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HomeMy WebLinkAboutA-TECH CONSULTING, INC. (3) INSURANCE ON FILE WORK MAY PROi A-2022-204-04A UN(it thlsu 2;:iJi-1 EViRU MAYOR .Wil . CITY MANAGER Valerie Amezcua ('ITY CLERK F' ;„* Alvaro Nunez MAYOR PRO TEM GATE: OCT CITY ATTORNEY f1 Benjamin Vazquez �C I �1 � 5 Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra ,yp Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA o:FWJA— (z) PUBLIC WORKS AGENCY ��U ICE 12G1 ivll C�2 �Z) 20 Civic Center Plaza•P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.oro September 8,2025 A-Tech Consulting, Inc. 1640 N. Batavia Street, Suite 112 Orange,CA 92867 Attn: Roohi Toosi Re: Extension of Agreement No.A-2022-204-04 to Provide On-Call Hazardous Materials Survey Services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by A-Tech Consulting,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, a o Roses,P.E. Acting Executive Director, /� Public Works Agency CI"ANTA ATTEST A varo Nunez V J ennifer L. all City Manager City Cler APPROVED AS TO FORM A-TECH CONSULTING,INC. i, KINellesen Assistant City Attorney By: lJoseph Williams Title: VP of Operations SANTA ANA CITY COUNCIL Valede Amezcua Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem-Ward 2 ward S Ward 3 Ward 4 Ward 5 Ward 6 vamezcua(o'tsanlaana ore bvazouezCa7santa-ana.uro t han(_santa-ana.erg lessielooez(alsanSa-ana are phacerraAsanta-ana.ora irvanhemandezfo sania-ana,om -dpenalozaeSanta-ana.org. A-TECON-01 ALREED CERTIFICATE OF LIABILITY INSURANCE DATE 5/515/2/2 DfYYYY) 425 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 Alexis Reed NAME: Rooney Insurance Agency,Inc. PHONEo, - FAX 5100 E Skelly Drive,Ste 1010 [Ale.N Ext): (ArC,No):(918)420-9926 Tulsa,OK 74135 E-MAIL alexis.reed roone insurance.eom ADDREss: Y INSURERS AFFORDING COVERAGE NAIC# INSURER A:Westchester Surplus Lines Insurance Com an 10172 INSURED INSURERB:Ace Property&Casualty Ins Co 20699C A-Tech Consulting,Inc. INSURER C:National CasualtyCo 11991 1640 N.Batavia Street INSURER D Orange,CA 92867 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 L TYPE OF INSURANCE yyVp POLICY NUMBER M D DD LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS-MADE OCCUR G71802462006 51112025 51112026 DAMAGE TO RENTED 100 000 REMISES Ea occurr n $ MED EXP Any one erson $ 10,000 PERSONAL&ADV INJURY $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY[)(] jEGT [] LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: PER PROJECT AGG $ 5,000,000 B AUTOMOBILE LIABILITY EOMBiNED SINGLE LIMIT $ 1,000,000 X ANY AUTO H08471265007 51112025 511/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY Per accident $ HIRED ONLY AUOTNOS ONLDY PeOr accident AMAGE $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE G71840773006 5/1/2025 5/1/2026 AGGREGATE $ 1,000,000 DED RFTENTION$ ProdlCampOps Ag 1,000,044 C WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER]EXECUTIVE WCC349341A 3/1512025 3I15I2026 1,000,004 N!A E.L.EACH ACCIDENT Mandatory in NHJ EXCLUDED? 1,000,000 If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 A Pollution G71802462006 5I112025 5/112026 Ea(*Agg Incl Above) 3,000,000 A Prof Liab(E&O) G71802462006 5/1/2025 111/2/,26 Ea(*Agg Inc Above) 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES {ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Employment Practices Liability: Travelers Casualty and Surety Company Policy#107561310 11112025-11112026 $1,000,000 Limit of Liability Tu Tran M9it111y1'1J11dc, Tu Tm Nguyen Cyber Liability: Nguyen ®}oho oo' APPROVED SEE ATTACHED ACORD 101 ByTu Tran Nguyen at 9:17am,May07,2025 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. Public Works Agency,CIP1Design Engineering 20 Civic Center Plaza M-36 AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:A-TECON-01 ALREED LOC#: 1 AC40R V" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Rooneynsurance Agency,Inc. A-Tech Consulting,Inc. y1640 N.Batavia Street POLICY NUMBER Orange,CA 92867 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: &CORD 25 FORM TITLE; Certificate of Llability Insurance Description of Operations/Locations[Vehicles: At-Bay Specialty Insurance Company Policy#AB660124407 5/1/2025-5/1/2026 $1,000,000 Aggregate Limit —WORK/SERVICES PERFORMED IN NEW YORK EXCLUDED. Pollution Liability includes a$5M Designated Per Project Aggregate when required by contract. Re:All Operations usual to the named insured as covered by these policies. Environmental,A-2022-204-01; Hazardous, A-2022-204-04. As required by written contract and subject to the terms of the policies and blanket endorsements attached,the City of Santa Ana, its Officers,officials,employees,volunteers,and Owner are Additional Insured with Waiver of Subrogation afforded with regard to General Liability and Auto Liability,as their Interests may appear.Waiver of Subrogation is also afforded with regard to the Workers Compensation policy.Primary and Non-Contributory coverage is afforded with regard to General Liability and Pollution Liability. Umbrella is follow-form. Professional Liability Retroactive Date: 5/1/2002 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD