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HomeMy WebLinkAboutLEIGHTON CONSULTING, INC. 2A%,It;UR Vr LIM VVg119-11 AGREEMENT TE' 1INATION J Please complete this form when the attached agreement is no longer in effect? g. return form to the Clerk of the Council Office (M-30). } rr't—K Call 647-5237 if you have any questions --10 The agreement with Leighton Consulting Inc. No 004 1#i 2004 and was completed on 0512006 .� and final payment has been made. Department: Phone/Ext.: 5664 Signature: Date: Revised 07-23-07 A-aOOA4—/03`,`' FIRST AMENDMENT TO CONSULTANT AGREEMENT THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into on June 30, 2005, by and between Leighton Consulting, 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 Consultant Agreement A-2004-103, dated June 6, 2004, (hereinafter "said Agreement') by which Consultant has provided environmental remediation, geotechnical and potholing services. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend said Agreement 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, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: I. Section 3, TERM, shall be amended to extend the termination date from June 30, 2005 through June 30, 2006. 2. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Laura Sheedy Assistant City Attorney CITY OF SANTA ANA lrxecutive Director 'Public Works Agency r`I:e.rik• 1f10SA i FIr_,ftOr\OD ACORDD CERTIFICATE OF LIABILITY INSURANCE oz/;oa °""Y" PRODUCER Armstrong/Robitaille Bus&lnsSv 680 Lan sdorf Drive #100 9 PO Box 34009 Fullerton, CA 92834-9409 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Leighton Consulting Inc q _ ;C�{ _�o 3._C1 17781 Cowan Ste. 100 fj Irvine, CA 92614-60A092`� A --I 0 vO� INSURER A: Lexington Ins CO (A++XV) INSURER B: American Economy (AXV) INSURER C: INSURER D. INSURER E: nnvoennce 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NSR LTR ANSRDD � TYPE OF INSURANCE POLICY NUMBER POLICY DATE DATE M OD POLICY MIPV DMI OAT M AR LIMITS A GENERAL LIABILITY 1411823 02/14/05 02/14/06 EACH OCCURRENCE $1 OOOOOO DAMAGETORENTED $50000 X COMMERCIALGENERALUABLITY CLAIMS MADE a OCCUR MED EXP Any one person) sexeiuded PERSONAL B ADV INJURY E1000000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPUES PER: PRODUCTS - COMPrOP AGO E2 000 000 $5000000 POUGY X %cor X LOG Overall Polic General Aggregate B AUTOMOBILE X LIABILITY ANY AUTO 02CE00346030 02/14/05 02/14/06 COMBINED SINGLE LIMIT (Ee.dd.denf) g1 ,DOOrBDD BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per eccidn,H = X X HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE IParacndonr7 E GARAGE LIABILITY AUTOCNLY-EAACCIDENT S OTHFR THAN FA ACC S ANYAUIO E AUTO ONLY: AGO EXCESSNMBRELLA LIABILITY EACH OCCURRFNCE E OCCUR GIAIMS MADE AGGREGATE S $ DEDUCTIBLE _ 5 E RETENTION S WORKERS COMPENSATION AND WC U- STATOTIb EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT E E. L DISEASE EA EMPLOYEE S OFFICERMEMBER EXCLUDED? If yad descdee ender SPF.CIALPRDVI$IOMSCebw EL DISEASE -POLICY LIMIT S A OTHER Professional 1155266 02/14/05 02/14/06 $2,000,000 Per Claim Pollution Liab $4,000,000 Aggregate Claims Made $25,000 Deductible L� 1 DESCRIPTION OF OPERATIONS ( LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS /`(T )Jp (, �r L,i _\1 i (% t (%1Z'.�) 'Ten Day Notice of Cancellation for Non Payment of Premium \V Additional Insured and Primary Insurance on General Liability applies per Lexington's Additional Insured Owners, Lessees or Contractors (Form B) endorsement LX0869 01/95 attached to the policy as required by written contract ra (See Attached Descriptions) (LC)City of Santa Ana Public Works Agency 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 ACORD 25 (2001/08) 1 of 3 61U1266931 IGULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ITE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -In DAYS WRITTEN )TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE KGR © ACORD CORPORATION 198E IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. VPPROVED AS 7'0 I'U!aLl Laura Sett Shccu� 1si;t,tnt City Att: r:I \ ACORD 25-S (2001/08) 2 of 3 #M266931 DESCRIPTIONS (Continued from Page 1) Re: Job No. 009998601 - Enviromental Remediation Consulting Services City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured per written contract - APPROVED AS TO FORM Laura Stitt Shccdy A"istam City Atlorm-r AMS 25.3 (2001108) 3 of 3 #M266931 Endorsement This endorsement, effective 12:01 AM 2/14/05 Forms a part of policy no.: 1411823 Issued to: Leighton Group Inc, Leighton Consulting Inc, Leighton & Associates Inc, Gradient Engineers Inc. and Teratest Labs Inc. By: Lexington Insurance Company (AM Best Rating..,.,A++ XV) 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: (LC)City of Santa Ana; Public Works Agency 20 Civic Center Plaza, 4th Floor Santa Ana, CA. 92701 Re: Job No. 009998601 - Enviromental Remediation Consulting Services City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured per written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO 1S AN INSURED (Section 11) 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. IT 1S AGREED THAT THIS POLICY IS PRIMARY AS RESPECTS ANY INSURANCE MAINTAINED BY THE ADDITIONAL INSURED AND THAT SUCH INSURANCE MAINTAINED BY THE ADDITIONAL INSURED IS EXCESS AND NON- CONTRIBUTORY WITH THIS POLICY AS RESPECTS TO WORK PREFORMED BY THE NAMED INSURED IT IS AGREED THAT THE INSURANCE COMPANY SHALL AFFORD OR PROVIDE THIRTY (30) DAYS WRITTEN NOTICE OF CANCELLATION TO THE INSURED IN THE EVENT OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE LX0869 (01/95) LX0869 \PPROtiL-l) ;%s 10 j�C)Wm -- L:l lira Jtitt Shred} V��171,1a1 Lit, \t[Ornet 6% 16-,4 . Authorized Representauve or Countersignature (In states where applicable) SG POLICYHOLDER COPY STATE P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 09-01-2004 GROUP: POLICY NUMBER: ISS9551-2004 CERTIFICATE ID: 283 CERTIFICATE EXPIRES: 09-01-2005 09-01-2004/09-01-2005 CITY OF SANTA ANA PUBLIC WORKS SG 20 CIVIC CENTER PLAZA M-93 SANTA ANA CA 92702 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. A c . 64 AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER LEIGHTON GROUP, INC. 17781 COWAN STE 100 IRVINE CA 92614 (REV.3-03) \1) r(jeZlJ6 Cty i LEGAL NAME LEIGHTON GROUP, INC. PRINTED: 08/17/2004 I.Jift AEOR - CERTIFICATE OF LIABILITY TGR099 INSURANCE DATE (MMA)D YYYY) PRODUCER Armstrong/Robltaille Full 1010 O2/14/r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 680 Langsdorf Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 34009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fullerton, CA 92834-9409 INSURED INSURERS AFFORDING COVERAGE NAIC # Leighton Consulting Inc nn L`11 O �i" aDOZ — ( 3 INSURERA. Lexington Ins Co (A+XV) 19437 INSURER B: Travelers Prop Cas (A+XV) 25674 17781 Cowan Ste. 100 k- avo 4— D 3 -+�� INSURER0 Irvine, CA 92614-6009 A- F-1D3--CL aDD� INSURER D : A- o�j COVERAGES INSURER E' 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. TWOMLTR INSRt TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLIO EXPIRATION LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 7352937 02/14/07 02/14/08 EACH OCCURRENCE $1 000 000 DAMAGETORENTED $50000 MED EXP(MY one Person) $excluded PERSONAL B ADV INJURY $1 0OO 00O GENERAL AGGREGATE s2,000,000 B Overall PolicyGeneral 810030SL814TIL07 02M4/07 A re ate Agare08 GEN'L AUTOMOBILE AGGREGATE LIMIT APPLIES PER: POLICY X jT X LOc LIABILITY ANYAUTO PRODUCTS - COMP/OP AGG $2000000 $5 000 000 COMBINED SINGLE LIMIT (Ea accident) $1,OOQ000 WNED AUTOS BODILY INJURY (Per person) $ DULED AUTOS D AUTOS OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per awidenl) $ LEA LIABILRYAUTO AUTOOTHER ONLY . EA ACCIDENT $ MBRELLA LIABILITY ]Q22O81 02/14/07 02/14/08 R ❑ CLAIMSMADE THAN EA ACC $ AUTOONLY: qGG $ EACH OCCURRENCE $4Q00000 AGGREGATE $4 000 QQQ CTIBLENTION $ 10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETORPARTNEREXECUTIVE OFFICEWMEMBER EXCLUDED? E. L. EACH ACCDENT § If Yes, descnbe under SPECIAL PROVISIONS below A OTHER Professional 1156554 02014/07 02/14/08 Pollution Liab "Claims Made" DESCRIPTION OF OPERATIONS /LOCATION$ /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS -Ten Day Notice of Cancellation for Non Payment of Premium E.L. DISEASE - EA EMPLOYEE $ E L.DISEASE-POUCY LIMIT $ $2,000,000 Per Claim $4,000,000 Aggregate $25,000 Deductible Additional Insured applies on General Liability Per Lexington's Additional Insured Owners, Lessees, or Contractors (Form B)endorsement LX0869 01/95 attached to the General (See Attached Descriptions) CERTIFICATE HOLDER lt Public Works AgencyAna LL Y 20 Civic Center PlazgllA,36 Santa Ana, CA 92701 - ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL •an DAYS WRITTEN TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 25 (2881/O6) 1 of 3 #M370695 KGWAT 0 ACORD CORPORATION 19RE Ah 1 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD zss tzaol/eal 1 -f 7 DESCRIPTIONS (Continued from Page 1) Liability policy as required by written contract Project No.: 600401 -1300 West Edinger Avenue Additional Insured to Include as per above specifications, City of Santa Ana, Its officers, employees, agents, volunteers and representatives AMS 25.3 (2001ro6) 3 of 3 #M370695 Endorsement This endorsement, effective 12:01 AM 02/14/07 Forms a part of policy no.: 7352937 Issued to: Leighton Group Inc, Leighton Consulting Inc, Leighton & Associates Inc, Gradient Engineers Inc. ,Teratest Labs Inc., Leighton GeoScience, Inc By: Lexington Insurance Company (AM Best Rating.....A+ XV) 