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Flowers & Associates - 2016 Agreement - Amendment No. 1
AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN CITY OF GILROY AND FLOWER AND ASSOCIATES INC. FOR MICRO - SURFACING PROJECT DESIGN DATED MAY 27, 2016 (P.O. NO. 161012) AMENDMENT NO. 1 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Consultant. All copies forwarded to Consultant for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Consultant's copy will be returned to him as his authority to proceed with the work. Amend existing contract for Flowers & Associates Inc. for an amount totaling $322,904 to perform design and construction management services for Phase II of the City Wide Pavement Maintenance Project in the amount of $211,489; and construction management services for Automall Parkway Pavement Improvement Project in the not to exceed amount of $111,415; All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by this Amendment. The contract time shall not extend unless expressly provided for in this Amendment. Flowers & Associates Inc. hereby agrees to perform the above work subject to the terms of this Amendment for design and construction management of street improvement projects throughout City of Gilroy. Consultant: Flowers & Associates Inc. By. Ro ert T. Flowers, P.E. Date ACCEPTED: IZ � City Administrator Date �.� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/25/2016 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 endorsement(s). PRODUCER Dealey, Renton & Associates 199 S. Los Robles Ave #540 Pasadena„ CA 91101. C NTACT Marie Swaney PHONE FAX -844 -3 626- 844 -3070 Nak mAIL . mswaney @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC A Lic #0020739 INSURER A :Hartford Ins. Co of Midwest 37478 9/1/2016 INSURED FLOWEASSO INSURER B :Travelers Property Casualty Co of A 25674 - Flowers & Associates, Inc. INSURERC:Wesco Insurance Co. 125011 201 North Calle Cesar Chavez, Suite 100 Santa Barbara, CA 93103 INSURER o 805-96&2224 INSURER E: X INSURER F $10,000 COVERAGES' CERTIFICATE NUMBER- 502788224 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 LTR. TYPE OF INSURANCE ADDL15UBK IN SD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD - LIMITS. B X - COMNIER_mLGENERALLIABILnY Y Y 6801H980764 9/1/2016 9/1/2017 EACH OCCURRENCE $1,000;000 CLAIMS MADE Fix OCCUR DAMAGE TO PREM E occu RENTED n $1,000,000 X MED EXP (Any one person) .. $10,000 Contractual Lia X XCU Included PERSONAL & ADV INJURY $1;000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY EtT ',❑ LOC PRODUCTS - COMP /OPAGG $2,000',000 Ded $0 OTHER AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ASCHOSULED AUTOS A HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS'LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN Y PROPRIETOR/PARTNER/EXECUTIVE Y 72WEGPI0126 9H72016 9/1/2017 X P q E_ ER E.L. EACH ACCIDENT $1,000,000 OFFICERtMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 C Professional Liability Contractor's Pollution Liab Retro Date: 10/11/1977 Y ARAI25588800 8/26/2016 8/26/2017 $2,000,000 per claim $4,000,000 Annual Aggregate $25,000 Deductible DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Cancellation Notice: 30 day /10 day for non -pay or premium will be mailed to the certificate holder. AM Bests Rating on all policies above: A/XII or greater. RE: WO #1445, 2015/2016 Pavement Design /Construction — City of Gilroy, its officials, officers and employees are named as additional insured as respects general liability for claims arising from the operations of the named insured as required per written contract or agreement. SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non - Payment of Premium. See Attached... CERTIFICATE HOLDER CANCELLATION 30 Day NOW 0 Dav for nonpaY Of Drem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, its officials, officers and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE _DELIVERED IN Attn: David Stubchaer ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED: REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The.ACORD name and logo are registered marks of ACORD FLOWE -2 OP ID: JD ACORU' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/09/2016 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(iss) must be an 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 California Meridian Ins. 9700 El Camino Real Ho s e Ac o, Account 93422 House Account NAME CT Jackie Deskin P "O " N : 805,466 -3400 FAX No : 805^466-6148 E-MAIL "- ADDRESS: jackie@caiifomiameridian.com INSURE S AFFORDING COVERAGE NAIC # INSURER A: California Automobile Ins. Co. 38342 INSURED Flowers & Associates, Inc. 201 N. Calle Cesar Chavez #100 Santa Barbara, CA 93103 " INSURERS: National Union Fire Ins Co 19445 INSURER c INSURER D: INSURER E: EACH OCCURRENCE INSURER F: OVERAGES CERTIFICATE NUMBER- REVISION NUMBER: 1 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 LTR TYPE OF INSURANCE IN POLICY NUMBER POLICY EFF MMIDD POLICY EXP M/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE FI OCCUR PREMISES Ea occurrence $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY F—] JEST LOC PRODUCTS - COMP /OP AGG $ " $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE I Ea accident $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO X BA040000029127 09101/2016 0910112017 BODILY INJURY (Per accident)' $ ALL OWNED 'SCHEDULED AUTOS AUTOS NON-OWNED X (TIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 B X EXCESS LIAB CLAIMS -MADE EBU060476793 09101/2016 0910112017 DED . 1 RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE - PER OTH- STATUTE- ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑' NIA A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If es descnbeunder DESCRIPTION OF OPERATIONS below. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional. Remarks Schedule, may be attached If more space Is required) City of Gilroy, its officers, officials, and empployees are additional insured per attached endorsement CA20480299. RE: W.0.1445• FY 15 Slurry Seal Pavement Maintenance Design & Inspection Services 2015%2018 City of Gilroy Attn: David Stubchaer, P.E. 7351 Rosanna Street ,Gilroy, CA 95020 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE House Account I ©1988 -2014 The ACORD name and logo are registered marks of ACORD TION. All rights reserved. POLICY NUMBER: BA040000029127 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER 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 Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: 9/01/16 Countersigned By: Authorized Representative) Named Insured: Flowers & Associates, Inc. SCHEDULE Name of Person(s) or Organization(s): City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule 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 Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑. AC® AGENCY CUSTOMER ID: FLOWEASSO LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Dealey, Renton & Associates Flowers & Associates, Inc. 201 North Calle Cesar Chavez, Suite 100 Santa Barbara, CA 93103 POLICY NUMBER 805- 966 -2224 CARRIER EFFECTIVE DATE: ADDITIONAL REMARKS The ACORD name and logo are registered marks of ACORD Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured:Flowers & Associates, Inc. Producer: Dealey, Renton & Associates Schedule Person or Organization City of.Gilroy, its officials, officers and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy CA 95020 Additional Premium % We have the right to recover our payments from any- one 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.) Authorized Representative WC040306 Policy Number 72WEGPI0126 Effective Date 9 / 1 / 2 016 Job Description City of Gilroy, its officials, officers and employees -- RE: WO #1445, 2015/2016 Pavement Design /Construction You must maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. POLICY NUMBER: 6801H980764 COMMERICAL GENERAL LIABILITY ISSUE DATE: 8/25/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): city of Gilroy, its officials, officers and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy CA 95020 PROJECT/LOCATION OF COVERED OPERATIONS: City of Gilroy, its officials, officers and employees -- RE: WO #1445, 2015/2016 Pavement Design /Construction PROVISIONS A. The following is added to WHO IS AN INSURED (Section II): The person . or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products- completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of.or failure to render any "professional services ". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL_ LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule, the insu ante provided to that additional insured under this CG D3 82 09 07 Page t © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, 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 entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance 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 the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights 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, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or' agreement under which you are required to include the person or organization shown in the Schedule 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 entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page z © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission POLICY NUMBER: BA040000010360 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER 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 Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: 5i26r2o16 Countersigned By: ,} f Named Insured: f=lowers & Associates, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): City of Gilroy, its officers, officials, and employees 7351 Rosanna Street Gilroy, CA 95020 (If no entry. appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule 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 Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ Rcv)e,� F Fikowafs FLOWERS & ASSOCIATES, INC. Ala�l H Chercl :RC= C i V I L E N G I N E E R S RoDerf. A, SChmiat , j� Sie:Ohen FiCw'erS ' \L. 2" NORTI = CHA1�Z °JIT� iJl SANTA 2iA '6A;A %'a:S'1C:? GEI3r 1CO ri /7 fflOi "i E 'lIilihrlS FAX: 605.` 6� 3372 www. flowersassoc.com W.O. 1623 P2 November 02, 2016 Mr. David Stubchaer, P.E. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -6197 Subject: Request for Proposals.to provide professional Engineering Services for 2016 Pavement Improvement Project — Phase 2 Design & Inspection Services Dear David: Pursuant to your request via e-mail on October 21, 2016 we are pleased to submit this proposal for the subject project. It is our understanding that the City is requesting Flowers & Associates to provide a contract proposal for the City of Gilroy 2016 Pavement Improvement Project — Phase 2. Phase 2 will have a tentative budget of $1.3 million dollars and will initially include design of pavement point repairs, rubberized cape seal or micro-surfacing, crack sealing and striping. A proposal for construction management, observation and testing services would be submitted once design is completed and the work effort can be more accurately quantified. Based on our discussions, the City has an initial estimated construction budget of $1,300,000 for street surface maintenance for Phase 2. The Project may include multiple pavement maintenance treatments including but not limited to crack seal, micro surfacing, cape seal, asphalt grind, asphalt overlay and striping to provide the City with more maintenance "bang for the buck". The Project is scheduled for design in November 2016 through January 2017 with construction anticipated for late spring 2017. It is anticipated that the Contract period will be 40-45 working days. Our Phase 2 services will include the design for multiple pavement maintenance treatment types and construction management, observation and testing services. Streets for the Project have not been selected at the time of this Proposal and it is anticipated that the selection process will take place during design. Page 2of5 W.O. 1623 P2 This proposal also includes both the design and construction observation of the Levee trail pavement repair project, which will be integrated into the Phase 2 Project contract documents and bid with the Phase 2 construction. We have, at the request of the City included Associated Transportation Engineers for bike lane striping and signage for streets to be determined during the design phase. We have also include time for surveying services for up to two (2) days at the Citys discretion for monument location or ramp design. We propose Cardenas & Associates for these services. We will be teaming with Fugro Consultants for testing services for the slurry seal/micro-surface phase and asphalt overlay phase of the Project. SCOPE OF SERVICES The following scope of services will be performed based on our understanding of your e-mail and phone conference as follows: Streets Condition Survey 1. Field review Phase 2 streets as selected by the City. 2. Assemble a list of streets (provided by City) with recommended repair method (developed by F&A). 3. Attend 2 meeting to discuss costs and alternatives and select repair methods. Contract Documents Phases 2 (2 sets): Field review (2) to assess point repairs for cost estimating, and to paint repair limits in field. 2. Provide opinion of construction cost at 30 %, 60% and 90% design. 3. Attend 2 meeting to discuss costs and project issues. 4. Design to include pavement point repairs, crack sealing, micro-surfacing, rubberized cape and striping at a minimum. 5. Prepare contract documents in book format including general and special provisions, bid schedule with descriptions, project summary sheet by block, details, and number of working days for project. 6. Recommend any applicable materials testing/performance testing for the project. Page 3 of 5 W.O. 1623 P2 Bike lane striping and signage will be performed by Associate Transportation Engineers; see Proposal dated 10 /31/16 attached hereto and made part of this Proposal. Bid Assistance: 1. Assist City with bidding and addenda. a Respond to RFI's if appropriate. Contract IManagementlObservation for Phase 2: 1. Provide contract management for the project: ® Recommend approval of payment of invoices from contractor. Review schedule and keep track of contractor progress vs. working days and project budget. o Coordinate road closures with City, emergency services, trash haulers, post office, and other affected service providers. 2. Provide inspection services for the project: ® Monitor contract compliance with specifications. o Review and approve contractor proposals for work sequencing. a Monitor contractor traffic control efforts. a Provide and coordinate applicable materials /performance testing. 3. Establish files and maintain records of the construction process including those described above and the following: a. Daily observation reports. b. Submittals. C. Test results. d. Photographs. e. Potential claims submitted by Contractor. f. Prepare a Final report with supporting information TESTING Testing services will be performed by Fugro Consultants, Inc. in similar with their proposal dated October 27, 2016 and attached hereto and made a part of this proposal. PROPOSED PROJECT SCHEDULE We anticipate that the Street condition Survey and Design will take 7 weeks once we receive notice to proceed. Allow 3 weeks for City review of documents and F&A to respond to comments. Allow 8 weeks for Bidding, Award and Notice -to- proceed for the contractor. We anticipate that the construction period will be on the order of 10 weeks. Page 4 of 5 W.O. 1623 P2 SERVICES PROPOSED TO BE PROVIDED BY OTHERS We understand that the City will provide the following services: 1. Provide assistance in accessing existing reference materials in City files. 2. Provide existing street survey data, Excel spreadsheet of streets that includes streets, length, width and area by block in digital format, which will be incorporated into the bid documents. 3. Print and bind final plans and specifications for bidding. 4. Obtain all permits and approvals. SPECIFIC EXCLUSIONS Specifically not included in the above Scope of Services /Compensation are the following: 1. Any involvement with hazardous waste including detection, identification, evaluation, management and cleanup. 2. Geotechnical, transportation or structural engineering services have not been included nor are they anticipated. One or more of these disciplines would be required for drainage, street re- profiling or widening projects. 3. Supervision or management of construction work including traffic control, safety and control of any aspect of the contractors work. 4. The Construction Contractor is required to assume responsibility for job site conditions during the course of the construction of the project, including traffic control and safety of all persons and property on a continuous basis during the project duration. Consultants are not responsible for work safety. COMPENSATION We will complete the above - described scope of work on a TIME AND MATERIALS basis with an authorized limit based on our 2016 Fee Schedule. We estimate the breakdown by consultant team member as follows: Flowers & Associates, Inc. $ 156,736 Associated Transportation Engineers $ 17,200 Fugro Consultants, Inc. $ 26,075 Cardenas & Associates $ 6,500 Cost of Subconsultants @ 10% $ 4,978 Total: $ 211,489 Page 5 of 5 W.O. 1623 P2 Our services will be billed for at approximately monthly intervals in accordance with our Fee Schedule in effect when the services are authorized. Current Fee Schedule is enclosed in Cost Proposal envelope. Payment is due upon receipt of Statement and unpaid balances are subject to late charges. Should unforeseen circumstances be encountered or additional or expanded work be required or added to the project, we will notify you for authorization before proceeding with this additional work. Sincerely, FLOWERS & ASSOCIATES, INC. By: - - - By: A an H. Chierici R ert T. Flo ers, P.E. Associate Engineer President, R.C.E. 18,324 Flowers FLOWERS &_ASSOCIATES. INC. Alan Chierici Robert T 16 16 Robert A Schmidt RcE 163zn C I v I L E N G I N E E R 8 Rce n33s Stephen G Flowers 6 32 6 40 40 16 Gelare Macon Rce 26+92 201 NORTH CALLE CESAR CHAVEZ, SUITE 100, SANTA BARBARA, CA 93103 c+N 025571 Vernon E Williams $4,620 $0 4 RCE 33690 PHONE: 805 966 2224 - FAX: 805 965 3372 2 19.6 58.2 www flowersassoc com 0.0 W.O. 1623 11/02/16 Estimated Staff Loading for Design Engineering Services for City of Gilroy 2016 Pavement Maintenance Project Phase 2 PRIN ASSOC SR ENG DESIGN DRAFT W/P TOTAL TASK ENGR/SR INPECTOR STREETS SURVEY 1. Field review streets selected