HomeMy WebLinkAboutBERRYMAN AND HENIGAR 1 -2002
n~~URANCE ON FILE
WORK MA~ PROCEED
UNTIL INSURANCE EXPIRES
/'uJ .),,102.-
CLERK OE CQUNCII:
DATEl
CONSULTANT AGREEMENT
N-2002-106
03
THIS AGREEMENT, made and entered into this ~ day of ~U.~T' 2002 by
and between Berryman & Henigar, a California corporation (hereinafter "Cons tant"), 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
building inspection services.
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 ofthe mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. 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 June 30,
2003, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Deputy City Manager for
Development Services 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 ofthe 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, agents, volunteers, and employees 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$I,OOO,OOO per
occurrence. Consultant shall supply City with a fully executed additional insured endorsement in
substantially the form attached hereto as Exhibit B upon execution ofthis Agreement and shall
be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
2
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(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 proofthat 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 affect 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 ofthe terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
3
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Deputy City Manager for Development Services
City of Santa Ana
20 Civic Center Plaza (M-20)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 973-1461
and,
4
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:
Berryman & Henigar
Raimar W. Schuller CBO
Senior Vice President
201 E. First Street
Santa Ana, CA 92705-4020
714-568-7300
714-541-1029
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that 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
5
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
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 Deputy City Manager 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 and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws of the State of
California. 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.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
6
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnifY City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
7
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
,
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PATRICIA E. HEALY
Clerk of the Council
1,42
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DAVIDN. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney b
BY:~
Cristine L. Shaw
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
~9uh
Cynthia J. Nelson
Deputy City Manager
for Development Services
/~
Sf. Vice President
Employer ID # or Individual SS #
8
The Power to Change
The Power to Build
May 8, 2002
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Mr. Steven Gutmann, Supervisor of Inspections
Building Safety Division
City of Santa Ana
20 Civic Center Plaza, P.O. Box 1988
Santa Ana, California 92702
~-_.......--~
---.....--.---
Subject: Contract Services for Building Inspect:on
Dear Mr. Gutmann:
Thank you for selecting Berryman & Henigar, Inc. to provide the City of Santa Ana with
contract Building Inspection Services. We appreciate your endorsement of our firm to
perform as needed building inspection services for the City.
The inspector's rate for regular time will be $48.00 per hour for regular 40 hour work week
and will not increase for at least 12 months thereafter. We understand that you will provide
the inspector with City required communication equipment and workspace.
Berryman & Henigar carries Errors and Omissions Insurance and employees health
insurance coverage plus supervision for all our employees. Additional inspectors are also
available through our Community Development Department if needed.
Once again, we are excited about the opportunity to serve the City of Santa Ana. Please call
me at (714) 568-0101, ex!. 7492 if you have any questions or require additional
documentation of our qualifications.
Sincerely,
Berryman & Henigar, Inc.
~t'i !It/~A:(a'---
~'f~. Schuller, CBO
Senior Vice President,
Community Development Department
RWS:pls
2001 E. First Street. Santa Ana, California 92705-4020
Tel: (714) 568-7300 . Fax: (714) 541-1029. e-mail address: schullerl1iJbhiinc.com
An Equal Opportunity Employer
.'.
EXHIBIT B
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 ofliability. 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
9
Client#. 5134
Ai - ;;JDo,).- /00
BERRYHENI
A CORD"
CERTIFICATE OF LIABILITY INSURANCE
I DATE (MMJDD1YY)
02/10/03
THIS CERTIFICATE IS 'ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Oealey, Renton & Associates
P. O. Box 10550
Santa Ana, CA 92711-0550
714427-6810
Berryman & Henigar Enterprises
2001 East First Street
Santa Ana, CA 92705-4020
II INSURER '"
, INSURER B:
INSURER c:
~ INSURER 0:
i INSURER E:
INSURERS AFFORDING COVERAGE
INSURED
Security Ins. Co. of Hartford
I
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBeD HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE I POLICY NUMBER ! POLICY EFFECllVE POLICY EXPIRATION i L.IMITS
LTR
GENERAL. L.IABIL.ITY , I EACH OCCURRENCE .
ICOMMERCIAL.GENERAlL.lAB1UTY i , FIRE DAMAGE (Anyone fire) .
i~ CLAJM'MADE .~ OCCUR : MED EXP (Anyone person) "
PERSONAl.. & ADV INJURY "
GENERAL AGGREGATE .
~'~ AGGREGATE LIMIT APnSPER: PRODUCTS .COMPIOP AGG .
