1997-0107_TM ENGINEERS, INC._Agreement0
AGREEMENT
THIS AGRF.F.MFNT is made and entered into this __7_ day of
193], by and between the City of San Juan Capistrano, hereinafter referred to as "City,' and
-r'M FVLAI neevs 1, =h C_ , hereinafter referred to as "Consultant."
WITNESSETH:
WHEREAS, City requires professional consulting services for the project described as
follows: Plan Check and Design Services; and
WHEREAS, Consultant represents that it/he is duly qualified to provide said service,
NOW, THEREFORE, City and Consultant, for the consideration hereinafter named, agree
as follows:
The considerations of work on the project shall be governed by the conditions contained
herein. In general, the tasks delineated herein are to be performed with minimum direction and
assistance from City.
All work performed by Consultant, however, shall be subject to review and approval of
William M. Huber or his designee at all times.
Subject to the terms and conditions of this Agreement, Consultant shall perform the tasks
as set forth in Exhibit A, attached and incorporated herein by reference.
During performance of the above tasks, Consultant shall have access to existing data in
City files, and City shall provide copies of any such data Consultant requests at no cost to
Consultant.
The services provided under this Agreement shall begin upon execution of this Agreement
by all parties. This Agreement shall be for a three-year (3 -year) period of time with two one-year
extensions. Agreement extensions shall be based on staff review of Consultant performance. The
Agreement shall terminate December 31, 2001.
Consultant contract billings may be submitted on the consultant's forms and, at a
minimum, should contain the following:
Title of project(s)
Purchase order number
Total approved purchase order amount
Amount paid to date
Amount requested
Amount remaining on purchase order
Breakdown of amounts by project type or account number
Three copies of itemized bills, clearly indicating the monthly period for which the billing
is made, shall be submitted to: City of San Juan Capistrano, Attn: Director of Administrative
Services, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675.
Total cost to City for Consultant's fees shall not exceed $25,000 for each annual period.
The amount stipulated above is not a guarantee by the City to Consultant that said amount will be
received by Consultant. Rather, it represents the maximum authorization permitted without
further Council approval. Consultant may not, dependent upon availability of projects, receive
any work. The City shall issue purchase orders equal to the anticipated Consultant fees on a
project basis, which shall constitute Consultant's authorization to proceed. Consultant fees will
be billed based on the hourly rate schedule in Exhibit B up to stipulated amount agreed to either
as stipulated by the plan check fee schedule in Exhibit A or as agreed to in writing.
Consultant warrants that TM Engineers, Inchas not employed or retained any
company or person, other than a bona fide employee working for Consultant, to solicit or secure
this Agreement, that TM Engineers, Inc. has not paid or agreed to pay any company or
person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift
or any other consideration, contingent upon or resulting from the award or making of this
Agreement. For breach or violation of this warranty, City shall have the right to annul this
Agreement without liability, or, at its sole discretion, to deduct from the Agreement price or
consideration, or otherwise recover the full amount of such fee, commission, percentage,
brokerage fee, gift or contingent fee.
Consultant acknowledges City is under no obligation to compensate Consultant for services
rendered or expenses accrued under this Agreement in excess of the maximum compensation
specified in Section 4.
2
All tracings, plans, specifications, maps or other documents prepared or obtained under
the terms of this Agreement shall be delivered to, and become the property of City, and basic
survey notes and sketches, charts, computations and other data prepared or obtained under this
Agreement shall be made available upon request to City without restriction or limitation on their
use.
MRTURT.MNIRM 0 WWRIMJt
The designs, plans, reports, investigation, materials and documents prepared or acquired
by Consultant pursuant to this Agreement (including any duplicate copies kept by Consultant) shall
not be shown to any other public or private person or entity, except as authorized by City.
Consultant shall not disclose to any other public or private person or entity any information
regarding the activities of City, except as authorized by City.
For the duration of this Agreement, Consultant shall not act as consultant or perform
services of any kind for any person or entity in regard to this project without the prior written
consent of City.
No additional fee shall be paid by City for additional consulting services not included in
this Agreement without the written approval of the City prior to undertaking such work. In the
event of suspension of project by City, Consultant shall have the right to renegotiate fees if delay
is greater than six (6) months.
City may, without cause, terminate this Agreement at any time prior to completion by
Consultant of any of the services required hereunder. Notice of termination of this Agreement
shall be given in writing to Consultant, and shall be sufficient to complete when same is deposited
in the U.S. mail, first class postage prepaid.
In the event this Agreement is terminated by City, Consultant shall be paid the value of
services performed by him pursuant to this Agreement prior to the date of termination thereof,
such value to be the total to which he shall have become entitled, as determined by the City, less
the amount of any payments previously made, but in no event exceeding the maximum contract
amount stated in Section 4.
3
Unless otherwise specified herein, any dispute over a question of fact arising under this
Agreement which cannot be resolved by agreement between the parties may be, by mutual consent
of the parties, submitted to a "Board of Arbitration" consisting of three (3) arbitrators having
expertise relating to this contract subject matter, one of whom shall be selected by each of the
parties, and the third by the two members selected by the parties.
Each of the parties shall pay the member selected by it, and the compensation of the third
member shall be paid equally by the parties. The parties shall be bound by the decision of the
Board of Arbitration.
Neither any part nor all of this Agreement may be assigned or subcontracted, except as
otherwise specifically provided herein, or to which City, in its sole discretion, consents to in
advance thereof in writing. Any assignment or subcontracting in violation of this provision shall
be void.
Consultant shall endorse all plans, data and other documentation submitted to City pursuant
to this Agreement.
Consultant shall maintain all books, documents, papers, employee time sheets, accounting
records and other evidence pertaining to costs incurred and shall make such materials available
at their respective offices at all reasonable times during the contract period and for three (3) years
from the date of final payment under this Agreement for inspection by City, and copies thereof
shall be furnished if requested.
At all times during the term of this Agreement, Consultant shall be an independent
contractor and shall not be an employee of the City. City shall have the right to control
Consultant only insofar as the results of Consultant's services rendered pursuant to this
Agreement; however, City shall not have the right to control the means by which Consultant
accomplishes services rendered pursuant to this Agreement.
All persons employed to provide services under this Agreement shall be employees or
contractors of Consultant and shall not be deemed employees of City for any reason or purpose.
Consultant shall be responsible for providing worker's compensation insurance coverage for all
persons employed to perform services under this Agreement.
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Consultant shall be responsible for all injuries to persons and for damages to real or
personal property of City, caused by or resulting from any activity or operation of Consultant, its
employees or its agents during the progress of or connected with the rendition of services
hereunder. Consultant shall defend and hold harmless and indemnify City and all officers and
employees of the City from all costs and claims for damages to real or personal property or
personal injury to any third party resulting from the activity of itself, employees or its agents.
1).Comprehensive General Liability. Consultant shall maintain in full force
and effect comprehensive general liability coverage, including premises operations,
products/completed operations, broad form property damage and blanket contractual liability in
the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to contractual
period;
$1,000,000 injury to more than one person/any one occurrence/not limited to
contractual period.
2) Comprehensive Automobile Liability. Consultant shall maintain in full
force and effect comprehensive automobile liability coverage, including owned, hired and non -
owned vehicles in the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to contractual
period;
$1,000,000 injury to more than one person/any one occurrence/not limited to
contractual period.
3) Errors and Omissions Coverage. Consultant shall maintain in full force and
effect professional errors and omissions coverage in a minimum amount of $500,000.
4) Worker's Compensation, If Consultant employs employees to perform
services under this Agreement, Consultant shall obtain and maintain, during the life of this
Agreement, Worker's Compensation Employer's Liability Insurance in the statutory amount as
required by state law.
5
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These policies shall not terminate, nor shall they be canceled nor the coverage
reduced until after 30 days' written notice is given to the City.
Prior to beginning work, Consultant shall provide to City certificates of insurance
establishing that the required insurance coverages have been secured by Consultant. Consultant
shall provide an endorsement to City establishing that City has been legally added as an additional
insured to the insurance policies required under this Agreement.
1► ' lulW 11u I V 0 11► Les 'IM91 Rol a 10 1.1 Ij::►
Consultant shall submit proof of insurance requirements under this Agreement to the City
Clerk's office prior to beginning any work under this Agreement.
Consultant shall not receive any compensation until all insurance provisions have been
satisfied.
Consultant represents and warrants to City that he has all licenses, permits, qualifications
and approvals of whatever nature that are legally required to practice his profession. Consultant
represents and warrants to City that Consultant shall, at his sole cost and expense, keep in effect
at all times during the term of this Agreement, any license, permit or approval which is legally
required for Consultant to practice his profession.
Except as City may specify in writing, Consultant shall have no authority, express or
implied, to act on behalf of the City in any capacity as an agent. Consultant shall have no
authority, express or implied, pursuant to this Agreement, to bind City to any obligation.
Consultant agrees to assign the following person/persons to perform the tasks set forth in
the Agreement: 731,iGN X4
Consultant shall not unilaterally alter the assignment of the above personnel without the
authorization of II Ts =e - xc
S"„—i_.;p.iDt2mrct,tinWs- 1B'-)EWZ401"WOW
r�IlSG
City shall have the unrestricted right to order the removal of any person/persons assigned
by Consultant by giving oral or written notice to Consultant to such effect.
Pursuant to Council policy, it has been determined that the services to be rendered under
G9
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the provisions of this Agreement are excluded by the requirement of filing a Financial Disclosure
Statement by California Administrative Code Section 18700(2)(A) and (B).
