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01-1204_TOAL ENGINEERING_Personal Services AgreementPERSONAL SERVICES AGREEMENT THIS pAGREEMEI T is made and entered into this day of PPcQiA�UfIL� , 200 , by and between the City of San Juan Capistrano (hereinafter referred to as the "City") and Toal Engineering (hereinafter referred to as "Consultant"). RECITALS: WHEREAS, City desires to retain the services of Consultant regarding the City's proposal to provide Engineering/Building Plan Check, Engineering, and Architectural Services; and WHEREAS, Consultant is qualified by virtue of experience, training, education and expertise to accomplish such services. NOW, THEREFORE, City and Consultant mutually agree as follows: Section 1. Scope of Work. The scope of work to be performed by Consultant shall consist of those tasks as set forth in Exhibit 'A" attached and incorporated herein by reference. Consultant warrants that all of its services shall be performed in a competent, professional and satisfactory manner and in accordance with the prevalent standards of its profession. Section 2. Term. This Agreement shall commence on the effective date of this Agreement by all parties. This Agreement shall be for a three-year (3 -year) period of time with two one- year extensions. Agreement extensions shall be based on staff review of Consultant performance. The Agreement shall terminate December 31, 2007. 1 Section 3. Compensation. 3.1 Consultant contract billings may be submitted on the consultant's forms and, at a minimum, should contain the following: Title or project(s) Purchase order number Total approved purchase order amount Amount paid to date Amount requested Amount remaining on purchase order Breakdown of amounts by project type or account number Total cost to City for Consultant's fees shall not exceed $50,000 per project proposal for each annual period. The amount stipulated above is not a guarantee by the City to Consultant that said amount will be received by Consultant. Rather, it represents the maximum authorization permitted without further Council approval. Consultant may not, dependent upon availability of projects, receive any work. The City shall issue purchase orders equal to the anticipated Consultant fees on a project basis, which shall constitute Consultant's authorization to proceed. Consultant fees will be billed based on the hourly rate schedule in Exhibit B, up to the stipulated amount agreed to either as stipulated by the plan check fee schedule in Exhibit A or as agreed to in writing. 3.2 Method of Payment. Consultant shall submit monthly invoices, clearly indicating the monthly period for which the billing is made. These invoices should be submitted to: City of San Juan Capistrano, Attention: Engineering Department (City Project Manager) 32400 Paseo Adelanto, San Juan Capistrano, CA 92675. For extra work not part of this Agreement, a written authorization from City is required prior to Consultant undertaking any extra work. 3.4 Records of Expenses. Consultant shall keep complete and accurate records of all costs and expenses incidental to services covered by this Agreement. These records will be made available at reasonable times to City. 2 Section 4. Independent Contractor. It is agreed that Consultant shall act and be an independent contractor and not an agent or employee of City, and shall obtain no rights to any benefits which accrue to City's employees. Section 5. Limitations Upon Subcontracting and Assignment. The experience, knowledge, capability and reputation of Consultant, its principals and employees were a substantial inducement for City to enter into this Agreement. Consultant shall not contract with any other entity to perform the services required without written approval of the City. This Agreement may not be assigned, voluntarily or by operation of law, without the prior written approval of the City. If Consultant is permitted to subcontract any part of this Agreement by City, Consultant shall be responsible to City for the acts and omissions of its subcontractor as it is for persons directly employed. Nothing contained in this Agreement shall create any contractual relationships between any subcontractor and City. All persons engaged in the work will be considered employees of Consultant. City will deal directly with and will make all payments to Consultant. Section 6. Changes to Scope of Work. In the event of a change in the Scope of Work provided for in the contract documents as requested by the City, the Parties hereto shall execute an addendum to this Agreement setting forth with particularity all terms of the new agreement, including but not limited to any additional Consultant's fees. Section 7. Familiarity with Work and Construction Site. By executing this Agreement, Consultant: (1) has investigated the work to be performed; (2) has investigated the proposed construction site, including the location of all utilities known, and is aware of all apparent conditions there; and (3) understands the facilities, difficulties and restrictions of the work under this Agreement. Should Consultant discover any latent or unknown conditions materially differing from those inherent in the work or as represented by City, it shall immediately inform City of this and shall not proceed with further work under this Agreement until written instructions are received from the City. Section 8. Time of Essence. Time is of the essence in the performance of this Agreement. 3 0 0 Section 9. Compliance with Law. Consultant shall comply with all applicable laws, ordinances, codes and regulations of federal, state and local government. Section 10. Conflicts of Interest. Consultant covenants that it presently has no interest and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of the services contemplated by this Agreement. No person having such interest shall be employed by or associated with Consultant. Section 11. Copies of Work Product. At the completion of the contract period, Consultant shall have delivered to City at least one (1) copy of any final reports and architectural drawings containing Consultant's findings, conclusions, and recommendations with any support documentation. All reports submitted to the City shall be in reproducible format. All services to be rendered hereunder shall be subject to the direction and approval of the City. Section 12. Ownership of Documents. All reports, information, data and exhibits prepared or assembled by Consultant in connection with the performance of its services pursuant to this Agreement are confidential to the extent permitted by law, and Consultant agrees that they shall not be made available to any individual or organization without prior written consent of the City. All such reports, information, data, and exhibits shall be the property of the City and shall be delivered to the City upon demand without additional costs or expense to the City. The City acknowledges such documents are instruments of Consultant's professional services. Section 13. Indemnity. Consultant agrees to protect, defend and hold harmless City, its elected and appointed officials and employees from any and all claims, liabilities, expenses or damages of any nature, including attorneys' fees, for injury or death of any person or damage to property or interference with use of property and for errors and omissions committed by Consultant arising out of or in connection with the work, operation or activities of Consultant, its agents, employees and subcontractors in carrying out its obligations under this Agreement. ld Section 14. Insurance. Insurance required herein shall be provided by Admitted Insurers in good standing with the State of California and having a minimum Best's Guide Rating of A - Class VII or better. 14.1 Comprehensive General Liability. Throughout the term of this Agreement, Consultant shall maintain in full force and effect Comprehensive General Liability coverage in the following minimum amounts: $500,000 property damage; $500,000 injury to one person/any one occurrence/not limited to contractual period; $1,000,000 injury to more than one person/any one occurrence/not limited to contractual period. 14.2 Comprehensive Automobile Liability. Throughout the term of this Agreement, Consultant shall maintain in full force and effect Comprehensive Automobile Liability coverage, including owned, hired and non -owned vehicles in the following minimum amounts: $500,000 property damage; $500,000 injury to one person/any one occurrence/not limited to contractual period; $1,000,000 injury to more than one person/any one occurrence/not limited to contractual period 14.3 Worker's Compensation. If Consultant intends to employ employees to perform services under this Agreement, Consultant shall obtain and maintain, during the term of this Agreement, Worker's Compensation Employer's Liability Insurance in the statutory amount as required by state law. E 0 0 14.4 Proof of Insurance Requirements/Endorsement. Prior to beginning any work under this Agreement, Consultant shall submit the insurance certificates, including the deductible or self -retention amount, and an additional insured endorsement to the Consultant's general liability and umbrella liability policies using ISO form CG 20 10 11 85 (in no event with an edition date later than 1990) to the City's General Counsel for certification that the insurance requirements of this Agreement have been satisfied. 14.5 Errors and Omissions Coverage Throughout the term of this Agreement, Consultant shall maintain Errors and Omissions Coverage (professional liability coverage) in an amount of not less than One Million Dollars ($1,000,000). Prior to beginning any work under this Agreement, Consultant shall submit an insurance certificate to the City's General Counsel for certification that the insurance requirements of this Agreement have been satisfied. 14.6 Notice of Cancellation/Termination of Insurance. The above policy/policies shall not terminate, nor shall they be cancelled, nor the coverages reduced, until after thirty (30) days' written notice is given to City, except that ten (10) days' notice shall be given if there is a cancellation due to failure to pay a premium. 14.7 Terms of Compensation. Consultant shall not receive any compensation until all insurance provisions have been satisfied. 14.8 Notice to Proceed. Consultant shall not proceed with any work under this Agreement until the City has issued a written "Notice to Proceed" verifying that Consultant has complied with all insurance requirements of this Agreement. Section 15. Termination. City and Consultant shall have the right to terminate this Agreement without cause by giving thirty (30) days' advance written notice of termination to the other party In addition, this Agreement may be terminated for cause by providing ten (10) days' notice to the other party of a material breach of contract. If the other party does not cure the breach of contract, then the agreement may be terminated subsequent to the ten (10) day cure period. 2 Section 16, Notice. All notices shall be personally delivered or mailed to the below listed addresses, or to such other addresses as may be designated by written notice. These addresses shall be used for delivery of service of process: To City: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Attn: Director of Engineering and Building To Consultant: Raymond Toal Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 Section 17. Attorneys' Fees. If any action at law or in equity is necessary to enforce or interpret the terms of this Agreement, the prevailing party shall be entitled to reasonable attorneys' fees, costs and necessary disbursements in addition to any other relief to which he may be entitled. Section 18. Dispute Resolution. In the event of a dispute arising between the parties regarding performance or interpretation of this Agreement, the dispute shall be resolved by binding arbitration under the auspices of the Judicial Arbitration and Mediation Service ("JAMS"). Section 19. Entire Agreement. This Agreement constitutes the entire understanding and agreement between the parties and supersedes all previous negotiations between them pertaining to the subject matter thereof. 0 0 IN WITNESS WHEREOF, the parties hereto have executed this Agreement. ATTEST: 4Q,� ar ret R. Monahan, City Clerk APPROVED AS TO FORM: John "haw, City Attorney CITY OF SAN JUAN CAPISTRANO 11 EXHIBIT A 32400 WASEO ADeuNTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) www.sanjuancapistrano.org U �/ RD1111nH • mnuuR I 196) 1776 REQUEST FOR PROPOSAL for Professional Consulting Services Im MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF JOHN GREINER WATT HART DAVID M. SWERDUN CITY MANAGER GEORGE SCARBOROUGH PERFORM AND EXECUTE BUILDING AND ENGINEERING PLAN CHECKING, GRADING PLAN CHECKING, REVIEW OF GEOTECHNICAL REPORTS, MAP CHECKING, ENGINEERING AND ARCHITECTURAL SERVICES GENERAL INFORMATION It is the intent of the City of San Juan Capistrano, Department of Engineering & Building, to establish a team of consultants to facilitate both building and engineering plan check, engineering and architectural services. The services are generally described herein and are intended to supplement staffs efforts where specific expertise is required or time constraints necessitate consultant assistance. From the proposals, a team of consultants will be selected who best represent expertise across the various specialty areas. The team will become part of a four-year program in which the work load will be spread among the team members. Work will be parceled out on an as -needed basis, and no specific guarantee can be given as to the annual fees for consultant usage. The consultant team will only be modified in the event consultants are dropped from the list due to corporate changes or it is deemed by the City that additional consultants are warranted. INVITATION TO RESPOND The City of San Juan Capistrano is soliciting proposals for professional consulting services. In general, the tasks identified above and delineated herein are to be performed with minimum direction and assistance from the City. Inquiries concerning the RFP should be directed to William M. Huber, Engineering & Building Director, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675; (949) 443-6336. uo use Is San Juan Capistrano: Preserving the Past to Enhance the Future Request for Proposal Page 2 SUBMISSION OF PROPOSAL Proposals may by submitted by mail or hand delivered. Proposals should be delivered to: William M. Huber, Engineering & Building Director City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 no later than 5:00 p.m., September 21, 2001. Proposals will not be accepted after this time. FORM OF PROPOSAL Consultant proposals shall contain the following: 1. Statement of qualifications clearly indicating the services in which the firm is interested; 2. Statement/discussion of services provided, including anticipated turnaround times and ability of firm to handle requests on an as -needed basis; 3. Resumes of key personnel for various service areas; 4. Consultant fee schedules, including hourly rates and proposed flat fees; 5. Completed consultant self rating form included with this request for proposal. EVALUATION OF PROPOSALS The City of San Juan Capistrano is interested in selecting consultants who have the experience and expertise to render plan checking, engineering and architectural services in a comprehensive and timely manner. Accordingly, the evaluation criteria will consist primarily of four parts: 1. Consultants' experience 2. Consultants' expertise 3. Consultants' ability to handle volume and meet time frames 4. Consultants' costs Request for Proposal Page 3 It is important to the City that you identify the persons you will assign to various functions, at which office they are assigned and whether