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Home My WebLink AboutDMJM / HARRIS 1B-2004City of Santa Ana _ Clerk of the Council -~ AGREEMENT TERMINATION Ptease complete this form when the attached agreement is no bnger in effect. Retum form to the Clerk of the Council Office (M-30). Call647-5237 if you have any questions. ______________________ _eo.ee.esec...see.occx.e.ea..a.eeo~=awe=ooa=eeeea.c.cae.ecoo ____ The agreement with DMJM/Harris, dba Holmes & Narver Inc. No. A-2003-199 -01 (2nd Amendment to A- was completed on 08/3012005 2001-170A and final payment has been made. Department: PWA-Design Engineering Phone/Ext.: 5640 Signature: ~~ ?qw M/a ~ ~.- pate; 718/09 Revlaed 07-23-07 INSURANCE ON fiLE WORK MAY PROCEED UNiIL INSURANCE EXPIRES ~ f- 05 C~ERK Of COUNCIL DAU,$--d7,of A / J.-DO 3- I c¡q -01 SECOND AMENDMENT TO CONSULTANT AGREEMENT THIS ~COND AMENDMENT TO CONSULTANT AGREEMENT is entered into this d/R day of August, 2004, by and between DMJM / Harris, dba Holmes & Narver, Inc., 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 Agreement #A-2001-170A, dated August 20, 2001, (hereinafter "said Agreement") by which Consultant has prepared construction documents for Public Works and Parks projects, on an as-needed basis. Said Agreement was amended to extend the term to August 30, 'lD04. B. The parties now wish to extend the term for an additional one-year period. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, as amended, except those amended in this Second Amendment to Consultant Agreement, the parties agree as follows: I. The term of said Agreement shall be extended for one year, from August 30, 2004 to August 30, 2005. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Consultant Agreement on the date and year first written above. ~~þ~{? OSEPH W. FLETCHE City Attorney °'l';?? J MES G. ROSS xecutive Director Public Works Agency APPROVED AS TO FORM: ;r MARS.H CERTIFICATE OF INSURANCE CERTIFICATE NUMBER LOS-000421382-13 PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Alln: Lori Bryson (213)-346-5464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN, COMPANIES AFFORDING COVERAGE 6510 -AECOM-CAS-2006 DMJM +HAR DJENKI NEW NY COMPANY A ACE American Insurance Company COMPANY B INSURED DMJM+HARRIS, INC. 605 THIRD AVENUE NEW YORK, NY 10158 A- ;;)00 I ~ / 7 vA- /10-- ~OO(-: 7uA-0'f II - )ouy - ...<-5.2 A- d-003 _ 1<::)9 .4... _ I '9 ? - 0 J COMPANY C Illinois Union Insurance Company COMPANY D N/A COVERAGES Ttlis.ceJtificate . supersedes.andrepl3ces.any .previously..issued . certificate. for.the..policy..period .noted..below. THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCESS LIABILITY I I POLICY EFFECTIVE I POLICY EXPIRATION LIMITS DATE (MMIDDNY) i DATE (MMIDDIYY) 04/01 f06 i 04/01/07 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 4,000,000 , PERSONAL & ADV INJURY $ 2,000,000 c----- $ 2,000,000 $ 1,000,000 $ 5,000 04/01/06 04/01/07 1$ 1,000,000 BODILY INJURY $ (per person) BODILY INJURY 1$ (Per accident) PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ -I/=- OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE CO LTR TYPE OF INSURANCE POLICY NUMBER A GENERAL UAB!L1TY "H DO G20590695" h.x....' COM,I MERCIAL GENERAL L.'ABILlTY . ..J CLAIMS MADE IXl OCCUR --' OWNER'S & CONTRACTOR'S PROT ! I I i AUTOMOBILE LIABILITY "ISA H08222186" X i ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS A GARAGE LIABILITY ANY AUTO UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRI"TORl '--1 INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL o H EON G21654693 002 !"'CLAIMS MADE'" 04/01/06 04/01/07 I EL DISEASE.POLlCY LIMIT EL DISEASE-EACH EMPLOYEE $ $1,000,000 PER CLAIM/AGGREGATE DEFENSE INCLUDED C ARCHITECTS & ENG. PROFESSIONAL L1AB. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESlSPECIAL ITEMS RE: PROJECT NO, 046105502.0000. PROFESSIONAL ENGINEERING SERVICES FOR ANNUAL ON-CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES. UNDER THE COMMERCIAL GENERAL LIABILITY INSURANCE, THE GENERAL AGGREGATE APPLIES "PER PROJECT" SANTA ANA, CITY OF 20 CIVIC CENTER PLAZA SANTA ANA, CA 92731 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE IMLL ENDEAVOR TO MAIL ----30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE MARSH USA INC. BY: David Denihan 4P""""'JWJ~ ') () C.)'.. '- .r ADDITIONAL INFORMATION PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Attn: Lori Bryson (213)-346-5464 DATE (MMfDDIYY) LO&.000421382-13 04/0 1/06 COMPANIES AFFORDING COVERAGE COMPANY E COMPANY F 06510 -AECOM-CAS-2006 INSUREQ DMJM +HAR DJENKI NEW NY DMJM+HARRIS, INC. 605 THIRD AVENUE NEW YORK, NY 10158 COMPANY G COMPANY H TEXT CONTINUED FROM DESCRIPTION SECTION: "SPECIAL ENDT. ATTACHED" "SEE PAGE 2" ADDITIONAL INSURED: THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYERS, VOLUNTEERS AND CITY AGENTS (WHERE THERE IS A CONTRACTUAL RELATIONSHIP BETWEEN THE AGENT AND THE NAMED INSURED) NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. PRIMARY WORDING: SUCH INSURANCE AFFORDED SHALL BE PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GL & AL COVERAGES. SEVERABILITY OF INTEREST/CROSS LIABILITY WORDING IS INCLUDED FOR GL & AL COVERAGES. ~ ._../~:.~. ) /~ <. '--- .,.."-----_.__._-~ MARSH USA INC. BY ...................... ...................... ...................... .............---...... .................... .................... .................... .................... .................... .................... .................... . . . . . . . . . . . . . . . . . . . . .................... .................. .. ................... . ............-....... .................... .........-........ .. ....... -............ .................. .. .................. ISSUE DATE (MMlDDIYY) 3/31/2006 PRODUCER DM 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 Aon Risk Services, Inc. of Southern California 707 Wilshire Boulevard, Suite 6000 Los Angeles, California 90017 (213) 630-3200 COMPANIES AFFORDING COVERAGE COMPANY LETTER A Insurance Company of the State of Pennsylvania CODE INSURED SUB-CODE COMPANY LETTER B National Union Fire Insurance Company DMJM+HARRIS, Inc. Attn: Denise Jenkins 605 Third Avenue . New York, NY 10158 COMPANY LETTER C COMPANY LETTER o COMPANY LETTER E THIS IS TO CERTIFY THAT 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 POLICY EFFECTIVE POLICY EXPIRATION DATE (MMlDDIYY) DATE (MM/DDIYY) ALL LIMITS IN THOUSANDS CO LTR GENERAL LIABILITY GENERAL AGGREGATE $ $ $ $ $ $ COMMERCIAL GENERAL LIABILITY PROOUCT~COMProPSAGGREGATE CLAIMS MADE OCCURRENCE PERSONAL & ADVERTISING INJURY OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE FIRE DAMAGE (ANY ONE FIRE) MEDICAL EXPENSE (ANY ONE PERSON) AUTOMOBILE LIABILITY ANY AUTO CSL ALL OWNED AUTOS SCHEDULED AUTOS FORM BODILY INJURY (PER PERSON) BODILY INJURY (PER ACCIDENT) HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE WORKERS' COMPENSATiON AND EMPLOYERS' LIABILITY WC4786252 (AOS) WC4786253 (CA) WC4786577 rNl,OH,wA,WY) WC4786254 (FL) WC4786576 (OR) 4/1/2006 4/1/2006 4/1/2006 4/1/2006 4/1/2006 EACH OCCURRENCE AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM $ $ A A B A A 4/1/2007 STATUTORY 4/1/2007 4/1/2007 $ 1,000 (EACH ACCIDENT) 4/1/2007 $ 1,000 (DISEASE POLICY LIMIT) 4/1/2007 $ (DISEASE EACH EMPLOYEE) 1,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/sPECIAL ITEMS: Project: No. 046105502.0000 Job: Professional Engineering Services for Annual On-Call Contract for Engineering and Landscaping Design Services. FHINY19308 (P$.t{nf!9.ln;::fjAMmt.