Loading...
HomeMy WebLinkAboutECONOLITE TRAFFIC ENGINEERING AND MAINTENANCE, INC. (AEGIS, ITS) (2)-2009A-2009-124-001 ? I CD IlX tf F ? _ 24 -(o FIRST AMENDMENT TO AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on December 15, 2009, by and between Econolite Traffic Engineering and Maintenance, Inc. ("Consultant") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS: A. The parties entered into that certain Agreement A-2009-124, dated August 17, 2009, (hereinafter "said Agreement") by which Consultant has provided maintenance on the citywide traffic signal system and street light system. B. Inadvertently an incorrect fee schedule was attached as Exhibit B to said Agreement. In accordance with the terms and conditions of said Agreement, the parties wish to amend the said Agreement to confirm the correct fee schedule. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section 2, COMPENSATION, shall be amended to delete the Fee Schedule attached as Exhibit B, and replace it with the correct Fee Schedule, attached hereto as Exhibit B-1, and incorporated by this reference. Said Fee Schedule shall be in effect as of the effective date of said Agreement. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: CITY OF SANTA ANA MARIA D. 14UIZAR L Clerk of the Council DAVID N. REAM City Manager APPROVED AS TO FORM: SEP 4 W. FLETCHER City Attorney ECONOLITE TRAFFIC ENGINEERING RECOMMENDkD FOR APPROVAL AND MAINTENANCE, INC. RAUL GODINE RODN ATHI Executive Director - PWA President EXHIBIT B-1 FEE SCHEDULE Addendum No. 1 July 9, 2009 FEE PROPOSAL AND CONTRACT AGREEMENT Fee Proposal The undersigned declares that he/she has carefully examined the location of the proposed work that he/she has examined the Plans and Specifications and read the accom , panying instruction to BIDDERS, and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any), specifications and special provisions for the unit price(s) or lump sum(s) set forth in the following schedule: , 1. Routine Maintenance A. Monthly Service Item # Bid Item Unit uanti Unit Price Sub-Total monthl month] I. Traffic Signal EA 284 $ ? $ 4 i3 2 Pre-timed Flashing Beacon EA 5 $ 3 5 $ 3 Activated Flashing Crosswa"eacons EA 7 $ 3 5 $ ay c? 4. 2500 Lumen Lamp EA 369 $ 3a°? $ 43-15 5. 6000 Lumen Lamp EA 6 $-(4, L40 to L4 0 B. Quarterly Service Item # Bid Item 6. Closed Circuit Television System C. Alternate Routine Item # Bid Item la. Traffic Signal 2a Pre-timed Flashing Beacon 3a. Activated Flashing Crosswalk/Beacons Unit uanti Unit Price uarterl EA 52 $?05 Maintenance - Bi-Monthly Unit Quantity EA 284 EA 5 EA 7 Service Unit Price (Bi-monthly l $ *7 C $ 3`7 s-39 Sub-Total uarterl $ 3380 Sub-Total (Bi-monthly) $ aL (D ?(, $ ls3tJ $ l `dam Page I of 16 i s = ?Yai?spar o?1 s.? -CMS EIWK[c ton i = Trar?'a-1-t??? Sy:?.er?5 c<? Addendum No. 1 July 9, 2009 II. Extraordinary Maintenance A. Material: Contractor's cost for the supply plus (+) 15 %. B. Labor: Contractor's rates (including all fringe benefits, markup, over heads, etc.) for all job classifications involved in extraordinary maintenance. Item # Title Straight Time Overtime ?c ?1cte 7. Superintendent $ f (1 /hr lycl 8. Engineering Technician ?,e $ 1 /hr. 14 9 9. Laboratory Technician - SE $ l /hr. $ t ( /hr. ` 10. Maintenance Technician - Lead T5G $ ~I /hr. $ ill /hr. 11. Maintenance Technician `fS j $ /hr. $ 9 ?-{ /hr. { 3L f 12. Utility Technician -Lead -rye $ -]? /hr. $ ? ( _/hr. ? 13. Utility Technician Ti??I-- $. f /hr. $ 9 L-( /hr, l t-? 14. Lead High Voltage St. Light Tech. TSG $ 99 -/hr. $ 1 1 ? /hr. 41'4 C? 15. Street Light Technician TAT $___D J_/hr. $ q L4 /hr. *I 3H 16. Service Laborer - 1O1D3 C' $- o /hr. $ `?3q /hr. zlr 12C? C. Labor and Material: Item # Bid Item Unit Unit Price 17. Install 6' diameter circular loop (I - 5 loops) EA 18. Install 6' diameter circular loop (6 - 10 loops) EA $ a g , 19. Install 6' diameter circular loop (1 I - 20 loops) EA $?D 20. Install 6' diameter circular loop (over 20 loops) EA 21. Install City furnished NEMA Conflict Monitor EA $ :100 f I 22. Install City furnished P44 Cabinet EA $ 1 DOD, 23. Install City furnished type 332 Cabinet EA $ 1cOO, 0? 24. Adjust PPB Assembly height EA $ (O oD 25. Install/Replace complete PPB Assembly EA $ L_ia-. Ot) Page 2 of 16 Addendum No. I July 9, 2009 26. Replace PPB with ADA PPB EA 27. Replace Ped Head & Countdown Module EA $ 3Z U? 28. Replace Ped Module W/ Countdown Module EA $ 3?5 29. Install/Replace IISNS w/ Reflectorized Street Name EA $ (O,z-?U . 0 Sign 30. Conduct Signal Cabinet Operational Test EA $ 0 31. Conduct Night Survey upon request EA $ 00 32. Paint Traffic Signal Cabinet EA $? C 33. Paint Vehicle Head EA $ 1 ©O 34. Paint Pedestrian Head EA $ -1-40 , CsD 35. Paint single-globe theme street light pole EA $ ac • p0 36. Paint double-globe theme street light pole EA $ ato tj p 37. Paint 30 ft. steel street light pole EA $ ao - OQ III. Equipment Item # Type of Equipment Cost 38. Pick-up Truck $_ _/job trip 39. Service Truck $ 4} 5 /job trip 40. Service Ladder/Truck $ N /A _ _/job trip 41. Boom Ladder/Truck $ L l 3 /job trip 42. 50' Height Boom Truck $ C1 Q /job trip 43. Crane Truck $ /job trip 44. Water Truck t $ N! ?t /job trip 45. Dump Truck $?JQ /job trip 46. Big Concrete Saw $ (J /job trip 47. Complete Paint Rig $ E Q0 /job trip 48. Jack Hammer/Compressor $ 1 Q 5 /job trip 49. Trencher and Backhoe $ EJQ D /job trip Page 3 of 16 Addendum No. I July 9, 2009 50. Vacuum Truck $ N /job trip IV. Cellular Phone / Radio Equipment The Contractor shall provide four (4) cellular phone for City staff's use during this contract (two for traffic signal maintenance and two for street light maintenance) to facilitate communication with the Contractor at the Contractor's cost. V. Bid Scenario - Street Li ht For comparison purposes please bid the repair scenario utilizing the previous bid prices. The City of Santa Ana has experienced a street lighting outage in a neighborhood with series high voltage street lighting. The outage encompasses several streets in the neighborhood affecting 24 cast iron double king street lights with 2500 lumen lamps. A night drive was required to identify the scope of the outage. The lighting repairs required three (3) working days to complete the repairs. After completion of USA markings, the following personnel, equipment and materials were dispatched to repair the lighting. 