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HomeMy WebLinkAboutPLACEWORKS, INCA-2017-265-24-01 wlt+ANCE ON FILE WORK MAY PROCEED 0 c MAYOR cv Miguel A. Pulido MAYOR PRO TEM L, Juan Villages COUNCILMEMBERS P ' Phil Bacerra L_j Nelida Mendoza David Penaloza Vicente Sarmiento Jose Solono - P9j(V)CM04(2 Ri',A`i" September 28, 2020 Dwayne Mears, Principal PlaceWorks, Inc. 3 MacArthur Place, Ste. 1100 Santa Ana, CA 92707 CITY OF SANTA ANA PLANNING AND BUILDING AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.org Re: Extension of Master Agreement for On -Call Environmental Services Dear Mr. Mears: CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Tenn") of Agreement No. A-2017-265-24 entered into by PlaceWorks, Inc. ("Consultant') and the City of Santa Ana, dated March 21, 2018, the tern of said Agreement is hereby extended for an additional one-year period until October 2, 2021. Insurance certificates will need to be updated and all other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Minh Thai Executive Director Planning and Building Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM Lisa E. Storck Assistant City Attorney ATTEST � QMW Daisy Gomez VMW Clerk of Council SANTA ANA CITY COUNCIL Miguel A. Putido Juan Villegas Vicente Sarmiento David Penaloza Jose Solana Phil Bacerra Nelida Mendoza Mayor Mayor Pro Tem, Ward 5 Ward 7 Ward 2 Ward 3 Ward 4 Ward 6 mpuldoaranta-anaorp 0Yllleoa5(dSanlaanaAro ysannieoto0santa-ana.oro doenalon(o),mnta-ana or solorio0santa-ana.aro pbaeerraAsinita-ana.ora nmendoz.Asanta-anaora A-2017-265-24-01 ACi DI CERTIFICATE OF LIABILITY INSURANCE OATE,2020 YYY) e6z21zo29 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 certlfteate holder Is an ADDITIONAL INSURED, the policy(les) 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 Marsh Risk $ Insurance Services 17901 Von Kaman Avenue, Suite 1100 (949) 390,5800, License #0437153 Irvine. CA 92614 CONTACT NAME: _ __ PHONE FAX -- c No EMAIL ADDRESS, - INSUFf AFFORDING COVERAGE NAICa ADo: NewponBeach GarRequesthlmar5h coi 2129464323 INSURER A: Crum B Forster Specialty Insurance Cc 44520 CN115158923-01-01-20-21 INSURED PlaceWorks, Inc_ INSURER B: Travelers Indemnity Company Of ConneCllCul 2515822 INSURER C : Travelers property Casualty Company Of America 25874 3 MacArthur Place, Suite 1100 Santa Ana. CA 92707 INSURER O: _ INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: L0S-W2212046-24 REVISION NUMBER' 9 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 ADOIL SUerirl POLICY NUMBER POLICY EFF MMR)O POLICY E%P MMIDDIYYYY - DMITS A X COMMERCIAL GENERAL LIABILITY CLAIMSMaOE OCCUR X X EPK131438 07:012020 07I1 Q021 EACH OCCURRENCE I S 5.C40,000 PREMISES Ea ocwrrence S 50000 PD Ded. $5,000 MED EXP (Any ore person) S 5.000 PERSONAL S ADV INJURY S 5000000 GENERAL AGGREGATE CIS S,000 OOO -Ell AGGREGATE LIMIT APPLIES PER POLICY JEa �LOC PRODUCTS - COMPIOP AGG S 5.000,000 Contractors PDllulion OTHER S 5.000.000 AUTOMOBILE LIABILITY X X ISAiN96408A20C.AG '07I112020 070, 2021 COMBINED PIN LE LIMIT (Ea aaldeo) i S 1.000. CM -'. �.wW BODILY INJURY (Per person S OWNED SCHEDULED U TOS ONLY AUTOS BODILY INJURY (Par acadenn S HIRED NON OWNED UTOS ONLY _ AUTOS ONLY PROPERTY DAMAGE IF. aC[leenn S Comp1C011 Deductibles S 1 000 UMBRELLA LIAR % OCCUR _ E%613287562014 07:I12020 07,01021 EACH OCCURRENCE I S 4,000.000 EXCESS LIAR �CVuMS-MADE _ �— AGGREGATE Is 4,000.nAO S GE- RETENTIONS WORKERS COMPENSATION 'ANDEMPLOYERS'UABIUTY YIN AN YPROPRIETORIPARTNEH EXECUTIVE CFFICERIMEMBEREXCLUDED� F NIA UB7K7286762014G 071)V2020 T 1 1 g PER DTH- TATUTE ER EL EACH ACCIDENT S 1,000.1700 ' E L DISEASE EA EMPLOYE S 1,000 CIO (Mandatory In NH) If )es descnibe under DESCRIPTION OF OPERATIONS mi. "EL DISEASE - POLICY LIMIT -' ---- S 1,000DW A Enors 8 Onnesions Clams Made EPKI31436 07,0112020 07,0112021 Each ClaimlAggregate 5,000.000 Reim Dales See 2nd Page I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlUonal Remarks Schedule, my lea anachad if more space is resulted) Re Operations performed by the named Insured for the certificate holder Gill of Santa Ana its officers. agents, employees, and volunteers are included as additional Insured where moored by written contract with respell to Genera and Auto Liability This insurance s primary and non. contributory over any existing :insurance and limited to habdity arising out of the operatwns of the named insured and where required by written contract wlh respect to General Lability Waver of subrogation is appitcable where required by written contract with respect to General and Auto L abibry City of Santa Ana Risk Management Dinsicn 20 Chi Center Plaza, 4th H Santa Ana, CA 92701 ffi2 7 60 FI ANCINE R. IL REAL 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 REPRESENTATNE of Marsh Risk a insurance Services Rosalynda Martinez Vt. ©1988-2016 ACORD reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD BA Iv96406A20CAG Effective 07/01/2020 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION It — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover - a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos" you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "plupeity damage" uccurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages telWWEWED & APPROVErb employee's" name, with your By Risk MANAGrmPNT DIVISION CA T3 53 02 15 m 2015 The Travelers Indemni om any. All rights reserved. Page 1 of 4 Includes copyrighted material of sur ery tQno with Its permission. 