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HomeMy WebLinkAboutPSOMAS - 2008INSURANCE ON FILE WORK MAY PROCEED _UNTIL INSURANCE EXPIRE /L- /S - C y CLERK OF COUNCIL, DATE. SEP 2 3 2008 A-2008-219 CONSULTANT AGREEMENT i4clr cl TprKc/1aY`hC, THIS AGREEMENT, made and entered into this 18th day of August, 2008 by and between PSOMAS; a California corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of engineering and landscaping 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 engineering and landscape architecture services on an on-call basis, as set forth in its Proposal dated May 22, 2008, attached as Exhibit A to this Agreement and incorporated by reference. 2. DELIVERY OF WORK PRODUCT - OWNERSHIP Consultant warrants and represents that it has the absolute right to enter into and perform this Agreement and will perform its obligations hereunder in accordance with standards and practices prevailing in the industry. Consultant's contribution to the Project, including works to be produced by Consultant hereunder, will not infringe or misappropriate the proprietary or personal rights of any third person or party. Consultant shall deliver to City any work product which results from the services provided. Said work product shall be submitted in hard copy and produced in a form compatible with City's information systems, as agreed between the Project Manager and Consultant. In regard to all copyrightable material produced as a deliverable under this Agreement, including but not limited to books, reports, plans, photographs, drawings, fihns, recordings, videotapes, and computer programs, Consultant agrees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material may not be copyrighted without prior review from the City, and (b) the authors of all such material, whether copyrighted or not, award to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, a royalty -free, nonexclusive, irrevocable license throughout the world for governmental purposes to disclose, publish, translate, reproduce, and use such materials. 3. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit B. The total sum to be expended under this Agreement shall not exceed $200,000.00 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. 4. TERM This Agreement shall commence on the date first written above and terminate on expenditure of allocated funds, unless terminated earlier in accordance with Section 13, below. 5. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit C upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 7. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, 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 health, and claims for property damage, which may arise from the negligent 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 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 terms of or negligent 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. 8. 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. 9. 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. 10. 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) 4 P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: and Executive Director of the Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-36) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-5635 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Consultant: PSOMAS 3187 Red Hill Avenue, Suite 250 Costa Mesa, California 92626 telefacsimile (714) 667-7174 A party may change its address by giving notice in writing to the other parry. 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 telefacsimile, 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. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any parry, or anyone acting on behalf of any parry, which are not embodied herein. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 13. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. 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. 15. 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. 16. 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, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. 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. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: ` 'IVPATRICIA E. MEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: , cL L � ra Sheedy Assistant City Attorney CITY OF SANTA ANA DAVID N. REAM City Manager PSOMAS P F, 4K Tr -President EXHIBIT A SCOPE OF SERVICES May 22, 2008 Balancing the Waal and Bnih Environment CITY OF SANTA ANA Public Works Agency Office of the Executive Director Attn: Souri Amirani 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 Subject: Proposal for On -Call Contract for Engineering and Landscaping Design Services Dear Ms. Amirani: Psomas is pleased to submit this proposal to provide engineering and landscaping design services for the City of Santa Ana's on-call contract. With over 60 years of consulting history in Southern California and a staff of nearly 800, Psomas has the resources available to meet your scheduling needs and can commence work on your projects immediately. With in-house water resources, natural resources, land surveying and transportation services all located within our Costa Mesa office; we have the local resources, staff experience, relevant expertise and, perhaps most importantly, the availability to support virtually every aspect of the City's projects. In addition, we have included on our team key subconsultants to provide required services such as architecture, landscape architecture, geotechnical engineering, environmental consulting, structural engineering, pavement evaluation, and traffic engineering, offering the City a fully comprehensive team able to address all your project needs. The primary focus of this project is pavement rehabilitation and reconstruction, public parks, and plan preparation. The Psomas Team has successfully delivered these types of projects before, and our previous successes and proven methods will translate into direct benefit for the City of Santa Ana. We understand the projects that the City of Santa Ana needs to have facilitated and we will put together the team that can best respond to the myriad of technical issues these projects present. The Psomas Team consists of the following subconsultant firms: ► PNSArchitecture and Development — architecture ► Lynn Capouya, Inc.- landscape architecture and park design ► GMU Geotechnical, Inc. — geotechnical engineering ► Bon Terra Consulting - environmental ► TYLin International — structural engineering ► LaBelle Marvin, Inc. - pavement evaluation and geotechnical engineering ► Austin -Foust Associates, Inc. - traffic engineering LaBelle -Marvin, Lynn Capouya, Inc., Austin -Foust, and TY Lin have previously been part of the Psomas Team, performing the same services for similar projects for other cities. Jeff Mastin, of PNS Architecture and Development, has directly relevant experience working for the City of Santa Ana, both independently and with our proposed Quality Assurance Manager, Nancy Boyer, while with another firm. This previous team experience provides the City with a cohesive team that directly relates into cost and time saving for the City. 3187 Red Hill Avenue Suite 250 Costa Mesa, CA 92626 Tel 714.751.7373 Fax 714.545.8883 www.psomas.com Ms. Souri Amirani May 22, 2008 Page 2 Consider why the Psomas Team is the best choice for this assignment: Cost -Conscious Design. The Psomas Team recognizes the value and need for cost -sensitive design solutions. For a recent City of Downey pavement reconstruction project, we conducted value engineering of materials recommendations on our own initiative, and developed alternative solutions that resulted in direct cost savings to the City in excess of $300,000. Experienced Project JVanager. Tom Herbel, P.E., will direct the Psomas Team as Project Manager. Tom has more than 18 years of experience in civil engineering for a variety of civic project types, including municipal streets and roads, parks, and site development projects. He has managed such projects for cities throughout Orange County. He will manage your project with little guidance, working as an extension of City staff, which translates directly in conserving the City's time and resources. Understanding multi- discipline issues, Tom will serve the City by integrating a variety of professionals to undertake the City's proposed diverse assignments. Tom has precisely the background and current experience that is needed for your projects. QA/QC. Psomas is dedicated to technical excellence and professional quality, which is implemented through a proactive QA/QC program on our projects. Quality is a company -wide commitment. The lack of design - related change orders on our projects demonstrates the success of our program. Proven .Record. The Psomas Team offers the City an experienced team of professionals with proven records in providing design services for roadway rehabilitation and reconstruction projects and park facilities for cities and in meeting project budget and schedule constraints. Our Team's successful work together on relevant projects will provide the additional benefits of established working relationships and good communications. The Psomas Team will "hit the ground running!" Local Sensitivity. Much of our work has been performed for public agencies, and we understand the special concerns of municipal public works departments such as yours. We are sensitive to community impacts, and recognize the need for preparing biddable, constructible plan packages. Rules, for Proposals. Psomas declares that the only person, persons, company or parties interested in the proposal as principals, are named therein; that the proposal is made without collusion with any other person, persons, company, or parties submitting a proposal; that it is in all respects fair and in good faith without collusion or fraud, and that the signer of the proposal has full authority to bind the principal proposal. Psomas' services and staffing for the projects will be provided through its Costa Mesa office, which is easily accessible to the City of Santa Ana and the project sites. We believe the Psomas Team provides the right combination of experienced staff, project understanding, and local knowledge to successfully undertake this contract for the City of Santa Ana. Should you have any questions or require additional information regarding this submittal, please contact me at (714) 751-7373. Respectfully submitted, PSOMAS Tom Herbel, PE Vice President/Project Manager On -Call Contract for Engineering and Landscaping Design Serices Work Plan Work Plan Psomas' experience in the understanding, as well as execution, of a diverse variety of projects has led to the development of the following comprehensive Work Plan to address the City's needs, as set forth in the RFP and from our team members' previous experience in working with the City. This comprehensive work plan consists of three keys for project success: Management Approach, Technical Approach, and Quality Approach. Psomas knows how to integrate these three components into successful project execution that realizes the City's goals, as evidenced by our project references. The Management, Technical and Quality Approaches are essential to logically and efficiently developing preliminary design and final PS&E documents and to gaining the necessary approvals. Integration of these three core project components enables Psomas to facilitate any project needed by the City of Santa Ana. As our public agency experience indicates, Psomas has the direct and recent experience of coordinating a variety of multi -discipline teams to achieve the results needed for the City's Public Works projects. A fundamental component of the Work Plan must be the Management Approach. Effective team organization and management are key to successfully accomplishing the objectives of the City and achieving quality services. The City can rely on the leadership role of our Project Manager, Tom Herbel, as he has previously worked with the City. He will tailor the Work Plan to your specific needs and will assign the professionals necessary to facilitate success on each project assignment. Management Approach Tom Herbel, our proposed Project Manager, has extensive municipal experience. He has the direct and recent experience to effectively manage and lead the successful completion of the City's projects on budget and ahead of schedule. He will be the central point of contact with the City and will be supported by the full financial, technical, and human resources of the firm. His project management approach is based upon his extensive experience: ► Liaison with the City, utility owners, and other agencies - He will maintain an open channel of communication with the goal of identifying and resolving key issues with the City, utility owners, and other agencies including, but not limited to, design, permitting, and plan -checking. ► Quick and satisfactory resolution of issues - He will maintain a Log of Outstanding Issues to be Resolved in which unresolved issues will be documented. He will achieve timely resolutions of issues, and will publish this log to all appropriate parties every week. All decisions and directions will be documented in a Directions Log that he will review and distribute weekly. ► Conformance to the project requirements - He will oversee the design to assure that required mitigation measures are being addressed according to City and outside agency standards. Organization of work tasks, procedures, documentation, and team structure - He will prepare monthly action plans using the approved Work Plan outlining PSOMAS Work Plan — Page 2 On -Call Contract for Engineering and Landscaping Design Serices Work Plan the priority of activities, responsibilities of personnel and project disciplines, and performance timeframes to assure that key issues are being resolved and team performance is on schedule. ► Maintenance of the project status - He will keep current with the Team's progress and direction to assure that objectives are being met on schedule and within budget. ► Monitoring of the project schedule - He will use Psomas' proprietary Project - At -A -Glance and a customized Microsoft Project program to monitor resources and progress. ► Creation of savings through cost control measures - He will use Psomas' cost accounting software and customized summary reports to provide the City with detailed information needed to monitor the contract's costs. He will track the contract budget using weekly in-house reports generated by Psomas' accounting system. ► Production of monthly progress status reports - .He will prepare monthly progress status reports that he will present at regularly scheduled project meetings. These reports will include the completion of work to date, an inventory