HomeMy WebLinkAboutCALIFORNIA PROFESSIONAL ENGINEERING, INC (4) INSURANU ON FILE
A-2022-157-02B
MAYOR In ''J ., CITY MANAGER
Valerie Amezcua " "Zb ,� °;,"' Alvaro Nunez
MAYOR PRO TEM Cl } 6F d{ .�t_r'� w' CITY ATTORNEY
David Penaloza DATE., C
COUNCILMEMBERS JUN 16 2076 Sonia R.CCLERo
���� � CITY CLERK
Phil Bacerraxm ` >-ram Jennifer L. Hall
Johnathan Ryan Hernandez "�'~
Jessie Lopez
Thai Viet Phan
Benjamin Vazquez CITY OF SANTA ANA
��tDz� PUBLIC WORKS AGENCY
20 Civic Center Plaza i PO Box 1988
Santa Ana, California 92702
www.santa-ana.org
April 30, 2026
California Professional Engineering, Inc.
Attn: Van Nguyen, President
19062 San Jose Ave.
La Puente, CA 91748
Re: Extension of Agreement No. A-2022-157-02 to provide on-call construction services
Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by California
Professional Engineering, Inc. ("Contractor"), and the City of Santa Ana, dated August 16, 2022,the time
period of the Agreement is hereby extended for an additional one-year period through June 30,2027.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,
fo R s, P.E.
Acting Executive Director,
Public Works Agency
CITY OF SANTA ATTEST
,ANT,
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Alvaro Nunez Jennifer all v
City Manager Cit
APPROVED AS TO FORM: CONTRACTOR
SONIA R. CARVALHO
City Attorney
Kyle'Nellesen By Van Nguyen
Assistant City Attorney Title: President
SANTA ANA CITY COUNCIL
Valerie Amezcua David Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez
Mayor Mayor Pro Tom-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5
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CALIFORPRO KELVINM
'4 CERTIFICATE OF LIABILITY INSURANCE D 511YYY)
5l1912022026
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 License#0252636 CONTACT George Duran
NAMDuran Risk&Insurance Services PHONE FAX
3257 E.Guasti Ave,Suite 100 (AtC,No,Ext):(949)933-2845 _(AX.No)-
Ontario,CA 91761 E-MAIL ADDRESS:g g
eor a drisinc.com
INSURER(S)AFFORDING COVERAGE NAIC# _
INSURER A:Endurance American Specialty Insurance Company I41718
INSURED INSURER B:MS Transverse Specialty Insurance Company_ _ 41807
California Professional Engineering Inc. INSURER C:RSUI Indemnity Company_, 22314
19062 San,lose Avenue INSURER D:ACE American Insurance Company 22667
La Puente,CA 91748 INSURER E:Admiral Insurance Company 24856 _
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 PAPD CLAIMS.
INSR ADDTYPE OF INSURANCE INSD SUBRWVI) POLICY NUMBER POLICY EFF ! POLICY EXPLTR LIMITS
A X COMMERCIAL GENERAL LIABILITY MM/QDiYYYYi1 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR ?GL30005056100 4121202a 412/2027 -PREMDAMAISES 100,000
_�. X X PREMISES Ea oceurrenee $
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGA_TE LIMdT APPLIES PER: I GENERALAGGREGATE $ 2,000,000
X POLICY� PRO LOG 2,000,000
JECT PRODUCTS-COMPlOP AGG
OTHER $
COMBINED SINGLE LIMIT
B AUTOMOBILE LIABILITY Ea aceidentl $ 1,000,000
X ANY AUTO X X TSRSCA000027800 5/19/2025 6/19/2026 BODILY INJURY Perperson) $
OWNED SCHEDULED I
AUTOS ONLY I AUTOS I BODILY INJURY Per accident $
HIRED I
NON-OWNED PROPERTY DAMAGE
-- AUTOS ONLY AUTOS ONLY fPer accidentp $
C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
X EXCESS LIAB CLAIMS
-MADE X NHA606723 511912025 6/19/2026 AGGREGATE _ $ 5,006,000
DED I RETENTION$ $
D WORKERS COMPENSATION PER I I OTH-
AND EMPLOYERS'LIABILITY YIN X STATUTEER
ANY PROPRIETORJPARTNER]tXECUT1,000,000
IVE912981 5/1912026 5/1912027 EL EACH ACCIDENT $ _
OFFICERIMEMBER EXCLUDED? NIA'
{Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
If yes describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
E Excess-5M xs 5M i ,UX00000001903 5119/2025 6119/2026 Aggregate 5,000,000
E Excess-5M xs 5M W00000001903 51191202-1 6/19/2026 Each Occurrence 5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more spp�ace is required
NO.:21.095 ON-CALL CONSTRUCTION SERVICES FOR TRAFFIC SIGNALS,STREET LIGHTS AND CONCRETE WHEELCHAIR RAMPS
The City,its officers,officials,employees,and volunteers are to be covered as additional insureds respect to General Liability per forms CG20101219&
CG20371219 and Auto Liability per form CA20481013.This insurance is primary and non-contributory with respect to General Liability per form CG20010413.
*At least thirty(30)days notice of cancellation.Ten(10)days notice for non-payment of premium.
APPROVED _
CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 7:24,am,Jun 03,2026
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Clerk of the City Council THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
y ACCORDANCE WITH THE POLICY PROVISIONS.
City of Santa Ana
20 Civic Center Plaza(M-30)
P.O.Box 1988 AUTHORIZED REPRESENTATIVE
Santa Ana,CA 92702-1988
ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD