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HomeMy WebLinkAboutRBF Consulting (8)City of Santa . +a Clerk of the Council AGREEMENT TERMINATION FORM AW5 , f.v; Please complete this form when the attached agreement and II amendments (if any) are no longer in effect. dry op � h �ai'e e=` PE: Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with No. ) J-zouz— (i';f. f__)A was completed on (List all amendments. Use space below if needed.) Revised 08-23-10 COTC Office Use Only �: ?2 )Z 31 Zm3 and final payment has been made. Department: P160 Phone/Ext.: X % / Signature: Date: INSURANCr ON FILE WORK MAY PROCEED CLERK OF COUNCIL DATE: O y—C3 (" Mill FIRST AMENDMENT TO / f Lc> -x') CONSULTANT AGREEMENT THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT, is entered into on this _day of October, 2003, by and between RBF Consulting., a California corporation ("Consultant') and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). Recitals: A. The parties entered into an Agreement dated April 8, 2002, (hereinafter "said Agreement') by which Consultant has provided service to the City in establishing proposed guidelines for business owners, homeowners, City staff and the design community regarding the development or rehabilitation of property. B. In accordance with the terms and conditions of the Agreement, the parties wish to renew the Agreement for an additional period as specified herein. Wherefore, in consideration of the covenants contained in the Agreement, and subject to all the terms and conditions of the Agreement, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: Pursuant to Paragraph 3 of the Agreement, Consultant and City agree to renew the Agreement, beginning June 1, 2003 and ending December 31, 2003. The parties acknowledge that services have been provided after the expiration of said Agreement and prior to execution of this First Amendment, and hereby include said services within the Scope of Services provided pursuant to this First Amendment to Consultant Agreement. 2. Consultant shall continue to perform those services and accept payment as set forth in Exhibit A of said Agreement, attached thereto. Compensation under said Agreement and this First Amendment shall not exceed the sum set forth in paragraph 2.a. of said Agreement. "ACO'RD. CERTIFICNE OF LIABILITY INSU*ANCE 12102/0°""' PRODUCER ^ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates `�_ �00,1- 03�0- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OR P. O. Box 10550 /-�--a0��-034+-/ HOLDER. TIS CERTIFICATE DOES NOT AEN, ALTER THEH HCOVERAGE AFFORDED BY THEM EMPOLLIICES BEDLOW. Santa Ana, CA 92711-0550 A - O�1(o 714 427-6810 A - � Ub 3- b 15 INSURERS AFFORDING COVERAGE INSURED INSURER A: Travelers Indemnity Co. of Illinois BF Consultin Rg - - - I INSURER B: - --- --- Hartford Fire Ins. Co. PO Box 57057----.--..------ INSURERC ------ __._. Fireman's Fund Insurance Co Irvine, CA 92619-7057 INSURER D: _ Underwriters at Lloyds London _ 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. INSR- LTR TYPE OF INSURANCE 1PO MEFFECTWE 7POLICV E%PIRATION PODCY NUMBER DATE MWDD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILIP.' PG3050^D4O92O3 11/30/03 .1/30104 1 EACH OCCURRENCE $1,000,000 - l X COMMERCIAL GENERAL LIABILITY , FIRE DAMAGE (Any on. fire)�S1�000000 CLAIMS MADE XI OCCUR INDP. CONTRACTORS MED EXP(Any one person) 1$5000 X CONTRACTUAL _ _ (INCLUDED. FPERSONALaADVINJURY _!$1,000L000-.- _X.BFPD X-CU,OCP ___ j ! I GENERAL AGGREGATE s2 000 000 _ �!GEN-LAGGREGATE LIMITAPPLIESPER:i ' PRODUCTS COMP/OP AGG S2 OOO 000 _ POLICY X JET X I LOC-__-.----� B IAUTOMOBILE LIABILITY 157UENTLO126 II11/30/03 111/30/04 COMBINED SINGLE LIMIT '$1,000,000 X-ANY AUTO ! (Ea accident) ----- - BODILY INJURY $ (Per person) 111 ALL OWNED AUTOS SCHEDULED AUTOS �ORNI ---- - --- D AS 7O X HIRED AUTOS APPROV - BODILY INJURY $ X NON -OWNED AUTOS I (Per accident) g��� I PROPERTY DAMAGE$ (Per accident) GARAGE LIABILITY Deputy Cltl^ ,4ttorneV. AUTO ONLY EA ACCIDENT$ - - OTHERTHAN EA ACC III - ANY AUTO S IL AUTO ONLY. AGG C EXCESS LIABILITY XSM00097333165 11/30/03 11/30/04 EACHOCCURRENCE I$10000000 _X _ OCCUR CLAIMS MADE AGGREGATE 000 01000 _ PROFESSIONAL — -- ! $ DEDUCTIBLE (LIABILITY IS RETENTION $ ''EXCLUDED. S 3 COMPENSATION AND WORKERSCOMPENSATION IOI TOC STATT$ _�_ _ ER EMPLOY Y E L EACH ACCIDENT- I$ - _EL. DISEASE-EAEMPLOYEEI$ I E.L. DISEASE - POLICY LIMIT ' $ D OTHER Professional 1PI039400 11/30/03 11/30/04 $1,000,000 Per Claim ,Liability $2,000,000 Ann[ Aggr. DESCRIPTION OF OPERATIONS/LOCATIONS EHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re: JN 10-103090, On -call Services (See Attached Descriptions) City of Santa Ana Public Works Agency,Att: Zed Kekula 20 Civic Center Plaza Mail Station 43 Santa Ana, CA 92701 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 19XRWAMXYP MAIL 30.-.._. DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, Bxx68awJ$xxftlawraaxxwxD ACORD 25-S (7/97)1 of 2 #M81822 © ACORD CORPORATION 1988 DED'RIPTIONS (Continued froma.ge 1) City of 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/PR/X APPROVED AS TO FORM 1 _ 1..0<<+ Sh"dy� City Attorney AMS 25.3 (07i97) 2 of 2 #M81 POLICY NUMBER: P63050OD409203 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 Organ!zaticn: 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. Ai r iaO�VQE�DLCJAs 10 1 ,Ayl City AAt-�rnev CG 20 10 11 85 ACOR CERTIFICATE OF LIABILITY INSURANCE 11/29/oa°""' - PRODUCER ` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton &Associates 'AA aOU,�-L (c, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 10550 �" HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana, CA 92711-0550 vipOa_�.3�'-L)� h-da)._1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 714 427-6810 A _ 7n.�-i_a/1!(� ..0/ INSURERS AFFORDING COVERAGE W(/L6C INSURED RBF Consulting -��.(?n3- /'%Z INSURER A: Travelers Property Casualty Co of Am '. INSURER : Hartford Fire Ins. Co. PO Box 57057 Irvine, CA 92619.7057 "` ..t INSURERc n' Firemas Fund Insurance Co. -of INSURER D. Underwriters at Lloyd's London 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. iNLN TypE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MMIDDM' DATE MM/DO/YY LIMITS A GENERAL LIABILITY P63050OD409204 11/30/04 11/30/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fir I$1 QQQ QQQ Ir CLAIMS MADE X] OCCUR INDP. CONTRACTORS MED EXP(Any one person) $5,000 PERSONAL anov INJURY _ $1,000,000 _. X CONTRACTUAL INCLUDED X BFPD, XCU GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: . PRODUCTS -COMPIOPAGG $2,000,000 POLICY X PRJECT O- I X LOC B AUTOMOBILE LIABILITY 57UENTLO126 11/30/04 '11/30/05 COMBINED SINGLE LIMIT X ; ANY AUTO (Ea eaaiden ) $1,000,QQQ ALL OWNED AUTOS r I — SCHEDULED AUTOS BODILY INJURY (Per person) I $ F X HIRED AUTOS j BODILY INJURY S NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ -- -- (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ _ ANY AUTO II11/30104 AUTO ONLY: AGO $ C EXCESS LIABILITY XSM00086597721 11/30/05 EACH OCCURRENCE $10,000,000 X. OCCUR CLAIMS MADE Professional Llab. AGGREGATE $1000QQQQ is Excluded APPRoV AS'TO FORM$ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- 01 IT EMPLOYERS' LIABILITY f.aU t tC S]1COdy EL EACH ACCIDENT $ ASAIStB 1, it AtlOrnf\' ft E.L DISEASE EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ D OTHER Professional P1049400 11/30/04 11/30/05 $1,000,000 per claim (Liability �,I $2,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT)SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services Re: JN 10-102081, Design & Development Standards. - City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, (See Attached Descriptions) SHOULD ANY OF THE ABOVEDESCRIB ED POLICIESSECANCELLED BEFORE THE EXPIRATION City of Santa Ana, Planning Division DATE THEREOF, THE ISSUING INSURER WILL 9XISinF.'QR%TP MAIL 30 DAYS WRITTEN Ms. Maya DeRose NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BMRSBWLM7LMMMMAMAMA9tXx 20 civic Center Plaza, Ross Annex Bldg 2nd FL*WAORAWAXK300MOOkWARMKXMX)tXXKXRXW"XMAAIHAWW3NNOBWA =X PO Box 1988, M-20 ADlXX=xxWX"x Santa Ana, CA 92702.1988 RECEIVED AUTHORIZED REPRESENTATIVE ii - tM. _n ACORD 25.5 (7/97)1 of 2 #M115917 _,P in a 91111r ppNNtltl OGI. v , SANTA MdA VtANNINU 0EP 1 © ACORD CORPORATION 1988 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/PR/CRS/X) APPROVED AS 'TO FORM aura Stitt Sheedy Assistant City Attornev AMS 25.3 (07197) 2 of 2 #M115917 POLICYNUMBER: P63050OD409204 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 cZya011l11l1111a Name of Person or Organization: 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 COVERAGE SHALL APPLY AS III' EACH ADDITIONAL INSURED WERE THE ONLY INSURED AND SEPARATELY TO EACH INSURED AGAINST WHOM CLAIM IS MADE OR SUIT IS BROUGHT. APPROVED AS `I'O FORM Laura Stitt Sheedy Assistant City Atiornc% CG 20 10 11 85 ' A1CbRD RBFCO-1 CERTIFICATE OF LIABILITY INSURANCE OPID (MM07 07 /07/YY4 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# ""-- INSURER A: U.S. Fidelity and Guaranty Co. INSURER B: REF Consulting INSURER C. 14725 Alton Parkway INSURER D. Irvine CA 92718 INSURER E IK�$�ia:e�naa 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 POLICY NUMBER POLI Y EFFECTIVE DATE MM/DDM' POLI Y EXPIRATION DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR PREMISES (Ea ocwrence) $ MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ POLICY PRO- ECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED LIMIT CO D $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ AUlm WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE D123W00096 07 Ol /04 07/01/05 X TORV LIMITS ER E L. EACH ACCIDENT $1000000 OFFICFR/MEMBER EXCI.I IDI If yes, descdde under E.L. CISEAS -EA Cz!^LOVCEr$1DODOvD EL.DISEASE - POLICY LIMIT t $ 100000 0 SPECIAL PROVISIONS below OTHER APP OVER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for non-payment of premium. Re: JN 10-102081. Design & Development Standards. Laura Stitt Sheedy Assistant City Attomea i.Mrc I Ir KlA I D nuILLI CANCELLATION City of Santa Ana, Plang. Div Ms. Maya DeRose, Sr. Planner 20 Civic Center Plaza Ross Annex Bldg., 2nd F1. Santa Ana CA 92702 CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) © ACORD CORPOR.