HomeMy WebLinkAboutTETRA TECH, INC. 6AINSURANCE NOT ON FILE
MAYOR
WORK MAY NOT PROCE
CLERK OF COLINC "
MAYIOR PRO TEM
Vincent P. nto
((?'tj DATE: SS-K 6 - -
t�"J
MBER
COUNCI(.MEMBERS
Angelica Amezcua
P. David Senavides
Michele Martinez
Roman Rayne
Sal Tinaiero
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
20 Civic Center Plaza M -36 • P.O. Box 1988 M -36
Santa Ana, California 92702
www.santa- ana.ora
April 30, 2015
Tetratech, Inc.
Tom Epperson, Vice President
17885 Von Karman Avenue, Suite 500
Irvine, CA 92614
Re: Consultant Agreement with Tetratech, Inc. "Extension"
Dear Mr. Epperson:
A -2014- 129 -01
Pursuant to Agreement No. A- 2014 -129, entered by Tetratech, Inc., and the City of Santa Ana,
dated June 3, 2014, Section 4 "Term ", the time period of said Agreement is hereby extended for an
additional one (1) year period, through June 30, 2016. The insurance certificates are required to be
extended and/or renewed to cover this extension. All other terms and conditions of said Agreement
remain unchanged and in full force and effect.
If you have any questions regarding this matter, please contact Rudy Rosas in the Public Works
Agency at 714 - 647 -3379.
Sincerely,
Executive Director
Public Works Agency
APPROVED AS TO FORM:
Sonia &'Oa walho
Attorney
of the Council
CITY OF SANTA ANA
David Cavazos
y Mana
ATTEST:
Maria D. Huizar
Clerk of the Council
SANTA ANA CITY COUNCIL
!Apel A P011tlo I villw f. sormienlo Mloele Mar mw Angelica Amazc a P OatiU Benwcas Rornan Reyna Sal Tmawa
Mayor Mayor Pro Tem, Ward Ward Ward Waltl4 Wards Ward
MfirtitlodaiSanla- ana.ara 1 v arnflfMlo sanla -ana wa MMarttn (�santa -ana po AAmaxCUa�saCia -ana erg -ana un RRe , san a or
�.,�9na. ° I STinmroDsanta-
. 2ed.QLq
DA � E(MMfDYYY'�
CERTIFICATE OF LIABILITY I D rY
NSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOE$ 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.
—thecerfificate holder an —ADDITIONAL INSURED, the pOIiCy(ieS) Must be endorsed If SUBROGATION IS WAIVED, Subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on t!Us certificate does not confer rights to the
certificate holder in lieu of such endorsement(s),
CONTACT
PRODUCER NAME:
Aon Risk Insurance services West, Inc. '_F; —H(FN E F� (866) 2�3-71"2 FAX
(800) 363-0105
LOS ArIgEIPS CA OffiCe (= No xll �AJ C No,):
707 y:ilshire Boulevard E-MAT
Suite 2600 —ADDRESS:
I_QS ArgeleS CA 90017-6460 USA INSURER(S) AFFORDING COVERAGE NAIC 9
INSURED INSURER A� National Union Fire ins co of Pittsburgh 19445
Tetra Tech,. Inc. (IWR) INSURER B: The Insurance cc of the state of PA 19429
.......... .
17885 von Korman Ave. R , k c, Al(, Europe Llm�ted AA11208111
Ste. SOO
Irvine CA 92614 USA INSURER 0: Lexington Insurance Company 19437
INSURER E:
INSURER r.
pr7liminpi
T'NI5 IS "1CD CER °iIFY THr THE POLICIES OF NNSUi ANCE LISTED BELOW HAVE BEEN' ISSUED TO THE INSUFZEf3 dAMED AaOVE FC)I2 THE PO &..ICY 0D
OTHER DOCUMENT WITH RESPECT TO WHICH THIS
BEO HEREIN 13 SU13JECT TO ALL THE TERMS,
EXCLUSIONS ANt3 CONDITIONS OF SLIC14 POLNOIES LN uIITS SIOWN MAY I °NAVE BEEN REDUCED PY PAIb Ims. Limits shown are as requested
Cl,AIMS4AADZ_ X OCCUR
'00a
PREMISES La occuner
crao '000
LIED E (Any one person)
,11 1111AL 11111 1111RW
$10 ,000
S1,000,000
X x,c,U Coveraqe
GENT AGGREGATE LIMITAPPLEES PER
LLNERM. AfC'�REGATE
$2,000,000
'Ivr'Op
PRt DUCTS • Cc�
12,000,0
x PRO. LOC
=,I POLICY Fq JECT 1XI
OTHFR,
A
AUTOMOBILE LIABI41TY
CA 3194397
10/02/201s
10/0112016
COMBINED SINGLE 4JWT
$1,000.000
BODILY INJURY ( Per nwson�
X ANY AUTO
ALI C)AINED SCHEDULED
BODILY INJURY jklmr accident;'
AUTOS AUTOS
X KRED AUTQ8 X NON-OWNED
O_
_x AUTOS
6T,—i-',:—
RrFT5A w3E
20 Pal c, Form CA
X
UMBRELLA LIAB X OCCUR
EXCESS UAB CbkIMS.MADE
—"7z'
'T00079
�
16/01/2015
10/0 T/ 2016
EACH OCCURRENCE
S1,000,000
AGGRIEGAlj
S1,000,000
PER �OTH-
ST "IT, ER
_-Li—A
CL ' E,�CH ACCIDENT
$1,000,000
8
9
B.