I POLlCY r---; ~~,Q;: LOC I
: AUTOMOBIL.E L1ABIL.ITY I . ! COMBINED SINGLE LlMIT
q ANY AL1TO , I (Eaaccident) I'
C-
- I ALL. OWNED AUTOS I BODIL. Y INJURY I
iT-- I (Per person) .
~ HIRED AUTOS BODILY INJURY .
: NON-QWNED AUTOS (Per accident)
~._---~---- PROPERTY DAMAGE $
I (Peraccidenl)
, ,
RGE LWlILITY APPROV D AS TV, t'Vi""; AUTO ONLY. EA ACCIDENT .
,
ANY AUTO I ;Jd/ , OTHER THAN EA ACC .
, I I AUTO ONLY: AGG .
,
EXCESS LIABILITY , IiY ( r- I EACH OCCURRENCE .
~ OCCUR , L{"ufll SM.
- ' CLAIMS MADE , AGGREGATE ,.
p~puty Cl bt j\JtorMY I.
~ DEDUCTIBLE !.
~ RETENTION . I.
, we STATU- I la,fit,
WORKERS COMPENSATION AND
EMPLOYERS'LIABIUTY I E.L. EACH ACCIDENT $
,
I E.L. DISEASE -EA EMPLOYEE $
E.L. DISEASE - POLlCY LIMIT .
A I OTHER Professional AEE0227989 11/21/02 11/21/03 I $1,000,000 Per Claim
, ! $2,000,000 Annl Aggr.
,Liability ,
, .
DESCRIPTION OF OPERATIONSJL.OCAnONSNEHICL.ESJEXCL.USIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Special Tax Consultant I Assessment Engineering Services
CERTIFICATE HOLDER I , CANCELLATION Ton "M." n"
I MJOmONAl...1NSUREO.INSURERL.ETTER: -
SHOUL.D ANYOF THE ABOVE 0 ESCRIBEO POL.ICIES BE CANCEL.L.ED BEFORE THE EXPIRATION
City of Santa Ana DATE THEREOF, THE ISSUING INSURER W1LL:2)(~MAlL30..- DAYS WRITTEN
Clerk of the City Council NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, B~){)I'~")(lIrJXXX
20 Civic Center Plaza (M-21) ~~DdXtll:lc:MXlJX)lKXI0llil!~n1X~xmx x
P.O. Box 1988 """"""""""_
Santa Ana, CA 92702 A~~ REPRESENTATIVE
, '..A AniP
ACORD 25-5 (7/97)1 of1 #M81632 . '.... ~ ~ . .....\...--CSF .. ACORD CORPORATION 1988
.ACORD@
CERT~ATE OF INSURANCE
'-" 0726
DATE 112012003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Barney & Barney, LLC - CA Ucense No. OC03950 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Barney & Barney, Inc. - CA License No. OC24310 POLICIES BELOW.
P.O. Box 85638 COMPANIES AFFORDING COVERAGE
San Diego, CA 92186-5638
COMPANY A TRAVELERS INDEMNITY CO. OF ILUNOIS
LETTER
INSURED 11--,02003 - DO,/ COMPANY B NO COVERAGE ON THIS DOCUMENT
lETTER
Berryman & Henigar Enterprises IV -02odJ. - lOr., COMPANY C NO COVERAGE ON THIS DOCUMENT
Berryman & Henlgar, et al LETTER
11590 West Bernardo Court #100 COMPANY D NO COVERAGE ON THIS DOCUMENT
San Diego, CA 92127-1624 LETTER
COMPANY E NO COVERAGE ON THIS DOCUMENT
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
co TYPE OF INSURANce POLICY NUMBER POLICY POLICY EXPIRATION LIMITS
LTR EFFECTIVE DATE DATE (MMfDDfYY)
(MMlDDIYY)
GENERAL LIABILITY GENERAL AGGREGATE $..........2.000,000
0 COMMERCIAL GENERAL LIABILITY 630 52505655 12/31/02 12/31/03 PRODUCTS.COMPIOP AGG. $...........2.000,000
.0 CLAIMS MADE ~ OCCUR. PERSONAL & AfYoJ. INJURY $..........1.000,000
A OW~ER.S & CONTRACTOR'S PROTo
0 EACH OCCURRENCE $..........1 ,000,000
0 FIRE DAMAGE (Anyone fire) $............100,000
MED. EXPENSE (Anyone person) $...............5,000
AUTOMOBilE LIABIliTY COMBINED SINGLE
0 ANY AUTO 810 52505655 12/31/02 12/31/03 liMIT $"""""1.000,000
0 ALL OWNED AUTOS BODILY INJURY
A 0 SCHEDULED AUTOS (Per person) $....................0
0 HIRED AUTOS THIS CERTIFIC, TE AMENDS AA DSUPERSEDES BODILY INJURY
0 NON.QWNED AUTOS PRIOR CERTIFI ATE DATED OJ 10/03 (Peraccldent) $....................0
0 GARAGE LIABILITY PROPERTY DAMAGE $....................0
EXCESS LIABIliTY EACH OCCURRENCE $..........5,000.000
A 0 UMBRELLA FORM CUP 525D5655 12/31/02 12/31/03 AGGREGATE $..........5.000.000
0 OTHER THAN UMBRELLA FORM
18I STATUTORY liMITS
WORKERS' COMPENSATION US 52505711 (FL) 111/03 1/1104 EACH ACCIDENT $..........$1.000.000
A
AND DISEASE. POliCY liMIT $..........$1.000.000
EMPLOYERS' LIABILITY DISEASE. EACH EMPLOYEE $.......... $1,000,000
OTHER APPROVED AS TO
NO COVERAGE f20 FORM
DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLESlSPECIAL ITEMS '10 days notice of cancellation applies to non-~en 'c .
