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HomeMy WebLinkAboutPSOMAS INCA-2017-338-01 joL p�G p 9 MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Nelida Mendoza David Penaloza Vicente Sarmiento Jose Solorio CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 `A/�Z2 Santa Ana, California 92702 www.santa-ana.oro O: R,i)A U) AM'40 R4M*Z November 24, 2020 PSOMAS, Inc. 5 Hutton Center Drive, Suite 300 Santa Ana, CA 92707 Attn: Mr. Joseph L. Boyle CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement for Engineering Design Services for Rehabilitation of Citv Well 29 No. A-2017-338 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by PSOMAS, Inc., and the City of Santa Ana, dated December 5, 2017, the time period of the Agreement is hereby extended for an additional two-year period, from December 5, 2020 through December 4, 2022. 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, ►�'' Y� Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA ATTEST Kristine Ridge XDaisy Gomez, MMCI City Manager Clerk of the Council APPROVED AS TO FORM PSOMAS, INC Jo M. Funk am . Josepth—T. oyle Senior Assistant City Attorney Ti : Vice President SANTA ANA CITY COUNCIL Miguel A. Pulido Juan Villages Vicente Samaento David Penaloza Jose Solana Phil Bacerra Nelida Mendoza Mayor Mayor Pro Tam, Ward 5 Ward 1 Ward 2 Word 3 Ward 4 Ward 6 moulidona Santa-ana.orc ivilleoasnsenta-ana.a rt vsarruento(elsanta-ana nra doeualozaAoautaana.cra solonordisanta-ana oro adacerra(cisanta-ana.cra nmendmaioilsenta-ana cm Client#: 25181 Francine R. Digitally signed by Francine R. Villareal PSOMA llareal Date: 2020.10,07 172U7U>'00' ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDr/YYY) 03/26/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME, Katie Krasner GraylingIns. Brokerage/EPIC nlc°NO Eae:770.552.4225 Ltq866,550.4082 3780 Mansell Road, Suite 370 EomiesS: Katie.Kresner@greyling.com Alpharetta, GA 30022 INSUREIIS)AFFORDING COVERAGE NAICIf INSURER A: National Union Fire Ins. Co. 19445 INSURED Psomas INSURER a INSURER C: 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER D:INSURERE: _ INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 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 CONTRACTOR 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 rypE OF INSURANCE ADDLSUBR NSR MD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMRL LIMITS A X COMMERCIALGENERALL[ABILITY GUMMS-MAOE n OCCUR GL5268212 D410112020 04/01/2021 $1,000,000 OEAACCHHOOCCCURRENCE PREMISES EaEaNcTu,Dno. $500 000 MEDEXP(Anycnepemor) $25,000 PERSONAL& ADV INJURY $1,000,000 GENLAGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPIOPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA4489706 4/01/2020 04/01/2021 EOaBINEDSINGLELIMIT 2,000,000 X BODILY INJURY (Pat person) $ ANY AUTO X AUTOS ONLY AUrrOSULED HIRED ONLY X No WNED AUTOS AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA WB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ It A ON AND EMPLOYERSN A TI OY AND KERS EMPLOYERS' LIABILITYYIN ANY PROPRIETORIPARTNEREDEDCUTNE OPFICERIMEMBEREXCL? NIA WC015893764(AOS) WC015893765(CA) 4101120200410=021 4/0112020 0410112021 X PER OTH- EL EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under OrOF OPERATIONS below E.L. DISEASEPOLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attaehed if more space Is required) 2SAN051200; Engineering Design Services for Rehabilitation of City Well 29, Agreement No. A-2017.338. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General Liability where required by written contract. The above referenced liability policies with the exception of workers compensation are primary & non-contributory where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the (See Attached Descriptions) City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana, CA 92702-0000 ACORD 25 (2016103) 1 of 2 #S2088244/M2087819 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 Dd/6! 01988-2015 ACORD ( The ACORD name and logo are registered marks of ACORD RWL MvMgement Df if e(ml REVIEWED&APPROVEDBY: `assEllEll Risk Management Analyst POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY'.'PERSONOR:;DRGANIZATION`.WHO -YOU PER THE CONTRACT OR AGREEMENT BECOME OBLIGATEM70 INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY2CONTRACT OR AGREEMENT YOU HAVVENTERED INTO c Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the personls) 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that CG 20 37 04 13 Mich you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. dInsurance Services Office, Inc., 2012 M o %,..en�.<<r , . This page has been left blank intentionally. 77, RiskMnwgetentDiWeirn Ren &AppR By. DD Risk Management MAyst POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. i i Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 - Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than CG 20 10 04 13 that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 0 Insurance Services Office, Inc., 2012 „ Risk h(vagarimtDhidm y7 EN, REVI &APPR�9Y: �' FMthC�K D �:(trwc RRIEW Risk Management Analyst C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ® Insurance Services Office, Inc., 2012 IiiekMnugetnentDisielan REviEwm & APPROVIED BY: M Risk Management Maiyst POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribu- tion from any other insurance available to the additional insured. CG 20 01 04 13 0 Insurance Services Office, Inc., 2012 RiekMmmgernmtlRWelan c BEVIE &APPROVED BY: Risk Management Analyst This page has been left blank intentionally. ' p=^� RE EwED&AP RovmBr: `®.,�c� feu R. V:[Lt.,uC �Risk Management Analyst AC"Ro® CERTIFICATE OF LIABILITY INSURANCE DATE/(MMIDD 0 ) 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 Dealey, Renton & Associates License #0020739 600 Anton Blvd., #100 Costa Mesa CA 92626 CONTACT Karin ThorpFA% PHONE 714-427-6810 uc No:714-427-6818 ADDRIE :certificates deale renton.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Co. 37885 INSURED PSOMAS INSURERS: PSOMAS INSURERC: 555 South Flower Street, Suite 4300 INSURER D: Los Angeles CA 90071 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 2039912279 RFVISION 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 LTR TYPE OF INSURANCE ADDL INSD SUBR MD POLICY NUMBER POLICY EFF MMIDDryYYY POLICY EXP fMMIDD[YYYY1 LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE ENTED PREMISESS EEa a occurrence) $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY JE0 LOC GENERALAGGREGATE $ GEN'L PRODUCTS - COMP/OP AGO $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS gIJTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I I RETENTION$ I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERJMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability Claims Made DPR9965760 10/1512020 1011MO21 Per Claim $1,000.000 Annual Aggregate $2,00D.OD0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule,may be attached if more space is required) 2SAN051200, Agreement #A-2017-338, Engineering Design Services For Rehabilitation Of City Well 29. SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation. CERTIFICATE HOLDER CANCELLATION 30 Dav Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Santa Ana 20 Civi Center Plaza (M-21) AU HORIZEO Santa Ana CA 92702 REPRESENTATIVEn1 •nuti_V �Q1� v+ ?„ R®kMA&APPROVED PPRt EDBY. ++�.. : REVIEWEDAAPPROV®BY: ©1988.2014 ACORD Cl°(' F4.A�� Jz. 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PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. I.SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d.Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1)The coverage and/or limits of this policy, or (2)The coverage and/or limits required by said contract or agreement. AUTHORIZED REPRESENTATIVE Includes copyrighted information of Insurance Services Office, Inc., 87950 (9/14)Page 1 of 1 with its permission. 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