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ar Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M-30).
Call 647-6520 if you have any questions.
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CITY OT S � r
The agreement with S iP hC POp �ics i erl1�P ��a rZ l�g� �ot p
No. 4-Za03- rst was completed on 6)kfzTy and final payment has been made.
(List all amendments. Use space below if needed.)
Department: \0614
Phone/Ext.:
Signature:
Date:
Revised 08-23-10
A-2003-135
INSURANCE ON FILE
WORK MAY PROCEED
UNTII,IsU ANCE EXPIRES
ti//to N
CLERK OF COUNCIL
DATE: rJ7s13
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AMENDMENT TO
CONSULTANT AGREEMENT
* THIS AMENDMENT TO CONSULTANT AGREEMENT, is entered into this
day of I Lk 2003, by and between Science Applications International
Corporation / SAIC, a Delaware corporation ("Consultant') and the City of Santa Ana, a
charter city and municipal corporation of the State of California ("City").
Recitals:
A. The parties entered into Consultant Agreement No. A-2001-259, dated December 17,
2001, (hereinafter "said Agreement') by which Consultant has provided historic
property resource identification, evaluation and documentation.
B. The City, as an entitlement recipient and grantee of the United States Department of
Housing and Urban Development ("HUD") Community Development Block Grant
("CDBG") Program, desires to expend a portion of CDBG funds allocated for the
2003-04 fiscal year, to continue Consultants services in historic preservation, in
accordance with Title 24, Part 570 of the Code of Federal Regulations 24 CFR
570.000, et seq. ("CDBG REGS").
C. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional sil(month period, amend the
Scope of Services, increase the compensation to pay for services during the extended
term and provide a new notice address for Consultant.
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
Amendment to Consultant Agreement, the parties agree as follows:
1. Section 1, SCOPE OF SERVICES, shall be amended to read as follows:
"Consultant shall, through December 31, 2003, continue to perform those services as
set forth in Exhibit A to said Agreement. Consultant shall also perform those services
as set forth in Exhibit Al hereto, during the term from July 1, 2003 through June 30,
2004."
2. Section 2.a., COMPENSATION, shall be amended to read as follows:
"City agrees to pay and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A to said Agreement and Exhibit A- 1,
attached hereto, respectively. The total CDBG funds to be expended during the 2003-
04 fiscal year shall not exceed $72,224.00, which amount includes a ten percent
(10%) contingency. The total amount to be expended during the entire term of said
Agreement shall not exceed $176,024.00, which amount includes a ten percent (10%)
contingency."
3. Section 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on December 17, 2001 and terminate on June 30,
2004, unless terminated earlier in accordance with Section 12, below. The term of
this Agreement may be extended upon a writing executed by the Deputy City
Manager for Development Services and the City Attorney."
4. Section 9, NOTICE, shall be amended to change Consultant's notice address to:
Science Applications International Corporation
10 East Figueroa Street
Santa Barbara, California 93101
Telefacsimile (805) 965-6944
Attn: Diane Keep
5. Section 16, MISCELLANEOUS PROVISIONS, shall be amended to include a new
subsection c., which will read as follows:
"Consultant certifies that it is not listed on the Federal publication of debarred,
suspended and ineligible contractors."
6. Anew Section 17, RECORD KEEPING/REPORTING, shall be added to read as
follows:
"Consultant shall keep and maintain complete and adequate records and reports to
assist City in meeting and maintaining its record keeping responsibilities under the
CDBG REGS, including the following:
a. Documentation of all CDBG funds received from City.
b. Documentation of expenses as identified in Exhibit A, including evidence of
incurring the expense, invoices for goods or services, copies of any and all
contracts or documentation pertaining to costs for subcontractors, plus all
other invoices for which CDBG funds were expended, and any payments
therefore.
c. Any such other related records as City shall reasonable require or as required
to be maintained pursuant to the CDBG REGS."
7. A new Section 18, SOURCE OF FUNDS, shall be added to read as follows:
"Consultant acknowledges that the CDBG funds being provided by City for
Consultant's services are received from HUD pursuant to Title I of the Housing and
Community Development Act of 1974, Public Law 93-383, as amended ("ACT"),
and that expenditures of these funds shall be in accordance with the ACT and all
pertinent regulations issued by agencies of the federal government, including, but not
limited to, all regulations found at Title 24 of the Code of Federal Regulations."
8. A new Section 19, LOBBYING, shall be added to read as follows:
"Consultant certifies that it will comply with federal law (31 U.S.C. 1352) and
regulations found at 24 CFR Part 87, which provide that no appropriated funds may
be expended by the recipient of a federal contract, grant, loan or cooperative
agreement to pay any person for influencing or attempting to influence an officer or
employee of any agency, Member of Congress, or an officer or employee of a
Member of Congress in connection with awarding of any federal contract, the making
of any federal grant or loan, entering into any cooperative agreement and the
extension, renewal, amendment or modification of any federal contract, grant, loan or
cooperative agreement."
9. A new Section 20, DAVIS-BACON ACT, shall be added to read as follows:
"The City and Consultant are aware of the requirements of the Davis -Bacon Act, as
amended, 40 U.S.C. sections 276a — 276a-5, and certify that no construction work
will occur in the performance of this Agreement."
10. A new Section 21, DRUG FREE WORKPLACE, shall be added to read as follows:
"Consultant certifies that it has established the following drug -free workplace policy:
1. The unlawful manufacture, distribution, dispensing, possession or use of a
controlled substance is prohibited in the workplace for any employee involved in
a federally funded program.
2. As an employee working in conjunction with a federally funded program, the
employees of Consultant will be required to:
a) Abide by the terms of statement 1, above.
b) Notify appropriate officials of Consultant and City officials of any
criminal drug statute conviction for a violation occurring in the
workplace not later than five days after such conviction.
3. The United State Department of Housing and Urban Development will be
notified within ten days after receiving notice of any such violation.
4. Within 30 days of receiving such notice, appropriate personnel action will be
taken against such employee, up to and including termination. Each such
employee shall be required to participate satisfactorily in a drug abuse assistance
or rehabilitation program approved for such purposes by a federal, state or local
health, law enforcement or other appropriate agency."
IN MTNESS WHEREOF, the Parties hereto have executed
Consultant Agreement on the date and year first written above
this Amendment to
ATTEST:
*of
HEALY
ouncil
APPROVED AS TO FORM.
JOSEPH W.FLETCHER
City Attorney
By.
La Sheedy
Assistant City Attorney
CITY OF SANTA ANA
D VID N. REAM
City Manager
CONSULTANT
Contracts Manager
5
May 20, 2003
Ms. Maya DeRosa, Senior Planner
City of Santa Ana, Planning Division
P.O. Box 1988, M-20
Santa Ana, CA 92702
Subject: Proposal and Budget for Historic Resources Consulting Services Year 3 (July 1, 2003-
June 30, 2004)
Dear Ms. DeRosa:
Science Applications International Corporation (SAIL) is pleased to submit this revised
time and materials proposal to continue to provide Historic Resources Consulting
Services to the City of Santa Ana. The proposal consists of a Scope of Work based on
conversations between City Staff and SAIC's Principal Investigator, Leslie Heumann,
and an associated budget. It is our understanding that this new Scope of Work and
budget will be executed in order to allow work to continue uninterrupted between the
finalization of the current Year 2 agreement (as amended) and the proposed new project,
which would take effect on July 1, 2003 for a one-year duration.
SCOPE OF WORK
Task 1. Categorizations. Categorize and prepare Santa Ana Register templates (i.e., the
"Executive Summary" and the State of California "Primary Record" and "Building,
Structure, and Object Record") for an average of 7 properties per month. The templates
may be submitted, according to the City's schedule, on a monthly basis (7 templates) or
bimonthly basis (14 templates). The following sub -tasks will be undertaken for each
property:
1.1. Visit and digitally photograph site (15 minutes per site)
1.2. Provide preliminary categorization to Staff (15 minutes per site).
Deliverable: Preliminary categorizations list.
1.3. Research using one or more of the following sources: existing documentation
such as survey forms, National Register forms, tour brochures; building permits;
Santa Ana History Room or other library collections; Internet (45 minutes per
site).
1.4. Create and write template (2'/4 hours per site).
Deliverable: Draft template (subtotal 3.5 hours per site)
10 E. Figueroa Street, Santa Barbara, CA 93101 (805) 564.6100 FAX: (805) 963.2431
EXHIBIT A
Ms. Maya DeRosa
May 20, 2003
Page 2
1.5. Perform additional research per Template Committee (30 minutes per site).
1.6. Revise template per Template Committee (30 minutes per site).
Deliverable: Revised template (subtotal 1 hour per site; grand total 4.5 hours per
site)
The following assumptions apply to this Task.
• Staff will provide a monthly work request identifying properties to be categorized.
• Templates will be transmitted electronically.
• The times noted above per subtask are estimated and may deviate according to
variables such as the location of the property; the complexity of the building;
availability, type, and quantity of research material; and number of revisions
completed at the City's request in excess of the two iterations that are budgeted.
• City will be responsible for ownership, Assessor's parcel numbers, USGS Quad
information, and sketch maps required on the DPR forms.
