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HomeMy WebLinkAboutGILLIS & PANICHAPAN, INC. (3) MAYOR r A �02�-230-08B CITY MANAGER Valerie Amezcua � ii ,`�Ak Alvaro Nuflez MAYOR PRO TEM CITY ATTORNEY Thai Viet Phan ' Sonia R.Carvalho COUNCILMEMBERS ;;Ls i . � ��l; ': CITY CLERK Phil Bacerra � _' Jennifer L.Hall Johnathan Ryan Hernandez - Jessie Lopez David Penaloza Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY INSURANCE ON FILE 20 Civic Center Plaza•P.O.Box 1988 WORK MAY PROCEED Santa Ana,California 92702 UNTIL INSURANCE EXPIRE www.santa-ana.orq it 10e1Z CITY CLERK DATE 2024 October 17, 2024 NOV 1 b Gillis and Panichapan Architects, Inc. Attn: Longkavach(Jack)Panichapan,Principal, CEO 1101 Quail Street Newport Beach, California 92660 0: Ph/Ps(2) Re: Extension to Agreement (#A-2020-230-08) to Provide On-call Space Planning and M i h rn i Orfi z(kF) Architectural Consulting Services Dear Mr.Panichapan, Pursuant to Section 3 ("Term") of the above referenced Agreement, as amended, entered into between Gillis and Panichapan Architects,Inc.and the City of Santa Ana,dated November 17,2020, the time period of the Agreement is hereby extended for an additional and final one(1)year period through November 16,2025.All other terms and conditions of the Agreement,as amended,remain unchanged and in full force and effect. Sincerely, mo 44, Nabil Saba, PE Executive Director, Public Works Agency CITY O S TA AN ATTEST AMP* 11111k,k aro Nunez dika' �:all =" City Manager • er APPROVED AS TO FORM CONSULTANT Digitally signed by Jack Panichapan,AIA y�7 ON:0=-GCil=lisJ 5.Elack®goon s.org, Panichapan Architects,CN='Jack Panichapan,ALA' Date:2024.10.22 09:43:09-07'00' Jonathan T. Ma ez By: Longkavach (Jack) Panichapan Assistant City Attorney Title:President/CEO SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David Penaloza Mayor Mayor Pro Tem,Ward I Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcua(Btsanla-ana.oro tphan(esanla-ana.orq bvazauezl5santaana.orq jessielaoez(5santa-ana.orq pbacerransantaana.orq jrvanhemandezfasantaana.orq dpenalozaCaisanta-ana.orq �....41 GILL&PA-01 MCCOWANA ,d►COR0 CERTIFICATE OF LIABILITY INSURANCE DATE(M MID DIYYYY) �� 8/15/2024 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 endorser,ent(•un, • PRODUCER License#0E67768 CONTACT Er ca ��re • • i r;i 1 i7 1 ii i itii. ii IOA Insurance Services AHO No,Ext):(1;8)754-01: 50233 A (619)574-6288 3636 Nobel Drive ( (Arc,•o E Suite 410 ngie E-MAILDRESS:Erit J.Wi on ioausa..ccom AD I /\ ,y.QCOAceved aAICB San Diego,CA 92122 .%L�f1L [��,���+V INSURER A:r LI I.lsurance'e mpany 13056 INSURED NSURERB _iUdS S r c Co 2 Gillis&Panichapa chite nc or ed NSU- : : 1101 Quail Street e • n.N Newport Beach, 0 J IN'JRER F: • • 71 -� 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. l ADDL LTR TYPE OF INSURANCE NSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY JMMIDDIYYYYV lMMlDD/YYYYI- EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X PSB0001119 9/1/2024 9/1/2025 PREM SES IOEa occurnce) $ 1,000,000 X Cant liab/Sev Int MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY _$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JE LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: Ded $ 0 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO PSA0001116 9/1/2024 9/1/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED ONLY NON-OWNEDUT PROPERTY DAMAGE X Comp.:$1,000 x Coll.:$1,000 Y (Per accident) $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS-MADE PSE0001038 9/1/2024 9/1/2025 AGGREGATE $ 3,000,000 DEO X RETENTION$ 0 $ A WORKERS BTIO X MUTE ERA EMPLOYERS' ATM YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PSW0001177 9/1/2024 9/1/2025 1,000,000 FFICERJMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ EMandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Prof Liab/Clms Made PRB0619117526 11/8/2023 11/8/2024 Per Claim 2,000,000 B Ded.:$5k Per Claim PRB0619117526 11/8/2023 11/8/2024 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:All Operations The City of Santa Ana is Additional Insured with respect to General Liability per the attached endorsement as required by written contract. 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO` ACCORDANCE WITH THE POLICY PRC Risk llan•grnentDivision r, Cityof Santa Ana 3� REl/IEWEDSrAPPRCr/E�BY: AUTHORIZED REPRESENTATIVE .71' 'K Risk Management Division "� �[ } n� ® �' 20 Civic Center Plaza,4th Floor V . 4yEs"I��C.SI i�=1 Risk Management Specialist (Santa Ana.CA 92702 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: PSB0001119 RLI Insurance Company Named Insured:Gillis + Panichapan Architects, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM-SECTION II—LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on a an additional insured any person or organization that primary basis, or a primary and non-contributory you agree in a contract or agreement requiring basis, this insurance is primary to other insurance insurance to include as an additional insured on this that is available to such additional insured which policy, but only with respect to liability for "bodily covers such additional insured as a named insured, injury", "property damage" or "personal and and we will not share with that other insurance, advertising injury" caused in whole or in part by you provided that: or those acting on your behalf: a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned by or rented entered into that contract or agreement; or to you; or b. The "personal and advertising injury" for which c. In connection with "your work" and included coverage is sought arises out of an offense within the "product-completed operations committed after you have entered into that hazard". contract or agreement. 2. The insurance provided to the additional insured by 4. The following is added to SECTION III K. 2. this endorsement is limited as follows: Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION II — any person or organization for which coverage LIABILITY) as an additional insured specifically is added by We waive any rights of recovery we may have another endorsement to this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury", "property of or failure to render any "professional damage" or "personal and advertising injury" arising services". out of "your work" performed by you, or on your c. This endorsement does not increase any of the behalf, under a contract or agreement with that limits of insurance stated in D. Liability And person or organization. We waive these rights only Medical Expenses Limits of Insurance. where you have agreed to do so as part of a contract or agreement with such person or 3. The following is added to SECTION III H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or"property damage" occurs, or the "personal (BUT APPLICABLE ONLY TO SECTION II — and advertising injury"offense is committed. LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UN( .�EDi„isionREVIEWED&APPlzov®srJfr' A+ e Acwado Risk Management Specialist PPB 304 02 12 Page 1 of 1