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HomeMy WebLinkAboutBLACK O'DOWD AND ASSOCIATES, INC. DBA BOA ARCHITECTURE (3)A-2020-230-06B MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CF(Y CLE DATE N 1 4 2015 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, Califomia 92702 www.santa-ana.orc October 17, 2024 O pW�lZi Black O'Dowd & Associates dba BOA Architecture I Attn: Edward Log Ng, President M�K_ 067,[k1) 1511 Cota Ave. Long Beach, CA 90813 CITY MANAGER Alvaro Nunez CITY ATTORNEY Sonia R. Cam ho CITY CLERK Jennifer L. Hall Re: Extension to Agreement (#A-2020-230-06) to Provide On -call Space Planning and Architectural Consulting Services Dear Mr. Ng, Pursuant to Section 3 ("Term") of the above referenced Agreement, as amended, entered into between Black O'Dowd & Associates dba BOA Architecture and the City of Santa Ana, dated November 17, 2020, the time period of the Agreement is hereby extended for an additional and final one (1) year period through November 16, 2025. All other terms and conditions of the Agreement, as amended, remain unchanged and in full force and effect. Sincerel ( abil Saba, PE Executive Director, Public Works Agency rp✓ CI O SAN A 71C,r24 lvaro Nunez City Manager APPROVED AS TO FORM, onathan T. Martinez Assistant City Attorney Valerie Art.zaa That Vel Phan Benjamin Vazquez Mayor Maror Pm Tem ward 1 vamezwa®santaana.ora Id.ntdsanu-ann.vro Wad 2 b�azouez�sanwenanm ATTEST Ci CONSULTANT/ By: Edward Lok Ng /J Title: President SANTA ANA CITY COUNCIL Jess. Lapel Phil Tina. Jo ahan Ryan fla dez Davie Pa.laze wad] Wadd wares Wad iessrelnnez®sadaawnm pbaceTe�:anlaana am I hamadezrdsanaara av eoenalnza9sanWara A�KO� CERTIFICATE OF LIABILITY INSURANCE DAT11/2212024 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 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 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 rights to the certificate holder in lieu of such endorsement(s) PRODUCER CONTACT Tina Cowie NAME: Cornerstone Specialty Insurance Services, Inc. PHONE xt(714) 731-7700 AI(714) 731-7750 C No E: C No: 14252 Culver Drive, A299 ADURIE99: Ilna@cornerstonespeclally.com INSURER(S) AFFORDING COVERAGE NAICA Irvine CA 92604 INSURERA: RLI Insurance Company 13056 INSURED INSURERS: Aspen American Insurance Company 43460 BOAARCHITECTURE INSURER C 1511 Cota Avenue INSURER9 NSURER E : Long Beach CA 90813 INSURER F: lLgIi11;JLeLiL�@L$lii1=3SA THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSO WVO POLICY NUMBER MMIUDYIYYY' MMIDDNM LIMITS X COMMERCIMLGENERALLIABILTY CLAIMS -MADE ®OCCUR ADDT'LINSUREDlPBNC EACH OCCURRENCE $ 2,1 PREMISES Ea occueance $ 1,OOD,000 x MED F�(P (Any one person) $ 10,000 x BLNKTWVR OF SUBRO PERSONAL SADV INJURY $ INCLUDED A Y PSB0007999 11/20/2024 11/20/2026 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ®JECOT LOG GENERALAGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGO $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED v NON -OWNED AUTOS ONLY AUTOS ONLY PSBOD07999 11120/2024 11/20/2025 BODILY INJURY accident ) $ X PROPERTY DAMAGE Peraccident $ UMBRELLA IOCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE PSE0003983 11/20/2024 11/20/2025 AGGREGATE $ 1,000,000 OED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) DESCRIPTION OF OPERATIONS below DESCRIPTION N/A PSW0004454 11/2012024 11120l2025 vl PER OTT - STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L, DISEASE -POLICY LIMIT $ 1,000,000 B Professional Liability Claims Made$4,000,000 AAAE100264-06 11/20/2024 11/20/2025 Each Claim AnnualAggregate $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) RE: RFP 20-040 Space Planning and Architectural Services Certificate Holder is Additional Insured for General Liability but only if required by written contract with the Named Insured prior town occurrence and as per allachad endorsement. Coverage is subject to all policy terms and conditions. 30 days Notice of Cancellation `Except 10 days Notice of Cancellation for non-payment of premium. For Professional Liability coverage, the aggregate limit Is the total insurance available for all covered claims reported within the policy period. OVED CERTIFICATE HOLDER thia Mora at-1-1 55-arrr,-Dec �1,-3024-. F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE fHR N DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th FL ESENTATNE Santa Ana CA 92702 jl;tlo, dull ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Policy Number: PSB0007999 Named Insured: BOA ARCHITECTURE RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOW NERS COVERAGE FORM - SECTION II — LIABILITY C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to include as an additional insured on this policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "product -completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3. The following is added to SECTION III H.2. Other Insurance — COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION If — LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an additional insured under this policy must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered into that contract or agreement; or b. The "personal and advertising injury' for which coverage is sought arises out of an offense committed after you have entered into that contract or agreement. 4. The following is added to SECTION III K. 2. Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury', "property damage" or "personal and advertising injury' arising out of "your work" performed by you, or on your behalf, under a contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement with such person or organization entered into by you before the "bodily injury" or "property damage" occurs, or the "personal and advertising injury' offense is committed. APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 Policy Number: PSE0003983 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, RLIPack® FOR DESIGN PROFESSIONALS EXCESS LIABILITY ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. General Aggregate Limit — Per Project Or Per Location B. Additional Insured — Primary/Non-contributory C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM A. General Aggregate Limit — Per Project Or Per Location Paragraph 2.a, of C. Limits of Liability of SECTION I — INSURING AGREEMENT is deleted and replaced by the following: a. The limit of liability stated in the Declarations as general aggregate is the most we will pay during each policy period for all ultimate net loss, except ultimate net loss because of: (1) injury and damage included in the products - completed operations hazard or; (2) any coverage included in underlying insurance to which no underlying aggregate applies. The general aggregate applies separately to each of your `projects" away from premises owned by or occupied by you or to each of your locations owned by or occupied by you. "Projects" mean an area away from premises owned by or rented to you at which you are performing operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each 'project' at the same "location" shall be considered a single "project". For the purposes of this provision, 'location" means (1) premises involving the same or connecting lots; (2) premises where connection is interrupted only by a street, roadway, waterway or right- of-way of a railroad; or (3) premises where operations are performed in sections, stages or phases as a continuation of the same contract or agreement, even if the premises do not involve connecting lots. B. Additional Insured — PrimarylNon-contributory Paragraph K. Other Insurance of SECTION IV — CONDITIONS is deleted and replaced by the following: K. Other Insurance If other insurance, whether collectible or not, is available to the insured covering a loss also covered by this policy, the insurance afforded by this policy shall be in excess of, and shall not contribute with, such other insurance. However, if the underlying insurance provides coverage to an additional insured on a primary basis, or a primary and non-contributory basis, this insur- ance shall be available to such additional insured on an excess basis over the underlying insurance. We will not share with other insurance which covers such additional insured as a named insured. C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us Paragraph L. Subrogation of SECTION IV — CONDITIONS is deleted and replaced by the following: APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 PPU 304 06 10 Page 1 of 2 L. Subrogation In the event of any payment under this policy, the insured must notify us of any of the insured's rights of recovery against any person or organization. We shall be subrogated to all such rights. The insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. However we waive any rights of recovery we may have against any person or organization if the underlying insurance also waives such rights. Any amount recovered through subrogation or otherwise shall be apportioned in the inverse order of payment of the claim or claims involved to the extent of actual payment thereof by all interests. The expenses of all such recoveries and proceedings in connection therewith shall be apportioned in the ratio of respective recoveries. With respect to proceedings conducted solely by us, if there is no recovery, we will bear the expense thereof. If there is a recovery, we shall be reimbursed in full from such recovery for the amount of all expenses incurred by us before apportionment of such recovery as herein provided. APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 304 06 10 Page 2 of 2 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 0306 (Ed. 04-94) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be _%of the California workers' compensation premium otherwise due on such remuneration. Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before a loss Schedule Job Description Job performed for any person or organization that you have agreed with in a written contract to provide this agreement. APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 11/20/2024 Policy No. PSWO004454 Endorsement No. Insured BOA ARCHITECTURE Insurance Company RLI Insurance Company ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (/22120 ) �i nlzzlzoz4 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 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Tina Cowie Ni Cornerstone Specialty Insurance Services, Inc. PN0NE (714) 731-770D FAX (714) 731-7750 E Xtn No : 14252 Culver Drive, A299 E-MAIL tina@cornerstonespeclalty.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN Irvine CA 92604 INSURER A; RLI Insurance Company 13056 INSURED INSURER B; Aspen American Insurance Company 43460 BOAARCHITECTURE INSURER C: 1511 Cota Avenue INSURER D: INSURER E : Long Beach CA 90813 INSURERF: COVERAGES CERTIFICATE NUMBER: 24125 COVERAGES 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 MAYBE 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 MD POLICY NUMBER MMIDDIYYYY MMMD/YYYY LIMITS X COMMERCIALGENERALLIABILrrY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE © OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (An one porsoN $ 10,000 ADDT'L INSURED / P & NC XBLNKTWVROFSUBRO INCLUDED A Y Y PSBOOD7999 11/20/2024 11/20/2025 PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY ® JECOT LOC PRODUCTS - COMP/OP AGO $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT To accident $ 2,000,000 BODILY INJURY (Par person) $ ANYAUTO q OWNED SCHTOSEDULED AUTOS ONLY AU Y Y PSB0007999 11/20/2024 11120/2025 BODILY INJURY(PefeccldenU $ HIRED v NON -OWNED X PROPERTY DAMAGE Per accident $ AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 A EXC58SLIAa CLAIMS -MADE Y Y PSE0003983 11/20/2024 11/20/2025 AGGREGATE $ 1,000.000 DED I I RETENTION $ $ WORKERS COMPENSATION vl PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 A ANYPROPRIETORlEXCLUD (EXECUTIVE N/A Y PSW0004454 11/20/2024 11120/2025 F nd to , In NHR EXCLUDED? (Mandator, ( ry ) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTIOify�, describeN under DESCRIPTION OF OPERATIONS below E.L, DISEASE-POLICYLIMIT $ 1,000,000 Each Claim $4,000,000 Professional Liability B Claims Made AAAE100264-06 11/20/2024 11/20/2025 AnnualA re Aggregate 9 $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is requlmd) Re: Agreement No. A-2020-230-03 The City of Santa Ana, its officers, officials, employees, and volunteers are Additional Insured for General Liability & Non -owned and Hired Auto Liability, on primary/non-contributory basis, but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage Is subject to all policy terms and conditions. 30 days Notice of Cancellation *Except 10 days Notice of Cancellation for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. APPROVED CERTIFICATE HOLDER CANCEL By_Cynihia_MDra_at__2-1:5fi am, -Dec 91,_= ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 , 91988.2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Policy Number: PSB0007999 Named Insured: BOA ARCHITECTURE RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II — LIABILITY 1. C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to include as an additional insured on this policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "product -completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3. The following is added to SECTION III H.2. Other Insurance — COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION II — LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an additional insured under this policy must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered into that contract or agreement; or b. The "personal and advertising injury" for which coverage is sought arises out of an offense committed after you have entered into that contract or agreement. 4. The following is added to SECTION III K. 2. Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal and advertising injury" arising out of "your work" performed by you, or on your behalf, under a contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement with such person or organization entered into by you before the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed. APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024' ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 Policy Number: PSE0003983 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR DESIGN PROFESSIONALS EXCESS LIABILITY ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS A. General Aggregate Limit — Per Project Or Per Location B. Additional Insured — Primary/Non-contributory C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM A. General Aggregate Limit — Per Project Or Per Location Paragraph 2.a. of C. Limits of Liability of SECTION I — INSURING AGREEMENT is deleted and replaced by the following: a. The limit of liability stated in the Declarations as general aggregate is the most we will pay during each policy period for all ultimate net loss, except ultimate net loss because of: (1) injury and damage included in the products - completed operations hazard or; (2) any coverage included in underlying insurance to which no underlying aggregate applies. The general aggregate applies separately to each of your "projects" away from premises owned by or occupied by you or to each of your locations owned by or occupied by you. "Projects" mean an area away from premises owned by or rented to you at which you are performing operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each "project" at the same "location" shall be considered a single "project". For the purposes of this provision, "location" means (1) premises involving the same or connecting lots; (2) premises where connection is interrupted only by a street, roadway, waterway or right- of-way of a railroad; or (3) premises where operations are performed in sections, stages or phases as a continuation of the same contract or agreement, even if the premises do not involve connecting lots. B. Additional Insured — Primary/Non-contributory Paragraph K. Other Insurance of SECTION IV — CONDITIONS is deleted and replaced by the following: K. Other Insurance If other insurance, whether collectible or not, is available to the insured covering a loss also covered by this policy, the insurance afforded by this policy shall be in excess of, and shall not contribute with, such other insurance. However, if the underlying insurance provides coverage to an additional insured on a primary basis, or a primary and non-contributory basis, this insur- ance shall be available to such additional insured on an excess basis over the underlying insurance. We will not share with other insurance which covers such additional insured as a named insured. C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us Paragraph L. Subrogation of SECTION IV — CONDITIONS is deleted and replaced by the following: APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 PPU 304 06 10 Page 1 of 2 L. Subrogation In the event of any payment under this policy, the insured must notify us of any of the insured's rights of recovery against any person or organization. We shall be subrogated to all such rights. The insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. However we waive any rights of recovery we may have against any person or organization if the underlying insurance also waives such rights. Any amount recovered through subrogation or otherwise shall be apportioned in the inverse order of payment of the claim or claims involved to the extent of actual payment thereof by all interests. The expenses of all such recoveries and proceedings in connection therewith shall be apportioned in the ratio of respective recoveries. With respect to proceedings conducted solely by us, if there is no recovery, we will bear the expense thereof, If there is a recovery, we shall be reimbursed in full from such recovery for the amount of all expenses incurred by us before apportionment of such recovery as herein provided. APPROVED By Cynthia Mora at 11:56 am; Dec 11,'2024, ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED, PPU 304 06 10 Page 2 of 2 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 0"4) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be%of the California workers' compensation premium otherwise due on such remuneration. Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before a loss Schedule Job Description Job performed for any person or organization that you have agreed with in a written contract to provide this agreement. APPROVED By Cynthia Mora at 11:56 am, Dec 11, 2024 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequentto preparation of the policy.) Endorsement Effective 11/20/2024 Policy No. PSW0004454 Endorsement No. Insured BOA ARCHITECTURE Insurance Company RLI Insurance Company NOTICE OF COMPLIANCE C'111 STAFF: PRINT THIS P:10E ;1ND INCLUDE WIrH AGREE\IE\ I TO THE CLERIC OF THE COUNCIL Contractor BOA Architecture Name: Project N-2022-376 Number: Project Agreement With Black O'Dowd And Associates, Inc., DBA Name: BOA Architecture To Provide Architectural Services For Restroom Improvements The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: TYPE OF INSURANCE POLICY EXPIRATION COI DATE FILE NUMBER DATE NAME AUTOMOBILE LIABILITY PSB0007999 11/20/2024 11/20/2023 GENERAL LIABILITY PSB0007999 11/20/2024 11/20/2023 PROFESSIONAL LIABILITY CLAIMS AAAE10026405 11/20/2024 11/20/2023 MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 11/22/2023 12:35 PM City of Santa Ana.pdf City of Santa Ana.pdf City of Santa Ana.pdf PSW0004454 11/20/2024 11/20/2023 City of Santa Ana.pdf