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Home My WebLink AboutAECOM TECHNICAL SERVICES-2015City of Santa Ana t = Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement anEr i amendments (if any) are no longer in effect. Note: If your agreement Is grant related, please ensure that all grant retention requirements CITv have been satisfied prior to signing the termination form. CLE. Is the agreement(s) a permanent record? Yes _ No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. COTC Office Us? Only 12 AM 9- 50 OF COUNCIL The agreement with ECOm No. �% f5 �l� was completed on / and final payment has been made. (List all amendments. Use space below N needed.) P Z?' Re•,ised: 10-73-16 -/6'�-r)/ -1(!� '�-0--�- Department: Ayl q 1J') Phone/Ext.: x �d 3 Signature: J �� Date: t%c MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villages Matt Ulukaya, PE AECOM 999 Town and Country Road Orange, CA 92868 CITY OF SANTA ANA 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.oro July 5, 2017 Reference: First Extension of Consultant Agreement No. A-2015-169 Dear Mr. Ulukaya: A-2015-169 -01 ACTING CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Marla D. Huizar Pursuant to Section 1 of Agreement No. A-2015-169, entered into by AECOM 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. Sin Fred Mousavipour Executive Director Public Works Agency CITY OF SANTA AN Cyntkna J. Ku � Acting City ec APPROVED AS TO FORM An_ Joa— Assistant City Attorney ATTEST Maria D. Huizar Clerk of the Council SANTA ANA CITY COUNCIL INSURANCE ON FILE WORK MAY PROCEED UN111. INSURANCE EXPIRES H. ERK OF COUNCIL DATE'. '�l1�aUr Miguel A. Pulitlo i Michele Martinez i Vicente Sarmiento iJose Solaria P. David eenaoides i Juan Witless Sal Tinajero Mayof I Mayo[ Pro Fem, Ward 2 Ward i i Wartl 3 Ward 4 I Warder Wood 6 MPuI'dofo�santa g5g i MMarl'nezt&�sania-ane am i VSarmienta&Ogggjg,gna.aa I J6olonoesantaaaa aro i aovlq?Q'�saniaane oro 1 JlpI 7a F-a,egg i v?Laje t� 1- ACOR'O CERTIFICATE OF LIABILITY INSURANCE __.. DATE MV) A 03122122017017 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 Marsh Risk & Insurance Services/ CA License #04371531 777 South Figueroa 81reelllMnl_------- Los Angeles, CA 900171 CONTAC NAME: PHONE --j FAX--— _ IAIC NEL_ _.._ _noogEss'--.--.—._ ..___....._.._ ____ ._............ _.__ Athc LosAngelas,CertRequeal@Marsh.Ccm 06510-STNO-GAUE-17-18 — Ora�a GLALP D9 _ 3020 NOC INBUREft(S) AFFORDING COVERAGE NAIC_A — _ INSURER A: Zurich American Insurance Company 16535 INSURED AECOiVIi _ _ ---_.__ INSURER WA _ _ _ _ A _._.___._ NC AECOM Technical S&NICes, ll INSURER C Ikntis Union Insurance Cc 27960 URS Corporation: 999 W. Town & Country Rdk INSURERD ----------- _ INSURER E: Orange, CA 92868 INSURER F: 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. INSR.. .___ ._.._._..__....___—_—.----- _ . ADOL Bugg D E SSMDDMYLTR PE OF INSURANCE POLICY NUMBER OM I LIMITS A X COMMERCIAL GENERAL LIABILITY OLD 596589109 04101(2017 6410112010 EACH OCCURRENCE $ 1,000,009 P E IBES Ea aurcen $ 1_,090,000 CLAIMS -MAGE OCCUR MED EXP (Any are person) $ 6,000 .__.__. PERSONAL&AOV INJURY 1 $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: r , X POLICY �_J PES D LOC GENERAL AGGREGATE GENERAL AGgREGATE ATEAGG $ 2,000, I _FR 2000000 ,000_ OTHER: 9 A AUTOMOBILE X _ LIABILITY ANY AUTO ALL OWNED 6CHEDULEO AUTOS AUT OS NON -OWNED HIRED AUTOS AUTO3 BAP 6965893 09 041012017 0410112018 COMBINED SINGLE LIMIT$ deDl1 1,000,000 BODILY INJURY (Par person) $ BODILY INJURY (Par accident/ $ PROPERN DAMDAMAGE racuidenl $ _ $ 1 IUMORELLA UAB OCCUR EACH.00CURRENCE - $ 'EXCESS LAS CLAIMS -MADE —_ ; i AGGREGATE $ OEO RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? El If yet. (Mandatory in NH) ander NIA PE STA TE E.L. EACH ACCIDENT -_ _ — $ E.L. DISEASE -EA EMPLDYEC $ I EL. DISEASE - POLICY LIMIT 1 $ DESCRIPTIOb.N DESCRIPTION OP OPERATIONS below C ARCHITECTS & ENG.1 AEON 021654693 0410112017 0410112018 ' Pet ClalmlAgg 2,000,000 PROFESSIONAL LIAR. ( "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Re: Client Reference No 14-037: City of Santa Ana OrHORI Engineering Services 14037; AECOM: Agreements No. A-2013.034 and Agreement No. A-2015.169; URS: Agreement No. A-2098.048.01 and Agreement No. A4014357: The City of Sema Ana solicited proposals from consulting 0rms to provide engineering services an an as -needed basis. Engineering services may Include dvil engineering, elecidool engineering, traffle engineering, geotechnical, landlproperty, surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined whoelif a specific project or task order is assigned.rm y� (SeeAddlllonal Page) REVIEWED BY. EUNICE HEREDDP��4F Qty of Santa Anal] Attention: Monica M. Suter, PE, TE, PTOEU 20 Civic Center Plaza, Ml 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 of March Risk & Insurance Services James L. Vogel reserved. AUL)KU ZD (ZU"14N'I) 1he ACORD name and logo are registered marks of ACORD