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HomeMy WebLinkAboutPROJECT PARTNERS, INC. - 2015City of Santa Ana t Clerk of the Council aoTC office use only AGREEMENT TERMINATION FORM Please complete this farm in its entirety when the attached agreement and all amendments (if any) are no longer in elfect. 7" BEC 12. All % 50 Note: If your agreement is grant related, please ensure that all grant retention requirements hate been satisfied prior to signing the termination form. C} Y 0! SnH 1A ANA Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions The agreement with No. A -',-t6('�- - 3� was completed on ld ( / and final payment has been made. (List all amendments. Use space below if needed.) /� / _ y( / Department: Gyy� Phone/Ext.: � �3 Signature: Date: Re.,satl: 10-13-16 INSURANCE NZ ON FILE A-2015-235 WORK MAYS PROCEED CLERK OF COUNCIL DATE: CONSULTANT AGREEMENT CITY OF SANTA ANA THIS AGREEMENT is made and entered into this 21st day of October, 2015 by and between Project Partners, Inc. ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation. organized and existing under the Constitution and laws of the State of California ("City"). RECITALS 4, A. On Tune 24, 2015, the City issued Request for Proposal No. 15-045, by which it sought proposals from qualified firms for engineering, technical, and administrative support services to be provided to the Public Works Agency on an as -needed basis. B. Consultant submitted a responsive proposal that was among those selected by the City. Consultant represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 15-045 as Attachment 1 and that is also attached to this Agreement as Exhibit A. 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 tield- NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services the rates and charges identified in Exhibit B. The total sum to be expended under this Agreement shall not exceed $500,000 during the terns of this Agreement, b. Payment by City shall be made within forty -Give of days (45) days following receipt of proper -invoice evidencing work performed,- subject to City accounting procedures. Payment need not be made for work That fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement: shall commence on the date first written above and terminate on October 21, 2018, useless terminated earlier in accordance with Section 15, below. The term of this Agreement may be extended for one (1) two-year period upon a writing executed by the City Manager and the City Attorney, 4. 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. S. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual, license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"), Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Doeurnents & Data which were provided to Consultant by the City, City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. ts, INSURANCE Prior to tr dertaking 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 slid representatives 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 S1,000,000 per occurrence, with $2,000,000 in the aggregate. Consultant shall supply City with a .tally executed additional insured endorsement in substantially the form attached as Exhibit C upon execution of this Agreement. 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 -California Labor Code, Consultant, if Consultant has any employees, is required'to be insured against liability for worker's compensation or to undertake self,insuranee. Prior to commencing the 2 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 such 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 with $2,000,000 in the aggregate, e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement, (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (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. (iv) Consultant shall supply City with a fully executed additional insured endorsement. 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 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. 7, INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, ,restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant or its contractors, subcontractors, agents, .employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, ,just compensation, restitution, judicial or equitable relief is due by reason of the terns 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, arising from this Agreement. The Consultant ftuther 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 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, Notwithstanding the foregoing, to the extent Consultant's Services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. S. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period, of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. 10. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential told/or proprietary, Consultant agroes 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. 11. CONFLICT OF INTEREST CLAUSE Consutant 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 tinder this Agreement, 12. 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 fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Cleric of the City Comreil City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714-647-6956 With courtesy copies to: To Consultant: Fred Mousavipour Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza M-36 P,O, Box 1988 Santa Ana, California 92702 Fax 714- 647-5622 Project Partners, Inc. 23195 La Cadena Dr, Suite 101 Laguna Hills, CA 92653 Attn: (949) 852-9300 (office) (949) 852-9352 (fax) City Attorney's Office City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714-647-6515 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, 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 frame's, weekends, federal, state, County or City holidays shall be excluded. 13, EXCLUSIVIT'Y AND AMENDMENT This Agreement represents the complete and exchisive statement between the City and Consultant regarding the subject matter therein, 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 terrns of this Agreement shall prevail. This Agreement may not be modified except by written instrLment 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 or the City, Each party to this Agreement aolnrowledges 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 net embodied herein. 5 .14, 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. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination, In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions; a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. Payment need not be made for work that fails to meet the standard of performance specified in the Recitals of this Agreement. 16. NONDISCRIMINATION 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 or in connection with any activities under this Agreement, Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 17. JURISDICTION - VENUE This Agreement has becn executed and delivered in the State of California and the validity, interpretation, performance, and onforcement 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 comrection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Consultant shall, throughout the terra 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. 19. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City filly, including reasonable costs and attorncy's fees, for any injuries or damages to City in the event that such authority or power is not, in Pact, held by the signatory or is withdrawn. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the panties 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 By: _ T b'G.. " A Jolut . Funk Assistant City Attorney AL: ivb Director Works Agency CITY OF SAN1'A ANA Davi avazos City Manager CONSULTANT. 4 Pr �ject Partners, Inc. Tax ID#_-33 — 013,9 9 EXHIBIT A Appendix _w A`I I'A,CTIIVIENT 'A SCOPE OF WORK I CITY OF SANTA ANA REQUEST FOR PROPOSALS VOR ENCINEL'RING, TECUNICAL A" ADMINISTRATIVE SUPPORTSERVICES RF.P NO.: 15•045 Wroduction and Background: The City of Santa Ana is located in the County of Orange in Southern California. The City ancoznpeases 27,5 square miles and a population of over 325,000 people. The City of Santa Ana Public Works Agency is soliciting proposals for staff services from consulting firms to assist in the Design, Construction Management, Project. Management, Inspection, Oversight and delivery of Public Work Services, in the past the City has utilized used professional and administrative staff on as needed basis to meet the goals and objectives of the City in the delivery of quality, on ti:no services. The staff services arc an extension to the current workforce and work in conjunction to better sorve and complement the needs of the Public Works Agency. In sunnunaty, fine City of Santa Ana is soliciting proposals from qualified firms to provide engineering, technical, and administrative support services for Public Works, This roquest for proposal (RITT) provides interested qualified frnns with the inforrsration enabling them to submit a Service Btd Proposal and to provide the services described heroin. IJroscriht{era o.6 Worlct Oa as needed basis, the Consultant/s will provide the City with professional staff to perform oaginoering, teohnical and administrative tasks oil the delivery Publie Work Services. These'tasks may inelWo engineering design for street rehabilitation and street widening projects plains and specifications, Underground utility design and review for Water, sewer and storm drain plans end sp©cipcations, Next, Flectrioal and Merl anieal consulting, review and design of plans said specifications for water infrastructure (i,e, wells, pump stations, sewer lift stations), Also, landscaping and irrigation systom design fur public work projects. In addition, and inclucling trofric signal design, road swiping, survey services, contract