE, H I, ID,KS,MO, MT, NE,NM,NV,NY,OK,OR, RI,SO,TX,WV Work Comp/EL WCO24508415 National Union Fire Ins. Co. of Pittsburgh, PA - covers state of CA Work Comp/EL WCO24508416 New Hampshire Ins. Co. - covers state of A2 Work Comp/EL WCO24508417 New Hampshire Ins. Co. • covers states of MA and WI - This policy also provides Stop Gap coverage for ND,WA,WY and OH Work Comp/EL W CO24508418 New Hampshire Ins. Co. - covers state of ME Work Comp/EL WCO24508419 New Hampshire Ins. Co. - covers state of MN Work Comp/EL WCO24508420 New Hampshire Ins. Co. - covers state of NH, VT & UT Work Comp/EL WCO24508421 New Hampshire Ins. Co. - covers stoles of NJ Z. PA Excess Work Comp/EL Excess Work Comp/EL WC9883935 National Union Fire Ins. Co. of Pittsburgh, PA and coverage applies to the qualified self Insured state of FL WC9883934 National Union Fire Ins. Co. of Pittsburgh, PA and coverage applies to the qualifed self insured states: AL,GAJA, IL, IN, KY,LA, MD, MI,MO,MS,NC,OH,OK, PA,SC,TN and VA including the DC area. WC Coverage Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory EL Limits $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,009 Bodily Injury by Accident - Each Accidentl$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Pojicy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Diseasel$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Acddent$2.000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease!$2,000,000 Policy Limit Bodily Injury by Disease AC �,..,. CERTIFICATE OF LIABILITY INSURANCE Page i of 2 DATE (MMIDDIYYYY) 12/26/2014 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 poiicy(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 tothe certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME_ Willie of Tennessee, Inc. c/o 26 Century Blvd. PHONE AX 877-945-7378 SALC NO)' 888-46.7-2378 MAIL P.O. Box 305191 CeT't if< Cate_,_�,,,,_.„T is . coin AD.DRESSi..._e@wwill INSURERS FFORDING COVERAGE NAICit Nashville, TN 37230-5191 INSURERA: Old Republic Insurance Company 24147-002 INSURED INSURERS: ACE Property and Casualty insurance Compa 20699-001 Rollins, Inc. Orkin, LLC/Orkin Commercial Services INSURERC New Hampshire Insurance Company 23841-001 Orkin Services of California, Inc. INSURERD.National Union Fire Ina Co of Pittsburgh 19445-002 2170 Piedmont Road NE Atlanta, GA 30324 INSURER E. I INSURER F. lAJVCrC/iVGJ v1.-.51.. II.vuw.r..... n,...-... .. 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, FXCI. t 1SICNS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE i ADM w n POLICY NUMBER POLICYUBR MMY Inn(YYY) MMtnYYY ( ry) LIMITS. ITR COMMERCIAL GENERAL LIABILITY Y MWZY303405 1/1/2015 1/1/2016 EACH OCCURRENCE $ 2,000,000 $ 2,,000�000 A X ICWMS-MADEIX.. OCCUR MORE SE OR l aoccumccurence) $ 10,000 MED EXP (Any one person) X Pesf,}cide/Herbicide PERSONAL &ADV INJURY '$ 2,000,000 $ 2,, 000,000 $ 2,000�000____ $ X GEN'L. �y' _—__..�.._._...___... Coverage AGGREGATE LIMIT APPLIES PER: PRO - POI ( i ICY I Xl JECT I_ LOC OTHER: GENERAL AGGREGATE PRODUCTS..,COMP/OPAGG A AUTOMOBILE LIABILITY Y MWTB302897 1/1/2015 1/1/2016 CEOa MaBDINGLELIMIT $3,000,000 X X ANY AUTO ALL OWNED J SCHEDULED BODILY INJURY(Per person) BODILY INJURY(Per accident) $ $ 3C AUTOS AUTOS HIRED AUTOS X A AUTOS -OWNED NONO PROPERTY DAMAGE (Per accident) $ $ X X OCCUR X00G27637036 1/1/2015 1/1/2016 EACH OCCURRENCE $ 5,000,000 $ 5,000, 000___-_ $ B ........ UMBRELLALIAB EXCESS LIAB CLAIMS -MADE i AGGREGATE DEO X RETENTION$ 50,000 c WORKERS COMPENSATION ! AND EMPLOYERS' LIABILITY Y! N { WCO24508414 1/1/2015 1/1/2016 X STATUTE __._ 1 -. PER i IOER- E.L. EACH ACCIDENT $ 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE]-N OFFICER/MEMBER EXCLUDED? t J Mandatoryin NH DSSCRIr1IOe O '... DESCRIPTION OF OPERATIONS beFow NIA ',... E.L DISEASE - EA EMPLOYEE EA O_.__ - EL.DISEASE-POLICYLIMIT $ 2, Q00, 000 - .--2 , 0 -- $ 2,000,000 D -Excess Workers Comp WC Cover is Statutory Y WC9883934 1/1/2015 1/1/2016 S2,000,000 R.L. Each Accident $2,000,000 E.L. Disease -Ea Empl. 92,000,000 E.L. Disease-Pol. Limit DESCRIPTION OF OPERATIONS- LOCATIONS !V EHICLES (ACORD 101, Addltonal Remarks Schedule, may be attached if more space Is required) Branch Name: Pacific Support Center Branch Number: 709 Job Location: California It is agreed that City of National City is included as an Additional Insured as respects to Genera]. Liability and Auto Liability, but solely in regards to work being Der armed by or on behalf CERTIFICATE HOLDER CANCELLATIO City of National City General Services Department Purchasing Division 2100 Hoover Avenue National City, CA 91950-6530 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 ACORD 25 (2014/01) Coll :4589425 Tp1:1896625 Cert.2 6-892 01988-2014ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC©RD AGENCY CUSTOMER ID; 235742 LOC#. ADDITIONAL REMARKS SCHEDULE Page �of AGENCY Willis of Tennessee, Inc. POLICY NUMBER See First Page CARRIER See First Page ADDITIONAL REMARKS NAIC CODE NAMED INSURED Rollins, Inc. Orkin, LLC/Orkin Commercial Services Orkin Services of California, Inc. 2170 Piedmont Road NE Atlanta, GA 30324 EFFECTIVEDATE: See First Page THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25__________ FORM TITLE- CERTIFICATE OF LIABILITY INSURANCE of the Named Insured as required by written contract. It is further agreed that such insurance as is afforded shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of subrogation applies in favor of City of National City with respects to Workers Compensation coverage as required by contract as permitted by law. ACORD 101 (2008/01) Co11:4589425 Tp1:1896625 Cart:22568392 ©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Rollins, Inc. Policy Term: 1/1/2015 to 1/1/2016 Workers' Compensation and Employers Liability Policies Coverage Policy Number Carrier Work Comp/EL WCO24508414 New Hampshire Ins. Co. - covers states of AL,AR,CO,CT,DE, HI,ID,KS,MO,MT, NE,NM,NV,NY,OK,OR, RI, SD,TX, W V Work Comp/EL WCO24508415 National Union Fire Ins. Co. of Pittsburgh, PA - covers state of CA Work Comp/EL WCO24508416 Work Comp/EL WCO24508417 Work Comp/EL WCO24508418 Work Comp/EL W CO24508419 Work Comp/EL WCO24508420 Work Comp/EL WCO24508421 Excess Work Comp/EL Excess Work Comp/EL New Hampshire Ins. Co. - covers state of AZ New Hampshire Ins. Co, - covers states of MA and WI - This policy also provides Stop Gap coverage for ND,WA,WY and OH New Hampshire Ins. Co. - covers state of ME New Hampshire Ins. Co. - covers stale of MN New Hampshire Ins. Co. - covers stale of NH, VT & UT New Hampshire Ins. Co. covers states of NJ & PA WC9883935 National Union Fire Ins. Co. of Pittsburgh, PA and coverage applies to the qualified self insured state of FL WC9883934 National Union Fire Ins. Co, of Pittsburgh, PA and coverage applies to the qualifed self insured states: AL,GA, IA, IL, I N, KY, LA, MD, MI,MO,MS,NC,OH,OK, PA,SC,TN and VA including the DC area. WC Coverage Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory Statutory EL Limits $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Diseasel$2,000,000 Pollcy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each Accident/$2,000,000 Each Employee Bodily Injury by Diseasel$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily Injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease $2,000,000 Bodily injury by Accident - Each AccidenU$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED/DESIGNATED INSURED AMENDMENT - PRIMARY AND NON-CONTRIBUTORY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE Designated Person(s) or Organization(s): All persons or organizations where required by written contract. WHO IS AN INSURED (SECTION II) is amended to include the person(s) or organization(s) shown in the above Schedule, but only with respect to "accidents" arising out of work being performed for such person(s) or organization(s). As respects any person(s) or organization(s) shown in the above Schedule with whom you have agreed in a written contract to provide primary insurance on a non-contributory basis, this insurance will be primary to and non-contributing with any other insurance available to such person(s) or organizations(s). PCA 048 10 13 MWTB 302897 Page 1 of 1 Rollins, Inc. Policy Period: 01/01/2015 - 01/01/2016 COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 MWZY 303405 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © insurance Services Office, Inc., 2012 Page 1 of 1 Rollins. Inc. Policy Period: 01/01/2015 - 01/01/2016 WAIVER OF OUR RiGriT TO RECOVER FROM OTI-ItRS ENDORSE/al NT Tha ervJorwrieot changes the policy to which 4 allecited effective on inception 414to er the poky unfree Wye/ dots .5 indicated bele*. 1,s kbywroCaltathno t7.2.19.11e ma/ bY YorrrAPY0 say WI*, Pi/ Yrricrormeni lamed sut4equaed fultr,...r407,1 110 pthoo. TIlis (indorsement, eVect,..i 12 DI AM 1/1/15 tc Rollins, Inc. New Hampshire Insurance Company 'Pterr,ium INCLUDED farm a Part at °No"), INCO24508414 We I,ave the togtx to rezover our perzents horn efiyonthnLe or nnor9 cowerro Py this CtAy. 'A* vii4 finh.Ncou crcx rlohl e9olost the Weal, aroctilartiZation nutriod in the 5check.le. Ifts agreement ermine only to the extent :hal you >efarm Avrot miler a twAlac oorilreCt thaares you to obtain tin rtgreernael Imrsi This arjreomvil MIMI not (*Kate. *bitty or Vvenutly to beneG1 any ono no imid In Mu Sohodulo. ScheAduIe THE PREMIUM FOR THE ENDORSEMENT IS INCLUDED ANY PERSON OP ORGANIZATION FOR WOM YOU PERFORM WORM UNDER A WITTEN CONTRACT THAT REQUIRES TO YM OBTAIN TH I S AGREETICNT FROM US CONTINUED NEXT PAGE Tin form is nol oupicablu In COttornis, Knlz.1,41'1)2o-we, Now JAftey, 4h oi cibio Texat, ljtoh, rWoohogtoo, 11.4C 00 03 13 CouniorvIgnecl by (to. (Natio " ey.../1.13, Authorized Reti regentative CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950 619-336-4228 phone / 619-336-4229 fax Michael R. Dalla, CMC - City Clerk September 29, 2015 Mr. Gordon Nasser Orkin Commercial Services 12175 Flint Place Poway, CA 92064 Dear Mr. Nasser, On July 1st, 2015, an Agreement was entered into between the City of National City and Orkin Commercial Services. We are enclosing for your records a fully executed original Agreement. Michael R. Dalla, CMC City Clerk Enclosure