HomeMy WebLinkAboutKEITH AND ASSOCIATES - 1984-04-16 (4)CONSULTANT AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH
AND KEITH AND ASSOCIATES
FOR DESIGN OF NETiWLAND STORM DRAIN TMPZJVEMENTS
TgIS AGREEMENT, made and entered into this 114 day of
II tt�''
I 19 . by and between the CITY OF HUNTINGTON BEACH,
a municipal corporation of the State of California, bereir. fter
referred to as "CITY," and KEITH AND ASSOCIATES, a California
corporation, hereinafter referred to as "CONSULTANT."
WHEREAS, the CITY OF HUNTINGTON BEACH desires to engage the
service- of an engineering consultant to prepare plans,
specifications and Cost estiµAtes for the Newland Storm Drain,
CC-615 ,,nd
WHEREAS, CONSULTANT has been selected to perform said services;
NOW, THEREFORE, it is -,greed by CITY and CONSULTANT -as follows:
1. WORK STATEMENT
CONSULTANT shall prov--de all of the engineering services
(hereinafter referred to ac "PROJECT") described in the document
enti.tl ed "Request for proposal; N-w.la..nd Storm Dian" (hereinafter
referredto as Exhibit "A"), as supplemented and amended by the
letter from Keith and Associates, dat:;d February 13, 1984,
entitled "Newl aid storm Drain`.' (hereinafter referred L_7 as Exhibit
"B"), each document hereby incorporated into this Agreement by
this reference. Said services shall include, but not be l'mited to
surveys, investigations, consultations, and advice, preparation of
detail design, construction plans-, qL+.n.t ties and costs,
preparation of special provisions and any other miscellaneous
x l
' h
engineering services required to permit CITY to advertise for 'oids
for construction of PROJECT.
CONSULTANT shall attend and. assist in all coordination
meetings.
CONSULTANT shall. designate a registered civil engineer who
shall represent it and be its sole contact and agent in ail
consultations with CITY during fulfillment of the terms of this
Agreement.
2. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS
COT'.;ULTANT agreers that all original drawings, reports,
both field and office notes, calculations, maps and other_ docu-
ments, shall be turned over to CITY upon. any termination. of
PROJECT.
3. INDEMNIFICATION, DEFENSE, HOLD HARMLESS
CONSULTANT hereby agrees to defend, indemnify and hold
harmless CITY, its officers, agents and employees, from z:.nd
against any and all liability, damages, casts, losses, claims and
expenses, however caused, resulting directly or indirectly from or
connected with CONSULTANT"s performance of this Agreement
(including, but not li,ited -o such liability, cost, damage, loss,
claim, or expense arising from _ae death or in)ury to an agent or
employee o E CONSULTANT, subcontractor, or .�f CITY or damage to the
property of CONSULTANT, subcontractor, or of CITY or of any agent
or employee of CONSULTANT, subcontractor, or of CITY) , regardless
of the active or passive negligence of CITY, except where such
liability, damages, costs, losses, claims or expenses are ,aused
.solely by the negligent or wrongful acts of CITY or any of its
2
agents or employees including negligent omissions or commissions
of CITY, its agent -"or employees, in connection with the general
supervision or direction of the work to be performed hereunder.
4 WORKER'S M PENSATION
CONSULTANT shall comply with all of the provisions of the
Worker's Compensation Insurance and Safety Acts of the St-=te of
California, the applicable provisions of Division 4 and 5 of the
Califvrn*,.a Labor Code and all amendments thereto; and all similar
state or federal acts or laws applicable, and shall indemnify,
defend and hold =iarmless CITY from and against all claims,
demands, payments, suits, actions, proceedings and judgments, of
every nature and description, including attorney's fee! and costs
presented, brought or recovered against CITY, for or on account of
any liability under any of said acts which may be incurred by
reason, of any work to be performed by CONSULTANT under this
Agreement.
5. INSURANCE
In addition to the Worker's Compensation Insurance and
CONSULTANT's Agreement to indemnify CITY, CONSULTANT shall furnish
to CITY and maintain in force until the completion of PROJECT a
policy of general: liability insurance in which CITY is named as an
additional insured. The policy shall indemnify CITY, its officers
and employees, while acting within the scope of their duties,
against any and all claims arising out of or in connection with
PROJECT. The policy shall provide coverage for combined single
.limit bodily injury and/or property damage of at least t300.,000
per occurrence. CONSULTANT shall also obtain errors and omissions
:3
t
_insurance coverage of at least $300,000. Such policies of
:insurance shall specifically providethat any other insurance
coverage which may be applicable to the loss shall be (Teemed
excess coverage and CONSULTANT's insurance shall be primary. A
certificate of all such insurance policies required by this
Agreement shall be delivered to the City Attorney prior to the
commencement of any work and shall be approved by her in writing.
No such insurance shall be cancelled or modified without thirty
(30) days prior written notice to CITY.
6 INDEPENDENT CONTRACTOR
CONSULTANT is, and sr be, acting at all times in the
performance of this Agreement as an independent contractor.
CONSULTANT shall secure at its expense, and bp responsible for any
and all pacymenx4s of all taxes, soci,�L security, state disability
insurance compensation, unemployment c;,mpensacion and other pay-
roll deductions for CONSULTANT and its offi�:ers, agents and
employees and all. business 'Licenses, if any, in connActiori with
the services to be performed hereunder.
7. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly
with CONSULTANT ,in connection with the work of this Agreement.