of uncompleted tasks with the status of completion of each task, a review of project milestones, and a summary of expenditures to date. ► Coordination of disciplines and subconsultants - He will manage and lead the various disciplines as required to assure that proper coordination and quality control is taking place. He will require and review monthly progress status reports from each subconsultant. Technical Approach We have prepared a sample Work Plan for the improvement of a hypothetical four - lane divided arterial that includes raised median islands to demonstrate the technical elements of the Work Plan. The primary tasks associated with the Work Plan are included below, while the entire sample work plan is included in the Additional Information and Comments section of this proposal to accommodate the 15 -page limit requested in your RFP. Task I — Project Scoping Task II —Team Kick -Off Meeting Task III —Analysis, Review and Data Collection Task IV — Site Survey Task — Base Sheet Preparation Task VI — Utility Research and Coordination Task VII — Concept Approval Task VIII — Outside Agency Coordination PSOMAS Mork Plan — Page 3 On -Call Contract for Engineering and Landscaping Design Serices Work Plan Task IX — Preliminary Design Task X — Final Design Task XI — Plans, Specifications and Estimates Task X11—Traffic Signal Task XIII — Stormwater Pollution Prevention Plan (SWPPP) Task XIV — Right -of -Way and Property Acquisition Task XV — Project Meetings Task XVI — Bidding Phase Services Task XVII — Construction Phase Services Task XVIII — Construction Phase Survey Task XIX — Landscape Architecture Quality Approach Fundamental to the execution of this contract is adherence to an established QA/QC plan. Psomas proposes Nancy Boyer as the QA/QC manager for your projects. She has over 20 years of experience in the execution, management and oversight of public agency projects. She will also serve as an alternate project manager as additional resources are needed to complete your projects on schedule. Psomas prides itself on the quality of work produced and has a reputation for trouble-free construction documents and an absence of design -related change orders. For our clients, this helps to eliminate construction cost overruns and protracted negotiation over Contractor claims. This track record is the result of following a well-developed design process with integrated quality control measures which are defined in Psomas' .Project Management Manual and technical manuals. These procedures are implemented from initial scoping through agency review and approval. An important feature of our team is the Quality Assurance/Quality Control (QA/QC) Program. Senior level engineers with years of demonstrated expertise are specially trained in Psomas' QA/ QC program. As the QA/QC manager Tom Herbel has the responsibility to: ► review the project scope, schedule, and budget after the kick-off meeting; ► review progress at critical junctures of the project, make technical suggestions, and provide management recommendations should he see diversions from the original scope, schedule, and budget; ► review deliverables prior to submission; and ► review the overall project to make certain that the Psomas Team's high professional standards are being achieved. PSOMAS Work Phrr. — Page 4 On -Call Contract for Engineering and Landscaping Design Serices Staffing Organization Chart Key Personnel The Psomas Team's Project Manager, Tom Herbel, PE, is well suited by training and experience to serve in this role. He is experienced in managing multi -discipline teams and interacting with City staff and the public. As a public works and transportation engineer for 20 years, he has successfully undertaken similar contracts in the past, and has recent experience on such projects with cities throughout Orange County. As a Project Manager, Mr. Herbel has had complete responsibility for implementing pavement rehabilitation, streetscape, and street widening projects for cities, including projects requiring federal funding compliance and in accordance with the Caltrans Local Assistance Procedures Manual. He has identified an outstanding team of specialists with exceptional planning and design experience in working on a variety of local agency projects. Mr. Herbel will manage this contract from Psomas' Costa Mesa office. IPSOMAS Staffing — Page 5 On -Call Contract for Engineering and Landscaping Design Sences Subeonsultants Subeonsultants Austin -Foust Associates, Inc. (AFA) — AFA provides a broad range of consulting 4047– Austin -Foust Associates, Inc. services in the area of traffic engineering and transportation planning. Clients served include numerous public and private entities, with services ranging from special studies directed at specific problems to comprehensive projects involving all facets of transportation and traffic engineering. BonTerra Consulting (BonTerra) — BonTerra is a woman -owned small business &22?�_othat provides environmental planning, cultural, and natural resources management C 0 N s u c r t N G services to public and private sector clients throughout Southern California. The eight principals of the firm have over 150 years of collective, hands-on experience. Typical projects include parks, golf courses, and recreational facilities; urban infrastructure systems such as highways and bridges and wastewater and water supply facilities; and urban in -fill projects, including office complexes, mixed-use employment and retail business parks, and commercial/retail centers. W NO CW GMU Geotechnical, Inc. (GMU) — GMU was established in 1968 to provide high- quality, award-winning, cost-effective geotechnical engineering services to a select group of public and private sector clients. The firm's staff consists of highly qualified registered professionals and engineering technicians with experience in all phases of geotechnical engineering and engineering geology. • &Vvik LaBelle-Marvin (LMI) — LMI is a leader in evaluation of asphalt concrete pavements. Using state-of-the-art equipment including dynamic testing of in-situ pavement strength, skid testing and profilograph testing, LMI maintains expertise in paving system design, use impacts, and rehabilitation methodologies. Services include field and laboratory evaluation of asphalt concrete and Portland cement concrete pavements, asphalt concrete and Portland cement concrete materials, pavement recycling, aggregate use and reuse, soil characteristics and soil stabilization. Lynn Capouya, Inc. (LCI) — LCI is a privately owned, .full-service landscape A R.0 14 Ti¢ o r s architectural .firm specializing in infrastructure related projects. Design services include site evaluation, feasibility studies, site planning, landscape surveys, master planning, budget development, resource analysis, material studies, PS&E preparation, irrigation design, lighting design, and construction services. LCI focuses on the use of low water and low maintenance plant materials that are visually appealing. PNS Architecture and Development — PNS is a process based architectural firm that combines the attentiveness and flexibility of a small firm with the experience P Is and range of services one traditionally expects from a large firm. PNS is led by Jeff Mastin, who has experience successfully leading projects at a large architectural and engineering corporation. TY—UNINTERNATIONAL TY UN International (TYLI) — TYLI is a recognized world leader in structure and bridge design. The finn has a proven track record of efficient delivery of engineering services for both routine and complex projects including those with tightly constrained budgets and schedules. Despite the firm's reputation on major bridge projects, the majority of TYLI's assignments are modest in size and diverse in scope, encompassing all environmental and civil/transportation disciplines. PSOMAS .Subeonsultants — Page 10 EXHIBIT B FEE SCHEDULE P S O M A S Public Works Fee Schedule Effective January 1, 2008 - December 31, 2008 CLASSIFICATION RATE Project Manager and QA/QC $125-$185 Project Engineer/Principal Engineer $120-$175 Staff Engineer $ 85-$125 CAD Designer $ 85-$110 Administrative Assistant/Analyst $ 60-$ 85 Two -Man Crew $192 Three -Man Crew $275 Expert Witness Testimony - two times normal rate Hourly rates include direct labor, overhead, fringe benefits and fee. XLEVI fUXSAl3LE EXPENSES Mileage for field travel is charged at .585/mile and parking expenses incurred by office employees are charged at cost. Prints, messenger service, subsistence and other direct expenses will be charged at cost plus ten percent. The services of outside consultants or contractors will be charged at cost plus fifteen percent. SPECIAL EQUIPMENT Standard computer and technology costs are incorporated into the hourly rates shown above. Survey and other specialty equipment will be charged at a per unit per day rate. EXHIBIT C 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: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # Issued to this endorsement fonn as a part of Named Insured Countersigned by ff Authorized Representative CONSENT CALENDAR 25.D. AGMT NO. 2008-212 - CABLING SERVICES AND RELATED EQUIPMENT - With Pacific Coast Cabling Inc. for a one-year period in an amount not to exceed $150,000 per year - Finance & Management Services Agency 25.E. AGMTS - ON-CALL SERVICES FOR WATER AND SEWER EMERGENCIES - With Doty Bros. Construction Company (AGMT NO. 2008-213), Paulus Engineering, Inc. (AGMT NO. 2008-214) and Ken Thompson, Inc. (AGMT NO. 2008-215), in an amount not to exceed $130,000 each — Public Works Agency 25. F. AGMTS - ON-CALL ENGINEERING AND LANDSCAPING SERVICES - With DMJM Harris (AGMT NO. 2008-216), URS (AGMT NO. 2008-217), Penco Engineering (AGMT NO. 2008-218) and Psomas (AGMT NO. 2008-219) in the amount not to exceed $200,000 for each firm — Public Works Agency 25.G. AGMTS — PROGRAM YEAR 2008-09 YOUTH PROGRAM OPERATOR AGREEMENTS Motion: 1. Authorize the City Manager and Clerk of the Council to execute agreements with the following Youth Program Operators for Program Year 2008-09 for a total of $828,073 - Community Development Agency • AGMT NO. 2008-220 — With Christian Latino Association of Music and Arts to provide training in music technology, work experience, job preparation, tutoring, and job placement for ten Out -of -School Youth in an amount of $48,230, through June 30, 2009; • AGMT NO. 2008-221 — With Orange County Children's Therapeutic Arts Center to provide tutoring, job preparation, work experience, and job placement for fifteen Out -of -School Youth in an amount of $107,000, through June 30, 2009; • AGMT NO. 2008-222 — With Orange County Conservation Corps to provide on-the-job training, tutoring, job preparation, and job placement for Out -of -School Youth in an amount of $114,174, through June 30, 2009. The total number of youth to be served will be negotiated by July 30, 2008; • AGMT NO. 2008-223 — With Orange County Department of Education to provide tutoring, career development, job CITY COUNCIL MINUTES 216 AUGUST 18, 2008 f'Ahunffi- Al RA 6fiYtkll.A §Z CERTIFICATE OF LIABILITY INSURANCE 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 13Y PAID CLAIMS. — --- NSR- LTR TYPEOFINSURANCE POLICY NUMBER PROt�LCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Santa Ana, CA 92711-0550 jERACHOCCURRENCE 4100 00 1-010— 714427-6810 INSURERS AFFORDING COVERAGE INSURED PSOMAS 555 South Flower Street, Suite 4400 LosAngeles, CA 90071 INSURERA: Zurich American Ins. Co. .. . ..... . . �INSURER B. IL Specialty Insurance Co. INSURER c- American Zurich Insurance Company INSURER G. - INSURER E: CrE"rl- AGGGRFGATE LIM fTAPPiAES PER: POLICY FX- PRO- JECT LOC 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 13Y PAID CLAIMS. — --- NSR- LTR TYPEOFINSURANCE POLICY NUMBER ;POLICY ii UCYEXPIR�AJFON DATE (MM/DOfYYI 1 LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE I—XI OCCUR GLO916014500 110115107 1 tNDP. CONTRACTORS 110/15108 jERACHOCCURRENCE 4100 00 1-010— FIRE DAMAGE (Any we Ere) �000 _L11-000 -- MED EXP (Aay we Peres) PERSONAL & AIDV INJURY I - - 4000000 GENERAL AGGREGATE X CO] X CONTRACTUAL IINCLUDED F X iB I 1-!tjBFPD XCU CrE"rl- AGGGRFGATE LIM fTAPPiAES PER: POLICY FX- PRO- JECT LOC PRODUCTS -COMPIOP AGG s21000,000 C I AUTOMOBILE X LIABILITY We AUTO BAP916015200 10/15/07 5/07 10115108 COMBINED SINGLE LIMIT (Es mcident) 51,00(1,000 ALL OWNED AUTOSIi SCHEDULED AUTOS BODILY INJURY X X HIREDAUTOS I NON -OWNED AUTOS BODILY INJURY (Per wxident) $ PROPERTY DAMAGE (Peracddent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 OTHER THAN EA ACC $ AUTO ONLY: AGG ANY AUTO EXCESS LIABILITY OCCUR CLAINIS MADE EACH OCCURRENCE AGGREGATE $E Is DEDUCTIBLE 5 RETENTION A WORKERS COMPENSATION AND EMPLOYERS UAS1LrrY WG916014200 /08 X , — � — '11% _:AqH �CIEVqT�_ $1,000,000. . �LL DISIFASE - EA EMPLOYEE $1,000000 E.L. DISEASE . POLICY LIMIT 1$1,000,000 OTHER B OTHER P:11DIOSSIOnal DPR9609143 1011,5/07 110/15/08 $1,000,000 per claim $1,000,000 arm] ag9r. DESCRIPTION OF OPERATIONMOCAT*N$iVERICLE&SXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services On Call Contract for Engineering and Landscape Design Services City of Santa Ana, Its officers, employees, agents, volunteer's and (See Attached Descriptions) City of Santa Ana Public Works Agency Sourl Amirani 20 Civic Center Plaza 4th FI Santa Ana, CA 92702 of 2 SHOULD ANYOFTH EABOVE D ESCIUBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 nAyswRrrTaN NOTICE70-ME CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAILURE TODOSOSHALL IMPOSE NOOSLIGATIO)j ORL"ILITYOFANYKJND UPON THE INSURE RJTS AGENTS OR RLL 9 1988 representatives are additional Ensured as respects to General Llabl ity as required by Written contract. Primary and lion -Contributing coverage applies to GL applies to GL as required by written contract. of 2 #$231053/M212277 ins mi Company Zurich Amnr ran lnsurang_e Qo 11his ends rsement moMes such insurances as is affoordod by the provisions of Policy # GL0916014500 relating to the following: 1.. The City of Santa Anti, 20 Civic C.eatet'Plazn Santa Ana. California 9 ol; its ojAccrs, employees, agents voWeers antixepreseeAtivea are named as additional ba reds raddidonsl imrads") with regard to liability and detense of suits s isi ng fi m the operations and uses performed by ox on behalf of the named insured. 2. With refect to clatme mising out of the operations and uses perfomned by or on'behalf of the named insured, such insurance as is afforded by this poly is primary and is not tonal to or coning with any other insurance carried d by or for the befit of the additional insureds. 3. This insurance applies separaWy to each insured against whom claim is made or sWt is'bmuglit except with respect to the company's limits of liability. The inclusion of any person or orgWallon, as an kmred sbail not affect any right which such person or orgauixstics, would have as a oiaitaartt if not so included. 