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Home My WebLink AboutHARPER & ASSOCIATES 3 -2000 r, .' '.. . !r~ IV/:) IN rJ I -;; / v \./ . !~' -, , , ~v ::~LE .. , ' . '-~'~~'f"''' '", :__ l../,1 mcS /)~~(?i:~2=IJocJ i.~ ~~'-;.C~O cJ Project # 3176 Account #66-579-6635 W.O. #53261 Project Manager: ':'~ ):'";'i~,,,, ;.: .~ . . ~ '.." " t Steve Worrall ;",- AGREEMENT FOR CONSULTING SERVICES THIS AGREEMENT, made and entered into this ;?~ day of ;;J.-,.;).f-OD ( /,/</4- : jCl~ February, 2000 by and between the City of Santa Ana, a municipal corporation of the State of California ("CITY") and HARPER & ASSOCIATES ENGINEERING, a California Corporation, hereinafter referred to as "Consultant". W-I-T-N-E-S-S-E-T-H Recitals: A. CITY desires to contract for civil engineering services to inspect and evaluate existing conditions and prepare Specifications for coating and sealant repair of Howard Crooke Reservoir. WHEREFORE, in consideration of their mutual and respective promises, the parties hereto do hereby agree as follows: 1. CONSULTANT agrees to fulfill all the requirements set forth in Consultant's Proposal attached hereto as "Exhibit A" and incorporated herein by this reference. All work shall be performed under the direction of CITY's Executive Director of the Public Works Agency or his designated representative. r ~ 2. CITY agrees to pay, and CONSULTANT agrees to accept for said services, a not to exceed fee of $9,975.00 for the scope of work specified in their Proposal. CONSULTANT shall be paid for services actually rendered. The time of completion for the design portion of consultant's work shall be 45 days from the date of this contract. That portion of Consultant's work relating to construction support services, shall be completed in conjunction with the actual construction schedule, which will be determined once the design is complete and a construction contract has been awarded. CONSULTANT shall periodically submit a detailed invoice Showing services performed. Payment by CITY shall be within thirty (30) days following receipt of said invoice for work performed, subject to CITY accounting procedures. Notwithstanding the foregoing, payment need not be made for work which fails to meet the standard of performance specified in Section 4. 3. The CITY's Executive Director of the Public Works Agency, or his Designee, shall be the representative of the CITY and may issue all consents, approvals, directives, or agreements on behalf of CITY for by this AGREEMENT. Andre Harper, Vice President shall be the representative of CONSULTANT for purposes of this AGREEMENT. 2 r .. .. Notices and written communications sent by one party to the other shall be as follows: To the CITY: James G. Ross, Executive Director Public Works Agency City of Santa Ana Ross Annex, 20 Civic Center Plaza Santa Ana, CA 92701 To the CONSULTANT: Andre Harper, Vice President HARPER & ASSOCIATES ENGINEERING, INC. 1240 E. Ontario Avenue, Suite 102-312 Corona, CA 92881-8671 (909) 372-9198 3 r 4. Termination of Agreement This AGREEMENT may be terminated by the CITY before CONSULTANT's services have been fully performed, upon thirty (30) days written notice of termination to CONSULTANT. In such event, CONSULTANT shall be entitled to receive and CITY shall pay CONSULTANT compensation for all services performed by CONSULTANT prior to CONSULTANT's receipt of such notice of termination; provided, however, that as a condition of such payment, CITY may require CONSULTANT to deliver to CITY all work products completed as of such date. 5. Independent Contractor CONSULTANT is an independent contractor and not an employee of the CITY and all CONSULTANT's personnel shall be employees or subcontractors of CONSULTANT and not employees of CITY. CONSULTANT shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. Insurance A. CONSULTANT shall furnish CITY with an insurance certificate evidencing that it carries workers' compensation insurance and that the policy shall not be canceled nor the coverage reduced except upon thirty (30) days prior written notice to the CITY. 4 , B. CONSULTANT shall obtain at its sole cost and file with CITY, prior to exercising any right or performing any obligation pursuant to this AGREEMENT, and maintain for the period covered by this AGREEMENT, a policy or policies of general liability insurance or a certificate of such insurance from companies authorized to do business in the State of California, satisfactory to City Attorney of CITY, naming the City of Santa Ana, its officers, agents and employees, as additional insureds, which provides coverage not less than that provided in the form of a comprehensive general liability insurance policy against liability for any and all claims and suits for damages or injuries to persons or property resulting from or arising out of negligent operations of CONSULTANT, its officers, agents or employees. CONSULTANT shall furnish a certificate of such insurance to CITY prior to commencing services hereunder. policy or policies of insurance shall provide for general liability insurance with a combined single limit of not less Said than One Million Dollars ($1,000,000.00) per Occurrence; professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000.00 per claim. Said policy or policies shall also contain a provision that no termination, cancellation or change of coverage of insured or additional insured shall be effective until after thirty (30) days notice thereof has been given in writing to CITY. CONSULTANT shall give to CITY prompt and timely notice of claim 5 , -~ made or suit instituted arising out of CONSULTANT's operations hereunder. CONSULTANT shall procure and maintain at its own cost and expense, any additional kinds and amounts of insurance which, in its own judgement, may be necessary for its proper protection in the prosecution of the work. 7. Subcontractors None of the services included in this AGREEMENT shall be subcontracted without prior approval of CITY, except as specified in the PROPOSAL. CONSULTANT shall be fully responsible to CITY for performance of subcontractors. 8. Assignability CONSULTANT shall not assign or transfer any interest in this AGREEMENT, whether by assignment or novation, without the prior written consent of CITY; provided, however, that claims for money due or to become due from CITY under this AGREEMENT may be assigned to a bank, trust company or other financial institution, or to a trustee in bankruptcy, without such approval. Notice of any such assignment or transfer shall be promptly furnished to CITY. 9. Hold Harmless CONSULTANT shall indemnify and save harmless CITY, its officers, agents, and employees, from and against any and all damages to property or injuries to or death of any person or persons, including property of employees or agents of CITY, and shall defend, indemnify and save harmless CITY, its officers and 6 employees, from any and all claims, demands, suits, actions or proceedings of any kind or nature, including, but not by way of limitation, workers' compensation claims, resulting from or arising out of the negligent or wrongful acts, errors or omissions of CONSULTANT, its employees or subcontractors.. 10. Certification of Nondiscrimination By signing this AGREEMENT, CONSULTANT certifies that it does not discriminate in hiring on the basis of race, color, creed, religion, sex, age, marital status, national origin, ancestry, physical handicap or medical conditions. 11. Validity The invalidity in whole or in part of any provision of this AGREEMENT shall not void or affect the validity of any other provision of this AGREEMENT. 12. Law Governing This Agreement This AGREEMENT shall be governed by and construed in accordance with the laws of the State of California. 13. Exclusivity and Amendment of Agreement This AGREEMENT supersedes any and all other agreements, either oral or in writing, between the parties hereto with respect to the services set forth in the PROPOSAL and contains all the covenants and agreements between the parties with respect thereto. Each party to the AGREEMENT acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on 7 behalf of any party, with respect to such services, which are not embodied herein, and that no other agreement or amendment hereto shall be effective unless executed in writing and signed by both CITY and CONSULTANT. IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT the date and year first above written. CITY OF SANTA ANA, a municipal corporation of the State of Califoria Patricia E. Healy Clerk of the Council ~~ ATTEST: Gd2L~~ David K. Roam, City Manager APPROVED AS TO FORM: ,-~ftFY\aA ~ ~ Joseph W. Fletcher, City Attorney RECOMMENDED FOR APPROVAL: <2//I/IAA If? A es G. Ross, xecutive Director Public Works Agency CONSULTING ENGINEERS ~/'o 0\/ :... ~1<-iL'L ~;/'Y.(.<"l1-i- Andre Harper . Vice President Harper & Associates Engineering 8 ,I Exll/B/i All HARPER & ASSOCIATES ENGINEERING, INC. CONSULTING ENGINEERS PROPOSAL TO CITY OF SANTA ANA FOR ENGINEERING CONSULTING SERVICES FOR EV ALUA TION OF A CONCRETE WATER STORAGE RESERVOIR, PREPARATION OF A SPECIFICATION AND CONSTRUCTION SERVICES I. PROJECT DESCRIPTION A. The 6.0 MG concrete water storage reservoir is located on City-owned site in Santa Ana, California and is designated as the Crook Reservoir B. SCOPE OF WORK - INVESTIGATION I. Telephone conference with City to verifY approach to project. 2. Accomplish field investigation of complete interior of the reservoir, to evaluate the present condition of the reservoir from the following standpoints: a. Corrosion-related structural soundness of the reservoir. b. Condition of concrete regarding cracking and spalling and how it is protecting the steel from corrosion, the percent failures, and their ability to be repaired. c. Condition of the expansion joints and sealants. d. Environmental and operating conditions which affect the use of the reservoir, maintenance ofthe reservoir, the aggressiveness of the I , atmosphere and water, and extent of abrasion damage. e. Condition of interior appurtenances: float, overflow, inlet, interior ladder, etc. 3. Field evaluation of the reservoir to visually inspect and photograph visible deficiencies would entail one site visit with reservoir drained, unless corrosion damage is sufficient to warrant further evaluation. 4. Surfaces would be photographed and entered into a Photographic Survey album which would be included in the written report. 5. Conclusions and recommendations would be prepared for the following and included in the detailed written report. a. Cause(s) of deficiencies. b. Concrete repair and sealant replacement, including extent of deficient areas, estimated costs, and life expectancey. c. Additional items to enhance maintenance and safety 6. Three copies of the written report will be submitted. C. SCOPE OF WORK - SPECIFICATION I. Met with City to verify approach to project, to determine scope of work, based on utilizing report and estimated costs to accomplish the work. 2. Prepare technical specification covering interior repairs and sealant replacement for reservoir. 3. Submit to City for 90% completion review, and accomplish all revisions determined needed. 4. Furnish City with a cost estimate for project in accordance with the bid schedules generated. 5. Furnish City with a list of potential bidders to forward Notice Inviting Bids to qualified contractors. 6. Provide telephone liaison with potential bidders as regards all matters concerning bidding of the project and preparation of addenda as required to 2 document design changes or clarifications. 7. Assist City in conducting Pre-Bid Conference to ensure prospective bidders are totally aware of scope of work and local conditions. a. Prepare minutes of Pre-Bid Conference covering all aspects of contractor's questions and clarifications of project and mail to all attendees and become part of the contract documentation. 8. Assist City in telephone evaluation of bids received and make recommendations for award or rejection. 9. Assist City in conducting Pre-Construction Conference to enable all relevant parties to comprehend scope of project, implementation of specification and City requirements. a. Prepare minutes of Pre-Construction Conference covering all aspects of contractor's questions and clarifications of project and present to all parties. 10. Assist City in review and approval of Contractor submittals and project procedures. Rejected submittals would be supplemented with an explanation of the reason for rejection and requirements for re-submittal. D. SCOPE OF WORK - INSPECTION I. Pre-Job Conference - Meet with City and Contractor to review specification, job conditions, schedules, etc. to prepare for an efficient and expeditious operation. a. Schedule of work is established and will be maintained throughout project. b. Liaison personnel are designated c. Specification is reviewed and clarified as necessary. 2. SURFACE PREPARATION INSPECTION (INTERIOR) - Physical inspection of blast cleaned surfaces to verify compliance to specification, removal of dust, etc. a. Weather conditions will be verified by use of a sling psychrometer to determine suitability of climatic conditions prior to and during all 3 , .' blast cleaning operations. b. Surface will be observed throughout cleaning operations to determine compliance with specifications. 3 . MATERIAL APPLICATION INSPECTION (INTERIOR) - After approval of surface preparation, ongoing inspection monitors weather condition, Contractor's application equipment and its operation, mixing and physical inspection of application, including spray techniques, cleanliness of surface, thickness, etc. 4. FINAL INSPECTION (INTERIOR) - Requires input at conclusion of finish coating to insure application, film continuity (holiday detection) and dry film thickness are in complete conformance to specification. 5. LIMITATIONS OF AUTHORITY a. Resident Project Inspector: (I) Shall not authorize any deviation from the Contract Documents or substitution of materials or equipment, unless authorized by ENGINEER/OWNER in writing. (2) Shall not exceed limitations of CONSULTANT'S AUTHORITY as set forth in the Agreement or the Contract Documents. (3) Shall not undertake any of the responsibilities of CONTRACTOR, subcontractor or CONTRACTOR'S superintendent. (4) Shall not advise on, issue directions relative to or assume control over safety precautions and programs in connection with the work. (5) Shall not advise on, issue directions regarding or assume control over any aspect of the CONTRACTOR'S means, methods, techniques, sequences or procedures of construction unless such advice or directions are specifically required by the Contract Documents. (6) Shall not accept Shop Drawings or sample submittals from anyone other than CONTRACTOR, and shall immediately 4 " deliver such submittals to ENGINEER/OWNER. (7) Shall not authorize ENGINEER/OWNER to occupy the Project in whole or in part. (8) Shall not participate in specialized field or laboratory tests or inspections conducted by others except as specifically authorized by ENGINEER/OWNER. b. Definitions: (1) ENGlNEER/O WNER is intended to apply as a joint reference or a single reference subject to the applicable circumstances. II. SCHEDULE A Investigation of the reservoir and filing of a report for work noted above would be accomplished at mutually agreed time, upon execution of an agreement and issuance of the Notice to Proceed. III. CITY RESPONSIBILITIES A The City shall provide the following items, personnel and/or services to be utilized in connection with this work. 1. All drawings and relevant records for the reservoir, as required. 2. The City shall make available to the Consultant reasonable and timely staff input for purposes of conference discussion, reviewing submissions from the Consultant, providing factual information and/or suggestions relating to the work in a manner such that the Consultant may meet the project completion schedule. 