{(( .. ... ..... ...... .. ....... .... ........ ... ................. .:' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE . ... EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~O MAIL .. ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 S. ::Aq9Rff~;:$:w~~r ................-..... ................h.... .................h... .............h.... ..... .....-........ .. . ........ . .. ........ ... AUTHORIZED REPRESENTATIVE ,"f,'k ~. Sih:dwJ, 1;t.~. d"S~~ fl.!1t~~t~ 1$~~~ S~x: ...... ................................... ............................................ ............................................ . ........ ............... .......... . ::::::~f{pgQReQf#\YQNA~M: tL.. fL. I a6/14/2aa4 \ . 15:93 2129864713 LEGAL DEPT PAGE 02/05 :;f!t:i~':<;;'M~~R:S..H.:i~;:;t;::~~"~'0}i:(:::J't!l~~:~;:~'~i:~~;:~~~iBip~Î§tq~~ttiD~:g~~j'<'~r~;;;~;f~~~:;""; PROD",Çr:ft T"18 C:/UßlICATS: IS Ia.sU!D AS A IlATTIiR ð, INFDRU4iI9" GM&.Y ANg GON'Ua Marsh Risk & InQ,lr;nce Servlott. NO RICiHT& U!'ON TN. el'ITI'lÇA" HOI.DIiR OYNIIII: TMAN '11011 f'JIIOVlDI~ III TH!. 777 Soulh Ftguero~ Strlilet I"~I.I"Y. THIS Cl!ftTlfIQATI! DO!!' NOT AMUo. !lUXO OR .L'I~ THe COVERAOI CA Licensl .0437153 "'''''OI'U,I& IT THI 'ouçr~ DI!!CIUel~D H1181i1. Los Angeles. CA ~0011 Attn: Michen" Ridgle (213) 346-15588 \__/ COMPANIES AFFORDING COVI;RAGE. 510 -AECOM-CAS-20Q4 DMJM +HAR NEW!' NY COMPANY A ACk Ameriean II's$vrance COmPðny COMPANY B INSUR'ES DMJM+HAARIS, INC, 605 THIRD AVENUE NEW YORK. NY 10158 Â. ') I A /T - e?\OD/- 70 7..603- \C1 .:~'C?Y~.~~i~.!~:,~::~~~t',:;~L~::}:~.~: ~,: ,::;::<::::,:...' ii, '~"~~':::',::¿;j~} \;~~~i~i::~'2;'~~Ijc,~.:~~~t~~~~fil~~¡:~;.~¡~~~:~~~~~:¡~~~~,t~-;~~~,;.~.~~~:~j:~;~~~::';:~~rJ~.Jìiif:::Ë~ï~¡:~r~}.illI#6Jr~~~:,;~YLft Tttl$ IS TO C~1t1JPY THAT POUCle5 018 INSURANC! DESCR¡g¡O, HEREIN HAVE. DIiEN ISSueD TO THE IN$uReD H^MED ¡..¡EltelN RJR 'ÐtE POlICY P~IOD "OICATED. : N~MTHsrAAOw'G AIry REQUft~AœNT. TiRM OR CONDmON o~ ANY CONTRACT OR OTHI!Pt DOCUMRNT ~ ~a:.-c:I,;;T TO V'ttt1CH 'rH~ ~RTIF!CAT! MAY Df J:lSUIiO OR MAY ! PlRTAIN. ~ INMJMNœ "'FFOftc~D ~ TÞlIi POliCIES DI!!SCRlI!lIiD NEREIF-I IS SUØJ¡CT TO ALL 'rHo! TERM$, COHOITlONS mo IDIClUSION:5 OF SUCH POlICe. .AGGRIGATE ! LIMiTS 811O'M'l ,,^y HAVE tEEN keDUC~D In' PAID CLAIMS. .' COUPA.l.('( C Illinois Union Insu~co CClfTJPlilny COMPANY D N/A ¡ co' TT,..OI"IIIIURAHC, "0"10'( -urUiR POLICV.'IIICTIW I'OLlC'" n"IMTtQK UMI'Ta "TO g"T~ (NMrDDN'Y) gATlIMMJDDIYY) A OINlfWololABILITY Hoo G20591365 04101104 04101/05 GeN~IW.AQ Ye $ 2,000,000 X COMM~ftCW. GeNEML tlA~1UTY ~DUCTI" ~ S .,OOOIQOO ..". C1.JoIM' "I'OE I!J OCCUR PElõt90tW. &ArN IWJUPW $ 2.0OO.0DO "\." ~a CQNTMCrO.., "'lOT !ACH QCCU~E S 2.000.000 'IRa: DAMAGE (Mv OM ra $ 1.000.000 Dm ......... $ MOO A AiI1QUomu:; UAIIUTY ISA H07850451 04101104 04101105 CQA.!I~IC 8/HGUO UMrr 5 1,000,000 A X IoN'tAlJ1'O CIII.. H0785058A Q4101JQ4 04101105 Al,l OWNeD.uros ðOOlLY IN.JJRV $ 'CHeDUL~D AUTOS P9"ptrHn) , HII\&ÞAlJTOS 'IIeOL Y IHJJRV S ..., (Poracc!ðlN: "tOH-ovmc:D AUTOS /~, S. ro FORM PRQpeRTY CJM1AGe $ CAIUð; UAAlI./'t't -dJI- ANVAImJ I ~ i 1 ('I'!'~V C I UA8IUTT. " ..'Jo,-,..P.,.,, i ! I I.J II UM8ftW.A 11'0 I I I OTHeft THAN' UMBRELLA tOftM 'I "1\1"'1 gOMP!N A. I E.PLDY~""'IA.UTY' , 'I11e PROPIUETORl INa. 1'AA'rN1!"~II'Ive: m:~C;RS ARE! IX"" C EON G21eð469a 001 04/011Q4 04J011D5 ARCHITECTS" ENG. 'CLAIMS MADE" . PROFESSIONALLIA8. AUTOQN.V -£A ACCIDENT OTH RTHANAUTD ONlV; !'.~~' .tÙ'.¡~(;:'.~'~::.~0~~:¡:~~t ACC"NT $ AGGRIGAT& S ~ OCCUM"NCe S 1'40o:GAT& $ $ L " ~~3:t:f;t'?f.r~.,~.~, 'L EAeH AC~œNT S ELCIS~OUCVLlMIT S I!L CIRAU.EÞ.CH EMPlOVEE S 51.000,000 PER CLAIM/AGGREGATE D5FENSEIN<:LUOEC I'CI\IJ'TTON 01 Q'l!ftAtIOI3ll.CCAtIONINIKlCLfSlSPICIAL ITSNS RE: TIlE COMMUNITY REDEll\iiLOPMENT AGENCY PROJECT NO. 0461054$2.0001. THE CITY OF SANTA ANAL ITS OFFICERS, EMPLOYEES, AGENTS. VOLUNTEERS AND REPRESENTATIVES ~ NAMED AS ADDITIONAl INSUREDS FOR GL COVERAGE, eUT ON~ Y I'S RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. "EXHIBIT C-ADDITIONIII..INSURED ENDORSEMENT ATTACHED". ',~~~TJ~.S~~~~~1!~~;~~1T:~~~~~gC~~l;!:it~~~ai~~Lf:~~1;tr.~.~~.]~1~~~~~~Jæ!œ&i$~W!tfl;~~$ - ~ . ~. ~1oVN'f'(QI"111.l'OUCInClCOCNtll!DJ!ft~N M:CN«ZLI,!O~'ncII.~T1C»1 t)ATI!1'M&JŒa:. 1H! 1tUu- MII"OIÐNC C:QIo'fAAO! ftLlr. .~..!\w: "W.. ~ DAYa WRtT'T:N NOnCl: TO THIE eiR1IFICAtd I40LÐIfI NU.l8ð WPIBI)(.IIOM~or~.ft"'V¥MII~V~~11l~8&I.U~. .~.' SANTA ANA. CrTY OF ATTN: MR. JOE PARCO 20 CMC CENTER PLI\ZA SANTA ANA. CA a2701 '''II''''lnmc_.QiIJ(-~'11ImIiQ01I/1_~g=K_" ---~1JI:III1~"Q:uxx:O'.xxXXXYYYYYYYY"lYY"O:"Q"XX"xu:X)C(V'()O()OO()OO()O( ...RS A.ltrC. John F Wesley Ii ' I . VALID AS O~ -.:.:.----~-=--', L "~_!~'.'~"-".:.:..,:::~,~,:.~:~.!'_.:...c.- ~ ,~:f;~' />W}- 11. I : ,a6/14/29a4 ,15: 9,3 -"-'/ 11 , <---,,' , ' ! ill, --' Ii ¡Iii III 2129864713 LEGAL DEPT PAGE 03/aS 1"OLICYNI,1:MBER: lIDO G20591365 COMMERCIAL GENERAlllA8JLlTY TRrs ENDORSEMENT CHANG);¡S THE POLICY. PLEASE REÁb IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) Thi5 endors..ment modffies Insurance provid~d under the following: I, . , COMMERCIAL GENERAL LlA61LITY COVERAGE PART ¡\ " ! SCHEDULE 1. Name of Person Or Organization: THE CITY OF SANTA ANA, rrs OFFICERS, EMPLOYEES, VOLUNTEERS AND REPRESENA.!IVES (If no entry "ppcars aboVe, Information required to complete this endorsement will be shown In the Declarations SI¡ applicable to this endorsement.) .. ¡Ii WHO IS AN INSURED (SeGtion II) 15 amended to Indude as an Insured the person or organ~ation shown In the Schedule, but only with respect to liability arising out of "your work" for that Insured by or for you. CG20101185 I i II il !I , . .c,) ¡.()R;vl APPROVED ,,~ ", ., ~3& ._- ""., 'è'> ¡.,';I, Y'.:",' ;-\,;"-,,,'- C:r\ ""t ,,;1,'\ I ¡ CoPyrfght. Insurance ServlQlils Office. lno., 1984 I ! ~n¡!I! ,i , ., . ,. ':. :;; I, : L ' I! i ¡ !il ! II \ ! . :; : I ..¡ ,. Ii' i' i ~.:!:r, ¡ j: ! .., I' .! .: ::. í ¡. I I , . . . ~~::,t¡\~;>, Tr --r " " . 'I! . 'I TJ~19~10&I'1:I ToI02 p,aOltDø! P"4J8 .......-.. .. .- ""'-"-111. <:~ .1 ~ "t:ðrJ I1Js. CD -~.ir 6de4 bJrlØ:P1V"fÅ181 ofl'o1hv iclfI8N1 ~ 1. 1'Mac,.alSøaraAu, !II) Qh'IIc c:.-....,... All"l!8HØo....:. PIr0411:1 ""'1.._~~';; 1bI..... ~....-...... .-!vlI'- .. C".rdIíitmír -~.~8ad"~- of- ' 1II1åÍI8alaø. ~ r ad1llC8p.-..i! r.1VQ£'œ~al'''lIIIDffø~ ! ¡ ;: 2. 'MI%~1DcI.tå8~ClrlCarllall~IIiI_-I'-,It""¡8di!r I 'ar_:~ftø""~"'---.fI br"'~å, . I ' ... ii:1Ot8llk8lDllat toG' .... ...~ ~ triIIa..,.."-......~,, Ii... --Gt6I"-:-f. u. t, TIIia [ .ø1lJlllca "'"1 I t 'II ... --.....~ cI8bt¡ if "or_II""''''_~''''::::1IIIIIIj ~ :n. --......- crl.,,.,..oro1 _n 'lII&!ia.8D~ DQt6lr.,._1rb.Wt- "'''.1 -T"'~_"'l!lb.. ... -flACMIo..~ ~., . . ~ 'WII!I- -..418 ~. 'ill II 11"'" ~t!U '""'""q'"'åI1_,- -', \11.11'-' ,... " . )ÍII","'''GmI~I~~Clo).WIiI8D ' ----Ihwatv 1M~at....u.. 20 CI1¥fI: c::..e;Pfu&,..-. ~Pl101. "'-i_- af6:"~ ào. ¡" I ~ ~«"I-'- . L ~" - -~.t..) . :i~~.....~-..~..........ot I' ,. d . I ¡ !i. : & . .~ JJ., (L/£.t«.,- ~~ : ~,~~~, .~ ,."'iIllllIIUIÛ.- _H,' ::~'O ;\}¡; APFR()VED /.~S J '-I " ." - ~:3Lr~...- _.- -,.'. ..> ~ . .. . t... -.: ';",1"'\ ~JIOr;'.~y, b;~.::.~'~u,,-"",. " d , , . m'd æ: It lOX it unr CI:O::-J...e....ta9 Þ t-W" ..,~,.,..... ,...~ ! ~ II"" 'I~ <-ud ¡¡,uOG::J~ '--"¡L S~;;--¿v'j-~: ~¿, >~'J "-;J c~:=. Si,:J u S /.l~J 'o,:d 1': ¡ T----m"~rt- Ii . I' i 06/1'4/2aa4 'is: 93 : : ') '0 ., 2129864713 LEGAL DEPT PAGE a4le5 ¡ , "'..---/ POLICY NUMBER: ISA H07850451 COMMERCIAL BUSINESS AUTO LIAS. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: ! I !i i , COMMERCIAL BUSINESS AUTO LIABILITY COVERAGE PART. I ¡ ,¡ ! !I ~ I ; Name of Person or Organl2ation: Schedule THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND REPRESENA TIVeS .....-./' , ¡ : (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 " ,.,', ii' .1',. 'I' organi~tion, shown In the Schedule as an insured but only with respect to liability arisirg: out 9r your operations or premises owned by or rented to you. I . , " . D' " . fO COj~"" Í'ì'ROVEP x' ' ' A- ~~.~I;J._-- _tL(J~' ,¡ ,.. , ., .)û~:t. . . "':'1\) ..""l J:\...",p...I0' -' CG 20 26 11 85 ! I ; CGzaaa "OðiCMJ"+~ :1 . a6/14/28a4 15'83 2129864713 LEGAl DEPT PN:£. a5/05 .iY§Ql'J::'....3~j~~lÀ~~J~~~;}fŒ';~1~IùJJ.~;'¡f~~~[}", '., .-. I 'I 11 PROO\IœAh - . . Aon RiÇk $O"';oe.. Inc."'bt Southern CN"ricmia 707 Wilshire BoUlevard, Sviie 6000 Los Angeros, C~rJtornJa. 90017 (213) 63CJ..3200 I . I'" COOE INSIJAEO CMJM+HARAI$. Inc. AIIn: D.mlse Jenkins 605 Third Avenu. New YQrk. NY 101$8 S~DE I8SUI! DATE!,MMIOD/rt) 0<II'02l2004 DM ThIS O!:JmFJCATE ~ ISSUI;O A&... MATtER OF INFORMATION Ot«.. Y AND OO\IFERS NO 'tiGHTS UPON THE CERTIFICATE HOUJER T}oIS eiRTlFICAl1: roes NOT AMENO, EXTEND QR ""-'fR 1He COVERAGE AF"OAO¡O BY '!He POUClES 8ë1.OW COMPANIES AFFORDING COVERAGE CCMl"A.'\fr """" A Insurance Co. of the State of PA OC6!PAN'f ""'" B !X:II,I>Ifl'i C '''"''' """""" '""'" D """'- E IETTEA ~IS 1$ TO CERTIFY T1-iAT POUClES OF INSUAANCe LlsrED BELOW HAVe BEEN ISSUE!> TO THE INSURE 0 NAIIEl> /oSOVS FM 11-£ POlICY PERIOD INDo::ATED. N01Wm1$TANOfHG N<Y REOU'REUiNT. TERM OR CONDITION OF J.t,N OO'ITAA<:T OR O1H~R DOCUMENT wrTli AES,OeaT"TO WHICH ~rs CEFmOlCAT£ MJ.Y 'E IS$VED OfIIo1J.Y PERTAIN. THE INSlJRÞ.Nce AFFORDED BY n<~ POUc.E' D!;'CRlOiD HIiREJN 1$ $UÐ.i.OT TO AU. 1M£"lERMS. EXa.usION AND 01110N5 Of' SUC~ POliCIES. ~E UMm! &-towN MAY HA e.EN ~UCEc BY PAl ClAJIoIS. CI) TYPEOFJNSUItANOE . POUCYNUt..effi .POucY'~ 1"OIJç'(~ LTA, CAn' e.-.n I ¡I GIN£IIAL UASILITY, I ' ~oI&iil."IoIIL~IUTT , " ~MAO! 0CC\mI!1No;C , .' çm- 5.OQNT~" PfIIO'rEan\iIIE ~. .." , AUTOMOBILE UAÐn.1TY ~YNTC "Ll~AlJTC)S; "'""'"""'^""" Apj:I.',(,'. hlRm AUTo¡ ~iDMlt06 GAAl.aEUMl.I'T'r -----~. ."'.. ' EXC!!¡S LiABILITY 0""""""1'0<00 0 am... TMIIt tMIRQ.LA 1'0/¥4 A.>c,;:~,.,L \..it;. A A WORIŒIIS' OOMPEHSA TION AND ~PlOYEJIs' UA81UTY .., "" oa lAOS) 521246' (Col.! 121 ¡462IWO O'niEl! , i- ,..J AU. UIo1ITS IN T>iOlJSA>!DS C,EÞEJW.A,QaRmAYI ~1XIW1CI1"I~T[ JlUlltcNAl"'IIØIr8IUI$I'IIIIN,IIJRr S 8 S $ s s ...,.~ IIIRS ØAM-C¡: "*... ONI: IIIII\C) MIWICM.~.~OfE~ , \:-- In ¡-(Ii~-' ""- IOON,VN..\IoIIV ~-, EIeÐIL.VJt.IJû"", (Æft .lCCDØlT) -........... .. 'I. l : \ I : ~ l' ). AOOREOA1E I CM/O'J>1)(4 -'12004 o.w112004 C4I01I2OO! Q.W!"'~ S $ S 1,000 -- 1,000 -""""'''''''! 1,000 pec...U\I:tf~ 04JD1/200., I DESCIIPl10H OP OPERATlONS/lOCA11ONSlVEHlOLESI1IESTAlC110NSI'SPEClAL!mIS' I '. 