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HomeMy WebLinkAboutHERBERT P. SEARS, CO., INC. (2) N-2023-298-01 MAYOR .0 -.4 1 T r CITY MANAGER Valerie Amezcua y ' Alvaro Nunez MAYOR PRO TEM - y i CITY ATTORNEY Thai Viet Phan Sonia R.Carvalho COUNCILMEMBERS CITY CLERK c_ Phil Bacerra , ._ Jennifer L.Hall Johnathan Ryan Hernandez ' "" Jessie Lopez r�- y F. „a"� David Penaloza Benj INSURANCE ON FIILEVazquez CITY OF SANTA ANA f'.(,MAY PROCEED UNTIL INSURANCE EXPIRES FINANCE AND MANAGEMENT SERVICES 121 I I'12o7 4- 20 Civic Center Plaza•P.O.Box 1988 CITY CLERK Santa Ana,California 92702 DATE SEP 1 2 2024 www.santa-ana.orq 0.,p.si U1) August 27, 2024 ftL9brA- 2,16ete)w Herbert P. Sears, Co., Inc. 2000 181'1 Street Bakersfield, CA 93301 Attn: Christopher Lee Thompson,CEO Re: Extension to Agreement(#N-2023-298) to Provide Collection Agency Services Dear Mr.Thompson, Pursuant to Section 3("Term")of the above referenced Agreement,entered into between Herbert P. Sears, Co., Inc., and the City of Santa Ana, dated October 1, 2023, the time period of the Agreement is hereby extended for an additional one(1)year period through September 30,2025. All other terms and conditions of the Agreement remain unchanged and in full force and effect. If you have any question regarding this matter,please contact Alejandra Gutierrez,Treasury and Customer Services Manager in the Finance&Management Services Agency at(714) 647-5497. Sincerely,1C athryn Dow s,CPA Executive Director,Finance&Management Services Agency CIT F SANTA A ATTEST ,AA,., varo Nunez : City Manager APPROVED - . 0 FORM HERBERT P. SEARS CO. INC. 'CL/14 tr, 44 cc a llie,‘Th ........ .. . drea Garcia-Miller Christopher Lee Thompson Assistant City Attorney CEO SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phi Bacerra Johnalhan Ryan Hernandez David Penaloza Mayor Mayor Pro Tern.Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuartTsama-ane.orq tphan{oesanla-ana.orq hvazquez,r sanla-ana.orq jessletopez5raanla-ana.orq pbarerrar5Tsanla-ana.om lrvanhemandezasenla•anaAry doenolozansanla-ana.orq Zubiate. Robert From: City of Santa Ana <certificate-request@ctraxjdidata.com> Sent: Wednesday, January 31, 2024 9:31 AM To: Gutierrez, Alejandra; Chavez,Alfonso; Guillen, Leslie; Zubiate, Robert Subject: Internal Notice of Compliance e SANTA ANA NOTICE of . '€ MPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Name: Herbert P. Sear,:- lnc, Project N-2023-298 Number: Project Agreement `iNith H.P. Sears Co., inc o Provide Collection Agency Services Name: The Certificate of l6_s_,_.-Ince (C01) submitted intPc tes that the coverages comply with the insurance requ . cents. The compliant coverage do TYPE OF INSURANCE POI xCY EXPPIA 1143N COI DATE FILE NAME NUM 3;_ DATE HP SEARS CERT AUTOMOBILE LIABILIT\' 72UECP T c)32 12/18/202 12/05/2023 ACORD Auto 12- 05-23.pdf 2324 GL-City of GENERAL LIABILITY 51 SBATL 2232 05/02/2024 10/17/2023 Santa Ana- REVISED.pdf E&O ACORD ' ' PROFESSIONAL LIABILITY ADC() ; )00 04i07/202-t 10/20/2023 Form 20231020- 135051.pdf WORKERS COMPENSATION aN HP Sears-2024 EMPLOYERS' LIABILITY 51WECI . 1110 01/15/2025 01/16/2024 WCCertforCity of Santa Ana.pdf No further c-ction :auired ez4 this time. Thank you, City of Santa Ana Risk Management Division in partnership with _,..........441 HERBPSE-01 DHARANIREDDY 4' o, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDmYY) 4/30/2024 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 endorsementL�s),�. PRODUCER License#0E02096 CONTACT Ar clel�yg�t.