4. With ;respwA to the additiobal: il3sw*, this inmance shall not be cast led, . except altos thirty (30) days wzitten notice has been give to the City of State Ana, 20 Civ a Center Plaza, Santa Ana, .CaMnlia 92701. *Except Ten day notice for Non -Payment of Premium (Completion of the following, inodt &g countersigadure, is required to make this endorsement emotive.) Motive 10115/07 , #iris c ndorsewent fcm as a patt of !• IMMAYMMAT61 Issucdto Psomas Xmad Insured Couttenigned bar Authorized Representative ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE/00/YY) ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 1 22 PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 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. INSURERS AFFORDING COVERAGE POLICY EFFECTIVE INSURED PSOMAS 555 South Flower Street, Suite 4400 INSURERA Zurich American Ins. Co. INSURER B: American Zurich Insurance Company INSURERC:XL Specialty Insurance Co. Los Angeles CA 90071 INSURER D: 10/15/2009 INSURER E: FIRE DAMAGE (Any one fire) $1,000,000 COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS A GENERAL LIABILITY GL0916014501 10/15/2.008 10/15/2009 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY -1 MED EXP (Any one person) $10,000 CLAIMS MADE FX OCCUR PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD . XCU GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2.000,000 POLICY PRO- JFCT F-1 LOC B AUTOMOBILE LIABILITY BAP 916 015 2 0 1 10/15/2008 10/15/2009 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS � (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY14/ �✓` ! Y_.Y"�� - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND WC916014201 10/15/2008 10/15/2009 X WCSTATU- OTH- 1:� EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000, O C OTHER Professional Liability DPR9614535 10/15/2008 10/15/2009 Per Claim $1,000,000 LI Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included. SAN050700-Task 00000 On Call agreement for survey work, preparation of legal descriptions and preparation of plat maps City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured as respects o General Liability. Primary and Non -Contributing coverage applies to GL. (GL-AI/PR/X) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana; Att: Kent Jorgensen WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Public Works Agency; 20 Civic Center Plaza; CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO PO BOX SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Santa Ana CA 92702 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIM"�O ACORD 25-S (7/97) CORD CORPORTION 19RR POLICY #: BAP916015201 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions ofthe Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 10/6/2008 Countersigned By: Awkw-lop Authorized Re resentative Named Insured: PSOMAS SCHEDULE Name of Person(s) or Organization(s): City of Santa Ana; Att : Kent Jorgensen Public Works Agency; 20 Civic Center Plaza; PO Box Santa Ana CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Additional Insured — Automatic Owners, Lessees Or ZURICH Contractors - Broad Form Policy No. Eff. Date of Pol Exp. Date of Pol Eff. Date of End Producer I Awl Prem. Return Prem. GL0916014501 10/15/2008 10/15/2009 10/15/2008 Dealey,Renton $ N/A $ N/A THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy wider a written contract or written agreement. B. The insurance provided to additional insureds applies only to "bodily injury", "property damage" or "personal and advertis- ing injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only if. I . The "bodily injury" or "property damage" results from your negligence; and 2. The "bodily injury", "properly damage" or "personal and advertising injury" results directly from: a. Your ongoing operations; or b. "Your work" completed as included in the "products -completed operations hazard', performed for the additional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and B. above: I . We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" that results solely from negligence of the additional insured, or 2. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including U -GL -I 175-A CW (9/03) Page I of 2 a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim: 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c. of SECTION TV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. U -GL- 1175-A CW (9/03) Page 2 of 2 Waiver Of Subrogation (Blanket) Endorsement 0 ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pot. Eff. Date of End. Producer Addl. Prem Return Prem. GLO916014501 1 10/15/2008 10/15/2009 10/15/2008 Dealey, Renton $ N/A $ N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL925-B CW (12/01) Page I of I WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it Is attached effective on the inception date of the policy unless a different date is Indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement effective on 10/15/2008 at 12:01 AM standard time, forms a part of Policy No. WC916014201 of the Issued to PSOMAS Premium (If any) Endorsement No Zurich American Insurance Co Authorized Representative 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WC 252 (4-04) WC 04 03 06 (Ed. 484) Page 1 of 1 r` ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 10 1 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GL0916014502 10/15/2009 INSURERS AFFORDING COVERAGE INSURED INSURERA: Zurich American Ins. Co. PSOMAS 555 South Flower Street, Suite 4400 Los Angeles CA 90071 INSURER B: American Zurich Insurance Company INSURERc:ACE American Insurance Company INSURER D: '^ n ' INSURER E: v=1.(v11`.lU�l CJT'! COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE FRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURAISCF. POLICY NJC�BER POLICY EEIMFFECDDITIVE POLICY EXPIRATION DATE (MMQQ1YY1 LIMITS A GENERAL LIABILITY GL0916014502 10/15/2009 10/15/2010 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000, 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10,000 CLAIMS MADE � OCCUR PERSONAL& ADV INJURY $1,000,000 X ontractual X BFPD, XCU GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO LOC B AUTOMOBILE X LIABILITY ANY AUTO BAP 916 015 2 0 2 10/15/2009 10/15/2010 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS M BODILY INJURY $ (Per person) X X HIRED AUTOS NON -OWNED AUTOS l� it� ��� t BODILY INJURY (Per accident) $ Ppgv� PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY% ANY AUTO ' duI e ce SV t � �tnTt1 Gly P p� -- AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMS MADE DEDUCTIBLE $ A RETENTION $ WORKERS COMPENSATION ANDWCS EMPLOYERS' LIABILITY WC916014202 10/15/2009 10/15/2010 - X L'ATIMITSU GTH-' E.L.EACHACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1 Q Q Q Q Q Q E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability G23638381001 10/15/2009 10/15/2010 Per Claim $1,000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included. On Call Contract for Engineering and Landscape Design Services City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured as respects to General Liability as required by written contract. Primary and Non -Contributing coverage applies to GL applies to GL as required by written contract. City Souri F1 Santa ACORD 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER of Santa Ana; Public Works Agency WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Amirani; 20 Civic Center Plaza 4th CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Aria CA 92702 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA 0 ACORD CORPORATION 1988 Additional Insured — Automatic - Owners, Lessees Or Contractors - Broad Form P011CY tvo. ' EIT. Date of Pol I Ext). Date of Pol MOA=12009�Dealey, ducer GL0916014502 ! 10/15/2009 10/15/2010 Renton THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 0 ZURICH Return S NIP A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy wider a written contractor written agreement. B. The insurance provided to additional insureds applies only to "bodily injury', "Property damage" or "personal and advertis- ing injury" covered under Section 1, Coverage A, BODILY INJURY AND PROPERTY DAMAGE, LIABILITY and Coverage B, PERSONAL AND ADVERTISiNG INJURY LIABILITY, but only i% 1- The "bodily injury' or "property damage" results from your negligence; and �. The "bodily injury", "properly damage" or "personal and advertising injury" results directly from: a. Your ongoing operations; or b. "Your work" completed as included in the "products -completed operations hazard', performed for the additional insured, which is the subject of the written contractor written agreement, C. However, regardless of the provisions of paragraphs A. and B. above: APPROVED As TO FORM l 1. We will not extend any insurance coverage to any additional insured person or organization:...-. a. That is not provided to you in this policy; or Lafora Stitt Sheedy Assistant City Attorney b. That is any broader coverage than you arc required to provide to the additional insured person or organization in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of insurance provided to you in this policy; or b. The Limits of insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: I. `Bodily injury", "property damage" or "personal and advertising injury" that results solely from negligence of the additional insured, or 2. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including U -GI. -I I75 -A CW (9/0?) Page I of 1 a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engineering activities. E. The additional insured must sec to it that: I . We are notified as soon as practicable of an "occurrence" or offense that may result in a claim: 2. We r eceive written notice of a -claim or "suit" as soul, as practicable;, and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organisation unless the other insurance is provided by a contractor other than you for the same operations and job location, Then we will share with that other insurance by the method de- scribed in paragraph 4:c. of SECTION TV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terns and conditions of this endorsement continue to apply as writ- ten. U -GL- 1175-A CW (9/03) Page 2 of 2 ACOR .. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI01 Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA?- P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW._ INSURERS AFFORDING COVERAGE INSURED INSURERA: Zurich American Ins.Co. PSOMAS — -_.--- _---.-- - INSURERB:American Zurich Insurance COMIDdn_Y _. 555 South Flower Street, Suite 4400 --- INSURERc:ACE American Insurance Company Los Angeles CA 90071 �- __ _ INSURER D: ---_---- INSURER E: CAVFR�(:FC HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING 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. INSRTYPE OF INSURANCE POLICY NUMBER POL CYI EFFECTIVE DATE (!I POLITY EXPIRATION MIDDIYYI LIMITS A GENERAL LIABILITY GLO916014503 10/15/2010 10/1.5/2011 EACHOCCURRENCE $1,000, 000 FIRE_ DAMAGE (Any one fire) $1,000, 000 �X COMMERCIAL GENERAL LIABILITY Ji CLAIMS MADE 1XI OCCUR MED EXP (Any one person) _ $10, 000 PERSONAL &ADV NJURY $1,000, 000 X Contractual _— X _ BFPD, XCU GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X I PRO LOC PRODUCTS - COMP/OP AGG $2,000, 0O0 B AUTOMOBILE X LIABILITY ANY AUTO BAP 916 0152 0 3 10/15/2010 10/1S/2011 COMBINED SINGLE LIMIT (Ea accident) $1 , 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON -OWNED AUTOS �/ v _ ,) � �;') tf�11 BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ti. - ..--- -- AUTO ONLY - EA ACCIDENT $ ANY AUTO .+-."'".— ,. I�M1;1 ` til i OTHER THAN _ EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY___ EACH OCCURRENCE $ OCCUR lJ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERSLIABILITY WC916014203 10/15/2010 10/15/2011 X TNRY TAT IMIT O R E.L. EACH ACCIDENT $1 0001 000 E.L. DISEASE - EA EMPLOYEE $1,000_000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability Claims Made 623638381002 10/15/2010 10/15/2011 Per Claim $1,000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included. On Call Contract for Engineering and Landscape Design Services City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured as respects to General Liability as required by written contract. Primary and Non -Contributing coverage applies to GL applies to GL as required by written contract. -- ---- — ---- VM11 L.MIIV19J-U L)ay notice for Non-Paymnt of Prem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana; Public Works Agency ILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Souri Amirani; 20 Civic Center Plaza 4th ERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO F1 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Santa Ana CA 92702 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT ...... t • -1 A O ACORD CORPORATION 1988 ,'�)LiCY #: BAP916015203 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions ofthe Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 10/8/2010 Countersigned By: Named Insured: PSOMAS (Authorized Re resentative) SCHEDULE Name of Person(s) or Organization(s): City of Santa Ana; Public works Agency Souri Amirani; 20 Civic Center Plaza 4th F1 Santa Ana CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Additional Insured -- Automatic — Owners, Lessees Or 0 Contractors ZURICH Policy No. I Exp. Date of Pol. Eff, Date of End. I Agency No. I Addl. Prean. Return � GL0916014503 10/15/2011 10/15/2010 1 Dealey, Renton THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: PSOMAS Address (including ZIP Code): 555 South Flower Street, Suite 4400 Los Angeles CA 90071 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is aiaended to include as an insured any person or organization who you are re- quired to add as an additional insured on this policy under a written contract or written agreement. B. The in&Jrance provided to the additional insured person or organization applies only to "bodily injury', "property damage" or "personal and advertising injury' covered under SECTION I - Coverage A - Bodily Injurl, And Property Damage Liability and Section I - Coverage B - Personal And Advertising Injury Liability, but only with respect to liability for "bodily injury', 'property damage" or "personal and advertising injury' caused, it, whole or in part. by: I. Your acts or omissions: or 2. The acts or omissions of those acting on your behalf; and resulting directly fi-om: a. Your ongoing operations performed for the additional insured, which is the subject of the written con- tract or written agreement; or b. "Your work" completed as included in the "products -completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: it. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or or- gardzation in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. Includes copyrighted material of insurance Services Office, Inc., with its permission. U -GL -1175-B CW (3f200?} Page I of-. B. The insurance provided to the additional insured person or organization does not apply to; "Bodily injurj'. "property damage" or "personal and advertising injury' arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, sunoys, field orders, change orders or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering,activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2, We receive written notice of a claim or "suit' as soon as practicable;, and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional Insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph Ca. of the Other Insurance Condition of' Section TV — Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organiza- tion, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b, of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent, or on any other basis, available to an addi- tional insured, in which the additional insured on our policy is also covered as an additional insured by at- tachrient of an endorsement to another policy providing coverage for the same "occurrence% claim or "suit", This provision does not apply to any policy in which the additional insured is a famed Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and not -contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorse- ment showing the additional insured in a Schedule of additional insureds, and which endorsement applies spe- cif tally to that identified additional insured. Any provisions in this Coverage Part not changed by the terns and conditions of this endorsement continue to apply as written. Ai,L"� ._ , t'7 F . id♦"'.1 lncludes copyrighted material of Insurance Services Office, Inc., withitsspp4zrraisswn L -GL -1175 8 CW (312007) 1��� Page 2 of 2 Waiver Of Subrogation (Blanket) Endorsement 0 ZURICH Policy No Eff. Date of PoL Exp Date of Pol. Eff Date of End. Producer Addl Preen Return Prem. GL0916014503 10/1.5/2010 10/15/2011 10/15/2010 Dealey, Renton $ N/A $ N/A THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from oth- ers, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. 11" P a"' ', _ U -GL -925-B CW (I2/01) Page 1 of 1 WORKERS'. COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it Is attached effective on the inception date of the policy unless a different date is Indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement effective on 10115/10 at 12:01 AM standard time, forms a part of Policy No. WC916014203 of the Issued to. Psomas Premium (If any) Endorsement No Zurich American Insurance Co k0l u q Authorized Representative 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description SCHEDULED PERSON OR ORGANIZATION WHERE REQUIRED BY WRITTEN CONTRACT WC 252 (4-04) WC 04 03 06 (Ed. 484) A.3'1'_d �'' Page 1 of I ACOMP. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 10/8/2U2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURER A: ACE American Insurance Company PSOMAS INSURER B:TraV ers Property Casualty Cc of Aeri 555 South Flower Street, Suite 4400 Los Angeles CA 90071 +NSURERC: INSURER D: INSURER E. rnVFRA(2FS HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYYI POLICY EXPIRATIONITR DATE IUMIDDNY) LIMITS B GENERAL LIABILITY 630265M676A 10/15/2012 10/15/2013 EACHOCCURRENCE S1 O00 000 FIRE DAMAGE (An one fire) $1 00 0 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one rscn $10,000 CLAIMS MADE 1 OCCUR PERSONAL &ADV INJURY $1 000,000 X ontractual X BFPD . XCU _ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG O POLICY FX7 PRC LOC .$2,000,00 B AUTOMOBILE LIABILITY 810265M676A 10/15/2012 10/15/2013 X ANY AUTO COMBINED SINGLE LIMIT $1, 000, 000 (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY X HIRED AUTOS j{ NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO VIA AUTO ONLY AGG $ EXCESS LIABILITY ""��-~ EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE 1 $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND UB6A526643 10/15/2012 10/15/2013 X I WCSTATU- 'ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,00(),000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 A OTHER Professional Liability G23638381004 10/15/2012 10/15/2013 Per Claim $1,000,000 laims Made i Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability. SAN050900; On -Call Engineering and Landscape Architecture Services; Executed Agreement No. A-2008-219 City, its officers, employees, agents, volunteers and representatives are additional insured as respects to General Auto and Liability as required by written contract. Primary and Non -Contributing coverage, Waiver of Subrogation applies to GL s required by written contract. Waiver of Subrogation or Rights applies to Workers' Compensation policy only as required by a written signed contract prior to any loss occurring. ._... __.._.,���...._...i a -or NQn-vaymnz or Prem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Santa Ana BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER O MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Attn: Clerk of the City Council NAMED TO THE LEFT. 20 Civic Center Plaza Santa Ana, CA 92702 A r^M- AUTHORIZED REPRESENTATI ,/'$ fir+ Ir • 0 AUUKU UQKPORATION 1988 COMMERCIAL GENERAL LIABILITY 630265M676A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is limited as follows: c. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance This endorsement shall not increase the limits of insurance described in Section III — Limits Of Insurance. d. This insurance does not apply to the render- ing of or failure to render any "professional services" or construction management errors or omissions. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additional insured ap- plies only to such "bodily injury" or "property damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to "other insurance" available to the additional in- sured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible "other insur- ance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any "other insurance". 3. The following is added to SECTION IV — COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tional insured: a. The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG 04 14 04 08 0 2008 The Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. How, when and where the 'occurrence" or offense took place; Ill. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense. b. If a claim is made or "suit" is brought against the additional insured, the additional insured must: L Immediately record the specifics of the claim or "suit' and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit' as soon as practicable. c. The additional insured must immediately send us copies of all legal papers received in con- nection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and oth- erwise comply with all policy conditions. d. The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of other insurance which would cover the additional insured for a loss we cover. However, this condition does not affect whether this insurance provided to the addi- tional insured is primary to that other insur- ance available to the additional insured which covers that person or organization as a named insured. 4. The following is added to the DEFINITIONS Sec- tion: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- age Part, provided that the "bodily injury" and "property damage" occurs and the "personal in- jury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2008 The Travelers Companies, Inc. CG D4 14 04 08 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 630265M676A ISSUE DATE: 10/15/2012-13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization; AS REQUIRED BY WRITTEN CONTRACT (if no entry appears above, information required Io complete this ertMrsernent will be shown m the Declaraboris as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongo-,ng operations or .your work" done under a contract with that person or organization and included cn the 'products - completed operations hazards.' This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page' of 1 TRAVELERg J WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — POLICY NUMBER. USGA526643 WAIVER OF OUR RIGHT TO RECOVER. FROM OTHERS ENDORSEMENT - CALIFORNIA_ (BLANKET WAIVER) We have the right to recover our payments from anyone .fable for an injury rovered by this policy. We wN not enforce our right against the person or organization named in the Schedule. ,he adoi5onal premium for this endorsement shall be %c of the CaMomia wo-:kers' compensation pre- mium. Schedule Person or Organization Job Description FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER TNs endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement Is Issued subsequent to propar=tion of tho policy.) Endorsement Effective 10/15/2012-13 Policy No. USBA526643 Endorsement Nc Insured PsOm$s premiurn Insurance Company Countersigned DATE OF ISSUE: 10/152012-13 ST ASSIGN: Page 1 of 1 COMMERCIAL AUTO 810265M676A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages, Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COVERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LIABILITY COV- ERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL EFFECTS K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section If. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LI- ABILITY COVERAGE: The following is added to Paragraph c. in A.1., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION If — LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement in that "employee's" name, with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness, that person or organization, that is signed and CA T3 53 03 10 ® 2010 The Travelers Indemnity Company. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LIABILITY COV- ERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION It — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their house- holds. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (ill) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (Iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limit Of Insurance, of SEC- TION 11— LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limit Of Insurance, of SECTION II — LIABILITY COVER- AGE, and not In addition to such limit. Our duty to make such payments ends when we have used up the ap- plicable limit of insurance in pay- ments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available Page 2 of 4 © 2010 The Travelers Indemnity Company, CA T3 53 03 10 Includes copyrighted material of Insurance Services Office, Inc. with its permission. to the "insured" whether primary, excess contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE —GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. COMMERCIAL AUTO J. PERSONAL EFFECTS The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Effects We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured"; and (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Effects coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more alrbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident' or "loss". CA 73 53 03 10 C 2010 The Travelers Indemnity Company. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph 8.2., Con. cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. Page 4 of 4 ® 2010 The Travelers Indemnity Company. CA T3 53 03 10 Includes copyrighted material of Insurance Services Office, Inc. with its permission. , t._ J CERTIFICATE OF LIABILITY INSURANCE GATEMYV) 10/10/20132013 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. !!UU 33 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUB 'IT 29 GA •I 5 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A¢jgtgrpenIn this certificate does not confer rights to the certificate holder in lieu of such endorsements . 4+tt 11 TT Lip" r; ,' 1 PRODUCER CuNrAUT NAME: it, n I-If/ti Dealey, Renton & Associates PHONN En :7 4 427- AC No : 27 11 P. 0. Box 10550 EMAIL Santa Ana CA 92711-0550 ADDRESS: INSURED Flower Street, Suite 4300 :s CA 90071 COVERAGES CERTIFICATE NUMBER: 1616595967 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 INSR Me POLICYNUMBER POLICY EFF MMIODNWV POLICY EXP MMIODNYYV LIMITS B GENERAL LIABILITY Y Y 330265M676A 10/15/2013 0/15/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TORE O PREMISES Ea occurrence $1,000,000 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD,XCU GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 $ 1-1 POLICY X ]JECT F-1PRO- LOC B AUTOMOBILE LIABILITY Y Y BAGA708266 10/15/2013 0/15/2014 Ea accident 1,000000 BODILY INJURY (Per person) $ X ANYAUTO ALL OSCHEDULED AUUTOSS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Par accident $ UMBRELLAUAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION ANDEMPLOVERS'LIABILITV YIN y UBEA526643 10/15/2013 0/15/2014 X T WC STATU- OTH- LMITS E. L. EACH ACCIDENT $110001000 OPFICERIMEMBER EXCLUDED?AY ECUTIVE� NIA E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE POLICY LIMIT $1,000,000 A Professional Liability G23638381005 10/15/2013 0/15/2014 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is req ul red) General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability. 