HomeMy WebLinkAboutUNITED INSPECTION AND TESTING 3D-2007 City of Santa F -a
4�' Clerk of the Coui...iI
Itit
AGREEMENT TERMINATION
F� t AUG Ail 9- 30
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Please complete this form when the attached agreement is no longer
in effect. Return form to the Clerk of the Council Office (M-30). z
Call 647-5237 if you have any questions. f.� r
The agreement with V t--o'' \\
No. A-2000-064-05 was completed on - 2_7) 1
and final payment has been made.
Department:
4—\%
Phone/Ext.: C
Signature:
Date: 1� /06
Revised 07-23-07
. .
A-2000-064-04
INSURANCE MQI ON Fl~~
WORK MAY t:m PROCEEO
CLERK OF COUNCIL
DATE: '1-6- 07
AMENDMENT TO UNITED INSPECTION
AND TESTING CONSULTANT AGREEMENT
THIS FIFTH AMENDMENT TO CONSULTANT AGREEMENT is entered into
this 1st day of June 2007, by and between United Inspection & Testing, Inc., 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 A-2000-064 dated April 17,2000,
(hereinafter "said Agreement") by which Consultant has provided material testing and
construction inspection services.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement to the time allocated funds have been expended.
WHEREFORE, in consideration ofthe 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 3, TERM, shall be deleted in its entirety and replaced with the following:
"This Agreement shall commence on April 17, 2000 and terminate on expenditure of
allocated funds, unless terminated earlier in accordance with Section 12, below."
II
II
II
II
II
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,
IN WITNESS WHEREOF, the parties hereto have executed this Fifth Amendment to
Consultant Agreement on the date and year first written above.
ATTEST:
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: Laura Sheedy
Assistant City Atto
RECOMMENDED FOR APPROVAL:
~~li ttt'~:I forr
JAMES G~ OSS
Executive Director
Public Works Agency
CITY OF SANTA ANA
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City Manager
CONSULTANT
By:
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Presi e
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,f,.,,,, ;,-,,",,,,,&,,'-..,,, '.3roup F'axl0 516-4664213 T,o: Michel Girgis
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, CERTIFICATE OF LIABILITY INSURANCE OPID ,?&a/ DJ\lEjMMilJD'-'('fYVI
ACORD. CONSO-2 07/09/07
. PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Butwin Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CeRTIFICATE
Suite 414 HOLDER. THIS CERTIFICATE DOeS NOT AMEND. EXTEND OR
60 -Cutter l1J,ll Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Great t{ec:k NY 11021,-3104 I
~~~e:51~=466=~2~ Fax:S16-466-4213 INSURERS AFFORDING COVERAGE I NAIC #
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United Ins;pection , Testing i\S1..REC3 hUonalUn1oni'lulu. c..
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22620 Goldencrest Drive i',SlRE;;C _ !louston Casualty Co. -
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Suite 114 I 1~~.9.o~
Uoreno valley CA 92553 11\Si;~ti< ::: ----------- , -----------
COVERAGES
n-rf pc): ICIFsor NlI,:PANCE LlS"'ED 8ELOW ,"",Vf. BEEt; ISSL'tC TO HE I',ISU<,[DN"M(C "B,\'f. fOR ~I-f POliCY PER1CO l\iJ1CATE::) NC-'V~TI-GfNIOI"C;
;..\ ;.~~~;....;dk::', ,t:'~:. '-';~ (.v[>l~ i,:YI:,1; Nj~ 'j)t-llllA::.i OHC H:.P m::rJl'/U,1 V,i::h kE'i"EC- -C WHICH lH,;; r~d~'iFiCAE M...V BE ISS..t.D<.:R
'.'.','." ~C'~-,:';~' :: :.:c.!_::>:,'~~~ ..,~,,~;~~,~ '-'" H-'~ P0<.!CIESDESC~I8C:;; t-'fPFN I, ".1!R.:Fr:::T Tr !-'-l ,t-'F T,R''\3, EXCUS:O:-.lSN.o ~(;N~ITOll".rJF St.;r;-.
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TYPE OF INSURANCE
POliCY tf..WBER
LlMffS
DATE (MIil/OD/VYJ DATE (MMIDDm'J
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07/01/07 !
IAIX
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GENERAl liABILITY
E""CJ--<or:cLP~rNC[ 1$1,000,000
07/01/08 PPEYIlso:~ IE~ ~CcLI~!1>1Cel IS500rOOO
MEC EXPIMy O,lQ,m50.11 l!-lO , 000
~ER${;N.'>'_~p[;v,'\.Iu,<)' ! ~.~., 000,000
1 :;:"NfAA..o\"GRFf,pJE .2,000,000
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';CM;JI"'E[)5j~j:)U:I.I:V:11 S 1/000/000
07/01/08 -:bttt(cl~~1
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07/01/07
07/01/08
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, 1000000
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07/01/07
07/01/08
iF l DISfASf [Af~/P _~'(:=E
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OTHEP:
~, D'SEASF.; .F'Qll;.:\' L;~iT
i c I profes$ional :r.iab I H70616143 I 10/01/06 I 10/01/07
I i Retro Date 9/1/85 I ! I
I oeSCRlPTION OF OPERATIONS :fLOCATIONS fVSHIClES I EXCUJSIONS AOOEO 81' ENOORSEMENT I SPECIAL PRO"VlSlOml
THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND
I REPRESEN'XATIVES ARE NAMED AS ADDITIONAL INSUREDS WI~ RESPEC'!rS TO THE
OPERATIONS PERFClWED IlY Oil ON IlEHALF OF THE NAMED lNUSlWl, THIS INSURANCE IS
l?Rn1A..ii.Y AND NON COl'lTlUBUTORY WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE
BENEFIT O!'THE. ADDITIONAL INSUREDS, 1.0 DAY NON PAYMENT CANCELLATION APPLIES
1,000,00-0
2rOOO,DOO
Ea Claim
Aggregate
CERTIFICATE HOLDER
CANCElLATION
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SHOULD A~ OF THE ABCNE DESCRIBED POliCIES BE CANCELLED BEFORE THE EXPIRATION
SANTAAN
MAt.. 30 DAVS WRITTEN
DATE lHfflEOf, THE ISSUING INSUflER WLL
CITY OF SANTA ANA
PUBLIC WO!lJ{S AGENCY
ROSS S'l!RE!.T ANNEX-M-22
20 CIVIC ~ER PLAZA
SJI-..NTA ANA c..~ 92701
NDTICE TO THE CERTifICATE HOLDER NA\1ED TO THELEFT
AllT~~RE~SENTATI"'E
OACORD CORPORATION 1988
ACORD 25 (2001/08)
A - .JOOM) C:rI
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FfOfl1 Elien!:'.""g"" :::.r i..:,Ldw, , !f':5UfElrlC";' GrOup Fay.jD 516-486-4213 To. Michel Girgis
uate II'dILUU( U-I.~L t'M t'age .: 01.:
ADmT,OKAL J1\SlfREIl ENDORSEMENT
r~OR COMMF.R('IAl,9,NERAL IJABlLlIY !'Olley
lll,urancc Company _"'!>1FRJCAN INTERt-lATIOti!\,.~ROUP IAIG\
11m: eLldorsement
Ii .~~~916
mut.h fi:.:~ such insurance as js
.~. relating to the- tollowing:
alIorded by the provi,ions of
Polity
1. rne \iIY o(Santu MR, 20 Civic Center Plaza, Santa Ana. California 921nJ; it,
J.i1kr.:r:i., employees, ilgent!i. volunteers and representau....es are named as additiomd insureds
l"aJJiliorml lnM.1Cdll"j with regard to Jinbilily and defense of suits arising from the operations
i:S.llU uses perfonncd hy ()T un bchalfoflhe named insured.
.!. \V ifh respel'l to daims arising out of the operatiOIlE and uses perfonnoo by or on
hehalf of the namoo in3\lred. suclt insmance dO j. arroidcd by Ilti. policy i. primllI)' alld is not
,ddilic>nal to or conmbuting with any other insurance carried by or for llIe benefit of the
additit1na[ in~uro.ls.
11lil'r. inSUl'tltlc,e applies ~p;rnttely to each insured against whom claim is made or
,;mi is l.",q,ghl t:n'~pt w'ith res:.-pect (0 the l'tJm:pan)"~ limitl:1 of liability. The inclusion of any
pm~;(iI1 ot Qrg3tl1zation a~ <U) insured shall not affect any right which such person or organUliIbOll
would have ::lS ~ c}alUliUlt Ifnot so included.
1- '''lith rcspl~e\ to the additi01'H11 insureds, this insurance shall not bt; (;,aIJGd~ or
:1l111cndll, mlocoo In coVlnge or limns eXcel'! after thilly (30) duys writtJ::n notice Itas been
given tn th~ City of Santa Aua. 20 Civic Cenll:r PJay" M.ll, Santa All., California '12701.
{Comp!e1ioll ,If the foltlWtmg. including umnlcr..;gnamre, is reqnin:x1 to make this endun;emeut
i,,:ffectivc I
EfTective Z/110Z . litis endorsement fan" as a pan of
Policy +1 ~onfj1L-. ___
1<Slle4 to --'lliJIID INSPEg]Q!IjIO.STING INC .
Named Insured
CO'.lnlcT~jg}l(;d by _ e~ ~ _ ___
Authorized Representative
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