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HomeMy WebLinkAboutPAULUS ENGINEERING, INC. (6)A-2019-142-02A MAYOR Vicente Sarmienlo MAYOR PRO TEM Phil Bacena COUNICILMEMBERS Johnalhan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 5' 1. uss CLERK OF COUNCIL DATE: Paulus Engineering, Inc. 2871 East Coronado Street Anaheim, CA 92806 Attn: Jason Paulus, President CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza a P.O. Box 1988 Santa Ana, California 92702 www.sanla-ana.ora August 23, 2022 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Re: Extension of Agreement A-2019-142-02 to provide On -Call Emergency Water a �WA(Ifa1+w I�eye�\�,y�Z and Sewer System Repair Services Car, Pursuant to Section 3 ("Term") of the above referenced Agreement, as amended, entered into by Paulus NEngineering, Inc., and the City of Santa Ana, dated August 20, 2019, the time period of the Agreement rn is hereby extended for an additional two-year period, from August 20, 2022 through August 19, 2024. e Any insurance certificates are required to be extended and/or renewed to cover this extension. All other a terms and conditions of the agreement remain unchanged and in full force and effect. w N Sincerely, Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA --- N `, Kristine Ridge City Manager APPROVED AS TO FORM ndon Salvatierra Deputy City Attorney ATTEST av I F,y,.Clerk of the Council SANTA ANA CITY COUNCIL Vicente sons ienlo Phi So... Thai Viet Phan Nelida Mendoza Jessie Lopez JohnaNan Ryan Hernandez Dadd Penelozo Mayor Mayor Pro Ten, Ward 4 Word Word Ward Word Ward YeaMlenla•,'a.M.-ena ale plaacarrepatnlaana and 1phan9lednla dna el0 nxndazag3dnlx-ana ora cast,- ... esords.,mcion irvan11e111entle2Ca l3anla ana aN dpenabza¢senla ana olU ay oo:� PAULUS ENG JLOPF7 '4� CERTIFICATE OF LIABILITY INSURANCE 15- DAT/281202YYY) 4/2812022 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(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 endorsements . PRODUCER Commercial The Brokerage The Brokerage, an Alera Group Company 20261 SW Acacia St, Suite 200 CONTACT JeSSICa Lopez PHONE FA% A/c, No, Eat): (949) 287-5677 A/c, No :(949) 335-0621 ADDRESS: jlopez@thebrokerageins.com Newport Beach, CA 92660 INSURERS AFFORDING COVERAGE NAIL 0 INSURER A: Executive Risk Indemnity, Inc. 35181 INSURED INSURER B: Federal Insurance Company 20281 INSURER C : Paulus Engineering, Inc. INSURER D : 2871 E. Coronado Street Anaheim, CA 92806 INSURER E NSURER F : 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LX] OCCUR X 54303105 5/1/2022 5/112023 EACH OCCURRENCE $ 1,000,000 DAMAGETO OaccNTc mD EREMISEMED $ 100,000 EXP (Any one erson $ 5,000 PERSONAL B ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEA LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGO 1 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WVy AUTOS ONLY AUOTOSONED 54303104 511/2022 5/112023 WMaBI dim SINGLE LIMIT il $ 1,000,000 X BODILY INJURY Per erson $ BODILY INJURY Per accident $ Pe�amitlenl AMAGE UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DED RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ (ManEatoryEn NH)CLUDED? Ryes, describe under DESCRIPTION OF OPERATIONS below NIA 54303106 5/112022 5/1/2023 X PER OTH- E E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Master Agreement #A-2019-142-02; Agreement #A-2020-091-02; Santa Ana Emergency Work. glaip City of Santa Ana, its officers, employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROM""'-'^ ,..°e-... RhkMosgenedllMI `4 AUTHORIZED REPRESENTATIVE y' REMEV,ID6APPItOJ®B[ C� Tau �itCl yr Risk Mana9e,ms, Cle,ir.,IAiAe ACURU 25 (20 b1U3) U 1988-2015 ACORD C( IC The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PAULUS ENG LOC #: JLOPEZ ACORO' kk� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY ommercial The Brokerage NAMED INSURED Paulus Engineering Inc. 2871 E. Coronado Street Anaheim, CA 92806 POLICY NUMBER SEE PAGE 1 CARRIER SEE PAGE 1 NAIC CODE SEE P 1 EFFECTIVE DATE: SEE PAGE 1 R1-1-ill PJCG1q THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Should this policy be cancelled before the expiration date, The Brokerage, an Alera Group Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement * *Except 10 Days Notice of Cancellation for Non -Payment of Premium. ItbllMmgenodlxwim ` Rentvm 6 AnMtwm Br. man ACURD 101 (ZUUB/U1) © 2008 ACORD CORD auwnunag�nmcammlaae � The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 WHERE REQUIRED BY WRITTEN CONTRACT ALL LOCATIONS WHERE REQUIRED BY 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", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions: or 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: 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. 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: 1. 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 2. 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 20 10 12 19 © Insurance Services Office, Inc., 2018 RukMwga�ml Dw 6 Mrgwm By E�RenEwfn %au %tic»oll Ruk Managemm�Gmral/Ytle 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 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. atite & A A Br. ^I ; %asl �[CRJOI[ �Ruk Maregenmt�mralNAe J Page 2 of 2 © Insurance Services Office, Inc., 2018 POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 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 WHERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WHEN THE CONTRACT SPECIFIES COVERAGE FOR COMPLETED OPERATIONS ALL LOCATIONS WHERE REQUIRED BY 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. 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. Uk mtanion Renevm6Awxrn�m Br: nuuma"agrnm�uaiutaee CG 20 37 12 19 © Insurance Services Office, Inc., 2012 POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Additional Insured: SCHEDULE Location Of Covered Operations: WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. w�knm.��aww� l +. NenEwm6 Mxtw�BY: 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., tln Ruk Mawge�t Ocri el (Y tle with its permission.