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HomeMy WebLinkAboutT.R. HOLLIMAN AND ASSOCIATES, INC. (2)INSURANCE NOT ON FILE WORK MAY NOT PROCEED CITY CLERK DATE: A-2023-152 f WA (2) SECOND AMENDMENT TO AGREEMENT WITH T.R. HOLLIMAN & ASSOCIATES FOR PREPARATION OF RECYCLED WATER MASTER PLAN N THIS SECOND AMENDMENT TO AGREEMENT is entered into on this 15th day of August 2023, oby and between T.R. Holliman and Associates, Inc. ("Consultant'), and the City of Santa Ana, a i— charter city and municipal corporation duly organized and existing under the Constitution and laws v of the State of California ("City"). Consultant and City are also referred to herein as "Parties" or individually as a "Party." RECITALS A. The parties entered into Agreement No. A-2018-029, dated February 20, 2018, by which Consultant agreed to prepare a Recycled Water Master Plan for the Water Resources Division of the Public Works Agency ("Agreement"). B. The parties entered into a First Amendment to the Agreement (A-2021-008) on January 19, 2021, to expand the scope of work, increase the overall compensation, and extend the term of the Agreement until February 19, 2023. C. On January 19, 2023, the parties extended the term of the Agreement for an additional six (6) months until August 19, 2023, to allow Consultant to complete work related to the Agreement, as amended. The Agreement is current and in -effect. D. The parties desire to further amend the Agreement to extend the term of the agreement for a fmal one (1) year period. This Second Amendment contemplates no other revisions to the terms and conditions of the Agreement. THE PARTIES THEREFORE AGREE: Section 3, TERM, shall be amended to extend the term of the Agreement until August 18, 2024. 2. Except as hereinabove modified, the terms and conditions of said Agreement, as amended, remain unchanged and in full force and effect. [signature page to follow] Page 1 of 2 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement the date and year first above written. ATTEST: APPROVED AS TO FORM: Sonia R. Carvalho, City Attorney n�lvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL: Nabil Saba, PE Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager T.R. HOLLIMAN & ASSOCIATES, INC. By: Thomas R. Holliman, PE Title: President/Managing Engineer Page 2 of 2 sa ACOR" CERTIFICATE OF LIABILITY INSURANCE OATE(MMIODIYVYY) 10..✓ 01/04/2023 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LDER. 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 Hiscox Inc. dlblal Hiscox Insurance Agency in CA 5 Concourse Parkway Suite 2150 CONTACT NANI PHONE (ggg) 202-3007 FAX allE-MAIL Ea No ADDRESS: contact@hiscox.com INSURERS AFFORDING COVERAGE NAIL q Atlanta GA, 30328 INSURERA: Hiscox Insurance Company Inc 10200 INSURED T.R. HollCitrus S and Associates, Inc. 3543 Citrus Street INSURER B INSURER C INSURER D: Highland, CA 92346 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: apvlstnM Nulhaaco. 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 LTR I TYPE OF INSURANCE ADDL BUSH POLICYNUMBER POLICY EFF MM/DDM'VY POLICY EXP MMIDDIYYYYI LIMITS COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ D AGETO PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ AGGREGATE LIMIT APPLIES PER: RO- POLICY JPECT LOC GENERAL AGGREGATE $ GEN'L PRODUCTS. AGO $ $ OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT t $ ANYAUTO INJURY person) $ ALL OWNED SCHEDULED 'AUTOS AUTOS URY Per aca deal ( 1 $ HIREDAUTOB NON -OWNED DAMAGE _ nt $AUTOS $ UMBRELLAUAB _ OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTIONS 1 1$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMSEREXCLUDED? NIA STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) under Ryes, describeOF E.L. DISEASE -POLICY LIMIT $ below DESCRIPTIONIPTION O A Professional Liability Y P100.107.967.9 02/18/2023 02/18/2024 Each Clalm:$2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are Additional Insureds per endorsement MUS010120127, and 8610. 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 PROVISIONS. AUTHORIZED REPRESENTATIVE ' 988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/01 /2023 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 endorsement(s). PRODUCER CONTACT Julie Rybak NAME: Kellogg & Moreland Agency, Inc. DBA PHONE (909) 792-8960 F (909) 792-2030 AIC No Ex AIC, No Arroyo Insurance Services E' fuller arr0 olns.com aoDREss: e° y 1654 Plum Lane INSURER(S) AFFORDING COVERAGE NAIC If Redlands CA 92374-4532 INSURERA: Mesa Underwriters Specialty INSURED INSURER e: United Financial Casualty Cc 11770 TR Holliman Associates Inc INSURER o: Employers Preferred Insurance Company 10346 3543 Citrus Avenue INSURER D : INSURER E: Highland CA 92346 INSURER F: COVERAGES CERTIFICATE NUMBER: CLZ381Ua3U7 RFVISION NIIMRFP- 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 MAYBE 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 LTR TYPE OF INSURANCE AIJUL INSD SEEK WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EAP MWDDNYYV LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR OCCURRENCE $ 1,000,000 ISES Ea occurrence $ 100,000 %P (Any one person) $ 5,000 PERSONAL INJURY $ 1,000,000 A Y Y MP0004018007552 11/17/2022 11/17/2023 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRo- JECT LOG ALAGGREGATE $ 2,000,000 R-COMPIOPAGG CTS-COMP/OP AGG Included $OTHER: $ AUTOMOBILE LIABILITY INED SINGLE LIMIT identANYAUTO $ 1,000,000 YINJURY(Per person) $ B OWNED SCHEDULED AUTOS ONLY X AUTOS Y Y 04196679-5 10/10/2022 10/10/2023 Y INJURY Per accident ( )XHIRED $ NON -OWNED AUTOS ONLY X AUTOS ONLY RTY DAMAGE cidenlured $ motorist Bl $ 100,000 UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ G WORKERS COMPENSATION ANDEMPLOYER&LIABILITY ANY PROPRIETOREARTNER/EXECUTIVE — OFFICERIMEMBER EXCLUDED? FYI (Mandatory In NH) Tyes, describe under DESCRIPTION OF OPERATIONS below N/A EIG 506795"l 08/15/2023 08/15/2024 I PER OTH- STATUTE ER E.L. EACHACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Santa Ana, Its Officers, Employees, Agents, and Representatives are Additional Insureds with respect to General Liability as per written contract, insurance Is primary and non-contributory per attached endorsement #MUS0101201270316, 30 days cancellation notice applies. City of Santa Ana Risk Management Division, 4th 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 PROVISIONS. AUTHORIZED REPRESENTATIVE rnIPPEIPATrnN All rl-h+.. —A ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor TR Holliman Associates Inc Name: Project A-2023-152 Number: Project Second Amendment To Agreement With T.R. Holliman & Name: Associates For Preparation Of Recycled Water Master Plan 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: EXPIRATION COI TYPE OF INSURANCE POLICY NUMBER FILE NAME DATE DATE COI for CityofSA TRHA AUTOMOBILE LIABILITY 04196629 10/10/2024 11/30/2023 GL_Auto_WC 2023-24 issued 11.30.2023.pdf COI for CityofSA TRHA GENERAL LIABILITY 9P000401800755206 11/17/2024 11/30/2023 GL_Auto_WC 2023-24 issued 11.30.2023.pdf CityofSantaAna TRHolliman PROFESSIONAL LIABILITY P1001079679 02/18/2024 01/04/2023 Proff Liab 2_18_2023 thru 2_18_2024.PDF COI for CityofSA TRHA WORKERS COMPENSATION AND ETC506795801 08/15/2024 11/30/2023 GL_Auto_WC EMPLOYERS' LIABILITY 2023-24 issued 11.30.2023.pdf