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HydroScience Engineers - Insurance Certificate (2018)0 DATE IMMIDD)YYYY) A` "R" CERTIFICATE OF LIABILITY INSURANCE 31112018 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 pollcy(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 Seth Riddell KRAFT INSURANCE BROKERAGE ��g� .P.n: (530)605 4780 FAX No): 605-4782 2040 Shasta Street, Ste C E-MAIL DRESS: seth(cDkraftib.com Redding, CA 96001 INSURER(S) AFFORDING COVERAGE NAIC 8 INSURER A: Travelers Property Casualty Company of America 25674 INSURED INSURER B : American Fire & Casualty Company 24066 Hydroscience Engineers, Inc. INSURER C: Continental Casualty Company 20443 10569 Old Placerville Road INSURERD: INSURER E : Sacramento CA 95827 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 AODL:bUBR - POLICY EFF ' POLICY lexP LIMITS LTR TYPE OF INSURANCE 1\jgp WYn POLICY NUMBER IMMiDDfYYYYI fMMIDDIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCg(2REJ)l� S 11000,000 —_� CLAIMS -MADE OCCUR PREMISE S (Ea occurrence) S 300,000 A GI EN'L AGGREGATE LIMIT APPLIES PER. POLICY ❑ JE� LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO NV OWNED SCHEDULED Y B AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOSONLY �AAUTOS ONLY UMBRELLA UAB X I OCCUR A X ExCESS LIAB I CLAIMS -MADE DED 1 I RETENTIONS WORKERS COMPENSATION AND EMPLOYER$' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE � N I A A OFFICER?MEMBER EXCLUDED? L (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below MED EXP (Any one person) S 5,000 Y Y 680-5HSS8974-17-47 12/18/2017 12/18/201 B PERSONAL 8 ADV INJURY S 1.000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMPIOP AGG S 2,000,000 S COMBINED SINGLE LIMIT S IEa accldent) BODILY INJURY (Per parr) 5 Y BAA(19)56353680 21912018 219/2019 ' BODILY INJURY (Per accident) S PROPERTY DAMAGE $ tPer accident) 5 EACH OCCURRENCE $ CUP-4536T31A-17-47 12/18/2017 12/18/2018 I AGGREGATE 5 /\ PER I I FRH I E.L. EACH ACCIDENT $ Y UB-OK587713-18-47 G 31112018 31112019 I E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S Per Claim: C Professional AEH288365407 1211812017 1211812018 Annual Aggregate: Liability Deductible: DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHIC,-ES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Project: Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage Is primary with waiver of subrogation. Certificate Holder will be provided with 30 day notice of cancellation and 10 day notice for non-payment of premium. CERTIFICATE HOLDER City of Gilroy Public Works Department 613 Old Gilroy Street Gilroy, CA 95020 ACORD 25 (2016103) CANCELLATION 1,000,000 4,000,000 4,000,000 1,000,000 11000,000 1 000 000 $5,006,006 $5,000,000 $25,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICtES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 91988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 680-5H558974-18-47 ISSUE DATE: 10/24/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSONS OR ORGANIZATIONS: CITY OF GILROY ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY CA 95020 PROJECT/LOCATION OF COVERED OPERATIONS: ENGINEERING FOR 1ST STREET WATER MAIN REPLACEMENT PROVISIONS 1. The following is added to SECTION II — WHO IS AN INSURED: The person or organization shown in the Schedule above is an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury": and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the rendering of or failure to render any "professional services". f. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III — Limits Of Insurance. g. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to that additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. CG D3 82 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured shown in the Schedule above is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed: after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or organizations shown in the Schedule above, under which you are required to include that person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission PURCHASING SUMMARY FORM This form is utilized to record three (3) price quotations for items or services under $100,000 and for Sole Source, emergency purchase, or non -procurement of lowest quoted price explanations. This form is to be attached to the Purchase Requisition and forwarded to Purchasing. Purchasing Coordinator will obtain City Administator approval when purchase is over $50,000. Make sure you have the proper approval before a standard agreement is circulated/executed. REQUISITION OR PURCHASE ORDER NUMBER ITEM DESCRIPTION: Agreement for Services for Professional Engineering Contracts with Hydroscience Engineers, Inc. to provide construction engineering services for the First Street Water line project in City of Gilroy. PRICE OUOTATIONS VENDOR NAME Hvdroscience Enoineers. Inc. ADDRESS 10569 Old Placerville Road Sacramento. CA 95827 INDIVIDUAL CONTACTED Lioava Kohaoura PRICE GOOD TO REMARKS CITY BUSINESS LICENSE # VENDOR NAME ADDRESS INDIVIDUAL CONTACTED PRICE GOOD TO REMARKS CITY BUSINESS LICENSE # DATE CONTACTED 10/3/2018 TELEPHONE 916-273-6034 PRICE QUOTED $ 21.830.00 DATE CONTACTED TELEPHONE PRICE QUOTED VENDOR NAME DATE CONTACTED ADDRESS TELEPHONE INDIVIDUAL CONTACTED PRICE QUOTED PRICE GOOD TO REMARKS CITY BUSINESS LICENSE # Is product Environmentally Preferable Purchasing Policy (EPP) compliant? YESO NO ❑✓ If yes, explain: (EPP Policy can be found G:\cityinfo\MISCINFO) EXPLANATION (FOR SOLE SOURCE, EMERGENCY, OR NON -PROCUREMENT OF LOWEST QUOTED PRICE) Hydroscience Engineers, Inc. professional engineering contract is expired. Their construction engineering services is required due to extended duration of construction days for the First Street Water line Project. It will not be cost effective to select another consultant due to the time restraint and their familiarity with the project. Prepared by: Faranak Mandavi DATE 10/17/2018 Approved by: �y 0 DATE 1� 10 ((6 "DEPARTMENT HEAD APPROVAL FOR PURCHASES BETWEEN $1,000 - $50,000 t Approved by: CITY ADMINISTRATOR APPROVAL FOR PURCHASES ABOVE $50,000 G:\CPIYINFO\FORMS\PURCHSG\Purchasing Summary Form (3 Quotes).x1s DATE