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HomeMy WebLinkAboutSANTA FE BUILDING MAINTENANCE (3)A-2017-240-01 MAYOR Vicente Sarmiento MAYOR PRO TEM David Penaloza COUNCILMEMBERS Phil Bacene Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan INSURANCE ON FILE CITY OF SANTA ANA WORK MAY PROCEED SANTA ANA POLICE DEPARTMENT UNTO 60 Civic Center Plaza 0 1' o I I to ZZ Santa Ana, California 92702 CLERIKii uuUf9JL DATE: September 22, 2021 D Pol, w( �a v1e+6 CpWal(f) (,SA) Santa Fe Building Maintenance Attn: Irineo Nuno 15644 Palomino Drive No Cbino Hills, CA 91709 'CD 0 Re: Extension of Agreement #A-2017-240 t— ODear Mr. Nuno, CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Tenn") of Agreement No. A-2017-240 ("Agreement!') entered into by Santa Fe Building Maintenance and the City of Santa Ana, dated October 1, 2017, as amended on April 21, 2020 to allow for extension of the tern to the Agreement, the time period of said Agreement is hereby extended for an additional and final one (1) month period, from October 1, 2021 through October 31, 2021. Insurance certificates are required to be extended and/or renewed to cover this extension. ' caret D alentin Chief of Police CITY OF SANTA ANA: —W�— vi"� Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho ¢sty AttomeyA Tamara Bogosian Senior Assistant City Attorney ATTEST: Daisy Gomez `/--Clerk of the Council SANTA FE BUILDING MAINTENANCE '19y: T-r;�to N��o Title: GU\troj Way k"*01111K63111 viceMe SamdaMo eaWd Penaloza Thal Vat Phan J.ae Lopez PhR eacern Johnelhan Ryan HemarMea NeWa Mendoza Maya Maya Pro Tem. Word 2 Wardt Wan! 3 Wanda W.W5 WaN6 VEanllfGn Saad+Me aq doenaWaasanta-ana.aT tphenOMa-ane.onenhehnandez®sanaa-ona.ap .Te=Naml®Lnpina dO `­-MaN a Policy Number: TOrI Pierson Date Entered: 1/8/2009 CERTIFICATE OF LIABILITY INSURANCE DA8/27/20M0O21 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 CONTACT NAME: CHRIS VICTORIA VICTORIA INSURANCE AGENCY ALONE., Eat: (719)794-4500 aC. No(714)744-2500 Chris D. V1CtOi1a E-MAIL VICTORIAINSURANCE395@GMAIL. COM ADDRESS: 1740 West Katella Ave #H INSURERS) AFFORDING COVERAGE NAIC9 Orange, CA 92867 INSURER A: TRUCK INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURERS: MID-CENTURY INSURANCE COMPANY 21687 INSURER C: GUADALUPE MEDINA 15644 PALOMINO DRIVE INSURER D: CHINO HILLS, CA 91709-5510 INSURERE: INSURER F: CDVFRAGFS CFRTIFICATF NIIMRFR' RFVISVIN NI IMRFR. 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 rypE OFADDL N D SUER WV) POLICY NUMBER POLICY EFF MMIDDIYVYY POLICY EXP MMOUICI YYY LIMITS A COMMERCIAL GENERALLIABILITY CI -AIMS -MADE ®OCCUR X 60366-65-69 3/29/2021 3/29/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occu enm $ 75,000 MED EXP (Any oneperson) $ 5, 000 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. Poucv ❑ PRo ❑ JECT LOG GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP All $ 1,000,000 $ OTHER'. AUTOMOBILE IJABILITY COMBINED SINGLE LIMIT Ea acddent $1,000,000 BODILY INJURY (Per person) $ ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS 60486-94-07 01/01/2021 1/01/2022 BODILY INJURY (Per acadenl) $ PROPERTY DAMAGE Peraccident $ B HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 8 A UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $2,000,000 EXCESSLIAB CLAIMS -MADE 60499-63-93 03/29/2021 3/29/2022 DED RETENTION $ 10, 000 $ WORKERS COMPENSATION MDEMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERNEMBER EXCLUDED? ❑ NIA PER OTH- STAT TE ER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS be E.L. DISEASE -POLICY LIMIT $ A EMPLOYEE DISHONESTY T 60366-65-69 03/29/2021 3/29/2022 $100,000 DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aMached