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HomeMy WebLinkAboutGENERAL PUMP COMPANY, INC. (2) A-2021-161-01 A MAYOR ot, • ', CITY MANAGER Valerie Amezcua li ... 11r y. r Alvaro Nufez MAYOR PRO TEM - ..A,.;;.,;,, d CITY ATTORNEY Thai Viet Phan - ,< Sonia R.Carvalho COUNCILMEMBERS • 1 i `: . CITY CLERK Phil Bacerra ,1: ga• ° • Jennifer L.Hall Johnathan Ryan Hernandez ,,,,.T �, Jessie Lopez c t i 1, David Penaloza Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE WORK MAY PROCEED PUBLIC WORKS AGENCY UNTIL INSURANCE EXPIRES 20 Civic Center Plaza•P.O.Box 1988 r18 4 I I5 - Santa Ana,California 92702 CITY CLERKwww,santa-ana.ora DATE: OCT 14 242b August 26,2024 General Pump Company,Inc. ,. 0:()Wi'1(7) 159 N. Acacia Street 4ltidi Cho A(KF>San Dimas,CA 91773 Attn: Tim Oman,President Re: Extension of Agreement(A-2021.-1.61-01)for on-call water well,pump,and motor rehabilitation and repair Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by General Pump Company,Inc.,and the City of Santa Ana,dated August 17,2021 the time period of the Agreement is hereby extended for an additional two-year period, from August 17,2024 through August 16, 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, A = G lot, Nabil Saba,P . Executive Director,Public Works Agency CITY OF SANTA ANA ATTEST /L „...771� :4--.: 1#(41. A varo Nunez ennifer Hall City Manager -• • " APPROVED AS TO FORM GENERAL PUMP COMPANY,INC. t Jonathan T.Martinez Tim Oman Assistant City Attorney President SANTA ANA CITY COUNCIL Vatede Amezcua Thai Vial Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem,Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 5 vimV2 44santi-ann drq lrnnfIIisanMana as pvpzquezolsanla•anaers7 jessfetooezc6l,nnta•onn.erg ribacC a Santa-ana en, leanhvmandexBrsod zrnapn, dpeneIos 5:ylmana.orp �....41 GENEPUM-01 AGAGNON A�ORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 9/5/2024 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(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 CONTACT Amanda Gagnon Smith Brothers Insurance,LLC PHONE 1 FAX 68 National Drive (A/C,No,Ext):(36I wi 1 � {(,VG fNr�n ry j Glastonbury,CT 06033 • E-MAILD :aga gn���- Ptttlicbtf��rlIs�a`b A a i e Aceve SING COVERAGE NAIC# A:_IIP�•7z ;' Insurance Company20508 INSURED INSURER r.;Ameri a ity20l t1A4. d PO94". :2842O/1001 General Pump Company,Inc. IN Su tF t c:Continental Insurance Company(the) 35289 159 North Acacia Street INSURER D:National Fire Insurance Company Of Hartford 20478 San Dimas,CA 91773 INSURER E:Nautilus Insurance Co. 17370 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 BYPAID CLAIMS. INSR LTR JNSD SUBR1 POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY JMM/DDIYI'YYV IMMIDDlYWYL EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X 7039961462 8/31/2024 8/31/2025 PREMISES(Es occurs nce) $ 100,000 MED EXP(Any one person) $ 5,000 P ERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APP LIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X ma LOC PRODUCTS.COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANYAUrO 7039961476 8/31/2024 8/31/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident)_ $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000 EXCESS LIAB CLAIMS-MADE 7039961509 8/31/2024 8/31/2025 AGGREGATE $ 9,000,000 DED X RETENTION$ 10,000 $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y!N 7039961512 8/3112024 8/31l2025 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE v NIA ,000,000 FFICER/MEMBER EXCLUDED? E.L.. EACH ACCIDENT $ Mandatory In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,des cnbe under E.L.DISEASE LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below E Pollution/E&O CCP2044602-10 8/31/2024 8/31/2025 Liability 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,and representatives are included as Additional Insured as respects General Liability and Auto Liability as per policy forms;coverage is primary and non-contributory;Waiver of Subrogation applies with respects to General Liability,Auto Liability and Workers' Compensation as per policy forms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City oraS nta Ana Risk Management Division THE--EXPIRATION—DATE THEREO\ -- ' - ACCORDANCE WITH THE POLICY PRC Risk Mat)agententDitiislnn 4th Floor oew -- 20 Civic Center Plaza R z EVIEWED&APPROVED BY: - Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE af,i . `_ie Arty o J Risk Management Specialist IC— /.. - - - _ . _ __ ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA Business Auto Policy Poilicy Endorsement C. Fellow Employee Section II, Paragraph B.5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. II. PHYSICAL DAMAGE COVERAGE A. Glass Breakage - Hitting A Bird Or Animal - Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600. C. Loss of Use Expenses Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600. D. Hired "Autos" The following is added to Section III. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered auto you lease, hire, rent or borrow without a driver; and b. Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to loss caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos. e. Such physical damage coverage for hired autos will: (1) Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern. (2) Such coverage as is provided by this provision will be subject to a limit of $750 per accident. E. Airbag Coverage The following is added to Section III, Paragraph B.3.: I he accidental-discharge of an airbag shall not be considered mechanical bre\ Risk D ivisten Form No: CNA63359XX (04-2012) °� RaVlk n&APPROYEDBY: Endorsement Effective Date: Endorsement Expiration Date: \‘ • '' A tv4o ; Endorsement No: 21; Page: 2 of 4 Risk Management Specialist Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, • Chicago, IL 60606 / ®Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. CNA Business Auto Policy Policy Endorsement (4) Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an accident or loss. C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph B.5.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to Accident or Loss. E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. paragraph C. is deleted and replaced by the following: Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. Risk ManagematEDiviston Form No: CNA63359XX (04-2012) REVIEWED&APPR4VFDSY Endorsement Effective Date: Endorsement Expiration Date: ,�tiliiErtl �a./�.t pctvtota Endorsement No: 21; Page:4 of 4 Risk Management Specialist Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606 Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement IV. But if the written contract requires additional insured coverage to the greatest extent permissible by law,then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of your work that is subject to such written contract. V. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. 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 or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities;or B. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. VI. Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this Coverage Part: Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. Primary and non-contributing with other insurance available to the additional insured;or 2. Primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VII. Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. Give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. Send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim;and 3. Make available any other insurance, and endeavor to tender the defense and indemnity of any claim to any other insurer or self-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory,this paragraph 3. does not apply to other insurance under which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. p o� Risk Managtmtent'Dhiston 3+' r REVIEWED&APPRovED By: CNA75079XX(3-22) Pi aI Page 2 of 3 Endorser Arc Acevedo VALLEY FORGE INSURANCE COMPANY Effecti Risk Management Specialist Insured Name: SYLMAR UTILITY SERVICES, LLC Copyright CNA All Rights Reserved. GENEPUM-01AGAGNON DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/8/2025 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). CONTACT Amanda Gagnon PRODUCER NAME: PHONEFAX Smith Brothers Insurance, LLC (860) 430-3371 (A/C, No, Ext):(A/C, No): 68 National Drive E-MAIL agagnon@smithbrothersusa.com Glastonbury, CT 06033 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # Valley Forge Insurance Company20508 INSURER A : American Casualty Company Of Reading, Pennsylvania INSURED 20427 INSURER B : Continental Insurance Company (the)35289 INSURER C : General Pump Company, Inc. 159 North Acacia Street Axis Surplus Insurance Company26620 INSURER D : San Dimas, CA 91773 INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER: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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 100,000 CLAIMS-MADEOCCUR X 70399614628/31/20258/31/2026 $ PREMISES (Ea occurrence) XX 15,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 XX POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY $ (Ea accident) X ANY AUTO 70399614768/31/20258/31/2026 BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED XX (Per accident)$ AUTOS ONLYAUTOS ONLY $ 9,000,000 C XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ 70399615098/31/20258/31/2026 9,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ 10,000 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION A X STATUTEER AND EMPLOYERS' LIABILITY Y / N 70399615128/31/20258/31/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A Y OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Pollution / E&OCP007173-01-20258/31/20258/31/2026 Aggregate2,000,000 D 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, and representatives are included as Additional Insured as respects General Liability and Auto Liability as per policy forms; coverage is primary and non-contributory; Waiver of Subrogation applies with respects to General Liability, Auto Liability and Workers' Compensation as per policy forms. Ejhjubmmz!tjhofe!cz! Uv!Usbo! Uv!Usbo!Ohvzfo! Ebuf;!3136/1:/1:! 19;26;32!.18(11( Ohvzfo CzUvUsboOhvzfobu9;24bn-Tfq1:-3136 CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Heidi Chou 215 S. Center St., M-85 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. 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