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HomeMy WebLinkAboutRTKL ASSOCIATES, INC. 2 - 2015IKURANGE ON FILE N-2015-046 ' 1 U;ORK MAY PROCEED UNTIL. INSURANCE EXPIRES CILERK OF COUNCIL DATE. CONSULTANT AGREENIENT �G n THIS AGREEMENT is made and entered into this V day of 2015, by and between RTK1 Associates, (hereinafter "Consultant") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of die State of California (hereinafter "City"). RECITALS A. The City desires to hire a Consultant to complete an extension of design services for the Downtown Wayfmding Sign Program, B. Consultant represents that it is able, qualified and willing to provide such services to the City, C. to undertaking the performance of this Agreement, the 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 finri in the field. NOW THEREFORE, in consideration of the mutual and respective pronrises, and subject to the' terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall provide the following services: Design Review of Existing Signage System Against Current Goals/Directives, Provide Color Palette Revisions; Provide Material Palette Revisions; Provide Updated Design Development Package; Provide Fabricator Bidding Assistance; Attend and prepare presentation for 2 meetings (one April meeting with Community Outreach groups and one May City Council meeting) 2. COMPENSATION a. The City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A, The total sum to be expended under this Agreement shall not exceed Sixteen Thousand Dollars ($16,000.00) during the term of this Agreement. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to the City's accounting procedures. Payment need not be inade for work which fails to meet the standards of periormahce set forth in the Recitals which may reasonably be expected by the City, 3. TERM This Agreement shall commence on the date first written above and terminate one year from that date, unless terminated earlier in accordance with Section 13, below. The term of this Agreement may be extended upon a writing executed by the Manager and City Attorney, 4. OWNERSHIP OF MATERIALS, SUPPLIES, DRAWINGS, SPECIFICATIONS, PROGRAMS AND SYSTEMS Any and all records, papers, plans, drawings, specifications, programs, systems and other materials prepared by Consultant pursuant to this Agreement shall be the property of the City. Consultant agrees to provide the City with any such materials whenever requested to do so. 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 mariner 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, agents, volunteers, and employees as additional insured(s) 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 not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence and $2,000,000 in the aggregate. Consultant shall supply City with a fully executed additional insured endorsement upon execution of this Agreement and shall be approved in form by the City of Santa Ana. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 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. If Consultant is or employs a licensed professional Rich as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim, 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. (iii) Certificates and policies shall state that the policies shall not be cancelled 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 £ails 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 terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. INDEMNITUCATION Consultant agrees to and shall defend, indemnify and hold harmless the City, its officers, agents, employees, Consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the set -vices described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, j'rtdicial 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 S ection or by reason of the terms of, or effects, arising from this Ag•eemcnt. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special cotmsel 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 arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding, 8. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care, "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 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 commuwication in the manner provided in this Section, to the following persons: To City: and, Cleric of the Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Telefacsimile: (714) 647-6956 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Telefacshmile (714) 647-6515 To Consultant: RTKL Associates, Inc. 333 S. Hope Street, C-200 Los Angeles, CA 90071 Attn: Cody Clark, Associate Vice President Telefacsimile (213) 633-6060 A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given tluee (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant regarding the subject matter herein and supersedes any and all other agreements, oral or written, between the parties. hr the event of a conflict between the terms of this Agreement and any attachments hereto, the terns 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, that 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, Consrthant 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. 13. TERMINATION This Agreement maybe terminated by the City upon thirty (30) days written notice of termination, hi 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 of Santa Ana 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 and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 16. PROFESSIONAL LICENSES Consultant shall, throughout the tern 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 its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17, SEVERABILITY In the event that one or more of the phrases, sentences, clauses, paragraphs or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement, which shall be interpreted to cant' out the intent of the parties hereunder. 18. EXHIBITS All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 19. AUTHORITY The person(s) executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement, the patties hereto are formally bound to the provisions of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUIZAR Cleric of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney CITY OF CITY OF SANTA ANA DAVI CAVAZOS City Manager CONSULTANT RKTL Associates Inc. 0 ;0 B • John Futile dy Clar G/ Assistant City Attorney Associate Vice President EXHIBIT "A 19 AN ANCADi$ COMPANY RATE SCHEDULE BY CLASSIFICATION RTKL Associates Inc. Effective May 2014 The above rates may include temporary personnel hired by RTKL on a contractual as needed basis. Rates Subject to Annual Adjustment Hourly Rate Jr. Staff / Project Admin. $95.00 Designer $125.00 Senior Designer $150,00 Associate $180.00 Senior Associate $200.00 Associate Vice President $225.00 Senior Associate Vice President $250.00 Vice President $275.00 Senior Vice President $300.00 Executive Vice President $350.00 The above rates may include temporary personnel hired by RTKL on a contractual as needed basis. Rates Subject to Annual Adjustment As CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/09/=015 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 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 IIeU of such endorsement(s). PRODUCER Aon Risk Services South, Inc. Franklin IN Office CONTACT NAME' PHONE Ext): (866) 283-7122 (FAC. No.: 800-363-0105 EMAIL ADDRESS: 501 Corporate Centre Drive Suite 300 INSURER($) AFFORDING COVERAGE NAIC4 Franklin TN 37067 USA INSURED INSURERA: Greenwich Insurance Company 22322 RTKL Associates Inc. 901 S. Bond Street INSURER B: XL Specialty Insurance Co 37885 INSURER C: Baltimore MD 21231 USA INSURER D: CLAIMS � OCCUR INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570057326502 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, Limits shown are as requested INS LTR TYPE OF INSURANCE ADDL INSD WVD POLICY NUMBER MMIDDIYYPY MMIDDOYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GEC EACH OCCURRENCE $1,000,000 CLAIMS � OCCUR General Liability pAMA ET RE TED $1,000,000 -MAGE PREMISES Es occurrence X MED EXP (Any one pe mon) $10,000 Contractual PERSONAL& ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLI ES PER GENERAL AGGREGATE $2,000,000 POLICY LL] PRP JECT ILOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: R AUTOMOBILE LIABILITY AECOO1075813 01/01/201501/01/2016 COMBINED SINGLE LIMIT $1,000,000 Ea accident Auto (ADS) BODILY INJURY( Per person) X ANYAUTO BODILY INJURY (Per accident) ALLOANED SCHEDULED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE X HIRED AUTOG X AUTOS Per accident B OCCUR OECO01075913 01/01/2015 01/01/2016 EACHOCOURRENCE $1,000,000 JUMBRELLALIA3 EXCESS LIAB N CLAIMS -MADE Umbrella AGGREGATE $1,000,000 DEDI) RETENTION $10,000 B WORKERS COMPENSATION AND RWD943516309 01/01/2015 01/01/2016 X PER STATUTE ETH - EMPLOYERS'LIABILITY YIN Workers Compensation EL EACH ACCIDENT $1,000,000 B ANYPROFRIETOR I PARTNER/EXECUTIVE NIA RWR943516709 01/01/2015 01/01/2016 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) State of Wisconsin E.L. DISEASE -EA EMPLOYEE $1,000,000 Ifyes deecribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be adeched if more space is required) City of Santa Ana, its officers,employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General Liabilitypolicy. Severability of Interests applies as if each Named insured is is brought. Insured were the only Named Insured; and separately to each against whom claim made or suit" CERTIFICATE HOLDER CANCELLATION 22 b ©1988-2014 ACORD CORPORATION. All rights rese9vegl. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IJ—�„f 6I� 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 20 Civic Center Plaza Santa Ana CA 92701 USA e1'Xaab e/GfAG r�iL8.ffCICi9 vF/x,GL�>�✓9zet 22 b ©1988-2014 ACORD CORPORATION. All rights rese9vegl. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IJ—�„f 6I� POLICY NUMBER: GECO01076113 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 Organization (s): Locations Of Covered Operations ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED IN A Various WRITTEN CONTRACT OR WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT. 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) designated 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 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, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. MENNIFN WMAIN CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 r Page 1 UNIFORM POLICY NUMBER: GECO01076113 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART OUMMUULC Name Of Additional Insured Person(s) Or Organization (s): Location And Description Of Completed Operations NY PERSON OR ORGANIZATION THAT YOU ARE Various SQUIRED IN A WRITTEN CONTRACT OR WRITTEN GREEMENT TO INCLUDE AS AN ADDITIONAL NSURED PROVIDED THE "BODILY INJURY" OR 'PROPERTY DAMAGE" OCCURS SUBSEQUENT TO HE EXECUTION OF THE WRITTEN CONTRACT OR RITTEN AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 UNIFORM �I ENDORSEMENT #052 This endorsement, effective 12:01 a.m., March 4, 2015 forms apart of Policy No. GECO01076113 issued to ARCADIS U.S., INC. AND RTI(LASSOCIATES, INC. AND CALLISON ARCHITECTURAL HOLDING, LLC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT Advanced written notice will be mailed or delivered to person(s) or entity(ies) shown in the Schedule below at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancel for any other reason Schedule Name of Persons or Entit ies Mailing Address: AS PER SCHEDULE ON FILE WITH AS PER SCHEDULE ON FILE WITH COMPANY COMPANY All other terms and conditions of the Policy remain unchanged. a MARX 03/16/2015 Page 1 I ENDORSEMENT #039 This endorsement, effective 12:01 a.m., March 4, 2015 forms apart of Policy No. AEC001075813 issued to ARCADIS U.S., INC. AND RTKL ASSOCIATCS, INC. AND CALLISON ARCHITECTURAL HOLDING, LLC by XL Specialty Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT Advanced written notice will be mailed or delivered to person(s) or entity(les) shown in the Schedule below at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 30 days before the effective date of cancellation if we cancel for any other reason Schedule Name of Persons or Entit ies Mailing Address: AS PER SCHEDULE ON FILE WITH AS PER SCHEDULE ON FILE WITH COMPANY COMPANY All other terms and conditions of the Policy remain unchanged. lnl MARX 03/16/2015 Page 1 This endorsement, effective 12:01 a.m., January 1, 2015 forms apart of Policy No. UEC001075913 issued to ARCADIS U.S., INC.by XL Specialty Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: All other terms and conditions of the Policy remain unchanged. IXI 405 0910 Number of Days Name of Person(s) or Entity(ies) Mailing Address: Advanced Notice of Cancellation: As per schedule on file with the company As per schedule on file 30 with the company All other terms and conditions of the Policy remain unchanged. IXI 405 0910 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY This endorsement, effective 12:01 a.m., January 1, 2015 forms a part of Policy No. RWD943516309 issued to ARCADIS U.S., INC. by XL Specialty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT This endorsement modifies insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 99 06 57 In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Number of Days Name of Person(s) or Entity(ies) Mailing Address: Advanced Notice of Cancellation: As per schedule on file with company 30 All other terms and conditions of the Policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective January 1, 2015 Policy No, RWD943516309 Endorsement No. Insured ARCADIS U.S., INC. Premium Included Insurance Company XL Specialty Insurance Company Countersigned by WC 99 06 57 Ed. 12/10 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. V�IP