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CALIFORNIA PROFESSIONAL ENGINEERING, INC (3)
A-2022-157-02A MAYOR �1 FiKlv1'Y PgOCELD CITY MANAGER Valerie Amezcua )N�ii�RU614CM1ht M! emu '- Alvaro Nunez MAYOR PRO TEM ._ _� - eLE� �;�' CITY ATTORNEY Benjamin Vazquez ,,._Y CLERK. Sonia R.Carvalho COUNCILMEMBERS '" Phil Bacerra _)ATE- CITY CLERKr JenniferL. Hall Johnathan Ryan Hernandez Jessie Lopez avid Penaloza 6j, Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza.P.O.Box 1988 Santa Ana,California 92702 WWW'santa-ana.org April 16, 20225 California Professional Engineering,Inc. Attn: Van Nguyen, President 19062 San Jose Ave. La Puente, CA 91748 Re: Extension of Agreement No. A-2022-157-02 to provide on-call construction services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by California Professional Engineering, Inc. ("Contractor"), and the City of Santa Ana, dated August 16, 2022, the time period of the Agreement is hereby extended for an additional one-year period through June 30, 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, h(, �q.Nabil Saba,P.E. v Executive Director, Public Works Agency o h , CITY OF SANT ANA ATTEST Al o Nunez Jennifer L. at City Manager Ci APPROVED AS TO FORM: CONTRACTOR SONIA R. CARVALHO Cityy Attorney a� I Nellesen By: Van Nguy n Assistant City Attorney Title: President SANTA ANA CITY COUNCIL Valene Amezcua Benjamin Vazquez Tha!Vial Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor MayoVP ro Tem,Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 5 vamezcuafpsanla-anaorg bvazquez�santa-ana.ora tnhan(Msanta-ana.n€c iessieicaezOsanta-ana.cra obacertaasantaana.om jryanhemandezAsanta-ana.om dpenalozapsanta-ana ora CALIFORPRO KEVINT CERTIFICATE OF LIABILITY INSURANCE FE(MM1DDlYYYYI DAT 5)3012025 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 License#0252636 CONTACT AME CT George Duran Duran Risk&Insurance Services PHONE FAX 3257 E.Guasti Ave,Suite 100 (AIC,No,Ext):(949)933-2845 (A/C,No); Ontario,CA 91761 ADDRIESS,george@drisinc.com INSURER(S)AFFORDING COVERAGE NAIC# INsuRERA:Homesite Insurance Company of California 11005 INSURED INSURER B;MS Transverse Specialty Insurance Company 141807 California Professional Engineering Inc. INSURER C:RSUI Indemnity Com 22314 19062 San Jose Avenue INSURER D:ACE American Insurance Company 22667 La Puente,CA 91748 INSURER E:Admiral Insurance Company 24856 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 BY PAID CLAIMS. INSIR ADDL SUBR POLICY EFF POLICY EXP L R TYPE OF INSURANCE IN D WVD POLICY NUMBER p MM DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPP01924602 5/19/2025 5/19/2026 DAMAGE TO RENTED 104,000 X X PREMISES E ccurrence $ X Owner's&Contractor MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICYOTIR° D LOC PRODUCTS-COMPIOPA_GG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY W aBINEDSidenjINGLE LIMIT $ 1,000,000 X ANY AUTO TSRSCA000027800 5119/2025 5119/2026 BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X A T DS ONLY X AUTO ONLY P 0accf I tDAMAGE $ $ C UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE NHA606723 511912025 5/19/2020 . AGGREGATE $ 5,000,000 LED RETENTION$ $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y J N STATUTE ER __._ ANY PROPRIETORIPARTNERIEXECUTIVE ❑ 912981 5/19/2025 5119)2026 1,D04,000 WE.L.PiCERIMEMBER EXCLUDED? NIA EACH ACCIDENT $ Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Excess-5M xs 5M UX000000O1903 5/19/2025 5119/2026 Aggregate 5,000,000 E Excess-5M xs 5M UX00000001903 5119/2025 5119/2026 Each Occurrence 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana,its officers,employees,agents,and volunteers are additional insureds with regard to liability and defense of suits arising from the operations and uses performed by on or behalf of the named insured per attached forms CG20100413&CG20370413.With respect to claims arising out of the operations and uses performed by on or behalf of the named insured,such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds per attached form CG20011219.This insurance applies separately to each insured againstwhom claim is made or suit is brought except with respect to the company's limits of liability.Waiver of Subrogation with respects to General Liability. Dlgitallyslgned Tu Tran by Tu Trap SEE ATTACHED ACORD 101 Dace zazsav15 �{ Nguyen 19:50:5s 07,00, APPROVED CERTIFICATE HOLDER CANCELLATION ByTu Fran Nguyen at 10.,58 am,Jun 25,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE �y ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD