HomeMy WebLinkAboutNAKA ENGINEERING CONTRACTORS - 2017City of Santa A►+a
Clerk of the Coun core Off Ice use Only
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
City of Santa Ana
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form. I j j 02 2021
Is the agreement(s) a permanent record? Yes No
Clerk of the Council
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
No. Pl--3L6\1- (JCS was completed on \D4,751 I 11 and final payment has been made.
(List all amendments. Use space below if needed.)
Department: T �'_<5� / pckyw\ A-'
Phone/Ext.: 5 (�
Signature: 'CS�_ZC
Date: -7 k�',4A
Revised: 10-18-16
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A-2017-035
CONSULTANT AGREEMENT
THIS AGREEMENT made and entered into this 21" day of February 2017, by and
between NAKA ENGINEERING & CONSTRUCTION, INC., a California corporation
(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 skull and knowledge in the field of
engineering and structural repairs.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
tenns and conditions hereinafter set forth, the parties agree as follows:
I. ,SCOPE OF SERVICES
Consultant shall provide engineering and structural repair services at prevailing wages at
Angels Park. as set forth in Exhibit A (the "Project"), attached hereto and incorporated herein by
this reference.
Consultant shall deliver to City all work product resulting from the services provided.
Said work product shall be submitted in a hard copy and in a forrn compatible with City's
computer system, as agreed between the Executive Director and Consultant.
In regard to copyrightabte material produced as a deliverable under this Agreement,
including but not limited to books, reports, plans, photographs, drawings and computer
prograrns, Consultant agrees and shall ensure that all of Consultant's affected officers,
employees, agents, contractors, and volunteer workers agree that (a) other such material may not
be copyrighted without prior review from the City, and (b) the authors of all such material,
whether copyrighted or not, award to the City, and to its officers, agents and employees acting
within the scope of their official duties, as a condition of payment to the Consultant, a royalty -
free, nonexclusive, irrevocable license throughout the world for governmental purposes to
disclose, publish, translate, reproduce, and use such materials.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept Fifty Thousand Dollars
($50,000.00) as payment for its services as set forth in Exhibit A. Said compensation includes a
contingency of $5,520.00 only to be used after written request by Consultant to Executive
Director setting forth the circumstances substantiating the need to use the contingency arnount.
b. Payment by City shall be made within forty-five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall cornrnence on the date first written above and terminate on
December 31, 2017, or completion of the Project, whichever is earlier, unless terminated earlier
in accordance with Section 12, below. The term of this Agreement may be extended upon a
writing; executed by the City Manager and the City Attorney,
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire teen 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.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance 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 lit -nit 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, volunteers 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 insureds provisions.
b. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the labor Code, Consultant, if Consultant has any employees, is required to be insured
against liability for worker's compensation or to undertake self-insurance. Prior to commencing
the performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
c. Professional liability (errors and omissions) insurance, with a combined single limit of
not less than $1,000,000 per claim, subject to $1,000,000.00 aggregate.
d. 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 fill force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be famished 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 canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City,
e. 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 Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
G. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from. liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising; out of claims
for personal injury, including death, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property nights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the Mature 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 fi€rther 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 inforniation includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation. of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. 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.
9. 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 telefacsirnile 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.D. Box t 988
Santa Ana, CA 92702-1988
Facsimile (714) 647-6956
Copies to: Executive Director of Parks, Recreation & COMMUnity Services Agency
City of Santa Ana
20 Civic Center Plaza (M-75)
P.O. Box 1988
Santa Ana, California 92702
Facsimile (714) 57I -4221
City Attorney
City of Santa Ana
20 Civic Center Plaza (NI-29)
P.O. Box 1988
Santa Ana, California 92702
Facsimile (714) 647-6515
To Consultant: Naka Engineering & Construction, Inc,
Nader Alex Kazemi, Principal Engineer, CEO
P,O. Box 54442
Irvine, California 92619
Phone: (949) 295-7578
Facsimile: (949) 679-0600
A party may change its address by giving notice in writing to the other party, 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 nail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsirnile, 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 t1orth above. For purposes
of calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate either
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 are not embodied herein,
11. 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 assigiunent, 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.
12, TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions,
a. As a condition of such payment, the Executive Director may require Consultant to
deliver to the City all work product completed as of such date, and in such case such work product
shall be the property of the City unless prohibited by law, and Consultant consents to the City's use
thereof for such purposes as the City deerns appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement,
13. 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 affin-rs that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15, PROFESSIONAL LICENSES
Consultant shall, throughout the terns 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.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be into Wrated 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 ofthe Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By.,.
Lisa Storck
Assistant City Attorney
RECONINIEND APPROVAL:
CITY OF SANTA ANA
GERARDO.MO ET
Acting City Manager
& CONSTRUCTION, INC.
Nader A ex R -rErn�rl.S.
-�-- �" Chief Executive Officer
Jeannie Jurado, Acting Exec. Director Tax ID#
Parks, Recreation & Community Services Agency
7
EXHIBIT A
SCOPE OF WORK
Angels Community Park
914 West Third Street
Santa Ana, CA 92702
For this location the following should be listed for a bid to be considered responsible
and responsive for restroom structural repairs at prevailing wages at Angels Community
Park restroom:
1. Remove and replace 4" stud wall 44'-0"x6'-8". Apply stucco on both sides, Refer
to Drawing A-2 and A-3.
2. Replace wood siding with stucco. Refer to Drawing A-2 and A-3.
3. Replace any damaged wood members.
4. Apply rolled/torched-down roofing,
5. Painting of the stucco, doors and screens.
6. Protect in place existing plumbing equipment.
7. Protect in place existing electrical equipment.
8. Protect in place existing doors.
9. Perform lead -based paint testing and any necessary abatement.
10. Perform asbestos testing and any necessary abatement,
11. Install temporary fence around work site.
12. Maintain work area, equipment and materials free of graffiti.
13.Obtain necessary permits, if required,
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CERTIFICATE OF LIABILITY INSURANCE DATEIMMri7DNYYY)
2-28-2017
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
ISK Insurance services/ Slcyles Insurance Agency AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
IJ642 sand Canyon ave CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Irvine, CA 92619 COVERAGE AFFORDED BY THE POLICIES BELOW,
949-275-3648
INSURERS AFFORDING COVERAGE NAIL 4
INSURED INSURER A: Colony INS CO
NAKA ENGINEERING & CONSTRUCTION INC INSURER B; 215t Century Insurance Company
26081 Merit Circle, Ste 11.4 INSURER c State Compensation insurance Fund
Laguna Hills, CA 92653 INSURER R
INSURER E:
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
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INSR
INSRO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATB 1NMID6
POLICY EXPIRATION
DATE Mfi�16D7YY
LIMITS
®
GENERAL LIABILITY
® COMMERICAL GENERAL LIABILITY
❑❑ CLAIMS MADE ®OCCUR
IOIGLOO51688
4/07/16
4/07/I7
EACH OCCURENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea oxurrenee}
$100 000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$1,000,000
❑❑
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGO
$2,000,000
® POLICY El PROJECT [I LOC
$
B
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AUTOMOBILE LIABILITY
® ANY AUTO
10527507
1T,18-16
11-i8-E7
COMBINED SINGLE LIMIT
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$1,000,000
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
BODILY INJURY
(Per parson)
$
® HIRED AUTOS
® NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
® Hired Auto pj sical dams a
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PROPERTY DAMAGE
(Per accident)
$
❑GARAGE
LIABILITY
El ANY AUTO
❑
r
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: qGG
$
$
❑EXCESSIUMBRELLA
LIABILITY
❑ OCCUR ❑ CLAIMS MADE
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EACH OCCURRENCE
$
AGGREGATE
$
❑ DEDUCTIBLE
(k
$
❑ RETENTION $�
$
®WORKERS
COMPENSATION AND
EMPLOYERS' LIABILITY
3943582-2014
5/01116
5/0[l17
® WCSTATU. ❑ OTH-
TORY LIMITS ER
ANY PRCPRiETORIPARTNER)EXECU-
TIVE OFFICERIMEMBER EXCLUDED?
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - FA EMPLOYEE
$1000,000
If yes, describe under
SPECIAL PROVISIONS babw
E-L- DISEASE - POLICY LIMIT
$1000,000
❑
OTHER
DE`$CRIPTION OF OPERATION91 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDEO BY ENDORSEMENT! SPECIAL PROVISIONS
1
ERTIEi ICATE ROLDER IS NAMED AS ADDITIONAL INSURED.
Additional insured certificates and endorsements will he sent to certificate holder direotly upon renweal dates.
UITY OF SANTA ANA
PURCHASING DEPARTMENT
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
Vli1YMCl„I.M 1 IVIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE NCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURER AFFORDf COVERAGE WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICA;t HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATI09ORLIA -ATY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVE,$. //
AUTHORIZED
RD 26 J2001/08j -- — ACORD CORPORATION 1988
FCC dra, GERTI �CA II E OF LIABILITY NSURANCE
TE (MMIDWYYYY)
DA0411312016
PRODUCER 888-gp0-gg8c0
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
SKYLES INSURANCE AGENCY
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
9840 BUSINESS PARK OR,
SACRAMENTO, CA 95827
INSURERS AFFORDING COVERAGE
NAIC 4
INSURED
NAKA ENGINEERING & CONSTRUCTION INC
NADER ALEX KAZEMI
P.O. BOX 54442
IRV€NE, GA 92619
I
INSURERA: COLONY INSURANCE COMPANY
INSURERB:
INSURERC:
rNsuRER D;
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
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POLICY NUMBER
POLICYEFFECTIVE
DATE
POLICY EXPIRATION
❑
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
5 1,000,000
PREMISES Eaoccurence
100,000
`A`
X
X COMMERCIAL GENERAL LIABILITY101GL0051G88-00
417116
417117
MED EXP(Any one person}
$ 5,000
CLAIMS MADE [�j OCCUR
FIERSONAL&ADVINJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
PRODUCTS,COMPIOPAGG
$ 2,006,000
i
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AUTOMOBILE
LIABILITY
ANYAUTO
COMSINEDSINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person}
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON;OWNEDAUTOS
BODILY INJURY
(Per accident}
$
PROPERTY DAMAGE
(Par accident)
$
GAR AGE LIABILITY
AUTO ONLY iEAACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
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I ANY AUTO
5
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
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5
$
DEDUCTIBLEj{
RETENTION S
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.Y
$
WORKERS COMPENSATION AND
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E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
AMY PROPRIETO RIPARTN ERlEX ECUTIVE
OFFICERWEMEER EXCLUDED?
f yes, describe under
5RECIALPROVISIONS below
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E.L. DISEASE, EA EMPLOYE£
Fi
E.L. DISEASE i POLICY LIMIT
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DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES EXCLUSIONS ADDED BYENDORSEMENT I SPECIAL PROVISIONS
L'I-I-'l 0 SAID i-A ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMFD AS ADDITIONAL INSURED PER
COI*IDITIONS OF THE ATTACHED FORMS U156-03-10, U047-0310.
RE:SANTA ANA, CA
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF SANTA ANA, NI-93
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR
20 CIVIC CENTER PLAZA
REPRESENTATIVES.
AUTHOORIE,1 D$E)'� NTATIVE
SANTA ANA, CA 92702
----
Bpm
ACORD 25 (2UO1108) / f ' AUUKU t UNIIUKA I IUN lVdd
TUMPOSIM11V
If the certificate holder is an ADDITIONAL. INSURED, the pollcy(ies) must be endorsed. A statement
an this certificate does riot confer rights to the certificate holder in lieu of such endorse ment(s).
ff 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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
f ,4\e
ACORD 25 (2001108)
101 GL 0051688-00
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -
OWNERS, LESSEES OR CONTRACTORS - SCHEDULE.):
E
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE DART
ured Person(s) or
dditional Insu
SCHEDULE
AS DESIGNATED IN WRITTEN CONTRACT
WITH THE NAMED INSURED
Location(s) of Covered Operations:
AS DESIGNATED IN WRITTEN CONTRACT
WITH THE NAMED INSURED
It is further agreed that this insurance shall be Primary and Non -Contributory but only in the event of
a Named Insured's sole negligence.
