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HomeMy WebLinkAboutINTERIOR DEMOLITION, INC. A-2022-065-03B (,I T'Y'r l`_Kid L�rl MAYOR CITY MANAGER APR 2 2 20Valerie AmeZGua Alvaro Nuliez -MAYOR PRO TEM CITY ATTORNEY David Penaloza Sonia R.Carva€ho COUNCILMEMBERS j '' CITY CLERK Phil Bacerra A Jennifer L. Hall Jahnathan Ryan Hernandez Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA onvi'i 14IM(f aID0 PUBLIC WORKS AGENCY 20 Civic Center Plaza I PO Box 1988 Santa Ana,California 92702 www.santa-ana.oM March 23, 2026 Interior Demolition,Inc. Attn: George Molina, President 2621 Honolulu Ave. Montrose,CA 91020 Re: Extension of A reement No.A-2022-065-03 for On-Call Demolition Services Pursuant to Section 3 ("Term")of the above-referenced Agreement,entered into by Interior Demolition, Inc. ("Contractor")and the City of Santa Ana,which commenced on May 3,2022,the parties hereby exercise their second and final option to extend the term of the Agreement for an additional one(1)year through April 14,2027. 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, dolf sas, P.E. Acting Executive Director, Public Works Agency CITY O SANTA A ATTEST ` ware b 1 y A aro Nunez ennifer I'l-- `µ City Manager City Cie APPROVED AS TO FORM INTERIOR DEMOLITION,INC. Assis�rl Nellesen By: Marcy olina tant e City Attorney Title: Vice President SANTA ANA CITY COUNCIL Valens A-. David Panaloza Thai vial Phan ®anlarran Vazquez Jessie Lopez Phil 9ace" Jahnathan Ryan Hemandez Mayor Mayor Pm Tem-We: Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 vamez�.a santaana om tldenalou san!"ng.,rg I,gha same-ana org qna arg pbarer+aVsanla-ana a A`C�" CERTIFICATE OF LIABILITY INSURANCE DATE(MMI02`5") 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 NAME: Debbie Williams HUB International Insurance Services Inc. PH°NE g16-480-4124 FAX Nor 916-993-7224 PO Box 255387 E-MAIL Sacramento CA 95865 ADDRESS: debbie.williams@hubint@rnational.com INSURERS AFFORDING COVERAGE NAIC# LicenseM 0757776 INSURER A:Nautilus Insurance Company_... 17370 INSURED INTEDEM-01 INsuRERa:Key Risk Insurance Company 10885 Interior Demolition Inc 23508 Pine Street INSURER :State Compensation Insurance Fund Of California 35076 Newhall CA 91321 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:954580706 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 ADOL SUBR POLICY NUMBER MMI�DIYYYY POLICY M!�Y EXP IYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ECP2035025-14 6/412025 6/4/2026 EACH OCCURRENCE $1,000,000 DAMAGE T RENTED CLAIMS-MADE X OCCUR PREMISES fEa occurrence $100,000 X $5,000 1)ed1Occur MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLESPER: GENERAL AGGREGATE $2,000,000 POLICY[X]JECT LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 6AP2035024-14 6/4/2025 6/4/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aocident $ A UMBRELLA UAB X OCCUR FFX2035026-14 61412D25 6/4/2026 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n. $ C WORKERS COMPENSATION Y 1977624-25 9/27/2025 9/27/2026 X STATUTE ERH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERIEXECLITIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000.000 A Professional Lability ECP2035025-14 614/2025 6/4/2026 Each Claim/Aggregate $1,000,000 Contractors Pollution Liability Each OcourrencelAgg. $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: Agreement#A-2022-065-03,On Call Demo. Additional Insured: City of Santa Ana,its officers,employees,agents and representatives are named as Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Nan-Contributory. Waiver of Subrogation applies to Workers' Compensation. Excess Liability extends over the Auto Liability,General Liability,Contractors Pollution Liability and Professional Liability. Policies provide for 30 Days Notice of Cancellation,except 10 Days for Non-payment of Premium. Forms: 10217 0714,BENVCA06 0917,CA0444 1013,CA0449 1116, ECP1220 0121,ECP1246 0121,ECP1248 0121,ECP1259 0121 CERTIFICATE HOLDER APPROVED w CANCELLATION By Tu Tran Nguyen at 4:29 pm,Oct 06,2025 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. Attn: Public Works Agency Dlgitauy signed CIPIDesign Engineering TU Tran byraTran 20 Civic Center Plaza N AUTHORIZED REPRESENTATIVE Dguyen 25.10.06 Santa Ana CA 92702 M-3(i gUyetlguyen le:ao:6n o�,ep, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD