HomeMy WebLinkAboutDUDEK (8) Docusign Envelope ID:87538505-E778-4767-8EE5-D30C0985928D A-2022-204�02A
CITY MANAGER
MAYOR Vallerie Amezcua � !A,: 'r' Alvaro Nunez
MAYOR PRO TEM - 2 .. CITY ATTORNEY
Benjamin Vazquez , ,� Sonia R.Carvalho
COUNCILMEMBERS i OCTLOL� CITY CLERK Phil Bacerra 1 kl tom, Jennifer L. Hall
Johnathan Ryan Hernandez
Jessie Lopez
David Penaloza
Thai Viet Phan CITY OF SANTA ANA
PlAik (Z) PUBLIC WORKS AGENCY
0 civ t G{Pl�vy, rez I z) 20 Civic Center Plaza.P.O.Box 1988
l Santa Ana,California 92702
www.santa-ana.or
September 8, 2025
Dudek
605 Third Street
Encinitas, CA 92024
Attn: Joe Monaco
Re: Extension of A reement No.A-2022-204-02 to Provide On-Call Environmental
Site Assessment Services
Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Dudek and
the City of Santa Ana, dated October 18, 2022, the time period of the Agreement is hereby extended
for an additional one-year period, from October 18, 2025 through. October 17, 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.
Sincerel
V ;p
dpHo Rosas, P.E.
Acting Executive Director
Public Works Agency
CITY OF SANTA AN ATTEST
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A varo Nunez ennifer 1A all
City Manager Ci
APPROVED AS TO FORM DUDEK
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We Nellesen By: Joseph Monaco
Assistant City Attorney Title:President and CEO
SANTA ANA CITY COUNCIL
Valerie Amezma Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penalaza
Mayor Mayor Pro Tem-Ward 2 Ward 1 Ward Ward 4 Ward 5 Ward 6
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ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO47M
�1� 8/28/2026 r 8/26/2025
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 Lackton Companies,LLC CONTACT
NAME:
DBA Lackton Insurance Brokers,LLC in CA PHONE FAX
CA license#OF15767 LAIC No E t• fAfC No
E-MAIL
444 W.47th St.,Ste.900 ADDRESS:
Kansas City MO 64112-1906 INSURERS)AFFORDING COVERAGE NAIC#
(a 16)96O-9oaD kcasu(ullockton.enm INSURER A:Zurich American Insurance Cornpapy 16535
INSURED DUDEK INSURERS:American Guarantee and Liab.Ins.Co. 26247
1475838 605 THIRD STREET INSURER C:Continental Casual1y Company 20443
ENCPffTAS CA 92024 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 16765248 REVISION NUMBER: xxxxxXX
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 INSD WVD POLICY NUMBER 4MMIDOMDO (MMIDDNYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y GLO0146311 8/28/2025 8/28/2026
EACH OCCURRENCE S 1000000
CLAIMS-MADE OCCUR PREMISES Ito occurrence $ 100,000
MED EXP(Any one person) S 10 000
PERSONAL&ADV INJURY $ 1 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY®JEQ I—XI LOC PRODUCTS-COMPIOPAGG $ 2,000,000
OTHER: $
A, AUTOMOBILE LIABILITY Y Y BAP0146329 8/28/2025 8/28/2026 EO accident)
LIMIT $ 1 000 DDD
X ANY AUTO BODILY INJURY(Per person) $ )Cy
OWNED AUTOSSCHED
BODILY INJURY Per accident $ �xX)���
AUTOS ONLY AUTOS ( )
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY per accident $ XxxXxxx
$ xxxX
B X UMBRELLA LIAR 1X 1 OCCUR N Y AUC0146407 9/28/2025 8/28/2026 EACH OCCURRENCE $ 11000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1 000.000
pF0 I I RETENTION$ $ XXXXXXx
WORKERS COMPENSATION PER OTH-
1r
A AND EMPLOYERS'LIABILITY YIN WC0146111 812812025 9/28/2026 X STATUTE I I ER
ANY OFF ECUTIVE ICEWMEM ER EXCLUDED? E.L.EACH ACCIDENT $ 1.D00 000
NIA
(Mandatory In NH) E.L.DISEASE-LA EMPLOYEE $ 1,000,000
It yes,describe under
DESCRIPTION OF OPERATIONS bell I E.L.DISFASE-POLICY LIMIT I_$ 1 0QQ 000
C PROFESSIONAL N N EEH591932835 INCL POLL 8/28/2025 8/28/2026 PER CLAIM$2,000,000
LIABILITY AGGREGATE$2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (gCORD 101,Additional Remarks Schedule,may be attached It more space Is required)
CITY OF SANTA ANA,OFFICERS,AGENTS,EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY
COVERAGE ON A PRIMARY,NON-CONTRIBUTORY BASIS,AS REQUIRED BY WRITTEN CONRACT WAIVER OF SUBROGATION IN FAVOR OF THE
ADDITIONAL INSURED APPLIES ON WORK COMP,GENERAL,AUTO AND UMBRELLA LIABILITY COVERAGE,AS REQUIRED BY WRITTEN CONTRACT
AND WHERE ALLOWED BY LAW,COVERAGE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
APPROVED
By Tu Tran Nguyen at 7.44 am,Sep 02,2025
CERTIFICATE HOLDER CANCELLATION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
16765248 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF,SAN.TA ANA ACCORDANCE WITH THE POLICY PROVISIONS.
ATTENTION:PUBLIC WORKS AGENCY, AUTHORIZED REFRESENTA
CfP/DESIGN ENGINEERING
20 CIVIC CENTER PLAZA
SAN AANA CA 92702,M-36 �
@ 1988&2015 ACORD CORPORATION, All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Attachment Code:D574648 Certificate ID: 16765248
Waiver Of Subrogation (Blanket) Endorsement
Policy No, Eff.Date of Pol. Exp.Date of P.I. Ef£Date of End. Producer Add'1 Pre.. Return Pre-.
GLOO146311 8/28/2025 8/28/2026 37385000 iNCL $
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from
others,we agree to waive our rights of recovery.This waiver of rights shall not be construed to be a waiver with respect to any
other operations in which the insured has no contractual interest.
i
i
U-GL-925-B CW(17/01)
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