Loading...
HomeMy WebLinkAboutFEHR AND PEERS (2) INSURAeNCt 0;\ FILL WORK MAY PROCEED A-2022-023-02A UINTIL INSUW%N[E 1=XPII­�S MAYOR OTr j;LE.RK CITY MANAGER Valerie Amet&04. Alvaro Nunez MAYOR PRO TEM UIL Lid 11n ,.�' CITY ATTORNEY D.pW [2 Benjamin Vazquez Sonia R.Carvalho I COUNCILMEMBERS CITY CLERK Phil Bacerra ��,r. Jennifer L. Hall r t J7 Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza a P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.org April 16, 2025 Fehr&Peers, Inc. Attn: Jason D. Pack, P.E., Principal 101 Pacifica, Suite 300 Irvine, CA 92618 Re: Extension of Agreement No. A-2022-023-02 to provide on-call transportation and traffic engineering services Pursuant to Section 3 ("Tenn")of the above-referenced Agreement, entered into by Fehr&Peers, Inc. ("Consultant") and the City of Santa Ana dated February 15, 2022, the time period of the Agreement is hereby extended for an additional one-year period through June 25,2026. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, AIJ N bil Saba, P.E. Executive Director, Public Works Agency 0 s s.n ri CITY OF SAN ANA ATTEST r A aro Nunez ennifer L al City Manager city C APPROVED AS TO FORM: CONSULTANT SONIA R. CARVALHO City Attorney , KyJiNellesen By: Paul Herrmann Assistant City Attorney Title: Senior Associate SANTA ANA CITY COUNCIL Valerie Amezcue Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David Penalaza Mayor Mayor Pro Tem,Ward 2 Ward 1 Ward 3 Ward A Ward 5 Ward 5 vamezcuaRsanta-anaom 0Vaznnezfn�santa-8na.ora tahan(esanla-ana.ora iessielopezasanla-ana.ora pbacerra(dlsanla-aria om WomhernandezOsanta-ana.om dpenalOZaOsanta-ana.oro FEHR&PE-01 MICHAELA CERTIFICATE OF LIABILITY INSURANCE DATE 4/29/20252025 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 Andrea Michael NAME: IOA Insurance Services PHONE FAX 3875 Hopyard Road Arc,No.Ext):(925)249-7958 (AIC,No): Suite 200 EDDREMAIL ,Andrea.Michael@ioausa.com Pleasanton,CA 94588 A INSURERS AFFORDING COVERAGE NAIC INSURER A:RLI Insurance Company 13056 INSURED INSURER B:Sentinel Insurance Company, Ltd 11000 101 Pacifica cifica Fehr Peers INSURER C:Travelers Casualty and Surety Company of America 31194 Suite 300 INSURERD: Irvine,CA 92618 INSURERE: INSURER F: 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. ADDL SUBR INSR POLICY EFF POLPCY EXP TYPE OF INSURANCE p D POLICY NUMBER MM DD D LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE ®OCCUR PSB0006683 121612024 1216/2025 DAMAGE TO RENTED 1,000,000 PREMISES Ea occurr ce $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY®jEo LOC PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: A AUTOMOBILE LIABILITY Ea cc.d.D SINGLE LIMIT $ 1,000,000 ANY AUTO PSA0002276 12/6/2024 12/612025 BODILY INJURY Perperson) $ OWNED SCHEDULED $ AUTOS ONLY AUTOS BODILY INJURY Par accident) X HIRED �( NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ I A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR CLAIMS-MADE PSE0002889 12/6/2024 12/6/2025 AGGREGATE $ 5,000,000 DED I I RETENTION$ 13 AND EMPLOYERS'LIRS ABI ITr Y f N X STATUTE OTH- ER ANY PROPRIETORIPARTNERfEXECUTFVE 57WEGZJ1989 511/2025 51112026 1,004,000 fFICERIMEMBER EXCLUDED? N f A E,L.EACHAGCIDENT $ Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 1,000,000 C Professional Liab. 108172265 121612024 12/612025 Per Claim 5,000,000 C Professional Liab. 108172265 121612024 12/612025 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Project Number Name: OC19-STAN.001.01 Santa Ana On-Call All Operations of the Named Insured,including the aforementioned project. General Liability:Please see blanket Additional Insured Endorsement attached;such coverage is Primary and Non-Contributory with Waiver of Subrogation included,as required by written contract. Automobile Liability:Note that the Insured owns no company owned vehicles. Please see blanket Additional Insured Endorsement with Waiver of Subrogation included,as required by written contract. Workers'Compensation:Waiver of Subrogation is included as per attached blanket Waiver of Subrogation Endorsement,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER APPR©VED CANCELLATION By Tu Tran Nguyen at 7.25 am,Apr 30,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Attention:Public Works Agency -12 20 Civic Center Piz,M-43 [ lI ISanta Ana.CA 92701 ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD FEHR&PE-01 MICHAELA ,d►coRO CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 12/3/2025 