HomeMy WebLinkAboutNV5, INCINSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CITY CLERK
MAYOR DATE:
Valerie Amezwa
MAYOR PRO TEM
Jessie Lopez
COUNCILMEMBERS
Phil Baceva
Johnathan Ryan Hernandez
David Penaloza
Thai Viet Phan
Benjamin Vazquez
D Phi a)
�01ae34 povll✓c) y�
MAY 2 2 2023
CITY OF SANTA ANA
NV5, Inc.
Attn: Charlie McKinley, Director
163 Technology Dr., Ste. 100
Irvine, CA 92618
PUBLIC WORKS AGENCY
20 Civic Center Plaza b P.O. Box 1988
Santa Ana. California 92702
W W W.santa-ana.ora
March 23, 2023
A-2020-075-05A
Re: Extension of Agreement (A-2020-0754)51 to Provide On -Call Water Resources
Engineering Services
Dear Mr. McKinley:
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Pursuant to Section 3 ("Term") of the above -referenced Agreement, as amended, entered into by NV5,
Inc., and the City of Santa Ana, dated April 21, 2020, the time period of the Agreement is hereby
extended for an additional two-year period, from April 22, 2023 through April 21, 2025. 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,
Nabil Saba, P.E.
Executive Director, Public Works Agency
CITY OF SANTA ANA
Kristine Ridge
City Manager
APPROVED AS TO FORM
Jose Montoya
Assistant City Attorney
ATTEST
� N _dL �*
ennifer L. Hal
City Clerk
NV5, IN/,C.
N
lv
Jeffrey . Coop , PE
Directhr of Infrastructure
SANTA ANA CITY COUNCIL
V.*. A.... Je"ie 1.{ , TMi Vwl Pban denpmn Vazawz %I aacerta Ja .ftn Ryan H .m Ne N.bu
M.,. Mayor Pzd T. Ward3 WardI WIXd2 Wa i. W d5 Wmdd
y+O"mvaN wo Ip]eCbMi®]aNa.8l wa n®]aN-Ni ON WaS..ZpEanN-a . by[alla®]elY-eN IXo (q(21VpPMk20aY1Y-aN.pp d .Ima®]a1N. wm
ligi
ally
Samantha M. Samanthasigned.Lam
Samantha M. Lambert
n.,e. ama nc n ».ar m
-07'00'-__-
ACORV CERTIFICATE OF
DATE IMM DDAYYY
LIABILITY IksUMCE 5/1/2023
4/29/2022
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 certificatedoes not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER Lockton Companies
3280 Peachtree Road NE, Suite #250
Atlanta GA 30305
(404)460-3600
CONTACT
PHONE FAX
INC. NoEad. H'
AIO '
Ea L
"D
INSURERS AFFORDING COVERAGE
NAIC9
INSUR A: The Continental Insurance Company
35289
INSURED NV 5, Inc.
1491108 163 Technology Drive
IBsumpt B: National Fire Insurance Co of Hartford
20478
INsustERc:Trans ortation Insurance Company
20494
NsunR D: National Fire and Marine Insurance Co
20079
Suite 100
Irvine CA 92618
INSURER E
INSURER F
COVERAGES Irvine CERTIFICATE NUMBER: 17540928 REVISION NUMBER: XXXXXXX
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.
INTSR
R
TYPE OF INSURANCE
ADOL
BUBB
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERC W, GENERAL LIABILITY
CLAIMS -MADE O OCCUR
Contractual Liab
Y
N
7014856125
5l 1 /2022
5,12023
EACH OCCURRENCE
S 1,000,000
DAMAGE TO RENTED
5 1,000,000
X
MFD EXP (An nne )
S 15,000
X1
Cross Lib Incl
PERSONAL S ADV INJURY
S 1,000,000
GENt
AGGREGATE LIMIT APPLIES PER
POLICY O JEa F LOC
OTHER
GENERAL AGGREGATE
S 2000000
PRODUCTS - COMPIOP AGO
$ 2,000,000
$
H
AUTOMOBILEOABILRY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY �, AUTOS
HIRED NON -OWNED
_ AUTOS ONLY AUTOS ONLY
Y
N
7014842659
5/12022
5/1/2023
COMBINED SINGLE UNI
S ] 000000
BODILY INJURY (Per pemon)
S j XY_3()()(j(
BODILY INJURY(Per&.*dent)
S XXXXXXX
PROPER DAMAGE
S XXXXXXX
S XXJQC=
A
UMBRELLA LAB X OCCUR
EXCESS LAB CLAIMS -MADE
N
N
7014841883
5A2022
51/2023
EACH OCCURRENCE
S 20ON000
AGGREGATE
S 20 000 000
DEE)
I X I RETENTIONS SO
S
B
C
WORNENS COMPENSATION
AN1UUERS COMPENSATION
ANY PROPRIETORIPARTNERElECUTNE Y/N
OFFICERrMEMBER EXCLUDED& FN
(Mandatory In NH)
li pes. Eesa0 under
DESCRIPTION Of OPERATIONS below
NIA
N
70148428244((ADS)
7014842810(CA)
5i1/2022
5/1/2022
5.!1/2023
5/1/2023
PER OTH-
X
E.L EACH ACCIDENT
4 1,000,000
E.L. DISEASE - EA EMPLOYEE
S ] 000 000
ELDISEASE -POLICY LIMIT
S
D
A
A
Pro6Poll Liab
Bus Per Prop
Leased/Rented Equip
N
N
42-EPP-32132MI
7014856125
7014900785
5212022
51[2022
5/1/2022
51:2023
5: 1,2023
51,2023
Ea. Claim/Agg.$I ONUS20M
Limit$18,016.286
Limit$100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addalonal Remark. Schedule, may ba aaached If more space is r"ulred)
17540928
City of Santa Ana
Risk Management Division
20 Civic Center Plaza,
4th Floor Santa Ana CA 92701_
SHOULD ANY OF THE ABOVE DESCRIBED
THE EXPIRATION DATE THEREOF, N
ACCORDANCE WITH THE POLICY PROVISI
AUTHORIZED
n
' U $Aw.awifA 1w.�a.7
All riahts reserved
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD