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GRC ASSOCIATES, INC. 1A-2010
INSURANCE ON FILE WORK MAY PROCEED N-2009-112-001 UNTII. INSURANCE EXPIRES /,522 /0 CLERK OF COUNCIL OCT 1 9 2010 Q ' C D A/ Frv,r-.K AMENDMENT TO CONSULTANT AGREEMENT INCORPORATING COMMUNITY DEVELOPMENT BLOCK GRANT REQUIREMENTS THIS AMENDMENT, made and entered into this 1st day of July, 2010 by and between ORC Associates, Inc. ("Consultant'), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The City entered into the Consultant Agreement Incorporating Community Development Block Orant Requirements ("Agreement') dated September 8, 2009 for Consultant to provide labor monitoring services for the City. B_ The parties desire to amend and extend the Term of the Agreement. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: 1. Section 3, the "Term" of said Agreement is hereby amended to extend the Agreement through June 30, 2011. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. APPROVED AS TO FORM: APPROVED AS TO CONTENT: JOSEPH W.FLETCHER City Attorney By:L~ tz Lisa Storck Cynthia J. Nelson, Deputy City Manager Assistant City Attorney for Development Services GRC Associates, Inc_ ATTEST: hn N. Oshimo, President MARIA D. HUIZAR CLERK OF THE COUNCIL OP ID V DATE IMwoo`/Y) acoRO CERTIFICATE OF LIABILITY INSURANCE GRCAS-1 3-0/087.0 PRODER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LaGrange and Asaocia 'am' Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE nicansa #OG32173 HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR p _ O _ Sox 6 6 O 339 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Arcadia CA 91066 12-001 Phones 626-445-7030 N-2009-1 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURCR A: asva Lra prap.r cr A c..wlcy - INSVRER B'. vLil sEaphi. Iadsai ty xaa Co_ GRC Aasociatas, Inc. INSURER C: 858 Oak Park Road # 280 'INSURER D Covina CA 91724-3752 - - NSURER 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 SUCII POLICIES. AGGREGATE LIMITS SHOWN MAY I-- BELN REDUCED BY PAID CLAIMS. WDDItT -FOLICV EFFECTIVETP~CRSV EXPiRATfGN LTR INSRO TYPE OF INSURANCE POLICY NUMBER GATE MM/DO/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1, 0 0 0, 0 0 0 A X X COMMERCIAL GENERAL LIABILITY 660456L6360 os 12/01/09 12/01/10 PREMISES (Ea occruence) $ 10_0,000 CLAIMS MADE I C.U. O-ED EXP (Any one Person) $ 5 , 0 0 0 J PERSONAL $ ADV INJURY $ EXCLETDED I` GENERAL AGGREGATE S 2,000,000 N'L AGGREGATE LIMIT APPLIES PER: i V PRODUCTS - COMP/OP AGG S 2, 000,0()0 X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 2_000,000 X ANY AUTO 660456L6360 08 12/01/09 12/01/10 <Ea aoadenq _ T ALL OW NED AUTOS I - BODILY INJURY $ SCHEDULED AUTOS (Perl (Per p'rs A X HIRED AUTOS l1 BODILY INJURY $ A ~ NON-OWNED ALIT 05 ~ (Per acoCant) ~ - PROPERTY DAMAGE O~.TR nY _ PROPERTY p E GARAGE LIABILITY L,~ wy AB AUTO ONLY - EA ACCIDENT S ANY AUTO OR THAN EA ACC E VVV AUTO ONLY: AGG S EXCESSNMBRELI A LIABILITY v Icy ttOCngy EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE b ~s~sta~t Gl/$ DEDUCTIBLE RETENTION 5 $ WORKERS COMPENSATION AND ) TORY LIMITS ER EMPL OYERB' LIABILITY - - - - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED' EL DISEASE - EA EMPLOYE S1/ P yeEC s I AL P dA`LPrib'ROVISunder - - - IONS belwv EL DISEASE -POLICY LIM rT $ OTHER B Pzo£aasional Liab. iPHSD351226 I 08/19/10~ 08/19/111 par Claim $1,000,000 AA ra at $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROV1510N5 SEE NOTES CERTIFICATE HOLDER CANCELLATION SANTO 12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 • DAYS WRITTEN CSTY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL CODMEKETNITY DEVELOPM71.NT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AGENCY 22 CXVIC CENTER PLAZA, M-25 REPRESENTATIVES- SANTA ANA CA 92701 AUTHORI REPRES TATI E ACORD 25 (2001108) ® ACORD CORPORATION I SaR : Dascrip tion of Operations/Locations/Vehicles/Special items: Certificate Holder is included as an Additional insured with respect V. tha operat1i~~ona of the Named insured as par provisions o£ Form C02010 11 85 ,w attached. ith respect to claims arising out o£ the operations and uses parformed 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 £or the behalf of the additional insureds. •10 day notice i£ by non-payment of premium. POLICY NUMBER: 660 456L636o 09 COMMERCIAL GENERAL LIABILITY PHSM3si22s CG 20 37 10 01 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 SCHEDULE Name of Person or Organization: CITY OF SANTA ANA, COMMUNITY DEVELOPMENT AGENCY Location And Description of Completed Operations: LABOR MONITORING SYSTEMS Additional Premium: NA (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II - Who Is An Insured is amended to include. as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations haz- ard". AS TO FORD ~pROV£D S~ ORCK l1SA E ity p~ttor"ey p,ss~stant C CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 POLICY NUMBER: PHS0351226 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE' Name of Person or Organization: Certificate Holder Is included as an Additional Insured with respect to the operations of the Named Insured as per provisions of Form CG2010 11 85 attached. With respect to clal ms 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 behalf of the additional insureds. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising our of "your work' for that insured by or for you. A~ SO TOT-b& ~,~>R01TS ST cc) SP E CAW Attorr`ev Asslstar~ CG2010 1185 Copyright Insurance Services Office, Inc. 1984