by the City 16 16 32 2. List of streets & recommended repair method 8 8 8 4 16 3. Attend 2 Meetings 8 8 16 CONTRACT DOCUMENTS 6 177 32 1. Field review (2) 16 16 14 2. Opinion of cost at 30 %, 60% and 90% (2) 2 6 6 12 3. Attend 2 Meetings 6 32 6 40 40 16 128 4. Design /Mark Streets 2 32 32 32 24 122 5. Prepare Contract documents $4,620 $0 4 6. Recommend materials /performance testing 2 2 19.6 BID ASSISTANCE 1. Assist City with bidding and addenda 3 3 A CONTRACT MANAGEMENTIOBSERVATION - 50 Working Days 1. Provide contract management for the project 2 48 48 98 2, Provide Observation services for the project 32 500 532 Staff By Category Totals 6 177 201 596 44 0 1024 Billing Rate ($/hr) $185 $170 $152 $134 $105 $95 Total Personnel Cost ($) $1,110 $30,090 $30,552 $79,864 $4,620 $0 $146,236 Staffing Ratio (% of total hrs) 0.6 17.3 19.6 58.2 4.3 0.0 Average Personnel Cost ($ /hr) 142.81 Description of Other Project Costs $26,075 Fugro Consultants $17,200 ATE $6,500 Cardenas & Associates Cost of Consultant @10% $1 1 0.00 0 Traveling, Hotel & Subsistance $500 $500 Repro /Misc. $65,253 Total of other costs ($) Total Estimated Project Cost ($) $211,489 Includes Levee Project FLOWERS & ASSOCIATES, INC. Robert T. Flowers C I V I L E N G I N E E R S RCE 18324 Stephen G. Flowers 201 NORTH CALLE CESAR CHAVEZ, SUITE 100, SANTA BARBARA, CA 93103 RCE 26192 Vernon E. Williams PHONE: 805.966.2224 • FAX: 805 965 3372 RCE 33690 Alan H. Chierioi www.tlowersassoc.com FEE SCHEDULE Effective May 16, 2016 Until Revised ENGINEERING SERVICES HOURLY RATE Principal Engineer .......................... ............................... $185.00 Associate Engineer ........................ ............................... $170.00 SeniorEngineer .............................. ............................... $15100 Drainage Engineer ......................... ............................... $152.00 Water Resources Specialist ........... ............................... $141.00 ProjectManager ............................. ............................... $141.00 DesignEngineer ............. .................................................. $131.00 CADDesigner ................................ ............................... $115.00 CADTechnician ............................. ..................:............ $105.00 Word Processor ............................. ............................... $ 95.00 PLANNING SERVICES Principal Planner ............................ ............................... $152.00 Associate Planner .......................... ............................... $131.00 CONSTRUCTION CONTRACT ADMINISTRATION Principal Construction Engineer ..... ............................... $185.00 Associate Construction Engineer ... ............................... $170.00 Resident Engineer .......................... ............................... $152.00 Prevailing Wage Construction Monitor .......................... $131.00 Construction Monitor ....................... ............................... $115.00 EXPERT TESTIMONY Expert Testimony, Deposition, Court Appearance and research related thereto will be charged at 3.0 times the applicable hourly rate. REIMBURSABLE EXPENSE Plots and other expenses connected with the work will be charged at cost. CONSULTANTS Subcontracts administered by Flowers & Associates, Inc. will be charged at cost plus 10 %. Man FUGRO CONSULTANTS, INC. 4820 McGrath Street, Suite 100 Ventura, California 943003 T +1 805 650 -7000 F +1 805 650 -7010 October 27, 2016 Project No. 04.62169081 Flowers and Associates 201 North Calle Cesar Chavez, Suite 100 Santa Barbara, California 93103 Attention: Alan Chierici Subject: Proposal for Construction Materials Testing Services, City of Gilroy FY2016 Phase 2 Emulsion Aggregate Slurry Project, Gilroy, California Dear Mr. Chierici: Fugro is pleased to present this proposal to Flowers and Associates for construction materials testing services for City of Gilroy FY2016 Phase 2 Emulsion Aggregate Slurry Project in Gilroy, California. The following proposal presents our proposed scope of services and our estimated fee for the project. SCOPE OF SERVICES On the basis of our understanding of the project, we have developed a scope of services consisting of construction materials testing and report preparation. Services associated with each of these tasks are summarized below. Task 1 • Slurry Seal Testing. We propose to provide testing of the emulsified slurry seal materials used during construction. We propose to provide field sampling and laboratory testing of slurry seal specimens and materials. A Fugro field technician will perform field sampling and materials testing services on an on -call basis (24 -hour notice). Task 2 — Report Preparation. We propose to provide wet track abrasion test results as they become available. Upon completion of the project, we will prepare a brief letter -report summarizing the results of the slurry seal testing. The report will provide approximate locations of field tests, and a summary of results for the laboratory wet track abrasion testing performed. ESTIMATED FEES On the basis of our understanding of the project and our stated scope of services, we have estimated our fees associated with our proposed scope of services in accordance with our current Fee Schedule. A summary of our understanding of the project and the level of services requested is attached. We estimate that we can perform these services for a not to exceed fee of $26,075. SITE SAFETY The safety of the contractor's workmen and the project is solely the contractor's responsibility. Our density testing, special inspection and observation services constitute a professional engineering activity and are not to be construed as supervision or direction of the With operating companies throughout the world City of Gilroy FY2016 Phase 2 Emulsion Aggregate Slurry October 27, 2016 (Project No. 04.62169081) -P IMRO contractors work or workmen. Our activities will be conducted in a manner that clearly indicates that we are not directing or supervising construction operations or personnel, and thus we are not responsible for jobsite safety. CLOSURE We appreciate the opportunity to submit this proposal and to continue our professional relationship with Flowers and Associates and the City of Gilroy. If you have questions or require additional information, please contact the undersigned. We would be pleased to meet with you to discuss and review the proposed scope of services and associated level of effort. Sincerely, FUGRO CONSULTANTS, INC. Ed Sullivan Construction Services Manager Attachments: Estimated Fee Worksheet J, ICOMETIPROPOSAL 6 LETTER DIRECTORY 201614 62169081 GILROY FY2 -16 SLURRY19061 PHASE 2 PROP 102716 DOC% 2 -ruORO Flowers & Associates Project No. 04.62169081 City of Gilroy FY2016 Phase 2 Emulsion Aggregate Slurry Project Knowns: Total sampling days include one Test Strip Estimated at 7 days 1 (7 total) Extraction, Sieve, and Residue each day Four (4) MAT Patties each day One (1) Complete Aggregate testing Scope of Work: Technician will collect bulk slurry seal samples & make two (2) patties per truck, two (2) trucks per day (4 patties per day total) Quick set slurry. About 1 hour set time required before patties are transported to laboratory Extraction, Sieve, and Residue (ESR) samples collected same time (5 total) Estimated Fees: Per Day Unit rate ($) Technician - Sampling 8 hours per day 105 $ 840 Patties 4 per day 70 $ 280 ESR 1 per day (5 total) 390 1,950 Per Day Rate $ 3,070 Per Project Fees Sampling 7 days 3,070 $ 21,490 Aggregate Stockpile 1 per project 290 $ 290 Lab Testing (estimiated) (estimated) $ 500 Travel 15 hours 105 $ 1,575 Per Diem 6 days 120 $ 720 Coordination and Reporting 10 hours 150 1,500 Estimated Project Fees 7 Sampling days $ 26,075 ASSOCIATED TRANSPORTATION ENGINEERS 100 N. Hope Avenue, Suite 4, Santa Barbara, CA 93110 - (805)687 -4418 - FAX (805)682 -8509 Since 1978 Richard L Pool, P.E. Scott A. Schell, AICP, PTP November 4, 2016 16620P02 Mr. Alan Chierici Flowers & Associates Inc. 201 North Cal le Cesar Chavez, Suite 100 Santa Barbara, CA 93103 Re: Proposal to Provide Traffic Engineering Services for Phase 2 Pavement Maintenance Gilroy, California. Associated Transportation Engineers (ATE) understands that the City of Gilroy may change the pavement delineation and related signing as part of the Phase 2 project. The changes will be determined during the course of the design. I have looked at the Phase 2 spreadsheet to see the streets that may be candidates for change. Our approach will be to utilize - record drawing and data provided by Flowers to prepare the base for the st =ping plan. If record drawings are not available, we will use Google earth to the extent possible with field verification as needed. The work will be on a time and material basis in accordance with Associated Transportation Engineers 2016 Fee Schedule. When authorized by Flowers & Associates Inc. As noted, I. have looked over the Phase 2 spread sheet and checked some of the arterials and collectors. I would anticipate that ATE would have 30 hours for the Principal Engineer and 60 hours for Transportation Engineer 1. Summary of Cost Personnel Hours Rate/hour Total Principal En 'neer 45 $170.00 $7,650.00_ _ Transportation Engineer I 89 $85.00 $7,550.0 0 - Labor Total $15,200.00 Travel Expense (2 field