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HomeMy WebLinkAboutTRANSTECH ENGINEERS, INC. (3)INSURANCE ON FILE NORK MAY PROCEED JNTIL INSURANCE EXPIRES •22 o MAYOR _ 'I-ERKOF COUNCIL sir Vicente Samiiento ATE: MAYOR PRO TEM Phil Bal G� COUNCILMEMBERS David Penaloza d Johnathan Ryan Hernandez .Z Jessie Lopez Nelida Mendoza Thai Viet Phan d: Pwq �E�i1y Ho) (AVi 2 Transtech Engineers, Inc. 13367 Benson Avenue Chino, CA 91710 Attn: Ahmad Ansari CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza a P.O. Box 1988 Santa Ana, California 92702 WWW, Santa-ana.orD (714) 647-3320 April 12, 2022 A-2019-117-05A 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 Support Services Agreement No. A-2019-117-05 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Transtech Engineers, Inc., 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, bra` Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager ATTEST Fi , /--!/ mez, MMC . LL APPROVED AS TO FORM TRANSTECH ENGINEERS, INC. Sonia R. Carvalho City Attorney i By: Briand6h Salvatierra Ahmad Ansart Deputy City Attorney Principal SANTA ANA CITY COUNCIL Viame S..M. David Pmawn Thai Vat Peen ,bub L.,. Phil Broom hhmOlm Ryan M•m... N.M. Memo. Mayor Wad Wad Wadi Mayor Pro Tom, Wed 4 Wad Wad w m'ieNOLaend-. n. ern deeneaSeeumaanmi om mhunn'.-ar. or, old aerC.ReG.and2ne vo ern omncmz.®unt a CERTIFICATE OF LIABILITY 401GE Digitally signed by An le DATE IMMIDO YYW) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER "M�5/Q CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR UXE OD�F.R� BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE f REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ME HOLDER. THIS BY THE POLICIES e(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must"e ADDITION/.L INSURJ prp�rin211t. U is-Sst tSklrlent Oorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies nil .equire an d o this certificate does not confer rights to the certificate holder in lieu of such endorsementfsl. PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 INSURED Transtech Engineers, Inc. 909-595-8599 13367 Benson Ave Chino CA 91710-3009 COVERAGES CERTIFICATE NUMBER: 1025589900 REVISION NUMBER - 31194 25674 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 JIM wyn POLICYNUMBER POLICYEFF MMIDDITYYY POLICY EXP MMIDDIYVYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR Y Y 680SH737478 12/31/2021 12/31/2022 URRENCE $1,000.000 U HEN ED Ea occurrence $1,000,000 X Any one pereca l $10,000 Contractual Liab X XCU Included L&ADV INJURY r $1,000.000 GEN'L AGO REGATE LIM IT APPLI ES PER: AGGREGATE $2,000.000 POLICY JEo LOG S-COMPIOPAGG $2,000.000 $ OTHER: C Y Y BA3R067451 12/31/2021 iy31/2022 COMBINED SINGLE LIMIT$1,000,000 Ea accidentANY BODILY INJURY(Per Person) $ AUTO OWNED SCHEDULED( AUTOS ONLY AUTOSHIRED PUT008ILELIABILITYM en)BODILY INJURY Per accidt $ X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ NOOwnedAul09 B X UMBRELLA LIAB X OCCUR Y V CUP4F17434A 12/31/2021L EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DEO X RETENTION$ S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N Y 72WEGAA508A 9/1/2021X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICEWMEMBEREXCLUDEDY ❑ NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1.000.000 A Professional Liability 107328311 12/31/2021 12/11/2022 Per Claim 2,000.000 Aggregate Umit 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mom space is required) Insured owns no company vehicles; therefore, hired/non-awned auto is the maximum coverage that applies. Professional Liability is E&O Liability. Umbrella Liability policy is a follow -form underlying General Liability/Auto Liability/Employers Liability. Re: RFP No. 19-045, Engineering, Technical and Administrative Support Services -- City of Santa Ana, its officers, agents, employees, agents and representatives are named as an additional insured as respects general and auto liability as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form warding. Insurance coverage includes waiver of subrogation per the attached endorsement(s). CANCELLATION/CHANGE: 30 day notice will be sent to the certificate holder City of Santa Ana Risk Management Div, 4th Floor 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2016/03) Notice will be sent to holder 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 01988.2015 ACORD The ACORD name and logo are registered marks of ACORD liiek MmMganod Division 9' RENEWm6APPRQJ®BY: - �' Risk Management Specialist 01 POLICY NUMBER: 680-5H737478 COMMERCIAL GENERAL LIABILITY 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the products -completed operations hazard, provided that such contract was signed by you before, and is in effect when, the "bodily injury or "property damage" occurs. Location And Description Of Completed Operations Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age' caused, in whole or in part, by "your work" at the CG 20 37 07 04 CG T8 04 12 21 DATE OF ISSUE:11/16/2021 location designated and described in the schedule of this endorsement performed for that additional in- sured and included in the "products -completed opera- tions hazard". © ISO Properties, Inc., 2004 Rb&kMkmgasmttr MAm REMIEMM S APPRa Br A-ju "4:a Ruk Management Speclabst POLICY NUMBER: 680-51-1737478 COMMERCIAL GENERAL LIABILITY 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 Names of Additional Insured Person(s) or Organization(s): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed by you before,and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed. Location of Covered Operations: Any project to which a written contractwith the Additional Insured Person(s) orOrgan¢ation(s) in the Schedule applies. (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 in- clude as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: CG D3 61 03 05 This insurance does not apply to "bodily injury" or "property damage" occurring, or "personal injury" or "advertising injury" arising out of an offense committed, after. 