30 Day Notice of Cancellation 2SAN050900; On -Call Engineering and Landscape Architecture Services; Executed Agreement No. A-2008-219 City, its officers, employees, agents, volunteers and representatives are additional insured as respects to General and Auto Liability as required by written contract. Primary and Non -Contributing coverage, Waiver of Subrogation applies to GL as required by written contract. Waiver of Subrogation or Rights applies to Workers' Compensation policy only as required by a written signed contract prior to any loss occurring. City of Santa Ana n �p VED AS TO FORM Attn: Clerk of the Cft II 20 Civic Center Plaza Santa Ana. CA 92702 ACORD 25 (2010/05) ARRiatnnI City Attornev PE\C L99 atL'\Lei CSI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU HORIZED REPRESENTATIVE ��-vr+-. ©1988.2010 The ACORD name and logo are registered marks of ACORD reserved. ACQO�®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYY) 10/10/2013 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 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 CONTACT NAME: Karin ThQrp Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 PHOC.NE FAX No: 27 6818 E-MAIL r . REss:kthorpoinsdra.com INSURERS AFFORDING COVERAGE NAIC k Y INSURERA: 10/15/2013 INSURED _22667 INSURER S:Travelers Property Su l Cc of A 25674 INSURER C: PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER D INSURER E INSURER F MED EXP (Any one person) $10000 COVERAGES CERTIFICATE NUMBER: 1622915839 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 TYPE OF INSURANCE ADDLSUBR INSR WVD POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDPIYVY LIMITS B GENERAL LIABILITY Y Y 530265M676A 10/15/2013 0/15/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN TED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10000 CLAIMS -MADE IT] OCCUR PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD, XCU GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X PRO- jECT [7 LOC I I I B AUTOMOBILE LIABILITY Y Y BABA708266 10/15/2013 0/15/2014 Ea accident 1,000 000 BODILY INJURY (Per person) $ X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB Id OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN y UB6A526643 10/15/2013 0/15/2014 X WC STATU- OTH VLIM E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) Ifyes,describeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 A Professional Liability G23638381005 10/15/2013 0/15/2014 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability, 30 Day Notice of Cancellation 4SAN020100 City, its officers, employees, agents, volunteers and representatives are additional insured as respects to General and Auto Liability as required by written contract. Primary and Non -Contributing coverage, Waiver of Subrogation applies to GL as required by written contract. Waiver of Subrogation or Rights applies to Workers' Compensation policy only as required by a written signed contract prior to any loss occurring. City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2010/05) LR -t r 1"3 q 4\t MJ ON Er.111A 11014Na OL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU HORIZED REPRESENTATIVE 2� 0 kogp ©1988.2010 ACORD The ACORD name and logo are registered marks of ACORD reserved. acORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnwY) 10/10/2013 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(les) must 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 Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 NAMONTAE: T Karin Thorp PHONE AIC No : 1 E-MAIL ADUREss: INSURERS AFFORDING COVERAGE NAIC If Y IINSURERA:ACE Amer Cao lo2uraoQe QQmpany 2266Z 630265M676A INSURED INSURER B:Travelers Property ) l Cc of A 25674 INSURER C PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER D: INSURER E INSURER F PREMISES Es occR111urrence $1,000,000 COVERAGES CERTIFICATE NUMBER: 1227330943 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 TYPE OF INSURANCE ADO INSR UBR MD POLICY NUMBER POLICYEFF MMIDDNYYY POLICY EXP MMIDOIYYYY LIMITS B GENERAL LIABILITY Y Y 630265M676A 10/15/2013 0/15/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY -1 PREMISES Es occR111urrence $1,000,000 CLAIMS -MADE IX OCCUR MED EXP Any one person $10,000 PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD,XCU GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 $ POLICY X PRO- LOC B AUTOMOBILE LIABILITY Y Y BA6A708266 10/15/2013 0/15/2014 Ea accident 1,000,000 BODI LY INJURY (Per person) If X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YINTS1 y UBOA526643 10/15/2013 0/15/2014 X WC STATU- OTH- UM E.L, EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE LA EMPLOYEE $1,000,000 (Mandatory In NH) Ifyee,describeunder DESCRIPTION OF OPERATIONS below E L. DISEASE. POLICY LIMIT $1,000,000 A Professional Liability G23638381005 10/15/2013 0/15/2014 Per Claim$1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is req Intact) General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability. 30 Day Notice of Cancellation 2SAN410110; Professional Engineering Design Services Bristol Street Water Main Replacement. City, its officers, employees, agents, volunteers and representatives are additional insured as respects to General and Auto Liability as required by written contract. Primary and Non -Contributing coverage, Waiver of Subrogation applies to GL as required by written contract. See Attached... CERTIFICATE HOLDER CANCELLATION 10 Dav notice for Non-Pavmnt of Prem ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Rudy Rosas 220 S. Daisy Ave., M-85 Santa Ana CA 92703 AU HORIZED REPRESENTATIVE C`~R.UN.., CJ r f moi. C1 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Dealey, Renton & Associates PSOMAS 555 South Flower Street, Suite 4300 POLICY NUMBER Los Angeles CA 90071 CARRIER NAIC CODE EFFECTIVE GATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation or Rights applies to Workers' Compensation policy only as required by a written signed contract prior to any loss occurring. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO 810265M676A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered, A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COVERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LIABILITY COV- ERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT J. PERSONAL EFFECTS K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11 — LI- ABILITY COVERAGE: The following is added to Paragraph c. in AA., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION II — LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement in that "employee's" name, with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness. that person or organization, that is signed and CA T3 53 03 10 © 2010 The Travelers Indemnity Company. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. COMMERCIAL AUTO 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D, EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION Ii — LIABILITY COV- ERAGE: Any "employee" of yours is an "Insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION It — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their house- holds. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (1) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (i i) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or „suit", (Iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C„ Limit Of insurance, of SEC- TION II — LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limit Of Insurance, of SECTION 11 — LIABILITY COVER- AGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the ap- plicable limit of insurance in pay- ments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available Page 2 of 4 @2010 The Travelers Indemnity Company, CA T3 53 03 10 Includes copyrighted material of Insurance Services Office, Inc. with its permission. to the "insured" whether primary, excess contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory Insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of Use Expenses, of SEC- TION til — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. COMMERCIAL AUTO J. PERSONAL EFFECTS The following is added to Paragraph AA., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Effects We will pay up to $400 for "loss" to wearing ap- parel and other personal effects which are: (1) Owned by an "insured"; and (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Effects coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a, If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (o) Any "employee" authorized by you to give no- tice of the "accident" or "loss". CA T3 53 03 10 0 2010 The Travelers Indemnity Company. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc, with Its permission. COMMERCIAL AUTO M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident' or "loss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. Page 4 of 4 02010 The Travelers Indemnity Company. CA T3 53 03 10 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Aw TRAV L J tNaRKEE25CONlENSArioN AND EMPLOYERS LIABILITY POLICY ENOORSEM15NT WC99037S( Ai— POLICY d' UMBER, U66A526643 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA ,BLANKET WAIVER) We have the rght to recover our payments from anyone liable for an Injury covered by this policy. We rhlf not erriw e our right against the person or organization nemaq In the Srha 1u?z . me adoldrinal premium for this endorsement shalt be yrs, of the California worker; bernpensatiort pre. mum. Schedule Person or Organization .lob Ctescriptlon FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER This endorsement changes the policy to which 11 Is attached and is offeolive on the date issued unless otharvise stated. {The infofmstion botew is foquir" Only when this Otdorsernonf is tssuod suhsaquout to proparation of the policy.) Endorsement Effective 10/15/2013-14 Policy No, USBA526643 Endorsement No insured Psomas / ,Premium insurance Company Countersignedby DATA OF ISSUE00/15/2013-14 $T ASSIGN: page 1 of t COMMERCtAL GENERAL LIA611 ITY POLICY NUMBER 63026SM676A ISSUE DATE! 10/15/2013-14 THIS ENDORSEMENT CHANGES THE POLICY< PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS HT OF RECOVERY AGAINST OTHERS TO US his endorsement mod;fiss insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN COW, RACT (if no entry appears above, information required to complete this errdorsement will bs shown in the Oeclarabons as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is emended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of you; ongong operations or .your work" done under a contract with that person or organization and included in the "products- compieted operations hazards." This waiver apps es only to the person or organization shown in the Schedule above. GC, 24 04 1093 Copynghl., Insurance Services Qftice, Inc., 1992 Palle ^. of I COMMERCIAL GENERAL LIABILITY 630265M676A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury'; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such parson or organization. The insurance provided to such additional insured is limited as follows: C. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance This endorsement shall not increase the limits of insurance described in Section III — Limits Oflnsurance. d. This insurance does not apply to the render- ing of or failure to render any "professional services" or construction management errors or omissions. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" and included in the "products- completed productscompleted operations hazard" unless the "written contract requiring insurance" specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additional Insured ap- plies only to such "bodily injury" or "property damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to "other insurance" available to the additional in- sured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible 'other insur- ance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any "other insurance". 3, The following is added to SECTION IV — COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tional insured: a. The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D4 14 04 00 0 2008 The Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. Now, when and where the "occurrence" or offense took place; It. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and IL Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. The additional insured must immediately send us copies of all legal papers received in con- nection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and oth- erwise comply with all policy conditions. d. The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of other insurance which would cover the additional insured for a loss we cover. However, this condition does not affect whether this insurance provided to the addi- tional insured is primary to that other insur- ance available to the additional Insured which covers that person or organization as a named insured. 4. The following is added to the DEFINITIONS Sec- tion: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- age Part, provided that the "bodily Injury" and "property damage" occurs and the "personal in- jury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is r=*'' in effect; and c. Before the end of the policy period. Page 2 of 2 0 2008 The Travelers Companies, Inc. CG D414 04 08 ACC>R& 1771ATE (MM/1111YYVY) CERTIFICATE OF LIABILITY INSURANCE: 1 3/17/2015 THIS CERTIFICATEIS 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 poficy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poficies may reqUire an endorsement, A statement on this certificate does not confer rights to the certificate holder in fleu of such endorsernent(s), PRODUCER CONTACT NAME: Jerry Noyola Greyling Insurance Brokerage 3780 Mansell Road PH9NE (770)552-42251 FAX I fAIC. W)t: (866) 550 -4082 E-MAIL noola@raling.com ADDRESS: Terry ygy, INSURERIS) AFFORDING COVERAGE NAIL # Suite 370 iNSURERA:National Union Fire Ins Co 19445 Alpharetta (3A 30022 INSURED -INSURERB:Travelers Pro2erty CasualLy 25674 INSURER C Psomas INSURER D 555 S. Flower Street INSURER E Suite 4300 Los Angeles CA 90071 INSURER F COVERAGES CERTIFICATE NUMBER:15-16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 'THE INSURED NAMED ABOVE FOR THE POLICYPERIOD 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. INSTRR L TYPE OF INSURANCE ADDL 1i SUER VVVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY — --J CLAIMS,NAADE Fxl OCCUR 2047634 4/1/2015 4/1/2016 -I 1 RENT[ IS DAMAGE 1PREMISES 'E cnce) $ 500,000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual LLata.lity. GENERAL. AGGREGATE $ 2,000,000 N'L AG ;,I GATE LIMITAPPLIES PER –1 PRODUCTS - COMP/0P AGO $ 2,000,000 nGE _] PRO POLICYE'IECT X LOC, $ -F AUTOMOBILE LIABILITY M EDtSINGLE LIMIT ��IN (CEO, d.n� $ 11000,000 BODILY INJURY (Per person) $ A A I ANY AUTO ALL OWNED SCHEDULED ALTOS AUTOS 3814893 4/l/2015 4/1/2016 BODILY INJURY (Pei accident) $ NON -OWNED X HIRED AUTO S AUTOS OS PROPERTY DAMAGE _JE2Laccidentt $ 1 $ UMBRELLA LIA's " — --- OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR FICLAIMS-MADE DED I I RETENJONIi $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN 39901498 (ACS) 4/1/2015 4/l/2016 XI—w7---, T—jG—TH- To 'i I I ER E.L. EACH ACCIDENT" $ 100 ,000 �A CNY PRIROPRUMEMBE�EFOR/PEXARCTNERLUDED?IE)�EC,I,,Jr[VE' FFER (Ma"I Cdatory in NF1) N/A 39901499 (CA) 4/1/2015 4/1/2016 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OIIERATIONS belcw E.L. DISEASE - POLICY LIMI I $ 1,000,000 -- DESCRIPTION OF OPERA"rIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additions Rcnnarks Schedule, if nv>re space is reqeajred) 45AN020100. The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Ins-tareds with respects to General & Automob,'Lle Liability where required by written contract. The above referenced liability Policies are primary & non-contributory where required by written contract. Waiver of Subrogation applies to General Liability & Workers Compensation where required by written Contract. PEUNICE HEREDIA (PG 1 OF 7) SOMAS AGREEMET A-2008-219 R NEVIEWED BY: A SHOW.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, No-ICEWIU- BE DELIVERED IN Ci t, � of Santa Aria ACCORDANCE WITH THE POLCY PROVISIONS, A/ Clark c)f the Ci ty Counc.-Ll AUTHORIZED REPRESENTA,riVE San 20 Civic Center P ' Laza ta Ana, CA. 92702 David Collings/,TEIRRY TGOFTET25 (2010105) 1988-2010 ACORD CORPORATION. All rights r�7 ,sTr7ed, INSOPS onmn,,, m The Arr)Pn n:ximc, %nen Z The acts or omissions of those acting on your behalf', the additional insured insured tinder this endorsement ends when your operations for that additional insured are com- pleted B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to - 1. "Bodily injury", "property damage' or "perso and advertising injury"arlsing out of the rend ing of, or the failure to render, any professio architectural, engineering or surveying s vices, including� a. The preparing, approving, or failing to p pare or approve, maps, shop draujing opinions, reports, surveys, field order change orders or drawings and specific tionsl- or b. Supervisory, inspection, architectural engineering activities. 2. "Bodity injury" or "property damage" occurdt after I a. All work, including materials, parts equipment furnished in connection wi such work, on the project (other than se vice, maintenance or repairs) to be pe formed by or on behalf of the additional 1 sured(s) at the location of the cover operations has been completed; or bThat portion of '�ouf work" out of which th injury or damage arises has been put to A intended use by any person or organizatio other than another contractor or subcontra tor engaged in performing operations for principal as a part of the same project. CG 20 33 07 04 0 ISO Properties, Inc., 2004 PSOMAS AGREEMENT A-2008-219 REVIDNED BY° EUNICE HEREDA (PG, 2 OF 7) M POLICY NUMBER . 2 0 4 7 6 3 4 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILfTY COVERAGE PART SCHEDULE Name Of Additional Insured Person1s) Location And! D �cnflon.-QfCqMletAd 0 Aqra�pLn - s _ AS REQUIRED BY WRITTEN CONTRACT AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section If - Who Is An Insured is amended to designated and described in the schedule of this include as an additional insured the person(s) or endorsement performed for that additional insured organization(s) shown in the Schedule, but only and included in the "prod ucts-comPleted operations with respect to liability for "bodily injury" or hazard." "property damage" caused, in whole or in part, by "your work" at the location 0 ISO Fro 3rertm* Inc,, 2,004 Page I of 1 0 4 V PSOMAS AGREEMENTA-2008­219 REWEWED BY, I" ' e-` EUNICE HEREDA (PG 3 OF 7) M.F.K CG 24 04 05 M WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Py « Name Of Person Or Organization. PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the 41 CO 24 04 05 09 0 Insurance Serv!,Fas OffiqInc_ 2008 Page 1 of 1 0 EUNICE HEREDIA (FIG 4 01' 7) PSON4AS A(�REEMEN'�'A-2008­219 REV�EWED BY: This endorsement, effective 12,01 A.K 4 / 1 / 2 n 5 forms a part of policy No, 3 8 14 8 93 issued to Psomas MARA 0 The coverage and/or limits requited by said contract or agreement. rhr( zed wasenta6veof rM 'Unt nattirs (in States Where A 11 ble 87950 110/05) Page 1 of I Yr, EUNICE HEREMA (PG 5 OF 7) FISOMAS AGREEMENT A-2008-219 REVIEWED B 19-M RIM= Tho OddonM prentim for this andomen*nt shah bo 2. 00 % of the k" astimatOd wOrkers empensation premium for thts pofloy. WC 04 03 61 Counteradry ed by,- - - - - - - (Ed. PSOMAS AGREEMENI A-2008-219 REVIEWED BY� EUNICE HEREDIA (PG 6 OF 7) ACC>J br CERTIFICATE OF LIABILITY INSURANCE lh+...,- """ DATE(MMIDD/YYYY) 1 11/13/2014 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 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 Dealey, Renton & Associates P. O. BOX 10550 Santa Ana CA 92711-0550 CONTACT NAME: PHONE �--"� ���`� .��� No ExtL714-427-6810 714-427-6818 EMAIL _ SURER COVERAGE NAIC # INSURER A :ACE. American Insuran__c_e Company s 22667 INSURED PSOMAS INSURER B: _ PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER C --���- INSURER D INSURER E : INSURER F; COVFRAGFS CFRTIFICATF NIIMRFR° 988144384 01=X11Ic1nKI KII InnRCD• 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. I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER EFF MOLIC YYYY EXP MMY %DDYIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISE jEa occurrence) $ __ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ GENS.. AGGREGATE LIMIT APPLIES PER: POLICY1:1 PRO 0 LOC JECT GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) BODILY INJURY (Per person) $ ANY AUTO SCHEDULED ALL AUTOS UOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE _ Per accident $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ _ $ WORKERS COMPENSATION I PER I OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Li N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under ---- — E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability Claims Made 623638381006 10/15/2014 10/15/2015 Per Claim $1,000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 Day Notice of Cancellation/10 Day notice for Non -Payment of Prem 2SAN050900; On -Call Engineering and Landscape Architecture Services; Executed Agreement No. A-2008-219. 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design PSOMAS AGREEMEN N A-2008-219 REVIEWED BY: UNICE HEREDIA PG 1 OF 7)y 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Clerk of the City Council 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 I 4A,,. @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AIc"R& CERTIFICATE OF LIABILITY INSURANCEDATE(MMiDDNYYY) �.....-1 11/13/2015 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 be endorsed. If SUBROGATION I5 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, Greyling Insurance Brokerage 3780 Mansell Road Suite 370 Alpharetta GA 30022 CONTACT.. No ole NAME: Y Y PHONE(770)552-4225 41CNa:AX (866)556--4082 E -MAIM na o1a@ re lin ADDRESS:Jerry • Y g Y g. com INSURER S ) AFFORDING COVERAGE NAIL td INSURERA;National Union Fire Ins Co 19445 INSURED P s oma s 555 S. Flower Street Suite 4300 Los Angeles C.A. 90071 INSURER B INSURER C INSURER D IN'...SURER E: INSURER F: COVERAGES C'ERTIFICAT'E NUMBER -15-16 REVISION NtIMBPR'. 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. PNSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IMM DDNYYY POLICY EXP MMIDDJIYYYI OMITS Santa Ana, CA 92702 GENERAL LIABILITY David Collings/JERRY EACH OCCURRENCE $ 1 , 000, 000 A X COMMERCIAL GENERAL CLAIMS-MAOFIAOCCUR 0417634 4✓1./2615 4/1/2016 MA T. $ 500,000 PREMI E E, .._ tnep�son..). '....$.... 25,000 MED EXP ((Anyone person) PERSONAL 8 ADV INJURY S 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG '. $ 2,000,000 POLICYX PRO-JECT i{ LOC. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per per $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 3814893 4/1/2015 4/1✓2016 .. BODILY INJURY (Per accident) $ X NON -OWNED X HIRED AUTOS AUTOS PROPERTY DAMAGE $ r.Peraccident) $ UMBRELLA LI�AB FCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE. $ EXCESS LIAR OED I I RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNE.R/EXECUTIIVEE.L. DFFICERAJEMBER EXCLUDED" � (Mandatory inNHl NPA 39901498 (AOS) 39901499 (CA) 4/1%2615 4/1%2015 4/1✓2016 4/1/2016 WC STATU- OTH - ,TORY LIMrp EACH ACCIDENT $ 11000,000 ... ._ E.L. DISE- EAFMPLOYE'$ 11000,000 If yes, describe under "— DFSCRIPTION OF OPERATIONS helow E.L. DISEASE - POLICY LIMIT '... '$ 1,000,000 i _ -.. DESCRIPTION OF OPERATIONS I LOCATIONS C VEHICLES (Attach ACORD 181, Additional Remarks Schedule, if more space is required)2SAN051100, Agreement NOS, A-2008-219 & A-2015-167; City of Santa Ana. On—Cali Engineering Services 14-437. The City of Santa Ana (20 Civic Center Plaza, Santa Ana, California 92701) it officers, employees, agents & representative are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are, primary & non-contributory where required by written contract. Separation of Insureds applies to the General Liability Policy. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be CERTIFICATE HOLDER CANCELLATION ACORD 25 (2410105) N Srb2.ri Ian nnSl ni @ 1988-2410 ACORD CORPORATION. All rights reserved. Tl+a Af`r1Rll mama nnrt Innn mra ra+niatcarr,rl —i— nff ar npn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. PWA—Design Engineering AUTHORIZED REPRESENTATIVE Monica M. Suter, PE, "lTE , PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 David Collings/JERRY ACORD 25 (2410105) N Srb2.ri Ian nnSl ni @ 1988-2410 ACORD CORPORATION. All rights reserved. Tl+a Af`r1Rll mama nnrt Innn mra ra+niatcarr,rl —i— nff ar npn CERTIFICATE OF LIABILITY INSURANCE DATE(MM6DDl'YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE, AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 11/12/2015 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 DOMES 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 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: Dealey, Renton & Associates PHONE 714-427-6810 Fax 714-427-68'18 License #0020739 =LE rlee deals renton.00m � y �. O. BOX 1 0550 INSURERS AFFORDING COVERAGE NAIL # Santa Ana CA 92711-0550 INSURER A:ACE American Insurance Company 22667 INSURED PSQ'l'v°1AS INSURER B: PSOMA S INSURER C 555 South Flowerer Street, Suite 4300 Los Angeles CA 90071 INSURER D INSURER E: INSURER F ; GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY F7 JECT JECT D LOC COVERAGES CERTIFICATE NI1MRFR- 910959488 Irl=vrcrnlu MI IRAraIP-o- THOS 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 TYPE OF INSURANCE. ADDLSUBR IN'.SD WVD POLICY NUMBER POLICY EFF MMJDOIYYYY POLICY EXP MM1D0fYYYY. LIMITS COMMERCMAL GENERAL LIABILITY CLAIMS -MADE F OCCUR EACH. OCCURRENCE- $ DAMAGE TO RENTED PREMISES (Ea occurrence)$ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY F7 JECT JECT D LOC GENERAL AGGREGATE PRODUCTS - COMPIOP AGG $ OTHER: AUTOMOBILE. LIABILITYO aecldeD C INLE LIMIT $ ANY AUTO BODILY INJURY (Per person} AUTS OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOSAUTOS PROPERTY DAMAGE :Per accidenl. $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED '...... I RETENTION$ $ WORKERS COMPENSATION '�.. PER DTH- AND EMPLOYERS'LIABILITY Y d N STATUTE ER F.L. EACH ACCIDENT $ ...... ANY PROPRIET4yWPARTNERI'EXECUIrI'�+E OFFICERWEMBER EXCLUDED? LJ N d A F.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) 11 yea describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PralesslnnalLilability Claims Marie 6236383811007 1011512015 10/15/2016 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS C LOCATIONS I VEHICLES (ACORD 101., Additional Remarks Schedule, may be attached if more space is requdred) 30 Day Notice of Cancellation/1 0 Day notice for Non -Payment of Prem 2SAN051' 100, City of Santa Ana On -Cali Engineering Services 14-037. Agreement No.'s= A-2008-219 and A-2015-167 lT�?III °li t it I� -i6IIC Qlb Ri 1111 /I °I 1 C.L CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, PWA -Design Engineering ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Monica M, Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 ' ice"'" '�"`" J �k 01 P Q9 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE This endorsement, effective 12-101 A,M, 04/01/2015 forms a part of policy No, GL 2o4-76-34 issued to PSOMAS I'll 1 0 1 III I Wlil 1 00' 001 This endorsement modifies insurance provided under the following, - COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is arnended by the addition of the following: However, coverage under this policy afforded to an additional insured will apply as primary insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. 74434 (101199) Adthorized Re resenta—tive -o-r--' kza'w RZIEVIEVVED B')(: i4l" , "'I." EUNICE I IIII RIEDIA POLICY NUMBEM GL 204-,7( - 34 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. HIM "131120:11 &ILW, kTJJFA 1-7=11TA 013VOIL011 tjoklil"q REW Roil #10 1*0112,1,iOkoilt I► This endorsement modifies insurance provided under the following: A. Section 11 - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an adclk tional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising iniury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on Your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1, Only applies to the extent permitted by law; and 2. Will riot be broader than that which you are required by the contract or, agreement to provide for such additional insured. A person's or organization's status as an addi- tional insured under this endorsement ends when your operations for that additional insured are completed. B, With respect to the insurance afforded to these additional insureds, the following additior4 ex- clusions apply: This insurance does riot apply to: "Bodily injury", "property damage °" or ,"personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: CG 20 33 04 13 a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural of engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrong- doing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which Caused the "bodily in- jury" or "property damage"", or the offense which caused the "Personal and advertising injury", involved the rendering of or the faiiure to render any professional architectural, engineering or surveying services. 2. "BodRy injury" or "property damage" occurring after: a. All work, inciuding materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your worl<" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project, C, With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 0 Insurance Services Office, inc- 2012 Page 1 of 2 0 REVIEVVED RY� EUi\1R_E i ff-',R'DkA (IDC'f _of 1, Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations, - whichever is less, This endorsement shall not increase the applicable Limits of Insurance shown in the DecIarati:lons. ID insurance Services Office, Inc., 20 CG 20 33 04 13 0 M.