Loading...
HomeMy WebLinkAboutCSG Consultants, Inc. - 2010-11-010CONTRACTS SUBMITTAL TO CITY CLERK'S OFFICE To: JOAN FLYNN, City Clerk Name of Contractor: CSG Consultants, Inc. Purpose of Contract: For Example: Audit Services or Water Quality Testing Huntington Lake —Huntington Central Park Plan Review Services Amount of Contract: $30,000.00 Copy of contract distributed to-. The original insurance certificate/waiver distributed to Risk Management ❑ Initiating Dept. ❑ Finance Dept. ❑ ORIGINAL bonds sent to Treasurer ❑ 4�004va� Date: Name/E ension City Attorney's Office //--/-/o G:AttyMisc/Contract Forms/City Clerk Transmittal 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR S �a .onJ eVle 5�,�61" Table of Contents Scopeof Services........................................................................I............................I CityStaff Assistance................................................................................................2 Term; Time of Performance.....................................................................................2 Compensation..........................................................................................................2 ExtraWork...............................................................................................................2 Methodof Payment..................................................................................................3 Disposition of Plans, Estimates and Other Documents...........................................3 HoldHarmless.........................................................................................................3 Professional Liability Insurance.............................................................................4 Certificate of Insurance............................................................................................5 Independent Contractor............................................................................................6 Termination of Agreement.......................................................................................6 Assignment and Delegation......................................................................................6 Copyrights/Patents...................................................................................................7 CityEmployees and Officials..................................................................................7 Notices......................................................................................... Consent....................................................................................................................8 Modification.............................................................................................................8 SectionHeadings.....................................................................................................8 Interpretation of this Agreement..............................................................................8 DuplicateOriginal....................................................................................................9 Immigration...............................................................................................................9 Legal Services Subcontracting Prohibited.....................................................: ..........9 Attorney's Fees..........................................................................................................10 Survival.....................................................................................................................10 GoverningLaw.........................................................................................................10 Signatories.................................................................................................................10 Entirety......................................................................................................................10 EffectiveDate.................................................................................11 PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNT NGTON BEAC11 AND //�� Fjuvie-ts P/� ke view THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach,, a municipal corporation of the State of California, hereinafter referred to as "CITY and J (�YLS (/! 1(/ �j � � �Ohrre inafter referred to as "CONSULTANT." WHEREAS, CITY desires to engage the services of a consultant to b f Y'04- �A4 �'Yit 1jW �v✓r GIJS ; andIF Pursuant to documentation on file in the office of the City Clerk, the provisions of the Huntington Beach Municipal Code, Chapter 3.03, relating to procurement of professional service w contracts have been complied with; and CONSULTANT has been selected to perform these services, NOW, THEREFORE, it is agreed by CITY and CONSULTANT as follows: 1. SCOPE OF SERVICES CONSULTANT shall provide all services as described in Exhibit "A," which is attached hereto and incorporated into this Agreement by this reference. These services shall sometimes hereinafter be referred to as the "PROJECT." CONSULTANT hereby designates 1<4459A 164(,*Vwho shall represent it and be its sole contact and agent in all consultations with CITY during the performance of this Agreement. agree/surfnet/professional svcsto $49 12-07 1 of I I 2. CITY STAFF ASSISTANCE CITY shall assign a staff coordinator to work directly with CONSULTANT in the performance of this Agreement. 3. TERM; TIME OF PERFORMANCE Time is of the essence of this Agreement. The services of CONSULTANT are to commence on 14f01(tAt�l /o / , 20 10 (the "Commencement Date"). This Agreement shall automatically terminate three (3) years from the Commencement Date, unless extended or sooner terminated as provided herein. All tasks specified in Exhibit "A" shall be completed no later than A/Pa*,yb&- 1, Z011 from the Commencement Date. The time for performance of the tasks identified in Exhibit "A" are generally to be shown in Exhibit "A." This schedule may be amended to benefit the PROJECT if mutually agreed to in writing by CITY and CONSULTANT. In the event the Commencement Date precedes the Effective Date, CONSULTANT shall be bound by all terms and conditions as provided herein. 4. COMPENSATION In consideration of the performance of the services described herein, CITY agrees to pay CONSULTANT on a time and materials basis at the rates specified in Exhibit "B," which is attached hereto and incorporated by reference into this Agreement, a fee, including all costs and expenses, not to exceed &b T//Lf Dollars Me 5. EXTRA WORK In the event CITY requires additional services not included in Exhibit "A" or changes in the scope of services described in Exhibit "A," CONSULTANT will undertake such agree/surfnet/professional svcsto $49 12-07 2 of 11 work only after receiving written authorization from CITY. Additional compensation for such extra work shall be allowed only if the prior written approval of CITY is obtained. 6. METHOD OF PAYMENT CONSULTANT shall be paid pursuant to the terms of Exhibit "B." 7. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONSULTANT agrees that title to all materials prepared hereunder, including, without limitation, all original drawings, designs, reports, both field and office notices, calculations, computer code, language, data or programs, maps, memoranda, letters and other documents, shall belong to CITY, and CONSULTANT shall turn these materials over to CITY upon expiration or termination of this Agreement or upon PROJECT completion, whichever shall occur first. These materials may be used by CITY as it sees fit. 8. HOLD HARMLESS CONSULTANT hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands and defense costs (including, without limitation, costs and fees of litigation of every nature or liability of any kind or nature) arising out of or in connection with CONSULTANT's (or CONSULTANT's subcontractors, if any) negligent (or alleged negligent) performance of this Agreement or its failure to comply with any of its obligations contained in this Agreement by CONSULTANT, its officers, agents or employees except such loss or damage which was caused by the sole negligence or willful misconduct of CITY. CONSULTANT will conduct all defense at its sole cost and expense and CITY shall approve selection of CONSULTANT's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are agree/surfnet/professional sves to $49 12-07 3 of I 1 applicable. The policy limits do not act as limitation upon the amount of indemnification to be provided by CONSULTANT. 9. PROFESSIONAL LIABILITY INSURANCE CONSULTANT shall obtain and furnish to CITY a professional liability insurance policy covering the work performed by it hereunder. This policy shall provide coverage for CONSULTANT's professional liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and in the aggregate. The above -mentioned insurance shall not contain a self -insured retention without the express written consent of CITY; however an insurance policy "deductible" of Ten Thousand Dollars ($10,000.00) or less is permitted. A claims -made policy shall be acceptable if the policy further provides that: A. The policy retroactive date coincides with or precedes the initiation of the scope of work (including subsequent policies purchased as renewals or replacements). B. CONSULTANT shall notify CITY of circumstances or incidents that might give rise to future claims. CONSULTANT will make every effort to maintain similar insurance during the required extended period of coverage following PROJECT completion. If insurance is terminated for any reason, CONSULTANT agrees to purchase an extended reporting provision of at least two (2) years to report claims arising from work performed in connection with this Agreement. If CONSULTANT fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the CITY with required proof that insurance has been procured and is in force and paid for, the CITY shall have the right, at the CITY's election, to agree/surfnet/professional ss'es to S49 12-07 4 of 11 forthwith terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. CONSULTANT waives the right to receive compensation and agrees to indemnify the CITY for any work performed prior to approval of insurance by the CITY. 10. CERTIFICATE OF INSURANCE Prior to commencing performance of the work hereunder, CONSULTANT shall furnish to CITY a certificate of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this Agreement; the