they are full-time employees of your firm. You should also address any conflict of interest that may exist and comment on solutions. The City of San Juan Capistrano reserves the right to reject any and all proposals. Nonacceptance of any proposal will not imply criticism of the proposal orthat any proposed service was deficient. All participating candidates will be notified of the decision reached. CONSULTANT'S RESPONSIBILITY The Consultant shall perform the tasks as set forth herein: A. Building Services Review construction documents in accordance with the following uniform model codes as amended by City ordinance: a. Uniform Building Code -1998 California Building Code b. Uniform Plumbing Code - 1998 California Plumbing Code c. Uniform Mechanical Code - 1998 California Mechanical Code d. National Electrical Code - 1996 Edition e. California Code of Regulations - Title 24 Provide a comprehensive plan review as directed or provide only specified plan review elements as follows: a. Structural review and analysis of design and calculations b. Inspection services c. Other building services as may be defined Provide geotechnical review and consultation regarding soil problems, features or events. B. Engineering/Architectural Services Review construction documents and subdivision maps in conformance with the following standards: a. City of San Juan Capistrano Municipal Code b. City of San Juan Capistrano and County of Orange applicable design standards c. Highway Design Manual standards d. San Diego Regional Water Quality Control Permit r] Request for Proposal Page 4 2. Provide comprehensive plan review or design services as directed for the following elements: a. Geotechnical review/design b. Street improvements c. Storm drain/hydrology reports/design d. Traffic/striping improvements e. Traffic studies f. Sewer improvements g. Landscaping improvements h. Subdivision map checking i. Structures (i.e., bridges) j. Inspection services k. Pavement analysis I. Architectural design m. Drafting n. Water quality design and review C. Document Transmittal Pick up and resubmit plans to the City via the Building & Safety Division or Engineering Division counter. D. Performance Reauirements 1. Plan Check Services Render and remit a typed plan check correction/clarification list (two copies) to the Engineering & Building Department within 10 working days from notification by the City. 2. Engineering/Architectural Services Complete services in a thorough and efficient manner, on time and within the approved fee schedule. Request for Proposal Page 5 E. Fee Schedules 1. Enoineerinq Fees a. Plan Check Engineering fees will be determined for plan check services based on the attached fee schedule. The consultant shall bill on an hourly basis, not to exceed 75% of the total fee, and fees may be negotiated lower if, in the determination of the City, a lower fee is warranted. b. Design/Architectural Services will be negotiated on a project -by -project basis based on a pre - agreed scope of work. Payment will be as determined by the City project manager. 2. Building Fees a. Plan Check Total plan check at 80% of base plan check fee paid by applicant not including any surcharges (base plan check fee). Base plan check fee will be 65% of building permit fee, not including surcharges. Structural plan check is not to exceed 60% of base plan check fee, not including any surcharges. b. Other Services Services will be negotiated on a project -by -project basis based on a pre - agreed scope of work. Payment will be as determined by the City project manager. F. Maintenance of Records The consultant will maintain all books, documents, papers, employee time sheets, accounting records/ledgers and other evidence pertaining to costs incurred and shall make such materials available at their respective offices at all reasonable times during the contract period and for three years from the date of final payment for inspection by the City. The consultant shall furnish copies, if requested. 0 0 Request for Proposal Page 6 CITY'S RESPONSIBILITY The City shall perform the tasks as set forth herein: A. Establishment of Valuation (Plan Check Services Only) Assign a valuation to the proposed work in accordance with the appropriate Engineering or Building Division standards. The City shall collect all fees from the applicant in connection with the services. B. Project submittals City will supply all necessary documentation/specifications, reports, studies, calculations, etc., to Consultant as is readily available at the City. C. Coordination City will serve as project coordinator. On plan checking, the City will be responsible for notifying the applicant when plans with corrections are available to pick up. The City will route plans (preliminary/revised) to and from the Consultant. SELECTION PROCESS The Selection Committee, comprised of the Engineering & Building Director, Development Services Manager and two Senior Engineers, will review the proposals submitted. Candidates will be selected based on the proposals submitted, including qualifications of staff, proposed fee schedules and ability to handle work load in a timely manner. Very truly yours, William M. Huber Engineering and Building Director W M H:jt Attachments 1. Engineering Fees 2. Consultant Self -Rating Form 3. Sample of Personal Services Agreement 0 0 CONSULTANT SELF -RATING FORM Consultants are asked to rate their expertise in the various fields listed below. The information will be used by Staff in selecting consultants on specific types of work. Consultants may rate themselves high on more than one category, but should not rate the same in more than three categories. Building plan check and Engineering plan check are considered separate services and should be rated independent of one another. On a scale of 1 to 10, rate yourself with "'I " being your strongest area of expertise and "10" being a competent area of expertise. "N" or no rating will indicate no interest or company expertise in that field. BUILDING SERVICES ENGINEERING SERVICES Geotechnical Review Geotechnical Design, Review & Analysis Electrical Review and Analysis Street Improvements Mechanical Review and Analysis Storm Drain Improvements & Hydrology Studies Plumbing Review and Analysis Traffic Circulation Studies Energy Calculations Traffic/Striping Improvements Handicapped Provisions Sewer Facilities Improvements Inspection Services Landscaping Improvements Grading Plans Subdivision Map Checking Structures Inspection Services Pavement Analysis Survey Drafting Services Water Quality Design and Review FIRM NAME: RATER: DATE: 2001 • ENGINEERING FEES • Enaineerina Documents and Records - MicrofilmlDigital Storage* ..................................... $1.00 per sheet - Document and Record Retrieval/Research/Review ................. $40.00 per hour (Minimum Charge - One Hour) - Digital Ortho Photo Imaging ................................... $500 per foot tile (Includes $400 per foot tile + 2 hour mim staff time @ $50 per hour) - GIS Information Requests ..................................... As determined by City Enginder *Each person, firm orcorporation shall pay a microfiche ordigital storage fee forpermit applications, plans, specifications, calculations, soils reports, and all pertinent data required to be maintained by state regulations, per sheet. Lot Line Adjustment - Submittal and Processing ................................ $1,750 Map Processing (Due with Map Submittal) - Tract maps* ........................................... $1,000, plus $100 per lot or unit up to 25, plus $50 per lot or unit over 25 - Parcel maps ........................................... $1,000, plus $100 per lottunit - Records of survey ...................................... $500, plus $50 per lot -CC&R's ............................................$500 *Duplicate Mylar Deposit ............................................. $20 per sheet Improvement Plan Processina Public improvement plans (Due with Plan Submittal) - Submittal $1,000 - Checking 3% of construction costs - Hydrology/Hydraulic Studies (0-20 Acres) ................... $4.50 per o.1 acre ($450 min) - Hydrology/Hydraulic Studies (Over 20 Acres) ................ $1,200, plus $1 per 0.1 acre over 20 acres ($4,000 max) - Sewer Studies (0-20 Acres) ............................... $4.50 per 0.1 acre ($450 min) - Sewer Studies (Over 20 Acres) ............................ $1,200, plus $1 per 0.1 acre over 20 acres ($4,000 max) Private Improvement Plan Processing (Due w/Plan Submittal) - Submittal $5oo - Checking 3% of construction costs Map/Plan Processing Administration Includes the preparation and processing of agreements, ......... 3 %% of improvement costs resolutions, City Council and Commission agenda reports, ($500 min). Payable prior to presentation to commissions/boards, field investigation improvement plan approval) (Does not include advertising & recording fees) Easements (Modification/Processing) ........................ As determined by City Engineer (Does not include advertising & recording fees) ($500 min) Street cut deposit for less than 500 square feet" ............... $500 to $1,000 Street cut deposit - over 500 square feet** .................... As determined by City Engineer **Refundable Deposit (upon completion of work) Permit Issuance Fee.....................................$40 Engineering Inspection Fee _ . $50 per hour Elevation Certificates (FEMA) ........................... _ . $40 Miscellaneous Fees ........................... ..............Asdetermined by City Engineer Development Inspections (Due Prior to Plan Approval) Improvement costs up to $100,000 ............. ........... 3 1/2% of improvement costs, with a minimum of $100 Improvement costs $100,000 and over ................. I ..... $3,500, plus 3% of improve- ment costs over $100,000 1 of 2 Sureties and Deposits (Due prior to app,ova) of Improvement Agreement or Encroachment Permit Issuance, whichever is applicable) Faithful performance surety (released one year after the notice of completion) ............. 100% of construction costs Labor and material surety (released upon the completion of the project) ................ 100% of construction costs Monumentation surety (released upon the Engineer's certification of work) ........... 100% of monumentation costs Water surety ............................................ As required by Capistrano - Valley Water District Parks & Recreation Fee ('see below) Fee for 49 units or less - Single family detached dwelling units ............................. $4,840 per unit - Attached Units, including duplex, townhomes & apartments........... $4,390 per unit - Mobile Homes $2,877 per unit Fee for 50 units or more (Land dedication may be .................... a units x occupancy factor* substituted for fee) ............................................ x 5 acr/1000 occ x $302,500 acr `Occupancy Factor - Single Family ........• .................................... 3.2 occ/unit - Attached units, including duplex, townhouse & apartments ........... 2.9 occ/unit - Mobile Homes ...................................... I ..... 1.8 occlunit Sewer Capacity Fee (Due Prior to Building Permit) - Residential T ........................................... $3,165 per unit - Commercial, Industrial, Non -Residential (**see below) .............. $3,165 per 1500 SF of floor .....................................................area orfractionthereof Agricultural Preservation (Due Pdorto Building Permit) - Residential ............................................ $500 per unit - Commerciai/Non-Residential................................... $1000 per acre Drainage Area Fees (*see below) -L01 ............................................$1170 per acre -L02 ............................................$860 per acre -L03 ............................................$320 per acre -L05 ............................................$170 per acre - M01 ............................................$780 per acre Lo1S02 ........................... ........$1470 per acre Advanced Energy Fee (Street Lights) (Due Priorto Plan Approval) Lamp Size Single Double 7,000 Lumens $90 per light $126.60 per light 20,000 Lumens $126.20 per light $187.50 per light 'Parks & Recreation and Drainage Fees are due prior to Subdivision Map Approval. For properties not requiring maps, these fees are due prior to Building Permit Issuance. '"Sewer capacity fees are due prior to Building Permit Issuance for any increase in building size. NOTE: Additional fees may be required by the Building & Safety Division, the Department of Planning Services & the Capistrano Valley Water District. Parks & Recreation, Sewer and Agricultural Preservation Fees are due prior to Building Permit Issuance for all Secondary Dwelling Units Revised 6/01; c'.\wpwinlwpdocslothe6tees 2 of TOAL ENGINEERING, INC. CIVIINEERS, LAND PLANNERS AND LAND SUR&RS 39 AVENIDA NAVARRO • SAN CLEMENTE, CA 92672 (949) 492-8586 • FAx (949) 498-8625 e-mail Toaleng@aol.com RAYMOND R. TOAL, RCE 16889 OLAV S. MEUM L.S. 4384 MICHAEL A. ROTH Ls. 6211 SCHEDULE"A" Schedule of Hourly Rates: $ 90.00/hr for services of Principal Engineer 80.00/hr for services of Senior Design Engineer 80.00/hr for services of Senior Office Surveyor 75.00/hr for services of Design Engineer 65.00/hr for services of CADD Operator/Calculations 55.00/hr for services of CADD Operator/Draftsman 150.00/hr for services of 2 Man Field Party Special Services - Negotiated Price (i.e., Court Appearances, Depositions, Representation at Public hearings, etc) Note: Above schedule is for straight time only. In the case of overtime, the rate charged will be 1'/z times the hourly rates shown and Sundays & holidays at 4 times the hourly rates shown. EXHIBIT B MAILING ADDRESS P.O. Box 3878 SAN CLEMENTE, CALIIY)RNIA 92674 9-1-99 Client#: 64 TOALENGIN ACORD- CERTIFICA OF LIABILITY INSU NCE "") POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 09/21/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91101 LTR 626 844-3070 RECEIVED INSURERS AFFORDING COVERAGE NAIC # INSURED Toal Engineering Inc 139 Avenida Navarro 2004 SEP 21A A San Clemente, CA 92672 INSURERA: Zurich American Insurance Co. SURERB: SURER C: INSURER D: INSURER E: GENERAL LIABILITY COVERAGES JAlI JUP.11 ',t'.r w I Ikl'" 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. PDALTE(MWDDMI ICY EFFECTIVEEOLICY XPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER fMWDDNYI LIMITS GENERAL LIABILITY $ EACH OCCURREMISES COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED cen $ IE.RENCErrine CLAIMS MADE FIOCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PROECT- POLICY JLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY MIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATOTH- v IR EMPLOYERS' LIABILITY ANY PROPRIETOR/ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ EXCLUDR/EXECUTIVE OFFICER/MEMBER E%CLUDED? yes, a under SPECIALAL PR PROVISIONS below S E.L. DISEASE -POLICY LIMIT $ A OTHER Professional EOC930321402 03/18/04 03/18/05 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS City of San Juan Capistrano Attn: Maria Guevera 32400 Paseo Adelanto San Juan Capistrano, CA 92675 ACORD 2512001/081 1 . f i *Q444AG9/M1 tri LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -In DAYS WRITTEN £ TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR / RAI C n ACnRn r.nRPnRATInN Certificate of Insurance 1 of 1 kM82894 COVERAGES: THIS IS TO CERTIFY THAT 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 TYPE OF INSURANCE POLICY NUMBER EFF.DATE EXP.DATE POLICY LIMITS GENERAL LIABILITY Agency Name and Address: THIS CERTIFICATE IS ISSUED AS A MATTER OF Professional Practice INFORMATION ONLY AND CONFERS NO RIGHTS UPON Insurance Brokers, Inc. THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 2030 Main Street, Suite 350 NOT AMEND, EXTEND OR ALTER THE COVERAGE Irvine, CA 92614-7248 AFFORDED THE POLICIES LISTED BELOW. Combined Single Limit: THE EVENT OF CANCELLATION FOR NON-PAYMENT OF PREMIUM IN WHICH CASE 10 DAYS Insureds Name and Address: Companies Affording Policies: Toal Engineering Inc. A. St. Paul Fire & Marine Insurance Co. 139 Avenida Navarro e Each Occurrence: C. San Clemente, CA 92672 D Statutory Limits E. Protective F. Disease/Policy Limit: $1,000,000 COVERAGES: THIS IS TO CERTIFY THAT 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 TYPE OF INSURANCE POLICY NUMBER EFF.DATE EXP.DATE POLICY LIMITS Description of Operations/LocationsNehicles/Restrictions/Special items: "Written at aaareoate limits of liabilitv not less than amount shown General Aggregate: GENERAL LIABILITY Products-Com/Ops WITHIN THE POLICY FOR ALL OPERATIONS OF THE INSURED. Aggregate: CANCELLATION: ❑ Commercial General Liability SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION Each Occurrence: DATE THEREOF, THE ISSUING COMPANY, ITS AGENTS OR REPRESENTATIVES WILL MAIL 30 Fire Dmg. (any one fire): ❑ Claims Made Combined Single Limit: THE EVENT OF CANCELLATION FOR NON-PAYMENT OF PREMIUM IN WHICH CASE 10 DAYS Bodily Injury/person: NOTICE WILL BE GIVEN. ❑ Occurrence Property Damage: Each Occurrence: ❑ Owner's and Contractors Aggregate: Statutory Limits Protective $1,000,000 Disease/Policy Limit: $1,000,000 Disease/Employee: $110001000 Per Claim Aggregate AUTO LIABILITY ❑ Any Automobile $0 ❑ All Owned Autos ❑ Scheduled Autos ❑ Hired Autos ❑ Non -owned Autos ❑ Garage Liability 10 EXCESS LIABILITY ❑ Umbrella Form ❑ Other than Umbrella Form A WORKERS' BWO1879861 09/01/04 09/01/05 COMPENSATION AND EMPLOYER'S LIABILITY PROFESSIONAL LIABILITY' Description of Operations/LocationsNehicles/Restrictions/Special items: "Written at aaareoate limits of liabilitv not less than amount shown General Aggregate: THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED Products-Com/Ops WITHIN THE POLICY FOR ALL OPERATIONS OF THE INSURED. Aggregate: CANCELLATION: Personal and Adv. Injury: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION Each Occurrence: DATE THEREOF, THE ISSUING COMPANY, ITS AGENTS OR REPRESENTATIVES WILL MAIL 30 Fire Dmg. (any one fire): DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EXCEPT IN Combined Single Limit: THE EVENT OF CANCELLATION FOR NON-PAYMENT OF PREMIUM IN WHICH CASE 10 DAYS Bodily Injury/person: NOTICE WILL BE GIVEN. Bodily Injury/accident: Property Damage: Each Occurrence: Aggregate: Statutory Limits Each Accident: $1,000,000 Disease/Policy Limit: $1,000,000 Disease/Employee: $110001000 Per Claim Aggregate $0 Certificate Holder: THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY FOR ALL OPERATIONS OF THE INSURED. THE CITY OF SAN JUAN CAPISTRANO CANCELLATION: ATTN: MARIA GUEVERA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY, ITS AGENTS OR REPRESENTATIVES WILL MAIL 30 32400 PASEO ADELANTO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EXCEPT IN SAN JUAN CAPISTRANO, CA THE EVENT OF CANCELLATION FOR NON-PAYMENT OF PREMIUM IN WHICH CASE 10 DAYS 92675-3603 NOTICE WILL BE GIVEN. AWI,Ofi.e Representative: 08/31/04 CC! • CERTIFICATE OF INSURANCE • TWITTMTffMMat ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois TRTE igRM ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida INSUR<NCE ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder Address of policyholder Location of operations Description of operations Toal Engineering 139 Avenida Navarro, San Clemente, CA 92672 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State City of San Juan Capistrano farm or its a a is or representatives. 3240 City Clerk's office 1 1/ PL � � 32900 Paseo Adelanto txri.1/ AS San Juan Capistrano, CA 92675 `Signature of Authorized ftresentative Agent 12/29/04 Title Date Agent's Code Stamp AFO Code F416 558-994a4 11-12-2102 PEirited in U.SA. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Dale (at beginning of policy period) 92-86-2073-6 Comprehensive 04/01/04 04/01/05 BODILY INJURY AND Business LiabilityPROPERTY DAMAGE -'-------------------------- This insurance includes: ---------------- ---- ------------------`---------------- ❑ Products -Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Dale (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease - Each Employee$ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) C98 3449-F29-75 VEHICLE 12/29/04 12/29/05 1,000,000 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State City of San Juan Capistrano farm or its a a is or representatives. 3240 City Clerk's office 1 1/ PL � � 32900 Paseo Adelanto txri.1/ AS San Juan Capistrano, CA 92675 `Signature of Authorized ftresentative Agent 12/29/04 Title Date Agent's Code Stamp AFO Code F416 558-994a4 11-12-2102 PEirited in U.SA. 12/30/2004 16:14 Fax 9494927 1AN Mary Gate Faic 4931053 RICHARD H DOUGL6 Stide FWM bosurMMO COMPMMS Richard H. Douglas, Agent 1002 S. EI Camino Real San Clemente, CA 92872 Ph (949) 492-1595 Fax (949) 492-7251 weave Becky Martinez Ree Toal Engineering Certificate of auto liability Insurance r"rew Including cover page. 2 Orbe 12/30/2004 CCA City of San Juan Capistrano City Clerk's office MENOMINEE PAGE 01 all- 0 For Review ❑ rl.w. C =M"W* 0 rkwom Reply 0 Flew" Recycle • Cmraowrtae Please see attached Ceftcate of Insurance for Tool Engineering The original was milled today Please call with any queslions. Thank you. • 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX www.sanjuancapistran0.0)9 December 9, 2004 Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 L MEMBERS OF THE CITY COUNCIL SAM ALLEVATO DIANE L. BATHGATE WYATT HART JOE SOTO DAVID M. SWERDLIN RE: Compliance with Insurance Requirements — Plan Check Services The following insurance document is due to expire: ✓ Automobile Liability Certificate 12/29/2004 Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above exniration date. IfAou have any questions, please contact me at (949) 443-6309. Secretary cc: Dawn Schanderl, Administrative Assistant Iz"n rijan ranistrano: Preserving the Past to Enhance the Future • • Page 1 of 2 Maria Guevara From: Meg Monahan Sent: Monday, December 20, 2004 2:36 PM To: Michelle Perea Cc: Maria Guevara; Dottie Crawford; Joan Ross Subject: RE: Teal Engineering Check Importance: High Nlichelle, Dottie, Joan: 'Foal Engineering's insurance is up to date. Any check's that are being held may be issued. It looks like we need to revise the way our Non -Pay list reads, so this isn't so confusing. After the first of the year, (when all of our vacations are over) we will sort this out. Sorry about that, Meg Monahan, City Clerk City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 (949) 443.6308 (949) 493.1053 - fax -----Original Message ----- From: Michelle Perea Sent: Monday, December 20, 2004 1:27 PM To: Meg Monahan Subject: FW: Toal Engineering Check Hi Meg, In case Maria is on vacation, can you please look into this? thanks, Mlcltau&perea. -----Original Message ----- From: Michelle Perea Sent: Monday, December 20, 2004 11:32 AM To: Maria Guevara Cc: Peter Salgado Subject: FW: Toal Engineering Check Hi Maria, Can you let me know what you may need from Toal for insurance if 12/27/2004 • • Page 2 of 2 you are missing anything? I did not see them on the non -pay list, but maybe it is a new one. If they are on the inactive, please indicate for which department. They were active for PW. If no problems, please authorize Finance to release the check. They are requesting payment, and I had no idea that their check was being held since October. thanks, MLcheuei pereav -----Original Message ----- From: Barbara Sutherland Sent: Monday, December 20, 2004 11:26 AM To: Michelle Perea Subject: RE: Teal Engineering Check HI MICHELLE - PLEASE CHECK WITH DOTTIE. THIS CHECK IS BEING HELD ON THE NON PAY LIST. THANK YOU, BARBARA -----Original Message ----- From: Michelle Perea Sent: Monday, December 20, 2004 10:20 AM To: Barbara Sutherland Cc: Peter Salgado Subject: Teal Engineering Check Hi Barbara, Can you check to see if warrant# 133527 in the amount of $6950 has cleared. I show that we paid this on 10/14/04, but we received a notice from the consultant that it was not paid. Thanks, WcheU& Perew Administrative Assistant Public Works Department Ext. 4315 12/27/2004 • CERTIFICATE OF INSURANCE • This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder TOAL ENGINEERING Address Of policyholder 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 Location of operations Description of operations The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. ALSO: ADDITIONAL INSURED If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State CITY OF SAN JUAN CAPISTRANO Farm or its agents or representative . 1' MARIA GUEVERA ... 1 `� /)U `rGqq;) 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 Signature ofAuelwizedRepresentative AGENT 8-30-04 Title Dare Agent's Code Stamp AFO Code F416 5584181 a.4 11.12-2002 Printed In USA. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Data (at beginning of policy period) 92-86-2073-6 G Comprehensive 04/01/04 04/01/05 BODILY INJURY AND Business Liability ------ PROPERTY DAMAGE - ----- --- -- ----- This insurance includes: -- - --- ---------- ❑ Products -Com plated Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease - Each Employee$ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy Y Period) C98 3449-F29-75 VEHICLE 12/29/03 12/29/04 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. ALSO: ADDITIONAL INSURED If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State CITY OF SAN JUAN CAPISTRANO Farm or its agents or representative . 1' MARIA GUEVERA ... 1 `� /)U `rGqq;) 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 Signature ofAuelwizedRepresentative AGENT 8-30-04 Title Dare Agent's Code Stamp AFO Code F416 5584181 a.4 11.12-2002 Printed In USA. 0 Client#: 6457 0 TOALENGIN ACORDTP CERTIFICATE OF LIABILITY INSURANCE 0812714 PRODUCER THIS CERTIFICATE IS :.SUED AS A MATTER OF INFORMATION Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena , CA 91101 POLICY EFFECTIVE DATE (MWOD/Yr 626844-3070 INSURERS AFFORDING COVERAGE NAICIN INSURED INSURER A. Zurich American Insurance Co. Toal Engineering Inc 139 Avenida Navarro INSURER B. San Clemente, CA 92672 INSURER C'. INSURER D' INSURER E COMMERCIAL GENERAL LIABILITY COVERAGE$ THE POLICIFS 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. LTR NSH TI PE OF INSURANCE _ POLICY NUMBER POLICY EFFECTIVE DATE (MWOD/Yr POLICY EXPIRATION DATE fMWDWYYI I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES a CLAIMS MADE D OCCUR MED EXP (Any One prion) $ PERSONAL &ADV INJURY IS GENERAL AGGREGATE $ GEN'L AGGREGATEECT LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PRO LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ee eccitlenQ $ 8001LY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Pet Ixtwn) $ 8001LY INJURY $ HIRED AUTOS NON -OWNED AUTOS I (Per eccitlenQ PROPERTY DAMAGE $ I - (Pet eccitlenQ GARAGE LABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY qGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR ❑ CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC TORY MATT DTR - EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED' If yes e,I NS below SPECIALALPROVISIONS E . DISEASE -POLICY LIMIT IS A OTHER Professional EOC930321402 03/18104 03/18/05 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of San Juan Capistrano Attn: Maria Guevara 32400 Paseo Adelanto San Juan Capistrano, CA 92675 OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'AD_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2UU11Ua) 1 off #S109325/M104195 SCC © ACORD CORPORATION 1998 • 0 Page 1 of 1 Maria Guevara — ' Uf� From: Dawn Schanderl Sent: Wednesday, June 23, 2004 9:44 AM To: Maria Guevara Subject: Toal Engineering Good Morning Best Friend - It was rather lonely not seeing you through the looking glass window for 2 whole days straight! I'm not sure if I let you know but this department isn't using Toal Engineering for plan check services at this time. When you have time, please call me - personal question. 6/23/2004 9 AL MEMBERS OF THE CITY COUNCIL MATT HA THGATE JOHN S. GELFF W ATT HART 32400 PASEO ADELANTO JOESOTO SAN JUAN CAPISTRANO, CA 92675 1 Ie[IA11t1111 DAVID M. SWERDLIN (949) 493-1 17 1 (SIIIUSIH 1961 (949) 493-1053 (FAX)1776 Iviviv.sanjuancapistrano. org • • INTERIM CITY MANAGER A • PAMELAGIBSON February 4, 2004 Toal Engineering {J� 139 Avenida Navarro San Clemente, CA 92672 RE: Compliance with Insurance Requirements with Insurance Requirements — Plan Check Services The following insurance documents are due to expire: J General Liability Certificate 04/01/2004 General Liability Endorsement Form naming the City of San Juan Capistrano as additional insured. Professional Liability Certificate 04/01/2004 Please submit up iced ted documentation to the City of San Juan Capistrano, attention City Clerk's off, 32 0 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above eAiration dates I�you have any questions, please contact me at (949) 443-6309. ry cc: Dawn Schanderl, Administrative Assistant San Juan Capistrano: Preserving the Past to Enhance the Future • /fir of Trc l/�n T[] /1c IwIClrOnwll�C • This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder TOAL ENGINEERING Address of policyholder 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 Location of operations Description of operations The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a ALSO ADDITIONAL INSURED written notice to the certificate holder days Name and Address of Certificate Holder before cancellation. If however, we fail to mail such CITY OF SANJUAN CAPISTRANO notice, no obligation or liability will be imposed on ATT: CITY CLERK'S OFFICE State Farm its agents or representatives. 01400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 Signature of Authorized Repn, entative 558-994 a.4 11-12-2002 Printed in U.S.A. S1LiF f•RM Your State Farm Agent RICHARD M. DOUGLAS UC,56 1002 So. EI Camino Real iMsu R•MCE San Clemente, CA 92672 Bus: 949492-1595 Fax: 949-492-7251 POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date io ate (at beginning of policy period) 92 -8C --2073-C G Comprehensive04/01/03 04/01/04 BODILY INJURY AND Business Liability ------------- PROPERTY DAMAGE ------- ------ - ----------- This insurance includes: -------------------- ------------------------'- ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ :,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4, 000, 000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella j Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease - Each Employee$ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date, Expiration Date (at beginning of policy period) C98 3449-F29-75 VEHICLE 12/29/03, 12/29/04 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a ALSO ADDITIONAL INSURED written notice to the certificate holder days Name and Address of Certificate Holder before cancellation. If however, we fail to mail such CITY OF SANJUAN CAPISTRANO notice, no obligation or liability will be imposed on ATT: CITY CLERK'S OFFICE State Farm its agents or representatives. 01400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 Signature of Authorized Repn, entative 558-994 a.4 11-12-2002 Printed in U.S.A. S1LiF f•RM Your State Farm Agent RICHARD M. DOUGLAS UC,56 1002 So. EI Camino Real iMsu R•MCE San Clemente, CA 92672 Bus: 949492-1595 Fax: 949-492-7251 • CERTIFICATE OF INSURANCE • This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder Address of policyholder Location of operations Description of operations Toal Engineering 139 Avenida Navarro, San Clemente, CA 92672 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State City of San Juan Capistrano F$$$PPffffggq or Its apppants or repr santet�paa 3240 City Clerk's office I �� 9 32900 Paseo clerk's `^�/��`IYI San Juan Capistrano, CA 92675 Signature of Authorized Representative Agent 6/1/04 Title Date Agent's Code Stamp AFO Code F416 55&994 a.4 11-12-2002 Printed in U.S.A. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) 92-86-2073-6 Comprehensive 04/01/04 04/01/05 BODILY INJURY AND Business LiabilityPROPERTY DAMAGE - --- - --- -- --- --fit-is insurance includes: -- - - ----------------- C]Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date ;Explimition Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease - Each Employee$ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expimition Date (at beginning of policy period) THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State City of San Juan Capistrano F$$$PPffffggq or Its apppants or repr santet�paa 3240 City Clerk's office I �� 9 32900 Paseo clerk's `^�/��`IYI San Juan Capistrano, CA 92675 Signature of Authorized Representative Agent 6/1/04 Title Date Agent's Code Stamp AFO Code F416 55&994 a.4 11-12-2002 Printed in U.S.A. -PQM CERTIFICAPE OF LIABILITY INSURANCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 S LOS Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91101 626 844-3070 INSURERS AFFORDING COVERAGE INURED INSURER A: Zurich American Insurance Co. Toal Engineering Inc WsuHEHe: 139 Avenida Navarro-__---- ---__---- - - --- - __-- San Clemente, CA 92672 INSURER GINSURER D' INSURER B 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. INSR POLICY EFFECTIVE POLICY EXPIRATION - LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) 1 $ �J CLAIMS MADE L-- OCCUR MED EXP (Any one person) _ — $ $ PERSONAL &ADV INJURY -- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:I1 PRODUCTS-COMP/OP AGO $ 1 PRO- - — -- Ir—JECT LOC POLICY AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY -- SCHEDULED AUTOS (Per person) $ HIREDAUTOS -- BODILY INJURY' AUTOS (Per accident) I$ NON -OWNED PROPERTY DAMAGE $ ----- (Peraccidian) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTOEA OTHERTHAN ACC $ ------ '. .AUTO ONLY: AGO $ EXCESS LIABILITY I EACH OCCURRENCE $ 'OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND , WC STATU- IOTH- TORY LIMIT$ _� _ .LER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ¢ E.L. DISEASE - EA EMPLOYEE $ .. DISEASE - POLICY LIMIT $ A OTHER Professional I'!EOC930321401 03/18/0303/18/04 ,000,000 per claim Liability 2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of San Juan Capistrano Attn: City Clerk's Office 32400 Pasco Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3DDAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ACORD 25-S (7/97)1 of 1 #S104164/M86630 AAF 0 ACORD CORPORATION 1988 Ll a INSURANCE NON -PAY UPDATE jj Mh OIV� ngineered Automation Systems Inactive Prep Plans/Specs Downtown Parking Structure Security System - Professional Liability expired 10/12/01. Renewal letter sent 10/5/01. General, Automobile and endorsement expired 11/25/02. KFM Active- I will follow up n Check Services - Workers comp expired 9/1/2002. Renewal etter sent 8/26/2002 orris-Repke Inactive Plan Check Services - general liability endorsement form not received. Letter sent 9/24/02. IMP X le Engineering Inactive Plan Check Services - General, expired 1 1/1/2003. 0\11 endorsement, tomobile, kers comperrpax ire �1" X ty expired 12/29/0 DH Civil Engineering Inactive Plan Check Services - General liability, endorsement, automobile, professional & workers compensation expired 1/10/2003. r Cotton, Shires & Associates Awaiting a response from Dan — Will advise. Plan Check Services - endorsement received for the Town of Los Gatos must be resubmitted under correct city. Automobile liability and workers compensation expired 1/1/2003. Please note general liability and professional liability extended from 1/1/2003 to 2/1/2003. t CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder TOAD ENGINEERING Address of policyholder Location of operations Description of operations 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder days Name and Address of Certificate Holder before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on CITY OF SAN JUAN CAPISTRANO State Farm or its agents or representatives ATTN: CITY CLERK'S OFFICE 32400 PASEO ADELANTO Signature of Authorized SAN JUAN CAPISTRANO, CA 92675 1 -18-03 __. Title Date Agent's Code Stamp AFO Code F416 558-994 a.4 11-12-2002 Printed in U.S.A. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period) 92-86-2073-6 G Comprehensive 04/01/03 04/01/04 BODILY INJURY AND ---- - _ - - - - - - - Business Liability ------------`-- PROPERTY DAMAGE ----- This insurance- includes:- ❑ Products Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4, 000, 000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El y o 0 POLICY PERIOD BODILY INJL)RY AND OP Y DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Ced gle Ljt) ❑ Umbrella Each Occurrecre..; IV $ rn ❑ Other Aggregate c-, O $ Part 1 STATUTORY Part 2 BODILY fN'3URY� rn Workers' Compensation '� W and Employers Liability Each Accident �Q$ Disease - Eac4mployJR Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) C98 3449-F29-75 VEHICLE 12/29/03 12/29/04 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder days Name and Address of Certificate Holder before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on CITY OF SAN JUAN CAPISTRANO State Farm or its agents or representatives ATTN: CITY CLERK'S OFFICE 32400 PASEO ADELANTO Signature of Authorized SAN JUAN CAPISTRANO, CA 92675 1 -18-03 __. Title Date Agent's Code Stamp AFO Code F416 558-994 a.4 11-12-2002 Printed in U.S.A. 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) iviviv.sanjuancapistrano. org November 4, 2003 Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF WYATT HART JOESOTO DAVID M. SWERDLIN INTERIM CITY MANAGER PAMELAGIBSON RE: Compliance with Insurance Requirements — Plan Check Services The following insurance document is due to expire: ✓ Automobile Liability Certificate 12/29/03 W--l" Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above my questions, please contact me at (949) 443-6309. cc: Dawn Schanded, Administrative Assistant William M. Huber, Engineering & Building Director Craig Harris, Assistant Engineer Kathleen Springer, Management Analyst I San Juan Capistrano: Preserving the Past to Enhance the Future CERTIFICATE OF INSURANCE This certifies that ❑ STATE FAFORE AND CASUALTY COMPANY, Bloomin Ilinois ® STATE FARi,A GENERAL INSURANCE COMPANY, Blooming on, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder Address of policyholder Location of operations Description of operations TOAL ENGINEERING 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date Et�iration Date LIMITS OF LIABILITY (at beginning of policy period) 92-86-2073-6 G Comprehensive 04/01/03 04101!04 BODILY INJURY AND San Clemente, CA 92672 Business LiabilityPROPERTY DAMAGE ---- ---------------------- This insurance includes: ---------------------------- ---------------------------------- ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Eviration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease- Each Employee$ Disease- Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) C98 3449-F29-75 VEHICLE 12/29/02 12/29/03 $1,000,000.00 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a ALSO ADDITIONAL INSURED written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, CITY OF SAN JUAN CAPISTRANO no obligation or liability will be imposed on State 32400 PASEO ADELANTO Farm or its aqents or repre ntatives. SAN JUAN CAPISTRANO, CA 92675 Signature of Authorized R1sentatrve AGENT ATT: CRAIG HARRIS Title 10/23/03 Date 559-994 a.4 11-12-2002 Printed in U.S.A. Your State Farm Agent s*.*e s>Pw• RICHARD H. DOUGLAS UthdZXW 1002 So. EI Camino Real San Clemente, CA 92672 INSVPINCFO Rus: 949492.1595 Faz: 949-092-7251 20 1144y2IZO1 ._ .. ___ �-arATC Forme 5 -IRF AND CAST IAI TY r r)MPANY Fil 0C)MINr,TON It I.INOIS STATE FARM SANCE COMPANY, BLOC "ON, ILLINOIS E. INl1R STATE FARM 17LORIL NSURANCE COMPANY, WINTER 4WEN, FLORIDA STATE FARM LLOYDS. DALLAS, TEXAS (As designated in the policy to which this endorsement is attached) DECLARATIONS ENDORSEMENT i his endorsement, effective 6-12-02 forms a part of Policy Number 92-86-2073-6 Policy type Loan Number Issued to TOAL ENGINEERI G YOUR POLICY IS CHANGED AS FOLLOWS: I — Insured's Name and Mail ng Address 2 _ Location of Premises 3 _ Property Description 4 — Effective and Expiration Mates 5 _ Name and Address of — 1st _ 2nd _ 3rd Mortgagee 6 ^ Name and Address of Lienholder _,_ Loss Payee _ Additional Insured _ Chattel 7 X Other(specity) WHO I AN INSURED (SECTION 11) IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED THE ERSON OR CITY OF SAN JUAN CAPISTRANO SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT Tl LIABILITY ARISING OUT OF 'YOUR WORK' FOR THAT INSURED BY OR FOR YOU, I� f YOUR POLICY IS CHANGED AS FOLLOWS: ADD the interests of the follow ng: VOID the interests of the following: _ Mortgagee ( _I st _ rg.nd _ 3rd) _ Mortgagee ( _I st ^ 2nd _ 3rd) Irenholder I Lienholder Additional Insured — Ch ttel _ Additional Insured _ Chattel 4 COUNTERSIGNATURE AGENT: -- �1 u CJ Loan Number i __ Form Number I is attached to and forms a part of this poli y. (Attach fomi to the reverse of this endorsement.) ! DATE: 8-13-02 AGENT'S CODE 7191 AFO CODE P416 F77W.e Ae 7a7 Pl. d,�UsA. I ORIGINAL, FOR POLICY -.. -y _--- -TnAI CRIGIEI CERTIFICA OF LIABILITY INSU y NCE DATE (MWDD/YY) 07/15/03 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealoy, Renton & Associates 199 S LOS Robles Ave Ste 540 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena , CA 91101 626 844-3070 INSURERS AFFORDING COVERAGE INSURED Tool Engineering Inc INSURBRA Zurich American Insurance Co. INSURER B: 139 Avenida Navarro INSURER C: San Clemente, CA 92672 INSURER D: INSURER E: rnvcnnr_ca THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI7HSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF 9UCY POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR POLI YEFFp POLICY EXPIRATIONLTR TYPEOFINSURANCE POLICY NUMBER v'E LIMITS GENERALLIABILITY H CCCURRBNCE E RDAMAGB(A —Ere) E COMMe RC W. GENERAL LIABILITY CLAIMS MADS OCCUR D EXP( on) E SONAL i ADV INJURY S [�NERAL AGGREGATE E G8N'LAGGLIMTAPPLIBSPER: DUCTS -C B/OPAGO S POLICY PRP LOC AVEOMOWLELIASILITY COMBINED SINGLE LIMIT ANYAUTO CR. .6 ) S BODILY INJURY ALL OWNED AUTOS SCHBDULRDAUTOS E (P°`�) BODILY INJURY HIRED AUTOS NON4WNRDAUTOS (Pent ) S PROPERTYDAMAGB S (Per eccidmt) GARAGELIABILITY AUTO ONLY - BA ACCIDENT S OTHER THAN HA ACC $ ANYAUTO AUTOONLY: AGO S MCESSLIABILITY EACH OCCURRENCE S OCCUR ❑CLAIMS MADE AGGRSGATB S E S DEDUCTIBLE S RRTENTION S WC STAT U- OTH- WORKERS COMPENSATION AND EMPLOYERS LIABILITY H.L. EACH ACCIDENT E B.LDISSASE-BAEMPLOYEB E POLICY LIMB S A OTHER professional EOC930321401 03/18/03 —R.L.Dlye 03/18/04 $1,060,000 pgclaim Liability $2,4,000 aw'tw aggro DESCRIPTION OF OPERATIONS/LOCAT)ONSNEHICLE&EXCLUSIONS ADDED BY ENM)RSEMENT/SPECIAL PROl'1310N9 ~ r L� �r FTI C Ln;D D m m 0' v Z City of San Juan Capistrano Attn: Dawn 32400 Pasoo Adelanto San Juan Capistrano, CA 92676 SHOULD ANYOFTH E.ABOVE DESCRIBED PO CB:S BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLENDEAVOR TOM I.%n DAYSWRBTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BLT FAE.URE TODOSOSHALL IMPOSE NO OB LIGATION OR LIAB ILRY OF ANY KIN D UPON THE INS URE R,ITS AGENTS OR ACQRD, CERTIFICAVE OF LIABILITY INSUIWNCE I 0DATE (MWDD(YY) 9/17/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PPIB/Aril Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2244 West Coast Highway, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR �p g�qp� Yqr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Newport Beach, C RC�i�rVED1 949 729-0777 INSURERS AFFORDING COVERAGE INSURED p p '1 Toal Engineerin4Qojl$EQ I9 P I. 4O INSURERS: St. Paul Fire & Marine Insurance 139 Avenida Navarro ,p INSURERS. San Clemente, CA �O INSURER C: SAN JUAN CAPISTRANO INSURER 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. INSR _ -- - -- - POLICY EFFECTIVE rPOLICY EXPIRATON- -- - LTR TYPE OF INSURANCE POLICY NUMBER DATE' MM/DD/YY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIALGENERAL LIABILITY FIRE DAMAGE (Anyone lire) $ . CLAIMS MADE OCCUR MED EXP (Any one person) _ I $ PERSONAL $ ADV INJURY $ ( GENERAL AGGREGATE $ -_ - GEN' LAGGREGATELIMITAPPLIES PER: ---I PRODUCTS -COMP/OP AGO $ POLICY PRP LOC ECT AUTOMOBILE - LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) BODILY INJURY I$ - ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY (Per accident) HIREDAUTOS 1 ' $ NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC -- $ ANY AUTO - $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ �_ OCCUR CLAIMS MADE _ AGGREGATE $ - - _ $ .._ - $ DEDUCTIBLE _ _ 1 - $ RETENTION $ A WORKERS COMPENSATION AND WVA7724371 09/01/03 09/01/04X 7NRY IMT$-._ TA OR __ EMPLOYERS' LIABILITY . EACH ACCIDENT $1, 000, 000 rE.L.DISEASE -EA EMPLOYEE$1, 000, GOQ . DISEASE - POLICY LIMIT $1 OOO OOO OTHER DESCRIPTION OF OPERATION&LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE CITY OF SAN JUAN CAPISTRANO ATTN: MEG MONAHAN, CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675-3603 I of 2 flM2FOF76 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3-0 DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR SLY 0 ACORD CORPORATION 1968 A ORDTe CERTIFI Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 Pasadena, CA 91101 626 844-3070 INSURED - _-- - -- — -- Toal Engineering Inc 139 Avenida Navarro San Clemente, CA 92672 COVERAGES LIABILITY INSUFONCE 07/15//03D""' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. RECEIVED INSURERS AFFORDING COVERAGE INSU�RJEyH� A: Zurich American Insurance Co. M3 JUL I b P AU10211 R: - INSURER C: CITY CLER INSURER D: _ 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. 1NTRI - - 'POLICY EFFECTIVE- POLICY EXPIflATION- - - - - TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY ! OCCURRENCE $ COMMERCWLGENERALLIABILITYI L_RRE'DAMAGE�yanqfird)$ CLAIMS MADE OCCUR EXP (Any one person) T_. _ PERSONAL& ADV INJURY $ ZNERAL AGGREGATE $ _ GENLAGGREGATE LIMIT APPLIESPER: 'PRODUCTS-COMP/OP AGG $ POLICY PRO LOC CT - -- - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO E. accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS 1 (Per person) IF HIRED AUTOS BODILY { _- NON -OWNED AUTOS (Per accitlenq (Per accident) $ PROPERTY DAMAGE j$ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _-� OTHER THAN EA ACC $ - AUTOONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ f OCCUR CLAIMS MADE . __-] L- l AGGREGATE $_ _ _ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND!- ORV L MITS li OER---._ __ _ 11 EMPLOYERS' LIABILITY EL EACH ACCIDENT 1$ 1 1, E.L. DISEASE - EA EMPLOYEE1 $ E.L. DISEASE -POLICY OMIT 1$ A OTHER Professional EOC930321401 03/18/03 03/18/04 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATONSNEHICLEVEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of San Juan Capistrano Attn: Dawn 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_—DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR AQUHD 25-S (7/97)1 of 1 #S89455/M86630 SJM 0 ACORD CORPORATION 1988 7/15/03 11:22 AM 1-510-452-2193 57 19494931053 TOALENGIN 002 Ai �Rn_ CERTIFICAW OF LIABILITY INS NCE 0 /15/03 ""' PRODUCER THIS CERTIFICATE IS ISSUED AS .A MATTER OF INFORMATION Dealey, Renton & Associates 199 S Los RObIBS Ave Ste 540 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TEE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena , CA 91101 POLICYEFFECTICE 626 944-3070 INSURERS AFFORDING COVERAGE INSURED Toal Engineering Inc 139 Avenida Navarro San Clemente, CA 92672 :NSURER.