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HomeMy WebLinkAboutBRUCE ANDERSON ENTERPRISES, INC. DBA A'S CONSTRUCTION (2) nn.ort izLOy� A-2023-076-0'IA► o J'o to .1e2070 MAYOR CITY MANAGER Valerie Amezcua MAYOR PRO TEM Alvaro Nunez CITY ATTORNEY David Penaloza Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra , A Jennifer L.Hall Johnathan Ryan Hemandez — Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza I PO Box 1988 Santa Ana,California 92702 www.santa-ana.ora April 21,2026 Bruce Anderson Enterprises, Inc., dba A's Construction Attn: Andres Aguilar, CEO 1661 W. McFadden Ave. Santa Ana, CA 92704 Re: Extension of Agreement No. A-2023-076-01 to provide on-call Emergency as halt and PCC Services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Bruce Anderson Enterprises, Inc., dba A's Construction and the City of Santa Ana, which commenced on May 2, 2023, the parties hereby exercise their option to extend the term of the Agreement for an additional one(1)year through May 1, 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. SincereI k Ro o , E. Acting Executive Director, Public Works Agency CITY OF ANTA AN ATTEST lvaro Nunez ntf . Ha City Manager City C APPROVED AS TO FORM CONTRACTOR yfe Nellesen t'tG fief �, l Assistant City Attorney Title Pre5iAe�tt- SANTA ANA CITY COUNCIL Valerie Amezcua David Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez Mayor Mayer Pro Tem-Ward 6 Ward 1 ward 2 Ward 3 Ward 4 Ward 5 vamezcua0santa-ana_ona doenaEozaf3sanla-ana,Ora tphan(�san na.org bvazauez@}santa-ana org iessieluoez[r�santa-ana.org pbacerraCa�sama-ana om jUanhemandezlsanta-ana oro A�`�® DATE(MMlDDNYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 112212026 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 BHIS-Colossus-Alkeme Insurance NAME: Bonnie Me Ipr PHONE 1204 E Yorba Linda Blvd .619-908-6351 FAX No): Placentia CA 92870 AOORESS: brneylor@alkemeins.com INSURERS AFFORDING COVERAGE. NAIC# INSURERA:infinity Select Insurance Co 20079 INSURED BRUCAND-03 INSURER B:Associated Industries Insurance Company,Inc. 23140 Bruce Anderson Enterprises, Inc.dba A's Construction 1662 West McFadden Ave INSURER C:Ategrity Specialty Insurance Company 16427 Santa Ana CA 92704 INSURER0:Scottsdale Insurance Company 41297 INSURER E:State Compensation Insurance Fund of California 35076 INSURER F: COVERAGES CERTIFICATE NUMBER:401173303 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 AFFORDLD 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. I EXP LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MMID�mYY POLICY LIMITS B X COMMERCIAL GENERAL LIABILITY AES125773501 11/18/2025 11/18/2026 EACH OCCURRENCE $1.000,000 CLAIMS-MADE FTI OCCUR DAMAGE TO RENTED PREMISE5 Ea occurnc ree $100,000 MED EXP(Any one person) $5.000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 yI I PRO- POLICY LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 50029783401 1/10/2026 1110/2027 EOaaB,1NEirl.DSINGLELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per aoekdent) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per acddant $ I _ ❑ UMBRELLA LAB X OCCUR CXS4067120 10I2112025 11118/2026 EACH OCCURRENCE $2,000,000 X EXCESS LIAS CLAIMS-MADE AGGREGATE $2.000,000 DIED I X RETENTION$ E WORKERS COMPENSATION 9352130 1/10/2026 1110/2027 X I PER OR EMPLOYERS'LIABILITY Y 1 N STATUTE ER ANYPROPRIETOPJPARTNERJEXECUTIVE N 1 A E.L.EACH ACCIDENT $1.,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liabilty G48784586 001 10/612025 1016/2026 Each Condition 1,000,000 Aggregate 2.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES ACORD 101.Additional Remarks Schedule,may be attached it more space is required) The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per CG 2033 0413&CG 2037 0704 on a Primary and Non-Contributory basis per attached form NXGL009 0809 and waiver of subrogation applies per attached form CG 2404 0509 as respects to General Liability coverage per attached forms and are required by written contract with the named insured prior to an occurrence and subject to policy terms and conditions as respects to insureds operations.. The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per attached farm and waiver of subrogation applies per attached farm as respects to business auto liability coverage and are required by written contract with the named insured prior to an occurrence and subject to policy terms and conditions as respects to insureds operations. [FORMS TO FOLLOW,Renewal Policy in Processing] See Attached... CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 7.44 am,Jan 26,2026 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. Public Works Agency-Parks, Fleet, & Facilities S 20 Civic Centre Plaza M-11 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: BRUCAND-03 LOC M Ac R ADDITIONAL REMARKS SCHEDULE page 1 of 1 AGENCY NAMED INSURE➢ BHIS-Colossus-Alkeme Insurance Bruce Anderson Enterprises,Inc.dba Ns Construction 1852 West McFadden Ave POLICY NUMBER Santa Ana CA 92704 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Work Comp waiver of subrogation applies per attached form 2527 02-25 as respects to insureds operations. *30 days notice of cancellation except 10 days for non-payment of premium. Subject to all policy terms,conditions and exclusions. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KEMPERAuto Kemper Auto Commercial COMMERCIAL 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service: (800)353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT 60029783401 01/10/2027 12:01 a.m. CITY OF SANTA ANA its council officers off Parks - Fleets&Refuse 20 Civic Center Piz A's Construction Santa Ana, CA 92701 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. CITY OF SANTA ANA its council officers off Parks Fleets& Refuse Part A-Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability.The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE : 01/10/2026 50461AIS01 ENDORSEMENT: 1-1 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service: (800)353-6737 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT 60029783401 01/10/2027 12:01 a.m. CITY OF SANTA ANA its council officers off Parks Fleets& Refuse 20 Civic Center Piz A's Construction Santa Ana, CA 92701 This endorsement is attached to and forms a part of the listed policy.The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A—LIABILITY COVERAGE OTHER INSURANCE—PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured;and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS,AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ADDL INSURED COPY AMEND DATE:01/10/2026 500PNCV01 ENDORSEMENT: 1-1 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service: (800)353-6737 WAIVER OF SUBROGATION 50029783401 01/10/2027 12:01 a.m. CITY OF SANTA ANA its council officers off Parks Fleets & Refuse 20 Civic Center Plz . A's Construction Santa Ana, CA 92701 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below,we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: CITY OF SANTA ANA its council officers off Parks Fleets& Refuse (name of person or organization) Additional premium in the amount of$25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY AMEND DATE : 01/10/2026 50461 SWF01 ENDORSEMENT: 1-1 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract or agreement that such person or organization be 1. 