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Home My WebLink AboutRJM DESIGN GROUP INC. -2009INSURANCE ON FILE A-2009-023 WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COUNCIL AGREEMENT FOR PROVISION OF ON-CALL SERVICES LANDSCAPE ARCHITECT AND ENGINEERING THIS AGREEMENT, made and entered into this 2nd day of March, 2009 by and between RIM Design Group, Inc., a California corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). o £ RECITALS A. The City desires to retain a consultant having special skill and knowledge in the Jfield of engineering and landscape architecture for the purpose of preparing construction documents. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform engineering and landscape architecture services on an on-call basis, as set forth in City's Request for Proposals dated January 7, 2009, attached as Exhibit A to this Agreement, and incorporated by reference. Said services will be provided by Consultant personnel and sub consultants as set forth in Consultant's Proposal dated February 4, 2009, on file at the Santa Ana Public Works Agency. In providing such services, Consultant shall comply with the City's CADD standards. 2. REPRESENTATIVES For purposes of implementing this Agreement, the representative of City shall be the Executive Director of the Public Works Agency, or his designated representative, and the representative of the Consultant shall be the President or his/her designated representative. Except as may be otherwise stated herein, such representatives shall have the authority to act on behalf of their respective parties in carrying out the terms of this Agreement. 3. DELIVERY OF WORK PRODUCT - OWNERSHIP Consultant warrants and represents that it has the absolute right to enter into and perform this Agreement and will perform its obligations hereunder in accordance with standards and practices prevailing in the industry. Consultant's contribution to the Project, including works to be produced by Consultant hereunder, will not infringe or misappropriate the proprietary or personal rights of any third person or party. Consultant shall deliver to City any work product which results from the services provided. Said work product shall be submitted in hard copy and produced in a form compatible with City's information systems, as agreed between the Project Manager and Consultant. In regard to all material produced as a deliverable under this Agreement, including but not limited to records, papers, drawings, specifications, programs, systems and other materials prepared by Consultant, Consultant agrees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material shall be the property of the City, and may not be copyrighted without prior review from the City, and (b) the authors of all such material, whether copyrighted or not, award to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, a royalty -free, nonexclusive, irrevocable license throughout the world for governmental purposes to disclose, ppub ish, translate, re�produce, and use such materials. Any i.t-6e or re -a6e. e�i SU(' -{7 »ue#erfaU r ptrperes eftler 4t�an `Oa+ toll ek is lrrfev" by +Ftiis A rwmea& is a -V Ae � 4. COMPENSATION E°lr risk C)+, a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit B. The total sum to be expended under this Agreement shall not exceed $300,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City shall retain fifteen percent (15%) of the contract price for each project until the completed Project has been accepted by City. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 5. TERM This Agreement shall commence on the date first written above and terminate on expenditure of allocated funds, unless terminated earlier in accordance with Section 14, below. 6. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. 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. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $2,000,000 combined single limit. Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim, and $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material �aspect without thirty (30) days prior written notice to the City CC VVI 1 +61 (10)&l 6 04ice d?Lte -FU worn-Palry)eKl ®F PreuxluiA. £ If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. S. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the negligence, recklessness or willful misconduct of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the negligence, recklessness or willful misconduct of Consultant arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 9. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 10. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 11. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 facsimile (714) 647-6956 With courtesy copies to: and Executive Director of the Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-36) P.O. Box 1988 Santa Ana, California 92702 facsimile (714) 647-5635 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 facsimile (714) 647-6515 To Consultant: RIM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano, California 92675 Facsimile (949) 493-2690 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by facsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 12. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 13. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 14. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. However, any use of unfinished work product shall be at City's sole risk. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 15. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 16. JURISDICTION - VENUE This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 17. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 18. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. Captions and headings in this Agreement, including the title of this Agreement, are for convenience only and are not to be considered in construing this Agreement. c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Q� PATRICIA E. HEALY `� Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: L Laura 'She edy- Assistant City Attorn y CITY OF SANTA ANA DAVID N. REA City Manager RJM DESIGN GROUP, INC. ROBERT I. ETI G Principal REQUEST FOR PROPOSAL ON CALL CONTRACT FOR LANDSCAPE ARCHITECTURAL CONSULTANT SERVICES: Patricia Lane Park CITY OF SANTA ANA PUBLIC WORKS AGENCY SANTA ANA, CALIFORNIA 92702 PROJECT DIRECTOR Souri Amirani Deputy City Engineer Phone(714)647-5640 REQUEST FOR PROPOSAL ON-CALL CONTRACT FOR LANDSCAPE ARCHITECTURAL SERVICES GENERAL The City is soliciting proposals from professional landscape architectural firms to provide landscaping "Opinions of Probable Cost") and design services to prepare contract documents (plans, specifications and tal to each tcontralct 'hall not eeld xceed $300,000. A detailed scope of work wservation and construction support on an ill beeoutlined whenhsp eific projccHs assigned to a consultant. Upon receiving this Request for Proposal (RFP), consultant shall notify the City regarding its intent to respond to the RFP. From the proposals received, the City will enter into an agreement with the selected firms. The work, in general, consists of general landscape architectural design projects of City owned facilities citywide. The projects may include new site design, construction re retrofitting of existing sites landscaping, and irrigation systems; and other related projects as required. In addition, City may need mechanical, electrical, aquatic, structural, or geotechnical services for smaller projects. The consultant must be able to assist the City through this contract to provide the services needed. The consultant shall utilize in-house staff and/or sub -consultants satisfactorily to the City to complete the assignments. For specialized work for which the prime consultant will require a sub -consultant, the rmeonsultanshllerveasanadministiveiison the City and the sub -consultant. piconsultant sub -consultants lexceed between The proposal shall be limited to fifteen (15) pages, excluding any appendices material. A cover letter shall summarize key factors nd guarantee that key personnel shall be committed to perform the required tasks throughout the duration of the contract. A fee schedule described in the section "Supplied to Offeror" is to a be included. PROPOSED SCOPE OF SERVICES In general, the Consultantsal perform � landscape architectural design s resulting site planning services contract documents (plans,sPcfions and costetinates) orvariouprojects on an as-neded bai TheConsultants shall also provide all field survey work required to complete the designs. The Consultant's services shall include, but not be limited to, the following: L Research existing utility company and City records and coordinate proposed improvements with existing field conditions. 2. Provide all field survey and topographic work necessary to complete the design effort. All survey Feld notes shall be submitted to the City and shall become property of the City upon completion of the project. 3. Assess and incorporate all design criteria and construction requirements conforming to the City of Santa Ana and other governmental agency requirements including, but not limited to handicapped requirements, safety provisions, CBC, seismic considerations orientation, mechanical, electrical, maintenance factors, flood zone requirements, fire and security codes. 4 sll including plans, tn de inions ou ble t Conultanthacotacct manufactuers andor amttractorstoerifythesscois prior tobmittngto the City. Specifications shall be written in Microsoft Word and an electronic copy of the final version shall be furnished to the City. The City will provide the specification boiler plate to the Consultants. 5. All preliminary and bid sets of plans shall be plotted on bond paper. All drawings shall be 24" x 36" on City standard title block and title sheet. 6. All original plan sheets, the title sheet of the specifications, calculations, and reports shall be signed and stamped by the Consultant's licensed professional landscaped architect/engineer in responsible - charge of the project. These signed originals shall then become the property of the City. 7. Upon completion of construction, as-builts shall be submitted to Consultant. Consultant shall incorporate all changes to the plans electronically with all necessary revision notations. Once plans have been updated, a signed set of as -built mylars shall be submitted to the City with an electronic copy of the final as -built drawings via CD or e-mail, 8. Consultant shall tightly control the quality of the work performed by in-house staff and/or sub - consultants. Incomplete (not meeting targeted %completion) or poor quality work will not be accepted. The consultant shall need to revise the documents within a revised schedule set by the City, which may require overtime. No additional regular or overtime hours shall be approved for the required revisions. 9. Attend meetings with City's staff as required. 10. Coordination with other Agencies as required. 1 I . Plan check coordination with the City of Santa Ana and other agencies as required. 12. Consultant shall provide construction support and be required to review and approve addenda and clarifications to plans and specifications. Consultant shall attend pre -construction meetings, attend initial job walk, final walk-through and assist with preparation of punch list, and attend final inspection as requested by City staff. CITY RESPONSIBILITIES In general, the City will be responsible for the following items: • Providing copies of available plans and existing documentation on file. • Providing standard City boilerplate spec. • Acting as a liaison with the appropriate decision making bodies. • Famish electronic design file with City title block and title sheet (24' x a0 plan check fees. 36") • Process plans for governmental agency approvals having jurisdiction over the project and pay for • Reproduce final Contract Documents for bidding purposes. All reproduction costs prior to bid documents are the responsibility of the consultant. CONTRACT CONSIDERATION Since total actual cost cannot be pre -determined, a fee for each assigned project shall be negotiated. The Consultant shall be paid based upon hourly rates, unit costs or fixed fee for services rendered. PROPOSAL REJECTION The City reserves the right to reject any or all proposals submitted, and is not liable for any pre -contractual expenses: Pre -contractual expenses are defined as expenses incurred by the offeror in: (a) preparing the proposal in al to the Cit response to this RFP; (b) submitting that proposy, (c) negotiating with the City if anyin , of the related to this proposal; (d) any other expenses incurred by offeror prior to date of award, contract. Offeror shall not include any such expenses as part of the price as proposed in response to this RFP. ACCEPTANCE OF CONTRACT oposconsultants become contractual llti n if a The cottsothe hesult ithecanceaonof any connenFailure consultant to accept thisblgao d from the award. Any damage accruing to the City as a result of a failure to contract may be recovere consultant. PRIME CONSULTANT RESPONSIBILITIES to assume for p e set ct d t consultaed nts shall be shall ed the sole point of contact lrservices with regard contractual matters, be including payment of any and all charges resulting from the contracts. DISCLOSURE not wish to have fAny ort information, purpose , other than c should have achcappli able sheet orpartmarked "Confidential otherhis data shall not be disclosed or duplicated, used or disclosed in whole or in part for any purpose other than to evaluate the response; provided that: the contract is awarded to this offeror, or as a result of or in connection with the submission of such information, the City shall have the right to duplicate, use or disclose this information to the extent provided in this contract. This restriction shall not limit the City the right to use information contained herein if it is obtained from another source. DELAYS The City reserves the right to delay scheduled dates if it is to the advantage of the City. RULES FOR PROPOSALS The signer of the proposals must declare in writing that the only person, persons, company or parties interested in the proposal as principals, are named therein; that the proposal is made without collusion with any other person, persons, company, or parties submitting a proposal; that it is in all respects fair and in good faith without collusion or fraud, and that the signer of the proposal has fully authority to bind the principal proposer. METHOD OF PAYMENT The consultant shall submit a monthly invoice to the City for he service rendered in that month. The invoice shall include a detailed breakdown of the services, project title and limits, the tasks, the hours, and the unit costs or the hourly rates or percentage completed. MonthlyPayments a ments will be made for work completed during the preceding month, except that no more than 85 percent of the total contract price shall be paid until the work is considered by the City to be 100 percent complete. REGULATIONS The selected consultants shall be expected to comply with all applicable federal, state and local regulations, building codes, and contract provisions. The ensuing contract shall contain such contractual provisions and conditions necessary to define a sound and complete agreement. INFORMATION REQUIRED FROM CONSULTANTS Proposals shall be submitted in the format as described below: Organization and Credentials Provide a synopsis of the consultant's qualifications and past experience. Work Plan Provide a narrative rendition of the technical work plan. Show how all required tasks are to be completed. Staffing The consultant shall identify their Project Manager as well as other key personnel to be assigned to the project, their qualifications, education, representative experience, and their capability to explore and resolve problems. Subconsultants Identification is required of any contemplated subconsultants to be used during the project, with the identification of personnel to be assigned, their qualifications, education, and representative experience. SUPPLIED TO OFFEROR The offeror shall furnish a fee schedule for the proposed service. The offeror shall also complete Attachment "A" (Consultant Rate Comparison Form) located at the end of the Request for Proposal and include it with the fee schedule. The fee schedule (3 copies) and Attachment "A" shalt be separately bound, sealed, and submitted to the City. The fee schedule shall include the following: A. Hourly rate for each personnel category. B. Any other direct charges. C. Indirect cost or overhead. D. Cost of supplies and materials (itemized). Consultant may submit a revised fee schedule at the beginning of the calendar year for any adjustments to the hourly rates. The City must approve the revised hourly rates in writing prior to the revised rates taking effect. The consultant may be required to submit supporting back-up documentation for the revised fee schedule changes. -rotal cost for the contract shall not exceed $300,000. ADDITIONAL INFORMATION AND COMMENTS The contents under this heading are left to the discretion of the consultant. Material shall be pertinent to the proposal, but not otherwise requested in the RFP. CRITERIA FOR SELECTION An evaluation committee appointed by the Executive Director of the Public Works Agency will review the proposals. The criteria for evaluating the proposals submitted will take the following items into consideration: • Experience and reputation of the firm including a verification of data and references. • Experience and credentials of key personnel assigned to the project. • Understanding of project objectives and work tasks as evidenced in the written narratives and oral interview. • Adherence to Schedule: Demonstrate that the present workload of the firm and the availability of staff for the project shall enable staying on schedule. • Consultant's past record of performance in similar projects related to control of costs, quality of work and meeting schedules. • Familiarity with City design and construction specifications and procedures. • The City's prior experience with the consultant. • Familiarity with the geographical area of the project. • Fee (separate sealed envelope). The ultimate consultant selections shall be based upon both technical merit and cost competitiveness. THE CITY'S AFFIRMATIVE ACTION PROGRAM the City has an affirmative action program. The purpose of the affirmative action program is to encourage certified minority business enterprises and women business enterprises. All submitting firms must have established affirmative action programs approvable by the City. The attached "Certification of Non - Discrimination by Contractors" shall be completed by each submitting firm and included in the proposal (Attachment `B"). EXHIBIT B FEESCHEDULE City of'Santa Ana �M1 +►A `'� . y�: � .r � �.,F�f � � '�„V�, ` tis Wm4' JP wrl an r t � , f r 0 oil .N N.1Sf f)edlg)) Cirall)1, (m'. LS Can!/ItIfIFYf is (IralPfllnK our Ptll'IYOI!)IICA1 and natural ret ai(r('B1. 13, wiii- rf,' ren, iab]e maleriah ,,c rra(rrm nar rowndmlenf. Santa Ana - On-call landscape architectural services ATTACHMENT "A" ANNUAL LANDSCAPE ARCHITECTURAL SERVICES CONTRACT CONSULTANT RATE COMPARISON FORM Consultant shall complete this form and include it along with the comprehensive fee schedule in the sealed fee envelope. This comparison is based upon services required for approximately one plan sheet each for landscape architectural design services including specifications and cost estimate for the following sample project: Design of a new 2500 sf landscaping and irrigation area for Santa Ana Zoo front entrance area. The sample plan and profile sheets shall be at '/<':1' and conform to all requirements detailed in this RFP. On a separate sheet of paper, please provide a detailed scope of work for the tasks required to complete this sample project. This form will be used for fee comparison purposes only. Description of Consultant Test or Services Survey Three person survey crew Design and Draft Plans Principal Landscape Architect Senior Landscape Architect Project Landscape Architect Draftsperson Word Processor Unit Quantity Unit Cost Total Hours 6 $ 280.00 $ 1,680.00 Hours 5 $ 145.00 $725.00 Hours N/A $ N/A $ N/A Hours 60 $ 115.00 $ 6,900.00 Hours 30 $ 85.00 $ 2,550.00 Hours 8 $ 55.00 $ 440.00 Hours $ $ The sample man-hours estimate for planting and irrigation design is based on a estimated construction budget to $50,000.00. We anticipate an entry area for the Santa Ana Zoo will have larger container specimen plant materials, as well as accent/exotic species of plants. The man-hours estimate does not include as-builts, bidding, construction administration, or any subconsultant services expect the noted 3 -person survey crew. Santa Ana - On-call landscape architectural services I. SCOPE OF WORK PHASE I - RESEARCHIANALYSIS A. Meet with City of Santa Ana Staff to discuss project goals, potential elements, and project time frame. B. Commence preparation of aerial mapping and topographic base sheet preparation in digital format (as needed). Include field survey of existing tree trunks not visible on the aerial photography. C. Review pertinent information regarding this project (Information to be provided by the City of Santa Ana): 1. Boundary and Easement Information 2. Existing "As Built' Irrigation and Electrical Construction Plans 3. Any other available documents D. Conduct site visit, with City staff, to review existing site conditions, including utilities, drainage, topography, easements, physical limitations, ADA accessibility, external influences, and access. MEETINGS: One(]) Design Tea /City Staff Meeting/(1) Site Meeting PRODUCTS: Project Notes, Summaries, Topographic Base PHASE II- CONCEPTUAL PLANS A. Commence preparation of a Conceptual Plan base at 1/4" = F- 0" scale. B. Prepare Conceptual Plan exhibit indicating the extent of grading, and proposed elements and amenities. C. Meet with City to present Conceptual Plan for review and discuss suggested refinements. D. Revise Conceptual Plan based upon City comments and direction. E. Commence preparation of Preliminary Budget Estimates based upon average unit cost amounts. F. Meet with City to present the refined Conceptual Plan and Preliminary Budget Estimate. MEETINGS: "lino (2) Design Team/ City Staff Meetings 2 City of Santa Ana - On-call landscape architectural services PRODUCTS. Conceptual Plan Exhibit and Preliminary Budget Estimate PHASE III - CONTRACT DOCUMENTS A. Develop Base Plans at 1/4" = 1'- 0" scale on 24" x 36" in digital format reproducible bond. B. Prepare construction drawings at 1/4" = P- 0" scale, 24" x 36" sheets on City standard title block and title sheet. These documents will encompass: I. Title Sheet 2, Demolition Plan (if applicable) 3. Grading and Drainage Plan 4. Irrigation Plan 5. Irrigation Details 6. Planting Plan 7. Planting Details 8. Technical Specifications Technical Specifications (Green Book format) will be provided on 8 ''/i" x 11" Microsoft Word format for packaging by the City. Standard boiler plate specifications to be provided by City of SantaAna. C. Prepare an opinion of probable construction cost based on construction documents. D. Submit plans to the City Santa Ana for plan check. Meet with City to review plan check comments. Submit and revise drawings per two (2) City plan check reviews. E. Identify affected utilities and transmit preliminary and final plans to the affected utility agencies with copies of the transmittal letters to the City of Santa Ana as necessary. F. Revise plans per plan check utility agency review and obtain agency signature. G. Obtain final approval and signature from the City of Santa Ana. H. The result of service will consist of demolition, irrigation, and planting plans with required details and specifications for competitive bidding. I. All formal bidding and contract negotiation will be conducted by the City of Santa Ana. Preparation of as-builts (construction information provided by general contractor) for signed set of as -built mylars to be submitted to the City. MEETINGS: One(]) Meeting with City Staff PRODUCTS: Base Plans, Construction Drawings, Technical Specications, and Opinion City of Santa Ana - On-call landscape architectural services DESIGN GRO � of Probable Construction Costs PHASE IV - Bidding A. Assist the City with the Bidding Process by addressing questions or clarifications with written addenda. B. Attend pre-bid conference, if required. PHASE V — Construction Administration A. Attend pre -construction meeting, if required by City of Santa Ana. B. Attend initial job walk and any subsequent job site meetings if required by City of Santa Ana. C. Review change order requests by City Staff, review contractor change orders and issue recommendations to City Staff for action. D. Attend final walk-through. Prepare final punch list for all required corrections, non- conforming work, and remaining work. E. Attend final inspection if requested by City of Santa Ana. City of'Santa Ana - On-call landscape architectural services III. ADDITIONAL SERVICES The following items are not a part of the fee identified in the proposal but shall be reimbursable to R.IM Design Croup, Inc. as follows: Any requested refinements to the plans after authorization to begin Construction Documents shall be completed in accordance with the Standard Hourly Fee Schedule. 2. Additional plans, exhibits, or reports requested by the client in addition to the specific tasks outlined in the Scope of Services shall be completed in accordance with the Standard Hourly Fee Schedule. Additional meetings, as requested, shall be in accordance with the Standard Hourly Fee Schedule. 4. Coordination, meetings, and plan check review with local utility agencies. 5. Structural engineering, details, and/or calculations. 6. Any additional design elements such as hardscape, site furniture, signage, berming, bioswales, etc shall be completed in accordance with the Standard Hourly fee schedule. Agronomic soils testing. 8. Permits, plan check or inspection fees. City of Santa Ana - On-call landscape archileciural services DF.SICNC our Below is RIM Design Group and our subconsultants hourly rates schedules, this schedule shall be made part of our quote for use in invoicing for Progress payments and for extra work incurred that is not part of the RFP. RJM DESIGN GROUP, INC. PRINCIPAL LANDSCAPE ARCHITECT ASSOCIATE LANDSCAPE ARCHITECT LANDSCAPE ARCHITECT / PROJECT MANAGER JOB CAPTAIN / LANDSCAPE DESIGNER CADD TECHNICIAN DRAFTSPERSON WORD PROCESSOR $145.00 - $165.00 per hour $ 130.00 - $140.00 per hour $115.00 - $125.00 per hour $100.00 - $110.00 per hour $ 85.00 - $ 95.00 per hour $ 70.00 - $ 80.00 per hour $ 55.00 - $ 65.00 per hour NICE CONSULTANTS PRINCIPAL $176.00 per hour PROJECT MANAGER $132.00 per hour PROJECT ENGINEER $1100.00 per hour PROJECT SURVEYOR $132.00 per hour DESIGN ENGINEER $ 99.00 per hour COMPUTER DRAFTSPERSON $ 77.00 per hour PROJECT ASSISTANT $ 55.00 per hour 3 -MAN SURVEY CREW $286.00 per hour 2 -MAN SURVEY CREW $232.00 per hour EXPERT WITNESS (TRIAL AND DEPOSITION) $275.00 per hour UTILITY CONSULTANTS -- PRINCIPAL $110.00 per hour GMU GEOTECHNICAL. INC. PROJECT ENGINEER OR GEOLOGIST $210.00 per hour ASSOCIATE ENGINEER OR GEOLOGIST $198.00 per hour SENIOR ENGINEER OR GEOLOGIST $176.00 per hour PROJECT ENGINEER OR GEOLOGIST $160.00 per hour STAFF ENGINEER OR GEOLOGIST $144.00 per hour KONSORTUM I PRINCIPAL. $188.00 per hour PROJECT ENGINEER $149.00 per hour PROJECT ASSOCIATE PROJECT MANAGER DESIGNER CADD DRAFTING CLERICAL $138.00 per hour $127.00 per hour $105.00 per hour $ 83.00 per hour $ 66.00 per hour City of Santa Ana - On-call landscape architectural services DF.51 'V OUP JAMES MICKARTZ ARCHITECT PRINCIPAL ARCHITECT $138.00 per hour ASSOCIATE ARCHITECT $116.00 per hour AQUATIC DESIGN GROUP, INC. PRINCIPAL $215.00 per hour PROJECT ENGINEER $182.00 per hour SENIOR PROJECT MANAGER - DESIGN $149.00 per hour SENIOR PROJECT MANAGER - CONSTRUCTION $149.00 per hour PROJECT MANAGER - DESIGN $138.00 per hour PROJECT MANAGER - CONSTRUCTION $138.00 per hour CADD TECHNICIAN $110.00 per hour GRAPHICS TECHNICIAN $ 95.00 per hour CLERICAL $ 55.00 per hour Billings for all time and materials and contract extension work shall be in accordance with the level of work performed and will be broken into the categories listed above. Fees will be escalated each August 1 st in accordance with any increase in the Consumer's Price Index or other mutually agreed upon cost index, beginning with August 1, 2009. All provisions for fee escalation pertain to all contract extensions and additional work. This agreement may be terminated by either party upon seven (7) days written notice via registered mail, should the other party fail substantially to perform in accordance with its terns through no fault of others. The Landscape Architect shall be paid his compensation for expenses then due. if a dispute arises under this contract and litigation is instituted, the prevailing party shall be entitled to recover all reasonable attorney fees. Payments will be due and payable on a monthly basis following the completion of any substantial phase of work. Carrying charges for overdue accounts beyond 30 days of billing date are charged at 1-1 /2% of the amount due, compounded monthly. All printing, reproduction, and delivery charges will be invoiced directly by the vendors to you. Should we incur these reimbursable expenses, we will invoice them to you at direct cost plus 15% for handling. IF, ACORD,N CERTIFICATE OF LIABILITY INSURANCE 2/26/200W) 2IMMIDD 6200 200 DATE/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 Santa Ana CA 92711-0550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID INSURERS AFFORDING COVERAGE INSURED INSURERA: Travelers Property Casualty C_O_Of- Ameri RJM Design Group, Inc. INSURER B: Travelers Indemnity Co. 31591 Camino Capistrano San Juan Capistrano CA 92675 -_of-_Conn_ecticut INSURER C: American Automobile Ins. Co. — __- ---- i$2, 000 -000____ INSURERsuRERD:Zurich American Insurance Co. INSURER E: FIRE DAMAGE (Any one fire) COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. 'NSR TYPE OF INSURANCE POLICY NUMBER LIL POLICY EFFECTIVE iMMODMI EXPLIMITS DAICY IRATION POLDATE A GENERALLMB'LITY 6804854L671 9/30/2008 9/30/2009 EACH OCCURRENCE i$2, 000 -000____ X COMMERCIAL GENERAL LIABILITYi AUTHORIZED REPRESENTAT FIRE DAMAGE (Any one fire) I$]000x000_ CLAIMS MADE IN JOCCUR MED EXP (Any one person) $10,000 X Contractual PERSONAL B ADV INJURY $2,000,000 Liability GENERAL AGGREGATE $ GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGS $4 000 000 1 PRO- POLICY X LOC E AUTOMOBILE LIABILITY BA5094L595 9/30/2008 9/30/2009 COMBINED SINGLE LIMIT (Eaaaadenq $2,000,000 ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (Per person) BODILY INJURY $ X HIREDAUTOS X NON -OWNED AUTOS (Per accident) AS Ti RM PROPERTY DAMAGE $ APPROVED (Per accident) GARAGE LIABILITY ', AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC S ANY AUTO Litt it'cdy AUTO ONLY: AGS S EXCESS LIABILITY ASSig=t City A IOTTICy EACH OCCURRENCE S AGGREGATE S OCCUR _ CLAIMS MADE a S DEDUCTIBLE $ RETENTION $ G WORKERS COMPENSATION AND WZP80965864 '9/30/2008 9/30/2009 X WC STAN- OTH. IQRY E.L. EACH ACCIDENT $1,000, 000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE_ $1 000 000 E.L. DISEASE -POLICY LIMIT 1 $1 000 000 D OTHER EOC926238800 '.19/30/2008 9/30/2009 Per Claim $1,000,000 Professional Liability Annual Aggr. $2,000,000 Claims Made DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re- On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Nor.—Contribut_rg coverage applies to General Liability as required by written contract. Separation of Insureds continued ... CERTIFICATE HO nPP I I ANDITIANA1 INSURER INSURER I FTTFR CANCELLATIONIn !lA\r.0 oArrPllatinn for Non-Pavment ACORD 25-S (7197) O ACOHU GONHORAI ION 11908 J HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana 4ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Attn: Mindy Ly NAMED TO THE LEFT. P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTAT ACORD 25-S (7197) O ACOHU GONHORAI ION 11908 J k; DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS / SPECIAL PROVISIONS Except with respect tc the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Fart to the I rot Named Insured, this insurance applies: a. Asif each Named Insured were the only Named Iasured; and h. Separately to each insured against whom claim is made or suit is brought. Waiver of Subrogation for Work Comp isir-cluded as required by written contract. w Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:RJM Design Group, Inc. Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Mindy Ly P.O. Box 1988 Santa Ana, CA 92702-1988 Additional Premium % We have the right to recover our payments from any- one liable for an injury- covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) OVA, - Authorized Representative WC040306 Policy Number W Z P 8 0 9 6 5 8 84 Effective Date 2/26/2009 Job Description Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives You mast maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. ACORD„CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDO YI ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 9 28 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. - Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Sa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 6804854L671 INSURED RJM Design Group, Inc. INSURER A: Tr_avelgrs ,Property Caeual tv Coof _Arcer__ _ 31591 Camino Capistrano INSURER B__T -. 3avelers Indemnity_Co. of Connecticut__ msuRERc:pmerican &,),tomobileIns• Co San Juan Capistrano CA 92675 INSURER D: ArgonavtInsurance _Company__-_____ j( INSURER E'. HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. ILTRNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYE%PIRATION LIMITS B GENERAL LIABILITY 6804854L671 9/30/2009 9/30/2010 EACH OCCURRENCE_ $2 QQ_Q�QQ ___. FIRE DAMAGE An yone fim� $1 000 Q0 j( COMMERCIAL GENERAL LIABILITY CLAIMS MAOE MEDE%P(Any one Pelson)_ $10 000 OCCUR X_ PERSONALdAOV INJURY_ $2 OQO ,ORtraC tLidl _ L_.ability GENERAL AGGREGATE _OOO GENT AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $4, 000, 0)_QPOLICY PRO LOC A AUTOMOBILE LIABILITY BA5094LS95 9/30/2009 9/30/2010 ANYAUTO (Ea am'oe0!'INGLE LIMIT $2,000,000 ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (Por person) HIREDAUTOS NOW OWNED AUTOS n��1 lvl BODILYINJURY$ (Per attltlen!) �O � �O 1 PROPERTY DAMAGE —'- -- (Per accuent) $ GARAGE LIABILITY � Ayl. AUTO ONLY . EA ACCIDENT $ OTHER THAN EA ACC $ ANYAUTD -- _ $ Sh Cal. AUTO ONLY qGG EXCESS LIABILITY BU[ !� '�L2y EACH OCCURRENCE $ OCCUR CLAIMS MADE �$'lSl i _ AGGREGATE $ _ DEDUCTIBLE $ RETENTION 5 C WORKERS COMPENSATION AND WZP80976027 9/30/2009 9/30/2010 WC STATU. OTBH_ _XkSj EMPLOYERS' LIABILITY E.L.EACHACCIDENT ----- — $1 0001000 EL. DISEASE � EA EMPLOYEE$ 1Qp0 000 E I. DISEASE POLICY LIMIT $1 000 00 D OTHER IAE111170 20/1/2009 20 T -/2010 Per Claim $2,000,000 Professional Liability/ Annual Aggr. $2,000,000 Claims Made DESCRIPTION OF OPERATNIN&LOCANONMEHICLEME%CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for ork Comp is included as required by written contract. Continued... CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATIONin a. can I I atio AUUKU ZD -J (OUI) 0 ACORD CORPORATION 1988 HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City Attn: Of Santa Ana Mindy Ly BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. P.O. Box 1988 Santa And, CA 92702-1988 AUTHORIZED REPRESENTATI AUUKU ZD -J (OUI) 0 ACORD CORPORATION 1988 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS / SPECIAL PROVISIONS Separation of Insureds - general liability Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or ''t is brought. orkers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:RJM Design Group, Inc. Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Mindy Ly P.O. Box 1988 Santa Ana, CA 92702-1988 ditional Premium % We have the right to recover our payments from any- one liable for an injury- covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) Authorized Repmsentative WC040306 Policy Number WZP80976027 Effective Date 9/28/2009 Job Description Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives You nmst maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. fKePl�l� 7[K'1�t7x�1�T\II�Lt:11�IK/ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a B. "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C. age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 8109 07 ©2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office. Inc., with its permission. COMMERICAL GENERAL LIABILITY injury' or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "properly damage" occurs, and the "personal in- jury' is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 C 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance services Office, Inc., with its permission. ACORD„ CERTIFICATE OF LIABILITY INSURANCEDATE(MMMMYI 9 2 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. - Box 10550 Sa Ana CA 92711-0550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER POLICY EFFECTIVE INSURERS AFFORDING COVERAGE INSURED INSURERA: Travelers Property_CasualtV Co_ of_Ameri_ RJN Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 _ INSURER B:_ Travel ers Tntlomn i_Co. of Connecticut___ INSURER c: American Autowobil,e Ins. Co. ----- — -- INsuRERD:Argonaut insurance _Ccmpanv__-__-.__ INSURER °'. 5$,_QQQ40C _-_ COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS B GENERALLIABILITY 68048541,671 9/30/2009 9/30/2010 . EACH OCCURRENCE__ 5$,_QQQ40C _-_ _FIRE DAMAGE (Any..5re) $1 AUTHORIZED REPRESENTATI X COMMERCIAL GENERAL LIABILITY __ ICLAIMS MADE 10 OCCUR MEDEXP(AAycnepetson)_ 510,_000 PERSONAL B ADVINJURY S2 Q00_,_000 X Contractual GENERAL AGGREGATE _ S-4,_00() _00.0_ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGS $4, 000. 