'I JOb: ';"'¡oaHO.i~OS4oa.o&, T11e~R'<IoveIop"""¡",- I' " " 'I I, . , FHINY17m1 . ClIf or Sonia An. Çontaot Mr. ~C8 Parco at) Civfe Cern... PIu.:I santa An., CA 92701 -' PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 AUn: Lori Bryson (213)-346-5464 CERTIFICATE NUMBER LOS-000230101-08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POUCY. THIS CERTIFICATE OOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE 6510 -AECOM-CAS-2005 DMJM +HAR DJENKI NEW NY COMPANY A ACE American Insurance Company INSURED HOLMES & NARVER DBA DMJM+HARRIS '/ 7' 4 999 TOWN & COUNTRY ROAD ,4- ~OOl- U' ORANGE, CA 92868 v1 I" I U,:;' ,"< - vlOCb- I rt - Ji.'03- /11 ' cJI A -}J)O't- - J.,5:J COMPANY B COMPANY C Jltinois Union Insurance Company COMPANY ON/A THIS CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POUCY NUMBER I PO~~Y EFFECTIV~T;;ucy EXPIRATIO~-r- DATE (MM/DDNY) , DATE (MMIDDNY) , UMITS A GENERALUABlUTY "HOD G21702316" X COMMERCIAL GENERAL LIABILITY I --1 CLAIMS MADE I_~.J OCCUR I OVVNER'S & CONTRACTOR'S PROT : 04/01105 04/01/06 I GENERAL AGGREGATE I $ ~RODUCTS - C2M-PIOP AGO t$ PERSONAL & ADV INJURY $ --- - - - - ~Afl::!...qGCURR~~C~ $_ __ _ FIRE DA~~E (Any one_f1..r:~LL~ MED EXP An one rson $ $ COMBINED SINGLE LIMIT 2,000,000 2,000,000 2,000,000 2,000,000 1,000,000 5,000 1,000,000 A AUTOMOBILE UABlUTY 0._ ANY AUTO ALL OVVNED AUTOS I SCHEDULED AUTOS HIRED AUTOS NON-OVVNED AUTOS "ISA H08012593" 04/01105 1 04/01/06 ~ TO FORNI APPROVED A~ BODILY INJURY , (Per person) $ BODILY INJURY (Per accident) j~ PROPERTY DAMAGE , ANY AUTO a , , C' Attornc)' !\SSlstant 1 y AUTO ONLY - EA ACCIDENT '$ ~TH, ER -;HAN ~UTO ONL~ "rm'ffil,li I=-- EAC:~~R~~:~~ ~:'- ! EACH OCCURRENCE - ------- ,,,.,,...,_.,^...,,,,,,, ,,,"''''~ iiiilllillUuiiiiHiiijl GARAGE UABlUTY EXCESS UABlUTY ----l UMBRELLA FORM I OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' UABlUTY THE PROPRIETOR! PARTNERS/EXECUTIVE OFFICERS ARE THER C INCL I EXCL I ,EON G21654693 001 ARCHITECTS & ENG, I'''CLAIMS MADE'" PROFESSIONAL L1AB, DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLEs/sPECIAL ITEMS RE: PROFESSIONAL ENGINEERING SERVICES FOR ANNUAL ON-CALL CONTRACT FOR ENGINEERING AND LANDSCAPING DESIGN SERVICES, UNDER THE COMMERCIAL GENERAL LIABILITY INSURANCE, THE GENERAL AGGREGATE APPLIES "PER PROJECT', "SPECIAL ENOl. ATTACHED", "SEE PAGE 2", $ $ 'EL DISEASE-EACH EMPLOYEE $ 104/01105 04/01/06 I $1,000,000 PER CLAIM/AGGREGATE I DEFENSE INCLUDED SANTA ANA, CITY OF 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE Ir'JILL E~ MAIL --30 DAYS ~ITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, E XJ()()()()()()( MARSH USA INC. BY; David Denihan -ItP.#,#f?_Mi'_ .. PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 Altn: Lori Bryson (213)-346-5464 COMPANY E ~--~~MP~~~--- - F 06510 -AECOM-CAS-2005 INSURED DMJM +HAR DJENKI NEW NY ! COMPANY lu G I C~MPANY HOLMES & NARVER DBA DMJM+HARRIS 999 TOWN & COUNTRY ROAD ORANGE, CA 92868 ADDITIONAL INSURED: THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND CITY AGENTS (WHERE THERE IS A CONTRACTUAL RELATIONSHIP BETWEEN THE AGENT AND THE NAMED INSURED) ARE NAMED AS ADDITIONAL INSUREDS FOR GL COVERAGE, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. PRIMARY WORDING: SUCH INSURANCE AFFORDED SHALL BE PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER AND ADDITIONAL INSUREDS SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GL COVERAGE. SEVERABILITY OF INTEREST/CROSS LIABILITY WORDING IS INCLUDED FOR GL COVERAGE. APPROVED AS TO j-ORi\l ~2/l , Laura Stitt She'.:dy Assistant City Ati':lin~:\ MARSH USA INC. BY . ~i=jilli.~i CERTIFI.CATE.OF>.INSlJ.RANCE ISSUE DATE (MM/DDIYY) 03/29/2005 PRODUCER DM THIS CERTIFICATE \S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO Aon Risk Services, Inc. of Southern California RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 707 Wilshire Boulevard, Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Los Angeles, California 90017 (213) 630-3200 COMPANIES AFFORDING COVERAGE COMPANY LETTER A Insurance Company State of Pennsylvania CODE SUB-CODE COMPANY INSURED LETTER B National Union Fire Insurance Company DMJM+HARRIS, inc. COMPANY C Attn: Denise Jenkins LE:TTER 605 Third Avenue COMPANY New York, NY 10158 LETTER D COMPANY E LETTER COVERAGES .... THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. 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. co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS '" DATE MM/DDlYyl DATE MM/DD/YV GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS.COMPIOPS AGGREGATE:: $ CLAIMS MADE OCCURRENCE PE:RSONA~ & ADVt:RTISING INJURY $ OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE (ANY ONE FIRE) $ MEDICAL EXPEN~;E (ANY ONE PERSONj $ AUTOMOSILE UASILlTY ANY AUTO CSL ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (PER PERSON) HIRED AUTOS BODilY INJURY NON-OWNED AUTOS (PER ACCIDENT) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIASILITY ..... EACH AGGREGATE OCCURRENCE , UMBRELLA FORM $ $ i < I I OTHER THAN UMBRELLA FORM ....... < $ $ A WORKERS' COMPENSATION WC6609275 (ADS) 04/01/2005 04/01/2006 STATUTORY ,"I [. ..... ..ii...... A AND VYC6609276 (CA) 04/01/2005 04/01/2006 $ 1,000,000 ,EACH ACCIDENT) B EMPLOYERS' L1ASILlTY WC6609277 (WI,DH,WA,WV) 04/01/2005 04/01/2006 $ 1,000,000 (DISEASE POLICY LIMIT) $ 1,000,000 {DISEASE EACH EMPLOYEE) OTHER DESCRIPTION OF OPERA TIONSILOCATlONSNEHICLESlRESTRICTIONS/SPECIAL ITEMS: FHINY17376 Job: Project No. 046105492.0001 The Community Redevelopment Agency CER'rlfICATEHOI..PEll. .... <. cANCELLAtiON ..... > < .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING COMPANY WJLL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Contact: Mr. Joe Parco 20 Civic Center Plaza BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Santa Ana, CA 92701 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE c--.1...,~ ~ All""" ~'..siJilll8\ '. < .. ..... ......... ..... ..' . .... <<< .. .... I' '.MARSH CERTIFICATE OFINSURANCE CERTIFICATE NUMBER LOS-000534883-06 PRODUCER THIS CERTIfiCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN. Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE Alln: Lori Bryson (213)-346-5464 --- - - COMPANY ~651 0 -AECOM-CA5-07 -08 DMJM +HAR DJENI NEW NEW A ACE American Insurance Company 1f-200& -?..2 -:::.> . ------- -- .~ INSURED COMPANY DMJM+HARRIS, INC. B 605 THIRD AVENUE I - ----..- ---- NEW YORK, NY 10158 COMPANY C Illinois Union Insurance Company ---. -- i COMPANY , D N/A 'coVERAGES ,.', THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. ~OTWITHSTANDlNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'CO I -',-_.- ------ -- --- POLICY EFFECTIVE POLICY EXPIRATION LTR I TYPE OF INSURANCE POLICY NUMBER DATE (MM/DOfYY) DATE (MMfDDfYY) LIMITS A GENERAL LIABILITY "HDO G2372733A" 04/01/07 04/01/08 GENE~.J:.~~C;;_REGATE $ 1,000,000 -- I X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000 == ~ CLAIMS MADE [8J OCCUR' 1 ~~!:l~ &ADV INJURY $ 1,000,000 _ OWNER'S & CONTRACTOR'S PROT _~_CH OCCURRENCE $ 1,000,000 - , FIRE DAMAGE (Anyone fire) '$ 1,000,000 ~-,--- -~ -.-. MED EXP (Anv one Deffion) $ 5,000 A AUTOMOBILE LIABILITY "ISA H08222939" 04/01/07 , 04/01/08 $ 1,000,000 i COMBINED SINGLE LIMIT ~_.,o I i --.- ALL OWNED AUTOS BODILY INJURY $ ! ~ . SCHEDULED AUTOS i (Per person) :----' HIRED AUTOS BODILY INJURY $ , _, NON-OWNED AUTOS (Peraccidenl) --- ~---- I PROPERTY DAMAGE $ , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO , OTHER 2HAN ~_l!.:r:Q.2!i~ y, ~ i I f---_.____~_CH ACCIDENT $ , -I AGGREGATE $ ReE55 LIABILITY V(/?