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HomeMy WebLinkAboutEEC ENVIRONMENTALA-2015-224-01. MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCtLMEMBERS P. DaWd Benavides Vicente Sarmiento y� Jose Salorlo (�gya�➢j Sal Tinajaro Juan Viilegas INSURANCE NOT ON FILE WORK MAY NIQT PROCEED CLERK OF COUNCIL DATE: OCT 0 4 2010 September19,2018 EEC Environmental Attn: John Shaffer, President One City BIvd. West Suite 1800 Orange CA 92868 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Chic Center Plaza M-21 + P,O. Box 1988 Santa Ana, California 92702 v„yww,M"fl a•ana 9f9 Re: Extension of Waste Discharge Requirements Compliance Services Agreement with EEC Environmental (A-2015-224) Dear Mr. Shaffer: CITY MANAGER Raul Godinez II CITY ATTORNEY Soda R. Carvalho CLERK OF THE COUNCIL Maria D. Hulzar Pursuant to Section 4 ("Term") of Agreement No. A-2015-224, entered into by EEC Environmental ("Consultant") and the City of Santa Ana, dated October 6, 2015, the time period of said Agreement is hereby extended for an additional two (2) year period, from October 6, 2018 to October 5, 2020, The insurance certificates are required to be extended and/or renewed to cover this extension, All other terms andRonditions of said Agreement remain unchanged and in full force and effect. Egad S eiss, PE, PLS CITY OF SA A ANX Executi Director Raul Godinez 11 Public rks Agency City Manager APPROVED ASTO FORM: ATTEST: Sonia R. Carvalho City Attorney . �{ J 1 M. Funk Mafia D. Hulzar A sistant City Attorney Clerk of the Council SANTA ANA CITY COUNCIL Opal A. P fida "aala kudinex %r1mle 5armlenlo Jose 50100 P. ea.d eaiaNtles Juan Wleaas Sal nnajem Maya Mayor Pm Tem, WaM 2 Warbt ward Warc14 Wards WaRle f Wld09VNo-aog,¢a] miman'nez soma-ana am i5S}32�S.tStfl dsania-ana ora 4P9fs��am n.B...e g' ,►R V CERTIFICATE OF LIABILITY INSURANCE DATE(MMIbO _ 5/2vzD1s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HDLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR. NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In ileu of such endorsements . PRODUCERManagementC GMGS Risk & Insurance Services N ACT Ashley Brewster - 12 Truman Irvine, CA 92620 .NAME_ PRONE - �A tA.-M No Exry,_ 949-559-3377 (NG.NoI 90.Q-559.67g3 E-MAIL AnoREss asblBYb�Ta gmgs.com ............ _ INSURERISj AFFORDING bDVERAOE .. NAIC9 www.gmgS.Com OB84519 INSURER Great Divide Insurance Company - _._ �_ 25224 INSURED INSURE-RB: Peerless Insurance Company 24111 EEC Environmental — " dba Enviromental Engineering Contracting Inc., One City Boulevard West, Suite 1800 wsUReRc� INSURERD_.____ INSURERS, Orange CA 92868 INSURER F COVERAGES CERTIFICATE NUMBER: 42036742 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 SR LTR TYPE OF INSURANCE AODL SU R',`�l$LICY FF POUCYNUMBER MM D POLCYEXP M 1 O ilMl lS A COMMERCIAL GENERAL LIABILITY GLP2006942-15 I1013112017 10/3112018 EACH ocouRReecE s.5,000000 CLAIMS L OCCUR PREMIS Ea emurcancs h. _ _ 5300,OD0 -MADE MED PXP (An aqe ersgn) S 5 000 PERSONAL &ADV INJURY SS,OOQOOO GEML _ AGGREGATE IJMITAPPLIES PER: GENERALAGGREGATE 'S5,000,000 _ POLICY � ECT � LOC _PRODUCTS .-COMP/OPAG_ G,.I_351 000000 OTHER: I B AUTOMOBILELIABILITY ...- _ CBP8977390 10/31/2017 10/31/2018 p 51dEDISINGLE LIMIT1,OD0.000 BODILY INJURY (Par parson} I $ ✓ ANY AUTO OWNED SCHEDULED. BODILY INJURY(Perawldonq AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE ;$ AUTOS ONLY ✓ AUTOSONLY UMBRELLA LIAB OCCUR EAOHOCCORRENC_E $___ EXOESS LIAR _ CLAIMS -MADE i I AGGREGATE I$ DED RETENTIONS ��_. A WORKERS COMPENSATION _ IWCA2006815-15 5)24/20�1815/-2412019 yTRrIaF I ERH AND EMPLOYERS` LIABILITY YIN '--- ANYPROPRIETOR/PARTNERIEXECUTIVE 1 EL EACHACCIDENT S1 �i7O0 O00 OFFICEMMEMBEREXOWDED2 (Mantlatory In NN) NIA E.L. DISEASE-EAEMPLOYE' $1,OQQ.0.00. If yes; tlesOdba under DES CRIPTIONOPOPERATIONSba.. E.L DISEASE POLIGYIIMir $7 000000 - 1 1 DESCRIPTION OF OPERATIONS I WcATIONS I VEHICLES (ACORD 101T,Z;Itlonal Remarks Schadule, may be atlachad if eWrespace is regeimUl RE: job #W-1424.12T - Every Drop Counts - Santa Ana W DR rl� 1 pole- /of CPRTWICAT'P HQI DPP CANCELLATION jobd#W-1424.12T - Every Drop Counts - Santa Ana WDR City Od Santa Ana Finance & Management Services Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION RATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-16 P.O. Box AUTHORIZED REPRESENTATIVE ,-+-- Grin Griffith 4(`w/.- O 1988-2015 ACORD CORPORATION. All rights reserved.. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 0 A200142 1 14-18 n(9/UUIYIPO'W./afi0 15.S9 WC I A9N1ey 9iews[es 1 5122/?Ola 3b4:0 IRA (PUT! I Pac ] of 1 A�DATA R" CERTIFICATE OF LIABILITY INSURANCE IMMrOD/YYYYI 5/22/2010 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cortain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CIVICS Risk Management &Insurance Services 12 Truman Irvine, CA 92620 CONTACT NAME: ABHIB Brewster__ PNQNE 9q9-559-3377__J iaC Not: 949-559-67Q3 EXg .MAIL - s: ashlevb(oTgmos.com _ INSURERS AFFORDING COVERAGE NAIC# INSURERA: Great Divide Insurance Comp 25224 www,gmgs.com OB84519 _ INSURED a EEC Environmental dba Enviromental En ineering Contracting Inc., One City Boulevard West, Suite 1800 INSURER B INSURERC: INSURERD: INSURERS: Orange CA 92868 IN$URERF: CnVFRAGPS CERTIFICATE NUMBER: 42nefiR95 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, _— BUBR - POLICY BFF POLICY EXP LIMITS L�INBR TYPE OF INSURANCE IN WV POLICY NUMBER MMIOD/YYYY bIYYYY _ 1 COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $�— (� EN :— CLAIM&MADE LJ OCCUR EffsMISEsCaacgorrence $ LNiED EXP (My one Person) $ I PERSONAL & ACV INJURY - GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER; rPR000C7S-COMPIOP AOG $ POLICY0 �LOC I $ OTHER; ... _ AUTOMOBIL2LMBILLTY 5OMBINEDSNGLEH I (- n-de 0 $ BODILY INJVRY (P., Parson) ft ANY AUTO OWNED SCHEDULED 60DILYINJURY (Pececcident) $ AUTOS ONLY AUTOS HIRED NONAWNED 08 PRaad72AMAGB $ I ANUT ONLY AUTOS ONLY $ �jUMBRELLA LIpB OCCUR EACH OCCURRENCfi EXCES,9�n'IA�B� GLAIMS-MADE �� AGGREGATE T$ $ $ DED RETENTIONS A WORKERS COMPENSATION WGA2QO8915-15 5/24//2.01B 15/24/2019 STAT TE. GRH AND EMPLOYERS LIABILITY ANYPnOPRIETORGARTNENFXEOUTIVE YIN EL.EACH ACCIDENT $1000O00 OFFICERIMEMBCREXCLUOEO'1 (Mondatory in NH) N/A E.L.L,G E. EAEMFLOYEE S &QQp00 _DESCRIPTION If ye, DESCRIPTIONOF OPERATIONS below I i ._..,�.... I E.LUSEASE-INQUCYUMIT $1.000.Goo DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Ramau s Schedule, maybe attached If more space Is required) RE: job#W-1424.12T • Every Drop Counts - Santa Ana WDR r9//W1I/ P'4J� City od Santa Ana Finance & Management Services Agency 20 Civic Center Plaza M-16 P:O. Box 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 All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 42316d95 I }6-39 WC I Aehley Brayster 15b.2/2016 3z05:07 ^M L°DTI I Pa9f L Oc 1 IFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) THIS CERTIFICATE IS ISSUED AS A MATT R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE! CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA IVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF IN URA CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,Al TH CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an DDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to th terms and conditions of the policy, certain policies may require an anclorsement. A statement on this certificate does not confer rights to the ertificate holder in lieu of such endorsement(s). PRODUCER GMGS Risk Managemen _& In rance Services CONTACT NAME INSURED EEC Environmental dba Enviromental Engineering One City Boulevard West, Suite Orange CA 92868 Inc., I HIS IS TO CERTIFY THAT THE POLICIE OF If[URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY EQUIRENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC POLICS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR TYPE OFINSURANCE Apn1 BR POLICY NUMBER MOLICY MMippY EXP LIMITS A COMMERCIAL GENERAL LIABILITY GLP2006942-17 10/31/2D19 10/31/2D20 EACH OCCU RENCE g5000 DOD CLAIM&MADE ❑✓ OCCUR pRF U_etF E�TE,._...e, sann nnn L AGGREGATE LIMIT APPLIES PER: POLICY E JET LOC B AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ✓ AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EXCESS UAB ... EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS RE: Job 9W-1424.12T - Every Drop Co This certificate may be relied upon only CFRTIFICATF Mnl nFD 10/31/2019 101, Additional Remarks Schadule, may he attached it more space is requlrad) Ana WDR ate addendum referred to herein is attached hereto. AGG pees0 $ Zen') $ 5$ Job #W-1424.12T Nr 1Vm 2U19 J City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED P LICIES BE CANCELLED BEFORE Risk Management Divisio THE EXPIRATION DATE THEREOF, NOT CE WILL BE DELIVERED IN 20 Civic Center Plaza, 4th fl SIN NTH LAMBERT ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE Gdff Griffith rooa-eU'l0 AWKU CORPORATION. All rights reserved. ACORD 25 (20161131 The CORD name and logo are registered marks of ACORD 5219423G 119-20 G/A/J B/P06L/E10/NC I John alleges 1 11/6/2019 9:59:97 M (PST) I Page 1 of 11