� yl ed by Angie �I/aME: DiBuduo&DeFendis Insurance Brokers,LLC PHONE FAX 6873 N.West Ave,Ste 101 ® (A/C,No Ext): I A/C,No): Fresno,CA 93711 �` � � A E� �e � E-MAIL ,�® � m (y�� '� C 1 NAIC# : INSURERF:C�ir �,. INSURED INSUPar.6: 1 Herbert P.Sears Co.,Inc., DBA:HP Sears IRE I'.ERC: 2000 18th Street INSURER D: Bakersfield,CA 93301 •INSURER E: I 1 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 rPOLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE i„DCL SUER POLICY NUMBER POLICY EFF POLICY EXP LTR INSD 1M1D (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X 51SBATU2232 5/2/2024 5/2/2025 DAMAGE TO RENTED 1,000,000 PREMISES lEa occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident)_ $ A�R OS ONLY AUOTN S ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB _ OCCUR iI I EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE' I AGGREGATE $ DED RETENTION$ I ! $ WORKERS COMPENSATION i I PERTUTE I I ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NfA' (Mandatory inNH} E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i A Crime(Includes Burg 51S3ATU2232 5/2/2024 5/2/2025 Limit 50,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana is named as Additional Insured under the General Liability per the Additional Insured form SS0008 0405 as respects Operations of the Named Insured.Waiver of Subrogation applies to the General Liability per form SS0008 0405. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF / ACCORDANCE WITH THE POLICY PRC l Division Attn:Alex Gutierrez,Treasury and Customer Service Manager ,��="'"� /'b17°8ement 20 Civic Center Plaza R 3' EVIEWED&APPROVED BY: Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE .i. Id`•; 114.14. A Ratak A-441 ° ;® Risk Management Specialist I ACORD 25(2016/03) ©1988-2015 ACORDRPORATION. All rights reserved."" Me ACORD rz,-^e and logo are registered marks of ACORD AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/29/2024 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 1 CONTACT CIA! Aon Risk Services Central,Inc. PHONE (952)926-6547 FAX 952 928-3837 (A/C,No,Ext): (A/C,No): ( ) 5600 W 83rd St.8200 Tower ADDRESS: collectorsinsurance@acainternational.org Ste 1100 INSURER(S)AFFORDING COVERAGE NAIC# Minneapolis MN 55437-3844 I INSURER A: QBE Insurance Corporation 39217 INSURED I INSURER B: HERBERT P.SEARS CO.,INC. I INSURER DBA HP SEARS INSURER D: 1100 MOHAWK ST.STE 210 INSURER E: BAKERSFIELD CA 93309 i INSURER F: COVERAGES CERTIFICATE NUMBER: 10027477 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. INR LTR TYPE OF INSURANCE 'ADDL SUBR POLICY EFF POLICY EXP INSD WVD OLICY NUMBER (MM/DDIYYYY) 1MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I DAMAGE TO RENTED - CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S PERSONAL&ADVINJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC I PRODUCTS-COMP/OPAGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE — AUTOS ONLY AUTOS ONLY (Per accident) $ $ __ — UMBRELLALIAB — OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE: AGGREGATE $ DED RETENTION $ I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N , STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I v A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ERRORS&OMISSIONS • EACH CLAIM $1,000,000 A ADC01959-01 05/01/2024 05/01/2025 AGGREGATE $2,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICL-Eli (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF SANTAANA ACCORDANCE WITH THE POLICY PRO)\ ALEX GUTIERREZ ci,tr.PL't..?.<F4.s. Risk Management Division 20 CIVIC CENTER PLAZA I AUTHORIZED REPRESENTATIVE REVIEWED&rr APPROVED BY: SANTAANA CA 92701 `�"'` 'i� I ',, a I —_-- Risk Management Specialist ©1988-2015 ACOF/ ACORD 25(2016/03) The ACORD lame and logo at a registered marks of ACORD