HomeMy WebLinkAboutKORVE ENGINEERING, INC. 1AAGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any
questions.
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The agreement with ~ >/ ~ ~ , No. N -~Z'~3- ~~
was completed on ,and final payment has been made.
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. City of Santa Ana
Revised 8-7-03 Clerk of the Council
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Mitre-Ramirez, Norma
From: Suter, Monica
Sent: Tuesday, September 08, 2009 10:55 AM
To: Mercer, Margaret
Cc: Mitre-Ramirez, Norma
Subject: RE: Term slip
Hi Margaret and Norma-
Yes, that is my project and indeed it is completed!
Ok to terminate it!
Thx--Monica
From: Mercer, Margaret
Sent: Tuesday, September 08, 2009 10:38 AM
To: Suter, Monica
Cc: Mitre-Ramirez, Norma
Subject: FW: Term slip
Monica,
Would this happen to be your agreement??? If so, please respond to Norma.
Thanks,
Margaret Mercer
Senior Management Analyst
Public Works Agency -Admin. Svcs.
City of Santa Ana
(714) 647-5050
From: Mitre-Ramirez, Norma
Sent: Wednesday, August 26, 2009 4:17 PM
To: Mercer, Margaret
Subject: Term slip
Hello Margaret,
Please confirm that the amendment, N-2003-152-01,~is also terminated. You may respond to this email. Thank you
much. ~ ------- -~
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KORVE N-2003- 2004-12 2009 9/1/04 TRAFFIC ENGINEERING CONSI
ENGINEERING 152 PROVIDE GRADE CROSSING N
INC. STUDY NTE $9,790 N-03-152-01
KORVE N-2003- 2004-12 2008 9/1/04 1ST AMEND EXTEND TERM BY
_ __ _
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N.- .J-l1D3 ~ /5~ - Di
FIRST AMENDMENT TO
CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into
this 27th day of October 2004, by and between Korve Engineering, Inc. ("Consultant")
and the City of Santa Ana ("City").
Recitals:
A. The parties entered into Agreement N-2003-152 dated December 1,2003, (hereinafter
"said Agreement") by which Consultant has performed a Grade Crossing Mobility
Study.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional six-month period.
Wherefore, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement, except those amended in this First
Amendment to Consultant Agreement, the parties agree as follows:
1. Section 3, TERM, shall be amended to extend the term six months to December 31,
2004, in accord with the parties' intent.
2. Except as herein modified, all terms and conditions of said Agreement shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Consultant Agreement on the date and year first written above.
CITYOFSANTA~
J ME G. ROSS
E ec ive Director - Public Works
APPROVED AS TO FORM:
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/\\..........- '--L.,~/I /
'JOSEPH W. FLETCHÉR
City Attorney
ACORDTM CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE
01/09/2004.
PRODUCER 877-559-6769 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis North America, Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
11201 N. Tatum Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 300
Phoenix, AZ 85028 INSURERS AFFORDING COVERAGE
INSURED Korve Engineering INSURER A: St. Paul Fire and Marine Insurance Compan 24767-100
155 Grand Avenue INSURER B: American Home Assurance Company 19380-000
Suite 400
Oakland, CA 94612 INSURER C:
INSURER D:
I INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~f: TYPE OF INSURANCE POLICY NUMBER PD~L,.~Y ri~~J6TIVE Pgk!fEY ~~'tfJ!.9N
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [X] OCCUR
BK01576088
LOC
A AUTOMOBILE LIABILITY BK01576088
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
¡I
X NON..QWNED AUTOS /
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
OCCUR D CLAIMS MADE
DEDUCTIBLE
RETENTION $
B WORKERS COMPENSATION AND WC3281718
EMPLOYERS' LIABILITY
9/11/2003 9/1/2004. EACH OCCURRENCE $ 2 000 000
FIRE DAMAGE (Any one fire) $ 1 000 000
MED EXP (Anyone person) $ 10 000
PERSONAL & ADV INJURY $ 2 000 000
GENERAL AGGREGATE $ 4. 000 000
PRODUCTS - COMP/OP AGG $ 2 000 000
9/11/2003 9/1/2004. COMBINED SINGLE LIMIT 2,000,000
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
9/1/2003 9/1/2004. OTH-
ER
E.L. EACH ACCIDENT $ 1 000 000
E.L. DISEASE - EA EMPLOYEE $ 1 000 000
E.L. DISEASE - POLICY LIMIT $ 1 000 000
AS~>iS L~.L,i,
OTHER
DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/9/2004. WITH ID: 3931502
The City of Santa Ana, its officers, employees, agents, volunteers are named as additional insured
per the attached endorsement.
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL Illill"YMJIII"CCIXMAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'QCaUCaI~L
:JIXJUIIXĊUIX
ACORD 25-S (7/97)
Col1:893527 Tpl:219096
@ACORD CORPORATION 1988
City of Santa Ana, M-93
20 Civic Center Plaza
Santa Ana, CA 92702
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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ACORD 25-S (7/97)
Coll:893527 Tpl:219096 Cert:3934.320
ADDITIONAL PROTECTED PERSONS ENDORSEMENT - CONTRACTORS
GENERAL LIABILITY - INCLUDING COMPLETED WORK
This endorsement changes your Contractors
Commercial General Liability Protection
How Coveraae Is Chanaed
There are two changes which are described
below.
1. The following is added to the Who is Protected
Under This Agreement section. This change
adds certain protected persons and limits their
protection.
Additional protected person. The person
or organization named below is an additional
protected person as required by a contract or
agreement entered into by you. But only for
covered injury or damage arising out of:
. your work for that person or organization;
. your completed work for that person or
organization if your contract or agreement
requires such coverage;
. premises you own, rent, or lease from that
person or organization; or
. your maintenance, operation, or use of
equipment leased from that person or
organization.
We explain what we mean by your work and
your completed work in the Products and
completed work total limit section.
If the additional protected person is an
architect, engineer, or surveyor, we won't
cover injury or damage arising out of the
performance or failure to perform
Person Or Organization:
lheStRlul
architect, engineer, or surveyor professional
services.
Architect, enginee~ or surveyor professional
services includes:
. the preparation or approval of maps, drawings,
opinions, reports, surveys, change orders,
designs, or specification; and
. supervisory, inspection, or engineering
services.
2. The following is added to the Other primary
insurance section. This change broadens
coverage.
We11 consider this insurance to be primary to
and non-contributory with the insurance issued
directly to the additional protected persons
listed below if:
. your contract specifically requires that we
consider this insurance to be primary or
primary and non-contributory insurance; or
. you request before a loss that we consider
this insurance to be primary or primary and
non-contributory insurance.
Other Terms
All other terms of your policy remain the same.
t .. (, r -~(- ~ -----; I¿---
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Any Person or Organization You Are Required By Written Contract to Add as an Additional Protected
Person.
30 Day Notice Cancelation even for non-payment.
0
OThe City of Santa Ana, its officers, employees, agents, volunteers
Name of Insured:
Policy Number: BK01576088
Effective Date 2003/09/11
Processing Date 2003/11/12
G0322 Rev. 12-97 Printed in U.S.A. Endorsement
@St. Paul Fire and Marine Insurance Co. 1997 All Rights Reserved
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