Consultant certifies that to the best of its knowledge, no City employee or office of any
public agency interest in this Agreement has any pecuniary interest in the business of Consultant
and that no person associated with Consultant has any interest that would conflict in any manner
or degree with the performance of this Agreement. Consultant represents that it presently has no
interest and shall not acquire any interest, direct or indirect, which could conflict in any manner
or degree with the faithful performance of this Agreement. Consultant is familiar with the
provisions of Government Code Section 87100 and following, and it certifies that it does not know
of any facts which constitute a violation of said provisions. Consultant will advise the City if a
conflict arises.
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first
hereinabove written.
ATTEST:
Cheryl Joh n, ity Clerk
APPROVED AS TO FORM:
ichard K. Denhalter
City Attorney
CITY OF SAN JUAN CAPIST O
By:
CONSULTANT
By,`—
7
0
Jwon •
mL0 11e T
£ I�I�II 1961
1776
REQUEST FOR PROPOSAL
for
Professional Consulting Services
to
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
WYATT HART
GILJONES
CAROLYN NASH
DAVID SWERDLIN
CITY MANAGER
GEORGE SCARBOROUGH
PERFORM AND EXECUTE BUILDING AND ENGINEERING PLAN CHECKING,
GRADING PLAN CHECKING, REVIEW OF GEOTECHNICAL REPORTS, MAP
CHECKING, ENGINEERING AND ARCHITECTURAL SERVICES
GENERAL INFORMATION
It is the intent of the City of San Juan Capistrano, Department of Engineering & Building, to establish
a team of consultants to facilitate both building and engineering plan check, engineering and
architectural services. The services are generally described herein and are intended to supplement
staffs efforts where specific expertise is required or time constraints necessitate consultant assistance.
From the proposals, a team of consultants will be selected who best represent expertise across the
various specialty areas. The team will become part of a four-year program in which the work load
will be spread among the team members. Work will be parceled out on an as -needed basis, and no
specific guarantee can be given as to the annual fees for consultant usage.
The consultant team will only be modified in the event consultants are dropped from the list due to
corporate changes or it is deemed by the City that additional consultants are warranted.
INVITATION TO RESPOND
The City of San Juan Capistrano is soliciting proposals for professional consulting services. In
general, the tasks identified above and delineated herein are to be performed with minimum direction
and assistance from the City.
Inquiries concerning the RFP should be directed to William M. Huber, Engineering & Building
Director, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675; (714) 443-6336.
EXHIBIT A
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 493-1171
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Request for Proposal Page 2
SUBMISSION OF PROPOSAL
Proposals may by submitted by mail or hand delivered. Proposals should be delivered to:
William M. Huber, Engineering & Building Director
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
no later than 5:00 p.m., September 16, 1996. Proposals will not be accepted after this time.
FORM OF PROPOSAL
Consultant proposals shall contain the following:
Statement of qualifications clearly indicating the services in which the firm is interested;
Statement/discussion of services provided, including anticipated turnaround times and ability
of firm to handle requests on an as -needed basis;
3. Resumes of key personnel for various service areas;
Consultant fee schedules, including hourly rates and proposed flat fees;
Completed consultant self rating form included with this request for proposal.
EVALUATION OF PROPOSALS
The City of San Juan Capistrano is interested in selecting consultants who have the experience and
expertise to render plan checking, engineering and architectural services in a comprehensive and
timely manner. Accordingly, the evaluation criteria will consist primarily of four parts:
1. Consultant's experience
2. Consultant's expertise
3. Consultant's ability to handle volume and meet time frames
4. Consultant's costs
It is important to the City that you identify the persons you will assign to various functions, at which
office they are assigned and whether they are full-time employees of your firm.
You should also address any conflict of interest that may exist and comment on solutions.
J
Request for Proposal Page 3
The City of San Juan Capistrano reserves the right to reject any and all proposals. Nonacceptance
of any proposal will not imply criticism of the proposal or that any proposed service was deficient.
All participating condidates will be notified of the decision reached.
CONSULTANT'S RESPONSIBILITY
The Consultant shall perform the tasks as set forth herein:
A. Building Services
1. Review construction documents in accordance with the following uniform model codes
as amended by City ordinance:
a. Uniform Building Code - 1994 Edition
b. Uniform Plumbing Code - 1994 Edition
c. Uniform Mechanical Code - 1994 Edition
d. National Electrical Code - 1993 Edition
e. California Code of Regulations - Title 24
2. Provide a comprehensive plan review as directed or provide only specified plan review
elements as follows:
a. Structural review and analysis of design and calculations
b. Inspection services
c. Other building services as may be defined
B. Engineering/Architectural Services
1. Review construction documents and subdivision maps in conformance with the following
standards:
a. City of San Juan Capistrano Municipal Code
b. City of San Juan Capistrano and County of Orange applicable design standards
c. Highway Design Manual standards
2. Provide comprehensive plan review or design services as directed for the following
elements:
a. Geotechnical review/design
b. Street improvements
c. Storm drain/hydrology reports/design
d. Traffic/striping improvements
e. Traffic studies
F
0
Request for Proposal Page 4
f Sewer improvements
g. Landscaping improvements
h. Subdivision map checking
i. Structures (i.e., bridges)
j. Inspection services
k. Pavement analysis
1. Architectural design
in. Drafting
C. Document Transmittal
Pick up and resubmit plans to the City via the Building & Safety Division or Engineering
counter.
D. Performance Requirements
Plan Check Services
Render and remit a typed plan check correction/clarification list (2 copies) to the
Engineering & Building Department within 10 working days from notification by the City.
Engineering/Architectural Services
Complete services in a thorough and efficient manner, on time and within approved fee
schedule.
E. Fee Schedules
Engineering Fees
a. Plan Check
Engineering fees will be determined for plan check services based on the attached fee
schedule. The consultant shall bill on an hourly basis, not to exceed 75% of the total
fee, and fees may be negotiated lower if, in the determination of the City, a lower fee
is warranted.
b. Design/Architectural
Services will be negotiated on a project -by -project basis based on a pre -agreed scope
of work. Payment will be as determined by the City project manager.
for
LI
2. Building Fees
a. Plan Check
i
Total plan check at 80% of base plan check fee paid by applicant not including any
surcharges (base plan check fee). Base plan check fee will be 65% of building permit
fee, not including surcharges.
Structural plan check is not to exceed 60% of base plan check fee, not including any
surcharges.
b. Other Services
Services will be negotiated on a project -by -project basis based on a pre -agreed scope
of work. Payment will be as determined by the City project manager.
F. Maintenance of Records
Consultant shall maintain all books, documents, papers, employee time sheets, accounting
records/ledgers and other evidence pertaining to costs incurred and shall make such materials
available at their respective offices at all reasonable times during the contract period and for
three years from the date of final payment for inspection by the City. The consultant shall
furnish copies, if requested.
CITY'S RESPONSIBILITY
The City shall perform the tasks as set forth herein:
A. Establishment of Valuation (Plan Check Services Only)
Assign a valuation to the proposed work in accordance with the appropriate Engineering or
Building Division standards. The City shall collect all fees from the applicant in connection with
the services.
B. Project Submittal
City will supply all necessary documentation/specifications, reports, studies, calculations, etc.,
to Consultant as is readily available at the City.
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Request for Proposal Page 6
C. Coordination
City will serve as project coordinator. On plan checking, the City will be responsible for
notifying the applicant when plans with corrections are available to pick up. The City will route
plans (preliminary/revised) to and from the Consultant.
SELECTION PROCESS
The Selection Committee, comprised of the Engineering & Building Director, Building Official and
two Senior Engineers, will review the proposals submitted. Candidates will be selected based on the
proposals submitted, including qualifications of staff, proposed fee schedules and ability to handle
work load in a timely manner.
Very truly yours,
William M. Huber
Engineering and Building Director
WMH:ch
Attachments
TABLE 3 . .
3. Overhead coax than be calatlated ad pwwsbed biaotaLaity (Iwaary 15 rad July 15)
by the D4ecmc of Administradve Services in aa+otdanoe with the Oma of Management
and Budget Chsatlar A•87 (Cost Pedaciples for State and Local Goverrmew).
Drainage areas .................................... 75-5-7.2
L01.............................................
L02.............................................
L03.............................................
IAS.............................................
M.............................................
L01S02............................................
Engineering feras.................................. 90.11&2
Development map checidng
Traamaps ......................................
Pamdmaps .....................................
Recoft ofsmvey.................................
ImptaveMMplre-tbwj tg
Pau i■peavemem pied
Submittal....................................
Checking....................................
(sw r.r cam w. 6.91) 548-2
1.170.00 per acre
860.00 per acre
320.00 per acre
170.00 per acre
780.00 per acre
1.020.00 per acre
1.000.00. plus 100.00 per
lot or unit up to 25. plus
50.00 per lot or unit over
25
1.000.00. Phu 100.00 per
lot or unit
500.00. plus 50.00 per lot
1.000.00
3% of suction costs
• • TABLE 3
Private improvement plats
Submittal ....................................
Checking....................................
Development inspections
Improvement costs up to $100.000.00 .................
300.00
3% of construction ccsts
3%% of improvement
costs with a muumum of
33.00
Improvemem costs S100400.00 and over ................ 3.300.00. plus 3% of
improvement costs over
100A00.00
Administrative Fees. Sureties. and Deposits
Street cut deposits for less than 300 square feet ............ 300.00 to 1.000.00
Refundable Deposit (upon
completion of the wortc)
Faithful performarace surety (released one year after the
notice of completion) ............................. 100% of concoction coos
Labor and material surety (released upon the
completion of the project) .......................... 100% of construction costs
Monumentation sunny (released upon the Engineer's
certification of the work) ........................... 100% of monumentauon
colo
Wats surety .................................... As tequimd by the
Gpisttaoo Valley water
District
Administrative permit fee ........................... 3.00 each
Film ft air pboto¢apby, comm rdal, in public facilities .... 83-11-1.4
Permits
Mming........................................ 30.00
Still photography ................................. 23.00
548.3 (s. Jr Ape 6911
STRUCTURAL • GEOTECIIARL • ARCHITECTURAL
-" • Buildings - Commercial, Industrial, Residential • Bridges •
Q • Damage Investigation • Expert Witness • Foundations • Piers and Docks
SlnC 1901 • Post -Tensioned Structures • Shoring • Water & Air Pollution Control Structures
T M Engineers, Inc.
TM ENGINEERS, INC.
HOURLY RATE SCHEDULE
Licensed Engineers ................. $ 90.00
Licensed Architects ................. $ 90.00
Administrative ..................... $ 50.00
t;xHfieir- B
(714) 361-0618 FAX (714) 361-0754 (619) 535-4849
226 Avenida Del Mar, San Clemente CA 92672 4660 La Jolla Village Drive, Suite 503, San Diego CA 92122
0
February 13, 1998
Ms. Eva Cutsinger
TM Engineers, Inc.
226 Avenida Del Mar
San Clemente, California 92672
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATT HART
GIL JONES
DAVID M. SWERDLIN
CITY MANAGER
GEORGESCARBOROUGH
Re: Renewal of General Liability and Automobile Liability Certificates of Insurance (Plan
Check Services)
Dear Ms. Cutsinger:
The General Liability and Automobile Liability Certificates of Insurance, regarding the above -
referenced project, expired on February 1, 1998. In accordance with your agreement, the insurance
certificates need to be renewed for an additional period of one year. The agreement requires a
general liability endorsement form naming the City of San Juan Capistrano as an additional insured.
I have included a City approved endorsement form to submit to your insurance company; however,
your insurance company may provide their own endorsement form.
Please forward the updated certificates and the endorsement form to the City, attention City Clerk's
office, by February 27, 1998.
If you have any questions, please contact me at (714) 443-6310.
Thank you for your cooperation.
Very truly yours,
`awl c �9i1 Uri an _ (yc� .
Dawn M. S ha l
Clerk
Deputy City Clerk
Enclosure
cc:—'jCheryl Johnson, City Clerk
William Huber, Director of Engineering & Building Safety
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 • (714) 493-1171
• STRUCTURAL a GEO NICAL • ARCHITECTURAL
Q Buildings -Commercial, Industrial, Residential • Bridges
waim Damage Investigation • Expert Witness • Foundations • Piers and Docks
T M Engineers, Inc. Post-Tensioned Structures • ShoringRfootT6 Air Pollution Control Structures
FEB 19 i 17 P11 X98
Feb. 17, 1998
JUd�1!..
Ms. Dawn M. Schanderl
Deputy City Clerk
32400 Paseo Adelanto
San Juan Capistrano, CA. 92675
Re: TM Engineers- Inc. Insurance Certificates
Dear Ms. Schanderl:
Attached is the Automobile Liability Insurance Certificate. The General Liability
Insurance and the Endorsement will be sent to your directly form our insurance broker,
Mr. Jim Lohmann.
Please contact me if you need professional services for structural engineer, architect, and
geotechnical engineer or have job bids for general contractors. We do provide services in
the above mentioned areas.
Thank you for your attention.
Sincerely,
Hilda Ma
Tel: (714) 361-0618 Fax: (714) 361-0754 Tal: (619)535-4849 Fax (619)535-4890
226 Avenida del Mar, San Clemente, CA 92672 4660 La Jolla Village Drive. Suite 500, San Diego, CA 92122
aMoely,
L�p INTERINSURANCE EXCHANGE of the Automobile Club
AERN tPV�� RECEIVED _
AUTOMOBILE INSURANCE RENEWAL DECLARATIONS lll, Aga
PLEASE READ: These declarations constitute our offer to renew this insurance for the policy period shown below. Ren iblanting�nt'apo
your payment of at least the Minimum Due before or on the Due Date shown in the enclosed insurance Billing. Failure to pay at least the Minimum
Due before or on the Due Date shall mean that you rejected this renewal offer. All coverage afforded by this policy will then temrinate atL12Ab
a.m., Pacific Standard Time, on the Effective Date Shown in these declarations under "Policy Period." These declarations, together willWthE
contract and the endorsements in effect, complete your policy. F
ITEM 1. YOUR NAME AND ADDRESS
MA, TSHIEN
2933 CALLE FRONTERA
SAN CLEMENTE CA 92673-3007
INVOICE DATE POLICY NUMBER
1- 5-98 1 G 9278553
POLICY PERIOD (PACIFIC STANDARD TIME)
EFFECTIVE DATE 2— 6-9812:01 A.M.
EXPIRATION DATE 2— 6-9912:01 A.M.
ITEM 2. DESCRIPTION OF VEHICLES
I - LIABILITY
II - MEDICAL
III - PHYSICAL DAMAGE
IV - UNINSURED MOTORIST
VER.TRADE
NO.
YEAR
NAME
IDENTIFICATION NO.
LEASED
FINANCED
RESIDENCE
ZIP CODE
ANNUAL MILES
ANTI -THEFT DEVICE
AIR
ELECTRONICBAGS
NHJAR
L -UNINSURED
F BODILY INJURY UNIN
AGES
A' BODILY INJURY
DAMAGE
MED. PAY.
EXCESS
LOCATOR
OTHER
E COLLISION
1
96
FORD
1FMDU32PBTZA54627
NO
NO
92673
15,001 - 20,000
NO
YES
YES
2
96
TOYO
JT3HN86RXT0004848
YES
YES
92673
10,001 - 15,000
NO
YES
YES
ACTUAL CASH
SPECIAL EOUIPMENT*
SOUND
EOUIPMENTk
VEH.
PARKED
DOLLARS
DOLLARS
DOLLARS
DOLLARS
VEH.
LESS
DOLLARS
VALUE OR
LESS
UNINS.
UNINS.
OTHER
2 -WAY
TELE-
RADIO
OTHER
NO.
CAMPER/
IN
GARAGE
LIMIT OF
VEHICLE USE
PER DAY
UNDER COVERAGE M -EXCESS
SPECIFIED
VAN CONV.
COLL.
RADIO
PHONE
PERSON
OCCUR,
OCCUR.
PERSON
PERSON
MEDICAL PAYMENTS- SEVERE
COVERAGE RESTRICTIONS
11
LIAOhITY
DEDUCTIBLE
WAIVER
PERSON I ACCIDENT
YES
COMMUTE
21
YES
COMMUTE
APPLY IF THERE IS NO
11100
300
50
5
ACV
250
30
ACV
250
X
PRIMARY MEDICAL COVERAGE
30 60
M
21100
300
50
5
ACV
500
30
ACV
IN EFFECT AT THE TIME OF
X
30 60
T
THE ACCIDENT AND DURING
S�
I
I
THE 30 DAYS BEFORE
I
t-1
233
WARNING: Under Part III of the policy (Physical Damage), special coverage limitations apply unless coverage was
specifically purchased for certain equipment. Coverage is indicated by an "X" in the appropriate equipment column.
ITEM 3. COVERAGES AND ANNUAL PREMIUMS (COVERAGES ARE NOT IN EFFECT UNLESS INDICATED AND A PREMIUM IS SHOWN)
POLICY
I - LIABILITY
II - MEDICAL
III - PHYSICAL DAMAGE
IV - UNINSURED MOTORIST
PART
COVER-
B PROPERTY
C
M
NHJAR
L -UNINSURED
F BODILY INJURY UNIN
AGES
A' BODILY INJURY
DAMAGE
MED. PAY.
EXCESS
D - COMPREHENSIVE
RENTAL
E COLLISION
MOTORIST
SURED 8 UNDERINSURED
MED. PAY.
EXPENSE
COLLISION
MOTOR VEHICLES
ITHDUSAND
THOUSAND
THOUSAND
THOUSAND
THOUSAND
ACTUAL CASH
ACTUAL CASH
THOUSAND I THOUSAND
VEH.
I DOLLARS
DOLLARS
DOLLARS
DOLLARS
DOLLARS
VALUE OR
LESS
DOLLARS
VALUE OR
LESS
UNINS.
UNINS.
DOLLARS DOLLARS
NO.
EACH
EACH
EACH
EACH
EACH
LIMIT OF
SPECIFIED
PER DAY
LIMIT OF
SPECIFIED
pED.
COLL.
EACH I EACH
{
PERSON
OCCUR,
OCCUR.
PERSON
PERSON
LIABILITY
DEDUCTIBLE
LIAOhITY
DEDUCTIBLE
WAIVER
PERSON I ACCIDENT
11100
300
50
5
ACV
250
30
ACV
250
X
30 60
M
21100
300
50
5
ACV
500
30
ACV
500
X
30 60
T
S�
I
I
I
t-1
233
82
26
61
18
170
46
E%
2
220
78
27
78
17
266
46
M
I
U
S
PREMIUM DISCOUNT(S) APPLIED TO THIS POLICY:
$ 1368
GOOD DRIVER ANTI -THEFT AIR BAGS MULTI -VEHICLE
GRAND TOTAL
SS POLICYHOLDER'S $ 124
124
GARAGE PARKING
DIVIDEND
NET TOTAL PREMIUM $ 1 244
TSOE0997 zA THANK YOU FOR BEING OUR INSURED SINCE FEBRUARY 1996 (SEE REVERSE)
0 114TERINSURANCE EXCHANG. the Automobile Club •
AUTOMOBILE INSURANCE RENEWAL DECLARATIONS—CONTINUED POLICY NUMBER G 9278553
POLICY EFFECTIVE DATE 2- 6-98
ITEM 4. DRIVERS (UNLESS EXCLUDED)
DRIVER
NAME
GENDER
DATE
MARITAL
DRIVER'S LICENSE
YEAR FIRST
NO.