-ViEVVED BY ' / �� - I. iJNV"1E HE FREMA (f`G POLICY NUMBER: QL 204-76-94 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name 0 Insured Person1s) Or Organization(s) Location, And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHO YOU BECOME OBLIGATED TOINCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO Information required to complete this Schedule, if not shown above, will be shown in the Dec�arations. A. Section U ' Who Is An |nmmnad is amended to which you are required by the contract or inc|wdmaounadditional insured the m`,son<s}or agreement to provide for such additional organization(s) shown in the Schedule, but only insured. Wth respect to |iahNicv for "bodily injury^ or B. With respect to the insurance afforded to these "property daone9o` oeunod' in whole or in part, additional insureds, the fuNowimg is added to by "your work" at the |noarioo designated and Smohnm O| Limits OfInsurance: described in the Schedule of this endorsement If oow*ra0o provided to the additional insured is performed for that additional insured and included in the .pmdoocn-oomp|e�d operations we by a contract or eqrcom*nt^ the most m= wiD pay on behalf of the additional insured hazard". iothe amouruofinsurance; However 1. Required by the contract or agreement; o, 1. The insurance afforded to such additional 2. Available under the eppUcnWo Limits of |nou- inaured only applies to the extent permitted rmnce shown in the Deo�aroti�no' by law; and ' 2. If coverage provided ,o the additional whichever less. insured is required by e contract o/ agree- This endorsement ahuM not increase the appk' meot. the insurance afforded to such addi' cable Limits of Insurance shown in the Doc|a- dona| insured will not be broader than that rations. ` CG2037O413 Insurance Services Office, Inc., 2012 _ Page 1 of 1 [� RB8EVVBE) ^41'' ��4�r �`~ ENN|CEHEIREDi�(P(-)_�OF�� Policy Number: 2047634 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �j i fAJ *1*14 A A JIM 1:44 ;fll This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A, Section 11 — Who Is An Insured is amended to include as an additional insured!, any person or or- ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf-, in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are com- pleted. CG 20 33 07 04 B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply. This insurance does not apply to: 1 "Bodily, injury", "property damage" or "'persona's and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying ser- vices, including: a. The preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed; or lb. That portion of "your work" out of which the injury or damage arises, has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. C 130 Properties, Inc., 2004 Page I of 1 C3 REVEVVED EPe- ELRi',flC,E'r HERED[A POLICY NUMBER: 2047634 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization (s): Location And Description Of Completed dL7perati'ons AS REQUIRED BY SJR lTTEN CONTRACT AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by .your work" at the location CG 20 37 07 04 designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard."" 0 ISO Properties, Inc.,2004 Rt­r:r'rME'/V[.".1) BI(: Page 1 of 1 0 Client#: 25181 PSOMAS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TYPE OF INSURANCE 4/27/2016 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 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 NAMEACT Jerry Noyola Greyling Ins. Brokerage/EPIC PHONE 770-552-4225 FAX , No): 866-550-4082 {AIC, No, Ext): A/C 3780 Mansell Road, Suite 370 E-MAIL no re IIn ADDRESS: errY Yola @9 Y g•com Alpharetta, GA 30022 MED EXP (Any one person) $25,000 877 908-5619 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co of P 19445 GENERAL AGGREGATE $2,000,000 INSURED INSURER B Psomas AUTOMOBILE X _ X 555 South Flower Street; Suite 4300 INSURER C: Los Angeles, CA 90071 INSURER D: 04/01/201 COMBINED SINGLE LIMIT 1 000 000 Ea accident $ INSURER E: INSURER F: PROPERTY DAMAGE $ Per accident COVERAGES CERTIFICATE NUMBER: 16-17 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER POLICY EFF POLICY NYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE o OCCUR X Contractual Liab. 5268212 04/01/2016 04/01/2017 EACH�OCCURRENCED $1,000,000 PREMISES Eaoccurrrence $500,000 MED EXP (Any one person) $25,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY xI JECT Fx—I LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2,000,000 $ A AUTOMOBILE X _ X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 4489706 04/01/2016 04/01/201 COMBINED SINGLE LIMIT 1 000 000 Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FNI (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/ A 015893764(AOS) 015893765 (CA) 04/01/2016 04/01/2016 04/01/201 04/01/2017 X PTR OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN051100 & 4SAN020200; Agreement Nos. A-2008-219 & A-2015-167; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required -by writteJl contract (See Attached Descriptions) fid O�IE::VOIk 117' 6ll�i;l NAL 11 l�l�� o�(., 7r City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-21 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S481473/M457630 JNOY1 POLICY NUMBER: 5268212 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. . 01 0 0 11 . D 0 1 M Well) MAX"o]W=091 M I N 4 :11:4 UP] This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHO YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; 2. If coverage provided to the additional whichever is less. insured is required by a contract or agree- This endorsement shall not increase the appli- ment, the insurance afforded to such addi- cable Limits of Insurance shown in the Decla- tional insured will not be broader than that rations. CG 20 37 04 13 �' Insurance Services Office, Inc., 2012 Page 1 of 1 f4ZEViEWE D i:SY-,;,,� ,„�, �� ,�° � E lJN1(.,E: I-fERE-:DDA (w:G , o POLICY NUMBER: 526*212 COMMERCIAL GENERAL LIABILITY CG2V330413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided Linder the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section U ' Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed inwriting inocontract or agreement that such person or organization be added as on additional insured on you/ policy. Such person or organization is an addi- tional insured only with respect to liability for "bodily injury", "property damage" o, "personal and advertising injury" ^avand, in vvho|a or in part' by: 1. Your acts ormmiosions or 2. The acts o, omissions of those acting on Your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an addi- tional insured Linder this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded tothese additional insureds, the following additional ex- clusions This insurance does not apply to: "Bodily injury", "property damage" o, ^ personal and advertising injury" arising out of the rendering of, or the failure to render' any professional architectural, engineering or surveying services, including: a. The umpahnQ' approving, o, failing to prepare or approve, maps, shop drawings, opiniona, epoon, aumoya' field orders, ohmnQo orders o, drawings and specifications; or b. Supervisory, inspection, arohiteczural or engineering activities. This exclusion applies even ifthe claims against any insured allege negligence or cxha, wrong- doing in the supervision, hiring, employment, training or monitoring of others bythat insured, if the "ocnu,ronoo°which caused the "bodily in- jury" o/ ''property damage", or the offense which caused the "Personal and advertising injury", involved the rendering of or ,he failure to render any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts o, equipment furnished in connection with such work, on the project (other than aemioa' maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out ofwhich the injury o,damage arises has been put to its irumnUad use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part mfthe same project, C. With respect to the insurance afforded to these additional insureds, the following is added to Section Oi ' Limits Of Insurance: The most we will pay on behalf nfthe additional insured is the amount ofinsurance: 0 Insurance Services Office, Inc- 2012 REV�EVVED8Y� ^/~/ ' L, EUPJ/CEHEREDIA (PG VOF ?. Required by the contract or agreement you have entered into with the additional insured; o, 2. Available under the applicable Limits of Page 2 of 2 Insurance shown in the Declarations; whichever is less. This endorsement nheU not increase the applicable Limits of Insurance shown in the Declarations. 0 Insurance Services Office, Inc., 2012 CG 20 33 04 13 0 yK�q Client#:25181 PSOMAS ® e"" CO ■®T. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/22/2017 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 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 NAMEACT Jerry Noyola Greyling Ins. Brokerage/EPIC I PHONE (A/C, No Ext): 770-552-4225 (FAX, 3780 Mansell Road, Suite 370 E-MAIL (A/CNo) : 866-550-408_2 SS: jerry.noyola@greyling.com Alpharetta, GA 30022 INSURED Psomas 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins. Co. _19445 INSURER B INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER! 17-1R RFVISInN NIIMRFR- 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL5268212 D4/01/2017 04/01/2018 EAACCH OCCURgRENCE $1,000,000 PREMISES Ea.cc"n.nce $500,000 MED EXP (Any one person) s25,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- '.. POLICY I X.I JECT X LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X''... ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS X HIRED AUTOS NON -OWNED AUTOS CA4489706 D4/01/2017 04/01/2018 COMBINED SINGLE LIMIT Ea accident 11,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR „EXCESS LIAB HCLAIMS-MADE DED I RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? A(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC015893764 (AOS) WC015893765 (CA) 4/01/2017 4/01 /2017 04/01/201 04/01 /201 X STAT T OTH- _ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN051100 & 4SAN020200; Agreement Nos. A-2008-219, A-2015-167, A-2017-114 & A-2014-224 ; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required written (See Attached Descriptions) REVIEWED BY:°"" EUNICE HEREDIA (PG70 ) r�.L•�e.�a.i City of Santa Ana Public Works Agency 20 Civic Center Plaza, M-21 Santa Ana, CA 92702 ACORD 25 (2014/01) 1 of 2 #S812646/M691546 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5iffe1 it POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsernent modifies insurance provided under the following: COMMERCIAL. GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is amended to include as an additional insured any person at, organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an addi- tional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of Your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an addi- tional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This insurance does not apply to; 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, Or the fal]LJI'(,' to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, reaps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This eXCILISiOr) applies even if the claims against any insured allege negligence or other wrong- doing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily in. - jury" or "property darnage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services, 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or eqUiprnent furnished irl connection With such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of *'Your work" out of which the injury at damage arises has been put to its intended use by any person or organization Other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: CG 20 33 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 a REVIEWED BY: EUN ECE HEREDIA (PG 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Lit -nits of Insurance shown in the Declarations, Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 33 04 13 0 REVIEWED BY. NlCE HEREDIA (P POLICY NUMBER: oL5268212 COMMERCIAL GENERAL LIABILITY oG2037V413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s), Location And Description Of Completed Operation s AN 11�rmation required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Svp*pn U ' Who Is An Insured is amended to include as an additional insured thnppmoo(s) or organization(s) shown in the Schedule, but only with ,ompeu to liability for ^bndUv injury" or ^ property damage" caused, in whole o, in part' by "your work" at the location designated and described in the Sohodo|a of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw, and 2. If coverage provided to the additional insured is required by m contract or agree- ment, the insurance a#un1ud to such addi- tional insured will not be broader than that which You are required by the contract or agreement to provide for such additional insured. B.With respect mthe insurance afforded to these additional insureds, the following is added to Section U| - Limits OfInsurance: If coverage provided to the additional insured is required by a contract o, agreement, the most we will pay on behalf of the additional insured isthe amount Winsurance: 1. Required by the contract o, agreement; or 2. Available under the applicable Limits of |nau- ,anceohowm in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. CG 20 37 04 13 9F Insurance Services Office, Inc., 2012 Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.K8,«w»1xa1r forms mpart of policy No. GL5268212 issued to PSOMAS by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, Pk THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies insurance provided undn the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section |&( Commercial General Liability Conditions, paragraph 4.. Other |nsuramoe, subparagraph o. Primary Insurance, is amended bythe addition ofthe fd|owimJ� However, coverage under this policy afforded to an additional insured will apply as primary insurance where required by contract, and any other insurance issued tosuch additional insured shall apply ooexcess and noncontributory insurance, 74434(10/89) Cou ntersi nature (in States Where Applicable � LREVIE ED ( ^ This page has been left blank intentionally. REVIEWER BY: "° EUNICE HEREI�IA ����^ This page has been left blank intentionally. 1, ell REVIEWED BY: EUNICE HEREDPA AQ �a CERTIFICATE OF LIABILITY INSURANCE DATA MMIDDIYYYY) 1 4/5/2017 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(les) must 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 ONTACT Dealey, Renton & Associates License #00207391AIQ P. 0. Box 10550 PHONE . 