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HomeMy WebLinkAboutPSOMAS, INC. (2)MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas Anissa Voyiatzes, PE, ENV SP PSOMAS 3 Hutton Center ,Drive, Suite 200 Santa Ana, CA 92707 CITY OF SANTA ANA 20 Civic Center Plaza s P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora July 5, 2017 Reference: First Extension of Consultant Agreement No. A-2015-167 Dear Ms. Voyiatzes: A-2015-167 1 ACTING CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to Section 1 of Agreement No. A-2015-167, entered into by PSOMAS and the City of Santa Ana, dated August 5, 2015, the term of the Agreement is hereby extended for an additional one (1) year period from August 6, 2017 to August 6, 2018 to cover existing services that are on-going on the date of this extension. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Fred Mousavipour Executive Director Public Works Agency CITY O SANTA A Cynthia J.. { J Acting City Manager APPROVED AS TO FORM JoV M. Funk Assistant City Attorney ATTEST Maria D. Huizar Clerk of the Council SANTA ANA CITY COUNCIL INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES Li S CLERK OF COUNCIL DATE'. "1%!5IdOl Miguel A. Pulido i Michele Madinez i Vicente Sarmiento i Jose Solorio i P, David Benavldes i Juan Villegas i,I Sal Tinajero Mayor Mayor Pro Tem, Ward 2 i Wards i Ward i Ward i Wards i Ward MPalirJ4,(a�sania-aria ora i MMartinez(algg_nta-ana.a, VSarmientordsanta-ana.om JSolorioralsanta-ana oro DBoMAW Santa-ana.org JVille as&,8anta-ana.orn i STlra'erot7asantp- ria sora Client#: 25181 PSOMAS ACORD. CERTIFICATE OF LIABILITY INSURANCE DgTE (MMIDOIY 6/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holders an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATION I§ WAIVE[), subf ect to the terms and conditions of the policy, certain PDlieles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In HER of such endorsement(sl. PRODUCER Greyling Ins. Brokerage/EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 INSURED Psomas 555 South Flower Street; Suite 4300 Las Angeles, CA 90071 CO. COVERArfFR CFRTIPIr:ATCMIIaaoCG. 17e1e 19445 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, EXCWSIO_NS AND ,CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID .IUTSW tN,, TYPE OF INSURANCE A90RL0 POLICY NUMBER MMIOOIYYYY ECxLAIMS. FOLIC YYYY LIMITS A )( COMMERCIAL GENERAL LIABILITY GL5268212 4/01/2017 04/01/20if $1000000 'CLAIMS -MAGE �X OCCUR pEpAApCMM,HHpGOEECTCrURgqRENCE ,PREMI9E_S,ZE'gEo11wrencai MED EXP (Any one person) ,$500,000,_ $,25 000 PERSONAL&ACV INJURY $1.000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRI 7 GENERAL AGGREGATE $2 000,000 PRODUCTS-COMP/OP AGO $2000000 POLICY .__XI LOG - I OTHER: $ A AUTOMOBILE LIABILITY CA4469706 4/01/201704/01/201 COMBINED SINGLE -LIMIT e acoldma ,•1,000,000 X ANYAUTO ALL OWNEDSCHEDULED X BODILY INJURY (Par Paean) $ BODILY INJURY (Par nookanp -PROPERTY $ .AUTOS AUTOS X 'I..111REDAUIOS NON -OWNED AUTOS DAMAGE-------'---- $ ,._. Pera nident} :UMBRELLA LIAS OCCUR EACH OCCURRENCE g EXCESS LIAS CLAIMS -MADE ---T --- AGGREGATE _ § $ RETENTION A i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC015893764( AGSJ 4/01/201704/01/201 X e PER —1 ETH. YIN ANY PROPRIETOMPARTNEERIEXEOUTIVE OFFICERIMEMBER EXCLU9EDP .NIA EL EACH ACCIDENT $1000.000 A I (Mandatory in NH) If yae, deaw be ender �DESCRIPTI_ON WC015893765 (CA) 4/01/2017 04/01/201 E.L DISEASE -Ea EMPLOYEE $1 000 000 EL DISEASE -POLICY LIMIT $1000000 OF OPEFAT�ONE halaw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 191, Additional Remarks SchedUM, may be attached It mora space Is required) 2SAN051100 & 4SAN020200; Agreement Nos. A-2008.219, A-2015.167, A•2017.114 & A-2014.224 ; City of Santa Ana On -Call Engineering Services 14.037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by ritten contract. The above referenced liability policies are primary & non -contributor where re uir written (See Attached Descriptions) RVIEWERBY.y,„ __ _ Et1Nl,¢,N(tEp City of Santa Ana Public Works Agency 20 Civic Center Plaza, M-21 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988.2014 ACORD CORPORATION. All riahts r.wnv zD I<u rRm 1) 1 of 2 I ne ACUHU name and logo are registered marks of ACORD #S812646/M691546 JNOY1 Client#: 25181 PSOMAS ACORDTM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 03/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Katie Kresner Greyling Ins. Brokerage/EPIC PH" Nr o, FAX :866.550.4082 Ext 770.552.4225 (AIC, No 3780 Mansell Road, Suite 370 E-MAIL ADDRESS: Katie. Kresner@greyling.CO mi Alpharetta, GA 30022 04/01/2019 EACHOCCURRENCE $1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins. Co. 119445 INSURED INSURER B: Psomas 555 South Flower Street; Suite 4300 INSURER C: Los Angeles, CA 90071 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X� COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR GL5268212 4/01/2018 04/01/2019 EACHOCCURRENCE $1,000,000 PREMISES (ERENTED occur ence $500 000 MED EXP (Any one person) s25,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X JECOT � LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE XI LIABILITY ANY AUTO CA4489706 4/01/2018 04/01/201 EOaaacdeDt51NGLELIMIT 1,000,000 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per idt $ accen) X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTUTE ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A WC015893765 (CA) WC015893764 (AOS) 4/01 /2018 4/01/2018 04/01 /201 04/01/201 X PTR OTH- ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN050900; Agreement No. A-2008-219: On -Call Engineering & Landscape Architecture Services; Executed Agreement #A-2008-219 & 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design. The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Primary & Non -Contributory coverage applies. Waiver of Subrogation applies to General Liability & Workffj Compensation where required by written contract. REVIEWED BY: 1 EUNICE HEREDIA (PG J OFJ; City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-0000 ACORD 25 (2016/03) 1 of 1 #S1033018/M1032607 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4W. ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 Client#: 25181 PSOMAS ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMnar9yf1n•1 I ninY11 a THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provlslons or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CCT N Katie Krasner Greyling Ins. Brokerage/EPIC Exl 770,552.4225 A/c No; 866.550.4082 3780 Mansell Road, Suite 370 MAL ADDRESS: Katle.Kresner@grsyling.com Alpharetta, GA 30022 INSURERS AFFORDING COVERAGE NAIC # 04101/201 INSURER A: Nn11onN Unlon Fire Ins. co. 19445 PREMISEES ELATE De . $500,000 500 000 INSURED Psomas INSURER e INSURER C.. 555 South Flower Street; Suite 4300 INSURERD: Los Angeles, CA 90071 INSURER E: A INSURER F: LIABILITY ANY AUTO AUTO& ONLY X AUT09U�D HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L'IR TYPE OF INSURANCE INSR y VD POLICY NUMBER PMILKS (0 0% LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR GL5268212 0410112018 04101/201 EACH $1000000 PREMISEES ELATE De . $500,000 500 000 MED EXP (Anyone person) $25 OOO PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JPEC O LOC OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGO $2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO AUTO& ONLY X AUT09U�D HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CA4489706 4/01/2018 04/01/2019CO eccldeDlS N LE L M T $1,06,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accldenl) $ PROPERTYDAMAGE $ Per accident S UMBRELLA LIAROCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROpRR ETOoRlPAR7NERlEXECUTIVE Y IN OFFICE RPNI�MBEREXCLUDED? ON (Mandatory In NH) Il yyes describe under DESGLRIPTION OF OPERATIONS below NIA WC015893765 (CA) WC015893764 AOS (AOS) 4/01/2018 4!0112018 0410112019_X_jjLUM 041011201 I ER OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE • EA EMPLOYEE $1,000.000 E.L. DISEASE -POLICY LIMIT 1$1,000,000 REVIEWED BY: EUNICE HEREDIA (PG F DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be alteched If more apses Is required) 4SAN020200; GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, Its officers, employees, agents, volunteers & representatives are named as Additional Insureds with respects to General Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written contract, Waiver of Subrogation is applicable where required by written contract & allowed by law. Should any of the above (See Attached Descriptions) City of Santa Ana Public Works Department Trevor Burgan 20 Civic Center Plaza Santa Ana, CA 92702.0000 ACORD 25 (2016103) 1 of 2 #S1033021/M1032607 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A54W. ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 Client#: 25181 PSOMAS ACORD.CERTIFICATE OF LIABILITY INSURANCE D Q:3127IDDIYYYY) 3127f201 R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Grayling Ins. BrokeragelEPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 W111ACT Katie Kresner NAMEPIF MESE 77Q 552.4225FAX A1c o E>tt; AfC Ne; 866.550.4082 EMAIL.ADDRESS: Katle.Kresner@greyling,com INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A ; National Union Fire Ina, co. 1944.51 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR INSURED Psomas INSURER B INSURER C; 555 South Flower Street; Suite 4300 Los Angeles, CA 90071 INSURER D: INSURER E INSURER F: MED EXP (Any one person) s25,000 COVERAGES CERTIFICATE NUMBER: 18-19 RFVISIArd Nt1MRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 LTR TYPE OF INSURANCE INSR 9wVQUBR POLICY NUMBER POLICY YIYEEFF PIMM /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR GL5268212 0410112018 04/01/2019 EACHOCCURRENCE $1,000.000 PREMISES Ee o�urrenoe $500,000 500 000 MED EXP (Any one person) s25,000 PERSONAL&ACV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- OLICY � JECT � LDC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG s2,000,000 $ A AUTOMOBILE Ix LIABILITY ANYAEEUTO AUTO60ONLY X SCHEDULEDBODILY I AUTOS AUTOS ONLY AUTOS ONLY CA4489706 0410112018 0410112019 EOMBIN EDtSINGLE LIMIT 1,000,000 BODILY INJURY(Par person) $ INJURY Per accldenl $ ( ) PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNY f NE OFFICERIMEMBER EXCLUDED? 7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC01(} 5893765 CA WC015893764 (AOS) 410112018 4/0112018 04101!2019 04/01/2019 I PER SIALTUTE OTH- X E.L, EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000.000 REVIEWED BY: EUNICE HEREDIA (PG 3OF DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 161, Addlllonal Remarks Schedule, maybe attached If more space is required) 28AN051100 & 4SAN020200; Agreement Nos. A-2008-219, A-2015-167, A-2017-114 & A-2014-224; City of Santa Ana On -Call Engineering Services 14-037 & GIS Needs Assessment & Implementation Plan & Enterprise Asset Needs Assessment & Implementation Plan. The City of Santa Ana, officers, employees, agents & representatives are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. The above referenced liability policies are primary & non-contributory where required by written (See Attached Descriptions) CERTIFICATE HOLDER rnNI rl I ATInKl City of Santa Ana Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-21 AUTHORIZEDD REPRESENTATIVE Santa Ana, CA 92702.0000 I 04W. ACORD 25 (2016103) 1 of 2 #S1033020IM1032607 O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KKRE1 .� ME ac� emr— 16�i� ACCAR "0 CERTIFICATE OF LIABILITY INSURANCE 9/18/2017 Dnvvv) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates Lic. #0020739 P.O. Box 10550 CONTNAME: Robin Lee PHONE FAX . 714-427-6810 .?14-427 6818 EMAIL , rlee@dealeyrenton.com AbDRESS INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURERA:XL Specialty Insurance Co. 37885 INSURED PSOMAS INSURER B: CLAIMS -MADE � OCCUR PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 _ INSURERC: INSURER D: DAMAGE( RENTED PREMISESSEa occurrence) $ MED EXP (Any one person) $ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10712960 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE � OCCUR DAMAGE( RENTED PREMISESSEa occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ AUTOWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTR - I I AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNCUTIVE ❑ OFFICER/MEMBER EXCLUDED?DED? NIA REVIEWED BY: EUNICEHEREDIA PG OF � ENT $ (Mandatory in NH) - LA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2SAN410111; Walnut Pump Station Upgrade Project / Agreement NO.= A-2014-224 GtK l ll-IGA l t MULUtF( L;ANGtLLA I IUN OU LJdy INUILI :e UI k dncend UUn City of Santa Ana Attn: Rudy Rosas 220 S. Daisy Avenue, M-85 Santa Ana CA 92703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AC40RDI CERTIFICATE OF LIABILITY INSURANCE DATE(MMroD/YYYY) 1/412018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the . certificate holder in lieu of such endorsement(s). PRODUCERCONTACT •-- Dealey, Rentor/ & Associates — License #0020739 P..0. Box 10550 Santa Ana CA 92711-0550 NAME: - PHONEAX . 714-427-6810('Ale,No : 714-427-6818 _ ADDARESS: riee@dealayronton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: XL Specialty Insurance Co. 37885 INSURED PSOMA9 PSOMAS INSURER B 555 South Flower Street, Suite 4300 INSURERC: INSURER D: Los Angeles CA 90071 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1619397522 REVISION.NUMBER: THIS IS TO C.F_RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, - NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILSRR OF INSURANCE ADDLITYPE iNgn wvn SUER POLICY NUMBER MMIDD/YYYF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE F]OCCUR DA A TO RENTEU--- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO GENERAL AGGREGATE $ POLICY ❑ JECT El LOG PRODUCTS - COMPIOP AGG $ $: OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Pe accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEENT OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N/A STATUTE I I ER -$ _ REVIEWED BY: EUNICE HEREDIA(PeSOF' EMPLOYE $ 4 Ues describe under SGtRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT 1-s A Professional Liability Claims Made DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachad If more space Is required) 2SAN051200, Engineering Design Services For Rehabilitation Of City Well 29, SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation. VCI[ I IrIVA 1 G rIVLUCR 6ANUIZI_I_A I IUfv JU uaV Nonce or uancenavon City Of Santa Ana 20 Civi Center Plaza (M-21) Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUYHORIZED REPRESENTATIVE h l.rsa. J k Cv, fD (019BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD A� Rte® CERTIFICATE OF LIABILITY INSURANCE 9/18/2017TE(MMI D"Y") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates Lic. #0020739 P.O. Box 10550 CONTACT ONTALee CT Robin Robin PHONE 27-6810 FAX N :714-427-6818 E-MAIL . rlee Beale renton.com @ Y INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURERA:XL Specialty Insurance Co. ,37885 INSURED PSOMAS INSURER B : PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER C : INSURER D : CLAIMS -MADE El OCCUR INSURER E: INSURER F: CAVFRArFR CFRTIFICATF NI IMRFR• 1948540543 DF\/ICInM IIHRARCD- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM% POLID/YYY EXP MMIDDYIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY F] PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY MBINFD SINGLE LIMI I$ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED (AUTOS AUTOS BODILY INJURY Per accident $ ( ) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Claims Made DPR9917719 10/15/2017 10/15/2018 Per Claim $1,000,000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 2SAN050900; On -Call Engineering and Landscape Architecture Services; Executed Agreement No. A-2008-219. 2SAN050902 Grand Avenue Storm Drain From Channel to 4th Street Design REVIEWED BY: EUNICE HEREDIA (PG 4,O)F/ I,MKI Ir'It.AIG 11ULUr-K GANIa LLAI IUN JU Uay IVUuce UI uarlcellaLlan City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL. LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than CG 20 10 04 13 that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 0 Insurance Services Office, Inc., 2012 Page 1 of 2 ❑ —11 REVIEWED BY: EUNICE HEREDIA (P41 OF J C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. A Insurance Services Office, Inc., 2012 CG 20 10 04 13 REVIEWED BY: EUNICE HEREDIA (PG OF POLICY NUMBER: GL5268212 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY 'PERSON OR ORGANIZATION'WHO YOU PER THE CONTRACT OR AGREEMENT BECOME• OBL I.GATED • TO I NCLUDE ' AS .AN ADDITIONAL INSURED AS A RESULT OF ANY 'CONTRACT OR AGREEMENT YOU HAVE ENTERED;INTO �i."�iF.'�_�. ��.'iYf3t?S�ji��4$ii,w. �tj'`Y�:;>•,J�'err�{;ji: i.:• Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that CG 20 37 04 13 which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. 0 Insurance Services Office, Inc., 2012 Page 1 of 1 ❑ REVIEWED BY: EUNICE HEREDIA (PG IOF 1�,% BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 4/1/2018 Issued to PSOMAS forms a part of Policy No. IWC015893765 ByNATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone IiC!ble for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. we040a61 (Ed. 11/90) Countersigned by Authorized Representative REVIEWED BY: EUNICE HEREDIA (PG dOFIS POLICY NUMBER: GL5268212 COMMERCIAL QENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANYR£R$ORZ pt:`tJttI3AN IAT31 i7NI IVNO?SYUU PER THE CONTRACT OR AGREEMENT I36f10M f~FC'f�$I�Iit�1lR$t���Iq�PNO'I�UDEi�AiS�i'I�N Ar315'C�iaGptJ?�tS�3'I�N�ORRI���1S�eA=.RESULfi::"OF AN`t'�`aGdTJ7 t�AYLT��fJR'�IFORB R�S!«N'>It*YOU HAV��B�J>I�gR�Cf„ It"N�'f) !-.'_'1.,.4��t�"dd,�z9afi�ri>;?'?�^�r>1k'�!':..%4 �"iH't�.Y"•EI t.1,.ttl.�fitr�i�,�,'r,•. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional Insured the person(s) or organizations} shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard", However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Inau- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown In the Decla- rations. CG 20 37 04 13 OF Insurance Services Office, Inc., 2012 Page 1 of 1 0 REVIEWED BY: EUNICE HEREDIA (PGJJ OF ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2018 forms a part of policy No. CA4489706 issued to Psoinas by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. SECTION 11 - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. 87950 (10/05) Alfthorized Representative or Countersignature (in States Where Applicable) Page 1 of 1 REVIEWED BY: EUNICE HEREDIA (PG/20F I3 ENDORSEMENT This endorsement, effective 12:09 A.M. 04/01/2018 forms a part of policy No. GL5268212 issued to PSOMAS by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REACT IT CAREFULLY ADDITIONAL INSURED • PRIMARY INSURANCE This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, Subparagraph a. Primary Insurance, Is amended by the addition of the following; However, coverage under this policy afforded to an additional insured will apply as primary Insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory Insurance, ME WN �... Com. A thorized Representative or— Counterslnature (in States Where i 74434 (90199) Applieablel REVIEWED BY: EUNICE HEREDIA (PG( F/3