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HomeMy WebLinkAboutWOOLPERT, INC. (2)ihSURANGt ON FILL NORK IMAY PROCEED MAYOR UNTIL INJURANCE EXPIRES Vicente Sarnriento 3 - I '23 MAYOR PRO TEM (iLERKOF COUNCIL Phil Bacerra COUNCILMEMBERS DATE: Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan David Penaloza CTeeVu( ��n� DEC 19 2022 A-2018-015-02 ..jj� CITY MANAGER Kristine Ridge CITY ATTORNEY ti .. qj Sonia R. Carvalho CLERK OF THE COUNCIL CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.org (714)675-5050 November 2, 2022 Woolpert, Inc. Attn: John Cestnick 6100 Blue Lagoon Drive, Suite 440 Miami FL 33126 Re: Second Extension of Consultant Agreement No. A-2018-015 Pursuant to Section 3 ("Term" of Agreement No. A-2018-015, entered into by Woolpert, Inc., and the City of Santa Ana, dated January 16, 2018, the time period of the Agreement is hereby extended for an additional two years, from January 16, 2023, through January 15, 2025. The 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. If you have any questions regarding this matter, please contact Margaret Mercer in the Public Works Agency at (714) 647-5050. Sincerely, til-�-�g sa Nabil Saba, P.E., Executive Director Public Works Agency CITY OF SANTA ANA ATTEST Kristine Ridge Y City Manager Pi' Clerk of the Council APPROVED AS TO FORM WOOLPERT, INC. L-Brandon Salvatierra By: John CesMick Deputy City Attorney Title% Senior Associate SANTA ANA CITY COUNCIL Vloenle saeo,i to Phil Bacere Thai Viet Phan Neiida Mendoza Jessie Lopez Johnathan Ryan Hemandez Meyor MayPm Tern, Ward 4 Word Ward Ward WDavd PenalozaMphapenarmsantz.anapm (5a nmendozadia;,nan Wsrda e,1,pez@Sama-ana lrvanhem dfl dpan4pSa9i),,^ Digitally slynetl by Ted Plerson A-2018-015-02 Tori Plerson Date:Il43o3.3o15Ay23-o7aay WOOLINC-01 KSUTTON .4CORL7° CERTIFICATE OF LIABILITY INSURANCE �--� DATE(MM/DDIYYYV) 2128/2022 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 endorsement(s). PRODUCER C09JACT NA Ames & Gough 8300 Greensboro Drive Suite 980 a/c°, No, Ext 703 827-2277 FAX ( 1: ( ) (A/C, No):(703) 827-2279 %Nfiss; admin@amesgough.com McLean, VA 22102 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Travelers Inde nnitv Co. of America A++ XV 25666 INSURED INSURERS: Phoenix Insurance Company A++XV 25623 INSURER C: Travelers Property Casualty Company of America 25674 Woolpert Inc. INSURER D: National Union Fire Insurance Company 19445 4464 Idea Center Boulevard Dayton, OH46430-1600 INSURER E : Continental CasualtyCompany CNA) A XV 20443 INSURER 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 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTHINSD TYPE OF INSURANCE ADDL SUBR D POLICY NUMBER POLICY EFF MWDD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR LJ�jPREMISES P6309PS81661 3/112022 W112023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED Ea occurrence $ 1,000,000 MEO EXP An one erson $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � TEO1:1 LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS-COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident $ 1,000,000 BODILY INJURY Per serson $ X ANY AUTO 8109P881648 311/2022 3/1/2023 OWNED F SCHEDULED AU�gqT��O��S ONLY AUTTOSyyNEp BOODI LYRINJURY Per accident $ AUTOS ONLY A�TO ONLY PPeOr ecAdenl AMAGE $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS MADE CUP-1T790932-22-NF 311/2022 3/112023 DED X I RETENTION$ 10,000 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITYy/N ANY pP�T'N'ETgO�R EXCLUDED' ECUTIVE (Mantlataryin BER EXCLUDED' N NHI It yes, describe under DESCRIPTION OF OPERATIONS below NIA 11326673 31112022 31112023 X STATUTE ERH E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE-EAEMPLOVE $ 1,000,QQQ E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Professional Liab. AEH288355072 3/112022 3/112023 Per Claim/Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is mqulmna RE: PROJ #78392 — RFP #17-101 The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured with respect to General Liability when required by mitten contract. General Liability includes Additional Insured coverage for On -Going & Completed Operations as required by written contract. General Liability is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract. 30-day Notice of Cancellation will be issued for the General Liability, Automobile Liability, Umbrella Liability, Workers Compensation and Professional Liability policies in accordance with policy terms and conditions. City of Santa Ana Risk Management Division, 4th Floor 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 PROVE"""" RAMlavgadmreUtMafoa %UTHORIZED REPRESENTATIVE RwEluED&APParD ft 61 O' � -- r`7 MsaMana9c.,+�.aoAi�fwde ACORD 25(2016103) ©1988-2015 ACORD C( The ACORD name and logo are registered marks of ACORD Policy Number: P6309P881661 Effective Date: 3/1/22 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree In a "written contract requiring Insurance" to Include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily Injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the Injury or damage is caused by acts or omissions of you or your subcontractor In the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The Insurance provided to such additional Insured is limited as follows: c. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring Insurance", the in- surance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the limits of insurance described in Section III — Limits Oflnsurance. d. This insurance does not apply to the render- ing of or failure to render any "professional services" or construction management errors or omissions. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring Insurance" specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additional insured ap- plies only to such "bodily injury" or "property damage" that occurs before the and of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following Is added to Paragraph 4.a. of Sli TION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible 'other in- surance", whether primary, excess, contingent or on any other basis, that Is available to the addi- tional Insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this Insurance provided to the ad- ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to "other insurance" available to the additional in- sured which covers that person or organization as a named Insured for such loss, and we will not share with that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible "other Insur- ance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization Is an additional insured under any "other insurance". 3. The following Is added to SECTION IV — COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tlonallnsured: a. The additional insured must give us written notice as soon as practicable of an 'occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D4 14 04 08 02008 The Travelers Companies, Inc. BdkRtwgnnantixeirmn $ RenEu�oLMraa!®Br, m 7ari iDeirteow ar�u nta,aymmr a�,rr.,ru� POLICYNUMBER P-630-9P881661 ISSUE DATE: 3/1/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL LIMITATION OF COVERAGE PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY CANCELLATION: SCHEDULE Number of Days Notice: 30 WHEN WE DO NOT RENEW (NDnrenewal): Number of Days Notice: 30 MATERIAL LIMITATION OF COVERAGE: Number of Days Notice: 30 PERSON OR ANY PERSON OR ORGANIZATION ORGANIZATION: (CONTINUED ON IL T8 03) ADDRESS; (CONTINUED ON IL T8 03) DAYTON OR 45430 PROVISIONS A. If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. B. If we do not renew this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for When We Do Not Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. C. If we add a material limitation on the coverage provided by this policy, and a number of days is shown for Material Limitation Of Coverage in the Schedule above, we will mail notice of such limitation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Material Limitation Of Coverage in such Schedule before the effective date of such limitation. IL T3 54 05 19 © 2019 The Travelers Indemnity Campany. All rights reserved. RkkNw6enuxr0wimn �wm6Asrnavmav: �' R mrar.dse�roAv.�w�re ',.. POLICY NUMBER P-630-9P881661 GENERAL PURPOSE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL LIMITATION OF COVERAGE PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL LIMITATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION, NONRENEWAL OR MATERIAL LIMITATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. "ADDRESS" THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. IL T8 03 RukM"i"gTxientUlw,mn Nl�nEwtn6/wrarn.