A-2025- 073
INSURANCE ON h E
WORK MAY PROCEED
UNTIL INSURANCE E PIkt3
CIT)' CLERK
DATE: CONSULTANT AGREEMENT
J U N 12 2025 CITY OF SANTA ANA
Q % [ 2) THIS AGREEMENT is made and entered into on this 20th day of May, 2025 by and between HDR Engineering, Inc., (" Consultant"), and the City of Santa Ana, a charter city and municipal t lU corporation organized and existing under the Constitution and laws of the State of California City„).
RECITALS
A. On February 25, 2025, the City issued Request for Proposals (" RFP") No. 25- 029, by which it sought a Consultant to perform traffic engineering and transportation planning services for the First Street Multimodal Boulevard Study.
B. Consultant submitted a responsive proposal that was selected by the City. Consultant represents that it is able and willing to provide the services described in the scope of work that was included in RFP 25- 029.
C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration ofthe mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in in the scope of work that was included in RFP 25- 029, which is attached as Exhibit A and incorporated in full.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit B, attached hereto. The total amount to be expended during the term ofthis Agreement shall not exceed Three Million, Eight Hundred Seventy Thousand Dollars ($3, 870,000), including any extension periods. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Consultant agree that all payments due and owing under this Agreement shall be made through Automated Clearing House( ACH) transfers. Consultant agrees to execute the City' s standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Consultant' s account(s) with financial institutions.
Exhibit 1
Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above for a two ( 2) year term with the option for the City to grant up to two, one 1 - ear renewals, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant and not an employee ofthe City. This Agreement is not intended not shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer' s social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes.
5. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement (" Documents & Data"). Consultant shall require all subcontractors to agree in writing that City is granted a non- exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City' s sole risk.
G. INSURANCE
Consultant shall procure and maintain for the duration of the contract, and for 5 years thereafter, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by Consultant, its agents, representatives, employees and subcontractors.
MINIMUM SCOPE OF INSURANCE
Coverage shall be at least as broad as:
1. Commercial General Liability (CGL): Insurance Services Office Norm CG 00 01 covering CGL on an occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than$ 5, 000,000 per occurrence and S10, 000,000 in the aggregate. Umbrella and excess insurance policies can be used to meet the required limits.
2. Automobile Liability (AL): Insurance Services Office Form CA 0001 covering Code 1 ( any auto), with combined single limit no less than$ 5, 000,000.
3. Workers' Compensation ( WC): as required by the State of California, with Statutory Limits, and Employer' s Liability Insurance with limit of no less than $ 1, 000, 000 per accident for bodily injury or disease.
4. Builder' s Risk ( Course of Construction)(BR): Utilizing an " All Risk" ( Special Perils) coverage form, with limits equal to the completed value of the project and no co- insurance penalty provisions.
5. Professional Liability (PL): With limits no less than $3, 000,000 per occurrence or claim, and 4,000,000 policy aggregate,
G. Pollution Legal Liability and/or Errors and Omissions ( PLL): With limits no less than 1, 000,000 per occurrence or claim, and$ 2,000,000 policy aggregate.
These insurance requirements shall not in any way act to reduce coverage that is broader or includes higher limits than the minimums shown above. If the Consultant maintains broader coverage and/or higher limits than the minimums shown above, the City shall be entitled to the broader coverage and/ or higher limits maintained by the Consultant. Insurance provided under this contract shall not contain any restrictions or limitations which are inconsistent with the City's rights under this contract.
Self-Insured Retentions
Self-insured retentions must be declared to and approved by the City. At the option. of City, Consultant shall cause its insurer(s) to reduce or eliminate such self-insured retentions as respects City; or Consultant shall provide a financial guarantee satisfactory to City guaranteeing payment of loss and related investigations, claim administration, and defense expenses.
Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions:
1. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are to be covered as additional insureds on Consultant' s CGL and AL policies with respect to liability arising out of work operations performed by or on behalf of Consultant including materials, parts, and equipment furnished in connection with such work or operations and automobiles owned, leased, hired, or borrowed by or on behalf of Consultant. Additional insured status can be provided in the form of an endorsement to Consultant' s insurance.
2. For any claims related to this project, Consultant' s insurance coverage shall be primary insurance coverage as respects City of Santa Ana, its City Council, officers, officials, employees,
i
agents, and volunteers. Any insurance or self-insurance maintained by City of Santa Ana, its City Council, officers, officials, employees, agents, or volunteers shall not contribute with it.
3. A severability of interest provision must apply for all the additional insureds, ensuring that Consultant' s insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer' s limits of liability.
4. Consultant hereby grants to City a waiver of subrogation which any insurer of said Consultant may acquire against City of Santa Ana, its City Council, officers, officials, employees, agents and volunteers" by virtue of the payment of any loss under such insurance. Consultant agrees to obtain any endorsement( s) that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not City has received a waiver of subrogation endorsement from any insurer(s).
5. Each insurance policy required by this clause shall provide that coverage shall not be canceled, suspended, voided, reduced in scope or in limits, non- renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City and ten ( 10) days prior written notice of policy cancellation or non-renewal due to non- payment.
6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Zdenek .Kekula, 20 Civic Center Plaza, M-43, Santa Ana, CA 92701. The name and location ofproject must be indicated in the Description of Operations section of each certificate.
Builder' s Risk( Course of Construction) Insurance
Consultant may submit evidence of Builder' s Risk insurance in the form of Course of Construction coverage. Such coverage shall name City of Santa Ana as a loss payee as its interest may appear.
If the project does not involve new or major reconstruction, at the option of City, an Installation Floater may be acceptable. For such projects, a Property Installation Floater shall be obtained that provides for the improvement, remodel, modification, alteration, conversion or adjustment to existing buildings, structures, processes, machinery and equipment. The Property Installation Floater shall provide property damage coverage for any building, structure, machinery or equipment damaged, impaired, broken, or destroyed during the performance of the Work, including during transit, installation, and testing at City' s site.
Claims Made Policies
If any coverage required is written on a claims-made coverage form:
1. The retroactive date must be shown, and this date must be before the execution date of the contract.
2, Insurance must be maintained and evidence of insurance must be provided for at least five ( 5) years after completion of work.
3. If coverage is cancelled or non-renewed, and not replaced with another claims-made policy
form with a retroactive date prior to the contract effective, or start of work date, Consultant must purchase extended reporting period coverage for a minimum of five ( 5) years after completion of work.
4. A copy of the claims reporting requirements must be submitted to City.
Acceptability of Insurers
Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating ofno less than A:VII, unless otherwise acceptable to CITY.
Waiver of Subrogation
Consultant hereby agrees to waive rights of subrogation which any insurer of Consultant may acquire from Consultant by virtue of the payment of any loss. Consultant agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation. The Workers' Compensation policy shall be endorsed with a waiver of subrogation in favor of City for all work performed by Consultant, its employees, agents and sub- contractors.
Verification of Coverage
Consultant shall furnish City with original Certificates of Insurance including all required amendatory endorsements ( or copies of the applicable policy language effecting coverage required by this clause). A statement on a Certificate( s)/ Evidence of Insurance will not be accepted in lieu of the actual endorsements required herein. Failure to obtain the required documents prior to the work beginning shall not waive Consultant' s obligation to provide them.
City reserves the right to require complete, certified copies of all required insurance policies, including endorsements, required by these specifications, at any time.
Sub-Contractors
Consultant shall require and verify that all sub- contractors maintain insurance meeting all requirements stated herein, and Consultant shall ensure that City is an additional insured on insurance required from sub- contractors. For CGL coverage, sub- contractors shall provide coverage with a form at least as broad as CG 20 38 04 13.
Surety Bonds
Consultant shall provide the following Surety Bonds:
1. Bid Bond
2. Performance Bond
3. Payment Bond
4. Maintenance Bond
The Payment Bond and the Performance Bond shall be in a sum equal to the contract price. Ifthe Performance Bond provides for a one- year warranty a separate Maintenance Bond is not necessary. If the warranty period specified in the contract is for longer than one year a Maintenance Bond equal to 10% of the contract price is required. Bonds shall be duly executed by a responsible corporate surety, authorized to issue such bonds in the State of California and secured through an authorized agent with an office in California.
Failure to Maintain Insurance Coverage
If Consultant, for any reason, fails to maintain insurance coverage which is required pursuant to this contract, the same shall be deemed a material breach of contract. City, at its sole option, may terminate this contract at any time and obtain damages from Consultant resulting from said breach.
Special Risks or Circumstances
City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other circumstances.
