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HomeMy WebLinkAboutKORVE ENGINEERING, INC. 1AAGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions. ----------------------------------------------------------------- The agreement with ~ >/ ~ ~ , No. N -~Z'~3- ~~ was completed on ,and final payment has been made. ' 0 f, ... '"r_r Department: Q l./ A' _ n 3 _ f S~_ ~ Signature: `~ < < ./V ~ OD ,,~~~ .~~?~~ Date: j~os` . City of Santa Ana Revised 8-7-03 Clerk of the Council \. _ ! Mitre-Ramirez, Norma From: Suter, Monica Sent: Tuesday, September 08, 2009 10:55 AM To: Mercer, Margaret Cc: Mitre-Ramirez, Norma Subject: RE: Term slip Hi Margaret and Norma- Yes, that is my project and indeed it is completed! Ok to terminate it! Thx--Monica From: Mercer, Margaret Sent: Tuesday, September 08, 2009 10:38 AM To: Suter, Monica Cc: Mitre-Ramirez, Norma Subject: FW: Term slip Monica, Would this happen to be your agreement??? If so, please respond to Norma. Thanks, Margaret Mercer Senior Management Analyst Public Works Agency -Admin. Svcs. City of Santa Ana (714) 647-5050 From: Mitre-Ramirez, Norma Sent: Wednesday, August 26, 2009 4:17 PM To: Mercer, Margaret Subject: Term slip Hello Margaret, Please confirm that the amendment, N-2003-152-01,~is also terminated. You may respond to this email. Thank you much. ~ ------- -~ ~ A ., _ .,;- . Svr -,a ~ ~ - . _ . KORVE N-2003- 2004-12 2009 9/1/04 TRAFFIC ENGINEERING CONSI ENGINEERING 152 PROVIDE GRADE CROSSING N INC. STUDY NTE $9,790 N-03-152-01 KORVE N-2003- 2004-12 2008 9/1/04 1ST AMEND EXTEND TERM BY _ __ _ __. N.- .J-l1D3 ~ /5~ - Di FIRST AMENDMENT TO CONSULTANT AGREEMENT THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into this 27th day of October 2004, by and between Korve Engineering, Inc. ("Consultant") and the City of Santa Ana ("City"). Recitals: A. The parties entered into Agreement N-2003-152 dated December 1,2003, (hereinafter "said Agreement") by which Consultant has performed a Grade Crossing Mobility Study. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of said Agreement for an additional six-month period. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to extend the term six months to December 31, 2004, in accord with the parties' intent. 2. Except as herein modified, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. CITYOFSANTA~ J ME G. ROSS E ec ive Director - Public Works APPROVED AS TO FORM: (/~ ('/ ('x~) L (" /yl (; ,CJ¿f . /\\..........- '--L.,~/I / 'JOSEPH W. FLETCHÉR City Attorney ACORDTM CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE 01/09/2004. PRODUCER 877-559-6769 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE willis North America, Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11201 N. Tatum Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 300 Phoenix, AZ 85028 INSURERS AFFORDING COVERAGE INSURED Korve Engineering INSURER A: St. Paul Fire and Marine Insurance Compan 24767-100 155 Grand Avenue INSURER B: American Home Assurance Company 19380-000 Suite 400 Oakland, CA 94612 INSURER C: INSURER D: I 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. I~f: TYPE OF INSURANCE POLICY NUMBER PD~L, .~Y ri~~J6TIVE Pgk!fEY ~~'tfJ!.9N LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR BK01576088 LOC A AUTOMOBILE LIABILITY BK01576088 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS ¡I X NON..QWNED AUTOS / GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR D CLAIMS MADE DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND WC3281718 EMPLOYERS' LIABILITY 9/11/2003 9/1/2004. EACH OCCURRENCE $ 2 000 000 FIRE DAMAGE (Any one fire) $ 1 000 000 MED EXP (Anyone person) $ 10 000 PERSONAL & ADV INJURY $ 2 000 000 GENERAL AGGREGATE $ 4. 000 000 PRODUCTS - COMP/OP AGG $ 2 000 000 9/11/2003 9/1/2004. COMBINED SINGLE LIMIT 2,000,000 (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ 9/1/2003 9/1/2004. OTH- ER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 AS~>iS L~.L,i, OTHER DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/9/2004. WITH ID: 3931502 The City of Santa Ana, its officers, employees, agents, volunteers are named as additional insured per the attached endorsement. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Illill"YMJIII"CCIXMAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'QCaUCaI~L :JIXJUIIXĊ’UIX ACORD 25-S (7/97) Col1:893527 Tpl:219096 @ACORD CORPORATION 1988 City of Santa Ana, M-93 20 Civic Center Plaza Santa Ana, CA 92702 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. .., , I. '. r, ..,,:¿. " /' ,-~j---) I~) --~¡J...~~¿' . .. ACORD 25-S (7/97) Coll:893527 Tpl:219096 Cert:3934.320 ADDITIONAL PROTECTED PERSONS ENDORSEMENT - CONTRACTORS GENERAL LIABILITY - INCLUDING COMPLETED WORK This endorsement changes your Contractors Commercial General Liability Protection How Coveraae Is Chanaed There are two changes which are described below. 1. The following is added to the Who is Protected Under This Agreement section. This change adds certain protected persons and limits their protection. Additional protected person. The person or organization named below is an additional protected person as required by a contract or agreement entered into by you. But only for covered injury or damage arising out of: . your work for that person or organization; . your completed work for that person or organization if your contract or agreement requires such coverage; . premises you own, rent, or lease from that person or organization; or . your maintenance, operation, or use of equipment leased from that person or organization. We explain what we mean by your work and your completed work in the Products and completed work total limit section. If the additional protected person is an architect, engineer, or surveyor, we won't cover injury or damage arising out of the performance or failure to perform Person Or Organization: lheStRlul architect, engineer, or surveyor professional services. Architect, enginee~ or surveyor professional services includes: . the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, or specification; and . supervisory, inspection, or engineering services. 2. The following is added to the Other primary insurance section. This change broadens coverage. We11 consider this insurance to be primary to and non-contributory with the insurance issued directly to the additional protected persons listed below if: . your contract specifically requires that we consider this insurance to be primary or primary and non-contributory insurance; or . you request before a loss that we consider this insurance to be primary or primary and non-contributory insurance. Other Terms All other terms of your policy remain the same. t .. (, r -~(- ~ -----; I¿--- ,-p'J) j),I_-:; - ~~~<"-- ',- Any Person or Organization You Are Required By Written Contract to Add as an Additional Protected Person. 30 Day Notice Cancelation even for non-payment. 0 OThe City of Santa Ana, its officers, employees, agents, volunteers Name of Insured: Policy Number: BK01576088 Effective Date 2003/09/11 Processing Date 2003/11/12 G0322 Rev. 12-97 Printed in U.S.A. Endorsement @St. Paul Fire and Marine Insurance Co. 1997 All Rights Reserved Page 1 of 1