HomeMy WebLinkAboutNATIONAL DATA AND SURVEYING SERVICES, INC. (2)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
171 1 IzoZ�
CITY CLERK
DATE. MAR 2 5 2025
N-2025-056
o'. Pw R la AGREEMENT WITH NATIONAL DATA AND SURVEYING SERVICES, INC. TO
f Q"C, CaaiaA,)4"r PROVIDE TRAFFIC COUNTING SERVICES
THIS AGREEMENT is made and entered into on this 1 lth day of February, 2025 by and between
National Data and Surveying Services, Inc., ("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 ("City").
RECITALS
A. The City desires to retain a Consultant having special skill and knowledge in providing
traffic counting 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 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 perform during the term of this Agreement, the tasks and obligations
including all labor, materials, tools, equipment, and incidental customary work required to fully
and adequately complete the services described and set forth in Exhibit A, attached hereto and
incorporated by reference.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services for
City, the rates and charges identified in Exhibit B. The total amount to be expended
during the term of this Agreement shall not exceed $25,000.
b. Payment by City shall be made within forty-five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. City and
Consultant agree that all payments due and owing under this Agreement shall be made
through Automated Clearing House (ACH) transfers. Consultant agrees to execute the
City's standard ACH Vendor Payment Authorization and provide required
documentation. Upon verification of the data provided, the City will be authorized to
deposit payments directly into Consultant's account(s) with financial institutions.
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.
Page 1
3. TERM
This Agreement shall commence on the date first written above for a one (1) year term,
unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent Consultant 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. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or
caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant
shall require all subcontractors to agree in writing that City is granted a non-exclusive and
perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Consultant represents and warrants that Consultant has the legal right to license any and all
Documents & Data. Consultant makes no such representation and warranty in regard to
Documents & Data which were provided to Consultant by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall maintain and
shall require any subcontractors to obtain and maintain insurance as described below for the entire
Term of this Agreement against claims for injuries to persons or damage to property which may
arise from or in connection with services, products and materials supplied to City. Total cost of
such insurance shall be borne by Consultant.
MINIMUM SCOPE OF INSURANCE
1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01
covering CGL on an "occurrence" basis, including products and completed operations,
property damage, bodily injury and personal & advertising injury with limits no less than
Page 2
$1,000,000 per occurrence and $2,000,000 aggregate. Required policy limits can be met
with primary and umbrella/excess insurance policies.
2. Automobile Liability: Insurance Services Office Form CA 00 01 covering Code 1 (any
auto), with limits no less than $1,000,000 combined single limits. In the event Consultant
does not maintain commercial automobile liability insurance, City will accept evidence of
personal automobile insurance.
Workers' Compensation: as required by the State of California, with Statutory Limits,
and Employer's Liability Insurance with limit of no less than $1,000,000 per accident,
policy or employee, for bodily injury or disease. Coverage is not required if Consultant
has no employees and signs request to waive such insurance.
4. Professional Liability Insurance: with limits no less than $1,000,000 per occurrence or
claim, and $2,000,000 aggregate.
If Consultant maintains broader coverage and/or higher limits than the minimum requirements
for each line of coverage shown above, City requires and shall be entitled to the broader
coverage and/or the higher limits maintained by Consultant. Any available insurance proceeds in
excess of the specified minimum limits of insurance and coverage shall be available to City.
Other Insurance Provisions
The above required insurance policies are to contain or be endorsed to contain the following
provisions:
1. City, its City Council, its officers, officials, employees, agents, and volunteers are to
be covered as additional insureds, under Consultant's CGL, Professional Liability, and
Automobile Liability policies, with respect to any liability arising out of work or
operations performed by or on behalf of the Consultant including materials, parts,
equipment, and personnel furnished in connection with such work or operations.
2. Consultant's Insurance company(ies) agrees to waive all rights of subrogation against
City, its City Council, its officers, officials, employees, agents, and volunteers for
losses paid under the terms of any policy which arise from work performed by
Consultant under this Agreement.
3. For any claims related to this contract, Consultant's insurance coverage shall be
primary and any insurance maintained by City, its City Council, its officers, officials,
employees, agents, or volunteers shall not contribute with it.
4. A severability of interest provision must apply for all the additional insureds, ensuring
that Consultant's insurance shall apply separately to each insured against whom a claim
is made or suit is brought, except with respect to the insurer's limits of liability.
5. Insurance policies required herein shall provide that coverage shall not be canceled,
suspended, voided, reduced in coverage or in limits, non -renewed by the carrier, or
materially changed except after thirty (30) days prior written notice has been given to
Page 3
City. Ten (10) days prior written notice shall be provided to City for policy cancellation
or non -renewal due to non-payment of premium.
6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa
Ana, Attention: Ruben Castaneda, 20 Civic Center Plaza, M-43, Santa Ana, CA 92701.
The name and location of project must be included in the Description of Operations
section of each certificate.
Self -Insured Retentions
Self -insured retentions must be declared to and approved by the City. The City may require the
Consultant to purchase coverage with a lower retention or provide proof of ability to pay losses
and related investigations, claim administration, and defense expenses within the retention.
Acceptability of Insurers
Insurance is to be placed with insurers authorized to conduct business in the state with a current
A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City.
Verification of Coverage
Consultant shall furnish City with original Certificates of Insurance including all required
amendatory endorsements (or copies of the applicable policy language effecting coverage required
by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all
policy endorsements before work begins. However, failure to obtain the required documents prior
to the work beginning shall not waive Consultant's obligation to provide them.
City reserves the right to require complete, certified copies of all required insurance policies,
including endorsements required by these specifications, at any time.
Special Risks or Circumstances
City reserves the right to modify these requirements, including limits, based on the nature of the
risk, prior experience, insurer, coverage, or other special circumstances.
7. INDEMNIFICATION
Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers,
agents, employees, contractors, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
negligent operations of the Consultant, its subcontractors, agents, employees, or other persons
acting on its behalf which relates to the services described in section 1 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 terns 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
Page 4
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. Notwithstanding the foregoing,
to the extent Consultant's services are subject to Civil Code Section 2782.8, the above indemnity
shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of,
pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Consultant shall defend and indemnify the City, its officers, agents, representatives, and
employees against any and all liability, including costs, for infringement of any United States'
letters patent, trademark, or copyright infringement, including costs, contained in the work product
or documents provided by Consultant to the City pursuant to this Agreement.
9. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed
under this Agreement. Consultant shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Consultant under this Agreement. All such records and
invoices shall be clearly identifiable. Consultant shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all
work, data, documents, proceedings, and activities related to this Agreement for a period of three
(3) years from the date of final payment to Consultant under this Agreement.
10. 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.
11. CONFLICT OF INTEREST CLAUSE
Page 5
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.
12. NON-DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, gender identity, gender expression, gender, medical conditions, genetic
information, or military and veteran status, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization,
promotion, termination or other employment related activities or any services provided under this
Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
13. 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 or 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 is not embodied herein.
14. 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 contractors retained by City.
15. 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(s) 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
Page 6
appropriate.
b. Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
16. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or
granted by the provisions of this Agreement shall be effective unless it is in writing and signed by
the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or
remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not
similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
17. 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.
18. 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.
19. 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 fax or other telegraphic communication in
the manner provided in this Section, to the following persons:.
To City:
City Clerk
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax: 714- 647-6956
With courtesy copies to:
Page 7
Executive Director, Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M-21)
P.O. Box 1988
Santa Ana, California 92702
To Consultant:
National Data and Surveying Services, Inc.
106 N. Poinsettia Place
Los Angeles, CA 90036
Att: Avi Tashman, President
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,
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 fax, 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.
20. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below 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.
Page 8
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first
above written.
ATTEST:
1
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
ij �%WG°ii'f�
By:
Kyle lesen
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
bil Saba
(f Executive Director
Public Works Agency
CITY OF S TA ANA
lvaro Nufie
City Manager
CONSULTANT:
Avi Tashman
CEO
Page 9
EXHIBIT A
SCOPE OF SERVICES
N�D,i,4& SQ SERVICES DD
National Data & Surveying Services
National Data & Surveying Services (NDS) leads the industry as one of the largest traffic
data collection firm throughout the states. With offices located coast to coast, NDS
provides services that consistently exceed expectations in both data quality and
technological advancements.
30+years of successful corporate operations have established NDS as a full service traffic,
transit and GPS/GIS data collection company.