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: (LC)City of Santa Ana;Public Works Agency 20 Civic Center Plaza M-36 Santa Ana, CA 92701-0000 Project No.: 600401 - 1300 West Edinger Avenue Additional insured to include as per above specifications, City of Santa Ana, its officers, employees, agents, volunteers and representatives (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 11) 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. IT IS AGREED THAT THE INSURANCE COMPANY SHALL AFFORD OR PROVIDE THIRTY (30) DAYS WRITTEN NOTICE OF CANCELLATION TO THE INSURED IN THE EVENT OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE Authonzed Represeuia[ive or Countersignature (In states where applicable) LX0869 (01/95) LX0869 ru...-.u. . . F_ 7 - - nI�Nu99 ACOPM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DdYVYY) 0v1aro7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Armstrong/RObitaille Full 1010 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 680 Langsdort Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 34009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fullerton, CA 92834-9409 INSURERS AFFORDING COVERAGE NAIC # INSURED Leighton Consulting Inc INSURER A: Lexington Ins CO (A+XV) 19437 INSURER B. Travelers Prop Cas (A+XV) 25674 17781 Cowan Ste. 100 INSURERC: Irvine, CA 92614-6009 NSURER D: NSURER E. rnvcRer_ee 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. wo KM LTR NSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MR)DIYY pD(MPIRATIY) DATEMM/D LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 7352937 02/14/07 02/14/08 EACH OCCURRENCE $1 00p Q00 DAMAGETORENTED MED EXP(Anyone pereon) $SOOOO $excluded PERSONAL B ADV INJURY $1 OOOOOO GENERAL AGGREGATE $2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRDX Lo Overall Policy e PRODUCTS - COMP/OP AGO $2000000 5,000,000 B AUTOMOBILE X LIABILITY ANY AUTO 810030SL814TIL07 02M 4/07 02/,4/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ A GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE 7022081 O2/14/07 02/14/08 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE $ $ s4,000,000 AGGREGATE $4 000 000 XI X RETENTION $ 10000 $ EMPLOYWORKERS COMPENSATION ON AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNEH/EXECUTIVE OFFICER/MEMBER EXCLUDED? E. L. EACH ACCIDENT $ If yes, descnbe under SPECIAL PROVISIONS below A OTHER professional 1156554 02/14/07 02/14/08 Pollution Liab "Claims Made DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS •Ten Day Notice of Cancellation for Non Payment of Premium EL DISEASE - EA EMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ $2,000,000 Per Claim $4,000,000 Aggregate $25 000 Deductible Additional Insured applies on General Liability Per Lexington's Additional Insured Owners, Lessees, or Contractors (Form B)endorsement LX0869 01/95 attached to the General (See Attached Descriptions) rFRTIFICATC Mrl nee (LC)City of Santa Ana its officers, employees, agents, volunteers and representatives 20 Civic Center Plaza M-36 Santa Ana, CA 92701 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *an DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) 1 of 3 #M370695 r KGWAT O ACORD CORPORATION 1988 DES RIPTIONS (Continued from Page 1) Liability policy as required by written contract Leighton Proj A-2006-097; Environmental Consultant Services AMS 25.3 (2001/08) 3 of 3 #M370695 Endorsement This endorsement, effective 12:01 AM 02/14/07 Forms a part of policy no.: 7352937 Issued to: Leighton Group Inc, Leighton Consulting Inc, Leighton & Associates Inc, Gradient Engineers Inc. ,Teratest Labs Inc., Leighton GeoScience, Inc By: Lexington Insurance Company (AM Best Rating..... A+ XV) 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: (LC)City of Santa Ana its officers, employees, agents, volunteers and representatives; 20 Civic Center Plaza M-36 Santa Ana, CA 92701-0000 Leighton Proj A-2006-097; Environmental Consultant Services (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 11) 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. IT IS AGREED THAT THE INSURANCE COMPANY SHALL AFFORD OR PROVIDE THIRTY (30) DAYS WRITTEN NOTICE OF CANCELLATION TO THE INSURFD IN THE EVENT OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE Authorized Representative or Countersignature (In states where applicable) LX0869 (01/95) LX0869 i: !� I AGREEMENT TERMINATION S� Please complete this form when the attached agreement is no longer in effect. n Return form to the Clerk of the Council Office (M-30). r— -fit Call 647-6237 if you have any questions. The agreement with Leighton Consulting Inc.°` No. A 2004-103 an�A-2004-103-1 anywas completed on 05/2006 A2004-1031 and final payment has been made. Department: Phone/Ext.: 5664 Jason Gabr 01 Signature: Date: 4 0 Revis®d 07-23-07