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 Andrea Michael NAME: IDA Insurance Services PHONE FAX 3875 Hogyard Road (A/C,No,Ext):(925)249-7958 (A/C,No): Suite 20 a DDRIESS:Andrea-Michael@ioausa.com Pleasanton,CA 94588 INSURERS AFFORDING COVERAGE NAIC# INSURERA:RLI Insurance Company 13056 INSURED INSURER B:Sentinel Insurance Company, Ltd 11000 Fehr&Peers INSURER C:Travelers Casualty and Surety Company of America 31194 101 Pacifica Suite 300 INSURER D: Irvine,CA 92618 INSURER E: INSURER F: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR PSB0006683 12/6/2025 12/6/2026 DAM ES E a occAGE TO RENTED 1,000,000 PREMISurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO PSA0002276 12/6/2025 12/6/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE PSE0002889 12/6/2025 12/6/2026 AGGREGATE $ 5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY STATUTE EERR Y/N 57WEGZJ1989 5/1/2025 5/1/2026 1,000,000 ANY PROPRIETOR/EXCLUDED? R/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OF EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0UU If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab. 108172265 12/6/2025 12/6/2026 Per Claim 5,000,000 C Professional Liab. 108172265 12/6/2025 12/6/2026 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Number/Name: OC19STAN.00/.01 Santa Ana On-Call All Operations of the Named Insured,including the aforementioned project. General Liability:Please see blanket Additional Insured Endorsement attached;such coverage is Primary and Non-Contributory with Waiver of Subrogation included,as required by written contract. Automobile Liability: Note that the Insured owns no company owned vehicles. Please see blanket Additional Insured Endorsement with Waiver of Subrogation included,as required by written contract. Workers'Compensation:Waiver of Subrogation is included as per attached blanket Waiver of Subrogation Endorsement,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 12:51 pm,Dec 08,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Digitally signed ACCORDANCE WITH THE POLICY PROVISIONS. Tu Tran by Tu Tran Nguyen Nguyen Date:2D25.12.nD City of Santa Ana 12:51:42-08'00' AUTHORIZED REPRESENTATIVE Attention:Public Works Agency 20 Civic Center PIZ,M-43 , Santa Ana CA 92701 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: FEHR&PE-01 MICHAELA LOC#: 1 ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE67768 NAMED INSURED IOA Insurance Services Fehr a Peers 101 Pacifica POLICY NUMBER Suite 300 SEE PAGE 1 Irvine,CA 92618 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: GENERAL LIABILITY&AUTO LIABILITY INCLUDE THE FOLLOWING PERSON(S) OR ORGANIZATION(S): The City of Santa Ana, its officers, employees, agents and representatives, as required by written contract. 30 day notice of cancellation is provided in accordance to the policy provisions. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: PSB0006683 RLI Insurance Company Named Insured:Fehr& Peers THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II —LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on a an additional insured any person or organization that primary basis, or a primary and non-contributory you agree in a contract or agreement requiring basis, this insurance is primary to other insurance insurance to include as an additional insured on this that is available to such additional insured which policy, but only with respect to liability for "bodily covers such additional insured as a named insured, injury", "property damage" or "personal and and we will not share with that other insurance, advertising injury" caused in whole or in part by you provided that: or those acting on your behalf: a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned by or rented entered into that contract or agreement; or to you; or b. The "personal and advertising injury" for which c. In connection with "your work" and included coverage is sought arises out of an offense within the "product-completed operations committed after you have entered into that hazard". contract or agreement. 