aura She ,
RE:
edy
Deputy City Attorney
CERTIFICATE HOLDER
CANCELLATION
0::
City of Santa Ana Assessment Engineering Services
Clerk of the City Council
20 Civic Center Plaza (M-21) -P.O. Box 1988
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL i~II?&" 'QR TQ
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
F
ACORD 25-5 (7/90)
ENTATIVES.
THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTTACHED ENDORSEMENT
Berryman & lienigar Enterpris\...
.Jrt #0726
Attachment
Certificate Holder/Additionallnsured: City of Santa Ana Assessment Engineering Services, The Cities, Officers, Employees,
Agents, Volunteer's and it's Representatives
.,-,
Berryman & Henigar Enterprises
..,,;
Named Insured:
Berryman & Henigar Enterprises
Berryman & Henigar, Inc.
BHE Technical Staffing
BHE Medical Staffing
Vasey Engineering Company, Inc.
Govpartner.com
Harbor Engineering Company
Schedule of Locations:
11590 W. Bernardo Ct., Ste. 100
San Diego, CA 92127-1624
2001 East First Street
Santa Ana, CA 92705-4020
6150 Stoneridge Mall Road, Ste. 370
Pleasanton, CA 94588-3241
674 NE 5th Street
Crystal River, FL 34429
Harbor Engineering
1615 Huffingham Road
Jacksonville, FL 32216
1414 SW Martin L King Jr Ave.
Ocala, FL 34474-3129
1221 W. Colonial Drive, Ste. 300
Orlando, FL 32804-7156
60 E. Third Ave., #240
San Mateo, CA 94403
3200 Commonwealth Blvd., Ste. 101
Tallahassee, FL 32303
1412 Tech Boulevard
Tampa, FL 33619
7711 Military Trail North, Ste. 2016
Palm Beach Gardens, FL 33410
78-060 Calle Estado, Ste. 11
LaQuinta, CA 92253
4840 W. University Avenue, Ste. A-1
Las Vegas, NV 89103-3829
720 3'd Ave., Ste. 1200
Seattle, WA 98104-1820
42-2 Cobia Street
Panacea, FL 32346
3006 Fuhrman Avenue East
Seattle, WA 98102
'-'
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COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES
OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS:
1. WHO IS AN INSURED (SECTION II) is
amended to include as an insured any person
or organization (called hereafter "additional
insured") whom you have agreed in a written
contract, executed prior to loss, to name as
additional insured, but only with respect to
liability arising out of "your work" or your
ongoing operations for that additional insured
performed by you or for you.
2. With respect to the insurance afforded to
Additional Insureds the following conditions
apply:
a. Limits of Insurance - The following limits of
liability apply:
1. The limits which you agreed to provide;
or
2. The limits shown on the declarations,
whichever is less.
b. This insurance is excess over any valid and
collectible insurance unless you have
agreed in a written contract for this
insurance to apply on a primary or
contributory basis.
3. This insurance does not apply:
a. on any basis to any person or organization
for whom you have purchased an Owners
and Contractors Protective policy.
b. To "bodily injury", "property damage,"
"personal injury," or "advertising injury"
arising out of the rendering of or the failure
to render any professional services by or
for you, including:
1. The preparing, approving or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change
orders, designs or specifications; and
2. Supervisory, inspection or engineering
services.
CG 01 0504 94 Copyright, The Travelers Indemnity Company, 1994.
Includes Copyrighted Material from Insurance Services Office, Inc.
Page 1 of 1
Al'rROVED AS TO FORM
~.
.r ~
j ~d
La.ra Seedy .
