Steve Kooyman, PE
PRINCIPAL -IN -CHARGE
Education
1991, BS Civil Engineering, CSU Chico
License/Certification
California Professional Civil Engineer, #C55757
QSD/QSP Training
Pavement Inspector Certification
Experience
32 years (<1 w/ Dokken)
Mr. Steve Kooyman is a Registered Civil
Engineer with 32 years of experience,
primarily serving jurisdictions in
Northern and Southern California. His
roles have included Project Manager,
Construction Manager, Supervising Civil
Design Engineer, and Quality Control
Engineer. He has helped numerous cities deliver public
works Capital Improvement Program projects across
various phases, including planning, environmental, right of way, design, bid, and construction. His expertise spans water, sewer, storm drain, streets, PCC ADA, sidewalk, facilities, parks, bike trails, erosion control, and stream restoration projects. Steve also has extensive experience in development projects and Caltrans/City Cooperative
Agreement coordination. His deep knowledge of
engineering policies, codes, and standards makes him a
valuable resource for engineers, architects, contractors, and public agencies.
SR 57 & Lambert Road Interchange Improvements, Brea,
CA
Project Manager for this $98 M Interchange Improvement
project in coordination with City of Brea and Caltrans
District 12 via cooperative agreement. He managed the
extensive public and stakeholder outreach, Agency
coordination, right -of-way acquisition, C EQA/NEPA
development and processing, mitigation measures,
schedule, budget with various State/Fed grant and local funding, PAED, PS&E, and Construction. The project took over 10 years to complete from preliminary engineering, right-of-way, environmental/pe rmits, PS&E to final
construction with landscape phase into the two-year plant establishment stage.
Arovista Park Modernization Project, Brea, CA
Project Manager who assisted the City with managing this high priority park project for Brea from preliminary
engineering into bid and award, with assistance into
construction. The project design included new accessible playground equipment and surfacing, mass grading,
retaining and sound walls, PCC walkways and curbs, new
restroom, new drainage treatment facilities, new ball fields and amenities, amphitheater, all new utilities, ADA ramps, new lighting, EV charging stations, and miscellaneous park improvements within the Phase 1, 5-acre area.
Brea Boulevard Street Improvements, Brea, CA
Project Manager for this pavement rehabilitation project which included milling 2” deep 30,000 sf of pavement,
placement of 250,000 SF Type II Slurry, removing and
replacement of 12 ADA ramps, and other AC and PCC street improvements along Brea Blvd from Imperial Highway to
Fir Street in Brea.
Traffic Signal Modification Improvement, Brea, CA
Steve managed this signal modification project which
replaced several signals at three intersections in Brea.
Value: $320 K; Construction Completion Date: July 2024.
South Brea Water, Sewer and Street Improvements, Brea,
CA
Project Manager for this extensive rehabilitation project which replaced 14,850 LF 8” C -900 water mains and
appurtenances, 300 1” -2” copper water services, 32 FH’s, 1,794 LF of 6-8” VCP sewer mains, 28 ADA ramps and misc. curb and gutter work, 2,800 SF of AC R&R, 174,00 SF AC
grinding, 1,850 TN’s ARHM overlay, and 384,000 SF Type II slurry with, traffic control, and erosion control measures within various streets in the South Brea subdivision area.
Bear Street Pavement Rehabilitation, Costa Mesa, CA
Project Manager completed the pavement design and
managed the project in coordination with the City up
through bid & award and pre -construction for this ½ mile AC grind and cap project, inclusive of ADA ramps and misc.
PCC sidewalk and curb and gutter replacement.
Trabuco Road and Lake Forest Blvd. Pavement
Rehabilitation, Lake Forest, CA
Project Manager for the construction management and
inspection team through construction in coordination with the City for this combined three CIP Project contract with All American Asphalt, contractor for the City.
Additional Experience:
• Costa Mesa Storm Water Master Plan, Costa Mesa, CA
– Project Management
• Briarwood Sewer List Station, Brea, CA – Project
Management
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Mike Greer, PE, TE
QA/QC MANAGER
Education
2008, BS Civil Engineering, San Diego State University
License/Certification
California Professional Civil Engineer, #C79080
California Professional Traffic Engineer, #TR2845
Experience
17 years (All w/ Dokken)
Mr. Michael (Mike) Greer manages the
design of roadways, roundabouts,
pedestrian / bicycle facilities, and
complete streets in accordance with
City, County, Caltrans, and AASHTO
standards. He also works on traffic
signals, lighting design, and other electrical
infrastructure giving him the unique ability to foresee various potential issues related to traffic design. He
routinely works in the field as a roadway inspector,
providing him the opportunity to gain valuable knowledge about construction equipment, practices, and techniques.
Mike and his team have designed many road diet and
complete street projects, affording them the expertise on delivering project to construction.
Paseo Santa Fe Streetscape Improvements, Phase II & III | Vista, CA
Project Manager/ Project Engineer for the PS&E of the
South Santa Fe Streetscape Improvements, Phases II and
III. Design improvements include roundabouts, utility
undergrounding, enhanced landscaping and hardscaping,
pedestrian oriented streetscape furnish ings, and water quality design features that qualify this roadway as a
Green Street.
San Pablo Avenue Streetscape Improvements, Phase I &
II | Palm Desert, CA
Project Engineer responsible for the design and
preparation of plans for the roadway (including pedestrian and roundabouts), traffic electrical (including lighting and signal modifications), and traffic control (including signing and striping) improvements portions of this road -diet project. Roundabout Validation Reports, City Council
Study Session on Roundabouts, and Position Paper on the Use of Roundabouts versus Stop Control at Intersections were specifically prepared. He also assisted in stakeholder communication and coordination. Understanding the
needs of the corridor and desired impact of this
transformative project were essential in assisting the
landscape design team with assembly of the Landscape
Features Manual, which will continue to be used as a
guide for newly added amenities to this corridor.
Bobier Drive at Calle Jules and Foothill at Oak Drive | Vista, CA
Project Manager for the PS&E of this project which is
converting two existing intersections in the City of Vista to roundabouts. Each intersection required a different
roundabout design approach due to the existing lane
configurations and the presence of bike lanes at the
Bobier Drive at Calle Jules location. The Bobier Drive and Calle Jules intersection will be reduced from a 4 -lane roadway to 2-lanes at the roundabout and will realign the Class 2 bike lanes. Access to the multi -use path/sidewalk around the roundabout perimeter will be provided for less experienced cyclists. The Foothill Drive and Oak Drive
intersection will include two mini -roundabouts with the smaller one having a fully traversable center island to allow all movements for emergency vehicles. The larger of the two was developed into somewhat of an egg shape
due to the skew of the third leg and desire to limit the circulating lane width of the through movement.
McFadden Avenue Protected Bike Lane & Bicycle
Boulevard | Santa Ana, CA
Project Manager for the PS&E of this project which
reconfigures the existing four and five lane roadway
segments to a three- lane configuration with protected
bike lanes in each direction. Improvements include
upgraded signalized intersections with separated bicycle lane detection and leading pedestrian intervals, high
visibility crosswalks, and bulb-outs. Coordination with the railroad for improved signalization of train arrivals was necessary because of the high volume of pedestrians and cyclists.
4th Street Safety Improvements │ Eureka, CA
Responsible for the PS&E preparation and successful
delivery of this downtown mobility project to enhance
pedestrian, bicycle, and driver safety. Nearly 100 curb ramp and 100 driveway upgrades were provided to ensure
ADA compliance along with 20 new bulb -outs to reduce
pedestrian exposure within crosswalks. Modifications to six traffic signals were provided as well as one new traffic signal and improvements to storm drain inlets as needed.
Designs and quantities for pavement rehabilitation in the form of gr ind/overlay with intermittent digouts or
roadway patching were also included in this project.
ADDITIONAL EXPERIENCE
• Prospect Avenue Corridor Enhancement, Santee, CA
• Traffic Striping and Signing Plans Associates with
County of San Diego Road Maintenance Projects,
San Diego County, CA
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Gabrielle Hadzicki, PE
PROJECT ENGINEER
Education
2019, BS Civil Engineering, San Diego State University
License/Certification
California Professional Civil Engineer, #C94873
Experience
6 years (All w/ Dokken)
Ms. Gabrielle Hadzicki assists in various
aspects of roadway and highway
design in accordance with City,
County, Caltrans, and American
Association of State Highway
Transportation Officials (AASHTO)
standards. Ms. Hadzicki is proficient in both
AutoCAD Civil 3D and MicroStation V8i design software.
Carroll Canyon Road Feasibility Study │ San Diego, CA
Project Engineer for the feasibility Study for segment T-5A of the Carroll Canyon Road Extension project. Segment T - 5A extends from Carroll Road to approximately 0.3 miles west of Camino Santa Fe. This segment of Carroll Canyon Road is currently a two -lane roadway and will be
expanded to a 4 -Lane Major Road, per the community
plan and to meet the needs of the on- going and future
developments planned within the area. The feasibility
study includes multiple storm drain culvert crossings as well as water quali ty improvements that Dokken has had extensive coordination with the Storm Water Department
to determine what is best suited for the City.
Site Improvements Design of Carmel Mission/Solana
Highlands | San Diego, CA
Ms. Hadzicki was the Project Engineer responsible for the preparation of the PS&E package for park improvements
to Carmel Mission and Solana Highlands parks, including comfort station installation and ADA facility upgrades.
This project provides for design and construction of a new comfort station to serve th e public and accessibility
improvements at Solana Highlands and Carmel Mission
Neighborhood Parks to meet Federal, State, and local
standards. Dokken is providing PS&E for the comfort
station site gradi ng, ADA accessible site improvements, and utility connections to the proposed comfort stations.
Palm Avenue/I-805 Interchange | San Diego, CA
Assisted with preparing roadway Plans, Specifications, and Estimate (PS&E) for Palm Avenue Interchange. Dokken
Engineering is providing PS&E design for the modifications to improve traffic operations and alleviate future traffic congestion at the I -805/Palm Avenue interchange. The
project includes widening the Palm Avenue overcrossing
to provide additional storage capacity for dual- left turn lanes at the ramp intersections, widened sidewalks and
new Class IV bikeways in both directions along Palm Ave, as well as modifications to the interchange ramps. Dokken Engineering also served as Lead Author and Design
Engineer for the Bipartisan Infrastructure Law's Fiscal Year 2022 Bridge Investment Program (BIP) Grant. Dokken, the City of San Diego, and Caltrans District 11 worked together and was 1 of only 9 pr ojects to receive this grant funding as well as the only project in the state of California! As a result, the City of San Diego received $24 million from the FHWA.
East Campus Loop Road | San Diego, CA
The ECLR Project consists of widening and realigning
Health Sciences Drive, extending Medical Center Drive
South, and constructing new roadway intersections along these realigned roadways to improve access, provide an
intuitive route into the medical center facilities, and create boundaries for future building parcels. This
improvement project is intended to establish a framework for development and growth that creates a pedestrian -
focused health sciences community, with strong links to the West Campus, and is consistent with the East Campus Planning Study. Significant utility infrastructure including potable and recycled water, sewer, electrical, and telecom will be constructed to better serve the new developments in the East Campus. Gabrielle assisted with the PS&E.
El Camino Real Widening Poinsettia Lane to Camino Vida
Roble | Carlsbad, CA
Responsible for utility mapping and field verification, preparing utility plans, and utility coordination for this complete street improvements project that covers
approximately 1,560 feet of roadway widening along El
Camino Real in Carlsbad, CA. The improv ements include
providing a 6-lane arterial roadway facility consistent with the Mobility Element of the City’s General Plan. Dokken is preparing the environmental technical studies,
environmental document, and PS&E for the project.
Crescent City ADA Phase 1 | Crescent City, CA
Gabrielle w as responsible for utility mapping and
verification, preparing utility plans, and assisting with curb ramp design. Project improvements included sidewalk,
curb ramp, and driveway upgrades for ADA compliance;
pedestrian crossing structure over an environm entally
sensitive channel; one traffic signal modification; storm drain system modifications as needed for curb ramp
improvements; utility coordination resulting in minimal relocations; and modifications to signing/striping using continental crosswalks. Final PS&E included 84 modified curb ramps and 10 new ones along with nearly 100 ADA
compliant driveway designs. Construction for this project was completed September 2021.
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Charles Tornaci, PE
STRUCTURE DESIGN
Education
1999, BS Mechanical Engineering, Cal Poly San Luis Obispo License/Certification
California Professional Civil Engineer, #C66058
Experience
25 years (All w/ Dokken)
Mr. Charles Tornaci is Dokken’s San
Diego structures team leader, both
overseeing and performing the
structural analysis and design efforts
for bridge projects in Southern
California. With over 25 years of
experience on structural transportation
projects, he is very familiar with Caltrans Local Assistance and Division of Structures standards and practices,
specializing in innovative and cost -effective design
solutions. He has been involved in a wide range of projects involving planning, design, construction, and seismic
retrofits of vehicular and pedestrian bridges, retaining walls, and bike trails.
Palm Avenue/I-805 Interchange | San Diego, CA
Structures Project Engineer providing PS&E design for the modifications to improve traffic operations and alleviate future traffic congestion at the I -805/Palm Avenue
interchange. The project includes widening of the local roadway and Palm Avenue overcrossing to provide
additional storage capacity for dual -left turn lanes at the ramp intersections, widened sidewalks and new Class IV
bikeways in both directions along Palm Ave, as well as
modifications to the interchange ramps, including a new HOV lane, ramp metering and intersection tr affic
signaling. Bicycle and pedestrian circulation along Palm Avenue will also be improved within the project limits.
Sierra Highway Improvements | Santa Clarita, CA
Project Manager and Structures Project Engineer
responsible for the design of a pedestrian bridge crossing over the Sierra Highway (SR -14U). The project consists of precast concrete slab approach ramps founded on single
column bents with platform tops outside of Caltrans right- of-way, leading to the main 150- foot-long span crossing over SR-14U. The main span is a custom fabricated steel box truss designed with redundant (non- fracture critical) tension members to ease costly Caltrans fabrication and inspection requirements. Close coordination and iteration with project Geotechnical engineers allowed for the
utilization of cost -saving shallow foundations to support this bridge founded on a mitigated landslide complex in a high seismic region. Field inspections were performed
during construction to evaluate deep cracks in the newly placed footings, where Charles directed core sampling and strength testing to determine the extent of repairs
necessary. Repair and mitigation recommendations were
provided.