1. Two service personnel: Lead High Voltage Street Light Technician and a Service Laborer for three days. Cost: 3, ,;?qo 2. Night Drive: Cost: 0 3. Equipment: Service truck with a compressor for three days. Cost:. a3 4. Materials Used: 300 If of# 8 neoprene high voltage wiring 2 ea. #5 pull boxes, 3 ea. #3 pull boxes 19 ea. compression fittings 15 ea. bags of rock 6 ea. 250066G, 2500 lumen lamps 6 ea. Cut out disks Supplier Cost: 1 Markup: -7, a 3 Total Material Cost: 5Q6). 1 ?>- Total Cost (item 1-4): S_ L4 , a Gj5 r l c? Page 4of16 Addendum No. I July 9, 2009 TRAFFIC SIGNAL SYSTEM AND STREET LIGHT SYSTEM Firm MAINTENANCE BIDDER Ccsov611 Tr?A,c ??a?neer??Q tad MA+VltevolliU Z? Address Phone(s) Bidder Signature Page5of16 ?nlccrnunrscn i? ?- L; i 5`(p ACORD,w CERTIFICATE OF LIABILITY INSURANCE 04/231200099 MWOONYYY) PRODUCER BUT Insurance Services of Orange County 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. 680 Langsdorf Drive Suite 100 Fullerton, CA 9283t INSURERS AFFORDING COVERAGE NAIC M INSURED INSURER A Travelers Property Casualty Co 25674 Econolite Traffic Engineering & INSURER B: St Paul Fire & Marina Ins Comps 24767 Maintenance, Inc, INSURER c: Travelers Casualty Company of C 36170 3360 E. La Palma Ave. INSURER D: Anaheim, CA 92606 INSURER E: OVERAGES 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 Of-SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LiR NSq TYPE OF INSURANCE POLICY NUMBER P FE THE PODATE LICY II20 11 LIMITS A GENERALLiAELITY 5303193N600 04127/09 04127110 EACHOCCURRENCE s1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE ST?CED cF , s1 000 000 CLAIMS MADE a OCCUR MED EXP (Anane person) %5.000 & ADV INJURY PERSONAL $1,000,000 _ GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000.000 PROT- LOC POLICY Fig A AUT OMOBILE LIABILITY 8103193N600 04127/09 04127110 COMBINED SINGLE LIMIT f1 OOO OOO X ANY AUTO (Ea aCtidenr) r ALL OWNED AUTOS BODILY INJURY f SCHEDULED AUTOS (Per pawn) A 1 O AS T [7 DP X KtREO AUTOS n D Uv F,'+ "? SODkLY INJURY S X NON-OWNEO AUTOS Ar IPer acownl) A r? f ) PROPERTY DAMAGE f ' (Per acddent) GARAGE LIABILITY (.,BUJ -T zu AUTO ONLY-EA ACCIDENT S itY Attorn ey ANY AUTO ASSISta t OTHER THAN EA ACC S AUTO ONLY: AGG S B EXCESBMMBRELLA LIABILITY QK04500579 04127/09 04127110 EACH OCCURRENCE s2,000,000 X OCCUR F-1 CLAIMS MADE AGGREGATE s2,000,000 f OEDUCTIHLE S i X RETEi1Tb,??: 210000 s C WORKERS COMPENSATION AND UB2802N94609^ 04101/09 0410111 O '!( `NC 5I IMIT FR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOWPARTNEFL'EXECUTIVE OFFICERtMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $1,000,000 u yes. daw ae onda SPECIAL PROVI IONS to E.L. DISEASE - POLICY UMI7 51 Ono -000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS i VENICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is added as Additional Insured per policy form OCGO2470805 & Waiver of Subrogation per policy form #CGD1871103 both a part of policy # 6303193N600TIL09. RE: Traffic Signal System, Advanced Traffic Management System, and Street Light System Maintenance in and for the City of Santa Ana. Certificate (See Attached Descriptions) City of Santa Ana Attn: Vinh Nguyen P.O. Box 19881 M043 Santa Ana, CA 92702-1988 LD ANY OF THE ABOVE DESCRBLED POLICIES SE CANCELLED BEFORE THE EXPIRATION THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ^3n DAYS WRITTEN :E TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 179 AGENTS OR REPRESENTATIVE .. nwsnns ??rrwu •nae ACORD 2512001108) 1 of 3 #53471127IM3471077 a.16.1?aa IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. -w- cw kwu rrvo+ 1 or ;5 SS34711271M3471077 DESCRIPTIONS (Continued from Page 1) Holder is amended to read: The City, its officers, employees, agents, volunteers and representatives POLICY NUMBER: 6303193N600TIL09 COMMERCIAL GENERAL. LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the foiiowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART NAME OF PERSON(S) OR ORGANIZATION(S): SCHEDULE As per Certificate Holder Name on the attached Certificate of Insurance. PROJECTILOCATION OF COVERED OPERATIONS: As per project description on the attached Certificate of Insurance. 1. WHO IS AN INSURED - (Section 11) is amended b) The Insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury', "prop- Schedule above, but: erty damage' or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- b) If, and only to the extent that, the injury or veying services, Including: damage is caused by acts or omissions of I. The preparing, approving, or failing to you or your subcontractor in the performance prepare or approve, maps, shop draw- of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- location, shown in the Schedule. The person ders or change orders, or the preparing, or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- it. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily Injury" or a) In the event that the Limits of Insurance of "property damage' caused by "your work' this Coverage Part shown in the Declarations and Included in the 'products-completed op- exceed the limits of liability required by a erations hazard" unless a "written contract "written contract requiring insurance" for that requiring Insurance` specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that 'written con- the additional insured applies only to such tract requiring insurance'. This endorsement "bodily injury" or "property damage` that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section Ill - Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG 02 47 08 06 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement, However, if a "written contract requiring insurance' for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non-contributory basis, this insurance is pri- mary to "other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that 'other insurance". But the insurance provided to the additional insured by this endorsement stilt is excess over any valid and collectible "other insurance", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such "other insurance". 4. As a condition of coverage provided to the additional insured by this endorsement: 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: 1. How, when and where the 'occurrence" or offense toots place; If. The names and addresses of any injured persons and witnesses; and Ill. 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: 1. Immediately record the specifics of the claim or "suit" and the date received; and If. 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 connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply wlth 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 under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFINITIONS: "Wrltten contract requiring Insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury' and 'property damage' oc- curs and the "personal injury" 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 2005 The 5t. Paul Travelers Companies, Inc. CG D2 47 08 05 COMMERCIAL GENERAL LIABILJTY The Damage To Premises Rented To You Limit will be the higher of: a. $300,ooo; or b. The amount shown on the Declarations for Damage To Premises Rented To You Limit, E. F. 4. Under DEFINITIONS (Section V), Paragraph a. of the definition of "insured contract' is amended so that it does not include that por- tion of the contract for a lease of premises that indemnifies any person or organization for damage to premises while rented to you, or temporarily occupied by you with perinis- sion of the owner, caused by: a. Fire; b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, or lightning; or e. Water. 5. This Provision D. does not apply if coverage for Damage To Premises Rented To You of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I - Coverages) is excluded by endorsement. BLANKET WAIVER OF SUBROGATION We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work'; or 'your products". We waive this right where you have agreed to do so as part of a written contract, executed by you prior to loss. BLANKET ADDITIONAL INSURED - MANAG- ERS OR LESSORS OF PREMISES WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (referred to below as "additional insured') with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the fol- lowing provisions: 1. Limits of Insurance. The limits of insurance afforded to the additional insured shall be the limits which you agreed to provide, or the lim- its shown on the Declarations, whichever is less. 2. The Insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after you cease to be a tenant in that premises; b. Any premises for which coverage is ex- cluded by endorsement; or c. Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. z. The insurance afforded to the additional in. sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply on a pri- mary or contributory basis. Q. BLANKET ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT WHO IS AN INSURED (Section If) is amended to include as an insured any person or organization (referred to below as "additional insured`) with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such additional in- sured, subject to the following provisions: 1. Limits of Insurance. The limits of insurance afforded to the additional insured shall be the limits which you agreed to provide, or the lim- its shown on the Declarations, whichever is less, 2. The insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after the equipment lease expires; or b. "Bodily injury" or "property damage" aris- ing out of the sole negligence of such ad- ditional Insured. 3. The Insurance afforded to the additional In- sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply on a pri- mary or contributory basis. H. INCIDENTAL MEDICAL MALPRACTICE 1. The definition of "bodily injury" in DEFINI- TIONS (Section V) is amended to include "in- cidental Medical Malpractice Injury". Page 4 of 7 Copyright, The Travelers Indemnity Company, 2003 CG D1 8711 03 Clierl 1260332 zn?Fr•nnlnr_on ACORD- CERTIFICATE OF LIABILITY INSURANCE v DATE (MMID ) 3/31/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB&T Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Property Casualty Co 25674 nolite Traffic Engineering & INSURER e: St Paul Fire & Marine Ins Compa 24767 Mai Maintenance, Inc. INSURER c: Travelers Indemnity Company of 25682 3360 E. La Palma Ave. INSURER D: Anaheim, CA 92806 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YYYY POLICY EXPIRATION DATE MMIDD/YYYY LIMITS A GENERAL LIABILITY 6303193N600TIL11 04/27/2011 04/27/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY D AMAGE TO RENTED PRE MIS ES (E. occurrence) $1,000,000 CLAIMS MADE FXI OCCUR MED EXP (Any one person) $rj 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE , , s2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG , s2,000,000 POLICY PRO LOC JECT A AUT OMOBILE LIABILITY 8103193N600TIL11 0412712011 04/27/2012 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) H PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ B EXCESS / UMBRELLA LIABILITY QK04501090 04127/2011 04/27/2012 EACH OCCURRENCE s2,000,000 X OCCUR D CLAIMS MADE AGGREGATE s2,000,000 DEDUCTIBLE $ X RETENTION $ 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UB2802N94611 04/01/2011 04/01/2012 X WCSTATU- OTH- Yll/d1IS I FR ANY PROPRIETOR/PARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? _ E.L. EACH ACCIDENT _ $1,000,000 andatory In NH) If d ib d E.L. DISEASE - EA EMPLOYEE $1,000,000 yes, escr e un er SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS `!..? Vi Certificate Holder is added as Additional Insured per policy form #CGD2470805 & Waiver c f 1ubrogiiil6r per policy form #CGD1871103 both a part of policy #6303193N600TIL09. v%1 RE: Traffic Signal System, Advanced Traffic Management System, and Street, (See Attached Descriptions) --• - • •• •-• - • - • •------•- liNlq {..GLEN I RJR IV Ud --n-mu menT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30 _ DAYS WRITTEN Attn: Vinh Nguyen NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. Box 1988 / M043 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana, CA 92702-1988 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A%.Urcu ca tzUUa1U1) 1 of 3 #S6603013/M6602656 O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLRAG IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the 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). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ^??"? J-.-] [ of 4 FF566U3U13/M66U2656 DESCRIPTIONS (Continued from Page 1) Light System Maintenance in and for the City of Santa Ana. Certificate Holder is amended to read: The City, its officers, employees, agents, volunteers and representatives -.- L4.4 Icvvaiv I/ s Di a FFbbbuju93/Mbbuzubb POLICY NUMBER: 6303193N600TIL 11 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): As per Certificate Holder Name on the attached Certificate of Insurance. PROJECT/LOCATION OF COVERED OPERATIONS: As per project description on the attached Certificate of Insurance. 1. WHO IS AN INSURED - (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- veying services, including: b) If, and only to the extent that, the injury or damage is caused by acts or omissions of ;, The preparing, approving, or failing to you or your subcontractor in the performance or approve, maps, shop draw- prepare of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- location, shown in the Schedule. The person ders or change orders, or the preparing, or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- iii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products-completed op- exceed the limits of liability required by a erations hazard" unless a "written contract "written contract requiring insurance" for that requiring Insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III - Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non-contributory basis, this insurance is pri- mary to "other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such 'other insurance". 4. As a condition of coverage provided to the additional insured by this endorsement: 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: 1. How, when and where the "occurrence" or offense took place; ii. 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: 1. Immediately record the specifics of the claim or "suit" and the date received; and Ill. 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 connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. ) 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 under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFINITIONS: "Written contract requiring insurance` means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" 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 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 COMMERCIAL GENERAL LIABILITY The Damage To Premises Rented To You Limit will be the higher of: a. $300,000; or b. The amount shown on the Declarations for Damage To Premises Rented To You Limit. 4. Under DEFINITIONS (Section V), Paragraph a. of the definition of "insured contract" is amended so that it does not include that por- tion of the contract for a lease of premises that indemnifies any person or organization for damage to premises while rented to you, or temporarily occupied by you with permis- sion of the owner, caused by: a. Fire; b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, or lightning; or e. Water. 5. This Provision D. does not apply if coverage for Damage To Premises Rented To You of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I - Coverages) is excluded by endorsement. E. BLANKET WAIVER OF SUBROGATION We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work"; or .your products". We waive this right where you have agreed to do so as part of a written contract, executed by you prior to loss. F. BLANKET ADDITIONAL INSURED - MANAG- ERS OR LESSORS OF PREMISES WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (referred to below as "additional insured") with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the fol- lowing provisions: its shown on the Declarations, whichever is less. 2. The insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after you cease to be a tenant in that premises; b. Any premises for which coverage is ex- cluded by endorsement; or c. Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. 3. The insurance afforded to the additional in- sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply on a pri- mary or contributory basis. G. BLANKET ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (referred to below as "additional insured") with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such additional in- sured, subject to the following provisions: 1. Limits of Insurance. The limits of insurance afforded to the additional insured shall be the limits which you agreed to provide, or the lim- its shown on the Declarations, whichever is less. 2. The insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after the equipment lease expires; or b. "Bodily injury" or "property damage" aris- ing out of the sole negligence of such ad- ditional insured. 3. The insurance afforded to the additional in- sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply on a pri- mary or contributory basis. H. INCIDENTAL MEDICAL MALPRACTICE 1. Limits of Insurance. The limits of insurance 1. The definition of "bodily injury" in DEFINI- afforded to the additional insured shall be the TIONS (Section V) is amended to include "in- limits which you agreed to provide, or the lim- cidental Medical Malpractice Injury". Page 4 of 7 . Copyright, The Travelers Indemnity Company, 2003 CG D1 8711 03 rlee..rec. ? ACORO,a CERTIFICATE OF LIABILITY INSURANCE v DD""'"' ;;;;20; PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BBST Insurance S@rvices ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED A i ITS I INSURER A: Tray@I@r!i Prope Casualt CO 25674 eg s , nc- 3360 E L P l INSURER B: St Paul Fire $ Marine Ins Comps 24767 . a a ma Ave. A h i INSURER a Travelers Indemnity Company of 25682 na e m, CA 92806 INSURER D: INSURER E' 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 n,IAY 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- LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DMIT8 A GEN ERAL LU\BIDTV 6303193N600TIL11 04/27/2011 04/27!2012 EACH OCCURRENCE s1 000 000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S1 OOO OOO CLAIMS MADE ? OCCUR MED EXP (M one person) S$ DDD PERSONAL 6 ADV INJURY 31 OOO OOO GENERAL AGGREGATE S2 DOO OOO GEN 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG 52 OOO OOO POLICY PROT LOG A AUT OMOBILE LIABILITY 8103193N600TIL11 04/27/2011 04/27/2012 X COMBINED SINGLE LIMIT E da t x1 000 000 ANY AUTO ( a ec en ) , , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per parson) X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per acGtlan[) PROPERTY DAMAGE S (Par errJaant) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC E AUTO ONLY: qGG S B EXCESS / VMBRELLA LIABILITY QK04501090 04/27/2011 04/27/2012 EACH OCCURRENCE s2 ODD 000 X OGCVR ? CLAIMS MADE AGGREGATE 52 OOO OOO S ?EDUCTIBLE 5 X RETENTION S 10000 y C WORKERS COMPENSATION AND EMPLOYERS' LUIBI LITY U62802N94611 04/01/2011 04/01/2012 X WC srATU- oTI+ ApNYGP`ROPRIETORIPARTNEWEXEGUTIVE w 9FJ3 EXGL F F l E.L. EAGHAGGIDENT 51 DDD DDD ? IB U DEDY (Ia ?•, id? If tl i E.L. DISEASE - EA EMPLOYEE 51 DOD OOD yas, escr be untler SPECIAL PROVISIONS DeIOw E.L.DISEASE-POLICY LIMIT S1 DOD OOO OTHER i' f? t3 V EI'"? ?A,S 'I'fs 1 C `?4 .., . _ . DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXOLUSION9 ADDED BY ENDORSEMENT /SPECIAL PROVISIONS `? Certificate Holder is added as Additional Insured per policy form #CGD2470805 & Waiver of Subrogation /--??/ ? / / ? ? ? ? ! ?-nC? per policy form #CGD1871103 both a part of policy #6303193N600TIL09. n??: y RE: Traffic Signal System, Advanced Traffic Management System, and Street ? ? ??` ? '??.t r" ?"*' (See Attached Descriptions) -- --- - -- - w+Ilvrv Iv a,e s for rlon-ra mom SHOULD ANY OF THE ABOVE DESCRIHEO POLIOIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ?O_ DAYS WRITTEN Attn: Vinh Nguyen NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 1988 / M043 IMPOSE MO OBLIGATION OR LIABILITY OF ANY NIND UPON THE INSURER n3 AGENTS OR Santa Ana, CA 927D2-1986 REPRESENTATIVES. AUT H ORIZED REPRE SEN TATIVE y ? ' O ? I/ ?/ ?Q?/ AGORD 25 (2009/07) 1 Of 3 #S7835457/M6602656 m 1988-2009 ACORD CORPORATION. All Nghts reserved. The ACORD name and logo are registered marks of ACORD CLRAG IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the 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). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. .?aa..vnu co l«+?+y/?+?I 2 of 3 liS7835457/M6602656 DESCRIPTIONS (Continued from Page 1) Light System Maintenance in and for the City of Santa Ana. Certificate Holder is am¢nded to read: The City, its officers, employees, agents, volunteers and representatives AMS 25.3 !2009/O? 1 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 6303193N600TIL 11 THIS ENDORSEMENT CHANGES THE PpLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART NAME OF PERSON(S) OR ORGANIZATION(S): SCHEDULE As per CertifCate Holder Name on the attached Certificate or Insurance. PROJECT/LOCATION OF COVERED OPERATIONS: As per project description on the attached Certificate of Insurance. 1, WHO IS AN INSURED - (Section II} is amended to include the person or organization shown in the Schedule above, 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 pertormance of "your work" on or for the project, or at the location, shown in the Schedule. The person or organization does not qualify as an addi- tional insured with respect to the independent acts or omissions of such person or organiza- tion. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability requiretl by a "written contract requiring insurance" for that additional insured, the insurance provided to the additional insured shall be limited to the limits of liability required by that "written con- tract requiring Insurance". This endorsement shall not increase the limits of insurance de- scribed in Section 111 -Limits OI Insurance. b) The Insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any processional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or falling to prepare or ap- prove, drawings and specifications; and il. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional in- sured does not apply to "bodily Injury" or "property damage" caused by "your work' and included in the 'products-completed op- erations hazard" unless a "written coniract requiring Insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage' that oc- curs before the end of the period of time for which the 'written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 OS m 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL t_IABILITY or the end of the policy period, whichever is earlier. 3. The insurance provkted to the additional insured by this endorsement is excess over any valid and collectible "other insurance', whether primary, excess, contingent or on any other basis, that is available to the additional Insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that 8d- ditional insured specifically requires that this in- surance apply on a primary baste or a primary and non-contributory basis, th[s insurance is pri- mary to 'other insurance" available to the addi- tional Insured which covers that parson or organl- zatlon as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance', whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional In- sured under such "other insurance'. 4. As a condition of coverage providetl to the additional insured by this endorsement: 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 shouki include: i_ How, when and where the 'occurrence' or offense took place; if. 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: 1. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured mtast see to it that we receive written notice of the cisim or 'suit as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connectbn with the claim or `suit', cooperate with us in the Investigation or settlement of the claim or defense against the 'suit", and otherwise comply with all policy oondftions. d) The additional insured must tender the de- fense and indemnity of any claim ar "suit' to any provider of "other insurance` which would cover the addttional insured for a foss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFiN1T10NS: 'Written contract requiring insurance' means that part of any wriMen contract or agreement under which you are required to include a person or organization as an additional in- sured on this Goverage Part, provided that the 'bodily injury' and "property damage" oc- curs and the "personal injury" 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 ? 2l]05 The St. Paul Travelers Companies, Inc- CCi Q2 4T Ot3 OS COMMERCIAL GENERAL LIABILITY The Damage To Premises Rented To You Limit will be the higher ol: a. $300,000; or b. The amount shown on the Declarations for Damage To Premises Rented To You Limit. 4. Under DEFINITIONS (Section V), Paragraph a. of the definition of "insured contract" is amended so that it does not include that por- tion of the contract fora lease of premises that indemnifies any person or organization for damage to premises while rented to you, or temporarily occupied by you with permis- sion of the ow,•ner, caused by: a. Fire; b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, or lightning; or a. Water. 5. This Provision D. does not apply if coverage for Damage To Premises Rented To You of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section 1 - Coverages) is excluded by endorsement. E_ 6LANKET WAIVER OF SUBROGATION We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work'; or 'your products'. We waive this right where you have agreed to do so as paK of a written contract, executed by you prior to loss. F. BLANKET ADDITIONAL INSURED - MANAG- ERS OR LESSORS OF PREMISES WHO IS AN INSURED (Section 11) is amended to include as an insured any person or organization (referred to below as 'additional insured") with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the fol- lowing provisions: 7. Limits of Insurance. The limits of insurance af/orded to the additional insured shall be the limits which you agreed to provide, or the lim- its shown on the Declarations, whichever is less. 2. The insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after you cease to be a tenant in that premises; b. Any premises for which coverage is ex- cluded by endorsement; or c. Structural alterations, new construction or demolition operations perionned by or on behalf oT such additional insured- 3. The Insurance afforded to the additional In- sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply on a pri- mary or contributory basis. G. BLANKET ADDITIONAL INSURED -LESSOR OF LEASED EQUIPMENT WHO IS AN INSURED (Section II) is amended to include a5 an insured any person or organization (referred to below as "additional insured'} with whom you have agreed in a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such additional in- sured, subject to the following provisions: 1. Limits of Insurance. The limits of insurance afforded to the additional insured shall be the limits which you agreed to provid®, or the lim- its shown on the Declarations, whichever is less. 2. The insurance afforded to the additional in- sured does not apply to: a. Any "occurrence" that takes place after the equipment lease expires; or b. "Bodily inJury" or "property damage" aris- ing out of the sole negligence of such ad- ditional insured. 3. The Insurance afforded to the additional in- sured is excess over any valid and collectible insurance available to such additional in- sured, unless you have agreed in a written contract for this insurance to apply one pri- mary or contributory basis. H_ INCIDENTAL MEDICAL MALPRACTICE ?. The definition of "bodily injury" in DEFINI- TIONS (Section V) is amended to include "In- cidental Medical Malpractice Injury'. Page 4 of 7 Copyright, The Travelers Indemnity Company, 2003 CG D1 67 y1 03 Client#: 1260332 305ECOIN'0GRO Y, ?lCORD-. CERTIFICATE OF LIABILITY INSURANCE D04/271 22012 04127 x12 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 She 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: _ BBSrT Insurance Services ?HONE 714 578.7000 FAX I?AfC, No, Ext): _ AIC, No): of Orange County E-MAIL 680 Langsdorf Drive Suite 100 ADDRESS INSURER(S) AFFORDING COVERAGE NAIC Fulleriurr, Cs- 2831 ,NSrJRERAJmvel ara Prupei¢y (.:tsualty Co 25674 INSURED Aegis ITS, Irc. 33601 E. La Palma Ave. Anaheim, CA 92806 INSURER B : Liberty Insurance Undtarwriters INSURER C : RSUI Indemnity Company COVERAGES C_FRTIFICATF NIIMRFR- PP1'A4 rU'J Ali llURFR• THIS IS TO C:".KTiFY THAT THE PO!_ICIES 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 rtP Y BE !SSI,ED 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 SEEN REDUCED BY PAID CLAIMS. 1NS LTRR OF INSURANCE ADDLSUB _ INSR WVD POLICY NUMBER r POLICY EFF POLICY EX LIMITS '• MMIDDIYYYY MMIDDiY'YYY?i A GENERALLLASILfTY 6303193N600TIL12 ,T^ 4/2712012 04!27/201jEACH OCCURRENCE $1000000 ? COMMERCIAL :GENERAL L!ABILiTY I_? -- PrtnRAGE TC , EMIISES rEa .RENTED. ce '----._ s 300,000 !.......--.I CI?"