STANDARD STUDIES
Video Collection used where applicable
• Turning Movement Counts
o Right -Turn -On Red Studies
o Axle Classification Studies
• Pedestrian & Bicycle Studies
• ADT (24-hour+ machine counts)
o Volume, Speed or Axle
Classification
• Certified Radar Spot Speed Studies
• Parking Studies
BLUETOOTH ORIGIN/DESTINATION
GPS/GIS STUDIES
• Travel Time/Delay Studies
• GIS/GPS Asset Inventory
o Retroreflectivity available
o Sub -foot accuracy available
SPECIALIZED VIDEO
SURVEILLANCE
• Driveway Studies
• Weaving Studies
• Railroad Studies
• Occupancy Studies
• Intersection Violation Studies
SPECIAL STUDIES
• Gap Studies
• Delay Studies
• Queuing Studies
• License Plate Studies
• Occupancy Studies
• Origin/Destination Studies
• Transit Ridership Studies
• Customized Written/Oral Surveys
• Ball Bank Curve Studies
DRONE SURVEILLANCE
Videography/Photography
• Standard & Special Study Application
• Parking, Queuing, OD, Observation
WAVETRONIX
• 24-hour+ Wave Radar Collection
• By Lane Volume, Speed & Class
Data
• Freeway Data Collection
MIRE DATA COLLECTION
BIG DATA
• Google Crowd Sourcing Average
Travel Time and Speed
Corporate Office - 1535 S La Cienega Blvd, Los Angeles, CA 90035
Phone - 877.861.9132 1 Fax - 323.375.1666 1 Email - orders@ndsdata.com
EXHIBIT B
COMPENSATION
C
D�rn
Nit
National Data & Surveying Services
2025 Tier 1 Pricing
Prices are for single person intersection, must discuss for multiple person pricing
ROAD TUBE MACHINE COUNTS
24 Hour Volume Count
$90
Each Additional (Consecutive) Day
$� 45
24 Hour Classification OR Speed Count
$115 - $165 (single or multi -lane)
Each Additional (Consecutive) Day
$55 - $65
24 Hour Classification AND Speed Count
$145 - $195
Each Additional (Consecutive) Day
$85 - $95
ADDITIONAL
Camera Install (Up to 24 hours)
1 $175
Each Additional Consecutive Day
$65
Vehicle Video Review (Per Hour)
$30
Spot Speed Radar (100 Cars OR 2 Hour
$100
Max, whichever comes first)
Fuel Surcharge
$30+
Prices for reference only. Please request a formal estimate.
NATIDAT-01 XOOPSARAVA
s�`oRo CERTIFICATE OF LIABILITY INSURANCE
DATDr/YYY)
2/21122112025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
AssuredPartners of New Jersey, LLC dba AssuredPartners of Northeastern
PA
1130 Highway 315
Wilkes Barre, PA 18702
NAMTACT Marijo Thompson
PHONE FAX
AIC, No, Est): (570) 277-1438 (AIC, No):
sD A,1L . Marijo.Thompson@assuredpartners.com
INSURERS AFFORDING COVERAGE
NAICM
INSURER A: Federal Insurance Company
20281
INSURED
National Data & Surveying Services, Inc
5967 W. 3rd Street
Ste 206
INSURER B:StarstoneNational Insurance Company
25496
INSURER C: Crum & Forster Insurance Company
42471
INSURER D:Allied World Surplus Lines Insurance Company
24319
INSURER E :
Los Angeles, CA 90036
INSURER F
COVERAGES CERTIFICATE NUMBER- RacaslON MI lunco-
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
L
TYPE OF INSURANCE
ADDL
D
SUER
YWVD
POLICY NUMBER
POLICY EFF
D
POLICY EXP
0YYYYi
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CIAIMS-MADE [)(] OCCUR
X
X
36069778
12I12024
1211/2025
EACH OCCURRENCE
1,000,000
D"EMAISEsERENTED cat
1,000.000
MED EXP (My... erson
10,000
PERSONAL&ADV INJURY
11 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICYNwof LOC
GENERAL AGGREGATE
1 21000,000
GEN'L
X
PRODUCTS - COMPIOP AGG
1 21000,000
OTHER:
EBLIAGGREGATE
11000,000
A
AUTOMOBILE
LIABILITY
EOMBINEOSINGLE LIMIT
$ 1,000,000
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X
X
73624017
1211/2024
12/1/2025
BODILYrINJURv Per penuml
$
BODILY INJURY Per accklent
$
Oacc Een( AMAGE
$
E
AUTOS ONLY AUTO$ ONLY
B
X
UMBRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
X
X
CSX00067891P-03
12/1/2024
121112025
EACHOCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
DIED X RETENTION$ O
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY
OFFICERIMEMBER EXCLUDEED ECUTIVE ❑
(Mandatory In NH)
yes, describe under
NIA
I PER OTH-
STATUTE R
EL EACH ACCIDENT
EL
L DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
I
C
Excess Umbrella
121112024
12/1/2025
Aggregate
3,000,000
D
Professional Liabili
)(
�SEO-133533
)(
0313.2802
1211/2024
12/1/2025
Each Occurrence/Aggr
2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tal, Additional Remarks Schedule, ma be attached if more space is required
When required by written Contract: City of Santa Ana its City Council, its officers, oricials, employees, agents, and volunteers are included as additional
insured with regard to General Liability on a primary and non-contributory basis perform 80-02-2367; Additional Insured with regard to Auto Liability perform
16-02.0292. Waiver of subrogation applies with regard to General Liability per form 80-02-2000; with regard to Auto Liability per form 16-02.0292. $2million
Excess layer is follow form perform SSS EXS 0001 CW 03 21. 30 day notice of cancellation applies. Additional insured and Waiver of subrogation applies with
regard to Professional Liability.
oyda111911d
Tu Tran � r.r9n
omz. xdzsmos
Nguyen APPROVED
caxz:rdoadd
By Tu Tfan Nguymat 9.38arm Mar 03,-2025'
CERTIFICATE HOLDER CANCELLATIO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Santa Ana
20 Civic Center Plaza, M-43
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana, CA 92701
AUTHORIZEDREPRESENTATIVE
�Q
ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CHLJBBm Liability Insurance
Endorsement
Policy Period
Effective Date
Policy Number 3606-97-78PHL
Insured NATIONAL DATA AND SURVEYING SERVICES
Name of Company FEDERAL INSURANCE COMPANY
Date Issued
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are
Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by
Or Organization this policy.
However, the person or organization is an insured only:
• if and then only to the extent the person or organization is described in the Schedule;
• to the extent such contract or agreement requires the person or organization to be afforded
status as an insured;
• for activities that did not occur, in whole or in part, before the execution of the contract or
agreement; and
• with respect to damages, loss, cost or expense for injury or damage to which this insurance
applies.
No person or organization is an insured under this provision:
that is more specifically identified under any other provision of the Who Is An Insured
section (regardless of any limitation applicable thereto).
with respect to any assumption of liability (of another person or organization) by them in a
contract or agreement. This limitation does not apply to the liability for damages, loss, cost or
expense for injury or damage, to which this insurance applies, that the person or organization
would have in the absence of such contract or agreement.
Liability Insurance Additional Insured - Scheduled Person Or Organization continued
Form 80-02-2367 (Rev. 5-07) Endorsement Page I
CHLJBBm
Liability Endorsement
(continued)
Under Conditions, the following provision is added to the condition titled Other fusurance.
Conditions
Other Insurance- If you are obligated, pursuant to a contract or agreement, to provide the person or organization
Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case
Insurance - Scheduled this insurance is primary and we will not seek contribution from hnsmance available to such person
Person Or Organization or organization.
Schedule
Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with
such insurance as is afforded by this policy.
All other terms and conditions remain unchanged.
Authorized Representative
Liability Insurance Additional Insured - Scheduled Person Or Organization last page
Form 80-02-2367 (Rev. 5-07) Endorsement Page 2
Conditions
(continued)
Transfer Or Waiver Of We will waive the right of recoverx we would otherwise have had against another berson or
Rights Of Recovery organization, for loss to which this insurance abblies, bmvided the insured has waived their rights
Against Others of recoverx against such berson or organization in a contract or agreement that is executed before
such loss.
To the extent that the insured's rights to recover all or bart of anx baxment made under this
insurance have not been waived, those rights are transferred to us. The insured must do nothing
after loss to imbair them. At our request, the insured will bring suit or transfer those rights to us
and helb us enforce them.
Ibis condition does not abblx to medical expenses.
Llablity Insurance
Form 80.02-2000 rRav-401) Contract
COMMERCIAL AUTOMOBILE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
This endorsement modifies the Business Auto Coverage Form.
1. EXTENDED CANCELLATION CONDITION
Paragraph A.2.b. — CANCELLATION - of the
COMMON POLICY CONDITIONS form IL 00 17 is
deleted and replaced with the following:
b. 60 days before the effective date of cancellation if
we cancel for any other reason.
2. BROAD FORM INSURED
A. Subsidiaries and Newly Acquired or Formed
Organizations As Insureds
The Named Insured shown in the Declarations is
amended to include:
1. Any legally incorporated subsidiary in which
you own more than 50% of the voting stock on
the effective date of the Coverage Form.
However, the Named Insured does not include
any subsidiary that is an "insured" under any
other automobile policy or would be an
"insured" under such a policy but for its
termination or the exhaustion of its Limit of
Insurance.
2. Any organization that is acquired or formed by
you and over which you maintain majority
ownership. However, the Named Insured
does not include any newly formed or acquired
organization:
(a) That is an "insured" under any other
automobile policy;
(b) That has exhausted its Limit of Insurance
under any other policy; or
(c) 180 days or more after its acquisition or
formation by you, unless you have given
us written notice of the acquisition or
formation.
Coverage does not apply to "bodily injury" or
"property damage" that results from an "accident"
that occurred before you formed or acquired the
organization.
B. Employees as Insureds
Paragraph A.1. — WHO IS AN INSURED — of
SECTION II — LIABILITY COVERAGE is amended to
add the following:
d. Any "employee" of yours while using a
covered "auto" you don't own, hire or
borrow in your business or your personal
affairs.
C. Lessors as Insureds
Paragraph A.1. — WHO IS AN INSURED — of
SECTION II — LIABILITY COVERAGE is
amended to add the following:
e. The lessor of a covered "auto" while the
"auto" is leased to you under a written
agreement if:
(1) The agreement requires you to
provide direct primary insurance for
the lessor; and
(2) The "auto" is leased without a driver.
Such leased "auto' will be considered a
covered "auto" you own and not a covered
"auto" you hire.
However, the lessor is an "insured" only
for "bodily injury" or "property damage"
resulting from the acts or omissions by:
1. You;
2. Any of your "employees" or agents;
or
3. Any person, except the lessor or
any "employee" or agent of the
lessor, operating an "auto" with the
permission of any of 1. and/or 2.
above.
D. Persons And Organizations As Insureds
Under A Written Insured Contract
Paragraph A.1 — WHO IS AN INSURED — of
SECTION II — LIABILITY COVERAGE is
amended to add the following:
f. Any person or organization with respect to
the operation, maintenance or use of a
covered "auto", provided that you and
such person or organization have agreed
under an express provision in a written
"insured contract", written agreement or a
written permit issued to you by a
governmental or public authority to add
such person or organization to this policy
as an "insured".
However, such person or organization is
an "insured" only:
Form: 16-02-0292 (Rev. 11-16) Page 1 of 3
"Includes copyrighted material of Insurance Services Office, Inc. with its permission"
3.
a
5.
(1) with respect to the operation,
maintenance or use of a covered
"auto"; and
(2) for "bodily injury' or "property damage"
caused by an "accident" which takes
place after:
(a) You executed the "insured
contract" or written agreement; or
(b) The permit has been issued to
you.
FELLOW EMPLOYEE COVERAGE
EXCLUSION B.S. - FELLOW EMPLOYEE — of
SECTION II — LIABILITY COVERAGE does not apply.
PHYSICAL DAMAGE — ADDITIONAL TEMPORARY
TRANSPORTATION EXPENSE COVERAGE
Paragraph AA.a. — TRANSPORTATION EXPENSES
— of SECTION III — PHYSICAL DAMAGE
COVERAGE is amended to provide a limit of $50 per
day for temporary transportation expense, subject to a
maximum limit of $1,000.
AUTO LOANILEASE GAP COVERAGE
Paragraph A. 4. — COVERAGE EXTENSIONS - of
SECTION III — PHYSICAL DAMAGE COVERAGE is
amended to add the following:
c. Unpaid Loan or Lease Amounts
In the event of a total "loss" to a covered "auto", we will
pay any unpaid amount due on the loan or lease for a
covered "auto" minus:
1. The amount paid under the Physical Damage
Coverage Section of the policy; and
2. Any:
a. Overdue loan/lease payments at the time of
the "loss";
b. Financial penalties imposed under a lease for
excessive use, abnormal wear and tear or
high mileage;
c. Security deposits not returned by the lessor:
d. Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease;
and
e. Carry-over balances from previous loans or
leases.
We will pay for any unpaid amount due on the loan or
lease if caused by:
1. Other than Collision Coverage only if the
Declarations indicate that Comprehensive
Coverage is provided for any covered "auto";
2. Specified Causes of Loss Coverage only if the
Declarations indicate that Specified Causes of
Loss Coverage is provided for any covered "auto";
or
3. Collision Coverage only if the Declarations indicate
that Collision Coverage is provided for any
covered "auto.
6. RENTAL AGENCY EXPENSE
Paragraph A. 4. — COVERAGE EXTENSIONS — of
SECTION III — PHYSICAL DAMAGE COVERAGE
is amended to add the following:
d. Rental Expense
We will pay the following expenses that you or
any of your "employees" are legally obligated
to pay because of a written contract or
agreement entered into for use of a rental
vehicle in the conduct of your business:
MAXIMUM WE WILL PAY FOR ANY ONE
CONTRACT OR AGREEMENT:
1. $2,500 for loss of income incurred by the
rental agency during the period of time that
vehicle is out of use because of actual
damage to, or "loss" of, that vehicle, including
income lost due to absence of that vehicle for
use as a replacement;
2. $2,500 for decrease in trade-in value of the
rental vehicle because of actual damage to
that vehicle arising out of a covered "loss"; and
3. $2,500 for administrative expenses incurred
by the rental agency, as stated in the contract
or agreement.
4. $7,500 maximum total amount for paragraphs
1., 2. and 3. combined.
7. EXTRA EXPENSE — BROADENED COVERAGE
Paragraph A.4. — COVERAGE EXTENSIONS — of
SECTION III — PHYSICAL DAMAGE COVERAGE
is amended to add the following:
e. Recovery Expense
We will pay for the expense of returning a
stolen covered "auto" to you.
8. AIRBAG COVERAGE
Paragraph B.3.a. - EXCLUSIONS — of SECTION
III — PHYSICAL DAMAGE COVERAGE does not
apply to the accidental or unintended discharge of
an airbag. Coverage is excess over any other
collectible insurance or warranty specifically
designed to provide this coverage.
9. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT - BROADENED COVERAGE
Paragraph C.1.b. — LIMIT OF INSURANCE - of
SECTION III - PHYSICAL DAMAGE is deleted
and replaced with the following:
b. $2,000 is the most we will pay for "loss" in any
one "accident" to all electronic equipment that
reproduces, receives or transmits audio, visual
or data signals which, at the time of "loss", is:
(1) Permanently installed in or upon the
covered "auto" in a housing, opening or
other location that is not normally used by
the "auto" manufacturer for the installation
of such equipment;
(2) Removable from a permanently installed
housing unit as described in Paragraph
2.a. above or is an integral part of that
equipment; or
(3) An integral part of such equipment.
10. GLASS REPAIR —WAIVER OF DEDUCTIBLE
Form: 16-02-0292 (Rev. 11-16) Page 2 of 3
"Includes copyrighted material of Insurance Services Office, Inc. with its permission"
Under Paragraph D. - DEDUCTIBLE — of
SECTION III — PHYSICAL DAMAGE COVERAGE
the following is added:
No deductible applies to glass damage if the glass
is repaired rather than replaced.
11. TWO OR MORE DEDUCTIBLES
Paragraph D.- DEDUCTIBLE — of SECTION III —
PHYSICAL DAMAGE COVERAGE is amended to
add the following:
If this Coverage Form and any other Coverage
Form or policy issued to you by us that is not an
automobile policy or Coverage Form applies to the
same "accident", the following applies:
1. If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible, it will be waived; or
2. If the deductible under this Business Auto
Coverage Form is not the smaller (or smallest)
deductible, it will be reduced by the amount of
the smaller (or smallest) deductible.
12. AMENDED DUTIES IN THE EVENT OF
ACCIDENT, CLAIM, SUIT OR LOSS
Paragraph A.2.a. - DUTIES IN THE EVENT OF
AN ACCIDENT, CLAIM, SUIT OR LOSS of
SECTION IV - BUSINESS AUTO CONDITIONS is
deleted and replaced with the following:
a. In the event of "accident", claim, "suit" or
"loss", you must promptly notify us when the
"accident" is known to:
(1) You or your authorized representative, if
you are an individual;
(2) A partner, or any authorized
representative, if you are a partnership;
(3) A member, if you are a limited liability
company; or
(4) An executive officer, insurance manager,
or authorized representative, if you are an
organization other than a partnership or
limited liability company.
Knowledge of an "accident", claim, "suit" or
"loss" by other persons does not imply that the
persons listed above have such knowledge.
Notice to us should include:
(1) How, when and where the "accident" or
"loss" occurred;
(2) The "insured's" name and address; and
(3) To the extent possible, the names and
addresses of any injured persons or
witnesses.