Friars Road/SR-163 Interchange | San Diego, CA
Structures Project Engineer responsible for the design and oversight of 3 overhead bridge mounted signs on Friars
Road OC, 9 retaining walls along Friars Road, and a culvert extension within Caltrans right -of-way below Friars Road.
Culvert extension required a realignment of the existing maintenance path, necessitating a soldier pile retaining wall to support the existing parking lot. Culvert extension and retaining walls also required special design to clear existing utilities (including numerous VCP sewer lines) and stay within existing right-of-way limits.
East Palomar Street Transit Station, Park & Ride and DAR at I-805 | Chula Vista, CA
Structures Project Engineer responsible for the Type
Selection submittal and approval, as well as the
Independent Design Check of the overcrossing and DAR
structures at East Palomar Street along I -805, in addition to overseeing the design of 7 special design retaining walls incorporating architectural features developed by
Caltrans. The project was delivered on schedule. The
improvements include the addition of a new freeway
access point via a direct access ramp (DAR) and
replacement of the existing overcrossing structure at East Palomar Street.
SR-78 Eastbound Auxiliary Lanes | San Marcos, CA
Structures Project Engineer and Bridge Designer
responsible for the PS&E to widen the existing 4-span 360- foot-long reinforced concrete box girder bridge carrying SR-78 over Mission Road, North Coast Transit District
(NCTD) railway tracks, and the Inland Rail Trail. Design consisted of widening the existing structure by 30 feet using a thinner cast -in-place prestressed concrete box girder structure to accommodate the temporary vertical
clearance requirements over the NCTD railway tracks,
seismic retrofit of the existing rocker bearings, and the repair of spalled abutment concrete. Design challenges
included an accelerated schedule (start of project to full Caltrans approved PS&E in 5 months), coordination for
work within NCTD railway right-of-way, as well as keeping the Inland Rail Trail open during all hours for pedestrian traffic.
ADDITIONAL EXPERIENCE
• Vista Canyon Bridge and Road Improvements
Project, Santa Clarita, CA
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Ashley Orsaba-Finders, PE, QSD/P
WATER RESOURCES | EROSION CONTROL
Education
2012, MBA, Drexel University
2007, BS Civil Engineering, CSU Sacramento
License/Certification
California Professional Civil Engineer, #C77894
California QSD/P, #21380
LEED AP
Envision SP
Experience
18 years (8 w/ Dokken)
Ms. Ashley Orsaba- Finders is a Senior
Engineer with 18 years of experience
in project management, civil
engineering, site development,
environmental engineering, municipal
engineering, planning, GIS analysis, and
construction administration. She is
experienced in civil design, hydraulic modeling, project management, construction administration, GIS mapping,
financial tracking and analysis, project scheduling,
planning, drafting and design of civil engineering projects including drainage, utility design, water t anks, roadways, site design, and pump stations.
Nardo and Santa Fe Drainage | Encinitas, CA
Project Engineer responsible for the review of existing drainage patterns along Nardo Road and Arcadia Road,
specifically focusing on the stretch between Santa Fe
Drive and Melba Road. The investigation encompasses
several key components: an assessment of the current
storm drainage infrastructure, a hydrological analysis, and a detailed examination of watersheds within the vicinity.
The study also evaluates how the elevation and grading of residential properties below road grade influence
stormwater flow and accumulation.
Felicita Electrical & Sewer Improvements | San Diego, CA Task Order Manager providing design services for sewer
and electrical improvements at Felicita Park in, to replace the park’s aging septic systems. The project includes
installing two lift stations to manage sewage flow, a force main for sewage conveyance, and an 8-inch sewer lateral to connect to the City of Escondido’s gravity sewer main.
Approximately 3,300 linear feet of existing gravity sewer will be rehabilitated or replaced.
Avenue 66 Water Transmission Main, Phase 1A and 1B |
Riverside County, CA
During the Avenue 66 Grade Separation project, IID utility relocations affected an existing 12” waterline along
Hammond Road. Ashley led the design for relocating and
upsizing approximately 825 feet of the line from 12” to 18”. The project includes a new 30” transmission pipeline to provide Mecca and the Eastern Coachella Valley with a secondary water source. The pipeline runs along the north shoulder of Avenue 66 (SR-111), from west of SR-86 to just west of Lincoln Street, and detours around the Mecca
Travel Center to avoid boring beneath the Arco Gas
Station.
Bear Valley Bridge over the Mojave River | Riverside
County, CA
Dokken provided alternatives analysis, PA&ED, final
design, right of way, and funding support services for this HBP project to improve safety and widen the bridge to
meet current design standards. Ashley was responsible for preparation of the roadway drain age report and the
road/bridge drainage PS&E.
Avenue 66 Grade Separation over SR -111/UPRR |
Riverside County, CA
Ashley was a drainage engineer for two separate Drainage Reports, one County and one Caltrans, and the design and analysis of retention basins, detention basins, ditches, pipelines, inlets, and culverts.
Monument Springs Improvements | Rocklin, CA
Ashley is currently serving as the Project Manager for the Monument Springs project for the City of Rocklin. This
project will extend a roadway, construct a new bridge,
reconstruct several thousand feet of sewer pipeline,
modify an existing sewer pump stat ion, install water
pipeline, and new sewer force main on the proposed
bridge. This project is currently in final design and being designed in coordination with South Placer Municipal
Utility District, Placer County Water Agency, and the City of Rocklin.
McHenry Avenue Widening | Stanislaus County, CA
This project widened McHenry Avenue from two to five
lanes, spanning from Ladd/Patterson Road to 0.25 miles
south of East River Road. Ashley served as Project
Manager and design- phase Project Engineer, overseeing
roadway design, drainage, temporary water p ollution
control, and erosion control. The project, which includes pavement rehabilitation and large culvert installation over the Stanislaus River, was completed and opened to the
public in 2022.
ADDITIONAL EXPERIENCE
• Capital SouthEast Connector: White Rock Road, El
Dorado County, Sacramento County, Folsom, CA
• Aguilar Road Widening, Rocklin, CA
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Jeffery Little
ENVIRONMENTAL
Education
1990, AA Business, Sacramento City College
Experience
30 years (<1 w/ Dokken)
Mr. Jeffery Little (Jeff) is a Senior
Environmental Planner with 30 years
of experience on transportation
projects, Caltrans Local Assistance
oversight and Capital projects. He
manages multi -disciplinary teams to
satisfy complex regulatory requirements
and complete CEQA/NEPA processes. He prepares
preliminary environmental studies, oversees technical
documents, conducts endangered species consultations,
writes environmental documents, and prepares permit
applications. Jeff works with public agency staff to identify design and constr uction solutions that minimize or avoid impacts whenever possible.
Coastal Rail Trail over Loma Alta Creek | Oceanside, CA The City of Oceanside intends to close a gap in the Coastal Rail Trail by constructing a bridge over Loma Alta Creek adjacent to Buccaneer Park. Funding for a new multi-use trail bridge was secured and the environmental process
commenced. Jeff is preparing regulatory permits including a CCC CDP for the new multi-use trail bridge.
Baker Boulevard Bridge over Mojave River Channel
Replacement | San Bernardino, CA, CA
San Bernardino intends to replace the wood trestle bridge in the community of Baker. Funding for a new bridge was secured and the environmental process commenced. Jeff
prepared the Visual Impact Assessment and Water Quality Assessment Report for the project.
Stevenson Road Bridge Rehabilitation | Solano County,
CA
Solano County selected Dokken Engineering to assist with permitting and construction monitoring for the
rehabilitation of the historic bridge over Putah Creek on Stevenson Bridge Road. The bridge is locally known as
“Graffiti Bridge.” Jeff is supporting th e County with
obtaining a Central Valley Flood Protection Board
Encroachment Permit with a Corps’ Section 408 approval.
Other resource agency permits include a Corps’
Nationwide Permit, Regional Board Water Quality
Certification, and a CDFW Streambed Alter ation
Agreement. He managed the preparation of a
Supplemental Biological Assessment for NEPA
revalidation. Construction support services include the transplantation of elderberry shrubs, preconstruction
surveys, and implementation of permit requirements.
Construction is scheduled for 2026.
Houston Road Bridge over Cross Creek Replacement |
Kings County, CA
Jeff is the environmental project manager for the Houston Road Bridge project. The bridge was closed in 2023 after winter storms caused the center piers to settle after high flows caused scouring. The scope of services for this FHWA Emergency Repair funded project include biological and cultural technical studies, environmental document, and permitting. Cross Creek is a CVFPB regulated stream and the road approaches are within a designated floodway. A Central Valley Flood Protection Board Encroachment
Permit with a Corps’ Section 408 approval is needed.
Other resource agency permits include a Corps’
Nationwide Permit, Regional Board Water Quality
Certification, and a CDFW Streambed Alteration
Agreement. Construction is scheduled for 2026.
Kings County 15 Bridges BPMP 2024 | Kings County, CA
Kings County intends repair 15 bridges in their Project List No.2 group. The project entails environmental
compliance, PS&E, and ROW. Jeff is managing the
environmental process for the 15 bridges.
Big Chico Creek Storm Damage Repair – Two Sites │
Chico, CA
The City of Chico intends to repair two storm damaged
bridges on Big Chico Creek. The work is partially funded through FEMA. Formal Section 7 consultations are needed with USFWS and NOAA Fisheries. Jeff is preparing
regulatory permits for the repair work.
Laguna Creek Trail Overcrossing New Bridge │ Elk Grove, CA
The City of Elk Grove intends to close a gap in the Laguna Creek Trail system by constructing a new bridge over
Highway 99 and a trail extension. Funding for a new bridge was secured and the environmental process commenced.
Jeff prepared the Community Impact Assessment for the
project.
ADDITIONAL EXPERIENCE
• City of Roseville 16 Bridge BPMP, Placer County, CA
• Trinity County HSIP Cycle 8 Guardrails , Trinity
County, CA
• Mariposa County 25 Bridge BPMP, Mariposa County,
CA
• Placer County HSIP Cycle 7 19 Intersections , Placer
County, CA
• City of Stockton 6 Bridge BPMP, San Joaquin County,
CA
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Joe Ostdiek, PE, TE
SIGNING & STRIPING | TRAFFIC C ONTROL |
ELECTRICAL DESIGN
Education
1999, BS Civil Engineering, San Jose State University
License/Certification
California Professional Civil Engineer, #C65334
California Professional Traffic Engineer, #TR2508
Experience
25 years (22 w/ Dokken)
Mr. Joe Ostdiek is a Senior Signal and
Lighting Design Engineer with 24
years of experience in the layout,
design, and estimating of
modifications to existing and new
signals, street lighting plans, striping
plans, and signing plans. Joe also has
extensive knowledge and experience with ADA and
California Accessibility Standards. Joe leads the traffic signal and lighting design for all of Dokken’s roadway, interchange, bridge, and trail projects.
San Pablo Avenue Corridor Improvements Phases 1 & 2 |
Palm Desert, CA
Signal and Lighting Design Engineer | Joe made
recommendations for traffic signal modifications and
lighting improvements including intersection,
roundabout, decorative, and in- pavement roadway
lighting. Joe was responsible for oversight of the PS&E development, as well as the selection of fi xtures and
writing of electrical specifications for this project. This “road diet” project reduced the existing travel lanes of San Pablo Avenue from four to two between Highway 111 to
Fred Waring Drive. The project included components such as roadway improvements, bike lanes, ADA curb ramps,
bulbouts, planter islands, drainage facilities, traffic signal improvements, expansion of street parking, landscaping, and artistic features.
SR-28/Kings Beach Improvements | Placer County, CA
Signal and Lighting Design Engineer | This project
improved pedestrian and bicycle circulation and safety on SR-28, improved water quality, created two roundabouts, on-street parking, and two parking lots, and improved the aesthetics of the commercial core. The project, along the north shore of Lake Tahoe, created a Mainstreet -feeling throughout the corridor with two gateway monuments on
either end of the project. Joe was responsible for signal and lighting plans. Dark -sky pedestrian lighting was
utilized at the behest of residents.
Yucca Loma Boulevard/Yates Road/Green Tree
Boulevard Extension | Apple Valley, Victorville, and San Bernardino County, CA
Signal and Lighting Design Engineer | This project consists of a three-mile-long roadway extension and widening. The project involves construction of a four -lane connection between Yucca Loma Road in the Town of Apple Valley
and Green Tree Boulevard in the City of Victorville, via Yates Road in San Bernardino County. Joe was responsible for the design of signals at two intersections,
modifications at two existing signalized intersections, and roadway and bridge lighting.
SR-18/Apple Valley Road | Apple Valley, CA
Assistant Project Manager | This project widened the four legs of the SR -18 and Apple Valley Road intersection to allow additional approach and turn lanes and smooth road profiles to provide better rideability and sight distance for motorists, increase traffic circulation and reduce
congestion. Joe provided lighting design, traffic signal design, and ADA and curb ramp design.
West Capitol Avenue Streetscape Improvements │ West
Sacramento, CA
Signal and Lighting Design Engineer │ This project
reduced West Capitol Avenue from six lanes to four,
including wider sidewalks, bicycle lanes, reconfigured
traffic lanes, utility upgrades and relocations, new lighting, and substantial planting and hardscape treatments. The
street was beautified with landscaping, public seating, and streetlights for both vehicles and pedestrian traffic.
The project renovated approximately 1.7 miles of West
Capitol Avenue between Harbor Boulevard and Garden
Street. Improvements include street and pedestrian area lighting added to the corridor for the safety of the public and roadway users, encouraging pedestrian access by
adding more frequent crosswalks and 10’ to 20’ wide
sidewalks, and adding bicycle lanes along the entire length of the project. Existing traffic signals were redesigned, and a new traffic signal was installed.
Mr. Ostdiek was responsible for preparing all traffic signals improvements, streetlighting improvements including
temporary lighting. Mr. Ostdiek also prepared a lighting analysis for the entire corridor to ensure adequate and uniform lighting for the roadway and pedestrian areas.
ADDITIONAL EXPERIENCE
• Prospect Avenue Corridor Enhancement, Santee, CA
• Plaza Boulevard Widening, National City, CA
• Latrobe Road Improvements, El Dorado County, CA
• Road 80 Widening, Tulare County, CA
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
John A. Klemunes, Jr., PE
FEDERAL FUNDING SPECIALIST
Education
1995, MS Civil Engineering, University of Maryland
1990, BS Civil Engineering, Pennsylvania State University License/Certification
California Professional Civil Engineer, #C60728
Experience
35 years (15 w/ Dokken)
Mr. John Klemunes is the President of
Dokken and brings over 3 5 years of
experience on transportation projects
serving as a Project Manager,
Principal-in-Charge, or QA/QC
Engineer. His work experience includes a
wide variety of bridge, highway and
roadway projects in all project development phases, from planning to final design.
John is a skilled leader of multidisciplinary teams. He also has extensive Caltrans project experience and a proven
track record in delivering projects for local agencies that involve Caltrans oversight. He fully understands the
Caltrans process and coordi nates with each Functional
Unit to receive timely buy-in to ensure the project remains on schedule.
John’s past experience includes working for FHWA for
more than ten years, where he was responsible for the
review and approval of modified access reports,
environmental documents and project approvals. This
tenure has given him a big picture understanding of the FHWA processes and procedures the local agency projects must adhere to. He has continued his relationships with California Division Office staff of FHWA and understands the restructuring and organizational enhancements
within that office.
Paseo Santa Fe Streetscape Improvements, Phase II & III | Vista, CA
Project Manager responsible for the PS&E project design improvements including roundabouts, utility
undergrounding, enhanced landscaping and hardscaping,
pedestrian oriented streetscape furnishings, and water
quality design features that qualify this roadway as a
Green Street.
Superior Avenue Bridge and Parking Lot | Newport
Beach, CA
Project Manager responsible for the PS&E for a new
pedestrian and bicycle bridge and a parking lot. The
parking lot improvements added parking capacity for the adjacent Sunset Ridge Park and beachgoers. The
pedestrian bridge crosses Superior Avenue providing safe, direct access to the park. In addition, the project included retaining walls, landscaping, and drainage improvements for stormwater collection and water quality treatment.
Prospect Avenue Corridor Enhancement | Santee, CA
Dokken provided preliminary engineering and completed
the PS&E package for this $23 million corridor
enhancement road widening. The project relied heavily on right-of-way coordination with property owners, utility companies and the County of San Diego to meet deadlines and secure project funding. A significant component of
the project was the Rule 20B undergrounding of overhead utilities throughout the corridor. Dokken also provided construction support for this project which was opened to traffic in 2016. As Principal-in-Charge, John provided high- level project oversight and ensured resources were made available to the project manager to deliver the project on time..
San Pablo Avenue Streetscape Improvements, Phase I &
II | Palm Desert, CA
John was responsible for the PS&E of this “road diet”
project which reduced the existing travel lanes of San
Pablo Avenue from four to two. The project included
roadway improvements, bike lanes, ADA curb ramps,
bulbouts, planter islands, drainage facilitie s, traffic signal improvements, expansion of street parking, landscaping, and artistic features. As Project Manager, John provided complete project oversight, coordinated with internal
disciplines and project stakeholders, and managed the
project’s scope, schedule, and budget.
Miramar Street & Athena Circle Improvements │ San
Diego, CA
Dokken provided design services for a new roadway
connection linking Mesa Housing and Science Research
Park, including necessary upgrades to immediate
surrounding streets. The project also includes
improvements to existing Miramar Street, Athena Circle, and the Regents Road/Miramar Street connection in the
City of San Diego Right of Way. Utility infrastructure
upgrades were also included in Dokken’s scope of work.
As Principal -in-Charge, John provided high- level project oversight and ensured resources were made available to
the project manager to deliver the project on time.
Plaza Boulevard Widening │ National City, CA
John provided oversight for the $8M widening of 1.1 miles of
Plaza Boulevard from a 4 Lane to a 6 Lane roadway.
Dokken provided right of way acquisition, Caltrans
coordination, tieback retaining walls, improved drainage facilities, utility coordination an d undergrounding, ADA compliance, and matching existing improvements.
R EQUEST FOR Q UALIFICATIONS
Harbor Boulevard Complete Streets Improvement Project
RFQ #2425 -07
Oscar Johnson, PLA, ASLS
MIG, Inc.
LANDSCAPE|HARDSCAPE|IRRIGATION DESIGN
Education
1996, BS Landscape Architecture, Cal Poly Pomona
License/Certification
California Professional Landscape Architect, #6481
Experience
28 years (All w/ Dokken)
Mr. Oscar Johnson always had a passion
for drawing and creating, and he’s
been fulfilling it as a landscape
architect and project manager for
almost three decades. Oscar started
as a landscape designer at MIG. His
steady rise to firm principal is the result of
his meticulous attention to detail and dedication to
unwavering quality and customer service. From
multimillion dollar sports facilities to intimate
neighborhood parks, Oscar has designed and managed
construction for various public and private projects
throughout Calif ornia. He develops cost -effective
construction details and design specifications that can be built to last. He is adept in establishing a camaraderie with clients, colleagues, and contractors to shepherd projects from design to ribbon- cutting. Oscar is proactive in
reducing risks and applying new technologies and
materials to his designs. He describes himself as “a build - a-better-mousetrap type of person,” who takes the Big
Picture and fills in the fine lines. While his work has benefited people in many communities, Oscar particularly appreciates providing physical, mental, and emotional
stimulation to children with disabilities through his
work—facilitating their interaction with nature and with others.
Anaheim Coves | Anaheim, CA
Acted as l andscape architect who developed plans from
concept to construction for recreational trail along the Santa Ana River, including bike rated porous asphalt trail, outlook rest stops, and neighborhood play area.
Mesa Marin Sports Park Phase 1, 2, 3 | Bakersfield, CA
Acted as landscape architect to develop plans from
concept to construction for multi- phased sports park
including 8 ballfields, two restroom concession buildings, play area and parking lots.
Arnold Cypress Park | Cypress, CA
Acted as project manager to developed plans from
concept to construction for community park including 4
ballfields, restroom concession building, play areas, sport courts, plaza areas and parking lots.
Tustin Veterans Sports Park | Tustin, CA
Insert as project manager. MIG prepared the Master Plan and construction documents for the 31.5 -acre Tustin
Legacy Park, which is the City of Tustin’s “flagship”
community sports park with four soccer fields, three
ballfields, four tennis courts, two baske tball courts, and eight pickleball courts —all lighted for nighttime use. The park site, which is located on the former Tustin Marine Corps Air Station, required a significant amount of
environmental study and remediation for its re -purposed community park use. It also involved a strategic property swap with the adjacent community college district to
increase the acreage and provide convenient parking.
REQUIRED FORMS
SECTION VII
STATUS OF PAST AND PRESENT CONTRACT FORM
Firm is re
quired to complete and sign the form entitled “Status of Past and Present Contracts” provided in this RFQ and submit as part of the proposal. Firm shall list the status of past and present contracts where either the firm has provided services as a prime contractor or a sub - consultant during the past five (5) years and the contract has ended or will end in termination, settlement or litigation. A separate form shall be completed for each contract. If the contract was terminated, list the reason for termination. Firm must also identify and state the status of any litigation, claims or settlement agreements related to any of the identified contracts. If no contract ended in termination, settlement or litigation, a statement to that effect shall be made on this form. Each form must be signed by the firm’s confirming that the information provided is true and accurate. Firm is required to submit a copy of the completed form(s) as part of the electronic proposal in Public Purchase.
Public Agency city/county/other: City of San Diego
Contact Name: Camran Sadeghi, Finance Manager Phone: 916-858-0642 Project Award Date: February 2003 Original Contract Value: $7,840,294.00 Term of Contract: February 2003 to June 2023
1) Status of Contract: Closed
2) Identify claims/litigation or settlements associated with the contract:
San Diego Gas & Electric Company (SDG&E) v. Avar Construction, Inc., et al Project: SR-163/Friars Road Interchange. Dokken Engineering provided engineering design and environmental services for traffic and safety improvements in the area surrounding SR-163 and Friars Road in San Diego, CA. During construction in 2018, Avar Construction, a drilling sub - contractor, struck a 20 -inch high-pressure gas line owned by SDG&E. In 2021 SDG&E filed a claim against Avar and others alleging damages of approximately $1.1m. Avar subsequently filed a cross-complaint against all the parties involved, including Dokken Engineering. The claim settled in mediation in 2022 and Dokken Engineering contributed 5% of the settlement amount. 85% of the settlement was paid jointly by the general contractor and drilling sub - contractor, as it was their responsibility to positively locate the gas line during construction.
By
signing this Form entitled “Status of Past and Present Contracts,” I am affirming that all of the information provided is true and accurate.
Signature_________________________ Date___________________________ Name: _John A. Klemunes, Jr. ________
Title:_President __________________
05/08/2025
SECTION VII
STATUS OF PAST AND PRESENT CONTRACT FORM (CONT.)
Firm is re
quired to complete and sign the form entitled “Status of Past and Present Contracts” provided in this RFQ and submit as part of the proposal. Firm shall list the status of past and present contracts where either the firm has provided services as a prime contractor or a sub - consultant during the past five (5) years and the contract has ended or will end in termination, settlement or litigation. A separate form shall be completed for each contract. If the contract was terminated, list the reason for termination. Firm must also identify and state the status of any litigation, claims or settlement agreements related to any of the identified contracts. If no contract ended in termination, settlement or litigation, a statement to that effect shall be made on this form. Each form must be signed by the firm’s confirming that the information provided is true and accurate. Firm is required to submit a copy of the completed form(s) as part of the electronic proposal in Public Purchase.
Public Agency city/county/other: RNR Construction, Inc.
Contact Name: Camran Sadeghi, Finance Manager Phone: 916-858-0642 Project Award Date: April 2020 Original Contract Value: $570,225.45 Term of Contract: April 2020 to December 2021
3) Status of Contract: Closed
4) Identify claims/litigation or settlements associated with the contract:
RNR Construction v. Dokken Engineering
Project: NVIDIA Phase 2 – STE Bridge. Dokken Engineering provided engineering design services as a sub-contractor to RNR Construction for a pedestrian bridge in Santa Clara County. In 2022, RNR Construction made numerous allegations against Dokken Engineering regarding the engineering services provided. Dokken Engineering denied the allegations and the matter was settled in early 2024 in mediation.
By
signing this Form entitled “Status of Past and Present Contracts,” I am affirming that all of the information provided is true and accurate.
Signature_________________________ Date___________________________ Name: _John A. Klemunes, Jr. ________
Title:_President __________________
05/08/2025
SECTION VIII
EXCEPTIONS FORM
If your company is taking exception to any of the specifications, terms or conditions (including insurance indemnification and/or proposed contract language) stated in this Request for Qualifications Proposal, please indicate below and describe details: (check any that apply). _____ No exceptions taken
_____ Exception taken to the scope of work or specifications _____ Exception taken to indemnification and insurance requirements _____ Exception to proposed contract language
_____ Other
Please explain any of the checked items
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ PROPOSING FIRM___________________________________________ DATE____________ BUSINESS ADDRESS _________________________________________________________ SIGNATURE OF REPRESENTATIVE:_____________________________________________ BY:_____________________________________ TITLE ______________________________ INSTRUCTION REGARDING SIGNATURE: If proposer is an individual, state "Sole Owner" after signature. If firm is a partnership, signature must be by a general partner, so stated after "Title".
Names of all other partners and their business addresses must be shown below. If proposer is a corporation, signature must be by an authorized officer, so stated after "Title", and the names of the President and Secretary and their business addresses must be shown below:
___________________________________ ______________________________________ ___________________________________ ______________________________________ ___________________________________ ______________________________________ ___________________________________ ______________________________________ Dokken Engineering 05/08/2025
110 Blue Ravine Road, Suite 200, Folsom, CA 95630
John A. Klemunes Jr., PE President
Camran Sadeghi, Secretary
110 Blue Ravine Road, Suite 200
Folsom, CA 95630
X
EXHIBIT 10-Q D ISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal
Action:
3. Report Type:
܆a. contract܆a. bid/offer/application܆a. initial
܆b. grant܆b. initial award܆b. material change
܆c. cooperative agreement܆c. post-award
܆d. loan For Material Change Only:
܆e. loan guarantee year ___ quarter _______
܆f. loan insurance date of last report ________
4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
܆Prime܆Subawardee
Tier______ , if known
Congressional District, if known Congressional District, if known
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable _________________
8. Federal Action Number, if known: 9. Award Amount, if known:
10. Name and Address of Lobby Entity 11. Individuals Performing Services (If individual, last name, first name, MI) (including address if different from No. 10) (last name, first name, MI)
(attach Continuation Sheet(s) if necessary)
12. Amount of Payment (check all that apply) 14. Type of Payment (check all that apply) $____________܆actual܆planned܆a. retainer
܆b. one-time fee
13. Form of Payment (check all that apply):܆c. commission ܆a. cash܆d. contingent fee
܆b. in-kind; specify: nature__________܆e. deferred
Value ___________܆f. other, specify ____________________
15. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 12:
(attach Continuation Sheet(s) if necessary)
16. Continuation Sheet(s) attached:܆܆Yes܆܆No
17.Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance was placed by the tier above when his
transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information
will be reported to Congress semiannually and will be
available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
Signature: ____________________________________
Print Name: __________________________________
Title: ________________________________________
Telephone No.:_________________ Date: _________
Authorized for Local Reproduction
Federal Use Only: Standard Form - LLL
Standard Form LLL Rev. 04-28-06
Not Applicable for Earth Mechanics, Inc.
X
Alahesh Thurairajah, PE, GE, BC.GE
Principal
714-751-3826 04/21/2025
EXHIBIT 10-Q DISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal
Action:
3. Report Type:
☐ a. contract
☐ a. bid/offer/application ☐ a. initial
☐ b. grant ☐ b. initial award ☐ b. material change
☐ c. cooperative agreement ☐ c. post-award
☐ d. loan For Material Change Only:
☐ e. loan guarantee year ___ quarter _______
☐ f. loan insurance date of last report ________
4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
☐ Prime ☐ Subawardee
Tier ______ , if known
Congressional District, if known Congressional District, if known
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable _________________
8. Federal Action Number, if known: 9. Award Amount, if known:
10. Name and Address of Lobby Entity 11. Individuals Performing Services (If individual, last name, first name, MI) (including address if different from No. 10) (last name, first name, MI)
(attach Continuation Sheet(s) if necessary)
12. Amount of Payment (check all that apply) 14. Type of Payment (check all that apply) $ ____________ ☐ actual ☐ planned ☐a. retainer
☐b. one-time fee
13. Form of Payment (check all that apply): ☐c. commission ☐ a. cash ☐d. contingent fee
☐ b. in-kind; specify: nature __________ ☐e. deferred Value ___________ ☐f. other, specify ____________________
15. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 12:
(attach Continuation Sheet(s) if necessary)
16. Continuation Sheet(s) attached: ☐ Yes ☐No
17. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance was placed by the tier above when his
transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information
will be reported to Congress semiannually and will be
available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
Signature: ____________________________________
Print Name: __________________________________
Title: ________________________________________
Telephone No.: _________________ Date: _________
Authorized for Local Reproduction
Federal Use Only: Standard Form - LLL
Standard Form LLL Rev. 04-28-06
Not Applicable to FPL and Associates, Inc.
n/a
n/a
n/a
n/a n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
X
Fong-Ping Lee
President
949-252-1688 04/23/2025
n/a
EXHIBIT 10-Q DISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal
Action:
3. Report T ype:
☐ a. contract ☐ a. bid/offer/applicatio n ☐ a. initial ☐ b. grant ☐ b. initial award ☐ b. material chan ge
☐ c. cooperative agreement ☐ c. post-award
☐ d. loan For Material Change Only:
☐ e. loan guarantee year ___ quarter _______
☐ f. loan insurance date of last rep ort ________
4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, En ter Name and Address of Prime:
☐ Prime ☐ Subawarde e
Tier ______ , if known
Congressional District, if known Congressional District, if known
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Numbe r, if applicable _________________
8. Federal Action Number, if known: 9. Award Amount, if known:
10. Name and Address of Lobby Entity 11. Individuals Performing Services (If individual, la st name, first name, MI) (including address if different from No. 10) (last name, first name, MI)
(attach Contin uation Sheet(s) if necessary)
12. Amount of Payment (check all that apply) 14. Type of Payment (check all that apply) $ ____________ ☐ actual ☐ planned ☐a. retainer
☐b. one-ti me fee
13. Form of Payment (check all that apply): ☐c. commission ☐ a. cash ☐d. conting ent fee
☐ b. in-kind; specify: nature __________ ☐e. deferred Value ___________ ☐f. other, specify ____________________
15. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 12:
(attach Contin uation Sheet(s) if necessary)
16. Continuation Sheet(s) attached: ☐☐ Yes ☐☐No
17. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance was placed by the tier above when his
transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information
will be reported to Congress semiannually and will be
available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
Signature:
____________________________________
Print Name: __________________________________
Title: ________________________________________
Telephone No.: _________________ Date: _________
Authorized for Loca l Reproduction
Federal Use Only: Standard Form - LLL
Standard Form LLL Rev. 04-28-06
x Dokken Engineering, 1450 Frazee Road, Suite
100, San Diego, CA 92108
Oscar Johnson
Principal
714-343-0709
4/23/25
x
Not Applicable for Moore Iacofano Goltsman, Inc. (MIG)
EXHIBIT 10-Q DISCLOSURE OF LOBBYING ACTIVITIES
COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352
1. Type of Federal Action: 2. Status of Federal
Action:
3. Report Type:
☐ a. contract ☐ a. bid/offer/application ☐ a. initial ☐ b. grant ☐ b. initial award ☐ b. material change
☐ c. cooperative agreement ☐ c. post-award
☐ d. loan For Material Change Only:
☐ e. loan guarantee year ___ quarter _______
☐ f. loan insurance date of last report ________
4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
☐ Prime ☐ Subawardee
Tier ______ , if known
Congressional District, if known Congressional District, if known
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable _________________
8. Federal Action Number, if known: 9. Award Amount, if known:
10. Name and Address of Lobby Entity 11. Individuals Performing Services (If individual, last name, first name, MI) (including address if different from No. 10) (last name, first name, MI)
(attach Continuation Sheet(s) if necessary)
12. Amount of Payment (check all that apply) 14. Type of Payment (check all that apply) $ ____________ ☐ actual ☐ planned ☐a. retainer
☐b. one-time fee
13. Form of Payment (check all that apply): ☐c. commission ☐ a. cash ☐d. contingent fee
☐ b. in-kind; specify: nature __________ ☐e. deferred Value ___________ ☐f. other, specify ____________________
15. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 12:
(attach Continuation Sheet(s) if necessary)
16. Continuation Sheet(s) attached: ☐ Yes ☐No
17. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance was placed by the tier above when his
transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information
will be reported to Congress semiannually and will be
available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
Signature: ____________________________________
Print Name: __________________________________
Title: ________________________________________
Telephone No.: _________________ Date: _________
Authorized for Local Reproduction
Federal Use Only: Standard Form - LLL
Standard Form LLL Rev. 04-28-06
Cesar Montes de Oca, PE
President
(916) 900-6623 04/25/2025
No Lobbying Activities
NOT APPLICABLE TO UNICO ENGINEERING, INC.
SAMPLE COST PROPOSAL
Sample Only - Required Cost Proposal Template To Be Determined By Agency Note: Mark-Ups are Not Allowed
Consultant: DOKKEN ENGINEERING
Project No. TBD Contract No. TBD Date
Project Name
DIRECT LABOR
Classification/Title Name Hours Actual Hr Rate* Total
Federal Funding Specialist John Klemunes, Jr., PE* 0 120.00$ -$ QA/QC Manager Michael Greer, PE, TE* 35 97.00$ 3,395.00$ Project Manager Mary Elizabeth Westrum, PE* 233 96.00$ 22,368.00$ Principal in Charge Steve Kooyman, PE* 22 95.00$ 2,090.00$ Structures Project Engineer Charles Tornaci, PE* 62 94.00$ 5,828.00$ Water Resources Project Engineer STAFF 202 70.00$ 14,140.00$ Project Engineer Gabrielle Hadzicki, PE* 432 59.00$ 25,488.00$ Senior Engineer 3 STAFF 0 98.00$ -$
Senior Engineer 2 STAFF 0 88.00$ -$
Senior Engineer 1 STAFF 187 78.00$ 14,586.00$ Associate Engineer 3 STAFF 0 72.00$ -$ Associate Engineer 2 STAFF 0 65.00$ -$ Associate Engineer 1 STAFF 447 60.00$ 26,820.00$ Assistant Engineer 3 STAFF 0 56.00$ -$ Assistant Engineer 2 STAFF 0 49.00$ -$ Assistant Engineer 1 STAFF 1369 43.00$ 58,867.00$ Senior CAD STAFF 98 80.00$ 7,840.00$
CAD/Detailer STAFF 98 50.00$ 4,900.00$ Engineering Technician STAFF 0 39.00$ -$ Environmental Lead Jeff Little* 74 70.00$ 5,180.00$ Environmental Manager STAFF 13 95.00$ 1,235.00$ Principal Planner STAFF 0 85.00$ -$
Senior Environmental Planner 2 STAFF 4 70.00$ 280.00$ Senior Environmental Planner 1 STAFF 92 60.00$ 5,520.00$ Associate Environmental Planner STAFF 120 50.00$ 6,000.00$ Environmental Planner STAFF 98 39.00$ 3,822.00$ Environmental Technician STAFF 0 30.00$ -$ Right of Way Manager STAFF 2 79.00$ 158.00$ Senior Right of Way Agent STAFF 9 62.00$ 558.00$ Right of Way Agent STAFF 0 37.00$ -$
Right of Way Assistant STAFF 0 31.00$ -$ Right of Way Technician STAFF 0 25.00$ -$ Senior Appraiser STAFF 0 58.00$ -$
Appraiser STAFF 0 43.00$ -$
Appraiser Assistant STAFF 0 31.00$ -$ Appraiser Technician STAFF 0 25.00$ -$ 3,597
LABOR COSTS
a) Subtotal Direct Labor Costs 209,075.00$
b) Anticipated Salary Increases $4,704.19
c) TOTAL DIRECT LABOR COSTS [(a) + (b)] 213,779.19$
INDIRECT COSTS
d) Fringe Benefits (Rate: 103.48% ) c) Total Fringe Benefits [(c) x (d)] 221,218.70$ f) Overhead (Rate: 0.00% ) g) Overhead [(c) x (f)] -$ h) General and Administrative (Rate: 62.77% ) i) Gen & Admin [(c) x (h)] 134,189.20$ j) TOTAL INDIRECT COSTS [(e) + (g) + (i)] 355,407.90$
FIXED FEE k) TOTAL FIXED FEE [(c) + (j)] x fixed fee 10% ] 56,918.71$ $39.00 - $59.00
$55.00 - $95.00
COST PROPOSAL 1
COST-PLUS-FIXED FEE OR LUMP SUM OR FIRM FIXED PRICE CONTRACTS (DESIGN, ENGINEERING AND ENVIRONMENTAL STUDIES)
August 8, 2025
Harbor Boulevard Complete Streets Improvement Project
Range
$100.00 - $160.00
$90.00 - $150.00
$90.00 - $150.00
$90.00 - $150.00
$90.00 - $150.00
$65.00 - $95.00
$90.00 - $150.00
$25.00 - $55.00
$55.00 - $85.00
$35.00 - $65.00
$50.00 - $65.00
$44.00 - $57.00
$20.00 - $30.00
$55.00 - $85.00
$35.00 - $65.00
$25.00 - $40.00
$20.00 - $40.00
$35.00 - $48.00
$55.00 - $95.00
$60.00 - $90.00
$50.00 - $80.00
$60.00 - $70.00
$80.00 - $120.00
$70.00 - $100.00
$60.00 - $90.00
$80.00 - $115.00
$45.00 - $75.00
$65.00 - $95.00
$65.00 - $80.00
$55.00 - $75.00
$33.00 - $45.00
$70.00 - $110.00
$25.00 - $40.00
$20.00 - $30.00
Prime Consultant
Subconsultant
2nd Tier Subconsultant
SAMPLE COST PROPOSAL
Sample Only - Required Cost Proposal Template To Be Determined By Agency l) CONSULTANT’S OTHER DIRECT COSTS (ODC) – ITEMIZE (Add additional pages if necessary) Quantity Unit Unit Cost Total
Hazardous Waste Initial Site Assessment (ISA) 1 LS 400.00$ 400.00$ Cultural Resources/Section 106 Compliance 1 LS 1,000.00$ 1,000.00$ Finding of Effect (DBE) 1 LS 13,220.86$ 13,220.86$
Potholing 1 LS 35,000.00$ 35,000.00$
Traffic Signal Warrant Analysis 1 LS 6,000.00$ 6,000.00$ i) TOTAL OTHER DIRECT COSTS 55,620.86$
m) SUBCONSULTANTS' COSTS (Add additional pages if necessary) • EARTH MECHANICS, INC (DBE) 64,952.25$
• FPL AND ASSOCIATES, INC. (DBE) 42,800.85$
• MIG, INC. 51,133.73$
• UNICO ENGINEERING, INC. (DBE) 59,371.51$
m) TOTAL SUBCONSULTANTS' COSTS 218,258.35$
n) TOTAL OTHER DIRECT COSTS INCLUDING SUBCONSULTANTS [(l) + (m)] 273,879.21$ TOTAL COST [(c) + (j) + (k) + (n)] 899,985.00$
*Employees will be billed at their actual pay rates within the ranges specified above. When actual rates change, employees will be billed at their updated rate.
NOTES:
3. Anticipated salary increases calculation (page 2) must accompany.
1. Key personnel must be marked with an asterisk (*) and employees that are subject to prevailing wage requirements must be marked with two asterisks (**). All costs must comply with the Federal cost principles. Subconsultants will provide their own cost proposals.
2. The cost proposal format shall not be amended. Indirect cost rates shall be updated on an annual basis in accordance with the consultant’s annual accounting period and established by a cognizant agency or accepted by Caltrans.
Description of Item
SAMPLE COST PROPOSAL
Sample Only - Required Cost Proposal Template To Be Determined By Agency Direct Labor Total Hours per Avg 5 Year
Subtotal per Cost Cost Proposal Hourly Contract
Proposal Rate Duration
= $58.12 Year 1 Avg
Hourly Rate
Avg Hourly Rate Proposed Escalation
Year 1 + 5.0% = $61.03 Year 2 Avg Hourly Rate
Year 2 + 5.0% = $64.08 Year 3 Avg Hourly Rate
Year 3 + 5.0% = $67.29 Year 4 Avg Hourly Rate
Year 4 + 5.0% = $70.65 Year 5 Avg Hourly Rate
Estimated % Completed Total Hours per Cost Total Hours per Each Year Proposal Year
Year 1 (2025) * 3,597 = 1978 Estimated Hours Year 1
Year 2 (2026) * 3,597 = 1619 Estimated Hours Year 2
Year 3 (2027) * 3,597 = 0 Estimated Hours Year 3
Year 4 (2028) * 3,597 = 0 Estimated Hours Year 4
Year 5 (2029) * 3,597 = 0 Estimated Hours Year 5
Total Total = 3,597
Avg Hourly Rate Estimated hours
(Calculated above) (Calculated Above)
Year 1 * 1978 = Estimated Hours Year 1
Year 2 * 1619 = Estimated Hours Year 2
Year 3 * 0 = Estimated Hours Year 3
Year 4 * 0 = Estimated Hours Year 4
Year 5 * 0 = Estimated Hours Year 5
Total Direct Labor Cost with Escalation =
Direct Labor Subtotal before Escalation =
Estimated total of Direct Labor Salary Increase = Transfer to Page 1 NOTES:
3. This assumes that one year will be worked at the rate on the cost proposal before salary increases are granted.
4. Calculations for anticipated salary escalation must be provided. $67.29
3. Calculate estimated hours per year (Multiply estimate % each year by total hours)
55.0%
45.0%
$209,075.00 3,597
1. Calculate hourly rate for all years (Increase the Average Hourly Rate for a year by proposed escalation %) $58.12
$61.03
$58.12 $114,991.25
$61.03 $98,787.94
$64.08 $0.00
$67.29 $0.00
$70.65 $0.00
$213,779.19
$209,075.00
$4,704.19
1. This is not the only way to estimate salary increases. Other methods will be accepted if they clearly indicate the % increase, the # of years of the contract, and a breakdown of the labor to be performed each year.
2. An estimation that is based on direct labor multiplied by salary increase % multiplied by the # of years is not acceptable. (i.e. $250,000 x 2% x 5 yrs = $25,000 is not an acceptable methodology) Cost Per
Year
COST PROPOSAL 1
COST-PLUS-FIXED FEE OR LUMP SUM OR FIRM FIXED PRICE CONTRACTS (CALCULATIONS FOR ANTICIPATED SALARY INCREASES)
1. Calculate Average Hourly Rate for 1st year of the contract (Direct Labor Subtotal divided by total hours)
0.0%
0.0%
0.0%
100.000%
4. Calculate Total Costs including Escalation (Multiply Average Hourly Rate by the number of hours) $64.08
SAMPLE COST PROPOSAL
Sample Only - Required Cost Proposal Template To Be Determined By Agency
1. Generally Accepted Accounting Principles (GAAP)
2. Terms and conditions of the contract
3. Title 23 United States Code Section 112 - Letting of Contracts
4. 48 Code of Federal Regulations Part 31 - Contract Cost Principles and Procedures
5. 6. 48 Code of Federal Regulations Part 9904 - Cost Accounting Standards Board (when applicable) Prime Consultant or Subconsultant Certifying:
Name**: Title**:
Signature: Date of Certification (mm/dd/yyyy):
Email**: Phone Number:
Address: 110 Blue Ravine Road, Suite 200, Folsom, CA 95630-4713 List services the consultant is providing under the proposed contract:
**An individual executive or financial officer of the consultant’s or subconsultant’s organization at a level no lower than a Vice President or a Chief Financial Officer, or equivalent, who has authority to represent the financial information utilized to establish the cost proposal for the contract.
Professional Engineering, Environmental, and Right of Way Services I, the undersigned, certify to the best of my knowledge and belief that all direct costs identified on the cost proposal(s) in this contract are actual, reasonable, allowable, and allocable to the contract in accordance with the contract terms and the following requirements:
All costs must be applied consistently and fairly to all contracts. All documentation of compliance must be retained in the project files and be in compliance with applicable federal and state requirements. Costs that are noncompliant with the federal and state requirements are not eligible for reimbursement. Local governments are responsible for applying only cognizant agency approved or Caltrans accepted Indirect Cost Rate(s).
John A. Klemunes, Jr. President
[email protected] 916-858-0642
23 Code of Federal Regulations Part 172 - Procurement, Management, and Administration of Engineering and Design Related Service
9/12/2025
COST PROPOSAL 1
Certification of Direct Costs:
COST PROPOSAL - ESTIMATED HOURS BY TASK
CITY OF FULLERTON - HARBOR BOULEVARD COMPLETE STREETS IMPROVEMENT PROJECT Michael Greer, PE, TE*
QA/QC Manager
Mary Elizabeth
Westrum, PE*
Project Manager
Steve Kooyman, PE*
Principal in Charge
Charles Tornaci, PE*
Structures Project
Engineer
Water Resources
Project Engineer
Gabrielle Hadzicki, PE*
Project Engineer
Senior Engineer 1
Associate Engineer 1
Assistant Engineer 1
Senior CAD
CAD/Detailer
Jeff Little*
Environmental Lead
Environmental
Manager
Senior Environmental
Planner 2
Senior Environmental
Planner 1
Associate
Environmental Planner
Environmental Planner
Right of Way Manager
Senior Right of Way
Agent
TOTAL
HOURS LABOR COST ESCALATION OH RATE FEE OTHER
DIRECT COST TOTAL COST
FULLY BURDENED RATE $ 284.09 $ 281.16 $ 278.23 $ 275.30 $ 205.01 $ 172.80 $ 228.44 $ 175.73 $ 125.94 $ 234.30 $ 146.44 $ 205.01 $ 278.23 $ 205.01 $ 175.73 $ 146.44 $ 114.22 $ 231.37 $ 181.58 166.25% 10.00% TASK 1 - PROJECT MANAGEMENT, COORDIINATION, & ADMINISTRATION 10 76 12 11 17 56 3 3 11 6 205 16,688.00$ 375.48$ 28,368.04$ 4,543.15$ -$ 49,974.67$
1.0 Project Management 10 76 12 11 17 56 3 3 11 6 205 16,688.00$ 375.48$ 28,368.04$ 4,543.15$ -$ 49,974.67$
1.1 Kick-off Meeting 2 1 1 1 2 1 1 9 717.00$ 16.13$ 1,218.83$ 195.20$ 2,147.16$
1.2 PDT Meetings 14 6 14 2 3 6 2 47 3,536.00$ 79.56$ 6,010.87$ 962.64$ 10,589.07$
1.3 Schedule 12 4 16 1,532.00$ 34.47$ 2,604.26$ 417.07$ 4,587.80$
1.4 Communication 32 2 6 6 32 2 80 6,274.00$ 141.17$ 10,665.21$ 1,708.04$ 18,788.41$
1.5 Quality Control 10 16 5 4 4 8 2 4 53 4,629.00$ 104.15$ 7,868.87$ 1,260.20$ 13,862.22$ TASK 2 - CALTRANS FUNDING ASSISTANCE 42 1 1 20 14 33 53 7 4 92 120 98 2 8 495 28,286.00$ 636.44$ 48,083.55$ 7,700.60$ 14,620.86$ 99,327.44$
2.1 Environmental 14 1 1 8 12 1 53 7 4 92 120 98 411 22,740.00$ 511.65$ 38,655.87$ 6,190.75$ 14,620.86$ 82,719.13$
2.1.1 Field Review Form and Roadway Data Sheets 2 1 1 2 10 16 1,074.00$ 24.17$ 1,825.70$ 292.39$ 3,216.25$
2.1.2 PES Supporting Documentation 2 2 2 1 7 473.00$ 10.64$ 804.06$ 128.77$ 1,416.47$
2.1.3 CEQA/NEPA Technical Studies 10 4 53 7 4 92 120 98 388 21,193.00$ 476.84$ 36,026.11$ 5,769.60$ 14,620.86$ 78,086.41$
2.1.3.1 Air Quality Report and AQ Conformity 2 1 3 1 2 30 24 18 81 4,398.00$ 98.96$ 7,476.19$ 1,197.31$ 13,170.46$
2.1.3.2 Hazardous Waste Initial Site Assessment (ISA) 1 1 8 16 26 52 2,529.00$ 56.90$ 4,299.06$ 688.50$ 400.00$ 7,973.46$
2.1.3.3 Section 4(f) Evaluation 2 1 6 1 10 12 6 38 2,200.00$ 49.50$ 3,739.79$ 598.93$ 6,588.22$
2.1.3.4 Cultural Resources/Section 106 Compliance 2 1 24 2 2 50 40 2 123 7,339.00$ 165.13$ 12,475.61$ 1,997.97$ 14,220.86$ 36,198.57$
2.1.3.5 Biological Technical Memo ( OPTIONAL ) 1 4 1 2 12 14 34 1,737.00$ 39.08$ 2,952.74$ 472.88$ 5,201.70$
2.1.3.6 Noise Memo ( OPTIONAL ) 1 4 1 8 16 30 1,495.00$ 33.64$ 2,541.36$ 407.00$ 4,477.00$
2.1.3.7 Traffic Memo ( OPTIONAL ) 1 4 1 8 16 30 1,495.00$ 33.64$ 2,541.36$ 407.00$ 4,477.00$
2.2 Right-of-Way Certification Support 4 4 2 2 6 18 1,270.00$ 28.58$ 2,158.88$ 345.75$ -$ 3,803.20$
2.3 Request for Authorization to Proceed with Construction (E-76) 14 8 32 2 56 3,316.00$ 74.61$ 5,636.89$ 902.75$ 9,930.25$
2.4 Final Submittal/Closure & Auditors 10 10 960.00$ 21.60$ 1,631.91$ 261.35$ 2,874.86$ TASK 3 - PRELIMINARY ENGINEERING 25 6 1 67 6 48 162 8 1 324 17,763.00$ 399.67$ 30,195.43$ 4,835.81$ 35,000.00$ 88,193.91$
3.1 Records Research 2 6 2 6 20 36 1,922.00$ 43.25$ 3,267.22$ 523.25$ 5,755.71$
3.2 Utility Verification & Coordination 17 52 4 42 142 8 265 14,038.00$ 315.86$ 23,863.28$ 3,821.71$ 35,000.00$ 77,038.85$
3.2.1 Utility Coordination Meetings 6 12 8 24 50 2,796.00$ 62.91$ 4,752.94$ 761.18$ 8,373.03$
3.2.2 Utility Base Mapping 2 16 4 22 1,006.00$ 22.64$ 1,710.11$ 273.87$ 3,012.61$
3.2.3 Utility Verification/Potholing 1 6 6 16 4 33 1,698.00$ 38.21$ 2,886.44$ 462.26$ 35,000.00$ 40,084.91$
3.2.4 Conflict Identification and Resolution, B Letters 2 4 32 38 1,804.00$ 40.59$ 3,066.63$ 491.12$ 5,402.34$
3.2.5 Liability Determination 1 2 6 6 15 832.00$ 18.72$ 1,414.32$ 226.50$ 2,491.55$
3.2.6 Utility Agreements ( OPTIONAL ) 2 10 12 14 38 2,104.00$ 47.34$ 3,576.60$ 572.79$ 6,300.74$
3.2.7 Notice to Owner, C Letters 1 8 2 16 27 1,376.00$ 30.96$ 2,339.07$ 374.60$ 4,120.63$
3.2.8 Report of Investigation (ROI) 2 6 4 10 22 1,216.00$ 27.36$ 2,067.09$ 331.04$ 3,641.49$
3.2.9 Service Point Coordination 2 2 4 4 8 20 1,206.00$ 27.14$ 2,050.09$ 328.32$ 3,611.54$
3.3 Geotechnical Investigation 4 6 1 2 13 1,136.00$ 25.56$ 1,931.09$ 309.27$ -$ 3,401.92$
3.3.1 Geotechnical Investigation Report 2 6 1 1 10 885.00$ 19.91$ 1,504.42$ 240.93$ 2,650.26$
3.3.2 Aerially Deposited Lead (ADL) Investigation and Reporting 2 1 3 251.00$ 5.65$ 426.68$ 68.33$ 751.66$
3.4 Survey Engineering (Field Surveys) 2 7 1 10 667.00$ 15.01$ 1,133.84$ 181.58$ -$ 1,997.43$
3.4.1 Aerial Orthoimagery 2 2 118.00$ 2.66$ 200.59$ 32.12$ 353.37$
3.4.2 Topographic Surveying and Mapping 1 1 2 155.00$ 3.49$ 263.49$ 42.20$ 464.17$
3.4.3 Right of Way Surveying and Mapping 1 2 1 4 276.00$ 6.21$ 469.17$ 75.14$ 826.52$
3.4.4 Field Survey Verification/Conform Surveys 2 2 118.00$ 2.66$ 200.59$ 32.12$ 353.37$ TASK 4 - PRELIMINARY DESIGN 2 22 6 16 60 74 24 110 180 12 22 5 533 31,568.00$ 710.28$ 53,662.64$ 8,594.09$ 6,000.00$ 100,535.01$
4.1 Preliminary Design Site Walk 4 4 4 4 4 4 24 1,936.00$ 43.56$ 3,291.02$ 527.06$ 5,797.64$
4.2 Refined Preliminary Design 8 2 8 8 40 16 60 80 6 1 229 13,288.00$ 298.98$ 22,588.35$ 3,617.53$ 39,792.87$
4.3 Preferred Concept (30% Design) 2 8 4 30 8 30 52 12 16 162 9,528.00$ 214.38$ 16,196.71$ 2,593.91$ 6,000.00$ 34,533.00$
4.4 Stormwater Compliance 2 48 20 48 118 6,816.00$ 153.36$ 11,586.56$ 1,855.59$ -$ 20,411.51$
4.4.1 Drainage Report 1 32 12 32 77 4,432.00$ 99.72$ 7,533.98$ 1,206.57$ 13,272.27$
4.4.2 Water Quality Management Plan 1 16 8 16 41 2,384.00$ 53.64$ 4,052.58$ 649.02$ 7,139.24$ TASK 5 - PLANS, SPECIFICATIONS, AND ESTIMATE (PS&E) 23 68 4 28 123 215 154 272 994 86 68 5 2,040 114,770.00$ 2,582.33$ 195,098.24$ 31,245.06$ -$ 343,695.62$
5.1 60% Plans and Cost Estimate 7 24 2 6 44 78 62 98 450 48 32 851 46,925.00$ 1,055.81$ 79,768.10$ 12,774.89$ -$ 140,523.80$
5.1.1 60% Plans 6 22 2 5 44 72 60 82 422 48 32 795 43,868.00$ 987.03$ 74,571.49$ 11,942.65$ -$ 131,369.17$
5.1.2 60% Cost Estimate 1 2 1 6 2 16 28 56 3,057.00$ 68.78$ 5,196.61$ 832.24$ 9,154.64$
5.2 90% Plans, Specifications, and Cost Estimate 9 25 13 54 78 64 100 374 24 20 5 766 43,221.00$ 972.47$ 73,471.65$ 11,766.51$ -$ 129,431.63$
5.2.1 90% Plans 4 20 4 39 62 50 70 356 24 20 649 35,400.00$ 796.50$ 60,176.68$ 9,637.32$ -$ 106,010.50$
5.2.2 Draft Specifications 2 2 6 10 10 10 16 5 61 4,330.00$ 97.43$ 7,360.59$ 1,178.80$ 12,966.82$
5.2.3 90% Cost Estimate 1 1 1 3 4 2 12 14 38 2,211.00$ 49.75$ 3,758.49$ 601.92$ 6,621.16$
5.2.4 90% Submittal and Review 2 2 2 2 2 2 2 4 18 1,280.00$ 28.80$ 2,175.88$ 348.47$ 3,833.15$
5.3 Final Contract Documents 7 19 2 9 25 59 28 74 170 14 16 423 24,624.00$ 554.04$ 41,858.49$ 6,703.65$ -$ 73,740.18$
5.3.1 Final Plans 4 14 2 4 21 45 22 57 156 14 16 355 20,187.00$ 454.21$ 34,316.01$ 5,495.72$ -$ 60,452.94$
5.3.2 Final Specifications 1 2 2 2 10 4 10 2 33 2,205.00$ 49.61$ 3,748.29$ 600.29$ 6,603.20$
5.3.3 Final Cost Estimate 1 1 1 1 2 5 10 21 1,205.00$ 27.11$ 2,048.39$ 328.05$ 3,608.55$
5.3.4 Final Submittal and Review 1 2 2 1 2 2 2 2 14 1,027.00$ 23.11$ 1,745.80$ 279.59$ 3,075.50$ TOTAL HOURS WITHOUT OPTIONAL TASKS 35 228 22 62 202 422 187 435 1,355 98 98 62 10 4 90 92 52 2 9 3,465 TOTAL COST WITHOUT OPTIONAL TASKS 9,943.11$ 64,104.48$ 6,121.09$ 17,068.76$ 41,412.53$ 72,920.04$ 42,718.75$ 76,440.38$ 170,643.69$ 22,961.40$ 14,350.88$ 12,710.78$ 2,782.31$ 820.05$ 15,815.25$ 13,472.25$ 5,939.51$ 462.74$ 1,634.24$ 202,244.00$ 4,550.49$ 343,795.84$ 55,059.03$ 55,620.86$ 661,270.22$ TOTAL HOURS WITH OPTIONAL TASKS 35 233 22 62 202 432 187 447 1,369 98 98 74 13 4 92 120 98 2 9 3,597 TOTAL COST WITH OPTIONAL TASKS 9,943.11$ 65,510.28$ 6,121.09$ 17,068.76$ 41,412.53$ 74,648.00$ 42,718.75$ 78,549.08$ 172,406.79$ 22,961.40$ 14,350.88$ 15,170.93$ 3,617.01$ 820.05$ 16,166.70$ 17,572.50$ 11,193.69$ 462.74$ 1,634.24$ 209,075.00$ 4,704.19$ 355,407.90$ 56,918.71$ 55,620.86$ 681,726.66$