• Two iterations of the templates are specified: one draft and one revision.
• City will continue to provide building permit access.
• City will continue to provide copies of relevant documentation. To date, SAIC has
received copies a variety of materials, most recently, the updated Office of Historic
Preservation Historic Resources Inventory Santa Ana database.
Task 2. Meetings. SAIC's Architectural Historian will attend up to 30 meetings as
follows: 12 Historic Resources Commission meetings (held on the first Thursday of each
month), 6 to 12 Template Committee meetings (currently scheduled on the second
Friday of each month or bimonthly), and 6 coordination meetings or telephone
consultations with Staff. For budgeting purposes, an average of 3.5 hours per meeting
has been assumed.
Task 3. Other Services.
From time to time and at the City's request, the Consultant will undertake additional
tasks such as those completed during the current contract period (e.g., assisting the City
with reconnaissance level surveys, providing additional documentation for the City to
submit to OHP, additional site inspections, etc.). A budget for such tasks has been
included in the current proposal. SAIC will notify the City when and if this budget is
depleted, or if any tasks would require budget augmentation.
SCHEDULE
The total project performance period is anticipated to be one year.
BUDGET/TERMS AND
10 E. Figueroa Street, Santa Barbara, CA 93101 (805) 564-6100 FAX: (805) 963-2431
Ms. Maya DeRosa
May 20, 2003
Page 3
The estimated budget for this effort is $65,658 and is detailed in Reference A. The terms
and conditions contained in our Consultant Agreement A-2001-259 dated December
17,2001 shall govern this effort. SAIC requests that this proposal and attachments,
Reference A- Cost Estimate and Reference B-2003 Rates, be incorporated into the
Agreement. Please also note that section 9. NOTICE should be updated to reflected our
new address as of April 1, 2002 as follows:
10 E. Figueroa Street
Santa Barbara, CA 93101
Phone: (805) 564-6178
Fax: (805) 963-2431
ACCEPTANCE
Please indicate acceptance of the proposed scope of work, schedule, budget, and terms
and conditions by signing and returning one copy of this letter to the undersigned
(facsimile is acceptable). SAIC will begin work once we receive a signed copy of this
agreement.
SAIC has enjoyed working with the City on this exciting project over the course of the
last year, and looks forward to our continued relationship. If you have any technical
questions about this proposal, please contact Leslie Heumann at (323) 651-0399. All
contractual and business matters can be directed to the undersigned at (805) 564-6178.
Sincerely,
Diane Keep
Contracts Manager
Attachments: Reference A: Cost Estimate
Reference B: 2003 Rates
ACCEPTANCE:
Authorized Representative of the City of Santa Ana Date
10 E. Figueroa Street, Santa Barbara, CA 93101 (805) 564-6100 FAX: (805) 963.2431
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Reference B
SCIENCE APPLICATIONS INTERNATIONAL CORPORATION
Infrastructure, planning & Engineering Group
Fully Burdened
SAIC DIRECT LABOR Hourly Rate
Sr. Principal Consultant
$190.00
Principal Consultant
$180.00
Sr. Program Manager 1
$170.00
Sr. Program Manager If
$160.00
Sr. Program Manager III
$150.00
Sr. Program Manager IV
$145.00
Program Manager 1
$135.00
Program Manager 11
$125.00
Sr. Project Manager
$110.00
Project Manager
$100.00
Sr. Consultant 1
$140.00
Sr. Consultant If
$130.00
Sr. Consultant 111
$120.00
Sr. Consultant IV
$110.00
Sr. Consultant V
$105.00
Staff Consultant 1
$95.00
Staff Consultant 11
$90.00
Staff Consultant 111
$85.00
Staff Consultant IV
$80.00
Staff Consultant V
$75.00
Associate Consultant 1
$70.00
Associate Consultant 11
$65.00
Associate Consultant 111
$60.00
Associate Consultant IV
$55.00
Associate Consultant V
$50.00
Technician 1
$45.00
Technician II
$40.00
Technician III
$35.00
Technician IV
$30.00
Sr. Project Administration 1
$90.00
Sr. Project Administration 11
$85.00
Project Administration 1
$80.00
Project Administration 11
$70.00
Project Administration III
$60.00
Project Administration IV
$50.00
Project Administration V
$40.00
M&S Handling Charge 12%
Lodging, meals, mileage and other out-of-pocket expenses billed at SAIC cost.
Rates Effective: January 2003 thru December 2003
SAIC PROPRIETARY INFORMATION: This document contains proprietary information of Science Applications International
Corporation (SAIC). It may not be used, reproduced, or disclosed without the prior written approval of SAIC.
