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HomeMy WebLinkAboutSCOTT FAZEKAS & ASSOCIATES, INC. (2) '- ,.a'. r.J A-2022-072-09A NQ,�­!PW''F EXPIPrS CLLP. MAYOR MAY 13 2025 CITY MANAGER Valerie Amezcua Alvaro Nuflez MAYOR PRO TEM CITY ATTORNEY >Ijjjgrj� Benjamin Vazquez Sonia R.Carvalho OUNCILMEMBERS CITY CLERK Phil Sacerra Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA PLANNING AND BUILDING AGENCY 20 Civic Center Plaza a P.O.Box 1988 Santa Ana,California 92702 www.sania-ana.ofa April 29, 2025 Scott Fazekas.&Associates,Inc. Attn: Scott R, Fazekas 9 Corporate Park, #200 It-vine, CA 92606 Re: Extension of Aareement A-2022-072-09 for On-Call Building Safety Inspection Services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Scott Fazekas & Associates, Inc. ("Consultant")and the City of Santa Ana, dated May 17, 2022,the time period of the Agreement is hereby extended for an additional one-year period until May 16, 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, Ali Pezeshkpour Acting Executive Director Planning and Building Agency CITY OF SAWTA ANA ATTEST /WWI varo Nufiez Jennific- Hall City Manager ity Clei APPROVE ASTOFORM CONSULTANT Melfis'sa M- . Crosthwaite Scott R. Fazekas Senior Assistant City Attorney President&CFO SANTA ANA CITY COUNCIL Valada Anneie a Bentamla Vazquez TO Vial Phan Jessie Lopez Phil aacerra Johna[han Ryan Hkmndaz David Penaloza May., Ward 2 Ward 1 Ward 7 Ward 4 Ward 5 Ward 6 varnozmaflsanla-ana.or :�a.1101..PITs1a.1*-a n 3.0f j2ha.Q.. I-55!0l0DeZQS0qW-.q­rq Pb.­(M.a.nWonP,o lrvanhernandei;a5Rijt­na ofq dpq=a santa-ana cro SCOTFAZ-01 CC WANA .4�IRO CERTIFICATE OF LIABILITY INSURANCE DAT 5 231212312D2YYY) 024 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, 5ublect to the terms and conditio,a'If silo ,oe aln cles marre uire an end ement A statement on this certificate does not confer rights to the certificate holder In lieu 3f su h n PRODUCER License#OES7768 Impki.21,l IDA Insurance ServicAngie PHONE FAx 3636 Nobel Drive Afc,No,Ea}• 619)788-5795 50206 AID,..g(619)574-6288 Suite 410 f d.COm San Diego,CA 42122 IN R S AFFORDING COVERAGE NAIC N IFJURFRA:RLllnsura ceCom Pan 13066 INSURED IAICR E-W"W I S ua Ity Com pany 20443 Scott Fazaft&Associates,Inc. Ir1I IPF.� 1 3 1 'ER C: Corpora rkp eve Irvine,C fi E do , PNSURER F; COVERAGES CERTIFICATE NUF'61F'.: 1 � ER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSUP rNC' LISTED BELOW H IN,U AM E FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMEIs',', T-RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREON IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADDLINSO.SUBR wVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE S 1,040,000, CLAIMS-MADE ®OCCUR X PSB0003027 6/512024 61512025 DAMAGE 70RENCED 1,000,400j. }( Cont Llab/Sev of Int MR)EXP Any one rson $ 10,000 PERSONAL&AOV INJURY $ 1,000,400I GEN'L AGGREGATE LIMIT APP.JES PER GENERAL AGGREGATE $ 2,000,000 POLICY jE LOG PROOUGTS-COMPIOP AGO S 2,000,000 OTHER. _ DEd $ 0 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO I PSB0003027 615/2024 61612025 BODILY INJURY Parperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY(Per a6c;tl a $ X AUTOS ONLY X AUTOS ONLY Pet-P-1 d Ak1AGE $ X AoCo.Owned $ A X UM13RELLA LIAe X OCCUR EACH OCCURRENCE S 2,000,400 EXCESS LIAe CLAIMS-MADE,I TP SEO001119 6/512024 6/5/2025 AGGREGATE $ 2,400,440 DED X RETENTION S 4 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY TAT YIN E ANY PROPRIE70RIPARPNER11EXECUTIVE PSW4401945 61512424 6!5l2425 1,000,000 E.L.EACH ACCIDENT OFFICER,MEMaER EXCLUDED? NIA (Mandatory In NH) E_L.DISEASE-EA EMPLOYEG S 1040,040 If yyes 6eSrnbe Under DFSCRIPTION OF OPERATIONS tCow i I E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Professional Liab. MCH288352513 6/512024 6/512025 Per Claim 2,00D,400 B Ded•:$20k Per Claim MCH288352513 616/2024 6/5/2025 Aggregate 2,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS;VEHICLES (ACORD 101•Additional Remarks Schadu4,may be attached it more space Is requfredi Re;All Operations City of Santa Ana,its officers,employees,volunteers,representatives and agents are Additional Insureds 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 13E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROvlclnuc City of Santa Ana 4W:1 AUTHORU:ED REPRESENTATIVE 14E EWED&ApmovEr]8Y. �Attn:Risk Management Divison �24 Civic Center Plaza,4th FloorIrqc zvra Santa Ana,CA 92702 ® eaalisl S ACORD 25(2016143) Q 1988-2015 ACORD C Risk Management� 9 P The ACORD name and logo are registered marks of ACORD V Ili Policy Number: P580003027 RLI Insurance Company Named Insured:Scott Fazekas &Associates, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPacko FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following; BUSINESSOWNERS COVERAGE FORM-SECTION II—LIABILITY I. 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 g 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 I1 — 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 IIl 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 11 — 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 UNCNeIUrsi`n Rh3kManagemadDMsion REVIEWED �y&APPROVED BY: " AOwt- PP8 304 02 12 Risk Management Specialist WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone flable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description All persons or organizations that are party to a contract that Jobs performed for any person or organization that you requires you to obtain this agreement, provided you have agreed with in a written contract to provide this executed the contract before the loss. agreement. This endorsement changes the policy to which It Is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 06-05-2024 Policy No. PSWO001945 Endorsement No. Insured Insurance Company Scott Fazekas&Associates, Inc. RLI Insurance Company Countersigned By Rtele klxnagementTlivtsintt REdIMEQ&APPROVED BY. @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. e!.tayµ' Mt�r,J Risk Management Spedaltst SCOTFAZ-01MCCOWANA DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/3/2025 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). CONTACT License # 0E67768 Ali Smith PRODUCER NAME: PHONEFAX IOA Insurance Services (619) 788-5795 50206(619) 574-6288 (A/C, No, Ext):(A/C, No): 3636 Nobel Drive E-MAIL Ali.Smith@ioausa.com Suite 410 ADDRESS: San Diego, CA 92122 INSURER(S) AFFORDING COVERAGENAIC # RLI Insurance Company13056 INSURER A : INSURED Continental Casualty Company20443 INSURER B : INSURER C : Scott Fazekas & Associates, Inc. 2 Corporate Park, Suite S-206 INSURER D : Irvine, CA 92606 INSURER E : INSURER F : 1 COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 1,000,000 CLAIMS-MADEOCCUR X PSB00030276/5/20256/5/2026 $ PREMISES (Ea occurrence) XX Limited Cont Liab10,000 X MED EXP (Any one person)$ Serv Interest1,000,000 X PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 X POLICYLOC PRODUCTS - COMP/OP AGG$ JECT Ded0 OTHER:$ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO PSB00030276/5/20256/5/2026 BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED XX (Per accident)$ AUTOS ONLYAUTOS ONLY No Co. Owned X Autos $ 2,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ PSE00011196/5/20256/5/2026 2,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ 0 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION A X STATUTEER AND EMPLOYERS' LIABILITY Y / N PSW00019456/5/20256/5/2026 