LuLusiyIl Elverupe IN. UTM14/00-DUUU-4I4L-DUM4-U4UELVET LOUD AMENDMENT NO. 1
TO AGREEMENT FOR PROFESSIONAL SERVICES
ENGINEERING RESOURCES OF SOUTHERN CALIFORNIA, INC.
City Hall Civil Engineering Services
This Amendment No. 1 to Agreement for Professional Services is made and entered into as of 11/14/2023, by and between the City of Lake Elsinore, a municipal corporation ("City), and Engineering Resources of Southern California, Inc., a California Corporation ("Consultant").
RECITALS
A. The City and Consultant have entered into that certain Agreement for Professional Services dated as of 7/12/2022, (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 Consultant to perform civil engineering services related to the new City Hall project. Under the Original Agreement, compensation to Consultant for such professional services would not exceed Sixty-Five Thousand Seven Hundred dollars ($65,700).
The parties now desire to amend the Scope of Services and increase the compensation to pay 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:
The scope of services to be performed by Consultant shall be revised as described in Consultant's Proposal dated October 28, 2023 (Exhibit A-1).
Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows:
Compensation to be paid to Consultant shall be in accordance with the fees set forth in Consultant's Proposal dated June 29, 2022 (Exhibit A) and Consultant's Proposal dated October 28, 2023 (Exhibit A-1), which are attached hereto and incorporated herein by reference. In no event shall Consultant's total compensation for all services performed exceed One Hundred Nine Thousand Seven Hundred Thirty-Two dollars ($109,732) without additional written authorization from the City. Notwithstanding any provision of Consultant's Proposal to the contrary, out of pocket expenses set forth in Exhibit A and Exhibit A-1 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.
Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect.
DULLIyII ErVEIUpE IN. UTMI4/OD-D0JU-414L-DUM4-U4ULGYEF<OUJ IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be executed on the respective dates set forth below.
"CITY" "CONSULTANT"
CITY OF LAKE ELSINORE, a municipal Engineering Resources of Southern California, corporation Inc. a California corporation
- DocuSigned by:
Jason Simpson - Docusigned by:
1661562E6E511 Matt Brudin
City Manager
Matt Brudin, P.E.
1/10/2024 | 8:34 AM PST
Date:_
1/10/2024 | 8:34 AM PST
Date:
ATTEST:
DocuSigned by:
cAf
481407190107
City Clerk
APPROVED AS TO FORM:
- Docusigned by:
Barbara Leibold
-A60Д60000GA519C
City Attorney
- DocuSigned by:
Shannon Buckey
578522541512195.
Assistant City Manager
Attachments: Exhibit A-1 - Original Agreement (9/21/23) ERStG REDLANDS | TEMECULA | PALM DESERT
Engineering Rosources of Southern California
16007009
October 28, 2023
Mr. Gus Papagolos, Project Manager
City of Lake Elsinore
130 S Main Street
Lake Elsinore, CA 92530
CITY OF LAKE ELSINORE CITY HALL - REQUEST FOR ADDITIONAL AUTHORIZATION NO. 4 - SITE
GRADING AND UTILITY COORDINATION
Dear Gus,
Per our recent conversations, it is our understanding the City has acquired the building located on Main Street directly south of the three parcels that make up the current site of the new city hall building. As a result, STK Architecture, Inc. (STK) has modified its drawings to provide a building that encumbers the previous three parcels and the current acquisition. The acquisition of the additional parcels allows for a reduction of the east/west dimensions of the building such that construction will only minimally impact the existing alley on the east of the site. As a result, the following services are no longer necessary:
1. Coordination with So Cal Gas related to a gas line relocation.
2. Coordination with Elsinore Valley Municipal Water District related to the relocation of an existing sewer and potentially the construction of the proposed waterline in the alley.
3. Redesign of the existing alley to accommodate building construction.
As discussed, we are currently investigating the relocation of the DCA and fire department connection and the domestic water service to a location on the south side of Graham Avenue. IF this location is deemed acceptable by the City Fire Marshall, the proposed waterline in the alley will also be eliminated.