8. PROVISION FOR PAYMENT
In )nsideration of the performance of the above,
described engineering services, CITY agrees to pay CONSULTANT a,
fee according to the schedule of hourly rates set out in E :hibit
"B"' payable monthly based upon the amount of work performed as
determined by CITY. Total payment shall not exceed sixteen
thousand' dollars (t16,000).
4
g . EXTRA WORK
In the event of authorization, in writing by the City
Engineer of changes from the work as indicated in Exhibit "A" or
for oLler written permission authorizing additional work not
contemplated herein, additional compensation shall he allowed for
such extra work, so long as the prior wri+-ten approval of CITY is
obtained.
10. TERMINATION OF CONTRACT
All work shall be ;lone in a good and workinanlike manner.
CITY may terminate CONSULIANT's services hereunder at any time
with or without cause, cad whether or not PROJECT is fully
complete. Any termination and any special instructions hereunder
from CITY shall be made through the City Engineer, and in writing,
which may be delivered in person to CONSULTANT or mailed through
the normal course of mail to its how -established business address.
In the event this Agreement is terminated, all drawings, designs,
specifications and appurtenant data may be used by CITY.
11 DURATION OF CONTRACT
CONSULTANT agrees to complete the PROJECT within four (4)
,aonths of the date of execution of this Agreement.
12.- SUBCONTRACTORS
This Agreement is a personal service contract and the
supervisory work hereunder shall not be delegated to any person or
entity without the consent of CITY.
13. ADDITIONAL PROVISIONS
CONSULTANT a5rees that no regular employee of CITY shall
be employed by its firm duzing the times that this Agreement is in
effect.
S, '
IN WITNESS WHEREOF, the parties hereto have caused this
Agreement to be 4xecuted by and through their authorized officers
the day, month and year first above written.
CDN-SULTANT; CITY OF HUNTINGTON BEACH,
KEITH AND ASSOCIATES, A municipal corporation
A California corporation
/ BY ��d By d
Milo K. Keith, President o
Rose Keith, Treasurer
ATTEST: KPPROVED AS TO FORM:
70
City Clerk City Attorney -rg
kEVIEWE APPROVED.- INITIATED AND APPROVED:
City Administrator Director of Public Works
TE: klh
3f9f84
-6 .
CITY OP HUNTPUGTON MEAM-'X,
2000 MAIN STREET � CALIFORNIA 92648
Paul E. Cook i-ebruary 6, 198-4 Public Vlor;:s Department
Director (714) 536.5431
Keith &Associates
1525 S. Gr and Avem-ie
Santa Ana, CA 9427u5
Subject: Ref uezt `.Gr Prup :sia i Nr=.lams Storm grain
!' .1e CC-61 'Consultisn
Uentlen-ten:
ilia S_.ity ci !'untirr jturl i. e a 11, �E..:%+-ii"+�. Tl:;-;.t Gf
frt7mf3uaidlea civil er) ,it'efwxiIrsy Eitlt,a I, the pr ,.rat#.`n :j" j:iaris, S:KL':ii :t Cn,,L
estimates rjr tr.e sui,)ect project; i icluai;ig:
1. Construction of a ksut} storm t rain G Cj fro vi
c
u.1-JALln Avenue lue" to thk
I-,tur"".. =..Ction �'"t.i .' A. E:tilie ana i
St- AL;"-ustire
2. L.omtrucf Lm fi' a Z'"` ,r7; ("xc t, ci d Si ltU tt.11d s
£� latJrii iiic3nm&io r. L?K.; IfILt.rS-OLLIC41 csi I" ar.rc.r.On t it;"icl� aL',!<x j'iu Jt•`r'k't.
t his strum Cras.1 v;il.. rwi Suut!i ir, N(,,4tiiml SLiC4)t it ,: :,;; iiit(.+ a 50C LiL-t £i; �4u
Gtoma dram ii tin;— rrnir.K:d lee jth LhuL is l.'llipu,,,:, d, tU 1 {}.t l+.r'S\kr the 4�i�1.4t1ay �.i �J
1,t;11. I' lilati CC:atrui in ,`;ewl4ilt1 StrL'et. it Iri �.;,}!�..:>:ii Ltr:1t tm, S`:.Y,`tivn of
storm -ira;.q be r i:riStrt t t by the C, linty in CUwirt, ,::LiC •t Y:itla a„L; d "i oUticn arid
i
rec cnS ruction, of t!o DO culvert cressiri,l',vt?b 1.ar.:1 StiCUt. .;ie',%4" :,t:x.0 Llrz in
and appurtenances t•.rli be coriLir,uedl ;v,—Ah in NwL 1aml Urvet ,a Ed , - .'ay'.
lNj E: See Attacti,7,ent "A" - 13ro;uct Location
3. Construction of a ccn rear: defiectitnr 'Fail in' "tie! titJl t i1i71`' .1l%-r.i.
tSl°fposotte the Nawla'':i.i Stati`u't_ illy itdi r4"e U"t:
asign anc construaicn of thl. portion of thjF proluct.
�Q
` The scope of work for which }ii(il14'.i.Is a, e Leing soocite: :r.cli.+_n, tr o ft.11 84'ei-4 txA'ik.rS
I. Investigate drs° nzig'.: patterns oi f,rr:p-prtle:s LG c Lr rrl ;' wtlt ri' irl.'e i .`.ill v�
fiequir-W or if at,lt:ititnzd facilities are'r:cecria w pri<<w11 i:U Jr, lIn a'js. to the arca.
