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Home My WebLink AboutENTERPRISE AUTOMATIONMvNVXF r� lulu INSIJ INNCl XPIfIE` v` I . r- n.l A-2018-024-01 MAYOR Vicente Sarmiento CLERK0:I�DUN'ClL MAYOR PRO TEM 1, ] F. David Penaloza COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan CITY OF SANTA ANA 0% V 1(f (A(kdj lZesas) Pct December 14, 2020 Enterprise Automation 210 Goddard Irvine, CA 92618 Attn: Scott Pickford, Principal PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.orD Re: Extension of Consultant Agreement No. A-2018-024 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Enterprise Automation and the City of Santa Ana, dated February 6, 2018, the Agreement is hereby extended for an additional two-year period, from February 6, 2021 through February 5, 2023. 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, Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kris ' e Ridge City Manager APPROVED AS TO FORM ,�K 'M, -f. L Mm M.Funk Senior Assistant City Attorney ATTEST Daisy Gomez Clerk of the Council ENTERPRISE AUTOMATION Name: Joshua Riley Title: Principal SANTA ANA CITY COUNCIL Vicente Sa enenlo Dead Penaloza Thai Viet Phan Jessie Lopez Phil Barad. Johnalhan Ryan Hernandez Notice Mendoza Mayor Mayor Pm Tom, Ward 2 Wand Ward Ward) Ward Want sarmiertmAsanta-ana am doenalozoAhmate-anazee lohanoanearte-ananm essielooeztasenw-mme ohacemaa,emt,-ana am reamemandezfsanta-ana one norroccuaReanta,ana.om A-2018-024-01 Dig¢xny signed by Fan d ne R Francine R. Villareal Villareal pp co ACCIll CERTIFICATE OF LIABILITY INSURANCE onrE (MMIDDmvYI Isi 1 06/14/2020 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 terns 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 CONTACT Jeff Forbes NAME: ECBM, LP AIC NNo (610) 668-7100 FAX (610) 667-2208 Ext : AIC, No: 1400 N Providence Road E-MAIL forbecbm.com ADORES$: I es Suite 5025 INSURER(S)AFFORDING COVERAGE NAIC# Media PA 19063 INSURERA: Lloyds of London INSURED INSURER B: Evanston Insurance Company 35378 Partners in Control, Inc., Di Enterprise Automation INSURER C: Federal Insurance Company 20281 210 Goddard INSURER 0: INSURER E [Nine CA 92618 INSURERF: COVERAGES CERTIFICATE NUMBER: 20 M REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICWR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WH CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYV X COMMERCIAL GENERAL LIABILITY �OCCUR EACH OCCURRENCE0CLAIMSMADE Ea occunencx 0PREMISES MED EXP(Any one personA Contractual Liability PERSONAL a ADV INJURY $,,00 Y ARG11212A20 06/15/2020 06/15/2021 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY � PRO- POLICYECT � LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2.000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 x BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS A00005433 06/15/2020 06/15/2021 BODILY INJURY(PeraCCMent) $ HIRED NON,OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Peraccitlent $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 x AGGREGATE $ 2.000,000 B EXCESS LIAB CLAIMS -MADE MKLV7EUL100820 06/1512020 06/15/2021 DEC RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? NIA I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) lives, tlesolbe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability ARG11212A20 06/15/2020 06/15/2021 Each Claim Aggregate $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Contract: 17-112 - The City, its officers, employees, agents, volunteers and representatives are included as additional insured on the General Liability as required by written contract. The policy includes a 30 days' notice of cancellation, except for non-payment of premium, which is 10 days plus mailing. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FI Santa Ana 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 Q CA 92702 ! �111 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD lilelrMotagemmf.Dldafan -• REVIEVIIED SpAPPROVY DBE' = cl F4"cG -r1 r1. vs,` lr/K Risk Management Analyst NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Enterprise Automation Name: Project A-2018-024-01 Number: Project A-2018-024-01 Name: The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE City of Santa AUTOMOBILE LIABILITY BAP185708504 10/01/2023 09/27/2022 Ana Auto exp 2023 1001.pdf ACORD Form GENERAL LIABILITY ARG11212A22 06/15/2023 11/02/2022 20221102- 123449.pdf CoSA GL EXS PROFESSIONAL LIABILITY ARG11212A22 06/15/2023 06/16/2022 PL exp 2023 0615.pdf WORKERS COMPENSATION AND CoSA WC exp 76WEGAJ8HK6 01/13/2023 04/26/2022 EMPLOYERS' LIABILITY 2023 0113.Pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 11/14/2022 2:45 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Partners In Control Inc. Name: Project A-2018-024-01 Number: Project Extension of Consultant Agreement No. A-2018-024 Name: The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION COI TYPE OF INSURANCE FILE NAME NUMBER DATE DATE City of Santa Ana AUTOMOBILE LIABILITY BAP185708504 10/01/2023 09/27/2022 Auto exp 2023 1001.pdf ACORD Form GENERAL LIABILITY ARG11212A22 06/15/2023 11/02/2022 20221102- 123449.pdf CoSA GL EXS PROFESSIONAL LIABILITY ARG11212A22 06/15/2023 06/16/2022 PL exp 2023 0615.pdf City of Santa Ana WORKERS COMPENSATION AND 76WEGAJ8HK6 01/13/2024 02/09/2023 WC WOS exp EMPLOYERS' LIABILITY 2024 0113.Pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 2/9/2023 11:59 AM