7. INDEMNIFICATION
Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 ofthis Agreement; and ( 2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense ofthe City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Consultant' s services are subject to Civil Code Section 2782. 8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782. 8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement.
9. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three ( 3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three 3) years from the date of final payment to Consultant under this Agreement.
10. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/ or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. " Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations ofnon-use and nondisclosure shall not apply to any information that( a) has been disclosed in publicly available sources; ( b) is, through no fault of the Consultant disclosed in a publicly available source; ( c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or( e) is independently developed by the Consultant without reference to information disclosed by the City.
11. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement.
12. NON-DISCRIMINATION
Consultant shall not discriminate because ofrace, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations.
13. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms ofthis Agreement and any attachments hereto, the terms ofthis Agreement shall prevail, This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each
party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein.
14. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City' s ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City.
15. TERMINATION
This Agreement may be terminated by the City upon thirty ( 30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions;
a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product( s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard. of performance specified in the Recitals ofthis Agreement.
16. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
17. JURISDICTION- VENUE
This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement.
18. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
19. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons:
To City:
City CIerIc
City of Santa Ana
20 Civic Center Plaza( M-30)
P. O. Box 1988
Santa Ana, CA 92702- 1988
Fax: 714- 647- 6956
With courtesy copies to:
Executive Director, Public Works Agency
City of Santa Ana
20 Civic Center Plaza( M-21)
P.O. Box 1988
Santa Ana, California 92702
To Consultant:
Thomas T. Kim
Senior Vice President
HDR Engineering, Inc.
3220 El Camino Real, Suite 200
Irvine, CA, 92602
Fax: 949- 403- 8234
A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three ( 3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four( 24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded.
20. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney' s fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as iffilly set forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written.
ATTEST: CITY OF S TA ANA
CL/ l/
ennifer . Ha A varo Nunez
C' er City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO CONSULTANT:
City Attorney
By:
Kyle ellesen Thomas T. Kim
Assistant City Attorney Senior Vice President
RECOMMENDED FOR APPROVAL:
Digitally signed by
Nabil Saba Dabil2ate: 2025025. 05.05
15: 01: 30- 07' 00'
Nabil Saba
Executive Director
Public Works Agency
Page I of 11
1
a` oxo® CERTIFICATE OF LIABILITY INSURANCE
DATE
o6/ 02/ z 2ozs2025
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 CONTACT yTfW Certificate Center
Willis Towers Watson Midwest, Inc.
NAME:
PHONE 1- 877- 945- 7378 FAX
1- 888- 467- 2378 c/ o 26 Century Blvd AIC No):
P. O. Box 305191
E- MAIL
ADDRESS: certificates@wtwco. com
Nashville, TN 372305191 USA
INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Liberty Mutual Fire insurance Company 23035
INSURED
INSURERS: Ohio Casualty Insurance Company 24074
HDR Engineering, Inc.
1917 South 67th Street INSURER C: Liberty Insurance Corporation 42404 Omaha, NE 68106 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: W39241779 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 REDUCED BY PAID CLAIMS.
INSR ICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD wvn
SUBR
POLICY NUMBER MMLDD/ YYY MMIDDNYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000
DAMAGE TO RENTED
CLAIMS-MADE
i
OCCUR PREMISES Ea occurrence $ 1, 000, 000
A X Contractual Liability MED EXP( Any one person) $ 10, 000 y Y TB2- 641- 444950- 035 06/ 01/ 2025 06/ 01/ 2026 PERSONAL& ADVINJURY g 2, 000, 000 GEN' L AGGREGATE LIMIT APPLIES PER* GENERAL AGGREGATE g 4, 000, 000
POLICY[ X] PRO [
JECT X] LOG PRODUCTS- COMP/OP AGG S 4, 000, 000
OTHER: S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident S 2, 000, 000
X
ANY AUTO BODILY INJURY( Per person) $
er accident
A OWNED SCHEDULED Y Y
AS2- 641- 44495D- 045 06/ 01/ 2025 06/ 01/ 2026 BODILY INJURY P AUTOS ONLY AUTOS
HIRED NON- OWNED PROPERTYDAMAGE
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5, 000, 000 B
X EXCESS LIAB CLAIMS- MADE Y y EUO( 26) 57919363 06/ 01/ 2025 06/ 01/ 2026 AGGREGATE g 5, 000, 000
DED X I RETENTION$ 0
S
WORKERS COMPENSATION XPER OTHANDEMPLOYERS' LIABILITY Y/ N
STATLITEER
C ANYPROPRIETOR/ PARTNER/ EXECUTIVE E. L. EACH ACCIDENT S 1, 000, 000
OFFICEPJMEMBEREXCLUDED? No N/ A Y WA7- 64D- 444950- 015 06/ 01/ 2025 06/ 01J2026 Mandatory in NH) E. L. DISEASE- EA EMPLOYEE S
1, 000, 000
If yes, describe under
DESCRIPTION OF OPERATIONS below 1, 000, 000 E. L. DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES( ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/ Excess Liability on a Primary, Non- contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/ Excess Liability and Workers Compensation where required by written contract and as permitted by law. Umbrella/ Excess policy is follow form over General Liability, Auto Liability and Employers Liability. TU Trdn Digitally signed by Tu Tran Nguyen Nguyen Date:7472OT003
CERTIFICATE HOLDER APPROVED CANCELLATION
By Tu Tran! Nguyen at f 2: 07 pm, Jun 03, 20,25
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
City of Santa Ana
20 Civic Center Plaza ( M- 30)
AUTHORIZED REPRESENTATIVE
P. O. Box 1988
Santa Ana, CA 92702- 1988
1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016103) The ACORD name and logo are registered marks of ACORD SR ID: 27854621 BATCH: 3985024
AGENCY CUSTOMER ID:
LOC#:
ACR" ADDITIONAL REMARKS SCHEDULE Page 2 Of 2
AGENCY NAMED INSURED
Willis Towers Watson Midwest, Inc. HDR Engineering, Inc. 19] 7 South 67th Street
POLICY NUMBER Omaha, NE 68106
See Page 1
CARRIER FNA.IC CODE
See Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Project: FIRST STREET MULTIMODAL BOULEVARD STUDY PROJECT # 10431116 Additional Insureds and Waiver of Subrogation; City, its City Council, its officers, officials, employees, agents, and volunteers
ACORD 101 ( 2008/ 01) 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SR ID: 27854621 SATCH: 3985024 CERT: W39241779
A~`R" CERTIFICATE OF LIABILITY INSURANCE
DATE( MM1DD/ YYYY)
6/ 1/ 2026 5/ 27/2025
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).
CONTACT PRODUCER Lockton Companies, LLC NAME:
444 W. 47th St., Ste. 900 PHONE FAX
Kansas City MO 64112- 1906
AIC, No Ext: AIC No):
E- M(
816) 960- 9000 ADDRESS:
kcasuClockton. com
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: LID d's of London
INSURED
HDR ENGINEERING, INC. INSURER B:
1552476 1917 SOUTH 67TH STREET INSURER C:
OMAHA NE 68106 INSURER D:
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 21878853 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.