\ Zurich American Insurance Co. INS; i RER I,'. INBURER C: ;NSURER 1: INSURER B'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDLN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCF POLICIES. AGGREGATE LIMITS SHOWN MAY ]LAVE BEEN REDUCED BY PAID CLAIMS. NSR POLICYEFFECTICE POLIC'YEXPIRATION LTR TYPE OF INSURANCE POLI C'V'NUMBER D MMD .1" DATE D YY LIMITS GENERAL LIABILITY PATH OCCURRENCE $ FIRE DAMAGR,A,,,,, Er) 8 COMMERCIALGENERAL LIABILEG' N:EDEXP;An ;ne pere..a$ CLAIMS MADE F-1 C'CUR PERSONAL & ADV INJURY S ,GINERALAjOREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: rK9DU17T5-CONIGOP .AGG $ F7 PRP POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AIT (Eaad1d t) $ $wDILY :NNRY ALL OWNED AUTOS SCHBCULBDAUTOS - $ Tu Pe".") BOE] _ [ INP'RY $ HIRED AUTOS NDN -OWNED AUTOS Per acaAen[' FROPSRTYDAMACE $ (Per uciann GARAGE LIABILITY AUTOONLI'-EAACCIDBNT $ OTHERTHAN rAACC $ ANYAUTO AUTOONLY: AGG $ EXCESS LIABILITY PATH OCCURRENCE I OCCUR FICLAIMS MADE AGGREGATE 8 $ DEDUCTIBLE 6 RETENTION S WC - WORKERS COMPENSATION AND MMIT ?H EMPLOYER& LIABILITY E.L. EACH ACCIDEN' $ E.L.DISEASE-EAEMPLCYEE $ B.L.DI "' Se-POLICYLIMIT $ A OTHER Professional EOC930321401 03/18/03 03/18/04 $1,000,000 pg+clalm ,ability $2,(@,000 am aggro (= C-) 30 DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDOR5EMENT/SPECIAL PROVISIONS = H 0 t � C-) C-) m E- Z;1 :2rm .0 < m > 97 z SHOULD ANYOFTHE ABOVE DESCRIBED POLIOS BE CANCELLED BEFORETHEENPIRATION City of San Juan Capistrano DATE THEREOF. THE ISSUING INSURER WILLENDEAVOR TOMAIL'Ja_ DAYSWRIPIEN Ann: Dawn NOTICE TOTER CERTIFICATE HOLDERNAMEDTOTHE LEFT, BUTFALURE TODOSOSHALL 32400 Pasoo Adelanto IMPOSE NO OBLIGATION ORLIABILITYOF ANYKIND UPON THE INSURER,DB AGENTS OR San Juan Capistrano, CA 92675 REPRESENTATIVES. 7/15/03 11:22 AM 1-510-452-2193 19494931053 Dealey, Renton & Associates Insurance Brokers fax July 15, 2003 To: Dawn of City of San Juan Capist From: Sarah J. Mohr Fax: 19494931053 Note: Pasadena Office Time: 11:22:16 AM Pages: 2 Please see attached Certificate of Insurance. 001 199 South Los Robles, #540 Pasadena CA 91101 Phone: 626 844.3070 Fax: 626 844.3074 http://www.dealeyrenton.com License #0020739 Offices in: Oakland Pasadena Santa Ana ACOao CERTIFICATftF LIABILITY INSURAII&E /03/200 PRODUCER Serial # B1056 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P P I B ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2244 W. COAST HWY., SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEWPORT EJEACH, CA 92663 LICEINSE NO. 0641361 INSURERS AFFORDING COVERAGE INSURED TOAL ENGINEERING INSURERA: AMERICAN MOTORISTS INS CO 139 AVENIDA NAVARRO INSURER B _ SAN CLEMENTE, CA 92672 INSURER C INSURER D E: CGVFRA[.FS 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 POLICY EFFECTIVE POLICYEXRDATE TYPE OF INSURANCE POLICY NUMBER MWQD�I MWIRATION' LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Myons fire) $ CLAIMS MADE OCCUR ',, MED EXP (My one perwn) $ PERSONAL B ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ PO- POLICYF-I JET LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS I BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY _ _ NON -OWNED AUTOS (Pereccident) $ — - $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY'. AUTO ONLY - FA ACCIDENT $ $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ l I OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ $ WORKERS COMPENSATION AND 7BG11212300 9/1/02 9/1/03 XTORVLAMITS j ER A EMPLOYERS'LIASILITY 1$ 1000000 E.L. EACH ACCIUEN f E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISE - POLIC4W IT $ 1666000 OTHER Z N T Nm L m D-- vri DESCRIPTION OF OPEMTIONWLOCATIONSNEHICLESIUCLUMONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 1 m �: mL N THE CITY OF SAN JUAN CAPISTRANO ATTN: MEG MONAHAN, CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675-3603 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE m 0 3L400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) wim sanjuancapistrano. org August 26, 2002 Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 Json � Inurnme • nunBeR � 1961 1776 MEMBERS OF THE CITY COUNCIL DME L BATHGATE COL ENE CAMPBELL JOHN S. GELFF MATT HART DAVID M.S ERDIJN CITY MANAGER GEORGESCARSOROUGH RE: Compliance with Insurance Requirements - Plan Check Services/Engineering Services for Head Start Facilities The following insurance document is due to expire: VWorkers Compensation Certificate 9/1/2002 Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration date. If you have any questions, please contact me at (949) 443-6310. Siinnceer`^""'am� Jelly� /o" '-/�['� Dawn M. Schanderl Deputy City Clerk cc: William Huber, Director of Engineering & Building Michelle Noreillie, Administrative Assistant Kathleen Springer, Management Analyst San Juan Capistrano: Preserving the Past to Enhance the Future CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARMOE AND CASUALTY COMPANY, Bloomington, inois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name Of policyholder TOAL ENGINEERING Address of policyholder 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 Location of operations Description of operations The policies listed below have been issued to the policyholder for the policy periods shown subject to all the terms exclusions, and conditions of those policies. The limits of liability claims. The insurance described in these policies is shown may have been reduced by any paid THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm wilt try to mail a ALSO ADDITIONAL INSURED written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, CITY OF SAN JUAN CAPISTRANO no obligation or liability will be imposed on State 32400 PASEO ADELANTO FI: is ag is or representatives. SAN JUAN CAPISTRANO, CA 92675 1'a- s� Signature of Authorized mentathie ATTN: DIRECTOR OF PIBLIC WORKS AGENT (vvl Title Date Agent's Code Stamp AFO Code F416 558-994 a.3 04-1998 Printed in U.S.A. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Data : Expiration Date (at beginning of policy period) 92-86-2073-6 G Comprehensive 04/01/02 04/01/03 Business Liability ------ - — — BODILY INJURY AND PROPERTY DAMAGE - ---- - --- -- --- This insurance includes: --- --- ----- - -- - ----- ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ 2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products — Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE EffecBve Data ; Date (at beginning of policy period) C98 3449-F29-75 VEHICLE 12/29/01 12/29/02 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm wilt try to mail a ALSO ADDITIONAL INSURED written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, CITY OF SAN JUAN CAPISTRANO no obligation or liability will be imposed on State 32400 PASEO ADELANTO FI: is ag is or representatives. SAN JUAN CAPISTRANO, CA 92675 1'a- s� Signature of Authorized mentathie ATTN: DIRECTOR OF PIBLIC WORKS AGENT (vvl Title Date Agent's Code Stamp AFO Code F416 558-994 a.3 04-1998 Printed in U.S.A. k7H/1J/Ll717L 1b: Ln i144�Z14o1 .. .,..... ,. ...,�,._. ." c7ATF FARM FIIaC Anln CA511 IAI TV r.C)MPANV RI nnKLNr;Tr)N It I IN01S STATE FARM G L INSURANCE COMPANY, BLO GTON, ILLINOIS STATE FARMFLORIDA INSURANCE COMPANY, WINT HAVEN, FLORIDA STATE FARM LLOYDS. DALLAS, TEXAS (As designated in the policy to which this endorsement is attached) DECLARATIONS ENDORSEMENT This endorsement, effective 6-12-02 forms a part of Policy Number 92-56-2073-6 Policy type Loan Number Issued t0 TOAL ENGINEERI G YOUR POLICY IS CHANGED S FOLLOWS: 1 — Insured's Name and Mail ng Address 2 _ Location of Premises 3 _ Property Description 4 ^ Effective and Expiration ates 5 _ Name and Address of _ 1st _ 2nd _ 3rd Mortgagee 6 Name and Address of I Lienholder _ , LOSS Payee _ Additional Insured , Chattel X Other (specify) WHO I AN INSURED (SECTION 11) IS AMENDED TO INCLUDE AS AN ADDITIONAL INSURED THE ERsON OR CI'T'Y OF SAN JUAN CAPISTRANO SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TI LIABILITY ARISING OUT OF 'YOUR WORK' FOR THAT INSURED BY OR FOR YOU. II 4- YOUR POLICY IS CHANGED AS FOLLOWS: ADD the interests of the follow ng VOID the interests of the following, _ Mortgagee (_ 1st _ 2,nd _ 3rd) _ Mortgagee (_ 1st _ 2nd _ 3rd) Lienholder I Lienholder Additional Insured Ch ittel _ Additional Insured _ Chattel i COUNT SIGNATURE AGENT: r j1 u `N Loan Number ( Form Number is attached to and forms a part of this poli y. (Attach form to the reverse of this endorsement.) ! -1 DATE: 8-13-02 AGENT'S S7191 CODE CODE P416 77778 A. var n1. d SA- _-I - ORIGINAL FOR POLICY ACORD CERTIFICA-OOF LIABILITY INSURAIME DATE PRODUCER Serial # B1062 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P F I B: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2244 W. COAST HWY., SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEWPORT BEACH, CA 92663 LICENSE NO. 0641361 ! INSURERS AFFORDING COVERAGE INSURED TOAL ENGINEERING INsuRERA. AMERICAN ZURICH INS CO 139 AVENIDA NAVARRO INSURER B: _ SAN CLEMENTE, CA 92672 INSURER Q 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POQCY K) EXPIRATN LIMITS LTRCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ FI RE DAMAGE(Myone lire) $ GENERAL LIABILITY CLAIMS MADE OCCUR M ED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ $ GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO LOC POLICY JE AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accitleni) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per eccitlent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per acadwt) ,$ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC . $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ - - $ - -—- $ DEDUCTIBLE H $ RETENTION $ WORKERS COMPENSATION ANn '2043702 9/1/01 9/1/02 X U- H-' �_ i TOflY LiM111Ty EF EMPLOYERS' LIABILITY A $ 1000000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE -POLICY LIMIT $(. 1000000 OTHER BE ti m 11 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS _ - (�� m HEAD START FACILITY -- - Tv rn - v —o 0 N THE CITY OF SAN JUAN CAPISTRANO ATTN: DIRECTOR OF PUBLIC WORKS 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR J ACORDTM CERTIFICPW OF LIABILITY INSUOME DATE PRODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 S. Lake Avenue, Suite 308 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91106 626 844-3070 INSURERS AFFORDING COVERAGE INSURED INSURER A: Zurich American Insurance Co. TOal Engineering, Inc. INSURERS 139 Avenida Navarro INSURER c. San Clemente, CA 92672 INSURER D: 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. POLICYEXPIRATION LIMITS (LTR rypE OF INSURANCE POLICY NUMBER I OLICY DATE LTR I DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ - GENERAL AGGREGATE $ GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS -COMP/OP AGG $ _ ___ _ _ POLICY JET LOC I AUTOMOBILE LIABILITY - i COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY ~ SCHEDULEDAUTOS (Per peon) rs $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) _ GARAGE LIABILITY AUTO. ONLY - EA ACCIDENT $ -- —� ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ _ OCCUR - 1 CLAIMS MADE AGGREGATE _ $ _ $ F – DEDUCTIBLE _ _ _ $ RETENTION $ $ WORKEWC S COMPENSATION AND STATU-OTH- O RY LIMITS ER EMPLOY EMPLOYERS' LIABILITY _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A OTHER Professional lEOC930321400 03118/02 03/18/03 $1,000,000 per claim (Liability $2,000,000 annl aggr. DESCRIPTION OF OP@RATIONS/LOCATIONS(VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of San Juan Capistrano Attn: Director of Public Works 32400 Paseo Adelanto San Juan Capistrano, CA 92675 25-S (7/97)1 of 1 AIS75392/M7dD'12 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 19MR58tAMM MAIL 30__ _DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BIO�e17tIpXXylndlFAAOUPXXX MI F 0 ACORD CORPORATION 1988 0 32400 PASEO ADEI-ANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) www.sanjuancapistrano.org June 12, 2002 Mr. Raymond Toal Toal Engineering, Inc. 139 Avenida Navarro San Clemente, CA 92672 Dear Mr. Toal: JNaa � II(IOIIIIFI [f1A111{Yfl I 1961 1776 MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE COLLENECAMPBELL JOHN S. GELFF MATT HART DAVID M. SWERDLIN CITY MANAGER GEORGE SCARBOROUGH A Personal Services Agreement related to providing site engineering services for the proposed Head Start Facility. All agreement terms under Section 14. Insurance must be met prior to work beginning on this agreement or issuance of a Notice to Proceed. Please provide the required evidence of insurance to the City Clerk's office. This evidence may be faxed to (949) 493-1053, followed by original signed documents. I have enclosed copies of pages 5 and 6 of the agreement for your reference in supplying this documentation. If you have questions specific to the contact, please contact the project manager, Joe Mankawich, Associate Engineer (949) 487-4313. If you have questions regarding the forms of insurance needed, please contact Dawn Schanded, Deputy City Clerk (949) 443-6310. Thank you, VL-�� than, CMC pages 5 & 6 cc: Joe Mankawich, Associate Engineer Arny Amirani, Public Works Director L/Dawn Schanded, Deputy City Clerk a►uo use 1s San Juan Capistrano: Preserving the Past to Enhance the Future 0 0 14.2 Comprehensive Automobile Liability. Throughout the term of this Agreement, Consultant shall maintain in full force and effect Comprehensive Automobile Liability coverage, including owned, hired and non - owned vehicles in the following minimum amounts: $500,000 property damage; $500,000 injury to one person/any one occurrence/not limited to contractual period; $1,000,000 injury to more than one person/any one occurrence/not limited to contractual period l 14.3 Worker's Compensation. V If Consultant intends to employ employees to perform services under this Agreement, Consultant shall obtain and maintain, during the term of this Agreement, Worker's Compensation Employer's Liability Insurance in the statutory amount as required by state law. 14.4 Proof of Insurance Requirements/Endorsement. Prior to beginning any work under this Agreement, Consultant shall submit the insurance certificates, including the deductible or self -retention amount, and an additional insured endorsement to the Consultant's general liability and umbrella liability policies to the City Clerk's office for certification that the insurance requirements of this Agreement have been satisfied. / 14.5 Errors and Omissions Coverage V Throughout the term of this Agreement, Consultant shall maintain Errors and Omissions Coverage (professional liability coverage) in an amount of not less than One Million Dollars ($1,000,000). Prior to beginning any work under this Agreement, Consultant shall submit an insurance certificate to the City Clerk's office for certification that the insurance requirements of this Agreement have been satisfied. 14.6 Notice of Cancellation/Termination of Insurance. PAPUBLIC WORKSVOEIDESALTER\TOALAGREE.DOC -5- 6/6/02 0 0 The above policy/policies shall not terminate, nor shall they be cancelled, nor the coverages reduced, until after thirty (30) days' written notice is given to City, except that ten (10) days' notice shall be given if there is a cancellation due to failure to pay a premium. 14.7 Terms of Compensation. Consultant shall not receive any compensation until all insurance provisions have been satisfied. 