Loading...
HomeMy WebLinkAboutPGH WONG ENGINEERING, INC. (3) INSURANCE ON FILE WORK MAY PROCEED A-2024-1 01-01 U !L IN l0SR11NCE E.XI'RFSNlizs �. CI1Y CLERK MAYOR ._ - CITY MANAGED Valerie Amezcua aa��.r Alvaro Nurfiez QA E MAYOR PRO TEM ,tLr CITY ATTORNEY lU�. � 1 2025 _ _ Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra Jennifer L.Hal! Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai 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 June 16,2025 PGH Wong Engineering, Inc. Attn:Peter G.H. Wong 182 2,,d St., Suite 500 San Francisco, CA 94105-3801 Re: Extension of Lease Agreement A-2024-101 Pursuant to Section 5 ("Extension Periods")of the above-referenced Agreement,entered into by PGH Wong Engineering, Inc. and the City of Santa Ana, dated July 17, 2024, the time period of the Agreement is hereby extended for an additional one (1) year period through July 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, tjilSaba,�'PE ,Executive Director, Public Works Agency CITY OF S A ANA ATTEST L�'E� � ny11 oPT varo Nunez Jennifer L111all City Manager t1e'rk APPROVED AS TO FORM.[ PGH G ENGINEERING,INC. 71 K?J6 Nellesen Peter G.H. Wong Assistant City Attorney Chief Executive Officer SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Vlet Phan ,Jessie Lopez Phd Bacerra Johnathan Ryan Hernandez David penalo Mayor Mayor Pro Tem,Ward 2 ward i Ward 3 ward 4 Ward 6ward 6 vameztua�santa-ana.ora by ue 5 ta-a .o ha Santa-ana. ei s iggoezftWta-•erm.oro bbacerra(Zi)santa ana oro iryanhemmndex&Qsppty-¢na.om dcenalazaOsanla- INSURANCE ON FILE p-2024-'i 01-01 WORK MAY PRO(' ) CITY MANAGER Valerie Amezcua �,} Alvaro Nufiez ��A��L 3�AYOR PRO TEM r . CITY ATTORNEY Benjamin Vazquez " R Sonia R.Carvalho COUNCILMEMBERS - CITY CLERK o. PwA (2} Phil Bacerra Jennifer L.Hall Johnathan Ryan Hernandez _ M10-lel Or}q-A.Cp2)Jessie Lopez - David Penaloza Thai Viet Phan CITY OF SA►NT,A► ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza.P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.org June 16,2025 PGH Wong Engineering, Inc. Attn:Peter G_H. Wong 182 2nd St., Suite 500 San Francisco, CA 94105-3801 Re: Extension of Lease A reement A-2024-101 Pursuant to Section 5 ("Extension Periods")of the above-referenced Agreement,entered into by PGH Wong Engineering, Inc. and the City of Santa Ana, dated July 17, 2024, the time period of the Agreement is hereby extended for an additional one (1) year period through July 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, Nabil Saba,PE Executive Director, Public Works Agency CITY OF S TA ANA ATTEST Alvaro Nunez Jennifer a City Manager C' r APPROVED AS TO FORM PGH G ENGINEERING,INC. K?Je Nellesen Peter G.H.Wong Assistant City Attorney Chief Executive O 1cer SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Viet Phan Jere Lopez Phi Bacenra Johnakhan Ryan Hernandez David Pena;o Mayor Mayer Pro Tem,Ward 2 Ward 1 Ward 3 Ward 4 Ward 6 ward 9 vamezwa Rsanta-ana oro bvazauezRSanta a m.ara tohano7santa-ana.aro iesskePaoez B, ails ena.org po ccerra Santa ana om iryanhamar dez�santa ana.o a doenaloza Asa la- A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDfYYYY) 1 213 012 02 4 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: It 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 Edgewood Partners Insurance Agency pAMP JerryN.. Ula FAX 3780 Mansell Rd. Suite 370 fAJC N. r.ti.770-220-7699 INC,No: Alpharetta GA 30022 FA D less: re lin certs re lin .com INSURERS AFFORDING COVERAGE NAIL# INSURER A:Starr Surplus Lines Insurance Company 13604 INSURED PGHWONG INSURER B:National Union Fire Ins Co of Pittsburg19445 182 Wong Engineering, Inc, INSURER C:New Ham shire Insurance Company 182 2nd St. Suite 5flfl 23841 San Francisco CA 94105 INSURER D:The Continental Insurance Company 35289 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1102851498 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 LTR POLICY NUMBER MMIDDIYYYYI (MMJDD/YYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y GL3823655 12/18/2024 8/1/2025 EACHOCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrencel $500,00C MED EXP{Any one person) $25,000 PERSONAL e.ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $4,000,000 POLICY O JE [X]LOG PRODUCTS-COMPIOPAGG $4,000,000 OTHER, $ B AUTOMOBILE LIABILITY Y Y CA3134742 12/18/2024 8/1/2025 COMBINED SINGLE LIMIT Ea accident $2,000,Q00 IX ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident AUTOS ONLY AUTOS { } $ HIREDNON-OWNED AUTOS ONLY EX AUTOS ONLY PROPBftTY DAMAGE $ Per accident D X UMBRELLA LIAB X OCCUR 7094976134 12/18/2024 81112025 EACH OCCURRENCE S 10,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $70,000,000 DIED X I RETENTION$1 a non $ B WORKERS COMPENSATION Y WC13545914(AOS) 12/18/2024 8/1/2025 X C AND EMPLOYERS'LIABFLITY YIN WC135 SEATUTE EERH ANYPROPRIETOPJPARTNERIEXECUTIVE 45915(CA) 12f18f2024 8/1/2025 OFFICERIMEMBEREXCLUDED? N f A _E.L.EACH ACCIDENT $2,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $2.000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000.000 A Professional Liability 1000633873241 12/18/2024 1211812025 Per Claim 10,000,000 incl_Pollution Liability Aggregate 10,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re: Agreement#A-2022-120-1000 East Santa Ana Blvd.,Ste.220,Santa Ana 92701.The City of Santa Ana,its officers,employees,agents,volunteers& representatives are named as Additional Insureds with respects to General,Automobile Liability where required by written contract.The above referenced liability policies with the exception ofworkers compensation and professional liability are primary&non-contributory where required by written contract.Waiver of Subrogation is applicable where required by written contract&allowed by law.Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate Holder, Umbrella Follows Form with respects to General,Automobile&Employers Liability Policies. APPROVED CERTIFICATE HOLDER CANCELI By Cynthia Mora at 1:41 pm, Jan 1.3, 2025 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. Risk Management Division 20 Civic Center Plaza,4th Floor AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 F ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ENDORSEMENT This endorsement, effective 12;01 A.M. 12/18/2024 forms a part of Policy No. 313-47-42 issued to PCH WONG ENGINEERING, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following; BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: Any person or organization for whom you are contractually bound to provide Additional Insured status but only to the extent of such person's or organization's liability arising out of the use of a covered "auto" . I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. 4 i414"4 AUTHORIZED REPRESENTATIVE 87950 (9114) Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 1 POLICY NUMBER: 382-36-55 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(sl Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 12 19 U Insurance Services Office, Inc., 2018 Page 1 of 2 ❑ A. Section II — Who Is An Insured is amended to maintenance or repairs) to be performed by include as an additional insured the person(s) or or on behalf of the additional insured(s) at organization(s) shown in the Schedule, but only the location of the covered operations has with respect to liability for "bodily injury", been completed; or "property damage" or "personal and advertising 2. That of portion injury" caused, in whole or in part, by: p "your work" out of which the injury or damage arises has been put to 1. Your acts or omissions; or its intended use by any person or 2. The acts or omissions of those acting on organization other than another contractor or your behalf; subcontractor engaged in performing in the performance of your ongoing operations operations for a principal as a part of the for the additional insured(s) at the location(s) same project. designated above. C. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III — Limits Of Insurance: 1. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most by law; and we will pay on behalf of the additional insured 2. If coverage provided to the additional is the amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable limits of that which you are required by the contract insurance; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the B. With respect to the insurance afforded to these applicable limits of insurance. 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, Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: 382-36-55 COMMERCIAL GENERAL LIABILITY CO20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizatlon(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. 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 B. With respect to the insurance afforded to organization(s) shown in the Schedule, but only these additional insureds, the following is with respect to liability for "bodily injury" or added to Section III — Limits Of Insurance: "property damage" caused, in whole or in part, If coverage provided to the additional insured is by "your work" at the location designated and required by a contract or agreement, the most described in the Schedule of this endorsement we will pay on behalf of the additional insured performed for that additional insured and is the amount of insurance: included in the "products-completed operations hazard". 1. Required by the contract or agreement; or However; 2. Available under the applicable limits of insurance; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted by law; and This endorsement shall not increase the 2. If coverage provided to the additional applicable limits of insurance. 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. CG 20 37 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 12/18/2024 forms a part of Policy No. WC 013-54-5915 Issued to PGH WONG ENG I NEERI NG, INC. By NEW HAMPSH I RE INSURANCE COMPANY We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC040361 Countersigned by (Ed. 11190) ^ ^ Authorized Representative