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HomeMy WebLinkAboutVIATRON SYSTEMS, INC. A-2020-203-01A MAYOR ,�� y-r Valerie Amezcua CITY MANAGER MAYOR PRO TEM ` ,1. Alvaro Nunez �L,. r CITY ATTORNEY Thai Viet Phan Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra ; ° Jennifer L.Hall Johnathan Ryan Hernandez - Jessie Lopez .,4 t,yli n David Penaloza Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PLANNING AND BUILDING AGENCY WORK MAY PROCEED 20 Civic Center Plaza•P.O.Box 1988 UNTIL INSURAN Santa Ana,California 92702 (� 2� �Z'{E EXPIRES www.santa-ana.orq CITY CLERK DATE; NOV 0 4 2024 October 16,2024 U: PI1(0) VIATRON SYSTEMS, INC. huntim Villatral(KAttn: Geoff Erwin 18233 S. Hoover St. Gardena,CA 90248 Re: Extension of Agreement A-2020-203-01 Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Viatron Systems, Inc. ("Contractor") and the City of Santa Ana, dated October 20, 2020, the term of the Agreement is hereby extended for an additional two-year period until October 19, 2026. 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, Minh Thai Executive Director, Planning&Building Agency CITY OF SANTA ANA ATTEST L.44 (6P Alvaro Nunez ennifer L. • City Manager Cit - - APPROVED AS TO FORM VIATRON SYSTEMS,INC. • Melissa Crosthwaite Albert Fader,Vice President Senior Assistant City Attorney for Geoff Erwin, President SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem.Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuaasanta-ana.orq tphan(o@santa-ana.ora bvazquezalsanla-ana.orq (essielooezra'santa-ana.orq phacerraysanta-ana.orq fryanhemandezonsanta-ana.orq dpenalozarrDsanta-ana.orq CCPREP A CERTIFICATE OF LIABILITY DATE(MM/DDIYYYY) INSURANCE 07r23r2024 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 CONTACT NI,n:.:P •• -s4ve Corr4nercial Li Customer a Agent Servicing Progressive Insurance P C No, -� -4 7a s ( L n ed by PO Box 94739, veland,OH 44101 � e E AIL Al D'tESS:progre commercial e rr, l.progressly m _ //�� INSURER(S)EIFFFO�RDING OVERAGE NAIL# IN!' 2ER a•� gr Iv l (t In cev e d o 10193 INSURED Ir •UF ' e ViaTRON SYSTEMS,INC.18233 S.Hoover Street, JSUREI ^: LL 2O24.OL2 Gardena,CA 9 8INSURER "]te• IIIINSURER F: Q `C A S ceved I C THIS KIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTFJ Br.OW HAVE 9BEN�S�.042 MED OR�OLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM Cr2 rJNDITION 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM(DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE I I OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- I AGG $ PRODUCTS-COMP/OP POLICY JECT LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000.000 ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED AUTOS ONLY X AUTOS Y Y 981679173 05/24/2024 11/24/2024 BODILY INJURY(Per accident),$ HIRED NON-OWNED PROPERTY DAMAGE _AUTOS ONLY _AUTOS ONLY ( er accident) $ - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION FRTUTE I ooSS H- AND EMPLOYERS'LIABILITY YIN I P STA ER ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ See ACORD 101 for additional coverage details. $ A Y Y 981579173 05/24/2024 11/24/2024 DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI\ CITY OF SANTA ANA THE EXPIRATION DATE THEREOF ,,,� Ride Mttrntg�rnetltDhfalon RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PRC a f REVIEWED deAPPROVED BY: 20 CIVIC CENTER PLAZA SANTA ANA,CA 92702 `)t It • 1 A Accucsto AUTHORIZED REPRESENTATIVE i®: �— Risk Management Specialist jam, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/031 The ACORD name and loco are reaistered marks of ACORD AGENCY CUSTOMER ID: ACCPRO® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Progressive Insurance ViaTRON SYSTEMS,INC. POLICY NUMBER 18233 S.Hoover Street, 981679173 Gardena,CA 90248 CARRIER NAIC CODE Progressive Express Insurance Company 10193 EFFECTIVE DATE:05/24/2024 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Insurance coverage(s) Limits Uninsured/Underinsured Motorist $1,000,000 Combined Single Limit Liability coverage may not apply to all scheduled vehicles. Additional Information Blanket Waiver of Subrogation in favor of the certificate holder,but only if party to a written waiver agreement executed by the named insured,as required by contract,prior to the occurrence of any loss.The certificate holder is an additional insured if required by written contract executed by the named insured prior to the occurrence of any loss, per blanket Al endorsement. f RiefalariogententDivialon REVIEWED&APPROVE)By:f/ `l ASIU AG1U4O ®, Risk Management Specialist ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD