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HomeMy WebLinkAboutKEYSER MARSTON ASSOCIATES - 2012INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES' /� -//2 CLERK OF COUNCIL N- 2012 -132 DATE: ITV - 6 2012 1_- CONSULTANT AGREEMENT O ,F�WA /TC'j Yl \G ? Yl�XJ� CZ THIS AG EMENT, made and entered into this 1st day of October 2012, by and between Keyser Marston Associates, Inc. (hereinafter "Consultant "), and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California (hereinafter "City "). RECITALS A. The City desires to retain a qualified consulting firm having special skill and knowledge in the field of financial consulting services and development. 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 TfIEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: SCOPE OF SERVICES Consultant shall provide financial consulting services for the City related to evaluating the financial considerations associated with the potential development of two specific properties in downtown Santa Ana — an existing City -owned parking structure located at Third and Broadway, and the historic YMCA building located on West Civic Center Drive and Sycamore Street (together the "Sites "), as set forth in the Proposal dated September 24, 2012, attached hereto as Exhibit A, and incorporated by reference. The Scope of Work shall be undertaken as two phases. Phase 1 will be the Development Alternatives Analysis wherein Consultant shall prepare one conceptual pro forma analysis of a mixed -use development for each of the Sites. Consultant will complete the Development Alternatives Analysis within three (3) weeks following authorization to proceed. The Development Alternatives Analysis will be undertaken on atime- billed basis for a not to exceed fee of $8,000. After review of the results of Phase 1, the City will determine whether or not to proceed with Phase 2, issuing a Request for Qualifications/Proposals ( "RFQ/P ") from potential developers. Consultant would assist in Phase 2, the Developer Solicitation Process, by assisting in the preparation of the RFQ/P documents, providing technical assistance in evaluating the responses to the RFQ/P, and participating in the evaluation panel that interviews proposers and provides recommendations to the City Council, as further set forth in Exhibit A_ Phase 2 services shall be performed on atime- billed basis for a not to exceed fee of $15,000. If the City only proceeds to Phase 2 on one Site, the fee estimate will be reduced accordingly. 2. DELIVERY OF WORK PRODUCT Consultant shall deliver to City any work product which results from the services provided. In regard to all copyrightable material produced as a deliverable under this Agreement, including but not limited to books, reports, plans, photographs, and drawings, Consultant agrees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material 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, aroyalty -free, nonexclusive, irrevocable license throughout the world for governmental purposes to disclose, publish, translate, reproduce, and use such materials_ 3. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The fee estimate for Phase 1 shall not exceed $8,000, and shall not exceed $15,000 for Phase 2. The total sum to be expended under this Agreement shall not exceed $25,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice including a detailed breakdown of the services and tasks performed, hours and hourly rates related to performance of those services and tasks, subject to City accounting procedures. c. 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. In the event that the City disputes a portion of Consultant's invoice, any sums not in dispute shall be remitted to Consultant. 4. TERM This Agreement shall commence on the date first written above and terminate on December 31, 2013 unless terminated earlier in accordance with Section 13, below. 5. 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. 6. 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 naming the City, its officers, employees, agents, volunteers and representatives as additional insureds) and 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 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. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $ I ,000,000 per occurrence. 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. 3 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 General Counsel. (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. f. 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 7. INDENINIFICATION 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 azising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect negligent performance of services of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 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 terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, azising 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 challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights azises by reason of the terms of, or effects arising from Consultant's negligence or willful misconduct on the performance of this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. S. CONFIDENTIALITY 4 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. 9. 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_ 10. 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 telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City of Santa Ana Clerk of the Council 20 Civic Center Plaza (M -30) P.O. BOX 1988 Santa Ana, CA 92702 -1988 telefacsimile (714) 647 -6956 City of Santa Ana Interim Director of Community Development Agency 20 Civic Center Plaza (M -25) P.O. Box 1988 Santa Ana, California 92702 City of Santa Ana Director of Planning 8L Building Agency 20 Civic Center Plaza (M -20) 5 Ross Annex, 2oa Floor Santa Ana, California 92702 City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, California 92702 Telefacsimile (714) 647 -6515 To Consultant: Keyser Marston Associates, Inc. 500 S. Grand Avenue, Suite 1480 Los Angeles, CA 90071 Phone: (213) 622 -8095 FAX: (213) 622 -5204 A party may change its address by giving notice in writing to the other party. Therea8er, 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_ For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 11. 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. 12. 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. F� 13. 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 City Manager 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. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. 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. 15. JURISDICTION -VENUE 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. 16. 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_ 7 17_ NIISCELLANEOUS 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. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 8 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney i C c ��� C- By: Lisa E. Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: Ja revino, Executive Director Planning 8r Building Agency G`7 CITY O� F(S�ANT�A ANA: PAUL WALTERS City Manager CONSULTANT: Keyser Marston Associates, Inc_ By: Kathleen Head Managing Principal EXHIBIT A SCOPE OF SERVICES 10 KEYSER MARSTON ASSOCIATES ADVISORS IN PUBLIC /PRIVATE REAL ESTATE UEV ELOPMENT September 24, 2012 Vicki Uehli Redevelopment Project Manager ,,,,,,,.,,, „,,,,,�, ^ "•"" ^ "'' F'•° " ^•• City of Santa Ana 20 Civic Center Plaza •' � Santa Ana, California 92701 I�, Rnii M. R,Rv R1.1e1. KAl,A,1”, I'^`l"' LI, I. Keyser Marston Associates, Inc. (KMA) is pleased to submit the following proposal to provide selected consulting services to the City of Santa Ana (City). Specifically, KMA is proposing to assist the City in evaluating the financial considerations associated with the Innis. A. R.- potential redevelopment of the following City -owned properties in downtown Santa Ana: 1. An existing City -owned parking structure located at 3rd Street and Broadway; and 2. The YMCA building located on West Civic Center Drive and Sycamore Street. I'n, , C Hna Rn BACKGROUND STATEMENT The City is currently seeking assistance in evaluating development options for the two City -owned properties that could increase private investment in the downtown, and replace any lost parking spaces. The City -owned properties can be described as follows: City -Owned Parking Structure The City constructed the approximately 440 -space parking garage in the early 1980's. The three -level garage encompasses approximately 146,000 square feet of building area. The garage is not currently encumbered by any debt. The City's Planning and Building Agency has determined that the parking garage is at the point of functional obsolescence. In turn, the City's Community Development Department and Public Works Agency have been evaluating the costs associated with making the necessary design, drainage and structural improvements versus the costs associated with demolishing and replacing the existing garage. However, this effort has been constrained by the lack of available funds to take on the improvements. 500 SOUTI -i GRAND AVENUE. SU I T E 1480 > LOS ANG E LES. CA LI FORN I A 90071 > PHONE 213 622 8095 > FAX 213 622 5204 1208001; KMA:KHH W W W. KEYS E RMA RSTO N . CO M 99900.900 Vicki Uehli City of Santa Ana YMCA Building September 24, 20'12 Page 2 The YMCA building is listed on the National Register of Historic Places. This City -owned property is currently unoccupied. It is anticipated that substantial improvements would need to be made to bring the building back to a usable state. PROPOSED SCOPE OF SERVICES KMA is proposing to undertake the following two - phased scope of services: Development Alternatives Analysis KMA is proposing to prepare one conceptual pro forma analysis of a mixed -use development for each of the City -owned sites. KMA will collaborate with the City staff to create the development concepts to be analyzed. For the public parking garage site, the conceptual development will include the replacement of the existing 440 parking spaces. The KMA analyses will all be based on conceptual /bubble diagram scopes of development, including parking configurations, provided by the City. The pro forma analyses will be used to assess the land value or financial gap associated with the development alternative devised for each City -owned site. At the conclusion of the development alternatives analysis, the City will determine whether or not to proceed with Request for Qualifications /Proposals (RFQ /P) from prospective developers. Developer Solicitation Process If the City chooses to proceed with RFQ /P's for the two City -owned sites, KMA is proposing to provide the following assistance: Assist in preparing RFQ /P documents, including providing input on the RFQ /P scope, format and evaluation criteria. 2. Provide technical assistance in evaluating the responses to the RFQ /P: a. To the extent feasible, prepare an "apples to apples" comparison of proposals; b. Evaluate the risk and /or potential variation in revenues from each proposal; and Quantify the property purchase offers and financial assistance requests included in each proposal. '120800'1; KMA:KHH 99900.900 Vicki Uehli September 24, 2012 City of Santa Ana Page 3 3. Participate in the evaluation panel that interviews proposers and provides selection recommendations to the City Council. Timing /Budget KMA proposes to complete the Development Alternatives Analysis within three weeks following the receipt of authorization to proceed and the conceptual scope of development for each site. KMA proposes to undertake the Development Alternatives Analysis on atime- billed basis up to anot -to- exceed fee of $8,000. If the City chooses to proceed to the RFO /P stage, KMA proposes to provide the identified services on atime- billed basis up to anot -to- exceed fee of $15,000. If the City only proceeds to the RFO /P stage for one site, the fee estimate will be reduced accordingly_ The hourly billing rate schedule that will apply to this engagement is presented below Managing Principals $280.00 Senior Principals $270.00 Senior Associates $187.50 Administrative Staff $80.00 KMA appreciates the opportunity to present this proposal. If there are any modifications that will make the proposal more responsive to your needs, or if you require any additional information, please do not hesitate to call us. Sincerely, KEYSER MARSTON ASSOCIATES, INC. �� 1 Kathleen Head �20800'I; KMA�KHH 99900.900 EXHIBIT B ADDITIONAL INSURED ENDORSEMENT Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1 _ The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included_ 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective ,this endorsement form as a part of Policy # Issued to Named Insured Countersigned by Authorized Representative 11 ACORO CERTIFICATE OF LIAB1LITi' INSURANCE �� OATEILI a/D DIYYYY) 6/25/2012 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT dFFIRMATIYELY OR NEGATIVELY AMEND, E %TEND 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 polley(les) must be endorsed. if SUBROGATION IS N /RIVED, subject to tlTO terms and conditions of the policy, certain policies may requlro an entlorsement. A statement on this certificate does not confer rights Lo the certificate holder In Iteu of aucl) entlorsomen s . PRODUCER MOC 2nsuranca Sarvi cea License No. 0569960 44 Montgomery $t. , 17 tY1 F1. San Franoisco .CA 94104 NTA T DOrina da FabiO NAME: F NE (415) 957 -0600 . /a1s)ssT -osTT e' .ddafabioCmaroavioh. aom INSURERS AFFORDING COVERAGE NAICI INSUaeRA �{artford Casualt Ina. Co. 9424 1NBV RED - K ©year Marston Asaooiates, Inc. 55 Paoif io AvenuEa Ma11 San Francisco CA 94111 INS a a:Har_tford 1$2'2 INSUneRCRa ublio Indemnit Com an nP 2179 INSUNeRD Mt. Haw1a Insurance Co. A INSURER E X INeu e 7UUNPV0563 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 REQUIREMF_NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WF11CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT)ON3 OF SUCH POLICIES. LIMITS 8HOWN MAY HAVE BEEN REDUCED BY PAID CiLAIMB. LTR TYPE OF IHSV RANCE POLICY NUMBER EFF POLICY gXP LINITe GENERAL 4A01YTY EACH OCCURRENCE 1,000,000 A X COLMIERCULL GENERAL LIA6LHY CLAMS -MADE OOCCUR X 7UUNPV0563 12/1/2.111 2/1/2012 F_ E S 300, 000 MEO EXP cne can $ 10 000 PERSONAL 6ADV WJURY E 1,000,000 GENERAL AGGREGATE $ 2,000,000 o Daduotibl0 applies GENL AGGREGATE X POLICY LIMB APPLIES PER: PRO- LOC PRODUCTS - COIAP /OP AGO $ 1 , 000 , OOO $ A AUTOMOBILE LIABILITY X ANY AIfTO AUTOS NED nG�OEDULED X HIRED AUTOS X NON- OYJNED AUTOS X 7VWPV0563 - 2/1 /2D31 2/1/2012 OA98 (dE I 1 000 000 BODILY INJURY (PU person) E BODILY INJURY (POf 9ccklenl/ $ PROPE D acc E X COMP 5500 X Cetl 65CD - �red et cornbtned E 1 000 000 X UMBRELLA LIAB OCCUR EACH OCCV RRENCE $ 4,000,000 B EXCEBg LIAR CLAMI B -MODE X 71UtOPV0506 2/1/2011 2/1/2012 AccREOATE E 9,000,000 X 10,00 S C YJORKER9 COMPENSATION AND EAIPLOVERS• LIABIDTY ANY PROPRIETORIPARTN ER/EXECirTNE Y/N OFFlCER/MFASBFR EXCLU DED7 � (NyyeUeaa,.d.alory In NH) DESCRIPTION OAF OrPERAT10Ng below N/A 39546 -17 2/1/2011 2/1/2012 X NC ST OTH- E.L EACH ACCIDENT 6 1 OOO OOO E -L DSEASE-EA EMPLOYE E 1 000 000 EI_ DISEASE - POIJCY LgdR 9 1 000 000 D pro £aaaiOnal Liability 0- 848728 2/1/2011 2/1/2012 EACH NRONOFVL AGT $1,000,000 Ra tantion: $50,000 atro Data 10/05/1976 AGGREGATE LIMIT S$, 000, 000 DESCRIPTION OP OPERATLOHS /IOCATONa /VEHICLE$ (ARach ACORD f01, Addttlenal Remarks gcMdWe,hman specs Nrequlud) CortiFioata holder Tha City oP Santa Ana, its offioara, employees, agents, volunteers and reprbaentativas era Additional Insured with reapeata to the Tnaurad's. operations. Insurance provided is Primary and is not oontribvtory with any other insurance serried. 30 Day Notice oP Cancailation /10 Day for non payment of premium. P OVER R5 TO Fnn�n VMnI V,CLW IIViY r� ! SHOULD ANY OF THE ABOVE DESBR POL1d1A�BE ��K4 Lt:QD•SEd�)�E � THE EXPIRATION DATE THEREOF, NOT`¢ES`t�(),fyjt �ELIYE RED IN City o£ Santa Ana ACCORDANCE WITH THE POLICY PROYI510f1'J1$$55 Executive Direotor of PSA 2D C1 ViC Cant ®r Plaza AYn /0R250 REPRESENTATNE Santa Ana, CA 92701 ^ `'• Donna da Fabio /DDS yG�iwv�,o�_�y \� ACORD 26 (2070/06) - ®7968 -20'10 ACORD CORPORATION. All rights reserved. INS026 (2oloos).ot The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL.LIABILITY CG 20 1 O 07 04 POLICY NUMBER: 57UUNPV0563 Effective Date: 12/01/201 l THIS ENDORSEMENT CHANGES THE POLICY. F'L ASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additlonal Insured Peraon(s) or Or anlzation s - Location s of Covered O eratlons City of Santa Ana, its offlcefs, employees, agents, volunteers and representatives It Is understood and agreed that this Insurance is primary and any other insurance maintained by the Additlonal Insured shall be excess only and not contributing with this Insurance In regards to all operations as ertains to the named Insured Information re wired to com late this Schedule, if not shown above URII be shov�n in the Dedaratlons. A. Section li —Who Is An insured Is emended to Include, as an addltlonel Insurad� the persons) or organlzatlon(s) shown In the Schedule, bui only with respect to liability for ^bodily inJury ^, "property damage^ or "personal and advertisln� InJury" caused, in whole or in part, by: 1. Your aGs or omissions; or 2. The acts or omissions of those acting on your behalf; In the perfonnanca of your ongoing operations for the edd(tlonal insureds) al the locatlon(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This Insurance does not apply to ^bodily In Jury" or °property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished In connection avith such work, on the project- (other than service, maintenance or repairs) to be performetl by or on behalf of the addltlonel insureds) at the location of the coveretl operations has been completed; or 2. That portion of "your work" out of which the injury or damages arises has been put to Its In- tended use by any person or organlzailon other than another coniraclor or subcontractor engaged In performing operations fora princi- pal as a part of the same protect. CG 20 70 D7 04 ®ISO Properties, Inc., 20Ld VEl7 �s Tn pn'ti'.Vi •g,Pi'Ii0 Assistant r• ' ' "' �� INSURANCE INDUSTRIE CHANGE: COMMMERGIAL GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT Please be advised that the CG 20 10 10 01 Endorsement has been replaced with the CG 20 10 07 04 Additional Insured Endorsement. Gity of Santa Ana its officers emplovees aaPnts volunteers and representatives is /are named as Additional Insureds) on the Commercial General Liability policy. Keyser Marston Associate =, Inc. provides professional services to; City of Santa Ana. Its officers emofovees agents volunteers and representatives therefore 'completed operations' coverage would be addressed under the Professional Liability policy shown as "Insurer D" on the attached Certificate of Insurance. �pPROVED AS �� � �^ 1 Cam_ .. -. _- - - E `. ,' ^.� - ---"' LISA ,:,�•r, •v pssistani � • ' ��4 POLICY NUMBER: s-r UUN PV0563 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modlTies Insurance provlded under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provlded by this endorsement, the provisions of the Coverage Form apply unless motlifled by this endorsement. This endorsement identlfles persons) or organizatlon(s) who are "Insureds" under the Who Is An Insured Provision of fhe Coverage Forrn. This endorsement does not alter coverage provlded In the Coverage Fottn. This endorsement changes the policy effective on the inception dates �-: the policy unless another date is Indicatetl below. Endorsement effective Ia of II Named Insured KEYSSR MARSTON ASSOCIATBS� INC. Countersigned by SCHEDULE Name of Pereon(a) or Organlzation(s): City o£ Santa Ana, its o££icers, employees, agents, volunteers and representatives �. .....-- ........'., v.av, ..a..., or (If no entry appears above, Information required to complete this endorsement will be shown In the Declarations as applicable to the endorsement.) Each person or organlzatlon shown in the Schedule Is an "insured" for Liability Coverage, but only to the extent that person or organization qualities as an "insured" under the Who Is An Insured Provision contained In Section II of the Coverage Form. S TO ��,��f! �ppR�V � A - --'-�� LISA E.. STORCY Assistant C�tY Atta•>' CA 20 48 02 99 Copyright, Insurance Services O(tice, Inc., 1998 Page 1 of 1 �� �`� °® CERTIFICATE OF LIABILITY INSURANCE 1/28/201Y3 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 MOC Insurance Services License No. 0589960 44 Montgomery St., 17th Fl. San Francisco CA 94104 CONTACT Donna de Fabio NAME: PHONE (415) 957 -0600 FAX Not: (415)957 -0577 E-MAIL .ddefabio @maroevich.com INSURERS AFFORDING COVERAGE NAIC # INSURERA-.Golden Eagle Insurance Corp 10636 INSURED Keyser Marston Associates, Inc. 55 Pacific Avenue Mall San Francisco CA 94111 INSURER B :Re ublic Indemnity Company Of 22179 INSURER C -Evanston Insurance Co. 35376 INSURER D: INSURER E: $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVFRAnPR CFRTIFICATF NIIMRFR•MASTER 2012 -13 RFVI -glnN NI IMRFR- 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 ADDLSUBR POLICY NUMBER POLICY EFF MMIODIYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY TO RENTE5-- PREMISES Ea occurrence $ 500,000 A CLAIMS -MADE F—x1 OCCUR X CBPO932329 12/1/2012 12/1/2013 MED EXP (Any one person) $ 10, 000 PERSONAL & ADV INJURY $ 1,000,000 O Deductible applies GENERAL AGGREGATE $ 2,000,000 GE,' L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY X PRO- JFCT F-1 LOC $ AUTOMOBILE LIABILITY COMBINED B' nt N LELIMIT 11000,000 x BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X BA 8932429 12/1/2012 12/1/2013 X PROPERTY DAMAGE P r c ident $ HIRED AUTO S X NON -OWNED AUTOS X Uninsured Motorist Combined $ 1,000,000 Camp $500 X Coll $500 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS UAB CLAIMS -MADE DED I X I RETENTION$ $10,000 $ X I CU 8932629 12/1/2012 12/1/2013 $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory In NH) N/A 03954618 12/1/2012 12/1/2013 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Professional Liability 0- 852080 12/1/2012 12/1/2013 Each Wrongfull Act $1,000,000 Retention: $50,000 Retro Date 11/11/1976 AGGREGATE LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured wi i respects to the Insured's operations. Insurance provided is Primary and is not contributory wit (5n other insurance carried. 30 Day Notice of Cancellation /10 Day for nonpayment of premium.9 AS v �QR v VCM I Irl"M 1 C n%JL.UClrt L ANL rLLA I IUN l Z/VJ" -� \tiYl r City of Santa Ana Executive Director of P13A 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POL100-23'6E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE de Fabio/DDF -, C,,+vvw....+ c, AUUKU ZO (ZUTUIUb) U 1988 -2010 ACORD CORPORATION. All rights reserved. INS026 (201005).01 The ACORD name and logo are registered marks of ACORD 1 INSURANCE INDUSTRIE CHANGE,, COMMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT Please be advised that the CG 20 10 10 01 Endorsement has been replaced with the CG 20 10 07 04 Additional Insured Endorsement. City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives is /are named as Additional Insured(s) on the Commercial General Liability policy. Keyser Marston Associates, Inc. provides professional services to; City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives therefore 'completed operations' coverage would be addressed under the Professional Liability policy shown as "Insurer V on the attached Certificate of Insurance. $ SO E E.. S Pt�Ot Ss\S�ar A COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 POLICY NUMBER: CBP8932329 Effective Date: 12/01/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organ Ization s : Location(s) of Covered Operations City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives It is understood and agreed that this Insurance is primary and any other insurance maintained by the Additional Insured shall be excess only and not contributing with this Insurance in regards to all operations as pertains to the named insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. CG 20 10 07 04 B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. � o C 1� © ISO Properties, Inc., 2004 0, �P r,.. 4*W A4 S.\ Oc�G} P c�e,�tn\�1 ❑ 3I4 POLICY NUMBER: BA 8932429 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective 12/01/12 Named Insured Countersigned by KEYSER MARSTON ASSOCIATES, INC. SCHEDULE Name of Person(s) or Organization(s): City of Santa Ana, City of Santa Ana Acting as Successor Agency and or Housing Authority of the City of Santa Ana et al (HUtnorizeo ttepresentative) (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. S to ss`S�ar t; j P f CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 - �7/)4�0i3 c�0q A CERTIFICATE OF LIABILITY INSURANCE D /28/2013Y) 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(les) 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 MOC Insurance Services License No. 0569960 44 Montgomery St., 17th Fl. San Francisco CA 94104 CONTACT Donna de rabic NAME PHONE (415)957 -0600 - A/0 (415)959-0597 E'oIL .ddefabio @maroevich.00m INSURERS AFFORDING COVERAGE NAICM INSURERA:Golden Eagle Insurance Corp 10836 INSURED Keyser Marston Associates, Inc. 55 Pacific Avenue Mall San Francisco CA 94111 INSURER B:Re UbliC Indermnity Company of 22179 INSURER C:Evans ton Insurance Co. 35376 INSUaeR O: NSURER E: $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBERMASTER 2012 -13 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 DR 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. TR TYPE OF INSURANCE A UBR POLICYNUMBER POLICY EFF YY POLICY EXP /DD LIMITS GENERALUABILITY AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 EACH OCCURRENCE_ $ 1,000,000 r Donna de Fabio /DDF �..�...J cr+M.�vrsa,.,, X COMMERCIAL GENERAL LIABILITY DAMGE( RELATE nt PREMISES T E rrer oe $ 500,000 A CLAIMS -MADE � OCCUR X BP8932329 12/1/2012 12/1/2013 MED EXP (Any one person $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 o Deduotible applies GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICV X PRO LOC $ AUTOMOBILE LIABILITY E8 BIKED SINGLE LIMIT 1,000,00o X BODILY INJURY (Per person) $ A ANY AUTO o cY� APPROVED AS rO FOR BODILY INJURY(Psraccldent) $ ALL OWNED SCHEDULED AUTOS AUTOS X A 8932429 12/1/2012 12/1/2013 X HIRED AUTOS X NON _OWNED AUTOS PROPERTYD MMA08 I $ Uninsured Motorlst Combined $ 1 000 DDO X Camp $500 X Coll $600 X UMBRELLA LIAR X OCCUR �- EACH OCCURRENCE $ 4,000,000 DGE It O.H A EXCESS LIAR CLAIMS -MADE . AGGREGATE $ 4,000,000 X �pe O 893262 y �Lke racov IMA9MI 12/1/2D13 LED X RETENTION$ 510,000 I $ WORKERS COMPENSATION X WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1 ODO 000 ANY PROPRIETOR/ PARTNER /EXECUTIVE 1—C OFFICER /MEMBER EXCLUDED? ❑ (Mandatory In NH) NIA 03954618 12/1/2012 12/1/2019 E.L. DISEASE - EA EMPLOYE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1 00D 000 Professional Liability 0- 852080 12f1/201.3 Each Wrongful Act $1,000,000 Retention: $50,000 etro Data 11/7.1/1976 F12/1/2012 AGGREGATELIMIT $2,000,000 DESCRIPTION OFOPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured with respects to the Insured's operations. Insurance provided is Primary and is not contributory with any other insurance carried. 30 Day Notice of Cancellation /10 Day for nonpayment of premium. CERTIFICATE HOLDER CANCELLATION ACORD 26 (2010/06) INS 025 (2010D5) at © 1988.2010 ACORD CORPORATION. All rights reserved. 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 ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Executive Director of PEA AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 r Donna de Fabio /DDF �..�...J cr+M.�vrsa,.,, ACORD 26 (2010/06) INS 025 (2010D5) at © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURANCE INDUSTRIE CHANGE; COMMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT Please be advised that the CG 20 10 10 01 Endorsement has been replaced with the CG 20 10 07 04 Additional Insured Endorsement. City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives is /are named as Additional Insured(s) on the Commercial General Liability policy. Keyser Marston Associates, Inc. provides professional services to; City of Santa Ana, City of Santa Ana Acting as Successor Agencv and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives therefore 'completed operations' coverage would be addressed under the Professional Liability policy shown as "Insurer V on the attached Certificate of Insurance. COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 POLICY NUMBER: CBP8932329 Effective Date: 12/01/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -W SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): Locations of Covered Operations City of Santa Ana, City of Santa Ana Acting as Successor Agency and /or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives It is understood and agreed that this insurance is primary and any other insurance maintained by the Additional Insured shall be excess only and not contributing with this insurance in regards to all operations as pertains to the named insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. S. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 Oc ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: BA 8932429 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective lz oI az Named Insured Countersigned by KEYSER MARSTON ASSOCIATES, INC. SCHEDULE Name of Person(s) or Organization(s): City of Santa Ana, City of Santa Ana Acting as Successor Agency and or Housing Authority of the City of Santa Ana et al (AUtnorlZee KepresemaHve) (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section Ii of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1