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Springs Ambulance Service/Lease 15AGREEMENTLEASE THIS LEASE AGREEMENT (the "Lease") is made effective the 1st day of May, 2015 (the 'Effective Date"), by and between € RI AMBULANCE SERVICE, INC_ a California corporation ("Tenant") and THE CITY OF LA ClUINTA, a California municipal orporaticrra ("Landlord"). Landlord hereby leases the property described below to Tenant upon the fallowing terms and conditions: 1 , Promises, Landlord is the owner of that certain real property located in -the City of La QUinta, County of Riverside, State of California, with a physical address of 78136 Frances Hank Lana; cornmonly known as old Eire Station #32 (the 'Landlord Property"), The portion of the Landlord Property. that Is the subject of this Lease, is the east office portions of the bUi ding, �,J'�jhich € on i t of 1,212 sq. ft. ('Premises"). Notwithstanding anrLhing herein to the contrary, the Premises shall not include the garages; or storage areas located on the Landlord Property. The Landlord property is identified on Exhibit "A" and le alhi described in Exhibit " ' % ith both such exhibits attached hereto and incorporated herein by this reference, . Grant of Lease. Landlord hereby leases to Tenant, and Tenant hereby leases from Landlord, the Premises, together with the right to use the parkin areas located on the Premises, upon the terms and conditions stated in this Lease. . Berme of Lease. (a) Landlord hereby leases the Premises to Tenant for the primary prose of providing ambulance services. (b) Notwithstanding anything in this Lease to the COMTaTy, i rr Ti-t shall not park more than firer W ambulances, and six 1 1 personal 'vehicles on or around the Premises at any given ro time. Term, The Term of this Lease shall commence on May 1, 2015 and shall end on --April 30, 0-1 , unless sooner terminates as provided herein (the "Term") , S. 1" rti Extension. The Term of this Lease may be extended twice for a period of one t1) klear each with a written amendment to this Lease approved and executed by butte Landlord and Tenant. Rent r tlr a res. Beginning May 1, 2015, and continuing throughout the Terra, Tenant shall pay to Landlord monthly rent for use of the PFen-iises in the amount of One Thousand Five Hundred Dollars ( 1 , 0. ) ("Rent")- Rent shall be deemed to incWde all chances and costs for gas, water, and electricity. Tenant shall be responsible to pat' all ether utilities, for the Page I of Premises directly to the utility provider of such service. All payments f Rent shall be paid by Tenant on or before the first (1') day of each month without notice or demand from Landlord at Landlord's address as provided by Section 23 belo�ki. Notwithstandingthe foregoing, if the Terra of this lease commences on a data other than the first day of the month, the Rent for such initial month shall be determiner on a pro-rata basis. , gate �es� If any of the Beat is not received by Landlord within fifteen i`l i days after the first 0") day of each month, then, without an rer r_ rernent for notice by Landlord, Tenant shall pay to Landlord an additional ara-ount of Fifty Dollars l it l for each day that such Beat is definquent. Custodial and Maintenance Services. As a condition to this Lease, and at Tenant's; sole cost and �expense, Tenant shall contract with a custodial service company approved, in writing, by Landlord', in Landlord's sole discretion, to perform custodial services on the Premises during the Terri. At 'Tenant's gale cost and expense, Tenant shall contract with an HVAC contractor r to provide quarterly inspections and filter changes. 9. Maintenance, pit, n 1aqemt on Premises. (a) Tenant shall not do, or permit anything to be done, in or on the Pren-rises, which in any way will (1 ) increase the rate of fire- insurance on the Premises, $ i invalidate or conflict with the fire insurance policies on the Premises or fixtures or on personal property let therein,- or (} subject Landlord to any liability for injury to persons or darna e to property. Ibi Landlord shall - not be liable under this Lease to Tenant for injuries to Tenant's person or darnage to property occurring on the Premiz5e5 or to any persons entering the Premises related to Tenants thereon, including, withoul limitation: (i) a loss of properly by theft or burglary; bpi carnage or injury to person or, property on the remises; i i any damage or injury caused by action of the natural elements; or lei damage or injury resulting from iia the conduct of Tenant, Tenant's contractors, licensees or invitees, whether ne ll ent or otherwise, or iiil any other -act, event or occurrence in or about the Premises other then the grossly negligent or intentional acts of Landlord or Landlord's employees, contractors, licensees or Invitees. Tenant shall not make any claim against Landlord for any loss or damage described it-, this Section. (c) Upon expiration f the Terry-i, or any earlier termination of this Lease. Tenant shall surrender to Landlord the premises, including all alterations, improvements nd other additions made by Landlord or Tenant, in good carder„ >.condition, and repair, reasonable wear and tear excepted, Tenant shall also remove any partitions or -'similar improvement made by Tenant to the Premises (e.g., office spaces, r odu arsi without any Page 2 of 11 compensation due by Landlord to Tarrant or, at Landlord's sale discretion, Tarrant shall take the necessary steps to return the Pr Inds s to the configuration of the Premises as found by Tenant at the commencement meat f the Term absent any, or at the request of the City some but not all, - f such improvements and in good carder, condition, and repair. 10. Improvements, Is Prior to undertaking ny alterations, improvements, or iristallatirarts of ' fixtures, Tenant stall submit such propcsed alterations, improvements, or installation of fixtures, in writing, to Landlord, and shall obtain the prior 'written consent thereof from Landlord. Any improvements required pursuant to the Arnericans with Disabilities Act and the regulations pr mun tdd thereunder shall be the sole responsibility of the Tenant. Idl Within thirty I~ l days afters the Effective Date{ Landlord shall M install smoke detectors and carbon monoxide detectors rs within the Premises in quantities and locations s determined by the Landlord's €lding Official, and (ii) inspect the eater heater at the Premises. If Landlord determines, i its reasonable discretion, that the water heater should be replaced, Landlord shall promptly replace said water heater. 