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HomeMy WebLinkAboutLEIGHTON CONSULTING INC. (3) INSURAN+CIF ON FILE VORK MAY PROCLO A-2022-204-06A UN-flt FX11R Ci MAYOR CITY CLERK�ERK ---- CITY MANAGER ValerieAmezcua � MAYOR PRO TEm UF1TF��T 3 2025 a5` Alvaro Nunez 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 SA NTA ANA o= Pwtt C2-) PUBLIC WORKS AGENCY PA41d i2rLnaiYtz Lpz) 20 Civic Center Plaza•P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.ora September 8,2025 Verdantas,Inc. 2600 Michelson Dr., Suite 400 Irvine, CA 92612 Attn: Pat Sheridan Re: Extension of Agreement No.A-2022-204-06 to Provide On-Call Hazardous Materials Survey Services ^ Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Leighton Consulting Inc. (subsequently assigned to Verdantas, Inc.) and the City of Santa Ana, dated October 18,2022,the time period of the Agreement is hereby extended for an additional one-year period, from October 18, 2025 through October 17, 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, fo Rosas,P.E. sting Executive Director blic Works Agency CITY Oy SykTA ANA ATTEST '.1 a lvaro Nunez Jennifer a1 City Manager APPROVED AS TO FORM VERDANTAS INC. We Nellesen By: Kristen Williams, Vice President Assistant City Attorney Title: SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Viel Phan Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem-ward Z ward 1 ward 3 Ward 4 ward 5 Ward 6 vamezcua@sanla-ana.oro bvazouoz@sanfa-ana,oru Whenl�san.ana.oro iessielopezCa)sania-anaor, pbaeerra(&sanlaana.cro irryanhemandez .nla-ana.om dpenafoza( n61a-ane.oro VERDALL-01 KMCGUFFIN CERTIFICATE OF LIABILITY INSURANCE DAT 712120r2oIYYYYI 25 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER,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 NAME: Ames&Gough PHONE FAX 8300 Greensboro Drive (A/C,No,Ext):(703)827-2277 Arc,Noy;(703)827-2279 Suite 980 E-MAIL s:admin@arnesgough.com McLean,VA 22102 INSURERS AFFORDING COVERAGE NAIC# _ INSURER A:Allied World Assurance Company U.S. Inc. 19489 INSURED INSURERS:Transportation Insurance Company A XV 20494 Leighton Consulting,Inc.Verdantaslnc. INSURER C:Allied World Surplus Lines Insurance Co.A+XV 24319 2600 Michelson Dr.Ste.400 INSURER D Irvine,CA 92612 INSURER E 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 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 ADDL SUBR POLICY EFF POLICY EXP LT TYPE OF INSURANCE INSDWVDPOLICY NUMBER IMMiDDffYYY1Yy LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 0313-88$$ 6130I2025 6l3012026 PREMISES Ea ccicurrDence $ 300'400 X Contractual Liab. MED EXP(Any one erson $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN`L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,040 POLICY ip"'Of F1 LOG PRODUCTS-COMP/OP AGG 2,000,000 OTHER: STOP GAP $ 1,000,000 B. AUTOMOBILE LIABILITY COMBINE[)SINGLE LIMIT $ 1,000,000 a accident)X ANYAUTO 6080642405 6/3012025 613012026 BODILY INJURY Perperson) $ AUTOS ONLY SCHEDULED BODILY INJURY Per accidenl $ _ HIRED NON-,SggED PROPERTY AMAGE AUTOS ONLY AUTOaa ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 0313-8889 613012025 6130/2026 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 107000 $ B WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY STAT TE ER 7015100423 6I3012025 6l3012026 E.L.FJ1cH AccIDENT $ ANY PROPRETORIEXCLUDRIEXECLFTIVE N 1,000,000 9FFlCERIMEMBI=R EXCLUDED? ® N!A I (Mandatory in NH} E.L.DISEASE-EA EMPLOYEE? $ 1,000,000 If DESCRIPTION under OF O E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 1,000,000 C Professional 0313-8886 6/3012025 613012026 Per Claim 2,000,000 C Liability 0313-8886 6/3012025 613012026 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Digitally sign by Cyber Liability Policy#B0572MR25ACZ9(Insurer:Canopius)-6/212025 -6/30/2026-$10,000,000 Per C laimlAggregate TU Tra n Tu Tree Nguy n Date:2025.07 2 Drone Liability Policy#UA02363465(Insurer:USAIG Insurance Group)-613012025-613012026-$10,000,000 Per Occurrence/Aggregate Nguyen 14:40:15-07'0 Re:Project#IR22-396,Various Environmental Services for City of Santa Ana. Agreements:A-2022-204-06,A-2022-204-03,and A-2023-202-04 APPROVED SEE ATTACHED ACORD 101 By To Tran Nguyen at 2:39 pm,Jul02,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention:Public Works Agency, CIPIDesign Engineering 20 Civic Center Plaza, AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 M-36 ACORD 25(2016103) OLt ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:VERDALL-01 KMCGUFFIN LOC#: 1 '4 00 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Leighton Consulting,Inc. mes&Gough Verdantas Inc. 2600 Michelson Dr.Ste.400 POLICY NUMBER Irvine,CA 92612 EE PAGE 1 CARRIER NAIC CODE ,SEE PAGE 1 SEE P 1 EFFECTIVE DATE:ra E PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsfVehicles: The City of Santa Ana, its officers,officials,employees,and volunteers are included as additional insured with respect to General Liability,Automobile Liability and Excess Liability when required by written contract.General Liability includes Additional Insured coverage for On-Going&Completed Operations as required by written contract.General Liability,Automobile Liability and Excess Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured-and when required by written contract.General Liability,Automobile Liability,Excess Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insured where permissible by state law and when required by written contract.30-day Notice of Cancellation will be issued on the General Liability,Automobile Liability,Workers Compensation and Professional Liability policies in accordance with policy terms and conditions. i I ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD