HomeMy WebLinkAboutAs-Built Plans_1997 Street Improvement Project_RFP - CM ServicesRobert S. Huff
Mayor
Carol Herrera
Mayor Pro Tem
Eileen R. Ansari
Council Member
Clair W. Harmony
Council Member
Gary H. Werner
Council Member
Rec dedpape,
City of Diamond Bar
21660 E. Copley Drive, Suite 100 • Diamond Bar, CA 91765-4177
909) 860-2489 - Fax: (909) 861-3117 • City Online (BBS): (909) 860-5463
Internet: http://w .ci.diamond-bar.ca.us
CITY OF DIAMOND BAR
DEPARTMENT OF PUBLIC WORKS
REQUEST FOR PROPOSAL
FOR
CONSTRUCTION ADMINISTRATION/INSPECTION SERVICES
January 2, 1997
INTRODUCTION
The City of Diamond Bar is seeking to retain the services of a qualified and
experienced consultant firm to provide construction administration/inspection
services for the street rehabilitation projects along Diamond Bar Boulevard,
Pathfinder Road and Brea Canyon Road.
The locations and limits of the proposed improvements are described as follows:
A. Diamond Bar Boulevard between Grand Avenue and Palomino
Drive (1.56 miles) - This is being utilized as a major north -south
arterial that serves the businesses and residents of Diamond Bar.
The work to be performed includes the overlay and/or
reconstruction of existing pavement of varying ages and conditions
and other incidental/appurtenant work as shown on the plans (on
file in the Public Works Department).
Diamond Bar Boulevard Street Rehabilitation Project will be funded
by ISTEA. The selected Consultant will be responsible for
ensuring compliance with all requirements for ISTEA funded
projects as detailed in Local Programs Manuals (Volumes I, II, and
III) and as modified by Local Program Procedures Memorandum
LPP) LPP95-07 and other applicable LPP's.
B. Brea Canyon Road and Pathfinder Road
1. Brea Canyon Road between Golden Springs Drive
and Northerly City limits (0.5 mile) - This is being
utilized as a secondary north -south arterial that serves
11
the businesses and residents of Diamond Bar. The work to be
performed includes the overlay and/or construction of localized
pavement areas and other incidental/appurtenant work as shown on the
plans (on file in the Public Works Department).
2. Pathfinder Road between Shaded Wood Road and Diamond Bar
Boulevard (1 mile) - This is being utilized as a major east -west
arterial that serves the business and residents of Diamond Bar. The
work to be performed includes the overlay and/or construction of
localized pavement areas and other incidental/appurtenant work as
shown on the plans (on file in the Public Works Department).
Note that Brea Canyon Road and Pathfinder Road will be combined into one CIP
street rehabilitation project and will be funded by Gas Tax.
The construction contract period is 90 calendar days for each of the above-mentioned
projects and the tentative schedules are as follows:
DIAMOND BAR BOULEVARD
Plans and specifications to City Council for approval
and authorize City Clerk to advertise for bids 2/04/97
o Bid Opening 2/27/97
Award of Contract 3/18/97
Notice to Proceed 3/31/97
Completion of Construction 6/30/97
BREA CANYON ROAD AND PATHFINDER ROAD
Plans and specifications to City Council for approval
and authorize City Clerk to advertise for bids 3/04/97
Bid Opening 3/27/97
Award of Contract 4/15/97
Notice to Proceed 4/28/97
Completion of Construction 7/31/97
SCOPE OF WORK
1. Coordinate and attend pre -construction meeting.
2. Coordinate with utility companies and/or Caltrans.
3. Provide construction inspection to ensure that the contractor is in full
compliance with the construction contract.
2
4. Provide plant inspection, if necessary.
5. Prepare daily inspection reports and progress photos with weekly summary
reports. Submit to the City on a weekly basis.
6. Provide videography (visual documentation) of street condition before, during,
and after the construction.
7. Maintain and update 24-hour project informational hotline.
8. Answer contractor's questions regarding design issues and .review/monitor
contractor's progress and schedule.
9. Evaluate progress payments and change order requests.
10. Conduct final job walk(s) and prepare "punch list".
11. Recommend for final acceptance of project.
12. Maintain project construction records and prepare record drawings to be given
to the City at the end of the project.
