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HomeMy WebLinkAboutIBI GROUP 5B - 2015MU11AW1 ON Hill i_ WORK MAY PROCIED UNTIL INSURANCE EXPIREt \O GIERKQ5COUN —1?G11...j__,x,.v.... ��.. DATE SECOND AMENDMENT TO PROFESSIONAL SERVICES AGREEMENT WITH IBI, GROUP THIS SECOND AMENDMENT TO AGREEMENT, made and entered into this 15°' day N of December, 2015, by and between IBI GROUP, a California general partnership _ ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and lairs of the State of California ("City"). t RECITALS A. City and Consultant entered into Agreement #A-2011-198, dated September 13, 2011, for a consultant having special skill and knowledge in the field of circulation element updates and related services ("said Agreement"). B. On October 21, 2014, the Scope of Services and the Compensation clauses of said Agreement were amended. C. In accordance with the terms and conditions of said Agreement, the Parties desire to add additional funds, revise the Scope of Services, and extend the Toni-, of said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: Section 1, SCOPE OF SERVICES, shall be amended to include those services necessary to complete the circulation element, including but not limited to performing new data collection of traffic counts along with the collection of bicycle and pedestrian volumes at intersections, meeting attendance and editing the draft Circulation Element to incorporate new policies and text associated with the preparation of the Santa Ana Safe Mobility Plan, as set forth in more detail in Consultant's Amendment Proposal No. 4 — Circulation Element Update dated September 2, 2015, attached hereto as Exhibit A and incorporated herein by this reference. 2. Section 3, COMPENSATION, the relevant portion of said section shall be amended to increase the compensation by $80,245.00, such that the total sum to be expended Linder this Agreement shall riot exceed $613,245.00 during the extended Term of this Agreement. 3. Section 4, TERM, shall be amended to extend the Term through June 30, 2017. 4. Except as hereinabove modified, all terms and conditions of said Agreement shall, remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement the date and year First above written. ATTEST: CITY OF SANTA ANA MARIA D. HUIZAR DAlRP AVAZOS Clerk of the Council City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney BY: . LisaOSor/ck Assistant City Attorney RECOMMENDED FOR APPROVAL, 21an sanHaghan Execua Director ning & Building Agency q Consultant IBI GROUP DAVID CHOW, I�.E: Aicp Dire for AJC �}L!S r Rla' C3a}i� Dmr(7 0 EXHIBIT A SCOPE OF SERVICES (Attached) 181 Group IN 18,101 Von Korman Avenue—Suite 110 rvine CA 92612 USA tel 9493335533 fax 949 633 5511 September 2, 2015 Melanie McCann City of Santa Ana 20 Civic Center Plaza, Ross Annex M-20 Santa Ana, CA 92702 AMENDMENT PROPOSAL NO.4 • CIRCULATION ELEMENT UPDATE This letter proposal details IBI Group's request for an amendment under our contract with the City of Santa Ana for the Circulation Element Update project. Work efforts associated with this request involve additional work will be incurred by IBI Group and Placeworks at the request of the City of Santa Ana. The work efforts detailed in this amendment request were not included in our original scope of services for this contract. The tasks listed below correspond to the tasks assigned in the original scope of services for this contract. The proposed budget for completing this work is attached to this letter. Task > - Project Management and Meetings Amendment No. 1 included an augment to this task to reflect the ongoing management of the contract up to a 39 -month effort. The current work effort as of August 2015 stands at 47 -months, which exceeds the extension provided under Amendment No. 1. Additionally, the city desires for IBI Group and Placeworks to coordinate with the city and consultant selected as part of the Santa Ana Safe Mobility Plan. Based on these two components, IBI Group has budgeted for attendance by IBI staff and Placeworks staff at up to three meetings for the Santa Ana Safe Mobility Plan and two hours per month for IBI Group senior staff (project manager or deputy project manager) for ongoing coordination with the city for a duration of 12 months from August 2015. This coordination effort would carry the contract through the Safe Mobility Plan preparation and preparation of the draft Circulation Element and environmental impact report (EIR). Task 2 — Data Collection As part of the original contract, IBI Group completed a data collection effort focused on the inventory of the existing street network and collection of traffic, bicycle, and pedestrian counts. As part of this effort, traffic counts were collected in June 2012 at 32 intersections and along 18 roadway segments that were approved by the City's Public Works Department. The count locations were selected based on proposed street reclassifications identified by IBI Group and the City of Santa Ana in 2012. As part of the additional traffic analysis work completed by IBI Group under Amendment No. 1, the City of Santa Ana conducted and provided traffic counts at 8 intersections and along 6 roadway segments in 2014, above and beyond those counts previously identified and collected in 2012. lB1 Group is a group of firms providing professional services Iat Group City of Santa Arta - September 2, 2015 Under this amendment request No. 4, given the time period of over three years that will have pass between the traffic counts and release of the draft environmental impact report (EIR), is it appropriate to obtain updated traffic counts at all the previously counted locations from the original contract and under Amendment No. 1 t o ensure that the traffic analysis utilizes the most up to date information and data available. Therefore, the data collection effort would consist of new AM and PM peak period traffic counts at all 40 intersections and 24 -daily traffic volumes at all 24 roadway locations. The AM and PM intersection counts will also include collection of bicycle and pedestrian volumes at the intersections. These counts are associated with additional roadway reclassifications identified by the City of Santa Ana for analysis and advancement of the OCTA MPAH Amendment process. Amendment request No. 4 also includes new AM and PM peak hour counts at up to 36 intersections to account for the MPAH reclassification. The additional counts will also include collection of bicycle and pedestrian volumes at intersections. Task 4: Evaluation of Master Streets and Highways Plan This new amendment involves work efforts that will be completed by IBI Group to analyze up to 36 additional intersections in the traffic analysis beyond those contained in the original contract and the previous two amendments. IBI Group will also coordinate with OCTA to provide inputs for a single new OCTAM model run to develop updated Year 2035 traffic forecasts that include the additional modifications to the MPAH roadway network identified by the city. IBI Group will post -process the updated model forecasts obtained from OCTA, incorporate the up to 36 additional intersections into the traffic impact analysis, and update our July 2014 draft traffic study, including the analysis of 40 previously analyzed intersections and 36 roadway segments using the new forecasted traffic volumes provided by OCTA. This task also assumed time for attendance at up to two additional meetings with OCTA staff to discuss the new proposed street reclassifications. Task 9: Prepare Updated Circulation Element This task will involve further updates and edits to the draft circulation element to incorporate new policies and text associated with the preparation of the Santa Ana Safe Mobility Plan (SASMP). Specific edits are anticipated to be additions to the policy framework and incorporation of a summary of the Santa Ana Safe Mobility Plan in the circulation element appendix. These edits to the draft circulation element will be in addition to those Identified in Amendment No. 2. As part of this task, Placeworks will also prepare up to two new maps in the Circulation Element policy framework to reflect the Santa Ana Safe Mobility Plan components. This will include importing linework, changing the base maps, amending colors and shades, and amending symbols in accordance with City direction. This effort assumes that line work completed by the Santa Ana Safe Mobility Plan consultant is in GIS and then transferred to Illustrator for enhancement. Graphics supporting the Appendix are not included in this scope of work. This task also assumes up to 10 hours for IBI Group and 12 hours for Placeworks for additional coordination and meetings with City staff to discuss the SASMP and other city initiatives that may influence the finalization of policies in the Circulation Element. Given prior efforts on the circulation element, this scope of work assumes one final edit to be completed by the project team, with only minor changes thereafter. This assumes that City staff will review the document and provide direction prior to commence of work, with only final minor IBI Group City of Santa Ana - September 2, 2015 edits thereafter. The final document production will include photos and graphics that are readily available, but do not require drafting or amendment. Following completion, we will provide a high quality PDF for distribution. A detailed cost summary sheet is attached to this scope of work. Should you have any questions regarding this proposal, please do not hesitate to contact Bill Delo at (949) 833-5588. We look forward to the opportunity to continue to work with and assist the city on this project. Sincerely, IBI Group David Chow, P.E., AICP Regional Director, USA West Santo And General Plan Circulation Element Upeeta- Budget Amandmo t No 4 IBI Sloop Team Mamhome by Task 2.0c415 TOTAL HOURS by STAFF TOTAL FEE by STAFF 4 104 56 176 0 JBI Group P cat wa k$ 50 IBI Test Latest Roo, 340 IBI Total Labor Fee 1 Took 2- Update x112012 counts $12,700 Task 2- ReclasaPkation Benda $8625 00C's $ M a vatic E a nn9 m' toe IS ,,ar a 03 Trani Total -- - 14oum Leber PG I `a'Pala AfA b - .'. i'Ival _ Fri Nn ..OxvN FCE9 $100011$20000 $136001 $0500 6]5.00 $196F $17500 $19500 6135.00 TASK 1: Ronald Management and Meetings Geaera�ject manayenredt � A 20 32 6f,,GOU _ _ _ Morsdn s 101 0000 .0000_ . _0;... TASK 2 Data Co1lepUon VeMcolar. ad and Oke counts 21 4 8 5840 TASK 4: Evaluation of Mester Plan of Streets 3 H.Ys Updated OCTAM Year 2035 forecast i0 81 201 38 S4780 OCTA Meeungs UI fll 0I 24 53360 llon Interna end Street LOS Analyse —2011 21l 1091 _- _-- bW 516000 Vedato3 t0 TmPoe Study i6'. 16 481 80 50.440 Td5K 6: Pr are CE0q 0ocumenlall0n Scop nyrin tial Study.. $o _. 0000___ OmOE-IR •0000_-0000' 8 8 1_400 $1.400 0 $0 5: TASK 0: Prepare Updated CPculnlioM1 Element Element __.. Draft Pool Simulation F'nAl CtmuleUon Element � - A 10 0011. 12 I 12L__ IG 50 22 $6210 0000.... 94,100 TOTAL HOURS by STAFF TOTAL FEE by STAFF 4 104 56 176 0 51200 $20,800 $7,560 $14.860 50 IBI Test Latest Roo, 340 IBI Total Labor Fee $42,520 Took 2- Update x112012 counts $12,700 Task 2- ReclasaPkation Benda $8625 00C's $ 90 IBI Total Budget $65735 IBI Total Budget, 565.735 Plecnaorka Taal Budget. $14,610 Alta TotalSu l $0 Comerstone Total Budget: $0 Total Proposed Budget: $80,245 0 62 8 16 426 $0 $10,060 $1,400 $2.160 $58,,30 86 514410 $100 $14.010 ACOR" CERTIFICATE OF LIABILITY INSURANCE `i DA04/08/2015 Y) 04108/2015 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Pro -Form Sinclair Professional 675 Cochrane Drive Suite 200, East Tower Markham, ON L3R OB8 CONTACT Dafna Warshager AICNNo Ext), 905-305-1054 A No :905-305-1093 E-MAIL ADDRESS: dafna.warshager@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:XL Insurance America, Inc. 24554 US00008537LI15A INSURED N Group INSURER B:XLSpecialtyInsurance Company 37885 INSURER C: 18401 Von Karman Avenue, Suite 110 Irvine, CA 92612 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:J2Dzw65N REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYVY POLICY EXP MMIDOIYYW LIMITS A GENERAL LIABILITY US00008537LI15A 04/30/2015 04/30/2016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY. CLAIMS -MADE 7X OCCUR PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY PRO LOC JECT $ B AUTOMOBILE X LIABILITY ANY AUTO MA0003760403 Deductible: $2,000 Comp. / $2,000 Collision 04/30/2015 04/30/2016 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X2000 X HIRED AUTOS AUTOS $, Comp.l X NON -OWNED $2,000 Collision PROPERTYDAMAGE Pereecident $ $ - UMBRELLA LAG OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ft E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA EL.DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below, E.L. DISEASE -POLICY LIMIT $ B Professional Liability Insurance DER 9723489 04/30/2015 04/30/2016 Each Claim 1,000,000 Annual Aggregate $ 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) IBI Project 30866 Santa Ana General Plan Circulation Element Update "City of Santa Ana, its officers, employees, agents, volunteers and representatives" are added as additional insured to Commercial General Liability, Automobile Liability and/or Umbrella Liability only, but only with respect to liability arising out of the operations of the named insured. The Insurer will provide the Certificate Holder with thirty (30) days written notice of cancellation of the policy. Limits shown are in US Dollars. 41 � -2o t5-2isG CERTIFICATE HOLDER CANCELLATION I ACORD 25 (2010/05) Page 1 of 1 @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W ITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 CIVIC Center Place, M-20 P.O. Box 1988 Santa Ana, CA 92702-1988 ACORD 25 (2010/05) Page 1 of 1 @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY OF SANTA ANA ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company: XL Insurance America Inc. This endorsement modifies such insurance as is afforded by the provisions of Policy # US00008537LI14A relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents, volunteers and representatives are named as additional Insureds ("additional insureds") with regard to liability and defense of sults arising from the operations and uses performed by or on behalf of the named insured, 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim Is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an Insured shall not affect any right which such person or organization would have as a claimant If not so included. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced In coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, (Completion of the followln94 including countersignature, is required to make this endorsement effective.) Effective this endorsement form as a part of Policy # U300008537LH5A Issued to: IBI Group Countersignature Representative Oto -Form Sinclsr'rProfessional Client#: 47645 IBIGROUP ACORD., CERTIFICATE OF LIABILITY INSURANCEDt2/(mMIU. n TYPE OF INSURANCE 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pDlicy(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 NAMEA T Certificate Desk HUB International New England PHONE FAX r - ac Na Ext : 978 657.5100 A1C, Me : B66 47� 7959 299 Ballardval@ St E-MAIL nee.certificates@h ubinternational.com RESS,i............. ._ WilminADD MA 01$87 _....... 97865 -510ton, 97$ 65T-5100 INSURERS) AFFORDING COVERAGE NAIC# - INSURERA: S@@ Page 2 see pg 2 INSURED IBI GROUP US INSURER B: _ INSURER C: 18401 Von Karmen Ave., Ste 110 INSURER D: Irvine, CA 92612 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NIIMRER- 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 CONTRACTOR 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, LTRR TYPE OF INSURANCE INSR BURR me POLICY NUMBER MM@�1YYYYY INM+D�NEYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ENSUORONTUWOeaqca $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR MED EXP (Anyone 2.rsand $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER: "ITIUCTS-COMPIOPAGO $ POLICY PIECTRI LOC $ AUTOMOBILE LIABILITY C a acct eD SINGLE LIM T F cid¢nl $ BODILY INJURY(Perperson) $ ANYAUTO AU OS SCHEDULED AUTOS AUTOSNCN-O BODILY INJURY ParecCident $ I 1 HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per eccitlent S UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS HAS CUdMS,MAOE DEB I I RETENTIONS s A AND WORKERS YERS'LsnnoN ANDEMPLOYERS'PARTNER ANYCERIMEETOREXCLUER)EXEGDTIVE YIN OFFICER/MEMBER EXCLUDED? � NIA OBWEEG7293 1/13/2015 01/13/201 X Wo STATLL br`H- EL. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE 91 000 000 (Mandatory in NH) it y¢s, dssprins ander E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS belay DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (ARech ACORD 101, Addltlonal Remarks Sahedale, it more space is required) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate Holders, (See Attached Descriptions) f'� l 1 1tNV Iy1/ ��� G J YYAP City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICB WILL. BE DELIVERED IN 20 Civic Center Plaza, M-20 PO ACCORDANCE WITH THE POLICY PROVISIONS. Box 1988 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE IS) 1968-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 .oft The ACORD name and logo are registered marks of ACORD #51272670/M1271320 MM003 DESCRIPTIONS (Continued from Page 1) Carrier listing and item 3A States: Twin City Fire Insurance Company • NAIC#29459 (AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MT, NH, NE, NM, NV, (ND Stop Gap), (Ohio Stop Gap), OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, (WA Stop Gap), WI, WV, (WY Stop Gap). Hartford Underwriters Insurance Company - NAIC#30104 (MO, NC, NJ, TX) Hartford Casualty Insurance Company - NAIC929494 (NY) Sentinel Insurance Company Limited - NAIC#11000 (California) Reference: IBI Project 30866 Santa Ana General Pian Circulation Element Update 2 of 2 #81272670/M1271320 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Oligmc • r PollcyNumber: 08 WE EG7293 Endorsement Number: Effective Data: 01/13/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: IBI GROUP US 25200 TELEGRAPH ROAD SUITE 200 SOUTHFIELD, MI 48033 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE ANY PERSON OR ORGANIZATION BLANKET FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US. Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date: 12/12/1.4 Policy Expiration Data: 0I/13/15 tn ID 00 M rn C> THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 08WEEL0990 Endorsement Number. Effeotive nate; 01 / 13 / 2017 kffective hour is the same as stated on the information rage of the policy. Named insured and Address: 1331 GROUP US 25200 TELEGRAPH ED STE 200 SOUTHFIELD, MI 4809 This policy is subject to the following additional Conditions, A. If this pplicy Is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be prodded at least thirty (30) .days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non-payment of premium, or by the insured, notice of such . cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the company, Form WC 99 03 94 Printed in U.S.A. process pate: 01/13/2017 If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or. the Company will be sufficient proof of notice. Any notification rights provided by this -endorsement apply only to active certificate holder(s) who were Issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to tho certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will It negate cancellation of the policy. Failure to send notice shall Impose no liability of any kind capon the Company or its agents or representatives, © 2011, The Hartford Policy Expiration: Date: 01/13/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CD L Policy plumber: 08WEEL0990 Endorsement Number. Effective Date: 01 / 13 / 2017Etfective hour is the same as stated on the Information Page of the pollcy, r -i Named Insurer! and Address: 1131 GROUP U8 fn 25200 TELEGRAPH RD STE 200 SOUTHFIELD, MI 48033 00w We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. 0 Ln This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule, u9ii-Q9 SCHEDULE ZNY PERSON OR ORGANIZATION BLANKED' FROM WHOM YOU .ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OtTATN' THIS WARIER OF RIGHTS FROM US. HUE lnternatlpnal NOW England, LLC By: id 1 Countersigned by Authorized Representative Form WC 00 0a 93 Printed in U.SA. 01/13/2018 Process Date: '01/0/2017 Policy Expiration Date: IBIGROU-01 MMCCARTNEY ACORO"° CERTIFICATE OF LIABILITY INSURANCE 164� DATE(MM/DD/YYYY) 1/6/2017 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 License # 1780862 CONTACT Certificate Desk NAME: PHONE FAX (A/C, No, Ext): (978) 657-5100 (A/C, No): (978) 988-0038 HUB International New England 299 Ballardvale Street Wilmington, MA 01887 E-MAIL nee.certificates@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Hartford Underwriters Insurance Company 30104 INSURED INSURER B : INSURER C7 IBI Group INSURER D : 18401 Von Karman Ave. Suite 110 Irvine, CA 92612 INSURER E DAMAGE TO RENTED INSURER F: COVERAGES CERTIFICATE NUMBER- REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE ❑ OCCUR PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L jECT [::] LOC POLICYEl JO PRODUCTS - COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) / A 08WEEL0990 01/13/2017 01/13/2018 PER X OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate Holders. Reviewed by: Digitally signed by Made Espindola Stop Gap provided in Monopolistic States: ND, OH, WA & WY DN: —Malo Espindola, -Planning and Building Agency, USL&H (All States) where required —Administrative Services Division, email=mespindola@santa- ana.org, c=US Date: 2017.01.19 080511 -08'00' SEE ATTACHED ACORD 101 Agreement A-2015-289 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Ci of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza PO Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR©" `...-✓ AGENCY CUSTOMER ID: IBIGROU-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY License # 1780862 NAMED INSURED HUB International New England IBI Group g 18401 Von Karman Ave. Suite 110 POLICY NUMBER Irvine, CA 92612 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 DDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: Carrier listing and Item 3A States: Twin City Fire Insurance Company - NAIC#29459 (AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MT, NH, NE, NM, NV, (ND Stop Gap), (Ohio Stop Gap), OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, (WA Stop Gap), WI, WV, (WY Stop Gap). Hartford Underwriters Insurance Company - NAIC#30104 (MO, NC, NJ, TX) Property & Casualty Ins Co of Hartford - NAIC#29494 (NY) Sentinel Insurance Company Limited - NAIC#11000 (California) Reference: IBI Project 30866 Santa Ana General Plan Circulation Element Update MMCCARTNEY Page 1 of 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD