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HomeMy WebLinkAboutOVERLAND PACIFIC & CUTLER, LLC (2)A-2020-259-01A MAYOR Valerie Amezcua MAYOR PRO TEM Jessie Lopez COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez David Penaloza Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PUBLIC WORKS AGENCY WORK MAY PROCEED 20 Civic Center Plaza - P.O. Box 1988 UNTIL INSURANCE EXPIRES Santa Ana, California 92702 1 01 1 �Yb Z.f wwW.santa-ana om CITY CLERK DATE: APR 17 102t January 10, 2024 D•, 4rtA(v) Overland Pacific & Cutler, LLC, a Division of TranSystem Attn: Brian Everett, President 5000 Airport Plaza Drive, Suite 250 Long Beach, CA 90808 BEverett(a),00cservices.com CITY MANAGER Thomas Hatch CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Re: Extension of Agreement (#A-2020-259-01) to Provide On -Call Right of Way Acquisition Services Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Overland Pacific & Cutler, LLC, a division of TranSystem, and the City of Santa Ana, dated December 15, 2020, the time period of the Agreement is hereby extended for an additional one-year period through December 14, 2024. 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. Sincere o r. 1 ri / Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA AN __Zff7f1W Alvaro Nunez Acting City Manager APPROVED AS TO FORAM Jonathan Martine Assistant City Attorney A rTr,...V rTP OVERLAND PACIFIC & CUTLER, LLC 1-;eoeueigned by: AA', AA', fW-ntf Bndffff'FP President SANTA ANA CITY COUNCIL Valens Amezcua Jessie Lopsz Thai Viet Phan Benjamin Vazquez Phil Became JohnaNan Ryan Hernandez unit Penaloza Mayor Mayor Pm Tem, Wine 3 Ward Were Want Ward Were 'morelaramrm lessielooez(oZ... a-anaom bri (ol twamiseaUsminti mm ndacemaAremte-anaam mmnhemendazbsanla-an, om a eo i ACOR6r CERTIFICATE OF LIABILITY INSURANCE ll..� 10/1/2024 DATE(MM/DD/YYYY) 10/2/2023 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 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 cert'iic hoider.in lieu of such a do men s . PRODUCER Lockton Companies Acevedo Nn PMO Dale. 2024.o Cmu@l0Ckton.COm _ — 1 I NAME: Ceetsuuitee99000NE FAX M.N A/C No:aw7 E-MAIE 1I RERS AFFORDING COVERAGE NAIL$ INSURER A: Zurich American Insurance Company 16535 INSURED TRANSYSTEMS CORPORATION 1079870 AND OVERLAND PACIFIC & CUTLER 5000 AIRPORT PLAZA DRIVE, SUITE 250 LONG BEACH CA 90815 INSURER B: INSURER C: INSURER D: NSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 19823601 REVISION NUMBER: XXXXXX7{ 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 TYPE OF INSURANCE ADDLsUBR O POUCYNUMBER POLICYEFF MM/OD POLICY UP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1XI OCCUR SEVERABILITY Y N GLO3707153 10/1/2023 10/1/2024 EACH OCCURRENCE $ 2,000,000 PREMISES Ea DAMAGETO_Foccurrence $ 1,000,000 X X MED EXP (Any onePerson) $25000 I CLAUSE PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 11 LOC OTHER: GENERALAGGREGATE $4000000 PRODUCTS-COMP/OP AGG $ 4000000 $ A AUTOMOBILELIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY X AUTOS ONLDY N N BAP3707150 10/l/2023 10/1/2024 OMaBINEeDtSINGLE LIMIT g 2000000 BODILY INJURY (Per person) $ XXXXXXX I BODILY INJURY (Per accident) $ XXXXXXX X P.rraugdeenn DAMAGE $ XXXx7CC{ $XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOTAPPLICABLE EACH OCCURRENCE $ XXXXXXJ{ AGGREGATE $ ]CC{XXXX DIED RETENTION $ $ XXJ )DM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIE ORIPARTNEPIEXECU IVE OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) II yes, describe antler DESCRIPTION OF OPERATIONS below NIA NOT APPLICABLE PER OTH- STATUTE ER E.L.EACH ACCIDENT $ XXXXXXX E.L DISEASE -EA EMPLOYEE $ XXJQ{XXX E.L. DISEASE -POLICY LIMIT $ XX]C{XXX DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be adached If more space Is required) RE: A-2020-259-01 CITY OF SANTA ANA. CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EWLOYEES, AND VOLUNTEERS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY, THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY IF REQUIRED BY WRITTEN CONTRACT. 19823601 CITY OF SANTA ANA ATTN: CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLAZA (M-30) PO BOX 1988 SANTA ANA CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC © 1988-2015 ACI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD RIAMsmagmentDicisdorn1 RENDNED&APPROVEOSY. -: ® A+�:rflcev:.td ; Risk Management Spedalist Miscellaneous Attachment: M501712 Certificate 1D: 19823601 Additional Insured — Owners, Lessees Or Contractors — Scheduled Person Or Organization THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO3707153 Effective Date: 10/1/2023 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured under a written contract, written agreement, or permit. Location(s) Of Covered Operations: ALL PROJECTS 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 of this endorsement, 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 in such Schedule. 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. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2169-A W (02/19) RAMougemedDlwian RE,nE D & APPRG/m Br. A4-g-Z' A �' RBk Management Spedalint Miscellaneous Attachment: M501714 Certificate ID: 19823601 Additional Insured — Owners, Lessees Or Contractors — Completed Operations THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO3707153 Effective Date: 10/1/2023 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured under a written contract, written agreement, or permit. Location And Description Of Completed Operations: ALL PROJECTS Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, 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 such Schedule, performed for that additional insured and included in the "products -completed operations hazard". All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2168-A CW (02/19) ' ® Rtlne &ApP mBY: Risk Management Specialist Miscellaneous Attachment: M501723 Certificate ID: 19823601 POLICY NUMBER: GL03707153 a Other Insurance Amendment - Primary And ZURICH Non -Contributory THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: TRANSYSTEMS CORPORATION This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U-GL-1327-B CW (04/13) Page 1 of 1 Risk Mu*genent Wolm R�errEo&AavRwso By: A fe Auw.lo `®' Risk Management Spedkist I 01 Miscellaneous Attachment: M463275 Certificate ID: 19823601 POLICY NUMBER: GL03707153 Blanket Notification to Others of Cancellation or Non -Renewal ZURICHm THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U-GL-1521-A CW (10112) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. e .=a. RffiiM&agmntDiB s ;°�{enEwm R6ArvRov®BY:Y: Ruk Management Specialist Miscellaneous Attachment: M463276 Certificate ID: 19823601 POLICY NUMBER: BAP3707150 Blanket Notification to Others of Cancellation or Non -Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within ten days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U-CA-388-A CW (07/94) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permissit RhiMnwgenadDK6Ian e Revi D&APPRDVMBr `® Risk Management Speardist 01 Client#:1890924 TRANSCOR9 ACORD. CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDDIYYYY) 9/22/2023 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(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Janelle M. Darling USllnsurance Services, LLC PHONE g52.322.9046 AA, 952.945.9477 A/C No E# : A/C, No 8000 Norman Center Dr, Suite 400 E-MAIL ADDREss: Janelle.Darling@usi.com Bloomington, MN 55437 612 509-1001 INSURER($) AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535 INSURED TranSystems Corporation INSURER B 222 South Riverside Plaza, Suite 610 INSURER C: Chicago, IL 60606 INSURERD: INSURER E : 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 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 TYPE OF INSURANCE ADDL INSR SUB WVD POLICYNUMBER POLICY EFF MM/DD POLICY UP MM/DO LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISEOERE EnE NTEnonce $ MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ POLICY JECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea auddenl BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS 0NLY AUTOS ONLY PROPERTY DAMAGE peraccident $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO I I RETENTION $ g A WORKERS COMPENSATION ANDEMPLOYERS'LIRTNOY YIN ANY PROPRIETORIPARTNDED? CUTIVE OFFICERIMEMBER EXCLUDED? � MIA Y WC790204603 10/01/2023 10/01/202 X PER OTH- $ E $1,000 000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $1,000 000 (Mandatory in NH) If yes, DESCRIPTIONibe antler DESCRIPTION OF OPERATIONS below All States except ND, OH, WA and WY E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddRional Remarks Schedule, maybe attached if more space Is required) All States coverage except in ND, OH, WA and WY. The workers compensation policy provides Blanket Waiver of Subrogation and Alternate Employer when required by written contract, except as prohibited by law. The workers compensation policy includes an endorsement providing that 30 days notice of cancellation for (See Attached Descriptions) City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF ACCORDANCE WITH THE POLICY REVIEWED & APPROVED BY: A, jju Acweda Risk Management Specialist ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S41951465/M41934304 VACZP DESCRIPTIONS (Continued from Page 1) 1 reasons other than non-payment of premium and 10 days notice of cancellation for non-payment of premium will be given to the Certificate Holder by the Insurance Carrier. The following endorsements apply to the names/projects/events listed below only if required by written contract or agreement or agreement: WC000313 Waiver of Our Right to Recover from Others Endorsement (Blanket Waiver of Subrogation) WC040306 Waiver of Our Right to Recover from Others Endorsement California (Blanket Waiver of Subrogation) WC420304B Texas Waiver of Our Right to Recover from Others Endorsement (Blanket Waiver of Subrogation) UWC3083ACW Broad Form Named Insured Endorsement WC000301A Alternate Employers Endorsement WC990635 Notification To Others Of Cancellation, Nonrenewal Or Reduction Of Insurance Endorsement WC990646 Illinois Blanket Notification To Others Of Cancellation or Nonrenewal Endorsement WC000311A Voluntary Compensation & Employers Liability Coverage Endorsement WC040305 Voluntary Compensation & Employers Liability Coverage Endorsement - California UWC198C Foreign Voluntary Compensation & Employers Liability Coverage Endorsement WC000106A Longshore & Harbor Workers' Compensation Act Coverage Endorsement WC040101A Longshore & Harbor Workers' Compensation Act Coverage Endorsement California The waiver of subrogation coverage indicated by the box checked above is provided by the forms listed that only extend coverage if required of the insured by a written contract or agreement. RE: Project#A-2020-259-01. eh e�.' REVIeJ/ED6AavRov®Br �. A A 142 ; '�—=� Risk Management Speaalist SAGITTA 25.3 (2016/03) 2 of: #S41951465/M41934304