HomeMy WebLinkAboutParsons 1AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Retum form to the Sr. Deputy Clerk of the Council (M-3D). Ca11647-5238 if you have any
questions.
-------------------------------------
The agreement with ~ , No. ~'~ -~
was completed on 2Da5
and final payment has been made.
Depart~ment~ ~ W f~
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Date: a ~ lv J 0 ~
City of Santa Ana
Revised 8-7-03 Clerk of the Council
N-2004-099
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL.
DATE: J'";(&- 0"/
CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this .:l3øi day of ~~ ,2004 by
and between PARSONS, an Illinois corporation (hereinafter "Consultant"), d 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
value engineering to perform a "Value Analysis" for the Alton A venue Over-crossing at
SR-55.
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 necessary to complete the Value Analysis Study,
as set forth in 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 $10,000.00 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 of the 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 $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. 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.
c. 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.
2
d. 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.
Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
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.
(ii)
(iii)
e. 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 for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal i~ury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf (hereinafter collectively referred to as
"Consultant") which relates to the services described in section 1 of this Agreement, to the extent
caused by Consultant's negligence. The Consultant further agrees to indemnify, hold harmless,
and pay all costs for the defense of the City, including fees and costs for special counsel to be
selected by the City, regarding any action by a third party asserting that personal injury,
damages, just compensation, restitution, judicial or equitable relief due to personal or property
rights arises by reason of the terms of, or effects arising from this Agreement, to the extent
caused by Consultant's negligence. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7.
CONFIDENTIALITY
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
3
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 of law; 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/Transportation Division
City of Santa Ana
20 Civic Center Plaza (M-93)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5823
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
4
To Consultant:
PARSONS
2201 Dupont Drive, Suite 200
Irvine, California 92612
Telefacsimile (949) 263-1225
Attn: Kevin Haboian, P.E.
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 of this 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
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.
TERMINA TION
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:
5
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 ofthe 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 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 its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16.
DELIVERY OF WORK PRODUCT
Consultant shall deliver to City all work product which results from the services
provided. Said work product shall be submitted in a hard copy and produced in a form
compatible with City's computer system, as agreed between the Project Manager and Consultant.
In regard to any copyrightable material produced as a deliverable under this Agreement,
including but not limited to books, reports, plans, photographs, drawings and computer
programs, the Consultant understands and shall ensure that all of Consultant's affected officers,
employees, agents, contractors, and volunteer workers understand that (a) other such material
may not be copyrighted without prior review from the City: (b) the authors of all such material,
whether copyrighted or not, award to the City, and to its officers, agents and employees acting
6
within the scope of their official duties, as a condition of payment to the Consultant, a royalty-
free, nonexclusive, irrevocable license throughout the world for governmental purposes to
disclose, publish, translate, reproduce, and use such materials.
17.
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 Exhibits 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:
j¿~b0~
) PATRICIÆ .HEALY
1) O^' Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
::~~QQ~
La a Sheedy
Assistant City Attorney .
RECOMMENDED FOR APPROVAL:
CONSULTANT
~'~
1f:AMES G. ROSS
Executive Director of the
Public Works Agency
'.
K VIN HABOIAN, . .
Proj ect Manager
Tax ID# ~ (p .. 0 q ¡ . 2. Z 10
7
" .
ARSONS
2201 Dupont Drive, Suite 200. Irv'ine, California 92612' (949) 263-9322' Fax: (949) 263-1225' wW'¡,¡,parsons,corn
June 16,2004
Mr. David Biondolillo
Project Manager
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92702
Project: Alton Avenue Overcrossing at SR-55
Subject: Value Analysis Study - Scope of Work
Dear David:
Per our previous discussion anc~ your e-mail dated May 26, 2004, please find below the scope of
work and associated fee proposal to facilitate a one-day Value Analysis (V A) Study for the Alton
Avenue Overcrossing at SR-55.
The scope of work is summarized as follows:
Task 1 - Meeting Preparation & Project Management
Time is required to review pre-study material prepared by the City of Santa Ana (the City) and/or
Parsons Brinkerhoff. E-mail notifications will be sent to potential VA participants identified by
City and/or Caltrans staff. In addition, management time is necessary to oversee, guide, and
administer the project in accordance with the scope of work.
It is understood that the City will make available prior to the study start date the project data and
correspondence, plans, calculations, estimates, and any other relevant infonnation necessary for
the VA Study.
Task 2 - Value Analysis Study
Parsons will assist the City with perfonning the V A Study for the Alton Avenue Overcrossing
Project. The VA Study will follow the outline presented in the attached agenda. The V A
participants, including staff from the City, Parsons Brinkerhoff and Caltrans will be responsible
for brainstonning ideas, developing alternatives, and estimating costs associated with potential
solutions identified during the V A session.
EXHiBIT A
¡vW}
" .
Alton A venue Overcrossing
Value Analysis Study - Scope of Work
June 16, 2004
Page 2
The required services by Parsons are to facilitate the V A Study session and to document the V A
findings from comments received orally and written during the study. It is anticipated that a one-
day VA meeting will be held at the Parsons Offices in Irvine.
Task 3 - Value Analysis Written Report
A final VA letter report will be prepared and distributed (15 copies) after the conclusion of the
V A Study.
Task 4 - QAlQC Written Report
Review time is necessary to ensure that the report is being developed in accordance with
Parsons' Quality Assurance Procedures.
The attached fee proposal estimates the costs associated with the activities described above. As
noted in the table, we estimate we can complete the above services for $9,980.
Our team is looking forward to working with you to complete these tasks. If you have any
questions regarding the above infonnation, please give me a call at (949) 236-9322.
Sincerely,
PARSONS
~J fI~~
evin A. Haboian, P .E.
Proj ect Manager
Enclosure:
Parsons Value Analysis Study Fee Proposal
Value Analysis Agenda
cc:
David Speirs, P .E,
Girair Kotchian, P.E.
Kim Strassner
Project File
Fee Proposal
Alton Avenue Overcrossin~ At SR-55
Value Analvsis
ST AFF & PROJECT ROLE
HABOIAN
PROJ MGR
SPEIRS
QAlQC
TASK NO. & DESCRIPTION
Meeting Preparation & Project Management
2 Value Analysis Study
4
10
0
0
3 Value Analysis Written Report
4 ONOC Written Report
2
0
0
2
5
0
0
0
0
7
8
0
0
0
0
9
10
0
0
0
0
KOTCHIAN STRASSNER I TOTAL DIRECT
TASK LDR PROJ CNTLS LABOR LABOR
HOURS COSTS
10 2 16 $760,22
10 0 20 $1,129.70
40 0 42 $1,769,12
0 0 2 $117,22
0 0 0 $0.00
0 0 0 $0,00
0 0 0 $0.00
0 0 0 $0,00
0 0 0 $000
0 0 0 $0.00
2
$64.68
Overhead 130.64%
Profit 10%
TOT AL LABOR COSTS
TOTAL LABOR HOURS
TOTAL DIRECT LABOR COSTS
NOTES:
Fee based on a 1-day VA Study at Parsons' Irvine Office,
All Pre-Meeting Materials to be provided by the City,
One final VA Study Report to be provided at end of VA Study Session
Alton OC_VA Sludy lee_0616 Q4,xls
ODCs UNIT UNIT RATE TOTAL ODC's
Phone/Fax LS ----- $0.00
Mileage 0 $0,360 $0,00
Postage/Delivery LS ----- $0,00
Reproduction LS ----- $400,00
Photography LS ----- $0,00
Other LS ----. $0.00
TOTAL OTHER DIRECT COSTS $400.00
SUBCONSULTANT COSTS
TOTAl SUB COSTS
TOTAL SUBCONSULTANT COSTS
$0.00
I TOTAL ESTIMATED COST ~ $9,980.52 I
"
6/16/2004
. .~
ALTON AVENUE OVERCROSSING AT SR-55
VALUE ANALYSIS (VA) AGENDA
Date: TBD
Time: 8:00 AM to 5:00 PM
Location: Parsons, 2201 Dupont Drive, Suite 200, Irvine, CA
Duration
Introduction
./ Opening Comments
./ Introductions, Purpose, and Schedule
15 Minutes
15 Minutes
Mornine Session
3.5 Hours
./ Project Overview and Infonnation Review
./ Identify Key Project Issues/Objectives and Cost Drivers
./ Develop and Rank Proj ect Perfonnance Criteria
./ Fonnation ofldeas (i.e., Brainstorming)
./ Evaluation and Rank of Ideas Against Perfonnance Criteria
Afternoon Session
3.0 Hours
./ Develop High-Ranked Ideas Into VA Alternatives
./ Review/Critique Alternatives, Measure Perfonnance
./ Develop and Rate Recommended V A Alternatives
Conclusions
1.0 Hour
./ Ensure Team Consensus and Technical Viability
./ Document Results
I
I
l
,
. .
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 perfonned by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses perfonned 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 of liability. 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
A04IMt8~
CERTIFICATE OF INSURANCE
DATE (MMIDDIYVYY)
08/31/2004
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.
CO
LTR
POLICY EXPIRA nON
OATE (MMIDDIYY
PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
INSURED
INSURERS AFFORDING COVERAGE
INSURER A:
National Union Fire Insurance Co. of Pittsburgh, PA
American Home Assurance Company
Parsons Transportation Group, Inc.
1133 15th Street, N.W., 8th Floor
Washington, DC 20005
INSURER B:
INSURER C:
INSURER D:
INSURER E:
ATTACHMENTS (IF ANY) ON SECOND PAGE
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, THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE
DATE (MMlDD/YY)
GL933 2979PTG
01/01/2004
0110112005
LIMITS (IN THOUSANDS)
3,000
A
GENERAL LIABIUTY
~ COMMERCIAL GENERAL LIABILITY
~ CLAIMS MADE D OCCURRENCE
0 OWNER'S & CONTRACTOR'S PROT
0
0
FIRE DAMAGE (Any One Fire)
$
$
$
$
$
$
1,500
GENERAL AGGREGATE
PRODUCTS - COM PlOP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
MED EXP (Any One Person)
A
AUTOMOBILE LIABILITY
~ ~Y AUTO
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON-OWNED AUTOS
0
0
PROPERTY DAMAGE
$
1,000
01/01/2004
01/01/2005
CA8261603 - ADS
CA8261604 - TX
COMBINED SINGLE LIMIT
$
$
$
Re: Alton Value Analysis Study, See attached notice of cancellation clause and additional insured endorsement CG 20 10.
PTRANSGRP 003
10295
City of Santa Ana
Attn: Dave Biondolillo
20 Civic Center Plaza (M-30)
Santa Ana, CA 92702-1988
BODILY INJURY
(Per person)
CA8261605 - MA
CA8261606 - VA
BODILY INJURY
(Per accident)
GARAGE UABIUTY
0 ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGGREGATE
EACH OCCURRENCE
AGGREGATE
0
0
EXCESS LIABILITY
0 UMBREUA FORM
0 OTHER THAN UMBRELLA FORM
/!s
B
WORKERS' COMPENSATION AND
EMPLOYERS' LIABILITY
~~~i~~:S~E~~TlVE ~ Included
OFFICERS ARE: 0 Excluded
OTHER
fOCR~Tt~~.;S 0 OTHER
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
WC6436138 - ADS
WC6436137 - CA
01/01/2004
01/01/2005
A
PROFESSIONAL LIABILITY
01/0112005
1,500
3,000
EACH CLAIM
AGGREGATE
GL933 2979U
01/01/2004
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS
SPECIAL CLAUSES ATTACHING TO CERTIFICATE OF INSURANCE
(ACORD FORM 25-S)
Certificate Holder:
City of Santa Ana
Attn: Dave Biondolillo
20 Civic Center Plaza (M-30)
Santa Ana, CA 92702-1988
PTRANSGRP 003
10295
Cancellation Notice:
It is agreed that, in the event of cancellation or material change in the aforementioned policy(ies), the Certificate Holder shall be given thirty (30) days
prior written notice.
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1-::,
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POLICY NUM BER: GL933 2979PTG
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULl.Y.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name of Person or Organization:
PTRANSGRP/003/10295
City of Santa Ana, its officers, employees, agents, volunteers and representatives.
Re: Alton Value Analysis Study
(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.
~
08/31/2004
Authorized Representative
Date
Carrier:
National Union Fire Insurance Co. of Pittsburg
Parsons Transportation Group, Inc.
GL933 2979PTG
Named Insured:
Policy No.:
Policy Term:
01/01/2004 to 01/01/2005
CA" j /'
/~--~l^'-.f~j);(<, ,s! 3
/
CG 20 10 11 85
Copyright, Insurance Services Office, Inc., 1984