2. The insurance provided to the additional insured by 4. The following is added to SECTION III K. 2. this endorsement is limited as follows: Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION II — any person or organization for which coverage LIABILITY) as an additional insured specifically is added by We waive any rights of recovery we may have another endorsement to this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury", "property of or failure to render any "professional damage" or "personal and advertising injury" arising services". out of "your work" performed by you, or on your c. This endorsement does not increase any of the behalf, under a contract or agreement with that limits of insurance stated in D. Liability And person or organization. We waive these rights only Medical Expenses Limits of Insurance. where you have agreed to do so as part of a contract or agreement with such person or 3. The following is added to SECTION III H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or "property damage" occurs, or the "personal (BUT APPLICABLE ONLY TO SECTION II — and advertising injury" offense is committed. LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 Policy Number: PSA0002276 RLI Insurance Company Named Insured: Fehr& Peers THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° BUSINESS AUTO ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. Broad Form Named Insured B. Employees As Insureds C. Blanket Additional Insured D. Blanket Waiver Of Subrogation E. Employee Hired Autos F. Fellow Employee Coverage G. Auto Loan Lease Gap Coverage H. Glass Repair—Waiver Of Deductible I. Personal Effects Coverage J. Hired Auto Physical Damage Coverage K. Hired Auto Physical Damage — Loss Of Use L. Hired Car—Worldwide Coverage M. Temporary Transportation Expenses N. Amended Bodily Injury Definition — Mental Anguish O. Airbag Coverage P. Amended Insured Contract Definition— Railroad Easement Q. Coverage Extensions—Audio, Visual And Data Electronic Equipment Not Designed Solely For The Production Of Sound R. Notice Of And Knowledge Of Occurrence S. Unintentional Errors Or Omissions T. Towing Coverage PPA 300 03 13 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured "loss", provided that the "accident" or "loss" arises The following is added to the SECTION II — out of the operations contemplated by such contract. COVERED AUTOS LIABILITY COVERAGE, Para- The waiver applies only to the person or graph A.1.Who Is An Insured Provision: organization designated in such contract. Any business entity newly acquired or formed by you E. Employee Hired Autos during the policy period, provided you own fifty 1. The following is added to the SECTION II — percent (50%) or more of the business entity and the COVERED AUTOS LIABILITY COVERAGE, business entity is not separately insured for Bus- Paragraph A.1.Who Is An Insured Provision: iness Auto Coverage. Coverage is extended up to a maximum of one hundred eighty (180) days An "employee" of yours is an "insured" while following the acquisition or formation of the business operating an "auto" hired or rented under a entity. contract or agreement in that "employee's" name, with your permission, while performing This provision does not apply to any person or duties related to the conduct of your business. organization for which coverage is excluded by 2. Changes In General Conditions: endorsement. B. Employees As Insureds Paragraph 5.b. of the Other Insurance Con- dition in the BUSINESS AUTO CONDITIONS is The following is added to the SECTION II — deleted and replaced with the following: COVERED AUTOS LIABILITY COVERAGE, Para- graph A.1.Who Is An Insured Provision: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered Any "employee" of yours is an "insured" while using "autos" you own: a covered "auto" you don't own, hire or borrow in your business or your personal affairs. (1) Any covered "auto" you lease, hire, rent or borrow; and C. Blanket Additional Insured (2) Any covered "auto" hired or rented by The following is added to the SECTION II — your "employee" under a contract in that COVERED AUTOS LIABILITY COVERAGE, Para- individual "employee's" name, with your graph A.1.Who Is An Insured Provision: permission, while performing duties Any person or organization that you are required to related to the conduct of your business. include as an additional insured on this coverage However, any "auto" that is leased, form in a contract or agreement that is executed by hired, rented or borrowed with a driver is you before the "bodily injury" or "property dama e" not a covered "auto". Y Y � 1 Y�� g occurs is an "insured" for liability coverage, but only F. Fellow Employee Coverage for damages to which this insurance applies and SECTION II — COVERED AUTOS LIABILITY only to the extent that person or organization COVERAGE, Exclusion B.S. does not apply if you qualifies as an "insured" under the Who Is An pp Y Insured provision contained in SECTION II — have workers compensation insurance in-force covering all of your employees. COVERED AUTOS LIABILITY COVERAGE. The insurance provided to the additional insured will G. Auto Loan Lease Gap Coverage be on a primary and non-contributory basis to the SECTION III — PHYSICAL DAMAGE COVERAGE, additional insured's own business auto coverage if C. Limit Of Insurance, is amended by the addition you are required to do so in a contract or agreement of the following: that is executed by you before the "bodily injury" or In the event of a total "loss" to a covered "auto" "property damage" occurs. shown in the Schedule of Declarations, we will pay D. Blanket Waiver Of Subrogation any unpaid amount due on the lease or loan for a covered "auto", less: The following is added to the SECTION IV — BUSI- 1. The amount paid under the PHYSICAL NESS AUTO CONDITIONS, A. Loss Conditions, DAMAGE COVERAGE section of the policy; 5. Transfer Of Rights Of Recovery Against Others To Us: and We waive any right of recovery we may have against 2. Any: any person or organization to the extent required of a. Overdue lease/loan payments at the time of you by a contract executed prior to any "accident" or the "loss"; PPA 300 03 13 This Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by RLI insurance Company. RLI Insurance Company Peoria, Illinois RL[ RLIPack BUSINESSOWNERS DECLARATIONS Policy Number:PSB0006683 [] New [X] Renewal of PSB0006683 Named Insured and Mailing Address: Agent/Broker: 68072 Fehr& Peers IOA Insurance Services (68072) 3875 Hopyard Rd,Ste 200 100 Pringle Avenue, Suite 600 Pleasanton, CA 94588 Walnut Creek, CA 94596 Policy Period: From 12-06-2021 To 12-06-2022 12:01 A.M. Standard Time at your mailing address shown above. Legal Entity: Corporation LOCATION SCHEDULE Described Premises Address: Refer to RLIPack Schedule of Locations, PPB 501 Refer to RLIPack Businessowners Supplemental Declarations- Building and Locations Coverages, PPB 111,for coverage details. Billing Plan: Direct Bill, Full Pay Audit Frequency: Waived Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. Estimated Premium, excluding Terrorism: $22,810 Terrorism Charge: $610 Applicable Taxes, Fees,and Surcharges: $5.64 TOTAL ESTIMATED PREMIUM, TAXES, FEES,AND SURCHARGES: $23,425.64 Countersigned By Authorized Representative Date: 12-07-2021 PPB 100 12 10 pg. 1 of 2 BUSINESSOWNERS DECLARATIONS (Continued) Policy Number: PSB0006683 Coverage SECTION II —LIABILITY Coverage Limits of Insurance Liability And Medical Expenses $2,000,000 Per Occurrence Medical Expenses $10,000 Per Person Damage To Premises Rented To You $1,000,000 Any One Premises Other Than Products/Completed Operations Aggregate $4,000,000 Products/Completed Operations Aggregate $4,000,000 Employee Benefits Liability $1,000,000 Each Employee $1,000,000 Aggregate Policy Level Coverage SECTION I— PROPERTY Limits of Insurance Business Income—Dependent Properties: $50,000 blanket limit for all locations except those where a sublimit is indicated on the Location Schedule below. Interruption of Computer Operations: $500,000 blanket limit for all locations except those where a sublimit is indicated on the Location Schedule below. Valuable Papers and Records: $100,000 Accounts Receivable: $250,000 Money and Securities On Premises: $25,000 Money and Securities Off Premises: $25,000 Forgery or Alteration: $50,000 Employee Dishonesty: $50,000 Employee Dishonesty ERISA: $100,000 Fine Arts: $100,000 Green Property Coverage: Green Building Upgrades and Related Expenses Limit: 10% not to exceed $25,000 Green Business Personal Property Upgrades Limit: 10% not to exceed $25,000 ENDORSEMENTS: Refer to Applicable Forms & Endorsements, RIL 2150 PPB 100 12 10 pg. 2 of 2 Policy Number: PSA0002276 RLI Insurance Company RLIPaW BUSINESS AUTO DECLARATIONS RLI Insurance Company IOA Insurance Services (68072) 9025 N. Lindbergh Drive 3875 Hopyard Rd, Ste 200 Peoria, IL 61615 Pleasanton, CA 94588 (309) 692-1000 ITEM ONE Named Insured: Fehr& Peers Mailing Address: 100 Pringle Avenue, Suite 600, Walnut Creek, CA 94596 Policy Period From: 12-06-2021 To: 12-06-2022 At 12:01 A.M. Standard Time at your mailing address. Previous Policy Number: Form Of Business: X7 Corporation e Limited Liability Company (LLC) Individual 11 Partnership Other: In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. Premium