HomeMy WebLinkAboutJOHNSON-FRANK & ASSOCIATES, INC. (4) 35UR
!,T-,r 'Et A-2023-071-01A
MAYOR - Id. -
CITY MANAGER
Valerie Amezcua I' ==nM AlvaroNurrez
MAYOR PRO TEMA� 7 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
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fn019e.rt COO- l to(Dz.) PUBLIC WORKS AGENCY
20 Civic Center Plaza I PO Box 1988
Santa Ana,California 92702
www.santa-ana.oro
April 3,2026
Johnson-Frank &Associates,Inc
Attn: AIan D. Frank
5150 E.Hunter Ave,
Anaheim, CA 92807
Re: Extension)of Aereernent No.A-2023-071-01 to provide On-Call Professional Land
Surveying Services
Pursuant to Section 4 ("Performance Period") of the above-referenced Agreement, entered into by
Johnson-Frank & Associates, Inc., and the City of Santa Ana, which commenced on May 2, 2023, the
parties hereby exercise their option to extend the term of the Agreement for an additional one (1) year
through May 1,2027.,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.
Sin:1fo
ERsas,
P.E.
Acting Executive Director,
Public Works Agency
CITY OF SANTA ATTEST
ae =•n=,
Alvaro Nunez -165n_ifer allf
City Manager City Cler
APPROVED AS TO FORM CONSUL
eNellesen By: Ian D. Fra'nk, PLS
ssistant City Attorney Title: President
SANTA ANA OTTY COUNCIL
Valerie Amezcua David Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez
Mayor Mayor Pro Tem-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5
vamezcuaAsanta-ana.ora doenaloza(eTsanta-ana.o�r tphan(O nla-ana oro 4vazauez(dsanla-ana.pro iessielopezCalsanta-ana.oro pbacerraX.a-ana.pry irvanhemandezCa?santa-ana.om
Aco CERTIFICATE OF LIABILITY INSURANCE °ATE`MM'°°"YYY)
12/2/2025
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 ondorsement(s).
PRODUCER CONTANAME: Betty Tran
ICA Insurance Services PHONE 949-297-6962 F,v'�C No): 949-297-5960
130 Vantis, Suite 250 E-MAIL
Allso Viejo, CA 92656 DD bett .tran ioausa.com
INSURERS AFFORDING COVERAGE NAIC#
www.loausa.com CA License#OE67768 INSURER A: RLI Insurance Company 13056
INSURED INSURER B:
Johnson-Frank&Associates, Inc.
5150 E.Hunter Avenue INSURER C
Anaheim CA 92807 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 88127141 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 PAIL]CLAIMS.
ILTR TYPE OF INSURANCE INSD WVDSUBRI POLICPOLICY NUMBER MM DDmYY MMIDD� LIMITS
A ✓ COMMERCIAL GENERAL LIABILITY �/ ✓ PSB0001301 12/1/2025 12/1/2026 EACH OCCURRENCE $1 000 000
CLAIMS-MADE ❑✓ OCCUR Scheduled Al Endt PREMISENTE $1 000 000
✓ Prim/NonCon Professional
2rofessional Services S Ea occurrence)
MED EXP(Any one person $10 000
P
✓ Wvr of Subr performed by the Insured PERSONAL&ADV INJURY $1 000 000
GENT.AGGREGATE LIMIT APPLIES PER: are Excluded GENERAL AGGREGATE $2,000,000 _
POLICY� JECT FI/I LOG
PRODUCTS-COM?lOPAGG $200O000
OTHER: Deductible $0
A AUTOMOBILE LIABILITY ✓ ✓ PSA0001078 1211/2025 12/1/2020 Ee MBIN DlSINGLE LIMIT $1 000 000 _
✓ ANYAUTO Designated Insured Endt BODILY INJURY(Per person) $
OWNED SCHEDULED #CA20481013;Prim/NOnCon BODILY INJURY(Per accident $
HIRED AUTOS ONLY NAUTOSON-OWNED and Blkt Wvr of Subr f
✓ AUTOS ONLY 1//
AUTOS ONLY included on pg 2 of Form Par acROPE idenDAMAGE $
✓ Prlm/NonCOnWvr of Subr i#PPA3000313 Deductible $0
A UMBRELLA LIAB OCCUR PSE0001230 12/1/2025 12/1/2026 PACH OCCURRENCE $4 000 000
/ EXCESS LIAB CLAIMS-MADE Follow Form;Excl Prof AGGREGATE $4 00p 000
DED I ✓I RETENTION$0 Liability
A WORKERS COMPENSATION �/ PSWO002298 12/1/2025 12/1/2026 ,/ STATUTE ERH Deductible- 0
AND EMPLOYERSLIABILITY YIN U5L&H Included;
ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1 ODO 000
OFFICERIMEMBEREXCLUDED? � N f A Scheduled Waiver Of ,
(Mandatory In NH) Subrogation Endt EL.DISEASE-EA EMPLOYEE $1 0 '.
If yes,describe under 9
00.000
DESCRIPTION OF OPERATIONS below #WC0403060484 E.L.DISEASE-POLICY LIMIT 1 $11,000,000
A Professional Liability ROP0060563 12/1/2025 12/1/2026 $2,000,000 Each Claim
Claims-Made $2,000,000 Annual Aggregate
$25,000 Each Claim Deductible
DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate Holder is an Additional Insured with respect to General Liability(GL)and Automobile Liability when required by contract with the
Insured,but only to the extent provided within the Endorsements noted above. GL includes Separation Of Insureds and Contractual Liability per
limitations in the BusinessOwners'Coverage farm. A Workers'Compensation Waiver is included for the person or organization named in the Schedule
that are parties to a written contract,but only to the extent provided within the Endorsement noted above. Coverage is subject to all policy terms,
conditions,limitations and exclusions. 30 Day Notice of Cancellation 110 Days for Non-Payment in accordance with policy provisions.
ei9lTaM/,19,M
TU Trani hDiT.'r—
q9-M
2025.12im APPROVEp
CERTIFICATE HOLDER CANCELLATION'
Agreement#A-2023-071-01 and#A-2023-072-01 Sy Tu Tran Nguyen at&49 am,Dec 08 2 25
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Santa Ana its officers and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza
Santa Ana CA 92701
AUTHORIZED REPRESENTATIVE
{AVC}Alicia K.]gram
OO 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
B8127241 ( 12/25-26 OL/AUTO/EXCESS/NC/PL I Teresa Frank 112/2/2925 3;03:18 PM (PST) I Page 1 of 7