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HomeMy WebLinkAboutALL ENVIRONMENT, INC. (3)INSURANCE ON FILE WORN MAY PROCEED UNTIL INSURANCE EXPIRES CITY CLER 3�oz>v DATE: MAYOR 0Valerie Amezcua ClJ-bN7ooi MAYOR PRO TEM Thal Met Phan COUNCILMEMSERS Phil Bacerra Johnathan Ryan Hemandez Jessie Lopez David Penaloza Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 wvnv Santa-anaxm April 23, 2024 All Environmental, Inc. dba AEI Consultants Attn: Paul Hinkston, COO 3880 S. Bascom Ave., Suite 104 San Jose, CA 95124 A-2022-064-02 ACTING CITY MANAGER Alvaro Nuflez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L Hall Re: Second and Final Extension of Agreement (A-2022-064) for Building Assessment and Capital Planning Budget Services Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by All Environmental, Inc. ("Consultant+'), and the City of Santa Ana, dated April 19, 2022, the time period of the Agreement is hereby further extended for an additional, and final, one-year period until May 1, 2025. 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. Sincerely, et-�ti� lia Nabll Saba, P Executive Director, Public Works Agency CITY OF SANTA AN lea L,� Alvaro Nufiez Acting City Manager APPROVED AS TO FORM ammcem ALL ENVIRONMENTAL, INC. Andrea Garcia -Miller /auolff kstonAssistant City Attorney SANTA ANA CITY COUNCIL VaMn nmexwa Th.) Vlel Phan aenlaMn V.M.l J.W. Lopeo Phi so"" JOMaNan Rpn HemaMez Dena Penaloaa Wahl5 W'ama M Mrym Pro Tom. Ward 1 Wam] yemeewanDaulaana ow eunfium Eve onA,an ne ow e+elaoenIDennlvam Wahl] Wahla om naummmunaeneom h d dD Ooanabxe'mun ne om A� �® CERTIFICATE OF LIABILITY INSURANCE DATE(18/20MMMD� 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 certificlde Ider.i li of such endo s men s . PRODUCER Arthur J. Gallagher Risk Management Service LL. ,,1 0 VoazAr..i5baAC2V2CI0 a ve O Date. LOG ie A r I PHONE FAX 312.803.6338 aC No: EMAIL A s amber c3.633 a' .com N U FORDING COVERAGE NAIC# INSURER A: Starr Surplus Lines Insurance Company 13604 I I 0700MLENVWI _ INSURED All Environmental, Inc. 2500 Camino Diablo INSURER B: Starr Indemnity & Liability Company 38318 INSURER C: INSURER D: Walnut Creek, CA 94597-3998 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 272291806 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 ADDLSUBR 1111111 Wi POLICYNUMBER POLICY EFF MM/DDM POLICY EXP MWDD/YYYY LIMBS A X COMMERCIAL GENERAL LIABILITY Y Y 1000065986231 9/14/2023 9/14/2024 EACH OCCURRENCE $2,000,000 CLAIMS-MADErx] OCCUR TO PREMI ES(RENTED PREMISES Ea occurrence) $300,000 X MED EXP (My one person) $ 25.000 Contractors Poll $2M/$4M Limits PERSONAL&ADV INJURY $1,000,000 X AGGREGATE LIMIT APPLIES PER: POLICY � jEC LOG GENERALAGGREGATE $4,000,000 GEN'L PRODUCTS -COMPIOPAGG $4,000,000 GL Ded: $5,000 $ X OTHER: CPL Ded $50,000 B AUTOMOBILE LIABILITY 1000638062231 9/14/2023 9/14,2024 COMBINED SINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Par person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLYHXAUTOS BODILY INJURY (Per accitlent) $ HIRED NON -OWNED AUTOS ONLYAUTOS ONLY PROPERTY DAMAGE Per accident $ $ X Canso: $1.000 Coll:$1.000 1 A UMBRELLALIAS X OCCUR 1000336767231 9/14/2023 9/14/2024 EACH OCCURRENCE $5,000,000 X EXCESS LUIB CLAIMS -MADE AGGREGATE $5,000,000 LED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 100000385506 9/14/2023 9/14/2024 X PER �RH E.L. EACH ACCIDENT $1.000,000 ANWROPRIETOR/PARTNERIEXECUTIVE F—N] OFFICER/MEMBER EXC W DEL? MIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional Liability 1011065186231 9/14/2023 9l14/2024 Each Claim $2.000,000 Claims Made PL Ded: $10.00D grega Agte $4.000.000 DESCRIPTION OFOPERATIONS/LOCATIONS[VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana and City of Santa Ana Public Works Agency is included as Additional Insured, per written contract or agreement, with regards to General Liability per form number CG 20 10 04 13, subject to policy terms, conditions and exclusions. The insurance provided in the General Liability policy is primary and any other insurance shall be excess only and not contributing, per form number SL 023 (6/11) (General Liability) A Waiver of Subrogation in favor of the Additional Insureds applies, per written contract or agreement, with respect to General Liability per form number SL 023 (06111). A 30 Day Notice of Cancellation applies in favor of the Certificate Holder as required by written contract. City of Santa Ana and City of Santa Ana Public Works Agency 20 Civic Center Plaza M-83 Santa Ana CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC ZED REPRESENTATIVE ©1988.2015 ACORD Risk EDManagement Dmilion I APPROVED BY.' Al", 4 Ad444 Risk Management Specialist ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD *�_ Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 