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AECOM 5 -2015
City of Santa Ana t = Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement anEr i amendments (if any) are no longer in effect. Note: If your agreement Is grant related, please ensure that all grant retention requirements CITv have been satisfied prior to signing the termination form. CLE. 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. COTC Office Us? Only 12 AM 9- 50 OF COUNCIL The agreement with ECOm No. �% f5 �l� was completed on / and final payment has been made. (List all amendments. Use space below N needed.) P Z?' Re•,ised: 10-73-16 -/6'�-r)/ -1(!� '�-0--�- Department: Ayl q 1J') Phone/Ext.: x �d 3 Signature: J �� Date: t%c INSURANCE NOT REQUIRED WORK MAY PROCEED CLERK OF COUNC , 01ATF. PROFESSIONAL SERVICES AGREEMENT CITY OF SANTA ANA ON -CALL ENGINEERING SERVICES A-2015-169 THIS AGREEMENT is made and entered into this 5th day of August 2015 by and between AECOM (hereinafter "Consultant') and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of - On -Call Engineering Services to provide engineering services on an as -needed basis. Engineering services may include, but are not limited to, civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services. Prior to issuing a Task Order, the City may request a detailed Scope of Work, for a specific project/task. If requested, the consultant would provide a task proposal, budget and schedule for the Task Order. From this the City may choose which consultant to assign the project/task to pursuant to this Agreement. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the related field of expertise. 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. TERM This Agreement shall commence on the date first written above for a two (2) year term with the option for the City to grant up to two one-year renewal options exercisable by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below. 2. SCOPE OF WORK Consultant agrees to perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Scope of Work - Exhibit A, attached hereto and incorporated by reference. Additional Agreement provisions, if any, may be contained in "Additional Provisions" attached hereto and incorporated into this Agreement as Exhibit C. 3. SCHEDULE OF SERVICES If a Task Order is issued, Consultant shall complete services and shall perform and deliver them to the City as described and detailed in Exhibit A and per the Task Order provided. The City may request that the Consultant provide a proposed scope of work, schedule and budget for a particular project or work product within a Task Order. If the City approves the Task Order, the City will issue a Notice to Proceed ("NTP") approved by the Executive Director of the Public Works Agency or his/her designee ("Executive Director"). Consultant shall meet the work deliverables within the Task Order, the schedule and budget unless otherwise adjusted by the City. Such services shall be provided per written request of the Executive Director after the City's issuance of the NTP. 4. COMPENSATION City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the rates, fees, and charges identified in Exhibit B, "Compensation", attached hereto, and incorporated by reference, in an amount not to exceed two hundred fifty thousand dollars ($250,000) over the entire life of the Agreement, including any renewal period(s). Exhibit B includes completed Federal Exhibits 10-K and 10-H along with all Consultant and subconsultant(s) rates and fees that comply with federal requirements. Exhibit D includes all previously completed Federal certification forms as part of the Proposal submittal in response to the Request for Proposals. These are attached hereto and incorporated herein as Attachment D- 1, D-2, D-3 and D-4. 5. 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 disks (CD)s, USB jump drives or equivalent, 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 Documents & Data which were provided to Consultant by the City. City 2 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. 6. PAYMENTS & INVOICES a. Consultant shall submit a monthly invoice by the fifteenth of the month to the City for the services rendered in the prior month. b. All invoices for work performed under this Agreement shall be submitted in a format approved by the City. Invoices shall include the following information at a minimum: i. Consultant's invoice number and City's agreement number ii. Beginning and ending dates for services iii. City Project and/or Task Order number andor name (if applicable) iv. Work site address/location (if applicable) V. Tasks or deliverables completed, and percentage (%) of total services completed. vi. Remaining Overall and Task Order budget available City will, within 45 days of receiving such statement in a manner that meets the City's requirements, review the statement and subsequently pay the approved charges thereon. 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. f'� 1►�Y117�►�C�L Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, and $2,000,000, in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insured's provisions. 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, Contractor, if Contractor 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, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim and $2,000,000 annual aggregate shall be maintained. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. ii. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. iii. Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City, except for 10 days' notice for non- payment of premium. f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 13 :�10AMA1 N1111[ICI To the fullest extent permitted by law, Consultant shall indemnify, defend and hold harmless City, its officers, agents and employees (collectively, the "indemnified parties") from and against any and all claims (including, without limitation, claims for bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action, suits, losses, judgments, fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's fees, disbursements and court costs) of every kind and nature whatsoever (individually, a claim; collectively, "claims"), to any work performed or services provided under this Agreement arising out of, relating to or pertaining to the negligence, recklessness or willful misconduct of Consultant, its principals, officers, agents, employees, vendors, suppliers, contractors, subcontractors, anyone employed directly or indirectly by any of them or for whose acts they may be liable for any or all of them. Notwithstanding the foregoing, nothing herein shall be construed to require Consultant to indemnify the indemnified parties from any claim arising from the sole negligence or willful misconduct of the indemnified parties. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by the Consultant. 10. LAWS AND REGULATIONS Consultant shall keep itself fully informed of and in compliance with all local, state and federal laws, rules and regulations in any manner affecting the performance of the Project or the services and shall give all notices required by law. Consultant shall be liable for all violations of such laws and regulations in connection with services. If the Consultant performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Consultant shall be solely responsible for all costs arising wherefrom. Consultant shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Agreement, from any claim or liability arising out of any failure to comply with such laws, rules or regulations. 11. 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 5 reference to information disclosed by the City. 12. 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. (Also see Exhibit D.) 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the authorized representatives of the parties. 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 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 is not embodied herein. 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(s) completed as of such date, and in such case such work product(s) 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. 6 16. 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. (Also see Exhibit D.) 17. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. The 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. 18. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 19. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Cleric of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1998 Santa Ana, CA 92702-1988 Facsimile (714) 647-6956 With courtesy copy to: Executive Director of Public Works City of Santa Ana 20 Civic Center Plaza (M-36) P.O. Box 1988 Santa Ana, California 92702 Facsimile (714) 647-5635 7 To Consultant: AECOM Matt Ulukaya, PE 999 Town and Country Road Orange, CA 92868 Phone: (714)567-2400 Facsimile: (714) 567-2441 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by facsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 20. MISCELLANEOUS PROVISIONS a. Additional provisions, if any, are identified as Additional Provisions — Exhibit C, attached hereto and incorporated herein by reference. b. 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 fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By.& Lisa Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: i4e Director Works Agency CITY OF SANTA ANA DAVID CAVAZOS City Manager CONSULTANT: (Name) MA"r T- '"Li A (Title) VICE p)za1),)r: d7— EXHIBIT A SCOPE OF WORK CITY OF SANTA ANA ON -CALL ENGINEERING SERVICES 1J efn Q1*: . The City of Santa Ana (City) solicited proposals from professional consulting firms (Consultant) to provide engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services. A detailed Scope of Work will be outlined when/if a specific project or Task Order is assigned to the consultant. The work, in general, consists of general engineering design projects on arterial and local streets, bike paths, and public parks, citywide. Funding sources for each project may vary ranging from local, Measure M2, state and federal and each project/task order assignment shall comply with the funding agency's requirements. The projects may include storm drain improvements; sidewalks, bike paths, curb and gutter replacement; slurry seal of residential streets; repair and overlay of asphalt concrete and/or PCC streets; signing, striping, neighborhood traffic studies, traffic signal modifications; landscaping and irrigation systems; park and recreational design, grant application writing, and other related projects as required. On occasion, environmental and planning support services may also be requested. The City may need consultant services for survey, mapping and legal description preparation, construction management, staking and inspection. Occasionally, the City may also need geotechnical, mechanical, electrical and/or structural services. The Consultant shall be able to assist the City through this contract to provide the necessary services. The Consultant shall utilize in-house staff and/or sub -consultants to complete the assignments to meet the City standards. For specialized work for which the prime consultant shall require a sub -consultant, the prime consultant shall serve as an administrative liaison between the City and the sub -consultant. The prime Consultant mark-up for sub -consultants shall not exceed 10%. II. PROPOSED SCOPE OF SERVICES In general, the Consultant shall perform above noted engineering design services resulting in contract documents (plans, specifications and cost estimates "PS&E") for various projects on an as -needed basis. However, work tasks may include studies or a variety of engineering or other 1.0 tasks. If requested by the City, the Consultant shall provide a Work Plan which includes a detailed schedule of the assigned project prior to the issuance of Notice to Proceed of that particular project and/or Task Order. Specific Task Orders with Notices to Proceed ("NTPs") will be provided for project(s) at the discretion of the City. Work required per Task Order shall comply with the Scope of Services and additional provisions in each Task Order and this agreement. The Consultant shall also provide all field survey work required as appropriate and shall have the necessary experience and required civil, traffic, electrical, structural, geotechnical, surveying, landscape architect and architectural licenses for those in responsible -charge of the work being completed. The Consultant's services for PS&E engineering project preparation shall include, but not be limited to, the following: 1. Research existing records of utility companies and agencies and coordinate the proposed improvements with existing field conditions. 2. Provide all field survey and topographic work necessary to complete the design effort. Design level survey and base mapping of the project site shall be prepared in US Customary English units by a California licensed Land Surveyor in accordance with the City guidelines and in Microstation V8i Computer Aided Design and Drafting (CADD) format. The horizontal datum shall be NAD 83 and the vertical datum shall be NAVD 88. All survey field notes shall be on forms provided by the City, shall be neatly completed in pencil, and shall become property of the City upon completion of the project. Informal field investigations including marking of removal areas may be required for some of the sidewalk, curb and gutter, and pavement replacement projects. 3. Complete the design of projects including plans, specifications, and engineer's construction cost estimate. The Consultant shall contact manufacturers and/or contractors to verify the engineer's estimate prior to submitting to the City. Specifications shall be prepared in Microsoft Word and an electronic copy of the final version shall be furnished to the City. The City will provide the specification boiler plate to the Consultant. 4. If requested, all preliminary and bid sets of plans shall be plotted on bond or velum using the Microstation V8i CADD program. All drawings shall be completed per the City of Santa Ana CADD Standards. For interim submittals, the City may opt to receive only PDF versions of the plans for reviewing purposes. If so, the Consultant team will provided plans and/or specifications accordingly. 5. All original plan sheets, the title sheet of the specifications, calculations, and reports shall be signed and stamped by the Consultant's licensed professional engineer responsible/in-charge of the project. These signed originals shall then become the property of the City. 6. If a part of the on -call project scope, the Consultant shall provide support services during the bidding and construction phases of the project on an as needed basis, including, but not limited to: 11 A. The Consultant shall respond to bidder inquiries during the bidding process, including preparation of any addenda. Following award of the construction contract, the Consultant shall attend the pre -construction meeting. B. The Consultant shall review and approve all submittals and shop plan drawings required supporting the construction contract. The Consultant shall complete shop drawings reviews within two (2) weeks of receipt. Contract Change Order reviews shall be completed within two (2) working days of receipt. C. The Consultant shall respond to written Requests for Information (RFI) to provide clarification or resolve discrepancies in the contract documents. Responses shall be completed within three (3) working days. D. The Consultant shall provide periodic field reviews and bring to the attention of the City of Santa Ana any defects or deficiencies in the work by the construction contractor which the Consultant may observe. The Consultant shall have no authority to issue instruction on behalf of the City of Santa Ana, or to deputize another to do so. 7. If included in the on -call project scope, upon completion of construction, the Consultant shall prepare as-builts and submit them to the City. The Consultant shall incorporate all changes to the plans electronically with all necessary revision notations. Once plans have been updated, a signed set of as -built mylars shall be submitted to the City with an electronic copy (in Microstation V8i CADD and pdf formats) of the final as -built drawings via CD or e-mail. 8. If included in the on -call project scope, the Consultant shall monitor the project progress, maintain project files, and control the quality of the work performed by in-house staff and/or sub -consultants. Incomplete (not meeting targeted completion) or poor quality work will not be accepted. The Consultant shall revise the documents within a revised schedule set by the City, which may require overtime. No additional compensation for regular or overtime hours necessary to complete this work to the satisfaction of the City shall be approved by the City for the required revisions. It is the responsibility of the Consultant to produce a professional - level quality of work product. 