management, project inspection and oversight, and administrative support services. "fine list ofpositions the Consultant/s might need to fill include the following: F ughtecring/Tcchnlcal • Project Engineer • Senior Civil Engineer (PE License R.equirod) + Assistant lingbaeer ll, (Civil, Electrical, Mechatnienl) _ . City of Santa Ana RFP 15•046 • Assistant Engineer i, ( Civil, 'Electrical, Mechanical) Engineering Aide CAD.D- Designer GIS Analyst Land Surveyor (LS License Required) • Project Manager • Field Inspector (Construction) Field Inspector (Buildings) Storm Water Coordinator o Plan Check Engineer AdMuMtrative o Senior Accounting Assistant s Accounting Assistant o Administrative Assistant w Contract Administrator After the City identifies the need for a positions to be titled, the selected oons'ultant/s will be asked to provide resumes of the candidates for the position. 'the City reserves the right to interview any of the candidates prior to making the selection. Registered. Professional Engineers and Licensed .Land Surveyors maybe required to sing plans, specifications and contract legal documents. The City will accommodates the chosen eandidate/s in a workstation with and provide related ofrioe supplies, and provide access to.the building (temporay identification cards), Consultant JR.esoonsibil.ties; CLwVij tti i_ t A,_ud tm 'Roviey }o, 8: Prior to awarding the contract, the selected. Consultant might be subject to an audit or review by Caltrans' Audits and Investigations (AM), other state audit organizations, or the federal government. The seteoted Consultant/s shall complete Exhibit 10-K — Consultant Certification Contract Costs and Financial, in the Appendix of this RF? as Attachmont4, Q-,y Res onsibilitiesl The City will provide information in its possession relevtuit to the preparation of the required infonnation in the R'FP. '.Cite City will provide only the staff assistance and the documentation specifically In referred to herein. T ee l—II)M sal; Include all forms nud information as requested. The Rindiag naechanisin for any of the available positions might corno Brorn different funding sources and would need to comply with the funding Agency requirements. My of Santa Ana RFP 16-046 In addition to Section IV,B,3 (Submittal Requirements: Fee proposal) fee Schedule shall be strachired as follows: • Caltrans Funded projects, reference LAPM Exhibit 10-H (sample cost proposal) included in Attachment 4, ,Special Regrtirpmwits (AttachmoW 41., Com alis,lnce with Funding Agency; All services rendered under federal, state and other noun- local Rmdiug sources are subject to compliance with the regulatory funding agency. If Caltrans: This project is funded through XXXX and shall comply with till requirements of XXXX The attached forms must be completed in their entirety and submitted with your proposal: • LAPM Exhibit 10-H: Sample Cost Proposal • LAPM Exhibit 10.1: Notice to Proposers, DBE Information • LAPM Exhibit 10.01: Consultant Proposal DBE Commitment • LAPM .Cxhibit 10-K: Consultant Certification of Contract Costs and Financial rnatlagement Systein If CDBG: This agreernent will be fendod through the US. Department of Housing and Urban. Development, Community Development Block Grant .Program and as such is subject to the conditions of the Section 3 Contract Clause, Proposer shall comply with all requirements as they •porta:in to the use of these funds. Refer to Attaolnnent 4, included in the Appendix of this RFP, If the project will be financed by federal funds all services rendered shall meet all roquirod fedoras requi,roments included inthis request for proposal. Comulants tore advised that, as required by federal law, the City of Santa Ana is implementing the now Raoo Conscious Disadvantaged Business Entouhrise (DBE) program. The DBE goalfor this contract is 9,60a/u. City of Santa Ana RFP 15.046 EXHIBIT B Project Partners (07114115) Title Billing Rate Project Engineer $ 66.00 to $ 78,00 Senior Civil Engineer (PE, License Required) $ 72.00 to $ 97.00 Assistant Engineer I1 $ 56.00 to $ 69.00 Assistant Engineer $ 38.00 to $ 55.00 E, nginearingAide $ 33.00 to $ 48.00 CADD- Designer $ 43.00 to $ 56.50 GIS-Analyst $ 4-9.00 to $ 78,00 Land Surveyor(LS, License Required) $ 88.00 to $ 102.00 FrojeetManager $ 85.00 to $ 114.00 Field Inspector (Construction)* $ 92.50 to $ 115.62 Building Inspector (Buildings)* $ 92.50 to $ 115,62 Storm Water Coordinator $ 38,00 to $ 54,00 Plan Check Engineer $ 78.00 to $ 97A0 Senior Accounting Assistant $ 35.00 to $ 50.00 Accounting Assistant $ 26.00 to $ 39.00 Administrative Assistant $ 23.50 to $ 36.00 Contract Administrator $ 37.00 to $ 50,00 * Prevailing Wage -Standard EXHIBIT C ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY 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 92701; its officers, employees, agents, volunteers and representatives 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 cancelled, 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 92701. (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 A ®� CERTIFICATE OF LIABILITY INSURANCE 4/DATE(M 5DMYY) 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: It 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 endorsements . PRODUCER CD TACT Marie Swaney_ Dealey, Renton & Associates PHONE PAX 199 S Los Robles Ave Ste 540 tf wr-Nel' s-mni�ss, mswaney@dealeyrenton.com Pasadena, CA 91101 INSURERS) AFFORDING COVERAGE NAICtl LIC#0020739 INSURERA:Travelers Indemnity Co. of Connecti 25682 INSURED PROJEPART INSURER B:TravelerS Property Casualty CD of A 25674 INSURERC:American Automobile Ins. Co. 21849 Project Partners 23195 La Cadena Drive, Suite 101 Laguna Hills, CA 92653 INSURER a:U.S. S ecialty Insurance Company 29599 INSURER E: 949 852-9300 INSURER F COVERAGES CERTIFICATE NUMBER: 1447584767 REVISION NUMBFR- 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 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTp TYPE OF INSURANCE 0 D POLICY NUMBER MMlbtl/VYVY MMQDM'XYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR Y Y 680936IL110 /18/2015 4/1812016 EACH OCCURRENCE $1.000,000 0 PREMISESso accu rant $1,000,000 x MED EXP(Any one person $10,000 Contractual LBIG PERSONAL A ADV NJUI S1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY [:K]°E° LOC GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS -COMPIOPAGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y $A93611.484 /18/2015 4118/2016 Eeac ideal $1,000,000 BODILY INJURY (Par parson) $ ANY AUTO X EE ALTOSNEO SSH-RULED HIREO AUTO$ X NON-OWNEO AUTOS BODILY INJURY (Per accident) $ p A E —$ jeer accidenq $ X NoOwnedAutas B X UMBRELLA LIAB I X IOCCUR Y Y 111312015 4/18/2016 EACH OCCURRENCE $1,000,000 AGGREGATE $1.000.000 EXCESS LIAB CLAIMS -MADE �CUPIIIIY641 OEO I X I RETENTIONS S C WORMERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETORIPARTNEWEXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED4 (Mandatory In NH) If yes, descri8a under DESCRIPTION OF OPERATIONS below WZP81024762 1/1/2015 d11/2016 X ER OTH- SrATUTE R E.L. EACHACCIOENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,00D E.L. DISEASE -POLICY LIMIT $1.000,000 D I Professional Liability USS1525750 /18f2016 4MW2016 $1,000,000 Per Claim Y e Claims Mad Form $1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Bamako Schedule, maybe attached if more space Is required) "General Liability excludes claims arising out of the performance of professional services. Umbrella policy Is a follow -form to underlying General Liability/Hired&Non-Owned Auto Liability/Employers Liability.` The City of Santa Ana, its officers, employees, agents, volunteers and representsqqves ar named as additional insured as respects general and hired/non-owned auto liability for claims arising from the operations of the nar"nod ins eed as required per contract or agreement. R[?ItEWELi BY EUNICE HEREDIA (PG I OF } City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rtnhtc. rnennma ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 6809361➢1.10 COMMERICAL GENERAL LIABILITY ISSUE DATE:4/15/201.5 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Santa Ana 120 Civic Center Plaza - m26 Santa Ana CA 92901 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): The person or organization shown In the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- slons or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products -completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily Injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services". The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed In that 'contract or agreement requir- ing insurance" to provide for that additional Insured, or the limits shown in the Declarations for this Coverage Part, whichever are less This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of A, Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree In a contract or agreement requiring insurance that, for the addi- tional insured shown h the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 Page I © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission CEVIEV+IED BY: �71 _ r _' _° EUNICE HEREDIA (PG ,O( C�— COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage' for which coverage is sought occurs; and (2) The 'personal injury' for which coverage is sought arises out of an offense committed; after you have entered Into that "contract or agreement requiring insurance" for such additional Insured. But this Insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us In COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for 'bodily injury", 'property damage' or "personal injury" arising out of 'your work' on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance' with that additional insured. We waive these rights only where you have agreed to do so as part of the 'contract or agreement requiring insurance' with that additional insured entered into by you before, and in effect when, the 'bodily injury' or "property damage" occurs, or the "personal injury' offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional Insured on this Coverage Part, provided that the 'bodily injury" and 'property damage" occurs, and the "personal Injury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page z 02007 The Travelers Companies., Inc. Includes the copyrighted material or Insurance Services Office Inc., with its permission Rf-�II EWER FSY S„� E UNICE HEREDIA (PG POLICY #:BA98e1L484 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 ofthe Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "Insureds" under the Who Is An Insured Provi- sion 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:4/lg/2o1s Countersigned By: NamedInsured: Project Partners Authorized Re resentative� SCHEDULE Name of Person(s) or Organization(s): The City of Santa Ana, its officers, employees, agents, volunteers and representatives (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 REVIEWED BY : l i ' EItNICE f iEREDIA PG t , e ACtORL?� CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 1 4/12/2016 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 endorsements . PRODUCER CONTACT Marie Swaney Dealey, Renton & Associates PHONE FAX . 626-844-3070 199 S Los Robles Ave Ste 540 E-MAIL renton.com , mswaney@dealeyrenton.com Y Pasadena, CA 91101 INSURERS AFFORDING COVERAGE NAIC t/ Lic #0020739 INSURERA:Travelers Indemnity Co. of Connecti 25682 INSURED PROJEPART INSURER B :Travelers Property Casualty Co of A 25674 Project Partners INSURER C :American Automobile Ins. Co. 21849 23195 La Cadena Drive, Suite 101 Laguna Hills, CA 92653 INSURER D :U.S. Specialty Insurance Company 29599 INSURER E : 949 852-9300 INSURER F COVERAGES CERTIFICATE NUMBER: 1444432639 REVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDWYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X� OCCUR Y Y 6809361L110 4/18/2016 4/18/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) $10,000 Contractual Liab X XCU Included PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $2,000.000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BA93611_484 4/18/2016 4/18/2017 MBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO I$ ALL OWNED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED X PROPERTY DAMAGE Per accident XAUTOS $ NOOWnedAUtoS B X UMBRELLALIAB X OCCUR Y Y CUP8833Y649 4/18/2016 4/18/2017 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A WZP81033771 4/18/2016 4/18/2017 1 OTH- STATUTEI ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E,L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D Professional Liability USS1626677 4/18/2016 4/18/2017 $1,000,000 Per Claim Claims Made Form $1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Umbrella policy is a follow -form to underlying Gen eral/Hired&Non-Owned Auto/Employers Liability Policies. AM Best's Rating for all policies listed are: A/XII or greater. The City of Santa Ana, its officers, employees, agents, volunteers and rep resentativesare named as additional insured as respects general and hired/non-owned auto liability for claims arising from the operations of the named insure s required per written contract or agreement. REVIEWED BY:' E UN11C E Fi Rt:L" IA (PC C O k %,cR I Ir R,M IG nULUF_rc %,AIVI.GLLA I IUIN UU UdV IV\J1-,I I UdV IUI IVUI Ir-dV UI r'IUIII City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f'tiP7s , r y U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BA9361L484 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. B-H."1111 11613 This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Project Partners Endorsement Effective Date: 4 / 12 /2 016 SCHEDULE Name Of Person(s) Or Organization(s): The City of Santa Ana, its officers, employees, agents, volunteers and representatives Information required to complete this Schedule, if not shown above will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 © Insurance Services Office, Ind., 201 REVIEWED BY: __..m...____._...._.____.rv--Page- .. - 1 POLICY NUMBER: 6809361L110 COMMERICAL GENERAL LIABILITY ISSUE DATE:4/12/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products -completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 © 2007 The Travelers Companies Inc. Includes the copyrighted material of Insurance Services QKice Inc., its Page f REVIEWED BY:// 11 .