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HomeMy WebLinkAboutWILLDAN 1 -2004 1 If >-t: =- d cw -0 0\ � 0 @ ‹? E c E = @ : \- $ u <, 2 : ram �` '» / ' , c � L / « /: E �` o 4.11k J a ft ƒ L) c / / cc : 1 i c O = C •• o '? E / ) 2 0 2 O 6 \ E o E E a / / cm 0 o '- O 2 & 0) g . -o 2 ± \ » 0 e 2 2 U f �� O o © E 0 § 5 ® o s ■ � E \ � u - 2 � k / / U % - 0 % E / / D a o 0- o 0 ,12 f 2 a c § I- y / / 0 o v) •4- u ® 6 0 / o 0 O o >, iu 1E c / D ± 0 ® > k 0 U < / 2 » 3 § E2 E / E iE o ° 0 J a) : ~ « @ \ + / \ � / E / 0) o \t% ! . o R = / \ o k / / ƒ / t INSU~!l.NtE ON rìLl WORK Mr\Y PROCEED UNTIL INSURANCE PIRES J -- '7 -0 CLERK Or CQUNClqL CONSUL T ANT AGREEMENT DATEd ...-){-D t' c..bfr THIS AGREEMENT made and entered into this) 5+ day of .:r vt ) y , 2004 by . and between Willdan,W., a California corporation (hereinafter "Consultant"), and the City of (t;;~~) Santa Ana, a charter city and Municipal corporation organized and existing under the Constitution and laws ofthe State of California (hereinafter "City"). N-2004-123 RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of Construction Management. 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 construction management services 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 Attachment 1. The total sum to be expended under this Agreement shall not exceed $10,000 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 September 15,2005, unless terminated earlier in accordance with Section 12. The term of this Agreement may be extended upon a writing executed by the Executive Director of the Community Development 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 ofthis 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, the City of Santa Ana, 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. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. 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. Professionalliability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. 2 e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (ii) 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. (i) (iii) 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: (1) 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, 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 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, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. 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 challenging the validity of this Agreement, or 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. 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, California 92702-1988 Telefacsimile (714) 647-6956 With courtesy copies to: Executive Director Community Redevelopment Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6549 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 4 telefacsimile (714) 647-6515 To Consultant: WILLDAN, Inc. 27042 Towne Centre Drive, Suite 270 Foothill Ranch, California 92610 telefacsimile (949) 770-9041 Attn: Lisa M. Penna, 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. 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 5 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 has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any ofthe 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, 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 Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 6 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 APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney 1 By: Laura Sheedy Assistant City Attorney Cv P RICIA C. WHITAKER Executive Director Community Development Agency CITY OF SANTA ANA ~O-~ AVIDN. REAM . City Manager CONSULTANT ~~--- LISA M. PENNA P.E. Vice President / Division Manager TAX ID: '15 - Z2.. , SYSe 7 EXHIBIT A SCOPE OF WORK PROPOSALS Consultant shall perform the following services: 1. Provide construction management for Federally-funded projects; 2. Review and recommend approval of contractor's certified payroll; 3. Conduct labor interviews per funding source requirements; 4. Provide lead abatement monitoring and inspection services; 5. Provide routine building inspection services at peak intervals as requested by City staff. City may request additional services as necessary. All Consultant services shall be compensated at the rates and charges set forth in Attachment 1, attached hereto. 8 WILLDAN FOOTHILL RCH 949 7709041 WILLDAN Schedule of Hourly Rates . . Aug. 20. 2004 4:46PM .- . ... ",..'.' """'," 'ENG1'fl.1rER:tNr v ,'" l' t..... I ',.\.:,::".~'. .;.~.:~':..: ..,.. . ";~..JJ.l- .' u" " .. .,.', "", Principal Engineer... ............................. ................... $160.00 Division Manager ............................................ ..........150.00 City Engineer................................................ .............150.00 Project Manager........................................................ 150.00 Supervising Engineer ...."...... .................................... 135.00 Senior Engineer ....... ................................................. 120.00 Senior Design Manager ............................................ 120.00 Design Manager............. ........ .............. ..................... 