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HomeMy WebLinkAboutMONUMENT ROW (7) INSIJRAlvCC ON FILE WORK NIFTY PROCCEO A-2021-222-02 MAYOR •v CITY MANAGER f.;ITY CLERK `. Valerie Amezcua DATE: �r��?, Alvaro Nunez MAYOR PRO TEM OCT Q 7j%5 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 F W6 (z) PUBLIC WORKS AGENCY pavfd iurn+rez (l�z} 20 Civic Center Plaza+P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.org September 24,2025 Monument ROW Attention:Amber Costello, President 200 Spectrum Center, Suite 300 Irvine,CA 92618 Re: Second and Final Extension of Agreement(A-2021-222)to Provide On-Call Acquisition and Relocation Services Pursuant to Section 4 ("Performance Period") of the above-referenced Agreement, entered into by Monument ROW("Consultant"), and the City of Santa Ana,dated November 16,2021,the time period of the Agreement is hereby further extended for an additional one-year period through November 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 effect. Sincerely, o Rosa , Acting Executive Director, Public Works Agency CITY OF SANTA NA ATTEST A vary Nunez ennife ` City Manager City C APPROVED AS TO FORM MONUMENT ROW K.A Nellesen A'm0er C tello Assistant City Attorney President SANTA ANA CITY COUNCIL Volene Amezcua Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez Oavid Penalaza Mayo Mayor Pro Tem,Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuan anta-ana.ora bvaznuayRsanta-ana org 1phanatnta-ana.orn iessielooezCu)santa-ana.oro obacerraCcdsanta-ana.Ora irvarthemandez(r�santa-ana_a dnenaloza/c�sanla-ana.arn AC" CERTIFICATE OF LIABILITY INSURANCE rATE(MM!°D YYYY) 5/6/2025 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 Venbrook Insurance Services PHONE CarOla Kin FAX 16815 Von Karman Avenue 818-598-8965 Arc No Suite 180 ADDREss: ckin venbrock.com Irvine, CA 92606 INSURER(S)AFFORDING COVERAGE NAIL# www.venbrook.com CA Lic No.OD80832 INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B: Travelers Property Casuals Co of Ames 25674 Monument ROW INSURER c: Underwriters at Lloyds of London 15642 8 Cobblestone Court Laguna Nigel CA 92677 INSURERD: Scottsdale Insurance Company 41297 INSURER E: Travelers Excess and Surplus Lines Co 29696 INSURER F: Travelers Casualty and Surety Co of Amer 31194 COVERAGES CERTIFICATE NUMBER: 85170368 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVL 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 NUMBER MMID�YIYYYY POLICY LIMITS LTR A V COMMERCIAL GENERAL LIABILITY 72SBABR6LJ2 4/23/2025 4/23/2026 EACH OCCURRENCE $1000000 CLAIMS-MADE I—A OCCUR PREMISES Ea occu ence $1,000 Q00 MEO EXP(Any one person) $1Q Q0Q V Deductible:none PERSONAL&ADV INJURY $1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ✓ POUCY JECT C- F-1 LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: S A AUTOMOBILE LIABILITY 72SBABR6LJ2 4/23/2025 4/23/2026 CCMBINEDShNGLELIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY{Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 1�/ AUTOS ONLY ✓ AUTOS ONLY Per accident $ A / UMBRELLA LIAR OCCUR 72SBABR6LJ2 4/23/2025 4/2312026 EACH OCCURRENCE $5 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5 00Q 000 DE❑ I ✓I RETENTION$10,000 $ B WORKERS COMPENSATION UB2Y3528922442G 4/2312025 4/23/2026 / SPE TATUTE EORH AND EMPLOYERS'LIABILITY Y I N OFFICEWMEMB REXCLU EXCLUDED ANYPROPIRIETOPJPARTNERIEXECUTIVE � NIA E.L.EACH ACCIDENT $1,000 Ofl0 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 ()OQO If yes,describe under DESGRIPTION OF OPERATIONS bale E.L.DISEASE-POLICY OMIT $1 000 000 C Professional Liability(Claims Made) MPL444730524 4/23/2025 4/23/2026 $3,000,000 Each Claim/Aggregate Limit D Professional Liability(Excess} EKS3571668 4/23/2025 4/24/2026 $3,000,000 Aggregate Limit E Cyber Liability CYB10809647300 7/24/2025 7/24/2026 $2,000,000/Per Occurrence F Crime 108082890 711/2025 7/1/2026 1$25 0001$2 500 ded DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Digita y slgne T Tu I ran byTuTrap The City,its officers,officials,employees,and volunteers are included as an Additional Insureds with respects Nguyen to General Liability.Primary/Non-Contributory and Waiver of Subrogation apply in favor of the Additional Insured when required Nguyen Date:2025.06.23 by Written and signed contract. Subject to policy terms,conditions,and exclusions. 16:5534-07'00' APPROVED By Tu Tran Nguyen at 4.55 pm,Jun 23,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Public Works Agency, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, CIPIDesign Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702, M-36 AUTHORIZED REPRESENTATIVE Jeffrey Lang O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 55170368 1 2025 GL, HNO, UMB, WC, PL I Carcla King 1 5/6/2025 4:48:20 PM (PDT1 I Page 1 of 5 This certificate cancels and supersedes ALL previously issued certificates.