11. Tenant's Insurance. (a) lykes. Tenant, at no cost or expense to Landlord, shall pr CUTe and keep in full force and effect during ther Term, insurance policies meeting the minimum re uiremenis set forth below-, M crnprehens;ve general liability insurance fl[h respect to the Premises and the operations of or on behalf of Tenant or its agents, representatives, officers, directors, and employees in, on or bout the Premises in an amount not less than One Million Dollars l "l l ,t l l i per occurrence e rnined single limit bodily inn rV, personal injury, death and property damage li i ilitV, subject to such increases in amount as Landlord may reasonably require fracas time t time, The policy or policies small include that Landlord and its officers, officials, members, employees, representatives, and agents shall be named s additional insureds under such policy or policies, with an endorsement viddrtcin same, nd shall provide that Such policy or policies shall not are terminated unless 30 dabs notice has been provided to Landlord,, (ii) Worker's compensation coverage as required boy the laws f the tote of California together with employer's liability coverage; and Page 3 of 11 liiii With respect to the improvements, fixtures, furnishings, equipment ent and other > items of personal property located on r in the Premises, insurance against fire peril, or flared, extended coverage, vandalism ...r and malicious mischief, and such other additional perils, hazards and risk, as now are or may be included in standard 'still risk" forms in general use in Riverside arside County, California, for are 'amount equal to not less than the full current, actual replacement cast thereof, Landlord shall be named as an additional loss payee under such policy or policies and such irnsuranca shallcontain a replacement cost anddrs r-r-ent. lbl Standard. All policies of insurance required to be carried by Tenant under this Lease <shall be written by responsible sible and solvent insurance companies authorized to do business in the State of California. copy of each paid -up policy evidencing such insurance (appropriately authenticated by the insurer) or a certificate of -the insurer, certifying that such policy has been issued, ed, rov✓ din the coverage required b, , this Section and containing roes i rs specified herein; as well as accornpanying endorsements, shall be delivered to Landlord prior is the date Tenant is given the right of possession of the Premises or as Landlord may otherwise require, and upon renewals, not less than thirty• 1 1 days prier' to the expiration of such coverage. 12. Events of Default. (a) An avant of default fan "Event of Default') lt') shall occur under this Lease if: ii; Tenant shall fail to perform any of the terms, conditions or covenanTs of this Lease to be observed or performed by Tarrant and such failure shall continUe for more than thirty l li days thereafter, unless such default is of a nature that it cannot practically be cured d within such thir4t° () day period but can be cured within reasonable time but in no event later than ninety () days, and Tenant is proceeding with due diligence to cure such default; or liil Tenant's abandonment of the Premises in a manner not otherwise permitted herein. (b) The faHure of Landlord to insists in any one or n,iora instances, upon a strict performance of any of the covenants of this Lease or t exercise any right or remedy contained herein, shall not be construed as waiver or a relinquishment for the future of such covenant or option. 12. Termination. Landlord and Tenant can mutuaily° agree, to terminate this Lease by vvaV of a written document reflecting the partied' mutual desire to Page 4 of 11 term ate. Tenant or Landlord can unilaterally terminate this Lease upon Tenant's locating and securing a new physical location for its operation, Upon any wash aforementioned termination, Tenant shall surrender the Premises, in accordance with the provisions contained in this Lase, no later than the effective date of termination, and gay Hent to Landlord, on a pro rated basis, for each day leading up to the termination date. 14, Tenant's Indemn1tv. To the to l st extent permitted by law, Tenant shall, at Tenant's sole expense and with counsel reasonably acceptable to Landiord, defend, indemnify, and hold harrniess Landlord and Landlord's dffi lais, officers, members, empg oyees, agents, and representatives (collectively, the "Landlord Re redentatives"fig from and against any and all claims (including demands, - losses, actions, causes of action, damages, liabilities, expenses, charges, asses meets. braes or penalties of any kind, arid costs including consultant and expert fees, court costs and 'attorney's tees) or liabilities (any of the foregoing, a "Claim") from any cause arising out of or relating (directly or indirectly) to Tenant's use or occupancy of the Premises, the conduct of Tenant's business, or from any activity, work, or tNng dome, permitted or suffered by Tenant in or about tie Premises and .shall further defend, indemnify, and hold harmless Landlord and the Landlord Re resemativas against and from any and all Claims arising from any breach or default in the performance of any obligation on Tenant's part to be performed hereunder, or arising from any act or negligence of Tenant, or of its agents, employees, visitors, patrons, guests, invitees or licensees, including vendors, servicing Tenant, Notwithstanding the foregoing, Tenant shall not be liable for damage or injury occasioned by the gross negligence or willful misconduct of Landlord or its deslgnatdd agents, servants or employees unless covered by insurance Tenant is required to provide. Tenant's obligation to indemnify shall include Tenant's payment of reasonable attorneys' fees and investigation eats and all other reasonable costs, expenses and liabilities incurred or suffered by Landlord from Landlord's receipt of the first notice that any Claim is to be made or may be made, I enant"s indemnification obligation hereunder shall ouRiive the expiration or earlier termination of this Lease rivndl all Clairns against Landlord involving any of the indemnified matters are fully, f naHy, and absolutely barred by the applicable statutes of limitation. 15, Riqht to Enter, Landlord shall have the right to enter the Premises ilai at reasonable hours upon prior reasonable notice to Tenant (verbal or written) for any purpose permitted or required by this Lease, including to verify Tenant's compliance with the terms hereof; or )b) at any time that an emergency exists, to examine the Premises or to make each repairs and alterations as shall be reasonably( necessary for the safety and preservation of the Premises. 16, Landlord Contact Person. During the Terre, Tenant shall direct all questions, concerns, and correspondence regarding repairs or other issues relating Page to this Lease to Landlord's representative, Steve Howlett, at the address set forth in Section >23 herein. 