HomeMy WebLinkAboutPSOMAS, INC (2). - 2013INSURANCE NOT ON FILE
W ®CLERK OFF COUNCIL
IL
DATE: g.,.-� -�3
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FOURTH AMENDMENT TO AGREEMENT
THIS FOURTH AMENDMENT TO AGREEMENT is entered into on July 15, 2013, by and
between Psomas, hie., a California corporation ( "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- 2013 -112
A. The parties entered into that certain Agreement A- 2006 -178, dated July 17, 2006, (hereinafter
"said Agreement") by which Consultant has provided engineering services.
B. By Amendments dated November 17, 2008, February 1, 2010, and April 18, 2011, the parties
agreed to increase compensation available to allow Consultant to continue to provide
services.
C. In accordance with the terms and conditions of said Agreement, the parties wish to again
increase available compensation to allow continued provision of services.
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 Fourth Amendment to
Agreement, the parties agree as follows:
1. Section 3, COMPENSATION, shall be amended to increase compensation by $200,000.00,
to pay for additional services, as set forth in Exhibit A to said Agreement.
2. Section 4, TERM, shall be deleted in its entirety and replaced with the following:
"This Agreement shall commence on July 17, 2006 and terminate on June 30, 2014, unless
terminated earlier in accordance with Section 13, below."
3. 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 Fourth Amendment to
Agreement on the date and year first written above.
ATTEST:
1 �
Maria D. Huizar
Clerk of the Council
APPROVED AS TO FORM:
Sonia R. Carvalho
City Attorney
/ /I(,'.v2 "V/.f-_ ak0�r
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
e
r.
Raul Godinez II, P.E.
Executive Director - P A
CITY OF SANTA ANA
Acting City Manager
PSOMAS
I
Joseph L. Boyle, P.
Vit e President
/ I Q
E Ttt G
DATE (MMIOOIYYYY)
10/14/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' ONLY AND CONFERS NO RIGHT'S 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
Grayling Insurance Brokerage
Mansell Road
Su i t e 3 7 0
Alpharetta GA 30022
CONTACT ,Ter No °� ola.
NAME:
PHONE . (770) 552 -4225 F (866)5 50-4082 (Aic N91;
E DMAIL3780 CDr
ADRESS: ' err y. no olaC re lin g-
INSURER AFFORDING COVERAGE
NAIC tl
INSURER ANational Union Fire Ins. Co. ___19445
GENERAL LIABILITY
INSURED
Psomas
555 S. Flower Street .....INSURER
Suite 4.300
Los Angeles CA 90071
INSURER. B
INSURER C ;
D:
$ 1400,000
INSURER E:
X 'COMMERCIAL, GENERAL LIABILITY
INSURER F:
rnVPPAnPQ CERTIFICATE NUMBER -14 -15 REVISION NUMBER:
OF INSURANCE THIS IS TO CERTIFY THAT THE POLICIES ` v
OE 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,
INSIR
LTR
TYPE OF INSURANCE
ADDL
UBR'
POLICY NUMBER
POLICY EFF
MM /DDNYYY
POLICY EXP
MMfDDlYY'YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE.
$ 1400,000
X 'COMMERCIAL, GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES rEa occurrence
$ 500, 000
MEDEX'P(Any one person)
$ 25,000
A
CLAIMS -MADE
2047634
10%15/2014
4 /1/2015
PERSONAL & ADV INJURY
$ 11000,000
..00CUR
X Contractual Liability
GENERAL.. AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES 'PER:
PRODUCTS, COMP /OP AGG
$ 2,000,000
$
POLICY .' PRO- X, LOC
'...
AUTOMOBILE LIABILITY
Es accdentSINGLE LIM @T....
1. 000_,_000
BODILY INJURY (Per person)
$
A
ANY AUTO
ALLOWNED SCHEDULED
514893
10/15/2014
./1/2015
BODIL IINJURY(Peraccident)
AUTGS AUTOS
X NON -OWNED
HIRED AUTOS AUTOS
Ix
E TY DAMAGE
Per PROPE
$
$
UMBRELLALIA®
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
H
CLAIMS -MADE
DED I RETENTION
$
A
WORKERS COMPENSATION
026034794 (ADS)
10/15/2014
4/1/2015
X WO5TATU- 0TH-
A
... AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N
DEFICEtoryin ER EXCLUDED?
