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HomeMy WebLinkAboutENERGY EXPERTS INTERNATIONALINSURANCE ON FILE N-2021-252-01 WORK MAY PROCEED UNTIL INSURANCE EXPIRES MAYOR Valerie Amezcua CLERK OF COUNCIL U4� MAYOR PRO TEM DA TE:nn�gJessie Lopez AN V 9 21132COUNCILMEMBERS Phil Bacena Johnathan Ryan Hernandez David Penaloza Thai Viet Phan - Benjamin Vazquez CITY OF SANTA ANA B:�WAl2� PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 (3avnrsQ�i�Vi Santa Ana, California 92702 W Wtv.santa-ana.om December 22, 2022 Energy Experts International Attn: Ken Butler, General Manager 37310 Cedar Blvd, Suite E Newark, CA 94560 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Re: Extension of Agreement # N-2021-252 for Valve and Actuator Services Dear Mr. Butler, Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Energy Experts International and the City of Santa Ana, dated December 15, 2021, the time period of the Agreement is hereby extended for an additional one-year period through December 14, 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. Sincerel , it Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA G/W 4040e Kristine Ridge City Manager APPROVED AS TO FORM Sonia R. Carvalho ATTEST a�,[tt eE r JAW Norma Orozco f'� Acting Clerk of the Council ENERGY EXPERTS INTERNATIONAL City Attome X A� ate& Brannon Salvatierra Ken Butler Deputy City Attorney General Manager SANTA ANA CITY COUNCIL Valerie A.... Jessie Lopez Thai Viet Phan Benjamin Vazquez Phi Banana Johnathan Ryan Hernandez David Penalow Mayor Mayor Pm Tem, Ward 3 Wad Wad Ward Ward Wad .eomo, mftmnla-aria Dm do ielooezfAmmia-arid am IDhanesanta-ana.om b.,hmziddsanti-ana.Dm DhaiveDalAsama-moo rvanhemandea Mimma-ana.Dm dnenaloz.onmrta-aria om ACORD 25 (2016/03) An gie-3 Digitally sign ^ __ II�Rn CERTIFICATE OF LIABILITY INSURA CE by An I�gTE(MM/DDY— THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I ((,r��ggTTIIF_�ICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALT R% O ER G'._ AFY1tldn BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE Isil!!;:ir9NSin;FRLS.1�•pUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GG�AILLLL UO LLLL IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must haV DITIOP,AI- i_Nsu__REJ7ecT5W4ffQA14orsed. 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 riohts to the certificate holder in lieu of such endorsementlsl- PRODUCER HILL INSURANCE SERVICES 14301 N 87th Street S# 115 International Twin Dolphin Dr, Ste 150 wood City, CA 94065 rnt¢DAr Ce reenerrnTe uluaoee. RSUI Indemnity Co Certain Underwriters at Kinsale Insurance Coml Houston Casualty Co Scottsdale Insurance CI 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 JZILMM TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF DD YYY) POLICY EXP (MMIODNYM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEEX] OCCUR X X EN4ML00530221 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1.000,000 DAMAGE TO RENTED $ 100,000 X MED EXP An one erson $ 5,000 C D Prof Llab CM PLC-00603-00-$2 MIL AG/CL 0100085841.3-$3 MIL XS 04/13/2022 O4113/2022 04/1312023 04/13/2023 X x/s Prof Liab CM PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X]jEo LOG GENERALAGGREGATE 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER'. A AUTOMOBILE LIABILITY COM61NEeD SINGLE LIMIT $ 1,000,000 BODILY INJURY PerPerson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTO.SpS X X EN4ML00530221 08/01/2022 08/01/2023 BODILY INJURY Peregcidenl $ X PeOr a ERTY DAMAGE $ pp ALT OS ONLY X AUTOS ON�Y A UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS41ADE EN4C000520221 08/0112022 08/01/2023 DIED I I RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYI ANY PROPRIETORIPARTNEREXECUTNE YIN OFFICER/MEMBER EXCLUDED? FN� (Mandatory in NH) If yes, descdtm under DESCRIPTION OF OPERATIONS lm w N 1 A X EN4WC00371221 08/01/2022 08/01/2023 XI PER OTH- STATUTE E.L. EACH ACCIDEM' $ 1,000,000 E.L.DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 E Cyber Liab H21NGP206843-01 03/01/2022 03/01/2023 Cyber Agg 5,000,000 B x/s Umb LHA254217 08/01/2022 08/01/2023 Xs Umb Ag 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 9 more space is required) Carrier F: EKS3420084-0310112022 to 2023-xis Cyber Umb-$5 Mil ARM. CONSULTANTS. CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED AS ADDL INSURED WITH RESPECTS TO THE GL & AUTO PER WRITTEN CONTRACT. COVERAGE IS PRIMARY NON- CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES WITH RESPECST TO THE GL, AUTO & WC. 30-DAY NOTICE OF CANCELLATION APPLIES. SANT-11 CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD 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 REvIEwED & APPRDVm BY: iig Aa 4t° Risk Management Speaalist POLICY NUMBER: EN4ML00530221 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 Or anization s : Locations Of Covered Operations Blanket where required by written contract. Blanket where required by written contract. 