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2012 CON Bureau Veritas North America - Amendment #2 Engineering Services Capital Improvement Projects
SECOND AMENDMENT TO AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND BUREAU VERITAS NORTH AMERICA, INC This second Amendment to the Agreement, is entered into this 241" day of January, 2012 by and between the City of National City, a municipal corporation ("CITY"), and Bureau Veritas North America, Inc. (the "CONSULTANT"). RECITALS WHEREAS, The CITY and the CONSULTANT entered into an agreement on October 19, 2010, ("the Agreement") through the adoption of City of National City Council Resolution No. 2010-234 wherein the CONSULTANT agreed to provide on -call general engineering services, construction inspections and project management services for various Capital Improvement Projects. WHEREAS, the original Agreement had a not -to -exceed amount of $100,000. WHEREAS, the Agreement expires on October 6, 2012, with an optional extension of one year when mutually agreed upon by the parties. WHEREAS, the parties amended the Agreement to increase the not - to -exceed limit by $100,000, for a total Agreement amount of $200,000 through the adoption of National City Council Resolution No. 2011-140, adopted on July 5, 2011. NOW, THEREFORE, the parties hereto agree that the Agreement entered into on October 19, 2010, shall be amended to increase the Agreement by an additional $300,000 to cover costs to provide for all services in the original Agreement. This will bring the total not -to -exceed amount for this contract to $500,000. The parties further agree that with the foregoing exception, each and every term and provision of the Agreement dated October 19, 2010, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first above written. CITY OF NATIONAL CITY By: Ron Morrison, Mayor PPROVED AS TO FORM: laudia City Atto iilva BUREAU VERIT,S NORTH AMERICA, INC. By: By: (Name) �S IV\ RAs (Print) kk" rf Clj1 \. Cur (Title) (Nape 7,/// %z7R � c, (Print) (Title) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/00(2011 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 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 endorsernent(s). PRODUCER Aon Risk services Northeast, Inc. Parsippany NJ office 10 lanidex Center West P.D. Box 608 Parsippany NJ 07054-0608 USA CONTACT NA1AE' PIIONL(NC(816) 283-7172 PIIO No. Exq: E-MAIL ADDREss rAX (847) 953-5390 (NC. Nog: INSURER(S) AFFORDING COVERAGE INSUHLO Bureau Veritas North America, Inc. 11540 W. Bernardo Court, #100 San Diego CA 92127 USA INSURERA. Lexington Insurance Company INSURER B: New Hampshire Ins Co NAIL # 19437 23841 INSURER C National Union Fire Ins Co of Pittsburgh INSURERD: Commerce & Industry Ins Co 19445 0410 INSURERS: Granite State Insurance Company 3809 INSURER F: COVERAGES CERTIFICATE NUMBER: 5700427751372 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 CONDII ION 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 FXCI IJSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SIIOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LIR IYPE OF INSURANCE ADM INSR SUER MD POLICY NUMBER POLICY EFF ((MANUD/YYYY POL ICY EXP (MMIODIYYYYI UNITS 0 GENERAL LIABILITY GLG4397T1 b4/01/201t 04/01/2012 EACHOCCURRENCE 11,000,000 }: COMMLH CIAL GENERAL LIABILITY DAMAGE 10 RENTED PREMISES (Ea occurrencel 11,000,000 CLAIMS -MADE I X I OCCUR MED EXP (Any one person) $25 , 000 PERSONAL 6 ADV INJURY S1,000,000 GENERALAGGREGATE 12,000,000 GENT AGGRFGATF I IMIT APPLIES PER PRODUCTS-COMP/OP AGG 12, 000, 000 POLICY X PRO- r1I LOC JECr I ^ C AUTOMOBILEIIAB#TTY CA 3377177 AOs 04/01/201104/01/2012 COM6INED SINGLE LIMIT (Fa accident) 11,000,000 E x ANYAl1T0 CA 3377178 04/01/201104/01/2012 BODILY INJURY( Per person) AIL OWNED AUTOS SCHEDULED AInO`; MA OOUILY INJURY (Per accident) - I MINED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) Uf.1BREt LA LIAR OCCUR. EACH OCCURRENCE EXCESS LDIB I;LAIMS-MADE AGGREGATE DED RE TFNTION 0 WORKERS COMPENSATION AND EMPLO'/ERS' LIABILITY Y / N WCO2$842303 AOS 04/01/2011 04/01/2012 y` WO STATU- TORY LIMITS 01H- ER 6 ANYPROPRIETOR1PARTNERIexC<uIvl OFFIGERJMEMBEREXCLOOFO? N N!A wCO2$8423D4 D4/01/2BI1 D4/i)1/2D12 El. EACH FGCIUENI $1,000,000 (Mandatoryin NH) If yes, desaibe under CA E.L. DISEASE -EA EMPLOYEE S1,000,000 DESCRIPTION Or OPERATIONS below E.L. DISEASE -POLICY LIMIT $1.,000 000 A Archit&Enq Prof 026030221 SIR applies per policy terns 11/30/2010 & condi 12/1S/2011 ions Each Claim Aggregate 11,000,000 11,000,0001 DESCRIF'/ION Or OPERA110N5 I LOCATIONS! VEHICLES (Attach ACORD101. Additional Remarks Schedule. if more space is egnired) , :he Architects & Engineers policy 'ncludes covera9c for- Professional Liability and Contractors Pollution Liabi ity. RE: On Call Professional Engineering & Construction Services. City of National City is included as Additiona Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of Certificate Holder as required by written contract but limited to the operations of the Insured under said contract, with respect to the Workers' Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Or THL ABOVE UESCRIBED POUCIES BE CANCELLED BEFORE THE city of National City Attn: /arby Tipton 1243 National EXPIRATION) DATE THEREOF, NOTICE WILL. BE POLK:Y PROVISIONS. DEUVERED W ACCOHUANCE w9TH THE AUTHORIZEDREPRESENTATIVP City National City CA 91950 USA i;�/, '9,9:G // jetLX2. Holder Identifier Certificate No ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD 2 ENDORSEMENT This endorsement, effective 12:01 A.M. 0f1101 /201 1 forms a part of policy No.CA 337-71-77 issued to BUREAU VERITAS NORTH AMER! CA, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PI TTSBURGH , PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADD'L INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO I. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whorn you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or 12) The coverage and/or limits required by said contract or agreement. 87950 (10105) Archive Copy Authbfized Representative or Countersignature (in States Where Applicable} Page 1 of 1 3 POLICY NUMBER: GL 643-93-13 COMMERCIAL GENERAL LIABILITY CG20100704 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 Name Of Additional Insured PersonIs) Or Organization(s): BLANKET WHERE REQUIRED BY WRITTEN CONTRACT Location(s) Of Covered Operations 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the perforrnance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after. CG 20 10 07 04 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organ- ization other than another contractor or sub- contractor engaged in performing oper- ations for a principal as a part of the same project. 0. ISO Properties, Inc.,2004 Page 1 of 1 ❑ 4 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. (T ha following "attashirg clause" need be completed only when this endorsement is issued siiisoquent to preparation of the policy). This endorsement, effective 12:0f AM 04/01/2011 Issued to BUREAU VERITAS NORTH AMERICA, INC. By NEW HAMPSHIRE INSURANCE COMPANY Premium forms a part of Policy Nu. WC 025-84-2303 We have the tight 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 any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS. This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Olio, Tennessee, Texas, Utah, or Washington WC 00 03 13 (Ed. 04/84) Countersigned by �L"U''`y Authorized Representative 5 RESOLUTION NO. 2012 — 19 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE A SECOND AMENDMENT TO THE AGREEMENT WITH BUREAU VERITAS NORTH AMERICA, INC., INCREASING THE NOT TO EXCEED AMOUNT AN ADDITIONAL $300,000 TO PROVIDE ON -CALL GENERAL ENGINEERING, CONSTRUCTION INSPECTIONS, AND PROJECT MANAGEMENT SERVICES FOR VARIOUS CAPITAL IMPROVEMENT PROJECTS FOR FY 2011-2012, FOR A TOTAL AGREEMENT AMOUNT OF $500,000 WHEREAS, on October 19, 2010, the City Council adopted Resolution No. 2010- 234, approving a two-year Agreement with Bureau Veritas North America, Inc., to provide on - call general engineering, construction inspections, and project management services for various capital improvement projects for a not to exceed amount of $100,000; and WHEREAS, on July 5, 2011, the City Council adopted Resolution No. 2011-140, approving the First Amendment to the Agreement increasing the not to exceed amount an additional $100,000, for a total Agreement amount of $200,000; and WHEREAS, this year's Capital Improvement Program currently has 40 projects, totaling over $40 Million. In order to keep these projects on schedule to meet various funding expenditure requirements and commitments to the citizens of National City, an additional $300,000 is necessary to support staff with project delivery through the contract period, which terminates on October 6, 2012, for a total Agreement amount of $500,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute the Second Amendment to the Agreement with Bureau Veritas North America, Inc., increasing the not to exceed amount an additional $300,000 to provide on -call general engineering, construction inspections, and project management services for various capital improvement projects for Fiscal Year 2011-2012, for a total Agreement amount of $500,000. Said Second Amendment to the Agreement in on file in the office of the City Clerk. PASSED and ADOPTED this 24th day of Januar 12. on Morrison, Mayor ATTEST: h el R. OVED A'.TO FI'M: CIaaci City At orney Della City Clerk Passed and adopted by the Council of the City of National City, California, on January 24, 2012 by the following vote, to -wit: Ayes: Councilmembers Morrison, Natividad, Rios, Sotelo-Solis, Zarate. Nays: None. Absent: None. Abstain: None. AUTHENTICATED BY: RON MORRISON Mayor of the City of National City, California Ltij City Clerk of the City of ational City, California By: Deputy I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. 