14.8 Notice to Proceed. Consultant shall not proceed with any work under this Agreement until the City has issued a written "Notice to Proceed" verifying that Consultant has complied with all insurance requirements of this Agreement. Section 15. Termination. City and Consultant shall have the right to terminate this Agreement without cause by giving thirty (30) days' advance written notice of termination to the other party In addition, this Agreement may be terminated for cause by providing ten (10) days' notice to the other party of a material breach of contract. If the other party does not cure the breach of contract, then the agreement may be terminated subsequent to the ten (10) day cure period. Section 16. Notice. All notices shall be personally delivered or mailed to the below listed addresses, or to such other addresses as may be designated by written notice. These addresses shall be used for delivery of service of process: To City: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Attn: Director of Public Works To Consultant: Toal Engineering, Inc. 139 Avenida Navarro San Clemente, CA 92672 Attn: Raymond Toal PAPUBLIC WORKSVOE\DESALTER\TOALAGREE.DOC -6- 6/6/02 i • Dawn'Schanderl To: Kathleen Springer Cc: Joe Mankawich�' Subject: Toal Engineering Good Morning! Status Update - Toal: I still need the general liability endorsement form. The auto cert doesn't list any limits. OB/13/2002 16:20 7144927251 RICHARD H DOUGLAS PAGE 01 DOUGLAS, RICHARI H License # 0230956 Auto-Life-Healt -Hone and business Sue, 1e SAN CLEMENTE, CP 92672 PHONE (949) 492-1595 *** FAX (949)492-7251 FAX TRPNSMITTAL DATE -----1---- TO: --z - ------------------------------------------ COMPANY: -- �----------------------------------- COMPANY:------- --------------------------------- SUBJECT:------- ------------------------------------------ pp --Lo �5--_--- ---- --- FAX #:-------L- --- (�J %�'-------------- FROM: -------- ---AI--- — ocTe� %_CL --------------- # OF PAGES: ncluding cover sheet. MESSAGE: IF YOU DID NOT RECEIVE ALL PAGES, PLEASE CALL 714-492-1595!!!! OR SEND US A F AT 949-492-7251. CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARMOE AND CASUALTY COMPANY, Bloomingtonoois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder TOAL ENGINEERING Address of policyholder Location of operations Description of operations 139 AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before ADDITIONAL INSURED: its expiration date, State Farm will try to mail a written notice to the certificate holder 3o days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, CITY OF SAN JUAN CAPISTRANO no obligation or liability will be imposed on State ATTENTION: MEG MONAHAN, CITY CLERK Farm or its agents or representatives. 32400 PASEO ADELANTO IDA 5L }q 9/am!F2 r SAN JUAN CAPISTRANO, CA 92675 Signature of Authorized Represdri1ative AGENT E Title Date Agent's Code Stamp AFO Code F416 558-994 a.3 04-1999 Printed in U.S.A. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period) 92-86-2073-6 G Comprehensive 04/01/01 04/01/02 BODILY INJURY AND -------- — — - - ----- Business Liability PROPERTY DAMAGE __ --- This insurance includes : ---- ----------------- ---------` ---------------'- El-Products- - - --Completed-Operations --------- ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ 2,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 4,000,000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products — Completed $ ❑ Operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation i and Employers Liability Each Accident n m �$ 1V Disease Each Employee=,$ =MDisease - Policy L+'erait z $ N m r N < POLICY PERIOD LIMITSPtWABktrYo POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginrrEn of oli g p cy�erlod) C98 3449-F29-75 VEHICLE 12/29/01 12/29/02 O THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before ADDITIONAL INSURED: its expiration date, State Farm will try to mail a written notice to the certificate holder 3o days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, CITY OF SAN JUAN CAPISTRANO no obligation or liability will be imposed on State ATTENTION: MEG MONAHAN, CITY CLERK Farm or its agents or representatives. 32400 PASEO ADELANTO IDA 5L }q 9/am!F2 r SAN JUAN CAPISTRANO, CA 92675 Signature of Authorized Represdri1ative AGENT E Title Date Agent's Code Stamp AFO Code F416 558-994 a.3 04-1999 Printed in U.S.A. ACORD, CERTIFICATIOOF LIABILITY INSURAI*E DATE PRODUCER Serial # B1056 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P P I B ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2244 W. COAST HWY., SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEWPORT BEACH, CA 92663 INSURERS AFFORDING COVERAGE LICENSE NO, 0641361 INSURED TOAL ENGINEERING INSURERA: AMERICAN ZURICH INS CO 139 AVENIDA NAVARRO I INSURER B: SAN CLEMENTE, CA 92672 INSURER INSURER 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. INSR rypE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIABILITY EACH OCCURRENCE $ rGENERAL it COMMERCIAL GENERAL LIABILITY - - - - _ FIRE DAMAGE (Any we fire) $ r- ICLAIMSMADE OCCUR MEDEXP(Aoynnepers ) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPJOP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) I ALL OWNED AUTOS BODILY INJURY J SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY ,NON-0WNED AUTOS (Per accidem) PROPERTYDAMAGE $ (Per accioerip GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR C CLAIMS MADE _ _ AGGREGATE _- - - $ �$ DEDUCTIBLE 8 RETENTION $ $ WORKERS COMPENSATION AND 2043702 9/1/011 9/1/02_XWC_S_TATU- TORY LIMITS A EMPLOYERSLIABILITY ' _-O_ETRH- E.L.EACH ACCIDENT $ 1000000 E. L. DISEASE-EAEMPLOVE 1000000 z _ _ E.L. DISEASES POLICY LIMIT I $ 1000000 OTHER Z . _ m 1> = rn rn DESCRIPTION OF OPERATIONSILOCATIONSArEHICLFS/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS r*I O i r 3 O GERTIFIGA I t HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE CITY OF SAN JUAN CAPISTRANO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ATTN: MEG MONAHAN, CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 32400 PASEO ADELANTO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR SAN JUAN CAPISTRANO, CA 92675-3603 REPRESENTATIVES. 25-S 9 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING CERTIFICA OF LIABILITY POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSU NCE DATE 122200 GENERAL LIABILITY Attn: Meg Monahan, City Clerk EACH OCCURRENCE $ _ - 32400 Paseo Adelanto PRODUCER vat�mcw�cwsmox San Juan Capistrano, CA 92675 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 So. Lake Ave., Ste. 308 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91106 _ 626-844-3070 GENERAL AGGREGATE GEN'L AGGREGATE LIM)TAPPLIES PER: INSURERS AFFORDING COVERAGE INSURED PRODUCTS-COMP/OP AGO $ INSURERA: Security__Ins. Co. of Hartford Toal Engineering Inc AUTOMOBILE LIABILITY --- --- 139 Avenida Navarro COMBINED SINGLE LIMIT INSURERS - ANV AUTO San Clemente, CA 92672 I INSURER 1- - — - $ BODILY INJURY INSURER D: ALL OWNED AUTOS 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. INSR� POLICY EFFECTIVE PODCY EXPIRA710N- - LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY Attn: Meg Monahan, City Clerk EACH OCCURRENCE $ _ - 32400 Paseo Adelanto COMMERCIAL GENERAL LIABILITV vat�mcw�cwsmox San Juan Capistrano, CA 92675 FIRE DAMAGE (Any one fire) $ mms xxxx CLAIMS MADE OCCUR MED EXP (Any one person) $ - PERSONAL 8 ADV INJURY $ _ GENERAL AGGREGATE GEN'L AGGREGATE LIM)TAPPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY PE , LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANV AUTO (Ea accident) $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUT09 NON -OW NED AUTOS (Par accident) $ PROPERTY DAMAGE �- ----- $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO $ OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ jOCCUR Ji CLAIMS MADE AGGREGATE -_ - $ DEDUCTIBLE RETENTION $ $ WORKERSCOMPBNSATIONAND WCSTATU- TORY LIMIT$. EMPLOYERS' LIABILITY E.L. EACH ACCIDENT E.L. DISEASE-EAE_M_PLOV_ E.L. DISEAS PO V LIMI A OTHER Professional 'AEE0302655 03/18/0103/18/02 $1,0GdGj„Qbt per -aim Liability $2,OQq:� QM #;�}nllaggr. DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - _ CD Ir zl Y V¢n nr•rVe�r�nv�yCTl ADDIIIUNALIrvBUREO;INBURER LETTER: ldilYl.CLW IIUIY " SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILLIOP9630t}tjWKKg _n DAYS WRITTEN Attn: Meg Monahan, City Clerk NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, B 32400 Paseo Adelanto vat�mcw�cwsmox San Juan Capistrano, CA 92675 mms xxxx AUTHORIZED ACORD25-s(7/97)1 of 1 4S69428/M57638 ]VILE 0 ACORD CORPORATION 1988 01/14/2002 09:53 7144927251 This certifies that ❑ STATE ® STATE ❑ STATE ❑ STATE ❑ STATI insures the following policyholder for 9 Name of policyholder Address of policyholder 13 Location of Operations Description of operations The Policies listed below have been isl Subject to all the terns exclusions, and r POLICY NUMBERTYPE Or 11 G 92-e6-2073-6 Comprehene Business Lia This Insurance Inciutjes: (� Products ❑ COnIreCtL ❑ Undergro ❑ Personal ❑ Advertisin ❑ Explosion ❑ Collapse I Cl EXCESS L ❑ Umbrella ❑ Other Workers' and Emc POLICY NUMBER I TYPE OF C98 3449-F29-75 VEHICLE THE CERTIFICATE OF INSURANCE IS AMENDS, FXTFNDS OR ALTERS THE ADDITIONAL INSI Name and Address CITY OF SAN JUAN ITS OFFICIALS, E 32400 PASEO ADEL SAN JUAN CAPISTR e si,404 a2 04-11186 Primad in U S A. RICHARD H DOLKG[ AS CERTIFICATE OF INSURANCE . ARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois kRM GENFRAL INSURANCE COMPANY, Bloomington, Illinois kRM FIRE AND CASUALTY COMPANY, Scarborough, Ontario kRM FLORIDA INSURANCE COMPANY, Winter Haven, Florida IRM LLOYDS, Dallas, Texas coverages Indicated below: PA it 07 L ENGINEERING AVENIDA NAVARRO, $AN CLEMENTE, CA 92672 — — ed t0 the policyholder for the policy periods shown The Insurance described In these policies Is nditlons of those l)olicles. The limits of liability shown may have been reduced b an — _ _ _ _ y any paid claims. SURANCE PDLICY PERIOD LIMITS OF LIABILITY Efl'acUve Date Expiration Deer (at beginning of Policy period) is C44%o1/01 04/01/02 -� BODILYINJURY AND Illly PROPERfYOAMAGE Completed Operations " it Liability rad Hazard Coverage Each Occurrence $ 2, 000, 000 Injury azard Coverage azard Coverage -- POLICY PERIOD 31LITY EfTOctiw Data i Expiration Data ingation Llability POLICY PERIOD EfNctive Dab Expiration Dab 17,'29!01 12!79102 General Aggregate $ 4, 000, 000 Produis Completed $ Operations Aggregate BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) Each Occurrence S Aggregate _ S Part 1 STATUTORY `— Part 2 (BODILY INJURY Each'p'rry-.,'pant $ Diseas+ Each Employee S DIse9 Policy I. Imlt $ LIMITS OF LIABILITY ___jut beginning of policy period) A CONTRACT OF INSURANCE AND NEITHER AFF( NATIVELY NOR NEGATIVELY ERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of thedescribed policies are Canceled batons Its expiration Qale, State Form will try to mail a writtep notice to M certificate holder 'to days before artificate Holder cancellation. I however, we fail to mall such notice. I STRANO no obligation or liability will be Imposed on Stade Farm agents orreprasentatives PEES ANO AGENTS , I jam' / CA 9260 `� Signature of Au�orized RepresYnmdve AGENT -y___ _____. _.. Title i Date, Agent's Code Stamp YourStain FarmA —t Ars FO CIxte ?41b asdslL�was d$OMM 1002 9o- EI Camino seal ivru..�rr tzar Clements, CA 0872 ' Bus: III6M2AIEB6Fai:6M4iP72B1 01/14/202 05:53 71449777"11 RICHIARn H Pf1l1Gl AS PA(,[ 0 STATE FAR F1j& AND CASUALTY COMPANY, 13L0 GTON, ILLINOIS STATE FARM G RAL INSURANCE COMPANY, 131 OWNGTON, ILLINOIS STATE FARM Fl ORIDA INSURANCE COMPANY, WINTLR HAVEN, FLORIDA STATE FARM LLOYDS, DALLAS, TEXAS (As des gnated in the policy to which this endorsement is attached) DECLARATIONS ENDORSEMENT This endorsement, effective 1- 10-02 forms apart of Policy Number 92-86-207'3-6 Policy type _ _- _ Loan Number T Issued to TOAL ENGINEERING YOUR POLICY IS CHANGED AS FOLLOWS: 1 Insured's Name and Mai Ing Address 2 Location of Premises 3 _ Property Description 4 Effective and Expiration ates 5 - Name and Address of 1 st 2nd _ _ 3rd Mortgagee 6 _ Name and Address of Lienholder _ Loss Payee Additional Insured Chattel 7 X Other (specify) - 'WHO 1S AN INSURED �SF.CTION j j) IS AMENDED To INC_UDE Ag tgt IHSIIRED SfiE Pt+ncnu OR ;�HL1W21 I31 -TNF} SC1iS413I,6 B1££ i3P33?c,Y WSTB VIr':SPEGT To LIABILITY ARISING OUT 0"YOUR WORK" FOR THAT INSURED BY OR FOR YOU. YOUR POLICY IS CHANGED AS FOLLOWS: ADD the interests of the followi g: _ Mortgagee ( 1st 2 id 3rd) Lienholder Additional Insured Ch ttel Loan Number Form Number to and forms a part of this pol reverse of this endorsement.) F7- 0 -w Id' PnnIW mU5M - - VOID the Interests of the following: Mortgagee ( 1st 2nd 3rd) Lienholder Additional insured Chattel is attached DATE: (Attach form tc L:UUIx 1 Lq;y 1k, NAI UHL _ Di-jC U 51 C CODE �� 01/14/2002 09:53 7144927251 • DOUGLAS, RICHARD Auto -Life -Health SAN CLEMENTE, CA RICHARD H D111K-AAS L1cense # 0230956 and Business -_--9TAPP: 2 PHONE (949) 492--1595 *** FAX (949)492-7251 FAX TRANSMITTAL ---------- COMPANY:--_- c; SUBJECT:----' JZ --- FAX #:----_-_L FROM:- # OF PAGES: i cludiny MESSAGE: IF YOU DID NOT E OR SEND US A FA) PN l 01 !EIVE ALL PAGES, PLEASE CALL 714-492-1595!!!! LT 949-492-7251. TO: DEPT: SUBJECT: ATTACHED consultant aui 0 INTER -DEP NT MEMORANDUM NentRevj FROM: I U DEPT: Fn t -I C DATE: a PHONE EXT. THE FOLLOWING (please describe C �' 1...> -� v�lJ UiLV rJ'\7A r�tc C0. Lk 1) or your approval and signature (2) For your review and comments (3) For your information (4) As requested (5) agreement, contract, 1 �tf 1 ^sur4ry-e- �YO✓i c, CCr2d�ollf�S. [ ] [ ] [ ] (A) Keep for your files [ ] (B) When Completed Return To: [ ] Ext. [ ] (C) Date/Time Needed CITY ATTORNEY'S COMMENTS: 01/18/2002 10:52 7144927251 DOUGLAS, RICHARD F Auto -Life -Health - *Me 4 0 HFAL SAN CLEKENTE, CA 92672 aaafrararraraaaarwaar, TO: ------- COMPANY: ----- �e SUBJECT: ---- T+ A FAX #:------ ii FROM: -------5i # OF PAGES: i MESSAGE: RICHARD H DOUGLAS EI License # 0230956 nd Business ue, o e PHONE (949) 492-1595 rra FAX (949)492-7251 FAX TRANSMITTAL PAGE 01 aaaarrraaa saararaaai.+rr.xaa►a*►a.+.*aa►s/s. �,�r�atawaw ----- `�TCa---------- -__ F -n _ L--------- — — — — — — — _ Mcg o------------- uding cover sheet. IF YOU DID NOT R�CEIVE ALL PAGES, PLEASE CALL 714-492-1595!!!! OR SEND US A FAX AT 949-492-7251_ 01/18/2002 10:52 7144927251 This certifies that ❑ STATE FP ® STATE FP ❑ STATE FF ❑ STATE FA ❑ STATE FA Insures the following policyholder for the i Name of policyholder TOA Address of policyholder 13939 Location of operations Description of operations _ The policies listed below have been last subject to all the terms exclusions, and a RICHARD H DOUGLAS CERTIFICATE OF INSURANCE RE AND CASUALTY COMPANY, Bloomington, A GENERAL INSURANCE COMPANY, Bloomington, Illinois FIRE AND CASUALTY COMPANY, Scarborough, Ontario FLORIDA INSURANCE COMPANY, Winter Haven, Florida LLOYDS, Dallas, Texas raoes Indicated below! PAGE 02 I ENGINEERING �AVENIDA NAVARRO, SAN CLEMENTE, CA 92672 �d to the policyholder for the policy periods shown. The Insurance described In Mese policies Is -dNfons of those policies. The limits of liability shown may have been reduced by any paid Otalms- O nt a R 2-7 POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF IN SURANCE Effective Date - Expiration Dab (at beginning of policy period) 92-96-2073-6 G Comprehensf fe 04/01/01 04/01/02 BODILY INJURY AND Business List iliH--------- PROPERTY DAMAGE This Insurance includes: _ Products - ---------------------•..••_„______. Completed Operations ❑ Contrectui it Liability ❑ Undergimn. nd Hazard Coverage Each Occurrence $2,000,000 ❑ Personal ! 1jury ❑ Advemaln 1 Injury General Aggregate $4,000,000 ❑ Explosion lazard Coverage ❑ Collapse I azard Coverage Products - Completed S Cl operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS L ABILITY Effective Date i Expiration Dab (Combined Single lima) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ _ Part t STATUTORY Part 2 BODILY INJURY Workers' Col vansation and Employi us Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF IN URANCE Effective Date : Expiration Dab fat beginning of policy period) C98 3449-F29-75 VEHICLE .2/29/01 12/29/02 THE CERTIFICATE OF INSURANCE 19 i Of A CONTRAFF OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE OVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. ADDITIONAL. INSll ED If any of the described polWas are canceled before Its expiration date, State Farm will try to mall a written notice to the certificate holder 30 days before Name and Address of Certificate Holdar cancellation. It however, we felt to mall such notice, no obligation or liability will be Imposed on Slats CITY OF SAN JUAN APISTRANO Farm is agents or representatives. ITS OFFICIALS, E LOYEES AND /.GENTS( 32400 PASEO ADEL .I v 9/� TO SAN JUAN CAPISTRAiO. CA 92675 Slenakoeof Authorized Rep vveAGENT Tills Data Agent's Code Stamp .....