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HomeMy WebLinkAboutSTANDARD ENTERPRISES, INC. DBA TO N MO (3) A-2021-157-01 A MAYOR CITY MANAGER Valerie Amezcua y�. ►;* Alvaro Nunez MAYOR PRO TEM .A.,'L.r�r CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra r Jennifer L. Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA INSURANCE NOT ON FILE SANTA ANA POLICE DEPARTMENT WORK MAY NOT PROCFFD 60 Civic Center Plaza Santa Ana,California 92702 CITY CLERK 1 5 2025 www.santa-ana.org PATE: SEP o 1?9(ce) September 4,2025 r ommalv%aer 5oceph Mu+i�L92) Standard Enterprises, Inc. dba To' and Mo' Towing Attn: Modesto Sanchez, President 518 N. Poinsettia St. Santa Ana, CA 92701 Re: Extension of Agreement#A-2021-157 to Provide Towing& Storage Services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Standard Enterprises, Inc. dba To' and Mo' Towing ("Contractor") and the City of Santa Ana, dated August 17, 2021, the time period of the Agreement, previously extended under the 2°d Amendment to the Agreement (A-2024-113), is hereby further extended for an additional and final one-year period through August 31, 2026. 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, Robert Rodriguez Chief of Police CITY OF TA ATTEST =rr lvaro Nuflez I ennifer . Hal City Manager City Cl r APPROVED AS TO FORM STANDARD ENTERPRISES,INC. DBA TO' AND MO' TOWING WV t ftL__, 4&_-4&nTn &A?C.I- Tamara Bogosian Modesto anchez Senior Assistant City Attorney 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 vamezdua(alsan[a-ana.om bvazoueztn7a,san[a-ana.orn tohanfa7santa-ana.oru jessielooez o[5santa-a na.org_ pbacerraCa7santa-ano.orcl - anhernandez santa-an .❑ doenaloza![nta-ana.ora DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 09/17/2025 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). PRODUCER CONTACT Michael Rubin NAME: Rubin Insurance Agency PHONE (858)457-5720 FAx A/C No Ext: A/C,No): 5075 Shoreham Place Suite 100 E-MAIL michael@rubininsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# San Diego CA 92122 INSURERA: Upland Specialty Insurance Company 16988 INSURED INSURER B: Insurance Company of the West 27847 Standard Enterprises Inc dba To and Mo Towing INSURER C: Trisura Specialty Insurance Company 16188 518 N Poinsettia St INSURER D: INSURER E: Santa Ana CA 92701 INSURER F: COVERAGES CERTIFICATE NUMBER: 25/26 MASTER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 C Y 175 TTS CA 100022-02 06/01/2025 06/01/2026 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT: Deductible $ 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ C OWNED �/ SCHEDULED Y 175 TTS CA 100022-02 06/01/2025 06/01/2026 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LAB CLAIMS-MADE USXTL0988325 06/01/2025 06/01/2026 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 0 $ WORKERS COMPENSATION ER/� STATUTE EORH AND EMPLOYERS'LIABILITY Y/N 100000 O ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? ❑ N/A Y WVE 5020840 14 04/01/2025 04/01/2026 00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1000- If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Garagekeepers Ded$500/2500 500,000 C On-Hook/Cargo 175 TTS CA 100022-02 06/01/2025 06/01/2026 Ded$2000 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) [Job#:CITY025 Job Type:] Digitally sign d Cityof Santa Ana,its officers,employees,a ents and representatives are named as additional insured with respects to general and auto liability of the Tu Tra n by Tu Tran 9 p p 9 Y Nguyen named insured,pursuant to written contract,agreement or memorandum of understanding.Coverage is primary and non-contributory.General liability Nguyen Date:202s.o.18 additional insured endorsement CG2026(1219)attached.Blanket general liability primary and non-contributory wording endorsement CG2001(1219) 1618:54-O 0' attached.Auto liability additional insured endorsement CA2048(1013)attached.Blanket workers compensation waiver of subrogation endorsement WC990634(0800)attached.*30 day notice of cancellation applies/10 day notice for non-payment. APPROVED CERTIFICATE HOLDER CANCELLATION I By Tu Tran Nguyen at 4:18 pm,Sep 18,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana Attn:Police Department-Traffic ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE�gA Santa Ana CA 92701 //�/�/I n @ 1988-201155 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 175 TTS CA 100022-02 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): City of Santa Ana, its officers, employees, agents and representatives 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 is added to organization(s) shown in the Schedule, but only Section III —Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. In the performance of your ongoing operations; 1. Required by the contract or agreement; or or 2. Available under the applicable limits of 2. In connection with your premises owned by or insurance; rented to you. whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to such additional applicable limits of insurance. insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 175 TTS CA 100022-02 COMMERCIAL GENERAL LIABILITY CG20011219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 9 Insurance Services Office, Inc., 2018 Page 1 of 1 Policy Number: 175 TTS CA 100022-02 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): City of Santa Ana, its officers, employees, agents and representatives Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- BLANKET 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). The additional premium for this endorsement shall be 2 % of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization Job Description ANY PERSON / ORG ALL CA OPERATIONS WHEN REQUIRED BY WRITTEN CONTRACT 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 01/01/2025 Policy No. WVE 5020840 14 Endorsement No. Insured STANDARD ENTERPRISES INC Premium $ Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED