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HomeMy WebLinkAboutWALSH CONSTRUCTION COMPANY II, LLC (5) INSURANCEONFILE WORK MAY PROCEED UNTrL INSURANCE EXPIRE_ A-2024-102-01 D bl0' --2--8-2029 CITY CLERK OATE, MAYOR , CITY MANAGER Valerie Amezcua .{r `„'*, Alvaro Nunez MAYOR PRO TEM q_T �,a+ CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho MieNael�r(D� 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.Box 1988 Santa Ana,California 92702 wwvw.sanla-ana.arra June 16,2025 Walsh Construction Attn: Jay Titus 1000 E. Santa Ana Blvd., Ste 200 Santa Ana, CA 92701 Re: Extension of Lease Agreement(A-2024-102) Pursuant to Section 3 ("Commencement of Term") of the above-referenced Agreement, entered into by Walsh Construction Company IT, LLC and the City of Santa Ana, dated July 16, 2024, the time period of the Agreement is hereby extended for an additional one (1) year period through July 15, 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 etlect, fil ,Saba,PE '-Executive Director, Public Works Agency CITY OF ANTA ATTEST Alvaro Nunez ennifer al City Manager Ci i APPROVED AS TO FORM WALSH CONSTRUCTION COMPANY II,LLC , s Kyle`Nellesen Assistant City Attorney itle: j%` raw) Albn— Gr SANTA ANA CITY COUNCIL Valenti Amezcua Benjamin Vazquez Thai Viet Fhan Jessie Lopez Phil 8-- J hnalhan Ryan Hemand.z ❑avid Penalgza r-yor Mayor Pro Tam,Ward 2 Ward 1 Ward 3 Ward C LVard 9 4Yart!6 vamr7ca44 M14a 7R.aag om WhJff&rZn17-4nti nrn r�fsipfaa??'�`,c.,na;3na s)nj h,�rnna: sa��t.-nnaa am ern, ACC> oY CERTIFICATE OF LIABILITY INSURANCE rATE512mmaty Y) 166-�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 Alliant Insurance Services, Inc. PHONE Jordan Lae endecker FAX 353 N Clark St11th Fl we No: Chicago I L 60654 ADDRESS: Jordan.Laeyondecker@alllant.com INSURERS AFFORDING COVERAGE NAIC# icense#:OC36861 INSURER A:Arch Insurance Company._ 11150 INSURED WALSCON-04 INSURERB:Arch Indemnity Insurance Coma 30830 Walsh Construction Company II, LLC 1260 Corona Pointe Court Ste 201 INSURER C:Starr Indemnity&Liabl&Co 38318 Corona, CA 92879 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:508065786 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. INTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER fMWDDIYYnL fMM10131YYYY) LIMITS A X COMMERCIALGENERAL.LIASILITY Y Y 41PKG8901919 0/1/2025 6/1/2026 FACHOCCURRENCE $2,000,000 CLAIMS-MA DE OCCUR DAMP RENTED PREMISES Ea occurrence $1,000,000 MED EXP(Any oneperson) $25,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY M PRO- JECT LOG PRODUCTS-COMPJOPAGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY 41PKG8901919 6/1/2025 6/1/2026 COMBINED.uri LE LIMIT $5,000,000 '° 41CAB89020143 6/1/2025 611/2026 ODILYIent X ANY AUTO BODILY INJURY(Per parson) $ - OWNED SCHEOULEU ld Peraccan[ AUTOS ONLY AUTOS BODILY INJURY( ) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ $ A UMBRELLA LIAB X OCCUR Y Y 41 UFP1992102 6/1/2025 6/1/2026 EACH OCCURRENCE $5,000,000 O 1000688415251 6/1/2025 6/1/2026 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ 2nd Layer Excess $5,000,000 g WORKERS COMPENSATION 44WC18937512 6/1/2025 6/1/2026 X STATUTE pRH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERIEXECUTIVE N NIA E.L.EACH ACCIDENT $1.000,000 OFFICEftfMEML4EREXCLUDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 Igltallyslgned TU Tran: guyen n APPROVED Nguyen -2-5-19 4no39-mvo' Sy 7'u Tran IVguyen Pf 2:04pm Al g 19 2925 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached If more space is required) RE:Lease Agreement between The City of Santa Ana and Walsh Construction Company 11,LLC for use of property located at 1000 East Santa Ana Boulevard in the City of Santa Ana-Santa Ana Regional Transportation Center(SARTC),suite 200 and portions of the parking area not presently occupied.Walsh Project:OC Streetcar Construction-Project iFB 7-1904,Job No.:218132, City of Santa Ana,its officers,employees,agents,volunteers and representatives are named as Additional Insureds with respect to General Liability and Umbrella/Excess Liability if required by written contract.General Liability and UmbrellalExcess Liability are primary and any other insurance maintained by the Additional Insured is excess and non-contributory.Waiver of Subrogation applies to General Liability,UmbrellalExcess Liability if required by written contract. General Liability includes Severability of Interests I Cross Liabilityy. Fire Legal Liability is part of the Damage to Rented Premises subllmil under the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Executive Director of Public Works Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza(m-21) Santa Ana CA 92701 - `.�.� .{ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC© EVIDENCE OF PROPERTY INSURANCE °p`os/11/11/2OIYYYYi 2025 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY I PHCNFEo 908-566-1010 COMPANY The Baldwin Group Specialty industry, LLC FEDERAL INS CO Campus View Plaza 1250 Route 28, Suite 201 Branchburg, Nd 08876 USA Lauren Bowman C No:908-566-1020 ADDRESS: CODE; SUB CODE: AGENCY ID INSURED LOAN NUMBER F3604-18-15 UMBER Walsh Construction Company 11, LLC EFFECTIVE DATE EXPIRATION DATE1260 Corona Pointe Court, Ste 201 p6/01/25 CONTINUED UNTIL 06/O1/26TERMINATED IF CHECKED Corona, CA 92879 USA THIS REPLACE$PRIOR EVIDENCE DATED: PROPERTY INFORMATION L OC ATIO N ID ESCR I PTIO N Re: Locations 1000 East Santa Ana Boulevard, Suite 200, Santa Ana, CA 92701 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 EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I I BASIC BROAD I x SPECIAL COVERAGEIPERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE Business Personal Property 500,0 0 $25,000 Business Income $250,000 REMARKS(including Special Conditions Evidence of Insurance. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE MORTGAGEE City of Santa Ana LOAN# Attn: Exective Director of Public Works Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza (M-21) Santa Ana, CA 92701 USA ACORD 27(2016103) ©1993-2015 ACORD CORPORATION. All rights reserved. 752185656 The ACORD name and logo are registered marks of ACORD MHARMON POLICY NUMBER: 41 PKG8 901919 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Descrii lion Of Completed Operations ANY PERSON OR ORGANIZATION, YOU HAVE AGREED BY MEANS OF A WRITTEN CONTRACT OR AGREEMENT, TO ADD AS AN ADDITIONAL INSURED; SUCH PERSON OR ORGANIZATION IS AN ADDITIONAL INSURED ON THIS POLICY. WHEN REQUIRED BY A WRITTEN CONTRACT OR AGREEMENT, COVERAGE AFFORDED TO THESE ADDITIONAL INSURED PARTIES WILL BE PRIMARY TO AND NON- CONTRIBUTORY WITH ANY OTHER INSURANCE AVAILABLE TO THAT PERSON OR ORGANIZATION. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Seclion II —Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(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". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 El THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION--CERTIFICATE HOLDERS (SPECIFIED DAYS) The person(s) or organization(s) listed or described in the Schedule below have requested that they receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of cancellation that we sent to you. If possible,such copies of the notice will be mailed at least 60 days, except for cancellation for non-payment of premium which will be mailed 10 days, prior to the effective date of the cancellation, to the address or addresses of certificate holders as provided by your broker or agent. Schedule Person(s)or Organization(s)including mailing address: All certificate holders where written notice of the cancellation of this policy is required by written contract, permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purposes of complying with such request. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s) or organization(s) shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule above to any benefit, rights or protection under this policy. Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to that statute or rule. All other terms and conditions of this policy remain unchanged. Endorsement Number: Policy Number: 44WCI8937512 Named Insured: WALSH CONSTRUCTION GROUP, LLC This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 0 6--01—2 5 00 ML0087 00 11 10 Page 1 of 1 POLICY NUMBER: 41 PKG8901919 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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(s) Or Or anization s : Locations Of Covered Operations Any person or organization, you have agreed by means of a written contract or agreement, to add as an additional in- sured;such person or organization is an additional insured on this policy. When required by a written contract or agreement,cover- age afforded to these additional insured parties will be primary to and non-contributory with any other insurance available to that person or organization. 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- s. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION-CERTIFICATE HOLDERS (SPECIFIED DAYS) The person(s) or organization(s) listed or described in the Schedule below have requested that they receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of cancellation that we sent to you. If possible,such copies of the notice will be mailed at least 60 days, except for cancellation for non-payment of premium which will be mailed 10 days, prior to the effective date of the cancellation, to the address or addresses of certificate holders as provided by your broker or agent. Schedule Person(s)or Organization(s)including mailing address: All certificate holders where written notice of the cancellation of this policy is required by written contract, permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purposes of complying with such request. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s) or organization(s) shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule above to any benefit, rights or protection under this policy. Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to that statute or rule. All other terms and conditions of this policy remain unchanged. Endorsement Number- Policy Number: 4 1 PKG8 901919 Named Insured:WALSH CONSTRUCTION GROUP, LLC This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 06-01-25 00 ML0087 00 11 10 Page 1 of 1 POLICY NUMBER: 41PKG8 901919 COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Naas Of Person Or Organization: WAIVER OF SUBROGATION APPLIES WHERE REQUIRED BY WRITTEN AGREEMENT WITH OUR NAMED INSURED AS LONG AS THE REQUEST OCCURS PRIOR TO A LOSS . Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perForm work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION WHERE WAIVER OF OUR RIGHT TO RECOVER IS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. This endorsement changes the policy to which it Is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 0610112025 Policy No.44WC18937512 Endorsement No. Insured WALSH CONSTRUCTION GROUP, LLC Premium INCL. Insurance Company ARCH INDEMNITY INSURANCE COMPANY Countersigned By 01903 National Council on Compensation Insurance.