002086 IiA L V I2E SA1N96406A20CAG Effective07/01/2020 COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or set- The following is added to Paragraph AA., Who Is tle any such claim or "suit" and keep An Insured, of SECTION II — COVERED AUTOS us advised of all proceedings and ac- tions. LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- (li) Neither you nor any other involved "Insured" will make any settlement ing a covered "auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. (iii) We may, at our discretion, participate E. SUPPLEMENTARY PAYMENTS — INCREASED in defending the "insured' against, or LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A,2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITYCOVERAGE: sums that the "Insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in - we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses Incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense F. HIRED AUTO — LIMITED WORLDWIDE COV- of the "insured" against any such "suit", but only up to and included ERAGE — INDEMNITY BASIS within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, or graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction. for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "Insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This Insurance is not a substitute for re - and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter - partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability cOMPREI IEWED & APPROWDa. members of their households. By Risk MANACEMMT DIVISION Page 2 of 4 ® 2015 The Travels de I n fights reserved. CA T3 53 02 15 Includes copyrighted material f s r ` e no ith Its permission. hKANC; NE R. ILLA EAL BA I N96406A20CAG Effective 07/01/2020 You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory Insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to Insurance. G. WAIVER OF DEDUCTIBLE —GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE —INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use Is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following Is added to Paragraph A.C. Cover- age Extensions, of SECTION III — PHYSICAL COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs AA.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (f you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganicaliun), or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5.. Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: S. Transfer Of Rights Of Recovery Against Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for "lass" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or "loss", provided that the "accident" or "loss" (1) Owned by an "insured"; and REVIEWED & APPR(s E out of operations contemplated by By Risk MANACEMMT DivisiON CA T3 53 02 15 ® 2015 The Travelers I n �G.ggmmp{y�1gqyy,� All rights reserved. Page 3 of 4 Includes copyrighted mat 1 e 1 n- San(diLillRc nc. with its permission. OC2087 10144 I. LLAREAL BA 1 N96406A20CAG Effective 07/01/2020 COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated In such error In, any information pivpn by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col - The following is added to Paragraph 8.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS: REVIEWED & APPROVED By Risk VIANACGFmvNr DivisioN dMIJ 20 HcANUNL I4 la l. VILLAREAL Page 4 of 4 02015 The Travelers Indemn?y Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 07/01/20 to 07/01 /7I #F PK 13141R THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Insured Person(s) or Required By Written Contract. A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we n'ake for "damages" arising out of "your work" performed under a designated project or contract with that person(s) or organization(s). C, This Endorsement does not reinstate or Increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. REVIEWED & APPROVED By Risk M4NAfEMCWr DiViSiON i1�Ll 71020 n EN0118-0211 hl{AryL N I{ Page 1 of 1 VILLAREAL 07/01/20 to 07/01/21 aEPK131438 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Additional Person(s) or Required By Written SCHEDULE Location And Description Of Required By Written Contract. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional Insured and included in the "products -completed operations hazard". REVIEWED & APPROVED By Risk Mntinrrmmi DivisiON Operations EN0320-0211 �020 Page 1 of 1 IAMBI FHANCINE R. VIL REAL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - CERTIFICATE HOLDER(S) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART SCHEDULE Certificate Holders) The City of Santa Ana Its officers employees, agents and representatives 20 Civic Center Santa Ana Ca 92701 Under the Common Provisions, SECTION VI — COMMON CONDITIONS, item 2. Cancellation And Nonrenewal is amended by the addition of the following: If we cancel this Policy before the expiration date thereof, we will mail a 30 days written notice (ten (10) days for non-payment of premium) to the Certificate Holder(s) indicated in the Schedule shown above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. REVIEWED & APPROVED By Rick MANAc;rmnNt Division JUL27 �2020EN0136-0211 414�AN �¢}CS9REAL Page 1 of 1