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HomeMy WebLinkAboutMICHAEL BAKER INTERNATIONAL, INC. (3)A-2021-110-03A MAYOR Vicente Sarmiento MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez CITY OF SANTA ANA INSURANCE ON FILE COMMUNITY DEVELOPMENT AGENCY WORK MAY PROCEED 20 Civic Center Plaza . P.O. Box 1988 UNTIL INSURANCE EXPIRES Santa Ana, California 92702 A• 706. 2522 wwW.santa-ana orc CLERK OF COUNCIL DATE: May 12, 2022 Michael Baker International, Inc. Attn: Alan Ashimie 5 Hutton Center Drive, Ste. 500 ry Santa Ana, CA 92707 0 c.e Re: Extension of Agreement A-2021-110-03 to Provide On -Call Environmental Review Services Dear Mr. Ashimie: Pursuant to Agreement A-2021-110-03, entered by Michael Baker International, Inc. and the City of Santa Ana, dated August 1, 2021, Section 3 "Term," the City hereby grants the fast of two optional renewals extending the term of said Agreement for an additional one (1) year, through July 31, 2023. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions, please contact David Flores, Community Development Analyst with the Community Development Agency at 714-647-6561. Sincerely, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho City ttorney Ry O. odge Assrstant City Attorney MICDAEL BM$E# INTERNATIONAL, INC. Allan Ashimie Environmental Sciences Manager ATTEST: Daisy Gomez Clerk of the Council SANTA ANA CITY COUNCIL Vicente Sarmiento Phll aacena Thai Vlet Plan Dnid Penaloa Jessie Lopez Johnadan Ryan Hernandez Nehda Mendoza Mayor Mayor Pm Tem, Ward 4 WeM1 Ward2 Ward warmienlonanla-anaom obacenaa(Aaanha-anaom h Ra - dcenebzarmanta-anaom essielooezMsanhi-anaom ranhemanqu0anto-a nmendo 0aanta-an ACORD 25 (2016103) mM'N`rnynea'1 viermn _ Tori Pierson -0;=e= es.3e ==e3e DATE(MM/DD/YYYY) �- CERTIFICATE OF LIABILITY INSURANCE 08/30/2021 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. SUBROGATION IS WAIVED, subject tthe 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 Ilea of such entlorsementlsl. n Risk Services Central, Inc. ttsburgh PA Office T Plaza - Suite 2700 5 Liberty Avenue ttsburgh PA 15222-3110 USA Michael Baker International, Inc 5 Hutton Centre Drive Suite 500 Santa Ana CA 92707 USA (866) INSURERS) AFFORDING COVERAGE (rich American Ins Co INSURER B: Allied N INSURER C: American INSURER D: INSURER E: INSURER F: 363-0105 N insurance novlavary IvumnEri: 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. Limits shown are as requested LTR A TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIVYYY MMroD/YVYY LIMITS X COMMERCIAL GENERAL LIABILITY GLO EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR TED $1, OOOr000 Ea ocourrenca (Any one pamon) $10, 000 L a ADV INJURY $2,000,000 GEMLAGGREGATE LIMITAPPLIES PER: POLICY ❑X PRO- E LOS AGGREGATE MSINGLE $4 r 000,000 S-COMP/OPAGG $4,000,000 JECT OTHER: tible $250, G00 A AUTOMOBILE LIABILITY BAP4197284-00 OS/30/202108/30/2022SINGLE LIMITt $2, 000, 000 X ANYAUTO BODILY INJURY( Per Person) OWNED pUTOSDLED AUTOS ONLY BODILY INJURY(Pe(accldent) X HIRED AUTOS X NONOWNEDPROPERTY DAMAGE ONLY AUTOS ONLY Per accident D Dedudlblo $100, 000 X UMBRELLA LIAR X OCCUR A00053258203 OB 30/2021 08/30 2022 EACH OCCURRENCE $10, 000, 000 EXCESS LIAR CLAIMS -MADE AGGREGATE $10,000,000 DED X RETENTION $10.000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC419728200 08/30 2021 08 30/2022 X PER STATUTE 0TH- A YIN ANY PROPRIETOR/PARTNER/EXECUTIVE A05 E E.L.EACH ACCIDENT E1r000, 000 N OFFICERIMEMBER EXCLUDED9 ❑ NIA WC419728500 08/30/2021 08/30/2022 If (MandatoryInNH) If Yes tlescdba antler WE E.L. DISEASE EA EMPLOYEE $l, 000, 000 DESCRIPTION OF OPERATIONS below E.L. OISEASEPOLICV LIMIT $1, 000, 000 B E&O-PL-Primary s0 08/30/202I 08/30/2022 Per claim 55,000, 000� claimM claims Made Aggregate $5 000,00 01 SIR applies per policy ter s & condi ions SIR/Deductible (2) , $200,000: DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (,CORD 101, Adtlleo m, Remarks Schetlule, may be altachetl If more apace le requlretl) For Named Insured Only: Attn: Kim Hartsfield. RE: Project Name: CEQA/NEPA On -Call Environmental Services. City of Santa Ana, its officers, agents, employees, volunteers and representatives are included Additional as Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to Additional Insured, but only in accordance with the pof icy's provisions. should General Liability, Automobile Liability, Professional Liability and Workers' Compensation be before policies cancelled the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to Certificate Holders in accordance wl th the policy provisions. e k AIVUCLLAI IUN L� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 USA I ,�/J I('_Z2 ' ����y �"J .s Ria4AtnugplmlLiXWdm `' Rsv1L''ABD & ArrpovEo Br, ©195,CORD CDR The ,CORD name and logo are registered marksks of %RtAnadre of ,CORD Ruk`ma9.wmCI W.IAid, Additional Insured —Automatic —Owners, Lessees Or ZURICHO Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 4197281 -00 Effective Date: 08/30/2021 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily Injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, VA DIV v ��{^�RRI�euEOS ArnRwmNr. ' 7arc iDeexaart `� RukManagrn�mtileric,letitlr Includes copyrighted material of Insurance Services Office, Inc., with Its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products -completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work' and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is 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, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the 'products -completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work' and included in the 'products -completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or 'property damage" caused by "your work' and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Muuganmk0{vidml /w% AGY1Ew4!h'g6�jA1PPFOY9)lif: av 2iskMa,�a9enrnrClerimlAitle Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. 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 the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit' as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under 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, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III — Limits Of Insurance: Additional Insured — Automatic — Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 4 Rh& kDMdon w1 G _5 NENEYlEI}&+nAPPPWm&Y:.. r �t�, �A4i YCf�N!dst RiskMrnaOenm� Chrler� Aitle. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. 8' �' rav�wr�&rirrnovaa 6v: #�f a� 9aTi j%imtaN 'rsiskManagenm� ammiwae Includes copyrighted material of Insurance services Office, Inc., with its permission. Blanket Notification to Others of Cancellation ZURCCHO or Non -Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 4197281-00 Effective Date: 08/30/2021 This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph 13.2. above. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. �. n RidrMwgmrmkiMda(on t ` �'-, RENEW4e&11PPRrNEe BY: Risk Ma,u9en>tnc GcsirsiAisle Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation ZURICHO or Non -Renewal Policy No, Eff, Date of P.I. E.P. Date of P.I. Eff. Dute of End. Producer No. Add'l: Preen Return Preen. BAP 4197284-00 08/30/2021 08/30/2022 15939000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. �y ask taw�n >� NE4NEF'ED6iNPiitNtD t;V`: `Ru1,Ma,ugenv,�OeicilWde Includes copyrighted material of Insurance services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY U-WC-3078-A CW (08/17) CANCELLATION AND NONRENEWAL NOTICE ENDORSEMENT A. Part Six — Conditions, Paragraph D.2. is replaced by the following: D. Cancellation 2. We may cancel this policy. We must mail or deliver to you not less than 90 days advance written notice stating when the cancellation is to take effect except for cancellation for non-payment of premium. If we cancel this policy for non-payment of premium we must mall or deliver to you not less than ten days advance written notice. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. B. Part Six — Conditions, Paragraph F. is added. F. Nonrenewal Notice We will mall or deliver to you not less than 90 days advance written notice of our intention to nonrenew this policy. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. All other terms, conditions, provisions and exclusions of this policy remain the same. � >.r w,knaw�4mk 4�<i REMe ff �nArrgova�8r, ��' TauY<Gkta+F Risk NanagrnxnlGttlrilAitle U-WC-3078-A CW (08/17) NOTICE OF COMPLIANCE Contractor Michael Baker International, Inc. Name: Project A-2021-110-03A Number: Project Extension of Agreement A-2021-110-03 To Provide On-Call Name: Environmental Review Services 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 2019 On-Call Env AUTOMOBILE LIABILITY BAP419728401 08/30/2023 08/16/2022 & Planning - Ins Cert (2023).pdf 2019 On-Call Env GENERAL LIABILITY GLO419728101 08/30/2023 08/16/2022 & Planning - Ins Cert (2023).pdf PROFESSIONAL LIABILITY 03124806 08/30/2023 09/07/2022 2019 On-Call Env WORKERS COMPENSATION AND WC419728501 08/30/2023 08/16/2022 & Planning - Ins EMPLOYERS' LIABILITY Cert (2023).pdf 2019 On-Call Env WORKERS COMPENSATION AND WC419728201 08/30/2023 08/16/2022 & Planning - Ins EMPLOYERS' LIABILITY Cert (2023).pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 9/7/2022 4:14 PM