3 8
1 9
5 AMENDMENT NO. 1
TO AGREEMENT FOR PROFESSIONAL SERVICES
David Evans and Associates, Inc.
Construction Documents for Main Street Improvements
This Amendment No. 1 to Agreement for Professional Services is made and entered into as of 12/10/2024, by and between the City of Lake Elsinore, a municipal corporation (“City), and David Evans and Associates, Inc, a Corporation (“Consultant”).
RECITALS
A. The City and Consultant have entered into that certain Agreement for Professional Services dated as of 2/28/2023, (the “Original Agreement”). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement.
B. The Original Agreement provided for compensation to Consultant in an amount of One Hundred Eighty-Two Thousand Two Hundred Thirty-Three dollars ($182,233.00).
C. The Original Agreement had a term until the services and related work are completed in accordance with the Consultant’s Proposal.
D. The parties now desire to amend the scope of services and increase the payment for such services as set forth in this Amendment No 1.
NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows:
1. Section 1, Scope of Services, of the Original Agreement is hereby amended to add the following:
Consultant shall also perform the services described in Consultant’s 11/14/2024 Proposal (attached to this Amendment No. 1 as Exhibit A- 1). Consultant shall provide such services at the time, place, and in the manner specified in Exhibit A-1, subject to the direction of the City through its staff that it may provide from time to time.
2. Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows:
Notwithstanding the foregoing, for purposes of Amendment No. 1 and the term thereof, compensation to be paid to Consultant shall be in accordance with the Schedule of Charges set forth in Consultant’s Proposal (referenced collectively as Exhibit A-1 Amendment No. 1). In no event shall Consultant’s compensation related to Exhibit A-1 to Amendment No. 1 exceed five hundred and one thousand three hundred and thirty-three dollars ($501,333.00) without additional written authorization from the City Council.
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE 3 8
1 9
5 Notwithstanding any provision of Consultant’s Proposal to the contrary, out of pocket expenses set forth in Exhibit A-1 respectively, shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment.
3. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect.
IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be executed on the respective dates set forth below.
“CITY”
CITY OF LAKE ELSINORE, a municipal
corporation
“CONSULTANT”
David Evans and Associates, Inc.
City Manager
Date:
Kim S. Rhodes, PLA 3867
Vice President
Date: __
ATTEST:
City Clerk
APPROVED AS TO FORM:
City Attorney
Assistant City Manager
Attachments: Exhibit A-1 – Consultant’s Proposal
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE 12/18/2024 | 12:42 PM PST
12/20/2024 | 10:53 AM PST
EXHIBIT A-1
CONSULTANT’S PROPOSAL
[ATTACHED]
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE 4141 E. Inland Empire Blvd., Suite 250, Ontario, CA 91764 T:( 909) 481-5750 F: (909) 481-5757 November 14, 2024
Rick De Santiago
Public Works Manager
City of Lake Elsinore
Corporate Yard
521 North Langstaff St.
Lake Elsinore, CA 92530
SUBJECT: PREPARATION OF CONSTRUCTION DOCUMENTS FOR MAIN STREET
IMPROVEMENTS IN THE CITY OF LAKE ELSINORE
Dear Rick,
On behalf of David Evans and Associates, Inc. (DEA), we are pleased to provide you with a proposal for design services for streetscape improvements on Main Street. The limits of work are shown on the attached exhibit.
DEA has prepared conceptual plans for the proposed improvements and those plans will be used as a basis for the design of this project. The base sheets will be prepared using DEA survey data gathered as a part of the conceptual plan preparation, supplemented by City plans for the sidewalk ramp/conduit project and the Civic Center project.
Please note plans for the gateway structures are part of a separate proposal as that project will be packaged and bid separately from the remainder of the work as previously discussed with you.
DEA proposes the following scope of services and fees:
Task 1 - Field Investigation and Base Sheets
A site visit by two DEA team members (civil and landscape) along with City staff will be conducted to review the proposed improvements in the field. Constructability issues will also be evaluated during the site visit. The conceptual plan will be compared to field conditions with the intent of making any necessary adjustments to the base sheets prior to beginning preparation of construction documents.
This is a critical step to minimize revisions to the construction document package. Base sheets, using the City's template, will be developed at 20 scale, and used for the preparation of project plans. Soil samples will be taken for testing during the site visit as required under MWELO.
Deliverables – Base sheets
Meetings – One at site, two virtual
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE November 14, 2024
City of Lake Elsinore
Main Street Improvements
Task 2 - Geotechnical Investigation
Geotechnical field investigation and report including recommendations for streetlights, a gateway arch at Sumner Ave., monuments at Lakeshore Dr. (construction documents for the arch and monument are part of a separate construction document proposal) and sidewalks will be provided.
See attachment for detailed scope description.
Deliverables - Geotechnical report containing investigation data and recommendations for design features.
Meetings – None.
Task 3 - Construction Documents
• Demolition Plans - These plans will indicate the limits of removal of existing features needed for construction of the proposed improvements. This would include, but not be limited to:
sidewalks, site furnishings, streetlights, plant material and irrigation equipment. The demolition plans will also identify items to be protected in place and items to be removed that are to be turned over to the City.
• Civil Plans - Prepared by DEA. See attachment for detailed scope description.
• Electrical Plans - See attachment for detailed scope description.
• Planting Plans - Plans show the location of plant material and will include a plant legend indicating the botanical and common names, quantity, size, and remarks. Details will also be provided.
• Irrigation Plans - The plans will indicate the layout of the irrigation system, the point of connection, backflow prevention method, pressure regulation (as necessary), and equipment size and type in the irrigation legend. The design plans will be fully compliant with AB1881.
Details will also be provided.
• Supplementary Specifications - City to prepare specifications for project, DEA to provide the following supplementary materials: 1) Bid item descriptions/quantities and, 2) Technical specification appendices for vendor provided items such as lighting, site furniture, etc.
• Estimate of probable construction costs - Project elements will be quantified and estimated to the greatest extent possible; when necessary, lump sum estimates will be used. This estimate will be revised throughout the project from the 60% submittal onward.
Deliverables - 20 scale plans submitted at 60%, 95% and 100%, one revision to 100% plans based on City comments, technical specifications, estimate of probable cost.
Meetings – Two in person meetings, seven virtual meetings
TOTAL FEE - $318,100 (Including reimbursables $319,100)
Assumptions
1. Existing water and electrical services will be used in their current locations and no new water or electrical service points of connection will be added to the project site as a part of this work.
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE November 14, 2024
City of Lake Elsinore
Main Street Improvements
2. Construction documents for this project will be designed to integrate with the approved Main Street improvement plans.
3. Existing survey data has been evaluated and at this time we believe no additional survey work will be required, and therefore, no survey work is included in the scope of this proposal.
4. Sleeves exist and can be re-used for this project at street crossings.
Exclusions
1. Technical specifications beyond what is noted in this proposal
2. Plans for Gateway structures (see separate proposal)
3. Outside agency plan submittal and revisions
4. Structural calculations for street lights (to be provided by vendor)
5. WQMP/SWPPP/SWPPP Permitting/Erosion control plans
6. LID Compliance
7. Bidding/construction support
8. As-built drawings
Reimbursable Items – $1,000 (for budgetary purposes)
Items such as reproduction/ plotting services, mileage, and delivery costs (Federal Express, UPS, etc.) are considered reimbursable expenses and will be charged at actual cost plus 10%.
Any service requested that does not fall within the scope of services listed, or any duplication of work due to changes desired by the City of Lake Elsinore, will be performed on an “Extra Services” basis and negotiated accordingly.
Our DEA team is available to begin work immediately following the issuance of a notice to proceed.
Should you have any questions or comments regarding this proposal, please feel free to contact me at (909) 561-7362. We would be happy to adjust the scope as needed to ensure we provide a level of service that is consistent with your needs.
Sincerely,
David Evans and Associates, Inc.
Todd Holmes, PLA 3561 Kim S. Rhodes, PLA 3867
Associate Vice President
Attachments:
A: Main Street Conceptual Plan
B: Geotechnical Scope of Work
C: Electrical Scope of Work
D: Civil Engineering Scope of Work
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Lake Elsinore Main Street Lighting
Initial ______
412 E. Vanderbilt Way | San Bernardino, CA 92408
Pacific Northwest 425.458.9700 | Southern California 909.890.3700 | DesignWestEng.com
Date: March 1, 2024
Company: David Evans and Associates, Inc.
4141 E. Inland Empire Blvd, Suite 250
Ontario, CA 91764
Attention: Todd Holmes
Subject: Lake Elsinore Main Street Lighting
Our Proposal #P-2416728
PROJECT SCOPE
Provide Construction document design and specifications for Lake Elsinore Main Street Lighting located in Lake Elsinore, CA. Scope is to provide new street and pedestrian lighting along Main Street which will include bollards. Existing services will be reused when possible and new designed when required. Street lighting will be done to City standards. Location of underground utilities will be assumed to be as shown on City Street Improvement plans.
PROJECT ASSUMPTIONS
1) Proposal based on drawings/SOW/RFP dated 02/06/24
2) Design Phases: 50%CD, 100%CD, Permit, Bid, CA
3) The following existing systems and equipment will be reused:
a) Electrical service when available
4) Dry utility coordination will be handled by:
a) Power: Design West Engineering
5) Code cycle: 2022
6) Construction and Bid support is not included, shown as optional
SERVICES INCLUDED
1) (1) Pre-design site visit for verification of existing conditions 2) (5) Virtual conference/coordination meetings
3) Electrical specifications provided in book format
4) Licensed Professional Engineers stamp and signature
5) Review of quantities and scope within construction cost estimates provided by Landscape architect 6) Estimate of probable construction cost
7) Electrical site plan including the following:
a) Site lighting layout, circuiting, and control wiring diagram b) Point by Point of site lighting foot candle levels per IES Standards. Photometrics will take into account existing obstruction of lighting such as tree’s
ATTACHMENT C
2024 04 01 DEA Proposal - Main
Street Construction Documents
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Lake Elsinore Main Street Lighting
Initial ______
Mechanical I Electrical I Plumbing I Commissioning I Fire Protection I Technology I Energy c) Site raceway system, vault/pedestal locations and sizes, meter location/requirements, transformer pad locations
d) Schedule of lighting fixtures
e) Coordination with existing electrical service
f) New service entrance and main meter sections design
g) Single line diagram
h) Load schedules
i) Panel schedules
j) Voltage drop calculations
8) Utility Coordination including the following:
a) Electrical utility coordination including the following:
i) Coordination of power service with serving utility
ii) Completion of all paperwork and plan submittals with power company iii) Site meeting with power company
9) Deliverables as follows:
a) Progress sets per Design Phase under Project Assumptions - .pdf electronic files b) For submission/re-submission (limited to ONE) to Plan Check - .pdf electronic files 10) Plan Check and Permit support services:
a) Completion of City plan check comments
OPTIONAL SERVICES
1) Bidding support services:
a) Provide response to RFIs to Architect
b) Provide clarifications and revisions to drawings and/or specifications when required 2) Construction administration support services:
a) Provide response to RFIs to Architect
b) Review and return to the Architect, shop drawings and submittals c) Construction phase meetings/site visit(s) including
d) Site visit with final “punch list”
e) Prepare required project close reports and documentation f) Prepare As-Built/record drawings based on contractor notes and redlines
SERVICES NOT INCLUDED
1) LEED Documentation, Credit Analysis or Credit Templates 2) Commissioning and/or Energy Code acceptance testing services 3) Documenting existing Electrical systems beyond major components. Major components consist of Electrical equipment. If accurate As-Built or record drawings are not provided, and additional time is required to verify size and location of lighting and electrical wiring, additional fees will be required. 4) Background generation
5) Upgrade to existing electrical service or panelboards due to inadequate capacity or condition 6) Site improvements
7) Project meetings, construction site visits, or recurring coordination meeting conference calls beyond those listed in scope
8) Revisions to our plans after plan check approval due to changes in design, such as floor plan and site Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Lake Elsinore Main Street Lighting
Initial ______
Mechanical I Electrical I Plumbing I Commissioning I Fire Protection I Technology I Energy plan modifications, or additional scope changes
9) Calculation of plan check and/or building permit fees or payment thereof 10) Delivery of plans to City or County agencies
11) Printing of additional sets of drawings other than listed in scope 12) Material and equipment take-offs for bidding
13) Construction contract bid negotiation process
14) Electrical services for building other than those listed in scope of work 15) Preparation of multiple drawings or drawing set for separate construction phasing unless specifically indicated in Project Scope or Services Included
16) Sub-contracts with any other consultants such as Structural Engineers, or Architects for out of scope work such as equipment platforms and support or site lighting pole base calculations 17) Verifying locations of existing underground utilities which transit the site 18) Design of solar photovoltaic systems and energy storage systems and calculations 19) Special effect lighting systems such as Theatrical lighting 20) Temporary power design
21) Load monitoring of existing electrical systems or circuit tracing of existing circuits and feeders 22) Selection and locations of public street lighting, traffic control, street improvements and offsite utilities 23) Measurements of lighting levels post construction
24) Arc flash hazard analysis and protective device coordination study 25) Application or documentation for rebate program(s) other than listed in scope 26) Any coordination or permit application/acquisition for local department of transportation and/or any other agency not shown in the “inclusions” portion of the Scope of Work 27) Low voltage systems design and equipment specifications including the following:
a) Voice/Data, Network and Intercom systems
b) CCTV and Cable television systems
c) Building and site Fire alarm system
d) Security and Access Control systems
e) Audio/Video and Music/paging systems
DRAWING DESIGN FORMAT
Software used to for construction drawings will be based on the following:
AutoCad® version 2020 or later
PROVIDED BY CLIENT
1) Record drawings of existing MEP systems
2) Project street address
3) Computer drawings files and associated support files as well as drawing format requirements 4) Catalog cuts of specific fixtures or equipment requested by your office or owner 5) Requirements of all equipment specified by your office and/or other consultants to be connected to electrical service
6) Format for book form specifications including font type, header and/or footer layout 7) Name, address and telephone number of any available project contacts (i.e. additional consultants, plan check, owner’s representative)
8) Restrictions or requirements to the property put in effect through conditional use permits or other Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Lake Elsinore Main Street Lighting
Initial ______
Mechanical I Electrical I Plumbing I Commissioning I Fire Protection I Technology I Energy likewise attachments to this property
9) Billing schedule for invoicing if specific requirements apply 10) 30-Day load recordings for requested electrical panels intended to be reused and 12 months of electric utility bills for verification of existing peak demand on main service 11) Civil CAD file with overhead and underground utilities shown 12) PDF and CAD files of required drawings such as electrical, communications and civil
FEE & TERMS AND CONDITIONS
Refer. to separate document for these items.
We appreciate the opportunity to work with you on this project. We look forward to your response.
Respectfully,
Roy Morales
DESIGN WEST ENGINEERING
Accepted by (Sign): ______________________________
Accepted by (Print): ______________________________
Date: ______________________________
Client Job Number: ______________________________
DWE Proposal Number: P-2416728
Bill To: (If different from client listed on proposal)
Company:_________________________________
Name: _________________________________
Address: _________________________________
Email: _________________________________
Phone: _________________________________
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE ACORD® CERTIFICATE OF LIABILITY INSURANCE 12/ 1/2025 I
DATE (MM/DD/YYYY)
~
~ 11/27/2024
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.
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) .
PRODUCER Lockton Companies, LLC CONTACT
NAME :
444 W. 47th Street, Suite 900 PHONE
I
FAX
IA/C Mn Extl : IA/C Nol :
Kansas City MO 64112-1906 E-MAIL
(816) 960-9000 ADDRESS:
[email protected] INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A Zurich American Insurance Comoanv 16535
INSURED
DAVID EVANS AND ASSOCIATES, INC. INSURER B , Continental Casualtv Comoanv 20443 1456304 2100 S RIVER PA RKWAY, SUITE 100 INSURER C American Guarantee and Liab. Ins. Co. 26247 PORTLA DOR 97201 INSURER D . American Zurich Insuranc e Company 40142 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER : 16294615 REVISION NUMBER : xxxxxxx
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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR , .. ~D wvn POLICY NUMBER ' IMM/DDIYYYYl IMM/DD/YYYYl A L
COMMERCIAL GENERAL LIABILITY y y GL09830389 12/1/2024 12/ 1/2025 EACH OCCURRENCE $ I 000 000 □ CLAIMS-MADE Ci] OCCUR DAMA<,<: IV t<ENTt::D
s I 000 000 PREMISES /Ea occurrence I
~
MED EXP (Any one person) s 10.000
PERSONAL & ADV INJURY
~
s 1.000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2.000 000 ~
POLICY ~ mg: □ LDC PRODUCTS - COMP/OP AGG s 2 .000 000
OTHER: s
C AUTOMOBILE LIABILITY y y BAP9830390 12/1 /2024 12/1/2025 COMBINED SINGLE LIMIT s 1.000 000 '--- !Ea accidenll
cK..
ANY AUTO BODILY INJURY (Per person) s xxxxxxx - SCHEDULED OWNED BODILY INJURY (Per accident) s xxxxxxx '--- AUTOS ONLY '--- AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ xxxxxxx AUTOS ONLY AUTOS ONLY !Per accident) '--- '--- s xxxxxxx
UMBRELLA LIAB
H
OCCUR NOT APPLICABLE EACH OCCURRENCE s xxxxxxx '---
EXCESS LIAB CLAIMS-MADE AGGREGATE s xxxxxxx
DED I I RETENTION s s xxxxxxx
WORKERS COMPENSATION y XI ;~fTuT E I I
OTH-
D WC9336626 I 2/1 /2024 I 2/1/2025 ER AND EMPLOYERS ' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
~
E.L. EACH ACCIDENT s I 000 000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ I 000 000 ~~it~ft-¥~~ ~:;PERATIONS below E.L. DISEASE - POLICY LIMIT $ I 000 000 B PROFESSIONAL N N AEH59!924704 12/ 1/2024 12/1 /2025 PER CLAIM $1 ,000.000 LIABILITY A AL AGGREGATE $1.000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Addi tional Remarks Schedule , may be attache d if more space is required) RE: MAIN STREET WALL AESTHTICS. THE CITY, ITS ELECTED OR APPOI TED OFFICERS, OFFICIALS , EMPLOYEES , AGENTS AND VOLU TEERSARE
ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY , AND THESE COVERAG ES ARE PRIMARY AND 'ON- CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. WAIV ER OF SUBROGATION APPLIES TO GENERAL LIABILITY , AUTO LIABILITY A D WORKERS COMPE SATIO /EMPLOY ER'S LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTE CONTRACT.
CERTIFICATE HOLDER
16294615
CITY OF LAKE ELSINORE
ATTN : REMON HABIB
130 S. MAIN STREET
LAKE ELS INORE CA 92530
ACORD 25 (2016/03)
CANCELLATION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
All rights reserved .
The ACORD name and logo are registered marks of ACORD
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Miscellaneous Attachm ent: M50333 7 Certificate ID: 16294615 Additional Insured - Owners, Lessees Or Contractors
- Scheduled Person Or Organization
POLICY NO. GLO 9830389
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
SCHEDULE
Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s):
Any person or organization you are required to add Any Location where you have agreed, through a written contract, agreement or permit, to provide
as an additional insured in a written contract or Additional insured coverage except where such written agreement. Contract or agreement is prohibited by law.
A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated in such Schedule.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
All other terms, conditions, provisions and exclusions of this policy remain the same.
Includes copyrighted material of Insurance Services Office, Inc., with its permission .
U-GL-2169-A CW (02/19)
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Misce llaneous Attac hment: M503356 Certificate ID: 162946 15 Additional Insured - Owners, Lessees Or Contractors
- Completed Operations
POLICY NO. GLO 9830389
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
SCHEDULE
Name Of Additional Insured Person(s) Location And Description Of Completed Operations Or Organization(s):
Any person or organization you are required to add
Any location or project where you are required to provide additional insured status in a written contract or written as an additional insured under a written contract or
written agreement.
agreement, except where such contract or agreement is
prohibited by law.
Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in such Schedule, performed for that additional insured and included in the "products-completed operations hazard".
All other terms, conditions, provisions and exclusions of this policy remain the same.
Includes copyrighted material of Insurance Services Office, Inc., with its permission .
U-GL-2168-A CW (02/19)
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Miscellaneous Attachment: M503490 Certificate ID: 16294615 POLICY NUMBER: GLO9830389
Effective Date: 12/01/2024 - 12/01/2025
Other Insurance Amendment - Primary And
Non-Contributory
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
g
ZURICH
1. The following paragraph is added to the Other Insurance Condition of Section IV - Commercial General Liability Conditions:
This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that:
a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions :
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis.
All other terms and conditions of this policy remain unchanged.
U-GL-1327-B CW
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Miscellaneous Attachment: M460257 Certificate ID: 16294615 Waiver Of Subrogation (Blanket) Endorsement
Policy No. Eff. Date of Pol. Exp. Date of Pol.
GLO9830389 12/01/2024 12/01 /2025
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial Genera l Liability Coverage Part
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from others, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractua l interest.
U-GL-925-B CW ( 12/01)
Page I of I
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Attachment Code: D465278 Certificate ID: 16294615
POLICY NUMBER: BAP 9830390 COMMERCIAL AUTO
CA 04 4410 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: DAVID EVANS AND ASSOCIATES, INC.
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
ANY PERSON OR ORGANIZATION THAT REQUIRES YOU TO WAIVE YOUR
RIGHTS OF RECOVERY IN A WRITTEN CONTRACT OR AGREEMENT WITH THE NAMED INSURED.
I Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule,
but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with
that person or organization.
CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 3 of 6
1..1
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Misce llaneous Attac hment: M46026 I Certi fie ate ID: 16294615
WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY
WC 00 03 13 (Ed. 04-84)
POLICY NUMBER: WC9336626
Effective Date: 12/01/2024 - 12/01/2025
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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 required you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
Any person or organization that requires you to waive your rights of recovery in a written contract or agreement with the Named Insured.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE Miscella neous Attac hment: M503359 Certificate ID: 16294615 POLICY NUMBER: BAP 9830390 COMMERCIAL AUTO
CA 20 4810 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
SCHEDULE
Name Of Person(s) Or Organization(s):
,\NY PERSON OR ORGANIZATION YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEr :oNTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAIA Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision
contained in Paragraph A.1. of Section II - Covered
Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph 0 .2. of Section
I - Covered Autos Coverages of the Auto Dealers
Coverage Form.
CA 20 4810 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE
CITY OF LAKE ELSINORE
TO BE POSTED IN A CONSPICUOUS PLACE
Business Name:
Business Location:
Owner Name(s):
BUSINESS LICENSE NO.
Issue Date:
Description:
Expiration Date:
BUSINESS LICENSE
THIS IS YOUR LICENSE • NOT TRANSFERABLE
2100 SOUTHWEST RIVER PKWY Business Type:
PORTLAND, OR 97201
DAVID EVANS AND ASSOCIATES, INC.
2100 SW RIVER PKWY # 100
PORTLAND, OR 97201-8073
This business license is issued for revenuepurposes only and does not grant authorization to operate a business. This business license is issued without verification that the holder is subject to or exempted from licensing by t he state, county, feder al government, or any other governmental agency.
Administrative Services - Licensing
130 South Main Street, Lake Elsinore, CA 92530
PH (951 ) 674-3124
DAVID EVANS AND ASSOCIATES, INC.
AL BARKOULI
AARON FETZER
PROFESSIONAL/GENERAL-MISC
ENGINEERING AND LAND SURVEYING
CONSULTING SERVICES
015735
6/1/2024 5/31/2025
Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ Docusign Envelope ID: 15D072F2-957A-4FF1-8DBC-AE5AC7EF09EE