HomeMy WebLinkAboutWKE, INC.A-2017-262-01
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N
o
MAYOR
Miguel A. Pulido
Oa
MAYOR PRO TEM
(D
Juan Vlllegas
COUNCILMEMBERS
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Phil Became
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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,
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�"�. 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
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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
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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
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X AUTOS � X
_BODILY _ _
'PROPERTY MAGE
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A X_ UMBRELLA LMB X OCCUR
EACH t)GCURRENCE
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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