if mare space Is required) 30 DAY NOTICE OF CANCELLATION BE: SANTA ANA POLICE DEPARTMENT - 60 CIVIC CENTER PLAZA SANTA ANA, CA 92702 CITY OF SANTA ANA, THEIR OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED PURSUANT TO WRITTEN CONTRACT, AGREEMENT, OR MEMORANDUM. INSURANCE IS PRIMARY NON-CONTRIBUTORY. RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIS R41 Mvugcmm( Uwrlon - AUTHORIZED REPRESENTATIVE Ihi E 6APPgWm ST. w %0u f�iC:Jost CHAMS VICTORIA Uy --a" Riek Ma„age„n,r Oeficalaae ©1988-2015 ACORD CI___ ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY. POLICY NUMBER:60366-65-69 FARMERS INSURANCE A840 2nd Edition ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: LIABILITY COVERAGE FORM COMMON POLICY CONDITIONS With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Additional Insured Person(s) Or Organlzation(s): CITYOFSANTAANA `SEEJ7105 AMENDTO ADDNL INS Location Of Covered Operatlon(s): 60 CIVIC CENTER PLZ SANTAANACA92701 Effective Date Of Endorsement: 05/05/20 If no entry appears above, information required to complete this endorsement wil I be shown in the Declarations. The BUSINESSO WNERS LIABILITY COVERAGE FORM is amended as follows: A. With respect to theadditional insured described in Paragraph B. of this endorsement, thefollowing exclusions are added to Paragraph 1. Applicable To Business Liability Coverage under Section B. Exclusions: This insurance does not apply to: 1. "Bodily injury" or "property damage" for which the additional insured(s) is obligated to pay damages by reason of the assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages that the additional insured(s) would have In the absence of the contractor agreement. 2. "Bodily injury" or "property damage" occurring after: a. Your ongoing operations at the location of covered operations other than service maintenance or repairs performed byyou oron your behalf have been completed; or b. The portion of your ongoing operation out of which the "bodily Injury' or "property damage" arises has been put to its intended use by any person or organization. But in no event shall this insurance apply to "bodily injury" or "property damage" arising out of your operations that were completed prior to the effective date of th Is endorsement. 3. "Bodily injury" or "property damage" arising out of any act or omission of the additional Insured(s) or any of its "employees", agents or contractors other than you, except for general supervision by the additional Insured(s) of your ongoing operations performed for that additional insured. 4. "Property damage" to: a. Property owned, used or occupied by or rented to the additionalinsured(s); b. Property In the care custody or control of the additional insured(s) or over which the additional insured(s) exercise physical control; or c. Any work including materials, parts or equipment furnished in connection with such for the additional insured byyou. iBen &APRR0V®BY; %ale pec: &, RukryLina9emrz OniUlAide J6840-ED2 09-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93.6840 B. Section C. Who Is An Insured is amended to Include as an insured the person(s) or organization(s) shown in the Schedule, but only to the extent that the additional insured(s) is held liable for "bodily injury" or "property damage" caused in whole or in part by: 1. Yourongoing operations performed for such person or organization at the location designated above; 2. The acts or omissions of your subcontractors acting on "your" behalf on the scheduled project in the performance of your ongoing operations for the additional insured(s) which start and are completed within the effective period of this endorsement; or 3. The acts or omissions of such additional insured(s) in connection with its general supervision of such operations. C. With respect to this endorsement, "wrap up policy" means an Owner or Contractor Controlled Insurance Program providing one or a series of policies designed to cover a specific construction project that insures al I of the persons and entities working on such project. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended as follows: A. With respect to the additional insured described in Paragraph B. of this endorsement, Section H. Other Insurance is replaced bythefollowing: H. Otherinsurance 1. Primary and Noncontributory Insurance The coverage provided to an additional insured under this endorsement shall be primary and noncontributory 0 NLY to any insurance Issued directly to the additional Insured if: a. The Named Insured agreed in a written contract or written agreement to provide the additional insured coverage on a primaryand noncontributory basis; b. Such written contract or written agreement referenced In a. above was executed prior to the issuance of this endorsement; c. The additional insured designated herein hasapolicy with anOtherinsuranceprovision making that policy excess; and d. There is no "wrap up policy" in effect for the work performed at the location designated in the Schedule of this endorsement. 2. Excesslnsurance If there is other valid and collectable insurance available to the additional insured(s) as an additional insured under other policies covering the work performed at the location designated and described In the schedule of this endorsement, this insurance will be excess over those policies. This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to al I the terms of the policy. Ridr M"AgM IDf M RtVt & APr By. rsup nu,uen,>•+,r o m U i a ee J6840-ED209-18 Includes copyrighted material of Insurance services Office, Inc., with its permission. 93-6840 POLICY NUMBER: 60366-65-69 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY. FARMERS INSURANCE AMENDMENTOF ADDITIONAL INSURED This endorsement modifies insurance provided under the: BUSINESSOWNERS COVERAGE FORM BUSINESSOWNERS LIABILITY COVERAGE FORM BUILDING AND PERSONAL PROPERTY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM APARTMENT OWNERS LIABILITY COVERAGE FORM CONDOMINIUM LIABILITY COVERAGE FORM Names) Of Additional Insured Person(s) Or Organization(s): CITY OF SANTAANA RISK MANAGEMENT DIVISION ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS J7105-ED3 05-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93-7105 j7105 3rd Edition M g tD 1 xw. lift I1 Rene &Arvnwm By. %u picmerr MMZ rs�knu,uge�m�a.,���aec The person or organization listed above is added to the Schedule of the following endorsement: Additional Insured -Controlling Interest Additional Insured - Co -Owner of Insured Premises Additional Insured - Designated Person or Organization Additional Insured - Engineers, Architects Or Surveyors Not Engaged By The Named Insured Additional Insured - Grantor Of Franchise Additional Insured - Lessor of Leased Equipment Additional Insured - Managers or Lessors of Premises Additional Insured - Mortgagee, Assignee or Receiver Additional Insured - Owners, Lessees Or Contractors Additional Insured - Owners or Other Interests from Whom Land Has Been Leased Additional Insured - Primary and Noncontributory X Additional Insured-ScheduledPersonOrOrganization Additional Insured - State or Political Subdivisions Permits Additional Insured- State or Political Subdivisions Permits Relating to Premises Additional Insured -Vendors Waiver of Rights Recovery Other This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the terms of the policy. RIA M ..g..d Diw '�ntwm6ArwwmBr: J7105-ED305-18 Includes mpyrightedmatedal of Imurance5ervicesOfrice,Inc., with its permission. 93.7105 ACORD" CERTIFICATE OF LIABILITY INSURANCE UAIE(MMOD'YYYY) 12114:2020 THIS CERTIFICATE IS ISSUED ASA 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: It the certificate holder is an ADDITIONAL INSURED, the Pollcy(los) 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 cortlRcalo does not confer rights to the certificate holder In lieu of such endarsement(s). PHODUCLH CONTACT Odelia Samya NAME Carl113I F10'llder5 ln3h(9oCe PHONE a (B1B}676-W 16 Af, No- 1818)676-13015 ' L,CensekOHEc'3Ii: DdeBaiuGPlSGfeU Lam nO0ftE33: P 2G75OVentura Blvd.. Ste 2CS MSURERMAPPONn1N0 COVERAGE NAXN Ydccdland Hills CA 91364 INSalRE12 A: Falls Lake Ere B Casualry Company I5B8d INSURED INSURER a Medina, Guadalupa. DBA: Santa Fe Building NtaM;enarce INSURER C 15014 Pak,,! n, Ornre INSURER G iN5URER E: China Hills CA 917119 M5URER r : GUVLIiAGCb CERTIFICATE NUMBER: 2U zT WREVISIONNUMRFR- ' 1: -:C7RTFYTHATT1i=POLIC'IES OF INSURANCE LISTED BELOW HAVE BEEN SSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ril`JO7.-ATHSTANDIJG ANY REDUIREMEN r, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V.ITH RESPECT TO WlIiCh THIS --9-:1. -HAY BE ISSCED OR LIAY PERTAIN. THE INSURANCE AFFORDED BY Pn LOOLICIES DE<aCRiBED HEREIN IS SUBJECT TO ALL THE TERMS, L ;_ _ Jai o'IS AND CONOI I IONS OF SUCH POLICIES LR.RTS SI M-AN MAY I IAVF BEEN REDUCED BY PAID CLAIMS - S'"1, '.-R TYPE OF INSURANCE tilso WWI IWLICYNIflall ICY LH, MM,iN,YYYYI PDUCY EXP MAOYYYY LIMITS CONNIERCIAL GENERAL LIABILITY EL3.MS VIV= ❑ OCCUR EACH C.GCUHeSW:F 5 PREV1SSS,Eo..rci $ f.FD EXP iAnY ere e< .nnl PfRS3fU.LA ALYY MJtW.Y F GGNLAGGii_=^,;_IM I+.+CIF' EH :. Fctic. ❑ r_- ❑ Le<: GENERAL AGGREIII AIE $ PRox'eTs •encn=,nPAc; CCM1EiOaE]SMIe_C LIMIT U-nU F < CTI IER Atl?C6109IIE LIAflILOY ANV AL^TG BOOZY IM:URY IPer prsanl $ C-ANED 5CHCp1.LCD AJ'O` .NL✓ I I AUTOS GODLY INJURY (Per accvinnti F HIREC M?N-O.YRCp AJ*bvNLv AUTOS ONLY PFA',FRtt pAhl4GE S $ - UMBRELLA LM@ (f,T,LIR 61CHGC=IIW:{:NfF $ AC,:aA4OAlE I EXCESS LIAR CI AIA1ti-lRTiF I•I:u H-11,NIHIN 4 S 'AYJRk ENS CUe LRSANOn CCR Ole- AN]FMPLOYERTLIABIUTY Yry 1'i1 PHrll'RHOM1'PA@LNFPoF%-,^,UF'dE .-wl:eRrJrlixPn FXp.JD=T+ ❑ N!A FLA0150.,9400 12;IS Ff120 12r1a'2021 S`J•T IT= Ee E.L biE:HLf::: JHa $ 1,000,OOG E.L Jc;F;•Sc FA PP=�YFE 3 1.000,00G : etandmory In NHF -:cH11IUN01-;:veH:aRIN:.rrYm, tL,I:;F:;., F(aC�IRLT $ t6Go.e9a rE5�RI PT4M OF GPERATIGNs) LGCATtoNs! vEHIcas (ACCNBG T01. MtllUbnal kemarks Sccedula- may be aMMhed II more 6"Ce IB ",do J) Jab Location: 20 CIVIC CENTER PLAZA, SANTAXI A. CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA 4TH FLOOR Aun16R17Eo REPafsfnTanvE SANTA ANA CA 027C7 IiEVYeX�6 APPROYm B'[ Ei 198&2015 ACORD C %u P&vo,r ACORD 25 (201 Bf031 The ACORD name and logo are registered marks of ACORD RRkrnama<1,n,m..;�lan. BUILD) ING MAINTENANCE April 2, 2620 City of Sena Ana Police Department (30 Civic Center Plaza Santa Ana, CA, 92701 7 o whom it may concern, Santa Fe Building Maintenance does not use personal %ehieles to provide wr%ices; furthermore Santa Fe Building Maintenance twill utiliic only compam emploNees to perfonn uor}, and will not use other prolcssionals not part of the company under this contract. Should you have an% tlucstionS regarding the inlixnudion provided please crmaet frineo Nuno, at (904) 606- 2756, via FAX ON) 606-6469. or via c-mail Irince:it �a�ttafrhldmaint.cota. Sincerely. `frnteo Nato General Uwe, go, REVIEWED & APPROVED fay Risk Mi.%vf NtLN7 Divis1,N. MA�,,� 1 202C R�k [X. IwmanrPRo B� RiskM ru9e� n+e Clrn<.�I Wtle