The URL can be used to link to this page

Home My WebLink AboutRBF CONSULTING (6) - 2003 \'.' A-2003-172 INSURANCE ON FILE wORR MAY PROCEED UNTIL INSURANCE EXPIRES 11-,30-03 C~IAI\ Of COUNCIl. IlAUI9-..3-o3 0: fWll (z.. KeJ4MJ Fin On-Call Traffic Engineering Services With RBF Consulting Project No.: Account No.: W.O.: Manager: T.C. Sutaria $: (not to exceed $175,000) CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this .Lj#L day of ~ ' 2003 by and between RBF Consulting, a California corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of traffic engineering to provide on-call traffic engineering services. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in the City's Request for Proposal for Bi-Annual Contract for On-Call Traffic Engineering Services, dated June 2, 2003 and Consultant's Proposal, dated June 20, 2003, each incorporated by reference in their entirety, and Consultant's fee schedule, attached as Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement, shall not exceed $175,000.00, annually, during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2005, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Executive Director of the Public Works Agency and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee ofthe City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $ I ,000,000 per occurrence. Upon execution of this Agreement, Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B, which insurance shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $ I ,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. 2 c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (I) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, caused by the negligent performance of services by the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. 7. CONFIDENTIALITY 3 If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation ofIaw; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: Executive Director of Public Works City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-5670 and, 4 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Consultant: RBF Consulting 14725 Alton Parkway Irvine, California 926 I 8 Telefacsimile (949) 472-8373 Attn: Carlos Ortiz A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms ofthis Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement 5 shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be governed and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, 6 approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhi bits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: ~ PATRICIA E. HEALY Clerk of the Council DAVIDN. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: ;II/JA~ Laufa Sheedy . Assistant City Attorney CONSULTANT .gl'~4_ff - ~ ff ~';I 5",.. /I,'c~-I're 5,.J.~-I- TaxID# 9$.2247213 7 . ::) ::) ::) ~ ? ;:l ;1 ~ HOURLY RATE SCHEDULE Effective January, 2003 .? .? ,? ,? ? ? ''":) '":) ? ':1 :? ''? ':l ,- ~ ::1 OFFICE PERSONNEL Senior Principal..........""",....." ............. ....., ....... ....... ......',,'..., ........... ......'...'"", .......,..... ....... .............. $200.00 Principal......... ..... ,.....".",...,...... ................ ........... ..... ........'.... ,.......... ......",.."".., ...... ..... ........................ 175.00 Project Director .... ...... .............,. .......................... ............",'.... ......,. ..........""",'............ .........,. .............. 155.00 Project Manager .....................', ......................... ....... ............. ........................... ..........,.. ,....... ................ 136.00 Structural Engineer ...... ........ ..... ......................... .................... ......,.. ............. .................. .... ...., ............... 136.00 Electrical Engineer .................... .............. ............. .............', .......................' ............. ,.., ......... ................. 120.00 Senior Engineer/Senior Planner .......................',..............................................................,.,.."..............115.00 Landscape Architect ..........., ..... ........... ............... ..... ........,...', .......... ............,.., ..........",.......... ............... 110,00 Project Engineer/Project Planner ......... ............ ,.............."..., .........., ............ ....".........'. .......... .............,. 105.00 Environmental Specialist ........... .......,.. .................... ........'"", ........'. ...........' ..........,..",... ....... ...............' 100.00 Corrosion Engineer .............. ...... ......' ,.. .................... .............. ......... ............ ..................'", ,....., .............. 100.00 Design Engineer/Senior Designer/Mapper ........ ............."..", ............ ........................,.......... ................... 96.00 Designer/Planner ... .............. .............................. ....... ........ .....................................""..""..."... ................ 84.00 GIS Analyst ............ .............. ..... ........ ................ ................... ............................................ ......... ........... ,.., 80.00 Graphic Artist ..., ....... ................. ........ .................. .... ............... ............. ..................."..,....,........ ............ .... 74.00 Environmental Analyst/Staff Planner, .............,.. ..... ................. ....................................'.. ......... ,...........".. 73.00 Design Technician. ................... ........ ................ ....... .......' .................... ........................"",..,.", ................ 70.00 Assistant Engineer/Planner. ..... ....",.., ................ ...... ............... ............. ...............,.................... ............... 66.00 Engineering Aid/Planning Aid ... .......... ............. ......... .............................. ...........,. ...................",..,..", ...... 54.00 :~ ':1 ~ FIELD PERSONNEL 2.Person Survey Crew ........................................................................................................................ $190.00 1.Person Survey Crew .............,...."........................................................,..",.."................................... 132.00 Field Supervisor .....',,'. ........ .......'...,.., ............ .......... ....... ........ ..........' ....,......'" ........., ,......................... 124.00 ::;l ::;l :J CONSTRUCTION MANAGEMENT PERSONNEL Construction Manager ...... ...... ..... .............. ............................ ............. ............... ......... ......................... $135.00 Resident Engineer/Project Manager ........,."..........,......."",.."....................................,..,....................... 115,00 Senior Construction Inspector .................,.. .......... ..... ............. ,..........,.." ,...""".. ........, ..............., , ........... 93.00 Construction Inspector .......................................................... ............... .............. ...................................... 87.00 Field Office Engineer .......... ..... ............................................. ..........................,.' ........ ,.................' ........... 82.00 Construction Technician ..... ..... .........................'... ..............'. .............. ................ ........ ................... .......... 68.00 2 ::? ~ ') - ;] ::;l ::? :J :;,l OTHER SERVICES AND FEES Permit Processor ....." .............."......" ..............." .......", ....... ,........... .................... ................................. $85.00 ClericallWord Processing ........""....,.. ..........",.. ,....."" ,.................. ....................... ............ .................... .45.00 Consultation Relative to Legal Actions .........................................,....................",...........,......".......,..,,270.00 Vehicle Mileage ... ......................... ........ ........,................... ...........", '................'" ............, ......",......., OAO/mile ') ..... ;] :J '. Note: Blueprinting, reproduction, messenger service and other direct expenses will be charged as an additional cost plus 15%. A Subconsultant Management Fee of fifteen-percent (15%) will be added to the direct cost of all 5ubconsuttant services to provide r&lhe cost of administration, subconsultant consultation and insurance, ~ ~ EXHIBI i A .. J EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits ofIiability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # Issued to , this endorsement form as a part of Named Insured Countersigned by Authorized Representative 8 CERTIFICATE OF LIABILITY INSURANCE 4- J,OOJ.-03<p- 4 - d,oo;J -03(.,-{ 4 - ;:;'iJO ~ - oJ/&;. 4- - .;),003- OYb If ~_,AD(.)3. - 11;)", AmBDm PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711.0550 714427.6810 INSURED RBF Consulting PO Box 57057 Irvine, CA 92619-7057 Client#: 6255 RBFCONSUl DATE (MM/OOlYY) 12/02/03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE , INSURER A: !-I~SURER--B i INSURER C , INSURER 0" , INSURER E: Tra"elersJndemnityCo. ofl!lInois Hartford Fire Ins. Co. Fireman's Fund Insurance Co. underWriters at L1OXd's london COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- :POI..ICy-'EFFECTIVi:( LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/D IVY A GENERAL UABI!.!TY PG3050~D409203 111/30/03 X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE X! OCCUR INDP. CONTRACTORS X CONTRACTUAL INCLUDED. X BFPD,XCU,OCI' GEN'L AGGREGATE LIMIT APPLIES PER: ,'-'-1 POLICY I X '~~~ X : LOC AUTOMOBILE LIABILITY B : x ANY AUTO ALL OWNED AUTOS : SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO C 'EXCESS LIABILITY X ! OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ wcm;~RS COMPENSATION AND EMPLOYERS' LIABILITY D ,OTHER Professional Liability !POUCY Ex:i:iiRATlbN~ , DATE MMlDDIYY ! ~ 1/30./04 !57UENTl0126 ! 11130/03 I ! 11/30/04 ~) I , , ~ " . '''O ...' ",w~~l , ,', 'I" IV XSM00097333165 11/30/03 I 11/30/04 I I PROFESSIONAL LIABILITY IS .EXQ~QgQ.,____. I ! PI039400 i , 11/30/03 i 11/30/04 DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLEstEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re: IN 10.103090, On.call Services (See Attached Descriptions) CERTIFICATE HOLDER ADDlTlQNAL INSURED ;INSURER LETTER: CANCELLATION LIMITS EACH OCCURRENCE ,.~1!QoO;.QQ9 ! FI~~PAMp,~~..(Anyy~e__firEl) 1~:L9001().Q9 MED EXP (Any?ne perso!l) i $~I'<<:)OO PERSONAL & ADV INJURY _ r $.1 ,o.Q9.l9()O ~.Q.~NER~_~_"".GG~.E:~~!E___.___: $2A)!tQ,Qoq l,.~~~Y~!.S__:~O_~l9~ A~9_t,~~,OQ()A)QO , COMBINED SINGLE LIMIT 1 (Eaaccidenl) r ,- I BODilY INJURY (Per person} I ' BODilY INJURY (Peraccidenl) i $1,000,000 $ $ i PROPERTY DAMAGE ! (Per accident) i$ I A~!9gNl_'r:_~_~A",,~9.!~~N!---J_$_ , OTHER THAN EA ACC _+~_ AUTO ONLY: AGG I $ LE""<::.I:l.2_CC.!:!B~_E.N<::~ __; $10lPOO--,PO(L. I AGGRE~ATE f.:10,00ll,OOO $ $ ,$ , we STATU. 'OTH- iTQAY.lIMI.T$_ ' _I;R i E.L. EACH ACCIDENT E.L. DISEASE - EA E.~~LOYEE.$ i E:.L. DISEASE - POLICY LIMIT! $ i $1,000,000 Per Claim , $2,000,000 Annl Aggr. City of Santa Ana Public Works Agency,Atl: Zed Kekula 20 Civic Center Plaza Mail Station 43 Santa Ana, CA 92701 SHOULD ~YOFTHE ABOVE DESCRIBED POLlClfSBE C~CElLED BEFORE THE EXPIRATlON DATE THEREOF, THE ISSUING INSURER WfLL)CJ(~XJClMAIL30 DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, B~XJU~~lIJUllltfGX.)