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HomeMy WebLinkAboutSEDARU, INC. (2)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES - MAYOR CLERK OF COUNCIL Vicente SarmientoOATE: I;TYOR PRO TEM Aavid Penaloza O NCILMEMBERS 'Vhil Bacerra Cldbhnathan Ryan Hernandez Jessie Lopez lelida Mendoza �Zh I Vit Ph ai e an CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 w .santa-ana.oro "v (neigjNou)Cl)TJ. November 4, 2021 Sedam, hie. 168 E. Arrow Hwy, #101 San Dimas, CA 91773 Attn: Mr. Paul Hauffen A-2018-275-01 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez RE: Extension of Agreement to Provide Water System Computer Modeling and Engineering Services Agreement No. A-2018-275 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered by Sedam, Inc., and the City of Santa Ana, dated December 4, 2018, the time period of the Agreement is hereby extended for an additional two-year period, from December 4, 2021 through December 3, 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, I -ii& 4w Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kris me Ridge City Manager APPROVED AS TO FORM Sonia R. Carvalho City Attorney andon Salvatierra Deputy City Attorney Daisy Gomez, MMC Clerk of the Council SEDARU, INC. Paul Hauffen VP, Strategy & Business Development SANTA ANA CITY COUNCIL Vicente Sannienlo eevW Penaloze Thai Viet Phan Jessie Lopez Phil 9awaa Jdhdhan Ryan Hemandaz NOW. Mentloza Mays Mayor Pm Tem, Wad2 Wadi Wad3 Wad4 Wad5 Wad �aandad!,Rsahta-da am doenaloeafasanla-ana am Whai,Awhlaana.am 1¢ssle1cMlsanta-ana om obac aliisanla-anaom 'PanhemandafsaMTanaom anC,,Qaana-an, om rrancine H. Villareal "Ilereal A� �® CERTIFICATE OF LIABILITY INSURANCE DATE 1;20Z; 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 MARSH USA INC. 1050 CONNECTICUT AVENUE, SUITE 700 CONTACT NAME: PHONE FAX o Ext: A/C No: ADDRESS: WASHINGTON, DC 20036-5386 AUn: Danaher.cedrequest@marsh.com Fax (212) 948-0503 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 CN102997607-ALL.711:21-22 SEDAR INSURED SEDARU, INC. INSURER B: ACE Property and Casual) an Insurance Com 20699 INSURER C: [ndemnty Ins Cc Of North America 43575 168 ARROW HWY, SUITE 101 INSURER D : ACE Fire Underwriters Insurance Company 20702 SAN DIMAS, CA 91773 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: CLE-006795141-06 REVISION NUMBER: 4 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 ADDLSUBR INSD WAD POLICY NUMBER POLICY EFF MM/DD/YYYYJ POLICY EXP (MM/DDIYYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX I OCCUR Contractual Liability HDO G72488301 0710112021 07/0112022 EACH OCCURRENCE $ 2,000,000 _DAM7I= RENTED PREMISES Ea occurrence) $ 2,000,000 X MED EXP (Any one person) $ 10,000 X Broad Farm PD PERSONAL S AOV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-JECT LOC OTHER: GENERALAGGREGATE $ 5,000,000 PRODUCTS-COMP/OP AGG $ 5,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY PAUTOS ONLY ISA H25540918 0710112021 0710112022 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE XEUG71635290003 0710112021 0710112022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DIED I I RETENTION $ C A D WORKERS COMPENSATION ' AND EMPLOYERSLIABILITY YIN OFFICERIMEMB REXCLU EDANYPROPRIETORPARTNIERIEy ECUTIVE N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WLR C67808824 (ADS) WLR C67808782 (CA,MA,AZ) SCF C67808861 (WQ 07101/2021 07101I2021 0710112021 0710112022 07/0112022 07/0112022 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be allachad if more space is required) THE CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARe ADDITIONAL INSURED (EXCEPT FOR WORKERS COMPENSATION) ONLY AS REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY AND AUTO LIABILITY COVERAGE EVIDENCED HEREIN IS CONSIDERED PRIMARY AND NOW CONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT, WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT. CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, 4TH FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE lilak Martagenlenf Diwislmt %~ \� REVIEWED&APPROVED BY: ©1988-2016 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ' ' Risk Management Analyst POLICY NUMBER: HDO G72488301 1 Endorsement Number: 3 COMMERCIAL GENERAL LIABILITY CG 2010 12 19 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 Owner, Lessee or Contractor whom you have All locations where you are performing ongoing agreed to include as an additional insured under a operations for such additional insured pursuant to any written contract, provided such contract was executed such written contract. prior to the date of loss. 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 person(s) or organizations) 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 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 C. insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. 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. 