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HomeMy WebLinkAboutWKE, INC.A-2017-262-01 0 N o MAYOR Miguel A. Pulido Oa MAYOR PRO TEM (D Juan Vlllegas COUNCILMEMBERS C=) Phil Became C7 Nelida Mendoza David Penaloza Vicente Sarmiento Jose Solorio CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 w .santa-ana.oro September 22, 2020 WKE, hie. Attn: Daniel Weddell, PE 1851 E. First St., Ste. 1400 Santa Ana, CA 92705 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement #A-2017-262 for Fairview Street Widening and Bridge Replacement Dear Mr. Weddell: Pursuant to Section 3 ("Term") of Agreement No. A-2017-262 ("Agreement"), entered into by WKE, Inc., and the City of Santa Ana, dated October 3, 2017, the term of the Agreement is hereby extended for an additional two (2) year period from October 3, 2020 through October 2, 2022. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, ,]^/}�� �"�. J C 211. Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM 7K... T.w. L Jbhn M. Funk Senior Assistant City Attomey ATTEST Daisy Gomez, MMC Clerk of the Council WKE, INC. Daniel Weddell, PE Vice President SANTA ANA CITY COUNCIL Miguel A. Pulido Juan Yllegas Vicente Somvento OaNd Penal. Jose Sdono Phil Bacerra Nelida Mendoae Mayor Mayor Pro Tom, Ward 5 WartI WaN2 Ward Wam4 Moll moulidorasanta-ana om mileaaearearEaaw pro vS8=mtol@eame2erg doendoza®sanlaana wa iedorio(deantaana.ora obacemd(lsanla.anaom nmend@B(@eanla-8na.ora WKEINCO-01 MCGRAWM ACORO CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 7115/2020 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: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 lieu of such endomement(s). PRODUCER License a OE67768 NOAFEncr All Smith IDA Insurance ServicesAX 4370 La Jolla Village Drive JARIC. u , Ed): (619) 788-5795 50206 ' URIC. Na):(619) 574-6283 i Suite 600 oofiss: Ali•Smith@ioausa.com San Diego, CA 92122 INSURED WKE, Inc. 1851 East First Street, Suite 1400 Santa Ana, CA 92705 _ RE _ INSURERISI AFFORDING COVERAGE _ NNCN j MSURAJRLI Insurance Company_ _ _ 13056 WSURERB:Lexington Insurance Company .19437 INSURER C: INSURER D : _ . INSURER E : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 CON_D_ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._ _AND INSR ADDL SUER - - POLICYEFF jtI�-POLICY SAY TR TYPE OF INSURANCE INS wv0 POLICY NUMBER IMIMDD1YYWII1MwOOlYYWI LIMITS A X COMMERCIALGENERALUABILTTY EACH OCCURRENCE S 2,000,000 cuIMS+AAOE X OCCJR X X PSBD001793 1011112019 10/1112020 . DAMAGE TO RENTED - P€LSE31Ea_«wrr@ncel_ _ 1,000,000 _ _ X -Cont LiatrlSev of Int , MEl)P_LMlaneperson� , 5 10,000 _ _ X BFPD PERSCI AL4 AM INJURY_ S 2,000,000 4,000,000 GEM1- AGGREGATE LIMpIT- AP PLIES PER GENE RALAGG_RE_GATE $ 4,000,000 POLICY X' PELT LOC - COMPIOP AGO, S _PRODUCTS Dedutible 0 OTHER 5 A COMBINED SINGLE LIMIT 2,000,000', AUTOMOBILE LIABILITY 1EeecGCey) _S_ ANY AUTO PSB0001793 1011112019 10111/2020 BODILY INJURY Pet m M__s_ _ _ CMED SCHEDULED AUTOS ONLY AUTOS INJURY Par aQieenl S �p� X AUTOS � X _BODILY _ _ 'PROPERTY MAGE 1E.R.T S ONLY � AUTO ONLDT X Na CR OwneeAapa ,1Pm _ S A X_ UMBRELLA LMB X OCCUR EACH t)GCURRENCE ruoomoDO� Excess LMB ~ CIAIMS-MADE- IPSE0001694 1011112019 10111/2020 _.S AGGREGATE s —— - 6.060.000'1 l DED X RETENTIONS D S A WORKERS COMPENSATION � X STATUTE.OERH AND ENPLOYERS'LIABNTY PSW0001614 1011112019 YIN X 10/1112020 1,000,000 ANV PROPRIETORRARTNERI ECUTIYE N 1 A pp FlCERIMEM�rR EXCLUDED' E L EACH ACCIDENT _ . $ _ 1,OOQ000 IMantlWar In i — EL DISEASE - EA EMPLOYEE,3 Byes aeecriDo unlbr DESCRIPTION OF OPERATIONS below f EL DISEASE -POLICY LIMIT S 1.000,0; B Professional Liab. 035713747 716/2020 1/612021 Per Claim 5,000,000ii B Ded.: SSOK Per Claim 035713747 7/6/2020 71612021 Aggregate 6,000,0001i DESCRIPTON OF OPERATIONS LOCATIONS [VEHICLES IACORO 101, Atltllllanal Remarks SchedWe. ma b fta.Md It mom space IsraOutmdl Re: Fairview Ave Bridge at Santa Ana River, Agreement No. A-2014-248 and A-2017-�62 City of Santa Ana, its officers, agents, volunteers and employees are Additional Insureds with respect to General Liability per the attached endorsement as required by written contract Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to General Liability and Workers' Compensation. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. L 20 020 City of Santa Ana WANCINL K. VILLAREAL Risk Management Division 20 Civic Center Plaza 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 REPRESENT1A1nVE' ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: NKE, Inc. Policy Number: PSB0001793 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack" FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following BUSINESSOWNERS COVERAGE FORM -SECTION II —LIABILITY C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to include as an additional insured on this policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf. a. In the performance of your ongoing operations, b. In connection with premises owned by or rented to you; or c. In connection with "your work' and included within the "product -completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows a. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3. The following is added to SECTION III 14.2. Other Insurance — COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION II — LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an additional insured under this policy must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered into that contract or agreement; or b. The "personal and advertising njury' for which coverage is sought arises out of an offense committed after you have entered into that contract or agreement. 4. The following is added to SECTION III K. 2. Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury', "property damage" or "personal and advertising injury" arising out of 'your work" performed by you, or on your behalf, under a contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement with such person or organization entered into by you before the'bodily injury' or "property damage" occurs, or the "personal and advertising injury' offense is committed. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY RENWN UNCHANGED. REVIEWED & APPROVED PPB 304 0212 By Risk MANAGEMENT Division JUL20220 wkpy PRANC;INE R. VILLAREAL Page 1 of 1 Named Insured: WKE, Inc. Policy Number: PSW0001614 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 0306 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone Ilable 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be _% of the California workers' compensabon premium otherwise due on such remuneration. Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before the loss Schedule Job Description Jobs performed for an person or organization that you have agreed with in a written contract to provide this agreement REVIEWED & APPROV. By Risk MANAGEMENT D1VIsa. U 20 HtANC;INL R. VILIAREAL