D
NIA
�WC014267906
wCo 14267908
�VJC014267907
wc0142679'12
02_8182375
/Poll Liab
1010112015
10/01/20AS
10/01/201S
10/01/2015�10/01/2016
10/01_/201.5
1,l
10/01/2016
J�D/01/2016
10/01/2016
1010112017
TIR i, 0 N S140, ODO
WORKERS COMPENSATION AND
EMPLOYrRS* LIABILITY YIN
AN—ROPMETOR f PART ITFR '"EC UTIVE
()�FKIERIME!'IBER Ex'_LUDLD?
Iyandalory In NH)
If yes, descrte under
DESCRIPTION OF OPER/JIONS below
contractor Prof
— -----
El DISEASE-EAEMPLOYLL
S1,000,000
E.L. DISEASE-POUCY LIMIT
Each Claim
Agggregate
S1,000,000
$1,000,000
$1_000,000
�Prof
SIR applies per policy ter
ions
DESCRIPTION OF OPERATIONS; LOCATIONS f VEHICLES (ArORID 101, Additional Remarks Schedule, may be a"8 Ch9d If more space Is roquired!I
RE� Contract NO. A2014129-01; an--Call Water Resource. Engineering Services,
Cat of Santa Ana, its officers, employees agents, Volunteers and representatives are included as Additional insured in
accordance will) the PC] 1 icy provi . 51 . Ons of t1!le Gene. ral Liability policy. General Liability policy evidenced herein is Primary
and Non-Contributory to other insurance available to certificate Holder, but only in accordance with the policy's provisiDns.
A Waiver of subrog4ti . crii . siyranted in favor of certificate Itolder in accordance with the policy provisions of the General
Lijbility, AUtonTO fle L ab ity, umbrella Liability and workers' compensation policies. Stop Gap coverage for the following
states: 011, NO, WA, WY.
l ` Santa Ana
Public Works Agency
Attn: Brian Ige
220 South Daisy Avenue
Santa Ana CA 92702 USA
ACORD 25 (2014;01)
r.AM(IPI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE,
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
I
CD
CD
I
Vi
0
z
Ctl
dl
L)
wqcz
4
WIMP
01988-2014 ACORD CORPORATION, All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ UTCAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. '10/01/2015 forms a part of
Policy No, GL3372258 issued to Tetra Tech, Inc.
By: National Union Fire Insurance Company of Pittsburgh, P4
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This poticy isamended as follows:
in the event that the Insurer cancels this policy for any reason other than nom-payment of
premium, and
t the cancellation effective date is prior to this policy's expiration date;
Z. the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)") and has provided to the Insurer, either directly or through its broker of
record, the email address of contact at each such entity; and
]. the Insurer received this information after the First Named Insured receives
notice of cancellation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer *id provide advice of cancellation (the "Advice") via e-mail to each such
Certificate Holders within [_I[iT days after the First Named Insured provides such information
to the Insurer; provided, however, that if a specific number of days is not stated above, then
the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after
the First Named Insured provides such information to the Insurer,
Proof of the Insurer omajUng the Advice, using the information provided by the First Named
Insured, will serve as proof that the Insurer has fully satisfied its obligations, under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shalt this endorsement invest any
rights in any entity not insured under this policy,
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page ofthis
policy.
Z. Insurer means the insurance company shown 10 the header on the Deciaratioms page of
this policy,
A(L other terms, conditions and exclusions shall remain the same.
l07414(03/]1)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ OFCAREFULLY.
ENDORSEMENT
This endorsement, effective 1Z:U1kw\. 1O/01/2015 forms a part uf
Policy No. [A3194397 iS$ued to Tetra Tech, Inc.
By: National Union Fire Insurance Company ofPittsburgh, PA
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended as fokows�
In the event that the Insurer cancels this policy for any reason other than non-payment of
premium, and
1. the cancellation effective daLe is prior to this policy's expiration date;
2. the First Named Insured is under an existing contractual ob(igadon to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)") and has provided to the Insurer, either directly urthrough its broker of
record, the emaii address ofa contact uteach such entity; and
3. the Insurer received this information after the First Named Insured receives
notice ofcancellation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such
Certificate Holders within {_30} 1 days after the First Named Insured provides such information
to the Insurer; provided` however, that if a specific number of days iy not stated above, Lhwo
the Advice will be provided to such Cer1ificaieHu(der(s) as soon as reasonably practicable after
the First Named Insured provides such information tu the Insurer.
Proof of the Insurer mmoK ng the Advice, using the information provided by the First Named
|msured, ad8 serve as proof that the Insurer has fully satisfied its obligations under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective dote thereof, nor shall this endorsement invest any
rights in any entity riot insured under this policy.