(x ~X~~)(lX:XJlItAarJOJ(kll('J11l.lltDt8(~JlX~J(nGllR:x :lI'XIUJe6'lXllalH-llX AUTHORIZED REPRESENTATIVE ACORD 25.S (7/97) 1 of 2 #M81822 II @ ACORD CORPORATION 1988 /14f ~, DESCRIPTIONS (Continued from Page 1) City 01 Santa Ana and its officers and employees are additional insured as respects to General Liability. Primary and Non.Contributing coverage applies to GL. (GL.AI/PRlX ;f!fI\fl&'ci;t 6b AMS 25.3 (07/97) 2 012 #M81822 POLICY NUMBER: P630500D409203 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES or CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana Public Works Agency,Att: Zed Kekula 20 Civic Center Plaza Mail Station 43 Santa Ana, CA 92701 (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an Insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Additional Insured Continued: And its officers and employees PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. $"-"2Y~ s/3 CG 20 10 11 85 Q Client#: 6255 CERTIFICATE OF LIABILITY INSURANCE RBFCONSUL PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711.0550 714427.6810 DATE (MMJDDfYY) 11/29/04 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ! INSURERS AFFORDING COVERAGE .. t,m,... _.'.n__..__._.__.._'____n._'_.... i INSURER A: Travelers Property Casualty ~~~~~.!.\!':1_~.. INSURER 8: Hartford Fire Ins. Co. INSURER c: Fireman's Fund Insurance Co. -- ---------- INSURER D" Underwriter~ at L_19Y~_~s of_~ondon INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Iri: I TYPE OF INSURANCE POLICY NUMBER Pg..i!flt~~5~R-~T IP~~$ll~';}~l,l~N A 'GENERAL LIABILITY !P630500D409204 '11/30/04! 11/30/05 I X COMMERCIAL GENERAL LIABILITY I I CLAIMS MADE , X : OCCUR IINOP. CONTRACTORS I uXCONTRACTUAL !INCLUDED i X BFPD,XCU , i , i i ACORD," INSURED RBF Consulting PO Box 57057 Irvine, CA 92619.7057 COVERAGES B GEN'L AGGREI~AT~ ~~~~ AP iPLlE~ PER: POLICY I X I JECT X I LOC AUTOMOBILE LIABILITY X ANY AUTO 11130/05 , 11/30/04 57UENTL0126 ALL OWNED AUTOS SCHEDULED AUTOS : X , HIRED AUTOS i'X'i NON-OWNED AUTOS 1----, ~--- , ! , . I.Q.~RAGE LIABILITY , ANY AUTO , , i 111/30/04 A.PPIOVED ASi TO ,-0 C i EXCESS LIABILITY XSMOO086597721 X OCCUR i I CLAIMS MADE Professional Liab. is Excluded DEDUCTIBLE i RETENTION . ! WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY , i - i D OTHER Professional I PI049400 Liability , i 11/30/05 , /'ui /';1 v LaUr;~lt Sheedy ASSlsta-~ '->ity All rn , _ orne\' \ ! 11/30/04 '11/30/05 ! DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the pertormance of professional services Re: IN 10.102081, Design & Development Standards. . City 01 Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, (See Attached Descriptions) LIMITS EACH OCCURRENCE .1 000000 '1 000 000 $5,000 11.0.09,000 _ $2,0.0Q,9.0ll___ s.2,-(}QQ1()Q9___ ~~~.~~MA.9.~~~l.~~-.!i.!".eL MED EXP (Anyone person) PERSONAL & ADV INJURY GENEHAL AGGREGATE PRODUCTS -COMPIOPAGG COMBINED SINGLE LIMIT (Eaaccidellt) '1,000,000 BODILY INJURY (Per person) , BODILY INJURY (Per accident) PROPERTY DAMAGE (Peraccidenl) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ,$ I AUTO ONLY: AGG j $ ! EACH OCCURRENCE ! $10,000,000 ~~G.9BE~!E_____ :10..L0.99,0_00_ _..__ FOR -" __ - ___ ~___ - __n_n $ I WC STATU- ITnRY liMITS EL EACH ACCIDEm IOJ~' EL DISEASE - EA EMPL OYEE $ EL DISEASE - POLICY LIMIT $ $1,000,000 per claim $2,000,000 annl aggr. CERTIFICATE HOLDER , AD 0 ITIONAlINSURED; INSURER LETTER: CANCELLATION SHOULD ANYQf THEABOVE DESCRIBED POllCIESBECANCELLED BEFORE THE EXPIRATION City of Santa Ana, Planning Division Ms. Maya DeRose 20 civic Center Plaza, Ross Annex Bldg 2nd FL PO Box 1988, M.20 Santa Ana, CA 92702.1988 DATE THEREOF, THE ISSUING INSURER WILL:II:K~XlPMAIL30 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHELEFT, B~)f)il~~:lKRlXXx tueafX~tl(_tIl;KXJl!X"KXMDIJilXlf'Jl!JlXXX~XWX x ft~)(JA()6.Ux R E eEl V E 0 AUTHORIZED REPRE'ENT A TIVE #Ml15917 @ ACORD CORPORATION 1988 ACORD 25.5 (7/97)1 012 DEe 0 ~ 2004 ~AtUA ANA PLANNING DE:PI BG .~ DESCRIPTIONS (Continued from Page 1) volunteers and representatives are Additional Insured as respects to General Liability. Primary and Non-Contributing and Cross Liability coverage applies to GL (AI/PRIeRS/X) APPROVED AS TO FORM ~S ('/I .taura Stitt Sheedy Assistant City Attorney AMS 25.3 (07197) 2 012 #M115917 POLICY NUMBER: P630500D409204 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES or CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or OrqanizaHon: City of Santa Ana, Planning Division Ms. Maya DeRose 20 civic Center Plaza, Ross Annex Bldg 2nd FL PO Box 1988, M-20 Santa Ana, CA 92702-1988 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Name of Person or Organization Continued: its officers, employees, agents, volunteers and representatives PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. SEVERABILITY OF INTEREST: IT IS AGREED THAT EXCEPT WITH RESPECT TO THE LIMIT OF INSURANCE, THIS COVEAAGE SHALL APPLY AS IF EACH ADDITIONAL INSURED WERE THE ONLY INSURED AND SEPARATELY TO EACH INSURED AGAINST WHOM CLAIM IS MADE OR SUIT IS BROUGHT. APPROVED AS TO FORM Y/j7 ;;/1 Liura Stitt Sheedy Assistant City Attornc\' CG 20 10 11 85 . ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ DATE (MMIDDIYYYY) RBFCO-1 07/07/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE United Captive Ins. Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 17151 Newhope St., Ste 211 ALTER THE COVERAGE AFFORDED BY THE POliCIES BELOW. Fountain Valley CA 92708 Phone: 714-708-4370 Fax:714-708-2300 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A U.S. Fidelit" and Guaran tv ( o. INSURER B REF Consulting INSURER C 14725 Alton Parkway INSURER 0: Irvine CA 92718 INSURER E: COVERAGES 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POL.ICY NUMBER I"Dl.).'1!~1:~rDED'~E Pgk~Clfij~b~J!.,C?N L.IMITS ~NERAL. L.IABIL.ITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occu~~nce) $ I CLAIMS MADE D OCCUR MED EX? (Anyone person) $ I - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ ~'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ PRO- POLICY JECT LOC ~TOMOBIL.E LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY (Peraccidenl) $ -- NON.OWNED AUTOS PROPERTY DAMAGE $ (Per accident) ~~GE LIABILITY AUTO ONLY - EA ACCIDENT $ -- ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ i EXCESS/UMBREL.LA LIABILITY EACH OCCURRENCE $ :::J -OCCUR D CLAIMS MADE AGGREGATE $ $ =1 ~EDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND XIT~~/L1Mlfs I IUER A EMPLOYERS' L.IABILlTY D123WOO096 07/01/04 07/01/05 $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT I OFF!CER/MEMBER EXCLUDED? , E.L. DISE,\SE .- EA C~'::'LOY[E , lCOOOOO I If yes, describe under .-.-- SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER A.PP ROVED AQ "..,., ''',~. DESCRIPTION OF OPERATIONS I L.OCATlONS I VEHICL.ES I EXCL.USIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS '''Yl *10 days notice of cancellation for non-payment of premium. Re: IN ~"-::;-c; f)/ 10-102081. Design & Development Standards. - LaUra Stitt Sheedy A.ssIstant City A.tt orney CERTIFICATE HOLDER CANCELLATION CITYSAN SHOUL.D ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCELL.ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 1iP1I111i-.-araarx:.MAIL. *30 DAYS WRITTEN City of Santa Ana, Plang. Div. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL. Ms. Maya DeRose, Sr. Planner IMPOSE NO OBL.IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza Ross Annex Bldg. , 2nd Fl. REPRESENTATIVES. Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE /It-11-& ~%J Mark Barrie ACORD 25 (2001/08) @ ACORD CORPORATION 1988 ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYY) OS/25/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92711-0550 714427-6810 INSURERS AFFORDING COVERAGE INSURED INSURER A Traveler~_ Property Casualty Co of Am RBF Consulting INSURER 8: Hartford Fire Ins. Co. PO Box 57057 -.. ------ INSURER C Fireman's Fund Insurance Co. Irvine, CA 92619-7057 INSURER 0: Underwriters !It_~loyd's London , INSURERE: Client#" 6255 RBFCONSUL COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER Pgk!fEY,~~f'5%~E P%~~J I~X:J~JJ8\N LIMITS LTR A ~NERAL LIABILITY P630500D4092TIL05 11/30/05 11/30/06 EACH OCCURRENCE '1 000,000 X 5~ERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) .1 000000 :x CLAIMS MADE W OCCUR INDP. CONTRACTORS ~l?EXP(Anyoneperson) .5000 CONTRACTUAL INCLUDED PERSONAL & ADV INJURY 1'1,000,000 ~ X BFPD, XCU GENERAL AGGREGATE .2 000 000 -.