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HomeMy WebLinkAboutWEST COAST ARBORISTS, INC.MAYOR Miguel A. Pn6do MAYOR PRO TEM Michele Martinez COUNCILMEMSERS P. David Senavides Vicente Sarni Jose Saturn Sal Tinajero Juan Villegas June 7, 2017 West Coast Arborists Atilt: Patrick Mahoney 2200 E. Via Burton Street Anaheim, CA 92806 PUBLIC WORKS AGENCY 20 Civic Center Plaza, M36 • P.O. Sox 1988 M-36 Santa Ana, California 92702 mw,v.santa-ana.oro Re: First Extension of Consultant Aareement tato. A-2015-126 Dear Mr, Mahoney: A-2015-126 -01 INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Holzer Pursuant to Section 3 ("Term") of Agreement No. A-2015-126 entered into by West Coast Arborists and the City of Santa Ana, dated July 8, 2015, the time period of said Agreement is heroby extended for an additional two (2) year period, from July 1, 2017 to June 30, 2019, in an amount not to exceed $1,082,516 annually. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement renithn unchanged and in full force and effect. If you have any questions regarding this matter, please contact Fred Mousavipour in the Public Works Agency at 714-647-5654. Sincerel Fred M usavipour Executive Director -- Public Works Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorneey}, _ iut1- J r M. Funk Assistant City Attorney T CIF Sr TA AMA Cynthia J'. I urtz Interim City Manager ATTEST: HamraDD. TJuizai Clerk of the Council SANTA ANA CITY COUNCIL INSURANCE NOT ON FILE WORK MAY NdT PPROCEED CLERK OF COUNCIL DATE: Mlguet A. Po4ion, Michela Martina Vicente Sormmmo Josescion, RDavid sana'des Juan Vilteoas Sal Tmajam Mayor Mayor Pro Tam, Wart 2 Ward i Wart 3 Ward fi Ward 5 Were 6 uti saP�.-pyLpply inimagviax a(�santa-ana e[o vsarneM4(4@H*1jaena.og jaoimicto�smta-enc oro �'�, nenaawr/os�a2nta-ana ore ilt yastal= C �r 511 to em(&4santn-s i2 nm Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I WEST COAST ARBORISTS, INC 2200 EAST VIA BURTON NAME AND Liberty Mutual, ANAHEIM CA 92806 ADDRESS OFINSURED ZZ5 INSURANCE is, at the issue date of this certificate, insured by the Company under the policyHes) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. • If the cedificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana Public Works Agency M85 a 220 South Daisy Avenue Building -A E z Santa Ana CA 92703 u L Liberty Mutual Insurance Group 7 EXP DATE TYPE OF POLICY El CONTINUous ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY AUTHORIZED REPRESENTATIVE ❑ POLICY TERM 818 W 7th Street, Suite 850 0564408 WORKERS COMPENSATION Statutory Limits 7/1/2019 WA7-66D-039499-078 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States Except: ND, OH, WA, WY EMPLOYERS LIABILITY Buddy ln'ury by Accidem 1 000 000 earn Accilem Bodily Injury By Disease $1,000,000 Bodily Injury By Disease 1 000 000 h Person COMMERCIAL LIABILITY 7/1/2019 TB2-661-039499-018 General Aggregate $2,000,000 �AGENERAL [0 OCCURRENCE Products /Completed Operations Aggregate ElCLAIMS MADE $2,000,000 Each Occurrence $1,000,000 RETRO DATE Personal & Advertising Injury $1,000,000 Per Person/Organization Other Dame g00t000emises rented to pp 99 Von SAUTOMOBILE Medical Expense $5,000 LIABILITY 7/1/2019 ASI -661-039499-038 Each Accident—Singlc Limit $2,000,000 B.I. And P.D. Combined �I OWNED IJ Each Person Each Accident or Occurrence NON -OWNED rm LI HIRED Each Accident or Occurrence OTHER 7/1/2018-7/1/2019 TH7-661-039499-048 $5,000,000 Per Occurrence/Aggregate Umbrella Excess Liability ADDITIONAL COMMENTS See Addendum • If the cedificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana Public Works Agency M85 a 220 South Daisy Avenue Building -A E z Santa Ana CA 92703 u L Liberty Mutual Insurance Group 7 Elaine Ulan Los Angeles / 0603 AUTHORIZED REPRESENTATIVE 818 W 7th Street, Suite 850 0564408 Los Angeles CA 90017 213-443-0782 6/12/2018 J OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 42480230 1 LM 2819 1 7/18-7/19 - GL/2/1, AL/2, WC/1, n/5 I gonna smitala l 6/12/2018 12:05:13 PM (CDT) l Page 1 of 2 LDI COI 268896 02 11 rev14-wed l•q•lq IaFfa AGENCY CUSTOMER ID: LOC #: ,a © oR ® ADDITIONAL REMARKS SCHEDULE Page of AGENCY Liberty Mutual Insurance Co. National Insurance West NAMED INSURED WEST COAST ARBORISTS, INC 2200 EAST VIA BURTON ANAHEIM CA 92806 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: NM FORM TITLE: Certificate of Casualty Insurance (07/10) HOLDER: City of Santa Ana Public Works Agency M85 ADDRESS: 220 South Daisy Avenue Building -A Santa Ana CA 92703 Re: All jobs performed by the named insured during the policy term City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds with regards to general liability as their interest may appear where required by written contract. The insurance afforded by the GL policy for the benefit of the additional insured shall be primary and non-contributory. 2008 ACORD CORPORATION. All rights reserved_ The ACORD name and logo are registered marks of ACORD 92980230 1 LM 21119 1 7/18-7/19 - ./2/1, AL/2, WC/1, U/5 I Do— Cmitala 1 6/12/2018 12:05:13 PM (CDT) I Page 2 of 2 ADDENDUM reviewad ` n3 '1 2C4 b POLICY NUMBER: TB2-661-039499-018 COMMERCIAL GENERAL LIABILITY CG 2010 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: CeZilulul�3e]/:lt[��d1�:7�T��G�31RYi�iIil�l�:7_[e7�171 it A. 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", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2 The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insureds) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): Any owner, lessee, or contractor for whom you have Any location work is performed agreed in writing prior to a loss to provide liability insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 re.V1t?.Utac( 6 4t POLICY NUMBER: TB2-661-039499-018 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section 11 — 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Name Of Additional Insured Person(s) B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: if coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations: whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. SCHEDULE Or Organization(s): Location And Description Of Completed Operations All persons or organizations with whom you have All locations as required by a written contract or entered into a written contract or agreement, prior to an agreement entered into prior to an occurrence or occurrence or offense, to provide additional insured offense. status. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER:AS7-661-039499-038 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 reviewed ` Ary 5 o410 POLICY NUMBER: T132-661-039499-018 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance, and CG 20 01 04 13 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc., 2012 Page 1 of 1 CeWD�W�1 � (oma{- b