PROPOSAL CONTENTS
The consultant's proposal must contain the following information and should be organized
as follows:
1. Cover letter summarizing the proposal.
2. Statement of qualifications, including list of construction
administration/inspection projects that have been successfully implemented
within the last three years.
3. Understanding of the City's needs.
4. A detailed work plan which itemizes and describes each task to be completed.
5. Resume of inspector.
6. Project staffing and organization.
7. Not to Exceed (NTE) figure and hourly billing rates for typical staff
classifications and estimated cost for the construction administration/inspection
services of each and/or both of the projects. Please state all assumptions
upon which the estimates are based.
9
8. Other. This may include additional information about the firm, sample
reports, outputs or pertinent insight about the construction
administration/inspection services being offered.
SELECTION OF QUALIFIED CONSULTANT
The City of Diamond Bar shall select the consultant for this project based on a combination
of factors, such as qualifications, past experience with similar projects, approach to this
particular service, and consultant's cost effectiveness. There may be interviews of some
or all consultants who submit proposals. The selected firm will enter into the City of
Diamond Bar Professional Services Agreement, as attached Exhibit "A".
The City has the right to reject all proposals at any point in the selection process with.no
financial obligation to the consultants.
PROPOSAL
A mandatory pre -proposal informational meeting is scheduled for 3:00 p.m. January 17,
1997. If you are interested in responding to this RFP, please submit your proposal based
on the Proposal Contents section by 5:00 p.m. January 24, 1997. The proposal should be
doubled spaced on 8 1/2" X 11" paper and should be organized as described in the
Proposal Contents section of this RFP.
Three (3) sets of proposal shall be presented in a sealed envelope bearing the name,
address, and telephone number of individual or entity submitting the proposal and shall be
addressed to:
David G. Liu, P.E.
Department of Public Works
City of Diamond Bar
21660 E. Copley Drive, Suite 190
Diamond Bar, CA 91765-4177
909) 396-5672
If there are any questions regarding this RFP, please contact me at (909) 396-5672.
Sincerely,
David G. Liu, P.E.
Deputy Director of Public Works
DGL:ls
Attachments
C:\wP60\LINDAKAY\DIAMORFMDIAMRF.IIA.RFP
V
CONSULTING SERVICES AGREEMENT
THIS AGREEMENT is made as of by and between the City of Diamond Bar, a
municipal corporation ("City") and ("Consultant").
RECITALS
A. City desires to utilize the services of Consultant as an independent contractor to provide
consulting services to City as set forth in Exhibit "A", the City's Request for Proposals dated
B. Consultant represents that it is fully qualified to perform such consulting services by virtue of its
experience and the training, education and expertise of its principals and employees.
NOW, THEREFORE, in consideration of performance by the parties of the covenants and conditions herein
contained, the parties hereto agree as follows:
1. Consultant's Services.
A. Scope of Services. The nature and scope of the specific services to be performed by
Consultant are as described in Exhibit "B" the Consultant's Response, dated to the City's
Request for Proposals.
B. Level of Services/Time of Performance. The level of and time of the specific
services to be performed by Consultant are as set forth in Exhibit "B."
2. Term of Agreement. This Contract shall take effect , 1997, and shall continue
until , unless earlier terminated pursuant to the provisions herein.
3. Compensation. City agrees to compensate Consultant for each service which Consultant
performs to the satisfaction of City in compliance with the schedule set forth in Exhibit "B." Payment will be
made only after submission of proper monthly invoices in the form specified by City. Total payment to
Consultant pursuant to this Agreement shall not exceed dollars ($).
4. General Terms and Conditions. In the event of any inconsistency between the provisions
of this Agreement and Consultant's proposal, the provisions of this Agreement shall control.
5. Addresses.
City: City Manager Consultant:
City of Diamond Bar
21660 East Copley Drive
Suite 100
Diamond Bar, California 91765-4177
950525 10572-00001 lajl.dl 1092677 4
6. Status as Independent Consultant.
A. Consultant is, and shall at all times remain as to City, a wholly independent
contractor. Consultant shall have no power to incur any debt, obligation, or liability on behalf of City or
otherwise act on behalf of City as an agent. Neither City nor any of its agents shall have control over the
conduct of Consultant or any of Consultant's employees, except as set forth in this Agreement. Consultant
shall not, at any time, or in any manner, represent that it or any of its agents or employees are in any manner
agents or employees of City.
B. Consultant agrees to pay all required taxes on amounts paid to Consultant under this
Agreement, and to indemnify and hold City harmless from any and all taxes, assessments, penalties, and
interest asserted against City by reason of the independent contractor relationship created by this Agreement.
In the event that City is audited by any Federal or State agency regarding the independent contractor status of
Consultant and the audit in any way fails to sustain the validity of a wholly independent contractor
relationship between City and Consultant, then Consultant agrees to reimburse City for all costs, including
accounting and attorney's fees, arising out of such audit and any appeals relating thereto.
C. Consultant shall fully comply with the workers' compensation law regarding
Consultant and Consultant's employees. Consultant further agrees to indemnify and hold City harmless from
any failure of Consultant to comply with applicable worker's compensation laws. City shall have the right to
offset against the amount of any fees due to Consultant under this Agreement any amount due to City from
Consultant as a result of Consultant's failure to promptly pay to City any reimbursement or indemnification
arising under this Section 6.
7. Standard of Performance. Consultant shall perform all work at the standard of care and
skill ordinarily exercised by members of the profession under similar conditions.
8. Indemnification. Consultant agrees to indemnify the City, its officers, agents, volunteers,
employees, and attorneys against, and will hold and save them and each of them harmless from, and all
actions, claims, damages to persons or property, penalties, obligations, or liabilities that may be asserted or
claimed by any person, firm, entity, corporation, political subdivision or other organization arising out of the
acts, errors or omissions of Consultant, its agents, employees, subcontractors, or invitees, including each
person or entity responsible for the provision of services hereunder.
In the event there is more than one person or entity named in the Agreement as a Consultant, then all
obligations, liabilities, covenants and conditions under this Section 8 shall be joint and several.
9. Insurance. Consultant shall at all times during the term of this Agreement carry, maintain,
and keep in full force and effect, with an insurance company admitted to do business in California and
approved by the City (1) a policy or policies of broad -form comprehensive general liability insurance with
minimum limits of $1,000,000.00 combined single limit coverage against any injury, death, loss or damage as
a result of wrongful or negligent acts by Consultant, its officers, employees, agents, and independent
contractors in performance of services under this Agreement; (2) property damage insurance with a minimum
limit of $500,000.00; (3)automotive liability insurance, with minimum combined single limits coverage of
500,000.00; (4) professional liability insurance (errors and omissions) to cover or partially cover damages
that may be the result of errors, omissions, or negligent acts of Consultant, in an amount of not less than
1,000,000 per occurrence; and (5) worker's compensation insurance with a minimum limit of $500,000.00
or the amount required by law, whichever is greater. City, its officers, employees, attorneys, and volunteers
shall be named as additional insureds on the policy(ies) as to comprehensive general liability, property
95052510572-00001 hj/01092677 4 Page 2
damage, and automotive liability. The policy (ies) as to comprehensive general liability, property damage,
and automobile liability shall provide that they are primary, and that any insurance maintained by the City
shall be excess insurance only.
A. All insurance policies shall provide that the insurance coverage shall not be non -
renewed, canceled, reduced, or otherwise modified (except through the addition of additional insureds to the
policy) by the insurance carrier without the insurance carrier giving City thirty (3 0) day's prior written notice
thereof. Consultant agrees that it will not cancel, reduce or otherwise modify the insurance coverage.
B. All policies of insurance shall cover the obligations of Consultant pursuant to the
terms of this Agreement; shall be issued by an insurance company which is admitted to do business in the
State of California or which is approved in writing by the City.
C. Consultant shall submit to City (1) insurance certificates indicating compliance with
the minimum worker's compensation insurance requirements above, and (2) insurance policy endorsements
indicating compliance with all other minimum insurance requirements above, not less that one (1) day prior to
beginning of performance under this Agreement. Endorsements shall be executed on City's appropriate
standard forms entitled "Additional Insured Endorsement", or a substantially similar form which the City has
agreed in writing to accept.
10. Confidentiality. Consultant in the course of its duties may have access to confidential data
of City, private individuals, or employees of the City. Consultant covenants that all data, documents,
discussion, or other information developed or received by Consultant or provided for performance of this
Agreement are deemed confidential and shall not be disclosed by Consultant without written authorization by
City. City shall grant such authorization if disclosure is required by law. All City data shall be returned to
City upon the termination of this Agreement. Consultant's covenant under this section shall survive the
termination of this Agreement. Notwithstanding the foregoing, to the extent Consultant prepares reports of a
proprietary nature specifically for and in connection with certain projects, the City shall not, except with
Consultant's prior written consent, use the same for other unrelated projects.
11. Ownership of Materials. All materials provided by Consultant in the performance of this
Agreement shall be and remain the property of City without restriction or limitation upon its use or
dissemination by City.
12. Conflict of Interest.
A. Consultant covenants that it presently has no interest and shall not acquire any
interest, director or indirect, which may be affected by the services to be performed by Consultant under this
Agreement, or which would conflict in any manner with the performance of its services hereunder.
Consultant further covenants that, in performance of this Agreement, no person having any such interest shall
be employed by it. Furthermore, Consultant shall avoid the appearance of having any interest which would
conflict in any manner with the performance of its services pursuant to this Agreement.
B. Consultant covenants not to give or receive any compensation, monetary or
otherwise, to or from the ultimate vendor(s) of hardware or software to City as a result of the performance of
this Agreement. Consultant's covenant under this section shall survive the termination of this Agreement.
13. Termination. City may trminate this Agreement with or without cause upon fifteen (15)
days written notice to Consultant. The effective date of termination shall be upon the date specified in the
95052510572-000011sjhd110926774
Page 3
notice of termination, or, in the event no date is specified, upon the fifteenth (15th) day following delivery of
the notice. In the event of such termination, City agrees to pay Consultant for services satisfactorily rendered
prior to the effective date of termination. Immediately upon receiving written notice of termination,
Consultant shall discontinue performing services.
14. Personnel. Consultant represents that it has, or will secure at its own expense, all personnel
required to perform the services under this Agreement. All of the services required under this Agreement will
be performed by Consultant or under it supervision, and all personnel engaged in the work shall be qualified
to perform such services. Consultant reserves the right to determine the assignment of its own employees to
the performance of Consultant's services under this Agreement, but City reserves the right, for good cause, to
require Consultant to exclude any employee from performing services on City's premises.
15. Non -Discrimination and Equal Employment Opportunity.
A. Consultant shall not discriminate as to race, color, creed, religion; sex, marital
status, national origin, ancestry, age, physical or mental handicap, medical condition, or sexual orientation in
the performance of its services and duties pursuant to this Agreement, and will comply with all rules and
regulations of City relating thereto. Such nondiscrimination shall include but not be limited to the following:
employment, upgrading, demotion, transfers, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including apprenticeship.
B. Consultant will, in all solicitations or advertisements for employees placed by or on
behalf of Consultant state either that it is an equal opportunity employer or that all qualified applicants will
receive consideration for employment without regard to race, color, creed, religion, sex, marital status,
national origin, ancestry, age, physical or mental handicap, medical condition, or sexual orientation.
C. Consultant will cause the foregoing provisions to be inserted in all subcontracts for
any work covered by this Agreement except contracts or subcontracts for standard commercial supplies or
raw materials.
16. Assignment. Consultant shall not assign or transfer any interest in this Agreement nor the
performance of any of Consultant's obligations hereunder, without the prior written consent of City, and any
attempt by Consultant to so assign this Agreement or any rights, duties, or obligations arising hereunder shall
be void and of no effect.
17. Performance Evaluation. For any contract in effect for twelve months or longer, a written
annual administrative performance evaluation shall be required within ninety (90) days of the first
anniversary of the effective date of this Agreement, and each year thereafter throughout the term of this
Agreement. The work product required by this Agreement shall be utilized as the basis for review, and any
comments or complaints received by City during the review period, either orally or in writing, shall be
considered. City shall meet with Consultant prior to preparing the written report. If any noncompliance with
the Agreement is found, City may direct Consultant to correct the inadequacies, or, in the alternative, may
terminate this Agreement as provided herein.
18. Compliance with Laws. Consultant shall comply with all applicable laws, ordinances,
codes and regulations of the federal, state, and local governments.
19. Non -Waiver of Terms, Rights and Remedies. Waiver by either party of any one or more
of the conditions of performance under this Agreement shall not be a waiver of any other condition of
95052510572-00001 I.j/.a 1092677 4
Page 4
performance under this Agreement. In no event shall the making by City of any payment to Consultant
constitute or be construed as a waiver by City of any breach of covenant, or any default which may then exist
on the part of Consultant, and the making of any such payment by City shall in no way impair or prejudice
any right or remedy available to City with regard to such breach or default.
20. Attorney's Fees. In the event that either party to this Agreement shall commence any legal
or equitable action or proceeding to enforce or interpret the provisions of this Agreement, the prevailing party
in such action or proceeding shall be entitled to recover its costs of suit, including reasonable attorney's fees
and costs, including costs of expert witnesses and consultants.
21. Notices. Any notices, bills, invoices, or reports required by this Agreement shall be deemed
received on (a) the day of delivery if delivered by hand during regular business hours or by facsimile before or
during regular business hours; or (b) on the third business day following deposit in the United States mail,
postage prepaid, to the addresses heretofore set forth in the Agreement, or to such other addresses as the
parties may, from time to time, designate in writing pursuant to the provisions of this section.
22. Governing Law. This Contract shall be interpreted, construed and enforced in accordance
with the laws of the State of California.
23. Counterparts. This Agreement may be executed in any number of counterparts, each of
which shall be deemed to be the original, and all of which together shall constitute one and the same
instrument.
24. Entire Agreement. This Agreement, and any other documents incorporated herein by
specific reference, represent the entire and integrated agreement between Consultant and City. This
Agreement supersedes all prior oral or written negotiations, representations or agreements. This Agreement
may not be amended, nor any provision or breach hereof waived, except in a writing signed by the parties
which expressly refers to this Agreement. Amendments on behalf of the City will only be valid if signed by
the City Manager or the Mayor and attested by the City Clerk.
25. Exhibits. All exhibits referred to in this Agreement are incorporated herein by this
reference.
950525 10572-00001 ij,m 1092677 4
Page 5
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date fust
written above.
City"
ATTEST: CITY OF DIAMOND BAR
City Clerk Mayor
Approved as to form: "CONSULTANT"
City Attorney
C:\W P60\LINDAKAY\AGREE-97\97PROSER.RE V
950525 10572-00001 1 yadl 1092677 4 Page 6
ADDITIONAL INSURED ENDORSEMENT
COMPREHENSIVE GENERAL LIABMrrY
Name and address of named insured (`Named Insured")'
Name and address oflnsurance Company ("Company'):
description ofagreement(s), permit(s), license(s), and/or activity(ies) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached (the
Policy") or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The ("Public
Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are additional insureds
the above named additional insureds are hereafter referred to as the "Additional Insureds") under the Policy
in relation to those activities described generally above with regard to operations performed by or on behalf
of the Named Insured. The Additional Insureds have no liability for the payment of any premiums or
assessments under the Policy.
2. The insurance coverages afforded the Additional Insureds under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insureds shall be called upon to contribute
with the insurance coverages provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional Insured
against whom claim is made or suit is brought except with respect to the limits of the Company's liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim by
one insured under the policy against another insured under the policy. All such claims shall covered as third -
party claims, i.e., in the same manner as if separate policies had been issued to each insured. Nothing
contained in this provision shall operate to increase or replicate the Company's limits of liability as provided
under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the terms,
conditions and exclusions applicable to such insurance) includes liability assumed by the Named Insured
under the indemnification and/or hold harmless provision(s) contained in or executed in conjunction with the
written agreement(s) or permit(s) designated above, between the Named Insured and the Additional Insureds.
J -t ADDITIONAL INSURED ENDORSEMENT
95052510572-00001 hvsu 1092677 4 COMPREHENSIVE GENERAL LIABILITY
6. The policy to which this endorsement is attached shall not be subject to cancellation, change
in coverage, reduction of limits (except as the result of the payment of claims), or non -renewal except after
written notice to Public Agency, by certified mail, return receipt requested, not less than thirty (30) days prior
to the effective date thereof. In the event of Company's failure to comply with this notice provision, the
policy as initially drafted will continue in full force and effect until compliance with this notice requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insureds, while acting within the scope of their duties, from all claims, losses and liabilities arising out of or
incident to the perils insured against in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or subsequent
active or passive negligence by the Additional Insureds.
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which this
endorsement is attached.
TYPE OF COVERAGES TO WHICH
THIS ENDORSEMENT ATTACHES
POLICY PERIOD
FROWTO
LIMITS OF
LIABILITY
11: Scheduled items or locations are to be identified on an attached sheet. The following
inclusions relate to the above coverages. Includes:
Contractual Liability
Owners/Landlords/Tenants
Manufacturers/Contractors
Explosion Hazard
Collapse Hazard
Underground Property Damage
J-2 ADDITIONAL INSURED ENDORSEMENT
95052510572-00001 hjh& 10926774 COMPREHENSIVE GENERAL LIABILITY
Products/Completed Operations
Broad Form Property Damage
Extended Bodily Injury
Broad Form Comprehensive
General Liability Endorsement
Pollution Liability
Liquor Liability
Fol
12. A deductible or self-insured retention (check one) of $ applies
to all coverage(s) except:
none, so state). The deductible is applicable per claim or per
occurrence (check one).
13. This is an occurrence or claims made policy (check one).
14. This endorsement is effective on
of Policy Number
at 12:01 A.M. and forms a part
1 (print name), hereby
declare under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
Executed 119
Signature of Authorized Representative
Original signature only; no facsimile signature
or initialed signature accepted)
Phone No.: ( 1
J-3 ADDITIONAL INSURED ENDORSEMENT
95052510572-00001 1sy.& 1092677 4
COMPREHENSIVE GENERAL LIABILITY
ADDITIONAL INSURED ENDORSEMENT
AUTOMOBILE LIABILITY
Name and address ofnamed insured (`Named Insured'):
Name and address oflnsurance Company ("Company'):
General description ofagreement(s), permit(s), license(s), and/or activity(Yes) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached (the
Policy') or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The
Public Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are additional
insureds (the above named additional insureds are hereafter referred to as the "Additional Insureds") under
the Policy in relation to those activities described generally above with regard to operations performed by or
on behalf of the Named Insured. The Additional Insureds have no liability for the payment of any premiums
or assessments under the Policy.
1 The insurance coverages afforded the Additional Insureds under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insureds shall be called upon to contribute
with the insurance coverages provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional Insured
against whom claim is made or suit is brought except with respect to the limits of the Company's liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim by
one insured under the policy against another insured under the policy. All such claims shall covered as third -
party claims, i.e., in the same manner as if separate policies had been issued to each insured. Nothing
contained in this provision shall operate to increase or replicate the Company's limits of liability as provided
under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the terms,
conditions and exclusions applicable to such insurance) includes liability assumed by the Named Insured
under the indemnification and/or hold harmless provision(s) contained or executed in conjunction with the
written agreement(s) or permit(s) designated above, between the Named Insured and the Additional Insureds.
6. The policy to which this endorsement is attached shall not be subject to cancellation, change
in coverage, reduction of limits (except as the result of the payment of claims), or non -renewal except after
J-4 ADDITIONAL INSURED ENDORSEMENT
950525 10572-o0DOI 6Y=x11092677 4
AUTOMOBILE LIABILITY
written notice to Public Agency, by certified mail, return receipt requested, not less than thirty (30) days prior
to the effective date thereto. In the event of Company's failure to comply with this notice provision, the
policy as initially drafted will continue in full force and effect until compliance with this notice requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insureds, while acting within the scope of their duties, from all claims, losses and liabilities arising out of or
incident to the perils insured against in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or subsequent
active or passive negligence by the Additional Insureds.
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which this
endorsement is attached.
TYPE OF COVERAGES TO WIRCH POLICY PERIOD
THIS ENDORSEMENT ATTACHES FROMlrO
LIMITS OF
LIABILITY
11. Scheduled items or locations are to be identified on an attached sheet. The following
inclusions relate to the above coverages. Includes:
Any Automobiles
All Owned Automobiles
Non -owned Automobiles
Hired Automobiles
Truckers Coverage
Motor Carrier Act
Bus Regulatory Reform Act
Public Livery Coverage
J-5 ADDITIONAL INSURED ENDORSEMENT
950525 10572-00001 1W.d31092677 4
AUTOMOBILE LIABILITY
Scheduled Automobiles
Garage Coverage C
12. A deductible or self-insured retention (check one) of $
applies to all coverage(s) except:
ifnone, so state). The deductible is applicable per
claim or per occurrence (check one).