visits) $2,000.00 Associated Transportation Engineers Estimated Cost for the foregoing Associated Transportation Engineers By: Scott A. Schell, AICP, PTP Vice President SAS /DFN /word Enclosure; Associated Transportation Engineers 2016 Fee Schedule $ 17,200.00 Engineering - Planning - Parking - Signal Systems - Impact Reports - Bikeways - Transit u ASSOCIATED TRANSPORTATION ENGINEERS U 100 N. Hope Avenue, Suite 4, Santa Barbara, CA 93110 • (805) 687 -4418 Y FAX (805) 682 -8509 Since 1976 Richard L. Pool, P.E. Scott A. Schell, AICP, PTP FEE SCHEDULE 2016 Principal Engineer $170.00 per hour Project Engineer $118.00 per hour Civil Engineer II $110.00 per hour Civil Engineer 1 $95.00 per hour Transportation Engineer 11 $90.00 per hour Transportation Engineer 1 $85.00 per hour Engineering Technician II $70.00 per hour Engineering Technician 1 $65.00 per hour Principal Planner $155.00 per hour Supervising Transportation Planner $144.00 per hour Transportation Planner III $110.00 per hour Transportation Planner II $90.00 per, hour Transportation Planner 1 $78.00 per hour Traffic Technician 11 $65.00 per hour Traffic Technician 1 $60.00 per hour Traffic Counter $40.00 per hour Administrative Accountant $80.00 per hour Office Administrator $70.00 per hour Travel, Per Diem, and other miscellaneous expenses are invoiced as separate fee items. Engineering 9 Planning *Parking -Signal Systems *Impact Reports . Bikeways -Transit FLOWE -2 OP ID: JD .nCORO., CERTIFICATE OF LIABILITY INSURANCE DATE(M9120 16 42/09/20 6 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 endomement(s). PRODUCER California Meridian Ins. 9700 El Camino Real NAME: Jackie Deskin PHONE No. . 805 -466 -3400 FAX No): 805 -466-6148 DDRHo ADDESS: jackie@Laliforniameridian.com s o, CA 93422 use Ac count INSURER (S) AFFORDING COVERAGE NAIC # INSURER A: California Automobile Ins. Co. 38342 INSURED Flowers & Associates, Inc. INSURER B: National Union Fire Ins Co 19445 201 N. Calle Cesar Chavez #100 $ Santa Barbara, CA, 93103 INSURER C: $ INSURER D: I GENERAL AGGREGATE - INSURER E $ INSURER F: A AUTOMOBILE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 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. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY LIMITS _COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EJ OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F-1 JEC°T- F7 LOC OTHER I GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X BA040000029127 09/0112016 0910112017 COMBINED SINGLE L MIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAR EXCESS LAB X OCCUR CLAIMS -MADE 71.1060476793 09/0112016 0910112017 EACH OCCURRENCE $ 5,000,00 X I AGGREGATE $ 5,000,00 DIED RETENTION'$ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y N MANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER IEXCLUDED? (Mandatory In NH) If yes, desodbe under DESCRIPTION OF OPERATIONS below N A PER OTH STATUTE ER , E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Gilroy, its officers, officials, and employees are additional insured per attached endorsement CA20480299. RE: W.O. 1445` FY 15 Slurry Seal Pavement Maintenance Design & Inspection . Services 201512018 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 Gilroy Attn: David Stubchaer, P.E. AUTHORIZED REPRESI 7351 Rosanna Street House Account Gilrov. CA 95020 @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BA040000029127 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER 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 Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: 9/01/16 Countersigned By: Named Insured: Flowers & Associates, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule 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 Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ A�'OR I* � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/25/2016 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 endorsement(s). PRODUCER Dealey, Renton & Associates 199 S. Los Robles Ave #540 Pasadena, CA 91101 CONTACT Marie Swaney AME, PHONE 626.844 3070 FAX JAIC No)- EMAIL . . . mswaney @dealeyrenton.Com INSURER(S) AFFORDING COVERAGE NAIC # LIC #0020739 INSURERA:HaWOrd Ins. Co of Midwest 37478 9/1/2016 INSURED FLOWEASSO INSURER B :Travelers Property Casualty Co of A 25674 INSURER C :Wesco Insurance Co. 25011 Flowers & Associates, Inc. 201 North Calle Cesar Chavez, Suite 100 Santa Barbara, CA 93103 INSURER D 805 -966 -2224 INSURER E: X INSURER F: $10,000 rnVFRAAFR rFRTIFIrATF NIIMRFR• 502788224 RFVISInfJ N11URFR- THIS 1S 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 LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER POLICY EFF