----- ~'LFAGGRE~~l ~IMIT APMS PER i PRODUCTS -COMP/OP AGG .2 000,000 .~Ix PRO- X POLICY JECT LOC I B ~OMOBILE LIABILITY 57UENTL0126 11/30/05 11/30/06 COMBINED SINGLE LIMIT .~ ANY AUTO (Eaaccidenl) '1,000,000 - ALL OWNED AUTOS BODILY INJURY (Per person) . SCHEDULED AUTOS X HIREOAUTOS BODILY INJURY ~ (Peraccidenl) . -"- NON-OWNED AUTOS ~~.. PROPERTY DAMAGE . (Peraccidenl) KG' "A"'''TY AUTO ONLY _ EA ACCIDENT . ~ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG . C EXCESS LIABILITY XAEOO087315487 11/30/05 11/30/06 EACH OCCURRENCE .10000000 ~-OCCUR 0 CLAIMS MADE AGGREGATE .10000000 Professional Liab. $ --~~_.- rl ~EDUCTIBLE is Excluded . RETENTION . . WORKERS COMPENSATION AND WCSTATU. I IOJ~- ~-'- EMPLOYERS' LIABILITY EL EACH ACCIDENT . ~_...- . -- -- EL DISEASE - EA EMP~ 9'!:.~~ _$_ E.L. DISEASE _ POLICY LIMIT . D OTHER Professional PI059400 11/30/05 11/30/06 I $1,000,000 per claim Liability $2,000,000 ann! aggr, DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional l'l- services .h Re: Design Guidelines, IN 10-104231 , '/ City of Santa Ana, its officers, employees, agents, I ! . (See Attached Descriptions) CERTIFICATE HOLDER I I ADDlT10NALINSUREO.INSURERLETTER: CANCELLATION T" , n" r .......ti - SHOULD ANYOFTllE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana, Planning DATE THEREOF, THE ISSUING INSURER WI~~ TOMAIL~DAYSWRITTEN Division NOTICETOlHE CERTIFICATE HOLDERNAMEDTOTHELEFT,)fttK1UIJ)(~k 20 Civic Center Plaza JlIl'Mn~ltQl~~.KXU~K~XKg(~ Santa Ana. CA 92702-1988 -.-- ..\UTHORlZED REPRESENTATIVE , ~ ACORD 25-5 (7/97)1 012 #S161403/M144720 RLL @ ACORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) volunteers and representatives are Additional Insured as respects to General and Auto Liability as required by written contract. Primary and Non-Contributing coverage applies to GL as required by written contract. r~ I -' "! AMS 25.3 (07/97) 2 012 #S161403IMl44720 POLICY NUMBER: P630S00D4092TILOS COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES or CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana, Planning Division 20 Civic Center Plaza Santa Ana, CA 92702-1988 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Additional Insured Continued: its officers, employees, agents, volunteers and representatives PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. /- " //.-".J i'! if CG 20 10 11 85 POLICY NUMBER: 57UENTL0126 BUSINESS AUTOMOBILE LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED INSURED ENDORSEMENT (CA 20 48) Name of Person(s) or Organization(s) City of Santa Ana, Planning Division 20 Civic Center Plaza Santa Ana, CA 92702-1988 BUSINESS AUTO COVERAGE Each person or organization indicated above is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in SECTION II of the Coverage Form. Additional Insured Continued: its officers, employees, agents, volunteers and representatives r1" ~//f CA20 48 07 97 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP to R9 OATE (MM/ODJYYYYj RBFCQ-l OS/23/06 PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE United Captive Ins. Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 17151 Newhope St., Ste 211 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fountain Valley CA 92708 Phone: 714-70S-4370 Fax:714-708-2300 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: U.S. Fidelity and Guaranty Co. 25887 INSURER B RBF Consulting, Inc. INSURER c: 14725 ~ton Parkway INSURER 0: Irvine CA 92718 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHST ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT AtN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER PD'1.