The following Definitions apply to this endorsernent:
1. First Named Insured means the Named Insured shown on the Declarations Page of this
policy.
2. Insurer moans the insurance company shown in the header on the Declarations page of
this policy,
AU other terms, conditions and exclusions shall remain the same.
1O74140]/11>
'~ /-)_0 � ��-
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ F[CAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.h\. 10/01 /2015 forms part of
Policy No. WC 014267906 issued to Tetra Tech, Inc.
By: Insurance Company of the State of Pennsylvania
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended asfollows:
In the event that the Insurer cancels this policy for any reason other than non-payment of
premium, and
1. the cancellation effective date is prior 10 this policy's expiration date;
2. the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)") and has provided to the |nsurer, either directly urthrough its broker of'
record, the emal address of contact at each such entity; and
]' the Insurer received this information after the First Named Insured receives
notice ofcancellation of this policy and prior tothis policy's cancellation effective
date, via an electronic spreadsheet that is acceptable Luthe Insurer,
the Insurer *iU provide advice of cancellation (the "Advice") via e-mail to each such
Certificate Holders within { 30 1days after the First Named Insured provides such information
to the Insurer; provided' however, that if specific number of days is not stated above, then
the Advice wiK be provided to such Certificate Ho[dcr(s) as soon as reasonably practicable after
the First Named Insured provides such information Lo the Insurer,
Proof of the Insurer ema hng the Advice' using the information provided by the First Named
Insured, will serve as proof that the Insurer has fully satisfied its obligations under this
endorsement.
This endorsement does not affect' in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement invest any
rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown onthe Declarations Page of this
policy.
Z. Insurer means the insurance company shown in the header on the Declarations page of
this policy.
AR other terms, conditions and exclusions shall remain the sarne.
107414 (03/11)
�o/2 ��
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY.
ENDORSEMENT
This endorsement, effective 12:01 A.M. 10/01/2015 forms a part of
PoLicy No.WC04Z6790O issued to Tetra Tech, Inc.
8y� Insurance Company uf the State oJPennsylvania
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended asfoitows:
In the event that the Insurer cancets this policy for any reason other than non-payment of
premium, and
1. the cancellation effective date is prior to this policy's expiration date;
the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this poUcy is canceled (hereinafter, the "Certificate
Hotder(s)'') and has provided tuthe Insurer, either directly or through its broker of
record, the email address of contact at each such entity; and
l the Insurer received this information after the First Named Insured receives
notice ofcamceiLation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable tn the Insurer,
the Insurer wiK provide advice of cancellation (the ~Advice") via e-mail to each such
Certificate HoWerswithin [�{[} days after the First Named Insured provides such information
to the Insurer; provided' however, that if specific number ofdays is not stated above, then
the Advice will be provided Lo such Certificate Hnider(s) au soon as reasonably practicable after
the First Named Insured provides such information to the Insurer.
Proof of the Insurer emaiUmg the Advice` using the information provided by the First Named
Insured, will, serve as proof that the Insurer has huiW satisfied its obligations under, this
emoorsement.
This endorsement does not affect, in any way' coverage provided under this pohcy or the
cancellation of this policy or the effective date thereof' nor shall this endorsement invest any
rights in any entity not insured under this policy,
The following Definitions apply to this endorsement:
l. First Named Insured means the Named Insured shown on the0ecbsrahons Page o[this
policy,
2. Insurer means the insurance company shown in the header mnthe Declarations page of
this policy.
All. other terms, conditions and exclusions shall, remain the same,
107414 (03/11)
�o�i°
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY.
ENDORSEMENT
Thmendor»ement' effective 12:01 4�#. 10/01/2015 forms a part of
Policy No. WC 014267907 issued to Tetra Tech, Inc.
By: |nsumnce Company of the State, ofPennsylvania
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of
premium, and
1. the cancellation effective date is prior tu this policy's expiration date;
2. the First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is comozicd (hereinafter, the "Certificate
Holder(s)") and has provided to the Insurer, either directly orthrough its broker of
record, the email address of contact ateach such entity; and
]. the Insurer received this information after the First Named Insured receives
notice of cancellation of this policy and prior to this policy's cancellation effective
date, via an etectronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via emaiito each such
Certificate Holders within T_]D] days after the Rot Named Insured provides such information
to the Insurer; provided' however' that if specific number ofdays is not stated above, then
the Advice will be provided to such Certificate Hmider(s) as soon as reasonably practicable after
the First Named Insured provides Such information to the Insurer.
Proof uf the Insurer ernrjhng the Advice, using the information provided by the First Named
Insured, will serve as proof that the Insurer has fu\(y satisfied its obligations under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement invest any
rights in any entity riot insured under this policy.
The following Definitions apply to this endorsement:
l. First Named Insured means the Named Insured shown on the Declarations Page nfthis
policy,
Z. Insurer means the insurance company shown in the header on the Declarations page of
this policy.
AR other terms, conditions and exclusions shalt remain the same.
107414 (03/l1)