�' ` (,.. w EUNNCE tGt.REDIA (fit.;, COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury' for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury' or "property damage" occurs, or the "personal injury' offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury' and "property damage" occurs, and the "personal injury' is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc. permission Page 2 RE V .. I ... E WFD BY: --��" � ���� (� f tfNI� CE k if REDID (PGy OF Policy #BAQ3U1L484 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorse- ment, the provisions of the Coverage Form apply unless modified bythe endorsement. Paragraph 5. Transfer of Rights ON Recovery Against Others To Us of the CONDITIONS section imreplaced bythe following, S. Transfer Of Rights Of Recovery Against Oth- ers ToUs We waive any right of recovery we may have against any person or organization to the extent CAT34DD8O8 required of you by a written contract executed prior to any "accident" or "loss", provided that the ~accident' or "|omu^ arises out of the operations contemplated by such contract. The waiver ap- plies only to the person or organization desig- nated in such contract. Oc 2008 The Travelers Companies, Inc. Page 1of1 ACCP 'Q® l-, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 Pasadena, CA 91101 Lic #0020739 CONTACT NAME: Marie Swaney______ PHONE �FAX IA/C No,.EXt) 626-844 3070 L.IA/c No). E-MAIL mswane deale renton.com -ApDRE s Y@ Y INSURERS AFFORDING COVERAGE NAIC # INSURERA:Travelers Indemnity Co. of Connecti 25682 INSURED PROJEPART INSURER B :Travelers Property Casualty Co of A 25674 Project Partners 23195 La Cadena Drive, Suite 101 Laguna Hills, CA 92653 INSURERC;U.S. Specialty Insurance Company 29599 INSURER Indemnity INsuRERD:Travelers Indemnity COmpany 25658 ------ INSURER E : 949 852-9300 INSURER F : COVERAGES CERTIFICATE Nt1MRFR- 1785023871 RFVlglnhl NI IMRPR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ------- TYPE OF INSURANCE INSD UR WVD ---- POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY ------ -------_..-._ ---- LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE •• OCCUR Y Y 680OJ543236 4/18/2017 4/18/2018 EACH OCCURRENCE DAMAGE TORENTEDPREMISES Ea occurrence)00000 +$2,000,,o000 X Contractual Liab MED EXP (Any one person) $10,000 X XCU Included PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 $ A AUTOMOBILE LIABILITY Y Y BA93611­484 4/18/2017 4/18/2018 COMBINEDEa lSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO I AUTOS NED SCHEDULED AUTOS$ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ — X NoOwnedAutos $ B X UMBRELLA LIAB X OCCUR Y Y I CUP8833Y649 4/18/2017 4/18/2018 EACH OCCURRENCE ( $1,000,000 EXCESS LAB CLAIMS -MADE AGGREGATE $1,000,000 DED ''.. X RETENTION $0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AOFFICER/MEMBER EXCLUDED? N / ANYPROPRIETOR/PARTNER/EXECUTIVE I UB3J809976 4/18/2017 4/18/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT -- $1,000,000 -- ---_ E.L. DISEASE - EA EMPLOYEE ---------- $1,000,000 (Mandatory in NH) If yes, describe under ----------------- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability USS1727622 4/18/2017 4/18/2018 $1,000,000 Per Claim Claims Made Form $1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. Umbrella policy is a follow -form to underlying General/Hired&Non-Owned Auto/Employers Liability Policies. AM Best's Rating for all policies listed are: A/XII or greater. Re: All operations of named insured -- The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general and hired/non-owned auto liability for claims arising from the operations of the named insured as required per written contract or agreement. Coverage afforded the additional insured is primaryand on -contributory as respects to general See Attached... _ __..._._ ..._..._.. REVIEWED D By. EUNIt 4 Hi RE DIA (I: CGJ O6 � VGRI n'IVHIC r1ULUCr% VAI1k I=LLAIIUIV UU UdY Ivkjl'/ IV UdV IVI IVUIIr-dV UI r-ICIII City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Ac"R"' AGENCY CUSTOMER ID: PROJEPART LOC #: A111117111TInKIIA11 D[:RAADVQ AGENCY NAMED INSURED Dealey, Renton & Associates Project Partners POLICY NUMBER 23195 La Cadena Drive, Suite 101 Laguna Hills, CA 92653 949 852-9300 CARRIER I TAIC CODE EFFECTIVE DATE: IALWI I IUNAL Kr_IVI/AKr%b THIS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ISED t NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE liability coverage. Insurance coverage includes waiver of subrogation per the attached enclorsement(s). SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non -Payment of Premium D --- 1 _4 I [kL;UKL) I U1 (ZUUU/Ul) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD REWEWED RY: EUNK,E HEREDiA (J'G COMMERCIAL. AUTO THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY' This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following nap|ooaa Paragraph A.5.. Transfer of required of you by n written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the C� CND|T|{JNSSocU� Section: ^ accident" or ''|mou" arises out of the operations 5. Transfer OfRights OfRecovery Against [3th- contemplated by such contract. The waiver ap- enaToUs plies only to the person or organization deeig- VVe waive any right of recovery we may have notmdinsuch contract. against any person or organization to the extent CAT34O021S woo/sThe Travelers muommtyovmvany,mnomnresmve , Page 1nf1 POLICY NUMBER: 680OJ543236 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 4/14/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AID •`'k 0 1 - - . 