/i- : EACH OCCURRENCE i$ UMBRELLA FORM : AGq;REGATE $ I OTHER THAN UMBRELLA FORM , $ i WORKERS COMPENSATION AND I WC STATU- I oJ~ : EMPLOYERS' LIABILITY TORY LIMITS R:NCL' EL EACH ACCIDENT , $ THE PROPRIETOR! EL DISEASE-POLICY LIMIT $ PARTNERSrEXECUTIVE I ----~- OFFICERS ARE' EXCL I EL DISEASE-EACH EMPLOYEE $ C OTH"" EON G21654693 002 04/01/07 i 04/01/08 $1,000,000 ,ARCHITECTS & ENG. "'CLAIMS MADE'" 1 I PER CLAIM/AGGREGATE I PROFESSIONAL LIAS. , IDEFENSEINCLUDED , i DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLESlSPECIAL ITEMS RE: Project No. 60021577 / City of Santa Ana On-Call Contract for Civil Engineering and Landscaping Services. THE CITY, ITS OFFICERS, REPRESENTATIVES, VOLUNTEERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE INSURER AFFORDING COVERAGE 'A'lLL ENDEAVOR TO MAIL -----30 DAYS WRITTEN NOTICE TO THE CITY OF SANTA ANA CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PUBLIC WORKS AGENCY ATTN: SOURI AMIRANI LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, lTSAGENTS OR REPRESENTATIVES. OR THE OFFICE OF THE EXECUTIVE DIRECTOR ISSUER OFTHIS CERTIFICATE 20 CIVIC CENTER PLAZA, 4TH FLOOR MARSH USA INC. SANTA ANA, CA 92701 4P""'.t#f?....,~_ BY: David Denihan VAUD AS QF:03/30/07 PRODUCER DATE (MM/DDIYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 04/01/2008 04/04/2007 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 TER THE VERA E A RDED BY HE POLlCIE BEL W. Lockton Companies, LLC-L Los Angeles 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine CA 92612 949-2524400 INSURERS AFFORDING COVERAGE INSURED 1075642 DMJM+HARRIS, Inc. 605 Third Avenue New York NY 10158 INSURER A Insurance Co. State ofPenns lvania INSURER B National Union Fire Insurance Co. INSURER COVERAGES AECTEO 1 OE INSURERiS-\- Ajii'HORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 b<1';!~-rri~rJ.f~E PJ'A'4~~ri~rJ~~?N LTR TYPE OF INSURANCE POLICY NUMBER LIMITS ~ERAL LIABILITY FACH OCClIRRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE FIRE DAMAGE IAnv one fire\ $ XXXXXXX I CLAIMS MADE D OCCUR MED EXP 'Arw one oersonl $ XXXXXXX - PERSONAL & ADV INJURY $ XXXXXXX - GENERAL AGGREGATE $ XXXXXXX ~'L AGGREFl ~IMIT APn IPER PRODUCTS - COMPIOP AGG $ XXXXXXX PRO" POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ XXXXXXX ANY AUTO NOT APPLICABLE (Eaaccident) - - ALL OWNED AUTOS BODlL Y INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) - r- HIRED AUTOS BODILY INJURY $ XXXXXXX NON-OWNED AUTOS {Per accident) r- r- PROPERTY DAMAGE $ XXXXXXX (Per accident) R~GE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EAACC $ xxxxxxx AUTO ONLY AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX :J-OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX ~ : 0 UMBRELLA $ XXXXXXX DEDUCTIBLE FORM I, xxxxxxx RETENTION $ $ XXXXXXX A WCRKERS COM~ENSATION AND WC2921235 (AOS) 04/01/2007 04/01/20U8 X li~R~Vi~~T!': i I~~H- A EMPLOYERS' LIABILITY WC2921236 (CA) 04/0 1/2007 04/01/2008 I 000 000 EL EACH ACCIDENT $ A WC2921237 (FL) 04/01/2007 04/0 1/2008 EL. DISEASE - EA EMPLOYEE $ I 000 000 A WC2921238 lOR) 04/01/2007 04/01/2008 EL. DISEASE - POLICY LIMIT $ I 000 000 B OTHER WC2921239 (OH,WA, WI,WV,WY) 04/01/2007 04/0 1/2008 Satutary Limits - See Above Worker's Compensation DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: City of Santa Ana On-Call Contract for Civil Engineering and Landscaping Services ~ CERTIFICATE HOLDER I I ADDITIONAL INSURED" INSURER LETTER: CANCELLATION 2828881 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City at Santa Ana fI' ,(, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN Public Works Agency Office of the Executive Director NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Sauri Amirani IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza, 4th Floor REPRESENTATIVES. Santa Ana, CA 92701 . AUTHORIZED REPRESENTATIVE ~ _ -' , -// ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify II>e clienl code 'AECfE01'. @AtORD CORPORATION 1988 N THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING