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HomeMy WebLinkAboutUNITED STORM WATER, INC. (2)A-2017-157-01 h INSURANCE UN rlLc WORK MAY PROCEED UNTO, INSURANCE EXPIRES MAYOR Miguel A, Pulido...--«-`2MAYOR PRO PRO TEMCLEHK Or ��N� p1gt1 COUNCILIIMEMBERSJuan VgesfI-JUI'i /2 Cecilia Iglesias David Penaloza Vacant Vicente Sarmiento Jose Solorin ID\ 1�{01111'1"i-I CITY OF SANTA ANA United Storm Water, hie. 14000 E. Valley Blvd City of Industry, CA 91746 Attn: Eduardo Perry, Jr., President PUBLIC WORKS AGENCY 29 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 WtvW.santa-ana.orwnvw _g May 23, 2019 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho ACTING CLERK OF THE COUNCIL Norma Mitre -Ramirez Re: Extension of Agreement to Provide Spill Response and Storm Drain Facility Cleaning Services. Agreement No. A-2017-157 Pursuant to Section 3 ("Term") of Agreement No. A-2017-1.57, entered into by United Storm Water, Inc. and the City of Santa Ana, originally dated June 20, 2017, the time period of the Agreement is hereby extended for an additional one-year period, from June 20, 2019 through June 19, 2020. The insurance certificates are required to be extended and/or reneged to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. S\veiss, PE, PLS ,e Director, Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM ATTEST Norma Mitre Acting Clerk of the Council UNITED STORM WATER, INC. J M. unk w Name:: k~ Assistant City Attorney Title: All i:' Tx� / e C e- i' SANTA ANA CITY COUNCIL 7 ri Migual A. Putlda Joan v8iegas vloente Sarrceanto David P ,,aloza Jos¢ sown vacant Cecilia Iglesias Mayor Mayor Pro Tom, Ward 5 Ward Word Ward Ward Ward 1 IdQ@9881a-aqa 0lq tyjJ,ygae@sanla-aria om V9anrlenb(ol5anla-agil Ofq tle¢nagZa(al9anta-2n 10rq____¢OOfIOGr)9dn1&geaAfO____ .. _. Co65 a9(�9agtq-sea Orq _______. ACOR& CERTIFICATE OF LIABILITY INSURANCE Ilia/ DATE (RAM DC YYYY) 1 1/3/2020 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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bolton &Company CONTACT NAME: PHONE Exit 626799.7000 Fuc No: 626 583-2117 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 MAI' ADDRESS, INSURE 8 AFFORDING COVERAGE NAICe INSURER A: Greenwich Insurance Company 22322 www.boltonco.com 0008309 INSURED United Storm Water, Inc. 14000 East Valley Blvd. INSURER B: XL Insurance America, Inc. 24554 INSURER c: XLSpecialty Insurance Company 37865 INSURER 0: Indian Harbor Insurance Company 36940 City of Industry CA 91746 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 53408109 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. NOR LTRAwwPOLICY TYPE OF INSURANCE ADDISUML NUMBER POLICY EFF POLICY UP LIMITS A CdiMERCIALGENERALLWILRY I IGEC3001234 112131/20191 12/31/2020 EACH OCCURRENCE $1000000 CLAIMS.MADE LVI OCCUR GAITIM To RENTED PREMISES Es acarrenoe $100000 MED EXP (Arty one Person) s $ 000 PERSONAL B ADV INJURY $1000000 GEWL AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000,000 POLICY[V]JPEO �LOC PRODUCTS -COMPIOP ADD $2DD0000 $ OTHER B D AUTOMOBILELIABILRY AUTO AECO048938/ AECO048939 12/31/2019 12/31/2020 Ee BINEEDD SINGLE LIMIT $1 DDD DDD BODILY INJURY (Par Person) $ P,(ANY OWNED ASCHEDULED AUTOS ONLY UTOS BODILY INJURY (Par asadan) $ PROPERTY DAMAGE fps, e..want $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ C UMBRELLA LIAR OCCUR UECO048940 12(31/2019 12/31/2020 EACH OCCURRENCE $15000000 AGGREGATE $15 000 000 EXCESS LIAB CLAIMSaAAOE DED 1 RETENDON 10,000 $ - C WORKERS COMPENSATION AND EMPLOYERS' LI ARTI1' YIN ANYPROPRIETORIPARTNER/EXECUTNE OFFICERIMEMBEREXCLUDEDT NIA WEC3001235 12/31/2019 12/31/2626 PER STATUTE ER E.L EACH ACCIDENT $1 OOO OOO E.L DISEASE -EA EMPLOY f (MendetoryM NH) If yes, eascnde under DESCRIPTION OF OPERATIONS Ielm E.L. DISEASE -POLICY LIMIT $1000000 D Pollution Liability PECO048963 12/31/2019 12/31/2020 $15,000,000 Each Claim / $25,000 Ded. D Professional Liab - Claims Made PECO048963 12/31/2019 12/31/2020 $15,000,000 Each Claim / $25,000 Ded. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACCRD 101, Addll onal Ram aims SchadYN, may Ire attached N more space is required) GL Additional Insured applies per CG20100413 & CG20370413 attached, only if required by written contract/agreement- GL Primary & Non -Contributory Wording applies per XIL4240605 attached. Re: Agreement #A-2017-157 in City of Santa Ana. Excess Policy follows form. Additional Insured(s): City of Santa Ana, its officers, agents, volunteers and employees. Re: Agreement City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2016103) 53400109 1 UNVTPUN 01 1 19-:0 all Linea SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2EVI WED &APPROVED p THORRED REPRESENTATIVE By RI MANAGEMENT DIVISION In VO LULU 01988-2015 ACC ACORD �� n name and logo are registered marks of ACORD All rights reserved. POLICY NUMBER: GEC3001234 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization where required by written All Locations as required per written contract. contract provided that such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 2. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. ✓ED & APPROVED MANAGEMENT DIViSiON All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0413 53408109 1 U ITPIM-01 1 =9-20 All Llaee Services Office, Inc., 2012 rrT IPST) I Page 2 of 5 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or & APPRO 1GEMENt DIvisi6N UV 2020 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. Of the the Page 2 of 2 ((� ,A 1 nAs�nrRaFnc ,,73rvices Office, Inc., 2012 CG 20 10 0413 53408109 1 MITPUM-01 1 19-20 All L1neD l�d•��}}PZD•'1:Z1:3J PM (PST) I Page 3 of 5 POLICY NUMBER: GEC3001234 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization where required by written contract provided that such contract was executed prior o the date of loss. All Locations as required per written contract., Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the 'products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. & APPROVED kr.FMENf DIViSiON 08 2020 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 THA MM LAMBERT S O jnsurance Services Office, Inc., 2012 Page 1 of 1 >31]fi: J9 I ONlli'JM — , _9 -- All Lines I Cory Hospeda lea [ 1/3/2020 2:21:33 PM (PST) I Page 4 of 5 ENDORSEMENT# This endorsement, effective 12:01 a.m.,121311201s , forms a part of Policy No.GEC3001234 issued to United Pumping Service, Inc. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. All other terms and conditions of this policy remain unchanged. & APPROVE[; 1GEMEN7DIVISION XIL 424 0605 f 08 2020 ©, 2005, XL America, 1�1'41W SAMA THA M. LAMBERT 53408109 1 UNITPUM-Ol 119-20 All Lines I bov Hospe"les 11/3/2020 2:21:31 PM MT) I Page 5 o2 5