13. This is an occurrence or claims made policy (check one).
14. This endorsement is effective on at 12:01 A.M. and forms a part of Policy
Number
I (print name), hereby
declare under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
19
Signature of Authorized Representative
Original signature only; no facsimile signature
or initialed signature accepted)
Phone No.: (_)
J-6 ADDITIONAL INSURED ENDORSEMENT
950525 10572-00001 huh& 1092677 4
AUTOMOBILE LIABILITY
ADDITIONAL INSURED END(
EXCESS LIABILITY ,
Name and address ofnamed insured (`Named Insured'):
Name and address oflnsurance Company ("Company'):
General description of agreement(s), permit(s), license(s), and/or activity(ies) insured:
Notwithstanding any inconsistent statement in the policy to which this endorsement is attached (the
Policy") or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The
Public Agency"), its elected officials, officers, attorneys, agents, employees, and volunteers are additional
insureds (the above named additional insureds are hereafter referred to as the "Additional Insureds") under
the Policy in relation to those activities described generally above with regard to operations performed by or
on behalf of the Named Insured. The Additional Insureds have no liability for the payment of any premiums
or assessments under the Policy..
2. The insurance coverages afforded the Additional Insureds under the Policy shall be primary
insurance, and no other insurance maintained by the Additional Insureds shall be called upon to contribute
with the insurance coverages provided by the Policy.
3. Each insurance coverage under the Policy shall apply separately to each Additional Insured
against whom claim is made or suit is brought except with respect to the limits of the Company's liability.
4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim by
one insured under the policy against another insured under the policy. All such claims shall covered as third -
party claims, i.e., in the same manner as if separate policies had been issued to each insured. Nothing
contained in this provision shall operate to increase or replicate the Company's limits of liability as provided
under the policy.
5. The insurance afforded by the Policy for contractual liability insurance (subject to the terms,
conditions and exclusions applicable to such insurance) includes liability assumed by the Named Insured
under the indemnification and/or hold harmless provision(s) contained in or executed in conjunction with the
written agreement(s) or permit(s) designated above, between the Named Insured and the Additional Insureds.
J-7 ADDITIONAL INSURED ENDORSEMENT
950525105]2-00001 hy,f 1092677 4
EXCESS LIABILITY
6. The policy to which this endorsement is attached shall not be subject to cancellation, change
in coverage, reduction of limits (except as the result of the payment of claims), or non -renewal except after
written notice to Public Agency, by certified mail, return receipt requested, not less than thirty (30) days prior
to the effective date thereto. hi the event of Company's failure to comply with this notice provision, the
policy as initially drafted will continue in full force and effect until compliance with this notice requirement.
7. Company hereby waives all rights of subrogation and contribution against the Additional
Insureds, while acting within the scope of their duties, from all claims, losses and liabilities arising out of or
incident to the perils insured against in relation to those activities described generally above with regard to
operations performed by or on behalf of the Named Insured regardless of any prior, concurrent, or subsequent
active or passive negligence by the Additional Insureds.
8. It is hereby agreed that the laws of the State of California shall apply to and govern the
validity, construction, interpretation, and enforcement of this contract of insurance.
9. This endorsement and all notices given hereunder shall be sent to Public Agency at:
10. Except as stated above and not in conflict with this endorsement, nothing contained herein
shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy to which this
endorsement is attached.
TYPE OF COVERAGES TO WHICH POLICY PERIOD LIMPPS OF
THIS ENDORSEMENT ATTACHES FROWFO LIABILITY
Following Form
Umbrella Liability
11. Applicable underlying coverages:
INSURANCE COMPANY
AMOUNT
POLICY NO.
12. The following inclusions, exclusions, extensions or specific provisions relate to the above
coverages:
J -a ADDITIONAL INSURED ENDORSEMENT
EXCESS LIABILITY
950525 10572-OOW1 1zjhd17092677 4
13. A deductible or self-insured retention (check one) of $ applies
to all coverage(s) except:
ifnone, so state). The deductible is applicable per claim or per occurrence (check one).
13. This is an occurrence or claims made policy (check one).
14. This endorsement is effective on
Number
at 12:01 A.M. and forms a part of Policy
1 (print name), hereby
declare under penalty of perjury under the laws of the State of California, that I have the authority to bind the
Company to this endorsement and that by my execution hereof, I do so bind the Company.
Executed
PhoneNo.:( )
19
Signature of Authorized Representative
Original signature only; no facsimile signature
or initialed signature accepted)
J-9 ADDITIONAL INSURED ENDORSEMENT
95052510572-00001 laj/.0 1092677 4
EXCESS LIA6ILITY