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01-0920_DARNELL/ ASSOCIATES INC_Personal Services Agreementis 0 0 CITY CLERK'S DEPARTMENT - ACTION REMINDER t �� �"r c 1�`,t _i CQ L'vA l TO: Akin,Qq)N@4 Se[jw Traffic Engineer FROM: Christy Swanson, A4"4n4tmtiw&Secretary DATE: June 1, 2007 SITUATION: On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2004. On June 2, 2004, agreement extended to June 30, 2005. On June 1, 2005, agreement extended to June 30, 2006. One June 1, 2006, agreement extended to June 30, 2007 Please notify this office if agreement has been extended or completed. II ACTION TO BE TAKEN: (Le- ca ucx-C-Q� 20,0 DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: � l (0 � D7 Tickler Date: 06/14104 Deadline Date: 06/30104 (600.30/darnell) 'FOR CITY CLERK'S DEPARTMENT USE ONLY'** 06/01/05 06/01106 06101/07 06/30/05 06130106 06/30/07 • E CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Alan Oswald. Senior Traffic Engineer Christy Swanson Secretary -FROM � Y DATE: June 1, 2006 SITUATION: On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2004. On June 2, 2004, agreement extended to June 30, 2005. On June 1, 2005, agreement extended to June 30, 2006. Please notify this office if agreement has been extended or completed. ACTION TO BE TAKEN: E7><� 4-.= -3O , Zoo 1 DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: I I zoo' SIGNATURE OF OFFICIAL TAKING ACTION: a' DATE SIGNED: %I I O ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06/14/04 06/01/05 06/01/06 Deadline Date: 06/30/04 06/30/05 06/30/06 cc: Department Head (600.30/darnell) 0 0 CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Alan Oswald, Senior Traffic Engineer �d FROM: Mitzi Ortiz, Deputy City Clerk DATE: June 1, 2005 SITUATION: On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2004. On June 2, 2004, agreement extended to June 30, 2005. Please notify this office if agreement has been extended or completed. ACTION TO BE TAKEN: 1� i2 -�j , v vL� 30 Z-048Co DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: Ju....2�i 1Z06(0 SIGNATURE OF OFFICIAL TAKING ACTION:, DATE SIGNED: % - I - l> S Tickler Date: 06114104 Deadline Date: 06130104 cc: Department Head (600.30/darnel/) '*'FOR CITY CLERK'S DEPARTMENT USE ONLY*** 06101105 06130105 0 0 CITY CLERK'S DEPARTMENT -ACTION REMINDER TO: Alan Oswald, Senior Traffic Engineer FROM: Mitzi Ortiz, Deputy City Clerk DATE: June 14, 2004 SITUATION: On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2004. Please notify this office if agreement has been extended or completed. ACTION TO BE TAKEN: &4evti-S 4 Jvw�e- :56, Zoo 5— DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: Jam. ► , Ze05- ��. SIGNATURE OF OFFICIAL TAKING ACTION: S— DATE SIGNED: Co Z O ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06/14/04 Deadline Date: 06/30/04 cc: Department Head (600.30/darnell) 0 0 PERSONAL SERVICES AGREEMENT THIS A REEMENT is made and entered into this �_ day of s , 2001, by and between the City of San Juan Capistrano (herei after referred to as "City") and Darnell & Associates, Inc. (hereinafter referred to as "Consultant"). RECITALS WHEREAS, City desires to retain the services of Consultant regarding the City's proposal to provide various traffic engineering 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 traffic engineering tasks as assigned by the City Traffic Engineer or his designated representative. 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 and services required hereunder shall be completed by no later than June 30, 2062. Section 3. Compensation. 3.1 Amount. Total compensation services provided shall not exceed five thousand dollars ($5,000.00). 3.2 Rate Schedule. The services shall be billed to the City at the hourly rate set forth in the Exhibit, attached and incorporated herein by reference. Included within the compensation -t- are all the Consultant's ordinary office and overhead expenses incurred by it, its agents and employees, including meetings with the City representatives and incidental costs to perform the stipulated services. Submittals shall be in accordance with Consultant's proposal. 3.3 Method of Payment. Consultant shall submit monthly invoices based on total services which have been satisfactorily completed and specifying a percentage of projected completion for approval by the City. The City will pay monthly progress payments based on approved invoices in accordance with this Section. 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. 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 -2- O 0 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 warrants that: (1) it has investigated the work to be performed; (2) it has investigated the proposed construction site, including the location of all utilities, and is aware of all conditions there; and (3) it 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. 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 -3- 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 resulting from negligent acts, errors and omissions or other wrongful conduct committed by Consultant arising out of or in connection witKlhe work, operation or activities of Consultant, its agents, employees and subcontractors in carrying out its obligations under this Agreement. Section 14. Insurance. Insurance required herein shall be provided by Admitted Insurers in good standing with the State of California. 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 personlany one occurrence/not limited to contractual period. If such policy includes an aggregate limitation, such aggregate shall be at least $2,000,000. 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; 0 0 0 $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. 14.4 Errors and Omissions Coverage/Endorsement. 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). Proof of the insurance shall be in the form of an endorsement. If the policy of insurance is written on a "claims made" basis, said policy shall be continued in full force and effect at all times during the term of this Agreement and for a period of five (5) years from the date of completion of Consultant's Scope of Work. 14.5 Notice of Cancellation/Termination of Insurance. The above policy/policies shall not terminate, nor shall they be cancelled, nor the coverages reduced, until afterthirty (30) days' written notice is given to City, exceptthat ten (10) days' notice shall be given if there is a cancellation due to failure to pay a premium. 14.6 Proof of Insurance Requirements. Consultant shall submitthe endorsement and insurance certificate, including the deductible or self -retention amount, to the City's General Counsel for certification that the insurance requirements of this Agreement have been satisfied prior to beginning any work under this Agreement. 14.7 Terms of Compensation. Consultant shall not receive any compensation until all insurance provisions have been satisfied. Section 15. Termination. City and Consultant shall have the right to terminate this Agreement without cause -5- 0 0 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 Administrative Services To Consultant: Darnell & Associates, Inc. 1446 Front Street, Third Floor San Diego, California 92101 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. on 0 0 IN WITNESS WHEREOF, the parties hereto have executed this Agreement. CITY,Or/,SAN JV* CAPISTRANO CONSULTANT By:C Bill E. Darnell, Principal Darnell & Associates, Inc. ATTEST: M tga t R. Monahan, City Clerk APPROVED AS TO FORM: John R. Shaw, City Attorney (CA ... \Contract\P S A\Darnell-Engineering Sewicesmpd) Darnell & ASSOCIATES. INC. TRANSPORTATION PLANNING & TRAFFIC ENGINEERING SCHEDULE OF HOURLY BILLING RATES (Effective January 15, 2000) Firm Principals Project Work ......................................... $130.00/hr. Public Hearings/Special Presentations ........................ $150.00/hr. (4 hours minimum) Principal Transportation Engineer/Planner .......................... $115.00/hr. Senior Transportation Engineer ................................. $ 95.00/hr. Senior Transportation Planner .................................. $ 85.00/hr. Transportation Engineer/Planner................................. $ 65.00/hr. Assistant Transportation Engineer/Planner ......................... $ 60.00/hr. Designer ................................................. $55.00/hr. Transportation Analyst ....................................... $ 47.00/hr. Traffic Engineering/Planning Technician ........................... $ 50.00/hr. Engineering/Planning Aide ..................................... $ 32.00/hr. Junior Engineering/Planning Aide ................................ $ 20.001hr. Word Processor ............................................ $ 30.00/hr. Necessary auto travel will be charged at $0.35 per mile. Subconsultants, reproduction, materials, and other non -wage costs will be invoiced at direct cost plus 10 percent administrative charge. Terms are 30 days net and will be assessed a finance charge of 1.5% per month past 30 days on all outstanding invoices. 1446 FRONT STREET • THIRD FLOOR • SAN DIEGO, CA 92101 PHONE: 619-233-9373 FAX: 619-233-4034 e-mail: BD492@aol.com • ACORD CERTIFICA OF LIABILITY INSU PRODUCER OA99520 1-619-234-6848 THIS CERTIFI Cavignac & Associates ONLY AND I HOLDER. THI 450 B Street, Suite 1800 ALTER THE ( San Diego, CA 92101-8005 THE TE INSURERS AFFORDING COVERAGE DATE (M6VDD/YY) 06/21/05 INSURED INSURER A: Libelt Insurance Underwriters, Inc. DarPell & Associates, Inc. INSURERB'St. Paul Fire & Marine Insurance Company 1446 Front Street, 3rd Floor INSURERC: United States Fidelity & Guaranty Company San Diego, CA 92101 INSURER D: i weuovo c. 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMfDCVYY) POLICY EXPIRATION DATE (MMn)DIYYI LIMITS C GENERAL LIABILITY BKO1896181 06/15/05 06/15/06 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE L11 OCCUR MED EXP (Any one Person) $10,000 PERSONAL 6 ADV INJURY $ 1,000,000 X Broad Form X Blanket Contractual GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO LOC C AUTOMOBB.EUABILITY X ANY AUTO BA01896263 06/15/05 06/15/06 COMBINED SINGLE LIMIT $1,000,000 (Ea accident BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per aaddeM) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WVA7504172 06/15/05 06/15/06 X WC STATG- OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 i E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER A Professional Liability AEB1968690105 06/15/05 D6/15/06 Each Claim 61,000,000 Aggregate $2,000,000 $ DESCRIPTION OF OPERATIONSIOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS Professional Liability - Claims made form, Aggregate limit policy. Defense costa included within limit of liability. RE$ Ortega Ranch Business Center/Project #4107. Certificate Holder is named as Additional Insured with respect to General Liability per attached endorsement. •10 days HOC for non-payment of premium. CERTIFICATE HOLDER y I ADDITIONAL INSURED; INSURER LETTER: C CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODO LL Director of Administrative Services 32400 Paseo Adelanto IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS OR REPRESENTATIVES. San Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE �,,,� 7/J/ USA Q�' , f ACORD 2" (7/97) Katherine O ACORD CORPORATION 1988 2987386 0 Named Insured: Da.011 a Associates, Inc. Policy Number: RR01896181 Owners, Lessees Or Contractors (Form Q ADDITIONAL INSURED Effective: 06/15/05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Name of Person or Organization: City of San Juan Capistrano RR: Ortega Ranch Business Center/Project #4107 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. 2. With respect to 1. above the following additional provision applies: SECTION IV. 5. Other Insurance is replaced by the following: 5. Other Insurance. The insurance afforded by this primary insurance and we will not from any valid and collectible available to the insured unless the valid and collectible "other insurance" is provided by a person or organization who is not shown in the schedule. Then we will share with that valid and collectible "other insurance" by the method described below. If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. Coverage Part is if any of the valid and collectible "other insurance" seek contribution does not permit contribution by equal shares, we will "other insurance" contribute by limits. Under this method, each Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CUBF 22 45 09 99 Includes copyrighted material of Insurance a Services Once, Inc., with its permission. Page 1 of i Copyrighted, Insurance Services Office, lat., 1984 Cavignac & Associates • 450 B Street, Suite 1800 San Diego, CA 92101-8005 USA City of San Juan Capistrano Director of Administrative Services 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA 0 If you have questions regarding the content of this document, please contact the insured listed on the certificate or Cavignac & Associates. cc: The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertiCcatesNow's 0 32400 PASEO ADEIANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX www.sanjuancapistrano.org June 9, 2005 Darnell & Associates 1446 Front Street, 3rd Floor San Diego, CA 92101 IB[BRIBAAIEB � FAA1lUR(B � 1961 1776 MEMBERS OF THE CITY COUNCIL RE: Compliance with Insurance Requirements — Plan Check Services/Traffic Engineering Services The following insurance documents are due to expire: ✓ General Liability Certificate 06/15/2005 SAM ALLEVATO DIANE BATHGATE WYATT HART JOE SOTO DAVID M. SWERDLIN ✓ General Liability Endorsement Form naming the City of San Juan Capistrano as additional insured. ✓ Automobile Liability Certificate 06/15/2005 ✓ Professional Liability Certificate 06/15/2005 ✓ Workers Compensation Certificate 06/15/2005 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 expjralpn dates. #Jou have any questions, please contact me at (949) 443-6309. Administraftive Secretary cc: Dawn M. Schanderl, Administrative Assistant San Juan Capistrano: Preserving the Past to Enhance the Future c^-1 P'.M.d rn..... IM.—, 06/17/04 %f,onfirmNet -> 19494931053 • P9 2/3 i Y ACORD,a CERTIFICATE OF LIABILITY INSURANCE 0DATE6/177/04/04DA Y) PRODUCER OAS9520 1-619-234-6848 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION cavignac & Associate& ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego, CA 92101 Dorothy Amundson INSURED Darnell & Associates, Inc. INSURERA: United States Fidelity & Guaranty company INSURER B: St. Paul Fire & Macias Iaeuraace Company 1446 Front Street, 3rd Floor INSURER C: Liberty Insurance Underwriters San Diego, CA 92101 INSURER D: NSURERE: rAVFDAngF 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. INGR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE pATpWMI POUCYEXPIRATIONLTR LIMITS A GENERAL LIABILITY BX01896181 06/15/04 06/15/05 EACH OCCURRENCE $ 1, 0DO, 000 X COMMERCIALGENERALLIABILITY FIRE DAMAGE (My $1,000,000 CLAIMS MADE L OCCUR MED EXP (Any dna Parsar) $ 10,000 PERSONAL &ADV INJURY $ 1.000,000 X Broad Form GENERAL AGGREGATE $2,000,000 X Blanket Contractual PRODUCTS-COMPIOPAGO $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER'. PULICV X PRD- LOC A AUTOMOBILELIABILUY BA01896263 06/15/04 06/15/05 COMBINED SINGLE LIMB $1.000,000 �X ANY ALTO (Eaaeodel) BODILY INJURY $ ALI nWNFO kMIS SCHEDULED AUTOS (Per eersml BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per acrilat) PROPERTY DAMAGE $ (Per acdtlmi) GARAGE LIABILITY AJTOONLY-EAACCIDENT $ OTHER THAN EA ACC S ANY AUTO AJTO ONLYAGG $ EXCESSLIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ l $ _ DEDUCTIBLE 1 $ RETENTION $ e WORKERS COMPENSATION AND WA7504172 06/15/04 06/15/05 X SYTLITUTS - OTH- EMPLOYERS' LIABILITY E L EACH ACCIDENT $ 1.000, 000 EL DISEASE - EA EMPLOYE $1,000,000 EL DISEASE-POLICYLIMIT $1,000,000 OTHER C Professional Liability AEE1968690104 06/15/04 06/15/05 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATION &LOCATIONSNEHICLEBIEXCLU&ONS ADDED BY ENDORBENENTI8PECIAL PROVISIONS Professional Liability - Claims Had. Form, Aggregate Limit Policy. Defense costa Included within Limit of Liability. RE: Project #030903. Certificate Bolder is named as Additional Insured as respects to General Liability per attached endorsement. +10 days notice of cancellation for non-payment of premium. CERTIFICATE HOLDER I Y I Annmrwu malaEn INm1aPR r PTrFR A CANCELLATION City of San Juan Capistrano Director of Administative Services 32400 Paseo Adelaato San Juan Capistrano, CA 92675 25•S (7197) Katherine 1886063 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHOR12E0 REPRESENTATIVE //4/ USA �/irulf3{�� .-,✓ .-_ a ACC 06/17/04 d9Confirmi —> 10404931053110 94931053• Pg 3/3 a Named Insured: Doreen s Aseoeiatee, Inc. Policy Number : BX01896181 Owners, Lessees Or Contractors )Form C) ADDITIONAL INSURED Effective: 06/15/06 THIS ENDORSEAENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of Sea Juan Capistrano Project #030903 1. SECTION II - MO IS AN INSURED is amended to include as valid and collectible "other insurance' is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and ,.your work" tar that insured by or for you. collectible "other insurance" by the method described below. 1 Wth respect to 1. above the following additional provision applies: If all of the valid and collectible "other insurance' permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance is replaced by the this method also Under this approach, each insurer following: contributes equal amounts until it has paid its 5. Other Insurance. applicable limit of insurance or none of the loss remains, whichever comes first. The insurance afforded by this Coverage Part is if any of the valid and collectible "other insurance" primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible "other insurance" contribute by limits. Under this method, each available to the insured unless the Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers CUBF 32 45 99 98 Includes copyrighted material of nsu rano, a Sa ices Othoe Ino.. with its pann%, on. Page I d I Copynghtad.Insurance Services Office, Int. 1984 06/17/04^ ConfirmNet -> 1Q,494931053 Pg 1/3 TO: City of San Juan Capistrano AMC, Director of Administative Services Fax 1-949-491-1053 FROM: Darnell E Associates, Inc. Phone: Cavignae a Associates Agency: Phone: 1-619-734-6845 Subject: This insurance document w S brought to you by CertifieatesNow, from Cavignac F Associates. If you have questions regarding the content of this document, please contact the Insured listed on the certificate of insurance or the notice of cancellation/reinstatement. The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Pawced ByCertiticafesNow" i 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493.1053 FAX www.sanjuancapistrano.org May 17, 2004 Darnell & Associates 1446 Front Street, 3rd Floor San Diego, CA 92101 j� IADAIIABifA fsiluuem 1961 1776 MEMBERS OF THE CITY COUNCIL RE: Compliance with Insurance Requirements — Plan Check Services/Traffic Engineering Services The following insurance documents are due to expire: SAM ALLEVATO DIANE L. BATHGATE WYATT HART JOE SOTO DAVID M. SWERDLIN ✓ General Liability Certificate 06/15/2004 ✓ General Liability Endorsement Form naming the City of San Juan Capistrano as additional insured. ✓ Automobile Liability Certificate 06/15/2004 k v ✓ Professional Liability Certificate 06/15/2004 \% ✓ Workers Compensation Certificate 06/15/2004 C Please submit updated ocumentation to the City of San Juan Capistrano, attention City Clerk's office,2400 seo Adelanto, San Juan Capistrano, CA 92675 by the above expira�ien yiat s. J1 o have any questions, please contact me at (949) 443-6309. Secretary cc: Dawn M. Schanderl, Administrative Assistant San Juan Capistrano: Preserving the Past to Enhance the Future ACORP. CERTIFICATEFOF LIABILITY INSURANCE 1126 M,DD,VY) 11/26/03 PRODUCER OA99520 1-619-234-6848 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cavignac 6 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego, CA 92101 Dorothy Amundson INSURED Darnell a Associates, Inc. 1446 Front Street, 3rd Floor San Diego, CA 92101 INSURERS AFFORDING COVERAGE INSURERB:St. Paul Fire & Marine Insurance Company INSURER C LibertV Insurance Underwriters 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. MSRTYPE TA OF INSURANCE POLICY NUMBER POLICY EFFECTWE POLICY EXPIRATIONI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR X Broad Form BKO1394428 06/15/03 06/15/04 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one lire) 51,000,000 MED EXP (Any oneperson) $10,000 PERSONAL & ADV INJURY $ 1,000,000 X Blanket Contractual GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY X PRO LOC PRODUCTS - COMPIOP AGG $ 2, 000, 000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS RA01394434 06/15/03 06/15/09 (Ea accodentt SINGLE LIMIT $1,000,000 BODILY INJURY $ (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per acciden0 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR F-1 CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WVA7504172 06/15/03 06/15/04 X WCSTATU- OTH- LIME.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 C OTHER Professional Liability AEE196869 12/01/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: DSA Project #3526 Traffic Engineering Services Contract. Certificate Holder is named as Additional Insured as respects to General Liability per attached. *10 days NOC for non-payment of premium. CFRTIFICATp MM ITPR I y I wm.om. rucuovo I rnce. A PAM C] 1 ATInM City of San Juan Capistrano Alan Oswald 32400 Paseo Adelanto San Juan Capistrano, CA 92675 25-S (7197) Katherine 1486658 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, allVrAX19XKXNXMO SHALL R AUTHORIZED REPRESENTATIVE USA o ­,...,.e .- Lu Named Insured: Darnell & Associate Inc. Policy Number: 13xo1394428 . • Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effective: 06/15/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano RE: DSA Project #3526 Traffic Engineering Services Contract 1. SECTION II - WHO IS AN INSURED is amended to include as valid and collectible 'other insurance" is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and "your work" for that insured by or for you. collectible 'other insurance" by the method described below. 2. With respect to 1. above the following additional provision applies: If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance is replaced by the this method also. Under this approach, each insurer following: contributes equal amounts unfit it has paid its 5. Other Insurance. applicable limit of insurance or none of the loss remains, whichever comes first. The insurance afforded by this Coverage Part is if any of the valid and collectible 'other insurance" primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible 'other insurance" contribute by limits. Under this method, each available to the insured unless the Insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CLEF 22 45 09 99 Includes copyrighted material of Insurance a Services Office, Inc. , with its permission. Page 1 of 1 Copyrighted, Insurance Services Office, Int., 1984 • Cavignac 6 Associates 1230 Columbia Street, Suite 850 San Diego, CA 92101 City of San Juan Capistrano Alan Oswald 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA USA This document was brought to you by CertificatesNow. s LDEC - 1 2003 D �1 CITY OF SAN JUAN CAPISTRANO L ENGINEERING DEPARTMENT If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customercare@confirmnet.com, or visit our website at www.confirmnet.com The data included in this notice and in the attached document is confidential to Con£irmNet and the party responsible Tor bringing you this information. Powered BYr....:.:................rs J1/26/03 ConfirmNet -> 19494931053 Pg 2/3 ACORD,. CERTIFICATE OF LIABILITY IN_S11/2fiLMIMID _ URANCE °" 0'""' ', 26/03 /03 PRODUCER UA99520 1-619-234-6848 THIS CERTIFICATE IS ISSUED AS A MATTER'OF INFORMATION Cavignac & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Calumbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego, CA 92101 INSURERS AFFORDING COVERAGE Dorothy Amundson INSURE INSURER A. United States Fide lit & Guarani Company Darnell & Associates, Inc. - --- - y_-- y �_--y INSURFR8 St. Paul Fire & Marine Insurance Company 1446 Ft -Ont Street, 3rd Floor INSURER I: Liberty Insurance Underwriters San Diego, CA 92101 INSURERC. I INSURER E. CnVFRAGES I HE POLIOLS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING ANY RLOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WHIT RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN ]HE INSURANCE AFFORDED BY THE POLICIES DL -SCRIBED HEREIN IS SUBJLCI ]CALL I HE TERMS, EXCLUSIONS AND CONDI I IONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE _ _ _ POLICYNUMBER _— DATE IaAVOD/YYI - - DATE {6•BDDDPD _ — LIMITS A GENERALLIABILIIY B%01394428 06/15/03 06/15/04 EACH OCCURRENCE $ 1,000,000 XCUMMENCIAL GFNFR�AI, IIAHII ITY FIHE_DAMAGE(Anywafre) $1,000,000 -] CI AIMS MADF OCCUR MFT)EXP (Any one pmson) $10,000 X Broad Form PERSONAL B ADV INJURY $ 1,000,009 X Blanket -Contractual GENERAL AGGREGATE $2,D00,000 GEN L AGGREGATE I IMIT ADEL ES PER, PRODUCTS - COMP/OP AGG $2,000,000 PR07 —_ I'DL ICY X I' AUTOMOBILE LIABILITY BA01394434 06/15/03 06/15/04 COMBINED SNGLE LIMIT $ 1,090,000 X ANY AUTO (Ea acn0enl) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per Ixrsm) -- HIRED AUTOS BODILY INIlI0.Y $ NON-0WNED AUTOS (Per accident) PROPERTY DAMAGE $ - -- - - (Per a,crmrit} GARAGE LIABILITY ONLYIDENT $ OTHER AACC $ ANT AUTO qGG E EXCESS LIABILITY $ WAGG�GATE$ $ OCCUR CLAIMS WOE DEDUCTIBLE $ �. E RETENTION $ H WORKERS COMPON AND WVA7504172 06/15/03 06/15/04 X WC STATU TIM - EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,D00,000 E.L. DISEASE - EA EMPLOYE $1,000,000 EL DISEASE-POLICV LIMIT E1,000, 000 OTMKft __ C Professional Liability AEE196e69 12/01/03 06/15/09 Each Claim 1,000,000 i Aggregate 2,000,000 DESCRIPTION OF OPERATIONSILOCAOONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costa Included within Limit of Liability. RE: Project #030903. Certificate Holder is named as Additional Insured as respects to General Liability per attached endorsement. *10 days notice of cancellation for non-payment of premium. r COTICICATF HFII nFR I Y I .—Tvr... .....1— ..cunc u.,-.. on. A ra MrCi I eTlnu City of San Juan Capistrano Director of Addioi.tative Service. 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA N.Tuliarr 1486678 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE I HE EXPIRA TION 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 RIND UPON THE INSURER, RS AGENTS OR REPRESENIA I IVES. AUTHORIZED REPRESENTATNE Po' eyed ByCertificatesNow'e G ACORD CORPORATION 1981 11/26/03 Confirl —> 1P49931053 . Pg 3/3 Named Insured: Oarocii s Aeeociatee, inc. Policy Number : EK01394428 Owners, Lessees Or Contractors (Form C) ADDmONALINSURED Effective, 06/35/03 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following, LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San JUAn Capistrano Project #030903 1. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of 'your work' for that insured by or for you. 2. With respect to 1. above the following additional provision applies: SECTION IV.`5. Other Insurance's replaced by the following: 5. Otherinsurance. The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any valid and collectible "other insurance' available to the insured unless the valid and collectible "other insurance" is provided by a person or organization who is not shown in the schedule. Then we will share with that valid and collectible "other insurance" by the method described below. If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until A has paid its applicable limit of insurance or none of the loss remains, whichever comes first. if any of the valid and collectible "other insurance" does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CLIBF 22 45 99 99 Includes copydghled malenal d Insurance a Services O#Ice. Inc.. with ns permisxim. Pege 1 of 1 Cnpynghted, Inwmnre Services Odra, lel.. 1W, 11/26/03 ConfirmNet -> 10194931053 Pg 1/3 • 0 City of San Juan Capistrano Attu: Director of Administative Services Falc 1-949-493-1053 FROM:Darnell & Associates, Inc. Phone: /��..,. Cavignac & Associates Phone: 1-619-234-6840 Subject: This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find,out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customercare®confirmnet.com, or visit our website at www.conllrmnet.com The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. PosedBYCertificatesNow�e Aft F ACOFiDa CERTIFICATMOF LIABILITY INSURA4 PRODUCER OA99520 1-619-234-6848 THIS CERTIFICATE IS Cavignac s Associates ONLY AND CONFER! HOLDER. THIS CERTI 1230 Columbia street, Suite 850 ALTER THE COVERA( San Diego, CA 92101 Dorothy Amundson INSURED Darnell S Associates, Inc. 1446 Front Street. 3rd Floor San Diego, CA 92101 COVERAGES DATE (MM�ODIYY) ,E 11j26103 ;SUED AS A MATTER OF INFORMATION NO RIGHTS UPON THE CERTIFICATE INSURERS AFFORDING COVERAGE A: United States Fidelity -A- Guarant B:St. Paul Fire 6 Marine Insurance 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 DATE (MMIDDIYYi POLICY EXPIRATION DATE ININVIDIDlyY) LIMBS A GENERAL LIABILITY BRO139442B 06/15/03 06/15/04 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one lire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � X I OCCUR MED EXP (Anyone mon) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 X Broad Form X Blanket Contractual GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $2,000,000 POLICY X PRO- LOC A AUTOMOBILE X LIABILITY ANY AUTO BA01394434 06/15/03 06/15/04 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per aoadem) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE Is RETENTION $ B WORKERS COMPENSATIO IAND WVA7504172 06/15/03 06/15/04 - X TWO STATU- OTHER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER C Professional Liability AEE196869 12/01/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLE&EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: Project No. 010906. *10 days NOC for non-payment of premium. CERTIFICATE HOLDER NI ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILL 13AWNWIM14 MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 000MUC10 1100 W60 SHALL Director of Administration Services R 32400 Paseo Adelanto San Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE USA ACORD 25-S (7/97) Katherine p ACORD CORPORATION 1988 1486640 PnwnradRv_ .... -. ,., 0 Cavignac b Associates 1230 Columbia Street, Suite 850 San Diego, CA 92101 City of San Juan Capistrano Director of Administration Services 32900 Paseo Adelanto San Juan Capistrano, CA 92675 USA USA This document was brought to you by CertificatesNow. 11 If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customercare@confirmnet.com, or visit our website at www. confirmnet.com DE C 01 2003 The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. ' ACORP. CERTIFICA111 PRODUCER OA99520 Cavignac & Associates '.1230 Columbia Street, Suite 850 San Diego, CA 92101 Dorothy Amundson J F LIABILITY INSURAIIME I 0°AT17OD°'""' 6/1709 INSURED Zppq SUN 22 Darnell & Associates, Inc. 1446 Front Street, 3rd Floor San Diego, CA 92101 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE _— - r_ _- _ -__— - _ -. 4 i V INSURERA United Statee_Pidelity & Guaranty Company INSURERS St. Paul Fire 6 Marine Insurance Company _- INSURER C. Liberty Insurance Underwriters 111 INSURER D- _ INSI IRFR P 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 tNTH SR� TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE i DATE MI POLICY EXPIRATION ( DATE IMWDDtYY) I LIMITS A GENERAL LIABILITY BKO189618106/15/04 06/15/05 EACH OCCURRENCE 1,000,000 % COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) j7II$ $1 000,000 ]CLAIMS MADE LK]OCCUR X Broad Form _ MED EXP(Any one person)_ PERSONAL 8 ADV INJURY - $10_000 ITS 1,000,000 _ X Blanket Contractual GENERAL AGGREGATE '$2,000,000 S2, 000, 000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPICP AGG PRO- POLICY % LOC _ A AUTOMOBILE XJ LIABILITY ANY AUTO BA01896263 06/15/04 06/15/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ - HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ - --- - --- - — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE _ $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY HVA7504172 06/15/04 06/15/05 % WCYTAIU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1, 000, 000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER C Professional Liability AEE1968690104 06/15/04 06/15/05 Each Claim 11000,000 Aggregate 21000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEVEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. 2E: Project R011009C. Certificate Holder is named as Additional Insured as respects to General Liability per attached. w10 days HOC for non-payment of premium. CFRTIrICATF HETI ITFm [ Y I .no ... n ., ruo,ocn. ,.muoco,c,-.co. A l AMICI I AnnM :ity of San Juan Capistrano >isector of Engineering and Building 12400 Paseo Adelanto San Juan Capistrano, CA 92675 ACORD 25-S (7197) Katherine 1886045 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL E X Y4 MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BLM]$7{IW0KX5X&'%0 SHALL xW©tlKKH6ltl9[Itll7NCK�cI'�Y0621KXRlpF7tdPAEC10NK7[nIDH�AC711[911iY�AJCC[KINCYN7®cSR AUTHORIZED REPRESENTATIVE / USA L� Ike ._../..-- IN Named Insured: Darnell s Associstee, Inc. Policy Number ER01816181 Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effeclive: 06/15/04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano RE: Project M011009C 1. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. With respect to 1. above the following additional provision applies: SECTION IV. 5. Other Insurance is replaced by the following: 5. Other Insurance. The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any valid and collectible "other insurance" available to the insured unless the valid and collectible "other insurance" is provided by a person or organization who is not shown in the schedule. Then we will share with that valid and collectible "other insurance" by the method described below. If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. if any of the valid and collectible "other insurance" does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CLIBF 22 45 09 99 Includes copyrigfited maledal of Inswance e services Office, Inc. with its permission. Copyrighted, Insurance Services Office, Int., 1984 Page 1011 t Cavignac Associates • . S 1230 Columbia Street, Suite 850 San Diego, CA 92101 USA kl City of San Juan Capistrano Director of Engineering and Building 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA ion JUN 22 P 4' 1 b SAS This insurance document was brought to you by CertificatesNow, from Cavignac 6 Associates. If you have questions regarding the content of this document, please contact the Insured listed on the certificate of insurance or the notice of cancellation/reinstatement. r?ECEIVED JUN 21 2094 The data included in this notice and in the attached document is confidential to Confi,m et and the party responsible for bringing you this information. Powered By Certy/icatesNow, ACORD; CERTIFICATI PRODUCER OA99520 Cavignac & Associates 1230 Columbia Street, Suite 850 'San Diego, CA 92101 Dorothy Amundson INSURED Darnell & Associates, Inc. 1446 Front Street, 3rd Floor San Diego, CA 92101 F LIABILITY INSURAME I 06/1MIA7/0/0DATE74DnV) 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 7 I 7Do1, JUN 22 `y INSURERA United States Fidelity & Guaranty Compal_ 4 INSURERB St. Paul Fire & Marine Insurance Company INSURER C: Liberty Insurance Underwriters S 11 III(,I INSURER D INSURER F 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. II TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION j LIMITS A GENERAL LIABILITY OK01896181 06/15/04 06/15/05 EACH OCCURRENCEg 1,000,000 _ FIRE DAMAGE (Anyone fire) $ 1,000,000_ X GENERAL LIABILITY COMMERCIAL _ 1CLAIMS MADE ( rson) $OCCUR MED EXP one pe10,000 _ X Broad Form PERSONAL B ADV INJURY $ 1,000,000 X Blanket Contractual GENERAL AGGREGATE $ 2,000,0D0 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP A $2,000,000 POLICY X I PRO- LOC A AUTOMOBILE LIABILITY BA01896263 06/15/04 06/15/05 SINGLE LIMIT $1,000,000 X ANY AUTO E. accident) ALL ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ BODILY INJURY - - HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE S RETENTION $ B WORKERS COMPENSATION AND WVA7504172 06/15/04 06/15/05 X TWO STATU- OTH- CRYMIEBJ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE-EAEMPLOYEE$1,000,000 E.L. DISEASE- POLICY LIMIT $ 1, 000, 000 OTHER C Professional Liability AEE1968690104 06/15/04 06/15/05 Each Claim 11000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONWEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. 7E: Project #011009C. Certificate Holder is named as Additional Insured as respects to General Liability per attached. ,10 days NOC for non-payment of premium. CERTIFICATE HOLDER y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION :ity ofSan Tuan Capistrano DATE THEREOF, THE ISSUING INSURER WILL EVMX4WY4 MAIL •30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WJrAX [XIHKX5Z=0 SHALL lHector of Engineering and Building Xqp)pmggpp�XMEKHN%MXdPD1KIDI0BX7PAN�77QNK A$REYSiN7dCmR 12400 Paseo Adelanto X# IIKAWiAKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ;an Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE //// _ '-. USA 61 F /.-- A,CORD 25-S (7/97) Katherine O ACORD CORPORATIO`J 1138 1886045 Named lnsured:Darvell a Associates, Inc. Policy Number: BR01896181 Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effective: 06/15/04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano RR: Project p011009C 1. SECTION It - WHO IS AN INSURED is amended to include as valid and collectible "other insurance" is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and ..your work" for that insured by or for you. collectible 'other insurance' by the method described 2. With respect to 1. above the following additional provision below. applies: If all of the valid and collectible 'other insurance' permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance is replaced by the this method also. Under this approach, each insurer following: contributes equal amounts until it has paid its 5. Other Insurance. applicable limit of insurance or none of the loss remains, whichever comes first. The insurance afforded by this Coverage Part is if any of the valid and collectible 'other insurance' primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible 'other insurance" contribute by limits. Under this method, each available to the insured unless the Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CUSF 22 45 09 99 Includes copyrighted material of Insurance e Services Office, Inc., with its permission. Page 1 of 1 Copyrighted, Insurance Services Office, Int., 1984 r / Cavignac & Associates • ` / 1230 Columbia Street, Suite 850 San Diego, CA 92101 � �^ USA ,'� E C: City of San Juan Capistrano Director of Engineering and Building 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA im JUN 22 P W 1 b SAN JUS-lt This insurance document was brought to you by CertificatesNow, from Cavignac & Associates. If you have questions regarding the content of this document, please contact the Insured listed on the certificate of insurance or the notice of cancellation/reinstatement. ?FCEIVED JUN 21 2064 The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertificatesNows" u TO: FROM: SITUATION: • 0 CITY CLERK'S DEPARTMENT - ACTION REMINDER Alan Oswald, Senior Traffic Engineer eputy City Clerk DATE: June 10, 2003 Yw & (L, (0(-Ywcuc' On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. Please notify this office if agreement has been extended or completed. ACTION TO BE TAKEN: v DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: JVA&-e \5, 2004 ll SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: 13 O 'FOR CITY CLERK'S DEPARTMENT USE ONLY' Tickler Date: 06/10/02 06/10/03 Deadline Date: 06/30/02 06/30/03 cc: Department Head (600.30/darnell) 0 CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Alan Oswald, Senior Traffic Engineer FROM: Dawn M. Schanderl, Deputy City Clerk DATE: June, 2002 SITUATION: On September 20, 2001, the City of San Juan Capistrano entered into a Personal Services Agreement with Darnell & Associates, Inc. to provide the City with various traffic engineering services. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2002. Please notify this office if agreement has been extended or completed. ACTION TO BE TAKEN: �C)I-4C)D:�) DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: �� oar t ,!, DATE SIGNED:O�- ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06/10/02 Deadline Date: 06/30/02 cc: Department Head (600.30/Darnell) n AC Sb . 'CERTIFICATE OF LIABILITY INSURANCE DATE (MMVOIyY) 11/26/031/26/03 RODUCER OA9952O 1-619-234-6848 Cavignac s Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego, CA 92101 Dorothy Amundson LIMITS INSURED Darnell S Associates, Inc. INSURERA:United States Fidelity S Guaranty Company INSURER B:St. Paul Fire 6 Marine Insuranc! Company INSURER C: Liberty Insurance Underwriters 1446 Front Street, 3rd Floor INSURER D: San Diego, CA 92101 INSURER E: X COMMERCIAL GENERAL LIABILITY 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. INSRTypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MUT)"Y1 POLICY EXPIRATION DATE IMMTIQ`YYI LIMITS A GENERAL LIABILITY 13KO1394428 06/15/03 06/15/04 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any ane tne) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx7 OCCUR MED EXP Any one rson $10,000 PERSONAL 4 ADV INJURY $ 1,000,000 X Broad Form X Blanket Contractual GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PROT F1 - LOC A AUTOMOBILE X LIABILITY ANY AUTO BAO1394434 06/15/03 06/15/04 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY $ (Per Person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per awident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND WVA75O4172 06/15/03 06/15/04 X WCSTATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability AEE196869 12/01/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS *Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense coats Included within Limit of Liability. RE: DSA Project #3526 Traffic Engineering Services Contract. Certificate Holder is named as Additional Insured as respects to General Liability per attached. •10 days NOC for non-payment of premium. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BODRODRUPRU OO SHALL Alan Oswald 32400 Paseo Adelanto " San Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE USAF -LC ...•..+� __. ACORD 25-5 (7/97) Katherine Q ACORD CORPORATION 1988 ,.aoo.m Po" ByCertiticatesNowT" Named ��qInsured: Darn-" 6 Aasociat*nc. i Policy Ntmber : SK01394428 1 Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effective: 06/15/03 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano RE: D&A Project #3526 Traffic Engineering Services Contract 1. SECTION II - WHO IS AN INSURED is amended to include as valid and collectible "other insurance" is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and ..your work" for that insured by or for you. collectible "other insurance" by the method described below. 2. With respect to 1. above the following additional provision applies: If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance is replaced by the this method also. Under this approach, each insurer following: contributes equal amounts until it has paid its applicable limit of insurance or none of the loss 5. Other Insurance. remains, whichever comes first. The insurance afforded by this Coverage Part is if any of the valid and collectible "other insurance" primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible "other insurance" contribute by limits. Under this method, each available to the insured unless the Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CLEF 22 45 09 99 Includes oapyrighted material of Insurance a Services Office, Inc. , with its permission. Page 1 of 1 copyrighted, Insurance Services Office, Int., 1984 , } Cavignac 6 Associates 1230 Columbia Street, Suite 850 San Diego, CA 92101 City of San Juan Capistrano Alan Oswald 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA USA This document was brought to you by CertificatesNow. EC EE WE DEC - 1 2003 D CITY OF SAN JU, ENGINEERING If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customercare@confirmnet.com, or visit our website at www.confirmnet.com The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Pewees ByCedilicatesNow's 11/26/03 ConfirmNet-> 194931053 • Pg 2/3 ACORD,„ CERTIFICATE OF LIABILITY INSURANCE OaTE (MlNoorrvl 11/2fi/03 PRODUCER OA99520 1-619-234-6848 Cavignac & Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Sen Diego, CA 92101 Dorothy Amundson LIMBS INSURED Darnell & Associates, Inc. INSURER A. United States Fidelity & Guaranty company INSURER B. St. Paul Fire &Marine Insurance Company 1446 Front Street, 3rd Floor INSURER C. Liberty Insurance Underwriters INSURER O. San Diego, CA 92101 $ 1,000,000 FIHE DAMAGE (Any one he) INSURER E. CY3VPRaYOP& 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 PER I AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECI TO ALL I HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS# LTR TYPE OF INSURANCE POLICY NUMBER POOCYEFFECTIVE OI DATE IMIO POLICYEXPIRAUG' ATE1MNMQU1 LIMBS A GENERAL LUBILUY _ BKO1394428 06/15/03 06/15/04 EACH OCCURRENCE $ 1,000,000 FIHE DAMAGE (Any one he) $1,000,000 X COMMERCIAL GENERAL LIABILITY 1 CLAIM$ MADE T OCCUR MED FXP (Any oue Person) $ 10,000 PERSONAL A ADV INJURY $1,000,000 X Broad Form X Blanket Contractual GENERAL AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $2,000,000 POLLGY X PRO- LOL A AUTOMOBILE LIABILITY BA01394434 06/15/03 06/15/04 COMBINED SINGLE OMIT $1,000,000 X ANY AUTO En accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (PM Pen.) _ _ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Pa aadtlant) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY. AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑ CIJOMS MADE AGGREGATE $ $ __ DEDUCTIBLE _ _ _ _ $ RETENnON $ $ B WORKERS COMPENSATION AND WVA7504172 06/15/03 06/15/04 X WC STCRY,ATIJ OTH EL EACMACCIDENT $1,000,000 EMPLOYERS' LIABILITY EL DISEASE -EA EMPLOYE $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 OTHER C Professional Liability AEE196869 12/01/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATZNSILOCATIONSIVEHICUWEXCLUSIONS ADDEO BY ENDORSEMENTISPECML PROVISIONS Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: Project #030903. Certificate Bolder is named as Additional Insured as respects to General Liability per attached endorsement. A10 days notice of cancellation for non-payment of premium. VCR I RIci IC MULLI I - IADDITIONR City of San Juan Capistrano Director of Administative Service$ 32400 Paseo Adelanto San Juan Capistrano, CA 92675 1 ACORD 25-S (7197) Katherine 1486678 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _A30 DAYS WRITTEN NOTICE TO THE CERTPICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NOT OBLIGATION OR LIABILITY OF ANY Kan UPON THE INSURER, RS AGENTS OR AUTHORIZED REPRESENTATIVE USA W ACC Poes"" ByCerGflcateBNowT" V 11/26/03 ConfirmNet —> 194931053 • Pg 3/3 Named Insured: 0at11611 6 A9aoeiatas, Inc. Policy Number: EK01394428 Owners, Lessees Or Contractors (Form C) ADDMONALINSURED Effective. 06/15/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART, Schedule Name of Person or Organization: City of San Juan Capistrano Project $030903 1. SECTION II - WHO IS AN INSURED is amended to include as valid and collectible "other insurance" is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and your work" for that insured by or for you. collectible "other insurance" by the method described below. 2. With respect to 1. above the following additional provision applies: If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance's replaced by the this method also. Under this approach, each insurer following: contributes equal amounts until it has paid its 5. Other Insurance. applicable limit of insurance or none of the loss remains, whichever comes first. The insurance afforded by this Coverage Part is If any of the valid and collectible "other insurance" primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible "other insurance" contribute by limits. Under this method, each available to the insured unless the Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CUBF 22 45 99 99 InJudes copyrighted matedal a Insurance a Services Office, Inc., with P, pesnission. Page 1011 Copyrighted, Insurance Services Offbe. Int.. 1994 11/26/03 ConfirmNet -> 194931053 • Pg 1/3 City of San Juan Capistrano Attn: Director of Administative services Fax 1-949-493-1053 FROM.Darnall & Associates, Inc. Phone: Jteg,^ Cavignac & Associates Phone: 1-619-234-6848 Subject This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customercare®confirmnet.com, or visit our website at ww.confirmnet.com The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertiticat"NoWu r'I r ACOM,' CERTIFICATE OF LIABILITY INSURANCE DATE(MMI 11/26/03 RRODUCER OA99520 1-619-234-6848 Cavignac 6 Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego, CA 92101 Dorothy Amundson LIMITS INSURED Darnell S Associates, Inc. INSURERA:United States Fidelity & Guaranty C an INSURER B: St. Paul File & Marine Insurance Company INSURER C: Liberty Insurance Underwriters 1446 Front Street, 3rd Floor INSURER D: San Diego, CA 92101 X COMMERCIAL GENERAL LIABILITY INSURER E: nnVFRAGFR 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. WSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE fM"DIYYI POLICY EXPIRATIONDATE DATE IMMMQ`YYI LIMITS A GENERAL LIABILITY BKO1394428 06/15/03 06/15/04 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE An one lire $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MED EXP (An one mon $10,000 PERSONAL &ADV INJURY $ 1,000,000 X Broad Form X Blanket Contractual GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2, 000, ODD POLICY I X I PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO BA01394434 06/15/03 06/15/04 COMBINED SINGLE LIMIT $1,000,000 (Ea accitlen0 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per amitlenl) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per auident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR E:I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE Is RETENTION $ B WORKERS COMPENSATION AND WVA7504172 06/15/03 06/15/04 X WC STATLIM OTH- CRYEMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1, 000EB , 000 E.L. DISEASE -EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 C OTHER Professional Liability AEE196869 12/01/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSMEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: Project No. 010906. *10 days NOC for nonpayment of premium. CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BODBO SHALL Director of Administration Services R 32400 Paseo Adelanto San Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE-n�_./',�!' VSA f/4,.•'( �G� Powered ByCertiticateSNOW'N Favignac 6 Associates 1230 Columbia Street, Suite 850 San Diego, CA 92101 USA City of San Juan Capistrano Director of Administration Services 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA This document was brought to you by CertificatesNow. Ll If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call Confi=Net toll-free at 877.669.8600, email customercare@confirmnet.com, or visit our website at www. confirmnet.com D E C 0 12003 The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertiticatesNo,ru ACORD„ CERTIFICATE OF LIABILITY INSURANCE GATE: DOryY 10/06/03 PRODUCER OA99520 1-619-2334- .l`a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cavignac & Associates RCI �tI jj L nG VV ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Street, Suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego, CA 921013 0CI 0 All: 1(1(1 Dorothy Amundson UUYY BXO1394428 INSURED Darnell & Associates, Inc. Ll.. i_1 GIT INSURERA:Dnited States Fidelity & Guaranty company RB: St. Paul Fire & Marine Insurance Company WSURERG Security Insurance Company of Hartford 1446 Front Street, 3rd Floor OP% JU At`>CP.FIST D INSURER D: San Diego, CA 92101 NSURER E: rnvcoercc 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 OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY BXO1394428 06/15/03 06/15/04 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (My one fm) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) t10,000 PERSONAL& ADV INJURY $1,000,000 X Broad Form X Blanket Contractual GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER G 2,000,000 PRODUCTS -COMPIOPAG $ POLICY X PRO- LOC A AUTOMOBILE X LIABILITY ANYAUTO 13A01394434 06/15/03 06/15/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY HIRED AUTOS NON-0WNED AUTOS (Par acdtlent) $ PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 71 OCCUR G CLAIMS MADE AGGREGATE E E $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND WJA7504172 06/15/03 06/15/09 TH- 1X WCSTATU- OER [IMEMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE' E 1, 000,000 $1,000,000 E.L. DISEASE -POLICY LIMIT C OTHER Profeasional Liability AEED232123 06/15/03 06/15/04 Each Claim 11000,000 Aggregate 2,000,000 Deductible 7,500 DESCRIPTION OF OPERATIONWLOCATIONSNEHICLESIE%CLU&ONS ADDED BY ENOORSEMENTISPEGAL PROVISIONS Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: Project #030903. Certificate Holder is named as Additional Insured as respects to General Liability per attached endorsement. *10 days notice of cancellation for non-payment of premium. UGK I IriuA1 C KULUtK I ADDITIONAL INSURED; INSURER LETTER: ^ UAKI,CLLNI IUIN City of San Juan Capistrano Director of Adminietative Services 3240D Paseo Adelanto San Juan Capistrano, CA 92675 DSA 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 INBWKR. ITS AGENTS OR � 11' I Powend ByCertlficatesNDwTM IVia • � Named Insured:oarne3i s Asaocintae, Inc. Policy Number : BKOI394428 Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effective: 06/15/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano Project #030903 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. 2. With respect to 1. above the following additional provision applies: SECTION IV. 5. Other Insurance is replaced by the following: 5. Other Insurance. The insurance afforded by this Coverage Part is primary insurance and we will not seek contribution from any valid and collectible "other insurance" available to the insured unless the valid and collectible "other insurance" is provided by a person or organization who is rat shown in the schedule. Then we will share with that valid and collectible "other insurance" by the method described below. If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. if any of the valid and collectible "other insurance" does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CUBF 22 45 09 99 Includes copyrghled material of Insurance a services Once, Inc. , whh i5 permission. Page 1 or 1 copyrighted, Insurance Services Office, Int., 1984 ACO -R-0. OF LIABILITY INSUR 06/17/03 CE DATE7/03 YY) ACO -R-0. Cavignac 6 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1230 Columbia Stneet,- suite 850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego, CA 92101 INSURERS AFFORDING COVERAGE Dorothy Amundson INSURED INSURER A: United States Sidelit 4 Guarani C an Darnell 6 Associates, Inc. ,INSURERS: St. Paul Fire S Marine Insurance Company 1446 Front Street, 3rd Floor INSURER C: Security Insurance Company of Hartford San Diego, CA 92101 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 TYPE OF INSURANCE POLICY NUMBEfl POLICY EFFECTIVE asm/nn/YYI ICY EXPIRATION POLDATE LIMITS A GENERAL LIABILITY IBK01394428 06/15/03 06/15/04 EACH OCCURRENCE ; 1,000,000 MAGE (Any one fire) $ 1, 000, 000 X COMMERCIAL GENERAL LIABILITY MADE OCCUR P (Any one person) FR $10,000 AL&ADV INJURY $1,000,000 Broad Form rGENLCLAIMS nket Contractual 1AG GENERAL AGGREGATE $2,000,000 OREGATE LIMIT AP PLIES PER: PRODUCTS-COMP/OP AGG $ 2, 000, 000 7 POLICY X PRO, LOC • AUTOMOBILELIABILITY X ANY AUTO BA01394434 06/15/03 06/15/04 COMBINED SINGLE LIMIT (Ea accitlera) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJUI2 (Per person) �, $ HIRED AUTOS NON -OWNED AUTOS L L++ BODILY INJlO�YO (Per aaide�p. �; L $ PROPERTCDAMAGE (Per accltl_e1$1 $ I GARAGE LIABILITY AUTO O =EA AC ENT OTHERZHANCC j ANY AUTO - 1 AUTO(NILY: AGO EXCESS LIABILITY EACH CDCURREN OCCUR CLAIMS MADE AGGREGATE J $ $ $ DEDUCTIBLE $ RETENTION $ H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WVA7504172 06/15/03 06/15/04X WCYTATIT OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 C OTHER Professional Liability AEE0232123 06/15/03 06/15/04 Each Claim 1,000,000 Aggregate 2,000,000 Deductible 7,500 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense costs Included within Limit of Liability. RE: Plan Check Services. Certificate Holder is named as Additional Insured as respects to General Liability per attached. *10 days NOC for non-payment of premium. City of San Juan Capistrano Dawn Schanderl 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Katherine SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO NAM *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 AUTHORIZED REPRESENTATIVE OSA P ..�..._.. m ACORD CORPORATION 1 1""" Powered ByCeili/icatesNowD` i Named lnsured:Darnell a Associate., Inc. Policy Number: BK01394428 * • Owners, Lessees Or Contractors (Form C) ADDITIONAL INSURED Effective: 06/15/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano RE: Plan Check Services 1. SECTION II - WHO IS AN INSURED is amended to include as valid and collectible "other insurance" is provided by an insured the person or organization shown in the a person or organization who is not shown in the Schedule, but only with respect to liability arising out of schedule. Then we will share with that valid and "your work" for that insured by or for you. collectible "other insurance" by the method described below. 2. With respect to I. above the following additional provision applies: If all of the valid and collectible "other insurance" permits contribution by equal shares, we will follow SECTION IV. 5. Other Insurance is replaced by the this method also. Under this approach, each insurer following: contributes equal amounts until it has paid its 5. Other Insurance. applicable limit of insurance or none of the loss remains, whichever comes first. The insurance afforded by this Coverage Part is if any of the valid and collectible "other insurance" primary insurance and we will not seek contribution does not permit contribution by equal shares, we will from any valid and collectible "other insurance" contribute by limits. Under this method, each available to the insured unless the Insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. CLIB F 22 45 09 99 Includes copyrighted material of Insurance a Services Office, Inc. , with its pennission. Page 1 of 1 copyrighted, Insurance Services Office, Int., 1984 Cavignac 6 Associates 1230 Columbia Street, Suite 850 San Diego, CA 92101 USA City of San Juan Capistrano Darn Schanderl 32400 Paseo Adelanto San Juan Capistrano, CA 92675 USA This document was brought to you by CertificatesNor. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, call ConfirmNet toll-free at 877.669.8600, email customarcare@confirmnet.com, or visit our website at www. confirmnet.com The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered BYCe tificateSNOwm • 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) Ivlvly sanjuancapislrano. org June 13, 2003 111111011111 • annual � 196I 1776 MEMBERS OF THE CITY COUNCIL DIANE L BATHGATE JOHN S. GELFF MATTHART JOESOTO DAVID M. SWERDLIN CITY MANAGER GEORGESCARBOROUGH Darnell & Associates 1446 Front Street, 3rd Floor San Diego, CA 92101 RE: Compliance with Insurance Reguirements - Plan Check Services The following insurance documents are due to expire: 4 General Liability Certificate 6/13/2003 General Liability Endorsement naming the City of San Juan Capistrano as additional insured. Automobile Liability Certificate 6/15/2003 Professional Liability Certificate 6/15/2003 V Workers Compensation Certificate 6/15/2003 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 June 23, 2003. If you have any questions, please contact me at (949) 443-6310. Sincerely, AgQw.hGL/z��2� ' Dawn Schanded Deputy City Clerk cc: William Huber, Director of Engineering & Building oxuouse Administrative Assistant, Engineering 13 San Juan Capistrano: Preserving the Past to Enhance the Future ' A ORD CERTIFICAIJ OF LIABILITY INSU CI;, OPID Z DATE(MMIDD/YY) RNE-1 10/16/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cavignac & Associates 1230 Columbia St., Suite 850 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego CA 92101-3547 Phone:619-234-6848 Fax:619-234-8601 INSURED INSURER A: UnitedStates Fidelit &&Guarant INSURERS: American Motorists Ins. Co. Darnell & Associates, Inc. 1446 Front Street 3rd Floor San Diego CA 9210 SURER C: Desi Professionals Ins Co L",SURER D: SURER E: X COMMERCIAL GENERAL LIABILITY 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. ILNSR TR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY BK00872937 06/1$/01 06/15/02 FIRE DAMAGE (Any onafre) $300,000 CLAIMS MADE F_X� OCCUR MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $1,000,000 X Blkt Contractural IRDSPaDmsRT Coerrw.crone X Broad Form GENERAL AGGREGATE s2,000,000 LIAB ZNCLDD®-XCN INCr.D® GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY X PRO LOC ECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f1,000,000 A X ANY AUTO BA00872939 06/15/01 06/15/02 (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ X BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Peracciden) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND ATU X I TORYLIMITS ER B EMPLOYERS LIABILITY 7CW30495904 06/1$/01 06/15/02 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER C7 C Professional AEE0302950 06/15/01 06/15/02 H Ea Claim —41,000,000 Liability A s;jaI x$2,100,000 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense',,_ — rn Costs Included within Limit of Liability. RE: PROJECT #011009C. CERTIFICAT% a;., F rn HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY $E`r$-__o c;1 ATTACHED. *10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. ., a O l,CR11ril A1C"ULUCR Y ADDITIONAL INSURED; INSURER LETTER: A I,AINI,CLLAIIVIN sANJU-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER MAIL *30 DAYS WRITTEN CITY OF SAN JUAN CAPISTRANO NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT ATTN: DIRECTOR OF ENGINEERING AND BUILDING 32400 PASEO ADELANTO 17 SAN JUAN CAPISTRANO CA 92675 AUTHORIZED REPRE TIVE. �, 0 0 Policy Noml BKO0872937 Owners, Lessees Or Contractors (Fora Q ADDITIONAL INSURED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: LIABILITY COVERAGE PART. Schedule Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO ATTN: DIRECTOR OF ENGINEERING & BUILDING 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 SECTION II - WHO IS AN INSURED is amended to valid and collectible 'other insurance' is provided include as an insured the person or organization shown by a person or organization who is not shown in in the Schedule, but only with respect to liability arising the schedule. Then we will share with that valid out of "your work' for that insured by or for you. and collectible "other insurance" by the method described below. 2. With respect to 1. above the following additional provision applies: If all of the valid and collectible "other insurance permits contribution by equal shares, we will SECTION IV. 5. Other Insurance is replaced by the follow this method also. Under this approach, each following: insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss 5. Other Insurance. remains, whichever comes first. The insurance afforded by this Coverage Part is If any of the valid and collectible "other insurance" primary insurance and we will not seek does not permit contribution by equal shares, we contribution from any valid and collectible 'other will contribute by limits. Under this method, each insurance' available to the insured unless the Insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all Insurers. CUBF 2245 0999 Includes copyrighted material of Insurance a Services Office, Inc, with its permission. Page 1 of 1 Copyrighted, Inswance services Office, Im, 1984 0 !-% ACORD CERTIFICATE OF LIABILITY INSURANC OPID1 S DATI 001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TWE OF INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cavignac 6 Associates 1230 Columbia St., Suite 850 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Diego CA 92101-3547 Phone: 619-234-6848 Fax:619-234-8601 INSURED INSUPERA. DaitedStatesFidelity&&Guarant r INSURERS American motorists ins. Co. Darnell & Associates, Inc. INSURER Cr Design Professionals Ins Cc INSURER D'. 1446 Front Street 3rd Floor San Diego CA 92104 INSURER E 06/15/02 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. IL R TWE OF INSURANCE POLICY NUMBER Dq M E PpATE E pp O U UNITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIPL GENERAL UI BKO0872937 06/15/01 06/15/02 FIRE DAMAGE(My ora fire) $300,000 CLAIMS MADE �OCCUR MED EXP (My one person) $10,000 PERSONALS ADV INJURY $1,000000 kt Contractural TSeC ImzvnrmsS COSTMCfoRB oad FOYal OENLR. ^00nEcnTL $ 2,000,000 re sAavvvD-mv xecxavD GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $2,000,000 POLICYX TML LOC AUTOMOBILE LIABILITY COMBINED EINUE IJMN $1,000,000 A X ANY AUTO BA00872939 06/15/01 06/15/02 (Ea acoDerN BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (Per persan7 BODILY INJLHY $ X HIRED MOS X NON-OWNEDsJJTO8 (Per eomtlelrt) PROPERTY DAMAGE $ (Per sooeerN GARAGE LIABILITY AIROONLY-EAACODENT $ OTTER 71AN EA ACC $ PNY AUTO AIfTO ONLY AGO S EXCESS LUBILRY EACH OCCURRENCE $ OCCUR �CIAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ REiEMICN $ WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS• UABLLTry 7CK30495904 06/15/01 06/15/02 E L. EACH ACCIDENT $1,000,000 E L. DISEASE - EA EMPLOYEE $1,000,000 E. L. DISEASE - POLICY LIMIT $1,000,000 OTHER C Professional AZE0302950 06/15/01 06/15/02 Ea Claim $1,000,000 Liabilit Aggregate $2,000,000 DESCRIPTION OF OPER)ITONSILOCAPONSIVEHIGLESIEXCLUSIONS ADDED BY ENOORSEMENNSPECIAL PROVISIONS *Professional Liability - Claims Made Form, Aggregate Limit Policy. Defense Costs Included within Limit of Liability. RE: D&A Project #3526 Traffic Engineering Services Contract. Certificate holder named as additional inaurad ragarding canaral Liability policy par attachod endoreamant (Form 2) *except for nonpay then 10 days CERTIFICATE HOLDER Y I ADDIOONAL INSURED; INSURER LETTER: A CANCELLATION Sjw,ju-1 01IOULD ANY or In luoOVC OCo oSt OCD POLmlco oc CANCCLLCD OCronC n lC cxrI1NnoN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL • 30 DAYS WRTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF SAN JUAN CAPISTRANO MIPOSE NO OBLIGATION OR LIABRITY OF ANY KIND UPON THE MSURER ITS AGENTS OR ATTN3240 ALAN ADZLAD ^ 32400 PASEO ISTRANO REPRESENTATIVES. SAN JUAN CAPISTRANO CA 92675 AUTHORRED REPRESENTATIVE Dorothy Amundson ACORD Z5-8 (8971 IOACORD CORPORATION 1988 0 Policy Number: 6KO0872937 Owners, Lessees Or Contractors (Form B) ADDITIONAL INSURED Change(s) Effective: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: LIABILITY COVERAGE PART. Schedule Name of Person or Organization: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 RE: Traffic Engineering Services Contract SECTION II - WHO IS AN INSURED is amended to include as aa the person or organization show In in the Schedule, but only with respect to liability arising o your work f that insured by or for you. i' CUBF 22 40 03 95 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page t of t Copyright, Insurance Services Office, Inc., 1984 32400 PASEO ADELANTO _ _ SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) www.sanjuancapistrano.org September 20 2001 Darnell & Associates, Inc. 1446 Front Street, Third Floor San Diego, CA 92101 Dear Sir or Madam: use IA(IAl11pO uumm� � 1961 1776 MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF JOHN GREINER MATT HART DAYID M. SWERDLIN CITY MANAGER GEORGE SCARBOROUGH Enclosed is an original, executed Personal Services Agreement with the City of San Juan Capistrano related to providing traffic engineering services. We are in receipt of appropriate endorsements and insurance certificates as required under Section 14.6 Proof of Insurance Requirements. The total compensation for the scope of services shall not exceed $5,000 and all services are to be completed no later than June 30, 2002. If you have questions specific to this agreement, please contact Alan Oswald, Senior Engineer -Traffic at (949) 443-6356. Sincerely, Megona an, CMC City lerk agreement cc: Alan Oswald, Senior Engineer -Traffic William Huber, Engineering and Building Director OFIU9 USE IS San.Istan Capistrano: Preserving the Pa.sf to Enhollce thF e ntm-e