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HomeMy WebLinkAboutTETRA TECH, INC (4)�Q1� �niPiF.'dCLONNL:. d ORK MAY PROCEED iid( IL NSURANCE EXPIRES MAYOR Ol � 2UZI Vicente Sarmiento MAYOR PRO TEM --L� -_-LERK 01: COUNSIL David Penaloza r'TE: COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza . P.O. Box 1988 O ° pw j} Wegn�}wma�)1� Lg Santa Ana, California 92702 w .santa-ana.orc (714)647-3320 January 20, 2021 Tetra Tech, Inc. 17885 Von Karman Avenue, Suite 500 Irvine, CA 92614-6213 Attn: Mauricio Argente Re: Extension of Aereement to Provide En2ineerine Services Aereement No. A-2020-012 A-2020-012-01 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 4 ("Performance Period") of the above -referenced Agreement, entered into by Tetra Tech, Inc., and the City of Santa Ana, dated January 21, 2020, the time period of the Agreement is hereby extended for an additional one-year period, from January 21, 2021 through January 20, 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, Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA W l__—t Kristine Ridge City Manager APPROVED AS TO FORM iA J&4n M. Funk Senior Assistant City Attorney ATTEST Daisy Gomez Clerk of the Council TETRA TECH Name: Nathan Schreiner Title: Project Manager SANTA ANA CITY COUNCIL Vicente Sarmienb DsVd Penaloza Thai Viet Phan Jessie Lopez Phil eacems Johnathan Ryan Hernandez Notice Mendoza Mayor Mayor Pm Tom, Wad2 Word Wdtd3 want WardS Word vammemb0sarta-ana,one dyeolMthhanha-anaom khan4asanta-anaom lessielonezfilsante-anaom Pb3cmrm0san%anaam Lrvyl,,,andezasanta-ana one amenalocaftseno,ana CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ORA WE On d I Ian Iaofo before me, I Date personally appeared N ArlSf #t 1?_[V4VA1V3ffA_rPATtL, A10T4RYPZt&IC Here Insert Name and Title of the Officer S C t RE-( IV E-2 Name ,X of Si who proved to me on the basis of satisfactory evidence to be the person whose name s/ r su scribed to the within instrument and acknowlp�ged to me that�sfie/}�1ey exec ted the same r/thr authorized capacity(i s), and that by is Or/heir signature(o on the instrument the person sYor the entity upon behalf of which the person'( acted, executed the instrument. &ATISH HARIVADANBHAI PATEL Notary Public - California Y Orange County Commission N 2327183 My Comm. Expires May 10, 2024 Place Notary Seal and/or Stamp Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document 91=-.6JCiFrVslofJ of PACVIlz /, - NEt-j1)N'4 Title or Type of Document: f20sr2vC�c P r r n. A—�a�rn-�12 Document Date: 011I20D I Number of Pages: 1 I Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — ❑ Partner— ❑ Limiter Title(s): 1 ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Other: Signer is Representing: 02017 National Notary Association Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian of Conservator ❑ Other: Signer is Representing: Lambert by M. Samantha DM m-Samantha M. Lamt CERTIFICATE OF LIABILITY IN _Whprtjemail laN4fi@Q(i6}a^CaDan THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEF.rIFICA 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 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 endorsement(s). PRODUCER AOn Risk Insurance Services West, Inc. Los Angeles CA office 707 Wilshire Boulevard Suite 2600 CONTACT NAME: PHO (g66) 283-7122 FAX (800) 363-0105 (NC.No.Ea): ANC. No.: E-MAIL ADDRESS: LOS Angeles CA 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Lexington Insurance Company 19437 Tetra Tech, Inc. 17885 Von Karmen Ave., Suite 500 INSURER B: Zurich American Ins Co 16535 INSURER C: Irvine CA 92614 USA INSURER D: NSUREfl E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570084427980 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. Limits shown are BE requested MISS LTR TYPE OF INSURANCE Inc WYD POLICY NUMBER MWDDTYY MAGONY LIMITS a GENERAL LIABILITY GLOEACH OCCURRENCE S1,000,000CLAIMS tXCOMMERCIAL MADE OCCURPREMISES Eeoxurtence $1.000,000 MED EXP(Any one person) $10,000 OU Coverage PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY ❑X PEQ ❑% LOG PRODUCTS -COMPIOPAGG S2,000,000 OTHER: e AUTOMOBILE LIABILITY BAP 1857085 02 10/01/202010/01/2021 COMBINED SINGLE LIMIT fee ancideall $2,000.000 BODILY INJURY (Per person) % ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Par accident) PROPERTY DAMAGE Peraccklent UMBRELLA LIAa OCCUR EACH OCCURRENCE EXCESS LIAB H CIAIMS-MADE AGGREGATE DEDI IRETENTION B B WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR I PARTNER/EXECUTIVE ❑ OFFICERIMEMSER EXCLUDED? N (Mandatory In NM NIA WC254061602 wc185708702 10/01/202010/01/2021 10/01/202010/01/2021 X I PER STATUTE OH- ER E.L. EACH ACCIDENT 51, 000, 0 00 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT S1,000,000 A Env Contr Prof 028182375 1U/O1/2019 10/01/2021 Each Clain $1,000,000 Prof/Poll Liab Agggregate $2,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Scbeaule, may be aNaehe l N more apace Is required) Reference: Professional Design Services for Lincoln Avenue Pedestrian Pathway Connectivity Project A-2018-224 and Professional Engineering Services for First street Pedestrian Improvements PS&E A-2020-012 City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies as required by written contract. General Liability policy evidenced herein is Primary to other insurance available to an Additional Insured, but only in accordance with the policy's provisions as required by written contract. A Waiver of Subrogation is granted in favor en, o, Ion, i.org, c-US 9T00' ce m N ce O unun 0 Z m Cml 1= u CERTIFICATE HOLDER CANCELLATION Lft City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92702 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. cSrYan J9stdt�tdzaa L/GLi/tYni f3�c �� ©1988-2015 ACORD COF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD //�Rult,,� •REVIEU/ED• APPROV®B: ® Ruk Management Supervisor