09,.Q POLICY PRO LOC A AUTOMOBILE �ANYAUTO LIABILITY BA50941,595 9/30/2009 9/30/2010 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Pe, person) _ $ _ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peracamenl) $ ' HIRED AUTOS NONOWNED AUTOS _ � to A S' !'� PROPERTYDAMAGE (Pe,a¢idenU $ _GARAGE LIABILITY RF AUTO ONLY - E_A IS _ACCIDENT OTHER THAN EAACC ANY AUTO _S S 5hQ,U). AUTOONLY: AGO EXCESS LIABILITY aUl fly EACH OCCURRENCE $ _ _ AGGREGATE _ $ OCCURCLAIMS MADE PS 1 LSI _ S _ S DEDUCTIBLE S RETENTION 5 WORKERS COMPENSATION AND WZP60976027 9/30/2009 9/30/2010 _}{.WCSTATU- OTH- E.L. EACH ACCIDENT $1,000, 000 EMPLOYERVLIABILITY E.L. DISEASE_. EA EMPLOYEE Sl0y 00 00 E.L. DISEASE. POLICY LIMIT 1 $1 00 D OTHERIAE111170 Professional Liability 10/1/2009 10/1/2010 Per Claim $1,000,000 Annual Aggr. $2,000,000 Claims Made DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver Of Subrogation for Work Comp is included as required by written contract. onrinued... C ERTfCATF FIM DPP I CANCELLATIONin A..,,C ...... I.iYI nn fn, Aron-Pavmant ACORD 25-S (7197) O ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City Of Santa And WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Attn: Mindy Ly NAMED TO THE LEFT. P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATI ACORD 25-S (7197) O ACORD CORPORATION 1988 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS / SPECIAL PROVISIONS Separation of Insureds - general liability Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this -_nsurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or 't is brought. Iorkers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:RJM Design Group, Inc. Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Mindy Ly P.O. Box 1988 Santa Ana, CA 92702-1988 3itional Premium % We have the right to recover our payments from any- one liable for an injury- covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) Authorized Representative WC040306 Policy Number WZP80976027 Effective Date 9/28/2009 Job Description Re: on -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives You trust maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage' or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage' or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance' that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance'. But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph B. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage' or "personal injury" arising out of 'your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance' with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance' with such person or organization entered into by you before, and in effect when, the "bodily CG 03 8109 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted matehal of Insurance Services Office, Inc., with its permission. COMMERICAL GENERAL LIABILITY injury' or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period Page 2 of 2 ® 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission. ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 9/17/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED RJM Design Group, Inc. 31591 Camino Capistrano INSURERA: Travelers Property Casualty Co of Ameri INSURER B: American Automobile Ins. Co. INSURER c: Argonaut Insurance Company San Juan Capistrano CA 92675 INSURER D: INSURER E: COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 6804854L671 9/30/2010 9/30/2011 EACH OCCURRENCE $2,000, Q00 FIRE DAMAGE (Any one fire) $1 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1X] OCCUR MED EXP (Any one person) $10,000 PERSONAL BADV INJURY $2,000,000 X Contractual Liability GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 POLICY X PROJE,- LOC A AUTOMOBILE LIABILITY ANY AUTO BA5094L595 9/30/2010 9/30/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO .� �� tlt[ Sliced a& City Atto. y rwy AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS LIABILITY OCCUR 171 CLAIMS MADE Labra ASSiS AGGREGATE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP80984960 9/30/2010 9/30/2011 X I WCSTATU-T 1OTH- TS I I ER E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability Claims Made IAE1111701 10/1/2010 10/1/2011 Per Claim $1,000,000 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for Work Comp is included as required by written contract. See Attached... City of Santa Attn: Mindy L P.O. Box 1988 Santa Ana, CA 6rM1\VCLLMIIV I\1 1 n N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Ana ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER YNAMED TO THE LEFT. 92702-1988 AUTHORIZED ^"""" t"— I o ACORD CORPORATION 1988 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS / SPECIAL PROVISIONS Separation of Insureds - general liability Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:RJM Design Group, Inc. Producer: Dealey, Renton & Associates Schedule Person or Organization City of Santa Ana Attn: Mindy Ly P.O. Box 1988 Santa Ana, CA 92702-1988 Additional Premium % We have the right to recover our payments from any- one liable for an injury- covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) Authorized Representative WC040306 Policy Number WZP80984960 Effective Date 9 / 17 / 2 010 Job Description Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives You must maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C. age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission. COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period Page 2 of 2 © 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD/YY) PRODUCER Dealey, Renton & Associates P. CO. Box 10550 SantA a na CA 92711-0550 l"1 /1 /' n, ^ 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 RJM Design Group, Inc. 31591 Camino Capistrano San Suan Capistrano CA 92675 INSURER A- 7X-a-,lojerS Pz7oDevityCO cf Ame2r:L INSURER B: Arcronaut Insuran m an INSURER C: INSURER D: INSURER rl COVFRG HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ OTWITHSTANDING 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. INSR TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION 9/30/2012 LIMITS A GENERAL LIABILITY 6804854L671 9/30/2011 EACH OCCURRENCE $2.000,000 FIRE DAMAGE An ane ft,) $1.000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP An one raon E10 000 PERSONAL 6 ADV INJURY $2,000, 000 X ont ractual Liability GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGO $4,000.0.0 A AUTOMOBILE LIABILITY ANY AUTO BA5094L595 9/30/2011 .9/30/2012 COMBINED SINGLE LIMIT $1,000,000 (Ee ec Id ) ALL OWNED AUTOS SCHED V LED AUTOS BODILY INJURY $ (Par person ) BODILY INJURY $ (Per —id—) HIRED AUTOS AUTOS XNON-OWNED PROPERTY DAMAGE $ (Per —id—) GARAGE LIABILITY ANY AUTO 4 o As i _ Ff 12' N) ALTO ONLY - EA ACCIDENT E THAN EP ACG E PRUV AOTHER UTO ONLY: AGG E EXCESS LIABILITY OCCUR CLAIMS MADE _ )} _ --! CUv EACH OCCURRENCE E AGGREGATE $ DEDUCTIBLEf15 j15L1\l 1. i ILV ,� V f DC} E E RETENTION E A WORKERS COMPENSATION AND M EPLOYERS' LIABILITY UB3761T932 9/30/2011 9/30/2012 x IINC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $3- 000 E.L. DISEASE - POLICY LIMIT E B OTHER ProEesa Toneal Liabil±Cy C laims Mad IAE1111702 10/1/2011 10/1/2012 Par Claim $1,000,000 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATKINS/LOCATIONS!VEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability Policy excludes claims ari.ing out o£ the per£Ormanca of professional services. Zs: On -C.11 Service. - City of Santa Ana, CA. ha City o£ Santa Ana, its o££icerei, employees and representative. are Addicional Insured as respacta to General lability coverage as required by written contract. r:L— y and Non -Contributory applies to General Liability as required by written contract. Waiver Of Subrogation for ork Comp is included as required by written contract. ee Attached... HOI= ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City Of Santa Ana ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER At to : Mindy Ly NAMED TO THE LEFT . P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED KEPRESENTA ACORD 25S (7197) O ACORD CORPORATION 1998 Separation of Insureds - general liability Except with respect to the Limits of insurance, and any righta or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought_ TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: UB -3761T93-2 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.00 % of the California workers' compensation pre- mium_ Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 07-28-11 ST ASSIGN: Page 1 of 1 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any person or organization that you agree in a "contract or agreement requiring insurance- to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury' caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services"_ f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less_ This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance"_ But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury' arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 ® 2007 The Travelers companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc_, with Its permission. COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- erage Part, provided that the "bodily injury" and sonal injury" offense is committed. "property damage" occurs, and the "personal in - D. The following definition is added to DEFINITIONS jury" is caused by an offense committed: (Section V): a. After you have entered into that contract or "Contract or agreement requiring insurance" agreement; means that part of any contract or agreement un- b. While that part of the contract or agreement is der which you are required to include a person or in effect; and organization as an additional insured on this Cov- c. Before the end of the policy period. Page 2 of 2 ® 2007 The Travelers companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc_, with its permission. ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YY) 10/3/2012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 Santa Ana CA 92711-0550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EACH OCCURRENCE $2 OOO 000 INSURERS AFFORDING COVERAGE INSURED i RJM Design Group, Inc. 31591 Camino Capistrano INSURER A: Tr ,aVelerS Property Casualtyf Ameri INSURERB:Hudson Insurance Com an MED EXP (Any one person San Juan Capistrano CA 92675 INSURER C: INSURER U $GENERAL INSURER E: AGGREGATE COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDfYYI DATE fmminnryy) LIMBS A GENERALLIABILITY 6804854L671 9/30/2012 9/30/2013 EACH OCCURRENCE $2 OOO 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) 000 CLAIMS MADE X OCCUR MED EXP (Any one person X Contractual 1 PERSONAL& ADV INJURY $GENERAL AGGREGATE W000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG POLICY X P'0. LOC A j AurOMOSILE LIABILITY BA5094L595 9/30/2012 9/30/2013 COMBINED SINGLE LIMIT I $1, 000, 000 ANY AUTO (Ea accident) 1 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accdent) tt PROPERTY DAMAGE $ d (Peraccent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO/� l-`^�--�"-- --'-- —'" EA ACC $ ✓'-�� ,jr^(�/.- OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY �� y:,li G:. ;l I 1. 1l I - EACH OCCURRENCE $ ElCLAIMS OCCUR MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND UB3761T932 9/30/2012 9/30/2013 }{ III SIATIJ- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 O O O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT 1 $1 0 00 0 0 BAE 10/1/2012 Per Claim $I,,Coo jp�'TH�FRroessional LiabilityII 110/1/2013 Annual Aggr. $2,000OOo,CCC Claims Made I DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. he City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General iability coverage as required by written contract. rimary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for ork Comp is included as required by written contract. ee Attached... I-- AUUIIIVKALIK�UKCU;IN5UKGKLtITHK: I+AIYL.CLLAIIVIY -Pd yment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE Attn: Marilyn Boothe ROLDER NAMED TO THE LEFT. P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED ACORD 25S (7197) CORPORATION 1 Al TRAVELERS J WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY EART70RD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: -UB-3761T93-2 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREYD BY WRITTEN CONTRACT 87i;ECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by_� DATE OF ISSUE: 917112 ST ASSIGN: Page f of 1 COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement, b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period Page 2 of 2 ® 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission. 0441�� 7f_'2—r, Q �2 AC RDu CERTIFICATE F LIABILITY INSURANCE CERTIFICATE MAY BE ISSUED OR MAY PER'T'AIN, THE INSURANCE 9OATS (MM /1-V20011YY) xa PRODUCER AGGREGA'T'E LIMITS SHOWN MAY HAVE BEEN REDUCED BY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates A _GENERAL LIABILITY 680SD390306 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. Box 10550 RREOAMAGE.(Any ane tiro) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR •F to Ana CA 92'711-0550 I§],G WOO ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. $ 000, OOO .. • y _._....._. .. Liability___ GENERAL AGGREGATE r?eGATE INSURERS AFFORDING COVERAGE PRODUCTS_ COMPIOP AGG $Q 000,.-QO.� IIIIINsuaERA lxav�l.ers Property Ca,sual>„y C9 of {1,megi RJMINSURED Design Group Inc. INSURERS Travelers C,asg8k!ty §r_ _,�, Surety Cn. America 315 31591 Camino Capistrano BA5D394305 - San Juan Capistrano CA 92675 wsuRERc L.._,. ANY AUTO INSURER U INSURER E: �$x OQW WOG I— COVERAGES !PHP POLICIES OP' INSURANCE LISTED BELOW HAVE BEEN ISSUED 'T'0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT14 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER'T'AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL ITliE 'TERMS EXCLUSION AND CONDITIONS OF SUCH POLICIES, AGGREGA'T'E LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, iNSR TYPE OF INSURANCE POLICY NUMBER .......__.... ..... ...... ...................... _ POLICYEFFECTIVE � POUCYEXPIRATION� LIMITS A _GENERAL LIABILITY 680SD390306 9/30/2013 9/30/2014 EACHOCCURRENCE .. $.2 OC,�Q, 00O .............. X COMMERCIAL GFNFRAL LIABILITY RREOAMAGE.(Any ane tiro) §.1� 000, 0_ q CLAIMS MADE jX OCCUR _MCO EXP (AnY onepersan) I§],G WOO i.. teal _ Coabil PCR80NAL AAD ADV $ 000, OOO .. • y _._....._. .. Liability___ GENERAL AGGREGATE r?eGATE GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS_ COMPIOP AGG $Q 000,.-QO.� POLICY IX, PRO.I LOC A AUTOMOBILE LIABILITY BA5D394305 9/30/2013 19/3)/2014 L.._,. ANY AUTO COMBINED LIMIT _....._ __ �$x OQW WOG I— ALL OWNED AUTOS BODILY INJURY .. . ...................... �$ SCHEDULED AUTO§ (Per person) X HIREU AUTOS ¢,1vt INJURY X NONOWNEO AUTOS p'BODILY L"!. .. _ .._.. DAMAGE PROP $ c dcnp .GARAGE LIABILITY �, ou4�'� �•I.... ,AUTO ONLY - EA ACCIDENT $ _.....� ...... I. ANY AUTO US� PLomey OfWER THAN EA ACC § j5t0n AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ -� OCCUR J CLAIMS MADE /( ! 1 AGGREGAfL 5 $ .. DEDUCTIBLE :.... $ RETENTION $ __ ..... ........ $ A WORKERS COMPENSATION AND 'EIA UB413OT960 9/30/201'3 :9/30/2014 WC STATIM OTH X ITORv LIMITS I gR EMPLOYE ILIT I I. EACH ACCIDENT $1, 000, 000 .6L DISEASE ,EA EMPLOYEE $,1,, GOO, 000 E.L. DISEASE POLICY LIMIT $1 GOO 000 B OTHEote 105991919 X10/1/2013 110/1/2014 Per Claim $1,000,000 Prrofess Modal Li,abi lity Annual Aggr. $2,000,000 Claims Made DESCRIPTION OF OPERATIONSILOCATIONSIVERICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS IGcneral Liability policy excludes claims arising out of the performance of professional services. Be: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General. Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract Waiver of Subrogation for Work Comp i.s included as required by written contract. See Attached... City of Santa Attn: Marilyn P.O. Box 1988 Santa Ana, CA Ana Boothe 92702-1988 OULD ANY OF TBP ABOVE DESCRIBED P FORE THE EXPIRATION DATE THEREOF, LL MAIL 30 DAYS WRITTEN NOTI^_E TO LOER NAMED TO THE LEFT. AUTHORIZED LICIES BE CANCELLED THE ISSUING INSURER THE CERTIFICATE IKITA a\� DESCRIPTION O OPERATIONS / LOCATIONS % VEHICLES r EXCLUSIONS J 3PECIAL_PRoy13�ONS Separation of Insureds - general liability ;Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage. Part .to the first Named insured, this insurance applies: �a, As it each Named Insured were the only Named insured; and b. Separately to each insured against whom claim is made or suit is brought. i I I 4 i i I v-)01 ` USA ` . ' t RttorYte\l �55151a11t C�lt.7� RJM Design Group, Inc. COMMERICAL GENERAL LIABILITY Policy Number 6805D390306 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily In- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis• sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b, In connection with premises owned by or rented to you; or c. In conneotion with "your work" and included within the "products -completed operations hazard Such person or organization does not qualify as an additional Insured for "bodily injury", "properly damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section III) for this Coverage Part B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you speoffically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional Insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addle tional insured as a named insured, and we will not share with the other insurance, provided that; (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover. C• age as an additional Insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render - ng of cc failure to render any "professional services f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less, This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance, The following is added to Paragraph 8, Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "properly damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agread to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CO 03 8109 OT 4 2001 The Trave ers Inc. Companies, Rai ('t' jvfi V Inc udes the copyrighted material of Insurance Services oRlee, Inc., with its permisstf;ci.�.'�f Ps�-i .._------`-`L SR "�... rris�� .. mto Assistant Cftll COMMERICAL GENERAL LIABUTY injury" or "properly damage" occurs; or the "par- sonal injury' offense is committed. 0. The following definition is added to DEFINITIONS (Section tf): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- Page 2 of 2 erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal irn jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. ..� Nssistat�t G�i� a 2007 The Trave ers companies, Inc. CO D3 81 09 D7 Inc udes the copyrighted meteflal of Insurance Services offlce, Inc., with Its permission. TRAVELERSJ WORKERS COMPENSATION AND ONE Towae spnARE EMPLOYERS LIABILITY POLICY AARTFoRD, CT 06183 ENDORSEMENT IMC 99 93 76 ( A) — 001 POLICY NUMBER: UB413OT960 ENDORSEMENTRECOVER FROM OTHER9 CALIFORNIA (BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.00 % of the California workers' compensation pre- mium, Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED RAS AORBED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVTsR. This endorsement changes Via policy to which It Is attached and is effective on the date issued unless otherwise stated. (Tho information below Is required only when this endorsement is Issued subsequent to preparation of the policy) Endorsement Effective Policy No, Endorsement No. Insured Premium Insurance Company Countersigned by _ �k Y�1�'t—^ ki ' i f i T, o `�Cf DATE OF ISSUE: 9/13/13 ST ASSIGN; 1age 1 cf t LISA t., ASSIStF, nt City Attorne" J I pt aooq - ,—a A -ioly-00 �� 111.3to CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, /207M'°°m"Y' 9/33(2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 1$ WAIVED, subject to the terns 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). PRODUCER CONTAG NAME: Dealay, Renton & Associates P. 0. Box 10550 Santa Ana CA 92711-0550 _ PHONE .t) 1/ 4-427.6810 aC N x714- E -MAR 8DPRESS; INSURERP) AFFORDING COVERAGE NAIC N 130/2014 INSURER A -Tr Propedy Casually Co of A aKZA— EACH OCCURRENCE $2,000,000 INSUR90 INSURERB.Travalers Casualty & Suretv CO Ame 31194 INSURER C: RJM Design Group, Inc, INSURER D: 31591 Camino Capistrano San Juan Capistrano CA 92675 — — — INSURER E INSURER P: COVERAGES CERTIFICATE NUMBER: 160437120 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE I$ INSRi VO POLICY NUMBER POLICYEPP 'MMIDOR'YYY POLICY EXP MMI LIMITS A GENERAL LIABILITY Y Y 38O6D39D305 130/2014 /3012015 EACH OCCURRENCE $2,000,000 x COMMERCIAI_GENERALLIABILITY _ PREMISES (Ee moognercel $1,000,000 CLAIMS -MADE IT] OCCUR MEDEXP An one arson $10,000 PERSONAL B ADV INJURY $2,000,000 X Contractual Liability GENERALAGGREGATE $4000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $4,000,000 $ POLICY X PRO- LDC A AUTOMOBILE LIABILITY ANY AUTO BA50394305 13012014 W1^ 313012015 roroT�ppCOMBINED OTLLY}f SINGLE UMn Eeacclde $1000_000 BODILY INJURY (Per person) $ x ALLOWNEO SCHEDULE D AUTOS AUTOS NON-OWNED HIREDAUTOS x AUTOS x+®�ll✓ .k1r-� 4.,. BODILY INJURY $ PRO PE MT YDAMAGEaccidan0 Per accltlent $ $ Y j UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE LISA' Assistan �Ity ptto ney (Jfjy Lf EACH OCCURRENCE $ AGGREGATE $ OED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y N ANY PROPRIErOMPARTNER)EXECUTIVE❑ y Ur8413OT960 Df3012014 13012015 X WC STATU- OTT Ony E.L. EACH ACCIDENT $1,000,000 OPFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DE SCMPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $1000,000 B Professional Liability Claims Made 105991919 10/112014 0/112015 _ Per Claim$1,000,000 Annual Aggr. 32,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101,AddRional Remarks Schedule, If more space is required) General Liability policy excludes Claims arlsing out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for Work Comp Is included as required by written contract, See Attached... CERTIFICATE HOLDER CANCELLATION30 Devil Dav Notice of Cancellation ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Marilyn Boothe P.O. Box 1988 Santa Ana, CA 92702-1988 UTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ACC)R U ADDITIONAL REMARKS SCHEDULE Page 1�_ of 1 AGENCY NAMED INSURED Dealey, Renton & Associates POLICY NUMBER RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 _.. FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE of Insureds - general liability respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, were the only Named Insured; and b. Separately to each insured against whom claim is made or suit Is brought. �s 'rO ?O P �fOROK e t City Att°rn Y Pssistan 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TRAVELERS) WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76(00) — 001 POLICY NUMBER: UB413OT960 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3.00 % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization ALL PERSONS OR ORGANIZATIONS THAT REQUIRES YOU TO OBTAIN EXECUTED THE CONTRACT BEFORE DATE OF ISSUE:9/3/2014 017106 Schedule Job Description THAT ARE PARTIE TO A CONTRACT THIS AGREEMENT, PROVIDED YOU THE LOSS. ST ASSIGN: CA APP'RO'VED AS TO FORM 4LSAEE�..��S'TORCK.__-� Assistant City AttOrn?v RJM Design Group, no. Policy Number: 6805D39C306 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED INSURANCE (Section Ill) for this Coverage (Section II): Part. Any person or organization that you agree in a B. The following is added to Paragraph a. of 4. "contract or agreement requiring insurance" to in- Other Insurance In COMMERCIAL GENERAL clude as an additional Insured on this Coverage LIABILITY CONDITIONS (Section IV): Part, but only with respect to liability for "bodily in- However, if you spec'rfloally agree in a "contract or jury°, "property damage" or "personal injury" agreement requiring Insurance" that the insurance caused, in whole or In part, by your acts or emis- provided to an additional Insured under this Cov- sions or the acts or omissions of those acting on erage Part must apply on a primary basis, or a your behalf: primary and non-contributory basis, this insurance a. In the performance of your ongoing opera- is primary to other insurance that is available to tions; such additional insured which covers such addi- b, In connection with premises owned by or tional insured as a named insured, and we will not rented to you; or share with the other Insurance, provided that: c. In connedtion with "your work" and Included (1) The "bodily injury" or "property damage" for within the "products-oompleted operations which coverage Is sought occurs; and hazard". (2) The "personal injury" for which coverage is Such person or organization does not qualify as sought arises out of an offense committed; an additional insured for "bodily injury", "property after you have entered into that "contract or damage" or "personal injury" for which that per- agreement requiring insurance". But this Insur- son or organization has assumed liability in a con- ance still Is excess over valid and collectible other tract or agreement. insurance, whether primary, excess, contingent or The insurance provided to such additional insured on any other basis, that is available to the Insured is limited as follows: when the Insured is an additional insured under d. This Insurance does not apply on any basis to any other Insurance. any person or organization for which cover- C, The fallowing is added to Paragraph 8. Transfer age as an additional insured specifically is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON. age Part. DITIONS (Section Ii e. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure to render any "professional against any person or organization because of services". payments we make for "bodily Injury', "property f. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of "your tional Insured shall be the limits which you work" performed by you, or on your behalf, under agreed in that "contract or agreement requir- a "contract or agreement requiring Insurance" with ing insurance" to provide for that additional that person or organization. We waive these insured, or the limits shown In the Declare- rights only where you have agreed to do so as tions for this Coverage Part, whichever are part of the "contract or agreement requiring InSUr- less. This endorsement does not increase the ance" with such person or organization entered limits of insurance stated in the LIMITS OF into by you before, and in effect when, the "bodily Pig 'T® FORM V 0�0 GG D3 81 0907 02007 The Travo ers dampanles, Inc. I Page 1 of 2 Inc udes the copyrighted moterlal of Insurance Services Office, Inc., with Its permisslon. S-TORCK LISA E. Assistant City Atttornev Vr COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs; or the "per- erage Part, provided that the "bodily injury" and sonal Injury" offense is committed. "property damage" occurs, and the "personal in- s. The fallowing definition is added to DEFINITIONS jury" is caused by an offense committed: (Section V): a. After you have entered into that contract or "Contract or agreement requiring insurance" means that part of any contract or agreement un- agreement; b. While that part of the contract or agreement is der which you are required to include a person or in effect; and organization as an additional insured on this Cov- c. Before the end of the policy period. F01M Apppp'VED A5 E g-fpRCK ,-- -ISA City Attorne" o Page 2 of 2 0 2007 The Trove ers companies, Inc. Assistant CG D8 8109 07 Inc Was the copyrighted material of Insurance services office, Inc., with Its permission. >aCCA76" CERTIFICATE OF LIABILITY INSURANCEDATE(MMiDD/YYYY) 9/3/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEN. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iesj must be endorsed. 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 endorsements PRODUCER CONTACT NAME: Dealey.,.Renton _&AssociatesPAHONry P. O. Box 10550 Santa Ana CA 92711-0550 _ 1 LL4 7 10 rA�lc Na :7 4-427- 1 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Y INSURER A :Travalers Propei Casualty Co of / 4 130N2014 INSURED INSURER e : r aV l r s Casualty & S.Ui Co. Ame 31194 INSURER C: RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92.675 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 160437120 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CSSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM'S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL'pSUBR. I SR I D POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS. A GENERAL. LIABILITY Y Y 6805D390306 130N2014 /3012015 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE JA I OCCUR PREMIS TO RENTED PREMISES Ea accurrencel $1,000,000 MED EXP (Any one person $10„µ000 w X Contractual PERSONAL. S ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 Liability GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $4„004,000 POLICYjECT'!.X PRC- LOC $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS AUTAUTOSAUTOS NON -OWNED... HIRED AUTOS AUTOS BA5D394305 ° ! �s /3012014 O ✓ /30/2015 O . ,... r^"”" Ea accidentLIMIT 1,000,000. BODILY INJURY (Per person) $ --. BODILY INJURY (Per accident) $ PROPERTYDAMAGE$ Per accident UMBRELLA LIAR EXCESS LIAB OCCUR. CLAIMS -MADE. SSISH 1 At,to Cit CV EACH OCCURRENCE $ GGREGATE $ DED.11111,11� RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS” LIABILITY Y f N Y 'UB413OT960 !30/2014... 13012015X. WC STATU- ...0TH - y11M - E.L. EACH ACCIDENT $1,0100,000 ANY PROPRIETORIPARTNERIEXECUTIVE [:] OPPCERIMEMBER EXCLUDED? N I A E.L.. DISEASE -EA EMPLOYEE $1,000,000 (mandatory in NHI If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Professional Liability 105991919 10/112014 0/112015 Per Gam $1.,000,000 Claims Made Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule,, if more apace is required) General Liability policy excludes claims arising out of the performance Of professional services.. Re: On -Call Services - City of Santa Ana, CA. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written! contract. Waiver of Subrogation for Work Comp is included as required by written contract. See Attached.... CERTIFICATE HOLDER CANCELLATION 30 Cav/10' Dav Notice of Cancellation @ 1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Marilyn Boothe P.0, Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702-1988 @ 1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER iD: LOC #: ACC)R" ADDDULE II6� Page 1 of I AGENCY Dealey, Renton & Associates NAMED INSURED RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistraro CA 92675 POLICY NUMBER CARR@ER I =I EFFECTIVE DATE: 77-1 ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TRAVELERSJ WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY POLICY NUMBER: U-8413 OT9,6 0 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3.00 % of the California workers' compensation premium otherwise due on such remuneration, ALL PERSONS OR ORGANIZATIONS THAT REQUIRES YOU TO OBTAIN EXECUTED THE CONTRACT BEFORE DATE OF ISSUE: 9/3/2014 Schedule THAT ARE PARTIE TO A CONTRACT THIS AGREEMENT, PROVIDED YOU THE LOSS. ST ASSIGN: CA p AS TO FORM .ppROVED LISA E. S-TORC Assistant City AltQrnev RJM Design Group, Inc. COMMERICAL GENERAL LIABILITY Poflcy Number: 6805D390306 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any person or organization that you agree in a 1"contract or agreement requiring insurance' to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions: lb, In connection with premises owned by or rented to yoL; or c. In connection with "your word"' and included within the "'products-oornpleted operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: ct. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to, the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Deciara- tions for this Coverage Part, whichever are less. This endorsement does not Increase the limits of insurance slated in the LIMITS OF INSURANCE (Section 111) for this Coverage Part, B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply an a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs-, and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or an any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8, Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section [V): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury', "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 � 2007 The 7ralm ers Companies, Inc. Rnc Was the copyrightec material of Insurance Servjc*s Me Inc. APPRaVED AS T0 -FOR% Page 1 of 2 with its permission. -__ LISA E. s7ORCK MsIstant City COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS erage Part, provided that the "bodily injury" and "property darnage" occurs, and the "personal in- jury" is caused by an offense committed: ($ection V): a. After you have entered into that contract or "Contract or agreement requiring insurance" agreement; means that part of any contract or agreement un- b. W'hile that part of the contract or agreement is der which YOU are required to include a person or in effect; and organization as an additional Insured on this Cov- c. Before the end of the policy period,, 'ro OR L P, r, 5'T t City APlltt rneN, 5, Page 2 of 2 -0 2007 The Trace ers Companies, Inc. WCG 381 0907 Inc odes the copyrighted material of Insurance Services Office, Inc., with its permission, RJM Design Group, Inc A-2009-023 & A-2.014-223-01 REVIEWED BY: o EUNICE HEREDIA (PG1 OF 5) AC -OR& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Dealey, Renton & Associates DRA License 0020739 P. O. Box 10550 CONTACT NAME: PHONE 714-427-6810 FAx 714-427-6818 (Air No Fxt)- E-MAIL INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURER A :Travelers Property Casualty Co of A 25674 6805D390306 INSURED INSURERB:Travelers Casualty & Surety Co. Ame 31194 RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 INSURER C INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1207104895 REVISION NHMRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6805D390306 9/30/2015 9/30/2016 EACH OCCURRENCE $2,000,000 CLAIMS -MADE FX OCCUR E( RENTED PREMIEa occurrence) $1,000,000 PREMISESS MED EXP (Any one person) $10,000 X Contractual Liability PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY E PEI° LOC PRODUCTS - COMP/OPAGG $4,000,000 $ OTHER: A AUTOMOBILE LIABILITY BA5D394305 9/30/2015 9/30/2016 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LAB CLAIMS -MADE DED RETENTION $ __$___ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N y UB413OT960 9/30/2015 9/30/2016 X PER OTH- STATUTE ER _ E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability Claims Made 105991919 10/1/2015 10/1/2016 Per Claim $1,000,000 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability policy excludes claims arising out of the performance of professional services. Re: A-2009-023 and A-2014-223-01. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for Work Comp is included as required by written contract. See Attached... l.CrcllrwAlc r7ULUr-M I.AINI.I=LLA I IUN JU Udy IVUU/ IU Udy IVI IVUI Ir-dy UI 1" ICIII City of Santa Ana Attn: Marilyn Boothe P.O. Box 1988 Santa Ana, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE c ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE RJM Design Group, Inc A-2009-023 & A-2014-223-01 REVIEWED BY: EUNICE FIEREDIA (PG2 OF 5) AGENCY CUSTOMER ID: LOC #: Page 1 of 1 AGENCY Dealey, Renton & Associates NAMED INSURED RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 1-5- FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Separation of Insureds - general liability Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. AL,UKU IV I tZUUZ5/U-I) 9 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RJMDesign Group, Inc A-2003-023&A-2014-223-U1REVIEWED BY: , EUN|CEHERED|A(PG3OF5) WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76(00) — 001 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) We have the righttD recover our payments from anyone liable for on injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. You must maintain oavru| records accurately S8gnygoUng the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3.00 96 of the California workers' compensation premium otherwise due on such remuneration. Person orOrganization ALL PERSONS ORORGANIZATIONS THAT REQUIRES YOU TOOBTAIN EXECUTED THE CONTRACT BEFORE DATE C]FISSUE: s/zs/zozs Schedule Job Description THAT ARE PxRTETOACONTRACT THIS AGREEMENT, PROVIDED YOU THE LOSS. 0TASSIGN: cA RJMDesign Gmup.Inc A-20}9'O28&A-2O14-223-01REVIEWED BY RJN1Design Group, Inc. Policy Number'. 