•r Your Stele Farm Age F416 Metre M'artr. <ka 1002 ea. el peep M eSe•9/4 e.J 04.1/e4 Pe1NMMU.S.A. ,.,,,•.... SMI CaMSMs, CA ria • YueeelelleeeLr 0YI1 O nt a R 2-7 01/18/2002 10:52 7144927251 RICHARD H DOUGLAS PAGE 03 STATE FARM F HE ANU L.AWJAL1 r %,Urvlrnl. 1, STATE FARM GE�AL INSURANCE COMPANY, BLOOMI ON, ILLINOIS STATE FARM F STATENS RM NCE COMPANY, T TER AWEN, FLORIDA (As desigiated in the polwy to which this endorsement is attached) DECLARATIONS ENDORSEMENT This endorsement, effective 1 10-02 forms a part of Policy Number 92-86-2073-6 Policy type Loan Number Issued t0 TOAL ENGINEER NG . . YOUR POLICY IS CHANGED AS FOLLOWS: 1 insured's Name and Mailir g Address 2 _ Location of Premises 3 — Property Description 4 _ Effective and Expiration D ates 5 — Name and Address of _ 1 st — 2nd — 3rd Mortgagee 6 Name and Address of Lienholder _.. Loss Payee _ Additional Insured — Chattel 7 % other (specify) WNO IS AN INSURED (SECTION 11) IS AMENDED TO INCLUDE AS AN '�:CPFCT TO r�Izaxsonl-$i LIABILITY ARISING OUT OF "YOUR WORK" FOR THAT INSURED BY OR FOR YOU. YOUR POLICY IS CHANGED kS FOLLOWS: ADD the interests of the follow!; g: VOID the interests of the following: Mortgagee (_ 1 s ^ 2 _ 3rd) _ Mortgagee ( _ 1st ^ 2nd _ 3rd) Y Lienholder _ Lienholder Additional Insured _ Chattel _ Additional Insured _ Chattel COU IGNA RE Loan Number —_ [DATE: GENT: Form Number Is attached oo to and forms a part ofthis poli y. (Attach formto the GENT'S AFO qreverse of this endorsement.) ODE CODE i' _ _ ORIGINAL FOR POLICY 0 32400 PASEO AOELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) WIVWSanjuancapis(rano.org January 18, 2002 Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 Dear Sir or Madam: MEMBERS OF THE C'TY CCUNC C ANE L. 9ATHGATE JOHN S. GELFF COLLENE CAMPEELL WYATT HAAT DAVID M. SwERCUN CITY MANAGER GEORGE SCAAEOROUGH Please find enclosed a fully executed Personal Services Agreement related general engineering services. The term of the agreement is three years with two one-year extensions. We have received the evidence of insurance and endorsements aF required by the agreement. Please be aware that this evidence met must be maintained current with our office. Should evidence lapse, work under this agreement must stop and payments for work completed are withheld until we receive the required documentation. You may proceed with work under this agreement in coordination with Jill Thomas, Management Analyst (949) 443-6362. Sincerely, M g Mon han, CMC ty Clerk (94 4 -6308 enclosure: agreement cc: Jill Thomas, Management Analyst William Huber, Engineering and Building Director DRUG USE IS San Juan Capistrano: Preserving the Past to Enhance the Future 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) www.sanjuancapistrano.org December 21, 2001 Toal Engineering 139 Avenida Navarro San Clemente, CA 92672 Dear Sir or Madam: MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF COLLENE CAMPBELL MAU HART DAVID M. SWEROLIN CITY MANAGER GEORGE SCARBOROUGH One December 4, 2001 the City Council of San Juan Capistrano approved a Personal Services Agreement with Toal Engineering to provide general engineering for a three- year term, with (2) one-year extensions possible, not to exceed $50,000 per project proposal, per year. Prior to initiating work and in order to continue work under this agreement, evidence that all terms under Section 14. Insurance must be current and on file in the City Clerk's office. Our records indicate that we have no evidence on file. Please forward evidence as required. Upon receipt, an executed agreement will be forwarded to you. If you have any questions regarding this agreement, please contact Jill Thomas, Management Analyst, at (949) 443-6362. If you have questions related to the evidence required under Section 14, please contact Dawn Schanderl, Deputy City Clerk, (949) 443-6310. Sincerely, � /( ibahan, CMC Cler-6308 Enclosure: Terms of agreement, Section 14. Insurance (14.1 through 14.8) cc: Jill Thomas, Management Analyst, William Huber, Engineering and Building Director; Dawn Schanderl, Deputy City Clerk DgUG USE )S -„!I Cf) -q77, 1'IY'C/'P('i}l” 1j1(' P,I! 1 1'l F)l h(!R i'i' I�'l• i''171l 1',' P INTRODUCTION OF COMMISSIONERS PRESENT AT MEETING (110.10) Marie Buckner and Joanne de Guevara, Housing Advisory Committee; Ilse Byrnes, Parks, Recreation and Equestrian Commission; Pastor Gary Tucker, president of the Chamber of Commerce; Gil Jones, former Mayor, and his wife Millie; Sue Hart; Joe Soto, Water Advisory Commission. Mayor Bathgate recognized Council Member Hart and his wife Sue Hart for his year of service to the City as Mayor. ORAL COMMUNICATIONS: - None CONSENT CALENDAR Council Action: Moved by Council Member Campbell, seconded by Mayor pro tem John S. Gelff and carried unanimously, 5-0, to approve items 1, 3 through 5, 7, 9 & 10 as recommended by Staff. I•�•�r�•�rttr•�:��_�.z•�:�.�m_�i•ry�y:�-�rrr��•r.��-r_»--;•�•�x.� APPROVAL OF MINUTES FROM THE REGULAR MEETING OF NOVEMBER 6, 2001 WITHDRAWN FROM THE AGENDA. 3. WARRANTS DATED NOVEMBER 15, 2001 IN THE AMOUNT OF $904,054,12; AND PAYROLL WARRANTS DATED NOVEMBER 8, 2001 IN THE AMOUNT OF $232,090.37 RECEIVED AND FILED. (300.30) 4. (38) CONSULTANT SERVICES AGREEMENTS APPROVED TO PROVIDE PLAN CHECK AND DESIGN SERVICES FOR ATHREE -YEAR TERM WITH TWO ONE- YEAR EXTENSIONS, NOT TO EXCEED $50,000 PER PROJECT PROPOSAL, PER YEAR. (60Q.30) �1 The following companies were awarded Consultant Services agreement: AMEC Earth & Environment, Inc.; Berryman & Henigar; Charles Abbott Associates; CgVL Engineers; KFM Engineering; Norris-Repke, Inc.; P & D Consultants; Peter & Associates; RBF Associates; Adams Streeter Civil Engineers; AKM Consulting Engineers; Boyle Engineering; DH Civil Engineering; Focus Engineering; Gong Enterprises; Hartzog & Crabill, Inc.; J.L. Patterson; KhrAssociates; La Belle Marvin; LAN Engineering; Parsons Transportation; Richard Watson & Associates; RK Engineering Group; Tetra Tech; The Keith Companies; Toal Engineering; Urban Crossroads, Inc.; Van Dell & Associates; Willdan Associates; Esgil Corporation; Cotton Shires and Associates; David H. Lee & Associates; Hetherington CC Minutes 4 12-4-01 Engineering; Lawson & Associates; Petra Geotechnical, Inc.; Austin -Foust Associates; Darnell & Associates; LSA Associates, 5. RESOLUTION NO. 01-12-04-02 ADOPTED ENTITLED "RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN JUAN CAPISTRANO, CALIFORNIA APPROVING THE APPLICATION FOR GRANT FUNDS FOR THE ROBERTI- Z'BERG-HARRIS URBAN OPEN SPACE AND RECREATION PROGRAM UNDER THE SAFE NEIGHBORHOOD PARKS, CLEAN WATER, CLEAN AIR, AND COASTAL PROTECTION BOND ACT OF 2000 FOR IMPROVEMENT OF THE OLD HIGH SCHOOL SPORTS COURTS" (930.20) 6. CONSIDERATION OF ISSUES - LOS RIOS HISTORIC PARKING LOT (CIP NO. 125)(600.30) Written Communications: Report dated December 4, 2001 from William M. Huber, Engineering and Building Director. Gil Jones, 31791 Los Rios Street, supported the recommended action and encouraged that the project be completed in a timely manner. Council Action: Moved by Council Member Hart, seconded by Council Member Swerdlif, and carried unanimously, 5-0, to direct City staff to return to a future meeting with an analysis of the two options: 1. L-shaped parking lot running along the border of the Rios property and the Niccola property. 2. The original design. Consistent with earlier direction, the option of a parking lot on the CRA-Trulis property will not be considered. Within those options staff will evaluate and provide recommendations on: Appropriate buffer between the Niccola s and Montanez property and the parking lot/RV storage; • A "nature walk" connecting to Ramos Street • Phased approach to allow the parking lot to be implemented as soon as possible within the City's fiscal limitations. Assumed within all option: • The parking lot will be asphalt rather than gravel or other less improved surface. • The RV storage lot will be gravel • The trees will be retained within the parking lot and RV storage to the maximum extent practical. • Security issues will be carefully evaluated CC Minutes 5 12-4-01 12/04/01 AGENDA ITEM E 4 TO: George Scarborough, City Manager FROM: William M. Huber, Director of Engineering and Building SUBJECT: Consideration of Master Agreements for Long -Term Plan Check and Design Services Team RECOMMENDATION By motion, approve 38 consultant service agreements to provide Plan Check and Design Services fora (3) yearterm with (2) one-year extensions, not to exceed $50,000 per project proposal, per year. A. Summary and Recommendation The concept of a Plan Check Team was originally introduced in 1992 and, to date, has worked very well. It was created as a means to improve service delivery to resident and developer plan check. The concept has proven successful in that it has resulted in improved efficiencies. Our current contracts expire on December 31, 2001. Therefore, staff has solicited proposals and is requesting that 38 firms be recommended for a three-year term with two one-year extensions. B. Background History On January 21, 1992, City Council approved the concept of creating a plan check consultant team consisting of a select group of consultants. The team concept creates a long-term contract with each consultant. The purpose of the team concept is to have available consultants with pre -approved contracts and insurance in place and ready to go to work. The team concept allows staff to expeditiously process all consultant plan checking. In addition, the plan check team agreements all required that they perform their services at a specified percentage of the City's fees, which guarantees costs and assures that City staff is also compensated for processing from the remaining balance. All consultants agree to a fee not to exceed 65% and 80% depending upon the type of plan check. In many instances, the fees are negotiated lower, especially on larger projects. Upon expiration of the initial three year term, and having had a positive experience with this concept, the master listing was reviewed, updated, and again brought to Council for approval in January 1997. The updated listing included design services in addition to plan check services. FOR CITY COUNCIL AGENDA 00 • Agenda Item Page 2 December 4, 2001 2. Selection Process G A Request for Proposal was sent to 44 firms. Many of these firms were on the existing list, with others being added at a staff member's request. Of the 44 firms, 38 responded with proposals. The proposals included general engineering and building firms, as well as a number of specialty firms. The specialty firms include areas such as geotechnical, traffic, building structural and water quality services. A review team consisting of the Department Director and an Administrative Assistant reviewed the proposals for the following elements: • Consistency with the scope of work • Ability to meet schedules • Past performance of similar work • Individual(s) specified to work on projects • Ability to meet fee requirements • Qualifications of firm in handling required work Staff believes that all 38 firms qualify based on the above criteria. As this is a three-year contract with two one-year extensions, there is no need to narrow the field. Staff prefers to spread projects among the teams as work becomes available. This provides more flexibility and allows work to be performed in a more efficient and timely manner. The following list shows the consultants and their areas of expertise: General Engineering and Buildino Services AMEC Earth & Environment, Inc. Berryman & Henigar Charles Abbott Associates, Inc. CgVL Engineers KFM Engineering Norris-Repke, Inc. P & D Consultants, Inc. Peter & Associates RBF Associates General Engineering Only Adams Streeter Civil Engineers, Inc. AKM Consulting Engineers 0 0 Agenda Item Page 3 December 4, 2001 General Engineering Continued Boyle Engineering Corporation DH Civil Engineering Focus Engineering Gong Enterprises Hartzog & Crabill, Inc. J. L. Patterson KHR Associates W.&M[auF Mr, LAN Engineering Parsons Transportation Richard Watson & Associates, Inc. RK Engineering Group Tetra Tech The Keith Companies Toal Engineering Urban Crossroads, Inc. Van Dell & Associates, Inc. Willdan Associates Building Services Only Esgil Corporation Geotechnical Services Cotton Shires and Associates, Inc. David H. Lee & Associates, Inc. Hetherington Engineering, Inc. Lawson & Associates, Inc. Petra Geotechnical. Inc. Traffic Services Austin -Foust Associates, Inc. Darnell & Associates, Inc. LSA Associates, Inc. 0 0 Agenda Item Page 4 December 4, 2001 3. Process Plan Check Services - As previously stated, plan check services are to be performed at a not -to -exceed fee based on a fixed percentage of the City's calculated plan check cost. This eliminates the need to negotiate fees and allows staff to select a consultant and request they perform the work at the agreed upon price. No time is wasted with costly proposals, reviews, and fee negotiations. Design Services — Services not covered by fee recovery, such as design for a City capital improvement project, will continue to require that staff solicit proposals from at least three members of the team. Proposals will then be evaluated and followed by consultant selection. If the fee exceeds the amended limit established under the master contract, then it will be forwarded to the City Council for review and approval. However, no new agreements will be required nor will insurance certifications cause delays, as they will already be in place. COMMISSION/BOARD REVIEW, RECOMMENDATIONS N/A FINANCIAL CONSIDERATIONS Costs for plan check services will be fully funded from engineering and building fees. Design services would be funded from respective capital improvement projects. Based on fees projected to be collected, a budget for consultant services is developed annually to cover the costs of these contracts. NOTIFICATION N/A ALTERNATE ACTIONS 1. By motion, approve 38 consultant service agreements to provide Plan Check and Design Services for a (3) year term with (2) one-year extensions, not to exceed $50,000 per project proposal, per year. 2. Do not approve. 3. Refer to staff for additional information. E Agenda Item Page 5 December 4, 2001 RECOMMENDATION 0 By motion, approve 38 consultant service agreements to provide Plan Check and Design Services fora (3) yearterm with (2) one-year extensions, not to exceed $50,000 per project proposal, per year. Respectfully Submitted, Prepared By, (ice William M. Huber, P.E. Jill Thomas Director, Engineering and Building Administrative Assistant WMH/jt Attachments 1. Request for Proposal 2. Sample Personal Service Agreement — Original agreements for each individual firm are available in the City Clerk's office. 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) www.sanjuancapistrano.org 0 REQUEST FOR PROPOSAL for Professional Consulting Services to MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHNS. GELFF JOHN GREINER WYATT HART DAVID M. SWERDIJN CITY MANAGER GEORGE SCARBOROUGH PERFORM AND EXECUTE BUILDING AND ENGINEERING PLAN CHECKING, GRADING PLAN CHECKING, REVIEW OF GEOTECHNICAL REPORTS, MAP CHECKING, ENGINEERING AND ARCHITECTURAL SERVICES GENERAL INFORMATION It is the intent of the City of San Juan Capistrano, Department of Engineering & Building, to establish a team of consultants to facilitate both building and engineering plan check, engineering and architectural services. The services are generally described herein and are intended to supplement staffs efforts where specific expertise is required or time constraints necessitate consultant assistance. From the proposals, a team of consultants will be selected who best represent expertise across the various specialty areas. The team will become part of a four-year program in which the work load will be spread among the team members. Work will be parceled out on an as -needed basis, and no specific guarantee can be given as to the annual fees for consultant usage. The consultant team will only be modified in the event consultants are dropped from the list due to corporate changes or it is deemed by the City that additional consultants are warranted. INVITATION TO RESPOND The City of San Juan Capistrano is soliciting proposals for professional consulting services. In general, the tasks identified above and delineated herein are to be performed with minimum direction and assistance from the City. Inquiries concerning the RFP should be directed to William M. Huber, Engineering & Building Director, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675; (949)443-6336. Nua w Is San Juan Capistrano: Preserving the Past to Enhance the Future Request for Proposal Page 2 SUBMISSION OF PROPOSAL Proposals may by submitted by mail or hand delivered. Proposals should be delivered to: William M. Huber, Engineering & Building Director City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 no later than 5:OO p.m., September 21, 2001. Proposals will not be accepted after this time. FORM OF PROPOSAL Consultant proposals shall contain the following: 1. Statement of qualifications clearly indicating the services in which the firm is interested; 2. Statement/discussion of services provided, including anticipated turnaround times and ability of firm to handle requests on an as -needed basis; 3. Resumes of key personnel for various service areas; 4. Consultant fee schedules, including hourly rates and proposed flat fees; 5. Completed consultant self rating form included with this request for proposal. EVALUATION OF PROPOSALS The City of San Juan Capistrano is interested in selecting consultants who have the experience and expertise to render plan checking, engineering and architectural services in a comprehensive and timely manner. Accordingly, the evaluation criteria will consist primarily of four parts: 1. Consultants' experience 2. Consultants' expertise 3. Consultants' ability to handle volume and meet time frames 4. Consultants' costs 0 0 Request for Proposal Page 3 It is important to the City that you identify the persons you will assign to various functions, at which office they are assigned and whether they are full-time employees of your firm. You should also address any conflict of interest that may exist and commei t on solutions. The City of San Juan Capistrano reserves the right to reject any and all proposals. Nonacceptance of any proposal will not imply criticism . `the proposal or that any proposed service was deficient. All participating candidates will be notified of the decision reached. CONSULTANT'S RESPONSIBILITY The Consultant shall perform the tasks as set forth herein: A. Building Services Review construction documents in accordance with the following uniform model codes as amended by City ordinance: a. Uniform Building Code -1998 California Building Code b. Uniform Plumbing Code - 1998 California Plumbing Code c. Uniform Mechanical Code - 1998 California Mechanical Code d. National Electrical Code - 1996 Edition e. California Code of Regulations - Title 24 2. Provide a comprehensive plan review as directed or provide only specified plan review elements as follows: a. Structural review and analysis of design and calculations b. Inspection services c. Other building services as may be defined Provide geotechnical review and consultation regarding soil problems, features or events. B. Engineering/Architectural Services Review construction documents and subdivision maps in conformance with the following standards: a. City of San Juan Capistrano Municipal Code b. City of San Juan Capistrano and County of Orange applicable design standards c. Highway Design Manual standards d. San Diego Regional Water Quality Control Permit 0 0 Request for Proposal Page 4 C. Al 2. Provide comprehensive plan review or design services as directed for the following elements: a. Geotechnical review/design b. Street improvements c. Storm drain/hydrology reports/design d. Traffic/striping improvements e. Traffic studies f. Sewer improvements g. Landscaping improvements h. Subdivision map checking i. Structures (i.e., bridges) j. Inspection services k. Pavement analysis I. Architectural design m. Drafting n. Water quality design and review Document Transmittal Pick up and resubmit plans to the City via the Building & Safety Division or Engineering Division counter. Performance Requirements 1. Plan Check Services Render and remit a typed plan check correction/clarification list (two copies) to the Engineering & Building Department within 10 working days from notification by the City. 2. Engineering/Architectural Services Complete services in a thorough and efficient manner, on time and within the approved fee schedule. 0 Request for Proposal Page 5 E. Fee Schedules 1. Engineering Fees a. Plan Check Engineering fees will be determined for plan check services based on the attached fee schedule. The consultant shall bill on an hourly basis, not to exceed 75% of the total fee, and fees may be negotiated lower if, in the determination of the City, a lower fee is warranted. b. Design/Architectural Services will be negotiated on a project -by -project basis based on a pre - agreed scope of work. Payment will be as determined by the City project manager. 2. Building Fees a. Plan Check Total plan check at 80% of base plan check fee paid by applicant not including any surcharges (base plan check fee). Base plan check fee will be 65% of building permit fee, not including surcharges. Structural plan check is not to exceed 60% of base plan check fee, not including any surcharges. b. Other Services Services will be negotiated on a project -by -project basis based on a pre - agreed scope of work. Payment will be as determined by the City project manager. F. Maintenance of Records The consultant will maintain all books, documents, papers, employee time sheets, accounting records/ledgers and other evidence pertaining to costs incurred and shall make such materials available at their respective offices at all reasonable times during the contract period and for three years from the date of final payment for inspection by the City. The consultant shall furnish copies, if requested. n u Request for Proposal Page 6 CITY'$ RESPONSIBILITY The City shall perform the tasks as set forth herein: A. Establishment of Valuation (Plan Check Services Only) Assign a valuation to the proposed work in accordance with the appropriate Engineering or Building Division standards. The City shall collect all fees from the applicant in connection with the services. B. Project submittals City will supply all necessary documentation/specifications, reports, studies, calculations, etc., to Consultant as is readily available at the City. C. Coordination City will serve as project coordinator. On plan checking, the City will be responsible for notifying the applicant when plans with corrections are available to pick up. The City will route plans (preliminary/revised) to and from the Consultant. SELECTION PROCESS The Selection Committee, comprised of the Engineering & Building Director, Development Services Manager and two Senior Engineers, will review the proposals submitted. Candidates will be selected based on the proposals submitted, including qualifications of staff, proposed fee schedules and ability to handle work load in a timely manner. Very truly yours, William M. Huber Engineering and Building Director W M H:jt Attachments 1. Engineering Fees 2. Consultant Self -Rating Form 3. Sample of Personal Services Agreement 0 0 CONSULTANT SELF -RATING FORM Consultants are asked to rate their expertise in the various fields listed below. The information will be used by Staff in selecting consultants on specific types of work. Consultants may rate themselves high on more than one category, but should not rate the same in more than three categories. Building plan check and Engineering plan check are considered separate services and should be rated independent of one another. On a scale of 1 to 10, rate yourself with "1" being your strongest area of expertise and "10" being a competent area of expertise. "N" or no rating will indicate no interest or company expertise in that field. BUILDING SERVICES ENGINEERING SERVICES Geotechnical Review Geotechnical Design, Review & Analysis Electrical Review and Analysis Street Improvements Mechanical Review and Analysis Storm Drain Improvements & Hydrology Studies Plumbing Review and Analysis Traffic Circulation Studies Energy Calculations Traffic/Striping Improvements Handicapped Provisions Sewer Facilities Improvements Inspection Services Landscaping Improvements Grading Plans Subdivision Map Checking Structures Inspection Services Pavement Analysis Survey Drafting Services Water Quality Design and Review FIRM NAME: RATER: DATE: .2001 • ENGINEERING FEES • Engineering Documents and Records - Microfilm/Digital Storage' ................. ... .. ...... ... $1.00 per sheet - Document and Record Retrieval/Research/Review $40.00 per hour (Minimum Charge - One Hour) - Digital Ortho Photo Imaging ....... ........ .. $500 per foot tile (Includes $400 per foot the + 2 hour mim staff time @ $50 per hour) - GIS Information Requests ..................................... As determined by City Engineer "Each person, firm orcorporation shall pay a microfiche or digital storagefeefor permit applications, plans, specifications, calculations, soils reports, and all pertinent data required to be maintained by state regulations, per sheet. Lot Line Adiustment - Submittal and Processing ................................ $1,750 Map Processing (Due with Map Submittal) - Tract maps' ........................................... $1,000, plus $100 per lot or unit up to 25, plus $50 per lot or = unit over 25 - Parcel maps ........................................... $1,000, plus $100 per lotlunit - Records of survey ...................................... $500, plus $50 per lot - CC&R's ............................................$500 'Duplicate Mylar Deposit ....... .. $20 per sheet Improvement Plan Processing Public improvement plans (Due with Plan Submittal) - Submittal $i3Oo0 - Checking 3% of construction costs - Hydrology/Hydraulic Studies (0-20 Acres) ................... $4.50 per 0.1 acre ($450 min) - Hydrology/Hydraulic Studies (Over 20 Acres) ................ $1,200. plus $1 per 0.1 acre over 20 acres ($4,000 max) - Sewer Studies (0-20 Acres) ............................... $4.50 per 0.1 acre ($450 min) - Sewer Studies (Over 20 Acres) ............................ $1,200, plus $1 per 0.1 acre over 20 acres ($4,000 max) Private Improvement Plan Processing (Due w/Plan Submittal) - Submittal $500 - Checking 3% of construction costs Map/Plan Processing Administration Includes the preparation and processing of agreements, .. 3 i% of improvement costs resolutions, City Council and Commission agenda reports, ($500 min) Payable prior to presentation to commissions/boards, field investigation improvement plan approval) (Does not include advertising & recording fees) Easements (Modification/Processing) ... _ .... ........... .. As determined by city Engineer (Does not include advertising & recording fees) 1$500 min) Street cut deposit for less than 500 square feet" .... .......... $500 to $1,000 Street cut deposit - over 500 square feet" .................... As determined by City Engineer "Refundable Deposit (upon completion of work) Permit issuance Fee ..... ........................ ... ..$40 Engineering Inspection Fee $50 per hour Elevation Certificates (FEMA) ... ............ . $40 Miscellaneous Fees As determined by City Engineer Development Inspections (Due Prior to Plan Approval) Improvement costs up to $100,000 ... . .. _ ........ 3 1/2% of improvement costs, with a minimum of $100 Improvement costs $100,000 and over . ..................... $3,500, plus 3% of improve- ment costs over $100,000 1 of 2 Fee for 50 units or more (Land dedication may be .................... u units x occupancy factor* substituted for fee) ............................................ x 5 acr/1000 occ x $302,500 acr 'Occupancy Factor - Single Family ............................................ 3.2 occlunit - Attached units, including duplex, townhouse & apartments............ 2.9 occlunit - Mobile Homes .............................. ...... ... .. 1.8 ocdunit Sewer Capacity Fee (Due Prior to Building Permit) - Residential .. .... $3,165 per unit - Commercial, Industrial, Non -Residential ("see below) .............. $3,165 per 1500 SF of floor - - - - area or fraction thereof Aaricuttural Preservation (Due Prior to Building Permit) - Residential .. I ...... I _ ..... .......... .. . .......... $500 per unit - Commercial/Non-Residential .................. .. ..... ....... $1000 per acre Drainage Area Fees ('see below) -L01 ...................... .....................$1170 per acre Sureties and Deposits (Due prior to app oval of Improvement $860 per acre Agreement or Encroachment Permit Issuance, whichever is applicable) $320 per acre Faithful performance surety $170 per acre (released one year after the notice of completion) ............. 100°i of construction costs Labor and material surety $1470 per acre (released upon the completion of the project) ................ 100% of construction costs Monumentation surety (released upon the Engineer's certification of work) ............ 100% of monumentation costs Water surety ............................................ As required by Capistrano — Valley Water District Parks & Recreation Fee ('see below) Fee for 49 units or less - Single family detached dwelling units ............................. $4,840 per unit - Attached Units, including duplex, townhomes & apan,-nts........... $4,390 per unit - Mobile Homes $2,877 per unit Fee for 50 units or more (Land dedication may be .................... u units x occupancy factor* substituted for fee) ............................................ x 5 acr/1000 occ x $302,500 acr 'Occupancy Factor - Single Family ............................................ 3.2 occlunit - Attached units, including duplex, townhouse & apartments............ 2.9 occlunit - Mobile Homes .............................. ...... ... .. 1.8 ocdunit Sewer Capacity Fee (Due Prior to Building Permit) - Residential .. .... $3,165 per unit - Commercial, Industrial, Non -Residential ("see below) .............. $3,165 per 1500 SF of floor - - - - area or fraction thereof Aaricuttural Preservation (Due Prior to Building Permit) - Residential .. I ...... I _ ..... .......... .. . .......... $500 per unit - Commercial/Non-Residential .................. .. ..... ....... $1000 per acre Drainage Area Fees ('see below) -L01 ...................... .....................$1170 per acre - L02 $860 per acre - L03 $320 per acre - L05 ...... ....... .. $170 per acre - M01 ............................................$780 per acre - L01 S02 $1470 per acre Advanced Energy Fee (Street Lights) (Due Prior to Plan Approval) Lamp Size Single Double 7,000 Lumens $90 per light $126.60 per light 20,000 Lumens $126.20 per light $167.50 per light 'Parks & Recreation and Drainage Fees are due prior to Subdivision Map Approval. For properties not requiring maps, these fees are due prior to Building Permit Issuance. "Sewer capacity fees are due prior to Building Permit Issuance for any increase in building size. NOTE: Additional fees may be required by the Building & Safety Division, the Department of Planning Services & the Capistrano Valley Water District. Parks & Recreation Sewer and Agricultural Preservation Fees are due prior to Building Permit Issuance for all Secondary Dwelling Units Revised 6/01, c\wpwinlwpdacs\olher`dees 2 of