0- This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSONS OR ORGANIZATIONS: City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: All operations of named insured -- Ia Z1110RiEel ki 1. The following is added to SECTION II - WHO IS AN INSURED: The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations ex- ceed the limits of liability required by the "writ- ten contract requiring insurance", the insur- ance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the lim- its of insurance described in Section III - Lim- its Of Insurance. g. This insurance does not apply to "bodily inju- c. With respect to the independent acts or orris- ry" or "property damage" caused by "your sions of such person or organizatioor work" and included in the "products- d. For "bodily injury", "property damage" or "per- completed operations hazard" unless the sonal injury" for which such person or organi- "written contract requiring insurance" specifi- zation has assumed liability in a contract or cally requires you to provide such coverage agreement. for that additional insured, and then the insur- ance provided to that additional insured ap- CG D3 82 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its mission 1R VGC,VV i s B' EUNIC I°4t-t EMA (P O _ _ _ .. __ _ __ ._.._.._ _. _ V_ COMMERCIAL GENERAL LIABILITY plies only to such "bodily injury" or "property 3. damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured shown in the Schedule above is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this in- surance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this in- surance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requir- ing insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that is available to the additional insured when that per- son or organization is an additional insured under any other insurance. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL LI- ABILITY CONDITIONS: We waive any right of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you be- fore, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINI- TIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or or- ganizations shown in the Schedule above, under which you are required to include that person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs and the "personal inju- ry" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in ef- fect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance ServiCes Offic tn� a^[1th its �a .rrcuss�ort _ _.._..,_... _ _ _....._...._......... _.._._... _._ -� POLICY NUMBER: BA9361L484 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Project Partners Endorsement Effective Date: 4 / 18 / 2 017 SCHEDULE Name Of Person(s) Or Organization(s): The City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: All operations of named insured -- Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc 2011 Page 1 of 1 IB 4EVIC W D B I -UM+" Vim^ k (:"R4 DIA (PG ACOROa CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDNYYY) P4/20/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 CONTACT NAME: Marie Swaney PHONE FAX A/C No Elf : 626-844-3070 we No Pasadena, CA 91101 ADDRLEss: mswaney@dealeyrenton.com Lic #0020739 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. of Connecticut 25682 INSURED PROJEPART Project Partners 23195 La Cadena Drive, Suite 101 INSURER B: Travelers Property Casualty Cc of Ameri 25674 INSURERC: U.S. Specialty Insurance Company 29599 INSURERD: Laguna Hills, CA 92653 949 852-9300 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 1239199550 RF_VISION NIIMRFR- 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. TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DIDYNYYY EXP MM DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEI-XI OCCUR Y Y 680OJ543236 4/18/2018 4/18/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE O RENTD PREMISES (Ea occurrence) $ 1,000,000 X j Contractual Liab MED EXP (Any one person) $ 10,000 XCU Included PERSONAL & ADV INJURY $ 2,000,000 X AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GEN'L POLICYFX] PRO- JECT LOG PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BA93611_484 4/18/2018 4/18/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X NoOwnedAutos $ B X UMBRELLA LIAB X OCCUR Y Y CUP8833Y649 4/18/2018 4/18/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DIED I X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N UB3J809976 4/18/2018 4/18/2019 X SPER TATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability USS1828638 4/18/2018 4/18/2019 $2,000,000 Per Claim $2,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. Umbrella policy is a follow -form to underlying Policies: General Liability/Auto Liability/Employers Liability. AM Best's Rating for all policies listed are: A/XII or greater. Re: All operations of named insured -- The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects general and auto liability for claims arising from the operations of the named insured as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attac ed endorsement(s). REVIEWED BY: EUNICE HEREDIA (PG' OF ) �, r_m I Irww I r City of Santa Ana 120 Civic Center Plaza - M36 Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IYA004�1� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: SOOOJ543230 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 4/20/2O1O THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OFPERSONS OR ORGANIZATIONS: CityofSanta Ana 12OCivic Center Plaza -yW38 Santa Ana CASD701 PROJECT/LOCATION OF COVERED OPERATIONS: The City of Santa Ana, its officers, employees, agents, volunteers and representatives -- Re: All operations of named insured -- PROVISIONS 1. The following Is added to SECTION N ~VVHO IS AN|NSURED: The person or organization shown In the Sched- ule aboYeis an additional insured oDthis Cover- age Pad.hut: o. Only with respect toliability for "bodily injury", "property damage" of"personal Injump|and b. If, and only to the extent that, the Injury or danneQm is caused by acts or omissions of you nryour subcontractor |nthe performance of "your Vvnd(' to which the "written contract requiring insurance" applies, or In connection with promises owned bynrrented bzyou. The person ororganization does not qualify msan additional Insured: o. With respect t0the Independent acts oromis- sions ofsuohp8raoDororQ8n|z$Uoor d. For "bodily Injury", "property damage" or"pep sona||n|umpfnrYVh|ohsuchparsoDororgani- zation has assumed liability In a contract or aQng$maOt. The insurance provided tosuch additional Insured Is limited as follows: e. This insurance does not apply to the rendep |ng of or failure to render any"professional services". f. |Dthe event that the Limits ofInsurance of the Coverage Part shown In the Declarations ex- ceed theUm|b;ofliability required bythe "writ- ten contract requiring Insurance", the Insur- ance provided bothe additional |Haucmd shall belimited bzthe limits ofliability required by that "written contract nuqU|dnQ Insurance". This endorsement does not Increase the UDl- |boufInsurance described inSection III - Lim- its Of|no4nancm. g. This insurance does not apply to"bodily Inju- ry" or "property donOmoe" caused by "your work" and Included in the "products - completed operations hazard" Vn|eum the '\w,|tt8ncontract requiring Insurance" specifi- cally rGqU|resyoUto provide such coverage for that additional Insured, and then the Insur- ance provided to that additional insured op~ 0G[3 820916 @ 2M5The Travelers Indemnity Company. All rights reserved. Page 1of3 Includes the copyrighted mateda|uf| Services Office, Inc.,with/s permission COMMERCIAL GENERAL LIABILITY plies only to such "bodily injury" or "property 3. damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a, of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured shown in the Schedule above is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this in- surance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this in- surance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily Injury" or "property damage" for which coverage Is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requir- ing insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that Is available to the additional insured when that per- son or organization is an additional Insured under any other insurance. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL LI- ABILITY CONDITIONS: We waive any right of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you be- fore, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINI- TIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or or- ganizations shown in the Schedule above, under which you are required to Include that person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs and the "personal inju- ry" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in ef- fect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission REVIEWED BY: EUNICE HEREDIA {PO" OF ) Policy: BA9361L484 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE in the BUSINESS AUTO COVERAGE FORM and Paragraph e. in A.1., Who Is An Insured, of SECTION II— COVERED AUTOS LIABILITY COVERAGE In the MOTOR CARRIER COVERAGE FORM, whichever Coverage Form is part of your policy: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". CA T4 37 0216 © 2016 The Travelers Indemnity Company, All rights reserved, Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. REVIEWED BY: EUNICE HEREDIA (PG OF Policy Number: BA936 1 L484 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated In such contract, against any person or organization to the extent CA T3 40 02 15 02016 The Travelers Indemnity Company. All rights reserved. Page 1 of I Includes copyrighted material of Insurance services Office, Inc. with Its permission. REVIEWED BY: EUNICE HEIREDIA (PG_!5,F,-5)'