HomeMy WebLinkAboutPARSONS BRINCKERHOFF A/K/ APB AMERICAS 2A - 2007
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AMENDMEN TO C~SULTANT
PARSONS BRINCKERHOFF
THIS FIRST AMENDME , is made and entered into this 5th day of February,
2007, by and between ., a New York
corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and
municipal corporation organized and existing under the Constitution and laws of the State
of California (hereinafter "City").
RECITALS
A. The City entered into an Agreement with Consultant on January 17, 2006, ("the
Agreement") to provide support services to complete the Santa Ana Transit
Master Plan.
B. City needs further support services to conduct the Metrolink extension studies
that will meet the various Federal transit agencies' guidelines in order to
complete Step One of the "Go Local Program" with the Orange County
Transportation Authority.
C. The parties hereto now desire to amend the Agreement in order for Consultant
to perform additional services for the City.
NOW THEREFORE, in consideration ofthe mutual and respective promises, and
subject to the terms and conditions hereinafter set forth, the parties agree as follows:
I. The "Scope of Services" term of the Agreement will be expanded and updated to
allow Consultant to conduct the City-Initiated Transit Extensions to the Metrolink
Studies as further set forth in Exhibit A-I attached hereto and incorporated herein.
2. The "Compensation" term of the Agreement will be increased an additional One
Hundred Thousand Dollars ($100,000.00) for a total contract price not to exceed Two
Hundred Fifty Four Thousand Dollars ($254,000.00).
3. The "Term" of the Agreement shall be extended through July I, 2008.
4. The above changes are the only changes to the Agreement, and all other terms and
conditions of the Agreement remain unchanged.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to
Agreement the date and year first above written.
ATTE~
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PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By:.~~ {<::k.;J~J...
Lisa E. Storck
Assistant City Attorney
ROV AL:
Public Works Agency
City of Santa Ana
CITY OF SANTA ANA:
~
City Manager
CONSULTANT (j)
t4iJ~~l ~
-Assh- Vice President
-OflIl1ge .'\rea MllIlager
Tax ill #: 11-1531569
100
YEARS
OCTA GO LOCAL PROGRAM - STEP 1
CITY OF SANTA ANA
DRAFT SCOPE OF WORK
Task 1.
Project Administration and Management
The project management task will involve regular status meetings with staff from the City of Santa Ana,
and developing progress reports along with the invoices to be submitted by the 15th of each month for
review by the City. The progress reports will include specific accomplishments of each task, any
challenges encountered, and any adjustments that may be needed in the project schedule. Charges
shown on the invoice will be compared with the task budgets developed from an estimation of the hours
that it will take to complete each task, described in this scope of work.
In addition to the regular project status meetings, the PB Project Manager and key project staff will attend
two city council sessions, two City Council Transportation Subcommittee meetings, and up to four (4)
other meetings with city staff and/or project stakeholders.
PB will submit one electronic copy and one hard copy draft of each of the following study deliverables for
review (as part of the study tasks described later in this document):
. Technical memorandum summarizing the preliminary set of transit alternatives to be evaluated
under the Go Local Program criteria (Task 2).
. Data request memo to the City of Santa Ana (Task 3)
. Summary of data sources organized by evaluation criteria (Task 3)
. Technical memorandum documenting preliminary screening evaluation (Task 4)
. Alternatives evaluation matrix for final candidate alternatives (Task 4)
. Six Month Progress Report (Task 5)
. Final Report (Task 5)
The City of Santa Ana will coordinate staff comments on the above draft deliverables and provide one
consolidated set of comments to PB within two weeks of receipt of the draft deliverable. PB will prepare
the final deliverables within two weeks after receipt of the comments. This work scope anticipates one
product review cycle.
The City of Santa Ana will be responsible for preparation and submittal of the Project Concept form and
the Project Expenditures Certification to aCTA (Exhibits A and D of the aCTA Go Local Program
guidelines).
Deliverables:
. Monthly progress reports and invoices (12 total).
. Attendance at twelve (12) project status meetings, two (2) city council sessions, two City Council
10f4
EXHIBIT A - /
Transportation Subcommittee meetings, and up to four (4) other meetings with city staff and/or
project stakeholders.
Task 2.