110.00 Associate Engineer ............. ......................................110.00 Senior Designer .... .......... ...........,......... .......... .....""P 1 05.00 Senior Design Engineer II.......... ................. .............. 105.00 Senior Design Engineer 1..........................................100.00 Designer II.. .............................. ......... .............."........ 1 00.00 Designer I...... .................... ............................ ..............95.00 Design Engineer \I ...................................................... 95.00 Design Engineer I ........................................ ...........,... 90.00 Senior Drafter.............. ....... ............. ....... .......... ...........90.00 Drafter II............ ...... ......................... ........... ................ 80.00 Drafter I................. .....""'"'' .......................... .....,... ..... 75.00 Technical Aide ...... ........... ....... ............ .......... .............. 65.00 , ',::,' ,ÇQNSTRUÇT!.QNl!lA.~AGEMENT Division Manager ...................................................... 150.00 Project Manager.. ............. ......................................... 150,00 Senior Construction Manager ...................................130.00 Construction Manager........ ......... ........m ....... ............ 120.00 Assistant Construction Manager ............................... 100.00 Utility Coordinator......................... .............. ............ ,..105.00 Supervising Public Works Observer ......................... 105.00 Senior Public Works Observer ...................................90.00 Public Works Observer ................................ **80.00 /90.00 Assistant Public Works Observer ............... ."70.00 /90.00 Labor Compliance Manager ..................................... 105.00 Labor Compliance Speciali$t ......................................80.00 .. ' SURVçYI.NÇ Division Manager ...................................................". 150.00 Supervisor - Survey & Mapping ................................ 135.00 Senior Survey Analyst............ ...... ....... ..... ................. 105.00 Senior Calculator ... ............. ................. ..................... 105.00 Calculator II..................... ...........".................. .....'" ..... 90.00 Calculator I............. ......." ......................... ...... ........."..80.00 Survey Analyst II ......................................................." 90.00 Survey Analyst I ............ ........... ............. ................ ...." 80.00 Survey Party Chief ....................................................1 00.00 Two.Man Field Party................ ........................... ...... 200.00 Three-Man Field Party .:............................................250.00 '. . No. 3641 P. 2/2 ':: ""'í',~':~i1t~n~:í\'N' DSCAP.C;AR~UI~ErT,1"RE ,',' , ..J; .¡,.,,:'..!..i...;,~~~' I 4 ...,;,, ;~; ..... .;~~.A ,'J "",!'." , " .'.. Division Manager .................... ..................................150.00 Principal Landscape Architect...................................120.00 Senior Landscape Architect ......................................100.00 Associate Landscape Architect ............ .......................95.00 Assistant Landscape Architect ...................................80.00 '.':' '::-,",:"''',:;:,,~''';:B''I[DING¡AN'n,:!SA,rETY ' ','^'" ......' ":"""""""~I"",,,,,,,,,,,,,,,,'.,M;....I1.,'. ,'.. ,',,,. Division Manager ................... ................................... 150.00 Supervising Plan Check Engineer.............................120.00 Building Official.... ............. ....,........... ........................120.00 Plan Check Engineer ................................................110.00 Deputy Building Official....................... ......................11 0.00 Inspector of Record................................................... 110.00 Senior Plans Examiner................................... ...........1 00.00 Supervising Building Inspector ..................................100.00 Plans Examiner ...". .................... ................................. 90.00 Senior Building Inspector ............................................90.00 Building Inspector......................................... ..80.00 /90.00 Supervising Construction Permit Specialist ................80.00 Senior Construction Permit Specialist.........................75.00 Assistant Building Inspector ......................... **70.00/90.00 Code Enforcement OffICeI' ..........................................65.00 Construction Permit Specialist ...................................60.00 Assistant Construction Permit Specialist ....................55.00 Plans Examiner Aide ......... ..........................................55.00 Assistant Code Enforcement Officer ...........................55.00 , .. , ".",,"." ..,.. :ft" "A:':a-Tt1'I"M{; '.'" .' . . .....~.,.".' .. '1.' ..~;:t"I'¡'I." ':. : ' 'r-~l~~.!..~t.~, .,I.';.;'!.'.«,. t~. '...' : Division Manager ......................................................150.00 Principal Planner ...... .......... .................................. ..... 120.00- Principal Community Development Planner..............120.00 Senior Planner ..........................................................110.00 Senior Community Development Planner .................110.00 Associate Planner............ ....... .." ...,.. .......... ........ ..... ...95.00 Associate Community Development Planner..............95.00 Assistant Community Development Planner...............e5.00 Assistant Planner.............. ......'"'' ......... .................... ..85.00 Planning T echnícian ..................... ...... ........... ........ ......65.00 Community Development Technician .........................66.00 ., ' . " :, "',,', AOMIN,STJlArJ.,V(, ~ .:: ,'" Computer Data Entry ..................................................50.00 Clerical............................. ........................................... 50.00 Word Processing...................................... ....... ..... ....... 60.00 Personal Computer Time ............................................15.00 " ." " .': .,' .:, " ;.' ~. <,:,,':~:: '.'1::':''': /~ ..~.' ., '1,' ,.. ,.(.,. "Prevailing Wage Project, Use $90.00/Hour These nourty rates are effec~ve throlJ9h June 30.2005 and may be adjusted after thaI date to oompensate lor labar adjustmeots and other increases and oosts. AdditiOr'tal billing dassifu;:a.ons may be added 10 the alJOve listing during the year as new positions are created. COnsuJlation in connectiOn witn litigation and court appearances will be quoted separately. The above schedule is for Slraight time. Overtime 'Nill be charged at 1 .25 times. aI'\d SUndays and horlda~ 1.7<:J times the Slal'\dard rates. Blueprinting. reproduction. messenger services. and printing will be invoiced at COS1 plus firteen percenl (15%). A subconsuttant management lee of fifleeò øercent (150/.) will be added to the direct cost of all subcoosl.Jltanl services to provide for the cost of administration. CQnSI.itation. and COOrdination. E.\PAOF'OSAL OOILERPlATe SECTIONSlRATESWILLDAN.OOC A TI'A ŒMENT 1 '1 Client#: 6540 WILLDAN A£DRDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) 10/01/2004 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. PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711-0550 714427-6810 INSURERS AFFORDING COVERAGE - -______m_- ---------....- --------- Willdan 2125 E. Katella Avenue, Ste. 200 Anaheim, CA 92806 , INSURER A: INSURER B: Hartford Fire Ins. Co. American Automobile Ins. Co. - - - -- - --- --- -- - .- - ----- --------------- Security Jns.C~-"_of Hal"tfo-,"~_*- INSURED INSURER c: INSURER D: 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~~~ TYPE OF INSURANCE POLICY NUMBER i Pg~!fEY ~~~&J.:.~E A L, GEN, ERAL LIABILITY ¡57CESOA1661 ~ 11/09/03 ~ 'COM M ERCIAL GENERAL LlAB ILlTY f--+-- CLAIMS MAùE =xJ OCCuR INDP. CONTRACTORS X ¡CONTRACTUAL INCLUDED. ilB-fP_D, )(Cuu - GEN'L AGGREGATE LIMIT APPliES PER: ¡ POLICY X- P~O;: AUTOMOBILE LIABILITY X ! ANY AUTO ! 11/09/04 LIMITS EACH OCCURRENCE $1 000000 FIRE DAMAGE (Anyone fire) $1 000 000 MED EXP (Anyone person) , $10 000 PERSONAL & ADV l_i'lJU~'r'..- !1..()00,000.. GENEf3A.L:_A£G~GA TE$~QJI()()- PRODUCTS,CeJr..1P-'eJP AGG_$2,().Q()..1!..0Q. A 57UENUL9643 11/09/03 : 11/09/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS Œ= NON-OWNED AUTOS ~-- -~~- BODILY INJURY (Per person) -- BODILY INJURY (Per accident) GARAGE LIABILITY ANY AUTO I\_??O~O~!~~D' A '", / "I. PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ -- ----_u_-...--______n - ---- EA ACC $ AGG $ $ $ $ $ OCCUR CLAIMS MADE OTHER THAN AUTO ONLY: EXCESS LIABILITY 1- EACH OCCURRENCE .. '"' ~ AGGREGATE , ì.,J oJ.. j , ,~ DEDUCTIBLE RETENTION C OTHER Professional Liability XAE0235189 12/01/03 12/01/04 X WC STATU- RY E.L EACH ACCIDENT $1,000,000 E.L DIS;';'SE - EA EMPLOYEE' $1,000,000 E.L DISEASE. POLICY LIMIT $1,000,000 $1,000,000 Per Claim $2,000,000 Annl Aggr. OTH. B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP80917259 11/09/03 i 11/09/04 DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liab. policy excludes claims arising out of the performance of prof. services. *Security Insurance Company of Hartford is 100% reinsured by XL Specialty Insurance Company which is rated A+XV by A.M. Best and Company. (See Attached Descriptions) CERTIFICATE HOLDER ADD mONAL INSURED . INSURER LETTER: CANCELLATION OCT 0 1{ 2004 SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL~J(~XJMAIL30 - DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, B~JOiIJln uIMaxx IØÐQGX~AQMXJrlX.J(XICØIIJlXIf'JDJI){}(X~JC! þ( x DIaBJORI)IfiX AUTHORIZED REPRESENTATIVE City of Santa Ana AUn: Tonia Zerba 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 RECEIVED 'I ~í"í.c'¡h\ ' \j~'IJ1. ~;!oJ u"!f~¡f~,.1 . ;...,. LL @ ACORD CORPORATION 1988 ACORD 25-5 (7/97)1 of 2 #M81151 DESCRIPTIONS (Continued from Page 1) Re: Building Department counter technical staff City of Santa Ana, its officers, agents,and employees are Additional Insureds as respects General Liability (Foothill Ranch) f '.. . ,I' ,",....., '--" u ~. ~1,3. ,'I . , ',. , ~ , _.-.:~Jl AMS 25.3 (07/97) 2 of 2 #M81151 . . POLICY NUMBER: 57CESOA1661 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 Attn: Tonia Zerba 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 (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, agents, and employees v (". :-,. '..~ .-./ , ',¡., ~. >J ' j f ,-. -_. ~.3f.J._... '1 ~,."r'- ~-'1':r~\ L;~~c!._ly """~~"'~~"~ ,..J :t..S;;;:"S~<l-3.[ (~~IY ~\~"':-;r-:.(''j CG 20 10 11 85