HomeMy WebLinkAboutMONUMENT ROW (7) INSIJRAlvCC ON FILE
WORK NIFTY PROCCEO
A-2021-222-02
MAYOR
•v CITY MANAGER
f.;ITY CLERK `.
Valerie Amezcua DATE: �r��?, Alvaro Nunez
MAYOR PRO TEM OCT Q 7j%5 CITY ATTORNEY
Benjamin Vazquez Sonia R.Carvalho
COUNCILMEMBERS CITY CLERK
Phil Bacerra Jennifer L. Hall
Johnathan Ryan Hernandez
Jessie Lopez
David Penaloza
Thai Viet Phan CITY OF SANTA ANA
F W6 (z) PUBLIC WORKS AGENCY
pavfd iurn+rez (l�z}
20 Civic Center Plaza+P.O.Box 1988
Santa Ana,California 92702
www.santa-ana.org
September 24,2025
Monument ROW
Attention:Amber Costello, President
200 Spectrum Center, Suite 300
Irvine,CA 92618
Re: Second and Final Extension of Agreement(A-2021-222)to Provide On-Call Acquisition
and Relocation Services
Pursuant to Section 4 ("Performance Period") of the above-referenced Agreement, entered into by
Monument ROW("Consultant"), and the City of Santa Ana,dated November 16,2021,the time period 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 Rosa ,
Acting Executive Director,
Public Works Agency
CITY OF SANTA NA ATTEST
A vary Nunez ennife `
City Manager City C
APPROVED AS TO FORM MONUMENT ROW
K.A Nellesen A'm0er C tello
Assistant City Attorney President
SANTA ANA CITY COUNCIL
Volene Amezcua Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez Oavid Penalaza
Mayo
Mayor Pro Tem,Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6
vamezcuan anta-ana.ora bvaznuayRsanta-ana org 1phanatnta-ana.orn iessielooezCu)santa-ana.oro obacerraCcdsanta-ana.Ora irvarthemandez(r�santa-ana_a dnenaloza/c�sanla-ana.arn
AC" CERTIFICATE OF LIABILITY INSURANCE rATE(MM!°D YYYY)
5/6/2025
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
Venbrook Insurance Services PHONE CarOla Kin FAX
16815 Von Karman Avenue 818-598-8965 Arc No
Suite 180 ADDREss: ckin venbrock.com
Irvine, CA 92606 INSURER(S)AFFORDING COVERAGE NAIL#
www.venbrook.com CA Lic No.OD80832 INSURER A: Hartford Underwriters Insurance Company 30104
INSURED INSURER B: Travelers Property Casuals Co of Ames 25674
Monument ROW INSURER c: Underwriters at Lloyds of London 15642
8 Cobblestone Court
Laguna Nigel CA 92677 INSURERD: Scottsdale Insurance Company 41297
INSURER E: Travelers Excess and Surplus Lines Co 29696
INSURER F: Travelers Casualty and Surety Co of Amer 31194
COVERAGES CERTIFICATE NUMBER: 85170368 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVL 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 NUMBER MMID�YIYYYY POLICY
LIMITS
LTR
A V COMMERCIAL GENERAL LIABILITY 72SBABR6LJ2 4/23/2025 4/23/2026 EACH OCCURRENCE $1000000
CLAIMS-MADE I—A OCCUR PREMISES Ea occu ence $1,000 Q00
MEO EXP(Any one person) $1Q Q0Q
V Deductible:none PERSONAL&ADV INJURY $1,000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
✓ POUCY JECT C- F-1 LOC PRODUCTS-COMPIOP AGG $2,000,000
OTHER: S
A AUTOMOBILE LIABILITY 72SBABR6LJ2 4/23/2025 4/23/2026 CCMBINEDShNGLELIMIT $
Ea accident 1,000,000
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY{Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
1�/
AUTOS ONLY ✓ AUTOS ONLY Per accident
$
A / UMBRELLA LIAR OCCUR 72SBABR6LJ2 4/23/2025 4/2312026 EACH OCCURRENCE $5 000 000
EXCESS LIAR CLAIMS-MADE AGGREGATE $5 00Q 000
DE❑ I ✓I RETENTION$10,000 $
B WORKERS COMPENSATION UB2Y3528922442G 4/2312025 4/23/2026 / SPE TATUTE EORH
AND EMPLOYERS'LIABILITY Y I N
OFFICEWMEMB REXCLU EXCLUDED ANYPROPIRIETOPJPARTNERIEXECUTIVE � NIA E.L.EACH ACCIDENT $1,000 Ofl0
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 ()OQO
If yes,describe under
DESGRIPTION OF OPERATIONS bale E.L.DISEASE-POLICY OMIT $1 000 000
C Professional Liability(Claims Made) MPL444730524 4/23/2025 4/23/2026 $3,000,000 Each Claim/Aggregate Limit
D Professional Liability(Excess} EKS3571668 4/23/2025 4/24/2026 $3,000,000 Aggregate Limit
E Cyber Liability CYB10809647300 7/24/2025 7/24/2026 $2,000,000/Per Occurrence
F Crime 108082890 711/2025 7/1/2026 1$25 0001$2 500 ded
DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Digita y slgne
T
Tu I ran byTuTrap
The City,its officers,officials,employees,and volunteers are included as an Additional Insureds with respects Nguyen
to General Liability.Primary/Non-Contributory and Waiver of Subrogation apply in favor of the Additional Insured when required Nguyen Date:2025.06.23
by Written and signed contract. Subject to policy terms,conditions,and exclusions. 16:5534-07'00'
APPROVED
By Tu Tran Nguyen at 4.55 pm,Jun 23,2025
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attention: Public Works Agency, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Santa Ana, CIPIDesign Engineering ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza
Santa Ana CA 92702, M-36
AUTHORIZED REPRESENTATIVE
Jeffrey Lang
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
55170368 1 2025 GL, HNO, UMB, WC, PL I Carcla King 1 5/6/2025 4:48:20 PM (PDT1 I Page 1 of 5
This certificate cancels and supersedes ALL previously issued certificates.