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HomeMy WebLinkAboutMACRO Z TECHNOLOGY CO. (2) -NORK MAY PROULD p►-2022-0�5-02A UNTIL. INSURANCE EXPIRES i MAYOR 0Ar17Y CLL CITY MANAGER Valerie Amezcua ��AiE APR gRx i025 Afvarp Nusiez MAYOR PRO TEM CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza+P.O.Sox 1988 Santa Ana,California 92702 Y° l www.sanla-ana.ora March 17,2025 Macro Z Technology Co. Attn: Bryan J. Zatica,President 841 E. Washington Ave. Santa Ana, CA 92701 Re: Extension of Agreement A-2022-065-02 for On-Call Demolition Services Pursuant to Section 3 ("Perm") of the above-referenced Agreement, entered into by Macro Z Technology Co. ("Contractor") and the City of Santa Ana, dated May 3, 2022,the time period of the Agreement is hereby extended for an additional one(1)year period until April 14,2026.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, Ll bil Saba, PE Executive Director, Public Works Agency CITY F TA ANA ATTEST - - I Alvaro Nunez ennifer L Hall City Manager Ci er APPROVED AS TO FORM CONTRACT-0K.Nellesen B�fft rr' a ' a Assistant City Attorney Prent SANTA ANA CITY COUNCIL Valerie Amezara Benjamin Vazquez Thai Viel Phan .1eGsie L9pe2 PhS Bacerca Johnelhan Ryan Yiwna"ez David PaWoza Mayor Mayor Fro Tern,Ward 2 Ward t Wane 9 Ward 4 Ward 5 Ward 6 orna yaSC•santa-ana.6 bvaz4uez�95anta.ana.org luh,,,tnla=ana org 7essielCneZ1I}19anla-ana�r6 phai�rce(2paer la.81 8 .0M iaanheman"x{8jsa.ana arg dpenalezaAwr(a-ana ora .4C�® DATE(MMIDDIYYYY) AC� CERTIFICATE OF LIABILITY INSURANCE F311 312 42 5 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 Alllant Insurance Services, Inc. PIAiONE Yvonne Chong FAX 18100 Von Karm an, 10th Floor c No E -949.660.5967 AIC No: Irvine CA 92612 ADDRESS: chop alliantcom INSURER($)AFFORDING COVERAGE NAIL# INSURERA: Federal Insurance Company 20281 INSURED INSURERB: Executive Risk Indemnity Inc 35181 Macro-Z-Technology Company 841 E Washington Ave. INSURER c:Allied World National Assuranc 10690 Santa Ana CA 92701 INSURERD:Starr Indemnity&Liability Co 38318 INSURER E: Berkley Assurance Company 39462 INSURER F COVERAGES CERTIFICATE NUMBER.1723370536 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR. POLICYNUMBER MMIDDIYYYY MMIDDIYYYY B X COMMERCIAL GENERAL LIABILITY 54309459-03 10/112024 10/1/2025 EACH OCCURRENCE $1,04D,0D0 CLAIMS-MADE OCCUR DAMAGE TD RENc 111 P REMISES Ea occ urrence $10D,000 VIED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: Deductible $5,000 A AUTOMOBILE LIABILITY 54309639 10/1/2024 10/112025 COMBINED SINGLE LIMIT $1,400,000 Ea accident X ANY AUTO BODILY INJURY(Per persnn) $ X OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Deductible $$2,5001$5,000 G X UMBRELLALIAB X OCCUR 03115450-03 10/1/2024 1011/2025 EACH OCCURRENCE $18,000,000 EXCESS LIAB 1000586615241-03 10/1/2024 10/1/2025 CLAIMS-MADE AGGREGATE $18,000.000 QED X RETENTION$ $ A WORKERS COMPENSATION 54309538 10/1/2024 1011/2025 X STATUTE ERH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA F .EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If ycs,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Profess iona€lPoltution PCXB-5026074-1024 10/1/2024 10/1/2025 Each Claim $5,000.000 Aggregate regate $5,000,000 S $25,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re: Contract:A-2022-065-02-Provide On-Call Demolition Services for the City of Santa Ana. The City of Santa Ana, its officers,officials,employees,and volunteers are named as additional insured as respects General and Auto Liability pursuant to written contract,agreement,or memorandum of understanding. Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and noncontributory. Waiver of subrogation applies to Workers'Compensation. 34 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. APPROVED By Tu Tran Nguyen at 3:29 pm, Mar 17, 2025 CERTIFICATE HOLDER CANCELLATION 30 D SHOULD ANY OF`THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works Agency, CIP/Design Engineering 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702, M-36 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD