Loading...
HomeMy WebLinkAboutWILLDAN HOMELAND SOLUTIONS 6A -2013A- 2093.124 WORK MAY PKuuttu UNTIL INSURANCE so 3 GLERK�OF GOUNGIL �_� 4W (— { "`�jg' 221 FIRST AMENDMENT TO AGREEMENT C� I� x THIS FIRST AMENDMENT TO AGREEMENT is entered into on August 5, 2013, by and between Willdan Homeland Solutions, a California corporation ( "Consultanf') 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 "). Cn i RECITALS: A, The parties entered into that certain Agreement A- 2012 -184, dated September 4, 2012, (hereinafter "said Agreement ") by which Consultant has provided grant management �9 services. B. In accordance with the terms and cond'it'ions of said Agreement, the parties wish to amend the Compensation to increase the hourly pay rate, increase total compensation to pay for services during the extended tern, and exercise the first of two options to extend the term for an additional one -year period. Additionally, the parties wish to amend the required certifications to conform to the Department of Homeland Security funding requirements. 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.a., COMPENSATION, shall be amended to increase compensation by $125,000.00, to pay for grant management services provided during the one -year terra commencing September 1, 2014. The hourly billing rate shall be increased to $53.70, effective February 1, 2013. 2. Section 4, TERM, shall be amended to extend the term one -year, through August 31, 2014. The Agreement may be extended for one additional one -year period on the written agreement of the parties. 3. Section 17, CONSULTANT CERTIFICATIONS, shall be amended to add anew subsection n, to read in full as follows: I'm Consultant may copyright any books, publications or other copyrightable materials developed in the course of or under this Agreement. However, the federal awarding agency, State Administrative Agency (SAA) and City reserve a royalty -free, non- exclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for federal government, SAA and /or City purpose: (1) the copyright in any work developed through this Agreement; and (2) any rights of copyright to which the subcontractor purchases ownership with support through this grant. The Federal government's, SAA's and City's rights identified above must be conveyed to the publisher and the language of the publisher's release form must ensure the preservation of these rights." 4. 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: �a44AL7e f MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: LaA Sheedy Assistant City Attorney CITY SANTA ANA KEVIkQ;AOURKE Interim City Manager WILLDAN HOMELAND SOLUTIONS (NAME) James E. Bailey (Title) President and CEO ACORD.M CERTIFICATE OF LIABILITY INSURANCE N ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 11 1 2 /2 /20012 12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92 711 -0 550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6301158PO20 11/9/2012 INSURERS AFFORDING COVERAGE INSURED INSURERA', Travelers Property Casualty Co of Ameri Willdan Homeland Solutions INSURERS', Catlin Insurance Company, Inc. 2401 E. Katella Avenue, Ste. 220 X COMMERCIAL GENERAL LIABILITY Anaheim CA 92806 INSURER American Automobile Ina. Co. INSURER D'. INSURER E', COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. GTWITHSTANDING 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 SEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD1YYI POLICY EXPIRATION DATE (MMADDMI LIMITS • GENERAL LIABILITY 6301158PO20 11/9/2012 11/9/2013 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE El OCCUR MED ENE (Any one person) $10 1 000 PERSONAL A ADV INJURY $1 1 000 000 X 2ontractual X 3FPD, XCU GENERAL AGGREGATE $2 000 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP_IOPAGG $2 000 000 POLICY X PRO LOC IFCT • AUTOMOBILE X LIABILITY ANY AUTO 8101158P020 11/9/2012 11/9/2013 COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accitlanl) $ HIREDAUTOS NON -OWNED AUTOS r• n'1 �'Cj � ^�...�� A° }{ PROPERTY DAMAGE (Par ecoltlenl) $ GARAGE LIABILITY ANY AUTO .