9. If included in the on -call project scope, attend meetings with the City staff as required. 10. If included in the on -call project scope, the Consultant shall coordinate plan check, design topics, permits and any other issues with the City, other Agencies, and all utility companies as required. At the direction of the City, the Consultant shall be the liaison with affected agencies. 11. If included in the on -call project scope, the Consultant shall be responsible for reviewing and approving addenda and clarifications to plans and specifications. III. GENERAL REQUIREMENTS 1. All work shall be performed in conformance with the latest City of Santa Ana policies, procedures and standards, and applicable, regulatory, state and federal requirements. 2. Consultant shall carry out the instructions received from the City of Santa Ana and shall cooperate with the City of Santa Ana and any other involved agencies. 12 3. The Consultant shall have complete responsibility for the accuracy and completeness of all documents and plans prepared and shall check all such materials accordingly. The plans will be reviewed by the City of Santa Ana for conformity with the requirements of the Agreement. Reviews by the City of Santa Ana do NOT include detailed review or checking of design or the accuracy with which such designs are depicted in the documents and the plans. The responsibility for accuracy and completeness of such items remains solely that of Consultant. 4. The documents and plans furnished under the Agreement shall be of a quality acceptable to the City of Santa Ana. The criteria for acceptance shall be a product of neat appearance, well organized, technically and grammatically correct, checked, and dated and having the maker and checker identified. S. The Consultant shall have quality control procedures in effect during the entire time work is being performed under the Agreement. The quality control procedures shall establish a process which includes checking processes for FS&E preparation, an independent constructability review, correcting and back checking procedures, and all job related correspondence and memoranda dated and received by affected persons and then bound in appropriate job files. The City of Santa Ana reserves the right to request proof of said documentation. 6. The Consultant's work and all records shall be subject to inspections by representatives of the City of Santa Ana and funding agency requirements or audits if requested. Consultant certifies that it shall comply with the following regulations, as required by the (funding agency): a. Audit Records - With respect to all matters covered by this agreement all records shall be made available for audit and inspection by the City, the grant agency and/or their duly authorized representatives for a period of four (4) years from the termination of this Agreement. For a period of three years after final delivery hereunder or until all claims related to this Agreement are finally settled, whichever is later, Consultant shall preserve and maintain all documents, papers and records relevant to the services provided in accordance with this Agreement, including the Attachments hereto. For the same time period, Consultant shall make said documents, papers and records available to City and the agency from which City received grant funds or their duly authorized representative(s), for examination, copying, or mechanical reproduction on or off the premises of Consultant, upon request during usual working hours. b. Information - Consultant shall provide to City all records and information requested by City for inclusion in quarterly reports and such other reports or records as City may be required to provide to the agency from which City received grant funds or other persons or agencies. 13 C. Section 504 of the Rehabilitation Act of 1973 (Handicapped) - All recipients of federal funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act). Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives assurance that no otherwise qualified handicapped person shall, solely by reason of handicap be excluded from the participation in, be denied the benefits of or be subject to discrimination, including discrimination in employment, in any program or activity that receives or benefits from federal financial assistance. The Consultant agrees it will ensure that requirements of The Act shall be included in the agreements with and be binding on all of its contractors, subcontractors, assignees or successors. d. Americans with Disabilities Act of 1990 - (ADA) Consultant must comply with. all requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable and the related guidelines that may be more recent. e. Political Activity - None of the funds, materials, property, or services provided directly or indirectly under this agreement shall be used for any partisan political activity, or to further the election or defeat ofany candidate for public office, or otherwise in violation of the provisions of the "Hatch Act", f. Civil Rights Compliance and Notification of Findings - Consultant, and all its contractors (or sub -recipients) will comply, with the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 USC 3789 (d), or Victims of Crime Act (as appropriate); Title VI of the Civil Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1964, as amended; Subtitle A, Title II of the Americans with Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; Department of Justice Non -Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and Department of Justice regulations on disability discrimination, 28 CFR Part 35 and 39. In the event a Federal or State court, Federal or State administrative agency, or the Consultant makes a finding of discrimination after a due process hearing on the grounds of race, color, religion, national origin, sex, or disability against a recipient of funds, the Consultant will forward a copy of the findings to the City which will, in turn, submit the findings to the Office of Civil Rights, Office of Justice Programs, U.S.. Department of Justice. g. Equal Employment Opportunity - Consultant, and all its contractors (or sub - recipients) will comply, with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable. h. Anti -Kickback Act - Consultant, and all its contractors (or sub -recipients) will comply, with all requirements of the Copeland "Anti -Kickback" Act (18 U.S.C. 874) as supplemented in Department of Labor regulations (29 CFR Part 3), as applicable. 14 Davis -Bacon Act - Consultant, and all its contractors (or sub -recipients) will comply, with all requirements of the Davis -Bacon Act (40 U.S.C. 276a to 276a- 7) as supplemented by Department of Labor regulations (29 CFR Part 5), as applicable. Contract Work and Safety Standards Act - Consultant, and all its contractors (or sub -recipients) will comply, with all requirements of Sections 103 and 107 of the Contract Work and Safety Standards Act (40 U.S.C. 327-330) as supplemented by Department of Labor regulations (29 CFR Part 5), as applicable. k. Clean Air Act - Consultant, and all its contractors (or sub -recipients) will comply, with all applicable standards, orders or requirements issued under Section 306 of the Clean Air Act (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and the Environmental Protection Agency regulations (40 CFR part 15), as applicable. 1. Energy Policy and Conservation Act - Consultant, and all its contractors (or sub - recipients) will comply, with all requirements of the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871),(53 FR 8078, 8087, Mar. 11, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995), as applicable. m. Patent - Consultant agrees that the funding agency shall have the authority to seek patent rights for any process, product, invention or discovery developed and paid for with funding through this Agreement. n. Copyright - Consultant may copyright any books, publications or other copyrightable materials developed in the course of or under this Agreement. However, the federal awarding agency, State Administrative Agency (SAA) and City reserve a royalty -free, non-exclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for federal government, SAA and/or City purpose: i. the copyright in any work developed through this Agreement; and ii. any rights of copyright to which the subcontractor purchases ownership with support through this grant. The Federal government's, SAA's and City's rights identified above must be conveyed to the publisher and the language of the publisher's release form must ensure the preservation of these rights. IV. CITY RESPONSIBILITIES The City -will provide the following: • All plan check coordination within the City • Sample boiler plate specifications to be utilized • Sample plans & City of Santa Ana's CADD Standards • Electronic files for title sheets and sheet borders 15 EXHIBIT B COMPENSATION CITY OF SANTA ANA ON -CALL ENGINEERING SERVICES A/� �AECOM Rate/Fee Schedule "OM 22-Oct-15 Titles/Classification 1/l/2015-1/31/2015 1/1/2016-1/31/2016 1/l/2017-1/31/2017 Low I High Low High Low I High Accountant $68.22 $108.35 $69.58 $110.51 $70.97 $112.72 Administrative Assistant $52.11 $79.71 $53.15 $81.30 $54.22 $82.93 Sr Administrative Assistant $62.01 $111.31 $63.25 $113.54 $64.51 $115.81 Administrator 11 $70.09 $94.93 $71.49 $96.83 $72.92 $98.77 Administrator III $107.19 $136.00 $109.33 $138.72 $111.52 $141.49 Architect III $115.71 $159.27 $118.03 $162.46 $120.39 $165.71 Architect N $123.74 $233.79 $126.21 $238.46 $128.74 $243.21 CADD Drafter I $44.581 $76.96 $45.47 $78.50 $46.38 $80.07 CADDDrafter Il $87.81 $102.38 $89.57 $104.43 $91.36 $106.52 CADD Drafter 111 $90.29 $118.29 $92.09 $120.66 $93.94 $123.07 CADD Drafter IV $93.75 $136.82 $95.63 $139.56 $97.54 $142.35 Clerk, Administration $58.60 $58.60 $59.77 $59.77 $60.97 $60.97 Construction Administrator $76.19 $103.07 $77.71 $105.13 $79.27 $107.23 Designer $60.69 $60.69 $61.90 $61.90 $63.14 $63.14 DesignerlIl $81.88 $140.64 $83.51 $143.45 $85.191 $146.32 Designer IV $108.59 $156.83 $110.76 $159.97 $112.98 $163.16 Developer, Software Development $93.45 $136.76 $95.32 $139.50 $97.22 $142.29 Director, Construction $240.03 $267.13 $244.83 $272.47 $249.72 $277.92 Director, Planning/Program Management/Engineering $231.15 $345.79 $235.77 $352.70 $240.49 $359.76 Document Controls Coordinator $47.58 $102.11 $48.53 $104.15 $49.50 $106.23 Engineer $6137 $154.82 $62.60 $157.92 $63.85 $161.08 Engineer It $71.10 $146.93 $72.53 $149.87 $73.98 $152.87 EngineerIII $96.80 $167.47 $98.74 $170.81 $100.71 $174.23 Engineer IV $94.85 $232.16 $96.75 $236.81 $98.68 $241.54 Estimator11 $136.74 $136.74 $139.47 $139.47 $142.26 $142.26 Inspector $74.21 $94.14 $75.69 $96.02 $77.21 $97.94 Inspector It $74.32 $158.78 $75.81 $161.96 $77.32 $165.19 Inspector III $94.19 $153.15 $96.07 $156.21 $98.00 $159.33 Inspector TV $84.10 $153.67 $85.79 $156.74 $87.50 $159.88 Intern $34.19 $47.41 $34.88 $48.36 $35.57 $49.33 Manager, Administration $89.88 $128.27 $91.67 $100.84 $93.51 $133.45 Sr Manager, Administration $133.55 $150.12 $136.22 $153.12 $138.94 $156.19 Manager, Architecture $103.10 $212.24 $105.16 $216.48 $107.26 $220.81 Manager, Construction $86.58 $223.12 $88.31 $227.58 $90.08 $232.14 Sr Manager, Construction $110.85 $316.93 $113.06 $323.27 $115.32 $329.73 Manager, Design $98.73 $152.21 $100.70 $155.26 $102.71 $158.36 SrManager, Design $132.611 $169.44 $135.27 $172.83 $137.97 $176.29 Manager, Engineering $174.31 $251.82 $177.80 $256.85 $181.35 $261.99 Sr Manager, Engineering $172.66 $288.01 $176.11 $293.77 $179.641 $299.65 Manager, Finance $136.68 $160.37 $139.42 $163.58 $142.20 $166.85 Manager, GIS/BIM $145.37 $198.41 $148.27 $202.38 $151.24 $206.43 Manager, Planning $128.88 $223.51 $131.45 $227.98 $134.08 $232.54 Manager, Survey $187.83 $201.44 $191.59 $205.47 $195.42 $209.57 Sr Manager, Contract Administration $157.57 $195.09 $160.72 $198.99 $163.94 $202.97 Office Engineer 1 1 $76.961 $81.82 $78.501 $83.46 $80.07 $85.13 Page 1 of 2 AZCOMAECOM Rate/Fee Schedule 22-Oct-15 Titles/Classification 1/l/2015-1/31/2015 1/1/2016-1/31/2016 I/l/2017-1/31/2017 Low I High Low High Low I High Office Engineer II $78.72 $133.25 $80.29 $135.91 $81.901 $138.61 Planned $71.46 $101.89 $72.89 $103.92 $74.35 $106.00 PlannerII $85.84 $146.25 $87.55 $149.17 $89.30 $152.16 Planner III $85.29 $141.63 $86.99 $144.46 $88.73 $147.35 Planner IV $112.44 $218.56 $114.69 $222.93 $116.98 $227.39 Program Manager $136.79 $275.65 $139.53 $281.16 $142.32 $286.78 Sr Program Manager $208.86 $325.06 $213.03 $331.56 $217.30 $338.20 Project Controls $84.10 $170.49 $85.79 $173.90 $87.50 $177.38 Project Engineer $110.10 $166.01 $112.31 $169.33 $114.55 $172.72 Project Engineer Il $136.27 $196.05 $139.00 $199.97 $141.78 $203.97 Project Engineer III $134.29 $246.10 $136.98 $251.02 $139.72 $256.04 Project Manager $126.87 $262.51 $129.41 $267.79 $132.00 $273.11 Project Manager II $146.05 $284.41 $148.98 $290.10 $151.96 $295.90 Sr Project Manager $165.13 $307.53 $168.43 $313.68 $171.80 $319.95 Project Specialist $70.39 $210.26 $71.80 $214.46 $73.23 $218.75 Project Support Administrator $75.58 $101.64 $77.10 $103.67 $78.64 $105.75 Receptionist $47.19 $57.80 $48.14 $58.96 $49.10 $60.14 Resident Engineer I $74.21 $187.17 $75.69 $190.92 $77.21 $194.73 Resident Engineer $99.63 $212.24 $101.63 $216.48 $103.66 $220.81 Scheduled $84.32 $84.32 $86.01 $86.01 $87.73 $87.73 Scheduler11 $122.91 $185.91 $125.371 $189.63 $127.88 $193.42 Technical Leaded $140.04 $269.35 $142.84 $274.74 $145.69 $280.23 Technical Leader 11 $156.25 $225.35 $159.38 $229.86 $162.56 $234.45 Technical Leader IIl $205.31 $232.00 $209.42 $236.64 $213.61 $241.37 Technician II $50.93 $50.93 $51.95 $51.95 $52.99 $52.99 TechnicianlII $84.57 $134.84 $86.26 $137.54 $87.99 $1.40.29 .Technician TV $146.99 $219.85 $149.93 $224.25 $152.93 $228.73 Page 2 of 2 YEAR Withholding Exemption Certificate CALIFORNIA FORM 20C5:1 (This form can only be used to certify exemption from nonresident withholding under California 59® R&TC Section 18662. This form cannot be used for exemption from were withholdinr.) File this form with your withholding agent. withholding agent's name (Please type or print) Vendor/Payee's name Vendor/Payee's ❑ Social security number Note: ❑ SOS no. ❑ California corp. no. ® FEIN Failure to furnish your AECOM "Technical Services, Inc. 95-2661922 identification number will make this certificate void. Vendor/Pavee's address (number and street) APT no. Private Mailbox no, Vendor/Pavee's daytime telephone no. 515 S Flower Street, 3rd FL city State ZIP Code Los Angeles CA 90071 I certify that for the reasons checked below, the entity or individual named on this form is exempt from the California income tax withholding requirement on payment(s) made to the entity or individual. Read the following carefully and check the box that applies to the vendor/payee: ❑ Individuals — Certification of Residency: I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly inform the withholding agent. See instructions for Form 590, General Information D, for the definition of a resident. 0 Corporations: The above -named corporation has a permanent place of business in California at the address shown above or is qualified through the California Secretary of State to do business in California. The corporation will withhold on payments of California source income to nonresidents when required. If this corporation ceases to have a permanent place of business in California or ceases to be qualified to do business in California, I will promptly inform the withholding agent. See instructions for Form 590, General Information E, for the definition of permanent place of business. ❑ Partnerships: The above -named partnership has a permanent place of business in California at the address shown above or is registered with the California Secretary of State, and is subject to the laws of California. The partnership will file a California tax return and will withhold on foreign and domestic nonresident partners when required. If the partnership ceases to do any of the above, I will promptly inform the withholding agent. Note: For withholding purposes, a Limited Liability Partnership is treated like any other partnership. ❑ Limited Liability Companies (LLC): The above -named LLC has a permanent place of business in California at the address shown above or is registered with the California Secretary of State, and is subject to the laws of California. The LLC will file a California tax return and will withhold on foreign and domestic nonresident members when required. If the LLC ceases to do any of the above, I will promptly inform the withholding agent. ❑ Tax -Exempt Entities: The above -named entity is exempt from tax under California or federal law. The tax-exempt entity will withhold on payments of California source income to nonresidents when required. If this entity ceases to be exempt from tax, I will promptly inform the withholding agent. ❑ Insurance Companies, IRAs, or Qualified Pension/Profit Sharing Plans: The above -named entity is an insurance company, IRA, or a federally qualified pension or profit-sharing plan. ❑ California Irrevocable Trusts: At least one trustee of the above -named irrevocable trust is a California resident. The trust will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. If the trustee becomes a nonresident at any time, I will promptly inform the withholding agent. ❑ Estates — Certification of Residency of Deceased Person: I am the executor of the above -named person's estate. The decedent was a California resident at the time of death. The estate will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. CERTIFICATE: Please complete and sign below. Under penalties of perjury, I hereby certify that the information provided herein is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. Vendor/Payee's name and title (type or print) Ginger Claridge Vendor/Payee's signature ► Claridge, Ginger Date 04/02/201.5 For Privacy Act Notice, got form FTB 1131 (individuals only). 59003103 Form 590 C2 (REV. 2003) Instructions for Form 590 Withholding Exemption Certificate References in these instructions are to the California Revenue and Taxation Code (R&TC). General Information A Purpose Use Form 590 to certify an exemption from nonresident withholding. Complete and present Form 590 to the withholding agent. The withholding agent will then be relieved of the withholding requirements if the agent relies in good faith on a completed and signed Form 590 unless told by the Franchise Tax Board (FTB) that the form should not be relied upon. Important — This form cannot be used for exemption from wage withholding. Any questions regarding wage withholding should be directed to the California Employment Development Department. Do not use Form 590 if you are a seller of California real estate. Sellers of California real estate should use Form 593-C, Real Estate Withholding Certificate. B Law R&TC Section 18662 requires withholding of income or franchise tax on payments of California source income made to nonresidents of this state. Withholding is required on: • Payments to nonresidents for services rendered in California; • Distributions of California source income made to domestic nonresident partners and members and allocations of California source income made to foreign partners and members; • Payments to nonresidents for rents if the payments are made In the course of the withholding agent's business; • Payments to nonresidents for royalties for the right to use natural resources located in California; • Distributions of California source income to nonresident beneficiaries from an estate or trust; and • Prizes and winnings received by nonresidents for contests in California. For more information on withholding and waiver requests, get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, and FTB Pub. 1023, Nonresident Withholding Indepen- dent Contractor, Rent and Royalty Guidelines. To get a withholding publication see General Information G. C Who can Execute this Form Form 590 can be executed by the entities listed on this form. Note: In a situation where payment is being made for the services of a performing entity, this form can only be completed by the performing entity or the performing entity's partnership or corporation. It cannot be completed by the performing entity's agent or other third party. Note: The grantor of a revocable/grantor trust shall be treated as the vendor/payee for withholding purposes. Therefore, if the vendor/ payee is a revocable/grantor trust and one or Form 590 Instructions (REV. 2003) more of the grantors is a nonresident, withhold- ing is required. If all of the grantors of a revocable/grantor trust are residents, no withholding is required. Resident grantors can check the box on Form 590 labeled "Individuals — Certification of Residency." U Who is a Resident A California resident is any individual who is in California for other than a temporary or transitory purpose or any individual domiciled in California who is absent for a temporary or transitory purpose. An individual domiciled in California who is absent from California for an uninterrupted period of at least 546 consecutive days under an employment -related contract is considered outside California for other than a temporary or transitory purpose. Note: Return visits to California that do not total more than 45 days during any taxable year covered by the employment contract are considered temporary. This provision does not apply if an individual has income from stocks, bonds, notes, or other Intangible personal property in excess of $200,000 in any taxable year In which the employment -related contract is in effect. A spouse who is absent from California for an uninterrupted period of at least 546 days to accompany a spouse who is under an employ- ment -related contract is considered outside of California for other than a temporary or transitory purpose. Generally, an individual who comes to California for a purpose which will extend over a long or indefinite period will be considered a resident. However, an individual who comes to perform a particular contract of short duration will be considered a nonresident. For assistance in determining resident status, get FTB Pub, 1031, Guidelines for Determining Resident Status, or call the Franchise Tax Board at (800) 852-5711 or (916) 845-6500 (not toll -free). E What is a Permanent Place of Business A corporation has a permanent place of business in California if it is organized and existing under the laws of California or if it is a foreign corporation qualified to transact intrastate business by the California Secretary of State. A corporation that has not qualified to transact intrastate business (e.g., a corporation engaged exclusively in interstate commerce) will be considered as having a permanent place of business in California only if it maintains a permanent office in California that is perma- nently staffed by its employees. Withholding Agent Keep Form 590 for your records. Do not send this form to the FTB unless it has been specifically requested. Note: If the withholding agent has received Form 594, Notice to Withhold Tax at Source, only the performing entity can complete and sign Form 590 as the vendor/payee. If the performing entity completes and signs Form 590 indicating no withholding requirement, you must send a copy of Form 590 with Form 594 to the FTB. For more information, contact the Nonresident Withholding Section. See General Information G. The vendor/payee must notify the withholding agent If: • The individual vendor/payee becomes a nonresident; • The corporation ceases to have a permanent place of business in California or ceases to be qualified to do business in California; • The partnership ceases to have a permanent place of business in California; • The LLC ceases to have a permanent place of business in California; or • The tax-exempt entity loses its tax-exempt status. The withholding agent must then withhold. Remit the withholding using Form 592-A, Nonresident Withholding Remittance Statement, and complete Form 592, Nonresident Withholding Annual Return, and Form 592-B, Nonresident Withhold- ing Tax Statement, Get Instructions for Forms 592, 592-A, and 592-B for due dates and other withholding information. G Where to get Publications, Forms, and Additional Information You can download, view, and print FTB Publications 1017, 1023, 1024, and nonresident withholding forms, as well as other California tax farms and publications not related to nonresident withholding from our Website at: www.ftb.ca.gov You can also have nonresident withholding forms faxed to you by calling (800) 998-3676. To have publications or forms mailed to you or to get additional nonresident withholding information, please contact the Withholding Services and Compliance Section. WITHHOLDING SERVICES AND COMPLIANCE SECTION FRANCHISE TAX BOARD PO BOX 651 SACRAMENTO CA 95812-0651 Telephone: (888) 792-4900 (916)845-4900 (not toll -free) FAX: (916) 845-9512 (24 hours a day, 7 days a week) Assistance for persons with disabilities: We comply with the Americans with Disabilities Act. Persons with hearing or speech impair- ments please call TTY/PDD (800) 822-6268. Asistencia bilingge an espahol Para obtener servicios en espahol y asistencia pars completer su declaraciiin de impuestos/ formularies, (lame al numero de telefono (anotado arriba) qua to corresponde. A.ZCOM AECOM 714.567.2500 tel 999 Town and Country Road 714.567.2441 fax Orange, CA 92868 www.aecom.com February 2, 2015 City of Santa Ana Attn: Ms. Monica Suter, PE, TE, PTOE Public Works Agency 20 Civic Center Plaza, 3rd Floor, Ross Annex Santa Ana. CA 92701 Subject: Exhibit 10-H and 10-K Forms for On -Call Engineering Services — RFP No: 14-037 Dear Ms. Suter: As requested by the City for RFP No. 14-037, attached are the Exhibit 10-H and 10-K forms for AECOM, as well as our two subconsultants listed below: Diaz-Yourman & Associates (DYA) Guida Surveying, Inc. The rates for our two subconsultants are in compliance with the Federal rate requirements and the 10-H and 10- K forms. As a vice president and officer -in -charge with AECOM, I am legally authorized to contractually bind the company. I will also serve as the contact person for any contract related issues. Please feel free to reach me at my e-mail (matt.ulukava(cilaecom.com) or phone number (714) 567-2642 if you have any questions or need any additional information. Sincerely, t/ wig Matt Ulukaya, PE Kendall Zirk I, PE Vice President Project Manager WU J M i 0 M M w w o rn ^ 1 vi �D 00 Q Q d Q Q d Q xwoz z z z z z z 00 0o ee ee a oo <a ee 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O U In. 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P O ti N V b � U W U L W y W W � T N iC p O roux V L b O 9 O C Q J � N eti C y A O O � O � O E d F N � y N V O v U } v O 3 0 � • ro c � oN �. Y v o• y O W N 0 V C U N U 0 d � bA O zcGw o Qu c M ��m Y Q I F O II F � U O z F z � 0 o U /-v H 0 F W t�U N QPaU H O II z a H H � � F z W U 7 F^' O F" II U � O �O d h O OQ vF'i 6' W U F Q P] U M N rti N C4 N 3 a > n � o U y F+ v m o x � � g � b �sIM b Elro b o � � U b v•o a $ w " E C y E � v U v � C Fa ti �.d �^ 3s b 4 �gA 0 M Par .a Local Assistance Procedures Manual EXHIBIT 10-K Consultant Certification of Contract Costs and Financial Management System EXHIBIT 10-K CONSULTANT CERTIFICATION OF CONTRACT COSTS AND FINANCIAL MANAGEMENT SYSTEM (Note: ff requesting to utilize the Safe Harbor Indirect Cost Rate submit Attachment I of DLA-OB 13-07 - Safe Harbor Indirect Cost Rate for Consultant Contracts found at http://www.dot.ea.govAaqlLocalPrograms/DLA_OBIDLA_OB.htnr in lieu of this form.) Certification of Final Indirect Costs: Consultant Firm Name: AECOM Indirect Cost Rate: 140.16 * for fiscal period 1/5/2015 through 9/2/2015 *Fiscal period covered for Indirect Cost Rate developed (not the contract period). Local Government: City of Santa Ana Contract Number: RFP No. 14-037 Project Number: I, the undersigned, certify that I have reviewed the proposal to establish final indirect cost rates for the fiscal period as specified above and to the best of my knowledge and belief: I . All costs included in this proposal to establish final Indirect Cost Rates are allowable in accordance with the cost principles of the Federal Acquisition Regulations (FAR) of Title 48, Code of Federal Regulations (CFR), Part 31. 2. This proposal does not include any costs which are expressly unallowable under the cost principles of the FAR of 48 CFR, Part 31. All known material transactions or events that have occurred affecting the frm's ownership, organization, and Indirect Cost Rates have been disclosed as of the date of proposal preparation noted above. Certification of financial Management System: I, the undersigned, certify to the best of my knowledge and belief that our Financial Management System meets the standards for financial reporting, accounting records, internal and budget control as set forth in the FAR of Title 49, CFR, Part 18.20 to the extent applicable to Consultant. Certification of Dollar Amount for all A&E Contracts: I, the undersigned, certify that the approximate dollar amount of all A&E contracts awarded by Caltrans or a California local agency to this firm within the last three (3) calendar years for all State DOT and Local Agencies is $_4�2 225 166.20 and the number of states in which the firm does business is 50 Certification of Direct Costs: I, the undersigned, certify to the best of my knowledge and belief that all direct costs identified on the cost proposal(s) in this contract are reasonable, allowable and allocable to the contract in accordance with the cost principles of the FAR of Title 48, CFR, Part 31, Allowable direct costs to a Government contract shall be: Page I of 2 LPP 15-01 January 14, 2015 Local Assistance Procedures Manual EXHIBIT 10-K Consultant Certification of Contract Costs and Financial Management System 1. Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated by the Cost Accounting Standards Board (when applicable). 2. Compliant with the terms of the contract and is incurred specifically for the contract. 3. Not prohibited by 23 CFR, Chapter 1, Part 172 — Administration of Engineering and Design Related Service Contracts to the extent requirements are applicable to Consultant. All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be retained in the project files. Subeonsultants (if applicable) Proposed Contract Amount (or amount not to exceed if on -call contract): $ 50 000.00 Prince Consultants (if applicable) Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ 150,000.00 Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): Diaz Yourman & Associates $ 25,000.00 Guida Surveying $ 25,000,00 Consultant Certifying (Print Name and Title): Name: Matt Ulukaya Title: Consultant Certification Signature **: Date of Certification (mm/dd/yyyy): ,_ 01/30/2015 Consultant Contact Information: Email: Matt.Ulukaya6'i).accm-n.com Phone number: (714) 567-2642 **An individual executive or financial officer of the consultant's organization at a level no lower than a Vice President or Chief Financial Officer, or equivalent, who has authority to represent the financial information utilized to establish the Indirect Cost Rate proposal submitted in conjunction with the contract. Note: Per 23 U.S.0 112(b)(2)(B), Subconsadtarus must comply with the FAR Cost Principles contained in 48 CFR, Part 31 23 CFR Part 172.3 Z3eftnitions- state: Consultant means the individual orfrnm providing engineering and design related serrkes as a p arty to the contract, Therefore, subconsultants as parties ofa contract most complete ea cart fuzztion and send originals to AM and keep copier in Local.Agency Project Files Distribution: 1) Original to Caltrans Audits and investigations 2) Retained in Local Agency Project Niles Page 2 of 2 LPP 15-01 January 14, 2015 EXHIBIT 10-H COST PROPOSAL ON -CALL CONTRACT Subconsultant: Diaz.Yourman & Associates Contract No. RFQ14.037 Date: 1/29/2015 Fringe Benefit% Overhead % G&A % Combined % NORMAL incl. in OH + 215.68% + ind. in OH = 215.68% OVERTIME Incl. in OH + 215.68% + incl. in OH = 215.68% FEE % = 10.00% BILLING INFORMATION CALCULATION INFORMATION Name Company Classification Project Classification Hourly Billing Rate e Effectivdate of hourly rate Actual/ average hourly rate. %ors Increase Hourly Range for Class Normal 15 X . OT2X . From To V.R. Nadeswaran 237.14 237.14 237.14 2/1/2015 12/31/2015 68.29 N/A Principal Engineer Engineering QA/OC Exempt 244.25 244.25 244.25 1/1/2016 12/31/2016 70.34 3.00% N/A 256.48 256.48 256.48 1/l/2017 12/31/2017 73.86 5.00% N/A 269.29 269.29 269.29 1/l/2018 12/31/2018 77.55 5.00% N/A S. Niranjanan 179.11 179.11 179.11 2/1/2015 12/31/2015 51.58 N/A Associate Engineer l Project Manager Exempt 184.49 184.49 184.49 1/1/2016 12/31/2016 53.13 3.00% N/A 193.73 193.73 193.73 1/1/2017 1D31/2017 55.79 5.00% N/A 203.42 203.42 203.42 1/1/2018 12/31/2018 58.58 5.00% N/A 193.54 193.54 193.54 2/1/2015 12/31/2015 55.74 54.27 to 57.2 Associate Engineer It Engineering Analyses, Reporting Exempt 199.36 199.36 199.36 1/1/2016 12/31/2016 57.41 3,00% N/A 209.32 209.32 209.32 1/1/2017 12/31/2017 60.28 5.00% N/A 219.77 219.77 219.77 1/1/2018 12/31/2018 63.29 5.00% N/A 173.03 173.03 173.03 2/1/2015 12/31/2015 49.83 48.08 to 51.58 Associate Engineer l Engineering Analyses, Reporting Exempt 178.21 178.21 178.21 1/1/2016 12/31/2016 51.32 3,00% NIA 187.13 187.13 187.13 1/1/2017 12/31/2017 53.89 5,00% N/A 196.47 196.47 196.47 1/1/2018 12/31/2018 56.58 5.00% N/A 150.25 150.25 150.25 2/1/2015 12/31/2015 43.27 N/A Project Engineer II ISA Exempt 154.77 154.77 154.77 1/1/2016 12/31/2016 44.57 3.00% N/A 162.51 162.51 162.51 1/1/2017 12/31/2017 46.80 5.00% N/A 170.64 170.64 170.64 1/1/2018 12/31/2018 49.14 5.00% N/A 101.74 101.74 101.74 2/1/2015 12/31/2015 29.30 29.26 to 29.34 Staff Engineer II Data Review, Engineering Analyses Exempt 104.80 104.80 104.80 1/1/2016 12/31/2016 30.18 3.00% N/A 110.04 110.04 110.04 1/l/2017 12/31/2017 31.69 5,00% N/A 115.53 115.53 115.53 1/l/2018 12/31/2018 33.27 5.00% N/A 92.37 92.37 92.37 2/1/2015 12/31/2015 26.60 26.44 to 26.76 Staff Engineer I Data Review, Engineering Analyses Exempt 95.15 95.15 95.15 1/1/2016 12/31/2016 27.40 3.00% N/A 99.90 99.90 1 99.90 1/1/2017 12/31/2017 28.77 5,00% N/A 104.90 104.90 104.90 1/1/2018 12/31/2018 30.21 5.00% N/A 76.64 114.96 153.28 2/1/2015 12/31/2015 22.07 N/A CADD Non -Exempt 78.93 118.39 157.86 1/1/2016 1D31/2016 22.73 3.00% N/A 82.89 124.33 165.78 1/1/2017 12/31/2017 23.87 5,00% N/A 87.02 130.53 174.04 1/1/2018 12/31/2018 25.06 5.00% N/A 116.88 175.33 233.77 2/l/2015 12/31/2015 33.66 N/A Technical Editor/ Word Processor Non -Exempt 120.39 180.59 240.78 1/l/2016 12/31/2016 34.67 3.00% N/A 126.40 189.60 252.80 1/1/2017 12/31/2017 36.40 5.00% N/A 132.72 199.08 265.44 1/1/2018 12/31/2018 38.22 5.00% N/A 1. Names and classifications of consultant (key staff) team members must be listed. Provide separate sheets for prime and all subconsultants firms. 2. Billing rate = actual hourly rate " (1+ICR)* (!+Fee). Agreed upon billing rates are not adjustable for the term of contract. 3. For named employees enter the actual hourly rate. For classifications only, enter the average hourly rate for that classification. Note: Denote all employees subject to prevailing wage with an asterisk (*) For "Other Direct Cost' listing, see page 2 of this Exhibit. A H a �zo F F_ ly C � U O 5 � V z a w.5 a Q d ro m v� 6 P]CJFd"CJ � o S � o 0 E v� o Q r '^ U ii � N F II F a 6 F Q � O F z O �- II U � O c d w W o 0 o v F O d m U hai M Local Assistance Procedures Manual EXHIBIT 10-K Consultant Certification of Contract Costs and Financial Management System EXHIBIT 10-K CONSULTANT CERTIFICATION OF CONTRACT COSTS AND FiNANCIAL MANAGEMENT SYSTEM (Note. If requesting to utilize the Safe Harbor Indirect Cost Rate submit Attachment I of DLA-OB 13-07 - Safe Harbor Indirect Cost Rate for Consultant Contracts found at httpr//www.dot.ca.govlhq/LocatPrograms/DLA_OBIDLA_OB.him in lieu of this form.) Certification of Final Indirect Costs: Consultant Firm Name: Diaz Yourman & Associates Indirect Cost Rate: 215.68 * for fiscal period 01/01/2013 to 12/31/2013 (mm/dd/yyyy to mm/dd/yyyy) *Fiscal period covered for Indirect Cost Rate developed (not the contract period). Local Government: City of Santa Ana Contract Number: RFP No. 14-037 Project Number: I, the undersigned, certify that I have reviewed the proposal to establish final indirect cost rates for the fiscal period as specified above and to the best of my knowledge and belief 1. All costs included in this proposal to establish final Indirect Cost Rates are allowable in accordance with the cost principles of the Federal Acquisition Regulations (FAR) of Title 48, Code of Federal Regulations (CFR), Part 31. 2. This proposal does not include any costs which are expressly unallowable under the cost principles of the FAR of 48 CFR, Part 31. All known material transactions or events that have occurred affecting the firm's ownership, organization, and Indirect Cost Rates have been disclosed as of the date of proposal preparation noted above. Certification of Financial Management System: I, the undersigned, certify to the best of my knowledge and belief that our Financial Management System meets the standards for financial reporting, accounting records, internal and budget control as set forth in the FAR of Title 49, CFR, Part 18.20 to the extent applicable to Consultant. Certification of Dollar Amount for all A&E Contracts: I, the undersigned, certify that the approximate dollar amount of all A&E contracts awarded by Caltrans or a California local agency to this firm within the last three (3) calendar years for all State DOT and Local Agencies is $ 0 _ and the number of states in which the firm does business is 3 Certification of Direct Costs: I, the undersigned, certify to the best of my knowledge and belief that all direct costs identified on the cost proposal(s) in this contract are reasonable, allowable and allocable to the contract in accordance with the cost principles of the FAR of Title 48, CFR, Part 31. Allowable direct costs to a Government contract shall be: Page 1 of 2 LPP 15-01 January 14, 2015 Local Assistance Procedures Manual 031113 il iT113q Consultant Certification of Contract Costs and Financial Management System 1. Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated by the Cost Accounting Standards Board (when applicable). 2. Compliant with the terms of the contract and is incurred specifically for the contract. 3. Not prohibited by 23 CFR, Chapter 1, Part 172 —Administration of Engineering and Design Related Service Contracts to the extent requirements are applicable to Consultant. All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be retained in the project files. Subconsultants (if applicable) Proposed Contract Amount (or amount not to exceed if on -call contract): $ 25,000 Prime Consultants (if applicable) Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ Prime, list all subeonsultants and proposed subcontract dollar amounts (attach additional page if necessary): Consultant Certifying (Print Name and Title): Name: Christopher M. Diaz, PE, GE Title: Principal Consultant Certification Signature "* ALL Date of Certification (mm/dd/yyyy): 01/29/2015 Consultant Contact Information: Email: chrisCa�diazyourman.com Phone number: 714-245-2920 **An individual executive or financial officer of the consultant's organization at a level no lower than a Vice President or Chief Financial Officer, or equivalent, who has authority to represent the financial information utilized to establish the Indirect Cost Rate proposal submitted in conjunction with the contract. Note: Per 23 US.C. 112(b)(2)(B), Subconsultants must comply with the FAR Cost Principles contained in 48 CFR, Part 31. 23 CFR Part 172..3 Definitions state: Consultant means the individual or firm providing engineering and design related services as a parry to the contract. Therefore, subconsultants as parties ofa contract must complete a certification and send originals to A&I and keep copies in Local Agency Project Files. Distribution: 1) Original to Cattrans Audits and Investigations 2) Retained in Local Agency Project Files Page 2 of 2 UP 15-01 January 14, 2015 nl w 0 00 RP w U 1 O ti O a o U� h N F-i b ti b�++, .a ..O M U0 w � O U F O � � F U WW a z z 4 0 O o x C7 V w o z x z W pW z � O �U w � o o WF O r N M —y O q W U N C7 4� rn � o a° 'Tl w ■ ■ ■u■u(7 o U a, a a o00 000 � Q Q � f/i F/i ff3 rf3 69 fA s� xwoz z z N 69 U O O O O O O 0 0 O O Y C � 000 O eFm 070 �� 7 7 00 a�a ogoo hhh very aaa Q' .c ss sz cs vs ea va ss ss vv sv vj y3 � vj s9 O O O O O O O O O O O O O O O T N N N N N N N N N N N N N N N p'� MMMMMMMMMMMMMMM .0 c�NiN NNN NN N NNiN NNN In so h In io h o 0 0 0 0 0 0 0 0 — 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N W o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6N9 6N9 6N9 � � 6N9 6N9 6N9 � 6N9 6N4 � bN9 6N9 6N9 �. ^ N O h rn M N W W 01 M M� 00 m 01 O ti rn M N P1 N D\ fA 69 EA 64 O o � U U/y C II ry a w [4 i a F p A � �U O H Q F F o� � H � •U 7 W H F O U a � x z F O U W 1 "Q7 W a W z o Q V d w U d w U v U H Q d � p F O U aW F U � � c N ? > w V v. •O �yT � � N ti O C � O � C•�ty b o S N N N N 4 > W O O T � •p a ^� o t� o v C7 U WS 8 o S .� 7 '^ Y E Ev .7 a cUg DO G L O T b O N 3 .n o ,a 8 '• � y ro b r�r�ii�� E a o�� N� ro ro ro 0 M a i EXHIBIT 10-K CONSULTANT CERTIFICATION OF CONTRACT COSTS AND FINANCIAL MANAGEMENT SYSTEM (Note: If requesting to utilize the Safe Harbor Indirect Cost Rate submit Attachment I of DLA-OB 13-07 - Safe Harbor Indirect Cost Rate for Consultant Contracts,found at http://www.dot.ca.gov/hq/LocalProgramsIDLA_OB/DLA_OB.htm in lieu of this form.) Certification of Final Indirect Costs: Consultant Firm Name: Guide Surveying Inc. Indirect Cost Rate: 176,27% * for fiscal period 01/01/14 to 11/31(mm/dd/yyyy to mm/dd/yyyy) *Fiscal period covered for Indirect Cost Rate developed (not the contract period). Local Government: City of Santa Ana Contract Number: Project Number: RFQ - 037 I, the undersigned, certify that I have reviewed the proposal to establish final indirect cost rates for the fiscal period as specified above and to the best of my knowledge and belief: 1. All costs included in this proposal to establish final Indirect Cost Rates are allowable in accordance with the cost principles of the Federal Acquisition Regulations (FAR) of Title 48, Code of Federal Regulations (CFR), Part 31. 2. This proposal does not include any costs which are expressly unallowable under the cost principles of the FAR of 48 CFR, Part 31. All known material transactions or events that have occurred affecting the firm's ownership, organization, and Indirect Cost Rates have been disclosed as of the date of proposal preparation noted above. Certification of Financial Management System: I, the undersigned, certify to the best of my knowledge and belief that our Financial Management System meets the standards for financial reporting,, accounting records, internal and budget control as set forth in the FAR of Title 49, CFR, Part 18.20 to the extent applicable to Consultant. Certification of Dollar Amount for all A&E Contracts: 1, the undersigned, certify that the approximate dollar amount of all A&E contracts awarded by Caltrans or a California local agency to this firm within the last three (3) calendar years for all State DOT and Local Agencies is $ 300,000 and the number of states in which the firm does business is 1 Certification of Direct Costs: I, the undersigned, certify to the best of my knowledge and belief that all direct costs identified on the cost proposal(s) in this contract are reasonable, allowable and allocable to the contract in accordance with the cost principles of the FAR of Title 48, CFR, Part 31. Allowable direct costs to a Government contract shall be: Page I of 2 LPP 15-01 January 14, 2015 I . Compliant with Generally Accepted Accounting Principles (GAAP) and standards promulgated by the Cost Accounting Standards Board (when applicable). 2. Compliant with the terms of the contract and is incurred specifically for the contract. 3. Not prohibited by 23 CFR, Chapter 1, Part 172 — Administration of Engineering and Design Related Service Contracts to the extent requirements are applicable to Consultant. All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be retained in the project files. Subconsultants (if applicable) Proposed Contract Amount (or amount not to exceed if on -call contract): $ 25,000.00 Prime Consultants (if applicable) Proposed Total Contract Amount (or amount not to exceed if on -call contract): $ Prime, list all subconsultants and proposed subcontract dollar amounts (attach additional page if necessary): Consultant Certifying (Print Name and Title): Name: Ralph W. Guide IV Title: President of Survey Operations Consultant Certification Signature **: Date of Certification (mm/dd/yyyy): Consultant Contact Information: 01-29-15 Email: rguidaiv@guidasurveying.com Phone number: 949-777-2000 **An individual executive or financial officer of the consultant's organization at a level no lower than a Vice President or Chief Financial Officer, or equivalent, who has authority to represent the financial information utilized to establish the Indirect Cost Rate proposal submitted in conjunction with the contract. Note: Per 23 U.S.C. 112(b)(2)(B), Subconsultants must comply with the FAR Cost Principles contained in 48 CFR, Part 31. 23 CPR Part 172.3 Definitions stater Consultant means the individual or firm providing engineering and design related services as a party to the contract. Therefore, subconsultants as parties ofa contract must complete a certification and send originals to A&1 and keep copies in Local Agency Project Files. Distribution: 1) Original to Caltrans Audits and Investigations 2) Retained in Local Agency Project Files Page 2 of 2 LPP 15-01 January 14,2015 EXHIBIT C ADDITIONAL PROVISIONS CITY OF SANTA ANA ON -CALL ENGINEERING SERVICES The following documents in reference to the on -call engineering services hereunder are hereby on file with the City of Santa Ana's Public Works Agency and are hereby incorporated by reference: • Request for Qualifications (RFQ) — RFQ No. 14-037 • Statement of Qualifications (SOQ) -- in response to RFQ No. 14-037 • Request for Proposal (RFP) — RFP No. 14-037 • Proposal --in response to RFP No. 14-037 ATTACHMENTS D-1, D-2, D-3 & D-4 CITY OF SANTA ANA ON -CALL ENGINEERING SERVICES AECOM City of Santa Ana Public Works Agency CO) Engineering Services ® RFP No.: 14-037 ��-----�-_� APPENDIX ATTACHMENT D-1: NON -COLLUSION AFFIDAVIT CERTIFICATIONS CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR ON -CALL ENGINEERING SERVICES RFP NO.: 14.037 NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid Is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put In a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not In any manner, directly or Indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested In the proposed contract; that all statements contained In the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed _ r V I/V NM! ' L+ State of California Matt Ulukaya County of ('Lefty Subscribed and sworn to (or affirmed) before me on this day of vx(20Lf by �rh4-4 Iifu14 Vic' proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. - - - - - — - - - JULIE ANN NEAL CammloUon • 2021242 Notary Public - California Orange County �✓t�i� A Comm, E r Jun 7 2017 Public Signature Notary Notary Public Seal THIS __ ea City of Santa Ana RFP 14-037 Page 26 City of Santa Ana Public Works Agency On -Cat[ Engineering Services m RFP No.: 14-037 AECOM APPENDIX ATTACHMENT D-2: NON -LOBBYING CERTIFICATION CERTIFICATIONS CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR ON -CALL ENGINEERING SERVICES RFP NO.: 14.037 The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: 1. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. 2. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence any officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned shall complete and submit a "Disclosure of Lobbying Activities". This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub recipients shall certify and disclose accordingly. Firm Name AECOM Technical //Services Signed and Printed Name:. a H """" o\ Matt Ulukaya Title: Vice President Data: November 17, 2014 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana RFP 14-037 Page 27 AECOM City of Santa Ana Public Works Agency On -Call Engineering Services - RFP No.: 14-037 COD APPENDIX ATTACHMENT D-3: DEPARTMENT OF HOUSING & URBAN DEVELOPMENT SECTION 3 CONTRACT CLAUSE CERTIFICATIONS CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR ON -CALL ENGINEERING SERVICES RFP NO.: 14.037 DEPARTMENT OF HOUSING & URBAN DEVELOPMENT (HUD) SECTION 3 CONTRACT CLAUSE A. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 u (Section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD -assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the contractor's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The contractor agrees to include the Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not subcontract with any subcontractor where the contractor has notice or knowledge of that the subcontractor has been found in violation of the regulations In 24 CFR Part 135. E. The Contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the contractor is selected, but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 135 require employment opportunities to be directed, were not filled to circumvent the contractor's obligations under 24 CFR Part 135. F. Noncompliance with HUD's regulations in 24 CFR part 35 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. City of Santa Ana RFP 14-037 Page 28 O City of Santa Ana Public Works Agency On -Call Engineering Services ® RFP No.: 14-037 AECOM G. With respect to work performed in connection with Section 3 covered Indian housing assistance, Section (7) to of the Indian Self -Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) requires that to the greatest extent feasible (1) preference and opportunities for training and employment subcontracts shall be given to Indians, and (II) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indlan-owned Economic Enterprises. Parties to this contract that are subject to the provisions of Section 3 and Section 7 (b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with Section 7(b). For the purpose of training and employment the prime v Section 3 covered project area is the area in closest proximity to the actual construction work site within the U.S. Census Tract In which the project 1s located. It is understood that priority for employment opportunity is to be given to residents residing within the primary Section 3 area as defined. A Section 3 area resident is any lower income Individual residing within the Section 3 area, whose total family income does not exceed 80% of the median income of the metropolitan statistical area in which the project is located (Orange County). A public housing resident is defined by regulations as Section 3 resident, regardless of income. The contractor and each subcontractor certifies that they will provide, to the greatest extent feasible, opportunities for employment to lower income residents (local residents) and job opportunities in connection with projects in their neighborhoods. For fiscal year 1996-97, minimum goal for each project is 30%. The Contractor/Sub-contractor/Service Provider by the signature affixed hereto declares under penalty of perjury: Contractor/Sub-contractor/Service Provider has read Section 3 requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa Ana. tl�a'4 u&Jt'0/)C-\ Matt Ulukaya, Vice President Signature Print Name and Title Signature Signature NOT Print Name and Title Print Name and Title November 17, 2014 Date City of Santa Ana RFP 14-037 Page 29 AECOM City of Santa Ana Public Works Agency On -Call Engineering Services • RFP No.: 14-037 J APPENDIX ATTACHMENT D-4: CERTIFICATION OF NON-DISCRIMINATION BY CONSULTANTS CERTIFICATIONS CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR ON -CALL ENGINEERING SERVICES RFP NO.: 14.037 As suppliers of goods or services to the City of Santa Ana, the Firm listed below certifies that it does not discriminate in its employment with regard to race, color, religion, sex, or national origin; that it is in compliance with all federal, state and local directives and executive orders regarding non-discrimination in employment and including, but not limited to, what is listed in the Non -Discrimination Clause in Exhibit 10-V per: http://www dot ca gov/hc/LocalPrograms/lam/forms/chapterl0/1Ov-2013-05-14 docx and that it agrees to demonstrate positively and aggressively the principle of equal opportunity In employment. The same shall apply and be included in all subconsultant agreements. WE AGREE SPECIFICALLY: To take affirmative steps to hire minority employees with the company. 2. To establish or observe employment policies within affirmative promotion opportunities for minority persons at all job levels. 3. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especially those servicing minority communities, and to the minority communities at large. FIRM AECOM Technical Services TITLE OF PERSON SIGNING Mcat Ulu aya, Vice President SIGNATURE DATE November 17 THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana RFP 14-037 Page 30 A`CC)i CERTIFICATE OF LIABILITY INSURANCE �..►^' DATE(YYYY) 12I151201512015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License#0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: PH No E t • E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Attn: LosAngeles,CertRequest@Marsh. Corn INSURER A: Zurich American Insurance Company 16535 06510-AECOM--15-16 Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : NIA N/A INSURER C : Illinois Union Insurance Cc 27960 AECOM Technical Services, Inc. 999 W.Town & Country Rd. Orange, CA 92868 INSURER D INSURER E : INSURER F : 111S9ItlWfAALLI MOVI1I=IWA\0=I, I I III] I:f= 19115.161111111Uryffofb111 • 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. IEXP LTR TYPE OF INSURANCE D D POLICY NUMBER MM DD YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GLO 596589/07 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO REIN TEO PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT D LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 07 04/01/2015 04/01/2016 Ee BINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS r PROPERTY DAMAGE Per accident $ $ 1 1 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA A PER OTI I - STATUTE ER E.L. EACH ACCIDENT — $ E.L. DISEASE - EA EMPLOYEE ---- $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 10/08/2014 04101/2016 Per Clalm/Agg 2,000,000 PROFESSIONAL LIAB, ""'CLAIMS MADE""' Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re; Client Reference No.14-037; City of Santa Ana On -Call Engineering Services 14-037; Agreements #A-2013-034 and #A-2015-169. The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may Include civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services, A detailed scope of work will be outlined when/if a specific project or task order Is assigned. (See Additional Page) ( r f=�1=VILV1/i=.Li B�`f l�R:F._V V.kP fkt L i-iEF EDIA (PG d 0 - ) v��� � u-rvn r �.. r rvti.vr.,n 1✓HIVVCLLH 1 IVtV City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 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 of Marsh Risk & Insurance Services James L. Vogel v 1968-104 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 _ LOC #: Los Angeles AC40RE) ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc, POLICY NUMBER 999 W, Town & Country Rd, Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IUNAL KtMAKKb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named Insured. This Insurance Is primary and non- contributory over any existing insurance and limited to liability arising out of the operations of the named Insured and where required by written contract with respect to the GL coverage, Severabilty 0f InteresUCross Liability Is included for General Liability coverage. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the Insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. REVIEWED B'Y� Eh. MC E i..Ili..REDIA (I"'G201`7 (D zuutt AGUKU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8ECOM and Its Subsidiaries B8P6905W93-O7 Blanket Notification to Others of Cancellatio or Non -Renewal i Policy No. Eff. Date of Pol. Exp. Date of Pol.1 Eff. Date of Encl. I Producer No. Add'I Prern Retu THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance pro\4ded under the: Business AudoCoverage Form 1. The following isadded bG.—General Conditions provision of SediunIV—Gusiness Conditions: A. If we omnxd mvnm,mnmv this Coverage Part by written notice to the first Named Insured for any naaeun other than non-payment cdpremium, we will eond, via electronic* meono, a copy of the notification that such Coverage Pert has been cancelled to each Person(s) or OnQon|zaticm(m)' shown in m Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must beinitially provided touewithin 16dayo: m.After the beginning of the policy period shown in the Declarations; or h.After this endorsement has been added topolicy; 2. Must contain the nomoe' addresses and e-mail* addresses of only the yomone or uryon|zoUone requiring notification that such Coverage Part has been cancelled; 8. Must hoinanelectronic format that 1eacceptable tous; and 4. Must baaccurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above, B. Our sending oYthe electronic* notification described in Paragraph A^ofthis endorsement will bebased on the most recent Schedule inour records aeufthe date the notice nfcancellation or non ranowo| issent hothe fied Named Insured, Delivery ofthe notification as described in PumUnayh A.o[this endorsement will be at least JVUmye prior to the effective date of such cancellation ornon-renewal an advised in our notice to the first Named |neured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Named Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that wohave complied with Paragraphs A. mr8. of this endorsement. O. Our failure to send notification as described in Paragraphs A. or B. of this endorsernent will not: 1. Extend the Coverage Part cancellation urncw'nanewa|. 2. Negate the cancellation ornon-renewal m 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the aouuracy, integrUy, thndinnee and validity of information contained in the Schedule provided b,ueaadescribed |n Paragraphs A.mB.ufthis endorsement. F. This endorsement is only applicable to Other Pei -sons or Organizations that are listed on the Schedule, All other terms and conditions of this policy remain unchanged. U-CA-388ACW(07/*4) Includes copyrighted material of InsurahCe SerViCeS Offio , , Inc., W(tli its permission. 8ECOMand Its Subsidiaries GL058O§091'V7 POLICY NUMBER: GLO5905891'07 COMMERCIAL GENERAL LIABILITY CG2o280413 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 Additional Insured Permon(a)OrOrgmnizatiun(s): Only those where required by contract. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SeocmU—Who|uAnInsuredimmnemded to include aean additional insured the a) or organization(s) shown in the Sohedu|e, but only with respect to liability for "bodily "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. |nthe performance ofyour ongoing operations; or 2. In connection with your premises owned by or rented toyou. However: 1. The insurance afforded to such additional insured only applies tothe extent permitted by law; and B. V\Ath respect to the insurance afforded to them additional insureds, the following is added to SwctiunU|—Linits Of Insurance: If coverage rovdad to the additional insured is required byocontract oragreement, the most we will pay on behalf ofthe additional insured is the emounLofineuran na: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever ioless. This endorsement shall not |nnreeoa the applicable Limits of Insurance shown in the Declarations. 2. Ifcoverage provided bzthe additional insured is required by n contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. -EVIEVVED BY- CG20 260413 (0Insurance Services Office, |nc,2O12 Page 1mf1 ADDITIONAL INSURED E ND ORSEMENT FOR CONI M ERCTAL GE, NEI RAL 1JAIRILITY POLTCY InbUMICC COMpally ZurichAmerigninsurance Company , This erdor-Renlelit modifies such insurance as is afforded by the provisions of Policy 4 GOIX) 596589107 folatijig to the following: 1. The City oflSantn Ana, 20 Civic Center Plaza, Santa Alm, California 92701,- its officers, emplovecs, agents, volunteers andreprcBentativw arc lianicd as additional insureds ( "additional basurccls") with regard to liability and di-,fow�c of suits arising from the operatiox)s and uses performed by or on behalf of the named insured, I 2. With respect to claims arising OUL Of the operations and uses pQrfoxm(ed by or on behalf of the namcd insured, such insurance as is affurdcd by this policy is primary and is trot additional to or contribUting With any otbor insurance carried by or :tar Me benefit of the additional iiisureds, 1, , I'll i V, insurance applies separa(ely to cacli insured against Whom ci afin is made or suit is brought except with respect to the company's limits of liability. The inuhision of any person or organization as an insured shall not affect aty right w17 icli such person or organization would haN,c as a claimant if not so included. (Completion of the )billowing, including coiintersignattire, is recicii-rcd to make this endorsement (.1'rective) Eff'cotiva April 1, 2015 to Aurit Ta 2016 this endorsement forni as a part of Policy # C,'-LO 596589107 Issued to AT',COM and its Subsidiaries Narned Insured Countorsi . ..... gned by ALAhori4d Roprose'llta Live REM DNED BY� E.WMCE HEREMA (PG S-OF'�J) A/NOC-GLlj Notification to Others of Cancellation, Nonrenew or Reduction of Insurance i sm Policy No, Eff, Date of Pol, Exp. Date of Pol. I Eff. Date of End, Produce, No, Addl. Prem Return Pi-em , THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided undertha Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. Kwecancel ornon-renew this Coverage Paq(s)bywritten notice tothe first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non -renewal: 1. Tothe name and address corresponding to each person or organization shown in the Schedule below; and 2. Atleast 1Odays prior tothe effective date ofthe cancellation ornon-renewa|.aaadvised imour notice tothe first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction of Limits of Insurance due topayment ofclaims, vvawill mail ordeliver notice ofsuch reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated inthe Schedule below. D. Ifnotice mydescribed |nParagraphs A., B.orC. ofthis endorsement iomailed, proof ofmailing will besufficient proof ofsuch notice. SCHEDULE Name and Address of Other Person(s) OLUanization(s): Number of Days Notice: City of Santa Ana 30 Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 All other terms and conditions of this policy remain unchanged. U- GL- 1447-AoVv i AC"R®' CERTIFICATE OF LIABILITY INSURANCE 16-_ -' I/l/2017 DATE(MM/DD/YYYY) 1 12/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CONT CT NAME: PHONE A//C, No, Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC If 949-252-4400 INSURER A: *** SEE ATTACHMENT **'r INSURED AECOM 1075642 AECOM Technical Services, Inc. 999 Town & Country Rd. INSURER B : INSURER C : Orange CA 92868 INSURER D : INSURER E : INSURER F : COVERAGES AECTE01 CERTIFICATE NUMBER: 11652859 REVISION NUMBER- XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR NND POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ❑ OCCUR. NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any one person) s XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE (COeBINEDtSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALLOWNED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX HIRED AUTOS NON -OWNED raEcidTnDAMAGE (Per $ XXXXXXX UMBRELLA LAB OCCUR EACH OCCURRENCE XXXXXXX EXCESS LAB CLAIMS -MADE NOT APPLICABLE AGGREGATE _$ $ XXXXXXX DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOY EMPLOYERS' Y YIN N SEE ATTACHEDACORD 101 I/l/2016 1/1/2017 X STATUTE OTH- E.L. EACH ACCIDENT $ 2,000 OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bel Dow N / A EL. DISEASE - EA EMPLOYEE 2,000 000 E.L. DISEASE -POLICY LIMIT 2,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: Ref. No. 14-037, Agreement #A-2013-034 and Agreement #A-2015-169. RD IE WED BY. _ ' f � _t:�1I�tV F P t�L EI�RA (f I.:fi mm O Fe � CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13652858 AUTHORIZED REPRESENTATIVE City of Santa Ana Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana CA 92702 ACORD 25 (2014/01) ©1 A8-201"CQfZDc6RP0RATI0N. All rights reserved The ACORD name and logo are registered marks of ACORD Policy # Issuing Company State(s) Covered 0910710 Nat'l Union Uire his Co Of 014268016 The Insurance Company of the State of Pennsylvania Fl, 014268017 The Insurance Company of the State of Pennsylvania IVIIi, 014268019 The Insurance Company of the State of Pennsykatua IL,KY 014268020 The Insurance Company of the State of Pennsylvania NV 01426802-1 The Insurance Company of the State of Pennsylvania CO 014268022 The Insurance Company of the State of Pennsylvania N,pA 014268023 The Insurance Company of the State of Pennsylvania MA,ND,Of I,AK'tA,WI,WS' 014268024 The Insurance Company of the State of Pennsytania CA 014268025 The 111stuancc Company of the State of Pennsylvania IL,KY,NC,NII,UT,VT 014268026 The Insurance Company of the Srate of Pennsylvania AI.,, lK,CO,C"I',17C:,DI?,C1,A,i II,IA,ID,IN,KS,LA,�dU,�II,�-[N,�1O,N[S, Nrf,NE,Ni,Af,NV,NY,C7K,C)R 014268027 The Insurance Company of the State of Penmyvania AK,AZ,VA 014268028 The Inst0-a11ce Company of the Sate of Pennsylvania NY 014268018 The Instuance. Company of the State of Pennsylvania ll,,WA 014268029 The Insurance Company of the State of Pennsplvania (10,ID,N\[,SC, rN 014268030 The Insurance Company of the State of Pennsylvania 1't Miscellaneous Attachment : M503712 Master ID: 1075642, Certificate ID: 13652858 REVIEWED BY. 14,� r � , EUNW-E HEREMA QG'G 'CClF �l) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). 'I'his endorsement, effective '1.2:01 AM 1/1/2016 forms a part of Policy No. SHE XI"I eAC;I ll?D ACORD 101 Issued to AlX:ON,l Al:C:O\d "Technical Services, Inc. By The Insurance Company of the State of Pennsylvania LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) I'his policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiation date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate l Iolder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations sct ford) in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organisations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Ilolder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule. within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific member of clays is not stated above, then the Advice will be provided to such Certificate Iloldcr(s) as soon as reasonable practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer einailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations cinder this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective crate thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement 1. Named Insured means the first named employer in Item I of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC990058 (Ed. 04/11) Attachment Code : D461827 Master ID: 1075642, Certificate ID: 13652858 I1""VBk U1iN N BY: ,�°0�_ D.tBtIt E 1R.Vfl:r1(4 C; A� a CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD,YYYY) 03/081206 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: PHONE No Ext : FAX No): EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # Attn: LosAngeles.CertRequest@Marsh.Com INSURER A ; Zurich American Insurance Company 16535 06510-exp-15-16 Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : N/A NIA INSURER C : Illinois Union Insurance Cc 27960 AECOM Technical Services, Inc. URS Corporation 999 W. Town & Country Rd. INSURER D : INSURER E : Orange, CA 92868 INSURER F : �R�r� .cm wGI Ci 1 lw_� \1■1VII Z10 --Je TJL1 ram\.\E\Iff L/,1.]�. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE o OCCUR GLO 596589107 04/01/2015 04/01/2016 EACH OCCURRENCE 1,000,000 AMAGE TO RENTED PREMISES Ea occurrence) _$__ $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY ......._._....-- $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT LOC GENERAL AGGREGATE $ 2,000.000 GEN'L X PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 596589307 04/01/2015 04/01/2016 EO aBBINEDtSINGLE LIMIT $ 1,000,000 AUTO BODILY INJURY (Per person) $ IANY ALL OWNED FSCHEDULED AUTOS AUTOS BODILY INJURY (Per ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A PER 5TH- STATUTE ER -' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 10/08/2014 04/01/2016 Per Claim/Agg 2,000,000 PROFESSIONAL LIAB. """CLAIMS MADEE" Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No.14-037; City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No. A-2013-034 and Agreement No. A-2015.169; URS: Agreement No. A-2008-048-01 and Agreement No. A-2014-357; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as - needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnicai, land/property, surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when4f a specific project or task order is assigned. (See Additional Page) — -- REVIIEWED BY, � E11N)CE HEREDWA �G C3F� � City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 V111Y V GLLM 1 1 V 1V 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 of Marsh Risk & Insurance Services James L. Vogel v Masts-ZU94 AGUKU GUKPURATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles A!2L)'® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc. POLICY NUMBER URS Corporation 999 W. Town & Country Rd, CARRIER Orange, CA 92868 NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional Insured for GL coverage, but only as respects work performed by or on behalf of the named insured, This insurance Is primaryand non- contributory over any existing insurance and limited to liability arising out of the operations of the named Insured and where required by written contract with respect to the GL coverage. Severability Of Inlerest/Cross Liability Is Included for General Liabllity, coverage. If the insurer for the General Liabllity or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require It by written contract. ACORD 101 12008/01) The ACORD name and logo are registered m � 4VVO M+ ,UKu wKVUKA I IUN. All rights reserved. RtwV1EU11ED BY` � �°� f�, � EU If.;E HEREMA (PG 20F ) AECOM and Its Subsidiaries BAP 6965893-07 Eff 0410112015 Blanket Notification to Others of Cancellation or Non -Renewal Policy No. I Eff. Date of P01. I Exp. Date 1 11:1 t Eff. Data of End. D fE d. ' 1:11,11cer No. T Add I Return P—r-m-il 1_13AP 5965893-07 1 04/0112015 ---------- 1 04/()1/2016 04) E04 01112 ()15 E15 3 _�20-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form 1. The following is added to B. —General Conditions provision of Section IV —Business Conditions: A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured for any reason other than non-payment of premium, we will send, via electronic* means, a copy of the notification that such Coverage Part has been cancelled to each Person(s) or Organization (s), shown in a Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must be initially provided to uswithin 15 days: & After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names, addresses and e-mail* addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above. B. Our sending of the electronic* notification described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation or non -renewal is sent to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Named Insured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Narned Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that we have complied with Paragraphs A. or B. of this endorsement. D. Our failure to send notification as described in Paragraphs A. or B. ofthis endorsement will not: 1. Extend the Coverage Part cancellation or non-renewai, Z Negate the cancellation or non -renewal or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. or B. of this endorsement. F. This endorsement is only applicable to Other Persons or Organizations that are listed on the Schedule. All other terms and conditions of this policy remain unchanged. U-CA-380 A CW(07194) Includes copyrighted material of Insurance Services office, Inc., with its permission. REVIEWED BY: A E�',HCE HEREDIA (PG 50F7 8ECOMand Its Subsidiaries GuJ59O5eS1'U7 POLICY NUMBER: GLO 5965891-07 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |T CAREFULLY. ������Ul�U���K��U INSURED �� ������K����������� ADDITIONAL ' ---~~~ ~~� ^^���~°"^~~�� DESIGNATED ���������� ���� ORGANIZATION PERSON ~,"^ ��"~~�x—x �m�.��on��x� This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Only those where required by contract. Information required to com.plete this Schedule, if not shown above, will be shown in the Declarations. A. Section U — VVho Is An Insured is amended to include asmnadditional insured Mh 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1, |nthe performance ofyour ongoing operations; or 2. In connection with your premises owned by or rented toyou. However: 1' The insurance afforded to such additional insured only applies tothe extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreememt, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, B. Wth respect to the insurance afforded to these additional insureds, the following is added to Section U| —LindtoOf|nouranoe: If coverage provided to the additional insured is required by contract or agreement, the most *m will pay on behalf ofthe additional insured is the amount ofinsurance: Y. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever ialess. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 0 Insurance Services Office, Inc., 2012 Page 1 of I Kluwer Financial SeNces I Uniform Form ST11 REVIEWED BY:/ ADDITIONAL INSURED ENDORSEMENT FOR CONI M P,'R(-.rf.AL GE, NTI RAL LIABILITY POLTCY InSUMCC COInp,111y - Zurich American Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy 4 GLO 596589107 f clating to the fol I owing: 1. The City of Santa Ana, 20 Civic Center Plaza, Santo Ana, Califbmia 92701; its officers, employees, agcnfs,vo(iinteer,gaiidrepre,sentativmarc naDlOdaqadditional insi-n�eds ("additional 1SUrcds") with regard to liability and defense of suits arising from the operations and uses p erfoimed by or on behalf of the named insured, 2. With respect to claims arising OUL Of the operations and uses pQrforrned by or oil behalf of the namcd insuredsuch insurance as is afforded by this policy is primary and is riot additional to or contributing With ally Other insurance carried by or ibr the benefit of the additional insureds. This is insurance applies separately to each insured against whom clArn is made or suit is broijghte-,ceptwith.respectioLbe-compatiy'siiiiiit-,oi'babifit),. The inclusion ofany person or organization as an insured shall not affect aty right wh ich such person or organiudoa would have as a claimant if not so included. (Completion of the ftillo-wing, including countersignature, is required to make this endorsement ellbetivo,) Eft'ective April 1. 2015 to Aj)rj1 1.2 2016 this endorsement form as a part of Policy # — GLO 596589107 Issued to AMC OM and its Subsidiaries Named Insured Countersigned by 1Z huthoriz4d Representative ti REVIEWEF..) BY: / "I— - EUNICE FIEREMA (FIG kv AN0C-BLlj Notification to Others of Cancellation, NonrenewaU Reduction ^��Insurance Policy No. Eff. Date of Pol, E X-P. D AIM. Prern Return Prem—, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. If we cancel or �� Named _��_-- _~,~~v~.~,° "'="=..."wv�v/u/�ncx any reason �hothan ���me��p�m�m'*e*�maU�d���am�y�����n��efo�c��--cm-renewal: t To the name and address corresponding to each person or organization shown in the Schedule below; and 2 A1least 1Ddays prior bothe effective date ofthe cancellation or non -renewal, ooadvised inour notice hothe first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice tothe first Named Insured for nonpayment of premium, we will written or deliver o copy ofsuch written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation, C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction ofLimits ofInsurance due to payment of claims, we will mail or deliver notice of such reduction or restriction: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if indicated inthe Schedule below. D. |fnotice aedescribed in Paragraphs A., B. orC. nfthis endorsement immailed, proof ofmailing will bnsufficient proof ofsuch notice. SCHEDULE Name and Address of Other Person(s) Organization(s): Number of Days Notice: City of Santa Ana 30 Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 All other terms and conditions of this policy remain unchanged. Page 1 of 1 Includes copyrighted material of/mmrancaseNcesOffice, Inc AC'ORbr CERTIFICATE OF LIABILITY INSURANCE �►---� 1/1/2017 DATE(MM/DD/YYYY) 1 2/26/2016 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 endorsement(s). PRODUCER Lockton Insurance Brokers, LLC 725 S. Figueroa Street, 35th Fl. CA License #OF15767 Los Angeles CA 90017 CONTACT NAME: PHONE FAX A o Ex1 : A/C No); E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N (213) 689-0065 INSURER A: * * * SEE ATTACHMENT INSURED AECOM INSURER B 1389302 URS Corporation INSURER C dba URS Corporation Americas 2020 E. First St., Ste. 400 Santa Ana CA 92705 INSURER D INSURER E INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER p POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR NOT APPLICABLE EACH OCCURRENCE ! $ XXXXxxX DAMAGETO PREMISES (Ea occurrence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX r1EI'LGREGATE PERSONAL & ADV INJURY $ XXXXxxX LIMIT APPLIES PER: ICY PRO- JECT LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS -COMP/OP AGG $ XXXXXXX $ ER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident - $ XXXXXXX BODILY INJURY (Per person) $ X= ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS - BODILY INJURY Per accident) ( $ X)Cy-, �X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXxXXX UMBRELLA LIAB HI OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XX I=X DED RETENTION $ $ XXX}xXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N I A N SEE ATTACHED ACORD 101 1/ t/2016 1/1/2017 '' PER OTH- X I STATUTE ER E.L. EACH ACCIDENT $ 2 000 000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) THIS CERTIRCATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: AECOM Agreement No. A-2013-034 and Agreement No. A-2015-169; URS Agreement No. A-2008-048-01 and Agreement No. A-2014-357. d � 6 EViEVVELW BY. � � � Ei.1NICE HE1-�MA (I'G F.m"' ....... 