Alternatives Definition
PB will work with the City of Santa Ana to refine the preliminary set of alternatives based on those
presented in the Santa Ana Transit Master Pian. An additional alternative will be developed which
includes Bus Rapid Transit along the Pacific Electric (PE) right-of-way.
The alternatives definition task will include consideration of alignment, technology, and phasing for each
alternative. Once the preliminary alternatives have been defined, PB will work with the City and relevant
stakeholders to agree on the set of alternatives to be carried forward for analysis under the criteria
established by aCTA for the Go Local Program, as part of Task 4. The final number of alternatives will be
limited to a maximum of four.
Deliverables:
. Technical memorandum summarizing the set of transit alternatives to be evaluated under the Go
Local Program criteria in Task 4.
Task 3. Data Collection
A list of data needs will be prepared at the beginning of the Go Local study to identify the type and format
of information needed to develop the set of transit alternatives in the Alternatives Definilion (Task 2) and to
perform the Alternatives Evaluation (Task 4). PB will coordinate with the City of Santa Ana to determine
the appropriate level of data needed for the study and potential sources for the data.
Deliverables:
. Data request memo to the City of Santa Ana
. Summary of data sources organized by evaluation criteria
Task 4. Alternatives Evaluation
The alternatives evaluation will be based on the evaluation criteria determined by aCTA for the Go Local
Program, including:
Hiqh Prioritv
. Local Jurisdiction Funding Commitments.
. Proven Ability to Attract Other Financial Partners.
. Proximity to Jobs and Population Centers
. Regional Benefits
20f4
EXHIBIT A-I
. Ease and Simplicity of Connections
Medium Priority
. Cost-Effectiveness
. Traffic Congestion Relief
. Right-of-Way Availability
. Sound Long-Term Operating Plan
. Compatible and Approved Land Use
Low Prioritv
. Project Readiness
. Safe and Modern Technologies
.
PB will assist the City of Santa Ana in identifying and evaluating potential public/private funding
opportunities. However, the City will have ultimate responsibility for funding commitments, either
iocally or through private partnerships, and will provide input and direction from appropriate
departmental staff. PB will incorporate the City's proposed private/public funding commitments into
the overall alternatives evaluation. The City of Santa Ana will be responsible for identifying and
obtaining any and all letters, agreements, funding commitments, and action plans for pursuing such
agreements and commitments, within their respective jurisdictions, as specified in the OCTA
Evaluation Criteria.
A two-step evaluation process will be conducted:
1. Preliminary screening using key priority criteria to establish up to four candidate alternatives for
submittal to OCTA.
2. Final evaluation of candidate alternatives based on the full set of OCTA evaluation criteria for the Go
Local Program.
In the second-phase evaluation, aiternatives will be assessed based on their ability to meet the
performance measures identified for each evaluation criterion. The alternatives with the highest potential
for competing successfully in the Step 2 phase of the Go Local Program will be identified.
Deliverables:
. Technical memorandum documenting preliminary screening evaluation
. Alternatives evaluation matrix for final candidate alternatives
30f4
EXH\BIT
A-I
Task 5.
Community Outreach
Community outreach will be a key component throughout the life of the Go Local study process. As such,
PB will coordinate and cooperate closely with the City of Santa Ana as well as key stakeholders and
potential financial partners to maintain communications as to the progress of the Go Locai project. In
consultation with the City, PB will Identify a list of key stakeholders and potential financial partners for the
Go Local Program early in the study process. This list will be refined, as needed, based on the study
progress. Input from these interested parties will be incorporated into the Alternatives Definition (Task 2)
and Alternatives Evaluation (Task 4).
Deliverables:
. Technical support for community outreach/stakehoider meetings
Task 6. Go Local Project Concept Reports and Go Local Step 2 Application Package
As defined in the aCTA Go Local Program guidelines (August 10, 2006), two Project Concept reports will
be prepared for submission to aCTA: (1) "Six-Month Progress Report" and (2) "Final Report." Draft
versions of these reports will be submitted for review by the City of Santa Ana approximately four weeks
before the deadline to aCTA. Based on comments received from the City, the reports will be revised as
needed prior to submission to aCTA.
Based on the alternatives evaluation completed in Task 4 and aCTA program guidelines, PB will help the
City identify the most promising alternative for successful award of Step 2 funding by aCTA. PB will
prepare a Step 2 application package for the most promising alternative using evaluation results from the
Step 1 analysis.
Deliverables:
.
Six Month Progress Report
Final Report
Step 2 Application Package
.
.
40f4
EXHIBIT A-I
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11101/2006
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
Serial # 506062
Aon Risk Services, Inc. of New York
199 Water Street
New York, NY 10038
PHONE: 866.266~7475
FAX: 866-467.7847
COMPANY
A AMERICAN CASUALTY CO. OF READING PA (NAIC #20427)
iNSURED
PARSONS BRINCKERHOFF OUADE &
DOUGLAS.INC,
ONE PENN PLAZA
NEW YORK, NY 10119
COMPANY
B
COM~ANY TRANSPORTATION INSURANCE COMPANY (NAlC #20494)
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD
INDICATED. NOTW!THST ANDING 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 B Y 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.
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POlICY EFFECTIVE POUCY EXPIRATION
DATE (MMIDOIYY} DATE (MMlDDiYY)
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A ~GENERAL L1ABIUTY GL 2077470945
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C I, I ]CLAIMSMAOE [KJOCCUR GL2077470959
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(PB #11972) SARTC METROLINK EXTENSION STuDY
EXCEPT FOR WORKERS COMPESATION, CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED: 1) FOR
LIABILITY TO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF PB'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON.
CITY OF SANTA ANA. M . 93
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBEO POl.lCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE iSSUING COMPAA'( W1LL ~MAIL
~ DAYS WRITTEN NOllCETO THECERTlFICATE HOLOER NAMED TO THE lEFT,
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POLICY NUMBER: GL 2077470945 AIS COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES
(if no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement. )
WHO IS AN INSURED (Section II) is amended to include as an insured
the person or organization shown in the Schedule, but only with
respect to liability arising Ollt of "yollr work" for that insured by
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Page 2
ADDITIONAL INSURED
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULL Y.
BUSINESS AUTO COVERAGE FORM
THE PROVISIONS AND EXCLUSIONS THAT APPLY TO LIABILITY COVERAGE ALSO APPLY
TO THIS ENDORSEMENT.
ANY PERSON OR ORGANIZATION THE NAMED INSURED IS OBLIGATED TO PROVIDE
INSURANCE WHERE REOUIRED BY A WRmEN CONTRACT OR AGREEMENT.
IS AN INSURED, BUT ONLY WITH RESPECT TO LEGAL RESPONSIBILITY FOR ACTS OR
OMISSIONS OF A PERSON FOR WHOM LIABILITY COVERAGE IS AFFORDED UNDER THIS
POLICY.
THE ADDmONAL INSURED IS NOT REQUIRED TO PAY FOR ANY PREMIUMS STATED IN
THE POLICY OR EARNED FROM THE POLICY. ANY RETURN PREMIUM AND ANY
DIVIDEND, IF APPLICABlE, DECLARED BY US SHAlL BE PAID TO YOU.
YOU ARE AUTHORIZED TO ACT FOR THE ADDITIONAL INSURED IN ALL MATTERS
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THE ADDmONAlINSUREO WILL RETAIN ANY RIGHT OF RECOVERY AS A CLAIMANT
UNDER THIS POLICY.
ADDITIONAL INSURED:
CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES.
PB #11972
This endorsement is part 0/ your policy and takes effect on the effectlve date of your policy, unless another effective
date is sI10Wn below.
Mus! Be Completed
ENOT. NO. POLICY NO.
1 BUA - 2077469066
Complete Only When This Endorsement Is Not Prepared
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ISSUED TO: EFFECTIVE
PARSONS BRINCKERHOFF :lATE OF THIS
QUAOE & OOUGLAS, INC. ~NDORSEMENT
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38TH FLOOR
NEW YORK NY 10036
CERTIFICATE NUM8ER
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THIS CERTIFICATE IS ISSUED AS " MATTER OF INFOItMATlON ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATe HOLDER OTHER THAN niOSE PROVIOED IN THE
POUCY. THIS CERTIFICATE DOES NOT AMEND, E);TENO OR ALTER THE COVERAGE
AFFORCED BY THE POUCIES OESCRIBED HEREIN..
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TYPE OF INSURAHCE
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PB#11972-1
SARTC Metrolink Extension Study
SHOUlO ANY OF lKl: POLtClE$ OESCRIBCD HEREIN tiE CANCElLEO SEfORE lHF UPIRATl'Ofll)ATE THEREOF.
fHE lNWReR AFFORDING COVERAGE VIIltL ENDEAVOR 10 MAil ___,,30 OAYS ~ITTEN NonCE TO !liE
CITY ,oF SANTA ANA, M-93
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
CERTIFICATE HOLDER HAIolED HEREIN. IllJT FAItURE TO MAll SUCH ilKlTJCE SHALL JMPOSE NO 06l.Jl',;ATION OR
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JS&l.lEROfTHlSCEPTlFICATE.
MA.RSH USA I~C.
BY; Dennis M. Baez
'-?;>...,..,e.....,.
VALID AS OF: 10/27/06
MARSH ~ CERTIFICATE OF Il(sURANCE CERTIFICATE NUMBER
NYC-002788729-01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
FINPRO POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
1166 AVENUE OF THE AMERICAS AFFORDED BY THE POLICIES DESCRIBED HEREIN.
38TH FLOOR COMPANIES AFFORDING COVERAGE
NEW YORK, NY 10036
COMPANY
36157-Amer-PL-06-07 A ZURICH AMERICAN INSURANCE COMPANY
INSURED COMPANY
PB Americas, Inc. B
One Penn Plaza
New York, NY 10119 COMPANY
C
COMPANY
0
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 2
THIS 1$ TO CERTlFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWfTH RESPECT TO WHICH THE CERTlFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POL.ICY EXPIRATION LIMITS
LT" DATE IMM/DDIYYI DATE (MMIDD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
-
COMMERCIAL GENERAL LIABILITY PRODUCTS. COMP/OP AGG $
I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP An" one person' S
AUTOMOBILE LIABILITY $
- COMBINED SINGLE LIMIT
- ANY AUTO
- ALL OWNED AUTOS BODIL YINJURY $
(Per person)
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY S
fPeraccldenl)
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
- ..S 10 fO~
- ANY AUTO " OTHER THAN AUTO ONLY:
- l111il'RO'lE'D EACH ACCIDENT $
A -rrr 1 AGGREGATE $
EXCESS LIABILITY M' EACH OCCURRENCE $
S10RCl(
~ ~MBRELLA FORM '-IS/'. ~ AGGREGATE $
OTHER THAN UMBRELLA FORM - , .~t CitY p..ttOfne~ $
WORKERS COMPENSATION AND ,.., >--, 0 ( 1) I T'6~yS~~NS I IOlH
EMPLOYERS' L1ABIL.ITY ER
EL EACH ACCIDENT $
THE PROPRIETORl R'NCL 1"-. EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE EXCL EL DISEASE-EACH EMPLOYEE $
OTHER
A PROFESSIONAL LIABILITY EOC 587103605 11/01/07 11/01/08 $1,000,000 Per Claim
$1,000,000 Aggregate
DESCRIPTION OF OPERATIONSILOCATlONSIVEHICL.ES/SPECIAL ITEMS
PB #11972 NAIC #16535
Project Name: SARTC Metrolink Extension Study
CERTIFICATE HOLDER CANCELLATION
SHOULD /l,NY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDE/l,VOR TO MA!L -3ll DAYS WRITTEN NonCE TO THE
City of Santa Ana, M-30 CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALllt..1POSE NO OBLIGATION OR
20 Civic Center Plaza
Santa Ana, CA 92792 LIABILll'I OF /l,NY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUEROFTHISCERTIFIC/l,TE
MARSH USA INC. '-l>..... ... a.....,.
BY: Dennis M. Baez
MM1(3/02) VALID AS OF: 12/07/07
CERTIFICATE "t: LIABILITY INSURANCf 1 OA~~/~7:~
"- Senal # 506062 THIS CERTIFICATE IS ISSlJ.Ell.. 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.