TASK DESCRIPTION
DOKKEN ENGINEERING
September 11, 2025 Page 5 of 8
COST PROPOSAL - ESTIMATED HOURS BY TASK
CITY OF FULLERTON - HARBOR BOULEVARD COMPLETE STREETS IMPROVEMENT PROJECT
FULLY BURDENED RATE
TASK 1 - PROJECT MANAGEMENT, COORDIINATION, & ADMINISTRATION
1.0 Project Management
1.1 Kick-off Meeting
1.2 PDT Meetings
1.3 Schedule
1.4 Communication
1.5 Quality Control
TASK 2 - CALTRANS FUNDING ASSISTANCE
2.1 Environmental
2.1.1 Field Review Form and Roadway Data Sheets
2.1.2 PES Supporting Documentation
2.1.3 CEQA/NEPA Technical Studies
2.1.3.1 Air Quality Report and AQ Conformity
2.1.3.2 Hazardous Waste Initial Site Assessment (ISA)
2.1.3.3 Section 4(f) Evaluation
2.1.3.4 Cultural Resources/Section 106 Compliance
2.1.3.5 Biological Technical Memo ( OPTIONAL )
2.1.3.6 Noise Memo ( OPTIONAL )
2.1.3.7 Traffic Memo ( OPTIONAL )
2.2 Right-of-Way Certification Support
2.3 Request for Authorization to Proceed with Construction (E-76)
2.4 Final Submittal/Closure & Auditors
TASK 3 - PRELIMINARY ENGINEERING
3.1 Records Research
3.2 Utility Verification & Coordination
3.2.1 Utility Coordination Meetings
3.2.2 Utility Base Mapping
3.2.3 Utility Verification/Potholing
3.2.4 Conflict Identification and Resolution, B Letters
3.2.5 Liability Determination
3.2.6 Utility Agreements ( OPTIONAL )
3.2.7 Notice to Owner, C Letters
3.2.8 Report of Investigation (ROI)
3.2.9 Service Point Coordination
3.3 Geotechnical Investigation
3.3.1 Geotechnical Investigation Report
3.3.2 Aerially Deposited Lead (ADL) Investigation and Reporting
3.4 Survey Engineering (Field Surveys)
3.4.1 Aerial Orthoimagery
3.4.2 Topographic Surveying and Mapping
3.4.3 Right of Way Surveying and Mapping
3.4.4 Field Survey Verification/Conform Surveys
TASK 4 - PRELIMINARY DESIGN
4.1 Preliminary Design Site Walk
4.2 Refined Preliminary Design
4.3 Preferred Concept (30% Design)
4.4 Stormwater Compliance
4.4.1 Drainage Report
4.4.2 Water Quality Management Plan
TASK 5 - PLANS, SPECIFICATIONS, AND ESTIMATE (PS&E)
5.1 60% Plans and Cost Estimate
5.1.1 60% Plans
5.1.2 60% Cost Estimate
5.2 90% Plans, Specifications, and Cost Estimate
5.2.1 90% Plans
5.2.2 Draft Specifications
5.2.3 90% Cost Estimate
5.2.4 90% Submittal and Review
5.3 Final Contract Documents
5.3.1 Final Plans
5.3.2 Final Specifications
5.3.3 Final Cost Estimate
5.3.4 Final Submittal and Review
TOTAL HOURS WITHOUT OPTIONAL TASKS
TOTAL COST WITHOUT OPTIONAL TASKS
TOTAL HOURS WITH OPTIONAL TASKS
TOTAL COST WITH OPTIONAL TASKS
TASK DESCRIPTION
Alahesh Thurairajah
Principal
Principal
Engineer/Geologist
Senior
Engineer/Geologist
Senior Project
Engineer/Geologist
Project
Engineer/Geologist
Senior Staff
Engineer/Geologist
Staff
Engineer/Geologist
Senior Technician
Technician
TOTAL
HOURS
OTHER
DIRECT COST TOTAL COST
Alex Zupanski, PE, TE
Senior Project Manager
Diana Skidmore
Project Manager
Associate Engineer 2
Associate Engineer 1
Assistant Engineer 2
TOTAL
HOURS TOTAL COST
$ 311.48 $ 237.51 $ 211.58 $ 178.28 $ 177.69 $ 157.36 $ 123.18 $ 159.42 $ 88.99 $ 293.20 $ 259.22 $ 167.18 $ 155.02 $ 119.55 -$ -$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$ -$
-$ -$
-$ -$
22 12 48 28 20 46 24 44 16 260 17,915.00$ 64,952.25$ -$ -$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
22 12 48 28 20 46 24 44 16 260 17,915.00$ 64,952.25$ -$ 12 12 28 28 20 20 24 20 16 180 13,045.00$ 44,818.47$ -$ 10 20 26 24 80 4,870.00$ 20,133.78$ -$ -$ -$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$
-$ -$ -$
-$ -$
-$ -$
-$ -$ 21 22 54 92 64 253 42,800.85$ -$ -$ 5 6 22 30 40 103 16,131.86$ -$ -$ 4 6 20 24 40 94 14,574.17$ -$ 1 2 6 9 1,557.69$
-$ -$ 6 6 14 36 16 78 13,148.59$ -$ -$ 4 4 8 24 16 56 9,180.41$ -$ 1 2 4 8 15 2,720.53$
-$ 1 2 4 7 1,247.65$
-$ -$
-$ -$ 10 10 18 26 8 72 13,520.40$ -$ -$ 4 4 8 16 8 40 6,983.85$ -$ 1 2 4 8 15 2,720.53$
-$ 1 2 2 5 937.60$
-$ 4 4 4 12 2,878.41$
22 12 48 28 20 46 24 44 16 260 21 22 54 92 64 253
6,852.47$ 2,850.14$ 10,155.82$ 4,991.86$ 3,553.83$ 7,238.50$ 2,956.22$ 7,014.54$ 1,423.89$ 17,915.00$ 64,952.25$ 6,157.26$ 5,702.83$ 9,027.70$ 14,261.94$ 7,651.11$ 42,800.85$ 22 12 48 28 20 46 24 44 16 260 21 22 54 92 64 253
6,852.47$ 2,850.14$ 10,155.82$ 4,991.86$ 3,553.83$ 7,238.50$ 2,956.22$ 7,014.54$ 1,423.89$ 17,915.00$ 64,952.25$ 6,157.26$ 5,702.83$ 9,027.70$ 14,261.94$ 7,651.11$ 42,800.85$ FPL AND ASSOCIATES, INC. (DBE)EARTH MECHANICS, INC (DBE) September 11, 2025 Page 6 of 8
COST PROPOSAL - ESTIMATED HOURS BY TASK
CITY OF FULLERTON - HARBOR BOULEVARD COMPLETE STREETS IMPROVEMENT PROJECT
FULLY BURDENED RATE
TASK 1 - PROJECT MANAGEMENT, COORDIINATION, & ADMINISTRATION
1.0 Project Management
1.1 Kick-off Meeting
1.2 PDT Meetings
1.3 Schedule
1.4 Communication
1.5 Quality Control
TASK 2 - CALTRANS FUNDING ASSISTANCE
2.1 Environmental
2.1.1 Field Review Form and Roadway Data Sheets
2.1.2 PES Supporting Documentation
2.1.3 CEQA/NEPA Technical Studies
2.1.3.1 Air Quality Report and AQ Conformity
2.1.3.2 Hazardous Waste Initial Site Assessment (ISA)
2.1.3.3 Section 4(f) Evaluation
2.1.3.4 Cultural Resources/Section 106 Compliance
2.1.3.5 Biological Technical Memo ( OPTIONAL )
2.1.3.6 Noise Memo ( OPTIONAL )
2.1.3.7 Traffic Memo ( OPTIONAL )
2.2 Right-of-Way Certification Support
2.3 Request for Authorization to Proceed with Construction (E-76)
2.4 Final Submittal/Closure & Auditors
TASK 3 - PRELIMINARY ENGINEERING
3.1 Records Research
3.2 Utility Verification & Coordination
3.2.1 Utility Coordination Meetings
3.2.2 Utility Base Mapping
3.2.3 Utility Verification/Potholing
3.2.4 Conflict Identification and Resolution, B Letters
3.2.5 Liability Determination
3.2.6 Utility Agreements ( OPTIONAL )
3.2.7 Notice to Owner, C Letters
3.2.8 Report of Investigation (ROI)
3.2.9 Service Point Coordination
3.3 Geotechnical Investigation
3.3.1 Geotechnical Investigation Report
3.3.2 Aerially Deposited Lead (ADL) Investigation and Reporting
3.4 Survey Engineering (Field Surveys)
3.4.1 Aerial Orthoimagery
3.4.2 Topographic Surveying and Mapping
3.4.3 Right of Way Surveying and Mapping
3.4.4 Field Survey Verification/Conform Surveys
TASK 4 - PRELIMINARY DESIGN
4.1 Preliminary Design Site Walk
4.2 Refined Preliminary Design
4.3 Preferred Concept (30% Design)
4.4 Stormwater Compliance
4.4.1 Drainage Report
4.4.2 Water Quality Management Plan
TASK 5 - PLANS, SPECIFICATIONS, AND ESTIMATE (PS&E)
5.1 60% Plans and Cost Estimate
5.1.1 60% Plans
5.1.2 60% Cost Estimate
5.2 90% Plans, Specifications, and Cost Estimate
5.2.1 90% Plans
5.2.2 Draft Specifications
5.2.3 90% Cost Estimate
5.2.4 90% Submittal and Review
5.3 Final Contract Documents
5.3.1 Final Plans
5.3.2 Final Specifications
5.3.3 Final Cost Estimate
5.3.4 Final Submittal and Review
TOTAL HOURS WITHOUT OPTIONAL TASKS
TOTAL COST WITHOUT OPTIONAL TASKS
TOTAL HOURS WITH OPTIONAL TASKS
TOTAL COST WITH OPTIONAL TASKS
TASK DESCRIPTION
Oscar Johnson
Principal in
Charge/Project
Manager
Holly De La Torre
Deputy Project
Manager
Ada Lu
Landscape Designer
Eric Freeman
Irrigation Designer
Lauren Salas
Project Administrator
Sharyn Tanner
Senior Project
Accountant
TOTAL
HOURS TOTAL COST
Rob Markes
Survey Manager
Bill Tipple, PLS
Senior Land Surveyor
Terrance Ranney
Drone Pilot
Party Chief
Rodman
Survey
Technician/Drafter
TOTAL
HOURS TOTAL COST
$ 171.89 $ 108.68 $ 120.12 $ 143.01 $ 88.66 $ 151.27 $ 254.05 $ 264.36 $ 181.46 $ 254.65 $ 234.17 $ 92.11 4 18 2 1 2 27 3,275.34$ -$ 232 -$ 53,250.01$ 4 18 2 1 2 27 3,275.34$ -$ 232 53,250.01$ 2 2 2 6 801.40$ -$ 15 2,948.56$ -$ -$ 47 10,589.07$
-$ -$ 16 4,587.80$
2 16 1 2 21 2,473.94$ -$ 101 21,262.35$ -$ -$ 53 13,862.22$
-$ -$ 495 14,620.86$ 99,327.44$ -$ -$ 411 $14,620.86 82,719.13$ -$ -$ 16 3,216.25$
-$ -$ 7 1,416.47$
-$ -$ 388 $14,620.86 78,086.41$ -$ -$ 81 13,170.46$
-$ -$ 52 $400.00 7,973.46$ -$ -$ 38 6,588.22$
-$ -$ 123 $14,220.86 36,198.57$ -$ -$ 34 5,201.70$
-$ -$ 30 4,477.00$
-$ -$ 30 4,477.00$
-$ -$ 18 3,803.20$
-$ -$ 56 9,930.25$
-$ -$ 10 2,874.86$
-$ 6 8 24 84 84 112 318 59,371.51$ 902 52,915.00$ 212,517.68$ -$ -$ 36 5,755.71$
-$ -$ 265 $35,000.00 77,038.85$ -$ -$ 50 8,373.03$
-$ -$ 22 3,012.61$
-$ -$ 33 $35,000.00 40,084.91$ -$ -$ 38 5,402.34$
-$ -$ 15 2,491.55$
-$ -$ 38 6,300.74$
-$ -$ 27 4,120.63$
-$ -$ 22 3,641.49$
-$ -$ 20 3,611.54$
-$ -$ 273 $17,915.00 68,354.17$ -$ -$ 190 $13,045.00 47,468.73$ -$ -$ 83 $4,870.00 20,885.44$ -$ 6 8 24 84 84 112 318 59,371.51$ 328 61,368.94$ -$ 2 24 8 8 8 50 9,510.68$ 52 9,864.05$ -$ 52 52 72 176 32,050.56$ 178 32,514.73$ -$ 4 8 8 8 16 44 8,515.38$ 48 9,341.90$ -$ 16 16 16 48 9,294.90$ 50 9,648.27$ 8 56 52 14 2 132 16,012.55$ -$ 665 6,000.00$ 116,547.57$ 8 8 6 22 2,688.50$ -$ 46 8,486.14$ 4 20 28 8 1 61 7,520.06$ -$ 290 47,312.93$ 4 28 16 1 49 5,803.99$ -$ 211 $6,000.00 40,336.99$ -$ -$ 118 20,411.51$
-$ -$ 77 13,272.27$
-$ -$ 41 7,139.24$
17 57 72 92 7 2 247 31,845.84$ -$ 2540 -$ 418,342.31$ 8 14 22 40 2 1 87 11,588.28$ -$ 1041 168,243.95$ 7 10 20 39 2 78 10,447.12$ -$ 967 156,390.47$ 1 4 2 1 1 9 1,141.16$ -$ 74 11,853.48$ 6 28 39 27 4 1 105 13,126.45$ -$ 949 155,706.67$ 3 16 35 25 2 81 10,211.45$ -$ 786 125,402.36$ 4 1 1 1 1 8 937.80$ -$ 84 16,625.15$ 1 2 1 1 1 6 741.05$ -$ 51 8,609.87$ 2 6 2 10 1,236.14$ -$ 28 5,069.29$ 3 15 11 25 1 55 7,131.11$ -$ 550 94,391.69$ 2 8 9 25 1 45 5,958.18$ -$ 440 73,394.97$ 2 2 217.37$ -$ 50 9,541.09$
2 2 217.37$ -$ 28 4,763.52$
1 3 2 6 738.19$ -$ 32 6,692.10$ 29 131 126 106 8 6 406 6 8 24 84 84 112 318 4,702
4,984.89$ 14,237.63$ 15,135.70$ 15,158.58$ 709.31$ 907.63$ 51,133.73$ 1,524.30$ 2,114.88$ 4,355.13$ 21,390.94$ 19,670.34$ 10,315.94$ 59,371.51$ 73,535.86$ 879,528.57$ 29 131 126 106 8 6 406 6 8 24 84 84 112 318 4,834
4,984.89$ 14,237.63$ 15,135.70$ 15,158.58$ 709.31$ 907.63$ 51,133.73$ 1,524.30$ 2,114.88$ 4,355.13$ 21,390.94$ 19,670.34$ 10,315.94$ 59,371.51$ 73,535.86$ 899,985.00$
GRAND TOTAL
COST
MIG, INC. UNICO ENGINEERING, INC. (DBE)
GRAND
TOTAL
HOURS
GRAND
TOTAL OTHER
DIRECT COSTS
September 11, 2025 Page 7 of 8
COST PROPOSAL - SUMMARY BY CONSULTANT
CITY OF FULLERTON
HARBOR BOULEVARD COMPLETE STREETS IMPROVEMENT PROJECT
10/24/2025
TASK DESCRIPTION DOKKEN
ENGINEERING
EARTH
MECHANICS, INC
(DBE)
FPL AND
ASSOCIATES,
INC. (DBE)
MIG, INC.
UNICO
ENGINEERING,
INC. (DBE)
GRAND TOTAL
COST
TASK 1 - PROJECT MANAGEMENT, COORDIINATION, & ADMINISTRATION 49,974.67$ -$ -$ 3,275.34$ -$ 53,250.01$
1.0 Project Management 49,974.67$ -$ -$ 3,275.34$ -$ 53,250.01$ TASK 2 - CALTRANS FUNDING ASSISTANCE 99,327.44$ -$ -$ -$ -$ 99,327.44$
2.1 Environmental 82,719.13$ -$ -$ -$ -$ 82,719.13$
2.2 Right-of-Way Certification Support 3,803.20$ -$ -$ -$ -$ 3,803.20$
2.3 Request for Authorization to Proceed with Construction (E-76) 9,930.25$ -$ -$ -$ -$ 9,930.25$
2.4 Final Submittal/Closure & Auditors 2,874.86$ -$ -$ -$ -$ 2,874.86$ TASK 3 - PRELIMINARY ENGINEERING 88,193.91$ 64,952.25$ -$ -$ 59,371.51$ 212,517.68$
3.1 Records Research 5,755.71$ -$ -$ -$ -$ 5,755.71$
3.2 Utility Verification & Coordination 77,038.85$ -$ -$ -$ -$ 77,038.85$
3.3 Geotechnical Investigation 3,401.92$ 64,952.25$ -$ -$ -$ 68,354.17$
3.4 Survey Engineering (Field Surveys) 1,997.43$ -$ -$ -$ 59,371.51$ 61,368.94$ TASK 4 - PRELIMINARY DESIGN 100,535.01$ -$ -$ 16,012.55$ -$ 116,547.57$
4.1 Preliminary Design Site Walk 5,797.64$ -$ -$ 2,688.50$ -$ 8,486.14$
4.2 Refined Preliminary Design 39,792.87$ -$ -$ 7,520.06$ -$ 47,312.93$
4.3 Preferred Concept (30% Design) 34,533.00$ -$ -$ 5,803.99$ -$ 40,336.99$
4.4 Stormwater Compliance 20,411.51$ -$ -$ -$ -$ 20,411.51$ TASK 5 - PLANS, SPECIFICATIONS, AND ESTIMATE (PS&E) 343,695.62$ -$ 42,800.85$ 31,845.84$ -$ 418,342.31$
5.1 60% Plans and Cost Estimate 140,523.80$ -$ 16,131.86$ 11,588.28$ -$ 168,243.95$
5.2 90% Plans, Specifications, and Cost Estimate 129,431.63$ -$ 13,148.59$ 13,126.45$ -$ 155,706.67$
5.3 Final Contract Documents 73,740.18$ -$ 13,520.40$ 7,131.11$ -$ 94,391.69$ TOTAL COST WITHOUT OPTIONAL TASKS 661,270.22$ 64,952.25$ 42,800.85$ 51,133.73$ 59,371.51$ 879,528.57$ TOTAL COST WITH OPTIONAL TASKS 681,726.66$ 64,952.25$ 42,800.85$ 51,133.73$ 59,371.51$ 899,985.00$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
8/1/2025
AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd., Suite 230
Lafayette CA 94549
Nancy Ferrick
510-272-1400
[email protected]
License#: 6003745
XL Specialty Insurance Company
37885
DOKKEENGI
Trumbull Insurance Company
27120
Dokken Engineering, Inc.
110 Blue Ravine Rd., Suite 200
Folsom CA 95630
Sentinel Insurance Company
11000
Hartford Underwriters Insurance Company
30104
1521537791
D
X
1,000,000
X
1,000,000
10,000
1,000,000
2,000,000
X
X
Y
Y
84SBWBG9HJ8
12/31/2024
12/31/2025
2,000,000
B
1,000,000
X
Y
Y
84UEGBD3407
12/31/2024
12/31/2025
D
X
X
5,000,000
Y
84SBWBG9HJ8
12/31/2024
Y
12/31/2025
5,000,000
C
X
N
Y
84WEGAU5C27
12/31/2024
12/31/2025
1,000,000
1,000,000
1,000,000
A
Professional Liability
DPR5037625
12/31/2024
12/31/2025
$2,000,000
$2,000,000
per Claim
Annual Aggregate
The following policies are included in the underlying schedule of insurance for Umbrella/Excess Liability: General Liability/Auto Liability/Employer's Liability.
RE: RFQ #2425-07 Harbor Boulevard Complete Streets Improvements Project.
City of Fullerton, its elected or appointed officials, officers, employees and volunteers are named as Additional insured for General Liability and Automobile Liability as required by written contract. General Liability and Auto Liability are Primary and Non-contributory as per policy form. Insurance coverage includes waiver of subrogation per the attached endorsement(s). 30 Day Notice of Cancellation. 30 Day Notice of Cancellation
City of Fullerton
Public Works Dept. - Purchasing
303 W. Commonwealth Avenue
Fullerton, CA 92832-1775
Policy Number: 84SBWBG9HJ8
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE�
HARTFORD
BLANKET ADDITIONAL INSURED BY CONTRACT
This endorsement modifies insurance provided under the following:
BUSINESS LIABILITY COVERAGE FORM
Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply.
A. The following is added to Section C. WHO IS AN INSURED:
Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract or written agreement, or when required by a written permit issued by a state or governmental agency or subdivision or political subdivision that such person or organization be added as an additional insured on your Coverage Part, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit.
A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit.
However, no such person or organization is an additional insured under this provision if such person or organization is included as an additional insured by any other endorsement issued by us and made a part of this Coverage Part.
The insurance afforded to such additional insured will not be broader than that which you are required by the contract, agreement, or permit to provide for such additional insured.
The insurance afforded to such additional insured only applies to the extent permitted by law.
The limits of insurance that apply to additional insureds are described in Section D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance is available to an additional insured is described in the Other Insurance Condition in Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS.
a. Vendors
Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard". (1) The insurance afforded to the vendor is subject to the following additional exclusions:
This insurance does not apply to:
(a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you;
(c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container;
(e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products;
(f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; Form SL 30 32 06 21 Page 1 of 3
© 2021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE�
HARTFORD
(g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to:
(i) The exceptions contained in Paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products.
(2) This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors Of Equipment
(1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. c. Lessors Of Land Or Premises
(1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) Any "occurrence" which takes place after you cease to lease that land or be a tenant in that premises; or
(b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization.
d. Architects, Engineers Or Surveyors
(1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
(a) In connection with your premises;
(b) In the performance of your ongoing operations performed by you or on your behalf; or (c) In connection with "your work" and included within the "products-completed operations hazard", but only if:
(i) The written contract, written agreement or permit requires you to provide such coverage to such additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard".
(2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services, including:
(i) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (ii) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property Form SL 30 32 06 21 Page 2 of3
© 2021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE�
HARTFORD
damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any professional service.
e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing Permit (1) Any state or governmental agency or subdivision or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (b) "Bodily injury" or "property damage" included within the "products-completed operations hazard". f. Any Other Party
(1) Any other person or organization who is not in one of the categories or classes listed above in Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
(a) In the performance of your ongoing operations performed by you or on your behalf; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products-completed operations hazard", but only if:
(i) The written contract, written agreement or permit requires you to provide such coverage to such additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard".
(2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any professional service described in Paragraphs f.(2)(a) or f.(2)(b) above.
Form SL 30 32 06 21 Page 3 of3
© 2021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) Form SL 00 00 10 18 Page 16 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) (1) You or any additional insured under this Coverage Part that is an individual; (2) Any partner, if you or an additional insured under this Coverage Part is a partnership; (3) Any manager, if you or an additional insured under this Coverage Part is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured under this Coverage Part is a corporation;
(5) Any trustee, if you or an additional insured under this Coverage Part is a trust; or (6) Any elected or appointed official, if you or an additional insured under this Coverage Part is a political subdivision or public entity.
This Paragraph f. applies separately to you and any additional insured under this Coverage Part.
3. Legal action Against Us
No person or organization has a right under this Coverage Part:
a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with.
A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative.
4. Separation Of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Policy to the first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom a claim is made or "suit" is brought.
5. Representations
a. When You Accept This Policy
By accepting this Policy, you agree:
(1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this Policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards
If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure.
6. Other Insurance
If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance
This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis:
(1) Your Work
That is Fire, Extended Coverage, Builder's Risk, Installation Risk, Owner Controlled Insurance Program or OCIP, Contractor Controlled Insurance Program or CCIP, Wrap Up Insurance or similar coverage for "your work";
Policy Number: 84SBWBG9HJ8
*****
Form SL 00 00 10 18 Page 17 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) (2) Premises Rented To You
That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner;
(3) Tenant Liability
That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section B. Exclusions.
(5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section B. Exclusions.
(6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or
(7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured.
However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part:
(a) Primary Insurance When Required By Contract
This insurance is primary if you have agreed in a written contract, written agreement or permit that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below.
(b) Primary And Non-Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance.
Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured.
When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of:
(1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and
(2) The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part.
c. Method Of Sharing
If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first.
Policy Number: 84SBWBG9HJ8
***************
Form SL 00 00 10 18 Page 18 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission) If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer’s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers.
7. Transfer Of Rights Of Recovery Against Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage.
F. LIABILITY AND MEDICAL EXPENSES DEFINITIONS
1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purpose of this definition:
a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and
b. Regarding web sites, only that part of a web site that is about your goods, products or services for the purpose of attracting customers or supporters is considered an advertisement.
2. "Advertising idea" means any idea for an "advertisement".
3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and includes the mere presence of asbestos in any form.
4. "Auto" means:
a. A land motor vehicle, trailer or semi-trailer designed for travel on public roads, including any attached machinery or equipment; or
b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance or motor vehicle registration law where it is licensed or principally garaged.
However, "auto" does not include "mobile equipment".
5. "Bodily injury" means physical:
a. Injury;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the above, mental anguish or death at any time.
6. "Coverage territory" means:
a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in a. above; c. All other parts of the world if the injury or damage arises out of:
(1) Goods or products made or sold by you in the territory described in a. above; (2) The activities of a person whose home is in the territory described in a. above, but is away for a short time on your business; or
*********
Policy Number: 84SBWBG9HJ8
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COMMERCIAL AUTOMOBILE BROAD FORM
ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply.
COMMERCIAL AUTOMOBILE
HA 99 16 12 21
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
1. BROAD FORM INSURED
Paragraph .1. - WHO IS AN INSURED - of
Section II - Liability Coverage is amended to
add the following:
d. Subsidiaries and Newly Acquired or
Formed Organizations
The Named Insured shown in the Declarations
is amended to include:
(1) Any legal business entity other than a
partnership or joint venture, formed as a
subsidiary in which you have an
ownership interest of more than 50% on
the effective date of the Coverage Form.
However, the Named Insured does not
include any subsidiary that is an "insured"
under any other automobile policy or
would be an "insured" under such a policy
but for its termination or the exhaustion of
its Limit of Insurance.
(2) Any organization that is acquired or
formed by you and over which you
maintain majority ownership. However,
the Named Insured does not include any
newly formed or acquired organization:
(a) That is a partnership or joint venture,
(b) That is an "insured" under any other
policy,
(c) That has exhausted its Limit of
Insurance under any other policy, or
(d) 180 days or more after its acquisition
or formation by you, unless you have
given us notice of the acquisition or
formation.
Coverage does not apply to "bodily injury"
or "property damage" that results from an
"accident" that occurred before you
formed or acquired the organization.
e. Employees as Insureds
(1). Any "employee" of yours while using a
covered "auto" you don't own, hire or
borrow in your business or your personal
affairs.
f. Lessors as Insureds
(1). The lessor of a covered "auto" while the
"auto" is leased to you under a written
agreement if:
(a) The agreement requires you to
provide direct primary insurance for
the lessor and
(b) The "auto" is leased without a driver.
Such a leased "auto" will be considered a
covered "auto" you own and not a covered
"auto" you hire.
g. Additional Insured if Required by Contract
(1) When you have agreed, in a written
contract or written agreement, that a
person or organization be added as an
additional insured on your business auto
policy, such person or organization is an
"insured", but only to the extent such
person or organization is liable for "bodily
injury" or "property damage" caused by
the conduct of an "insured" under
paragraphs a. or b. of Who Is An Insured
with regard to the ownership,
maintenance or use of a covered "auto."
The insurance afforded to any such
additional insured applies only if the
"bodily injury" or "property damage"
occurs:
(a) During the policy period, and
(b) Subsequent to the execution of such
written contract, and
Form HA 99 16 12 21 Page 1 of 5
© 2021, The Hartford
(Includes copyrighted material of Insurance Services Office, Inc. with its permission.) 84UEGBD3407
(c) Prior to the expiration of the period of
time that the written contract requires
such insurance be provided to the
additional insured.
(2) How Limits Apply
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the most we will
pay on behalf of such additional insured is
the lesser of:
(a) The limits of insurance specified in the
written contract or written agreement;
or
(b) The Limits of Insurance shown in the
Declarations.
Such amount shall be a part of and not in
addition to Limits of Insurance shown in
the Declarations and described in this
Section.
(3) Additional Insureds Other Insurance
If we cover a claim or "suit" under this
Coverage Part that may also be covered
by other insurance available to an
additional insured, such additional insured
must submit such claim or "suit" to the
other insurer for defense and indemnity.
However, this provision does not apply to
the extent that you have agreed in a
written contract or written agreement that
this insurance is primary and
non-contributory with the additional
insured's own insurance.
(4) Duties in The Event Of Accident, Claim,
Suit or Loss
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the additional
insured shall be required to comply with
the provisions in LOSS CONDITIONS 2. -
DUTIES IN THE EVENT OF ACCIDENT,
CLAIM , SUIT OR LOSS – OF SECTION
IV – BUSINESS AUTO CONDITIONS, in
the same manner as the Named Insured.
2. Primary and Non-Contributory if Required
by Contract
Only with respect to insurance provided to an
additional insured in A.1.g. - Additional
Insured If Required by Contract, the following
provisions apply:
(1) Primary Insurance When Required By
Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be primary.
If other insurance is also primary, we will
share with all that other insurance by the
method described in Other Insurance 5.d.
(2) Primary And Non-Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract or
written agreement that this insurance is
primary and non-contributory with the
additional insured's own insurance, this
insurance is primary and we will not seek
contribution from that other insurance.
Paragraphs (1) and (2) do not apply to other
insurance to which the additional insured has
been added as an additional insured.
When this insurance is excess, we will have
no duty to defend the insured against any
"suit" if any other insurer has a duty to defend
the insured against that "suit". If no other
insurer defends, we will undertake to do so,
but we will be entitled to the insured's rights
against all those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-insured
amounts under all that other insurance.
We will share the remaining loss, if any, by
the method described in SECTION IV-
Business Auto Conditions, B. General
Conditions, Other Insurance 5.d.
3. AUTOS RENTED BY EMPLOYEES
Any "auto" hired or rented by your "employee" on
your behalf and at your direction will be
considered an "auto" you hire.
The SECTION IV- Business Auto Conditions, B.
General Conditions, 5. OTHER INSURANCE
Condition is amended by adding the following:
e. If an "employee’s" personal insurance also
applies on an excess basis to a covered
"auto" hired or rented by your "employee" on
your behalf and at your direction, this
insurance will be primary to the "employee’s"
personal insurance.
4. AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5. - FELLOW EMPLOYEE - of
SECTION II - LIABILITY COVERAGE does not
apply if you have workers' compensation
insurance in-force covering all of your
"employees".
Coverage is excess over any other collectible
insurance.
5. HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are
provided under this Coverage Form for any "auto"
you own, then the Physical Damage Coverages
provided are extended to "autos" you hire or
borrow, subject to the following limit.
The most we will pay for "loss" to any hired "auto"
is:
(1) $100,000;
(2) The actual cash value of the damaged or
stolen property at the time of the "loss"; or
(3) The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest, minus a deductible. The
deductible will be equal to the largest deductible
applicable to any owned "auto" for that coverage.
No deductible applies to "loss" caused by fire or
lightning. Hired Auto Physical Damage coverage
is excess over any other collectible insurance.
Subject to the above limit, deductible and excess
provisions, we will provide coverage equal to the
broadest coverage applicable to any covered
"auto" you own.
We will also cover loss of use of the hired "auto" if
it results from an "accident", you are legally liable
and the lessor incurs an actual financial loss,
subject to a maximum of $1000 per "accident".
This extension of coverage does not apply to any
"auto" you hire or borrow from any of your
"employees", partners (if you are a partnership),
members (if you are a limited liability company),
or members of their households.
6. PHYSICAL DAMAGE - ADDITIONAL
TEMPORARY TRANSPORTATION EXPENSE
COVERAGE
Paragraph A.4.a. of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $50 per day and a maximum limit of
$1,000.
7. LOAN/LEASE GAP COVERAGE
Under SECTION III - PHYSICAL DAMAGE
COVERAGE, in the event of a total "loss" to a
covered "auto", we will pay your additional legal
obligation for any difference between the actual
cash value of the "auto" at the time of the "loss"
and the "outstanding balance" of the loan/lease.
"Outstanding balance" means the amount you
owe on the loan/lease at the time of "loss" less
any amounts representing taxes; overdue
payments; penalties, interest or charges resulting
from overdue payments; additional mileage
charges; excess wear and tear charges; lease
termination fees; security deposits not returned by
the lessor; costs for extended warranties, credit
life Insurance, health, accident or disability
insurance purchased with the loan or lease; and
carry-over balances from previous loans or
leases.
8. AIRBAG COVERAGE
Under Paragraph B. EXCLUSIONS - of SECTION
III - PHYSICAL DAMAGE COVERAGE, the
following is added:
The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.
9. ELECTRONIC EQUIPMENT - BROADENED
COVERAGE
a. The exceptions to Paragraphs B.4 -
EXCLUSIONS - of SECTION III - PHYSICAL
DAMAGE COVERAGE are replaced by the
following:
Exclusions 4.c. and 4.d. do not apply to
equipment designed to be operated solely by
use of the power from the "auto's" electrical
system that, at the time of "loss", is:
(1) Permanently installed in or upon the
covered "auto";
(2) Removable from a housing unit which is
permanently installed in or upon the
covered "auto";
(3) An integral part of the same unit housing
any electronic equipment described in
Paragraphs (1) and (2) above; or
(4) Necessary for the normal operation of the
covered "auto" or the monitoring of the
covered "auto's" operating system.
b. Section III, Physical Damage Coverage, Limit
of Insurance, Paragraph C.2. is amended to
add the following:
$1,500 is the most we will pay for "loss" in
any one "accident" to all electronic equipment
(other than equipment designed solely for the
reproduction of sound, and accessories used
with such equipment) that reproduces,
receives or transmits audio, visual or data
signals which, at the time of "loss", is:
Form HA 99 16 12 21 Page 3 of 5
(1) Permanently installed in or upon the
covered "auto" in a housing, opening or
other location that is not normally used by
the "auto" manufacturer for the installation
of such equipment;
(2) Removable from a permanently installed
housing unit as described in Paragraph
2.a. above or is an integral part of that
equipment; or
(3) An integral part of such equipment.
c. For each covered "auto", should loss be
limited to electronic equipment only, our
obligation to pay for, repair, return or replace
damaged or stolen electronic equipment will
be reduced by the applicable deductible
shown in the Declarations, or $250, whichever
deductible is less.
10. EXTRA EXPENSE - BROADENED COVERAGE
Under Paragraph A. - COVERAGE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, we will
pay for the expense of returning a stolen covered
"auto" to you.
11. GLASS REPAIR - WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
No deductible applies to glass damage if the glass
is repaired rather than replaced.
12. TWO OR MORE DEDUCTIBLES
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
If another Hartford Financial Services Group, Inc.
company policy or coverage form that is not an
automobile policy or coverage form applies to the
same "accident", the following applies:
(1) If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible, it will be waived;
(2) If the deductible under this Business Auto
Coverage Form is not the smaller (or
smallest) deductible, it will be reduced by the
amount of the smaller (or smallest)
deductible.
13. AMENDED DUTIES IN THE EVENT OF
ACCIDENT, CLAIM, SUIT OR LOSS
The requirement in LOSS CONDITIONS 2.a. -
DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
SUIT OR LOSS - of SECTION IV - BUSINESS
AUTO CONDITIONS that you must notify us of an
"accident" applies only when the "accident" is
known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability
company; or
(4) An executive officer or insurance manager, if
you are a corporation.
14. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we
will not deny coverage under this Coverage Form
because of such failure.
15. HIRED AUTO - COVERAGE TERRITORY
SECTION IV, BUSINESS AUTO CONDITIONS,
PARAGRAPH B. GENERAL CONDITIONS, 7. -
POLICY PERIOD, COVERAGE TERRITORY - is
added to include the following:
(6) For short-term hired "autos", the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
"insured's" responsibility to pay damages for
"bodily injury" or "property damage" is
determined in a "suit," the "suit" is brought in
the United States of America, the territories
and possessions of the United States of
America, Puerto Rico or Canada or in a
settlement we agree to.
16. WAIVER OF SUBROGATION
Paragraph 5. TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US - of
SECTION IV - BUSINESS AUTO CONDITIONS
A. Loss Conditions is amended by adding the
following:
We waive any right of recovery we may have
against any person or organization with whom you
have a written contract that requires such waiver
because of payments we make for damages
under this Coverage Form.
17. RESULTANT MENTAL ANGUISH COVERAGE
The definition of "bodily injury" in SECTION V-
DEFINITIONS, C. is replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death resulting from any of
these.
18. EXTENDED CANCELLATION CONDITION
Paragraph 2. of the COMMON POLICY
CONDITIONS - CANCELLATION - applies except
as follows:
If we cancel for any reason other than
nonpayment of premium, we will mail or deliver to
the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.
19. HYBRID, ELECTRIC, OR NATURAL GAS
VEHICLE PAYMENT COVERAGE
In the event of a total loss to a "non-hybrid" auto
for which Comprehensive, Specified Causes of
Loss, or Collision coverages are provided under
this Coverage Form, then such Physical Damage
Coverages are amended as follows:
a. If the auto is replaced with a "hybrid" auto or
an auto powered solely by electricity or
natural gas, we will pay an additional 10%, to
a maximum of $2,500, of the "non-hybrid"
auto’sactual cash value or replacement cost,
whichever is less,
b. The auto must be replaced and a copy of a
bill of sale or new lease agreement received
by us within 60 calendar days of the date of
"loss,"
c. Regardless of the number of autos deemed a
total loss, the most we will pay under this
Hybrid, Electric, or Natural Gas Vehicle
Payment Coverage provision for any one
"loss" is $10,000.
For the purposes of the coverage provision,
a. A "non-hybrid" auto is defined as an auto that
uses only an internal combustion engine to
move the auto but does not include autos
powered solely by electricity or natural gas.
b. A "hybrid" auto is defined as an auto with an
internal combustion engine and one or more
electric motors; and that uses the internal
combustion engine and one or more electric
motors to move the auto, or the internal
combustion engine to charge one or more
electric motors, which move the auto.
20. VEHICLE WRAP COVERAGE
In the event of a total loss to an "auto" for which
Comprehensive, Specified Causes of Loss, or
Collision coverages are provided under this
Coverage Form, then such Physical Damage
Coverages are amended to add the following:
In addition to the actual cash value of the "auto",
we will pay up to $1,000 for vinyl vehicle wraps
which are displayed on the covered "auto" at the
time of total loss. Regardless of the number of
autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage provision for
any one "loss" is $5,000. For purposes of this
coverage provision, signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.
Form HA 99 16 12 21 Page 5 of 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Countersigned by
Authorized Representative
(1) Printed in U.S.A.Form WC 04 03 06
Policy Expiration Date:
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Endorsement Number:Policy Number:
Effective Date: Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address:
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration.
SCHEDULE
Person or Organization Job Description
Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us
84WEGAU5C27
12/31/2024
Dokken Engineering, Inc.
110 Blue Ravine Rd., Suite 200
Folsom, CA 95630
12/31/2025