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HomeMy WebLinkAboutUNITED SITE SERVICES OF CALIFORNIA, INC. (2) A-2022-078-02A INSURANCt sJIC WORK MAY PROCEED UNTIL INSURANCE EXPIRES s.+ MAYOR I.yl 3� +�/ " , T CITY MANAGER Valerie Amezcua II ` �> _r...s« y:r„'*w Alvaro Nunez MAYOR PRO TEM CITY CLERK kar i CITY ATTORNEY Benjamin Vazquez DATE: MAY 3 0 2025 Jennifer L.Hall Sonia R.Carvalho COUNCILMEMBERS * * CITY CLERK Phil Bacerra :,M��V„ A Johnathan Ryan Hemandez t. , Jessie Lopez David Penaloza - Thai Viet Phan CITY OF SANTA ANA �A�WIG • 1A1in, (44) PUBLIC WORKS AGENCY 20 Civic Center Plaza•P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.orq April 14,2025 United Site Services,Inc. Attn: Jeff Dunlop,Vice President 4511 Rowland Ave. El Monte, CA 91731 Re: Extension of Agreement No.A-2022-078-02 to provide on-call chain link fencing services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by United Site Services, Inc. ("Contractor"), and the City of Santa Ana, dated May 17, 2022, the time period of the Agreement,as amended on May 21,2024(#A-2024-070-02),is hereby extended for an additional one- year period through 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, t ly c. Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA ATTEST t ,A11 Tn LT Vs. /4 1 Minh Thai411103-1 Assistant City Manager APPROVED AS TO FORM: CONTRACTOR SONIA R. CARVALHO City Attorney INellesen By:Jeff Dunlop Assistant City Attorney Title: Vice President SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem,Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuaWsanlaanaorq bvazquez(alsanla-ana.orq tphanesanta-ana.org jessielooezesanta-ana.orq pbacenraasantaana.arq jrvanhemandez(Qsanlaana.orq doenalozaasanta-ana.orq Aco O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ill....----- 12/31/2025 12/19/2024 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 Lockton Companies,LLC NAME CONTACT 444 W.47th St.,Ste.900 PHONE FAX Kansas City MO 64112-1906 E-MA Lo,Extl: (NC,No): (816)960-9000 ADDRESS: kcasu@lockton.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Safety National Casualty Corporation 15105 INSURED UNITED SITE SERVICES OF CALIFORNIA,INC. INSURER B:XL Specialty Insurance Company 37885 1507679 118 FLANDERS ROAD,SUITE 1000 INSURER C:Allied World Assurance Company(U.S.)Inc. 19489 WESTBOROUGH MA 01581 INSURER D:National Union Fire Ins Co Pitts. PA 19445 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18427412 REVISION NUMBER: XXXXXXX 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER •(MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL4057787 12/31/2024 12/31/2025 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE LJ OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ - A AUTOMOBILE LIABILITY N Y CA6675838 12/31/2024 12/31/2025 COMBED SINGLE LIMIT $ (Ea acciINdent) 3,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ XXX0O0(X AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ XXXXXXX I $ XXXXXXX B X UMBRELLA LIAB X OCCUR N N US00076933L124A 12/31/2024 12/31/2025 EACH OCCURRENCE $ 10,000,000 D EXCESS LIAB CLAIMS-MADE 20597768 12/31/2024 12/31/2025 AGGREGATE $ 10,00Q QQQ DED X RETENTION$ 10,000 $ XXXXXXX A WORKERS COMPENSATION Y X PER H AND EMPLOYERS'LIABILITY Y/N LDS4047370 12/31/2024 12/31/2025 STATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $ 1,000,000 /M OFFICEREMBER EXCLUDED? N (Mandatory 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 C ENVIRON.SITE LIAB& N N 0311-5276 9/19/2024 9/19/2027 $3,000,000 EACH INCIDENT; CONTRACTORS S6,000,000 AGGREGATE POLLUTION LIAB DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CITY OF SANTA ANA,ITS OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED,AS RESPECTS TO LIABILITY IF REQUIRED BY WRITTEN CONTRACT,WHERE COVERAGE SHALL BE PRIMARY AND NON-CONTRIBUTORY TO ANY POLICY HELD BY THE ADDITIONAL INSURED,AND INCLUDES A WAIVER OF SUBROGATION WHERE ALLOWED BY STATE LAW AS REQUIRED BY WRITTEN AGREEMENT, AND SUBJECT TO POLICY TERMS,CONDITIONS,AND EXCLUSIONS. Digitallysigned APPROVED Tu Tran by TuuTran Nguyen Nguyen os:Date:ceaa-0�oo 2,302.0 a By Tu Tran Nguyen at 8:06 am,Mar 10, 2025 L CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 18427412 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATTENTION:PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA,M-93 AUTHORIZED REPRESENTATN. SANTA ANA CA 92701 �I /J ©19881 01�5 ACORD CORPORATION.T ION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code:D608142 Certificate ID: 18427412 POLICY NUMBER: GL4057787 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations As required by written contract or agreement when such Location(s)of operations as per written written contract or agreement is executed prior to an contract or agreement between you and the occurrence, offense or loss to which this endorsement Additional Insured. applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy,whichever is less.Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B.With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds,the following additional exclusions organizatlon(s)shown in the Schedule, but only with apply: respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage"or"personal and advertising injury"caused, "property damage"occurring after: in whole or in part, by: 1.All work, including materials, parts or 1.Your acts or omissions;or equipment furnished in connection with such work, 2.The acts or omissions of those acting on your behalf; on the project (other than service, maintenance or in the performance of your ongoing operations for the repairs) to be performed by or on behalf of the additional insured(s) at the locatlon(s) designated additional insured(s) at the location of the covered above. operations has been completed;or However: 2.That portion of"your work" out of which the injury or 1.The insurance afforded to such additional insured damage arises has been put to Its intended use by only applies to the extent permitted by law; and any person or organization other than another 2. If coverage provided to the additional insured is contractor or subcontractor engaged in performing required by a contract or agreement, the insurance operations for a principal as a part of the same afforded to such additional insured will not be project. broader than that which you are required by the contract or agreement to provide for such additional insured. CG20101219 Attachment Code:D608659 Certificate ID: 18427412 POLICY NUMBER: GL 4057787 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Or anization(s) Operations As required by wri en con TM or Location(s)of operations as per written agreement when such written contract or contract or agreement between you and agreement is executed prior to an the Additional Insured. occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy,whichever is less.Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. r Information re completeo letethis Schedule if not shown above,will be shown in the A. Section 11--Who Is An<lnsi red is amended to B. With respect to the Insurance afforded to these ' include as an additional insured the person(s)or additional insureds,the following is added to organization(s) shown in the Schedule, but only Section Ill—Limits Of Insurance: with respect to liability for"bodily injury"or If coverage provided to the additional insured is property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your wore.at.the location designated and will pay on behalf of the additional insured is the .described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations 1. Required by the contract or agreement; hazard". or HoweVec • 3. Available under the applicable limits of insurance; 1.The insurance afforded to such additional whichever is less. insured only applies to the extent permitted by law;and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 ©Insurance Services Office, Inc.,2018 Page 1 of 1 Attachment Code:D607832 Certificate ID: 18427412 POLICY NUMBER Gt.4057787 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s)Or Organization(s): Person(s)or Organization(s)as required by written contract when such written contract is executed prior to an occurrence, offense or loss to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s)shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s)or organization(s)prior to loss. This endorsement applies only to the person(s) or organization(s)shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Attachment Code:D610533 Certificate ID: 18427412 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE Name Of Person Or Organization: Person(s) or Organization(s) as required by written contract when such written contract is executed prior to an accident to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver. Information required to complete this Schedule if not shown above will he shown in the Declarations CHANGE We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for"bodily injury"or"property damage"to which this insurance applies, caused by an "accident" and resulting from the ownership, maintenance or use of a covered "auto". This waiver applies only to the person or organization shown in the Schedule above. 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 12/31/2024 Policy No. CA 6675838 Endorsement No. Named Insured UNITED SITE SERVICES, INC. Premium $ Included Insurance Company Safety National Casualty Corporation Countersigned By SNCA 027 10 13 Safety National Casualty Corporation Page 1 of 1 Attachment Code: D608629 Certificate ID: 18427412 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable 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 o %of the California workers'compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description WHERE A WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS IS REQUIRED BY WRITTEN CONTRACT, SUCH ADDITIONAL ENTITIES SHALL BE CONSIDERED AUTOMATICALLY SCHEDULED BY THE COMPANY. INDIVIDUALLY SCHEDULED WAIVERS SHALL NOT BE CONSTRUED TO OVERRIDE NOR NEGATE THIS BLANKET WAIVER. 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 12/31/2029 Policy No. LD59047370 Endorsement No. Insured UNITED SITE SERVICES, INC. Premium $ Included Insurance Company Safety National Casualty Corporation Countersigned By WC 04 03 06(04 84) Page 1 of 1 o 1998 by the Workers'Compensation Insurance Rating Bureau of California. All rights reserved.