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HomeMy WebLinkAboutMACRO Z TECHNOLOGY CO. (3) INSURAN7 ON FIE 0:?VV A c?.) il!0 ; °'T"FRCCEEU A-2022-065-02B MAYOR CITY MANAGER � i° s Valerie Amezeua w' Alvaro Nunez MAYOR PRO TEM APR 2 2 2026 -�t I�r�' CITY ATTORNEY David Penaloza Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra Jennifer L.Hall Johnathan Ryan Hernandez 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-or March 23, 2026 Macro Z Technology Co. Attn: Bryan J. Zatica, President 841 E. Washington Ave. Santa Ana, CA 92701 Re: Extension of Agreement No.A-2022-065-02 for On-Call Demolition Services Pursuant to Section 3 ("Term")of the above-referenced Agreement, entered into by Macro Z Technology Co. ("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. Sincerel odolfo Rosas,P.E. Acting Executive Director, Public Works Agency A TA AN ATTEST �4 C fpn wt enni ter L Hall City Manager City Cler APPROVED AS TO FORM MACRO CHNOLOGY CO. r KV e Nellesen an tics Assistant City Attorney e: nt SANTA ANA CITY COUNCIL Valerie Amezwa David Penaloza Tha,Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan h4emandez Mayor Mayor Pm Tem-YY'ard fi Ward i Ward 2 ward 3 WaM d Ward 5 vame sari ar d al a scrota-n or h n sanla-an or hva u Santa-an a ieW sari n or ndacet asania-ana om krvannernantlex(d Santa ana ai A CERTIFICATE OF LIABILITY INSURANCE Dar10/1120215YY) 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 NAME: Yvonne Chop Alliant Insurance Services, Inc. PHONE 949.660.5967 FAX Ne 18100 Von Karman, 10th Floor E-MAIL Irvine CA 92612 ADDRESS: yGhong@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Federal Insurance Company 20281 INSURED INSURERS:Executive Risk Indemnity Inc 35181 Macro-Z-Technology Company 841 E Washington Ave. INSURER c:Allied World National Assuranc 10690 Santa Ana CA 92701 INSURERD:Berkley Assurance Company 39462 INSURER E:Homesite Insurance Company 17221 INSURER F: COVERAGES CERTIFICATE NUMBER:1069241870 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. IEXP LTR ADDL TYPE OF INSURANCE INSD SWVD UER POLICY NUMBER MWDDIYYYY MMIDDPOLICY EFFYIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 54309459-03 10/1/2025 10/1/2026 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE Pil OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY M JERCT 7 LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER: Deductible $5,000 A AUTOMOBILE LIABILITY Y Y 54309639 10/1/2025 10/1/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ X OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Deductible Comp/Gall $10,000110,000 C X I UMBRELLALIAB X OCCUR Y Y 03115450-03 10/1/2025 10/112026 EACH OCCURRENCE $12,000,000 E CXP-059571-03 10/1/2025 10/112026 EXCESS LIAR CLAIMS-MADE - AGGREGATE $12,000,000 DED X RETENTION$ $ A WORKERS COMPENSATION Y 64309538 10/1/2025 10/1/2026 X PERT EORH AND EMPLOYERS'LIABILITY Y I N STAANYPROPRIETORIPARTNERfEXECUT{VE E.L.EACH ACCIDENT $1,000,000 OFFICFRIMEMBEREXCWDED7 El NIA (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 D ProfessionaPPollution PCXB-5026074-1025 10/1/2025 10/1/2026 Each Claim $5,000,000 AgRgregate $5,000,000 $25,000 DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re: Contract:A-2022-065-02-Provide On-Call Demolition Services for the City of Santa Ana. The City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insured as respects General and Auto Liability 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 noncontributory. Waiver of subrogation applies to Workers'Compensation. 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. Dlgltally signed Tu Tra6hyTuTran Nguyen Nguyen°zt924 o7oa6 APPROVED CERTIFICATE HOLDER CANCELLATION 30 Days BYTu Trap ldgugeii a! 2}7 pm;Oct b6 2b25 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. Attn: Public Works Agency, CIPIDesign Engineering 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702, M-36 ©1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD