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03-0404_DAVID H. LEE / ASSOCIATES, INC_License Agreement (Orthophoto)Commercial Certificate f InsuranceFARM E RS' Agency . Bradley Hurtle Insurance Agency Name . 22821 Lake Forest Dr., #115 issue Date (MM/DD/YY)10/18/2004 & • Lake Forest, CA 92630 Address • 949-830-7970. Fax 949-830-9746 'Deis certificate a issued at a nutter of animation only and confers no rights upon the certificate holder. This cutifiate dues not amend, extend or alter the St. 97 Dist. 66 Agent 305 coverage afforded by the policies shown below. Companies Providing Cdveragi:: Insured Comwny A Tmck lmtxc&ou Eachangc . DAVID H LEE & ASSOCIATES, INC Lona Name • 23011 MOULTON PKWY. STE D-1 i - B_ Farmers insurance Exchange & • LAGUNA HELLS, CA 92653 lCinimrpxny_ company C Mid -Century Insurance Company Address tam D Company Leta Coverages This is to certify that the policies of Nsurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement. term or condition of any contractor other document with respect to which this certificate may be issued or may pertain. the insurance afforded by the policies described hweis irsubject to all she terms, exrlurions and conditioas of such policies. Limits shown may have been reduced by Pyd dgims. _ Co.Policy Lo.Co. _ -Type of Insurance Policy Number Effective Date Nwwrm Date m Policy Limits General Liability ---f•-. _ Gertrral Aggregate S Commercial General Products-Col:OPS s Liability, - Occurtence Version Personal Personal & Advertising Injury S Com mmol - incidental Each Occurrence S Only Fire Damage (Anyon- t S Owners & Contractors Pro[. , cx -MedEEx Medical pense (Any me person) $ Automobile Liability Combined Single All Owned Commercial Limit s Autos Roddy Injury Schededed Autns I Rrr peen S Hired Autos Roddy Injury S Non -Owned Autos I (Per atndm0 Garage Liability Property Damage s Gauge Aggregate Is Umbrella Liability Limit $ B K workers' Comperisatlon N010847-50 7/15/2004 7/15/2005 Statutory and Each Accident S 1,000,000 PC Employers' liabilit y Ditxre Fe hFmplyee Disease - Policy Limit S 1,000,000 S 1,000,000 Descrsption of Operations/Vehides/Restri Om/Special items: Certificate H�1der Calltel4ation CITY OF SAN JUAN CAPISTKANO - Should my or the above desaihed policies be cancelled before the expiration date Name ATTN: CIT? CLERK'S OFFICE thereof, the usuing company will endaerortomail 30 days written notice to the & 32400 PASEO ADELANTO certificate holder named to the left. but failure to mail such notice shall impose no Address SAN 7LIAN CAPISTRANO'. CA 92675 obligation or liability of any kind upon the comp" agents a representatives. Authorized Represematwe 10/16/2004 14:50 FAA 949a009746 BRAD ROME INSURANCE - Z001/002 fARM E RS ax Urgent' Hand deliver To Brun - IGE From Brad iiume Company City of San Juror Capistrano Company Bradley Humelnsurance Agency Fax number 949-493-1251 Fax number 939-830-9746 Pages 2 /Including this Phone number 949-830-7970 Subject Cernfirate'of Insurance ' This fax's intended solNy for the use of tle mdmduat or entity to which a is addressed and maycontain infomlason that is prNilege� Mess.a,ore confidential tearra n sent to in disclosure wdw applicable law. 1t Na , material has been sent to you in error, please informthe sender immediately. and des W y fiismpri Attached is a copy of your Certificate of Insurance for the City of San Juan Capistrano. If any questions,.pipase call me. Thank you, Kocie Nguyen p/C�A;nctl w;ri � MO-41Ed uu-r Viet Iatj [.jet,( 2242 ['Lake Fort%Dr., Ste.' 11'5, Lake Feast, (;A 92639 0 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAx www.san)uancapisb-ano.org June 17, 2004 10 A MEMBERS OF THE CITY C UNQL O ILLS\ / S ALLEVATO mtoaraAAla / DIANE L. BATHGATE Inaeusaao 1961 WYATT HART 1776 JOE SOTO 0— • DAVID M. SWERDLIN David H. Lee & Associates 23011 Moulton Parkway, Suite D11 Laguna Hills, CA 92653 RE: Compliance with Insurance Requirements — Plan Check Services The following insurance document is due to expire: ✓ Workers Compensation Certificate 07/15/2004 V ! Please submit updated cumentation to the City of San Juan Capistrano, attention City Clerk's pAice, 32400 OaXbo Adelanto, San Juan Capistrano, CA 92675 by the above expi io ave any questions, please contact me at (949) 443-6309. Secretary cc: Dawn Schanderl, Administrative Assistant San Juan Capistrano: Presei-ving the Past to Enhance the Future Commercial Certificate Insurance • FARMER S Agency . Bradley Hume Insurance Agency Name , 22821 Lake Forest Dr., #115 Issue Date (MM/DDNY) 10/1812004 & • Lake Forest, CA 92630 i Address 949-830-7970, Fax 949-830-9746 i - 'Tris 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 St. 97 Dist. 66 Agent 305LLfit nr, ? ApvT.gep orded by the policies shown below. Companies Providing Coverage: gg InsuredDAVID comery A Truck Insu ante Exchange H LEE & ASSOCIATES, IN C Name , 23011 MOULTON PKWY, STE D-I1 company B Farmers Insurance Exchange & • LAGUNA HILLS, CA 92653 any CMid-Century Insurance Company Address Letnr Company Letter Coverages This is to certify that the policies of insurance listed below have been issued to the insured named above for the polity period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may he issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid clams. Co. Ltr. Type of Insurance poli Number �' Policy Effective Date tMM/DDm) Policy Expiration Date (MM/DDm) poli Limits cy General Liability General Aggregate $ Commercial General Products-Comp/OPS Aggregate $ Liability Personal & - Occurrence Version Advertising Injury $ Contractual - Incidental Each Occurrence $ Only Fire Damage (Any one fire) $ Owners & Contractors Prot. Medical Expense (Any one person) $ Automobile Liability Combined Single All Owned Commercial Limit $ Autos Bodily Injury Scheduled Autos (Per Pin $ Hired Autos Bodily Injury $ Non-Owned Autos I (Per accident) Garage Liability Property Damage $ Garage Aggregate $ Umbrella Liability Limit $ B x Workers' Compensation N0108-47-50 7/15/2004 7/15/2005 statutory arid Each Accident $ 1,000,000 X Employers' Liability Disease- EachEmployee Disease - Policy Limit $ 1,000,000 $ 1,000,000 Description of OperationsNehicles/Restrictions/Special items: Certificate Holder Cancellation CITY OF SAN JUAN CAPISTRANO Should any of the above described policies be cancelled before the expiration date Name ATTN: CITY CLERK'S OFFICE thereof, the issuing company will endeavor to mail 30 days written notice to the & 32400 PASEO ADELANTO certificate holder named to the left, but failure to mail such notice shall impose no Address SAN JUAN CAPISTRANO, CA 92675 obligation or liability of any kind upon the company,1agents or represent ti Authorized Representative 8 AVORG. CERTIFICA19 OF LIABILITY INSUFONCE DATE 1 PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711-0550 714 427-6810 INSURED David H Lee & Associates, Inc. 23011 Moulton Pkwy, Suite D11 Laguna Hills, CA 92653 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. INSURERS AFFORDING COVERAGE INSURERA: United .States Fidelity & Guaranty INSURER B: Liberty Insurance Underwriters, Inc. INSURER C. ,�..` - INSURER D. ((( ��/// ,u+ I�`„)rs` INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR- POLICY EFFECTIVE (POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LTR i LIMITS A GENERAL LIABILITY IBKO1236496 10/26/04 110/26/05 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $1,000,000 IT NMS MADE X occuR INDP. CONTRACTORS MED EXP (Any ore pescn) $10,000 X CONTRACTUAL EXCLUDED 'PERSONAL &ADV INJURY $1,000,000 X BFPD, XCU GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIM IT APPL IES PER: PRODUCTS COMP/OP AGG 52,000,000 POLICY PE � ,LOC A AUTOMOBILE LIABILITY BKO1236496 '10/28/04 10/26/05 COMBINED SINGLE LIMIT ANY AUTO SII tEa accident) 51+000+000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY S X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE S ,(Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO I OTHER THAN EA ACC _$ AUTO ONLY: AGO $ _EXCESS LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE', AGGREGATE $ $ i_ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WIMI2 OTH- TORY Y LIMIT$ ER . EMPLOYERS' LIABILITY `EL EACH ACCIDENT E.L. DISEASE -EA EMPLOYEES E.L. DISEASE � POLICY LIMIT $ B OTHER Professional AEE1960140104 11/01/04 .11/01/05 $500,000 per claim (Liability $500,000 annl aggr. DESCRIPTION OF OPERATIONSIL CATIONSNEHICLEWEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liab. policy excludes claims arising out of the performance of prof. services City of San Juan Capistrano Attn: Dawn Schanderl 32400 Paseo Adelanto San Juan Capistrano, CA 92675 ACORD 25-S (7/97)1 of 1 #S114192/M114190 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL%XRWA"XIP MAIL 30 DAYSWRI NOTICETOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, B)(�t=xpA1QJ6RJf rw"o Co] 1988 ACRD . CERTIFICAIM OF LIABILITY INSUFONCE 10/29/04D""' 1 Dealey, Renton & Associates P. O. Box 10550 Santa Anar"CA 92711-0550 714 427-6810 INSURED David H Lee & Associates, Inc. 23011 Moulton Pkwy, Suite D11 Laguna Hills, CA 92653 COVERAGES 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 INSURER A: United States Fidelity -& Guaranty INSURER B. __. - INSURER C: INSURER D: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - POLICY EFFECTIVE POLICY EXPIRATION'. LTR TYPE OF INSURANCE POLICY NUMBER GATE MM/DD/YY GATE MM/DD/YY LIMITS A GENERAL LIABILITY BKO1236496 10/28/04 10/26/05 EACH OCCURRENCE .$1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyonofine) ;$1,000,000 CLAIMS MACE X OCCUR 1 MED EXP (Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 `GENERAL AGGREGATE_ $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGO $2,000,000 POLICY PRO- LOC - - - - - - - A AUTOMOBILE LIABILITY IBKO1236496 110/28/0410/26/05 COMBINED SINGLE LIMIT $1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY _. SCHEDULED AUTOS (Per person) $ X HIRECAUTOS BODILY INJURY X NON-OWNEDAUTOS (Per accident) $ -- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLV: AGG IS EXCESS LIABILITY EACH _OCCURRENCE - _ _ y $ OCCUR CLAIMS MADE AGGREGATE - -_- . $ DEDUCTIBLE $ RETENTION $ $ I WORKERS COMPENSATION AND WC STATUS OTH- LIMITS ER _ EMPLOVERS'LIABILITY—_-T9RV I E.L. EACH ACCIDENT $ IEl DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLEWEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Plan Check Services, Project Number 98 -58 -XX City of San Juan Capistrano is Additional Insured as respects GL per endt attached. (AI/X) City of San Juan Capistrano Dawn Schanderl 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL %XR5PA%N 1P MAIL 30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BIiAQAtl7[tll4tXARlnfiAAtU17tX ACORD 25-S (7/97)1 of 1 #S114199/M114198 - `-' LL 0 ACORD CORPORATION 1988 • Policy Number: BK01236496 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 10/29/04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Dawn Schanderl 32400 Paseo Adelanto San Juan Capistrano, CA 92675 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. CL/BF 22 40 03 95 32400 PASEO ADELANTO SAN JUAN CAF-ISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX www.sanjuancapistrano.org October 21, 2004 David H. Lee & Associates 23011 Moulton Parkway, Suite D11 Laguna Hills, CA 92653 MEMBERS OF THE CITY COUNCIL RE: Compliance with Insurance Requirements — Plan Check Services The following insurance documents are due to expire: ✓ General Liability Certificate 10/28/2004 ✓ General Liability Endorsement Form naming the City of San Juan Capistrano as additional insured. ✓ Automobile Liability Certificate 10/28/2004 ✓ Professional Liability Certificate 11/1/2004 SAM ALLEVATO DIANE L. BATHGATE WYATT HART JOE SOTO DAVID M. SWERDLIN Please submit updated documentation to the City of San Juan Capistrano, attention City Cle0q office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above e44 ion d9tes.,lf yA have any questions, please contact me at (949) 443-6309. cc: Dawn Schanderl, Administrative Assistant San Juan Capistrano: Preserving the Past to Enhance the Future 0 0 CITY OF SAN JUAN CAPISTRANO AGREEMENT FOR LICENSE OF ORTHOPHOTO THIS AGREEMENT is entered into as of the 4"' day of April, 2003 by and between the City of San Juan Capistrano, hereinafter called "CITY", and DAVID H. LEE & ASSOCIATES, INC., hereinafter called "LICENSEE". RECITALS: A. CITY is the owner of a 0.5 -foot resolution Orthophoto with 2 -foot elevation contours of the incorporated area of the City of San Juan Capistrano. B. The Orthophoto is broken into tiles representing a physical area of 2,800 feet by 1,800 feet. C. LICENSEE desires to acquire from CITY desires to grant LICENSEE a non- exclusive right and sub -licensee to use the Orthophoto containing all or portions of the Orthophoto. Specifically the LICENSEE desires to acquire tiles A-9 through A-11 and B-9 through B-11. NOW, THEREFORE, in consideration of the foregoing Recitals, CITY hereby grants to LICENSEE a revocable license to use CITY'S Orthophoto under the terms and conditions hereinafter set forth: 1. Term. The term of this License shall commence on the signed agreement date, and continue until the LICENSEE is in breach of this agreement; or until the end of project. 2. Consideration. LICENSEE shall pay CITY the amount of one dollar and no cents ($1.00), payable upon receipt of Orthophoto files from CITY. 3. Ownership and Permitted Use. LICENSEE acknowledges that the Orthophoto is the property of the CITY and that its use by LICENSEE, or the LICENSEE'S subcontractors or Clients is limited to development, design and related uses for LICENSEE'S projects. LICENSEE agrees that it, its subcontractors, or its Clients will not transmit, sell, re -sell, or otherwise disclose in digital format the Orthophoto, or any portion Orthophoto tiles to other parties without the express written permission of the CITY. 4. Native Formats. LICENSEE understands that the Orthophoto contours are formatted in AutoCAD, Version 14, drawing ('.dwg) format, a product of AutoDesk: and the imaae file is formatted in MrSIDs format. Agreement for LicenseObrthophoto • Page 2 5. Accuracy and Completeness. LICENSEE acknowledges that it understands the stated levels of accuracy and completeness of the Orthophoto and the Orthophoto tiles. LICENSEE agrees that it will use the Orthophoto only for purposes that are commensurate with Orthophoto levels of accuracy and completeness. 6. Waiver and Hold Harmless. LICENSEE, by acceptance of the Orthophoto, hereby acknowledges and agrees that LICENSEE waives any all claims against the CITY based upon any alleged defects or inaccuracies of the Orthophoto. In addition, LICENSEE shall indemnify, save and defend, the CITY, its officers and employees harmless from any and all or claims or liabilities that may arise from LICENSEE'S exercise of its right under this License Agreement. 7. Entire Agreement This Agreement constitutes the only agreement between the CITY and LICENSEE relating to license of the Orthophoto, and extensions, amendments or changes shall accordingly be made by written agreement of the parties. 8. Notices. Any notices to be made pursuant to this Agreement shall be sent to: City of San Juan Capistrano Director of Public Works 32400 Paseo Adelanto San Juan Capistrano, CA 92675 David H. Lee & Associates 23011 Moulton Pkwy, Ste D-11 Laguna Hills CA, 92653 9. Attorney's Fees. In the event any legal action or proceeding is commenced to enforce the terms of, or the obligations of the LICENSEE arising under this Agreement, the CITY shall be entitled to recover all reasonable attorney's fees, costs and expenses incurred by the prevailing party. Agreement for License fkrthophoto • Page 3 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above written. "CITY 0 "LICE'E" By: Colin E. Cunningham ATTEST: 2zlllX 4 APPR7 A Tq F06tM: �y Legal Counsel • 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) 1vlviv-sanjuancapis(rano. org April 9, 2003 Joao lAID oRIM • nu11SK11 1 1961 1776 David H. Lee & Associates 23011 Moulton Parkway, Ste D-11 Laguna Hills, CA 92653 Dear Sir or Madam: MEMBERS OF THE CITY COUNCIL DIANE L BATHGATE JOHN S. GELFF MATTHART JOESOTO DAVID M. SWERDLIN CITY MANAGER GEORGE SCARBOROUGH Please find enclosed an original, fully executed, agreement for License of Orthophoto. Please coordinate the terms and use of this license with the project manager, Craig Harris, Assistant Engineer (949) 487-4305. Yours truly, MeoCler han, CMC Cit enclosed: Agreement cc: Craig Harris, Assistant Engineer Amy Amirani, Public Works Director San Juan Capistrano: Preserving the Past to Enhance the Future