(Mandatary in NH)
NIA
026034793 (CA)
10/15/2014
/1/2015
E.L. EACH ACCIDENT
$ 11000,000
EL.DISEASE - EAEMPLOYE
$ 1,000,000
F L DISEASE - POLICY LIMIT
$ 11000,000
If yes, describe ender
DE6GRIY a ION Ur OPERAI IONS helow
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional, Remarks Schedule, If more space is required)
2SAN410110t 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. 'Waiver of Subrogation or Rights applies to
Wormers' Compensation policy only as required by a written signed contract prior to any loss occurring.
GERTIFICATI MULUEK 6rFiNk C:LL_MIIUIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
I I' ACCORDANCE WITH THE POLICY PROVISIONS.
City of Santa Ana
Rudy Rosas
220 S . Daisy Avenue AUTHORIZED REPRESENTATIVE
M -85
Santa Ana, CA 92703,,,!
David Collings/JERRY
ACORD 25 (2010105) (9 1Ubt$-ZU'IV At UKU 4UCCr UIV+I IUI '4. MII IIUIRb IUbt:I YCU,
IN S025 ni Thn ACf1Rr't nnma and Innn ara ranictnrae4 mnr4c of hl":dlRr)
CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY)
�.-• -� ` 110/20/2014.
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
Jerry Noyola.
Greyling Insurance Brokerage
PHONE (770) 552- 4225 A/0 Nn: 1866)550 -4082
EMAIL er no ola@ Ire lin
ADDRE s: 0 x"y � Y y g - com
3780 Mansell Road
Suite 370
INSURERIS) AFFORDING COVERAGE
NAIC p
Alpharetta GA 30022
INSURERA - National Union Eire Ins. Co.
19445
INSURED
INSURER B
?somas
INSURER C
555 S. Flower Street
INSURER D:
Suite 4300
INSURER E..:
A
Los Angeles CA 90071
INSU'RERF.
COVERAGES CERTIFICATF NI IMRFR 14 -1b RFVICIn1`J MI IMnro.
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
IN SR
D
POLICY NUMBER
MMIDIDIYYYY
MMiDDrrYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE.
S 1,000,000
X COMMERCIAL GENERAL LIABILITY
...0/15/2.014
DAMAGE TO RENTED
PREMISES Eaoccurrenue
$ 500,000
A
CLAIMS-MADE OCCUR
047634
.../1/2015
MED EXP (Any one person)
$ 25,000
PERSONAL & ADV INJURY
$ 1,000,0010
X Contractual Liaba.la.t
GENERAL. AGGREGATE
'''.$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER :.
PRODUCTS - COMPIOPAGG
S 2,000,000
POLICY X PRO- X... LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
accident) '
$ 1,000,000
A
X
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
AUTOS '.AUTOS
814893
10/15/2014
/1/2015
BODILY INJURY (Per accidenl)
S
X
HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
EXCESS LIAR
CLAIM'S -MADE
AGGREGATE
S....
DID RITENTICN$
'.......$
A
WORKERS COMPENSATION
.26034794 (AOS)
10/15/2014
,11/2015
X WC STATU- OTH-
, LIMITS ER
AND EMPLOYERS' LIABILITY YIN
E.L. EACH ACCIDENT
$ 1,00 0 OOO
ANY PROPRIETOPYPARTNERIEXECUTIVE
NIA
A
QFFICEWa49EMBER EXGLUGED?
(Mandatory in NH)
026034733 (CA)
0/15/2014
/1/2D15
E.L. DISEASE - EA EMPLOYE.
$ 1 000 000
It yes, describe under
E.L. DISEASE - POLICY LIMIT
$ 1 000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101„ Additional Remarks Schedule, if more space Is required)
Re., 2SAN410111; Walnut Pump Station Upgrade Project. 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. Separation of Insureds applies to the General
Liability Policy'. Waiver of Subrogation is applicable where required by written contract & allowed by
law. 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 provided to the
City of Santa Ana
Rudy Rosas
220 S. Daisy Avenue, M -85
Santa Ana, CA 92703
Lei;1►LJOJ'RIIIIW =1
tl
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
Collings/JERRY 'I -n4 �w�
AGUKU 25 (2010/05) 071988 -2010 ACORD CORPORATION. All rights reserved.
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