shown is payable at inception: $ 6,008.00 Audit Period (If Applicable): 1-1Annually ❑ Semiannually Quarterly Monthly Endorsements Attached To This Policy See Applicable Forms and Endorsements, RIL-2150 Countersignature Of Authorized Representative Name: Title: Signature: Date: PPA 100 12 20 Contains copyrighted material of Insurance Services Office, Inc. Page 1 of 5 ITEM TWO Schedule Of Coverages And Covered Autos This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos Section of the Business Auto Coverage Form next to the name of the coverage. Covered Coverages Autos Limit Or Deductible Premium Covered Autos 8,9 $ 1,000,000 $ 5,294 Liability Personal Injury Separately Stated In Each Personal $ Protection Injury Protection Endorsement Minus (Or Equivalent $ N/A Deductible No-Fault Coverage) Added Personal Separately Stated In Each Added $ Injury Protection Personal Injury Protection (Or Equivalent Added Endorsement No-Fault Coverage) Property Protection Separately Stated In The Property $ Insurance Protection Insurance Endorsement Minus (Michigan Only) $ N/A Deductible For Each Accident Auto Medical $ $ Payments Medical Expense And Separately Stated In The Medical $ Income Loss Benefits Expense And Income Loss Benefits (Virginia Only) Endorsement Uninsured Motorists $ $ Underinsured $ $ Motorists (When Not Included In Uninsured Motorists Coverage) PPA 100 12 20 Contains copyrighted material of Insurance Services Office, Inc. Page 2 of 5 ITEM TWO Schedule Of Coverages And Covered Autos (Cont'd) Covered Coverages Autos Limit Or Deductible Premium Physical Actual Cash Value Or Cost Of Repair, $ 216 Damage Whichever Is Less, Minus Comprehensive $ Deductible Coverage For Each Covered Auto, For Loss Caused By Theft Or Mischief Or Vandalism (A maximum deductible may also apply. Refer to Coverage Form for details.) OR $ Deductible For All Perils For Each Covered Auto (A maximum deductible may also apply. Refer to Coverage Form for details.) 8 See Item Four for Hired and Borrowed Autos Physical $ Deductible $ Damage For Each Covered Auto For Loss Caused Specified Causes By Theft Or Mischief Or Vandalism. (A Loss Coverage maximum deductible may also apply. Refer to Coverage Form for details.) OR $ Deductible For All Perils For Each Covered Auto (A maximum deductible may also apply. Refer to Coverage Form for details.) Physical Damage $ ** Deductible $ 299 Collision For Each Covered Auto. See Item Four Coverage 8 For Hired Or Borrowed Autos. Physical Damage $ For Each $ Towing And Labor Disablement Of A Private Passenger Auto Light Or Medium Truck MCCA Charge (MI only) $ NC Recoupment Charge $ 0.00 Premium For Endorsements $ 199.00 Applicable Taxes, Fees and Surcharges $ 0.00 Estimated Total Premium Including Taxes, Fees and Surcharges* $ 6,008.00 *This policy may be subject to final audit. ** See RILPack Schedule Of Covered Autos, PPA 110. PPA 100 12 20 Contains copyrighted material of Insurance Services Office, Inc. Page 3 of 5 ITEM THREE Schedule Of Covered Autos You Own Covered Auto Number: See RLIPack Schedule Of Covered Autos, PPA 110 ITEM FOUR Schedule Of Hired Or Borrowed Covered Auto Coverage And Premiums Covered Autos Liability Coverage— Rating Basis, Cost Of Hire Factor(If Covered Autos Estimated Cost Of Rate Per Each $100 Liability Coverage Is State Hire For Each State Cost Of Hire Primary) Premium All $ $ 4,846 Covered Autos Liability Coverage—Rating Basis, Number Of Days— (For Mobile Or Farm Equipment—Rental Period Basis) Estimated Number Of Days Equipment State Will Be Rented Base Premium Factor Premium Total Premium $ 4,846 Cost of hire means the total amount you incur for the hire of"autos"you don't own (not including "autos"you borrow or rent from your partners or "employees" or their family members). Cost of hire does not include charges for services performed by motor carriers of property or passengers. PPA 100 12 20 Contains copyrighted material of Insurance Services Office, Inc. Page 4 of 5 ITEM FOUR Schedule Of Hired Or Borrowed Covered Auto Coverage And Premiums (Cont'd) Physical Damage Coverage Coverages Limit Of Insurance Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ 100 Deductible For Each Covered Auto For Loss Caused By Theft Or Mischief Or Vandalism Comprehensive Estimated Annual Rate Per Each $100 Cost Of Hire Annual Cost Of Hire Premium $ 65,000 $ $ Included $ Deductible For Each Covered Auto For Loss Caused By Theft Or