` 1,7,UI;k `1 $'• rny1L01 �P.I AUTO ONLY - EA ACCIDENT $ R OTHER THAN EA ACC AUTO ONLY: AGO $ $ EXCESS LIABILITY (p S�1Sih s EACH OCCURRENCE $ OCCUR CLAIMS MADE .�^ AGGREGATE $ 5 $ DEDUCTIBLE I $ RETENTION $ C WORKERS COMPENSATION AND WZP81007462 11/9/2012 11/9/2013 X WC STATU- OTH- EMPLOYERS'LIABILITY E. L. EACH ACCIDENT $1 000 000 E. L. DISEASE - EA EMPLOYEE $1 000 000 E, L. DISEASE � POLICY LIMIT $1 000,000 B OTHER Professional Liability AED977441113 11/9/2012 11/9/2013 Per Claim $1,000,000 Annual Aggregate $2,000,000 Claims Made DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE XCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Independent Contractors are included as respects to General Liability. ity of Santa Ana, its officers, agents,volunteexs, and employees are Additional Insured as respects General Liability as required by written contract. (HOMELAND SOLUTIONS) City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza (M -30) Santa Ana CA 92702 -1988 DD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INSURER, ITS AGENTS OR REPRESENTATIVES. L J Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:Willdan Homeland Solutions Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza (M -30) Santa Ana CA 92702 -1988 Additional Premium % We have the right to recover our payments from any- one 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.) ftww°i:G4� Authorized Representative WC040306 Policy Number WZP81007462 Effective Date 11/2/2012 Job Description For which the insured has agreed by written contract executed prior to loss to furnish this waiver. The premium charge is 28 of policy standard premium at final audit. You must maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, SURVEYORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 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 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 111 — Limits Ofinsurance. 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 it the "products - completed operations hazard" unless the "written contract requiring insurance" speeifi- 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 Ca. 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 addl- tionalinsured: 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 08 0 2008 The Travelers Companies, InQ. Page 1 of 2 COMMERCIAL GENERAL LIABILITY 4 How, when and where the "occurrence" or offense took place; II. 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 11, 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 DEFINITIGNS 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 AUTO 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 1. 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 "properly 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 I. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — 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 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 ocv- 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 fallowing 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 11— 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 it — 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: (S) 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 barrow 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 ao- tions, (It) Neither you nor any other involved "Insured" will make any settlement without our consent. (111) 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 It — 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 It — 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 02010 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 compiled 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 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 AA,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. runty; 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 T3 53 03 10 © 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 C 2010 The Travelers Indemnity Company. CA T3 53 03 10 Includes copyrighted material of Insurance services Office, Inc. with Its permission. ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE( CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 11 2 2012 /20112Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711 -0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 630115SP020 11/9/2012 INSURERS AFFORDING COVERAGE INSURED INSURERA: Travelers Property Casualty Cc of Ameri Willdan Homeland Solutions INSURERS Catlin Insurance Company, Inc. 2401 E. Katella Avenue, Ste. 220 Anaheim CA 92806 INSURER C: American Automobile Ins. Co. INSURER D: INSURER E: 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 CERTIFICATE 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 -LEL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION MIDDMI LIMITS • GENERAL LIABILITY 630115SP020 11/9/2012 11/9/2013 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP(Any one person) $10 1 000 PERSONAL &ADV INJURY $1 000 000 X Contractual X BFPD, XCU GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2 000 000 POLICY PRO- LOC • AUTOMOBILE X LIABILITY ANY AUTO 8101158P020 11/9/2012 11/9/2013 COMBINED SINGLE LIMIT (Ea accldent) $1, 000, 000 BODILY INJURY (Par person) $ ALL OWNED AUTOS SCHEDULED AUTOS _ X BODILY INJURY (Per accident) $ HIRED AUTOS NON- OWNEDAUTOS X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTOONLY- EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY'. AGO EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND WZP81007462 11/9/2012 11/9/2013 X we sTATU 0TH. EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $1 000 000 E.L, DISEASE -EA EMPLOYEE $1 000 000 EL DISEASE - POLICY LIMIT $1 000,000 B OTHER Professional Liability Claims Made ' AFD977441113 11/9/2012 11/9/2013 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Independent Contractors are included as respects to General Liability. City of Santa Ana, its officers, agents,volunteers, and employees are Additional Insured as respects General Liability as required by written contract. (HOMELAND SOLUTIONS) City of Santa Ana Attn: Clerk of the City Coua 20 Civic Center Plaza (M -3Vy Santa Ana CA 92702 -198 yam /'jj �ea� ri's P ACORD 25 -S (7197) LD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED RE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INSURER, ITS AGENTS OR REPRESENTATIVES. J Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:Willdan Homeland Solutions Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Clerk of the City 20 Civic Center Plaza (M Santa Ana CA 92702 -1988 Additional Premium % Policy Number WZP81007462 Effective Date 11 /2/2012 Job Description For which the insured has agreed by Council written contract executed prior to loss -30) to furnish this waiver. The premium charge is 20 of policy standard premium at final audit. We have the right to recover our payments from any- one 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.) Authorized Representative WC040306 You must maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. [IIIIIINIlk "A M Lei 10 V4443 UUMMUM This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II -- WHO IS ANINSURED: 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 bi 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 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 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 fallowing 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 speclficaliy 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- tloralinsured: 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 08 02008 The Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. How, when and where the "occurrence" or offense took place; 11. 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 H. 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 AUTO 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 I. C. EMPLOYEE HIRED AUTO 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 02010 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 134, 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 "omployae'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 fallowing 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 11— 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. (II) Neither you nor any other involved "insured" will make any settlement without our consent. (111) 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 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 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 $05 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 - AG E: 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 (a) Any "employee" authorized by you to give no- tice of the "accident" or "loss ". CA T3 53 03 10 © 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.S., 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 0 2010 The Travelers Indemnity Company. CA T3 53 03 10 Includes copyrighted material of Insurance Services Mod, Inc, with Its permission. CERTIFICATE OF LIABILITY IN SURANCE 5 '-IS CERTIFiGATE RS iS'5UlED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON IHL, C:LRTIFIf;ATF HOLDER THIS CERTIFICATE E)OFS NOT AFFIRMATIVFIY OR NEGAVVELY AMEND, EXTEND OR ALTER THL COVERAGE AFFORDEn. BY THE POLi(.'lE BELOW, THIS CERTIFICATL OF INSURANCE. DOES NOT CONSTITUTE A CONIRAC7 BEIWFEN THE VSSUINO tNSURF-.R(S), AUTHORI/ED REPRF�`&NTATIVEQK PRODUCER, AND 7FIF'CERTIFICATF HOLDER . ........... IMPORTANI. If the certificate huller is an ADDITIONAL INSURED, the policy(iris) must lie endorsed If SUB r4OGAT K) NIS WAIVT�P, silhjeCt tO h4r qr,,j-*,jn4 cond4iortn of "in policy, codaw policies mly require an endorserrient. A stritemont Dn this cv�tifwate does riot Cclifer right', to the • rIP00"f(A R Exin ThOnO �Deiley, Rentc)n & Associates 1.1i.LL1_4 427 S4f8fr"10 P. C. Box 10550 17 MAIL S,anta Ana GA x271,1-0550 DtNG C(iVFFZAC;F 0 iNIURLD ylifldan Horneiand SoMhons 2401 E Kateila AvrnIj(-, SIT' 220 Anaheim CA 92806 ............ . ­­­_ REVISION NUMEIM COVERAGES CER11FICATIF NUMBER 2017110655 "E 6 11-1[ IN$URED NAMFD AROVF F'L)i� T11F PC)l. ICY FRIOP !His —.T:51'. Is T 6 cri R, I IV Ti771ATTI WF_ ()I 7TICT S OT ri;�suf?'4 t s HAG 'E No7WTHS1ANDlN(; ANY HELOCARLMENT TERM OF, CONDFIONOFANN' CC CNTRAC TOR t,i'THER DOCUM ENT 10A 110 RLSPEC I 1:0imflCH CFFITirICATE MAYBE. ISSuLD 0- MAY Pii�IAIN, TrIL �NF'L'P'ANCIE AFF()RDED BYTHE FICXICILS DEW-WRFOHEREIN l;; SI­I[x ,Ji-C" K) ALI. T11F ERMS FACtr 1510N,'� AND CON D� 11 ONS OF rA I(�H 1101. Ic IES� LIMITS !',I i OWN MAY ii�AV�-, REF N RF MJ".LL1 SY PA in ('LAW�,i XDIYL "TJ rM IF FF I POLIC, 'I E xr, J�p rysle OF NSURANCF :30 1 158 A" H 0" ("'l w. 'T'AVz7T 7,1 17_,777 (W D (10 X KS011A(�R I N I I 'J;,�r RmE (ICS{) 000 RFPI) xCu tYil AM', 11 S F, FR, J3" . ..... .............. 4— 014 "R '000 ODD A BODILY �Po' .�Pqwn'; ANYA'070 yij,y INIjupy acc cier�� S Ai.i7os A V Pt", NON OaMED �X FA. -WX]CLFRENCF 1 U1619PELLA LIAR CK,CL;R EXCESS LIA6 r'j. rv�"-MADF, CRKERS C1DMPF.NSJkTl0N f UR7r)417816 ANr EMPI. r)YERS'LIAMILITY Y t I Asy PR0PR(ET0R1PAP7NER'EXFCU rivE �i­.­] MCA 0'FiCERAJOAR-ER EXCiJ rUjindoory In NH) 1tC121013 'I V9i2n14 Im - D'Oaq E1. Mrk ASIr LA EMM OYL F' $1 00D 0100 EL DISF,'SE "CKIC"' 1 Per Clwrn $1 000 M � Fl,ofriswmd� _[Abitily kr0977441114 �1 1 fv2 014 .Air Aggro,qaie $2 Ono 000 Claims Made Li '19120 DeSCFriPr'j0N or OPERATI<)NS 1 L,CCATIONS IVEHIrLES iAitach ACORD 101, AO(jj�iv,.] R.—r5 Sc�edula, If ­0 'PDC' Is leqll'-dl General Liability policy exclude:i claims arising out of the performance Of PrOtessi07)Sl Ser`Vces. Independent Contractors are included as respects to general Liability, 30 Day NOG/1 0 Day for Non Pay of Prem Re Mult-year tfairong and exert; se plan ;MTFP) City of Santa Ann, its officers, (.,,FnpjOyeEs, aq ' gents, volunteers and representatives are adclitionaP Insured as ��spects to General Liability as required by written contract, Primary and ccwerage, Cross LiabTly, coverage applies to CL as required by written contract, (WHS) CERTIFICATE HOLD City of Santa Ann Mtr' Clerk of the City Council 20 civic Center Plaza(M-30)1 PO Box 1989 Santa Ana CA 92702 ACORD 25 (2010105) CANCELLATION sHow t) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORF, THE F.XPMATr(')N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W1'H THE POLICY PROVISIONS AVTHORtZEO REPREGENTAI C4E ,1 > k rc-, 1988.2010 ACORD CORPORA I 1UN. All r1gril!5, r'd!:iV'vVU, The ACORD name and logo are registered marks of ACORD 1WZURFR 4 Cc CIA 4.674- _NSk KLH a:Cattil,1 Joc, ......... . . . . . ....... . . .............. N5VRFR ............ . ­­­_ REVISION NUMEIM COVERAGES CER11FICATIF NUMBER 2017110655 "E 6 11-1[ IN$URED NAMFD AROVF F'L)i� T11F PC)l. ICY FRIOP !His —.T:51'. Is T 6 cri R, I IV Ti771ATTI WF_ ()I 7TICT S OT ri;�suf?'4 t s HAG 'E No7WTHS1ANDlN(; ANY HELOCARLMENT TERM OF, CONDFIONOFANN' CC CNTRAC TOR t,i'THER DOCUM ENT 10A 110 RLSPEC I 1:0imflCH CFFITirICATE MAYBE. ISSuLD 0- MAY Pii�IAIN, TrIL �NF'L'P'ANCIE AFF()RDED BYTHE FICXICILS DEW-WRFOHEREIN l;; SI­I[x ,Ji-C" K) ALI. T11F ERMS FACtr 1510N,'� AND CON D� 11 ONS OF rA I(�H 1101. Ic IES� LIMITS !',I i OWN MAY ii�AV�-, REF N RF MJ".LL1 SY PA in ('LAW�,i XDIYL "TJ rM IF FF I POLIC, 'I E xr, J�p rysle OF NSURANCF :30 1 158 A" H 0" ("'l w. 'T'AVz7T 7,1 17_,777 (W D (10 X KS011A(�R I N I I 'J;,�r RmE (ICS{) 000 RFPI) xCu tYil AM', 11 S F, FR, J3" . ..... .............. 4— 014 "R '000 ODD A BODILY �Po' .�Pqwn'; ANYA'070 yij,y INIjupy acc cier�� S Ai.i7os A V Pt", NON OaMED �X FA. -WX]CLFRENCF 1 U1619PELLA LIAR CK,CL;R EXCESS LIA6 r'j. rv�"-MADF, CRKERS C1DMPF.NSJkTl0N f UR7r)417816 ANr EMPI. r)YERS'LIAMILITY Y t I Asy PR0PR(ET0R1PAP7NER'EXFCU rivE �i­.­] MCA 0'FiCERAJOAR-ER EXCiJ rUjindoory In NH) 1tC121013 'I V9i2n14 Im - D'Oaq E1. Mrk ASIr LA EMM OYL F' $1 00D 0100 EL DISF,'SE "CKIC"' 1 Per Clwrn $1 000 M � Fl,ofriswmd� _[Abitily kr0977441114 �1 1 fv2 014 .Air Aggro,qaie $2 Ono 000 Claims Made Li '19120 DeSCFriPr'j0N or OPERATI<)NS 1 L,CCATIONS IVEHIrLES iAitach ACORD 101, AO(jj�iv,.] R.—r5 Sc�edula, If ­0 'PDC' Is leqll'-dl General Liability policy exclude:i claims arising out of the performance Of PrOtessi07)Sl Ser`Vces. Independent Contractors are included as respects to general Liability, 30 Day NOG/1 0 Day for Non Pay of Prem Re Mult-year tfairong and exert; se plan ;MTFP) City of Santa Ann, its officers, (.,,FnpjOyeEs, aq ' gents, volunteers and representatives are adclitionaP Insured as ��spects to General Liability as required by written contract, Primary and ccwerage, Cross LiabTly, coverage applies to CL as required by written contract, (WHS) CERTIFICATE HOLD City of Santa Ann Mtr' Clerk of the City Council 20 civic Center Plaza(M-30)1 PO Box 1989 Santa Ana CA 92702 ACORD 25 (2010105) CANCELLATION sHow t) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORF, THE F.XPMATr(')N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W1'H THE POLICY PROVISIONS AVTHORtZEO REPREGENTAI C4E ,1 > k rc-, 1988.2010 ACORD CORPORA I 1UN. All r1gril!5, r'd!:iV'vVU, The ACORD name and logo are registered marks of ACORD COMMERCAL GENERAL. UABILI 6301158P020 I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement rricdifies insurance provided under the follo%Ning: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The fol!lowing is addod to SECTION 11 —WHO IS AN INSURED: Any person or organizatlon that you agree in a ` written conlracl requiriig insurance" to incIude as an additional insured on this Coverage Part, but., a. Only with respect to liability for "bodily injury ", "personal injury' and properly damage" or b. If, and only to the extent that, the injury or damage is caused by acts or ornissions of you cr your subcontraCtCiT M the performance of "you, work" to which the 'written contract requiring ' nsurance" applies The person or organization does riot 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 lirniled as foIIOWS° c. In the event that the Lir*ts of insurance of this Coverage Part shown in the Declarations exceed the ljmi,,s of liability required by the " ,writtert contract requiring insurance", the n- surance provided to the additional Insured shalil be IImited to the limits of liability required by that "written contract requiring insurance ". This endorsement shall not increase the IiTllitS of Insurance descfted in Section III — Limits Of Insurance. d. This insurance does riot apply to the render- !Uig of or failure to render any " )IofessiOr4 sarvices" or construction management errors or, omissions. This insurance does, no' applly to "bodily ir- j,,ury" or "property damage" caused by `your work"' and Included in the "products- completed operations hazard" uriless the wntlen contract requIring insurance" SPPCJ�- caliy requires you to provide such coverage for that additional insured, and then the insldr- ance ,provided to the addlfi c�nal insured ap- plies only to such "bodily injury" or "proper "ty damage" that occurs before the end of the pe- riod; of time for which the "written contract re- quiring inSLJrance* requires you to provide such coverage or the end of the policy period, whichever is earlier, 2. The following is acided to Paragraph 4.a, of SEC- TION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS. The insurance provided 1,o the additional insured is excess over any valid and collectible "other in- surance*, wheVicr primar/, excess, contingent cr on any otIner basls, that is available to the addi- tional insured , 'or a loss we cover HoweVef, if You speciifical:y agree in the "written contract requiring insurance' ',hat this Insurance provided to the ad- diticinaI insured under this Coverage Part rru5! apply on a primary basis or a primary anC non- contributory basis this insurance is pvnar/ to ' "other insurance" available to '.he addFtjcnai in- sured which covers that person or organizahon as a named insured for such loss, and we will not share vAh that "other insurance" But this insur- ance provided to the additional Insured 961 is ex- cess over any valid and collectible *other insur- ance", whether primary, excess, contingent or on any other basis, that is avawIaOe 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 Addlitlonal Insured As a condition of coverage prove ded to the addi.. tional insured. a. The addil:'IonaC insured must give us written Je notice as soon as praclicall; , oaf an "oc(;ul recce "' or an ollense which may resui m a claim To the extent puss6 e, quch notice shou�d include ir, es, �nr_ loage 1 of 2 CG D4 14 04 C8 Clq 2"N 're Travelprs Cu'fllp, F1 COMMEROW- GENERAL UASH-ITY i. How. when and where the 'occurrerice" car offense took place; 1. The names and addresses of any iny'Irqd persons and witnesses. and Iii_ 71 he nature and location of any injury or <1amage ari sang out of the I,c)ccurrence' or offense. b, if a 6alm is rrade or "suit" is brOLIght against the additional Insured, the additional insured Tnust: I. Immediately record the specifics Of the claim cr "suit" and the date received; and ii. Nofify Us as soon as practicable. The additional insured roust see to it that we receive writIcan notice of the claim or "suit" as soon as practicable c. The additional insured nnust rrnnnpdiately send us copies of all legal papers received in con- nection with the claims or "suit". cooperate with us in the investigation or settlier-rient of the claim or defense against the "suit", and nth- e-wise comply wu!h all policy conditions, d. 71he additional insured must tender the de- ferse and indernnilly of any claims or "suit'" tO Paqra 2 of 2 any pr-c-Ader of other insurance which wouid cover the adlditionai iin<sured for a loss we cover, [-jowevej ni�i, comjiiiran does riot iflprt whether this, jnsurance prcMded to the addi- '5cnal insured is primary to that other ins,jr- ance aNiailable to the ad6tiorla irsu[P-C WhICh covers 11hat person or cqanizatioil as a named insured 4. Tne following is added to the DEFINMONS Sec- tICn %Vritteri contract requirirq insurance" mearis that part of any written contract or agreerrent unc!er W ich yC,,j are rcquirec 10 ijjd,�Ueic- I -e _rson or or- ganiLahon as an addltlona,4 'insured on .his CCVer- age Part,, provided that the "todijy injury and "property damage" cocurs and the "personal iii- jury" is caused by an offense corrmitte.,it' a. After, the sigrilng, and execution of the con'ract or. agreemen', fay` YQU� b, While that parr of the corIract or agreernerif is in etfecti and c. Before the end of the policy pe°icjd, ( 200 The Tra,�x6t:u-,, C,)MVAr iM C-G D4 14 04 08