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or 2. That portion of 'your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project Copyright 2005 The St. Paul Travelers Companies, Inc. All rights rese Cc T8 06 12 21ncludes copyrighted material of Insurance Services Office, Inc. with its pe DATE OF ISSUE:11/16/2021 Rule MawgarvTt Ixtiaian `�.9' REVIE 6APPRcv®ar. ' As.&:a ficwls4o �' Risk Management SpenAnt THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72WEGAA508A Endorsement Number: Effective Date:09/01/2021 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Transtech Engineers, Inc. 13367 Benson Ave Chino, CA 91710-3009 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Form WC 04 03 06 (1) Printed in U.S.A. Policy _ RskMoroganed Etvislon oN i REVIEWED 6 A"RQ BY: Rhk Management Specialist Policy # 6805H737478 COMMERCIAL GENERAL LIABILITY c. MethodOFSharing 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. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Pan 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. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Pan, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renewthis Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V —DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Page 15 of 21 0 2017 The Travelers Indemnity Company. All rights reserved. I 1,41011i_L% A--gu Aaawtn Includes copyrighted material of Insurance Services office, Inc. with its permissi -®'; RBk Management Spedatis[ Policy # 68051-1737478 occupational therapist or occupational therapy assistant, physical therapist or speech -language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Sale Of Pharmaceuticals "Bodily injury' or "property damage" arising out of the violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of the insured. S. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x- ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. COMMERCIAL GENERAL LIABILITY that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. K. MEDICAL PAYMENTS —INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10,000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. L. AMENDMENT OF EXCESS INSURANCE CONDITION — PROFESSIONAL LIABILITY The following is added to Paragraph 4.11b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis, that is Professional Liability or similar coverage, to the extent the loss is not subject to the professional services exclusion of Coverage A or Coverame B. M. BLANKET WAIVER OF SUBROGATION — WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a written contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: 6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY occurs; or CONDITIONS: b. "Personal and advertising injury" caused by This insurance is excess over any valid and an offense that is committed; collectible other insurance, whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis, agreement. x®kMtwgowrtDiAslan CG D3 79 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. REVIEKWED 6 A"Rov® Br. Includes copyrighted material of Insurance Services Office, Inc. with its permisAfp Aa r Risk Management Specialist Policy # BA3R067451 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated in such contract. against any person or organization to the extent W,1MwwgemerdDMcinn CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. � y�;;'' R� Ew o&APPRovao By., Includes copyrighted material of Insurance Services Office, Inc. with its permissio °� `:' ` : A+ ju "44 Risk Management Spedmsl Policy: BA3R067451 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to Paragraph c. in A.7., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the BUSINESS AUTO COVERAGE FORM and Paragraph e. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the MOTOR CARRIER COVERAGE FORM, whichever Coverage Form is part of your policy: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". CA T4 37 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office. Inc. with its permisE ._ Risk Maruganaaffiddua - lin�a..��A//.w��ao�v®B�r `� RAW...gement5p NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Transtech Engineers, Inc. Name: Project A-2021-075-05 Number: Second Amendment To Agreement To Provide Engineering, Technical, And Project administrative Support Services For Public Works Projects (Transtech Name: Engineers) 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_Transtech- AUTOMOBILE LIABILITY BA3R067451 12/31/2023 12/26/2022 Engin_DEFAULT-- GHUWP(_12-26- 2022_1591391906.pdf City-of-Santa- Ana_Transtech- GENERAL LIABILITY 6805H737478 12/31/2023 12/26/2022 Engin_DEFAULT-- GHUWP(_12-26- 2022_1591391906.pdf City-of-Santa- Ana_Transtech- PROFESSIONAL LIABILITY 107328311 12/31/2023 12/26/2022 Engin_DEFAULT-- GHUWP(_12-26- 2022_1591391906.pdf WORKERS COMPENSATION AND EMPLOYERS' 57WEGAA5O8A 09/01/2023 08/22/2022 CERT-373406954.pdf LIABILITY Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 12/27/2022 11:17 AM