HomeMy WebLinkAboutWEST COAST ARBORIST, INC. (4)A-2022-246-03
MAYOR
Valerie Amezcua
MAYOR PRO TEM
Thai Viet Phan
COUNCILMEMBERS
Phil Bacerra
Johnathan Ryan Hernandez
Jessie Lopez
David Penaloza
Benjamin Vazquez
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
07/f7112S
CITY CM DATE: 0 6 1025
0: PWA (0) West Coast Arborists
or;per W� 200 E. Via Burton Street
Anaheim, CA 92806
CITY OF SANTA ANA
CITY ATTORNEY'S OFFICE
20 Civic Center Plaza as P.O. Box 1988
Santa Ana, California 92702
w.vW.santa-ana.oro
November 27, 2024
Re: Third Extension of Agreement to Provide Tree Maintenance Services (A-2020-228)
CITY MANAGER
Alvaro Nuflez
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Pursuant to Section 3 ("Term") of the above -referenced Agreement, as amended, entered into by West
Coast Arborists, and the City of Santa Ana, dated November 17, 2020, the time period of the
Agreement is hereby extended for an additional one-year period, from January 1, 2025 through
December 31, 2025. Any insurance certificates are required to be extended and/or renewed to cover
this extension. All other terms and conditions of the Agreement, as amended, remain unchanged and
in full force and effect.
Sincerely,
x.6t.S1.
N AR s.w to.r n, aom aiaa asn
Nabil Saba
Executive Director
Public Works Agency
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ATTEST
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APPROVED AS TO FORM
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Kp Nellesen
Assistant City Attorney
CITY
AA,, I I i
Alvaro Nunez
City Manager
WEST COAST ARBORISTS
B : Patrick Mahon
Title: President
SANTA ANA CITY COUNCIL
Valerie Rmezma Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Be..
Mayor Mayor Pm Tern, Were 1 Waril2 Wadi WaN4
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Johnalhan Ryan Hemandez David Penatozn
ward Ward
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Signature:�,;��
Email: pguillen@santa-ana.org
"t �® CERTIFICATE OF LIABILITY INSURANCE
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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.
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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
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certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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PRODUCER
CCOOLNTTACT
V
AOn Risk InsUrdnCe services West, Inc.
Los Ang9eles CA Off' a
707 wilshire soul d •
suite 2600
W
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PHONE
INC.
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)•283-7 2
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FAX (800) 363-0105
AIC. Nl.:
E-MAIL
ADDRE s:
AFFORDING COVERAGE NAIC#
11
Los Angeles CA 9 46 S
nipINSURER(S)
INSURED
INSURI r r i su 682
West Coast Arborists, Inc.
2200 E Via Burton
INSURE B.
INSUF R C:
Anaheim CA 92806 USA
xs IER 0:
20247.GT.
N URER E
ate:
SURER F:
COVERAGES R FI 7 NUM
THIS IS TO CERTIFY THAT THE POLICIESOF INS[ LISTEDEI 7W VE BEEN ISSU D T T} E,D A T L Y PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO'01I .JN OF ANY CONT A OA HE O T WI SPEC RICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A; FORDED 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. Limits shown are as requested
INSR LTq
TYPE OF INSURANCE
ADIN INSp
SUSHI
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POLICYNUMBER
POLIUYMMIODIYYEFF
W
POLICY EXP
MWOCNYW
LIMITS
A
%
COMMERCIAL GENERAL LIABILITY
ECSS
EACHOCCURRENCE
$2,000,000
CLAIMS -MADE X❑OCCUR
SIR applies per policy terns
R condi
ions
DAMAGE TO RENTED
PREMISES Eawcurmnce
$1, 000,000
MED EXP (Any one person)
PERSONAL& ADV INJURY
$2,000,000
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GEN'LAGGREGATE LIMITAPPLIES PER:
GENERALAGGREGATE
$4,000,000
POLICY ❑X JECT LOG
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PRODUCTS-COMP/OPAGG
$4,000,000
OTHER:
o
A
AUTOMOBILE LIABILITY
72 CSE S89302
07/01/202407/01/2025
COMBINED SINGLE LIMB
g2,000, 000
m
9001LV INJURYI Per person)
X ANYAU O
Z
BODILY INJURY IPeramitlenD
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDAUTOS NON OWNED
ONLY AUTOSONLY
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PROPERTY DAMAGE
Per aceitlent
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UMBRELLA LIM
OCCUR
EACH OCCURRENCE
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AGGREGATE
EXCESS LIAB
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CLAIMS -OE
DED
RETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory In NR))
NIA
72WNS99300
Workers Comp AZ CA
07 01 2024
07/01 2025
X I PER STATUTE I OTH-
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE EA EMPLOYEE
$1,000,000
If yes, Eeschm under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
$1,000,000—
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, AEtlklonal Remarks Schedule, may be attached If more space is required)
RE: All jobs performed by the named insured during the policy term. City of Santa Ana, its officers, employees, agents,
volunteers and representatives are included as Additional Insured In accordance with the policy provisions of the General
Liability policy. General Liability policy evidenced herein is primary and Non-contributory to other insurance available to an
Additional Insured, but only in accordance with the policy's provisions.
4-d
CERTIFICATE HOLDER CANCELLATION 5.!_1,
City of Santa Ana
Risk Management Division
20 Civic center Plaza, 4th floor
Santa Ana CA 92701 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CC
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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