Mischief Or Vandalism Specified Causes Of Loss Estimated Annual Rate Per Each $100 Cost Of Hire Annual Cost Of Hire Premium $ 1000 Deductible For Each Covered Auto For Loss Caused By Theft Or Mischief Or Vandalism (A maximum deductible may also apply. Refer to Coverage Form for details.) Collision Estimated Annual Rate Per Each $100 Cost Of Hire Annual Cost Of Hire Premium $65,000 $ $ Included Total Premium $ 515 ITEM FIVE Schedule For Non-Ownership Covered Autos Liability Named Insured's Business Rating Basis Number Premium Other Than Auto Service Number Of Employees 327 $ Incl In Total Operations Partnerships Or LLCs Number Of Volunteers 0 $ Auto Service Operations Number Of Employees Whose $ Principal Duty Involves The Operation Of Autos Partnerships Or LLCs Number Of Employees $ Number Of Volunteers $ Number Of Partners (Active And $ Inactive) Or LLC Members Total Premiums $ 448 PPA 100 12 20 Contains copyrighted material of Insurance Services Office, Inc. Page 5 of 5 RLIPacV EXCESS LIABILITY RLI"' DECLARATIONS RLI Insurance Company 9025 N. Lindbergh Drive - Peoria, Illinois61615 POLICY NO: PSE0002889 PRODUCER: 68072 IOA Insurance Services (68072) 3875 Hopyard Rd, Ste 200 Pleasanton, CA 94588 ITEM 1. NAMED INSURED AND MAILING ADDRESS Fehr& Peers 100 Pringle Avenue, Suite 600 Walnut Creek, CA 94596 ITEM 2. POLICY PERIOD (Mo./Day/Yr.) FROM 12/06/2021 TO 12/06/2022 12:01 A.M. Standard Time at your mailing address shown above. ITEM 3. LIMITS OF LIABILITY $ 5,000,000 Each Occurrence $ N/A Each Occurrence Auto Sublimit $ 5,000,000 General Aggregate $ 5,000,000 Products-Completed Operations Aggregate TEM 4. SCHEDULE OF UNDERLYING INSURANCE See PPU 110 ITEM 5. PREMIUM Non-Auditable Flat Rate: $1,981 Auditable Advance Premium: $ Rate: $ Premium Basis: Estimated Exposure: Audit Period (annual unless noted): Policy Minimum: $ Terrorism Charge: $17 Total Premium Due: $1,998.00 Applicable Taxes, Fees, and Surcharges: $0.12 Total Premium Due Including Taxes, Fees, and Surcharges: $1,998.12 ITEM 6. FORMS AND ENDORSEMENTS ATTACHED AND MADE A PART OF THIS POLICY AT ISSUE See endorsement RIL 2150 Countersigned by Authorized Representative PPU 100 09 19 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY' PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT ~ CALIFORNIA Policy Number: 57VVEG ZJ1888 Endorsement Number: Effective Date: 05/01C25 Effective hour ia the same aa stated on the Information Page of the policy. Named Insured and Address: FEHF< & PEERS 100PF<|NGLE AVE STE000 WALNUT CREEK CA84580 VVe have the right to recover our payments from anyone liable for an injury oovenudbythiapo|ioy. VVe 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 nuoonda accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person mrOrganization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 0403 06 (1) Printed in U.S.A. Process Date: 04/15/25 Policy Expiration 0ate: 05/01C20 Fehr& Peers Policy#108172265 D. the dates of the alleged events; and E. the reasons for anticipating a Claim, any Claim subsequently made against any Insured arising out of such Potential Claim will be deemed to have been made on the date such notice was received by the Company. All notices under this section must be sent or delivered to the Company set forth in ITEM 3 of the Declarations and will be effective upon receipt. IX. RELATED CLAIMS All Claims or Potential Claims for Related Wrongful Acts will be considered as a single Claim or Potential Claim , whichever is applicable. All Claims or Potential Claims for Related Wrongful Acts will be deemed to have been made the date: A. the first of such Claims for Related Wrongful Acts was made; or B. the first notice of such Potential Claim for Related Wrongful Acts was received by the Company, whichever is earlier. X. SUBROGATION In the event of payment under this policy, the Company is subrogated to all of the Insured's rights of recovery against any person or organization to the extent of such payment and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured will do nothing to prejudice such rights. Section X. SUBROGATION does not apply if the Insured, prior to the date a Wrongful Act is committed, has waived its right of recovery for Damages that result from such Wrongful Act. XI. RECOVERIES All recoveries from third parties for payments made under this policy apply, after first deducting the costs and expenses incurred in obtaining such recovery: A. first, to the Company to reimburse the Company for any Deductible amount it has paid on behalf of any Insured; B. second, to the Insured to reimburse the Insured for the amount it has paid which would have been paid hereunder, but for the fact that such amount is in excess of the applicable limit hereunder; C. third, to the Company to reimburse the Company for the amount paid hereunder; and D. fourth, to the Insured in satisfaction of any applicable Deductible paid by the Insured, provided that such recoveries do not include any recovery from insurance, suretyship, reinsurance, security or indemnity taken for the Company's benefit. XII. ACQUISITIONS If, during the Policy Period, the Named Insured acquires or forms an entity that performs Professional Services, coverage will be provided for such acquired or formed entity and its respective Insured Persons for Wrongful Acts committed after the Named Insured acquires or forms such entity. Coverage for such entity will end 90 days after the acquisition or formation of such entity, or the end of the Policy Year, whichever is earlier, unless the Company has agreed to provide such coverage by endorsement. PTC-1001 Ed. 11-08 Printed in U.S.A. Page 4 of 7 ©2008 The Travelers Companies, Inc. All Rights Reserved FEHR&PE-01 MICHAELA ,d►coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/28/2026 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 Andrea Michael NAME: IOA Insurance Services PHONE FAX 4301 Hacienda Dr (A/C,No,Ext):(925)249-7958 (A/C,No): Ste 220 E-MAIL-ADDRESS:Andrea-Michael@ioausa.com Pleasanton,CA 94588-2711 INSURERS AFFORDING COVERAGE NAIC# INSURERA:RLI Insurance Company 13056 INSURED INSURER B:Sentinel Insurance Company, Ltd 11000 Fehr&Peers INSURER C:Travelers Casualty and Surety Company of America 31194 101 Pacifica Suite 300 INSURER D: Irvine,CA 92618 INSURER E: INSURER F: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR PSB0006683 12/6/2025 12/6/2026 DAM ESE a occAGE TO RENTED 1,000,000 PREMISurrece $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO PSA0002276 12/6/2025 12/6/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE PSE0002889 12/6/2025 12/6/2026 AGGREGATE $ 5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY STATUTE EERR Y/N 57WEGZJ1989 5/1/2026 5/1/2027 1,000,000 ANY PROPRIETOR/EXCLUDED? R/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OF EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,ODU If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab. 0108172265 12/6/2025 12/6/2026 Per Claim 5,000,000 C Professional Liab. 0108172265 12/6/2025 12/6/2026 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Number/Name: OC19STAN.00/.01 Santa Ana On-Call All Operations of the Named Insured,including the aforementioned project. General Liability:Please see blanket Additional Insured Endorsement attached;such coverage is Primary and Non-Contributory with Waiver of Subrogation included,as required by written contract. Automobile Liability: Note that the Insured owns no company owned vehicles. Please see blanket Additional Insured Endorsement with Waiver of Subrogation included,as required by written contract. Workers'Compensation:Waiver of Subrogation is included as per attached blanket Waiver of Subrogation Endorsement,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER J�PPROVED CANCELLATION Tu Tran Nguyen at 9:01 am,May 15,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Attention:Public Works Agency 20 Civic Center PIZ,M-43 , Santa Ana CA 92701 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: FEHR&PE-01 MICHAELA LOC#: 1 ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE67768 NAMED INSURED IOA Insurance Services Fehr a Peers 101 Pacifica POLICY NUMBER Suite 300 SEE PAGE 1 Irvine,CA 92618 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: GENERAL LIABILITY&AUTO LIABILITY INCLUDE THE FOLLOWING PERSON(S) OR ORGANIZATION(S): The City of Santa Ana, its officers, employees, agents and representatives, as required by written contract. 30 day notice of cancellation is provided in accordance to the policy provisions. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 16The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 57 WEG ZJ1989 Endorsement Number: Effective Date: 05/01/26 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: FEHR& PEERS 100 PRINGLE AVE STE 600 WALNUT CREEK CA 94596 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 04/22/26 Policy Expiration Date: 05/01/27