-S-Y. 4!F A] OCCUR I " MED EXP (k,ny one person) $5,000 1 PEKf30 NAL & ADV INJURY $1,000,000 I GENE11 L AGGREGATE #2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - - PRODUCTS -COMP/OP AGG $2,000,000 A i PRO- I HOC BILITY 103193N600TIL12 412712012 4127/201 ; Ot.b"" S" LE LIMIT 1,000,000 X! ANY AUTO) r...? f BODILY INJURY (Per person) $ ALL OWNIEC, SCHEDULED AUTOS AUTOS X; NON-OWNED HIREDAUiLIS X AUTOS _--? I I I I kIODILY:NJURY (Per accident) PROPERTY DAMAGE -1Per accident $ $ i B I l X? uM3RcL_A IAB X OCCUR I UMBLA2559181 :04/2712012 tr;127 /2013. E AC H OC-GURRENCE $ s2,000,000 EXCESS LIAB CLAIMS-MADE T--. s2000000 DED RETENTION $ ! $ WORKERSCOAVENSATION AND U B9501 809612 AND EMPLOYERS' LIABILITY Y 1 N ANY PROF RIE'OldPARTNERJEXE0UTIV£ OFFICERJMEMBER EXC-UDED? ? N I A (Ma;?datpry in ?"N'', CNCST.A7U- H- !0412712012 04/271201 Z X _ __._114 >' IT R _ E.L.. $1 EACH ACCIDENT ,000000 -- I 'I E.L. DISEASE - EA EMPLOYEE $1 000 000 If yes, oescriha u„der DES AWTtON OF OPERATIONS below , , ! E-L D!SGiSE-POLICY DMIT $1,000,000 C Auto Excess NHA230367 _? . ---- ;0412712012 04/271201 j;1,00+3,000 Liability 1 , ? a DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedab=, if more space is required) Certificate Holder is added as Additional Insured per policy form #CGD2,1170805 & Waiver of Subrogation per policy forin #CGD4581008 both a part of policy #-6303193N600TIL12 . Certificate Holder is amended to read: The City, its officers, employees volunteers and representatives , agents, RE: Traffic Sic?rai ;System, Advanced Traffic Management System, and Straet Light System Maintenance in and xa for the of " City (3'e ?d'oita Ana. 1 t ' City of Santa Ana Attr'I: Vinh Nguyen P.F:. Box 1988 / M043 Sari'.? Ana, CA 92702-1988 IION I SHOULD ANY OF THE ABOVE DESC tfSE )?OiJCIES BE CANCELLED BEFORE - 4---Q-IE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 ACCORDANCE WITH THE POLICY PROVISIONS. ' ??I! 771. AUTHORIZED REPRESENTATIVE ACORD 2= 120?,Iii)5) 1 of 1 #S 8543 8 ? i311V1 a 543853 ©1988-2010 ACORID CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLRAG POLICY NUMBER: 6303193N600TIL 12 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZA,TION(S): As per Certificate Holder Name on the attached Certificate of Insurance- PROJECTILOCATION OF COVERED OPERATIONS. As per project description on the attached Certificate of Insurance. 1. WHO IS AN INSURED - (Section 11) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury% "prop- Schedule above, but: arty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional ?? architectural, engineering or sur- y g g. b) If, and only to the extent that, the injury or damage is caused by acts or omissions of 1. The preparing, approving, or failing to you or your subcontractor in the performance " prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- on or for the project, or at the of "your work ders or change orders, or the preparing, location, shown in the Schedule. The person or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications, and acts or omissions of such person or organiza- iii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" " this Coverage Part shown in the Declarations products-completed op- and included in the " " exceed the limits of liability required by a unless a written contract erations hazard " "written contract requiring insurance" for that specifically requires you requiring insurance the insurance provided to additional insured to provide such coverage for that additional , the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such " " " " tract requiring insurance". This endorsement that oc- or property damage bodily injury curs before the end of the period of time for shall not increase the limits of insurance de- which the "written contract requiring incur- scribed in Section III - Limits Of Insurance. ance" requires you to provide such coverage CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end; of the. policy perrcu , whl hover is earlier:. - . .3. The insurance provided' to the addtional rrtsured by this endotsement is excess over. any valid and col . I. ctible "other insurance"} whether primary,. excess, contingent or on any, other basis, that is availa'We.to the additional insured for.-- a foss cover under this . endorswnemnt, How-ever, if a "v?rrittcm1ract` requiring insurance' fix that. ad- ditional lnsbred'specifically requires that this inn surance apply ona primary Basis or a primary and non-oont6butory basl4j. this insurance is pri.: Mary to "other insuranc'W available to the -addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we wilVnot share with that "other insurance".- But the insurance provident to the ad nodal insured-by this endorsement still` is excess over any vQ0 and collectible "other insurance`, whether pri- mary, excess, contingent or on any ather basis,` that is available to the additional insured wren' that person dr organization is an additiarial in- sured under such "other irmrance". As a condition of coverage provided:: to the additional insured by this endorsemer t. a).: The additional lntil ed< roust giev us written notice as. soon as grabticable of an.-loccur rends" O an offeriAe which may result in a claim. _ fie the extent possible! such notice should hiclude:' l: How, when acid where the 'pmutrence' or offense, took IIWWL 9.; The names and addresses of arty in;umed persons ansjWtliit seS and . 11L The nature and location of any hJury or dArnage arising out of the "occuir mce" or cn;De. b if a claim rnade or "suit' is brought against the additional insured, the additional insured must: 5 i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify its as sari: 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 rr its. irnmadiateiy: .send. us copies of all legal papers received. in do'nnection With tha claim or "suit", co v us in the. lrnvrestigatiort or settlement of tint: claim: or defense against the 's;ait% and otherwise Gompiy With all policy conditions d} The. additional insured must tender the. de- feitse and inderrinity of any claim or "suit" to any provider of „ether insurance" which world cover, rthe additional insured' for a loss we cover under this endorswnent- Ho er, this condition does not affect whether ft lnsur ante provided to the additional insured by the endorsement is primary to "other insur= ance" available to the additional insured which covers that person or.organization as a,-- tined insured. as. described in paragraph' 30, aSe TtwfolldWing def riltim is added to ECTtON 1 - DEFINITIONS 'Ytfntterl c4ritr k r li ring insurance" metes Mat part of ai?y.wrt r i conti ct or agreement under which ydtr are required to nalrac#e' a: person or or ization as art addifonai in a-ured on this Cdwrage Part; provided that the "bodily Injury" and "prpp?rty damage' i curs and the °parsonat; injury' ins caused byart:.. offense committed: a. After tote signing and execution of the contract: or agreement by YOW b. While that hark. Of the Contract or agreement Is lit effect, and o Before the send of tltie policy perioi?