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 CIS 20 10 12 19 Q Insurance Services Office, Inc., 2018 RiskManeganadD[ don RFnEwEo&APPRov®er. �. Risk Management Analyst 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 xiek Managemnti DMsian REVIEWED& APPROVED BY: �. v Risk Management Analyst POLICY NUMBER: HDO G72488301 1 Endorsement Number: 4 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization whom you have agreed to All locations where you perform work for such incude as an additional Insured under a written additional insured pursuant to any such written contract, provided such contract was executed prior to contract. the date of loss. 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 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 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 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 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 RIAMnugangnt Division cRFnEWED&pM, OVEDBr �, Risk Management Analyst NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Danaher Corporation 8 Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO G72488301 07/01/2021 to 07/01/2022 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder o" the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non-contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (if no information is filled in, the schedule shall read., Ali persons or entities added as additional insureds through an endorsement with the term Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following Is added to Section IV.4.a: If other Insurance is available to an Insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. LD-20287(06106) Authorize RI81 MansgementDirieian s� REAEwm&APPROVED Br. F_%r.a:n.a P1. vit"uf Risk Management Analyst A� or CERTIFICATE OF LIABILITY INSURANCE o10272021pnYYY) 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 MARSH USA INC. 1050 CONNECTICUT AVENUE, SUITE 700 WASHINGTON, DC 20036-5386 CONTACT NAME: PHONE z[ FAX No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Great Lakes Insurance SE CN 102997607-711 -Dan EO-21-22 SEDAR INSURED SEDARU, INC. INSURERS: INSURER C : 168 ARROW HWY, SUITE 101 SAN DIMAS, CA 91773 INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-006799868-D4 RFVISIrTN NIIURCD. I 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 ADDLSUBR p POUCYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/Dp LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAG TED CLAIMS-MADEOCCUR PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL SADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY DJEDT LOG GENERAL AGGREGATE $ PRODUCTS -COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea amid nt $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED N""NED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident)$ 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNEWEXECUTIV E OFFICERIMEMBEREXCLUDED7 NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I A CYBER AND E&O LIABILITY F03076552021 171112121 1111112122 LIMIT: 2,000,000 SIR: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CITY OF SANTAANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, 4TH FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE fp".x.e RWrMnlagrnlnd D[�ul "LIT �� REVIEWED & APPROVED BY: ©1988-2016 ACORD Cl? F44*.cs e R. V .0 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ___� Risk management Analyst NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Sedaru, Inc. Name: Project A-2018-275-01 Number: Extension of Agreement to Provide Water System Computer Project Modeling and Engineering Services Agreement No. A-2018- Name: 275 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: EXPIRATION COI TYPE OF INSURANCE POLICY NUMBER FILE NAME DATE DATE cert_CLE_CITY OF AUTOMOBILE LIABILITY ISAH25561156 07/01/2023 07/13/2022 SANTA ANA_6911878_7.pdf cert_CLE_CITY OF CYBER AND E&O LIABILITY F04991012022 07/01/2023 07/13/2022 SANTA ANA_6799868_7.pdf cert_CLE_CITY OF GENERAL LIABILITY HDOG7248521A 07/01/2023 07/13/2022 SANTA ANA_6911878_7.pdf cert_CLE_CITY OF WORKERS COMPENSATION AND WLRC68919083CAMAAZ 07/01/2023 07/13/2022 SANTA EMPLOYERS' LIABILITY ANA_6911878_7.pdf cert_CLE_CITY OF WORKERS COMPENSATION AND SCFC68919162WI 07/01/2023 07/13/2022 SANTA EMPLOYERS' LIABILITY ANA_6911878_7.pdf cert_CLE_CITY OF WORKERS COMPENSATION AND WLRC68919125AOS 07/01/2023 07/13/2022 SANTA EMPLOYERS' LIABILITY ANA_6911878_7.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 10/24/2022 4:21 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Sedaru, Inc. Name: Project A-2018-275-01 Number: Project Extension of Agreement to Provide Water System Computer Modeling and Name: Engineering Services Agreement No. A-2018-275 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: EXPIRATION TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME DATE cert_CLE_CITY OF AUTOMOBILE LIABILITY ISAH10709131 07/01/2024 07/07/2023 SANTA ANA_6911878_11.pdf cert_CLE_CITY OF CYBER AND E&O LIABILITY F05137782023 07/01/2024 07/07/2023 SANTA ANA_6799868_10.pdf cert_CLE_CITY OF GENERAL LIABILITY HDOG47314264 07/01/2024 07/07/2023 SANTA ANA_6911878_11.pdf cert_CLE_CITY OF WORKERS COMPENSATION AND EMPLOYERS' SCFC70314204WI 07/01/2024 07/07/2023 SANTA LIABILITY ANA_6911878_11.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/7/2023 3:02 PM