OF BIRTH
STATUS
NUMBER
LICENSED
1
MA, TSHIEN
MALE
7- 1-36
MARRIED
C 1240155
64
2
MA, HILDA
FEMALE
11- 5-37
MARRIED
C 1342180
64
DRIVER
DRIVING SAFETY RECORD
DRIVER
STATUTORY
GOOD
DRIVER IMPROVEMENT CERTIFICATES
RATED
NUMBER DF
PRINCTALLY-AT-
NO, OF CHARGEABLE TRAFFIC CONVICTIONS
MATURE
AMERICAN INSTITUTE
NO.
STATUS
GOOD
STUDENT
VEHICLE
CATEGORY
CATEGORY -3
CATEGORYb
FAU LT ACCIDENTS
DRIVER
DRIVER
OF ADVANCED DRIVERS
NO.
1
PRIMARY
YES
1
2
PRIMARY
YES
2
ITEM 5. ENDORSEMENTS AND CERTIFICATES IN EFFECT AT ISSUANCE
NUMBER I TITLE I NUMBER I TITLE
2052S ',LOSS PAYABLE - NOTICE TO LIENHOLDER
I
I
I I
I
I i
II
I
I
I
ANY LOSS UNDER PART III -PHYSICAL DAMAGE -IS PAYABLE AS INTEREST MAY APPEAR TO YOU AND
VEH NO. 2
WELLS FARGO BANK
P 0 BOX 5012
EL TORO CA 92630
FOR QUESTIONS OR CHANGES
CALL 1-800-9244141 TOLL FREE
TS00<2S
E0997
0
0
STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
POLICY NUMBER: 1200030 - 99
ISSUE DATE: 04-01-99 CERTIFICATE EXPIRES: 04-01-00
CITY OF SAN JUAN CAPISTRANO
BUILDING 8 SAFETY DEPARTMENT
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
JOS! ALL OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies.
INDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER. OCCURRENCE.
ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS` NOTICE EFFECTIVE 04/011799 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY. - --
EMPLOYER
T.M. ENGINEERS, INC.
228 AVENIDA DEL MAR
SAN CLEMENTE CA 92872
S
a
ao
_
N
_
� N
b
m
-
o
--
o
—v
ct7
co
LEGAL NAME
T.M. ENGINEERS, INC.
03-18-99
PRINTED: P0408
• • SG
STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
POLICY NUMBER: 1200030 - 98
ISSUE DATE: 04-01-98 - CERTIFICATE EXPIRES: 04-01-99
CITY OF SAN JUAN CAPISTRANO
BUILDING A SAFETY DEPARTMENT
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
JOB: ALL OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies.
PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
ENDORSEMENT 82086 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04/01/98 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER
T.M. ENGINEERS, INC.
228 AVENIDA DEL MAR
SAN CLEMENTE CA 92872
LEGAL NAME
T.M. ENGINEERS. INC.
a
N
W �
rn
r �
m
N rn
F fTt
--a v
o
c
m
I•B1211II'R7
ACORD CERTIFICAGE OF
LIABILITY INSUWCE CSR JL DATE IMMIDD YVI
TMENG-1 02/27/98
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Commercial Brokers Ins. &
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
InsPro Agents/Brokers-#OB18019
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. 0. Box 2340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sunnyvale CA 94087-0340
COMPANIES AFFORDING_ COVERAGE
James LohmanncoMPANY
A Continental Casualty- Co.
PM1on§Nn. 408-481-9342 Fsv No. -
_
INSURED
COMPANY'
IIF— B
— —
COMPANY
TM Engineers, Inc.
C
226 Avenida Del Mar
COMPANY
San Clemente CA 92672
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IEXCLUSIONS
CO TYPE OF INSURANC�
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LTR
DATE IMMIDD/VY)
DATE IMMIDDIVY)
(GENERAL
LIABILITY
GENERAL AGGREGATE
$
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGO
$
PERSONAL &ADV INJURY
$
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
—J
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any one lire)
$
ED EX P (Any one person)
s
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
3
ANY AUTO
.
1 ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
IPer person)
$
J
*
HIRED AUTOS
r
1
BOpINJURY
IPILY er ILY IdNnq
$
NON -OWNED AUTOS
I
- -- --- -
PROPERTY DAMAGE
3
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
If
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
_
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
WC STAT U- 011-
T ORY LIMITS ER
i
EMPLOYER$' LIABILITY
I EL EACH ACCIDENT
"—
3
THE PROPRIETOR/ - INCL
PARTNERS/EXECUTIVE
EL DISEASE POLICY LIMIT
�--
$
—
OFFICERS ARE EXCL
EL DISEASE � EA EMPLOYEE
$
OTHER
((PROFESSIONAL
A
AEN 11-383-10-36
11/01/97
11/01/98
PER CLAIM $100,000
LIABILITY
AGGREGATE $100,000
3
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
7p
m
fV M
CERTIFICATE HOLDER
CANCELLATION
`
CITY -33
vt m
SHOULD ANY OF THE ABOVE DESCRIBED POUC`1EBBaCANCELUQJIEFORPTHE
CITY OF SAN JUAN CAPISTRANO
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL+%-
ATTN: DAWN M. SCHANDERL
3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Ii TO THE LEFT,
DEPUTY CITY CLERK
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE,
James Lohmann
ACORD 25-5 111951
OACORD CORPORATION 1988
acoRD_ CERTIFICA OF
LIABILITY INSUWNCECSR JL DATE(MM/DO/YY)
TMENG-1 11/02/98
PRODUCER
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
Commercial Brokers Ins. 6
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Ins Pro Agents/Brokers-#OB18019
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 2340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sunnyvale CA 94087-0340
COMPANIES AFFORDING COVERAGE
James Lohman
COMPANY Z
0
A Continental Casualty Co. 6
Pnone No. 408-481-9342 F.No,
INSURED
COMPANY - - L
B rn
COMPANY
TM Engineers, Inc.
C
COMPANY
226 Avenida Del Mar
San Clemente CA 92672
D _...
COVERAGES
f�
w
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
rypE Of INSURANCE POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LTR
DATE (MNVDOM'I
GATE (MIAIDO/YY)
IABILITY
GENERAL AGGREGATE
f
PRODUCTS - COMPIOP AGO
_i f
ERCIAL GENERAL LIABILITY
LAIMS MADE :OCCUR
PERSONAL BAOV INJURY
E
EACH OCCURRENCE
f
R'S S CONTRACTOR'S PROT
FIRE DAMAGE (Myons fire)
f
VAUTOMOBILELIABILITY
MED EXP (My one Person)
f
COMBINED SINGLE LIMIT
E
UTO
BODILY INJURY
WNED AUTOS
SCHEDULED AUTOS
II
(Per person)
S
f
1
HIRED AUTOS
BODILY INJURY
."1111
I --y
NON -OWNED AUTOS
(Per...d.nl)
PROPERTY DAMAGE
—
f
- -�
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
E
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
E
-
AGGREGATE
f
EXCESS LIABILITY
EACH OCCURRENCE
f
'AGGREGATE
Ej
UMBRELLA FORM
r�—
5
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
WC STATU- I- OTH-
TORY LIMITS L ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
(�
THE PROPRIETOR/ INCL
EL DISEASE - POLICY LIMIT
-_ -
f
PARTNERS/EXECUTNE
EL DISEASE - EA EMPLO E E
OFFICERS ARE: EXCL
OTHER
A
PROFESSIONAL
AEN 11-383-10-36
11/01/98
11/01/01
PER CLAIM $100,000
LIABILITY
AGGREGATE $300,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
SANK -1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL
CITY OF SAN JUAN CAPISTRANO
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ATTN: DAWN M. SCHANDERL
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
James Lohmann
ACORD 25-S (1/95)"
ACORD CORPORATION 1988
CERTIFICA� 4F
LIABILITY
CSR JL DATE (NI
IN$UR CE
TMENG-1 11/03/97
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Commercial Brokers Ins. &
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
InsPro Agents/Brokers-#OB18019
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 2340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Sunnyvale CA 94087-0340
James Lohman
PNpee No. 408-481-9342 Fax No.
COMPANY
A Continental Casualty Co.
INSURED
COMPANY
TM Engineers, Inc.
COMPANY /� CAF1
C o
226 Avenida Del Mar
San Clemente CA 92672
.__ N 111
COMPANY
pV. jL�eV� -- = o m
COVERAGES
-".v
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY-RRIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WNSS THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEWA6,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR
POLICY NUMBER
POLICY EFFECTIVE
DATE IMM/DD/YYI
POLICY EXPIRATION
DATE IMM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE S
PRODUCTS - COMP/OP AGO S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑OCCUR
PERSONAL &ADV INJURY 14
EACH OCCURRENCE $
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Apy one fuel 5
MED EXP (Any one person) $
jIUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 5
I ANY AUTO
II__
' BODILY INJURY S
(Per person)
_i ALL OWNED AUTOS
SCHEDULED AUTOS
r___--�---
BODILY INJURY S
i (Per sc,adsnt)
HIRED AUTOS
.--
NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT 3
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT (, $
AGGREGATE $
EXCESS LIABILITY
Ir
EACH OCCURRENCE 5
AGGREGATE $
UMBRELLA FORM
FF--
1I OTHER THAN UMBRELLA FORM
—_
$
WORKERS COMPENSATION AND',
EMPLOYERS' LIABILITY
WC STATU- 0TH-I
TORY LIMITS ER
EL EACH ACCIDENT $
THE PROPRIETOR/ INCL
'PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
�
EL DISEASE -POLICY LIMIT $
-----
EL DISEASE - EA EMPLOYEE S
OTHER
A
PROFESSIONAL
AEN 11-383-10-36
11/01/97
11/01/98
PER CLAIM $100,000
(LIABILITY
AGGREGATE $100,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
SANJU-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL
CITY OF SAN JUAN CAPISTRANO
3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ENGINEERING AND BUILDING
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UPON THE COMPANY, ITS REPRESENTATIVES.
AUTHORIZED REPRESENTATIVS� ��AGGENNNTTSSyO�R
/4V{L(,,'y�
i — ' — ' " "'v V
James Lohman
ACORD 25•S (1/951
OACORD CORPORATION 1988
rnU0 SE
IS
October 20, 1997
Ll
TM Engineers, Inc.
Attention: Eva Cutsinger
226 Avenida Del Mar
San Clemente, CA 92672
JMaw
a
mlonronnD
WHOM 1961
1776
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATT HART
GIL JONES
DAVID M. SWERDLIN
CITY MANAGER
GEORGESCARBOROUGH
103®(97
E�)a, _
Re: Renewal of Professional Liability Certificate of Insurance (Plan Check Services
Dear Ms. Cutsinger:
The Professional Liability Certificate of Insurance, regarding the above -referenced service, is due
to expire on November 1, 1997. In accordance with your agreement, the insurance certificate needs
to be renewed for an additional period of one year.
Please forward an updated certificate to the City of San Juan Capistrano, attention City Clerk's
office, by November 11, 1997.
If you have any questions, please contact me at (714) 443-6310.
Thank you for your cooperation.
Very truly yours,
Dawn M, Schanderl
Deputy City Clerk
cc: Cheryl Johnson, City Clerk
William Huber, Director Engineering & Building Services
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 014) 493-1171
/n iryrl _ `.mill
ACORD CERTIFICAT& OF
LIABILITY
INSUROCE CSR JI, DATE/22/97
TMENG-1 10/22/97
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Commercial Brokers Ins. &
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
InsPro Agents/Brokers-#OB18019
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. 0. Box 2340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERA
Sunnyvale CA 94087-0340
,t.
COMPANY
A Continental Casua'X.W.Co. L
James Lohmann
Pnoneyo_408-481-9342 F..N..
INSURED
COMPANY p
B
I
TM Engineers, Inc.
COMPANY /"/� �!/v/ - GJ T
C
226 Avenida Del Mar
San Clemente CA 92672
coMPANY
D co
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE IMM/DD,YYI DATE (MM/DD,YY)
LIMITS
GENERAL LIABILITY
—'I
GENERAL AGGREGATE $
PRODUCTS-COMPIOP AGS $
COMMERCIAL GENERAL LIABILITY
rt—
CLAIMS MADE O OCCUR
I OWNER'S & CONTRACTOR 'S PROT
PERSONAL &ADV INJURY 8
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
l
MED EXP ,Any one person)
$
AUTOMOBILE LIABILITY
—i
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
I ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
IIF
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC ST MU- OTH-
TORV LIMITS ER
EL EACH ACCIDENT
"
$
THE PROPRIETOR, INCL
PARTNERS/EXECUTIVE
EL DISEASE- POLICY LIMIT
$
EL DISEASE- EA EMPLOYEE
-.—
8
OFFICERS ARE: EXCL
OTHER
A PROFESSIONAL
AEN 11-383-10-36
11/01/96
11/01/97
PER CLAIM $1001000
LIABILITY
AGGREGATE $100,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
CANCELLATION
CITY -33
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL
ATTN: DAWN M. SCHANDERL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
DEPUTY CITY CLERK
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92 675
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE / 0
James Lohmann ITV_"�f��,�.��,,,, ,,�
- ,
ACORD 25-S (1/951
® A- CORD CORPORATION 1988
iSG
STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
POLICY NUMBER: 1200030 - 97
ISSUE DATE: 04-01-97 CERTIFICATE EXPIRES: 04-01-98
CITY OF SAN JUAN CAPISTRANO
BUILDING 8 SAFETY DEPARTMENT
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
JOB: ALL OPERATIONS
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies.
PRE
$,DENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04/01/97 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER
T.M. ENGINEERS, INC.
228 AVENIDA DEL MAR
SAN CLEMENTE CA 92872
03-19-97
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T.M. ENGINEERS, INC.
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03-19-97
ACORD CER IFI
/SE OF LIABILITY INSU NCE�MENGR7 D TE(MW97�
PRODUCER
CImProommercial Brokers Ins. 8
=r Agents/brokers-#0818019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
RVED HOLDER. ONLY ANTHS CERTIFICATCONFERS NO EGHTS UPON THE CERTIFICATE
ECEIDOES NOT AMEND, EXTEND OR
P. 0. Box 2340
Sunnyvale CA 94087-0340
QL S ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PR ' 4C Ali 1 COMPANIES AFFORDING COVERAGE
X171
Rhonda Bolitho
COMPANY
phone Na. 408-481-9342 F No.
r^,i.^, :,�1 A Republic Indemnity Co of Amer.
_
INSURED
COMPANY
JUa
ri
COMPANY
TM Engineers, Inc.
C
226 Avenida Del Mar
San Clemente CA 92672
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF
INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDM!)
POUCY EXPIIUTION
DATE UJIM/DD/W)
UNITS
GENERAL
LIABILITY
GENERAL AGGREGATE S
PRODUCTS-COMP/OP AGO §
COMMERCIAL GENERAL LIABILITY
CLAIMS MADEEl OCCUR
PERSONAL B ADV INJURY $
EACH OCCURRENCE $
OWNER'S S COMPACTOR'S PROT
FIRE DAMAGE (Any one fire) S
MED EXP (Any we person) $
AUTOMOBILE
LIABILITY
AM AUTO
COMBINED SINGLE LIMIT §
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY $
(Per parson)
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $
(Per accidenn
PROPERTY DAMAGE $
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT $
AGGREGATE S
EXCESS
LIABILITY
EACH OCCURRENCE $
AGGREGATE S
UMBRELLA FORM
§
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- OTH -
TORY R
GIDE
EL EACH ACCIDENT $ / DDD, DDD
A
THE PROPRIET0 INCL
PARTNERS/EXECUTIVE
13154001
04/01/97
04/01/98
EL DISEASE - POLICY LIMIT S 1,000,000
EL DISEASE - EA EMPLOYEE S 1,000,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPEMTIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*10 day notice of cancellation when for nonpayment of premium or nonreport
of payroLt.
CERTIFICATE: HOLDER
L. CANCELLATION` -
SANJU-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CITY OF SAN JUAN CAPISTRANO
ENGINEERING AND BUILDING
*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UP AGENTS R REPRESENTATIVES.
AUTHORIZED RE ESENTATI E
Rhonda Boli -
ACORD 25•S,(1/95)
CACORD CORPORATION 1988
April 8, 1997
TM Engineers, Inc.
Attention: Eva Cutsinger
226 Avenida Del Mar
San Clemente, CA 92672
JVAlft •
b
f/./ nfof XOXXim
fslluuXfo �� 1961
1776
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATf HART
GIL JONES
DAVID M. SWEROLIN
CITY MANAGER
GEORGESCARBOROUGH
Re: Renewal of Workers' Compensation Certificate of Insurance (Plan Check Service
Dear Ms. Cutsinger:
The Workers' Compensation Certificate of Insurance, regarding the above -referenced service,
expired on April 1, 1997. In accordance with your agreement, the insurance certificate needs to be
renewed for an additional period of one year.
Please forward an updated certificate to the City of San Juan Capistrano, attention City Clerk's
office, by April 21, 1997.
If you have any questions, please contact me at (714) 443-6310.
Thank you for your cooperation.
Very truly yours,
Dawn M. Schanderl
Deputy City Clerk
cc: Cheryl Johnson, City Clerk
William Huber, Director of Engineering & Building Services
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 4931171
.......... .... .
DATE (MM/DDNY)
2-
ACORD ...7
.
.. ..... ..
PRODUCER, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
♦
Dempsey Ins. Service, Inc.
P.O. Box 6210
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Jose, CA 95150
COMPANIES AFFORDING COVERAGE
(408) 985-0930
COMPANY
A Transportation ins. Co.
INSUREO
OMP:ANYY
jCEe1:BP
TM Engineers, Inc.
____
226 Avenida Del Mar
San Clemente, CA 92672
COMPANY
C
COMPANY
'R "M
MEN I
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
DATE (MMIDDNY) DATE (MM/DD/YY)
GENERAL LIABILITY
COMMERCIALGENERAL LIABILITY
AGGREGATE
I9?
nrl 1r) 0n
nn nn nn
PRODUCTS COMPIDPAGG S
A CLAIMS MADE � OCCUR
OWNERS & CONTRACTOR'S PROT
1 44369416
2-1-97
2-1-98
4s
PERSONA INJURY
r�GENERAL
EACH OCCURRENCE
FIRE DAMAGE (Any one In.)
