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HomeMy WebLinkAboutA-TECH CONSULTING, INC. (4) INSURANCE ON FILE A-2022-204-01A WORK MAY PROCEED tJN.ftt +iSUEilTIC, 1XI11*3 MAYOR , CITY MANAGER Valerie Amezcua - ', `. y, Alvaro Nunez CITY CLERK MAYOR PRO TEM DATE, k .,�. CITY ATTORNEY Benjamin Vazquez OCT x 075 - Sonia R.Carvalho COUNCILMEMBERS •1 t CITY CLERK Phil Bacerra 40. Jennifer L. Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA Q PW C 2) PUBLIC WORKS AGENCY U t d tY�� �Z 20 Civic Center Plaza.P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.org September 8,2025 A-Tech Consulting,Inc. 1640 N.Batavia Street, Suite 112 Orange, CA 92867 Attn: Roohi Toosi Re: Extension of A reement No. A-2022-204-01 to Provide On-Call Environmental Site Assessment Services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by A-Tech Consulting,Inc.,and the City of Santa Ana,dated October 18,2022,the time period of the Agreement is hereby extended for an additional one-yeas 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. ZSincere fo Rosas, P.E. Acting Executive Director Public Works Agency CITE'O SANTA ATTEST a` A varo Nunez ennifer all City Manager Ci APPROVED AS TO FORM A-TECH CONSULTING,INC. K/ a Nellesen Assistant City Attorney By: - Joseph Williams Title: VP of Operations SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Viet Phan .Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David PenaIOZ3 Mayor Mayor Pro Tem-Ward 2 werd 1 Ward 3 Ward A Ward 5 Ward 5 vamezcuaAsanlaana_orn bvazouezfa�sanfa-ana.oro d han Santa-ana or iessiefooez( sanPa-ana.org o6acerra(olsanla-ana.orq irvanhemandezBDsanlaana om dpenalozaesanta-ana are �1 A-TECON-01 ALREED DATE(MMfDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 515/2025 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 Alexis Reed NAME: Rooney Insurance Agency,Inc. PHONE FAX 5100 E Skelly Drive,Ste 1010 (Arc,No,Ext): lArc,No):(918)420-9926 Tulsa,OK 74135 E-MAIL ADDRESS: Y alexis.reed^^Vroone insuranco.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B:Ace Pro erty&Casualty Ins Co 20699C A-Tech Consulting,Inc. INSURER C:National Casualty Co 11991 1640 N.Batavia Street INSURER D; Orange,CA 92867 INSURER E: 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. INSR ADpL SUBR POLICY EFF IMMIDDNYM MMLppY EXP LIMITS TYPE OF INSURANCE p POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS-MADE F_X] OCCUR G71802462006 511/2025 51112026 DAMAG15 ESO R oNT ante 100,000 PREMMED EXP Any one erson 10,000 PERSONAL&ADV INJURY $ 3,000,000 GEN'LAGGREGATE LIMIT APPLIES PER; GENERALAGGREGATE $ 3,000,000 POLICY® JE� LOG PRODUCTS-COMNOPAGG $ 3,000,000 OTHER. PER PROJECT AG $ 5,000,000 B AUTOMOBILE LIABILITY EOa aBINEDn SINGLE LIMIT $ 1,000,000 X ANY AUTO H08471265007 5/1/2025 5/112026 BODILY INJURY Perperson) $ AUTOSSCHEDULED ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY peraccidenl A UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE G71840773006 5/1/2025 51112026 AGGREGATE $ 1,000,000 DED RETENTION$ Prod/CompOpsAg 1,000,000 C WORKERS COMPENSATION �( PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER WCC349341A 3115/2025 3115/2026 E L EACH ACCIDENT $ ANY CFRIMEMHERlFXCLU R/EXECOTfVE 1,000000 FFICERlMEMBER EXCLUDED? �Y N!A Mandatory In NH) 1,000 000 If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS balow E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Pollution G71802462006 5/112025 5/112026 Ea(*Agg Inc[Above) 3,000,000 A Prof Liab(E&O) G71802462006 511/2025 5/112026 Ea(*Agg Incl Above) 3,000,000 DESCRIPTION Of OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Employment Practices Liability: Travelers Casualty and Surety Company Policy 9107561310 1/112025-111/2026 $1,000,000 Limit of Liability Tu Tran z9��YNgn�eY g�xxn Cyber Liability; en N g y o�«ov:,e:,n Dinemss, u APPROVED u SEE ATTACHED ACORD 101 By Tu Tran Nguyen at 9:17 am,May 07,2025 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,CIPIDeslgn Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-36 AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 y ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:A-TECON-01 ALREED LO C#: 1 ACU EV ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED A-Tech Consulting,Inc. Rooney Insurance Agency,Inc. 1640 N.Batavia Street POLICY NUMBEROrange,CA 92867 EE PAGE 1 CARRIER NAIC CObE PEE PAGE 1 SEE P 1 EFFECTIVE DATE:r,��PAGE 1 ADDITIONAL_REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations[Vehicles: At-Bay Specialty Insurance Company Policy#AB660124407 51112025.511/2026 $1,000,000 Aggregate Limit -WORKISERVICES PERFORMED IN NEW YORK EXCLUDED. Pollution Liability includes a$5M Designated Per Project Aggregate when required by contract. Re:All Operations usual to the named insured as covered by these policies.Environmental,A-2022-204-01; Hazardous, A-2022-204-04. As required by written contract and subject to the terms of the policies and blanket endorsements attached,the City of Santa Ana, its Officers,officials,employees,volunteers,and Owner are Additional Insured with Waiver of Subrogation afforded with regard to General Liability and Auto Liability,as their interests may appear.Waiver of Subrogation is also afforded with regard to the Workers Compensation policy.Primary and Non-Contributory coverage is afforded with regard to General Liability and Pollution Liability. Umbrella Is follow-form. Professional Liability Retroactive Date: 51112002 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I