AMENDMENT - NOTICE OF CANCELLATION FOR THIRD PARTIES Policy Number: 1000065986231 Effective Date: 0911412023 at 12:01 A.M. Named Insured: All Environmental, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Auto Dealers Coverage Form, Business Auto Coverage Form, Business Auto Physical Damage Coverage Form, Commercial General Liability Coverage Form, Contractor's Pollution Liability Coverage Form, Electronic Data Liability Coverage Form, Excess Liability Policy Form, Garage Coverage Form, Liquor Liability Coverage Form, Motor Carrier Coverage Form, Owners And Contractors Protective Liability Coverage Form -Coverage For Operations Of Designated Contractor, Pollution Liability Coverage Form Designated Sites, Products/Completed Operations Liability Coverage Form, Product Withdrawal Coverage Form, Professional Liability Coverage Form, Railroad Protective Liability Coverage Form, Site Pollution Liability Coverage Form, Special Protective And Highway Liability Policy -New York Department Of Transportation, Truckers Coverage Form, Underground Storage Tank Policy Designated Tanks. It is agreed that in the event the "Insurer' cancels the policy for any reason other than non-payment of premium, the "First Named Insured" must, within five (5) days of receiving the notice of cancellation, provide the "Insurer", either directly or through the retail broker, with a written list of certificate holder(s) ("Schedule') that the "First Named Insured" is contractually obligated to notify in the event that the policy is cancelled. The "Schedule' must specify the name and current email address of a contact for each certificate holder. The "Insurer" will endeavor to provide notice of cancellation to the certificate holder(s) listed in the "Schedule" by email. The "Insurer" agrees to provide such notice of cancellation at a rate of $10 per notified certificate holder up to a maximum of $25,000 for this policy. This notification of a pending cancellation of coverage is intended as a courtesy only. The "Insurer's" failure to provide such notice will neither extend the policy cancellation nor negate cancellation of the policy, nor will this failure result in obligation or liability of any kind upon the "Insurer", its agents or representatives. This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation. The following definitions apply to this endorsement: 1. "First Named Insured" means the named insured shown in the Declarations Page of this policy. 2. "Insurer' means the insurance company shown in the header on the Declarations Page of this policy. 3. "Schedule' means the written list of certificate holder(s). All other terms and conditions of this Policy remain unchanged. SIIL-102 (10/14) Copyright© Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission & Dm8 REVIEWED A..AzW:� ®' Ruk Management SpearMt *Starr Surplus Lines Insurance Company Primary and Non-contributory, Additional Insured and Waiver of Subrogation Policy Number:1000065986231 Effective Date: 09/14/2023 at 12:01 A.M. Named Insured: All Environmental, Inc. This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage form Products/Completed Operations Liability Coverage Form Contractors Pollution Liability Coverage Form Professional Liability Coverage Form Site Pollution Liability Coverage Form SCHEDULE The City of San Mateo, its elected and appointed officials, employees, and agents A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of "your work" for that insured by or for you. B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "properly damage" arising out of your negligence when the following written contract requirements are applicable: 1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured's shall apply as excess and not contribute as primary to the insurance afforded by this endorsement. 2. We waive any right of recovery we may have against these additional insured's because of payments we make for injury or damage arising out of "your work" done under a written contract with the additional insured. 3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance. Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. SL 023 (06/11) Risk REVI &MrRmtxvldw, `® Risk Management Specialist 01 Copyright © Starr Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: 1000065986231 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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) Location(s) Of Covered Operations Where Required By Written Contract 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 0413 © Insurance Services Office, Inc., 2012 _ ea,'en lN,� Flak Mompnen Nisim REVIE &APPR MBY: A.,gu A '® Ruk Management SpeaAin 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 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