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", "property damage" or "personal and 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: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Risk MAMgan dDhidm REmEWED&ApmovaUBV: `if rf}11i1' A�:r A� Ruk Management Spedalisr POLICY NUMBER', EN4ML00530221 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 : Location And Description Of Completed Operations Blanket where required by written contract. Blanket where required by written contract. 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 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 dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the 'products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Risk Managanad Division REVIEWED&AppR By: A�.y:eAu+wco ® Risk ManagementSpeaAist POLICY NUMBER: EN4ML00530221 ECG 24 588 1215 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY PROVISION -YOUR ONGOING AND/OR COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART MOTOR VEHICLES POLLUTION LIABILITY COVERAGE PART Paragraph 4., Other Insurance of Conditions (Section IV) is amended by the addition of the following: If other liability insurance similar to this insurance listing as a Named Insured a person or organization that is: a. An owner of real or personal property on which you are performing operations; or b. A contractor on whose behalf you are performing operations, and this policy names those persons or organizations as additional insureds for those operations, then this insur- ance is primary to that other insurance, and that other insurance shall not contribute to amounts payable under this insurance, for liability arising out of your ongoing and/or completed operations performed for that person or organization under a written contract which requires that this insurance be primary. However, this does not apply if the written contract was not executed prior to the date that your operations for that person or organization com- menced. ECG 24 588 12 15 Copyright Everest Reinsurance Company, 2015 Includes copyrighted material of Insurance Services Office, Inc., v its permission. Page 1 of 1 0 RideMawgan dDiwlan c RLAE Aaraovm BY: c=� A+j�, Aa,44 ® Risk Management SpetlaGst POLICY NUMBER: EN4ML00530221 ECG 24 506 0615 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILTY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART MOTOR VEHICLE POLLUTION LIABILITY COVERGE PART 6ifRIA111 111 4 Name of Person or Organization: Any person or organization that is: 1. An owner of real or personal property on which you are performing operations, but only at the specific writ- ten request by that person or organization to you, and only if that request is made prior to the date your operations for that person or organization commenced; or 2. A contractor on whose behalf you are performing operations, but only at the specific written request by that person or organization to you, and only if that request is made prior to the date your operations for that person or organization commenced. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 shown in the Schedule above. ECG 24 506 06 15 Copyright, Everest Reinsurance Company, 2015 77., R1,k MvwgonedDM,mn Includes copyrighted material of Insurance Services Office, � -'eRE EweDSAPR BY: Inc., with its permission `_10tlllk_7' A,-ku A,.,ud- Risk Management speciAut WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any party with whom the insured agrees to waive subrogation in a written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 08/01/2022 Insured Energy Experts International Insurance Company Everest Premier Insurance Company WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance. Policy No.E N4WC00371221 Countersigned Endorsement No. Premium Ri&MimaganadDhvlan REIAe &APPRovEe By. Aju Aawde �'. ® Risk Managemen[Specialist NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Energy Experts International Name: Project N-2021-252-01 Number: Project Extension of Agreement #N-2021-252 for Value and Actuator Name: 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 COI TYPE OF INSURANCE FILE NAME NUMBER DATE DATE ENERG 2324 PCKG AUTOMOBILE LIABILITY EN1ML00062231 08/01/2024 08/01/2023 CERT_SANTA_ANA.pdf ENERG 2324 PCKG GENERAL LIABILITY EN1ML00062231 08/01/2024 08/14/2023 CERT_SANTA_ANA REV.pdf WORKERS ENERG 2324 PCKG COMPENSATION AND EN1WC00026231 08/01/2024 08/01/2023 CERT_SANTA_ANA.pdf EMPLOYERS' LIABILITY ENERG-2324 EO X/S PROF LIAB 01000858414 04/13/2024 04/14/2023 CERT_SANTA_ANA.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/16/2023 12:37 PM