HomeMy WebLinkAboutEEC ENVIRONMENTALA-2015-224-01.
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Martinez
COUNCtLMEMBERS
P. DaWd Benavides
Vicente Sarmiento
y� Jose Salorlo
(�gya�➢j Sal Tinajaro
Juan Viilegas
INSURANCE NOT ON FILE
WORK MAY NIQT PROCEED
CLERK OF COUNCIL
DATE: OCT 0 4 2010
September19,2018
EEC Environmental
Attn: John Shaffer, President
One City BIvd. West
Suite 1800
Orange CA 92868
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
20 Chic Center Plaza M-21 + P,O. Box 1988
Santa Ana, California 92702
v„yww,M"fl a•ana 9f9
Re: Extension of Waste Discharge Requirements Compliance Services Agreement with EEC
Environmental (A-2015-224)
Dear Mr. Shaffer:
CITY MANAGER
Raul Godinez II
CITY ATTORNEY
Soda R. Carvalho
CLERK OF THE COUNCIL
Maria D. Hulzar
Pursuant to Section 4 ("Term") of Agreement No. A-2015-224, entered into by EEC Environmental
("Consultant") and the City of Santa Ana, dated October 6, 2015, the time period of said Agreement is
hereby extended for an additional two (2) year period, from October 6, 2018 to October 5, 2020, The
insurance certificates are required to be extended and/or renewed to cover this extension, All other terms
andRonditions of said Agreement remain unchanged and in full force and effect.
Egad S eiss, PE, PLS CITY OF SA A ANX
Executi Director Raul Godinez 11
Public rks Agency City Manager
APPROVED ASTO FORM: ATTEST:
Sonia R. Carvalho
City Attorney
. �{
J 1 M. Funk Mafia D. Hulzar
A sistant City Attorney Clerk of the Council
SANTA ANA CITY COUNCIL
Opal A. P fida "aala kudinex %r1mle 5armlenlo Jose 50100 P. ea.d eaiaNtles Juan Wleaas Sal nnajem
Maya Mayor Pm Tem, WaM 2 Warbt ward Warc14 Wards WaRle
f Wld09VNo-aog,¢a] miman'nez soma-ana am i5S}32�S.tStfl dsania-ana ora 4P9fs��am n.B...e g'
,►R V CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIbO
_
5/2vzD1s
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HDLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR. NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 ileu of such endorsements .
PRODUCERManagementC
GMGS Risk & Insurance Services
N ACT
Ashley Brewster -
12 Truman
Irvine, CA 92620
.NAME_
PRONE - �A
tA.-M No Exry,_ 949-559-3377 (NG.NoI 90.Q-559.67g3
E-MAIL
AnoREss asblBYb�Ta gmgs.com ............
_ INSURERISj AFFORDING bDVERAOE .. NAIC9
www.gmgS.Com OB84519
INSURER Great Divide Insurance Company - _._ �_ 25224
INSURED
INSURE-RB: Peerless Insurance Company
24111
EEC Environmental
— "
dba Enviromental Engineering Contracting Inc.,
One City Boulevard West, Suite 1800
wsUReRc�
INSURERD_.____
INSURERS,
Orange CA 92868
INSURER F
COVERAGES CERTIFICATE NUMBER: 42036742 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.
1 SR
LTR
TYPE OF INSURANCE
AODL
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POUCYNUMBER MM D
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GLP2006942-15 I1013112017
10/3112018
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PERSONAL &ADV INJURY
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POLICY � ECT � LOC
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AUTOMOBILELIABILITY ...-
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CBP8977390 10/31/2017
10/31/2018
p 51dEDISINGLE LIMIT1,OD0.000
BODILY INJURY (Par parson}
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OWNED SCHEDULED.
BODILY INJURY(Perawldonq
AUTOS ONLY AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE
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AUTOS ONLY ✓ AUTOSONLY
UMBRELLA LIAB OCCUR
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ANYPROPRIETOR/PARTNERIEXECUTIVE 1
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DES CRIPTIONOPOPERATIONSba..
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$7 000000
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DESCRIPTION OF OPERATIONS I WcATIONS I VEHICLES (ACORD 101T,Z;Itlonal Remarks Schadule, may be atlachad if eWrespace is regeimUl
RE: job #W-1424.12T - Every Drop Counts - Santa Ana W DR
rl� 1 pole- /of
CPRTWICAT'P HQI DPP CANCELLATION
jobd#W-1424.12T - Every Drop Counts - Santa Ana WDR
City Od Santa Ana
Finance & Management Services Agency
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION RATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza M-16
P.O. Box
AUTHORIZED REPRESENTATIVE ,-+--
Grin Griffith 4(`w/.-
O 1988-2015 ACORD CORPORATION. All rights reserved..
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
0
A200142 1 14-18 n(9/UUIYIPO'W./afi0 15.S9 WC I A9N1ey 9iews[es 1 5122/?Ola 3b4:0 IRA (PUT! I Pac ] of 1
A�DATA
R" CERTIFICATE OF LIABILITY INSURANCE
IMMrOD/YYYYI
5/22/2010
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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cortain 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 CIVICS Risk Management &Insurance Services
12 Truman
Irvine, CA 92620
CONTACT
NAME: ABHIB Brewster__
PNQNE 9q9-559-3377__J iaC Not: 949-559-67Q3
EXg
.MAIL
- s: ashlevb(oTgmos.com _
INSURERS AFFORDING COVERAGE
NAIC#
INSURERA: Great Divide Insurance Comp
25224
www,gmgs.com OB84519
_
INSURED a
EEC Environmental
dba Enviromental En ineering Contracting Inc.,
One City Boulevard West, Suite 1800
INSURER B
INSURERC:
INSURERD:
INSURERS:
Orange CA 92868
IN$URERF:
CnVFRAGPS CERTIFICATE NUMBER: 42nefiR95 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, _—
BUBR
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POLICY EXP
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STAT TE. GRH
AND EMPLOYERS LIABILITY
ANYPnOPRIETORGARTNENFXEOUTIVE YIN
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OFFICERIMEMBCREXCLUOEO'1
(Mondatory in NH)
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E.L.L,G E. EAEMFLOYEE S &QQp00
_DESCRIPTION
If ye, DESCRIPTIONOF OPERATIONS below
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DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Ramau s Schedule, maybe attached If more space Is required)
RE: job#W-1424.12T • Every Drop Counts - Santa Ana WDR
r9//W1I/ P'4J�
City od Santa Ana
Finance & Management Services Agency
20 Civic Center Plaza M-16
P:O. Box
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
42316d95 I }6-39 WC I Aehley Brayster 15b.2/2016 3z05:07 ^M L°DTI I Pa9f L Oc 1
IFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
THIS CERTIFICATE IS ISSUED AS A MATT R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE! CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMA IVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF IN URA CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,Al TH CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an DDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to th terms and conditions of the policy, certain policies may require an anclorsement. A statement on
this certificate does not confer rights to the ertificate holder in lieu of such endorsement(s).
PRODUCER GMGS Risk Managemen _& In rance Services CONTACT
NAME
INSURED
EEC Environmental
dba Enviromental Engineering
One City Boulevard West, Suite
Orange CA 92868
Inc.,
I HIS IS TO CERTIFY THAT THE POLICIE OF If[URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY EQUIRENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAV PERT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUC POLICS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INR TYPE OFINSURANCE Apn1 BR POLICY NUMBER MOLICY MMippY EXP LIMITS
A COMMERCIAL GENERAL LIABILITY GLP2006942-17 10/31/2D19 10/31/2D20 EACH OCCU RENCE g5000 DOD
CLAIM&MADE ❑✓ OCCUR pRF U_etF E�TE,._...e, sann nnn
L AGGREGATE LIMIT APPLIES PER:
POLICY E JET LOC
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ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
✓ AUTOS ONLY AUTOS ONLY
UMBRELLALIAB OCCUR
EXCESS UAB ...
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS
RE: Job 9W-1424.12T - Every Drop Co
This certificate may be relied upon only
CFRTIFICATF Mnl nFD
10/31/2019
101, Additional Remarks Schadule, may he attached it more space is requlrad)
Ana WDR
ate addendum referred to herein is attached hereto.
AGG
pees0 $
Zen') $
5$
Job #W-1424.12T
Nr 1Vm
2U19
J
City of Santa Ana
SHOULD ANY OF THE ABOVE DESCRIBED P
LICIES BE CANCELLED BEFORE
Risk Management Divisio
THE EXPIRATION DATE THEREOF, NOT
CE WILL BE DELIVERED IN
20 Civic Center Plaza, 4th fl SIN
NTH
LAMBERT
ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana CA 92702
AUTHORIZED REPRESENTATIVE
Gdff Griffith
rooa-eU'l0 AWKU CORPORATION. All rights reserved.
ACORD 25 (20161131 The CORD name and logo are registered marks of ACORD
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