�Bv: �. %anf �i✓nanw Page,„�s@ Professional Liability and Pollution Incident Liability Insurance CMAPolicy Endorsement 1 MIN M.i o f 11 Flip B r�'f ilM iil• mW o It is understood and agreed that if the Named Insured has agreed in a written contract with its client to provide such client with notice of cancellation or non -renewal of this Policy, or notice of a reduction in the Limits of Liability of this Policy by endorsement during the policy term, the Insurer will provide such notice of cancellation, non -renewal or reduction in Limits to the client as set forth herein. Within ten (10) business days of the Insurer's request, the Named Insured will deliver to the Insurer, or cause to be delivered by the broker or agent of record, a list acceptable to the Insurer containing the names and addresses of all entities entitled to receive notice. If the list is not provided to the Insurer within such time period, the Insurer will not provide notification. The Insurer will assume that the list provided to the Insurer by the Named Insured or the broker is a complete and accurate list of certificate holders. Only those persons or entities listed on the schedule will receive notification. The Insurer will keep no other record of any certificate holders in the Insurer's file. Such notice will be delivered to such client at the address recorded by certificate on file with the broker or agent of record and provided to the Insurer. With respect to cancellation or non -renewal of this Policy, the Insurer will provide the Named Insured's client with the greater of: (1) thirty (30) days' notice; or (2) the number of days' notice set forth in the applicable State Provisions endorsement attached to this Policy in accordance with the Cancellation/Non-Renewal condition of the Policy. With respect to a reduction in the Limits of Liability of this Policy by endorsement during the policy term, the Insurer will provide the Named Insured's client with the lesser of: (1) sixty (60) days' notice; or (2) the number of days' notice required in the Named Insured's contract with such client. The Insurer's failure to provide such notification will not extend the Policy cancellation date, negate cancellation or non -renewal of the Policy, invalidate any endorsement to the Policy or be cause for legal action against the Insurer. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CNA83699XX (11-2015) Endorsement Effective Date: 03/01/2022 Page 1 of 1 Underwriting Company: Continental Casualty Company 151 North Franklin Street, Chicago, IL60606 nakMur�exnxWun P>tv�n6Aarxfrvm Ww. POI ^far[ �lvrtaoa Pol Por,,hr,. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 03/O1/2022 forms a part of Policy No. WC 113-26-672 Issued to WOOLPERT, INC By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE NAMED INSURED (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and the Insurer received this information after the Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. All other terms, conditions and exclusions shall remain the same. AUTHORC -� Btvtwm6/VrRav®Bw. ° 7orr: �lawau Rvf, Mvugema,tOm®INae WC 99 00 56 (Ed. 04111) POLICY NUMBER 810 - 9 P 88164 8 ISSUE DATE: 3A/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL LIMITATION OF COVERAGE PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: WHEN WE DO NOT RENEW (Nonrenewal): MATERIAL LIMITATION OF COVERAGE: PERSON OR ANY PERSON OR ORGANIZATION ORGANIZATION: Number of Days Notice: 30 Number of Days Notice: 30 Number of Days Notice: 30 ADDRESS: ADDRESS FOR ENTITY INCLUDED IN WRITTEN REQUEST DAYTON ON 45430 PROVISIONS A. If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. B. If we do not renew this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for When We Do Not Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. C. If we add a material limitation on the coverage provided by this policy, and a number of days is shown for Material Limitation Of Coverage in the Schedule above, we will mail notice of such limitation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Material Limitation Of Coverage in such Schedule before the effective date of such limitation. IL T3 54 05 19 © 2019 The Travelers Indemnity Company. All rights reserved. gdde smrnMulu Beaeunn BlVvxav®Br.r. %artG �%taraaro riuRMa�re9nrarnCrnirarN,/e POLICY NUMBER: CUP-IT790932-22-NF ISSUE DATE: 3/1/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THE POLICY SCHEDULE Cancellation: Number of Uays Notice: 30 Person or organization: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. THE FIRST NAMED INSURED SENDS US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER YOU RECEIVE NOTICE FROM US OF THE CANCELLATION OF THIS POLICY, AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THE SCHE➢ULE. Address: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. IL T4 05 05 19 0 2019 The Travelers Indemnity Company. All rights reserved. w. NbkntwgenmrelTbumn � (�ve�uEo6Avwszv®ar. I %zt'%�eEtdory au.na „�yn,..naAr�raee