The URL can be used to link to this page

Home My WebLink AboutW.A. RASIC CONSTRUCTION COMPANY, INC. (3)A-2021-132-01 A MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Became Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez INSURANCE ON FILE WORK, MAY PROCEED UNTIL INSURANCE EXPIRES S111ao.1� CITY CLERK JULa g ,M4 DATE: C CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaze • P.O. Box 1988 Santa Ana, California 92702 wwW.santaana orn June 13,2024 W.A. Rasic Construction Company, Inc. 4150 Long Beach Blvd Long Beach, CA 90807 Attn: Shane Sato, Division Manager ACTING CITY MANAGER Alvaro Nuflez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Re: Extension of Agreement (A-2021-132-01) for Sewer System Repair Services Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by W.A. Rasic Construction Company, Inc., and the City of Santa Ana, dated July 20, 2021, the time period of the Agreement is hereby extended for an additional two-year period, from July 20, 2024 through July 19, 2026. 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. Sincerely, Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Alvaro Nunez Acting City Manager APPROVED AS TO FORM ATTEST ae , 'r Jentlifer L. I ,> Ci W.A. RASIC CONSTRUCTION COMPANY, INC. KyK i ellesen Peter L. Rasic J97.7srrw2- -2o2c/ Assistant City Attorney President /Q0:!r_ _90 2/ — 2 9- SANTA ANA CITY COUNCIL Valerie Pmeawa TM1al VIel Phan Benlamla Vazquez J... ie L.,o, Phil aarena Jopm6t. Byan lbnlaMna Oarid Penelme Mayor Mayer Pra Tom. Ward 1 Ward Word Ward Wam5 Ward6 YeRioitlr�sPnle.am am IeMn®aal la.aro om DXMI AMaaauJ y_aS,101noM@vnN aworo Rmayuy .a .amoa yyanharnxnJeaAienoaru ua dmnabugPpWnlrvnna CERTIFICATE OF LIABILITY INSURANCE 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. the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not certificate holder in lieu of such endorsementlsL Commercial Associate nsurance • Batavia 1599 N. Bata9tre n a i e Orange, CA via INSURED W.A. Rasic ConstruAceve o., Inc. 4150 Long Heath Blvd Long Beach, CA 908 r1D: r tea. %�. 4aaaV 4f_ a . V I . THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDL INS. SUBR M. POLICY NUMBER POLICYEFF MMIDD POLICY EXP MMIDO""P LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 2,000,000 OAfMGETO RE TIED PREMISES Ea occunence S 300,000 A CIAIMS-MADE � OCCUR MED EXP (Any ale person) $ 10,000 X OT22-03-867=47-TCT-24 5/1/2024 5/1/2025 PERSONAL S ADV INJURY $ 2,000,000 LIMITAPPUES PER: GENERALAGGREGATE S 4,000,000 GEN'LAGGREGATE PRODUCTS -COMPIOPAGG $ 4,000,000 POLICY JEST LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED BINDLE LIMIT aacall$ ltl 2,000,000 X BODILY INJURY (Per person) $ A ANYAUTO AUTOSCHEDULED BODILYINJURY(Paraccldenl) S AUTOSS UTOS, A DT-B1O-667OX247-TCT-24 5/1/2024 5/1/2025 HIREDAUTOS NON-0WNEO ADD" PROPERtt DAMAGE PereCcIdecal$ S UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DEB I I RETENTIONS $ WORKERS COMPENSATION pER OTM, AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT It ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L.DISEASE-EAEMPLOYEE $ (ManIfys. Itoryln NH) Ifyes,atoa, InH) EL DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONSWI. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES, (ACORD 101, Additional Remarks Schedule, maybe aHached I, more.pace la required) Re: Operations usual to the named insured - RFP No. 21-036 The City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as additional insured including primary wording where required by written contract as respects general liability per attached CGD604 2/19 6 CGT100 2/19. 30 days notice of cancellation except 10 days for non-payment. UAPI .CLEW IVN City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2014/01) The ACORD name and logo are INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Rick Mrmagemm�t Diuiei0n �REVIEWED&APPROVEDBY l 111111L' A+.kc6 Adw4�fD ® Risk Management Specialist ACoizoCERTIFICATE OF LIABILITY INSURANCE DATE4/2029 6/14/2024® 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(% AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION I5 WAIVED, subjectto 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 Commercial Associates Insurance 1594 N. Batavia Street Orange, CA 92867 NTACT NAME: PHOCo C o [ qlc, No: .J..,-u+o NE (7MAFFORMNG�GE EMAIL ADDRESS: NAIL N INSURERA:TraAmerica 25674 INSURED INSURERS: W.A. Raeic ConstrOction CO., Inc. INSURERC: 4150 Long Beach Blvd. INSURERD: Long Beach, CA 90807 INSURER E: INSURER F: RPVI.SION NUMBER: COVERAGES CInKIm16Aln INUIVIscn: --- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. ADOL MeR POLICYEFF POLICY EXP LIMITS INSR TYpEOFINSURANCE mm wk POUCYNUMBE11 yuseemYYYY MMIDd1' Y LT0. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 8 CLAIMS -MADE ❑OCCUR PREMISES Ea bccurtence S MED EXP (Any one perami) $ PERSONAL 4ADV INJURY S GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PR, O LOG JECTa PRODUCTS-COMPIOP AGG b OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT e Ea cM,wel S BODILY INJURY (Par pereoN S ANYAUTO ALL OWNED SCHEDULED AUTO6 NON�OWMEO BODILY INJURY (Per acdden0 S PROPERTY DAMAGE accManlS y AUTOSP tHIREDAWOS LA LIAu AS OCCUR CLAIMS-MADEAGGREGATE EACH OCCURRENCE S S RETENTIONS WORKERS COMPENSATION X p TU E E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY YIN A ANY PROPRIETORIPARTNEWEXECUTNE OFFICERIMEMBER EXCLUDED) N (Mendatmyin NH) 11 yes, describe Under DESCRIPTION OF OPERATIONS below NIA Ua-0K52e795-T4-25-G 7/1/2024 7/1/2025 EL DISEASE -EA EMPLOYEE S 1.000 000 EL DISEASE-FOUCY LIMIT S 1 000 010 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10t, Additional Remarks Schedule, maybe attached It mare Space b mquired) Re: Operations usual to the named insured - REP No. 21-036 30 days notice of cancellation except 10 days for non-payment. ,.Aura I ATInld City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVI REVIEWED 6 APPRown By: A-ft Aaiwda Risk Management SpeOMISt ACORD 25 (2014101) The ACORD name and logo are INS025 podac0 POLICY NUMBER: DT22- CO- 8670x247-TCT-24 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II —WHO IS AN INSURED: Any person or organization that: a. You agree in a written contract or agreement to include as an additional insured on this Coverage Part; and b. Has not been added as an additional insured for the same project by attachment of an endorse- ment under this Coverage Part which includes such person or organization in the endorsement's schedule; is an insured, but: a. Only with respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. Only as described in Paragraph (1), (2) or (3) be- low, whichever applies: (1) If the written contract or agreement specifical- ly requires you to provide additional insured coverage to that person or organization by the use of: (a) The Additional Insured — Owners, Les- sees or Contractors — (Form B) endorse- ment CG 20 1011 85; or (b) Either or both of the following: the Addi- tional Insured — Owners, Lessees or Con- tractors — Scheduled Person Or Organi- zation endorsement CG 20 10 10 01, or the Additional Insured —Owners, Lessees or Contractors — Completed Operations endorsement CG 20 3710 01; the person or organization is an additional in- sured only if the injury or damage arises out of "your work" to which the written contract or agreement applies; (2) If the written contract or agreement specifical- ly requires you to provide additional insured coverage to that person or organization by the use of: (a) The Additional Insured — Owners, Les- sees or Contractors — Scheduled Person or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13, the Additional Insured — Owners, Lessees or Contrac- tors — Completed Operations endorse- ment CG 20 37 07 04 or CG 20 37 04 13, or both of such endorsements with either of those edition dates; or (b) Either or both of the following: the Addi- tional Insured — Owners, Lessees or Con- tractors — Scheduled Person Or Organi- zation endorsement CG 20 10, or the Ad- ditional Insured — Owners, Lessees or Contractors — Completed Operations en- dorsement CG 20 37, without an edition date of such endorsement specified; the person or organization is an additional in- sured only if the injury or damage is caused, in whole or in part, by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies; or (3) If neither Paragraph (1) nor (2) above applies: (a) The person or organization is an addi- tional insured only if, and to the extent that, the injury or damage is caused by acts or omissions of you or your subcon- tractor in the performance of "your work" to which the written contract or agree- ment applies; and (b) Such person or organization does not qualify as an additional insured with re- spect to the independent acts or omis- sions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agree- ment, the insurance provided to the additional in- sured will be limited to s ^� limits. For the purposes i CG D6 04 02 19 0 2017 The Travelers Indemnity Company. All rights reserved. •' SY.' aEVIEwEoAPPROVM �- A4 fe Auvalo ® Risk Managemen[spedali5t COMMERCIAL GENERAL LIABILITY this limitation applies, the minimum limits required by the written contract or agreement will be con- sidered to include the minimum limits of any Um- brella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Oflnsurance. b. The insurance provided to such additional insured does not apply to: (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional archi- tectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" un- less the written contract or agreement specifi- cally requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the fol- lowing duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. (2) If a claim is made or "suit" is brought against the additional insured: (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal pa- pers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insur- ance which would cover such additional in- sured for a loss we cover. However, this con- dition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organiza- tion as a named insured as described in Par- agraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 0 2017 The Travelers Indemnity Company. All rlghts reserved. or _ 3 ,wall Ft�fl ®' RiAManagement:Divisian REVIEWED&APPRW108V: Risk Management Spenallst COMMERCIAL GENERAL LIABILITY POLICY NUMBER: DT22-CO-8670X247-TCT-24 c. Method Of Sharing a. The statements in the Declarations are If all of the other insurance permits contribution accurate and complete; by equal shares, we will follow this method also. b. Those statements are based upon Under this approach each insurer contributes representations you made to us; and equal amounts until it has paid its applicable c. We have issued this policy in reliance upon limit of insurance or none of the loss remains, your representations. whichever comes first. The unintentional omission of, or unintentional error If any of the other insurance does not permit in, any information provided by you which we relied contribution by equal shares, we will contribute upon in issuing this policy will not prejudice your by limits. Under this method, each insurer's rights under this insurance. However, this provision share is based on the ratio of its applicable limit does not affect our right to collect additional of insurance to the total applicable limits of premium or to exercise our rights of cancellation or insurance of all insurers. nonrenewal in accordance with applicable insurance OPrimary And Non -Contributory Insurance If laws or regulations. Required By Written Contract 7. Separation Of Insureds If you specifically agree in a written contract or Except with respect to the Limits of Insurance, and agreement that the insurance afforded to an any rights or duties specifically assigned in this insured under this Coverage Part must apply on Coverage Part to the first Named Insured, this a primary basis, or a primary and non- insurance applies: contributory basis, this insurance is primary to other insurance that is available to such insured a. As if each Named Insured were the only y which covers such insured as a named insured, Named Insured; and and we will not share with that other insurance, b. Separately to each insured against whom claim provided that: is made or "suit" is brought. (1) The "bodily injury" or "property damage" for 8• Transfer Of Rights Of Recovery Against Others which coverage is sought occurs; and To Us (2) The "personal and advertising injury' for If the insured has rights to recover all or part of any which coverage is sought is caused by an payment we have made under this Coverage Part, offense that is committed; those rights are transferred to us. The insured must subsequent to the signing of that contract or do nothing after loss to impair them. At our request, agreement by you. the insured will bring "suit" or transfer those rights to us and help us enforce them. 5. Premium Audit 9. When We Do Not Renew a. We will compute all premiums for this Coverage If we decide not to renew this Coverage Part, we will Partin accordance with our rules and rates. mail or deliver to the first Named Insured shown in b. Premium shown in this Coverage Part as the Declarations written notice of the nonrenewal advance premium is a deposit premium only. At not less than 30 days before the expiration date. the close of each audit period we will compute the earned premium for that period and send If notice is mailed, proof of mailing will be sufficient notice to the first Named Insured. The due date proof of notice. for audit and retrospective premiums is the date SECTION V — DEFINITIONS shown as the due date on the bill. If the sum of 1. "Advertisement" means a notice that is broadcast or the advance and audit premiums paid for the published to the general public or specific market policy period is greater than the earned segments about your goods, products or services premium, we will return the excess to the first for the purpose of attracting customers or Named Insured. supporters. Forthe purposes of this definition: c. The first Named Insured must keep records of a. Notices that are published include material the information we need for premium placed on the Internet or on similar electronic computation, and send us copies at such times means of communication; and as we may request. It. Regarding websites, only that part of a website 6. Representations that is about your goods, products or services By accepting this policy, you agree: for the purposes of c supporters is considere RIAMwagemerdDivision o' ..' \., riEVIE &APPROMMBY.- Page 16 of 21 ® 2017 The Travelers Indemnity Company. All rights resewed. Risk Mans ement S e 9 n damt Includes copyrighted material of Insurance services Office, Inc. with its permission