2012-19 of the City of National City, California, passed and adopted by the Council of said City on January 24, 2012. City Clerk of the City of National City, California By: Deputy CITY OF NATIONAL CITY, CALIFORNIA COUNCIL AGENDA STATEMENT MEETING DATE: January 24, 2012 AGENDA ITEM NO. 4 e f EM TITLE: Resolution of the City Council of National City authorizing the Mayor to execute a 2nd Amendment to the Agreement with Bureau Veritas North America, Inc. to increase the not -to -exceed amount of the Agreement by $300,000 for on -call general engineering services, construction inspections and project management services. (Funded by various CIP projects — No General Fund will be used.) PREPARED BY: Stephen Manganiello PHONE: 336-4582 EXPLANATION: See attached DEPARTMENT: Engineering APPROVED BY: 2 FINANCIAL STATEMENT: ACCOUNT NO. APPROVED: APPROVED: Finance MIS There is no financial impact at this time. Funds will be encumbered on an as needed basis from allocations of CIP projects. No General Funds will be used. ENVIRONMENTAL REVIEW: N/A ORDINANCE: INTRODUCTION: FINAL ADOPTION: STAFF RECOMMENDATION: Adopt resolution BOARD / COMMISSION RECOMMENDATION: N/A TTACHMENTS: 1. Explanation 2. Amendment #2 — Bureau Veritas North America, Inc. 3. Resolution Explanation: On October 19, 2010, per City Council Resolution No. 2010-234, the City of National City entered into an agreement with Bureau Veritas North America, Inc. to provide on - call general engineering services, construction inspections and project management services for various Capital Improvement Projects. The contract amount was $100,000. On July 5, 2011, per City Council Resolution 2011-140, Council authorized the First Amendment to the Agreement to add an additional $100,000. This year's Capital Improvement (CIP) Program currently has 40 projects, totaling over $40 million. In order to keep these projects on schedule to meet various funding expenditure requirements and commitments to the citizens of National City, staff is requesting a Second Amendment to the Agreement to add an additional $300,000. This will allow Bureau Veritas North America, Inc. to continue to support staff with project delivery through the contract period, which terminates on October 6, 2012. Staff recommends execution of a Second Amendment to the Agreement. RESOLUTION NO. 2012 — RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE A SECOND AMENDMENT TO THE AGREEMENT WITH BUREAU VERITAS NORTH AMERICA, INC., INCREASING THE NOT TO EXCEED AMOUNT AN ADDITIONAL $300,000 TO PROVIDE ON -CALL GENERAL ENGINEERING, CONSTRUCTION INSPECTIONS, AND PROJECT MANAGEMENT SERVICES FOR VARIOUS CAPITAL IMPROVEMENT PROJECTS FOR FY 2011-2012, FOR A TOTAL AGREEMENT AMOUNT OF $500,000 WHEREAS, on October 19, 2010, the City Council adopted Resolution No. 2010- 234, approving a two-year Agreement with Bureau Veritas North America, Inc., to provide on - call general engineering, construction inspections, and project management services for various capital improvement projects for a not to exceed amount of $100,000; and WHEREAS, on July 5, 2011, the City Council adopted Resolution No. 2011-140, approving the First Amendment to the Agreement increasing the not to exceed amount an additional $100,000, fora total Agreement amount of $200,000; and WHEREAS, this year's Capital Improvement Program currently has 40 projects, totaling over $40 Million. In order to keep these projects on schedule to meet various funding expenditure requirements and commitments to the citizens of National City, an additional $300,000 is necessary to support staff with project delivery through the contract period, which terminates on October 6, 2012, for a total Agreement amount of $500,000. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute the Second Amendment to the Agreement with Bureau Veritas North America, Inc., increasing the not to exceed amount an additional $300,000 to provide on -call general engineering, construction inspections, and project management services for various capital improvement projects for Fiscal Year 2011-2012, for a total Agreement amount of $500,000. Said Second Amendment to the Agreement in on file in the office of the City Clerk. PASSED and ADOPTED this 24th day of January, 2012. Ron Morrison, Mayor ATTEST: Michael R. Dalla, City Clerk APPROVED AS TO FORM: Claudia Gacitua Silva City Attorney SECOND AMENDMENT TO AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND BUREAU VERITAS NORTH AMERICA, INC This second Amendment to the Agreement, is entered into this 24'h day of January, 2012 by and between the City of National City, a municipal corporation ("CITY"), and Bureau Veritas North America, Inc. (the "CONSULTANT"). RECITALS WHEREAS, The CITY and the CONSULTANT entered into an agreement on October 19, 2010, ("the Agreement") through the adoption of City of National City Council Resolution No. 2010-234 wherein the CONSULTANT agreed to provide on -call general engineering services, construction inspections and project management services for various Capital Improvement Projects. WHEREAS, the original Agreement had a not -to -exceed amount of $100,000. WHEREAS, the Agreement expires on October 6, 2012, with an optional extension of one year when mutually agreed upon by the parties. WHEREAS, the parties amended the Agreement to increase the not - to -exceed limit by $100,000, for a total Agreement amount of $200,000 through the adoption of National City Council Resolution No. 2011-140, adopted on July 5, 2011. NOW, THEREFORE, the parties hereto agree that the Agreement entered into on October 19, 2010, shall be amended to increase the Agreement by an additional $300,000 to cover costs to provide for all services in the original Agreement. This will bring the total not -to -exceed amount for this contract to $500,000. The parties further agree that with the foregoing exception, each and every term and provision of the Agreement dated October 19, 2010, shall remain in full force and effect. i IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first above written. CITY OF NATIONAL CITY BUREAU VERITS NORTH AMERICA, INC. By: Ron Morrison, Mayor By: (Name) P\n kiAs r c (Print) APPROVED AS TO FORM: (Title) By: Claudia G. Silva (Ma ie) City Attorney (Print) (Title) 2 ./ Ko CERTIFICATE OF LIABILITY INSURANCE ElA[E(h1M/DDh'yYY) 08/D9/2D I , 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 he 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 AOn RiSk Services NAME: Northeast, Inc. parSlppany NJ Office PHONE AX (A/O. No. Fol: (86,) 283-3/122 �ae.Nol (84i) 953-5390 10 Laeidex Center west EMAIL P.O. Box 608 ADOREss Parsippany Ni 07054-0608 USA INSURER(S) AFFORDING COVERAGE NAIC k INSURED Bureau Vel'1 CaS North America, INSURER A- LeXT ng ton It15LIranLe Company 19437 Inc. 11590 w_ Bernardo Court, X10O INSURERB: NCl/ Hampshire Ins Co 23841 San 01 ego CA 92127 USA INSURERC- Nati nita4 union Fire In5 CO of P1 tl- hurgh 19445 If SURER CO,moerce & industry Ins Co 19410 INSURER E Granite State Insurance Company 23809 INSURER F: rravrm A,CC .tee-....r•..-.r.-..... -.-.� _.____.. _., • Holder Identifier 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 REOUIP.EMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH IHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIIE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested R15R LTR TYPE OF INSURANCE INSR WVD POLICY NOMRF!! (MMIOO(EYYY1EFF POLICY EXP LIMITS D GENERAL LIABILITY GL6439)11 04/01/2a11 01/0IT2011 0MM/OD!YYYYf 47017201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DA1J 1GE IO RENIED PREMISES (Ea occurrence) S1,000,000 CLAIMS-MADEI % I OGCUR MED EXP (Any one person) $25,000 PERSONAL a ADV INJURY S1.,000,000 �:'_ GENERALAGGREGAIE S2,000,000 m-. GEM_ AGGREGATE LIMIT APPLIESIIEPER'. PRODUCTS . COMP/OP AGO $ 2 , 000, 000 e cd ,PR° POLICY 4101 1LOC o C AUTOMOBILE LIABILITY CA 3377177 AOS 04/01/to 1104/0i/2012 COMBINED SINGLE LIMITto IEa accident) $1,000,000 F X ANY AUTO CA 3377178 04/01/2011 04/01/2012 BODILY INJURY( Per person) 0 ALL OWNED AUTOS SCHEDULED AUTOS MA BODII V INJURY o'er acc�denll Z m HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (P e! arndenl) N 0 8 UMBRELLA LIAD OCCUR CACI) OCCURRENCE N U EXCESS LIAD CLAIMS -MADE AGGREGATE LIED RETENTION B WORKLRSCOMPENSA NON AND EMPLOYERS'LIABIUTY yIry wCO25842303 AOS 04201./2011 04/0122012 XITWOR) UMIC STAITU-1S ER IOTII_ ANY PROPRIETOR l PARTNER I IXLC]I IIvE N OEFICERAIEMDER EXCLUDED) NIA wCO25842304 04/01/2011 04/01/2012 EL_ EACH ACCIDENT $1 , 000 000 (Mandatory in NH) If yes. describe under CA E.L. DISEASE EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L_ DISEASE -POI ICY LIMIT $1,000,000 A Archit&End Prof 026030/71 SIR applies per pol icy terns 11/30/2010 & condi 12/15/2011 ions Each Claim Aggregate 41,000,000 S1,000,000 IIIIII SiAid OESCRIP 1ION OE OPERATIONS / LOCATIONS / VEIIC FS (Att.ch ACORU 101, Additional Remarks Schedule, if more space is eq.uredl ;he Architects & Engineers policy ncludes coverage for Professional Liability and Contractors pollution Lialli ity. RE: On Call Professional Engineering & Construction Services. City of rational city is included as Additiorla Insured as required by written contract, but Toll ted to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liabil ty and Automobile Liability policies. A waiver- of Subrogation is granted i1 favor of certificate Holder as required by written contract but limited to the operations of the insured under- said contract, with respect to the workers' Compensation. - 3 CERTIFICATE HOLDER CANCELLATION City of National City Attn- Barby Tipton 1243 Nationa1 Ci Ly National City CA 91950 USA ^" SHOULD MN OE I THE //HOVE DE. ..... D POLICIES LIE CANCELLED BEFORE IHE�_ t m EXPIRATION DATE THEREOF NOTICE WI • BE -_.-._-_- IN __ POLICY PROVISIONS. AUTHORIZED REI'RLStNTATIVE <_Xioll c/G!Q%cz4!ld c�4�KGir4 fir 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 3 2 ENDORSEMENT This endorsement, effective 12:01 A _ 04/01 /2011 forms a part of policy No. CA 337-71-77 issued to BUREAU VERITAS NORTH AMERICA, INC. byNATIORAL. UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PI_FASE READ IT CAREFULI Y ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the foflowmg: BUSINESS AUTO COVERAGE FORM SCIIFDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADD 'L INSURED STATUS BUT ONLY TO TIIE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO I. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured. is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto"_ However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (21 The coverage and/or limits required by said contract or agreement_ R/9 0 (1o.rob)Archive Copy Authc fized Representative or Countersignature (in States Where Applicable) Page 1 of 1 3 4 POLICY NUMBI R: GL 6/13-93-13 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 Name Of Additional Insured Person(s) Or Organization(s)_ BLANKET WHERE REQUIRED BY WRITTEN CONTRACT Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section It - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: CG 20 10 07 04 1. All work, including rnaterials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to he performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2- That portion of "your work" out of which the injury or darnage arises has been put to its intended use by any person or organ- ization other than another contractor or sub- contractor engaged in performing oper- ations for a principal as a part of the project. © ISO Properties, Inc-,2004 Page 1 of 1 ❑ 4 5 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. [me following "attaching clause" r:eoa bra con -plated only when lhls erdurtiumont rs Issued subsequc 1 to reparation of the policy)_ This endorsement, effective 12.01 AM 04101 /201 1 Issued to BUREAU VERITAS NORTH AMERICA, INC. By NEW HAMPSHIRE INSURANCE COMPANY Premium forms a part of Policy No. WC 025-84-2303 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will net enforce our right against the person or organization named in the Schedu!o. This agreement applies only to the extent that you perionn work under a written contract that requires you to obtain this agreement from us_ This agreement shall not operate directly or indirectly to benefil any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS. This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohirr Tennessee, Texas, Utah, or Washington_ WC 00 03 13 (Ed. 04/84) Countersigned by Authorized Representative 5 6 OFFICE OF THE CITY CLERK 1243 National City Blvd. National City, California 91950 Michael R. Dalla, CMC - City Clerk 619-336-4228 phone / 619-336-4229 fax January 26, 2012 Mr. Philip Kern Bureau Veritas North America, Inc. 11590 West Bernardo Court, Suite 100 San Diego, CA 92127 Dear Mr. Kern, On January 24th, 2012, Resolution No. 2012-19 was passed and adopted by the City Council of the City of National City, authorizing execution of Amendment #2 to an Agreement with Bureau Veritas North America, Inc. We are enclosing for your records a certified copy of the above Resolution and a fully executed original Amendment. Michael R. Dalla, CMC City Clerk Enclosures cc: Engineering Dept.