certificate shall: A. provide the name and policy number of each carrier and policy; B. state that the policy is currently in force; and C. shall promise that such policy shall not be suspended, voided or canceled by either party, reduced in coverage or in limits except after thirty (30) days' prior written notice; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium. CONSULTANT shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverage shall not derogate from CONSULTANT's defense, hold harmless and indemnification obligations as set forth in this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of the policy of insurance. CONSULTANT shall pay, in a prompt and timely manner, the premiums on the insurance hereinabove required. agree/surfnet/professional secs to S49 12-07 5 of 11 11. INDEPENDENT CONTRACTOR CONSULTANT is, and shall be, acting at all times in the performance of this Agreement as an independent contractor herein and not as an employee of CITY. CONSULTANT shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONSULTANT and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services to be performed hereunder. 12. TERMINATION OF AGREEMENT All work required hereunder shall be performed in a good and workmanlike manner. CITY may terminate CONSULTANT's services hereunder at any time with or without cause, and whether or not the PROJECT is fully complete. Any termination of this Agreement by CITY shall be made in writing, notice of which shall be delivered to CONSULTANT as provided herein. In the event of termination, all finished and unfinished documents, exhibits, report, and evidence shall, at the option of CITY, become its property and shall be promptly delivered to it by CONSULTANT. 13. ASSIGNMENT AND DELEGATION This Agreement is a personal service contract and the work hereunder shall not be assigned, delegated or subcontracted by CONSULTANT to any other person or entity without the prior express written consent of CITY. If an assignment, delegation or subcontract is approved, all approved assignees, delegates and subconsultants must satisfy the insurance requirements as set forth in Sections 9 and 10 hereinabove. agree/surfnet/professional secs to $49 12-07 6 of I 1 14. COPYRIGHTS/PATENTS CITY shall own all rights to any patent or copyright on any work, item or material produced as a result of this Agreement. 15. CITY EMPLOYEES AND OFFICIALS CONSULTANT shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the applicable provisions of the California Government Code. 16. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONSULTANT's agent (as designated in Section I hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below. CITY and CONSULTANT may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, a reputable overnight carrier or U. S. certified mail -return receipt requested: TO CITY: City of Huntington Beach ATTN: 2000 Main Street Huntington Beach, CA 92648 agree/surfnet/professional secs to S49 12-07 7 of I I TOCONSULTANT: iA 17. CONSENT When CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or any other transaction or event. 18. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 19. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of matters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 20. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependentupon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as agree/sudnet/professional s%;cs to S49 12-07 8 of 11 to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 21. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any parry who has signed it. 22. IMMIGRATION CONSULTANT shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of the United States Code regarding employment verification. 23. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONSULTANT and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONSULTANT understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONSULTANT. agree/surfnet/professional Svcs to S49 i z-07 9 of 11 24. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the nonprevailing party. 25. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement, shall so survive. 26. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 27. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn CONSULTANT's initials (� x 28. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's agree/surfnet/professional secs to S49 12-07 10 of 11 behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached exhibits, contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 29. EFFECTIVE DATE IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers. This Agreement shall be effective on the date of its approval by the City Attorney. This Agreement shall expire when terminated as provided herein. CONSULTANT, Cs4 C'onsV/yes' COMPANY NAME By: IGHOR �Qorc print name ITS: (circle one) Chairman/President Vic�Pr-ident AND By: A print name ITS: (circle one Secretary hief Financial Officer/Asst. Secretary — Treasur agree/surfnet/professional svcsto S49 1 z-07 11 of 11 CITY OF HUNTINGTON BEACH, a municipal corporation of the State of (Pursuant To HBMC §3 APPROVED AS TO FORM: ity Attorney Date // / / / Z.L. 10 of EXHIBIT "A" A. STATEMENT OF WORK: (Narrative of work