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HomeMy WebLinkAboutSUNNY HILLS ASSOCIATES, INC. (2)INSURANCE ON FILE WORK 6SAY PROCEED INITIL INSURANCE EXPIRES A y . 4-_ CITY CLERK A-2024-174 DATE: OCT 2 9 2024 FIRST AMENDNIENT TO AGREEMENT WITH SUNNY HILLS ASSOCIATES, INc., DDA SUNNI' HILLS RESTORATION TO PROVIDE PROERTY RESTORATION SERVICES [HIS FIRST AMENDMENT to the above -referenced agreement is entered into on October I. 2024, D Hula) by and between Sunm Hills Associates, Inc., a California corporation dba Sunny Hills Restoration f3rCannN It4rtch (K) ("Contractor"). and the City of Santa Ana. a charter crband municipal corporation organized and existing under the Constitution and laws of the State of-(: alifornia ("City%'). A. The parties entered into Agreement No. N-20_2-177 ("Agreement') dated April I. 2022. to provide property restoration services. B. The Agreement is in full force and ellect through March 31. 2026. C. The parties rum %%ish to amend the ,Agreement to increase the total not -to exceed amount to the compensation ofthe Agreement. No other changes are contemplated by this Amendment. The Parties therefore agree: I. Section 2a, Compensation. is hereby amended to increase the total compensation by S516000. The total not -to -exceed amount for this Agreement shall not exceed $100.000. 2. Except as modified by this First Amendment, all terns and conditions of the Agreemem shall remain in full force and effect. IN WITNESS WIIEREOF_ the parties hereto Ime executed this first Amendment to the Agreement on the dale and year first written above. Jennifer all APPROVED AS TO FORM SONIA R. C ARVALHO City Attorney Bv: BrandO Sah atierra Deputy City Attorney RECOMMENDED FOR APPROVAL k� 1_L Schnaicer Executive Director, Fluman Resources Department CITY OFLSTA .ANA Alvaro Nunez City Manager CONTRACTOR Bill Ro President and CEO ACORH L� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1 9/16/2024 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(tes) 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 NAME: Frances Nobles Chrysalis InsuranceA Agency (Incorporated) hrY g Y ( tp ) PHGNE 714 464-8080 ) (714)464-8070 AIC, No, Ext . ( ) (pIC, No ADDRESS: s,,ice@ciapro.net 3001 Red Hill Ave, Ste. 2-226 INSURER(S) AFFORDING COVERAGE NAILIf INSURER A: ADMIRAL INS CO 24856 Costa Mesa CA 92626 INSURED INSURER B: AMGUARD INS CO 42390 INSURER C : MIDWEST EMPLOYERS CAS CO 23612 Sunny Hills Associates Inc. d/b/a SUNNY HILLS RESTORATION INSURER D: OHIO SECURITY INS CO 24082 1999 RITCHEY ST INSURER E: INSURERF: SANTA ANA CA 92705-5100 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 BY PAID CLAIMS. LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDNYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR POLLUTION LIABILITY Y Y FEI-ECC-35209-02 05/15/2024 05/15/2025 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) 8 100,000 x MED EXP (Any one person) $ 5,000 X PROFESSIONAL LIABILITY PERSONAL S ADV INJURY $ 1,000,000 GENT x AGGREGATE LIMIT APPLIES PER: POLICY �JECT LOG OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOP AGO $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED V SCHEDAUTOAUTOS ONLY F)SULED � HIRED V NON-0WNED ONLY /� AUTOS ONLY Y Y SUAU458901 04/10/2024 04/10/2025 (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ V FKUHLRAUTOS (Peraccidenq $ A UMBRELLA UAB EXCESS LIAB x OCCUR CLAIMS -MADE Y Y FEI-EXS-45093-02 05/15/2024 05/15/2025 EACH OCCURRENCE $ 1,000,000 K AGGREGATE $ L000,000 DED RETENTION$ PRODUCTS/COMPLETI S 1,000,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINANY OFFICER/MEMBER EXCLUDEDXECUTIVE� (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS be. NIA Y BNUWC0161368 11/14/2023 11/14/2024 /� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 D Commercial Property & Inland Marine BKS61278353 4/7/2024 4/7/2025 Misc Equipment Property of Others Systems Breakdown $55,000 $302,575 $302,575 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aftached If more space Is required) See ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'k rtmm,d,as•m=et THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana by. ACCORDANCE WITH THE POLICY PROVISIONS. wd amnam amyner.a.=a nr; aa, r. r1_11 the AUTHORIZED REPRESENTATIVE Risk Management Division — Pisk Ma.uyv, 20 Civic Center Plaza Santa Ana, CA 92701 `/� _ 9)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A`� �® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Chrysalis Insurance Agency (Incorporated) NAMED INSURED Sunny Hills Associates Inc. di SUNNY HILLS RESTORATION POLICY NUMBER BNUW00152685, SUAU238218, 12 EMP 22242 02,12 EMX 22243 02 CARRIER MIDWEST EMPLOYERS CAS CO NAIC CODE 23612, 423E EFFECTIVE DATE: ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: City of Santa Ana, Its Officers, Agents and Employees, Vendors are named as additional insured per attached ECP1004 04/10. 30 days notice of cancellation. Waiver of Subrogation applies. Above coverage is primary and any insurance or self-insurance maintained by the Entity, its officers, officials, employees, or volunteers shall be excess of the Contractor?s insurance and shall not contribute with it. ACORD 101120081011 n 2008 ACORD CORPORATION_ All rinhts The ACORD name and logo are registered marks of ACORD Sunny Hills Associates Incorporated Endorsement Number: 4 Automatic Additional Insured — Owners, Lessees or Contractors This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. The person or organization shown in this Schedule is included as an insured, but only with respect to that person's or organization's vicarious liability arising out of your ongoing operations performed for thatinsured. ECC-319-0712 © 2018, Freberg Environmental, Inc. Page 1 of 1 Sunny Hills Associates Incorporated Endorsement Number: 5 Automatic Waiver of Subrogation Endorsement This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies coverage provided under the following coverage part(s): COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY SCHEDULE Name of Person or Organization: Any person(s) or organization(s) to whom the Named Insured agrees, in a written contract, to provide a waiver of subrogation. However, this status exists only for the project specified in that contract. The Company waives any right of recovery it may have against the person or organization shown in the above Schedule because of payments the Company makes for injury or damage arising out of the insured's work done under a contract with that person or organization. The waiver applies only to the person or organization in the above Schedule. Under no circumstances shall this endorsement act to extend the policy period, change the scope of coverage or increase the Aggregate Limits of Insurance shown in the Declarations. ECC-320-0712 © 2018, Freiberg Environmental, Inc. Page 1 of 1 Sunny Hills Associates Incorporated Endorsement Number: 22 Automatic Primary and Non -Contributory Insurance Endorsement Designated Work Or Project(s) This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Coverage Part(s) indicated below: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY PROFESSIONAL LIABILITY SCHEDULE or Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of an additional premium of $Ap Ipp ied, and notwithstanding anything contained in this policy to the contrary, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non-contributory to this insurance. ECC-548-0317 © 2018, Freberg Environmental, Inc. Page 1 of 1 Sunny Hills Associates Incorporated Endorsement Number: 24 Additional Insured — Owners, Lessees or Contractors — Completed Operations This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of an additional premium of $AgQlied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any person(s) or organization(s) whom the Named Insured Those project locations where this agrees, in a written contract, to name as an additional endorsement is required by contract. insured. However, this status exists only for the project specified in that 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. CG 20 37 04 13 All riahts reserved. Sunny Hills Associates Incorporated This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All rights reserved. Sunny Hills Associates Incorporated Endorsement Number: 25 Additional Insured — Owners, Lessees or Contractors — Scheduled Person or Organization This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY SCHEDULE Name Of Additional Insured Person(s) Or Organizations : Location(s) Of Covered Operations Any person(s) or organization(s) whom the Named Those project locations where this Insured agrees, in a written contract, to name as an endorsement is required by additional insured. However, this status exists only for contract. the project specified in that 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) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. u rropernes, inc., All riahts reserved. Sunny Hills Associates Incorporated B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment 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 intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 10 04 13 © ISO Properties, Inc., All riahts reserved. Sunny Hills Associates Incorporated Endorsement Number: 26 Additional Insured Endorsement— CPL This endorsement, effective 05/15/2023, attaches to and forms a part of Policy Number FEI-ECC-35209-01. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. Location And Description of Completed Operations: Those project locations where this endorsement is required by contract. Additional Premium: $AQplied (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The term insured is amended to include as an additional insured the person(s) or organization shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage' caused, in whole or in part, by "your work' at the location designated and described in the schedule of this endorsement performed for that additional insured. ECC-406B-0712 © 2018, Freberg Environmental, Inc. Page 1 of 1