:)(.~l!!ty City Attorney
"-
COMMb.,JIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
"
. XTEND ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. The following listing is a
general coverage description only. Limitations and exciuslons may apply to these coverages. Read all the PRO-
VISIONS of this endorsement carefully to determine rights, duties, and what is and is not covered.
A. Broadened Named Insured I. Injury to Co-Employees
B. Fire Damage Liability Extension J. Aircraft Chartered with Crew
. Perils of fire, explosion, lightning, smoke, water K. Non-Owned Watercraft - Increased from 25 feet
. Limit increased to $300,000 to 50 feet
C. Blanket Waiver of Subrogation L. Increased Supplementary Payments
D. Blanket Add~ional Insured _ Managers or Les- . Cost for bail bonds increased to $2.500
sors of Premises . Loss of eamings increased to $500 per day
E. Blanket Additional Insured - Lessor of Leased M. Knowledge and Notice of Occurrence or Offense
Equipment N. Unintentional Omission
F. Incidental Medical Malpractice O. Reasonable Force - Bodily Injury or Property
G. Personal Injury - Assumed by Contract Damage
H. Extension of Coverage - Bodily Injury
PROVISIONS
A. BROADENED NAMED INSURED
1. The Named Insured In Item 1. of the Declara-
tions is as follows:
The person or organization named in Item 1.
of the Declarations and any organization,
other than a partnership or joint venture, over
which you maintain ownership or majority in-
terest on the effective date of the policy.
2. WHO IS AN INSURED (Section II) Item 4.a.
is deleted and replaced by the following:
a. Coverage under this provision is afforded
only until the 180th day after you acquire
or form the organization or the end of the
policy period, whichever is earlier, unless
reported in writing to us within 180 days.
3. This Provision A. does not apply to any per-
son or organization for which coverage is ex-
cluded by endorsement.
B. FIRE DAMAGE LIABILITY EXTENSION
1. The last paragraph of COVERAGE A. BOD-
IL Y INJURY AND PROPERTY DAMAGE L1.
ABILITY (Section I - Coverages) is deleted
and replaced by the following:
Exclusions c. through n. do not apply to dam-
age to premises while rented to you, or tem-
porarily occupied by you with permission of
the owner, caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
A separate limit of insurance applies to this
coverage as described in LIMITS OF INSUR-
ANCE (Section III).
2. This Insurance does not apply to damage to
premises while rented to you, or temporarily
occupied by you with permission of the
owner, caused by:
a. Rupture, bursting, or operation of pres-
sure relief devices;
. CGD1860999
Copyright, The Travelers Indemnity Company, 1999
Page 1 of 5
COMMERCIAL GENERAL L1ABILI""
b. Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from
water;
c. Explosion of steam boilers, steam pipes,
steam engines, or steam turbines.
3. Part 6. of LIMITS OF INSURANCE (Section
III) is deleted and replaced by the following:
subject to 5. above, the Fire Damage Limit is
the most we will pay under COVERAGE A.
for damages because of 'property damage"
to premises while rented to you, or temporar-
ily occupied by you w~h permission of the
owner, caused by fire, explosion, lightning,
smoke resulting from such fire, explosion, or
lightning, or water. The Fire Damage Limit will
apply to all damage proximately caused by
the same 'occurrence', whether such dam-
age results from fire, explosion, lightning,
smoke resulting from such fire, explosion, or
lightning, or water, or any combination of any
of these.
The Fire Damege Limit will be the higher of:
a. $300,000; or
b. The amount shown on the Declarations
for Fire Damage Umit.
4. Under DEFINITIONS (Section V), the defini-
tion of 'insured contract' is amended so that it
does not include that portion of the contract
for a lease of premises that indemnifies any
person or organization for damage to prem-
ises while rented to you, or temporarily occu-
pied by you with permission of the owner,
caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
5. This Provision B. does not apply if Fire Dam-
age Legal Liability of COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY (Section I - Coverages) is excluded
by endorsement.
rClBLANKET WAIVER OF SUBROGATION
\Y We waive any nght of recovery we may have
against any person or organization because of
payments we make for injul)'. or damage arising
.......
out of premises owned or occupied by or rented
or loaned to you; ongoing operations performed
by you or on your behail, done under a contract
with that person or organization; "your work"; or
"your products". We waive this right only where
you have agreed to do so as part of a written
contract, executed by you prior to loss.
D. BLANKET ADDITIONAL INSURED - MANAG-
ERS OR LESSORS OF PREMISES
WHO IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(referred to below as 'additional insured') with
whom you have agreed in a written contract, exe.
cuted prior to ioss, to name as an additional in-
sured, but only with respect to liability arising out
of the ownership, maintenance or use of that part
of any premises leased to you, subject to the fol-
lowing provisions:
1. Limits of Insurance. The limits of insurance
afforded to the additional insured shall be the
limits which you agreed to provide, or the lim-
its shown on the. Declarations, whichever is
less.
2. The insurance afforded to the additional in-
sured does not apply to:
a. Any 'occurrence' that takes place after
you cease to be a tenant in that premises;
b. Any premises for which coverage is ex-
cluded by endorsement; or
c. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
3. The insurance afforded to the additional in-
sured is excess over any valid and collectible
insurance available to such additional in-
sured, unless you have agreed in a written
contract for this insurance to apply on a pri-
mary or contributory basis.
E. BLANKET ADDITIONAL INSURED - LESSOR
OF LEASED EQUIPMENT
WHO IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(referred to below as 'additional insured') with
whom you have agreed in a written contract, exe-
cuted prior to loss, to name as an additional in-
sured, but only with respect to their liability arising
out of the maintenance, operation or use by you
of equipment leased to you by such additional in-
sured, subject to the following provisions:
Page 2 of 5
Copyright, The Travelers Indemnity Company, 1999
CG 01 86 09 99
"'"
1. Limits of Insurance. The iimits of insurance
afforded to the additional insured shali be the
limits which you agreed to provide, or the lim-
its shown on the Deciarations, whichever is
less.
2. The insurance afforded to the additional in-
sured does not apply to:
a. Any "occurrence" that takes place after
the equipment lease expires; or
b. "Bodily injury" or "property damage" aris-
ing out of the sole negligence of such ad-
ditional insured.
3. The insurance afforded to the additional in-
sured is excess over any valid and coilectible
insurance available to such additional in-
sured, unless you have agreed in a written
contract for this insurance to apply on a pri-
mary or contributory basis.
F. INCIDENTAL MEDICAL MALPRACTICE
1. The definition of 'bodily injury' (paragraph 3.
of DEFINITIONS - Section V) is amended to
include "Incidental Medical Malpractice In-
jury'.
2. The foliowing definttion is added to DEFINI-
TIONS (Section V);
'Incidental medical malpractice injury' means
bodily injury, mental anguish, sickness or dis-
ease sustained by a person, including death
resulting from any of these at any time, aris-
ing out of the rendering of, or failure to ren-
der, the foliowing services:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages;
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances;
c. First aid; or
d. 'Good Samaritan services'. As used in
this Provision F., "Good Samaritan serv-
ices' are those medical services rendered
or provided in an emergency and for
which no remuneration is demanded or
received.
3. Paragraph 2.a.(1)(d) of WHO IS AN IN-
SURED (Section II) does not apply to any
registered nurse, licensed practical nurse,
emergency medical technician or paramedic
COMMVAL GENERAL LIABILITY
employed by you, but only while perionning
the seNices described in paragraph 2. above
and while acting within the scope of their em-
ployment by you. Any "employees" rendering
"Good Samaritan seNices" will be deemed to
be acting within the scope of their employ-
ment by you.
4. The following exclusion is added to paragraph
2. Exclusions of COVERAGE A. - BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY (Section I - Coverages):
(This insurance does not apply to:) Liability
arising out of the willful violation of a penal
statute or ordinance relating to the sale of
pharmaceuticals by or with the knowledge or
consent of the insured.
5. For the purposes of detennining the applica-
ble limits of insurance, any act or omission,
together with ali related acts or omissions in
the furnishing of the services described in
paragraph 2. above to anyone person, will be
considered one "occurrence'.
6. This Provision F. does not apply W you are in
the business or occupation of providing any of
the services described in paragraph 2. above.
7. The insurance provided by this Provision F.
shali be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess, contingent or on
any other basis, except for insurance pur-
chased specificaliy by you to be excess of
this policy.
G. PERSONAL INJURY - ASSUMED BY CON-
TRACT
1. Paragraph 2., Exclusions of COVERAGE B.
PERSONAL AND ADVERTISING INJURY
LIABILITY (Section I - Coverages) is deleted
and replaced by the foliowing:
2. Exclusions.
This insurance does not apply to:
a. "Personal injury' or 'advertising injury":
(1) Arising out of oral or written publica-
tion of material, if done by or at the
direction of the insured with knowl-
edge of its falstty;
(2) Arising out of oral or written pUblica-
tion of material whose first publication
took place before the beginning of the
policy period; or
CG 01 86 09 99
Copyright, The Travelers Indemnity Company, 1999
Page 3 of 5
COMMERCIAL GENERAL L1ABILlT~
(3) Arising out of the willful violation of a
penal statute or ordinance committed
by or with the consent of the insured.
b. "Personal injury" for which the insured
has assumed liability in a contract or
agreement. This exclusion does not appiy
to liability:
(1) Assumed in a contract or agreement
that is an 'insured contract', provided
the 'personal injury" arises out of an
offense committed subsequent to the
execution of the contract or agree-
ment; or
(2) That the insured would have in the
absence of the contract or agree-
ment.
c. 'Advertising injury':
(1) Arising out of breach of contract,
other than misappropriation of adver-
tising ideas under an implied con-
tract;
(2) Arising out of the failure of goods,
products or services to conform with
advertised qual~y or performance;
(3) Arising out of the wrong description of
the price of goods, products or serv-
ices;
(4) Arising out of an offense committed
by an insured whose business is ad-
vertising, broadcasting, publishing or
telecasting; or
(5) For which the insured has assumed
Iiabil~ ina contract or agreement.
This exclusion does not apply to li-
ability for damages that the insured
would have in the absence of the
contract or agreement.
2. Subparagraph f. of the definition of 'insured
contract' (DEFINITIONS - Section V) is de-
leted and replaced by the following:
f. That part of any other contract or agree-
ment pertaining to your business (includ-
ing an indemn~icalion of a municipality in
connection with work pertormed for a
municipality) under which you assume the
tort liability of another party to pay for
'bodily injury', 'property damage' or 'per-
sonal injury' to a third party or organiza-
tion. Tort liabil~y means a liability that
.-../
would be imposed by law in the absence
of any contract or agreement.
3. This Provision G. does not apply if COVER-
AGE B. PERSONAL AND ADVERTISING IN-
JURY LIABILITY is excluded by endorse-
ment.
H. EXTENSION OF COVERAGE - BODILY IN-
JURY
The definition of "bodily injury' (DEFINITIONS -
Section V) is deleted and replaced by the follow-
ing:
"Bodily injury" means bodily injury, mental an-
guish, mental injury, shock, fright, disability, hu-
miliation, sickness or disease sustained by a per-
son, including death resulting from any of these at
any time.
I. INJURY TO CO-EMPLOYEES
1. It is agreed that your 'employees" are in-
sureds with respect to 'bodily injury" to a co-
'employee' in the course of the co-
'employee's' employment by you, provided
that this coverage for your 'employees' does
not apply to acts outside the scope of their
employment by you or while pertormlng du-
ties unrelated to the conduct of your busi-
ness.
2. Subparagraphs 2.8.(1)(8), (b) and (c) and
3.8. of WHO IS AN INSURED (Section II) do
not apply to "bodily injury" for which insurance
is provided by paragraph 1. above.
J. AIRCRAFT CHARTERED WITH CREW
1. The following is added to the exceptions
contained in exclusion g. of COVERAGE A.
BODILY INJURY AND PROPERTY DAMAGE
LIABILITY (Section 1- Coverages):
(This exclusion does not apply to:) Aircraft
chartered with crew to any insured.
2. This Provision J. does not apply if the char-
tered aircraft is owned by any insured.
3. The insurance provided by this Provision J.
shall be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess, contingent or on
any other basis, except for insurance pur-
chased specifically by you to be excess of
this policy.
K. NON-OWNED WATERCRAFT
1. The exception contained in Part (2) of exclu-
sion g. of COVERAGE A. BODILY INJURY
Page 4 of 5
Copyright, The Travelers Indemnity Company, 1999
CG 01860999
'-
AND PROPERTY DAMAGE LIABILITY (Sec-
tion I _ Coverages) is deleted and replaced
by the following:
(2) A watercraft you do not own that is:
(a) Fifty feet long or less; and
(b) Not being used to carry persons or
property for a charge;
2. This Provision K. applies to any person who,
with your expressed or implied consent, either
uses or is responsible for the use of a water.
craft.
3. The insurance provided by this Provision K.
shall be excess over any other valid and col-
lectible insurance available to the insured,
whether primary, excess, contingent or on
any other basis, except for insurance pur-
chased specifically by you to be excess of
this policy.
L. INCREASED SUPPLEMENTARY PAYMENTS
Parts 2. and 4. of SUPPLEMENTARY PAY-
MENTS _ COVERAGES A AND B (Section I -
Coverages) are amended as tollows: .
1. In Part 2. the amount we will pay for the cost
of ball bonds is increased to $2500.
2. In Part 4. the amount we will pay for loss of
eamings is increased to $500 a day.
M. KNOWLEDGE AND NOTICE OF OCCUR-
RENCE OR OFFENSE
1, The following is added to COMMERCIAL
GENERAL LIABILITY CONDITIONS (Section
IV), paragraph 2. (Duties In The Event of Oc-
currence, Offense, Claim or Suit):
Notice of an 'occurrence' or of an offense
which may result in a claim under this insur-
ance shall be given as soon as practicable
after knowledge of the 'occurrence' or of.
fense has been reported to you, one of your
executive officers (n you are a corporation).
one of your partners (if you are a partner.
ship), one of your managers (If you are a lim-
ited liability company),' or an 'employee'
(such as an insurance, loss control or risk
manager or administrator) designated by you
to give such notice.
Knowledge by other 'employee(s)' of an 'oc'
currence' or of an offense does not imply that
you also have such knowledge.
COMMEIJL GENERAL LIABILITY
2. Notice shall be deemed prompt if given in
good faith as soon as practicable to your
workers' compensation insurer. This applies
oniy if you subsequently give notice to us as
soon as practicable after you, one of your
"executive officers' (if you are a corporation),
one of your partners (if you are a partner-
ship), one of your managers (if you are a lim-
ited liability company), or an "employee'
(such as an insurance, loss control or risk
manager or administrator) designated by you
to give such notice discovers that the 'occur-
renee', offense or claim may involve this pol-
icy.
3. However, this Provision M. does not apply as
respects the specnic number of days within
which you are required to notny us in writing
of the abrupt commencement of a discharge,
release or escape of 'pollutants' which
causes 'bodily injury' or 'property damage'
which may otherwise be covered under this
policy.
N. UNINTENTIONAL OMISSION
The following is added to COMMERCIAL GEN-
ERAL LIABILITY CONDITIONS (Section IV).
paragraph 6. (Representations):
The unintentional omission of, or unintentional er-
ror in. any infomnation provided by you shall not
prejudice your rights under this insurance. How-
ever. this Provision N. does not affect our right to
collect additional premium or to exercise our right
of cancellation or nonrenewal in accordance with
applicable state insurance laws, codes or regula-
tions.
O. REASONABLE FORCE - BODILY INJURY OR
PROPERTY DAMAGE
Exclusion 2.a. of COVERAGE A. BOOlL Y IN.
JURY AND PROPERTY DAMAGE (Section , -
Coverages) is deleted and replaced by the fol-
lowing:
(This insurance does not apply to:)
a. Expected or Intended Injury or Damage
'Bodily injury' or 'property damage' expected
or intended from the standpoint of the in-
sured. This exciusion does not apply to 'bod.
i1y injury' or 'property damage' resulting from
the use of reasonable torce to protect per-
sons or property.
CG 01860999
Copyright, The Travelers Indemnity Company. 1999
Page 5 of 5
ACORD.
CERTIFICATE OF LIABILITY INSURANCFls'~c~~h 07m~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
MERIDIAN INSURANCE SERVo INC.
4501 E. LA PALMA AVE. STE. 150
ANAHEIM CA 92807-
Phone: 714-693-9100 Fax:714-693-9108
INSURERS AFFORDING COVERAGE
INSURED
INSURER A:
INSURER B:
INSURER c:
INSURER 0:
INSURER E:
Transcontinental Ins. Co.
Trans ortation Insurance Co
Berryman & Henigar Inc.
Ber~ & Henigar Enterp~ises
11590 West Bernardo Ct., ~100
San Diego CA 92127-1624
COVERAGES
State Com ensation Ins. Fund
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~f: TYPE OF INSURANCE POLICY NUMBER 5):i=lflMM1DDJYYi- DATE MMIDoNY'i' LIMITS
~ENERAL LIABILITY
A [. X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE fXi OCCUR
~~N'" AGG.EGATEp~~~T A~S PER
I X POLICY! JECT I I LOC
I AUTOMOBILE LIABILITY
EACH OCCURRENCE '1 000 000
TCPI07516658B 12/31/01 12/31/02 FIRE DAMAGE (Anyone fire) . 50 000
MED EXP (Any one perlon) . 5 000
PERSONAL & ADV INJURY . 1.000 000 __
GENERAL AGGREGATE .1 000 000
PRODUCTS. COMPIOP AGG '1,000,000
-.
C ANY AUTO
r--l ALL OWNED AUTOS
BUA1073310420
12/31/01
12/31/02
COMBINED SINGLE LIMIT
lEa accident)
'1,000,000
~
~
.X_
-
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
BODILY INJURY
(Per person)
Is
..-
BODILY INJURY
(Per accident)
.
S500 DED COMP/COLL
PROPERTY DAMAGE
(Per accident)
is
~ GARAGE LIABILITY
ANY AUTO
OTHER
AUTO ONLY" EA ACCIDENT .
--
OTHER THAN EA ACC I .
AUTO ONLY: AGG .
EACH OCCURRENCE . 5 000 000
CUP2049769654 12/31/01 12/31/02 AGGREGATE . 5 000,000
.
.
.
X I td'R~ltJ~~TS! !UeR"; .....
160772601 (CA) 09/30/01 09/30/02 E.L. EACH ACCIDENT '1 000 009.__
E.L. DISEASE. EA EMPLOYE '1 000 000
E.L. DISEASE" POLICY LIMIT . 1. 000.000
TCPI075l665BB 12/31/01 12/31/02 Equipment $54,634
;--
I EXCESS LIABILITY
B ~ OCCUR 0 CLAIMS MADE
f--.
~ DEDUCTIBLE
X i RETENTION $ 10 000
WORKERS COMPENSATION ANt)
EMPLOYERS' LIABILITY
D
A Inland Marine
DESCRIPTION OF OPERATIONS1LOCATIONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*10 days notice of cancellation applies to non-payment/non-reporting
City of Santa Ana is named as additional insured per endorsement. RE: City
Building Inspector. APPR~T9 h-RM
CERTIFICATE HOLDER I y I ADDIT10NAL INSURED; INSURER LETTER:
CITYSA2
City of Santa Ana
Tonia Zerba
20 Civic Center Plaza,
Santa Ana CA 92702
CANCEllATION ,,__ . ';;:.:
SHOULD ANY OF THE ABOVE DESCRIBED .~OLlCI~ BE C"ANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL E:U8!!11..8ft T6 MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~T f....ILtlRE T8 58 56 511ALL
,M-20
"
IMr eaE I~e e5LlaJtr161~ 61\ LIA8lLIl", Sf ,leU, UU~I) tlf ~I~ lilt ,I~,:)...j,~", " J .....<:J...,.,.. ........
)
ftEF'RES~IH""f1. EB.
Wi. i ti {GUt
(--'"7 ,'h ,..// ,
Nickie Heath 7UJ
ACORD 25-5 (7/97)
@ACORD CORPORATION 1988
'-;,1.\/'.:1/1""'::: i 1 '.,.
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 polley, 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 25-5 (7/97)
CNA
For All the Commitments You Make~
G-17957-B
(Ed. 09/92)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
WHO IS AN INSURED (Section II) is amended to include
as an insured any person or organization (called additional
insured) whom you are required to add as an additional
insured on this policy under:
1. A written contract or agreement; or
2. An oral agreement of contract where a certificate of
insurance showing that person or organization as an
additional insured has been issued; but
the written or oral contract or agreement must be:
a. currently in effect or becoming effective during the
term of this policy; and
b. executed prior to the "bodily injury", "property
damage", "personal injury", or "advertising injury".
The insurance provided to the additional insured is limited
as follows:
1. That person or organization is only an additional in-
sured with respect to liability arising out of:
a. Premises you own, rent, lease, or occupy; or
b. "Your work" for that additional insured by or for
you.
G-19757-B
(Ed. 09/92)
2. The Limits of Insurance applicable to the additional
insured are those specified in the written contract or
agreement or in the Declarations for this policy,
whichever is less. These Limits of Insurance are in-
clusive and not in addition to the Limits of Insurance
shown in the Declarations.
The insurance provided to the additional insured does not
apply to "bodily injury", "property damage", "personal
injury", or "advertising injury" arising out of an architect's,
engineer's, or surveyor's rendering of or failure to render
any professional services including:
1. The preparing, approving, or failing to prepare or
approve maps, drawings, opinions, reports, surveys
change orders, design or specifications; and
2. Supervisory, inspection, or engineering services.
Any coverage provided hereunder shall be excess over
any other valid and collectibie insurance available to the
additional insured whether primary, excess, contingent or
on any other basis unless a contract specifically requires
that this insurance be primary or you request that it apply
on a primary basis.
FROM SANTA ANA PLANNING
FAX NO. 7149531461
Jul. 16 2002 01:59PM P3
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Transcontinenetallnsurance Co.-CNA
This endol'6ement modifies such insurance as is afforded by the provisions of Policy
# TCP1075166588 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701; its officers, employees, agents, and volunteers 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 su~ is brought except with respect to the company's limits of liability, The
Inclusion of any pel'6on or organization as an insured shall not affect any right which
such pel'6on 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 12/31/01
Policy # TCP1075166588
Issued to Berryman & Henigar, Inc.
, this endol'6ement form as a part of
Named Insured
Countersigned by
~A:u~ ~
Authorized 'Representative
~ TO FORM
t:>6...,
CRISTINE LEE SHAW
Deputy City Attorney
JUL-16-2002 14:46
7149531461
96~
P.Cl3