HomeMy WebLinkAboutPSOMAS (3)MAYOR INSURANCE ON FILE
Valens Amezma 'WORK MAY PROCEED
MAYOR PRO TEM INTIL ANCE EXPIRES
Jessie Lopez
COUNCILMEMBERS
Phil Bacerra
Johnathan Ryan Haniandez David Penaloza MAY 2 2
Thai Viet Phan
Benjamin Vazquez
CITY OF SANTA ANA
2023
PUBLIC WORKS AGENCY
20 Civic Center Plaza a P.O. Box 1988
Santa Ana. Califomia 92702
W .santa-ana.ora
March 23.2023
PSOMAS
Attn: Maria Salcedo, Project Manager
3 Hutton Centre Drive, Ste. 200
Santa Ana, CA 92707
Re: Extension of Agreement (A-2020-075-03) to Provide On -Call Water Resources
Engineering Services
Dear Ms. Salcedo:
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Pursuant to Section 3 ("Term") of the above -referenced Agreement, as amended, entered into by
PSOMAS and the City of Santa Ana, dated April 21, 2020. the time period of the Agreement is hereby
extended for an additional two-year period, from April 22, 2023 through April 21, 2025. Any insurance
certificates are required to be extended and/or renewed to cover this extension. All other terms and
conditions of the Agreement, as amended, remain unchanged and in full force and effect.
Sincerely,
41, Nabil Saba, P.E.
Executive Director, Public Works Agency
CITY OF SANTA ANA
Kristine Ridge
City Manager
APPROVED AS TO FORM
Jose Montoya
Assistant City Attorney
ATTEST
. kL 'A * A
ennifer L. Hall
City Clerk
PSO S
12
Jo . Boyle, VE, ENV SP
Vice President
SANTA ANA CITY COUNCIL
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Polezhaev, Katerina
From: City of Santa Ana < certificate- request@ctraxjdidata.com>
Sent: Thursday, April 20, 2023 8:41 AM
To: dcayetano@psomas.com; Fernandez, Armando; greylingcerts@greyling.com; Burk,
James; Polezhaev, Katerina; Zavala, Talisa
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
I I I 1 s rAFF: PRIM I I II I I' %(,I kND INCLUDE N7I'll AGW I %I I N"[" TO THE CLERK OF THE COtIV II
Contractor Psomas, Inc.
Name:
Project TBD (057)
Number:
Project Extension of Agreement (A-2020-075-03) to Provide On -Call Water
Name: Resources Engineering Services
The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the
insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
TYPE OF INSURANCE
AUTOMOBILE LIABILITY
PROFESSIONAL LIABILITY
CLAIMS MADE
WORKERS
COMPENSATION AND
EMPLOYERS' LIABILITY
Thank you,
POLICY NUMBER
CA4489706
GL5268212
' :- L► --1
EXPIRATION COI FILE NAME
DATE DATE
04/01/2024 04/01/2023 SBR08 56426746 32827.Pdf
04/01/2024 04/01/2023 SBR08_56426746 32827.pdf
10/15/2023 10/12/2022
City-of-Santa-
Ana_PSOMAS_PL-2-2-(10-
23)_10-12-
2022_904355163_l.pdf
WC015893764WC015893765 04/02/2024 04/01/2023 SBR08_56426746_32827.pdf
City of Santa Ana
Risk Management Division
in partnership with
1
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor
Psomas, Inc.
Name:
Project
A-2020-075-03A
Number:
Project Extension of Agreement (A-2020-075-03) to Provide On-Call Water
Name: Resources Engineering Services
The Certificate of Insurance (COI) submitted indicates that the coverages are in
compliance with the insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
TYPE OF EXPIRATION
POLICY NUMBER COI DATE FILE NAME
INSURANCE DATE
AUTOMOBILE
CA4489706 04/01/2024 04/01/2023 SBR08_56426746_32827.pdf
LIABILITY
GENERAL
GL5268212 04/01/2024 04/01/2023 SBR08_56426746_32827.pdf
LIABILITY
PROFESSIONAL
DPR5018205 10/15/2024 10/19/2023 CERT-46060403.pdf
LIABILITY
WORKERS
COMPENSATION
WC015893764WC015893765 04/02/2024 04/01/2023 SBR08_56426746_32827.pdf
AND EMPLOYERS'
LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
10/19/2023 12:19 PM