MED EXP (Any one person)
s in noo
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1 000"000
ANY AUTO
F
A ALL OWNED AUTOS
SCHEDULED AUTOS
1 44369416
2-1-97
'BODILY IN" URY $
2-1-98
HIRED AUTOS
ON-OWNED AUTOS
BODILY INJURY $
Per acatlenp
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
AUTO
THAN AUTO ONLY
EACH ACCIDENT
$
$
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
EACH OCCURRENCE
EACH_.....
$
$I
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
WC STATU O�TH
J
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
EL EACH ACCIDENT
EL DISEASE POLICY LIMIT
I$
is
OFFICERS ARE I EXCL
I
EL IISEASE A EMPLOYEE E
OTHER
DESCRIPTION OF OPERATIONSILOCATIONMEHICLES/SPECIAL ITEMS
Contract for Plan Check & Design
TEam
MONOMM NO
......... .. ..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Sanjuan Capistrano
32400 Paseo Adelanto
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENIifE
30_ - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
San Juan Capistrano, CA 92675
AUTHORIZED REPRESENTATIVE r'
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LiARILM ENDORSEMENT
CrrY OF SAN JUAN CAPISTRANO
COMMUNTI'Y REDEVELOPMENT AGENCY
72400 Pram Addanto
Sao Jana Capiatrauo, Cadfornla 92675
ATTNr Fnginp-Prinq K Building
I losumreCompany Transportation Ins. Co.
2. policy Term
(Fn>m) Z-1-97 (ro) 1 -9A B
2-odoc
3. Nomedbtinred TM Engineers. Inc. —
4. AddrmofNomediasaed 226 Avenida Del Marg
5. Limit of liability Any One Ocemus dAggr%de S 1 .0 0 0 . D D C
General Liability Aggregate (Check ane:)
Applies "per locatioo/prnjaot"
L twice the occurrence limit X
6. Deductible or Self -Muted Retention (Nil roles otherwise specified):
7. Coverage is equivalent to:
Comprehensive General Liability form OL0002 (Ed 1/13)
Commercial Geral Liability "claima-made" form CO0002
S. Bodily byury and Property Damage Coverage is:
.claims -made'
X occurrence
if
if claims -made, the retroactive date is
M1MMMT1TVFft-r#-T1�1..n ,.t .rt,
�# 1
�policy Number
_L!443694
Ga
This endorsement is issued in consideration of the policy premium Notwithahading any inconsistent statement in the policy to which this
endorsement is sttschad or any other endorsement attached thereto. it is speed as follows:
1. INSURED. The City and the Community Redevelopment Agency. its elected or appointed of8ccrs, officials, employees
and vohmteaa are included as insureds with regard to damages and defense of claims atising from; (a) activities performed
by arm bebdfofdw Named bused (b) projects and completed operations of the Named boxed. or (e) prises owned,
leased or used by the Named Insurad.
2. COWRDIUTION NOT REQUIRED. As respects: (a) work performed by the Named Insured for or on behalf of the
City, or (b) projects sold by the Named (Winced to the City, or (c) premises leased by the Nomad Insured from the City, the
insurance aflbrded by this policy shall be primary insurance as fespats the City, its alerted of appoimad officers, officials,
employees or volume r r, at stand in an unbroken chain of coverage ehuoeas of the Named boxed 8 scheduled underlying
primary coverage In either event, any other inane maintained by the City, its elected or appointed officers, officials,
employes or volunteers shall be in excess of this insurame and shall not contribute with it
3. SCOPE OF COVERAGE. Thu policy, if primary, affords coverage at least as broad as:
(1) huarsoce Services Office form number GL0002 (Ed. 1/13), Cusnprehmsive General Liability hwurance and
hu scum Services OJT= forth number GL0404 Brod Form Comprehensive General Liability endorsement, or,
(2) hnuraooe Services Office Commercial General Liability Coverage,: *occurrence' form CG000I or "claims -made"
form CG0002; or,
(3) if excess, affords coverage which is at lean as broad as the primary insurance forts referenced in the preceding
sections (1) and (2).
4. SMR"U IY OF INPERM The:..a.mos affatded by this policy apoliaa separately to each insured who is seeking
coverage or against whom a claim is made or a suit is brought, except with respect to the CompanYs limit of liability.
5. PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENIT OR LOSS. Any failure to comply
with reporting pmvmons of the policy shall not affect coverage provided to the City and the Community Radevelopmatt
Agency, its elected or appointed officers. officials. employes or volunteers.
6. CANCELLATION NOTICE. The insurance afforded by this policy shear no be stispeadod, voided, cancelled, reduced
m coverage or limits except alter thirty (30) days' prior written notice by o dUed mail return receipt regttated has been
given to the City. Such entice shall be addressed as shown in the heading of this endorsement
C. 1NC11+vmr AND CLAIM RZP023MWILOCED RE
Incidents and claims are to be reported to the insurer at:
A7774. E. W. Williams
(Tide) (Deparfters)
Dempsey Insurance Service, Inc.
(COMPMY) —
2185 The Alameda _
(Street Address)
San Jose, CA 95126
(City) (State) (tip cod!)
408 985-0930
(fes)
4 E . , W. Williams (P YPe ==), wama itthm I have atnhaity to bind the below lined insurance
company and by my signature bereon do so oind this compamy.
(Original signature regwed an endwanmamt ft mdwd to the City)
ORGANITATION: Dempsey Ins. Service, Inc. fIITE Presid Y
ADDRESS: P.O. Box6210, San Jose, CA 95150 TELBpHONE: 408 985-0930
ACORD CERTIFICA OF
LIABILITY
INSUR` CE ME G- U02112197
--TMENG-1-,
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Commercial Brokers Ins. &
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
InsPro Agents/Brokers-,#OB18019
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 2340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sunnyvale CA 94087-0340
COMPANIES AFFORDING COVERAGE
COMPANY
A Continental Casualty Co.
James Lohman
R .Ne. 408-481-9342 F.N..
INSURED
COMPANY
S
COMPANY
TN Engineers, Inc.
C
226 Avenida Del Mar
San Clemente CA 92672
COMPANY
p
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDNYI
POLICY IDRRATION
DATE 1MMND/YYI
LIMITS
GENERAL
LIABIUTY
GENERAL AGGREGATE i
PRODUCTS - COMP/OP AGO i
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1:1 OCCUR
PERSONAL 6 ADV INJURY i
EACH OCCURRENCE i
OWNER'S S CONTRACTOR'S PROT
FIRE DAMAGE IMy RR lire) i
MED EAP IMy eRe penonl i
AUTOMOBILE
UABIUTY
COMBINED SINGLE LIMIT F
MY AUTO
BODILY INJURY i
(Per ".0.)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY i
IPer eccberRl
HIRED AUTOS
NON-OWNED AUTOS
PROPERTY DAMAGE i
GARAGE UABIUTY
AUTO ONLY - EA ACCIDENT i
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT i
AGGREGATE $
EXCESS UAB UTY
EACH OCCURRENCE i
AGGREGATE i
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EAPLOYERB' UASIUTY
WC STATU- 0TH- -
TO IMITS R
EL EACH ACCIDENT i
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
EL DISEASE. POLICY LIMIT Y
EL DISEASE - EA EMPLOYEE i
OFFICERS ARE: EXCL
OTHER
A
PROFESSIONAL
AEN 11-383-10-36
11/01/96
11/01/97
PER CLAIM $100,000
LIABILITY
AGGREGATE $100,000
DESCRIPTION OF OPEMTONSAACATIONiNEHCLES/8PECIAL ITEMS
CERTIFICATE HOLDER
"CANCELLATION _
SANJU-1
SHOULD ANY OF THE ABOVE DES MM POU(AES SE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL MNL
CITY OF BAN JUAN CAPISTRANO
30 DAYS WNTTEN NOTICE TO THE CMR ATE HOLDER NAMED TO TIRE 1 ,
ENGINEERING AND BUILDING
32400 PASEO ADELANTO
SUCH NOTICE SHALL IMPOSE NO MUGATION OR LIMBUTV
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVFJ.
AUTNgIN2m PRFS
REEiTATVE ^ - n /I
/RY/II',✓,•_-_`
���}-FyV✓YIAVYW\
James Lohman
ACORD 26$ 111961
GACORD-CORPORATION- 1988:
STATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE`•;
POLICY NUMBER: •.1200030 - 96
ISSUE DATE: 04-07-98 CERTIFICATE EXPIRES: 04-01-97
CITY OF SAN JUAN CAPISTRANO - JOB: ALL OPERATIONS
BUILDING & SAFETY DEPARTMENT
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
This is to certify that we have issued a valid Workers' Compensation. insurance policy in "a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund .except upon 30 days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies listed herein. Notwithstanding any,requirement, term, or condition of any contract or other document
with respect to which this certificate of Insurance may, be issued or may pertain, the .insurance afforded by the
policies described herein, Is:.subject to'all._the terms, exd6$ions and conditions of such,;Pptjc%s.
,DENT
EMPLOYER'S LIABILITY LIMIT >;NCLUDING DEFENSE,COSTS: $1,000,000.06 PER--
'OCCURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04/01/96�IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
T.M. ENGINEERS,=INC. T.M. ENGINEERS, INC,
226 AVENIDA DEL -MAR
SAN CLEMENTE CA 92672
T M Engineers, Inc.
E
LETTER OF TRANSMITTAL
Date: FEBRUARY 19, 1997
From: EVA CUTSINGER
TM Engineers, Inc.
226 Avenida Del Mar
San Clemente
CA 92672
Phone: (714)361-0618
Fax: (714)361-0754
To: CITY OF, SAN JUAN CAPISTRANO
Time:
RECEIVED
FEB ZO 1 55 Ph
c
`PT*yl1T
TM Engineers, Inc.
4660 La Jolla Village Drive, Suite 503
San Diego
CA 92122
(619)535-4849
Attn: DAWN SCHANDERL, DEPUTY CITY CLERK
Re: INSURANCE CERTIFICATES
Job:
Number of Pages Including Transmittal Cover.
Note: ENCLOSED PLEASE FIND INSURACE CERTIFICATES FOR:
* GENERAL LIABILITY
* PROFESSIONAL LIABILITY
* COPY OF WORKERS' COMPENSATION INSURANCE
(ORIGINAL ON FILE WITH THE CITY OF SAN JUAN CAPISTRANO)
I WILL MAIL YOU THE AUTO LIABILITY CERTIFICATE AS SOON AS I HAVE
A CURRENT COPY. THANKS,
Via:
0
February 24, 1997
Mr. Tshien Ma
TM Structural Engineers
226 Avenida Del Mar
San Clemente, CA 92672
Javan
mconrorPu
I�1776uISHI 1961
Re: Contract for Plan Check and Design Team
Dear Mr. Ma:
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATT HART
GIL JONES
DAVID M. SWERDLIN
CITY MANAGER
GEORGESCARBOROUGH
I have enclosed a fully -executed copy of the above -referenced agreement for your files. Our records
show that your insurance is completely up to date. Thank you for your cooperative effort during this
long process of contract approval.
Very truly yours,
William M. Huber
Director of Engineering and Building
WMH:ch
Enclosure
cc: Dawn Schanderl, Deputy City Clerk ✓
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 493-1171
•
February 3, 1997
Mr. Tshien Ma
TM Structural Engineers
226 Avenida Del Mar
San Clemente, CA 92672
i
In0l"WED
Iuuxm 1961
1776
0
Re: Contract for Plan Check and Design Team
Dear Mr. Ma:
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATT HART
GIL JONES
DAVID M. SWERDLIN
CITY MANAGER
GEORGESCARBOROUGH
The City Clerk's Office has informed me that they are still awaiting your general liability, auto
liability, professional liability (errors and omissions) and workers compensation insurance as well as
the endorsement form for the general liability. For your convenience, I have enclosed one of our
liability endorsement forms.
Please provide these items to the City Clerk as soon as possible. Should you have any questions
regarding the required insurance, you may refer to your contract or call Dawn Schanderl at (714)
443-6310.
Very truly yours,
William M. Huber
Director of Engineering and Building
z/131q-7 6U,,�j, TM
WMH:ch 3& (- O(n l8
Enclosure
cc: Dawn Schanderl, Deputy City Clerk
32400 PASEO ADELANTO. SAN JUAN CAPISTRANO. CALIFORNIA 92675 0 (714) 493-1171
0 0
AGENDA ITEM January 7, 1997
TO: George Scarborough, City Manager
FROM: William M. Huber, Director of Engineering & Building
SUBJECT: Consideration of Agreements for Long -Term Plan Check and Design Services
Team
RECOMMENDATION
It is recommended that the City Council approve the consultant service contracts for the Plan Check
and Design Services Team.
SITUATION
0
C1
Summary and Recommendation
The Plan Check Team, consisting of 20 consultants, was approved in 1992 for a four-year
term. The team concept was created as a means to improve service delivery to resident and
developer plan check. The concept has worked very well resulting in improved efficiencies.
The contracts will expire on December 31, 1996; therefore, staff has solicited proposals and
is requesting 34 firms be recommended for a three-year term with two one-year extensions.
In addition, staff is requesting that the scope of services be expanded to include design
services under the condition that staff still adhere to the City's purchase order regulations.
Background
1. History
On January 21, 1992, City Council approved the concept of creating a plan check
consultant team consisting of a select group of consultants. The team concept creates a
long-term contract with each consultant. The purpose of the team concept is to have
available consultants with approved contracts and insurance in place ready to go to work.
In the past, consultant services for outside plan check required solicitation of an RFP to
three or more firms. Review and selection of a consultant required processing of
agreements through City Attorney and acquisition of appropriate insurance. All of the
above required considerable staff time and delayed plan checking for months to complete
the process.
FZ71 cy.ry COL'
Js
E
AGENDA ITEM
-2-
0
The team concept provides preapproved agreements and allows staff to expeditiously
process all consultant plan checking. In addition, the plan check team agreements all
required that they perform their services at a specified percentage of the City's fees which
guarantees costs and assures that City staff is also compensated for processing from the
remaining balance. All consultants agree to a fee not to exceed 65% and 80% depending
upon the type of plan check. In many instances, the fees are negotiated lower, especially
on larger projects.
Over the past four years, the economy has been such that the team was used very little,
and most review was done by inhouse staff. When consultants were used, the process
was extremely efficient and worked very smoothly.
2. Selection Process
Approximately 48 firms were solicited either by being on our mailing list or by calling and
requesting to be included. Of the 48 firms, 34 responded with proposals. The proposals
included general engineering and building firms plus a number of specialty firms. The
specialty firms include areas such as geotechnical, traffic, building structural and drafting
services. A review team consisting of the Department Director, Building Official and
Development Engineer reviewed the proposals for the following elements:
*Consistency with the scope of work;
*Ability to meet schedules;
*Past performance of similar work;
*Individual(s) specified to work on projects
*Ability to meet fee requirements;
*Qualifications of firm in handling required work.
Staff believes that all 34 firms qualify based on the above. Since this is a three-year
contract with two one-year extensions, there is no need to narrow the field. Staff prefers
to spread costs among the team as work becomes available. The following list contains
the consultants and their areas of expertise:
General Engineering and Building Services
Willdan Associates
Berryman & Henigar
CGvL Engineers
RBF & Associates
TM Structural Engineers
Charles Abbott Associates, Inc.
Tait & Associates Inc.
0
0
AGENDA ITEM -3- January 7, 1997
General Engineering Only
Norris-Repke, Inc.
P & D Consultants, Inc.
Boyle Engineering Corporation
Adams Streeter Civil Engineers, Inc.
CDC Engineering Inc.
Christiansen & Associates
Williamson & Schmid
AKM Consulting Engineers
The Keith Companies
Gong Enterprises, Inc.
Focus Engineering
Van Dell & Associates, Inc.
DH Civil Engineering
David A. Boyle Engineering
Poutney & Associates
Building Services Only
VanDorpe Chou Associates, Inc.
Esgil Corporation
Geotechnical Services
Petra Geotechnical, Inc.
Mr. Peter Borella
Kleinfelder, Inc.
AGRA Earth & Environmental, Inc.
Hetherington Engineering, Inc.
Peter & Associates
Traffic Services
Darnell & Associates, Inc.
Traffic Safety Engineers
Austin -Foust Associates, Inc.
Drafting Services
Mr. Dan A. Pressley
0
E
AGENDA ITEM 4- January 7 1997
3. Design Services
Staff is proposing to add design services in addition to plan check. This would help to
accelerate the design process by having approved agreements and insurance in place,
eliminating the need for time consuming reviews and insurance delays.
4. Process
a. Plan Check Services - As previously stated, plan check services are to be
performed at a not -to -exceed fee based on a fixed percentage of the City's
calculated plan check cost. This eliminates the need to negotiate fees and allows
staff to select a consultant and request they perform the work at the agreed-upon
price. No time is wasted with costly proposals, reviews and fee negotiations.
b. Design Services - Services not covered by fee recovery, such as design for a City
capital improvement project, will continue to require that staff solicit proposals
from at least three members of the team. Proposals will then be evaluated and
followed by consultant selection. If the fee exceeds the current City policy limit
of $10,000, then it will be forwarded to the City Council for review and approval.
However, no new agreements will be required nor will insurance certifications
cause delays since they will already be in place.
5. Conclusions
Based on past experience, the team concept has greatly helped to reduce wasted time and
complaints from developers and residents regarding plan check review time. Staff is,
therefore, recommending approval of the consultant agreements.
COMMISSION/BOARD REVIEW AND RECOMMENDATIONS
Not applicable.
FINANCIAL CONSIDERATIONS
Costs for plan check services will be fully funded from engineering and building fees. Design services
would be funded from respective capital improvement projects. Based on fees projected to be
collected, a budget for consultant services would be developed annually to cover the costs under
these contracts.
PUBLIC NOTIFICATION
Not applicable.
0
E
AGENDA ITEM -5- January 7 1997
ALTERNATE ACTIONS
Approve staff recommendations.
2. Do not approve.
Refer to staff for additional information.
It is recommended that the City Council approve the consultant service contracts for the Plan Check
and Design Services Team.
Respectfully submitted,
William M. Huber
Director of Engineering & Building
WMH:ch
Attachment: Sample Agreement [Note: Original Agreements for each consultant are available
in the City Clerk's Office.]
F THE CITY
MEMBERS OCOLLENE MPBEL'L
unvCAROCYES
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DAVID SWEASM
DAVID SWERDLIN
CITY MANAGER
GEORGE SCARBOROUGH
REQUEST FOR PROPOSAL
for
Professional Consulting Services
to
PERFORM AND EXECUTE BUILDING AND ENGINEERING PLAN CHECKING,
GRADING PLAN CHECKING, REVIEW OF GEOTECHNICAL REPORTS, MAP
CHECKING, ENGINEERING AND ARCHITECTURAL SERVICES
GENERAL INFORMATION
It is the intent of the City of San Juan Capistrano, Department of Engineering & Building, to establish
a team of consultants to facilitate both building and engineering plan check, engineering and
architectural services. The services are generally described herein and are intended to supplement
staffs efforts where specific expertise is required or time constraints necessitate consultant assistance.
From the proposals, a team of consultants will be selected who best represent expertise across the
various specialty areas. The team will become part of a four-year program in which the workload
will be spread among the team members. Work will be parceled out on an as -needed basis, and no
specific guarantee can be given as to the annual fees for consultant usage.
The consultant team will only be modified in the event consultants are dropped from the list due to
corporate changes or it is deemed by the City that additional consultants are warranted.
INVITATION TO RESPOND
The City of San Juan Capistrano is soliciting proposals for professional consulting services. In
general, the tasks identified above and delineated herein are to be performed with minimum direction
and assistance from the City.
Inquiries concerning the RFP should be directed to William M. Huber, Engineering & Building
Director, 32400 Paseo Adelamo, San Juan Capistrano, CA 92675; (714) 443-6336.
EXHIBIT A
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 493-1171
0
Request for Proposal Page 2
SUBMISSION OF PROPOSAL
Proposals may by submitted by mail or hand delivered. Proposals should be delivered to:
William M. Huber, Engineering & Building Director
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
no later than 5:00 p.m., September 16, 1996. Proposals will not be accepted after this time.
FORM OF PROPOSAL
Consultant proposals shall contain the following:
Statement of qualifications clearly indicating the services in which the firm is interested;
2. Statement/discussion of services provided, including anticipated turnaround times and ability
of firm to handle requests on an as -needed basis;
Resumes of key personnel for various service areas;
4. Consultant fee schedules, including hourly rates and proposed flat fees;
Completed consultant self rating form included with this request for proposal.
EVALUATION OF PROPOSALS
The City of San Juan Capistrano is interested in selecting consultants who have the experience and
expertise to render plan checking, engineering and architectural services in a comprehensive and
timely manner. Accordingly, the evaluation criteria will consist primarily of four parts:
1. Consultant's experience
2. Consultant's expertise
3. Consultant's ability to handle volume and meet time frames
4. Consultant's costs
It is important to the City that you identify the persons you will assign to various functions, at which
office they are assigned and whether they are full-time employees of your firm.
You should also address any conflict of interest that may exist and comment on solutions.
P
0
Request for Proposal Page 3
The City of San Juan Capistrano reserves the right to reject any and all proposals. Nonacceptance
of any proposal will not imply criticism of the proposal or that any proposed service was deficient.
All participating condidates will be notified of the decision reached.
CONSULTANT'S RESPONSIBILITY
The Consultant shall perform the tasks as set forth herein:
A. Building Services
Review construction documents in accordance with the following uniform model codes
as amended by City ordinance:
a. Uniform Building Code - 1994 Edition
b. Uniform Plumbing Code - 1994 Edition
c. Uniform Mechanical Code - 1994 Edition
d. National Electrical Code - 1993 Edition
e. California Code of Regulations - Title 24
2. Provide a comprehensive plan review as directed or provide only specified plan review
elements as follows:
a. Structural review and analysis of design and calculations
b. Inspection services
c. Other building services as may be defined
B. Engineering/Architectural Services
1. Review construction documents and subdivision maps in conformance with the following
standards:
a. City of San Juan Capistrano Municipal Code
b. City of San Juan Capistrano and County of Orange applicable design standards
c. Highway Design Manual standards
2. Provide comprehensive plan review or design services as directed for the following
elements:
a. Geotechnical review/design
b. Street improvements
c. Storm drain/hydrology reports/design
d. Traffic/striping improvements
e. Traffic studies
9 0
Request for Proposal Page 4
f. Sewer improvements
g. Landscaping improvements
h. Subdivision map checking
i. Structures (i.e., bridges)
j. Inspection services
k. Pavement analysis
I. Architectural design
m. Drafting
C. Document Transmittal
Pick up and resubmit plans to the City via the Building & Safety Division or Engineering
counter.
D. Performance Requirements
Plan Check Services
Render and remit a typed plan check correction/clarification list (2 copies) to the
Engineering & Building Department within 10 working days from notification by the City.
2. Engineering/Architectural Services
Complete services in a thorough and efficient manner, on time and within approved fee
schedule.
E. Fee Schedules
1. Engineering_Fees
a. Plan Check
Engineering fees will be determined for plan check services based on the attached fee
schedule. The consultant shall bill on an hourly basis, not to exceed 75% of the total
fee, and fees may be negotiated lower if, in the determination of the City, a lower fee
is warranted.
b. Design/Architectural
Services will be negotiated on a project -by -project basis based on a pre -agreed scope
of work. Payment will be as determined by the City project manager.
0 0
Request for Proposal Page 5
Building Fees
a. Plan Check
Total plan check at 80% of base plan check fee paid by applicant not including any
surcharges (base plan check fee). Base plan check fee will be 65% of building permit
fee, not including surcharges.
Structural plan check is not to exceed 60% of base plan check fee, not including any
surcharges.
b. Other Services
Services will be negotiated on a project -by -project basis based on a pre -agreed scope
of work. Payment will be as determined by the City project manager.
F. Maintenance of Records
Consultant shall maintain all books, documents, papers, employee time sheets, accounting
records/ledgers and other evidence pertaining to costs incurred and shall make such materials
available at their respective offices at all reasonable times during the contract period and for
three years from the date of final payment for inspection by the City. The consultant shall
furnish copies, if requested.
CITY'S RESPONSIBILITY
The City shall perform the tasks as set forth herein:
A. Establishment of Valuation (Plan Check Services Only)
Assign a valuation to the proposed work in accordance with the appropriate Engineering or
Building Division standards. The City shall collect all fees from the applicant in connection with
the services.
B. Project Submittal
City will supply all necessary documentation/specifications, reports, studies, calculations, etc.,
to Consultant as is readily available at the City.
•
for
C. Coordination
City will serve as project coordinator. On plan checking, the City will be responsible for
notifying the applicant when plans with corrections are available to pick up. The City will route
plans (preliminary/revised) to and from the Consultant.
SELECTION PROCESS
The Selection Committee, comprised of the Engineering & Building Director, Building Official and
two Senior Engineers, will review the proposals submitted. Candidates will be selected based on the
proposals submitted, including qualifications of staff, proposed fee schedules and ability to handle
work load in a timely manner.
Very truly yours,
UU (&AIM,
William M. Huber
Engineering and Building Director
WMH:ch
Attachments
TABLE 3 . 0
3. Overhead cm3: shall be clia"Mad ad pWAbbed bila mity (7ansay 1S uW July 15)
by 1139 Ditecsorof Admfo7stmdve Serviats is as nbm widt da Omoa of Management
and Budget C Mdu A•97 (Cost Ptimples for Stats ald Local Covatmeao).
Drainage arms .................................... 75-5-7.2
LAI.............................................
LM.............................................
LA3.............................................
LAS.............................................
M.............................................
L.O1S02............................................
Enip ringfees..................................90.11 2
Devdopumm map dwki
Traamap ......................................
Pat:d map9.....................................
Reeorth of storey ................................ .
Imptavemm 0e4heddeg
Pubic MWM"NIM PIM
Submittal ....................................
CAecldttg....................................
(sm Jr CAF r 6.91) 548.2
1.170.00 per acre
860.00 per mm
320.00 per um
170.00 per um
780.00 per um
1.020.00 per aae
1.000.00. plus 100.00 per
lot or unit up to 25. plus
50.00 per lot or unit over
23
1.000.00. plus 100.00 per
Wit or tmd
500.00. plus 50.00 per lot
F
9 0 rA.BLE ,
Private imptovemem pians
Submitral .................................... 300.00
Checking • • • • • ............................... 3% of construction costs
Development inspections
Improvement costs up to $100.000.00 ................... 35496 of improvement
co= with a tnitumum of
33.00
Improvement costs 5100.000.00 and over ................ 3300.00, plus 3% of
impmvement costs over
loom -00
Administrative Fees. Sureties. aid Deposits
Street cut deposits for las than 500 square feet ............ 300.00 to 1.000.00
Refundable Deposit (upon
completion of the Wort)
Faithful performance surety (released one year after the
notice of completion) ............................. 100% of ootuauaitm costs
Labor and material suriety (released upon the
completion of the project) .......................... 10096 of cDnszntcoon costs
Monumentation suteg (released upon the Fsngwmes
certification of the wont) ........................... 10096 of monumentauon
cots
Water surety .................................... As required by the
Capistrano valley water
Distinct
Administrative permit fee ........................... 3.00 each
Filming air pbotography, commercia4 in public facilities .... 83-11-1.4
Permits
Filming ........................................ 50.00
Still pbotopaphy................................. 23.00
54;-3 (SM Jr CAP v b91)
Consultants are asked to rate their expertise in the various fields listed below. The information will
be used by Staff in selecting consultants on specific types of work. Consultants may rate themselves
high on more than one category but should not rate the same in more than three categories. Building
plan check and Engineering plan check are considered separate services and should be rated
independent of one another.
On a scale of 1-10, rate yourself with "1" being your strongest area of expertise and "10" being a
competent area of expertise. "N' or no rating will indicate no interest or company expertise in that
field.
BUILDING SERVICES
ENGINEERING SERVICES
Structural Review & Analysis of Design
Geotechnical Design, Review & Analysis
Electrical Review & Analysis
Street Improvements
Mechanical Review & Analysis
Storm Drain Improvements & Hydrology
Studies
Plumbing Review & Analysis
Traffic Circulation Studies
Energy Calculations
Traffic/Striping Improvements
Handicapped Provisions
Sewer Facilities Improvements
Inspection Services
Landscaping Improvements
Grading Plans
Subdivision Map Checking
Structures
Inspection Services
Pavement Analysis
Survey
Drafting Services
FIRM NAME:
RATER:
DATE: 1996