6805D390306 ~ EUN|CEMEREDIA(PG4OF5) COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following isadded tnWHO *S AN INSURED (Section 11): Any person or organization that you agree in m ^con(nect nragreement requiring inounance' to in- o|udeas an additional insured on this Coverage Part, but only with respect hvliability for "bodily in- iury'', "property damage" or "personal injury" camaed, in whole orin part, by your acts uromin- o|onV or the nnto or omissions of those aoUng on your behalf: w. In the performance of your onQumq opera- tions; parm' tionp� . b. In connection with premises owned by or rented hoyou; or o, In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injun/' for which that per- son or organization has assumed liability in a con- tract or agreement. epspmoroOganizaUonhan0noomed|iabihtyinaoon- tmotoragreemonL INSURANCE (Section U|)for this Coverage -- B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV)/ However, if you specifically agree in a"contract ur agreement requiring insuronme'that the insurance provided to an additional insured under this Cov- erage Part must apply an o primary basis' or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as named inoured, and we will not share vAththe other insurance, provided that: (1) The "bodily injury" or"property damage" for which coverage is sought occurs-, and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance providedtosuch additional insured |mlimited osfollows: d. This insurance does not apply onany basis tV any person or organization for which cover- C. age as an additional insured specifically is added hyanother endorsement h)this Cover- age Part, e' This insurance does not apply to the render- ing endepin0 of or failure to render any "professional services" - f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed inthat "contract or agreement requir- ing equipinQ insurmnne" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Pmrt, whichever are less, This endorsement does not increase the limits of insurance m(otod in the UK8|TS OF after You have entered into that "contract or agreement requiring insurance". But this insur- ance di|| is excess over valid and cuUepUb|e other insurance, whether primary, excess, contingent or omany other basis, that ivavailable tothe insured when the insured is an additional insured under any other insurance. The following ieadded toParagraph 8. Transfer 0fRights Of Recovery Against Others To Us inCOMMERCIAL GENERAL LIABILITY CON- DITIONS (Section K\/): We waive any rights of recovery we may have ogommt any person or organization because of payments we make for "bodily imjury'. ''property damaAe" or "personal injury" arising out of ''your work" performed by you, or on your behalf, under n"contract oragreement requiring inaunannn''with that person or organization. We waive these hghte only where you have agreed to do so as part nfthe "contract Vragreement requiring insur' ance" with such person or organization entered into by you before, and in effect when, the "bodily CGD$81V9V? t'cmo7The Tm°vnmCompanies, Inc. Page1n[2 |nvu*es the copyrighted material mInsurance aor"ices Office, |nc..,#|mits permission. RJM Design Group, Inc A-2009-023 & A-2014-223-01 REVIEWED BY COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured an this Cov- EUNICE HEREDIA (PG5 OF 5) erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement', b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 -c) 2007 The Tra,/e ers Companies, Inc. CG D3 81 09 07 Inc udes the copyrighted material of Insurance Services Office, Inc., with its permission, ACCDIR®' �,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/3/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Dealey, Renton & Associates DRA License 0020739 P. O. Box 10550 CONTACT NAME: PHONEFAX A/C, Na, Ext)• 714-427-6810 A/C Ne): 714-427-6818 E DRIESS: INSURERS AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURERA:Travelers Property Casualty Co of 25674 6802H913436 INSURED INSURERB:Travelers Casualty & Surety Co. Ame 31194 RJM Design Group, Inc. INSURERC:Travelers Indemnity Co. ofConnecti 25682 31591 Camino Capistrano San Juan Capistrano CA 92675 INSURER D :_ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 33303936 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE IAN D y VD� POLICY NUMBER MM DD/YYYY ICY EFF POLICY EX LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6802H913436 9/30/2016 9/30/2017 EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 X Contractual Liability PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY IA PE LOC PRODUCTS -COMP/OP AGG $4,_000,000 _ $ OTHER: C AUTOMOBILE LIABILITY Y BA5D394305 9/30/2016 9/30/2017 BINED SINGLE LIMIT Ea accident $1,00_0,000 BODILY INJURY (Per person) $ ANY AUTO '.. AUTOWNED SCHEDULED BODILY INJURY (Per accident) $ NON -OWNED X 'HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LAB X OCCUR CUP6E235883 9/30/2016 9/30/2017 EACH OCCURRENCE $1,000,000 AGGREGATE '... EXCESS LAB CLAIMS -MADE DED RETENTION $ _$1,000,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN UB413OT960 9/30/2016 9/30/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT —_ $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N / A -- E.L. DISEASE - EA EMPLOYEE .__._ $1,000,000 (Mandatory in NH) If yes, describe under - — -------- DESCRIPTION OF OPERATIONS below E.L. DISEASE: POLICY LIMIT $1,000,000 B Professional Liability 105991919 10/1/2016 10/1/2017 Per Claim $1,000,000 Claims Made , 1 1 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability policy excludes claims arising out of the performance of professional services. Re: A-2009-023 and A-2014-223-01. The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General and auto Liability coverage as required by written contract. Primary and Non -Contributory applies to General Liability as required by written contract. Waive47ofS gation for Work Comp is included as required by written contract. _. I___^ __.._......_._.. _.......________._._...____..._ See Attached... FtEVkLVVED BY' i t1NICE k IRw..REI..)BA 111191MI:an20Ka��iL•Jtta:I City of Santa Ana Attn: Marilyn Boothe P.O. Box 1988 Santa Ana, CA 92702-1988 CELI_ATION ou uay INuu/ I u uay Tor IvonF-ay OT [-rem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ACCW?" ADDITIONAL REMARKS SCHEDULE Pogo 1 of 1 _ AGENCY Dealey, Renton & Associates NAMEDINSURED RJIVI Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano CA 92675 POLICY NUMBER CARRIER EFrECTIVE DATE: THIS ADDITIONAL REMARKS FORM oaASCHEDULE TnAconoFORM, FORM NUMBER: 25FORM TITLE: CERTIFICATE OFLIABILITY INSURANCE � Separation of Insureds - general liability Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. AL,uxu`m(Zvvvmn eznooACowoCORPORATION. All rights reserved. Agbk TRAVELERS, WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76(00) — 001 POLICY NUMBER: UB413OT960 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 3.00 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS OR ORGANIZATIONS THAT ARE PARTIE TO A CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT, PROVIDED YOU EXECUTED THE CONTRACT BEFORE THE LOSS. DATE OF ISSUE: 2 / 3 / 2 017 ST ASSIGN: CA 111951110141 REVIEWED BY, E L J NICE - f ER - EM -- I - ' G 0 --F- J THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect (ocoverage provided bythis endorsement, the provisions ofthe Coverage Form apply unless modified bythe endorsement. Paragraph 5.Transfer ofRight 0f Recovery Against Others ToUsofthe CONDITIONS section iureplaced bythe following: 5. Transfer Of Rights 0fRecovery Against Others To Us We waive any right ofrecovery wemay have required ofyou byawritten contract executed prior hzany ^aoodent"or^|oao,provided that the "aouideny'or^|000^arises out ofthe operations contemplated bysuch contract. The waiver applies only tothe person or organization designated insuch contract. CA T3 40 08 08 @2008 The Travelers Companies, Inc. POLICY NUMBER: BA -5D394305 -16 -GRP COMMERCIAL AUTO ISSUE DATE: 08-30-16 DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement, This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form, This endorsement does not alter coverage pro- vided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s). ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED TO INCLUDE AS AN ADDITIONAL INSURED ON THIS COVERAGE FORM IN A WRITTEN CONTRACT OR AGREEMENT THAT 19 SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURYK OR 9PROPERTY DAMAGE" OCCURS AND THAI' IS IN 'EFFECT DURING THE POLICY PERIOD. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An insured provi- sion contained in Paragraph A.1. of Section 11 — Cov- CA 20 48 10 t 3 ered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form, 0 Insurance Services Office, Inc., 2011 Page I of 1 ------------ REVIEW ED BY:DSNI CE i IEREDA (PG5 OF—/ I . ... ..... .... . __.. ------ F--] COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that 'contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 O 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc with its permis on. EVIr vert I,r tf v r I, NKr I It Inc DIA (PG0-F.1 _..._.... ..... _ _ ._._.. __ . _ ..._. _.. COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with i e rhission. REVIEWED By EUNICE HERE- DIA (PG -70F —.... _ ..._._...._ _ _ ............ ......._ RJMDESI-01 "Ic" CERTIFICATE OF LIABILITY INSURANCE DATE 10/17/201 YY) �--�''� 10/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER License # OE67768 % CONTACT Ali Smith 1 NAME: IOA Insurance Services PHONE FAX 4370 La Jolla Village Drive (A/C No, Ext)No):(619) 574 _ (619) 788-5795 50206 (A/C, -6288 E-MAIL Ali .Smith@loausa com Suite 600 ADDRESS:___ San Diego, CA 92122 -- - INSURED RJM Design Group, Inc. 31591 Camino Capistrano San Juan Capistrano, CA 92675 INSURER A : RLI Insurance C INSURERB: Arch Insurance INSURER C: E: F: rnAIPPAMPQ CGGTIVIL`ATG NII INA9:11=0- DC\/ICIPMI All IRAQCO. THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDDL SUER POLICY NUMBER POLICY EFF PMMIDDIYYYYI IOLICY EXP LIMITS A X 1. COMMERCIAL GENERAL LIABILITY2,000,000 EACH OCCURRENCE $ 1 CLAIMS -MADE X OCCUR X PSB0007263 09/30/2017 09/30/2018 DAMAGES Ea GE TO RENTED TE ante) $ 1,000'000 X Cont Llab/SeV of Int 10,000 ..... _ MED -EXP (Any one person)_ $ __._. PERSONAL 8 ADV INJURY $ -- —..... 2,000,000 1 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ _ ------ -------- 4,000,000 POLICY X l JET LOC PRODUCTS - COMP/OP AGG $ 4,000,000 Deductible 0 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO PSA0002412 X 09/30/2017 09/30!2018 BODILY INJURY (Per person) $ I OWNED SCHEDULED AUTOS ONLY ; AUTNOS BODILY INJURY (Per, accident) $ _ Ep X AUTOS ONLY X.._ AUOTOS ONtJLY PROPERTY AMAGE No Co. Ownedaccident X f Autos $ A X UMBRELLA LIAB OCCUREACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS -MADE PSE0003628 09/30/2017 09/30/2018 AGGREGATE $ 1,000,000 DEDI' RETENTION $ $ - ... A WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY PER OTH- .-STATUTE '.. ER ,.. _. Y / N ANY PROPRIETOR/PARTNER ExEcunvE X ',PSW0004066 09/30/2017 09/30/2018 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA - (Mandatory in NH)E.L.DISEASE ._ - EA EMPLOYEE $ 1,000,000 yes, describe under '. DESCRIPTION OF OPERATIONS below D ' � E.L. DISEASE -POLICY LIMIT $ 1�000,000 B !:Prof Liab/Clms Made PAAEP0031100 10/01/2017', 10/01/2018 Per Claim 2,000,000 B Ded.: $25k Per Claim PAAEP0031100 10/01/2017 10/01/2018 ;Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: A-2009-023 and A-2014-223-03 The City of Santa Ana, its officers, employees and representatives are Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation. 30 Days Notice of Cancellation with 10 pays Notice for Non -Payment of Premium in accordance with the policy pr isions. REVIEWEC) BY: EUNIC,E HEREDIA (PG � OF ) City of Santa Ana Attn: Susie Furjanic PO Box 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: RJM Design Group, Inc. Policy Number: PSB0007263 RLI ArIsUrahco.6ofripany THIS ENDOKSEIV116ENT 6HANOES. THE POLICY'. PLEASE READ IT OAREFULLY, RLIPUK•FOR DESIGN MOPEMONALS BLANKET ADDITIONAL I*N$UR.E.D ENDQRSEMENT This Ondotseihi,6ht modifieis insurance provided under the fdllcjWlng: %JSINES,50WNER�, COVERAGE FORM -,SECTION 11 — LIABILITY C. WHO IS AN INSURED is amended to include as an,additinnal Insured any person or organization that yc:u agree In a 'contract or agreement requiring insurance to include: as,an additional insured -6h this policy, but only with respect to liability for "bodily Injury", "property damage" (Jr. "Personal and adv6rtisInq-lhjury" oauis6d IN Whole or in -part by you or thoge.ecting on*yoor behalf: a'. In the ,performance of your ongoing operations: b. In connection with premises owned by or rented to ybU,' or r.. In nonn'p6tihn with "your' Work" And InoWdPA Within the "produbkompletedoperations 2. The insurance provided to the addltlonW. Insured by this endorsement'is limited as follows: a. This insurance,idoes not apply on any basis to any p4mbh or .666nlzeitlon for whi6h o6viarage as an addition'al Iftured, specifically is added by another:end6rs6ment to this pollby. b. This insurance -does not apply'to the. rendering of or failure to render any "professional services". c. This endorsement dbes not increase any of the limits of insurance -stated In D. Liability And Medical Expenses Limits of Insurance. 3, The rolluwlrig is adde'd to: SECTION III H.2, Other Insurance , COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION 11 — LiAaILITV). However., if you specifically agree In a contract or agreement -that- :the insurance provided to an PIP0. �,04 06 IQ additional insured under this pblloy'mUst a'oply on a primary basis, or a. primary and non-contributory Oasis, this. insuraniod ls.priMary to other Insutanoe that Is available to such additional InWrdd Which covers such additional insured 'as a, named Insured, .and we will not shate 'with that other lh,$Urance, Provided that: a. The "bodily Injury" or "pr6perty dbmqge" for which coverage Is sought occurs'after,y6u have witui.ed lulu thdt (;Ur*muL.o(ayi'Vemeri( ui b. The "personal ..and advertising injury" .for whlob c=la� sought arises out' of an offense 0 after you. ttave entered Into that contract or gigrbeiment, 4. The following is added to SECTION 111 K. 2. *Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION 11 — LIABILITY) We Waive any rights of redov"_ we may have agaCmst any person or, orgaNzationi because of Pdytnonte wo rrakb for "b6dily injury", "Orcip6rty damage." or "personal and advertising Injury" arising out of `.Vour'work" performed by you, 'or, on your behalf, under a. contre6t or agreement -With that person or oroanlz6tion, We waive these rights only where you have agreed to do so as part of a -contract' or V06Meht 'With such pbfth or brganizatiori• entered into by -you befoie the "bodily injury" 0 "property damage" occurs, or tho "pomonal and gdvertisihg injury" offense 16 coffimitted. ALL OTHERT-ERms AND CONbITIONSdF THIS POLICY REMAIN. UNCHANQED, Page 1 ol; 1 REVIEWED BY: EUNICE HEREDIA (PG 2 OFq) Named Insured: RJM Design Group, Inc. Policy Number: PSA0002412 This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured The following is added to the SECTION it - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.I. Who Is An Insured Provision: Any business entity newly acquired or formed by you during the policy period, provided you own fifty percent (50%) or more of the business entity and the business entity Is not separately insured for Bus- iness Auto Coverage. Coverage is extended up to a maximum of one hundred eighty (180) days following the acquisition or formation of the business entity. This provision does not apply to any person or organization for which coverage is excluded by endorsement. B. Employees As Insureds The following is added to the SECTION II - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.1. Who is An Insured Provision; Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Blanket Additional Insured The following is added to the SECTION II - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.1. Who Is An Insured Provision: Any person or organization that you are required to Include as an additional insured on this coverage form in a contract or agreement that Is executed by you before the "bodily injury" or "property damage" ocours Is, an "Insured" for liability coverage, but only for damages to whioh this insurance applies and only to the extent that person or organization qualifies as an "Insured" under the Who Is An Insured provision contained in SECTION It - COVERED AUTOS LIABILITY COVERAGE. The Insurance provided to the additional Insured will be on a primary and non-contributory basis to the additional insured's own business auto coverage if you are required to do so in a contract or agreement that is executed by you before the "bodily injury" or "property damage" ocours. D. Blanket Waiver Of Subrogation The following is added to the SECTION IV -- BUSI- NESS AUTO CONDITIONS, A, Loss Conditions, S. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against any person or organization to the extent required of you by a contract executed prior to any "accident" or PPA 300 0313 "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. E. Employee Hired Autos 1. The following is added to the SECTION 11 - COVERED AUTOS LIABILITY COVERAGE, Paragraph AM. Who Is An Insured Provision: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. 2. Changes In General Conditions: Paragraph S.b. of the Other Insurance Con» dition in the BUSINESS AUTO CONDITIONS is deleted and replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". F. Fellow Employee Coverage SECTION It - COVERED AUTOS LIABILITY COVERAGE, Exclusion B.S. does not apply if you have workers compensation insurance in -force covering all of your employees. G. Auto Loan Lease Gap Coverage SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limit Of Insurance, is amended by the addition of the following: In the event of a total "loss" to a covered "auto" shown in the Schedule of Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: 1. The amount paid under the PHYSICAL DAMAGE COVERAGE section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss"; r-EUNIC-E H-EREDIA LPG, P OF Named Insured: RJM Design Group, Inc. Policy Number: PSW0004066 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4.84) WAIVI=R OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration, Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before the loss, Schedule Job Description Jobs performed for any person or organization that you have agreed with In a written contract to provide this agreement, 01998 by tho Workors' Componsatlon Insuranoa Rating Bureau of California, All rights reserved. REVIEWED BY: EUNICE HEREDIA (PG �OF(/ ) RJMDESI-01 AUSTI ,4COR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `-� 9/7/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER License IF Utb t / IOA Insurance Services 4370 La Jolla Village Drive Suite 600 San Diego, CA 92122 INSURED RJM Design Group, Inc.. 31591 Camino Capistrano San Juan Capistrano, CA 92675 All Smith ialc: rio. Ext): (619) 788-5795 50206 I (A C. No1.(619) 574-6288 1 Ali.Sm COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADEX 1%] OCCUR 1,000,000 PSB0007263 09/30/2018 09/30/2019 DAMAGE TO RENTED _.PAEMI$FS��/xcur_rencel ! $ X Cont Liab/Sev of Int 10,000 MED EXP (Any one arson _—_-_-_ PERSONAL & ADV INJURY ': $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- LOC POLICY X 4,000,0_0 PRODUCTS –COMP/OP AGG $ _ Deductible 0 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea acccid t $ ANY AUTO X PSA0002412 0913012018 09/30/2019: BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY {Per accident).. $______---___ X pN pyy p AIR OS ONLY X AUTOS ONY OPERTY AMAGE :;_(Per aeaident X No Co. Owned Autos j --- ____;_$_------- A X UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ 1,000,000 -- -- EXCESS LIAB CLAIMS -MADE — —.... ..... - PSE0003628 09/30/2018 09/30/2019 AGGREGATE $ 1,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X _ — .STATUTE._ EERH OFFICEWMEMBER EXCLUDED? ECUTIVE Y[ X PSW0004066 09/3012018 09/30/2019 1000,000 E.L. ACCIDENT $ (Mandatory in NH) NIA -_ _- E.L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe under _$ - - --- 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT : $ B Prof Liab/Clms Made PAAEP0031101 10/01/2018 10/01/2019 Per Claim 2,000,000 B Ded.: $25K Per Claim PAAEP0031101 10/01/2018 10/01/2019 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: A-2014-223-03 A-2009-023 The City of Santa Ana, its officers, employees and representatives are Additional Insureds with respect to General/Hired & Non -Owned Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. REVIEWED BY: EUNICE HEREDIA (PGt OFfl ) City of Santa Ana Attn: Susie Furjanic PO Box 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named insured: RJM Design Group, Inc. Policy Number: PSB0007263 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack°FOR DESIGN PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided. under the following: BUSINESSOWNERS. COVERAGE FORM - SECTION II — LIABILITY C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to ihclude. as -an additional insured on this policy., but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf: a. In the performance of your ongoing operations; b. In oonnection with premises owned by or rented to you; or r_. In ronriahtion with "your work" and inrludpd within the "product=completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance :does not apply on any basis to any person or .organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the. rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3: The rulluwirry is added to SECTION III H.2. Other Insurance -. COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION 11 — LIABILITY) However, if you specifically agree in a contract or agreement that :the insurance provided to an PPS 304 06 10 additional insured under this policy must apply on a primary basis, or a. primary and non-contributory Oasis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, Provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered 4ilu tlidl uur:didut.ut ayr:etwierit, ui b. The "personal .and advertising injury" .for which coverage is sought arises out' of an offense committed after you. have entered Into that contract or agreement. 4. The following is added to SECTION IIi K. 2. Transfer of Fights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization beoause of payments we make for "bodily injury", "property damage" or "personal and advertising injury" arising out. of ':your worn' performed oy you, or on your behalf, under .a. contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement 'with such person or organization entered into by you before the "Bodily injury" or "property damage" occurs, or the "personal .and advertising injury" offense is committed. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN. UNCHANGED, Page 1 of.1 REVIEWED BY: EUNICE HEREDIA (PG, OF ) Named Insured: RIM Design Group, Inc. Policy Number: PSA0002412 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured The following is added to the SECTION II - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.I. Who Is An Insured Provision: Any business entity newly acquired or formed by you during the policy period, provided you own fifty percent (50%) or more of the business entity and the business entity is not separately insured for Bus- iness Auto Coverage. Coverage is extended up to a maximum of one hundred eighty (180) days following the acquisition or formation of the business entity. This provision does not apply to any person or organization for which coverage is excluded by endorsement. B. Employees As Insureds The following is added to the SECTION II - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.I. Who Is An Insured Provision: Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Blanket Additional Insured The following is added to the SECTION II - COVERED AUTOS LIABILITY COVERAGE, Para- graph A.I. Who Is An Insured Provision: Any person or organization that you are required to include as an additional insured on this coverage form in a contract or agreement that is executed by you before the "bodily injury" or "property damage" occurs is an "insured" for liability coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in SECTION II - COVERED AUTOS LIABILITY COVERAGE. The insurance provided to the additional insured will be on a primary and non-contributory basis to the additional insured's own business auto coverage if you are required to do so in a contract or agreement that is executed by you before the "bodily injury" or "property damage" occurs. D. Blanket Waiver Of Subrogation The following is added to the SECTION IV - BUSI- NESS AUTO CONDITIONS, A. Loss Conditions, S. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against any person or organization to the extent required of you by a contract executed prior to any "accident" or PPA 300 0313 "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. E. Employee Hired Autos I. The following is added to the SECTION 11 - COVERED AUTOS LIABILITY COVERAGE, Paragraph A.I. Who Is An Insured Provision: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. 2. Changes In General Conditions: Paragraph 6.11b, of the Other insurance Con- dition in the BUSINESS AUTO CONDITIONS is deleted and replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". F. Fellow Employee Coverage SECTION II - COVERED AUTOS LIABILITY COVERAGE, Exclusion B.6. does not apply if you have workers compensation insurance in -force covering all of your employees. G. Auto Loan Lease Gap Coverage SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limit Of Insurance, is amended by the addition of the following.- In ollowing:In the event of a total "loss" to a covered "auto" shown in the Schedule of Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: 1. The amount paid under the PHYSICAL DAMAGE COVERAGE section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "lass"; REVIEWED BY: 4L/ X ,EUNICE HEREDIA (PG OF ) Named Insured: RJM Design Group, Inc. Policy Number: PSW0004066 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before the loss. Schedule Job Description Jobs performed for any person or organization that you have agreed with in a written contract to provide this agreement. ©1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. REVIEWED BY: EUNICE HEREDIA (P OF(J ) v �