A. SECTION II — WHO 15 AN INSURED is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule for whom you are performing operations when you and such person
or organization have agreed in writing in a contract or agreement that such person or organization be
added as an additional insured on your policy. Such person or organization is an additional insured only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in
whole or in part, by:
I. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s) designated
above.
A persons or organization's status as an additional insured under this endorsement ends when your
operations for that additional insured are completed.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
This insurance does not apply to:
Additional Insured Contractual Liability ��,���
"Bodily injury" or "property damage" for which the additional insured(s) are obliga#ed to pay y
reason of the assumption of liability in a contract or agreement. L
Finished Operations at Work�����,�`��,��C�,
Bodily injury" or property damage occurring after: ��P°
1. All work, including materials, parts or equipment furnished in connection with?Lich work, on the
project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use
by any person or organization.
Negligence of Additional Insured
"Bodily injury" or "property damage" arising directly or indirectly out of the negligence of the additional
U156-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2
with its permission.
101 GL 0051688-00
insured (s).
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.
0S
U156-0310 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2
with its permission.
101 GL 0051688-00
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to Paragraph S. Transfer Cif Rights Of Recovery Against Others To Us of Section
IV — Conditions:
We waive any rights of recovery we may have against any person or organization because of payments we
make for injury or damage resulting from your ongoing operations or "your work" done under a contract with
that person or organization and included in the "products -completed operations hazard" if:
a. you agreed to such waiver;
b. the waiver is included as part of a written contract or lease; and
c. such written contract or lease was executed prior to any loss to which this insurance applies,
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED,
U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1
with its permission.
POLICYHOLDER COPY
SP
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 05-01-2016 GROUP;
POLICY NUMBER: 1943582-2015
CERTIFiCATE 11 26
CERTIFICATE EXPIRES: 05-01-2017
05-01-2018/05-01-2017
CITY OF SANTA ANA SP
20 CIVIC CENTER PLZ
SANTA ANA CA 92701-4058
This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this po#icy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the poilcy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which It may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #1600 - NADER ALEX KAZEMI, PRES,TRES - EXCLUDED,
ENDORSEMENT #1600 - IRAN ALIGHOLIZADESUOMEH, SEC - EXCLUDED.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2012 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
I ENGINEERING & CONSTRUCTION INC
PO BOX 54442
IRVINE CA 92619
•�e
e
G�
SP
[DEC,CN1
(REV.7-2014) PRINTED : 03-01-2017
�11 ar-,e^r 0 DATE IMM'IDDfYYYYI.
C CERTIFICATE OF LIABILITY INSURANCE04103r2017
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 I'NSURER(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 CONTACT Briana Casillas
NAME:
PHONE. ,.,...,.. 916-361-9585 %2.6691'..6-361-9821
Skyles Insurance Agency E-MAIIFss: bcasillas@skylesinsurance.com
ADD9840 Business Park Drive INSURER(S) AFFORDING COVERAGE NAIC q
Sacramento CA 95827 INSURER A: Colony Insurance Company 39993
INSURED
INSURER B
Naka Engineering X Construction Inc INSURER C:
Nader Alex Kazem" INSURER D :
P.O. Box 5444E f INSURER E r
Irvine A % .. ;CA92619
INSURER F
COVERAGES CERTIFICATE NIIMIRER- REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE 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.
k"SR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY E%P
MMIUDrPYYY
LIMITS
COMMERCIAL. GENERAL LIABILITY
EACH OCCURRENCE.
S 1,000,000
PREMIS S (Ea uc24rrenae
S 100,000
CLAIMS -MADE J OCCUR
. ME EXP (Any one person)
S 5,000
PERSONAL BADVINJURY
S 1,000,000
A
Y
101GL0051688-01
04107/2017
04/07/2018
GEN'L
AGGREGATE LIMIT APPLIES PER ;
GENERAL AGGREGATE
S 2,00D,000
POLICY El PRO- JECT L.00
PRODUCTS - COMP/OPAGG
S 2,000,000
$
OTHER:,
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea =Idenl)
$
ANY AUTOBODILY
INJURY (Par person)
5 _
ALL OWNED ..._.. _., SCHEDULED
AUTOS AUTD!S
I
BODtlLY INJURY (Per accident)
I.,.S
PROPERTY DAMAGE
3
NON' -OWNED
HIRED AUTOS AUTOS.,.