13. WAIVER OF SUBROGATION
Paragraph A.S. - TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US of
SECTION IV — BUSINESS AUTO CONDITIONS is
deleted and replaced with the following:
5. We will waive the right of recovery we would
otherwise have against another person or
organization for "loss" to which this insurance
applies, provided the "insured" has waived
their rights of recovery against such person or
organization under a contract or agreement
that is entered into before such "loss".
To the extent that the "insured's" rights to
recover damages for all or part of any
payment made under this insurance has not
been waived, those rights are transferred to
us. That person or organization must do
everything necessary to secure our rights and
must do nothing after "accident" or "loss" to
impair them. At our request, the insured will
bring suit or transfer those rights to us and
help us enforce them.
14. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
Paragraph B.2. — CONCEALMENT,
MISREPRESENTATION or FRAUD of SECTION
IV — BUSINESS AUTO CONDITIONS - is deleted
and replaced with the following:
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we will
not void coverage under this Coverage Form
because of such failure.
15. AUTOS RENTED BY EMPLOYEES
Paragraph B.S. - OTHER INSURANCE of
SECTION IV— BUSINESS AUTO CONDITIONS -
is amended to add the following:
e. Any "auto" hired or rented by your "employee"
on your behalf and at your direction will be
considered an "auto" you hire. If an
"employee's" personal insurance also applies
on an excess basis to a covered "auto" hired
or rented by your "employee" on your behalf
and at your direction, this insurance will be
primary to the "employee's" personal
insurance.
16. HIRED AUTO — COVERAGE TERRITORY
Paragraph B.7.b.(5). - POLICY PERIOD,
COVERAGE TERRITORY of SECTION IV —
BUSINESS AUTO CONDITIONS is deleted and
replaced with the following:
(5) A covered "auto" of the private passenger
type is leased, hired, rented or borrowed
without a driver for a period of 45 days or
less; and
17. RESULTANT MENTAL ANGUISH COVERAGE
Paragraph C. of - SECTION V — DEFINITIONS is
deleted and replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death as a result of the "bodily
injury" sustained by that person.
Form: 16-02-0292 (Rev. 11-16) Page 3 of 3
"Includes copyrighted material of Insurance Services Office, Inc. with its permission"
AICO'RO® CERTIFICATE OF LIABILITY INSURANCE
FDATE(MM/DDIYY Y)
y AccUk 310210E
2/12/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME:
USI Insurance Services, LLC
PHONEd.CM, 844-290-4908 AIC Not:
2502 N Rocky Point Drive
ADDRIESS. BBSlcerts@locktonaffnity.com
Tampa, FL 33607
INSURERS AFFORDING COVERAGE
NAICN
INSURER A: Ace American Insurance Company
22667
INSURED
NATIONAL DATA & SURVEYING SERVICES, INC DBA: NATIONAL DATA
INSURER B
INSURER C:
106 N Poinsettia PI,
Los Angeles, CA 90036
INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
rypE OF INSURANCE
ADDLSUBR
POLICY NUMBER
POLICYEFF
MM/DDIYYYY
POLICYEXP
MM/DDIYYYY
LIMITS
COMMERCIALGENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence
$
MED EXP (Any one Person)
$
PERSONAL &ADV INJURY
$
AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE
$
GEN'L
POLICY JECT LOC
PRODUCTS - COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHOOLED
AUTOS ONLAUTOS Y
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIM&MADE
DED I I RETENTION$
$
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
X PER OTH-
STATUTE ER
E.L.ANY EACH ACCIDENT
$ 2,000,000
A
OFFICER/MEMBER EXCLUDED? PROPRIETOMARTNEWECUTIVE ❑
NIA
X
C58871308
1/1/2025
1/1/2026
EL. DISEASE - EA EMPLOYE
S 2,000,000
(Mandatory In NH)
H yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMB
$ 2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Policy State=CA
Waiver of Subrogation in favor of certificale holder when required by written contract
30-Day Notice of Cancellation
Specific Waiver in favor of: City of Santa Ana
APPROVED
=03,
By Tu Tran Nguye=9:38
City Of Santa Ana
20 Civic Center Plaza, M-43 Santa Ana, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
Auumu a Icu Iolua) r ue AuWMU udure arm royu ale reyrseereu mares DT At vrau
Workers' Compensation and Employers' Liability Policy
Named Insured
Endorsement Number
NATIONAL DATA & SURVEYING SERVICES, INC DBA: NATIONAL DATA
106 N Poinsettia PI,
Policy Number
Los Angeles, CA 90036
Symbol: WL.R Number: C58871308
Policy Period
Effective Date of Endorsement
1/1/2025 TO 1/1/2026
2/12/2025
Issued By (Name of the Insurance Company)
Ace American Insurance Company
Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because California is shown in Item
3.A. of the Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will
not enforce our right against the person or organization named in the Schedule, but this waiver applies
only with respect to bodily injury arising out of the operations described in the Schedule, where you are
required by a written contract to obtain this waiver from us.
You must maintain payroll records accurately segregating the remuneration of your employees while
engaged in the work described in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization:
(X) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this
waiver.
2. Operations:
ALL CALIFORNIA OPERATIONS
3. Premium:
The premium charge for this endorsement shall be 1.0 percent of the California premium developed
on payroll in connection with work performed for the above person(s) or organization(s) arising out of the
operations described.
4. Minimum Premium: $0
Authorized Agent
WC 90 03 75 (05/18)
R-T RYAN""
TURNER
SPECIALTY
1650 Arch Street26th Floor
Philadelphia, PA 19103
Ph: 610-209-0745
www.rtspecialty.com
February 28, 2025
Marijo ThompsoN
AssureclPartners of Pennsylvania, LLC
1130 Highway 315
Wilkes Barre, PA 18702
Re: Named Insured: National Data and Surveying Services, Inc
Policy Number: 0313-2802
Dear Marijo,
Attached you will find endorsement number 8,9 effective 2/20/2025. This is the only copy that
you will receive. Please advise if you are unable to open the attachment. This endorsement
amends the policy as follows:
NP Endorsement #8 & #9 - Adding AI status with a WOS
Please feel free to contact me with any questions you may have.
Sincerely,
Sara Phillips
Ph:
Email: sara.phillips@rtspecialty.com
RT Specialty is a division of RSG Specialty, LLC. RSG Specialty, LLC is a Delaware limited liability
company and a subsidiary of Ryan Specialty, LLC. In California: RSG Specialty Insurance Services, LLC
(License # OG97516).
ENDORSEMENT NO, 8
ADDITIONAL INSUREDSICO-DEFENDANTS
This Endorsement, effective at 12:01 a.m. on February 20, 2025, forms part of
Policy No. 0313-2802
Issued to National Data & Surveying Services, Inc.
Issued by Allied World Surplus Lines Insurance Company
In consideration of the premium charged, it is hereby agreed that coverage under this Policy shall be
extended to include Claims against the following persons or entities:
The City of Santa Ana
hereinafter referred to as "Additional Insureds', provided however, that any such Claim: (1) is made and
continuously maintained against at least one Insured, other than an Additional Insured, and (2) arises out
of Professional Services performed on behalf of the Named Insured or any Subsidiary, and otherwise
covered under this Policy.
The coverage provided by this Endorsement is excess of, and shall not contribute with, any other
applicable insurance plan, policy or program of self-insurance carried by or applicable to a person or
entity listed above.
All other terms, conditions and limitations of this Policy shall remain unchanged.
Authorized Representative
v1875 (3/2008)
ENDORSEMENT NO. 9
WAIVER OF SUBROGATION
This Endorsement, effective at 12:01 a.m. on February 20, 2025, forms part of
Policy No. 0313-2802
Issued to National Data & Surveying Services, Inc.
Issued by Allied World Surplus Lines Insurance Company
In consideration of the premium charged, it is hereby understood and agreed that Section V.
CONDITIONS, Subsection (E) is deleted in its entirety and replaced by the following:
(E) Cooperation; Subrogation:
In the event of a Claim, the Insured will provide the Insurer with all information, assistance, and
cooperation that the Insurer reasonably requests, and will do nothing that may prejudice the
Insurer's position or potential or actual rights of recovery. At the Insurer's request, the Insured
will assist in any actions, suits, or proceedings, including but not limited to attending hearings,
trials and depositions, securing and giving evidence, and obtaining the attendance of witnesses,
and will also assist in making settlements. In the event of payment, the Insurer will be
subrogated to the extent of any payment to all of the rights of recovery of the Insured; however,
this provision will not apply to The City of Santa Ana. The Insured will execute all papers and do
everything necessary to secure such rights, including the execution of any documents necessary
to enable the Insurer effectively to bring suit in their name. The obligations of the Insured under
this CONDITION (E) will survive the expiration or cancellation of the Policy.
All other terms, conditions and limitations of this Policy shall remain unchanged.
Authorized Representative
v2720 (1012011)