1+111tlliGGG/YIIVitl JGG L'1LLCLlil1l11G(1LJ 13241225 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza - Ross Annex (1VI-36) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana CA 92701 USA 7 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED © 1d88-201nCGkD CORPORATION_ All rinhtc rncnr A ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORD 101 Policy # Issuing Company State(s) Covered 0910710 National Union Fire Insurance Company of Pittsburgh, PA - NAIC #19445 OH 014268016 The Insurance Company of the State of Pennsylvania - NAIC #19429 FL 014268017 The Insurance Company of the State of Pennsylvania - NAIC 419429 ME 014268019 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY 014268020 The Insurance Company of the State of Pennsylvania - NAIC #19429 NV 014268021 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO 014268022 The Insurance Company of the State of Pennsylvania - NAIC #15429 NJ,PA 014268023 The Insurance Company of the State of Pennsylvania - NAIC #19429 MA,ND,OH,WA,WI,WY 614268024 The Insurance Company of the State of Pennsylvania - NAIC #19429 CA 014268025 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY,NC,NH,UT,VT 014268026 The Insurance Company of the State of Pennsylvania - NAIC #19429 AL,AR,CO,CT,DC,DE,GA,HI,IA,ID,IN,KS,LA,MD,MI,MN,MO,MS, MT,NE, NM,NV,NY,OK,OR,RI,SC,SD,TN,TX,WV 014268027 The Insurance Company of the State of Pennsylvania - NAIC #19429 AK,AZ,VA 014268028 The Insurance Company of the State of Pennsylvania - NAIC #19429 NY 014268018 The Insurance Company of the State of Pennsylvania -NAIC #19429 IL,WA 014268029 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO,ID,NM,SC,TN 014268030 The Insurance Company of the State of Pennsylvania -NAIC #19429 TX Miscellaneous Attachment: M503712 Master ID: 1389302, Certificate ID: 13241225 REVIEWED BY: � �(,� ` E::t. NICE I IIvRlnMA (PG :)F � ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 1/1/2016 forms a part of Policy SEE ATTACHED ACORD 101 No. Issued to AECOM URS Corporation dba URS Corporation Americas By The Insurance Company of the State of Pennsylvania LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2, the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3, prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC 99 00 58 (Ed. 04/11) Attaclunent Code: D503695 Master ID: 1389302, Certificate ID: 13241225 M".-.VIEVWED BY: r`' '� '��rr �/ .�'f � E1JNK]1:; I-tERE[31A (PG , i TIFICAT F LIB LIABILITY INSURANCE DATE (MM/DDlYYYY) 03/2112016 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 staternent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 777 South Figueroa Street Los Angeles, CA 90017 CONTACT NAME: __ ___ AAt-Na,_.Ex )L — A/C No: E-MAIL ADDRESS: i _— INSURER(S) AFFORDING COVERAGE NAIC # Attn. LosAngeles.CertRequest@Marsh.Com _ —_� INSURER A : Zurich American Insurance Company 16535 06510--"ECOM--16-17 _ Orange GLALP 09 2020 NOC INSURED AECOM INSURER B : NIA N/A INSURER C : Illinois Union Insurance Co 27960 AECOM Technical Services, Inc. URS Corporation 999 W. Town & Country Rd. _ INSURER D INSURER E Orange, CA 92868 INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001972726-16 REVISION Kill IMRFP: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP (MM/DD/YYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR GLO 596589108 04/0112016 04/01/20'17 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 _ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PR COT- LOG _ GENERAL AGGREGATE $ 2,000,000 GEN'L PI PRODUCTS - COMP/OP AGG $ 2,000,000 0 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 08 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ JX ALL OWNED SCHEDULEDBODILY AUTOS AUTOS INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS LAUTOS PROPERTY DAMAGE jPer accidenl1_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB _ CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �I N / A PER OTH--- STATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE --— --- $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT -- $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 04/01/2016 04/01/2017 Per Claim/Agg 2,000,000 PROFESSIONAL LIAB. ""'CLAIMS MADE""' Defense Included DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No. 14-037; City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No. A-2013-034 and Agreemen(No, A-2015-169, WNS. Agreement No A-20619-0413,0t xtdAgreement No, A•20f'4-:3"5 ; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as - needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnical, land/properly surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when/if a specific project or task order is assigned. (See Additional Page) — y C F +iFUVI L1 C31: i. N1 C>E:. F EREDj,Aa (,PG d OF City of Santa Ana Attention: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana, CA 92702 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 of Marsh Risk & Insurance Services James L. Vogel U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM AECOM Technical Services, Inc. POLICY NUMBER URS Corporation 999 W, Town & Country Rd, CARRIER NAIC CDDE Orange, CA 92868 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Santa Ana is named as additional insured for GL coverage, but only as respects work performed by or on behalf of the named insured, This Insurance is primary and non- contributory over any existing Insurance and limited to liability arising out of the operatlons of the named Insured and where required by written contract with respect to the GL coverage, Severability Of Interest/Cross Liability is included for General Liability coverage. If the Insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Cerlificate Holders that require it by written contract, FVEf ED BY: wrtv I V I tcvvow I � v auus ACORO UORPORATiON. All rights reserved. The ACORD name and logo are registered marks of ACORD AECOM and Its Subsidiaries BAP5965805-08 Blanket Notification ~ Others ��v��K�x~�u um*�^w"n�v���K�k� �K� ���xue1rs of Cancellation or Non —Renewal Policy No. Eff. batO of Pol. EXP. 0 Producer No. totum Prom. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage: Form 1. The following isadded to8`—General Conditions provision dSection IV— Business Conditions: A. Uwe cancel o, non -renew this Coverage Pert by written notice to the first Named |uaun:d for an h than non-payment ofpnenn|um.wmv�Ksend, via o|m�von�*means, acopy ofthe ood�no�vnthat �mhCoverage Part has been oonoe||o6 to each Person(s) or Orgenizetion(s), shown in a Schedule (of Others) provided to us by the First Named. Insured orits designated representative. Such Schedule: 1. Must be initially provided to uswithin 15days: e.After the beginning of the policy period shown in the Declarations; or b.After this `endorsement has been added to. policy; 2. Must contain the nemea, addresses and o'mai|° addresses, of only the persons or organizations requiring notification thetouphCovermgo Part has been cancelled; 3. Must beinanelectronic format that isacceptable tnus; and 4. Must beaccurate. Such Schedule must baupdated monthly and provided to us by the First Named Insured cvits designated representative: during the policy period. Such updated, Schedule must comply with Paragraphs 2., 3. and 4. above. B[� Our sending of the o� notification described in Paragraph A. of this endorsement will be based on the most recent Schedule hnour records oeo[the date the notice of cancellation or non'[*newm| issent hothe first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Nerned Insured, or the longer number of days' notice if indicated in the Bohadu|e, provided to us by the first Named Insured or its designated representative, C. Proof of sending the electronic* notification will besufficlentproof that *ohave complied with Paragraphs A.orB. of this endorsement. D. Our failure toeendnotifioaMmmaad000hbedinParagnaphe4.or[lofMhisandomomontwiUnot I. Extend the Coverage Part cancellation nrnon-mnowa|. 2. Negate the cancellation mnmn'mnewa|or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. Ei We are not responsible for the mooumoy, integhty, timeliness and validity of information contained in the Schedule provided tousmadescribed inParagraphs A.o,B.ofthis endorsement. P. This endorsement is only applicable to Other Persons or Organizations, that are listed on the. Schedule. All other terms and conditions of this policy remain unchanged. AQVyK)71g4 Includes material of Insurance Services Offioo Inc., with its permission. AECOM and Its Subsidiaries GLO 5965891-08 Eff 04/01/2016 POLICY NUMBER: GLO 5965891-08 COMMERCIAL GENERAL LIABILITY CG 20 26 0.413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. '4%*1410 901 V901 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Narne Of Additional Insured Person(s) Or Organization(s): Only those where required by written contract. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. Section 11 — Who Is An Insured. is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule,, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1, In the performance of your ongoing operations,; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement t to provide for'suoh, additional insured. B. With respect to the, insurance afforded to these additional insureds, the following is added to .Section III — Limits Of Insurance: If coverage provided to the, additional insured is required by a contract or agreement, the most we will pay on behalf of th& additional insured is the amount of insurance-, 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the. Declarations; whichever is. less. This endorsement shall not increase the applicable Limits of Insurance shown in the, REV EVVED BY, EUMCE HEREMA CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page I of I Wdters Kluwer Financial SerAces I uniform ForrnsT"' N rN, 1.2 (L uj a d lb 2, Z5 Lo Z5 C -so) . 4) d) - 8 T 2 'C' 2 ��* d) I - 1. - "o-12 - . mn �; I- 16 O0 0) FL a - IL T. O c 12 Or d) o T. icL Si c 0 z 8 L '-a 1 Ew 9 22 C5 �s fS 0 w r- �F z '86 5i 2 Fi hA r O's or Z Lq 0 r N I'; L ............... ,doom CERTIFICATE OF LIABILITY INSURANCE Ill1/1/2018 DATE(MM/DD/YYYY) r 5/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC 1.9800 MacArthur Blvd., Suite 1250 CA License #OF15767 Irvine 92612 CONTACT NAME: PHONE FAX A/C No Ext): (A/C No): E-MAIL _ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC a1 949-252-4400 INSURER A: SEE ATTACHMENT _ INSURED AECOM INSURER B : INSURER C : 1075642 AECOM Technical Services, Inc. 999 Town BL Country Rd. Orange CA 92868 INSURER D : - INSURER E INSURER F : COVERAGES AECTE01 CERTIFICATE NUMBER: 13652858 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL',SUBR INSD'.. WVD POLICY EFF POLICY NUMBER MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence) $ XXXXXXX MED EXP (Any one person) $ XXXXXXX & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: _PERSONAL GENERAL AGGREGATE $ XXXXXXX POLICY D PRO uI LOC JECT _PRODUCTS - COMP/OP AGG $ XXXXXXX___ $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident_ $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AAUTOSDONLY AUTOSULED BODILY INJURY (Per accident) $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE _(Per accident $ XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX A IONILIT Y / N AND EMPLOYERS' LIABILITY YERS'LIABILITY AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N N / A'. SEE ATTACHED ACORD 101 1/1/2017 I/l/2018 X STATUTE oRH L E.L.ACH ACCIDENT $ 2,000,000 E.L. DISEASE EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000 000 --- - -_ L DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) THIS CERTIFICATE SUPERSEDES ALL. PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. Notice of Cancellation applies per attached endorsement. Re: Client Ref. No. 14-037, City of Santa Ana On Call Engineer ing Services 14-037, AECOM Agreements No. A-2013-034 and Agreement No. A-2015-169: URS AgreementNo. A-2008-048-01 and Agreement No. A-2014-357, The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering. geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services. A detailed scope of work will be outlined when/if a specific project or task order is assigned. w� Y 13652858 City of Santa Ana Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 Santa Ana CA 92702 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 ©1688-2015`ACGIRD CORPORATION. All rinhts resarverl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORD 101 Policy # Issuing Company State(s) Covered 0910715 The Insurance Company of the State of Pennsylvania - NAIC #19429 OH 014629409 The Insurance Company of the State of Pennsylvania - NAIC #19429 FL 014629410 The Insurance Company of the State of Pennsylvania - NAIC #19429 ME 014629404 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,KY 014629408 The Insurance Company of the State of Pennsylvania - NAIC #19429 MA,ND,OH,WA,WI,WY 014629406 American Home Assurance Company - NAIC #19380 CA 014629407 The Insurance Company of the State of Pennsylvania - NAIC #19429 AK, AL, AR, AZ, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, Ml, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY,OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WV 014629403 The Insurance Company of the State of Pennsylvania - NAIC #19429 IL,WA - NWP Entity Only 014629405 The Insurance Company of the State of Pennsylvania - NAIC #19429 CO,ID,NM,SC,TN - NWP Entity Only 014629411 The Insurance Company of the State of Pennsylvania - NAIC #19429 TN - project specific policy for CH2M Oak Ridge, LLC 014629412 The Insurance Company of the State of Pennsylvania - NAIC #19429 NV Combat Support Services ttachment:Ma, ter1ID 1075642, Certificat eID1 13652858 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement. effective 12:01 AM 1/1/2017 Issued to AECOM AECOM Technical Services, Inc. By *** SEE ATTACHMENT *** forms a part of Policy No. SEE ATTACHED ACORD 101 LIMITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder(s) when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided the Insurer, either directly or through its broker of record, either: (a) the name of the entity shown on the certificate, a contact name at such entity and the U.S. Postal Service mailing address of each such entity; or (b) the email address of a contact at each such entity; and 3. prior to the effective date of cancellation, the Named Insured confirms to the Insurer, either directly or through its broker of record, that the persons or organizations set forth in the Schedule below, as well as their respective addresses listed, should continue to be a part of the Schedule and, if not, the names of the persons or organizations that should be deleted, the Insurer will provide advice of cancellation (the "Advice") to each such Certificate Holder(s) confirmed by the Named Insured in writing to be correctly a part of the Schedule within 30 days after the Named Insured confirms the accuracy of the Schedule below with the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured confirms the accuracy of the Schedule below with the Insurer. Proof of the Insurer emailing the Advice, using the information provided and subsequently confirmed by the Named Insured in writing, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1. Named Insured means the first named employer in Item 1 of the Information Page of this policy. 