HomeMy WebLinkAboutDMJM / HARRIS 1D -2001City of Santa Ana
= Clerk of the Council
- ~ AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Retum form to the Clerk of the Council Office (M-30).
Catl 647-5237 if you have any questions.
.........2....----~~ ~~----~~-~~ ~~~-~~--.-2-.~-SQ...---5-'.-..-~~--~-L.R.---L-~~~-~~-~ ~~-~~~~
The agreement with DMJM/Hartia dba Holmes & Narver Inc.
No. A-2001-170A-04 (4th Amendment to A- was ~mpleted on
2001-170A
and final payment has been made.
~a3onoo6
Department: PWA -Design Engineering
_ Phon~Ext: 5840
Signature: ~,~ ~~td.-~11~_
Date: 716!09
Revbea o~-x+o~
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FOURTH AMENDMENT TO
CONSULTANT AGREEMENT
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THIS FOURTH AMENDMENT TO CONSULTANT AGREEMENT is entered
November 08, 2005, by and between DMJM I 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-2001-1 70A, 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.
B. The parties amended said Agreement to include within the Scope of Services,
stormwater runoff management in compliance with NPDES standards and employee
training regarding NPDES requirements.
C. Said Agreement provided for a termination date of August 3 1,2005, however, the
parties continue to provide services pursuant to said Agreement. Therefore, the
parties now desire that said Agreement provide for a continuous term to provide
services while allocated funds are available.
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 Fourth Amendment to Consultant Agreement, the parties agree as
follows:
I. Section 3, TERM, shall be deleted in its entirety and replaced with the following:
"This Agreement shall commence on August 20, 2001 and continue until funds
allocated to this Agreement have been fully expended, unless earlier terminated in
accordance with Section 12, below."
2. Except as hereinabove amended, all ternlS and conditions of said Agreement shall
remain in full force and effect.
II
1/
/1
.~
.
IN WITNESS WHEREOF, the parties hereto have executed this Fourth Amendment to
Consultant Agreement on the date and year first written above.
ATTEST:
CITY OF SANTA ANA
> )..
DAV\(Jj}rz
City Manager
PATRICIA E. HEAL
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
'" [J I
By: \\', ('(/-,. \'1, i :,-( -l /
Laura Sheedy ~ /
Assistant City Attorney
PPROV AL:
J MES G. ROSS
xecutive Director
Public Works Agency
(Name) ,,; +u :r:M",./I,~e..L
(Title) 0<-13.- e",.s.cI..... J-
MARS.H
CERTIFICATE OF INSURANCE
PRODUCER
Marsh Risk & Insurance Services
CA License #0437153
777 South Figueroa Street
Los Angeles, CA 90017
Attn: Lori Bryson (213)-346-5464
CERTIFICATE NUMBER
LOS-000421382-13
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
COMPANY
A ACE American Insurance Company
DMJM +HAR DJENKI NEW
NY
INSURED
COMPANY
B
A- :;).001 ~ /7 {) A-
A.~ ~ool.-/7u4-0f
/l - )ouy - ,e5..2
A- ~o3 _ tq9
4... _ I Cf '( - 0 J
COMPANY
C Illinois Union Insurance Company
COMPANY
D N/A
DMJM+HARRIS, INC.
605 THIRD AVENUE
NEW YORK, NY 10158
COVERAGES This certificate supersedes and replaces any previously issued certificate forthe 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 PAlD CLAIMS.
CO 'I
LTR
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION'
DATE (MM/DDIYY) DATE (MM/DDIYY) I
TYPE OF INSURANCE
A I GENERAL UJ'.B!L1TY
~ COMMERCIAL GENERAL LIABILITY
H- CLAIMS MADE TI OCCUR
W -"." 'o",'~m",,~,
I I
AUTOMOBILE LIABILITY
104/01/06
104/01/07
I
,
I GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PERSONAL & ADV INJURY
i EACH OCCURRENCE
"HDO G20590695"
"ISA H08222186"
A
04/01/06
04/01/07
COMBINED SINGLE LIMIT
x
ANY AUTO
i ALL OWNED AUTOS
.,
I SCHEDULED AUTOS
, HIRED AUTOS
i NON-OWNED AUTOS
BODILY INJURY
(Per accident)
BODILY INJURY
(Per person)
PROPERTY DAJMAGE
GARAGE LIABILITY
S ANY AUTO
,
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS LIABILITY
ty./!C_ .~
UMBRELLA FORM
C
OTHER THAN UMBRELLA FORM
I WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PR.OPRIf'TORf IIINCL
PARTNERS/EXECUTIVE
OFFICERS ARE:
o H
04/01/07
EL DISEASE.POLlCY LIMIT
EL DISEASE-EACH EMPLOYEEI $
$1,000,000
PER CLAIM/AGGREGATE
DEFENSE INCLUDED
ARCHITECTS & ENG,
PROFESSIONAL L1AB.
EXCL
!EON G21654693 002
i"'CLAIMS MADE'"
04/01/06
LIMITS
$ 2,000,000
$ 4,000,000
$ 2,000,000
$ 2,000,000
$ 1 ,000,000
$ 5,000
$ 1 ,000,000
$
$
$
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICUESlSPECIAL 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 WLL 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
I
I
~j,
ISSUER OF THIS CERTIFICATE
MARSH USA INC,
BY: David Denihan
[ MM1 (3/02)
,*,,,, ""..,.,~--
VAUD AS OF: 04/01/06
.J
PRODUCER
Marsh Risk & Insurance Services
CA License #0437153
777 South Figueroa Street
Los Angeles, CA 90017
Attn: Lori Bryson (213)-346-5464
DATE (MMIDDIYY)
04/01/06
COMPANIES AFFORDING COVERAGE
ADDITIONAL INFORMATION
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
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.
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SANTA ANA,
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92731
MARSH USA INC. BY
.......................................
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........................
........................
........................
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......................
......................
......................
..................
.................
ISSUE DATE (MMlDDIYY)
3/31/2006
.................... .
..................... .
.................... ..
......................
......................
.................-....
..................... .
..................... .
. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
.................
PRODUCER
Aon Risk Services, Inc. of Southern California
707 Wilshire Boulevard, Suite 6000
Los Angeles, California 90017
(213) 630-3200
OM
THIS CERTIFICATE IS ISSUED AS A MA ITER 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
COMPANIES AFFORDING COVERAGE
COMPANY
LEITER
A
Insurance Company of the State of Pennsylvania
CODE
INSURED
SUB-CODE
COMPANY
LEITER
B
National UniDn Fire Insurance Company
DMJM+HARRIS, Inc.
Attn: Denise Jenkins
605 Third Avenue
. New York, NY 10158
COMPANY
LEITER
C
COMPANY
LEITER
D
COMPANY
LEITER
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 CONDITlON 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
LTR DATE (MMlDD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
PRODUCT~COM~OPSAGGREGATE
$
$
$
$
$
$
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
HIRED AUTOS
NON-OWNED AUTOS
FORM
BODILY INJURY
(PER PERSON)
BODILY INJURY
(PER ACCIDENT)
ALL OWNED AUTOS
SCHEDULED AUTOS
GARAGE LIABILITY
PROPERTY DAMAGE
A
A
B
A
A
AND
EMPLOYERS' LIABILITY
WC4786252 (AOS)
WC4786253 (CA)
WC4786577 (WI,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
$
WORKERS' COMPENSATiON
4/112007
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
DES CRIPTlON OF OPERA TIONS/LOCA TIONSNEHICLES/RESTRlCTIONS/S PECIAL ITEMS:
Project: No. 046105502.0000
Job: Professional Engineering Services for Annual On-Call Contract for Engineering and Landscaping Design Services.
FHINY19306
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h...:::/::::::~~:ttf::@AN9.g@AtI9N.///:::::}}m:::.:.:/:.}~:ii{.:~~?~~~iit~t)\fr?t}f~~~).~:t:.):~~~tt:.::.::~:~..)i.:.:::::::::.:::::;::~::.~::::}h
. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
h EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~O MAIL
h ..h ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
..
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
S.
)~q9RQ~@tw~~}}}~
.. AUTHORIZED REPRESENTATIVE
.4'<$ ~: s~~> 1!c_ d:S/.dtJ~ ,"?.dlf~tta,f~~~~ S~j
...... .. ............
........................
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........................ ...........
.......................................
......................................
......................................
...................................
................................
::t::::t:r::::~~:..:}}t::t~BqqgRf@RAJJQNj~@f
R-. fL.,
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