COMPANIES AFFORDING COVERAGE
ACORD
, rl.O
PR0DUCER
Ao" Risk Services, Inc. of New York
199 Water Street
New York, NY 10038
PHONE: 866-266-7475
FAX: 866-467-7847
INSURED
COMPANY
A AMERICAN CASUAL TV CO, OF READING PA (NAtC #20427)
PB AMERICAS, INC,
ON E PENN PLAZA
NEWYORK,NY 10119
COMPANY
B
eOM~ANY TRANSPORTATION INSURANCE COMPANY (NAIC #20494)
I
COVERAGES
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, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
!
COMPANY
D
eo
LTR
POLICY EFFECTIVE
DATE (MMlDDJYY)
POLICY EXPIRATION
DATE (MMfDOI......)
LIMITS
TYPE OF INSURANCE
POLICY NUMBER
A GENERAL LIABILITY
)(' COMMERCIAL GENERAL LIABILITY
C = ~ CLAIMS MADE [KJ OCCUR
I OWNERS & CONTRACTOR'S PROT
-
c-
"
PRODUCTS - COMP/OP AGG $
11/01/2007
11/01/200B
GENERAL AGGREGATE
GL 20957B8109
GENERAL LIABILITY (AfS)
GL 20957B8093
GENERAL LIABILITY -STOP GAP
, PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
A AUTOMOBILE LIABILITY
m ANY AUTO
ALL OWNED AUTOS
f-
SCHEDULED AUTOS
f-
HIRED AUTOS
-
NON-OWNED AUTOS
-
f-
11/01/2008
11/01/2007
BUA 2095768112
I COMMERCIAL AUTO
BUA 20957B8126 PD
AUTO PHYSICAL DAMAGE
COMBINED SINGLE LIMIT S
---,
BODILY INJURY
(Perpersonl
$500 OED CaMP
$1,000 OED CaLL
BODILY INJURY
(Per accident)
_...... Pi S 'to YOt\:1l
P:;?'tLV, ' , /.
:() ',;, ~S1ORC\l.
- , ~SI'- E ~1\Ofl\lY
... .. \\'1 '"
<:J:3 )
PROPERTY DAMAGE
GARAGE LIABILITY
~ ANY AUTO
,-
" .
AUTO ONLY EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT 5
AGGREGATE 5
EACH OCCURRENCE $
AGGREGATE $
"
x I ib~I~J~s T lDJ~.
EL EACH ACCIDENT " $
EL DISEASE. POLiCY LIMIT $
EL DISEASE. EA EMPLOYEE $
EXCESS LIABILITY
~ UMBRELLA FOAM
, OTHER THAN UMBRELLA FORM
A WORKER'S COMPENSATION AND
A EMPLOYERS' LIABILITY
C
,.,...
(
THEPRQPRETORl
IPARTNERSlEXECUTIVE
OFFICERS ARE
['XlINeL
. . -I EXCL
we 2095788059 AOS
WC 2095788062 CA ONLY
WC 2095788076 RETRO (OR,VA,WI)
11/01/2007
11/01/2007
11/01/2007
11/01/2008
11/01/2008
11/01/2008
OTHER
5,000,000
5,000,000
1,000,000
1,000,000
300,000
5,000
2,000,000
$
,
,
..-
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS!LOCATlONSNEHICLESISPECIAL ITEMS
(PB #11972) SARTC METROLlNK EXTENSION STUDY
EXCEPT FOR WORKERS COMPESATION, CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED: 1) FOR
L1ABILlTV TO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF PB'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON,
,
, .
,
CITY OF SANTA ANA, M - 30
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
,-, >,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EN~X>>X MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
~~~~lIM~
~~"""~-,
AUTHOR;r~tr~
. .~"~"'i' .,o,;ji;;i~1iYdm~\':,\./~"l"",i\l":;';
l~" "
,
.",~.
,
.
PARSON 2000 2fi'S.FP~PARSONS LIABILITY OS..oli.FP5
1 0242936
1_
Page 1
'-'
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POLICY NUMBER: GL 2095788109 A/S COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES
(if no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured
the person or organization shown in the Schedule, but only with
respect to liability arising out of "your work" for that insured by
or for you.
PB #11972
~o~
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~~
~
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~~O 8. .; Cl~~.o~
I G':I
' ,,"" v~
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(2 0~ '
CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984
Serial #: 506062
Page 2