HomeMy WebLinkAboutT.R. HOLLIMAN AND ASSOCIATES, INC. (2)INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CITY CLERK
DATE:
A-2023-152
f WA (2) SECOND AMENDMENT TO AGREEMENT WITH T.R. HOLLIMAN & ASSOCIATES
FOR PREPARATION OF RECYCLED WATER MASTER PLAN
N
THIS SECOND AMENDMENT TO AGREEMENT is entered into on this 15th day of August 2023,
oby and between T.R. Holliman and Associates, Inc. ("Consultant'), and the City of Santa Ana, a
i— charter city and municipal corporation duly organized and existing under the Constitution and laws
v of the State of California ("City"). Consultant and City are also referred to herein as "Parties" or
individually as a "Party."
RECITALS
A. The parties entered into Agreement No. A-2018-029, dated February 20, 2018, by which
Consultant agreed to prepare a Recycled Water Master Plan for the Water Resources
Division of the Public Works Agency ("Agreement").
B. The parties entered into a First Amendment to the Agreement (A-2021-008) on January 19,
2021, to expand the scope of work, increase the overall compensation, and extend the term of
the Agreement until February 19, 2023.
C. On January 19, 2023, the parties extended the term of the Agreement for an additional six (6)
months until August 19, 2023, to allow Consultant to complete work related to the Agreement,
as amended. The Agreement is current and in -effect.
D. The parties desire to further amend the Agreement to extend the term of the agreement for
a fmal one (1) year period. This Second Amendment contemplates no other revisions to
the terms and conditions of the Agreement.
THE PARTIES THEREFORE AGREE:
Section 3, TERM, shall be amended to extend the term of the Agreement until August 18,
2024.
2. Except as hereinabove modified, the terms and conditions of said Agreement, as amended,
remain unchanged and in full force and effect.
[signature page to follow]
Page 1 of 2
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the
Agreement the date and year first above written.
ATTEST:
APPROVED AS TO FORM:
Sonia R. Carvalho, City Attorney
n�lvatierra
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
Nabil Saba, PE
Executive Director
Public Works Agency
CITY OF SANTA ANA
Kristine Ridge
City Manager
T.R. HOLLIMAN & ASSOCIATES, INC.
By: Thomas R. Holliman, PE
Title: President/Managing Engineer
Page 2 of 2
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ACOR" CERTIFICATE OF LIABILITY INSURANCE OATE(MMIODIYVYY)
10..✓ 01/04/2023
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LDER. 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
Hiscox Inc. dlblal Hiscox Insurance Agency in CA
5 Concourse Parkway
Suite 2150
CONTACT
NANI
PHONE (ggg) 202-3007 FAX
allE-MAIL Ea No
ADDRESS: contact@hiscox.com
INSURERS AFFORDING COVERAGE
NAIL q
Atlanta GA, 30328
INSURERA: Hiscox Insurance Company Inc
10200
INSURED
T.R. HollCitrus S and Associates, Inc.
3543 Citrus Street
INSURER B
INSURER C
INSURER D:
Highland, CA 92346
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: apvlstnM Nulhaaco.
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
I TYPE OF INSURANCE
ADDL
BUSH
POLICYNUMBER
POLICY EFF
MM/DDM'VY
POLICY EXP
MMIDDIYYYYI
LIMITS
COMMERCIALGENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
D AGETO
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL &ADV INJURY
$
AGGREGATE LIMIT APPLIES PER:
RO-
POLICY JPECT LOC
GENERAL AGGREGATE
$
GEN'L
PRODUCTS. AGO
$
$
OTHER:
AUTOMOBILE LIABILITY
SINGLE LIMIT
t
$
ANYAUTO
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$
ALL OWNED SCHEDULED
'AUTOS AUTOS
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WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOWPARTNEWEXECUTIVE
OFFICERIMEMSEREXCLUDED?
NIA
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
under
Ryes, describeOF
E.L. DISEASE -POLICY LIMIT
$
below DESCRIPTIONIPTION
O
A
Professional Liability
Y
P100.107.967.9
02/18/2023
02/18/2024
Each Clalm:$2,000,000
Aggregate: $ 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are Additional Insureds per endorsement MUS010120127, and 8610.