to be performed) Perform traditional plan review of submitted plans to determine compliance with construction codes as adopted and, amended by the City of Huntington Beach including: Building Code Plumbing Code Mechanical Code National Electric Code California State, Title 24 Noise Attenuation and local requirements Federal Flood Plan Regulations (FEMA) Huntington Beach Municipal Code B. CONSULTANT'S DUTIES AND RESPONSIBILITIES: 'I. CSG shall pay all wages to its plan reviewers who are subject to this agreement. C. CITV'S DUTIES AND RESPONSIBILITIES: 1. City shall quality control calculations by CSG. D. WORK PROGRAM/PROJECT SCHEDULE; 1. City to provide plans for plan review on an as need basis. jmp/contracts group/exA/10/5/10 EXHIBIT "B" Payment Schedule (Hourly Payment) A. Hourly CONSULTANT'S fees for such services shall be based upon the following hourly rate and cost schedule: Plan Check Engineer $75.00 per hour Senior Plan Check Engineer $85.00 per hour B. Travel. Charges for time during travel are not reimbursable Act� r- c i o-a P ckk-r . C. Billing- 1. All billing shall be done monthly in fifteen (15) minute increments and matched to an appropriate breakdown of the time that was taken to perform that work and who performed it. 2. Each month's bill should include a total to date. That total should provide, at a glance, the total fees and costs incurred to date for the project. 3. A copy of memoranda, letters, reports, calculations and other documentation prepared by CONSULTANT may be required to be submitted to CITY to demonstrate progress toward completion of tasks. In the event CITY rejects or has comments on any such product, CITY shall identify specific requirements for satisfactory completion. 4. CONSULTANT shall submit to CITY an invoice for each monthly payment due. Such invoice shall: A) Reference this Agreement; B) Describe the services performed; C) Show the total amount of the payment due; D) Include a certification by a principal member of CONSULTANT's firm that the work has been performed in accordance with the provisions of this Agreement; and E) For all payments include an estimate of the percentage of work completed. Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is making satisfactory progress toward completion of tasks in accordance with this Agreement, CITY shall approve the invoice, in which event payment shall be made within thirty (30) days of receipt of the invoice by CITY. Such approval shall not be unreasonably withheld. If CITY does not approve an invoice, CITY shall notify CONSULTANT in writing of the reasons for non -approval and the schedule of performance set forth in Exhibit "A" may at the option of CITY be suspended until the parties agree that past performance by CONSULTANT is in, or has been Surfnet Exhibit B hourly I brought into compliance, or until this Agreement has expired or is terminated as provided herein. 5. Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the information required above, and in addition shall list the hours expended and hourly rate charged for such time. Such invoices shall be approved by CITY if the work performed is in accordance with the extra work or additional services requested, and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. Such approval shall not be unreasonably withheld. Any dispute between the parties concerning payment of such an invoice shall be treated as separate and apart from the ongoing performance of the remainder of this Agreement. Surfnet Exhibit B hourly 2 brought into compliance, or until this Agreement has expired or is terminated as provided herein. 5. Any billings for extra work or additional services authorized in advance and in writing by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the information required above, and in addition shall list the hours expended and hourly rate charged for such time. Such invoices shall be approved by CITY if the work performed is in accordance with the extra work or additional services requested, and if CITY is satisfied that the statement of hours worked and costs incurred is accurate. Such approval shall not be unreasonably withheld. Any dispute between the parties concerning payment of such an invoice shall be treated as separate and apart from the ongoing performance of the remainder of this Agreement. 2 Exhibit B September 21, 2010 Jason Kwak, P.E., Plan Check Engineer City of Huntington Beach - Department of Planning and Building 2000 Main Street 3rd Floor Huntington Beach, CA 92648 Re: Proposal for In -House Plan Check Services Dear Mr. Kwak, CSG Consultants, Inc. is pleased to present this proposal to provide in-house plan check services to the City of Huntington Beach. Scope of Services CSG will provide in-house plan check services for the City of Huntington Beach. CSG's staff of engineers and plan reviewers can review plans for compliance with all policy and model codes adopted by the State. Our plan checkers carefully review all documents for compliance with building codes, fire codes, energy conservation standards, State Accessibility regulations, and local ordinances. Proposed Staff & Availability CSG proposes the following team members to provide the requested scope of services: Lam Nguyen — Plan Check Engineer — available immediately Khoa Duong, P.E. — Sr. Plan Check Engineer — available November 2010 Ritchie Kato, P.E., S.E. — Sr. Plan Check Engineer — available November 2010 Staff profiles for all proposed team members are attached for your review. Fees Plan Check Engineer $75.00 per hour Sr. Plan Check Engineer $85.00 per hour We look forward to providing services to the City of Huntington Beach. Should you have any questions regarding this proposal please contact Khoa Duong at 714-872-6123. Sincerely, Khoa Duong, P.E. Building Department Manager, Southern California 801 Park Center Drive, #230, Santa Ana, CA 92705 Phone: 714-568-1010; Fax: 714-568-1028 Email: csgstaff@csgengr.com; Online at www.csgwebsite.com Ppoi a Bt it m C, , ,-,I I T),%-Iaa./I? i k,%w i at ( I [ Lei; NI e,, l.(;["liI-v I September 22, 2010 Jason Kwak, Senior Plan Check Engineer City of Huntington Beach Building Division 2000 Main Street Third Floor Huntington Beach, CA 92648 Re: Proposal to provide Professional Services Dear Mr. Kwak, Charles Abbott Associates, Inc. (CAA) is pleased to submit this proposal to provide Professional Consulting Services for your jurisdiction. CAA will provide you with Steve Ahuna, PE to support your service needs. Due to the demand on Steve's time, compensation for Steve's services and maximum hours are listed below: At City Hall $150/hour (maximum 2 hours per day) At CAA Offices $125/hour (maximum 6 hours per day) CAA is fully committed to provide this service for your jurisdiction. We can provide these services locally from our regional office in Mission Viejo. As the CAA Regional Director, I will personally supervise CAA's project team. We look forward to the opportunity of providing our services to your jurisdiction. Sincerely, CHARLES ABBOTT ASSOCIATES, INC. z Z1101 Buster Scholl, CBO Regional Director CIL',RLES ABBoi-r AssoclA7'I;s I\c. -101 i.u4 11 !O1II State of California Secretary of State a "STATEMENT OF INFORMATION (Domestic Stock and Agricultural Cooperative Corporations) FEES (Filing and Disclosure): $25.00. If amendment, see instructions. IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETING THIS FORM This Space For Filing Use only 1. CORPORATE NAME (Please do not alter if name is preprinted.) S` CSG Consultants, Inc. DUE DATE: COMPLETE ADDRESSES FOR THE FOLLOWING (Do not abbreviate the name of the city. Items 2 and 3 cannot be P.O. Boxes. 2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZIP CODE 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 3. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 4. MAILING ADDRESS OF THE CORPORATION, IF DIFFERENT THAN ITEM 2 CITY STATE ZIP CODE NAMES AND COMPLETE ADDRESSES OF THE FOLLOWING OFFICERS (The corporation must have these three officers. A comparable title for the specific officer may be added; however, the preprinted titles on this form must not be altered.) 5. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE ZIP CODE Richard Mao 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 6. SECRETARY/ ADDRESS CITY STATE ZIP CODE Cyrus Kianpour 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 7. CHIEF FINANCIAL OFFICER/ ADDRESS CITY STATE ZIP CODE Khoa Duong 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 NAMES AND COMPLETE ADDRESSES OF ALL DIRECTORS, INCLUDING DIRECTORS WHO ARE ALSO OFFICERS (The corporation must have at least one director. Attach additional pages, if necessary.) 8. NAME ADDRESS CITY STATE ZIP CODE Richard Mao 1700 South Amphlett Blvd. 3rd Floor San Mateo CA W02 9. NAME ADDRESS CITY STATE ZIP CODE Cyrus Kianpour 1700 South Amphlett Blvd. 3rd Floor San Mateo CA 94402 10. NAME ADDRESS CITY STATE ZIP CODE 11. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS, IF ANY: AGENT FOR SERVICE OF PROCESS (If the agent is an individual, the agent must reside in California and Item 13 must be completed with a California street address (a P.O. Box address is not acceptable). If the agent is another corporation, the agent must have on file with the California Secretary of State a certificate pursuant to Corporations Code section 1505 and Item 13 must be left blank.) 12. NAME OF AGENT FOR SERVICE OF PROCESS 13. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY STATE ZIP CODE CA TYPE OF BUSINESS 14. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION Engineering Consulting Firm 15. BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT. DATE TYPE/PRINT NAME OF PERSON COMPLETING FORM TITLE SIGNATURE V�— SI-ZOO C (REV 01/2008) APPROVED BY SECRETARY OF STATE RESOLUTION A meeting of Company Officers (Board of Directors) was held on July 19th, 2010 to confirm that Richard Mao, President, Cyrus Kianpour, Vice President and Secretary, and Khoa Duong, Treasure have signature authority to bind the Corporation of CSG Consultants, Inc. That status remains the same to date. Richard Mao, Presi nt Khoa Duong, Treasurer Corporate Seal: Date ry Date Date ��1` CERTIFICATE ®F LIABILITY INSURANCE OP ID JW DATE(MWDDMYY) CSGCO-1 10 28 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pleasanton Valley Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lic #OB07066 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6602 Owens Drive, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pleasanton