MM/DONYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 6801H980764 9/1/2016 9/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR AG To RENTED PREMISES Ea occurrence) $1,000,000 X MED EXP (Any one person) $10,000 Contractual Liab XCU Included PERSONAL & ADV INJURY $1,000,000 _?L GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMP /OP AGG $2.000,000 Ded $0 OTHER: AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY (Per person) $ ANY AUTO AUTOS AUTOS AUTOESULED BODILY INJURY (Per accident)' $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE y 72WEGPI0126 9/1/2016 9/1/2017 X I SNARTUTE I I ER' E.L. EACH ACCIDENT :$1,000,000 - OFFICERIMEMBER EXCLUDED? ❑,NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000. If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability Y ARA125588800 8/26/2016 8/26/2017 $2,000,000 per claim Contractor's Pollution Liab $4,000,000 Annual Aggregate Retro Date: 10/1/1977 $25,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Cancellation Notice: 30 day /10 day for non -pay or premium will be mailed to the certificate holder. AM Best's Rating on all policies above: A/XII or greater. RE`. WO #1445, 2015/2016 Pavement Design /Construction — City of Gilroy, its officials, officers and employees are named as additional insured as respects general liability for claims arising from the operations of the named insured as required per written contract or agreement. SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non - Payment of Premium. See Attached... GtK I IYIGA 11_ MULUtK GANGtLLA 1 IUN JU LIav IV Vti/ I U Uav Tor nonpaV OT prem City of Gilroy, its officials, officers and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy CA 95020 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN AW—U @ 1988 -2014 ACORD The ACORD name and logo are registered marks of ACORD reserved. ACORO® llih� AGENCY CUSTOMER ID: FLOWEASSO LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED Dealey, Renton & Associates Flowers & Associates, Inc. 201 North Calie Cesar Chavez, Suite 100 Santa Barbara, CA 93103 POLICY NUMBER 805- 966-2224 CARRIER 7;C CODE EFFECTIVE DATE: AnnnrinNAI RFMARKC THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE overage afforded the additional insured is primary and non- contributory as respects to general liability coverage. Insurance coverage cludes waiver of subrogation per the attached endorsement(s). EE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation /10 Day for Non - Payment of Premium. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers' Compensation and Employers' Liability Insurance Policy Waiver .of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured: Flowers & Associates, Inc. Producer. Dealey, Renton & Associates Schedule Person or Organization City of Gilroy, its officials, officers and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy CA-95020 Additional Premium % We have the right to recover our payments from any- one 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.) Authorized Representative WC040306 Policy Number 72WEGPI0126 Effective Date 9 / 1 / 2 016 Job Description City of Gilroy, its officials, officers and employees -- RE: WO #1445, 2015/2016 Pavement Design /Construction You rrust maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. POLICY NUMBER: 6801H980764 COMMERICAL GENERAL LIABILITY ISSUE DATE:8/25/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Gilroy, its officials, officers and employees Attn: David Stubchaer 7351 Rosanna `Street Gilroy CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: City of Gilroy, its officials, officers and employees -- RE,: WO #1445, 2015/2016 Pavement Design /Construction PROVISIONS A The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: In the performance of your ongoing oper- ations; In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products - completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. . The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ".. e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional 'insured under this CG D3 82 09 07 Page t © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a. primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, 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 entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance 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 the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section. IV): We waive any rights 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, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule 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 entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission