Loading...
HomeMy WebLinkAboutPROJECT PARTNERS, INC. (2)City of Santa Ana t Clerk of the Council aoTC office use only AGREEMENT TERMINATION FORM Please complete this farm in its entirety when the attached agreement and all amendments (if any) are no longer in elfect. 7" BEC 12. All % 50 Note: If your agreement is grant related, please ensure that all grant retention requirements hate been satisfied prior to signing the termination form. C} Y 0! SnH 1A ANA Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions The agreement with No. A -',-t6('�- - 3� was completed on ld ( / and final payment has been made. (List all amendments. Use space below if needed.) /� / _ y( / Department: Gyy� Phone/Ext.: � �3 Signature: Date: Re.,satl: 10-13-16 MAYOR Miguel A. Pulido TEM MAYOR PRO TEINSURANCE NOT ON FILE Michele Martinez WORK MAY NOT PROCEED COUNCILMEMBERS P. David Benavides CLERK OF COUNCIL Vicente Sanniento Jose Solorio DATE: OCT ® 7 4 2018 Sal TlnaJero Juan Villages CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza M-21 . P.O. Box 1968 Santa Ana, California 92702 www.santa•ana.orc October 1, 2018 Project Partners, Inc. 23195 La Cadena Dr. Suite 101 Laguna Mills, CA 92653 A-2015-235-01 CITY MANAGER Raul Godinez II CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: Extension of Agreement #A-2015-235 to provide engineering, technical and administrative support services. To Project Partners, Inc.: Pursuant to Section 3 (`"ferm'") of Agreement No. A-2015-235, entered into by and between Project Partners, Inc. ("Consultant") and the City of Santa Ana, dated October 21, 2015, the time period of said Agreement is hereby extended for an additional one (1) year period, from October 21, 2018 to October 20, 2019. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terns and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Fuad Sweiss, PE, PLS Executive Director Public Works Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney J M. —A—/ 0o=- " Assistant City Attorney CITY OF SANTAY4NA Raul Oodit.II / City Manager ATTEST: Maria b. Huizar Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulido Michela Martinez Vicanta Sarmiento Jose solodo P. David aanaddas Juan Villages Sal Tinelero Mayor Mayor Per Tem, Ward 2 Ward 1 Ward 3 Ward a Ward 5 Ward 6 moulidotdl�nta-ana.oro mimarttnazCNsanta-are orq v r in(ohlsanla-ana.ora IsGorlofdsanlaana era Abnnavitles(ta Santa ane ora A119003 santa-anaoro atirvalarofOsanla-ere om ACOROa CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDNYYY) r4/20/2018 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 Dealey, Renton & AssociatesPHONE 199 S Los Robles Ave Ste 540 CONTACT NAME: Marie Swaney FAX A/C No Elf : 626-844-3070 we No Pasadena, CA 91101 ADDRLEss: mswaney@dealeyrenton.com Lic #0020739 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. of Connecticut 25682 4/18/2018 INSURED PROJEPART Project Partners 23195 La Cadena Drive, Suite 101 INSURER B: Travelers Property Casualty Cc of Ameri 25674 INSURER C: U.S. Specialty Insurance Company 29599 INSURER D: Laguna Hills, CA 92653 949 852-9300 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1239199550 RF_VISION NIIMRFR- 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 TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MM DIDYNYYY EXP MM DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEI-XI OCCUR Y Y 680OJ543236 4/18/2018 4/18/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE O RENTD PREMISES Ea occurrence $1,000,000 Xj Contractual Liab MED EXP (Any one person) $ 10,000 X XCU Included PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY FX] JEC7 [--] LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BA93611_484 4/18/2018 4/18/2019 COMBINED SINGLE LIMIT Ea accident $1.000.000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED iAUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIREDX NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident X NoOwnedAutos $ B X UMBRELLA LIAB X OCCUR Y Y CUP8833Y649 4/18/2018 4/18/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $, $ a WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N U133J809976 4/18/2018 4/18/2019 X STATUTE ETH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability USS1828638 4/18/2018 4/18/2019 $2,000,000 Per Claim $2,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. Umbrella policy is a follow -form to underlying Policies: General Liability/Auto Liability/Employers Liability. AM Best's Rating for all policies listed are: A/XII or greater. Re: All operations of named insured -- The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general and auto liability for claims arising from the operations of the named insured as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attac ed endorsement(s). REVIEWED BY: EUNICE HEREDIA (PGJ OF ) �, r_m I Irww I r City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 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 1� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: SOOOJ543230 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 4/20/2O1O THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OFPERSONS OR ORGANIZATIONS: CityofSanta Ana 12OCivic Center Plaza -yW38 Santa Ana CASD701 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: All operations of named insured -- PROVISIONS 1. The following Is added to SECTION N ~VVHO IS AN|NSURED: The person or organization shown In the Sched- ule aboYeis an additional insured oDthis Cover- age Pad.hut: o. Only with respect toliability for "bodily injury", "property damage" of"personal Injump|and b. If, and only to the extent that, the Injury or danneQm is caused by acts or omissions of you nryour subcontractor |nthe performance of "your Vvnd(' to which the "written contract requiring insurance" applies, or In connection with promises owned bynrrented bzyou. The person ororganization does not qualify msan additional Insured: o. With respect t0the Independent acts oromis- sions ofsuohp8raoDororQ8n|z$Uoor d. For "bodily Injury", "property damage" or"pep sona||n|umpfnrYVh|ohsuchparsoDororgani- zation has assumed liability In a contract or aQng$maOt. The insurance provided tosuch additional Insured Is limited as follows: e. This insurance does not apply to the render- Ing endep|ng of or failure to render any"professional services". f. |Dthe event that the Limits ofInsurance of the Coverage Part shown In the Declarations ex- ceed theUm|b;ofliability required bythe "writ- ten contract requiring Insurance", the Insur- ance nmupanne provided bothe additional |Haucmd shall belimited bzthe limits ofliability required by that "written contract nuqU|dnQ Insurance". This endorsement does not Increase the UDl- |boufInsurance described inSection III - Lim- its Of|no4nancm. g. This insurance does not apply to"bodily Inju- ry" 'u^n" or "property donOmoe" caused by "your work" and Included in the "products - completed operations hazard" Vn|eum the '\w,|tt8ncontract requiring Insurance" specifi- cally rGqU|resyoUto provide such coverage for that additional Insured, and then the Insur- ance provided to that additional insured op~ 0G[3 820916 @ 2M5The Travelers Indemnity Company. All rights reserved. Page 1of3 Includes the copyrighted mateda|uf| Services Office, Inc.,with/s permission COMMERCIAL GENERAL LIABILITY plies only to such "bodily injury" or "property 3. damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a, of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured shown in the Schedule above is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this in- surance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this in- surance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily Injury" or "property damage" for which coverage Is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requir- Ing insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that Is available to the additional insured when that per- son or organization is an additional Insured under any other insurance. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL LI- ABILITY CONDITIONS: We waive any right of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you be- fore, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINI- TIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or or- ganizations shown in the Schedule above, under which you are required to Include that person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs and the "personal inju- ry" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in ef- fect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission REVIEWED BY: EUNICE HEREDIA {PO" OFC,) Policy: BA9361L484 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the BUSINESS AUTO COVERAGE FORM and Paragraph e. in A.1., Who Is An Insured, of SECTION II— COVERED AUTOS LIABILITY COVERAGE In the MOTOR CARRIER COVERAGE FORM, whichever Coverage Form is part of your policy: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". CA T4 37 0216 © 2016 The Travelers Indemnity Company, All rights reserved, Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. REVIEWED BY: EUNICE HEREDIA (PG OF Policy Number: BA936 1 L484 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated In such contract, against any person or organization to the extent CA T3 40 02 15 02016 The Travelers Indemnity Company. All rights reserved. Page 1 of I Includes copyrighted material of Insurance services Office, Inc. with Its permission. REVIEWED BY: EUNICE HEIREDIA (PG_!5,F,-5)'