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HomeMy WebLinkAboutCROSSTOWN ELECTRICAL & DATA, INC. A-2022-157-01 B MAYOR �` CITY MANAGER Valerie Amezcua , Alvaro Nunez MAYOR PRO TEM . • 1 . CITY ATTORNEY David Penaloza _-- Sonia R.Carvalho COUNCILMEMBERS � ��I�� • CITY CLERK Phil Bacerra �sa� � • Jennifer L. Hall Johnathan Ryan Hernandez Jessie Lopez r' Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY •i 20 Civic Center Plaza I PO Box 1988 1 0.1* Santa Ana,California 92702 www.santa-ana.orq JUN 1 1 2026 April 30, 2026 D:f ltiti T`�t1 fi'G()Crosstown Electrical & Data, Inc. CPJfgr peurl,u9Attn: Benjamin Heermance, CFO 5454 Diaz Street Irwindale, CA 91706 Re: Extension of Agreement No.A-2022-157-01 to provide on-call construction services Pursuant to Section 3 ("Term")of the above-referenced Agreement, entered into by Crosstown Electrical & Data, Inc. ("Contractor"), and the City of Santa Ana, dated August 16, 2022, the time period of the Agreement is hereby extended for an additional one-year period through June 30, 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. Sincerely, ��Q olfo as, P.E. ` Acting Executive Director, Public Works Agency CITY F SANTA ATTEST lvaro Nunez `nifer T9 s i M City Manager City C1- APPROVED AS TO FORM: CONTRACTOR SONIA R. CARVALHO City Attorney j/ 4 K fe Nellesen By: Assistant City Attorney Title: SANTA ANA CITY COUNCIL Valerie Amezcua David Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez Mayor Mayor Pro Tern-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 vamezcua(dysanta-ana.org dpenaloza(rsanta-ana.oro tohanpsanta-ana.orq bvazouez(asanla-ana.oro jessielopez(atsanta-ana.orq pbacerraesanta-ana.orq jrvanhernandez(ansanta-ana.oi AGOR D. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°°YYYV) _ 05/26/2026 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). CON PRODUCER NAMEACT Maricela Aguirre McRae Associates Insurance Services ONE (A/C.No.Exn: (714)779.6999 (AAIXc,No): (714)779-6903 1265 N. Manassero St Suite 303 ADDRESS: maricela@mcraeinsurance.insure Anaheim, CA 92807 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Travelers Property Casually Company of America 25674 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 25674 CROSSTOWN ELECTRICAL&DATA, INC. INSURER C: GREAT AMERICAN INSURANCE COMPANY 16691 5454 DIAZ ST. INSURER D: St Paul Surplus Lines Insurance Company 30481 Irwindale, CA 91706 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001315-0 REVISION NUMBER: 1083 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.LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED,*Not Applicable in WY INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y DT22-CO-7W503833-TCT-26 06/03/2026 06/03/2027 EACH OCCURRENCE $ 2,000,000 DAMAGE TRENED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrrence) , $ 300,000 X Deductible$10,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENII.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 _H POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 810-7W449049-26-26-G 06/03/2026 06/03/2027 Ea acccidentsINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ C )( UMBRELLA LIAB X OCCUR Y Y TUE257205208 06/03/2026 06/03/2027 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ 0 $ A WORKERS COMPENSATION Y UB-7W504031-26-26-G 06/03/2026 06/03/2027 X MUTE EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Il yyes,describe under - DESCRIPTIONOFOPERATIONSbelaw E.L.DISEASE-POLICY LIMIT $ 1,000,000 A 2nd Tier Umb. Policy Y Y EX-B4831416-26-NF 06/03/2026 06/03/2027 Each Occ/Gene Agg $5,000,000 D Prof. & Poll. Liab. Y Y ZCE-16P95095 10/10/2025 10/10/2026 Each Occ/Gen Agg $10 mill/$10 mill DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: PROJECT NAME: CONDUIT VERIFICATION AT EDINGER/GRAND-PROJECT#211280-000-SAN-CROSSTOWN-01 I PROJECT LOCATION: EDINGER/GRAND IN SANTA ANA, CA/JOB#4781-22 THE CITY OF SANTA ANA AND DKS,ALONG WITH THEIR OFFICERS,OFFICIALS,AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED WITH RESPECTS TO THE ABOVE-MENTIONED POLICIES PER ATTACHED (continued on ACORD 101 Additional Remarks Schedule) CERTIFICATE HOLDER CANCELLATION 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. 305 4TH STREET SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE APPROVED (MAG) By Tu Tran Nguyen at 10:22 am,Jun 01,2026 ACORD 25( , ©1988-2025 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by MAG on 05/26/2026 at 11:25AM