714-427-6810 FAX 714-427-6818 t1.): EMAIL rise@dealeyrenton.com Santa Ana CA 92711-0550 INSURERS AFFORDING COVERAGE NAIC # INSURERA:ACE American Insurance Company 22667 INSURED PSOMAS INSURER 9: PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER C: INSURER D ; INSURER E: INSURER F : COVERAGES CERTIFICATF NUMRFR- 1718609535 RFVICIPIN NIHMIRFR, 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. IST R TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY MID Y� POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LIOCCUR EACH OCCURRENCE $ DAMAPREM 0 NTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: P 0 U c Y 7 PE Q 7 LOC GENERAL AGGREGATE $ PRODUCTS - GOMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY MBINEDIN T $ Ea accident BODILY INJURY (Per person) $ ANY AUTOgg ��{{ pp AUTOS NED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS AUTOS NED AUTOS ; PROPERT DAMA Per accident $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH. SIMUTE E E,L, EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yesdescribe under DEnRiPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Claims Made G23638381008 10/15/2016 10/15/2017 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 30 Day Notice of Cancellation/10 Day notice for Non -Payment of Prem 2SAN051100, Agreement #A-2008-219 and #A-2015-167, City of Santa Ana On -Call Engineering Services 14-037, REVIEWED BY: ""EUNIGE HEREDIA (PG OF6 ) CERTIFICATE HOLDER CANCFI I_ATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana, PWA -Design Engineering Attn: Monica M. Suter, PE, TE, PTOE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-36 Santa Ana CA 92702 AU HORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD Client#: 25181 PSOMAS ACORDTM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, 03/27/2018 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(les) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Katie Kresner Greyling Ins. Brokerage/EPIC PH" Nr o, FAX :866.550.4082 Ext 770.552.4225 (AIC, No 3780 Mansell Road, Suite 370 E-MAIL ADDRESS: Katie. Kresner@greyling.CO mi Alpharetta, GA 30022 04/01/2019 EACHOCCURRENCE $1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins. Co. 119445 INSURED INSURER B: Psomas 555 South Flower Street; Suite 4300 INSURER C: Los Angeles, CA 90071 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X� COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR GL5268212 4/01/2018 04/01/2019 EACHOCCURRENCE $1,000,000 PREMISES (ERENTED occur ence $500 000 MED EXP (Any one person) s25,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X JECOT � LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE XI LIABILITY ANY AUTO CA4489706 4/01/2018 04/01/201 EOaaacdeDt51NGLELIMIT 1,000,000 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per idt $ accen) X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTUTE ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A WC015893765 (CA) WC015893764 (AOS) 4/01 /2018 4/01/2018 04/01 /201 04/01/201 X PTR OTH- ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN050900; Agreement No. A-2008-219: On -Call Engineering & Landscape Architecture Services; Executed Agreement #A-2008-219 & 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design. The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Primary & Non -Contributory coverage applies. Waiver of Subrogation applies to General Liability & Workffj Compensation where required by written contract. REVIEWED BY: 1 EUNICE HEREDIA (PG J OFJ; City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-0000 ACORD 25 (2016/03) 1 of 1 #S1033018/M1032607 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4W. ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 Client#: 25181 PSOMAS ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMnar9yf1n•1 I ninY11 a THIS CERTIFICATE IS ISSUED ASA 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(les) must have ADDITIONAL INSURED provlslons 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CCT N Katie Krasner Greyling Ins. Brokerage/EPIC Exl 770,552.4225 A/c No; 866.550.4082 3780 Mansell Road, Suite 370 MAL ADDRESS: Katle.Kresner@grsyling.com Alpharetta, GA 30022 INSURERS AFFORDING COVERAGE NAIC # 04101/201 INSURER A: Nn11onN Unlon Fire Ins. co. 19445 PREMISEES ELATE De . $500,000 500 000 INSURED Psomas INSURER e INSURER C.. 555 South Flower Street; Suite 4300 INSURERD: Los Angeles, CA 90071 INSURER E: A INSURER F: LIABILITY ANY AUTO AUTO& ONLY X AUT09U�D HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. L'IR TYPE OF INSURANCE INSR y VD POLICY NUMBER PMILKS (0 0% LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR GL5268212 0410112018 04101/201 EACH $1000000 PREMISEES ELATE De . $500,000 500 000 MED EXP (Anyone person) $25 OOO PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JPEC O LOC OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGO $2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO AUTO& ONLY X AUT09U�D HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CA4489706 4/01/2018 04/01/2019CO eccldeDlS N LE L M T $1,06,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accldenl) $ PROPERTYDAMAGE $ Per accident S UMBRELLA LIAROCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROpRR ETOoRlPAR7NERlEXECUTIVE Y IN OFFICE RPNI�MBEREXCLUDED? ON (Mandatory In NH) Il yyes describe under DESGLRIPTION OF OPERATIONS below NIA WC015893765 (CA) WC015893764 AOS (AOS) 4/01/2018 4!0112018 0410112019_X_jjLUM 041011201 I ER OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE • EA EMPLOYEE $1,000.000 E.L. DISEASE -POLICY LIMIT 1$1,000,000 REVIEWED BY: EUNICE HEREDIA (PG F DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be alteched If more apses Is required) 4SAN020200; GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, Its officers, employees, agents, volunteers & representatives are named as Additional Insureds with respects to General Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written contract, Waiver of Subrogation is applicable where required by written contract & allowed by law. Should any of the above (See Attached Descriptions) City of Santa Ana Public Works Department Trevor Burgan 20 Civic Center Plaza Santa Ana, CA 92702.0000 ACORD 25 (2016103) 1 of 2 #S1033021/M1032607 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A54W. ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 Client#: 25181 PSOMAS ACORD.CERTIFICATE OF LIABILITY INSURANCE D Q:3127IDDIYYYY) 3127f201 R 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(les) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Grayling Ins. BrokeragelEPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 W111ACT Katie Kresner NAMEPIF MESE 77Q 552.4225FAX A1c o E>tt; AfC Ne; 866.550.4082 EMAIL.ADDRESS: Katle.Kresner@greyling,com INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A ; National Union Fire Ina, co. 1944.51 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR INSURED Psomas INSURER B INSURER C; 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER D: INSURER E INSURER F: MED EXP (Any one person) s25,000 COVERAGES CERTIFICATE NUMBER: 18-19 RFVISIArd Nt1MRFR- 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 CONTRACTOR 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. 1 LTR TYPE OF INSURANCE INSR 9wVQUBR POLICY NUMBER POLICY YIYEEFF PIMM /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR GL5268212 0410112018 04/01/2019 EACHOCCURRENCE $1,000.000 PREMISES Ee o�urrenoe $500,000 500 000 MED EXP (Any one person) s25,000 PERSONAL&ACV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- OLICY � JECT � LDC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG s2,000,000 $ A AUTOMOBILE Ix LIABILITY ANYAEEUTO AUTO60ONLY X SCHEDULEDBODILY I AUTOS AUTOS ONLY AUTOS ONLY CA4489706 0410112018 0410112019 EOMBIN EDtSINGLE LIMIT 1,000,000 BODILY INJURY(Par person) $ INJURY Per accldenl $ ( ) PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNY f NE OFFICERIMEMBER EXCLUDED? 7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC01(} 5893765 CA WC015893764 (AOS) 410112018 4/0112018 04101!2019 04/01/2019 I PER SIALTUTE OTH- X E.L, EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000.000 REVIEWED BY: EUNICE HEREDIA (PG 3OF DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 161, Addlllonal Remarks Schedule, maybe attached If more space is required) 28AN051100 & 4SAN020200; Agreement Nos. A-2008-219, A-2015-167, A-2017-114 & A-2014-224; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written (See Attached Descriptions) CERTIFICATE HOLDER rnNI rl I ATInKl City of Santa Ana Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-21 AUTHORIZEDD REPRESENTATIVE Santa Ana, CA 92702.0000 I 04W. ACORD 25 (2016103) 1 of 2 #S1033020IM1032607 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 .� ME ac� emr— 16�i� ACCAR "0 CERTIFICATE OF LIABILITY INSURANCE 9/18/2017 Dnvvv) 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 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 Dealey, Renton & Associates Lic. #0020739 P.O. Box 10550 CONTNAME: Robin Lee PHONE FAX . 714-427-6810 .?14-427 6818 EMAIL , rlee@dealeyrenton.com AbDRESS INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURERA:XL Specialty Insurance Co. 37885 INSURED PSOMAS INSURER B: CLAIMS -MADE � OCCUR PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 _ INSURERC: INSURER D: DAMAGE( RENTED PREMISESSEa occurrence) $ MED EXP (Any one person) $ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10712960 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE � OCCUR DAMAGE( RENTED PREMISESSEa occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ AUTOWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTR - I I AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNCUTIVE ❑ OFFICER/MEMBER EXCLUDED?DED? NIA REVIEWED BY: EUNICEHEREDIA PG OF � ENT $ (Mandatory in NH) - LA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN410111; Walnut Pump Station Upgrade Project / Agreement NO.= A-2014-224 GtK l ll-IGA l t MULUtF( L;ANGtLLA I IUN OU LJdy INUILI :e UI k dncend UUn City of Santa Ana Attn: Rudy Rosas 220 S. Daisy Avenue, M-85 Santa Ana CA 92703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AC40RDI CERTIFICATE OF LIABILITY INSURANCE DATE(MMroD/YYYY) 1/412018 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(les) must 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). PRODUCERCONTACT •-- Dealey, Rentor/ & Associates — License #0020739 P..0. Box 10550 Santa Ana CA 92711-0550 NAME: - PHONEAX . 714-427-6810('Ale,No : 714-427-6818 _ ADDARESS: riee@dealayronton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Co. 37885 INSURED PSOMA9 PSOMAS INSURER B 555 South Flower Street, Suite 4300 INSURERC: INSURER D: Los Angeles CA 90071 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1619397522 REVISION.NUMBER: THIS IS TO C.F_RTIFY 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. ILSRR OF INSURANCE ADDLITYPE iNgn wvn SUER POLICY NUMBER MMIDD/YYYF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE F]OCCUR DA A TO RENTEU--- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $ POLICY ❑ JECT El LOG PRODUCTS - COMPIOP AGG $ $: OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Pe accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEENT OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N/A STATUTE I I ER -$ _ REVIEWED BY: EUNICE HEREDIA(PeSOF' EMPLOYE $ 4 Ues describe under SGtRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT 1-s A Professional Liability Claims Made DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachad If more space Is required) 2SAN051200, Engineering Design Services For Rehabilitation Of City Well 29, SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation. VCI[ I IrIVA 1 G rIVLUCR 6ANUIZI_I_A I IUfv JU uaV Nonce or uancenavon City Of Santa Ana 20 Civi Center Plaza (M-21) Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUYHORIZED REPRESENTATIVE h l.rsa. J k Cv, fD (019BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD A� Rte® CERTIFICATE OF LIABILITY INSURANCE 9/18/2017TE(MMI D"Y") 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 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 Dealey, Renton & Associates Lic. #0020739 P.O. Box 10550 CONTACT ONTALee CT Robin Robin PHONE 27-6810 FAX N :714-427-6818 E-MAIL . rlee Beale renton.com @ Y INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURERA:XL Specialty Insurance Co. ,37885 INSURED PSOMAS INSURER B : PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER C : INSURER D : CLAIMS -MADE El OCCUR INSURER E: INSURER F: CAVFRArFR CFRTIFICATF NI IMRFR• 1948540543 DF\/ICInM IIHRARCD- 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM% POLID/YYY EXP MMIDDYIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY F] PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY MBINFD SINGLE LIMI I$ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED (AUTOS AUTOS BODILY INJURY Per accident $ ( ) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Claims Made DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 2SAN050900; On -Call Engineering and Landscape Architecture Services; Executed Agreement No. A-2008-219. 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design REVIEWED BY: EUNICE HEREDIA (PG 4,O)F/ I,MKI Ir'It.AIG 11ULUr-K GANIa LLAI IUN JU Uay IVUuce UI uarlcellaLlan City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL. LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than CG 20 10 04 13 that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 0 Insurance Services Office, Inc., 2012 Page 1 of 2 ❑ —11 REVIEWED BY: EUNICE HEREDIA (P41 OF J C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. A Insurance Services Office, Inc., 2012 CG 20 10 04 13 REVIEWED BY: EUNICE HEREDIA (PG OF POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY 'PERSON OR ORGANIZATION'WHO YOU PER THE CONTRACT OR AGREEMENT BECOME• OBL I.GATED • TO I NCLUDE ' AS .AN ADDITIONAL INSURED AS A RESULT OF ANY 'CONTRACT OR AGREEMENT YOU HAVE ENTERED;INTO �i."�iF.'�_�. ��.'iYf3t?S�ji��4$ii,w. �tj'`Y�:;>•,J�'err�{;ji: i.:• Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that CG 20 37 04 13 which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. 0 Insurance Services Office, Inc., 2012 Page 1 of 1 ❑ REVIEWED BY: EUNICE HEREDIA (PG IOF 1�,% BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 4/1/2018 Issued to PSOMAS forms a part of Policy No. IWC015893765 ByNATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone IiC!ble for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. we040a61 (Ed. 11/90) Countersigned by Authorized Representative REVIEWED BY: EUNICE HEREDIA (PG dOFIS POLICY NUMBER: GL5268212 COMMERCIAL QENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANYR£R$ORZ pt:`tJttI3AN IAT31 i7NI IVNO?SYUU PER THE CONTRACT OR AGREEMENT I36f10M f~FC'f�$I�Iit�1lR$t���Iq�PNO'I�UDEi�AiS�i'I�N Ar315'C�iaGptJ?�tS�3'I�N�ORRI���1S�eA=.RESULfi::"OF AN`t'�`aGdTJ7 t�AYLT��fJR'�IFORB R�S!«N'>It*YOU HAV��B�J>I�gR�Cf„ It"N�'f) !-.'_'1.,.4��t�"dd,�z9afi�ri>;?'?�^�r>1k'�!':..%4 �"iH't�.Y"•EI t.1,.ttl.�fitr�i�,�,'r,•. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional Insured the person(s) or organizations} shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard", However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Inau- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown In the Decla- rations. CG 20 37 04 13 OF Insurance Services Office, Inc., 2012 Page 1 of 1 0 REVIEWED BY: EUNICE HEREDIA (PGJJ OF ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2018 forms a part of policy No. CA4489706 issued to Psoinas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. SECTION 11 - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. 87950 (10/05) Alfthorized Representative or Countersignature (in States Where Applicable) Page 1 of 1 REVIEWED BY: EUNICE HEREDIA (PG/20F I3 ENDORSEMENT This endorsement, effective 12:09 A.M. 04/01/2018 forms a part of policy No. GL5268212 issued to PSOMAS by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REACT IT CAREFULLY ADDITIONAL INSURED • PRIMARY INSURANCE This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, Subparagraph a. Primary Insurance, Is amended by the addition of the following; However, coverage under this policy afforded to an additional insured will apply as primary Insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory Insurance, ME WN �... Com. A thorized Representative or— Counterslnature (in States Where i 74434 (90199) Applieablel REVIEWED BY: EUNICE HEREDIA (PG( F/3