City of Santa Ana, Risk Management Division, 4th Floor
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 '
988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
ACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
09/01 /2023
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(les) 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
CONTACT Julie Rybak
NAME:
Kellogg & Moreland Agency, Inc. DBA
PHONE (909) 792-8960 F (909) 792-2030
AIC No Ex AIC, No
Arroyo Insurance Services
E' fuller arr0 olns.com
aoDREss: e° y
1654 Plum Lane
INSURER(S) AFFORDING COVERAGE
NAIC If
Redlands CA 92374-4532
INSURERA: Mesa Underwriters Specialty
INSURED
INSURER e: United Financial Casualty Cc
11770
TR Holliman Associates Inc
INSURER o: Employers Preferred Insurance Company
10346
3543 Citrus Avenue
INSURER D :
INSURER E:
Highland CA 92346
INSURER F:
COVERAGES CERTIFICATE NUMBER: CLZ381Ua3U7 RFVISION NIIMRFP-
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
AIJUL
INSD
SEEK
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EAP
MWDDNYYV
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
OCCURRENCE
$ 1,000,000
ISES Ea occurrence
$ 100,000
%P (Any one person)
$ 5,000
PERSONAL INJURY
$ 1,000,000
A
Y
Y
MP0004018007552
11/17/2022
11/17/2023
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRo-
JECT LOG
ALAGGREGATE
$ 2,000,000
R-COMPIOPAGG
CTS-COMP/OP AGG
Included
$OTHER:
$
AUTOMOBILE
LIABILITY
INED SINGLE LIMIT
identANYAUTO
$ 1,000,000
YINJURY(Per person)
$
B
OWNED SCHEDULED
AUTOS ONLY X AUTOS
Y
Y
04196679-5
10/10/2022
10/10/2023
Y INJURY Per accident
( )XHIRED
$
NON -OWNED
AUTOS ONLY X AUTOS ONLY
RTY DAMAGE
cidenlured
$
motorist Bl
$ 100,000
UMBRELLA LIAB
OCCUR
EACHOCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED
I I RETENTION $
$
G
WORKERS COMPENSATION
ANDEMPLOYER&LIABILITY
ANY PROPRIETOREARTNER/EXECUTIVE —
OFFICERIMEMBER EXCLUDED? FYI
(Mandatory In NH)
Tyes, describe under
DESCRIPTION OF OPERATIONS below
N/A
EIG 506795"l
08/15/2023
08/15/2024
I PER OTH-
STATUTE ER
E.L. EACHACCIDENT
$ 1,000,000
E.L.DISEASE-EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Santa Ana, Its Officers, Employees, Agents, and Representatives are Additional Insureds with respect to General Liability as per written contract,
insurance Is primary and non-contributory per attached endorsement #MUS0101201270316, 30 days cancellation notice applies.
City of Santa Ana
Risk Management Division, 4th
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
rnIPPEIPATrnN All rl-h+.. —A
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor
TR Holliman Associates Inc
Name:
Project
A-2023-152
Number:
Project Second Amendment To Agreement With T.R. Holliman &
Name: Associates For Preparation Of Recycled Water Master Plan
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:
EXPIRATION COI
TYPE OF INSURANCE POLICY NUMBER FILE NAME
DATE DATE
COI for
CityofSA TRHA
AUTOMOBILE LIABILITY 04196629 10/10/2024 11/30/2023 GL_Auto_WC
2023-24 issued
11.30.2023.pdf
COI for
CityofSA TRHA
GENERAL LIABILITY 9P000401800755206 11/17/2024 11/30/2023 GL_Auto_WC
2023-24 issued
11.30.2023.pdf
CityofSantaAna
TRHolliman
PROFESSIONAL LIABILITY P1001079679 02/18/2024 01/04/2023 Proff Liab
2_18_2023 thru
2_18_2024.PDF
COI for
CityofSA TRHA
WORKERS COMPENSATION AND
ETC506795801 08/15/2024 11/30/2023 GL_Auto_WC
EMPLOYERS' LIABILITY
2023-24 issued
11.30.2023.pdf