IPOLICYEXP
LTR TYPE OF INSURANCE AINSD SWVD POLICY NUMBER MM D
IDCY EFF
MMlDDNYYY LIMITS
COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX
DAMAGE TO RENTED
CLAIMS-MADE F1 OCCUR PREMISES Ea occurrence S XXXXXXX
MED EXP( Any one person) $ XXXXXXX
PERSONAL& ADV INJURY $ XXXXXXX
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S XXXXXXX POLICYEl PRO- JECT LOC PRODUCTS- COMPIOP AGG $ XXXXXXX
OTHER: S
AUTOMOBILE LIABILITY NOT APPLICABLE Ea BINEDISINGLE LIMIT $
XXXXXXX
ANY AUTO BODILY INJURY( Per person) S XXXXXXX
OWNED SCHEDULED BODILY INJURY( Per accident) $ AUTOS ONLY AUTOS XXXXXXX
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per accident S XXXXXXX
XXXXXXX
UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX
EXCESS LIAB HCLAIMS-MADE AGGREGATE S XXXXXXX
DED RETENTIONS I$ xxxx}{xx
WORKERS COMPENSATION NOT APPLICABLE PER OTHAND EMPLOYERS' LIABILITY Y 1 N
STATUTE ER
ANY PROPRIETOR/ PARTNER/ EXECUTIVE
N lA
E. L. EACH ACCIDENT S XXXXXXX OFFICERWEMBER EXCLUDED?
Mandatory in NH) E. L. DISEASE- EA EMPLOYEE; S XXXXXXX
If yes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT I S XXXXXXX A ARCH& ENG N N P001412500 6/ 1/ 2025 76
PER CLAIM:$ 1, 000,000
PROFESSIONAL AGGREGATE: S2, 000, 000
LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: FIRST STREET MULTIMODAL BOULEVARD STUDY PROJECT# 10431116; WAIVER OF SUBROGATION APPLIES ON PROFESSIONAL LIABILITY AS REQUIRED BY WRITTEN CONTRACTAND WHERE ALLOWED BY LAW. COVERAGE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
APPROVED
By Tu Tran Nguyen at 12: 07 pm, Jun 03, 2025
CERTIFICATE HOLDER CANCELLATION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 853 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 21878 CITY
85 SANTA ANA
ACCORDANCE WITH THE POLICY PROVISIONS.
20 CIVIC CENTER PLAZA( M-30)
P.O. BOX 1988 AUTHORIZED REPRESENTA
SANTA ANA, CA 92702- 1988
7 Iq }4
1988' 015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: TB2.641. 444950.035
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED LOCATION(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Locations):
All locations owned by or rented to the Named Insured
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. For all sums which the insured becomes legally b. Claims made or" suits" brought; or obligated to pay as damages caused by " occurc. Persons or organizations making claims or rences under Section I— Coverage A, and for all
medical expenses caused by accidents under
bringing" suits".
Section I -- Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated " loca- damages or under Coverage C for medical tion" shown in the Schedule above: expenses shall reduce the Designated Location General Aggregate Limit for that desig- 1. A separate Designated Location General Hated " location". Such payments shall not re- Aggregate Limit applies each designated duce the General Aggregate Limit shown in location", and that limit is equal to the the Declarations nor shall they reduce any amount of the General Aggregate Limit other Designated Location General Aggregate Limit for any other designated " location"
2. The Designated Location General Aggregate shown in the Schedule above.
Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A, except damag- Occurrence, Damage To Premises Rented To es because of bodily injury or property You and Medical Expense continue to apply. damage" included in the " products- completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Declaunder Coverage C regardless of the number rations, such limits will be subject to the appli- of: cable Designated Location General Aggrea. Insureds; gate Limit.
CG 25 04 06 09 Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by " occur- products-completed operations hazard" is prorences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under bodily injury" or " property damage" included in Section I — Coverage C, which cannot be at- the " products-completed operations hazard" will tributed only to operations at a single designated reduce the Products-completed Operations Aglocation" shown in the Schedule above; gregate Limit, and not reduce the General Ag1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gendamages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defiiunder the General Aggregate Limit or the nitions Section is amended by the addition of Products- completed Operations Aggregate the following definition; Limit, whichever is applicable; and
Location" means premises involving the same or
2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit, interrupted only by a street, roadway, waterway or right-of-way of a railroad.
E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.
Policy Number: TB2-641. 444950.035
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Construction Project(s):
All construction projects not located at premises owned, leased or rented by a Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by " occur- damages or under Coverage C for medical rences" under Section I— Coverage A, and for all expenses shall reduce the Designated Conmedical expenses caused by accidents under struction Project General Aggregate Limit for Section 1 -- Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Agconstruction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Cont. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To
2. The Designated Construction Project General You and Medical Expense continue to apply.
Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Declacept damages because of " bodily injury" or rations, such limits will be subject to the appliproperty damage" included in the " products- cable Designated Construction Project Gencompleted operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of
the number of:
a. Insureds;
b. Claims made or" suits" brought; or
c. Persons or organizations making claims or
bringing " suits".
CG 26 03 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by ' occur- products-completed operations hazard" is prorences" under Section I— Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under bodily injury" or " property damage" included in Section 1 — Coverage C, which cannot be at- the " products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Agdesignated construction project shown in the gregate Limit, and not reduce the General AgSchedule above: gregate Limit nor the Designated Construction
1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contractProducts- completed Operations Aggregate ing parties deviate from plans, blueprints, deLimit, whichever is applicable; and signs, specifications or timetables, the project will
2. Such payments shall not reduce any Desig- still be deemed to be the same construction pronated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.
POLICY NUMBER: TB2- 641- 444950- COMMERCIAL GENERAL LIABILITY 035 CG 20 10 12 19
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
A Section II — Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person( s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only with work, on the project ( other than service, respect to liability for " bodily injury", " property maintenance or repairs) to be performed by or damage" or " personal and advertising injury" on behalf of the additional insured( s) at the caused, in whole or in part, by: location of the covered operations has been
1. Your acts or omissions; or completed; or
2. The acts or omissions of those acting on your 2. That portion of " your work" out of which the behalf; injury or damage arises has been put to its
in the performance of your ongoing operations for intended use by any person or organization other than another contractor or subcontractor the additional insured(s) at the location( s) engaged in performing operations for a designated above.
principal as a part of the same project.
However:
C With respect to the insurance afforded to these
1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III— Limits Of Insurance:
law; and
If coverage provided to the additional insured is
2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a contract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured will amount of insurance:
not be broader than that which you are required
1. Required by the contractor agreement; or by the contract or agreement to provide for such additional insured. 2. Available under the applicable limits of R With respect to the insurance afforded to these
insurance;
additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the This insurance does not apply to " bodily injury" or applicable limits of insurance. property damage" occurring after:
SCHEDULE
NameOfAdditional Insured Person(s) Location(s) Of Covered Operations Or Organization(s):
Any person or organization with whom you have agreed All locations as required by a written contract or through written contract, agreement or permit to provide agreement entered into prior to an" occurrence" or additional insured coverage offense
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 20 10 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: TB2-641- 444950- COMMERCIAL GENERAL LIABILITY 035 CG 20 37 12 19
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
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
A Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person( s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance:
with respect to liability for " bodily injury" or If coverage provided to the additional insured is property damage" caused, in whole i part, by required by a contract or agreement, the most we your work at the location designatedd and
described in the Schedule of this endorsement
will pay on behalf of the additional insured is the
performed for that additional insured and included
amount of insurance:
in the" products- completed operations hazard". 1. Required by the contract or agreement; or However: 2 Available under the applicable limits of
1. The insurance afforded to such additional
insurance;
insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2 If coverage provided to the additional insured is limits of insurance. required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
SCHEDULE
Name Of Additional Insured Person( s)
Or Organization( s): Location And Description Of Completed Operations Any person or organization to whom or to which you are Any location where you have agreed, through written, required to provide additional insured status in a written contract, agreement, or permit, to provide additional contract, agreement or permit except where such insured coverage for completed operations contact or agreement is prohibited.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 20 37 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 Policy Number TB2- 641- 444950-035
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORYOTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to Section IV- Conditions 4. Other Insurance and supersedes any provision to the contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:
1) The additional insured is a Named Insured under such other insurance; and 2) You have agreed prior to a loss, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 3) This insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence", claim or" suit".
LD 24 153 08 16 OO 2016 Liberty Mutual Insurance Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
POLICY NUMBER: T1132- 641- 444 950-03 5 COMMERCIAL GENERAL LIABILITY CG 24 0412 19
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:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person( s) Or Organization(s):
As required by written contract or agreement.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV— Conditions:
We waive any right of recovery against the person( s)
or organization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against
such person(s) or organization( s) prior to loss. This
endorsement applies only to the person( s) or
organization( s) shown in the Schedule above.
CG 24 041219 Insurance Services Office Inc. 2018 Page 1 of 1 POLICY NUMBER; AS2-641- 444950- 045 COMMERCIAL AUTO
CA20481013
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.
SCHEDULE
Name Of Person(s) Or Organiization( s),
As required by written contract
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. I. of Section II —
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D. 2. of Section I -- Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 Policy Number: AS2- 641- 444950-- 045
Issued by: Liberty Mutual. Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED- NONCONTRIBUTING
This endorsement modifies insurance provided under the following;
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIERS COVERAGE FORM
TRUCKERS 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" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form.
Schedule
Name of Person(s) or Organizations( s):
Any person or organization where the Named Insured has agreed by written contract to include such person or organization
Regarding Designated Contractor Project:
Any
Each person or organization shown in the Schedule of this endorsement is an" insured" for Liability Coverage, but only to the extent that person or organization qualifies as an " insured" under the Who Is An Insured Provision contained in Section II of the CoverageForm.
The following is added to the Other Insurance Condition:
It you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the " bodily injury" or " property damage", then this insurance will be primary and we will not seek contribution from such insurance.
AC 84 23 0811 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
POLICY NUMBER: AS2-641- 444950- 045 COMMERCIAL AUTO
CA04441013
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.
SCHEDULE
Name(s) Of Person(s) Or Organization( s):
Any person or organization for whom you perform work under a written contract of the contract requires you to obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring.
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 c ontract with that person or organization.
CA 04 4410 13 O Insurance Services Office, Inc., 2011 Page 1 of 1
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 requires you to obtain this agreement from us,) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Where required by contract or written agreement prior to loss.
Issued by: Liherty Insurance Corporation
For attachment to Policy No WA7-64D-444950- 015 Effective Date 06/ 01/ 2025 Premium Issued to: HDR Engineering, Inc.
WC 00 03 13 c0 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed. 4/111984
Policy Number TB2- 641- 444950-035
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE. PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
COMMERCIAL LIABILITY— UMBRELLA COVERAGE FORM
Schedule
Name of Other Person(s) 1 Email Address or mailing address: Number Days Notice:
Or anization s :
As required by written contract or As required by written contract or 30 written agreement written agreement
A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.
B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
All other terms and conditions of this policy remain unchanged.
LIM 99 04 0314 2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Policy Number AS2-641- 444950- 045
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following;
BUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
COMMERCIAL LIABILITY-- UMBRELLA COVERAGE FORM
Schedule
Name of Other Person(s) 1 Email Address or mailing address: Number Days Notice:
Or anlzatlon(s):
As required by written contract 30
or written agreement
A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.
B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
All other terms and conditions of this policy remain unchanged.
LIM 99 04 03 14 2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
NOTICE OF CANCELLATION TO THIRD PARTIES
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured.
B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
Schedule
Name of Other Person(s) 1 Email Address or mailing address: Number Days Notice:
Organization(s):
As required by written 30
contract or agreement
All other terms and conditions of this policy remain unchanged.
Issued by Liberty Insurance Corporation
For attachment to Policy No. WA7-64D- 444950-015 Effective Date 06/01/ 2025 Premium$ Issued to HDR Engineering, Inc. Endorsement No.
WC 99 20 75 2016 Liberty Mutual Insurance Page 1 of 1
Ed. 12/ 01/ 2016
Attachment Code: D608624 Certificate ID: 21878853
This endorsement, effective: 06101/ 2025- 06/01/ 2026
Forms a part of policy no.: P001412500
Issued to: HDR ENGINEERING, INC.
By: Lloyd' s of London
NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS ENDORSEMENT Except with respect to cancellation for non- payment of premium ( 10 day notice cancellation), the Insurers shall give 30 days' notice of cancellation to the Certificate Holder(s) set forth herein, provided that:
1. The First Named Insured is required by contract to give notice of cancellation to the Certificate Holder, and
2. Prior to the Insurers sending its notice of cancellation to the First Named Insured, the First Named Insured shall provide the Insurers, in writing, either directly or through the First Named Insured broker of record, the name of each person or organization requiring notice of cancellation and the corresponding address for such person or for the employee responsible for receipt of notice of cancellation on behalf of such organization.
Notice of cancellation will be sent in accordance with the terms and conditions of the policy, except that the Insurers may provide written notice individually or collectively to the Certificate Holders by email at the current email address given by the First Named Insured. Proof of sending of the notice of cancellation by email shall be sufficient proof of notice.
Any failure to provide notice of cancellation to the Certificate Holder due to inaccurate or incomplete information provided by the First Named Insured shall remain the sole responsibility of the First Named Insured.
The following definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown in the Declarations.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL REMAIN UNCHANGED.
Miscellaneous Attachment: M507673 Certificate ID: 21878853 Insured: HDR, Inc.
Insurer: Lloyd' s ofLondon
Professional Liability Policy# P001412500
Effective Date ofPolicy: 6/ 1/ 2025
Expiration Date ofPolicy: 6/ l/2026
Waiver of Subrogation
IX, Conditions I. Subrogation
In the event of any payment under this policy, the insurer shall be subrogated to all the Instued's rights of recovery against any person or organization and the Insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured shall do nothing to prejudice such rights. The insurers shall not exercise any such right against any persons, firms or corporations included in the definition of an Insured or against the Insured' s clients ifprior to the Claim a waiver of subrogation was so required and accepted under a specific contractual undertaking by the Insured. All recoveries obtained through subrogation shall be applied towards the Insured's Deductible first with the remaining balance payable to the Company.