~~TJ~rJ~!yE P8k~1Y{~~':b'h"N~~N LIMITS GENERAL LIABILITY EACH OCCURRENCE , - PREMISES (E~IO~~~~r~rlce \ - pM~ERCIAL GENERAL LIABILITY , - CLAIMS MAOE 0 OCCUR MED EXP (Anyone person) , - PERSONAL & ADV INJURY , GENERAL AGGREGATE , .- GEN'L AGGn LIMIT APAS PER: PRODUCTS. COMPIOP AGG , I PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- , ANY AUTO (Ea accident) I-- r ALL OWNED AUTOS BODILY INJURY , SCHEOULED AUTOS (Perpersorl) I-- HIRED AUTOS BODILY INJURY I-- , NON-OWNED AUTOS (Per accident) r I-- PROPERTY DAMAGE , (Peracclderlt) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT , R ANY AUTO OTHER THAN EA ACC , AUTO ONLY AGO , EXCESSfUMBRELLA LIABILITY EACH OCCURRENCE $ P OCCUR D CLAIMS MADE AGGREGATE , $ R ~EDUCTI"E , RETENTION , $ WORKERS COMPENSATION AND X IT6'R;tTQir's I I'-ER' A EMPLOYERS' LIABILITY D123WOO118 07/01/05 07/01/06 ANY PROPRIETOR/PARTN ER/EXECUTIV E E.l. EACH ACCIDENT , 1000000 OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE $ 1000000 If yes, describe under SPECtAL PROVISIONS below E.L. DISEASE - POLICY LIMIT , 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS *10 days notice of cance~lation for non-payment of premium. 1-- / , , Re: Design Guidelines, IN 10-104231 CERTIFICATE HOLDER CANCELLATION CITSAN2 SHOULD ANY OF THE: ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana Planning Division 20 Civic Center P~aza Santa Ana CA 92702 DATE THEREOF, THE ISSUING INSURER WILL _u__. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, -. _n Ii IL *30 DAYS WRITTEN - .. ..~ !'t _ 'J"'''-~ ACORD 25 (2001/08) AUTHORIZED REPRESENTATIVE Mark Barrie f} ACORD~ CERTIFICATE OF LIABILITY INSURANCE OPID R RBFCO-1 06 27 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW PRODUCER United Captive Ins. Brokers 17151 Newhope st., Ste 211 Fountain Valley CA 92708 Phone: 714-708-4370 Fax:714-708-2300 A-~3- /7;), A- ;}.()O:3- ,7).-01 11- dCQ5'- if'1 INSURERS AFFORDING COVERAGE RBF Consulting, Inc. 14725 Alton Parkway Irvine CA 92718 INSURER A" INSURER B: INSURER C INSURER 0: INSURER E u.s. Fidelity and Guaranty Co. NAIC # 25887 INSURED COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE !NSURED 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I'NS. J'lDO' POLICY NUMBER ~~~~;J~~E~~!XE Pgk~1YI~:'::~~~~~N LIMITS LTR NS. TYPE OF INSURANCE ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence\ , CLAIMS MADE D OCCUR MED EXP (Anyone person) $ e- PERSONAL & ADV INJURY , f-- GENERAL AGGREGATE $ rl'L AGG~EnE ~~M; APPlS PER' PRODUCTS - COMP/OP AGG $ POLICY JECT LOC I ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT , ANY AUTO (Ea accident) f-- e- ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) e- f-- HIRED AUTOS BODILY INJURY , NON-OWNED AUTOS (Per accident) 1-- e-- PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY C h<d AUTO ONLY - EA ACCIDENT $ ANY AUTO ,[ tv___ EA ACC , VOln OTHER THAN -/ AUTO ONLY: AGG , t=]ESStuMBRELLA LIABILITY / EACH OCCURRENCE , OCCUR D CLAIMS MADE / AGGREGATE $ , R DEDUCTIBLE , RETENTION , , WORKERS COMPENSATION AND : I wes ~:~-I IOJ~- X TORY LIMITS A , EMPLOYERS' LIABILITY D123WOO135 07/01/06 07/01/07 , 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACr;IDENT OFFICER/MEMBER EXCLUDED? ~~SEASE - EA EMPLOYE , 1000000 If yes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT , 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS *10 days notice of cancellation for non-payment of premium. Re: Design GUidelines, IN 10-104231 CERTIFICATE HOLDER CANCELLATION CITSAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL.URE TO DO SO SHAL.L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT 1 IV Mark Barrie . @ACORD CORPORATION 11 ~ 2-. city of Santa Ana Planning Division 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2001/08)