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Home My WebLink AboutEC & AM ASSOCIATES, INC. DBA GK& ASSOCIATES (3)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES MAYOR S -Z?- Vicente Samiiento +. MAYOR PRO TEM CLERK OF COUNCIL . L;�'. e..+' N Phil Baceva DATE: COUNCILMEMBERS a L�_ David Penaloza,.__ ;� L, Johnathan Ryan Hernandez - Jessie Lopez GV Nelida Mendoza Thai Viet Phan d CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 W W W.santa-ana.ora (714)647-3320 April 12, 2022 EC&AM Associates, Inc., dba GK & Associates 3333 South Brea Canyon Road, Suite 120 Diamond Bar, CA 91765 Attn: Ghazala Khan A-2019-117-04A CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement To Provide Engineering, Technical, and Administrative SUUPOrt Services Agreement No. A-2019-117-04 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by EC&AM Associates, Inc., dba GK & Associates, and the City of Santa Ana, dated July 16, 2019, the time period of the Agreement is hereby extended for an additional two-year period, from July 15, 2022 through July 14, 2024. 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, "tleG�w Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM Sonia R. Carvalho City Attorney By, Br n Salvatiieffa Deputy City Attorney ATTEST Daisy Gomez, MMC Clerk of the Council EC&AM ASSOCIATES INC., dba GK & ASSOCIATES alnC x/-& -/1� 4/13/2022 jGhazE6&han President SANTA ANA CITY COUNCIL Vkente5amiienW DaMd Penaloze Thai Viet Phan Jessie Lopez Phil gamma JohnaNan Ryan Hernandez Nama Mendoza Mayor WamJ2 Ward Wad Mayor Pm Tam, Ward 4 Ward5 Ward vamnarimmimeyanta-armara dmmmbzaeaanla-anaom Whanrolsama-anaom masielom,z aanta-anaom ymorma( santaana.om IrvanhemantlenIDsantaana omnaardo�aaaanta-arm am Digitally signed by Francine R. Francine R. Villareal vllareal Date: 2021 DB 301714.09 -07 OP ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 8/23/2021 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 Risk Strategies Company CONTACT NAME: Risk Strategies Company 2040 Main Street, Suite 450 Irvine, CA 92614 PHONE gqg-242-9240 a No: ADDRES s oun risk-Strate ies.com INSURERS AFFORDING COVERAGE NAICF INSURER A: Citizens Insurance Company of America 31534 www.risk-strategies.com CA DOI License No. OF06675 INSURED EC&AM Consultants, Inc., DBA: GK & Associates 3333 Brea Canyon Rd., Ste 120 Diamond Bar CA 91765 INSURER B: Allmerica Financial Benefit Insurance Cc 41840 INsuRERc: Travelers Property Casualty Co of America 25674 INSURER D: Great American Insurance Company 16691 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 63484152 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 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 POLICYNUMBER POLICY EFF MM/DDIYYYY POLICY EXP MWDD LIMITS A 1/ COMMERCIAL GENERAL LIABILITY ✓ OB3H038906 9/1/2021 9/1/2022 EACH OCCURRENCE $ 2006000 CIAIMS-MADE OCCUR ✓ DAMAGE TO RENTED PREMISES Ea occurrence $ 1 000 000 MED EXP Any one person) $$10000 PERSONAL &ADV INJURY $$2000000 GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $$4,000,000 POLICY �JECT �LOC PRODUCTS-COMPADPAGG $ 4000000 S OTHER: B AUTOMOBILE LIABILITY ✓ AW3HO38914 9/1/2021 9/1/2022 COMBINED SINGLE LIMIT $ 1 000000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-0WNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR cc:MS-MADE DED RETENTION$ $ Q WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN UB7K181200 7/9/2021 7/9/2022 ✓ STATUTE ERH E.L EACH ACCIDENT $$1000000 ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED9 NIA E.L DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, deacons under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ $1,000,000 D Professional Liability DPP4203925 5/4/2021 5/4/2022 Per Claim: $3,000,000 Aggregate: $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attended if more space is required) Projects as on file with the insured. City of Santa Ana, its officers, employees, agents, and representatives are additional insureds with respect to General Liability and Automobile policies per the attached endorsements or as required by written contract. Insurance is Primary and Non -Contributory. 30 Day's Notice of Cancellation with 10 Days' Notice for Non -Payment of Premium in accordance with the policy provisions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City 0' Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th FI. Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE ., RSC Insurance Brokerage ,j' RE�nEwED6APPRov®BY: 01988-2015 ACORD C ACORD 25 (2016103) The ACCORD name and logo are registered marks of ACORD '�`' RUK MaRagemen$ Mays) 63484152 111-22 G-AL-WC-PL I Sherry Young 18/23/2021 1:33:05 PH (PDT) I Page 1 of 4 Architects and Engineers The following policy language is from Businessowners General Liability Coverage Part NAMED I NSU RED: EC&AM Consultants, Inc.,DBA:GK&Associates POLICY NUMBER:os3tto38906 The following are mandatory forms on the policy identified on the Certificate of Insurance: 391-1586 (08-16) BUSINESSOWNERS GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT Additional Insured by Contract, Agreement or Permit A. Section 11— Liability, C — Who is an insured is amended to include as an additional insured any person or organization with whom you agreed in a written contract, written agreement or permit but only respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions; or the acts or omissions of those acting on your behalf, but only with respect to: (i) "Your work" for the additional insured(s) designated in the contract, agreement or permit including "bodily injury" or "property damage" included in the "products - completed operations hazard" only if this Coverage Part provides such coverage; (ii) Premises you own, rent, lease, or occupy; or (iii) Your maintenance, operation or use of equipment leased to you. 'Definition: "Your work" a. Means: (1) Work or operations performed by you or on behalf; and (2) materials, parts or equipment furnished in connection with such work or operations; b. Includes (1) warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and (2) the providing of or failure to provide warnings or instructions. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily Injury", "property damage", "personal injury" or "advertising injury". (2) To any person or organization Included as an Insured by an endorsement Issued by us and made part of this Coverage Part. (3) To any lessor of equipment (a) After the equipment lease expires; or (b) If the "bodily Injury", "property damage", "personal injury" or "advertising Injury" arises out of sole negligence of the lessor. (4) To any: (a) Owners or other Interests from whom land has been leased which takes place after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury', "property damage", "personal injury" or "advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. (5) To "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or failure to render any professional services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and advertising injury" involved the rendering of or failure to render any professional services by or for you. Other Insurance Primary & Non -Contributory The following paragraph is added to SECTION III — COMMON POLICY CONDITIONS, H — Other Insurance: Additional Insured — Primary and Non -Contributory. If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization included as an Additional Insured under SECTION II — Liability, C. Who is an Insured is primary and non-contributory, the following applies: If other valid and collectible insurance is available to the Additional Insured for a loss covered under SECTION II — LIABILITY of this Coverage Part, our obligations are limited as follows: (1) Primary Insurance: This insurance is primary to other insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other insurance available to the Additional Insured except: (a) For the sole negligence of the Additional Insured; (b) When the Additional Insured is an Additional Insured under another primary liability policy; or (c) When b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. (2) Excess Insurance: (a) This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (ii) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner; Ri kMznPV,w ttkidvn 's f" No coverage is provided by this Notice, nor can it be construed to replace any provisions of the policy (including its a 4I'llfltinE &APPROVED BY: between this Notice and the policy (including the endorsements), the provisions of the policy (including its a = F.u� R. V&c a Risk Management Malyst 63989152 1 21-22 GL-AL-WC-PL I Sherry Young 1 0/23/2021 1:33:05 PM (PDT) I Page 2 of 4 of (ill) That is insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant for "property damage" to premises rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or (iv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION II - LIABILITY. B. Exclusions, 1. Applicable to Business Liability Coverage. (v) That is insurance available to you for your participation in any past or present "unnamed joint venture". (vi) That is any insurance you may have that provides coverage for your professional services. (b) When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (c) When this insurance is excess over other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (i) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (ii) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage part. (3) Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Per Project Aggregate The following changes are made to SECTION 11 - LIABILITY: 1. The following is added to SECTION 11 - LIABILITY, D. Liability and Medical Expenses Limits of Insurance, paragraph 4: The Aggregate Limits of Insurance apply separately to each of "your projects" or each "location" listed in the Declarations. 2. For the purpose of coverage provided by this endorsement only, the following is added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Your project" means: a. Any premises, site or "location" at, on, or in which "your work" is not yet completed; and b. Does not include any "location" listed in the Declarations. 2. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and, b. Separately to each insured against whom claim is made or "suit" is brought. Waiver Of Subrogation The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization where required by written contract because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization where required by written contract. Notice Of Cancellation For any statutorily permitted reason other than non-payment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to 90 Days. AUTHORIZED REPRESENTATIVE *From Hanover Forms: 391.1003 (08116); 391-1445 (08116); 391-1586 (08/16), 391-1003 (W116) ltiekMomgnnadDiuielDn No coverage is provided by this Notice, nor can it be construed to replace any provisions of the policy (including its ei Rev(evso 6 APPRa m By. between this Notice and the policy (including the endorsements), the provisions of the policy (including its a 111111111 �Z (/;((uwa[ �-- Ruk Management Ma" -- 63484152 1 21-32 GL-A -WC-PL I Sherry Young 1 8/23/2021 1:33:05 PM (PDT) I Page 3 of 4 01 POLICY NO.: AW311038914 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED — PRIMARY AND NON-CONTRIBUTORY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. The following is added to SECTION II — LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured: Additional Insured if Required by Contract If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional "insured" under this Coverage Part, such person or organization is an "insured"; but only to the extent that such person or organization qualifies as an "insured" under paragraph A.1.c. of this Section. If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional "insured" under this Coverage Part, the most we will pay on behalf of such additional "insured" is the lesser of: (1) The Limits of Insurance for liability coverage specified in the written contract, written agreement or written permit; or (2) The Limits of Insurance for Liability Coverage shown in the Declarations applicable to this Coverage Part. Such amount shall be part of and not in addition to the Limits of Insurance shown in the Declarations applicable to this Coverage Part. Regardless of the number of covered "autos", "insureds", premiums paid, claims made or vehicles involved in the "accident', the most we will pay for the total of all damages and "covered pollution cost or expense" combined resulting from any one "accident" is the Limit of Insurance for Liability Coverage shown in the Declarations. B. The following is added to SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph B. General Conditions, subparagraph 5. Other Insurance: Primary and Non -Contributory If you agree in a written contract, written agreement or written permit that the insurance provided to a person or organization who qualifies as an additional "insured" under SECTION II — LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured, subparagraph Additional Insured if Required by Contract is primary and non- contributory, the following applies: The liability coverage provided by this Coverage Part is primary to any other insurance available to the additional "insured" as a Named Insured. We will not seek contribution from any other insurance available to the additional "insured" except: (1) For the sole negligence of the additional "insured"; or (2) For negligence arising out of the ownership, maintenance or use of any "auto' not owned by the additional "insured" or by you, unless that "auto" is a "trailer" connected to an "auto" owned by the additional "insured" or by you; or (3) When the additional "insured" is also an additional "insured" under another liability policy. C. This endorsement will apply only if the "accident' occurs: 1. During the policy period; 2. Subsequent to the execution of the written contract or written agreement or the issuance of the written permit; and 3. Prior to the expiration of the period of time that the written contract, written agreement or written permit requires such insurance to be provided to the additional "insured". D. Coverage provided to an additional "insured" will not be broader than coverage provided to any other "insured" under this Coverage Part. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. Page 1 of 1 Risk M avgmwdDi s[m Bsmn 6/NVRov®Br. 461-0478 12 12 Includes copyrighted material of ISO Insurance Services Office, Inc., with its permissi fw.:*t Q. V:tLl�lLd Ruk Managementmalyst 63484152 21-22 GL- -WC-PL I Sherry Young 1 8/23/2021 1:33:05 P (PDT) I Page 4 of 4 Ejhjubmmz!tjhofe!cz!Upsj!Qjfstpo! Ebuf;!3133/16/22!21;27;54! 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Hfofsbm!Dpoejujpot-!tvcqbsbhsbqi!6/!Puifs! Jotvsbodf;! E/Dpwfsbhf!qspwjefe!up!bo!beejujpobm!jotvsfe!xjmm! opu!cf!cspbefs!uibo!dpwfsbhf!qspwjefe!up!boz! Qsjnbsz!boe!Opo.Dpousjcvupsz!! otvsfe!voefs!uijt!Dpwfsbhf!Qbsu/! puifs!j BMM!PUIFS!UFSNT-!DPOEJUJPOT-!BOE!FYDMVTJPOT!SFNBJO!VODIBOHFE/ Qbhf!2!pg!2! 572.1589!23!23!Jodmveft!dpqzsjhiufe!nbufsjbm!pg!JTP!Jotvsbodf!Tfswjdft!Pggjdf-!Jod/-!xjui!jut!qfsnjttjpo! 79829715!}!33.34!XD.QM-!32.33!HM.BM.VM!}!Tifssz!Zpvoh!}!702403133!22;59;35!BN!)QEU*!}!Qbhf!5!pg!5 NOTICE OF COMPLIANCE Contractor EC&AM Consultants, Inc. Name: Project A-2019-117-04A Number: Extension of Agreement To Provide Engineering, Technical, Project and Administrative Support Services Agreement No. A-2019- Name: 117-04 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 Revised Khan and AUTOMOBILE LIABILITY 7445437C0175 03/01/2023 09/06/2022 city of santa 090622.pdf Santa Ana COI 8- GENERAL LIABILITY 0B3H038906 09/01/2023 08/25/2022 25-22.pdf Santa Ana COI 8- PROFESSIONAL LIABILITY DPP4203925 05/04/2023 08/25/2022 25-22.pdf WORKERS COMPENSATION AND EMPLOYERS' Santa Ana COI 8- UB7K181200 07/09/2023 08/25/2022 LIABILITY 25-22.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 9/7/2022 3:46 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor EC&AM Consultants, Inc. Name: Project A-2019-117-04A Number: Project Extension of Agreement To Provide Engineering, Technical, and Name: Administrative Support Services Agreement No. A-2019-117-04 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 AW3H038914 09/01/2023 10/13/2022 Ana COI 2023.pdf Santa Ana COI GENERAL LIABILITY 0B3H038906 09/01/2023 08/25/2022 8-25-22.pdf Renewal Cert for PROFESSIONAL LIABILITY DPP4203925 05/04/2024 05/05/2023 City of Santa Ana.pdf WORKERS COMPENSATION AND Santa Ana COI UB7K181200 07/09/2023 08/25/2022 EMPLOYERS' LIABILITY 8-25-22.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 5/8/2023 3:10 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor EC&AM Consultants, Inc.;GK & Associates Name: Project A-2019-117-04A Number: Extension of Agreement To Provide Engineering, Technical, Project and Administrative Support Services Agreement No. A-2019- Name: 117-04 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 Ana AUTOMOBILE LIABILITY AW3H038914 09/01/2023 10/13/2022 COI 2023.pdf Santa Ana COI 8- GENERAL LIABILITY 0B3H038906 09/01/2023 08/25/2022 25-22.pdf Renewal Cert for PROFESSIONAL LIABILITY DPP4203925 05/04/2024 05/05/2023 City of Santa Ana.pdf City of Santa Ana WORKERS COMPENSATION AND UB7K181200 07/09/2024 06/14/2023 COI Renewal 6-26- EMPLOYERS' LIABILITY 23.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 7/10/2023 6:47 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor EC&AM Consultants, Inc. Name: Project A-2019-117-04A Number: Project Extension of Agreement To Provide Engineering, Technical, and Name: Administrative Support Services Agreement No. A-2019-117-04 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 Renewal Cert for City of Santa AUTOMOBILE LIABILITY AW3H038914 09/01/2024 08/24/2023 Ana Issued 08- 24-2023.pdf Renewal Cert for City of Santa GENERAL LIABILITY 0B3H038906 09/01/2024 08/24/2023 Ana Issued 08- 24-2023.pdf Renewal Cert for PROFESSIONAL LIABILITY DPP4203925 05/04/2024 05/05/2023 City of Santa Ana.pdf City of Santa WORKERS COMPENSATION AND Ana COI UB7K181200 07/09/2024 06/14/2023 EMPLOYERS' LIABILITY Renewal 6-26- 23.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/28/2023 1:31 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor EC&AM Consultants, Inc. Name: Project A-2019-117-04A Number: Project Extension of Agreement To Provide Engineering, Technical, and Name: Administrative Support Services Agreement No. A-2019-117-04 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 Renewal Cert for City of Santa AUTOMOBILE LIABILITY AW3H038914 09/01/2024 08/24/2023 Ana Issued 08- 24-2023.pdf Renewal Cert for City of Santa GENERAL LIABILITY 0B3H038906 09/01/2024 08/24/2023 Ana Issued 08- 24-2023.pdf Renewal Cert for PROFESSIONAL LIABILITY DPP4203925 05/04/2024 05/05/2023 City of Santa Ana.pdf City of Santa WORKERS COMPENSATION AND Ana COI UB7K181200 07/09/2024 06/14/2023 EMPLOYERS' LIABILITY Renewal 6-26- 23.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/28/2023 1:31 PM