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Home My WebLink AboutJ&G INDUSTRIES INC. (3) 0:Pw A-2022-065-01 B MAYOR a/01].2U )'o Valerie Amezcua CITY MANAGER +S Alvaro Nunez MAYOR PRO TEM APR 22 2026 M CITY ATTORNEY David Penaloza Sonia R.Carvalho COUNCILMEMBERS � CITY CLERK Johnathan Poll than a Ryan Hernandez � Jennifer L.Hall Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza I PO Box 1988 Santa Ana,California 92702 WWW.santa-ana.ora March 23, 2026 J&G Industries, Inc. Attn:James K. Cain, President 18627 Brookhurst, PMB 302 Fountain Valley, CA 92708 Re: Extension of Agreement No.A-2022-065-0I to provide On-call Demolition Services Pursuant to Section 3 ("Term")of the above-referenced Agreement,entered into by J&G Industries, Inc. ("Contractor)and the City of Santa Ana,which commenced on May 3,2022, the parties hereby exercise their second and final option to extend the term of the Agreement for an additional one(1)year through April 14,2027. 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. rSinc odolfo Fosas,P.E. Acting Executive Director, Public Works Agency CITY OF NTA A A ATTEST a sanr< ti � 1 AlvaroNuficz ier City Manager City Cler APPROVED AS TO FORNI J& INDUSTRIES,INC. GI— rc Nellesen B Assistant City Attorney Title:V 2 n�- SANTA ANA CITY COUNCIL Valerie Amezma daAd Panaloza Thai Vlel Phan Beeiamia Vazquez Jessie Lopez Phil eacerra Johnathon Ryan Hemardez Mayor Mayan Pro Tam-Ward 5 Ward 1 Ward 2 Word:1 Ward A Ward 5 vamazcuai5lsama-ana om nalozaC�sanGa-nn Iohm@iania-ana om bvgzauez@sanra-ana am Iass1010n%XR4allo ana ore i yanhempedez&aanf"m,ore ACC)REII DATE{MMIDDA YYYI CERTIFICATE OF LIABILITY INSURANCE 10/28/2025 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons 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 Phone: (707)996-2912- CONTACT Jerilce Carpenter Fax: f707)996-7912 NAME: Apollo General Insurance Agency,Inc.(I) PHONE ac No. P.O.Box 1509 ADDRESS: ior""C@apgen.com Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAICR INSURERA: Nautilus Insurance Company 17370 INSURED INSURER B: Key Risk Insurance Company 10885 J&G Industries,Inc. INSURERC: State Compensation Insurance Fund Of California 35076 18627 Brookhurst Street INSURER D t Tokio Marine America Insurance Co 10945. PMB 302 Fountain Valley,CA 92708 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1568 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 TYPEOFINSURANCE ADOLSUBR pOLICYNUMBER M�OLICYYYY POLIIOYEXP LIMITS LTR ✓ COMMERCIALQENERALLIABILITY ECP2038906-13 11/1/2025 11/1/2026 EACHOCCURRENCE S 1,000,000 A CLAIMS-MADE F1 OCCUR PREMISES Ea occarrenoe $TO RENTED 100, 000✓ Professional$1,000,000 t/ MED EXP W one rson) S PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY®jE� El LOG PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: $ AUTOMOBILELLABILITY BAP2041776.12 11/1/2025 t 1/1/2026 COMBINED SINGLELIMIT $ 1,000,OOD B — ANY AUTO BODILY INJURY{Per person) OWNED ✓ SCHWULEO BODILY INJURY(Per accident) $ AUTOSONLY AUTOS ✓ HIRED �/ NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S UMIIR12LLAIIAB N OCCUR FFX2038907-13 11/1/2025 Il/1/2026 EACH OCCURRENCE $ 5,000,000 A ✓ EXCESSLIA8 CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION ✓ PERC AND EMPLOYERS'LIABILITY 9346759-25 10/1/2025 l0/1/2026 STATUTE ER"- ANYPROPRIETORIPARTNER/EXECUTIVE YIN NIA E.L.EACH ACCIDENT S 1,000,000 OFFICERIMEMSEREXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,Q00,000 It es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S D Inland Marine(Commercial) '� CPP6412447-01 11/1/2025 11/1/2026 Rmtedlleaud:Per Item 750,000 Rentedff- ed.PerOccwrmee 750,00 DESCRtPTION OF OPERA'nONS1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more apace Is requlred)Continued on Attached Supplement. Re: "Demolition Services on an on-Call basis Agreement: A-2022-065-01". Operations of the Named Insured. City of Santa Ana, its officers, officials, employees, and volunteers are hereby named as Additional Insured, if required by written contract, per endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. Coverage evidenced herein is primary and non-contributory. Excess (schedule of controlling underlying insurance attached) is follow form to the underlying General Liability, Commercial Auto and Workers Compensation Coverage. A 30-day written notice shall be mailed to the certificate holder at the address provided herein, should a described policy($) be cancelled before the expiration date thereof, 10--day CERTIFICATE HOLDER CANCELLATION Holder's Nature oflnierest:Additional insured 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 CIP/Design Engineering AUTHORIZEDREPRESZ V E 20 Civic Center Plaza,M-36 Santa Ana,CA 92701 WY m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Tu Tran °Igl[aily,;g°ed�Y [APPROVED T�Tr Nguyen NguyeDate:,1-0700 B TD Tran Nguyen at f 1:56 am,Oct 29,2025 n„5�,,-0�� r