17, Tenant shall not have the right to eaglet the Premises, or any portion thereof, or to assign or mortgage Tenant's interest in this tease; or any portion thereof, without the prior written consent of Landlord, which consent r-n y be withheld in Landlord's sale and absolute discretion. In the case of any such subletting or assignment approved by Landlord, Tenant shad rer r in fully obligated to Landlord for the performance of all terms said conditions of this Lease, Notwithstanding the foregoing, Landlord ay, without Tenant's consent, assign this Lease to any governmental entity with jurisdiction over the Premises, 8. Title No part of this Lease shall be interpreted as conveyingany portion of the title to the Premises or the gild Fire Station #32 to the Tenant. P��!iqakle Laws. Tenant hereby covenants and warrants that Tenant shall comply with all applldable lure, rides, and regulations, in lr~ 6ng, without limitation, tion, Landlord's miles and regulations, in connection with its operations on the Premises. . Governi Law. This Lease shall be construed and applied in accordance with the laws f the State of California, 21, Severabifity. Any provision or provisions of this Lease which small prove to be invalid, redid, or illegal shall in no waV affect, impair or invalidate any other provision, and the remaining provisions s;gall remain in full force and effect; 22ings, The headings of the various Sections of this Lease are inserted for reference only and sl"ral not to any extent have e the effect of modifying, amending or charging the express terms and provisions of this Lease. 23. Notices. All notices, demands, elections, deliveries and other COMMUM cations between Landlord and Tenant required or desired to be given in connection with this Lease (" o ice "{., to be effective hereunder, shall, except as otherwise expressly provided in this Lease, be in writing, and shall be deemed to be given and received la when delivered personally; (d} upon t delivery ley e repeatable overnight t courier service that provides a; receipt with the date and the of delivery (e.g., Federal Gress), or is two () days after deposit with the United States Postal Bernice, prepaid, as certified mail, return receipt requested, addressed as follows: If to Landlord: City of La C. ui to Attar Frank Spevacek, City Manager 95 Calle Tampico La Quints, CA 92253 Page 6 of 11 With a Copy t: l utan & Tucker, LLP Attu: William l-1, dhri e, Esq. d 1 1 Anton Boulevard, 1 4" Floor Costa Mesa, CA 92626 If to Tenant: Springs Ambulance Service, Inc. Attar. Doug Key, General Manager 1 111 It rrtalvo Way Palm Springs, CA 92262 Either Landlord or Tenant may from ti to time designate another address for the receipt of future Notices by a Notice given as provided in this Section to the other party at the address set forth herein, or as last provided by such other party in accordance with this Section 23, mendments. Neither this Lease nor any term or provision heal may be changed orally, but only by an instrument in writing signed by Tenant and Landlord. 25. Waivers. No waiver hereunder shall be effective except by an instrument in writing signed by the party against rhich the waiver is sought. .: Successors and Assigns. Notvvithstanding anything contained herein to the contrary, this Lease shall be binding upon and inure to the benefit, as the ruse may require, of the parties hereto and their respective heirs, executors, administrators, since sors, and assigns, 27- a e e iati ns. Landlord shall have the right, from time to time, to issue reasonable miles and regulations regarding the use of the Premises, When so issuer, such rules and re uiations shall be considered d pant of this Lease. Landlord shall not be liable to Tenant for the violation of any rules and regulations or the breach of any covenant or condition in any lease by any other tenant of Landlord. 28. rati rtra t. This Lease contains the entire a r et�`ierat ant the parties with regard to the matters set firth herein. Any rather agreements, promises or representations, oral or written, between the parties with respect to such matters are hereby superseded and emerged into this Lease. , Execution of Counterparts. This tease may be executed it several counterparts, each of which shall be an original but all of which shall constitute one and the same inStrUment, 30, Relationship Bdt eels the Parties. It is hereby acknowledged by Tenant that the relationship between Landlord and Tenant is not that of a Page 7 oi 11 partnership or joint venture and that Landlord and Tenant shall not be deemed or construed for any purpose to be the agent of the other. IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed to be effective as of the date first written above. CITY OF LA QUINTA, a Ca"Torni municipal corporation ' Dated. 411- 15 Edie Hylton, [ uty City Manager ATTEST Susan Mayseis City Clerk APPROVED AS TO FORM: WILLIAM H. IRKE, City Attorney SPRINGS AMBULANCE SERVICE,, INC.., a Ca4iFor,' corporation S Elated; Titie; _� Thence continue alongsaid parallel line 23.50 feet lo point "A"; Thence Easterly and parallel with said South fine 25-00 feet Thence Southerly and parallel with said East line 23,,50 feet� Page 10 of 11 Thence Westerdy and parallel with said South Brae, 25.00 feet to the point of beginning. Containing 7.5 square feed more or less. Said property is hereinafter referred as the "Excepted Area". Subject to a non-exclusive access easement reserved by the County of Riverside for itself, its successors, assigns, tenants, subtenants and licensees to provide reasonable access to the Excepted Area: : 20.00 foot stria of land in the Southwest one -quarter of the Southwest one - quarter of section 6, Township 6 South, Range 7 East, .B,M. ira the County of Riverside, State of California; than centerline of said strip described as follows: Commencing at a paint any the south line of Section d, said point teeing 140.00 feet vested frame the southeasi corner of the west 25 acres of the SW f l4 of he SW 1 /4 of said section l Thence northerly and parallel with the east kris of said vest 25 acres, 3 -00 feet to the point of beginning, - Thence continuing along said parallel lira; 126.50 feet to the Terminus of this description. Containing 2,530 square feet, more or less. Said property is herainafter referred to as the Easernent Area, The Easement Area is subject to relocation by The CitV of La Quinta at the City of 1_a uints's discretion, The relocated access steep provide reasonably equivalent chess for the County of Riverside, its successors, assigns, tenants, ants, subtenants and licensees to the Excepted Area. APN ` -f 4- ¢ 78-136 Frances lack wane La :, unt , Callforni2 Page 11 of W-W! MEMORANDUM TO: Frank J. Spevacek, City Manager FROM: Edie Hylton, Community Services Director DATE: February 23, 2015 RE: Springs Ambulance Service, Inc. aka AMR Attached for your signature is a Lease Agreement between Springs Ambulance Service, Inc. and the City for 78136 Frances Hack Lane, commonly known as Old Fire Station #32. Please sign and return to the City Clerk for processing and distribution. AMENDMENT NO.1 TO LEASES AGREEMENT WITH SPRINGS AMBULANCE SERVICES, INC. FOR PROPERTY LOCATED AT 78136 FRANCES HACK LANE, LA QUINTA CA 922.53 THIS AMENDMENT NO. 1 TO THE LEASE AGREEMENT WITH SPRINGS AMBULANCE SERVICES, INC. FOR PROPERTY KNOWN AS OLD FIRE STATION #32 ("Amendment No. 1") is made and entered into as of the 15t day of May, 2016 ("Effective Date"), by and between the CITY OF LA QUINTA ("City"), a California municipal corporation, and SPRINGS AMBULANCE SERVICES, INC., a California corporation ("Tenant"). RECITALS A. On or about May 1, 2015 the City and Tenant entered into a Lease Agreement for use of Old Fire Station #32. The term of this original agreement expires April 30, 2016. B. Pursuant to Article 5, Term Extension, the City and Tenant may extend the term of the agreement for two (2) additional one-year terms upon mutual agreement by both parties. C. Tenant and City now wish to amend the original Agreement for a (1) one-year extension, May 1, 2016 through April 30, 2017. AMENDMENT In consideration of the foregoing Recitals and the covenants and promises hereinafter contained, and for good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, the parties hereto agree as follows: As provided in Article 5, Term Extension, of the existing Lease Agreement, the City of La Quinta and Springs Ambulance Services, Inc. have agreed to extend the term of the agreement for a (1) one-year extension, commencing May 1, 2016 through April 30, 2017.. In all other respects, the original agreement shall remain in effect. IN WITNESS WHEREOF, the City and Tenant have executed this Amendment No. 1 to the Agreement on the respective dates set forth below. CITY: CITY OF LA QUINTA a California municipal corporation Digitally signed by Frank J. Spevacek DN: serialNumber=g8z17znOv50w4d3x, c=US, st=California, I=La Quinta, o=Frank J. Spevacek, cn=Frank J. Spevacek Frank J. Spevacek, City Manager Dated ATTEST: Digitally signed by Susan Maysels DN: serialNumber=j4r7111gi ppsr45f, c=US, st=California, I=La Quinta, o=Susan Maysels, cn=Susan Maysels Date: 2016.04.27 10:0615-07'00' Susan Maysels, City Clerk APPROVED AS TO FORM: William Irke, City Attorney CONTRACTOR: SPRINGS AMBULANCE SERVICES, INC., a California corporation J�C� /,/"/, - e�� r 5/ / b yj 0Date Name ZrFe s clw b �✓a;Gc.T?6 Title A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 4/15E(MM/ /2016 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 endorsements . PRODUCER Woodruff -Sawyer & Co. 717 17th Street, Suite 1540 Denver CO 80202 CONTACT NAME: P"°NE 800-675-4467 FAX A/c No): ADDRESS: envisioncertrequest@wsandco.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 INSURED ENVIHEA-01 INSURER B: Continental Casualty Company 20443 SPRINGS AMBULANCE SERVICE, INC. INSURERC:ACE American Insurance Company 22667 DBA AMERICAN MEDICAL RESPONSE 1111 MONTALVO WAY INSURER D : Indemnity Insurance Company of Nort 43575 INSURER E :ACE Fire Underwriters Insurance Com 20702 PALM SPRINGS CA 92262 INSURER F : COVERAGES CERTIFICATE NUMBER: 787366784 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y HAZ40320740893 3/31/2016 3/31/2017 EACH OCCURRENCE $2,750,000 CLAIMS -MADE �X OCCUR 11MIG To ."ence)$100,000 PREMISE (Ea o.."enc.) X MED EXP (Any one person) $10,000 SIR $250 000 PERSONAL & ADV INJURY $2,750,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY ❑ PRO- ❑ LOC JECT X PRODUCTS - COMP/OP AGG $2,750,000 $ OTHER: C C C AUTOMOBILE LIABILITY ANY AUTO ISAH090418 4 ISAH09041886 ISAH09041886 3/31/2016 3/31/2016 3/31/2016 3/31/2017 3/31/2017 3/31/2017 COMBINED SINGLE LIMIT Ea accident $ 10,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ AUTOS NED SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR 6796605 3/31/2016 3/31/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LAB CLAIMS -MADE DED RETENTION $ $ C D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WLRC48602344 WLRC48602356 SCFC48602368 3/31/2016 3/31/2016 3/31/2016 3/31/2017 3/31/2017 3/31/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 C OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A A WCUC4860237A 3/31/2016 3/31/2017 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Medical Professional 6796605 3/31/2016 3/31/2017 EA OCC/GEN AGG 10,000,000 Liability (Claims Made) SIR 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *$1,000,000 SIR APPLIES TO EXCESS WC POLICY NO. WCUC4860237A City of La Quinta and its officers, officials, members, employees, representatives, and agents shall be named as addiitonal insureds on the General Liability policy as required with endorsement evidencing same. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Frank Spevacek, City Manager 78495 Calle Tampico La Quinta CA 92253 AUTHORIZED REPRESENTATIVE '7�pll ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST THE PERSON OR ORGANIZATION PROVIDED SUCH WAIVER IS PERMITTED BY LAW AND THE INJURY OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No:WLRC48602344 Endorsement No. Insured:SPRINGS AMBULANCE SERVICE, INC. Insurance Company: ACE American Insurance Company Countersigned by w— WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Ins fired Envision Healthcare Corporation iq Policy Symbol Po icy Number Policy Period Effective Dale of Endorserrenl ISA H090411 14 0331i2016 to 03r3112017 3i31/2016 Issued 9y (Name of Insurance Company) ACE American Insurance Company Inserl the policy number. The rerrainder of the mfour+alion is to be completed only •;:°ten this endorsement is issued subsequent to the preparation of the poky THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM EXCESS TRUCKERS COVERAGE FORM Additional Insured(s): _Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss._ A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91U74b (06/14) Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Envision Healthcare Corporation 13 Policy Symbol Policy Number Po.tcy Period Effective Bate of Endorsement ISA I H09041 114 03/31/2016 to 03/3li2017 3/31/2016 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information Is to be completed oNy when this endorsement Is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies all insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement (if no information is filled in, the schedule shall read: 'A// ,persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b (06f14) Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named insured Envision Healthcare Corporation Endorsement Number 4 Policy Symbol I Policy Number Policv Period Effective Date of Endorsement ISA I11OW411 14 0131 201610 03/31 i2017 33U2016 Issued By (Name of Insurance Company) ACE American Insurance Company insert the policy number The remainder of the information is to be completed only when this endorsement is issued sunsequenl to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM 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 the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a (06114) Page 1 of 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Ins fired Envision Healthcare Corporation iq Policy Symbol Po icy Number Policy Period Effective Dale of Endorserrenl ISA H090411 14 0331i2016 to 03r3112017 3i31/2016 Issued 9y (Name of Insurance Company) ACE American Insurance Company Inserl the policy number. The rerrainder of the mfour+alion is to be completed only •;:°ten this endorsement is issued subsequent to the preparation of the poky THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM EXCESS TRUCKERS COVERAGE FORM Additional Insured(s): _Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss._ A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91U74b (06/14) Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Envision Healthcare Corporation 13 Policy Symbol Policy Number Po.tcy Period Effective Bate of Endorsement ISA I H09041 114 03/31/2016 to 03/3li2017 3/31/2016 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information Is to be completed oNy when this endorsement Is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies all insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement (if no information is filled in, the schedule shall read: 'A// ,persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b (06f14) Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named insured Envision Healthcare Corporation Endorsement Number 4 Policy Symbol I Policy Number Policv Period Effective Date of Endorsement ISA I11OW411 14 0131 201610 03/31 i2017 33U2016 Issued By (Name of Insurance Company) ACE American Insurance Company insert the policy number The remainder of the information is to be completed only when this endorsement is issued sunsequenl to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM 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 the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a (06114) Page 1 of 1 BLANKET ADDITIONAL INSURED ENDORSEMENT HEALTHCARE FACILITIES GENERAL LIABILITY COVERAGE This endorsement modifies insurance provided under: Commercial General Liability Coverage Form Occurrence G-145567-A Commercial General Liability Coverage Form Claims -Made G-145566-A Healthcare Liability Policy Common Conditions (G-1441 D2-A) A. SECTION II-WH0 IS AN INSURED of the Commercial General Liability Coverage Form is amended to include as an "Additional Insured" anyone whom you are required to add as an additional insured on this policy under a written contract or agreement or an oral contract or agreement, 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 emissions of those acting on your behalf--- 1 - in the performance of your ongoing operations; or 2_ in connection with your premises owned or rented to you, provided such contract was executed prior to the date of loss. B. SECTION V - DEFINITIONS is amended to add the following new definition. - "Additional Insured" means: 1. A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults; street banners, or decorations and similar exposures; or (b) The construction; erection, or removal of elevators, or (c) The ownership, maintenance, or use of any elevators covered by this insurance. (2) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. This insurance does not apply to "bodily injury," property damage" or "personal and advertising injury' arising out of operations performed for the state or municipality. 2. Any persons or organizations with a controlling interest in you but only with respect to their liability arising cut of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you tease or occupy these premises. Insured Name: Envision Healthcare Corporation 0 CNA All Rights Reserved. 1W This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such "additional insured". 3. A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new constriction or demolition operations performed by or on behalf of such "additional insured"_ 4. A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such 'additional insured"- S . An owner or other interest from wham land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such "additional insured"_ 6. A co-owner of a premises cc -owned by you and covered under this insurance but only with respect to the co -owners liability as co-owner of such premises. 7. Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these "additional insureds", the following additional exclusions apply: This insurance does not apply: (1 ) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury" or "property damage" arising out of the sole negligence of such "additional insured". 8. Any other person or organization whom you have agreed to include as an "additional insured" under a written contract or agreement that was executed prior to the date of loss. As respects the coverage provided under this endorsement. HEALTH CARE LIABILITY POLICY COMMON CONDITIONS, Condition X. Other Insurance or Risk Transfer Arrangements is deleted and replaced with the following: Insured Name: EMSC CNA All Rights Reserved. Other Insurance -Excess Insurance This insurance is excess over: Any other valid and collectible insurance available to the "additional insured" whether primary, excess, contingent or on any other basis unless a contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. When required to be noncontributing, for a lass covered under this policy, this insurance will apply to such loss and we will not seek contribution from the other insurance available to the "additional insured". All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Insured Name: Envision Healthcare Corporation O CNA All Rights Reserved. BLANKET ADDITIONAL INSURED ENDORSEMENT HEALTHCARE FACILITIES GENERAL LIABILITY COVERAGE This endorsement modifies insurance provided under: Commercial General Liability Coverage Form Occurrence G-145567-A Commercial General Liability Coverage Form Claims -Made G-145566-A Healthcare Liability Policy Common Conditions (G-1441 D2-A) A. SECTION II-WH0 IS AN INSURED of the Commercial General Liability Coverage Form is amended to include as an "Additional Insured" anyone whom you are required to add as an additional insured on this policy under a written contract or agreement or an oral contract or agreement, 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 emissions of those acting on your behalf--- 1 - in the performance of your ongoing operations; or 2_ in connection with your premises owned or rented to you, provided such contract was executed prior to the date of loss. B. SECTION V - DEFINITIONS is amended to add the following new definition. - "Additional Insured" means: 1. A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults; street banners, or decorations and similar exposures; or (b) The construction; erection, or removal of elevators, or (c) The ownership, maintenance, or use of any elevators covered by this insurance. (2) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. This insurance does not apply to "bodily injury," property damage" or "personal and advertising injury' arising out of operations performed for the state or municipality. 2. Any persons or organizations with a controlling interest in you but only with respect to their liability arising cut of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you tease or occupy these premises. Insured Name: Envision Healthcare Corporation 0 CNA All Rights Reserved. 1W This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such "additional insured". 3. A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new constriction or demolition operations performed by or on behalf of such "additional insured"_ 4. A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such 'additional insured"- S . An owner or other interest from wham land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such "additional insured"_ 6. A co-owner of a premises cc -owned by you and covered under this insurance but only with respect to the co -owners liability as co-owner of such premises. 7. Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these "additional insureds", the following additional exclusions apply: This insurance does not apply: (1 ) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury" or "property damage" arising out of the sole negligence of such "additional insured". 8. Any other person or organization whom you have agreed to include as an "additional insured" under a written contract or agreement that was executed prior to the date of loss. As respects the coverage provided under this endorsement. HEALTH CARE LIABILITY POLICY COMMON CONDITIONS, Condition X. Other Insurance or Risk Transfer Arrangements is deleted and replaced with the following: Insured Name: EMSC CNA All Rights Reserved. Other Insurance -Excess Insurance This insurance is excess over: Any other valid and collectible insurance available to the "additional insured" whether primary, excess, contingent or on any other basis unless a contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. When required to be noncontributing, for a lass covered under this policy, this insurance will apply to such loss and we will not seek contribution from the other insurance available to the "additional insured". All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Insured Name: Envision Healthcare Corporation O CNA All Rights Reserved. r � r MEMORANDUM TO: Frank J. Spevacek, City Manager FROM: Steve Howlett, Facilities Director DATE: A:Yri1-7! N1f-- April 18, 2016 RE: Springs Ambulance Service, Inc. aka AMR Amendment #1 Attached for your signature is the rrar rnen-with Springs Ambulance Service, Inc. and the City for 78136 Frances Hack Lane, commonly known as Old Fire Station #32. Please sign the attached agreement(s) and return it to the City Clerk for processing and distribution. Requesting department shall check and attach the items below as appropriate: NIA Contract payments will be charged to account number: NIA A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with no reportable interests in LQ or reportable interests NIA A Conflict of Interest Form 700 Statement of Economic Interests is not required because this Consultant does not meet the definition in FPPC regulation 18701(2). Authority to execute this agreement is based upon: NIA Approved by the City Council on (date) NIA City Manager's signature authority provided under Resolution No. 2015-045 for budgeted expenditures of $50,000 or less NIA Initial to certify that 3 written informal bids or proposals were received and considered in selection The following required documents are attached to the agreement: x Insurance certificates as required by the agreement (initialed by Risk Manager on 4 / 18 PN date) NIA Performance bonds as required by the agreement (originals) City of La Quinta Business License (copyor note number & expiration dote here LIC-0000021 (exp . 06130116) NIA Purchase Order number 0"tra t IN I-. IIk1*- MEM0RANDUM TO: Frank J. Spevacek, City Manager FROM: Steve Howlett, Facilities Director DATE: February 2, 2017 RE: Springs Ambulance Service, Inc. aka AMR Attached for your signature is Amendment #2 with Springs Ambulance Service, Inc. and the City for 78136 Frances Hack Lane, commonly known as Old Fire Station #32. Please sign the attached agreement(s) and return it to the City Clerk for processing and distribution. Requesting department shall check and attach the items below as appropriate: NIA Contract payments will be charged to account number. NIA A Conflict of Interest Form 700 Statement of Economic Interests from ConsuIto nt(s) is attached with no reportable interests in LQ or reportable interests NIA A Conflict of Interest Form 700 Statement of Economic Interests is not required because this Consultant does not meet the definition in FPPC regulation 18701(2). Authority to execute this agreement is based upon: NIA Approved by the City Council on (date) NIA City Manager's signature authority provided under Resolution No. 2015-045 for budgeted expenditures of $50,000 or less. NIA Initial to certify that 3 written informal bids or proposals were received and considered in selection The following required documents are attached to the agreement: x Insurance certificates as required by the agreement (initialed by Risk Manager on 2/8/17 PN date) NIA Performance bonds as required by the agreement (originals) City of La Quinto Business License number LIC-0000021 NIA Purchase Order number AMENDMENT NO.2 TO LEASES AGREEMENT WITH SPRINGS AMBULANCE SERVICES, INC. FOR PROPERTY LOCATED AT 78136 FRANCES HACK LANE, LA QUINTA CA 922.53 THIS AMENDMENT NO.2 TO THE LEASE AGREEMENT WITH SPRINGS AMBULANCE SERVICES, INC. FOR PROPERTY KNOWN AS OLD FIRE STATION #32 ("Amendment No. 2") is made and entered into as of the 15t day of May, 2017 ("Effective Date"), by and between the CITY OF LA QUINTA ("City"), a California municipal corporation, and SPRINGS AMBULANCE SERVICES, INC., a California corporation ("Tenant"). RECITALS A. On or about May 1, 2015 the City and Tenant entered into a Lease Agreement for use of Old Fire Station #32. The term of this original agreement expires April 30, 2016. B. Pursuant to Article 5, Term Extension, the City and Tenant may extend the term of the agreement for two (2) additional one-year terms upon mutual agreement by both parties. C. Tenant and City now wish to amend the original Agreement for a (1) one-year extension, May 1, 2017 through April 30, 2018. AMENDMENT In consideration of the foregoing Recitals and the covenants and promises hereinafter contained, and for good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, the parties hereto agree as follows: As provided in Article 5, Term Extension, of the existing Lease Agreement, the City of La Quinta and Springs Ambulance Services, Inc. have agreed to extend the term of the agreement for a (1) one-year extension, commencing May 1, 2017 through April 30, 2018. In all other respects, the original agreement shall remain in effect. IN WITNESS WHEREOF, the City and Tenant have executed this Amendment No. 2 to the Agreement on the respective dates set forth below. CITY: CITY OF LA QUINTA a California municipal corporation Digitally signed by Frank 1 Spevacek DN: sen a I Number=g8zl 7znOv5Ow4d3x, -US, st=California, I=La Quinta, -Frank J. Spevacek, —Frank J. Spevacek Date: 2017.02.09 14:55:48-08'00' Frank J. Spevacek, City Manager Dated ATTEST: Digitally signed y Susan Maysels DN: cn=Susan Maysels, o=City of La Quinta, ou=Clerk's Office, email=smaysels@la-quinta.org, c=US Date: 2017.02.09 15:27:38-08'00' Susan Maysels, City Clerk APPROVED AS TO FORM: William Irke, City Attorney CONTRACTOR: SPRINGS AMBULANCE SERVICES, INC., q,edlifornia corporation M Dated (A)Q la nonn►S Name J NWA K, Ti A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 4/15E(MM/ /2016 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 endorsements . PRODUCER Woodruff -Sawyer & Co. 717 17th Street, Suite 1540 Denver CO 80202 CONTACT NAME: P"°NE 800-675-4467 FAX A/c No): ADDRESS: envisioncertrequest@wsandco.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 INSURED ENVIHEA-01 INSURER B: Continental Casualty Company 20443 SPRINGS AMBULANCE SERVICE, INC. INSURERC:ACE American Insurance Company 22667 DBA AMERICAN MEDICAL RESPONSE 1111 MONTALVO WAY INSURER D : Indemnity Insurance Company of Nort 43575 INSURER E :ACE Fire Underwriters Insurance Com 20702 PALM SPRINGS CA 92262 INSURER F : COVERAGES CERTIFICATE NUMBER: 787366784 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y HAZ40320740893 3/31/2016 3/31/2017 EACH OCCURRENCE $2,750,000 CLAIMS -MADE �X OCCUR 11MIG To ."ence)$100,000 PREMISE (Ea o.."enc.) X MED EXP (Any one person) $10,000 SIR $250 000 PERSONAL & ADV INJURY $2,750,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY ❑ PRO- ❑ LOC JECT X PRODUCTS - COMP/OP AGG $2,750,000 $ OTHER: C C C AUTOMOBILE LIABILITY ANY AUTO ISAH090418 4 ISAH09041886 ISAH09041886 3/31/2016 3/31/2016 3/31/2016 3/31/2017 3/31/2017 3/31/2017 COMBINED SINGLE LIMIT Ea accident $ 10,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ AUTOS NED SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR 6796605 3/31/2016 3/31/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LAB CLAIMS -MADE DED RETENTION $ $ C D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WLRC48602344 WLRC48602356 SCFC48602368 3/31/2016 3/31/2016 3/31/2016 3/31/2017 3/31/2017 3/31/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 C OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A A WCUC4860237A 3/31/2016 3/31/2017 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Medical Professional 6796605 3/31/2016 3/31/2017 EA OCC/GEN AGG 10,000,000 Liability (Claims Made) SIR 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *$1,000,000 SIR APPLIES TO EXCESS WC POLICY NO. WCUC4860237A City of La Quinta and its officers, officials, members, employees, representatives, and agents shall be named as addiitonal insureds on the General Liability policy as required with endorsement evidencing same. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Frank Spevacek, City Manager 78495 Calle Tampico La Quinta CA 92253 AUTHORIZED REPRESENTATIVE '7�pll ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT TO WAIVE ANY RIGHT OF RECOVERY WE MAY HAVE AGAINST THE PERSON OR ORGANIZATION PROVIDED SUCH WAIVER IS PERMITTED BY LAW AND THE INJURY OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No:WLRC48602344 Endorsement No. Insured:SPRINGS AMBULANCE SERVICE, INC. Insurance Company: ACE American Insurance Company Countersigned by w— WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Ins fired Envision Healthcare Corporation iq Policy Symbol Po icy Number Policy Period Effective Dale of Endorserrenl ISA H090411 14 0331i2016 to 03r3112017 3i31/2016 Issued 9y (Name of Insurance Company) ACE American Insurance Company Inserl the policy number. The rerrainder of the mfour+alion is to be completed only •;:°ten this endorsement is issued subsequent to the preparation of the poky THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM EXCESS TRUCKERS COVERAGE FORM Additional Insured(s): _Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss._ A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91U74b (06/14) Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Envision Healthcare Corporation 13 Policy Symbol Policy Number Po.tcy Period Effective Bate of Endorsement ISA I H09041 114 03/31/2016 to 03/3li2017 3/31/2016 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information Is to be completed oNy when this endorsement Is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies all insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement (if no information is filled in, the schedule shall read: 'A// ,persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b (06f14) Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named insured Envision Healthcare Corporation Endorsement Number 4 Policy Symbol I Policy Number Policv Period Effective Date of Endorsement ISA I11OW411 14 0131 201610 03/31 i2017 33U2016 Issued By (Name of Insurance Company) ACE American Insurance Company insert the policy number The remainder of the information is to be completed only when this endorsement is issued sunsequenl to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM 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 the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a (06114) Page 1 of 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Ins fired Envision Healthcare Corporation iq Policy Symbol Po icy Number Policy Period Effective Dale of Endorserrenl ISA H090411 14 0331i2016 to 03r3112017 3i31/2016 Issued 9y (Name of Insurance Company) ACE American Insurance Company Inserl the policy number. The rerrainder of the mfour+alion is to be completed only •;:°ten this endorsement is issued subsequent to the preparation of the poky THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM EXCESS TRUCKERS COVERAGE FORM Additional Insured(s): _Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss._ A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91U74b (06/14) Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Envision Healthcare Corporation 13 Policy Symbol Policy Number Po.tcy Period Effective Bate of Endorsement ISA I H09041 114 03/31/2016 to 03/3li2017 3/31/2016 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information Is to be completed oNy when this endorsement Is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies all insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement (if no information is filled in, the schedule shall read: 'A// ,persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b (06f14) Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named insured Envision Healthcare Corporation Endorsement Number 4 Policy Symbol I Policy Number Policv Period Effective Date of Endorsement ISA I11OW411 14 0131 201610 03/31 i2017 33U2016 Issued By (Name of Insurance Company) ACE American Insurance Company insert the policy number The remainder of the information is to be completed only when this endorsement is issued sunsequenl to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM 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 the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a (06114) Page 1 of 1 BLANKET ADDITIONAL INSURED ENDORSEMENT HEALTHCARE FACILITIES GENERAL LIABILITY COVERAGE This endorsement modifies insurance provided under: Commercial General Liability Coverage Form Occurrence G-145567-A Commercial General Liability Coverage Form Claims -Made G-145566-A Healthcare Liability Policy Common Conditions (G-1441 D2-A) A. SECTION II-WH0 IS AN INSURED of the Commercial General Liability Coverage Form is amended to include as an "Additional Insured" anyone whom you are required to add as an additional insured on this policy under a written contract or agreement or an oral contract or agreement, 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 emissions of those acting on your behalf--- 1 - in the performance of your ongoing operations; or 2_ in connection with your premises owned or rented to you, provided such contract was executed prior to the date of loss. B. SECTION V - DEFINITIONS is amended to add the following new definition. - "Additional Insured" means: 1. A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults; street banners, or decorations and similar exposures; or (b) The construction; erection, or removal of elevators, or (c) The ownership, maintenance, or use of any elevators covered by this insurance. (2) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. This insurance does not apply to "bodily injury," property damage" or "personal and advertising injury' arising out of operations performed for the state or municipality. 2. Any persons or organizations with a controlling interest in you but only with respect to their liability arising cut of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you tease or occupy these premises. Insured Name: Envision Healthcare Corporation 0 CNA All Rights Reserved. 1W This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such "additional insured". 3. A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new constriction or demolition operations performed by or on behalf of such "additional insured"_ 4. A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such 'additional insured"- S . An owner or other interest from wham land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such "additional insured"_ 6. A co-owner of a premises cc -owned by you and covered under this insurance but only with respect to the co -owners liability as co-owner of such premises. 7. Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these "additional insureds", the following additional exclusions apply: This insurance does not apply: (1 ) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury" or "property damage" arising out of the sole negligence of such "additional insured". 8. Any other person or organization whom you have agreed to include as an "additional insured" under a written contract or agreement that was executed prior to the date of loss. As respects the coverage provided under this endorsement. HEALTH CARE LIABILITY POLICY COMMON CONDITIONS, Condition X. Other Insurance or Risk Transfer Arrangements is deleted and replaced with the following: Insured Name: EMSC CNA All Rights Reserved. Other Insurance -Excess Insurance This insurance is excess over: Any other valid and collectible insurance available to the "additional insured" whether primary, excess, contingent or on any other basis unless a contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. When required to be noncontributing, for a lass covered under this policy, this insurance will apply to such loss and we will not seek contribution from the other insurance available to the "additional insured". All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Insured Name: Envision Healthcare Corporation O CNA All Rights Reserved. BLANKET ADDITIONAL INSURED ENDORSEMENT HEALTHCARE FACILITIES GENERAL LIABILITY COVERAGE This endorsement modifies insurance provided under: Commercial General Liability Coverage Form Occurrence G-145567-A Commercial General Liability Coverage Form Claims -Made G-145566-A Healthcare Liability Policy Common Conditions (G-1441 D2-A) A. SECTION II-WH0 IS AN INSURED of the Commercial General Liability Coverage Form is amended to include as an "Additional Insured" anyone whom you are required to add as an additional insured on this policy under a written contract or agreement or an oral contract or agreement, 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 emissions of those acting on your behalf--- 1 - in the performance of your ongoing operations; or 2_ in connection with your premises owned or rented to you, provided such contract was executed prior to the date of loss. B. SECTION V - DEFINITIONS is amended to add the following new definition. - "Additional Insured" means: 1. A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults; street banners, or decorations and similar exposures; or (b) The construction; erection, or removal of elevators, or (c) The ownership, maintenance, or use of any elevators covered by this insurance. (2) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. This insurance does not apply to "bodily injury," property damage" or "personal and advertising injury' arising out of operations performed for the state or municipality. 2. Any persons or organizations with a controlling interest in you but only with respect to their liability arising cut of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you tease or occupy these premises. Insured Name: Envision Healthcare Corporation 0 CNA All Rights Reserved. 1W This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such "additional insured". 3. A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new constriction or demolition operations performed by or on behalf of such "additional insured"_ 4. A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such 'additional insured"- S . An owner or other interest from wham land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1 ) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such "additional insured"_ 6. A co-owner of a premises cc -owned by you and covered under this insurance but only with respect to the co -owners liability as co-owner of such premises. 7. Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these "additional insureds", the following additional exclusions apply: This insurance does not apply: (1 ) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury" or "property damage" arising out of the sole negligence of such "additional insured". 8. Any other person or organization whom you have agreed to include as an "additional insured" under a written contract or agreement that was executed prior to the date of loss. As respects the coverage provided under this endorsement. HEALTH CARE LIABILITY POLICY COMMON CONDITIONS, Condition X. Other Insurance or Risk Transfer Arrangements is deleted and replaced with the following: Insured Name: EMSC CNA All Rights Reserved. Other Insurance -Excess Insurance This insurance is excess over: Any other valid and collectible insurance available to the "additional insured" whether primary, excess, contingent or on any other basis unless a contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. When required to be noncontributing, for a lass covered under this policy, this insurance will apply to such loss and we will not seek contribution from the other insurance available to the "additional insured". All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Insured Name: Envision Healthcare Corporation O CNA All Rights Reserved.