2. Insurer means the insurance company shown in the header on the Information Page of this policy. WC 99 00 58 (Ed. 04/11) Attachment Code: 6I827 Master ID: 1075675642, Certificate ID: 13653858 .. f A� " CERTIFICATE ®F LIABILITY INSURANCE DATE /YYYY) 03122/2017 2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Servicesu CA License #0437153'1 CONTACT NAME: __ __ _ /c _(APHONE . Ext): E-MAIL ADDRESS: 777 South Figueroa StreeW Los Angeles, CA 900171 Attn: LosAngeles.CertRequest@Marsh.Com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A ; Zurich American Insurance Company 16535 06510 -STND-GAUE-17-18 Orange GLALP 09 2020 NOC INSURED AECOM- INSURER B : NIA NIA AECOM Technical Services, Inc.1 INSURER C ; Illinois Union Insurance Co 27960 URS Corporation': 999 W. Town & Country Rd.l INSURER D : Orange, CA 92868 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-001972726-22 RFVIRION NtIMRFR- 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. INTRR OF INSURANCE ADDTYPE INS WVD SUER POLICY NUMBER MM/DDNYYY MMIDDtYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L11 OCCUR GLO 5965891 09 04/0112017 04/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 &ADVINJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT _PERSONAL GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP 5965893 09 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X1HIRED ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR LJ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER OTH- STATUTE E.L. EACH ACCIDENT $ E.L, DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C ARCHITECTS & ENG. EON G21654693 04/01/2017 04/01/2018 Per ClaimlAgg 2,000,000 PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Client Reference No, 14-037: City of Santa Ana On -Call Engineering Services 14-037; AECOM: Agreements No, A-2013.034 and Agreement No. A-2015.169; URS: Agreement No. A-2008-048-01 and Agreement No. A-2014-357; The City of Santa Ana solicited proposals from consulting firms to provide engineering services on an as -needed basis. Engineering services may include civil engineering, electrical engineering, traffic engineering, geotechnical, land/property surveying, structural, architecture and landscaping design services and grant writing services, A detailed scope of work will be outlined when/if a specific project or task order is assigned.lti T (See Additional Page) REVIEWED BY: EUNICE HEREDIA (PG OF ) City of Santa Anaf Attention: Monica M. Suter, PE, TE, PTOEO 20 Civic Center Plaza, M-36L Santa Ana, CA 92702 tilct_' 1 Iq NW-1 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 of Marsh Risk & Insurance Services James L. Vogel�G1'"�,,,�I�I� �,..�._.. @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles A� ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED Marsh Risk & Insurance ServicesL AECOR AECOM Technical Services, Inca URS Corporation POLICY NUMBER 999 W. Town & Country Rd._ Orange, CA 92868 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ;L City of Santa Ana is named as additional insured for GL coverage, but only as respects work performed by or on behalf of the named insured. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL coverage. Severability Of InteresUCross Liability is included for General Liability coverage. If the insurer for the General Liability or Automobile Liability policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract, I ACORD 101 (2UU8/U1) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD REVIEWED BY; �ti El1NICE HEREDIA (PGy OF ) AECOM and Its Subsidiaries BAP 5965893-09 Eff 04/01/2017 A/NOC1 Blanket Notification to Others of Cancellation or Non -Renewal Policy No. Eff. Date of Pol. Exp. Date of Po 1. Eff. Date of End. Producer No. Add'] Prom Retum Prem. BAP 5965893-09 04/01 /2017 04/01 /2018 04/01 /2017 75320-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form 1. The following is added to B. —General Conditions provision of Section IV —Business Conditions: A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured for any reason other than non-payment of premium, we will send, via electronic* means, a copy of the notification that such Coverage Part has been cancelled to each Person(s) or Organization(s), shown in a Schedule (of Others) provided to us by the First Named Insured or its designated representative. Such Schedule: 1. Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names, addresses and e-mail* addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule must be updated monthly and provided to us by the First Named Insured or its designated representative: during the policy period. Such updated Schedule must comply with Paragraphs 2., 3. and 4. above. B. Our sending of the electronic* notification described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation o r no n - re n e wa I is sent to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be at least 30 days prior to the effective date of such cancellation or non -renewal as advised in our notice to the first Named Insured, or the longer number of days' notice if indicated in the Schedule, provided to us by the first Named Insured or its designated representative. C. Proof of sending the electronic* notification will be sufficient proof that we have complied with Paragraphs A. or B. of this endorsement. D. Our failure to send notification as described in Paragraphs A. or B. of this endorsement will not: 1. Extend the Coverage Part cancellation or non -renewal, 2. Negate the cancellation or non-rene%el or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. or B. of this endorsement. F. This endorsement is only applicable to Other Persons or Organizations that are listed on the Schedule. All other terms and conditions of this policy remain unchanged. U-CA-388 A CW (07194) Includes copyrighted material of Insurance Services Office, Inc., with its permission. REVIEWED EiY: EUNICE HEREDIA (PSG S0F,5.a.)j AECOMmnd Its Subsidiaries GLD5965 91f09 POLICY NUMBER: GLO50G58A1-O0 COMMERCIAL GENERAL LIABILITY 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 Additional Insured Person(s) Or Organizalion(s): Only those where required by written contract. I Information required to complete this Schedule, it not shown above, will be shown in the Declarations. | . A. Section U —Who Is An Insured is amended to include as an additional insured the (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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. |nconnection with your promises ownedby or rented to you. However: 1. The insurance afforded to such additional insured only applies tothe extent permitted by law; and 2. Ucoverage provided tothe additional insured is required by a contract or agreement,the insurance afforded to such additional insured Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: M coverage provided to the additional insured is required byacontract or agreement,the most wm wj|| pay on behalf of the additional insured is the amount o|insurance: 1. Required bythe contract uragreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the CG 20 26 04 13 0 Insurance Services Office, Inc., 2012 Page I of 1 TM uo fa O ab E r5 A2 0.0 a) t5 :3 Q 2L 0 M Lli Z [7L 0 ab c 0 0 E M 0 7M w rr -0 $LN C, 72 0 1 m 0 n;9 12 LL LU < Q a 112, zm LU E.2 sl N m =CD 1 0 m z ro U >: ci 0 U3 0 LL (I 4 n t-a 4.5; wpp 0 ra CL LU x Z 0gcYi -0 0 -0 3., .0 g 2 Am'& -ai a - :5 2 .2 d k -2-8 � 4 , (j V 76 0- Eq OR "I m i2 A C6 M 'd ti w w m S :3 Ao x 0 i2 0to Cb OE T' -E y Cc w *4 c . E W iQ :33 .90 0 U ti 3: -j § ,g K .2 � P -,0, CD� <���wu ti OE E c c = c n w Q E F-g75 af .? m u '15-2 E 23 ;R 6.4 a E 0 E = m zIZ C4 e4 li m r'- 2 2 CL rrE :3 0. 4 REVIEWED BY: [Maim m '` C(:> ?& CERTIFICATE OF LIABILITY INSURANCE 1*,,:..�'- FDATE(MMIDDIYYYY) 5/19/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY. OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the, certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed, If. SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement,. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: (707)996-2912 Fax: (707)996-7912 Apollo General Insurance Agency, Inc, (I) P. O. Box 1508 CONTACT Jerilee Lewis NAME: PHONE E FAreAX. No ADDREAIL SS: jerileelQapgen.com INSURERS AFFORDING COVERAGE NAIC # Sonoma, California 95476 INSURER A : Interstate Fire & Casualty Company 22829 .INSURED INSURER B : American Automobile Insurance Company 21849 American Wrecking, Inc. INSURER c : Torus Speciality Insurance Company 44776 2459 Lee Avenue South El Monte, CA 91733 INSURER D : State Compensation Insurance Fund Of California 35076 Philadelphia Insurance Company INSURER E: P P Y 23850 INSURER F : COVERAGES CERTIFICATE NUMBER:750 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 ISSUED OR MAY PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AOD S BR NUMBER POLPOLICY MMID�IYYYY POLICY YYY LIMITS A tI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ✓❑ OCCUR DAN1000477 4/28/2017 4/28/2018 EACH OCCURRENCE $ 1,000,000 DA AGE TO RENTED PRE ISES Ea occurrence _ "'"' 300,000 $ MED EXP (Any one arson) $ �> PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGG REGATE LIM IT AP PLI ES P ER: POLICY V PEt° E LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGO $ 2,000,000 $ OTHER: B AUTOMOBILE 1/ LIABILITY ANY AUTO MXA80320884 9/1/2016 9/1/2017 _COMBINEDSINGLE LIMIT $ 1000000 BODILY INJURY (Per person) $ I OWNED SACHEDULED AUTOS ONLY UT BODILY ( BODILY INJURY Per accident) $ 1/ HIRED ,/ NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ C UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE 29256EI71ALI 4/28/2017 4/28/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOY RS'LI BILIITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUC (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 9161690-16-2 10/1/2016 10/1/2017 I ✓ STATUTE ER E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 E Pollution Liability PPK1615467 2/18/2017 2/18/2018 Per Om. 5,000,000 Policv naa. 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Operations of the Names Insured. Certificate Holder is hereby added as Additional Insured if required by written contract per endorsement hereto. Waiver of Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein. A 30 day written notice shall be mailed to the certificate holder at the address.provided herein, should a described policy(s) be cancelled before the expiration date thereof; 10-day notice for non-payment of premium, REVIEWED BY: EUNICE HEREDIA (PG OF ) Holder's Nature o£ Interest : Certificate Holder City of Santa Ana PO Box 1988 M-36 Santa Ana, CA 92702 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 Rp$ENTATIVE 77r ©1988.2015 ACORD�PORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: DAN 1000477 COMMERCIAL GENERAL LIABILITY INSURED: AWI Equipment Leasing, Inc; AWI Rental CG 2010 10 01 Company, Inc.; AWI Investment Recovery, Inc, & AWI Management Services, Inc 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 Person or Organization: As Required by Written Contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured, performed by or on behalf of the addi- B. With respect to the insurance afforded to these tional insured(s) at the site of the cov- additional insureds, the following exclusion is ered operations has been completed; added: or 2. Exclusions (2) That portion of "your work" out of which the injury or damage arises has This insurance does not apply to "bodily inju- been put to its intended use by any ry or property damage occurring after: person or organization other than an- other contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project, Other Coverage's Provided this Insured per Policy Form: PRIMARY CLAUSE It is hereby understood and agreed that the insurance certified herein, shall be considered primary insurance to that of any other valid and collectible insurance held by the additional insured certificate holder, and the additional insured's insurance shall be considered excess cover- age only, and not contributory as respects the named Insured where required by contract. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY We waive any right of recovery we may have against a person or organization because of payments we make for Injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" when you have waived such right of recovery under a written contract with that person or organization. Such written contract must be: a. Currently in effect or becoming effective during the term of this policy, and b. Executed prior to the "bodily injury", "property damage" or "personal or advertising Injury", or c. Executed after the "bodily injury", "property damage" or "personal and advertising Injury" if: 1. The terms and conditions of the written contract or written agreement had been agreed upon prior to the "bodily Injury", "property damage" or "personal and advertising Injury"; and 2. The Insured can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the "bodily Injury", "property damage" or "personal and advertising in- REVIEWED BY: EUNIC.E HCREDIA PG CG 20 10 10 01 O ISO Properties, Inc., 2000 Page 1 of 1 ❑ POLICY NUMBER: DAN1000477 COMMERCIAL GENERAL LIABILITY INSURED: American Wrecking, Inc. AWI Equipment CG 20 37 10 01 Leasing, Inc; AWI Rental Company, Inc.; AWI Invest- ment Recovery, Inc, & AWI Management Services, Inc THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: SCHEDULE As Required by Written Contract Location And Description of Completed Operations: Additional Premium: As Per Written Contract Included (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products -completed operations haz- ard". Other Coverage's Provided this Insured per Policy Form: PRIMARY CLAUSE It is hereby understood and agreed that the insurance certified herein, shall be considered primary insurance to that of any other valid and collectible Insurance held by the additional insured certificate holder, and the additional insured's insurance shall be considered excess coverage only, and not contributory as respects the named Insured where required by contract. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" when you have waived such right of recovery under a written contract with that person or organization. Such written contract must be: a. Currently in effect or becoming effective during the term of this policy, and b. Executed prior to the "bodily Injury", "property damage" or "personal or advertising Injury", or c. Executed after the "bodily injury", "property damage" or "personal and advertising injury" if: 1. The terms and conditions of the written contract or written agreement had been agreed upon prior to the "bodily Injury", "property damage" or "personal and advertising injury", and 2. The insured can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the "bodily injury", "property damage" or "personal and advertising In- jury". REVIEWED BY: � �EUNICE HEREDIA (PGy�0F A) CG 20 37 10 01 © ISO Properties, Inc., 2000 Page 1 of 1 0