HomeMy WebLinkAboutWILLDAN, INC. 4ACity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer
in effect. Return form to the Clerk of the Council Office (M-30).
Call 647-5237 if you have any questions.
The agreement with
No. 4-0200( - 02/-//-O/ was completed on
and final payment has been made.
Revised 07-23-07
1' -T
?� 0. 47
Department: /0/o
Phone/Ext.: 41-711
Signature:
Dater
INSURANCE ON FILE
WORK MAY PROCEED A-2006-214-01
UNTIL INSURANCE EXPIRES
//- 9-09
CLERK OF COUNCIL
nATE: -3-07
Tonic Zerbq FIRST AMENDMENT TO CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into
on June 27, 2007, by and between Willdan, Inc., a California 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-2006-214, dated August 21, 2006
(hereinafter "said Agreement') by which Consultant has provided Building
Department Counter Technician services, including plan check services.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional one-year 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:
Section 3, TERM, shall be amended to extend the termination date from June 30,
2007 through June 30, 2008.
2. Except as herein amended, 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.
APPROVED AS TO FORM:
✓/ nn A
JOSEPH W.FLETCHE
City Attorney
CITY OF SANTA ANA
J M.TREVINO
Executive Director of
Planning and Building
AT=#
TR/c� r
CLERK Of THE COUNC/L
Cli t#• 6540
WILLDAN
.
anDATE
ACORD.CERTIFICATE OF LIABILITY INSURANCE
(MI
1103106Dm)
PRODUCER
Dealey, Renton & Associates
P. O. Box 10550 A -,2O o6"o��M
Santa Ana, CA 92711-0550 A - a o06 - a� y-o�
114 427-6810
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: Zurich American Insurance Co.
Wllidan
2401 E. Katella Avenue, Ste. 300
INSURER B: American Automobile Ins. Co. _
INSURERC: XL Specialty Insurance Co.
Anaheim, CA 92806
INsuaeRD:
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.
HER LTR
TYPE OF INSURANCE
POLICY NUMBER
POUT Y EFFEo NE
POLICY EXPIM DATE DRpNYI TION
LIMITS
A
GENERAL LABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
X CONTRACTUAL
GL0904316301
INDP. CONTRACTORS
INCLUDED
11/09/06
11/09/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (My ore file) .
$1000000
MED EXP (My.. person)
$10000
PERSONAL & ADV INJURY
S1000000
X
BFPD, XCU
GENERAL AGGREGATE
s2.000.000
GENLAGGREGATE LA"TAPPLIESPER:
POLICY X PRO X LOC
PRODUCTS-COMPIOP AGO
$2000000
A
AUTOMOMLELIABILITY
X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP904316201
11/09/06
11/09/07
COMBINED SINGLE LIMIT
(Ee wG enU
$1,000,000
BODILY INJURY
(Per prawn)
$
X
BODILY INJURY
(Per accidMp
$
X
PROPERTY DAMAGE
(Peracddenl)
$
GARAGE LIABILITY
ANY AUTO
_
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
EXCESS
LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
/
'.
EACH OCCURRENCE
S
AGGREGATE
S
S
S
$
B
WORKERS COMPENSATION AND
EMPLOYERS' UABILRY
WZP80945444
11/09/06
11/09/07
X WC STATU- DTH•
E.L. EACH ACCIDENT
$1,000 000
E.L. DISEASE - EA EMPLOYEE1
$1 00O 000
E.L. DISEASE . POLICY LIMIT
1 $1 00O 000
C
OTHER Professional
lability
DPR9600717
11/09106
11/09/07
$1,000,000 per claim
$2,000,000 annl aggr.
DESCRIPTION OF OPEMTIONS/LOCAnONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
General Liability policy excludes claims arising out of the performance of professional
services
Its: Building Department counter technical staff
City of Santa Ana, its officers, agents,volunteers and employees are
(See Attached Descriptions)
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Santa Ana DATE THEREOF, THE ISSUING INSURER WIStxSSSDIAM TO MAIL 3O—DAYS WRITTEN
Attn: Tonic Zerba NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, WjD1 sMIa000DQ600Ek*K
20 Civic Center Plaza xaaoeanomoaxesammcaa
P.O. Box 1988 xKwK1I3a1cx13w
Santa Ana, CA 92702 APHORIZED REPRESENTATIVE A
ACORD 25S (7197)1 of 2 #M177168 RLL a ACORD CORPORATION 1988
DESCRIPTIONS (Continued from Page 1)
Additional Insureds as respects General Liability
(Anaheim)
v
AMS 25.3 (07/97) 2 of 2 #M177168
Additional Insured — Automatic - Owners, Lessees Or
Contractors - Broad Form
ZURICH
Policy No.
Eft: Date of Pal.
Exp. Date of PoL
Eft: DateofEnd
Producer
AWL Pam
Retwn Pant
L090431630,
11,0910,
11/09/07
I1/09/O6
ealey, Renton
S MA
S N/A
Associates
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization whom you are required
to add as an additional insured on this policy under a written contract or written agreement.
B. The insurance provided to additional insureds applies only to "bodily injury", "property damage" or "personal and advertis-
ing injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and
Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only if:
1. The "bodily injury" or "property damage" results from your negligence; and
2. The "bodily injury", "property damage" or "personal and advertising injury" results directly from:
a Your ongoing operations; or
b. "Your work" completed as included in the "products -completed operations hazard",
performed for the additional insured, which is the subject of the written contract or written agreement
C. However, regardless of the provisions of paragraphs A. and B. above:
1. We will not extend any insurance coverage to any additional insured person or organization:
a That is not provided to you in this policy; or
b. That is any broader coverage than you are required to provide to the additional insured person or organization in the
written contract or written agreement and
2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of:
a The Limits of Insurance provided to you in this policy; or
b. The Limits of Insurance you are required to provide in the written contract or written agreement.
D. The insurance provided to the additional insured person or organization does not apply to:
1. "Bodily injury", "property damage" or "personal and advertising injury" that results solely from negligence of the addi-
tional insured; or
U-CL-1175-A CW (9/03)
e Includes copyrighted material of Insurance Services Otea, Inc. with its permission. Pegs I of 2
2. "Bodily injury", "property damage' or "personal and advertising injury" arising out of the rendering or failure to
render any professional architectural, engineering or surveying services including:
a- The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field
orders, change orders or drawings and specifications; and
b. Supervisory, inspection, architectural or engineering activities.
E. The additional insured must see to it that:
1. We are notified as soon as practicable of an `occurrence' or offense that may result in a claim:
2. We receive written notice of a claim or "suit' as soon as practicable; and
3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by an-
other insurer under which the additional insured also has rights as an insured or additional insured.
F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in-
surance available to any additional insured person or organization unless the other insurance is provided by a contractor
other than you for the same operations and job location. Then we will share with that other insurance by the method de-
scribed in paragraph 4.c. of SECTION IV - COMMERCIAL GENERAL LIABIIdTY CONDITIONS.
Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ-
ten
.L-1175-A CW (9103)
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