I REM
CERTIFICATE NUMBER
OS-00 141719- 1
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk 8 Insurance Services
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
• Calif. Insurance License No. 0437153
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles, CA 90017
Attn: Barbara Llewellyn 213-346.5102
COMPANIES AFFORDING COVERAGE
COMPANY
75988-SAIC-ALL-03/04 SAIC ENDT CANC
A National Union Fire Insurance Company of PA
INSURED
COMPANY
SCIENCE APPLICATIONS INTL CORP
B American Home Assurance Company
10260 Campus Point Drive
M/S F1 O
San Diego, CA 92121
COMPANY
C Insurance Company of the State of Pennsylvania
Rv
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
c0
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD/YY)
POLICY EXPIRATION
DATE(MMIDDrfY)
LIMITS
A
GERERALIJABIUTY
GL6f28513
04/04/03
04/01/04
GENERAL AGGREGATE
$ 2,000,000
X
E—ICLAIMSMADE
PRODUCTS -COMIAGG
$ 1.000,000
COMMERCIAL GENERAL LIABILITY
X000UR
PERSONAL SADVINJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,005
OWNER'S S CONTRACTORS PROT
FIRE DAMAGE (Any we lire)
$ 1,000,000
MED EXP A one n
$ 10,000
B
AUTOMOBILE
LIABILITY
CA 6611957 (ADS)
0401/03
04/01/04
COMBINED SINGLE LIMIT
$ 1,000,000
X
B
ANY AUTO
CA 6611960 (TX)
04/01/03
04/01/04
BODILY NJURY
(Per Person)
$ '
B
A
ALL OWNED AUTOS
SCHEDULEDAUTOS
CA 6611959 (MA)
CA 6611958(VA)
04/01/03
04/01/03
04/01/04
04/01/04
BODILY INJURY
(Per ectlodrl)
$
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
$
co v ill
A5 TO IY
GARAGE UABIUTY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
_ _
f. U Sheedy
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
I
$
OTHER THAN UMBRELLA FORM
C
C
WORKERS GOMFEKATION AND
EMPLOYERS' LIABILITY
WC 5211060 (DED)
WC 5211061 (CA)
04/01/03
04/01/03
04/01/04
04/01/04
IT
X TOR LIMITS ER
.
EL EACH ACCIDENT
3,000,000
A
THE PARTNE IMEXE U INCL
PARTNERREXELUTNE
OFFICERS ARE: EXCL
WC5211062(RETRO)
04/01/03
04/01/04
EL DISEASE -POLICY LIMIT
$ 3,000,000
JEL DISEASE -EACH EMPLOYE91
$ 3,000,000
UlMbK
- -
F
DESCRIPTION OF OPERATIONS/=ATIONSNEHICLES/SPECIAL ITEMS
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are additional
Insured under the General Liability policy referenced above, but Only with respect to the services provided by the named insured under contract to the
certificate holder. Such insurance afforded by this policy Is primary and non-contributory with the insurance maintained by the additional Insured but only as
respects the operations performed by the named insured under the General Liability coverage.
SHOULD ANY OF THE POLICIES OESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION DATE THEREOF,
RECEIVED
THE INSURER AFF IRDWO COVERAGE WILL SNK6K4%xird: MAIL _RD DAYS WFU EN NOTICE TO THE
City of Santa Ana
Planning Division APR 1 1 2003
Attn: Maya DeRosa
P.O. Box 1988, M-20
CERTIFICATE HOLDER "WED HEREIN,
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' Santa Ana, CA 92702
SANTAANA PLANNING DEFT
MARSH USA MC. " , z(CWd60,NnfOE*0V3
BY: John F Wesley S4 ".'.L A
Jun-27-03 04:28pm
From-sareh/core • i cee
+12133485806 T-403 P W21
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InsunmceCompmy NATIONAL UNION FIRE INSUMCE CO,
This endorsement modifies such instuauee as is afforded by the provisions of
# OL6128513 njating to the following:
1. The City of Santa .Ana, 20 Civic Center Plaza, Santa Ana, Califgr O
officers, employers, agents, volunteers and representatives are named as additional
("additional insureds") with regard to liability and defense of suits arising from the
and uses performed by or on behalf of the named insured. 1.
2. With respect to CIUM arising out of the operations and uses perform4�by W on
behalf of the named insured, such insurance as is afforded by this policy is primary aqd is
additional to or contributing with any other insurance Carried by or for the benefit of tlye '
additional insureds.
3. This insurance applies separately to each insured against whom clain} in made or
suit is brought except with respect to the company's limits of liability. The inclusion of spy
Person or organization as an insured shall not affect any right which such person or ption
would have as a claimant if not so included- ' t� d"
4. With respect to the additional insureds, this insurance shall not be cw%W1a ,or
materially reduced m coverage or limits except after thirty (30) days written notice hies be*
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CaMnn*a 92761,
(Completion of the following, including cwatersigoatum is required to make this **rse meat
effective.) A
Fffective 04/01/03 this endorsement form as apaitl'bf
Policy*
136UCdto SCIENCE APPLICATIONS INTERNATIONAL CORP.
Named Insured
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NINA HUFFMAN - AIG
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
777 SOUTH FIGUEROA STREET POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
CA LICENSE NO. 0437153 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
LOS ANGELES, CA 90017-5822 COMPANIES AFFORDING COVERAGE
Attn: Barbara Llewellyn 213-346-5102
COMPANY
75988-SAIC-ALL-04-05 SAIC ENDT CANC A National Union Fire Insurance Company of PA
INSURED
COB ANY
SCIENCE APPLICATIONS INTL CORP '4-a00/- 0�9
10260 Campus Point Drive �DI-159-U�
M/S F1
American Home Assurance Company
COMPANY
San Diego, CA 92121 }f
C Insurance Company of the State of Pennsylvania
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DD/YY)
POLICY EXPIRATION
DATE(MMIDDNY)
LIMITS
.A
GENERAL
LIABILITY
GL4806264
04/01/04
04/01/05
GENERALAGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OP AGG
$ 1,000,000
COMMERCIALGENERAL LIABILITY
CLAIMS MADE OCCUR
..
PERSONAL B ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any one n
$ 10,000
B
AUTOMOBILE
LIABILITY
CA 5188952 (ADS)
04/01/04
04/01/05
COMBINED SINGLE LIMIT
$ 1,000,000
X
B
ANYAUTO
CA 5188955 (TX)
04/01/04
04/01/05
BODILY INJURY
(Per person)
$
B
B
ALL OWNED AUTOS
SCHEOULEDAUTOS
CA 5188953(MA)
CA 5188954(VA)
04/01/04
04/01/04
04/01/05
04/01/05
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
/
/
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABIUTY
WC 5212464(DED)
WC 52122465(CA)
04/01/04
04/G1/04
04/01/05
04/01105
X TORY LIMITS ER
EL EACH ACCI_DEN T
$ 3,000,000
EL DISEASE -POLICY LIMIT
Is 3,000,000
A
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL
WC 5212466(RETRO)
04/01/04
04/01/05
EL DISEASE -EACH EMPLOYEE
$ 3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are additional
insured under the General Liability policy referenced above, but only with respect to the services provided by the named insured under contract to the
Certificate holder. Such insurance afforded by this policy is primary and non-contributory with the insurance maintained by the additional insured but only as
respects the operations performed by the named insured under the General Liability coverage.
,"k3( ...
1P Elm_.... .._.
RECEIVEDSHOULD
ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DAIS THEREOF,
THE INSURER AFFORDING COVERAGE WILL EQ6Xl' V1WX MAIL 9 DAYS WRITTEN NOTICE TO THE
City of Santa Ana
Planning Division APR 0 12004
Attn: Maya DeRose
CERTIFICATE HOLDER NAMED HEREIN.
E
P.O. Box 1988, M-20
Santa Ana, CA 92702 SAWA AM PLANNING DEPT.
MARSH USA INC.
CAT TO1M,c, �' a rbn, (`JI 7, i5
eY: John F Wesley ���
'r- "*�° ii-'?- e,Yr
VALID AS OF 8O3/31/04
9- n�1:-"'a
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This endorsement, effective 12:01 A,M. 04/01/2004 forms a part of
policy No.GL 480-62-64 issued to SCIENCE APPLICATIONS INTERNATIONAL CORPORATION
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;
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Section II - Who is an Insured, 1., is amended to add:
f1 Any person or organization 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 your operations or premises owned by or rented to
you. However, the insurance provided will not exceed the lesser of:
The coverage and/or limits of this policy, or
2. The coverage and/or limits requ€red by said contract or agreement.
Authorized Representative or
Countersignature {in States Where
Applicable)
61712 (9101)
This endorsement, effective 12:01 A.M. 04/01/2004 forms a part of
policy No.GL 480-62-64 issuedto SCIENCE APPLICATIONS INTERNATIONAL CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - PRIMARY INSURANCE
This endorsement modifies insurance provided under the following;
Section lY, 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.
-3
Authorized Representative or
Countersignature {in States Where
AppNcabiel
74434 (1OM9}
INSURBD'S COPY