HomeMy WebLinkAboutSANTOLUCITO DORE GROUP, INC. (4) INSURANH ON PILE
WORK MAY PROCEED
UNTIL. thsukA,6vc�! A-2021-221-01 B
MAYOR --0'I
Ts CLEFK CITY MANAGER
Valerie Amezcua M t?;,;`' Alvaro Nunez
MAYOR PRO TEM Q CITY ATTORNEY
Benjamin Vazquez Sonia R.Carvalho
COUNCILMEMBERS CITY CLERK
Phil Bacerra Jennifer L.Hall
Johnathan Ryan Hernandez `
Jessie Lopez
David Penalaza
Thai Viet Phan CITY OF SANTA ANA
PV\J A (Z) PUBLIC WORKS AGENCY
ov i d Parn I rl?Z 07-) 20 Civic Center Plaza.P.O.Box 1988
Santa Ana,California 92702
www.santa-ana.ora
September 24,2025
Santulocito Dore Group, Inc.
Attn: Christine S. Santulocito,President
3I600 Railroad Canyon Rd., Ste. 100-L
Canyon Lake, CA 92587
Re: Second and Final Extension of Agreement(A-2021-221-01)to Provide On Call Proaerty
Appraisal Services
Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Santulocito Dore
Group,Inc.("Consultant"),and the City of Santa Ana,dated November 16,2021,the term of the Agreement
is hereby further extended for an additional one-year period through November 15, 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,
o fo Rosas, E.
Acting Executive Director,
Public Works Agency
CITY OA SANTA ATTEST
Alvaro Nuncz ennifer H
City Manager City
APPROVED AS TO FORM SANTULOCITO DORE GROUP,INC.
Kyt Nellesen Christi S. Santulocito
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 Tom,ward 2 Ward 1 ward 3 Ward 4 ward S Ward 5
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.Ac-vR" CERTIFICATE OF LIABILITY INSURANCE r
ATE(MM1DDfYYYYI
12/24/2024
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 endorsements .
PRODUCER CONTACT NAME: Ben Goode
StateFarm state Farm Insurance and Financial Services PHONE (951)501-1000 FAX No: (951)501-1001
Agent,Ben Goode E-MA Lss: ben@goodeagent.com
i •
41880 Kalmia Street,Suite 125 INSURERS AFFORDING COVERAGE NAIC If
Murrieta CA 92562 INSURER A: State Farm Fire and Casualty Company 25143
INSURED INSURER B: State Farm Mutual Automobile Insurance Company 25178
Santolucito Dore Group,Inc. INSURER C:
31600 Railroad Canyon Road,Suite 100-L INSURERD:
INSURER E
Canyon Lake CA 92587 INSURER F:
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
CERTIFICATF 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 LTR TYPE OF-INSURANCE INSD_W D_ POLICY NUMBER MM ABfYYYY MCY FFF MlDD[YYYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
D
CLAIMS-MADE AMA
accuR PREMISESGE TO RENTED
Ea occurrence $ 500,000
MED EXP(Any one person) $ 5,000
A Y Y 92-ES-R381-4 01/01/2025 0110112026 PERSONAL&ADV INJURY $ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
POLICY PRO- LOC PRODUCTS-COMPIOPAGG $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY Y Y 730 1128-A01-75H 01/01/2025 07/01/2025 (Fa BINEDISINGLE LIMIT $ 2,000,000
ANY AUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB Ll CLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION PER OH_
AND EMPLOYERS'LIABILITY Y f N STATUTE I I ER
ANY PROPRIETORIPARTNERfEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
A OFFICERIMEM13ER EXCLUDED? Y� N f A Y 92-TA-M678-6 01112/2025 01/12/2026
(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
Commercial Liability Umbrella Policy
A Y 92-J7-C947-7 0110112025 01I0112026 Each Occurrence 1,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
City of Santa Ana,officers,agents,employees,and volunteers are named a additionally insured on this policy pursuant to written contract,agreement,or
memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and non
contributory.
APPROVED
By Cynthia Mora at 12:11 pm, Jan 09, 2025
CERTIFICATE HOLDER CANCEL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
Risk Management Division
20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
Santa Ana CA 92702 h,ohew
O 1988-2015 ACOMD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
1001486 132849.12 03-1C 2D16