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HomeMy WebLinkAboutDESMOND, DONNA ASSOCIATESMAYOR Miguel A. Puitdo INSURANCE NOT ON FILE MAYOR PRO TEM op��+ n r PROCWORK MAY R EED Michele Martinez COUNCILMEMBERS CLERK OF COUNCIL P. David Benavides Vicente Sarmiento DATE: AUG 1 7 2018 Jose Solono w. ?w rN Sal Tinajero Juan Villages � � L Loo d' CITY July 25, 2018 PUBLIC WORKS AGENCY 20 Civic Center Plaza, Mab a P.O. Box 1988 Santa Ana, California 92702 Wwwsanta-ana.or Donna Desmond & Associates Attn: Donna Desmond, President 265 S. Beverly Glen Blvd. Los Angeles, CA 90024 A-2015-159-01 CITY MANAGER Raul Godinez It CITY ATTORNEY Soria R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: Extension of Consultant Agreement A-2015-49 for Business Goodwill Appraisal Services Dear Ms. Desmond: Pursuant to Section 3 ("Term") of Agreement No. A-2015-159 entered into by Donna Desmond & Associates and the City of Santa Ana, dated August 5, 2015, the time period for said Agreement is hereby extended for an additional one (1) year period from August 6, 2018 to August 5, 2019. The insurance certificates are required to be extended and/or renewed to cover this extension. All other tAT s and conditions of said Agreement remain unchanged and in full force and effect. 3 Fuad . Sweiss, PE, PLS Execu've Director, Public Works Agency CITY F SANTA ANA Raul Godinez II '/1,— 1, – 8-3/• l8 City Manager APPROVED AS TO FORM Jo M. Punk A. Joe City Attorney ATTEST Maria D. Huizar Clerk of the Council SANTA ANA CITY COUNCIL M wel A. PAdo 0 d. Martinez VkeM. Sarvtlento Joae Sotaio P. nanid Mm4e$ Jean W)egas Sal Tirmjmo Mayor Mayor No Tem. Waif 2 WSMI Wada WWW Wads WSW6 mo Rtl Sala -ane arA mbntldinezf9sanlaana-ffiq vy�(xnlaoloGHsantaana MO ISalori .an=dna.OYd db$a�1�.2i a-(o79ants-a�Qm -v llotia7(>canlBnryA#.orn rynaerot7o s6[IJji; i�na9m DESMO-1 OP ID: SG ACRO CERTIFICATE OF LIABILITY INSURANCE DATE 12/10/201 YY) 12/1012018 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 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 John J. Matsock & Assoc. Inc. 1750 N Washington Street CONTACT _NAME: Steven L. Monteith AICC No Ezt : 630-505-7888 FAX No Naperville, IL 60563 Steven L. Monteith E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Prop Cas Co 125674 INSURED Donna Desmond Associates INSURER B: of America Y Phone #310-475-1114 680-16716605 265 South Beverly Glen Blvd. INSURER C: DAMAGETORENTED PREMISES Ea occurrence $ 300,000 Los Angeles, CA 90024 INSURER D: INSURER E: X Ind Contractors 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 LTR TYPE OF INSURANCE ADDL SUBR' POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A�17CLAIMS-MADE MERCIALGENERALLIABILITY XOCCUR Y 680-16716605 12/01/2018 12/01/2019 DAMAGETORENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A X Ind Contractors 680-1B716605 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 �GEN'L n POLICY PROJEC- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 Ea accident ,000,000 BODILY INJURY (Per person) $ AI AUTO 680-1 B716605 12/01/2018 12/01/2019 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ PER ACCIDENT $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH - AND EMPLOYERS' LIABILITY YIN TORY LIMITS R EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ A Property Section 680-18716605 12(01/2018 12/01/2019 I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY: CITY OF SANTA ANNA,ITS OFFICERS, EMPLOYEES, AGENTS, VOLUTEERS AND REPRESENTATIVES//ADDITIONAL INSURED IS PRIMARY AND NON CONTRIBUTORY AGREEMENT NUMBERS A-2011-070; A-2014-038 & A-2015-159//AS REQUIRED BY WRITTEN CONTRACT, CERTIFICATES ARE SUBJECT TO ALL POLICY TERMS AND CONDITION' REVIEWED BY: EUNICE HEREDIA (PG ( OF " ) SANTAAN 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 ATTN: JASON GABRIEL AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLAZA M-36 SANTA ANNA, CA 92701 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Donna Desmond & Associates Policy #680-1B716605 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED --OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION ll) is amended to include as an Insured any person or organiza- tion (called hereafter "additional insured") whom you have agreed in a written contract, executed prior to loss, to name as additional insured, but only with respect to liability arising out of "your work" or your ongoing operations for that addi- tional insured performed by you or for you. 2. With respect to the insurance afforded to Addi- tional Insureds the following conditions apply: a. Limits of Insurance — The following limits of liability apply: 1. The limits which you agreed to provide; or 2. The limits shown on the declarations, whichever is less. b. This insurance is excess over any valid and collectible insurance unless you have agreed in a written contract for this insurance to apply on a primary or contributory basis, 3. This insurance does not apply: a. on any basis to any person or organization for whom you have purchased an Owners and Contractors Protective policy. b. to "bodily injury," "property damage," "per- sonal injury," or "advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, in- cluding: 1. The preparing, approving or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and 2. Supervisory, inspection or engineering services. CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994, Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. REVIEWED BY: EUNICE HEREDIA (PG F ) Donna Desmond & Associates Policy #680-1B716605 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other insurance), is amended as follows: 1. The following is added to Paragraph a. Primary Insurance., However, If you specifically agree in a written con- tract ontract or written agreement that the insurance pro- vided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and noncontributory basis, this insur- ance is primary to other insurance that is avail- able to such additional Insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily Injury" or "property damage" for which coverage is sought occurs; and Ilr b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary In- surance available to you is deleted. 3. The following Is added to Paragraph b, Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the insured Is added as an additional insured under any other policy, Including any umbrella or excess policy. CG DO 37 04 06 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1 Donna Desmond A S S o C i A T E S 265 S. Beverly Glen Blvd., Los Angeles, CA 90024 (310) 475-1114 • ddesmond@donnadesmond.com December 10, 2018 City of Santa Ana Attn. Insurance & Contract Compliance Manager Re: Insurance Requirements for Consulting Set -vices Agreement #A-2045-159 To whom it may concern: I am in receipt of the City of Santa Ana's request for a certificate evidencing coverage for Worker's Compensation Insurance. Donna Desmond Associates does not carry Worker's Compensation Insurance for the following reason: The corporation's 100% shareholder, Donna Desmond, is the only employee of the company and is therefore exempt from the State of California's worker's compensation insurance requirement. I therefore request a waiver of this requirement for work performed for the City of Santa Ana. If Donna Desmond Associates hires any employees, which it does not plan to, then the firm will obtain Worker's Compensation Insurance and provide the City of Santa Ana with a certificate of insurance. Thank you for your attention to this matter. Please contact me with any additional questions or requests. Very truly yours, DONNA DESMOND ASSOCIATES Donna Desmond, ASA REVIEWED BY: EUNICE HEREDIA (PG VF )