1,000,000 X ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Professional Liab.MCH2883525136/5/20256/5/2026 Per Claim2,000,000 B X Ded.: $20k Per ClaimMCH2883525136/5/20256/5/2026 Aggregate2,000,000 B X DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations City of Santa Ana, its officers, employees, volunteers, representatives and agents are Additional Insureds with respect to General Liability per the attached endorsement as required by written contract. Insurance is Primary and Non-Contributory. Subrogation applies to General Liability and Workers' Ejhjubmmz!tjhofe!cz! Compensation and Professional Liability. Uv!Usbo! Uv!Usbo!Ohvzfo! Ebuf;!3136/17/14! 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions.. 25;48;63!.18(11( Ohvzfo CERTIFICATE HOLDERCANCELLATION CzUvUsboOhvzfobu3;48qn-Kvo14-3136 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Planning and Building Agency 20 Civic Center Plaza, 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 PolicyNumber:RLIInsuranceCompany PSB0003027 bğƒĻķLƓƭǒƩĻķʹ Scott Fazekas & Associates, Inc. THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. ® RLIPackFORPROFESSIONALS BLANKETADDITIONALINSUREDENDORSEMENT Thisendorsementmodifiesinsuranceprovidedunderthefollowing: BUSINESSOWNERSCOVERAGEFORM-SECTIONIIÎLIABILITY 1.C.WHOISANINSURED isamendedtoincludeasadditionalinsuredunderthispolicymustapplyona anadditionalinsuredanypersonororganizationthatprimarybasis,oraprimaryandnon-contributory youagreeinacontractoragreementrequiringbasis,thisinsuranceisprimarytootherinsurance insurancetoincludeasanadditionalinsuredonthisthatisavailabletosuchadditionalinsuredwhich policy,butonlywithrespecttoliabilityfor"bodilycoverssuchadditionalinsuredasanamedinsured, injury","propertydamage"or"personalandandwewillnotsharewiththatotherinsurance, advertisinginjury"causedinwholeorinpartbyyouprovidedthat: orthoseactingonyourbehalf: a.The"bodilyinjury"or"propertydamage"for a.Intheperformanceofyourongoingoperations;whichcoverageissoughtoccursafteryouhave enteredintothatcontractoragreement;or b.Inconnectionwithpremisesownedbyorrented toyou;or b.The"personalandadvertisinginjury"forwhich coverageissoughtarisesoutofanoffense c.InconnectionwithÐyourworkÑandincluded committedafteryouhaveenteredintothat withintheÐproduct-completedoperations contractoragreement. hazardÑ. 4.Thefollowingisaddedto SECTIONIIIK.2. 2.Theinsuranceprovidedtotheadditionalinsuredby TransferofRightsofRecoveryAgainstOthersto thisendorsementislimitedasfollows: UsÎCOMMONPOLICYCONDITIONS(BUT APPLICABLETOONLYTOSECTIONIIÎ a.Thisinsurancedoesnotapplyonanybasisto LIABILITY) anypersonororganizationforwhichcoverage asanadditionalinsuredspecificallyisaddedby Wewaiveanyrightsofrecoverywemayhave anotherendorsementtothispolicy. againstanypersonororganizationbecauseof paymentswemakefor"bodilyinjury","property b.Thisinsurancedoesnotapplytotherendering damage"or"personalandadvertisinginjury"arising oforfailuretorenderany"professional outof"yourwork"performedbyyou,oronyour services". behalf,underacontractoragreementwiththat c.Thisendorsementdoesnotincreaseanyofthe personororganization.Wewaivetheserightsonly limitsofinsurancestatedin D.LiabilityAnd whereyouhaveagreedtodosoaspartofa MedicalExpensesLimitsofInsurance. contractoragreementwithsuchpersonor organizationenteredintobyyoubeforethe"bodily 3.Thefollowingisaddedto SECTIONIIIH.2.Other injury"or"propertydamage"occurs,orthe"personal InsuranceÎCOMMONPOLICYCONDITIONS andadvertisinginjury"offenseiscommitted. (BUTAPPLICABLEONLYTOSECTIONIIÎ LIABILITY) However,ifyouspecificallyagreeinacontractor agreementthattheinsuranceprovidedtoan ALLOTHERTERMSANDCONDITIONSOFTHISPOLICYREMAINUNCHANGED. PPB3040212Page1of1 Policy No. MCH288352513