'Bodily injury", "property damage" or "personal added as an additional insured on your policy. and advertising injury" arising out of the Such person or organization is an additional rendering of, or the failure to render, any insured only with respect to liability for "bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including: advertising injury"caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, behalf; change orders or drawings and specifications; or in the performance of your ongoing operations for h. Supervisory, inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such This exclusion applies even if the claims against additional insured: any insured allege negligence or other wrongdoing 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or and monitoring of others by that insured, if the 2. Will not be broader than that which you are "occurrence" which caused the "bodily injury" or required by the contract or agreement to "property damage", or the offense which caused provide for such additional insured. the "personal and advertising injury", involved the rendering of or the failure to render any A person's or organization's status as an professional architectural, engineering or additional insured under this endorsement ends surveying services. when your operations for that additional insured are completed. CG 20 33 04 13 O Insurance Services Office, Inc., 2012 Page 1 of 2 2. 'Bodily injury" or "property damage" occurring C. With respect to the insurance afforded to these after; additional insureds, the following is added to a. All work, including materials, parts or Section III—Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed; or b. That portion of"your work" out of which the 2. Available under the applicable Limits of injury or damage arises has been put to its Insurance a ce shown in the Declarations; intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not increase the subcontractor engaged in performing applicable Limits of Insurance shown in the operations for a principal as a part of the Declarations. same project. Page 2 of 2 ®Insurance Services Office, Inc., 2012 CG 20 33 04 13 POLICY NUMBER:AES1257735 01 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s)or Organization(s): Location and Description of Completed Operations All persons or organizations where written contract Various with the Named Insured requires additional insured completed operations coverage. This form does not apply to your work on residential property. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -- Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 OO ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: AES1257735 01 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (THIRD-PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you underwritten contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission POLICY NUMBER:AES1267735 01 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations where required by written contract with the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions,, We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the"products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service: (800)353-6737 ADDITIONAL NAMED INSURED ENDORSEMENT 50029783401 01/10/2027 12:01 a.m. CITY OF SANTA ANA its council officers off Parks Fleets& Refuse 20 Civic Center Piz A's Construction Santa Ana, CA 92701 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. CITY OF SANTA ANA its council officers off Parks Fleets & Refuse Part A-Liability Coverage, is changed as follows: The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance. All other parts of this Policy remain unchanged. ADDL INSURED COPY AMEND DATE : 01/10/2026 50461AIS01 ENDORSEMENT: 1-1 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service: (800)353-6737 WAIVER OF SUBROGATION - 50029783401 01I10/2027 12:01 a.m. CITY OF SANTA ANA its council officers off Parks Fleets & Refuse 20 Civic Center Piz A's Construction Santa Ana, CA 92701 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below,we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: CITY OF SANTA ANA its council officers off Parks Fleets& Refuse (name of person or organization) Additional premium in the amount of$25.00 will be retained by us regardless of any early termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY AMEND DATE : 01/10/2026 50461 SWF01 ENDORSEMENT: 1-1 i I Named Insured Endorsement Number A'S Contruction Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW I G48784586 001 10/06/2025 to 10/06/2026 10/06/2025 Issued By(Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is Issued subsequent to the preparation or the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization:As required by written contract, prior to a loss to which this insurance applies. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV-3143(03-05) Includes copyrighted material of Insurance Services Office,Inc.with its permission Page 1 of 1 i I STATE Endorsement Agreement INSURANCE Waiver of Subrogation FUND Blanket Basis l 9352130-2026 Home Office Renewal San Francisco SP All Effective dates are 8-73-18-68 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective January 10, 2026 at 12:01 AM Pacific Standard Time and Expiring January 10, 2027 at 12:01 AM A'S CONSTRUCTION 1662 W MCFADDEN AVE SANTA ANA, CA 92704-3362 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. The additional premium for this endorsement shall be 2.00% of the total policy premium. Schedule Person or Organization Job Description Any person or organization for whom the Blanket Waiver of Subrogation named Insured has agreed by written contract to furnish this waiver Nothing in this endorsement shall be hefd to vary, alter, waive or extend any of the terms, conditions, agreements, or limitations of this policy other than as above stated. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, agreements or limitations in this endorsement. Countersigned and Issued at San Francisco January 9,2026 �T_�<.:�r�..-Gig •fad-ryI fr'M»-'„�' _�T sr--�2.e--t. 2572 Authorized Representative President and CEO SF—END Rev.2/2d25 OLD DP 217