3. The City shall provide designated water operations person for access to reservoir site and unobstructed access to reservoir interior upon request by the Consultant at time and in the manner mutually agreed upon as required to accommodate work ofConsultanl. 4. City will provide payment on monthly progress estimates to the Consultant based upon work accomplished during the previous month or portion thereof. IV. WORK PRODUCT A The City designee shall at all times have access to the work product of the Consultant while it is under preparation or in progress. Upon completion of the project, all drawings, documents and notes shall become property of the City, including all 5 renderings, slides, sketches and correspondence. V. DESIGNATED REPRESENTATIVES A. Project shall be under direct control of Mr. William B. Harper, to whom all questions may be directed. Field investigation shall be under direct control of Mr. Andre Harper It is understood the City's representative will be Mr. Steve Worrall, who will provide the interface between the City's Staff and Consultant. VI. COST ESTIMATE A. Based on previously noted Scope of Work - Investigation, cost for performing services will not exceed $1,805. B. Based on previously noted Scope of Work - Specifications, cost for performing services will not exceed $2,7] 0, based on accomplishing work with item A. above. C. Based on previously noted Scope of Work - Inspection, cost for performing services will not exceed $5,460, based on project duration offourteen (14) days The estimate is based on Inspector working 8 hours per day, 5 days per week, Monday through Friday. Inspection hours are based on the hourly rate of$48.75 per hour. Cost also includes attendance at the Pre-Construction Conference. D. Additional meetings and work as directed by City = Hourly basis or negotiated fee -.' /, . HARPER & ASSOCIATES ENGINEERING, INC. CONSUL TlNG ENGINEERS 1240 E. Ontario Ave., Ste. 102-312 Corona, CA 92881-8671 Phone (909) 372-9196 Fax (909) 372-9198 MEMORANDUM Date: April 7, 2000 _7: ~1;L 11 E: ec>.ur~/-4AJI /! ~/?t'-t',A1 Y ~/-flf ///;f?flt"1L- 1 /t~..>'OC(/'1-1.e.J: ~;L Yt::k/L ftLf'J ~~.<#I/ X -33/7' To: Steve Worrall, City of Santa Ana From: Krista Harper Subject: Crooke Reservoir Enclosed are tbe completed Special Endorsement forms requested by the City. Should you have any questions or comments regarding the above information, do not hesitate to call me at (909) 372-9196. Sincerely, HARPER & ASSOCIATES ENGINEERING, INC. '~'-i' Krist Harper Proje t Engineer enclosures ADDITIONAL INSURED ENDORSEMENT Insurance Company United Capitol Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # GLA1003906 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured, 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 08/01/99 - 08/01/00 Policy # GLA1003906 Issued to Harper & Associates. rnc. , this endorsement form as a part of " APPROVED AS TO FORM f - ,( ,I , B JAM I KAUFMAN Chief Assistant City Attorney ADDITIONAL INSURED ENDORSEMENT Insurance Company Safeco Insurance Companies This endorsement modifies such insurance as is afforded by the provisions of Policy # SA8158658 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 08/01/99 - 08/01/00 Policy # SA8158658 Issued to Harper & Associates, Inc. , this endorsement form as a part of Countersigned by ~/ Authorized Rep ADDITIONAL INSURED ENDORSEMENT Insurance Company Firemans Fund Ins. Co This endorsement modifies such insurance as is afforded by the provisions of Policy # XEK00074626227 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 08/01/99 - 08/01/00 Policy # XEK00074626227 , this endorsement form as a part of Issued to Harper & Associates. Inc Countersigned b L...____ ' Authorized ~ ...:, -A;< ji:.J'!1~'j & 1;'-'~ A~ .,~ ~"""".JI<="'lA..1t:. 'I,.~U:.A...:. n=.::"~.r^~0 ~'A" !: ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE(J"lMfDDfY'l1 03/01/00 THIS CERTIFICATE IS ISSUED AS A MATTEA OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGe AFFOODED BY THE POlICIES BElON. rr!lODUCiO:R Arrr,strong/Robitaille Ins Svcs 301 E. Colorado Blvd. #301 Pasadena, CA 91101 626 795-7575 ~D HARPER & ASSOCIATES, INC. 1240 E. Ontario Ave., #102-312 Corona, CA 91719 , COVERAG'S INSURERS AFFORDING COVERAGE 1'",seRoRA. United Capitol Insurance CO. I~S",!:;=" e,Safeco Insu-rance Companies I"SUR'RC..Firemans Fund Ins Co . INS"-IRER D Ir..;SU>:E::: E: - THE PCUOESQF!NSUR.A.NCE: LISTED B&O\o'I HAVE BEEN ISSUED TO THE INSURED NA\AED .ABOVE F:lRTHE FOUCY;:lERlOO INDIC.A.TED. NOW,,1THSiN>lDING f..i.J'I REau!R8VI~T. TERM OR CONDITIC1J OF ANY CCl'-lTAACT OR OTHER DOCUVoE.'\lT V.1TH RE~ECT TO \l'iHICH THIS CERTIFICATE MAY BE ISSUED Og MAY PERTftlN. THE INSU'=iANCE AFFORCED BY m: POUClES DESCRIBED HERSN IS SUBJECT TO All.. TrlE iERM$. EXClUSIONS AND COf\;OITlONS OF SUCi POi...ICE$. AGGRE3ATE LIMITS 9-JCVo'N W';.YHAVE E)EEN REDUCED BY PAID ClJ..NIS. r~;!'i rtPE OF 11tI3URA.l,)CE POLICYNUMBE'I .'flr~FJlbcJ~ ~~iV'ti~:/~AJ~ I L!h!.n A ~"'LL'A""1Y 'GLAI003906 108/01/99 08/0l/00 EA:::HOCC\j~;;:;;:';CE 1$2,000,000 [fJ'VE?C__Go,o;;A_lIHUTY I I FiRi;; DAMA3E(AnYon"l:re) I :)50 ~ 000 ~ 1Vl' "'EOEXP(Anl"ono:;::o:rscn; 1~5,OOO ClA,~S MAC)::::lU OCOUR i ~I/PD Ded:2, 500 ",-f:SONAL &A)V '~Jl;::;Y j $2,000,000 ! I I GENE:::,hA.33::;EGAIE 1502,000.000 f-' , P,"lOD:.'C1S -CO\W/O.:l,l,:33 i $2 , 000 , 000 iGE:\i L A3~.Fi :;:3,1,'::: liMIT A~?',"I'::::; PER: i 11 . jI'"o- n I I PQ~.Cy : ~E:::;;T ~oo I B tKr"'OB LE L'''B:L:TV (SA815B658 08/01/99108/01/00 I CO"B."D5,'''''''''' I XlA~'(,r.<Jm j (E~acc'd"nl) 1'1,000,000 LJ AL..OW,EDAJTOS , i, I , 80:hYIr-,Jt;>;Y , H SC."~Q"LEJAU-:-CS I (PllCpO:'~on) I I - ~ niF-EJAUTOS SOQILYI~JURY ~ "O',i-OW\i;;:i) AuTOS ! I (?era.cc!der,t] , I H , PROPERTYDAvlAGE ; I , , (?"r~c'd"~I) , I GAf\'\'G E L'A e. vrt' , , i AUTO O~ LV - EA ACOI JE'\iT! $ R......".A;;-,-:::;. i I I ~$ , D,HE::;THA'Il I I AuTOO'LV: L.3G $ C I EXCESSLABlIY iXEKOO074626227 08/01/99IOB/Ol/00 I EAGHOCGO'""'E 1,1. 000.000 o oc~:..." 11 ClAiVS lvIAO,;:l I ~O"GA" _~'OOO'OOO . ~ . I i R O=D~CUJLE i I ! R""E.I.;,,O\i , WORKE~S COllli'ENSATI:JN J"I.ID . i I,WCSTAi'J- I f~rl. , TO::!YLI~,~S I ER EMP~OYE."I::I l'A9'L;TY , , , ! I E.!... EAGriA:::;CI:l::'IT , i I E.!...D:S EAS!:.-EA ",r.,.1PLOY::Ei $ E.L. DIS EAS ~.POl'CYU~l':.1 $ A t","prOfessional IGLA1003906 i08/01/99I08/01/00 $2,000,OOo.eac.occ. iability $ 5,000. Ded. , : I I Claims Made Form c ESC~ PTO'l OF Ct:'~1ATO"!O/LOCA T O..Si'~ EM C~ES/EX:;lU9 OHS "'-COED SV EN oaRS EM ENT/SPEC:'\'L PROVSONS ** Supplemental Kame ** Harper & Associates Engineering, Inc. CERTIFICATE Ha..OEA I X i A.i::lDIT.:)N.\LIIIlSURED:it.SURER LETTER: A CANCELLATION SHOUlDA1'IYOF T/': EADDY!: OESCR! BED POLlo.:::S e ECAl'fCELLEC BEFORETli E EXP,I'.A TON City of Santa Ana DATETHEf\EOF, TH E ISSU:NG INSUf:\Ef\ WILLJVK:Jwf.QfW!ilt),4AIL3...0.-. DAYSWP.1TEN its officers, agents and II/OTiCtlO THE C ;FlUICA TE HOLD EA NAMED TO THE l EFT.)UO"X9llC.9;l[~X"'HKX employees ~XtXl:t~XQf>XlJIC~~J:J'i!lKJX'PlQe:X;tJ?lt9OXX~Jll:l;JI.XWJli~ 220 South Daisy ...._..,,,,,...., Santa Ana CA 92703 AUTHO~~~;:4~T:VE ,,1.4 "'" ";';;' ACORD 25-S (7:97) 1 of 2 #S100769/H84 VE:b AS TO CHI., o ACORD CORPORATION 19as c DESCRIPTIONS (Continued from Page 1) as additional insured as respects General Liability coverage per the attached endorsement AMS 25.3 (07/97) 3 of 3 #S98768/M84008 ~....::;.;A;r: 3iJ1/10J .6IJ"''''' ",.,,\'S' ",,~"'::O/"';):::l: r....:._L~ :~S ,;'J:;S "A~: :. POLICY NUMBER: GLAlOO 390 6 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, lESSEESS or CONTRACTORS [FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana its officers, agents and employees 220 South Daisy Santa Ana CA 92703 {if no entry appears above, information roquired to complete this endorsement wil be shown in the Declarations as applicable 10 Ihis endorsement.} WHO IS AN INSURED (Section 11) is amended to include as an insurod the person or organization shown in lhe Schedule, bul only with respect 10 liability arising oul 01 "your work" for Ihallnsured by or for you. .* Supplemental Name ** Harper & Associates Engineering, Inc _ CG20101185