_ Page 2 of 2 0, 2005, The S"#: Pad Travels?s Cornpaanies, Inc. CQ D2 47 06 05 COMMERCIAL GENERAL LIABILITY 2. The following replaces Paragraph 6. of SEC- TION III' LIMITS OF iNSURANCEi. Subject to S. above, the Damage To. Prem- ises Rented: To You Limit is the most will pay under Coverage A for damages becau of ;"property damagei' to any one premises while renter!-to yot ,. or temporarily occupied by you with: pet'rrtiss bn of tole owrrier, caused by fire; explosion; ligtttnin ; srhoke resuttin. g from such fire, explosion, or ligh'tning', or wa- ter: lu Damage To Pre_ tisee Rented To. You Limit will apply to all dernage proximately caused by the sarue "odwrrencea, whether surd dammge results from frl% explosion; ligtltrlir smoke rasulting from sikh fire, ex- 016sion, or lightning; water; or any corrtl?ina- bon of any of these: The, Darnage To Prerrlses Rented: To: You Limit will be the h'tghetcaf ?i. $3Qt1,QQQ or ... bf,, The aniount shown on the Declarations of this :Coverage Fart for Domege T& Prem-. isles Rented To You Lii I 4 The following replacss Paragraph a. of the definition of "insured` cor k. ct" in the 1301 N_ TIONS Section:. a. A .contract for a:. lease of f, mrses: How- ever, that portion of the contract for a lease of prernises that iWernnities any person or organizaWn' for damage to premises white. rerttsd €ri yQt, or ter Kipi rarity occupied by you with permiss"iorr of the owner, cared by, - Fire, ( Explosion (3) LigWming (4) Smoke resulting from pu h tire, ex- p oslon,, or lightning; or (5) water, is an "insured contract"; 5. The following replaces Paragraph ?.b.(1)(b) of SECTION I-V Ci M-MERCIAL GISNERAL LIABILITY CONDITIONS: (b3 That is insurance for premises recited to you, or teMora0y occupied by you with the permission of the owner, E' *;LANKET WAIY:ER OF SUBROGATION' The fbUowing is added to Paragraph B., Transfer Of Rights Of Recovery Against Others- To Us, of SECTION IV - COMMERCIAL GENERAL U? ABILITY CONDITIONS We waive any right of recovery, we may naive: against: art?t person or organization becausf of payments we. make: far injury or damage aiisirtg' out of presses awned or odcu. led by or rented or loaned to you; ongoing operations perforated by you or"on your behalf; Acme under a contract with that psmcri or organization; "your vrorwi or "your products". Wa waive this right- where you. have agreed to do so as part of a writtert Contract, executed by you pnvr to lass. F : BLANKET ADDITIONAL INSURED - OWNERS. MANAGERS OR LES$OR$:OF PREMISES The-following ,.is added t.p SEC7101 It - W140 Is AN.INS1RE€3 .Arty parson. or r rg;arti t+ion that is a Premises owner, -manager or Ir` and that you naive:. agreed In a written contract or agreement to name as an additiorial msurad dirt this Coverage fart is an ri7sCTrec but only w, res('iect to liability for "bodily irtjuV. "property darns e°, "persoriat; injury" or"advartislog injury" that a Is "Bodily iiijirry" or "property doge" paused by au "occurrence' that takes place, or "perms sonal l!njury'r or "adverb sing injury' caused by an off so that is committed:- after you have signed Arid executed that cpraract or agree- merit; and' b.. Arises out of the. ownership, mairdenance or use of that part of any premises laaaed to ypu' The insurance prrtvided to such premises cwi er; manager'or lessor is subiect to the following pro:- visions, Ai The limits' of insurance provide to such premises owner, matnage,.r or Iessolr will bE the limits whirrlt yoca agreed to provide in written contmof or agreement, or the limits shown ctn the Deplaratupns of this Cove Me Part' whichever. 4Te less.. b. Tie insurance provided, to such prernisi owni r, manager or lessor does not apply to (1) "Bodily injury" rtr °property doniage" caused bier alit "occurrence"` that, Cakes place, or "personal injury" or *advert ling: njury" caused by an offense that %s. gym= rnitted, after you cease to be a tenant in that premises;; or (2) .Structural aft lions, new constru.cliori or demolition ow, a iof' s performed by or on Page 4 of 9 0 2008'rhe Travelers Gomperiles: Ciic. CG D+f 58 10. 08 Client#: 1260332 305ECONOGRO ATE(MM/DD/YYYY) •,''?4C,ORDr. CERTIFICATE OF LIABILITY INSURANCE P04/09/2012 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 CONTACT NAME: BB&T Insurance Services PHONE A/C, No, Ext : 714 578-7000 FAx 877-297-1116 A/C, No of Orange County E-MAIL ADDRESS: 680 Langsdorf Drive Suite 100 INSURER(S) AFFORDING COVERAGE NAIC # Fullerton, CA 92831 INSURER A: Travelers Property Casualty Co 25674 INSURED Aegis ITS, Inc. 3360 E. La Palma Ave. Anaheim, CA 92806 INSURER B : INSURER C : INSURER D : INSURER E : COVERAGES CFRTIFICOTF NIIMRFR• OCIRCIfI I LI"RAOoo. 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/YY YY) POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - PREMISES (E. occu ence $ CLAIMS-MADE F IOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JECOT LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT E i a acc dent $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION UB2802N94612 4/01/2012 04/01/201 X WCSTATU- OTH- ANDEMPLOYERS' LIABILITY Y / N LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ? N / A E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes describe under E.L. DISEASE - EA EMPLOYEE $1 000 000 , DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Traffic Signal System, Advanced Traffic Management System, and Street Light System Maintenance in and for the City of Santa Ana. Certificate A's .1 f? FORM Holder is amended to read: The City, its officers, employees, agents, volunteers and representatives „,ist:rz[ CAN Attorney I Ivry City of Santa Ana Attn: Vinh Nguyen P.O. Box 1988 / M043 Santa Ana, CA 92702-1988 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 &)iz ACORD 25 (2010105) 1 of 1 #S8465092/M8465040 U 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GAGAB