CA 94588 Phone:925-462-2111 Fax:925-462-2113 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: AC6 American Insurance Company INSURER B Praetorian Ins. Co. CSGp Consultants Inc. INSURER c: Hartford Fire Ins. Co. 177 0Mateo Sout ACA hWt Blvd 3rdFL INSURERD. Axis Surplus Insurance INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INbK LTR SR TYPE OF INSURANCE POLICY NUMBER DATE MM/D j POLICY EX IRATION DATE MMIDD LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 3,000,000 PREMISES (Ea o=rence) $ COMMERCIAL GENERAL LIABILITY X CLAIMS MADE 0 OCCUR MED EXP (Any one Person) $ PERSONAL & ADV INJURY A X E&O EON G21680072 005 12/04/09 12/04/10 $ _ X $0 SIR GENERAL AGGREGATE $ 5,000,000 A EON G21680072 005 12/04/09 12/04/10 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Retro 1/1/91 POLICY IE�T LOC B AUTOMOBILE ][ LIABILITY ANYAUTO RICCA0003711 12/04/09 12/04/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B B X g ALL OWNED AUTOS SCHEDULED AUTOS , HIRED AUTOS I NON -OWNED AUTOS RICCA0003711 RICCA0003711 I 12/04/09 12/04/09 12/04/10 12/04/10 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS I UMBRELLA LIABILITY OCCUR � CLAIMS MADE �@LT� �Y� ���� Q Tiffs 6/KaF� Va+�� Q & I V� %� MRS EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE 1 CR?'i1�7G`�iT'EIcaURD $ RETENTION $ $ C WORKERS COMPENUTIMMX AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNF�� OFFICERIMEMBER EXCLUDED? LI (Mandatory In NH) H yes, describe under SPECIAL PROVISIONS below 51 WE LS2852 12/04/09 12/04/10 _ TORY LIMITiER E.L. EACH ACCIDENT $ 1,000,000_ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 D OTHER Tech E&O Claims -Made ECN000010290801 �RZTRO-DATZ 12/4/04 12/04/09 12/04/10 Ea Act $1,000,000 Retention $15 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 days notice for non-payment of premium* Blanket waiver of subrogation applies. AP ED AV7O FO ,2! 14 -- - - 1.1 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ML., DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Huntington Beach IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Risk Management REPRESENTATIVES. 2000 Main Street Huntington Beach CA 92648 AUT EDREPRESENTA77VE ACORD 25(2D08/0T) W lvqwuuvMbVRV V%jr%vw<nrvv. nnaw,vay.�w. The ACORD name and logo are registered marks of ACORD orir ��NTIN'C,T`p CITY • 1j EAC nc^I 2 _ Professional Service 9y����BNTV,�CA���QQ PART Approval I i Date: 9/24/2010 Project Manager Name: Scott Hess Requested by Name if different from Project Manager: Debra Gilbert Department: Building and Planning PARTS I OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED BY THE CITY ADMINISTRATOR, FOR APPROVAL, BEFORE PROCEEDING WITH THE SOLICITATION OR CONTRACT PROCESS. PART I MUST BE FILED WITH ALL APPROVED CONTRACTS. 1) Briefly provide the purpose for the agreement: Provide Plan Check Engineer on staff to cover current workload. With the departure of Plan Check Mgr. current staff will have to pick up some of the administrative duties. Therefore less time to plan check. 2) Estimated cost of the services being sought: $ 30,000 3) Are sufficient funds available to fund this contract? ® Yes ❑ No 4) Is this contract generally described on the list of professional service contracts approved by the City Council? If the answer to this question is "No," the contract will require approval from the City Council.) ❑ Yes ®No 5) Business Unit (8 digits) and Object Code (5 digits) where funds are budgeted: 10060501.69365 6) Check below how the services will be obtained: ❑ A Bid solicitation process in accordance to the MC 3.03.060 procedures will be conducted. ❑ MC 3.03.08(b) — Other Interagency Agreement procedure will be utilized. ® MC 3/ Q3.08 i- Contract Limits of $30,000 or less exempt procedure will be utilized. rtment Head Signature APPROVED' DENIED ❑ pity 7(dministrator's Signature Director of Finance's Initials Date q-3,D-lp Date Deputy City Administrator's Initials Date oF��acay�CITY OF HUNTINGTON BEACH i F Professional Service Approval cadg �� — orm �OQ P T R Date: 10/18/2010 Project Manager: Jason Kwak Requested by Name if different from Project Manager: Debra Gilbert Department: Building and Planning PARTS I & II OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED FOR APPROVAL. PART I & 11 MUST BE FILED WITH ALL APPROVED CONTRACTS. 1) Name of consultant: CSG Consultants Inc 2) Contract Number: PLN 010 055 00 (Contract numbers are obtained through Finance Administration) 3) Amount of the contract: $ 30,000 4) Is this contract less than $50,000? ® Yes ❑ No 5) Does this contract fall within $50,000 and $100,000? ❑ Yes ® No 6) Is this contract over $100,000? ❑ Yes ® No (Note: Contracts requiring City Council Approval need to be signed by the Mayor and City Clerk. Make sure the appropriate signature page is attached to the contract.) 7) Were formal written proposals requested from at least three available qualified consultants? ® Yes ❑ No 8) Attach a list of consultants from whom proposals were requested (including a contact telephone number.) 9). Attach Exhibit A, which describes the proposed scope of work. 10) Attach Exhibit B, which describes the payment terms of the contract. 4/1 ector of Finance (or designee) Signature Date