HomeMy WebLinkAboutPSOMAS 1 - 2005
INS' ilOT Q:'-l FILE
Vii ,1,!ilA { NQT.. PROCEED
CLERK OF COUNCIL
DATE '-I-I(-OS
N-2005-040
CONSULTANT AGREEMENT
f/"Ilf}
(I< ,JO'fCpw0 THIS AGREEMENT, made and entered into this t sJ day of A.p.~ \ ,2005 by
and between PSOMAS, a California corporation (hereinafter "Consultant"), and 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
civil engineering to provide services on a project basis.
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 provide engineering services as assigned by the Executive Director of
the Public Works Agency (hereinafter "the Executive Director"), or his designee. Said services
include: survey work, preparation of legal descriptions and preparation of plat maps. The
Executive Director shall request a Proposal from Consultant for each project as the need arises.
If Consultant's Proposal is acceptable, the Executive Director shall issue a written notification to
commence work on that project.
2. COMPENSATION
a. City shall pay, and Consultant shall accept as total payment for its services, the rates
and charges set forth in each accepted Proposal for each individual project. 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
December 31, 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 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 A 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.
2
d. Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $1,000,000 per claim.
e. 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.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) 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.
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: (I) 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 I 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.
3
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
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
City of Santa Ana
20 Civic Center Plaza (M-36)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5635
Attn: Taig Higgins
4
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
To Consultant:
PSOMAS
Attn: Jeremy Evans
3187 Red Hill Avenue, Suite 150
Costa Mesa, California 92626
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail, any
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.
5
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
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 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.
IS. 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. 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.
6
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:
'- / / --
/~
CITY OF SANTA ANA
~~
City Manager
c4~<-'~ -
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
BykGj! O"~~
La ra Sheedy .
Assistant City Attorney
OVAL:
CONSULTANT
PSow,l'\$
ES SS
ecutive Director
ublic Works Agency
\) .v::J.-tG
1)0AfA-'-\l Let 0\-\ \~
V\L..-~ ~fl.esO~
Tax ID# qS- - )., g ~ '35"5''-1
7
EXHIBIT A
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:
I. 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 performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed 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
Client#. 6184
PSOMAS
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDfYYI
05/13/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Santa Ana, CA 92711-0550
714427-6810 I INSURERS AFFORDING COVERAGE
IN$URED . INSURER A: Hartford Fire Ins. Co.
PSOMAS ~:------- - ---- -- -
INSURER B"o Travelers Property Casualty Co of Am
11444 West Olympic Blvd.,Suite 750 INSURER c: American Automobile Ins. Co.
West Los Angeles, CA 90064-1549 r::SURER 0: Great American Assurance Co.
-- -----. ---- ..--- .-....-.- -- -- --
I INSURERE:
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 BE:EN REDUCED BY PAID CLAIMS.
-- SR -- __u -- - POLICY EFFECTIVE POL.ICY EXPIRATION
TR TYPE OF INSURANCE POL.lCY NUMBER AT 0 D MM D
A GENERAL.L.IABILlTY 157CESOA1659 10/15/04
WCOMMERCIALGENERALUABILITY I
I - CLAIMS MADE IliJ OCCUR IINDP. CONTRACTORS
X CONTRACTUAL INCLUDED
X BFPD, XCU _
COVERAGES
B
GEN'L AGGREGATE UM IT APPLIES PER:
POLICY X PRO~ IX' LaC
AUTOMOBILE L.IABIL.lTY
-=1' ANY AUTO
-f;J- -- ALL OWNED AUTOS
_ SCHEDULED AUTOS
+1 HIRED AUTOS
H NON-OWNED AUTOS
~.GARA_ GE LIABILITY
I_~I ANY AUTO
f"'l.EXCESS LIABILITY
1_---' OCCUR D CLAIMS MADE
DEDUCTIBlE
RETENTION
C WORKERS COMPENSATION AND
; EMPLOYERS' L.IABIL.ITY
\
o I OTHER Professional
~iability
L.IMITS
10/15/05
EACH OCCURRENCE $1 000 000
FIRE_ DAMAGE_(Any OflB fi_~eL_$1,OOO,OQL_
ME-DEXP (Any one per$on) $10000
I PERSONAL & ADV INJURY $1 000 000
GENERAL A_GGREGA~_ ~~OO,OOO
. PROqUCTS .:E_OMP/OP AGG $?,OpO.O()O ___
IP810153D892803
I
10/15/04
10/15/05
'1,000,000
COMBINED SINGLE LIMIT
(Eaacc'ldenl)
BODILY INJURY
(PBrpersOrl)
BODILY INJURY
I (PBracclderlt)
-------------
P.ROP.ERTY DAMAGE
(Peracciderlt)
APPROVED js TO PO
j~'
/JLv-x
M
.
~U:1.:0 ONLY. EA A(;-CIDENI ~
h
OTHER THAN
AUla DNLY:
EAACC $
AGG
As~islant Ci y Attorney
EACH OCCURRENCE
~GGREGATE
.
.
I WZP80925342
110/15/04
10/15/05
x wc sITtJu. OTH_
E.L. EACH ACqDE~ . $1,()~0,()_0l!__
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE -POLlCYLlMIT $1,000,000
I $1,000,000 per claim
$1,000,000 annl aggr.
EDN5850409
I
10/15/05
DESCRIPTION OF OPERA TIONS/LOCAIIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
General Liab. policy excludes claims arising out of the performance of prof. services
2SAN050700-Task 00000
On Call agreement for survey work, preparation of legal descriptions and
preparation of plat maps
(See Attached Descriptions)
CERTIFICATE HOLDER
AD D mONAlINSURED; IN SU RER LETTER:
CANCELLATION
City 01 Santa Ana
Att: Kent Jorgensen
Public Works Agency
20 Civic Center Plaza; PO Box 1988 M36
Santa Ana, CA 92702
SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION
DATE THEREOF, IHE ISSUING INSURER WILLDlJtIWMIXlJIxJPMAIL3.0.--DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, B~){I:~U""KIGXXX
MfDX~UOkIlXUX)(XMDIJVU('1J)(nx~laIX x
""'.-.""""".""
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97)1
012
#S127297/Ml13620
LL
@ ACORD CORPORATION 1988
City of Santa Ana. its officers, employees, agents, volunteers and
representatives are additional insured as respects to General Liability.
Primary and Non-Contributing coverage applies to GL.
(GL-AI/PRlX)
This certificate rescinds and replaces the certificate issued on 03/08/05
APPROV!SL> AS TO FORM
~~z/~
Laura Still Sheedy
./\,:;.,;...,.,
AMS 25.3 (07/97) 2
012
#S127297IM113620
I,:\'
POLICY NUMBER: 57CESOA1659
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE FULL Y.
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
Att: Kent Jorgensen
Public Works Agency
20 Civic Center Plaza; PO Box 1988 M36
Santa Ana, CA 92702
(If no entry appears above, information required to compiete 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 oniy with respect to liability arising out of "your work" for that insured by or for you.
Additional Insured Continued: its officers, employees, agents,
volunteers and representatives
PRIMARY INSURANCE:
IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY
AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED
SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS
INSURANCE.
APPROVED AS TO FORM
FxS :; J)
Laura Stitt Sheedy
\,~j,~ (,)
',';
CG 201011 85
.A COFIDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
10/13/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI
Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI
P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 01
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVl
Santa Ana, CA 92711.0550
714427-6810 INSURERS AFFORDING COVERAGE
INSURED N- dMS-o'lO INSURER A: Hartford Fire Ins. Co.
PSOMAS INSURER B: Travelers Property Casualty Co of Am
11444 West Olympic Blvd.,Sulte 750 ,4-0/ti)5-o95 INSURER c: American Automobile Ins. Co.
West Los Angeles, CA 90064.1549 U.S. Specialty Insurance Company -
INSURER D:
_.~-_.,-
I INSURER E:
Clienl#' 6184
PSOMAS
COVERAGES
THE POLICIES OF INSURANCE ltSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOIt
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED (
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUI
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~1: TYPE OF INSURANCE POLICY NUMBER PR~!fI:Y EFFECTIVE P9bl.fl EXPIRATtON LIMITS
A ~~ERAL LIABILITY 57CESOA1659 10/15/05 10/15/06 EACH OCCURRENCE - $1 009,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one rn) $1,.000.000
I CLAIMS MADE [iJ OCCUR INDP. CONTRACTORS MED EXP (Any one person) $10 000
r!- CONTRACTUAL INCLUDED PERSONAL & ADV INJURY $1 000 000
II BFPD. XCU GENERAL AGGREGATE $2 000 000
~'~ AGGREGATE L1M IT APMSIPER: PRODUCTS -COMP/OP AGG $2 000 000
POLICY Iil- ~~W;: X LaC
B ~TOMOBILE LIABILITY P810153D8928TIL05 10/15/05 10/15/06 COMBINED SINGLE LIMIT
.X ANY AUTO (Eaaccldent) $1,000,000
- ALL OWNED AUTOS BODILY INJURY
(PerpElfSOn) $
- SCHEDULED AUTOS
II HIRED AUTOS BODILY INJURY
$
II NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
~~GE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
:5~CCUR LJ CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
C ' WOkKERS .~(.oMPE"'SAnON Af\Ill WZF80934662 111/15/0& 10/15/00 I X I~X~.~T~~TM~ i 10J1" ~._----
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 000 000
E.L. DISEASE - EA EMPL OYEE $1 000 000
E.L DISEASE - POLICY LIMIT $1 000 000
D OTHER Professional US051170301 10/15/05 10/15/06 $1,000,000 per claim
~Iablllty $1,000.000 annl aggr.
A mnn, u' , .
DESCRlPnON OF OPERAnONSJLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAl PROVISIONS '" . v . ",,,W,
General Liability polley excludes claims arising out of the performance of professional ~f#f--
services
2SAN050800 Laura SI: .J -;cea)'
2005 Urban Water Management Plan ASslstalH C Y Allor:,,-.'v
(See Attached Descriptions)
CERTIFICATE HOLDER I I ADDITIONALINSURED'INSURERLETTER: CANCELLATION .
SHOULD ANYOFTH E ABOVE D ESCRlBED POLICIES BE CANCELLED BEFORE TH E ExPlRATlt
City of Santa Ana DATE THEREOF, THE lSSUING INSURER WILL~MAlL30......-..-DAYSWRlm
Att: Thom Coughran NO"nCETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEn, B~,ga.JlLlllNAlIIJlKIII:
PO Box 1988 -~XIllll~J
Santa Ana, CA 92702
AUTHORIZED REPRESENTATIVE i..
, AAJ
ACORD 25-5 (7/97) 1 of2 #M140545 '.' .. ~ -.. ' P"\...-t( L L @ ACORD CORPORATION'
City of Santa Ana, Its officers, employees, agents, volunteers and
representatives are additional Insured as respects to General Liability.
Primary and Non-Contributing coverage applies to GL. Cross Liability
coverage applies to GL
(G L-AI/PRlCRSIX)
\PPROVbD AS TO FORM
~;d3
~"..._L~~;; Si cu" SL::eJy
'~,islant City Allnf:1C\'
AMS 25.3 (07/97) 2
of2
#M140545
POLICY NUMBER: 57CESOA1659
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
Att: Thorn Coughran
PO 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, employees, agents,
volunteers and representatives
PRIMARY INSURANCE:
IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY
AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED
SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS
INSURANCE.
SEVERABILITY OF INTEREST:
11' IS AGREED THAT EXCEPT WITH RESPECT TO THE LIMIT OF INSURANCE, THIS
COVERAGE SHALL APPLY AS IF EACH ADDITIONAL INSURED WERE THE ONLY INSUREL
AND SEPARATELY TO EACH INSURED AGAINST WHOM CLAIM IS MADE OR SUIT IS
BROUGHT.
APPROVUJ AS TO FORM
--.~5/3
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Client#: 6184
PSOMAS
ACORD~
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYY)
10/13/05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 01
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO'"
PRODUCER
Dealey, Renton & Associates
P. O. Box 10550
Santa Ana, CA 92711-0550
714 427-6810
INSURERS AFFORDING COVERAGE
INSURED
tJ - .5-(',/L
PSOMAS4_ k'(>5-(1'l5
11444 West Olympic Blvd.,Suite 750
West Los Angeles, CA 90064-1549
INSURER A: Hartford Fire Ins. CO.
INSURER B, Travelers Property Casualty Co of Am
INSURER c: American Automobile Ins. Co.
----- ------
INSURER D' U.S. Specialty.lnsurance Company
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDlf
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED (
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUo
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~~ TYPE OF INSURANCE POLICY NUMBER Pg~~Clf~~~gr.x~ POLICY EXPIRATION LIMITS
A GENERAL LIABILITY 57CESOA1659 10/15/05 10/15/06 ~~H OCCURREN.CE -I $1,~O,Ollll
~
X C~lMERClAlGENERAlUABllITY FIRE DAMAGE (Anyone fire) ~MO.O,OOO_ .-
CLAIMS MADE [iJ OCCUR INDP. CONTRACTORS MED EXP (Anyone person) $10000
.x CONTRACTUAL INCLUDED PERSONAL & ADV INJURY $1 000 000
.x BFPD, XCU GENERAL AGGREGATE $2 000 000
~'L AGG~EfilE LIMIT APrilS PER: PRODUCTS -COMP/OP AGG $2 000 000
POLlCY X ~.f,Q,: X LOC
B ~TOMOBILE LIABILITY P810153D8928TIL05 10/15/05 10/15/06 COMBINED SINGLE LIMIT
.x ANY AUTO (Eaaccident) $1,000,000
----. _00-
- ALL OWNED AUTOS BODILY INJURY
$
- SCHEDULED AUTOS (Per person)
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
'~GE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
~::rOCCUR U CLAIMS MADE AGGREGATE $
$
~ ~EDUCTIBLE $
RETENTION $ $
C WOR.KeRS COMPENSATION AN[I WZPS09346G2 10/15/05 ~Ci~5;OG X T...wc STATIJ:-r--' ,OJ~-
EMPLOYERS' LIABILITY ~.lIOBY..LlMlTS.I_ .L -----
~_EA9:!Ac:c:IDENT $1,000,00_0_
E.L DISEASE - EA EMPL OYEE $1,000000
E.L. DISEASE - POLlCY LIMIT $1 000 000
D OTHER Professional US051170301 10/15/05 10/15/06 $1,000,000 per claim
Liability $1,000,000 annl aggr.
DESCRIPTION OF OPERATIONSllOCATlONSNEHICLESfEXCLUSIONS ADDED BY ENDORSEMENT/sPECIAl PROVISIONS
General Liability policy excludes claims arising out of the performance of professional /'-/tili._a-uifj ;0
services
2SAN050700- Task 00000
On Call agreement for survey work, preparation of legal descriptions and
(See Allached Descriptions)
CERTIFICATE HOLDER I I ADDmONALINSURED.INSURERLETTER: CANCELLATION Tan--= ,.,^"-
SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH
City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILLt:X~MAIL3D---DAYSWRITTI
All: Kent Jorgensen NOTlCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BKJtI8IX1lU.)Ot~nJnIXJll:
Public Works Agency MeCIIJ(~"KXJJX_XJmIJII!XBJIIDJ(~
20 Civic Center Plaza; PO Box 1988 M36 "',,"','"" x
Santa Ana, CA 92702 AUTHORIZED REPRESEN/~E.. . ,II
I....A
ACORD 25-S (7/97)1 of2 #M 140545 ...., V" ..........H'~LL @ ACORD CORPORATION.
preparation of plat maps
City of Santa Ana, Its officers, employees, agents, volunteers and
representatives are additional insured as respects to General Liability.
Primary and Non-Contributing coverage applies to GL.
(GL-AI/PRlX)
AMS 25.3 (07/97) 2
#M 140545
of2
'1?>> 7 b
"
"
POLICY NUMBER: 57 CESOA16 5 9
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
Att: Kent Jorgensen
Public Works Agency
20 Civic Center Plaza; PO Box 1988 M36
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, employees, agents,
volunteers and representatives
PRIMARY INSURANCE:
IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY
AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED
SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS
INSURANCE.
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