�.
Per accidanl _
a
S
UMBRELLA UA8
Li
OCCUR
h4 i
EACH OCCURRENCE
$
AGGREGATE
S
EXCESS LIAR
CLAIMS -MADE
�� p
DEO RETENTIONS
S
,:. (
°
WORKERS COMPENSATION
�
.,�
PER DT}a
STATUTE ER
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETOMPARTNERIEXECUTIVE
�r,,�
�j q,�.,vr,�N�'^
`.
Er. EACH ACCIDENT
5.
r7FFOEWMEMBER FXCLUDED7
(Mandatory In NH)E.L.
NIA
E�q�0. "
\C�.,v'
DISEASE -EA EMPLOYEE
5
If yes describe under
ago
�
DESCRIPTION OF OPERATIONS below
,re'• •.
E L. DISEASE - POLICY LIMIT
$
r,
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO
GENERAL LIABILITY PER THE CONDITIONS OF THE ATTACHED FORMS: U 156-0310 AND U047-0310..
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE, POLICY PROVISIONS.
CITY OF SANTA ANA 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATgVE
SANTA ANA CA 92702
b 1988-20 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are r r Bred marks of ACORD
101 GL 0051688-ol
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -
OWNERS, LESSEES OR CONTRACTORS - S C H E D U L E A
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following
COMMERCIAL. GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Additional Insured Person(s) or Organiza�tion(s)
(Additional Insured): Location(s) of Covered Operations:
AS DESIGNATED IN WRITTEN CONTRACT AS DESIGNATED IN WRITTEN CONTRACT
WITH' THE NAMED INSURED WITH THE NAMED INSURED
11 is further agreed that this insurance shall be Primary and Non -Contributory but only in the event of
a Namedd! Insured's sole negligence.
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 for whom you are performing operations when you and such person
or organization have agreed in writing in a contract or agreement that such person of organization be
added as an additional insured on your policy. Such person or organization is an additional insured only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in
whole or in part, by:
1. Your acts or omissions; or
2. The acts or ornissions of those acting or) your behalf"
in the performance of your ongoing operations for the additional insured(s) at the locatson(s) designated
above.
A person's or organization's status as an addifianal insured under this endorsement ends when your
operations for that additional insured are completed,
B, V\(ith respect to the insurance afforded to these additional insureds, the following additional exclusions
apply, -
This insurance does not apply to:
Additional Insured Contractual Liability
"Bodily injury" or "property damage" for which the additional insured(s) are obligated tQ 4a m by
reason of the assumption of liability in a contract or agreement. e� A
Finished Operations at Work
"Bodily injury" or "property damage" occurring after: C" 0
1. All work, including materials, parts or equipment fumished in connection wit r We
project (other than service, maintenance or repairs) to be performe or, mof the
additional insured(s) at the location of the covered operations has keen corrg 8. or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use
by any person or organization.
Negligence of Additional Insured
"Bodily injury" or "property damage" arising directly or indirectly out of the negligence of the additional
U156-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2
with its permission.
101 GL 0051e88-01
insured(s),
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.
G�e2
000#
U156µ0310 Includes, copyrighted material of ISO Properties, Inc., Page 2 of-2
with its permission.
101 GL 00516aa.o1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS1COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section
IV -- Conditions:
We waive any rights of recovery we may have against any person or organization because of payments we
make for injury or damage resulting from your ongoing operations or "yourwork" done under a contract with
that person or organization and included in the "products -completed operations hazard" if:
a. you agreed to such waiver,
bs the waiver is included as part of a written contract or lease, and
c. such written contract or lease was executed prior to any loss to which this insurance applies,
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED,
U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1
with its permission.