Loading...
HomeMy WebLinkAboutGRISWOLD INDUSTRIES (3)A-2019-102-01 MAYOR Vicente Sarmiento MAYOR PRO TEM Phil Bacee, COUNCILMEMBERS Johnathan Ryan Hemandez Jessie Lopez Nelida Mendoza David Penaloza Thai Vet Phan INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 7 H-I- WL7 CLERK OF COUNCIL DATE: SEP 2 7 Y022 CITY OF SANTA ANA PUBLIC WORKS AGENCY 220 S. Daisy Avenue (M-85) Santa Ana, Califomia 92703 wwW.santa-ana.om August 26, 2022 CITY MANAGER Knstine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Griswold Industries dba Cla-Val Attn: Jennifer Lucha 24100 Water Street Perris, CA 92570 �1 Re: Extension of Agreement No. A=2019-102, amended, to Provide Flow Control Valve Maintenance, Rehabilitation, and Replacement Services Dear Ms. Lucha, Pursuant to Section 3 ("Tenn") of the above -referenced Agreement, entered into by Cla-Val, and the City of Santa Ana, dated July 2, 2020, as amended, the time period of the Agreement is hereby extended for an additional two-year period, through July 1, 2024. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement, as amended, remain unchanged and in full force and effect. Sincerely tih 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 EFendon Salvatierra Deputy City Attorney ATTEST a jpoe Clerk of the Council CONTRACTOR Me i� r Lucha ad dies & Field Services Office Manager SANTA ANA CITY COUNCIL Virenle 6armienla Phil aawm Thai Urel Phan Ne9da Men2oaa Jessie Lapez JohnaMan Ran Hemandaz David Penal.. Mayor Mayor Pm Tem. Wm]I Wank Warn2 Ward WaN5 Wam6 ienmasena_i,mi am P.,,imaCana wammsema.enamm mem(ma®san asre�ovezrmsan an vm rvannemandeenasema-aru.vm dcenmoraaamaane vm I UI I r ICI OUI 1 Date: 2022.06.0909:28:11-070m ,A� �® CERTIFICATE OF LIABILITY INSURANCE GATE/2022 mYY) oslOznozz 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 Risk & Insurance Services 17901 Von Kaman Avenue, Suite 1100 CONTACT NAME: AX PHONE A/c No), E-MAIL ADDRESS: (949) 399-5800; License #0437153 [wine, CA 92614 Attn: Newpor Beach.CertRequest@marsh.com/F. 212-948-4323 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire Insurance Company 19682 CN102166416-STND-GAWUP-22- INSURED Griswold Industries, Cla-Val Company INSURER B : NIA NIA INSURER C : Twin City Fire Insurance Company 29459 1701 Placentia Avenue INSURER D: NIA NIA Costa Mesa, CA 92627-4475 NSURER E: NSURERR COVERAGES CERTIFICATE NUMBER: LOS-00243176046 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 D WVD POLICY NUMBER POLICY EFF MM/DDmYY) POLICY EXP flMMIDDIYYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FIOCCUR $1,000,000 SIR 72ECSOA1987 04/01/2022 04/0112023 EACHOCCURRENCE $ 1,000,000 DAMAGE DAMAGES ( RE D Ea occurrence) $ 300,000 X MED EXP Any one person $ PERSONAL B ADV INJURY $ 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO-JECT ❑ LOG OTHER. GENERAL AGGREGATE $ 2,000.000 PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 72UENUM3154 04/0112022 04101/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILDY ANYPROPRIETORIPARTNEWEXECUTIVE YIN OFFICEMMEMBER EXCLUDED? -] (Mandatory in Ni MIf yes,descdbe under DESCRIPTION OF OPERATIONS below NIA 72WNC93100(CA) 72WEH03564 (ADS) 04l01/2022 0 01/2023 04I0112023 X I oTH- STAPERTUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Sans Ana, its officers, employees, agents, volunteers, and representatives are included as additional insured where required by written contract with respect to General Liability. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out ofthe operations of the named insured subject to policy tens and conditions with respect to General Liability. ieaeuoLnea �:La�eJa.1 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE R61rMmgawdllhdan f daiteo &�A1P 91.. // 4li %aeC rJM�aet n 19AR-201A ACORn Cr Rkk Marra9errmmlai,al Aide ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD v 14 72ECSOA1987 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form IH 03 13 06 11 © 2011, The Hartford RUNMawge„mcUrnal/lide POLICY NUMBER: 72 ecs OA1987 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION - PRIMARY OR PRIMARY AND NON-CONTRIBUTORY WHEN REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: COVERAGE COMMERCIAL GENERAL LIABILITY COVERAGE PART (EXCESS) COMMERCIAL GENERAL LIABILITY COVERAGE PART (EXCESS — BROAD FORM) With respect to other insurance available to any person or organization who is an additional insured under this Coverage Part, the following is added to Paragraph 4., Other Insurance of Section IV — Commercial General Liability Conditions: 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance be primary, then subject to the "self -insured retention", this insurance is primary except when Paragraph c. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph d. below. b. Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this insurance is primary and non-contributory with the additional insured's own insurance, then subject to the "self -insured retention", this insurance is primary except when Paragraph C. below applies and we will not seek contribution from that other insurance. Paragraphs a. and b. do not apply to other insurance to which the additional insured has been added as an additional insured. c. Excess Insurance (1) This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (a) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) Aircraft, Auto Or Watercraft 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 I — Coverage A — Bodily Injury And Property Damage Liability; or (c) Property Damage to Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability. (2) 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: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other insurance. Form EH 24 03 08 09 fk �f s& A Rovmonr © 2009, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its pern tRukM1l w9e c fCl nclA de (3) 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. d. 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. Page 2 of 2 ?ate P� F rsekma„aq�,nrcam�iaat POLICY NUMBER: 72 ECS CA1987 F11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - OPTION III This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anizations: Designated Project(s) Or Location(s) OfCovered Operations: Eastern Municipal Water District 2270 Trumble Road / P.O. Box 8300 Perris, CA 92572-8300 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. With respect to those person(s) or organization(s) shown in the Schedule above when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy to them, Subparagraph f., Any Other Party, under the Additional Insureds When Required By Written Contract, Written Agreement Or Permit Paragraph of Section II — Who Is An Insured is replaced with the following: f. Any Other Party Any other person or organization who is not an insured under Paragraphs a. through a., but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused by your acts or omissions or the acts or omissions of those acting on your behalf: (3) in connection with "your work" for the additional insured at the project(s) or location(s) designated in the Schedule and included within the "products - completed operations hazard", but only if: (a) The written contract or written agreement requires you to provide such coverage to such additional insured at the project(s) or location(s) designated in the Schedule; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". The insurance afforded to the additional insured shown in the Schedule applies: (1) In the performance of your ongoing (1) Only if the "bodily injury" or "property operations for such additional insured at damage" occurs, or the "personal and the project(s) or location(s) designated in advertising injury" offense is committed: the Schedule; (a) During the policy period; and (2) In connection with your premises owned (b) Subsequent tc "- --.-- "-- -` --` by or rented to you and shown in the written contrac Schedule; or enswEo"b'APPR Nao. and �: trs nrrwovm er rtl 1111 7"si aic-_� Form HS 24 82 07 13 R k e=" ,am iaae © 2013, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its perim6b i.) (c) Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. (2) Only to the extent permitted bylaw; and (3) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. With respect to the insurance afforded to the person(s) or organization(s) that are additional insureds under 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 the 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, designs or specifications; or (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to the additional insured shown in the schedule are described in the Limits Of Insurance section. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV — Commercial General Liability Conditions, except as otherwise amended below. B. With respect to insurance provided to the person(s) or organization(s) that are additional insureds under this endorsement, the When You Add Others As An Additional Insured To This Insurance subparagraph, under the Other Insurance Condition of Section IV — Commercial General Liability Conditions is replaced with the following: When You Add Others As An Additional Insured To This Insurance (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph (c) below. This insurance does not apply to other insurance to which the additional insured in the Schedule has been added as an additional insured. (b) Primary And Non -Contributory To Other Insurance When Required By Contract This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (i) The additional insured in the Schedule is a Named Insured under such other insurance; and (ii) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured in the Schedule. (c) Pethod 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. All other terms and conditions in the policy remain unchanged. . w��+oga"oaonaim R�6Mrri ft e� %nu �itrtaan rs�:xma"dy«.,mmaiaae Page 2 of 2 10