Based on our review of preliminary building plans provided by STK, we have determined that the deletion and addition of information is required on the demolition and grading plans to provide for the construction of the new city hall building. In addition, there are required modifications to the water and sewer plans and the modification of the water quality management plan. This request also includes time previously expended on support for the relocation of the SCE facilities in the alley east of the proposed building.
We anticipate providing the following services.
Precise Grading Plans
1. Deletion of demolition of the east half of the existing alley and addition of demolition across the building frontage on Main Street Graham Avenue from the face of the building to the back of the curb.
2. Redesign along the rear of the revised building footprint to provide access and drainage.
Redesign of grading along the alley to accommodate future construction of parking east of the alley. The parking lot east of the alley will not be constructed with the current project.
Page | 1
1861 W. Redlands Blvd., Redlands, CA 92373
T: (909) 890-1255 | F: (909) 890-0995 | erscinc.com
EXHIBIT A-1
ORIGINAL AGREEMENT (9/21/23)
[ATTACHED]
4. Redesign of parkway improvements and curb ramps along Main Street and review and analysis of sidewalk grades along Graham Avenue to verify compliance with accessibility requirements.
Design in these areas will provide accessibility in compliance with Chapter 11 of the California Building Code.
5. Provide coordination with STK Architecture Inc. throughout the redesign process.
Water Quality Management Plan
1. Evaluation of the most viable treatment methods usable within the limits of the project site.
2. Modification of the project specific Water Quality Management Plan to delete the proposed parking in the existing alley and add the new building footprint and the area across the project frontage of Main Street including, but not limited to, the project description, design control volume and design flow calculations, BMP calculations, and redesign of the WQMP site plan.
Utilities
1. Prepare and submit a revised Due Diligence meeting request form to EVMWD. Process revised drawings for review and approval by EVMWD.
2. Modify sewer and water plans to accommodate a sewer connection in Main Street and eliminate the sewer and water reconstruction in the alley. Relocate the DCDA, PIV, fire department connection, and fire hydrant and domestic water supply to the south side of Graham Avenue.
3. Redesign piping to the point of connection for the fire supply line and domestic water connection per current Plumbing Plans.
4. Coordination with and support of City staff and SCE related to the undergrounding of the existing facilities in the alley east of the project.
5. Project management and coordination.
ERSC will provide project coordination and management throughout the redesign process.
Deliverables
Revised Demolition, Grading, and erosion control Plans.
Revised and restated Water Quality Management Plan.
• Revised Water and Sewer Plans.
• CADD files for use by SCE.
Fee Estimate
Fees and charges associated with the prosecution of the precise grading and erosion control plan set are $44,032.
If you have any questions or comments regarding this proposal, please give me a call at (909) 890-1255.
Respectfully,
Matt Brudin
Signed electronically 10.28.2023
Matt Brudin, P.E.
Principal
MB/mb
NutudIyII ClIVelUe ID. UTMI41 0D-DUUU-4 14L-DUMY-UMULLIEr COUS ACORD® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
11/7/2023
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 endorsements).
COMTACT Certificate Department
451 A Street, Suite 1800 (A/C. No. Ext): 619-744-0574 FAC, No): 619-231-8601 E-MAIL
San Diego CA 92101 ADDRESs: [email protected]
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Travelers Property Casualty Company of America 25674 INSURED ENGIRES-01
INSURER B: Berkley Insurance Company 32603
Engineering Resources Of Southern California, Inc.
1861 W. Redlands Bivd, Bldg 7B INSURER C: Hartford Casualty Insurance Co 29424 Redlands, CA 92373 INSURER D:_.
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1939265370 REVISION NUMBER:
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 REDUCEO BY PAID CLAIMS.
INSR ADDL|SUBR] POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY: (MMODAYYY) UMITS A X COMMERCIAL GENERAL LIABILITY 6802H222963 9/1/2023 9/1/2024 EACH OCCURRENCE $1.000,000
DAMAGE TO RENTED
CLAIMS-MADE :^ OCCUR PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10.000
PERSONAL & ADV INJURY $1,000,000
GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 _ POLICY LX JECT iX: Loc PRODUCTS - COMP/OP AGG $2,000,000 OTHER: Deductible $0
A AUTOMOBILE LIABILITY BA2S03978A 9/1/2023 9/1/2024 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)
X ANY AUTO BODILY INJURY (Per person) | S
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident):
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident)
| UMBRELLA LIAB
OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS MADE
AGGREGATE
DED RETENTIONS
C | WORKERS COMPENSATION Y 72WEGGG6371 PER
9/1/2023 9/1/2024 STATUTE LER
:AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000.000 : OFFICER/MEMBER EXCLUDED? N/ A
(Mandatory in NH)
BYSGRIPTHON OF OPERATIONS belOW. E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000
Professional Liabilty AEC907006904 9/1/2023 9/1/2024 Ea Claim & Aggreg $2.000.000
CERTIFICATE HOLDER CANCELLATION
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ways Erverupe IN. UTM 14100-DUJU4 14U DUM4-U4ULLICF LJUS Policy #BA2S03978A
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF
USE - INCREASED LIMIT
B. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE - TRANSPORTATION C. EMPLOYEE HIRED AUTO EXPENSES - INCREASED LIMIT
D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY
E. SUPPLEMENTARY PAYMENTS - INCREASED K. AIRBAGS
LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
F. HIRED AUTO - LIMITED WORLDWIDE COV- LOSS
ERAGE - INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE - GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS
PROVISIONS
A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that person or organization qualifies as an "insured"
The following is added to Paragraph A.1., Who Is
under the Who Is An Insured provision contained
An insured, of SECTION II - COVERED AUTOS in Section II.
LIABILITY COVERAGE:
C. EMPLOYEE HIRED AUTO
Any organization you newly acquire or form dur-
ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II - COV- ERED AUTOS LIABILITY COVERAGE:
separately insured for Business Auto Coverage.
Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" name, with your permission, while performing
ever is earlier. duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness.
The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION II - COVERED Other Insurance, of SECTION IV - BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS:
Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cor- ered "autos" you own:
that person or organization, that is signed and
executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
NudyI CEVEIDUE IU. UTMI4/OD-DUJU-4 14L-DUM4-U4ULLET LOUD Policy #BA2S03978A
COMMERCIAL AUTO
permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions
However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a
covered "auto" (i) You must arrange to defend the "in-
D. EMPLOYEES AS INSURED ured" against, and investigate or s e any such claim or "suit" and ke
The following is added to Paragraph A.1., Who Is us advised of all proceedings and ac- An Insured, of SECTION II - COVERED AUTO: tions.
IABILITY COVERAGE
(ii) Neither you nor any other involved
ny "employee" of yours is an "insured" while us "insured" will make any settlement ng a covered "auto" you don't own, hire or borro without our consent. in your business or your personal affairs.
E. SUPPLEMENTARY PAYMENTS - INCREASED (iii) We may, at our discretion, participate in defending the "insured" against, or
LIMITS
in the settlement of, any claim or
1. The following replaces Paragraph A.2.a.(2), "suit".
of SECTION II - COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must
(2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para-
2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II - COVERED AUTOS LIABIL- SECTION II - COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE.
(4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such
F. HIRED AUTO - LIMITED WORLDWIDE COV- "suit", but only up to and included
ERAGE - INDEMNITY BASIS
within the limit described in Para-
The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II - COVERED AUTOS of SECTION IV - BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to
(5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees",
partners (if you are a partnership), members country outside the United States, its ter- (if you are a limited liability company) or ritories and possessions, Puerto Rico and Canada.
members of their households.
includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy #BA2S03978A
COMMERCIAL AUTO
(2) In or on your covered "auto".
This of you eared aunty in the event of a total
No deductibles apply to this Personal Property
coverage.
K. AIRBAGS
same extent we would have been liable sions, of SECTION I PASCAL DAMAGE had you complied with the compulsory in-
surance requirements. COVERAGE:
(d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one o ted or authorized insurer outside the nore airbags in a covered 'auto" you own that in United States of America, its territories late due to a cause other than a cause of "loss' and possessions, Puerto Rico and Can- et forth in Paragraphs A.1.b. and A.1.c., bu ada. We assume no responsibility for the only:
furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE - GLASS ranty; and
The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III - PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one "loss".
No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS
replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF SECTION IV - BUSINESS AUTO CONDITIONS:
USE - INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or "loss" is known TION III - PHYSICAL DAMAGE COVERAGE: to:
However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner (if you are a partnership); $750 for any one "accident". (c) A member (if you are a limited liability com- l. PHYSICAL DAMAGE - TRANSPORTATION pany):
EXPENSES - INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager (if you are a corporation or other or- graph A.4.a., Transportation Expenses. ganization); or
SECTION III - PHYSICAL DAMAGE COVER- (e) Any "employee" authorized by you to give no- AGE: tice of the "accident" or "loss".
We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.5., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered "auto" of the private passenger type. of SECTION IV - BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS:
The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III - PHYSICAL Others To Us
DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract
We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident parel and other personal property which is: or "loss", provided that the "accident" or "loss' (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office. Inc. with its permission.
Noworyt Elveuue IU. UTM 14/OD-DUJU-4 I4U-DUM4-U4ULLIE LON9 Policy #BA2S03978A
COMMERCIAL AUTO
secon or ot. The wain designated in is the The unintentional omission of, or unintentional contract.
N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal.
SECTION IV - BUSINESS AUTO CONDITIONS
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NUMBER: 680 - 2H222963 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Names of Additional Insured Person(s) or Organization(s):
Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed by you before, and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is Location of Covered Operations:
Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies.
(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Section II - Who Is An Insured is amended to in- This insurance does not apply to "bodily injury" or clude as an additional insured the person(s) or "property damage" occurring, or "personal injury" organization(s) shown in the Schedule, but only or "advertising injury" arising out of an offense with respect to liability for "bodily injury", "property committed, after:
damage", "personal injury" or "advertising injury' 1. All work, including materials, parts or equip- caused, in whole or in part, by ment furnished in connection with such work,
1. Your acts or omissions; or on the project (other than service, mainte-
2. The acts or omissions of those acting on your nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca-
behalf;
tion of the covered operations has been com-
n the performance of your ongoing operations fo pleted; or he additional insured(s) at the location(s) desia
nated above. That portion of "your work" out of which the injury or damage arises has been put to its in-
B. With respect to the insurance afforded to these tended use by any person or organization additional insureds, the following additional exclu- other than another contractor or subcontrac sions apply: tor engaged in performing operations for :
principal as a part of the same project.
CG D3 61 03 05
Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved.
CG T8 01 09 2includes copyrighted material of Insurance Services Office, Inc. with its permission.
DATE OF ISSUE: 07/18/2023 Page 1 of 1
POLICY NUMBER: 680 - 2H222963 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Location And Description Of Completed Operations
Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section I| - Who Is An Insured is amended to in- location designated and described in the schedule of clude as an additional insured the person(s) or or- this endorsement performed for that additional in- ganization(s) shown in the Schedule, but only with sured and included in the "products-completed opera- respect to liability for "bodily injury" or "property dam. tions hazard". age" caused, in whole or in part, by "your work" at the CG 20 37 07 04
CG T8 02 09 23 @ ISO Properties, Inc., 2004
DATE OF ISSUE: 07/18/2023 Page 1 of 1
Policy Number: 6802H222963
COMMERCIAL GENERAL LIABILITY
c. Method Of Sharing a. The statements in the Declarations are If all of the other insurance permits contribution accurate and complete; by equal shares, we will follow this method also. b. Those statements are based upon Under this approach each insurer contributes representations you made to us; and equal amounts until it has paid its applicable c. We have issued this policy in reliance upon limit of insurance or none of the loss remains, your representations. whichever comes first.
The unintentional omission of, or unintentional error
If any of the other insurance does not permit in, any information provided by you which we relied contribution by equal shares, we will contribute upon in issuing this policy will not prejudice your by limits. Under this method, each insurer's rights under this insurance. However, this provision share is based on the ratio of its applicable limit does not affect our right to collect additional of insurance to the total applicable limits of premium or to exercise our rights of cancellation or insurance of all insurers. nonrenewal in accordance with applicable insurance Primary And Non-Contributory Insurance If laws or regulations.
Required By Written Contract 7. Separation Of Insureds
If you specifically agree in a written contract or Except with respect to the Limits of Insurance, and agreement that the insurance afforded to an any rights or duties specifically assigned in this insured under this Coverage Part must apply on Coverage Part to the first Named Insured, this a primary basis, or a primary and non- insurance applies:
contributory basis, this insurance is primary to a. As if each Named Insured were the only other insurance that is available to such insured Named Insured; and which covers such insured as a named insured,
and we will not share with that other insurance. b. Separately to each insured against whom claim is made or "suit" is brought.
provided that:
(1) The "bodily injury" or "property damage" for 8. Transfer Of Rights Of Recovery Against Others which coverage is sought occurs; and
(2) The "personal and advertising injury" for If the insured has rights to recover all or part of any which coverage is sought is caused by an payment we have made under this Coverage Part, offense that is committed; those rights are transferred to us. The insured must do nothing after loss to impair them. At our request,
subsequent to the signing of that contract or the insured will bring "suit" or transfer those rights agreement by you. to us and help us enforce them.
5. Premium Audit 9. When We Do Not Renew
a. We will compute all premiums for this Coverage If we decide not to renew this Coverage Part, we will Part in accordance with our rules and rates. mail or deliver to the first Named Insured shown in b. Premium shown in this Coverage Part as the Declarations written notice of the nonrenewal advance premium is a deposit premium only. At not less than 30 days before the expiration date. the close of each audit period we will compute If notice is mailed, proof of mailing will be sufficient the earned premium for that period and send proof of notice. notice to the first Named Insured. The due date SECTION V - DEFINITIONS for audit and retrospective premiums is the date
shown as the due date on the bill. If the sum of 1. "Advertisement" means a notice that is broadcast or the advance and audit premiums paid for the published to the general public or specific market policy period segments about your goods, products or services is greater than the earned
for the purpose of attracting customers or
premium, we will return the excess to the first
Named Insured. supporters. For the purposes of this definition:
a. Notices that are published include material
c. The first Named Insured must keep records of
placed on the Internet or on similar electronic
the information we need for premium
means of communication; and
computation, and send us copies at such times
as we may request. b. Regarding websites, only that part of a website that is about your goods, products or services
6. Representations for the purposes of attracting customers or By accepting this policy, you agree: supporters is considered an advertisement.
Includes copyrighted material of Insurance Services Office, Inc. with its permission 6802H222963
COMMERCIAL GENERAL LIABILITY
occupational therapist or occupational that is available to any of your "employees" therapy assistant, physical therapist or for "bodily injury" that arises out of providing speech-language pathologist: or or failing to provide "incidental medical (b) First aid or "Good Samaritan services" services" to any person to the extent not by any of your "employees" or "volunteer subject to Paragraph 2.a.(1) of Section I - workers", other than an employed or Who Is An Insured.
volunteer doctor. Any such "employees" K. MEDICAL PAYMENTS - INCREASED LIMIT or "volunteer workers" providing or failing
to provide first aid or "Good Samaritan The following replaces Paragraph 7. of services" during their work hours for you SECTION III - LIMITS OF INSURANCE:
will be deemed to be acting within the 7. Subject to Paragraph 5. above, the Medical scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of "bodily injury" sustained by any
3. The following replaces the last sentence of one person, and will be the higher of:
Paragraph 5. of SECTION III - LIMITS OF a. $10,000; or
INSURANCE:
b. The amount shown in the Declarations of
For the purposes of determining the
applicable Each Occurrence Limit, all related this Coverage Part for Medical Expense acts or omissions committed in providing or Limit.
failing to provide "incidental medical L. AMENDMENT OF EXCESS INSURANCE services" , first aid or "Good Samaritan CONDITION - PROFESSIONAL LIABILITY services" to any one person will be deemed
to be one "occurrence". The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV -
4. The following exclusion is added to COMMERCIAL GENERAL LIABILITY Paragraph 2.. Exclusions, of SECTION I - CONDITIONS:
COVERAGES - COVERAGE A - BODILY
This insurance is excess over any of the other
INJURY AND PROPERTY DAMAGE
insurance, whether primary, excess, contingent
LIABILITY: or on any other basis, that is Professional
Sale Of Pharmaceuticals Liability or similar coverage, to the extent the "Bodily injury" or "property damage" arising loss is not subject to the professional services out of the violation of a penal statute or exclusion of Coverage A or Coverage B. ordinance relating the sale of
pharmaceuticals committed by. or with the M. BLANKET WAIVER OF SUBROGATION - knowledge or consent of the insured. WHEN REQUIRED BY WRITTEN CONTRACT
OR AGREEMENT
5. The following is added to the DEFINITIONS
Section: The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us,
"Incidental medical services" means: of SECTION IV - COMMERCIAL GENERAL a. Medical. surgical, dental, laboratory. x- LIABILITY CONDITIONS:
ray or nursing service or treatment, If the insured has agreed in a written contract or advice or instruction, or the related agreement to waive that insured's right of furnishing of food or beverages; or recovery against any person or organization, we b. The furnishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization, but only for payments we make appliances. because of:
6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV - occurs; or
COMMERCIAL GENERAL LIABILITY
b. "Personal and advertising injury" caused by
CONDITIONS:
an offense that is committed;
This insurance is excess over any valid and
collectible other insurance, whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis. agreement.
CG D3 79 02 19 © 2017 The Travelers Indemnity Company. All rights reserved Page 5 of 6 Includes copyrighted material of Insurance Services Office. Inc. with its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
pie ne an As ENCE ENG RESOURCE OF OUTER CAPER IN ONE.
1861 W REDLANDS BLVD BLDG 7B
REDLANDS CA 92373
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 for whom you are required by written contract or agreement to obtain this waiver of rights from Kely otters
Countersigned by
Authorized Representative
Form WC 04 03 06 (1) Printed in U.S.A.
Process Date: 07/24/23 Policy Expiration Date: 09/01/24
CITY OF LAKE ELSINORE
hia busters license is Issued for revenue purgones onty and rots not grant authoraacon. o operate a austess. Ters bustness kende is bluto without verticaton that the holder is 130 Sout Man Sire, Lake Lore. CA 02530 spect to or tremped tom Noensing ty te state, courty. federal gavemment. or any ther go vertmental agency. PH (951) 074-3124
Sualnees trame: ENGIMEERING RESOURCES OF SOUTHERN CALIFORNIA, IM BUSINESS LICENSE NO. 022843 Justreas Location: 1961 W REDLANDS BLVD BLDG B Qualmars Type: PROFEDSIOMALENGINEEMS REDLANDS, CA 92373:3119
Jenor Namo (e): JOHN M BRUDIN Description: CIVIL ENGINEER VALUe Data: 7/1/2023 Experation Date: 8/30/2024
ENGINEERING RESOURCES OF SOUTHERN CALIFC
1861W REDLANDS BLVD BLDG B
REDLANDS. CA 92373-3119
TO BE POSTIO IN A COMAPICUCUE PLACE. THIS 18 YOUA LICENGE • MOT TRANBFERABLE