2. Prepare h:yor fogy Wd tv;ydrai.ilic dZita fO Lhe prclraet.;
, equest for Proposal
Newland Storm Brain
February b, 1964
Pago 2
3. Provide ariy survey requir ud for desigsi.
4. Contact utilities, poif iic and privUe, tU zletermine iucation of all substructures.
5. Prepare pia':., specifications and cost eAirr.ates fcnr cons Lructi�,(i of the protect.
6, Furnish �3il ,tst.:i of u.'rors i,"..; un1 ist iw ;j insurance ra.i-,d all £ Uner irsuran es as
noted in attaoneu safnple GL"nSL W(AL ntract (ALtaC`Q'Ir, E, It tt&i.0
NOTE: Ail. printint] ?kf.t?:3Git ii`i<5 required iur Ll'u Co;vgdt.eLiGn of above :'.ilrit shall. be
InC1tlded iri tAhe t.:lr1SU3Lartt'G not to oxe will qutlLFw.
Prt posals for this iir,;je t a, e to t:f' suLrni}' L. ' L ' ' }
�... !Tit�"
'w iSLLY.i��i.. �t �
with the Csutation snvet(-v. Eacn r)r'a a i SC' 3 .., i �IC 7E
the $ot omving lrifom-,atic:,
is A 3 st 4/ GiEi' lla
L.. A $Laerriei-it.. if ; o' ,r unzierstanoin.j zJ 1,r1%3 a,Cc,Q ;:ti Uru
3. A list
:C work cn to is
4 , A brita OIA11i£"ae ..,f #",.. i�t, ti, .r..s, L4 '':dx; Gio' t'".. r,n L, . u.• .. f.' i LC, i )i,C` ;hilt.
:and a tin-e of cu. l p for L:tls
�. Your f&'o :.dsE.: J"l i3a t3—,rly ridLE3. A i'
spec' fie:d.
Certwn co is .it ,,ws ma% ,,v ititervik.'i' ua p i it t:nu fo ,ell Svl�.ctiur:. t:v::€xed Jor
your information is copy ti+i L;s r Caytu 5tCS:i aCd V;;SUALii'dt LUw1tr13CL r Lta.'.liiT',i ftL tt ttf
and a Certificate t`f Insurance S kr£'', `AlItacfifliu t This G:li:`p'le c-nLrar;L a.--'
insurance fOVM are f Or �W.r L. Q i:'1 !'iI[;velt fling it }rrC :"ai11, Sn "It; , ou tl3ve an, t:iuestiC -.s
or concerns regaroir.t t':is pru;cet, piEaSt cunLait it'1r. Wtka iiS offLe ZiL (714)
536-5431.
L et E vans,
City Eni: r,eor
LE.ML..i, v
r
Request for Pro,acsals
Newland Storm Drain
February b, 1964
Page 3
ALLach. "A Project L=at;on t,, ap
116" Stancard CoY:sultant, Contract
"C" Certificate of lnsurar+ce Form
cc: Paul Cook
,lack (Miller
Mike Lnv*ng
Dan Noble
y
I"
ATACI' IENT "All
IV- I,VCAND 3TORilJ DRAIN
w
Ln
LO
L C,4 lT%Z✓`'N
r ,
"NE F' ,. i+ wi<Y f ..M � .. 1 •� .. _ p-.,....._ v._.« .....^ _ °�_" �J�jj�
i
t
Yf F
I t ,
CC - 615
v K, EITH AND A SSOCtA'TES
CONSULTING CIVIL ENGINEERS
M—W
February 13, 1984
Mr. Les Evans
City Engineer
City of Huntington Beach
2000 .lain Street
Huntington Be:,ch, CA 92648
Re: Newland Storm Drain
Dear Mr. Evans:
1525 South Grand Avenue
Santa Ana, California 92705
(714) 541-5?06
Thank you for your request for proposal letter of February 6,
1984 for the subject project.
We are pleased to submit herewith our proposal for
furnishing
engineering and survey services to complete the project as
outlined in your request for proposal.
We have completed many projecta of this type and
a copy of our
latest Government 254 'Form is attached herewith
indicating the
various projects we have completed. In addition,
over the past
twenty years, as retained City Engineer for the
City of Brea,
additional projects were completed as City Engineer
services.
We have made an estimate of time for completing the work and we
would estimate the time and scope of the project as
follows;
J— Complete preliminary investigation and surveys
15 days
2. Layout base plans, investigate utilities and
City and EMA requirements
30 days
3. Complete final design and mail to all utility
companies and City for review and return
60 day-,
4. Complete final plans and specifications and
final review by City and EMA for approval
45 days
TOTAL TIME
150 DAYS
I;�11�s EXHIBIT ,6 �....,
Municipal Services
Ask
February 1 , . 1984
Page two
It is proposed that the following personnel will be assigned to
work on the project.
Project Manager Milo k. Keith, C>E,
Project & Design Engineer Charles Ault, C.E.
Design Draftsman Paul Ankeny
Draftsman Fauline Hathaway
Word Processing/TypistDeborah Crowder
A copy of our time estimate is attached together with a copy of
our regular hourly rates, and we would propose to complete the
work at a maximum fee not to exceed $16,000.00
Respectfully submitted,
Milo K. Keith
Keith and Associates
MKK,dc
enclosures
AND ASSOCIA.TES
1525SouthGrandAvenue
WEiTH
Santa Ana, California 92705
ONSULTING CIVIL ENGINEERS
(714)541.5306
August 1, 1983
Schedule of Current 1y Rates
:,f1dxSULT1NG SERVICES
Principal Consulting
Special Projects, Assessment Districts,
I ydraulic Design
$75.00 per
hr.
DESIGN' SERVICES
Project Manager
$70.00 per
hr.
Project Engineer
$65.00 per
hr.
Registered Civil Engineer
$5.5.00 per
hr.
Design Engineer
$40.00 per
hr.
Senior Draftsman/Jr. Engineer
$30.00 per
hr.
Draf;Ism,an
$20.00 per
hr.
Jr. Draftsman
$15.00 per
hr.
Typist - Word Processor
$25.00 per
hr.
Typist - General
$10.00 per
hr.
FIELD SERVICES
Rates upon request from associated firms.
SUB -CONTRACTS
Special. engineering when: required of electrical,
mechanical, structural, or architectural services
will be billed at cost plus 15` .
MISCELLANEOUS CHARGES
Reproductions and Miscellaneous Materials--
Cast plus 10%
fydrx�slin�
tilunlcipal Sz�iCrs
Aft
City of Huntington
Beach
-Newland Storm Drain
1.
Preliminary
8.0 hrs. Investigations & Material
Gathering
@
� 40
- $ 320.00
Printing Costs LJS
= 100.00
Surveys - 16.0 hrs.
@
$100
- 1600.00
2.
Final Design
Drafting
5 sheets @ 40hr,s. _ 200 hrs.
@
$ 20
= 4000.00
Engineering
5 sheets @ 10 hrs. _ 50 Zirs.
@
$ 40
= 2000.00
3.
Review Period
Printing & Mailing LJS
500.00
Meetings with Utilities
and City - 20 hrs.
@
$ 50
= 1000.00
4.
Final Plans & Specificacions
Drafting - 40 hrs.
@
$ 20
= 800.00
Specifications
Engineer - 40 hrs.
@
$ 50-
= 2000.00
Word Processing - 40 hrs.
@
$ 20
= 800.00
5.
Misc. Hydrology & Hydraulic Studies
L/S
2000.00
6.
Printing Cost Plans & Specs for
Bidding and Construction
= 1000.00
Total
$1 6, 120.00
Say
$16,000.00
SUET Approval No. 29- RO234
STANU/1RD 1. Firm Name / Dusineas AdJruss;
2, Year Pro-.,ont Fitt 3, Dot* rop ered.
FORM (SF) Keith and A%tiovIaLes
�SU3t111Shaid;
1525 S. t;r.�nd' Avenue;
5 4
961. Ft:btuciry 1, 1984
_
Santa aria, caltrurnia 492705
4 Type of Ownership:
A,,,n,lect Ectyu+oer
WA nalalr�.Salm is Submittal is for n Patent Company 0 Branch Off"
4a Rlltrtprl avorr�d t7 EX no
ly yes
t'�st.r}nria+ra ,
5 Name of Parent Company. it any, S& Fomwr Firm Nuivu sj, it any. Year(s) Estnblishad
`
11,D, 11-1llyard - 15 years
�
I , c,vv & +, c, ,+r i;ttcts - 20 vear%
6- 14 of not mre than Two Principals to C,anw. Tills I Ts%'Pbc >,o
k
t} Milo Kr Keith GE 714-541--5306
ha les R. Ault CE 714-541-5306
7. Pzieso tt tOfficels: City/Slate / Telephone I No. Pars ! Each Off"
7s ToW P"u>rer►a31
i
1525 South grand Avvnje
Santa Aria, rA 92105
Persorlml by Discipline;
AdntinrstraUva ElectricafEnglrrs �Ocoarrvpr�ap>,ers
1 Design Engineer
orcrtiiects _ _ ! stimatnrs Ptannem, tlrban/Fteglonaf
C
Chemicat c nginbars __,. Geo►ogist= — Sanilary Engineers
Civil Engineers _ _ Nydrotrvj,sts _ . - Soils Engintwrs
Consirvoton inspectors _ __ intor,ur Gojigners Specific Ilion Writers
Drettsmen LA,ridscapar Archilect3 _ _ Structure! Engineers
.._....Ecologists ., Mvchamcal Engineers Surveyors
� � ---
....._. Economists _ _ Mining Engineers — Trarlsporution ENineers
a Summary ofProfessional Services Foos Last5Years (rristrecent yowfirst)
RanpaaofProksitlonalService sFaso
Received, (Irtsert index number)
i Leas ft i Elt7Q OW
1983 19._82 19_$?�� 19 $0 19 79
2. ttDo00otoV'.'oDW
3. $250 000 to S503 000
Otro� t Ft irat contract wcA, Including overseas �. ------ - —
��- 2 4 4
a. MW tiro to bt mill -CA
+iFOt154LcfQrtrr:Slicwod( �3
S $ mdi,onro42mdl,on
All cattier Fatoign �worki _ _ _ . __�... _ _ -
t $5 m ll�o to b o M.11 on
Tlims interested in forotgn work, but without such expefience, chuck here0
s. sio m,il ore or groator
STANDARD, Architect -Engineer
FORM ($F) and Related Services
' Questionnaire
Purpose:
The p atuy of the Federal (vw,4,nment n, procunng arrhitet twat, it,, ji; enng.
and rotated prra(essir oaf canoes, is to rtntourag c firrr-"s lawfully enga sod in the
brat tree of th st* proftsstons to submit .pirsoally s statetrtent of ju3e ro,iuons
re.+d e ,tC,rtrwince data Standard Furm 254. 'Ark 1: tact f'nytneee en.i Related
grrku s Quo-itiunnane" is ornded for that p sk,se Interested A E firms
fnn(luding new, small, andlor Irnnonty firms) s. ald complete and file SF
2S4's with each Federal agency and with appropriate regional or district offices
for which the A E is qua :Fe,' so perform services, The agency head for each
rnpo5ed protect shall eta!,ale these qualification resumes, together with any
�her parfkirrrtanre Jata i.n file or requested by the ageri y, in relation to the
"Grc"I" ad projerr The SF 254 may be used as a basis for wle<ar3 firms for
des -r suns, nt Joe. screening firths prellm nary to inviting subaitsfir,n of adds
tional infurmation,
Definitions
"A.rlrftect•rn1II' -er and related 9ervtges" ,+iethrise prrJessu•na!,---rites
4 Xsated with research, development, Design and construction, ai,r•ratiun, or
repair of rear pmrerty, as well as incidental services that members of these
professions and those in their employ may Iotiieally or justifiably ptdor n.
including shr.lies, investigations, surreys, evaluations, consti4atirrns, planning,
prrgramming, conceptual designs, plans and specifcaticns, cost eArnates,
iti-pections, shop drawing reviews, sample recommendations preparation of
tipsratirrg -arid matritemince roans. ols, and other related services.
"Parent Company" is that fine, company, corparatfon, association or con-
glomerate which is the major stockhoider or highest tier owner of the firm
completing this questionnaire, fe Firm A Is owned by Firm B which is, in
torn, a subsidiary of Corporation C. The "parent company" A Firm A is
Corporation G:
AlWrincipals are those individuals in a firm who possess legal responsibility
it its managemenL They may be owners, partners, corporate officers,
associates, adminiistrators, etc
"Discipline", as used in this questionnaire, refers to the pnmsry tuck rinfr 1u-al
capability of individuals in the responding firm Po-swsacjn it in ac idernic
degree,_ professional rugistration, certification, or exteasii.e e%jwnence in a
particular field of practice normally reflects an individual's primary technical
discipline.
"Joint: Venture" Is a collaborative undertaking by two or more firms or
trAivi fuals for which: the participants 'are both jointly and in+licidually
rest rnsible.
'Toneultane% as used In this questionnaire, is a highly specialized individual
or firm having significant input and responsibility for certain aspects of a
project and possessing, unusual or unique capabilities for assuring success of
the finished work
"Prime" refers to that firm which may be coordinating the concerted and
Standard Form 254
General Services Administration.
Washington, D. C, 20405
Fed. Proc, Reg.(41 CfR) 1-:i6 803
Armed Svc,. Proc, Reg. 18-403
complementary inputs of s.rveral firms fo-fitoduals or related st ivit es w
produce a cumpieted studfi y or 41111p fire *,prime., wr,,ld ourma'ly he
reya,d,d as having full ,t spongbtlity and l;abilit�, roi,jualit, of i,. rG,rman. e ✓
itself as •yell as by swbcontvt_ Tear prufeso-pals un.J,a ls;url�dl, is in
-Arikrich Office., is a satkiiov, us subsi&�nry extension, of a heads••tarters
office of a company, regacfiess of ariy dsffer.•rces in name or legal structure of
such a branch due to imai or >i,w laws Branch offi, es" are normally sub
jett to the management densi(..is, booskeeping, ,ind policies of the main I
office
instructions for Filing (Numbers beiow correspond to
numbers contained in form):
I Type accurate grid r,ompiete narne of suit-itifing firri "5 adifiess ani( rip
c-de.
la ir•fit ate. khether form i, being subuitted in beholf .,f a fsrenr firm ,ir a
branch ,15, e, (Bidn(h office submissions should list unJy person.- J in. and
exVerrem e, of, that office.)
2 f rovide :late the firm was establshed under the name shown in questior 1
3 Show date upon which all submined information is current and accurate
4 Fnter type of ownership, or legal structure, of firm (sole propretor, partner
ship, corporation, joint venture, etc)
4a Check appropriate box indicating if firm is mi-)onty-owned (See 4t
CFR 1 1,13 or ASPR 1,332 3(a) for definitions of minority ownership)
5 Branches or subsidiaries of larger or parent companies, or conglomeratp_s,
should insert name and address of highest tier owner,
5a. If present firm is the successor to, or outgrowth of, one or more
predecessor firms, show name(s) of former entity(ies) and the year(s) of
their original establishment.
6 List not more than two principals from submitting firm who may be con
taft':"l by the agency receiving this form (Different princ;pals may listed on
forms gi,ing to another agency ) I isted principals must be empowered to speak
fur the firm on policy and contrdc tuai matters.
7 Beginning with the submitting -1fice, list name, location, total number of
personnel and telephone numbers for,ill associated or brans h offictis, (including
any headquarters or foreign offices) which provide A E and r"aied services.
7a Show total personnel In all offices (Should be sum of all personnel,
all branches.)
8 Show total number of eml,inyees. by discipline, In submitting office (if form
is being submitted by main or headquarters office, Ann should list total employ•
ees, by discipline, in all offices) While some personnel may be qualified in
several disciplines, each person should be counted only once in accord with
Ills or her primary function include clerical personnel as "administrative"
i$M,Ciib,arslCSA Fia I116C P.0 t41 Crni II t; Bat.
SrAWARC? ArC�1lte�tfin irtee� Slandard Form 254
FORM (SF) - General Services Administration,
254 and Related er ices Washington, D. C. 20405
Fed. Proc. Reg. (41 CFR)I -16.803
(Alestionnaire Armed Svc. Proc. Reg. t e.-403
Write in any a:11minal iv: opl,n+-s --sex otoisgsts bjol,xpsts. ,etc pul-wiriber c„st) f„r that portion of the pro,rect for which the firm was prur,arily responsible
+,f pee,ple in each. +ri hunk' Spaces. (tViieto no constru(nun was involved, show ,ipprominate cost c;f firm's work).
') Itsing: z hart (i}e9"Iw) m •n a, p.,tj,r,afe o iex number to o,?-'Ate ringe of and (e) YIcte y var work,,n that panicutar project was. or will he. completed
pr fA�M_ictial ravin es fens recer.ed by =iAmitvq firm rich . )'Aar tsar fox 12 The completed st ZIA >%fwld be �tyned' by 0 pnra l al of the firm_ prefer
fast friv years, rt#ist recent year first Fee surntrianes should tie U keyx down to ably the chief executive officer
milzctthe fees receivedealhyear for (a) work pedtirmvdditucdyfor the Federal 13 Additional data 6rw.huns, photos, etc should not ticrrompany this form
Government (not including .1rant and loan rol") or as a sorb to other prr4esunless specifirally regt,ested-
signals performing work directly for the Federal Government, (b) all tither
mesdc work U S and pas +*sift ns, including Federally Assisted per:jec:ts, NEW FIRMS (not reorganized or tecently-amalgamated firms)
d (c) all other foreign work, are eligible and encouraged to seek work from the Federal
Ranges of Professional Services Fees Government in connection with performance of projects for
PcGEx lmocx which they are quatifl d. Such firms are encouraged .o complete
1 '.esSthan $10}0000' 5, $1 irtillion to S2million and submit Siandar l Form 254 to appropriate agencies. Ques-
2 $'1WOO to $250,000 6_ $2 Million to 55 million tions on the torte dealing with personnel or experience may be
3. S2,`aft. To$5W.0-00 7 $5m Trion to$10million answered by citing experience 4nd capabilities of tndli.iduals in
4. z5OCiOOO to $1 million & $10 million or greater the firm, bared on perhnniance and responsibility whlle to the
employ of otherm. In so doing, notation of this fact sh ,utd be
10. Select and tenter in numerical s o.rnce not rrrare than thirty (it)) made on the form. 1n question 9. write hi "N/A - to Indicate "not
"Fxperience f :rifle Code" numiwrs from the TArmg (next page) whisrh most applicable" for those years prior to firm's organization.
m curately •eflect submitting firrn's :ter:;unstPatrd t«-. hnic.al c apat imies and
i rri,ertexperience Carefully review list. (it is recojrized some proFle cosies
,ray be pair of other services orptrojects = ur'<tvined on list, firms ate zncouracjed
to fi tt -pr=.fife t x!os which best indicate tty,t��e and -A ope of (w xes provided
,.n past pre jec is ) For each code number, straw total number of projects :and
s,•_ss fens (in thousands) received for profile projects performed by firm during
past five years.1t firm has one or more capabilities not included on list, insert
same in blank spaces at end of list and show numbers in question 10 on the
form In such caws, he filled in listing must accompany the complete .SF 254
when submitted to the Federal agoncies.
Using the "Experience Profile Code" numbers in the same ser,i ence as
teted to item 10, give details of at least one recent (within last ; ve years)
tepresentAliw project for each code number, up to a maximum cif durty(30)
sspatate projecm or portion^ of projects, for which firm was respurw e
(Project; examj.:res may be used nu re than once t.x dlustmte different servit es
rendered on the same job Example a dining hall maybe Bart =)f an auduou um
or educational facility) Firms which select less than , rty "profile codes" may
list two or more project examples (to illustrate sNcial`vatjon; for each code
number so long as total of all project examples does nor exceed thirty ji30)
After each code number in question 11, show (a) whether firm was "P"' the
prime proressfonal, or "C " a consultant, i;-i. -W," part of a joint venture on
that particular project ([dew firms, in existence less than five (5) years may use
the symbol "lff* to indicate "Individual Experience" as opposed to firm expel
once ), (b) provide name and location of the specific project which typifies
firm's fair individuals) performance under than aide category. (c) give name
and address of the owner of that project (if gcwemment agency indicate re,
sponsjble office), (d) show the estimated constnccmon cost (or other applicable
02 P-
one 2?j .,y 1$1$ i
t,r (,SA fen P,na BOO (41 CM) 1 16 tp3
10 Ptoftie of rtkTtt',
Ptor"', I v)(p +ruelice, Cast 5 Ye Ifs
Ptojild
( PNtcfi 11h.-f of
Total Gtos� i FCOS
Profile
Nurnt<+t i of
Total Gross rex*�,
Profile
Nurnj>ur of (
Tout Gft;; , F
Code
Pto1CCts
(in thousands)
Code
Prolucts
(in thousands)
Code
Projects
(in thousands)
11 Oil
1
66
111
21)
2) 046
266 ;
12)
? )
31 t151
1
281
13)
�11
4) 079
ra
1410
14)
241
5] 0911)
1a!
?t')
6) 09r,
r
AQ2
161
26)
7) 14 rf
2
C
171
21)
fig 1 I�
�
1f.:yl
15
?r.
9l
19j
291
11. Project Examples, Last 5 Years
Co�n;.det�ort�
Profile
.P.,, "C",
Cost of W-gA
Dwe
Code
X: or "IE"
Project Nair anti tocalion
Osmr Nwne and Address
(In ttiousands)
(Actual or
07S
P
1 Mast-, r Plan of Water
Syst-em
City of Brea
12,000 3
1976
Nu;-ber One C.iuio Ceril er Cit.
Brea, Calif''. 92('-.?]
07
ki
2 Mast;er Plan r:f Storri drains
CRity of aria
25 }
198
(Fec')J;
07
p
3 t s!�z° Plan Of S-4f,ts
Citv c" Bre'-'
# 10 �
19 ;
(Fee )-
0r
P
a MjGIur-r pl] .p of Sp-,,.-r'S
{' a,r:*,. S';mitaf it'n
r)ist . NO.
11
8 5Or)
1977
1OP4'. : ll is kve.
�
Ff "If,=i. valley, Calif.
}
0 i
f'
5 i,p t ,. 71r
0 .<'
U,--."r l'•i}ion
ar. 11 1's:i r.+f c..
tlr i 6 i t h Pax V f=r 1 f
t (it. r
i n St.. , t,:..r
A=ff`E'
09C
p
6 84"F,54" Dia. Coast
Trurik
C(wnt.y S.+riitat ion
Dist . No.
11 �
4,900
1979
Swaer
09 -
P
7 O"I1ia. Newland St.
Courfty So"i t at 41r,
Dist. No.
11
1, 700)
1<)8E1
] n# r�rrr=t,# r>i SC^wr t
n
1, )it i
Vi f r 111`srzi
1�itiit ) f`c i t"il�ir kcal
Nowl'oI One C1v1C Cott el C'I r .
1 tit v= i, Ca i f . 92621
ki
TAI !wI t Rd. it I voI 1rvi v Ittt
City of Brea
! Wv6t City Idivi t s to
°
rr
1 Faf't City 1 iliti t s
051
P )q tligh Prey. -ire Fire Line
City of Brea
115..
Ffat('r iiar,,ste --ion S�-;t'r.!..,
115
}
i {
P In �`,_ ,��.)rr. I r 4��:
City r)f
025
art^' P.4`.11 Stat ioll
096
P 12 Carbon Canyon Seers
City of Area
102
Assost-ttnt District No. 78-1
046 .
_P 13 Puente St rent 1Ppi v'r, r s .
City rif F_.f
051
Larnhort R-1. trr Cet",t Tr+l AV-V-
056
'096
115
P �301r€; 1'`c--, P i Stet*
city (.f F"Ic3
051
X11:1it i, In C4
FaciIiti�:s 1
092
1S
i' t�.>U�Si3 C�iti %I Ft, d r' j",,.;r
Si, t ,. .. ., % c ;. .-?-:
104:
Pump irig St inn �
r•i,y :If 1'*1; Fing °-a :,
092..:
P 1,e'..4r .; .i'tft F. e'sI :.. r'7 rt 1'ti
Crt
104_
3 as ixl`?Ir:
96
jv
city 'f
SI ,a. ("T'.)(:1ty :st*,piy
P,)5
(*It 1 t F . C1.1 % rrt
092
P 18 Cypress Storm Drain Pury
C'r_r;.idi-y of or�irtgtr RMA
104
Station, and Retardin;
Basin
1 �s
Oft, t P Slat r•r 11s1rr,p ;f:0 . )ss C't}+stiIy Sabit )f ir,rt [Ii!It
I itch—. �i l i 1 x,, ion
` 0
(
I i
1,CCtTt 1978
1917
4,000
19'1?(.
1 r CSO 1971,
1,610
1980
1 20CT
19b-+
60',5
19SO
675
1976
2F.
197E
3G°s
19.'
21150
19i? 1
;1SU
«... _....c t
IT,. su.:
;#,�y .14wir:it ti itgT
f)i:,tI..IK tr.Fit
i t Tt t; >, : t
It° ' i• 1-11 is Ave
T '�Jt I of
ht+iTt't Fin Vil l ley' Ca 11 f >
on
tsy TT F'x g r'J i aft.
x .y $, .. ...
i"hT ''lf it,
. Pi
.,.I- i Ct S,.
?
�t s•,r Sait' t••iii'slt 1txa. Y`t T
{tkt-+�'�
096
F
� Ondergr*und Improvement Project
Cit:v of Vacaville
Assessment tiiStrlct 83-1
650 Street
(fee)
1984
'Vacaville, CA 95698
I
t
i
z
t
�
.
{
3
w
t 4
{
J
S
..w-:iytx .wr...u.n.a�r .,. �,n.
wr•:� ..... siwrer.. a+uerave...::.'.•r'.Ms.++M.n.swn.+...-.•a...s.iwxv++�+�HMsre.•'.'*reti++�.t.>raYsnKww..s�•-r.ic..+n.sw'a...ar�s+�x
rrx "--'. x'
.v.mr.+Tae..,,�a.+n.r.1',ont.�.:
Wtrw.'
Y1 S AOV id i ntt od �;f �:l �.is .i _ ,�.. +1. �f of
x.luFia .ir y�`,.'ras;`•'� ,"�','1y � "'*'i1s"3f :,� , ,.'ta,�Fa;"�'F+-�. �., nG,x t i � at
.3.Iacr af`i�,.' .i',.i(:.'rl d+'':`A'.iicSk�v,*I'
%
✓4is .. tf � ♦ _ a.Y f r ,Y k "i"f tf . E I.ke
t
lids tf�t.i.14.S1S irs ' .. ,.,
y
ny`f a
+:rya } t'�j'y �yf••,4'w'b�i�c'x'k �� rot1'ri aKt ri t.`a �•`%� .f.tt •. .t,'. rf'oi wiJ 4... faf fw %.r `.fe �.
01 �� a 'l q i c}J� c .', (i a C% j .,' o,� kr . � f'�' i. q' i. �.. i Y l �,. y;t i. f y . s .r :., .Y 'q `.� .t i .t �i a:• „� i i (`y.'GA i (i { .3 i
C'Cili dUl i itu 3 7t}." a.,tk) i *,V # ,
l
y: 171o1, 1n'3` for,
C C':' iLaA,;
...i 3.1I Lip.z i(j: iv.P a rf, 3�ptx ,.PnE i ri.P f�'r
141so s a I rp
•1. xin, .x JPrii.4n Eil
CoI'esu l.atiiar!5 4:+ 7 _ ; .i '.i'i: .. is 'i• fi: `.,'"tR
,V
_ a..A.i v t71, 1 c v 1\ .x :� in VS , f�'} aYi't.rs,
'f3 xi .?. l i '.> s. • ;� ,. ; . s..
`♦ i ',.' . t': '✓ "'..t'7 f .'• 2 . +:.., . ^.1 � ... . . , . . a P :s3 i i is
A da t . . •. F
1. .w rnf�'..I ♦ . .. ✓ .. .n� � C,.r N� .... it ✓.� ! `fii.t
4
x
-., ♦. i .. �, { .,« a .... ,; -.
t �
Y' .. t,i °'ii�e�':rvr \r. ,.. +
1•..• .'+�: ,x ., t .w ':. a ...., f ,. t i-. . ..
Ia ,
1. lapi'l 4j,ii, rt `: 1 a>.,ya ,.
+ x...x.i^ i. is .. 1..t .+a;=. �, f. a 4r. S..�Y.,a`�♦#.
oS..7,. C}aa.�I, i3 t :. �.:
b' +, Y�+ :Y a n, , ♦ .A.., 'a .•� ',IN :\.. \ . • x.. W1�. ti to an
r
1�1 Rii'rA`.x ir:� 4.1 tx rs. a, •
t 4x i ;�.:r .,, . '4.r , .x r, •° » *r » ,. . , »• 1' k�: y, ... k.
�3i' �i` :::'irf c:a�«'%� s"�"
" p.�. :t'xf° +'A, ��.,.'`v...�.i {srr 1, '•. �; ;�..x cz°::�a�j"\ i.' ',)}"
'ry
,.
�`1 u �Afni T°i Y lY� lrt#�y axx�.}4} iM1f�x r\` 01' p1Y yv 1ifl'�)
'li4is of CITY OYv -an
r11� �.s ae, tiv. 01* F�': Ak n4f v!^�11 dW n'� fy i — y�
S ! ;: { C'. i ii 'J .w v Y i'I � 1, i11i
/Y ). +4 ! //Lyy
omi•.xsi.�l.ns ,l1, aw 1.,.il�.nlw510nn' o", 4p.3.1�,. i.4a.. ri�,"a�i��k.r Y•.^♦ P;;".pkC,yPPst in
}
' conll,'CL5t:n W,' I:1 ;,:F+'' f'ita "xo Sf"9 on or F " t:•C: fs u 1P wo v iet o
1. L'It40 :'T A N a �oc.:3ti.Li e?''lka it iil i. . 1'
y iJi.lRl1s 0l
j
}.
i�,'..'� f:. n 5 GtE' >.k3..P,
�f1 ca.7. :L1
tnp C. al i,Iat' cJ„X -,,a1 it ct:j:�� 'i .�r'r Ft +1 i 1 eiii r. .il i..3 .". ..r `x :a.♦Nia k?�,.°.'{� il.�a d�J.
,Sc 4Ws (. dt
sn'y.11
P .i,;. ,
.nd n fy
11
y)
sUil fir"r4i.;:. a� t,y. sy �..+.. .'. ,i,}� a". i. . �t ;f;,
1 . � ,#.�i='•i„ir'a'M`t
• _,.ry •. c.1. a. � �.s.x!%. .. .. :L a
.9 t. e4 :}r :-i�i a�.. rT
"
1.ai Aara •i w. P15.♦ }.. a.
+✓�J it hA:,,F 1.e.�X iX.t �i Fax +-«G�4 � �11�° a`�F �.� It tl l , i =
-..a37 i.1 w. .a.i }:A
l RF l+.Y it "v%d .. .�.♦y' . s'-.I bx{k +, .j 1t1 \�: A ++�. :��' a,a ,.�i
,.f' .M `tt �t}" 1 K�'1i+Mke
�.t t
lll#(j'JiX„X l 1 i...
A', 7
ac4 t
t
,
,3.QpI'I-, c�siS'3" t"!"i�. Ci,"F`���`a! Ys..ail? 1;'� «- ,.a,. ..r. rk.n 'st". ,`a<rz tylja
'la�,rx..w'l
ic{flft
Lho, fa outlg-s i�e,Yig:l4*.�� l:iw. ♦tol t�Y 1. frJ iF;r Ln .�'1 f*l
e.l 4>A ky ;+4.i� at 1� S1 Sa i➢
c o n C, P c t i%,; n: wiL b1 wi
5�.+
4 h
not ) pa3A L.Rgqn, atrp f� J . ~Ni. .,' �'r G#":(Y ,i i�i•:.I . ,r{i1.r t' tips
tis ` r. ,! 4
Jr♦�k��y 'i t4 lnai L+ V�.i 4ii. ai
znjvey l+ `t ►' }!t'r t,µ�, ,a ,flfi � �� ,y w ,'
.; w
r'x,.Qjvt'l-ncr� Such
po, Z.1ay. I IA,`L/�a!1 f•. k_'.f' t.,i} y `i `v Fty+}k t"1 Y^t... `. ti a
Xy.,. }
I,ItlLit' j I(,fN : 'i
e+j�x lhtti'r�l� H��:. ['.'Y.t ,a• 4'ti ."�`�'c. �f� ,CXi Y, t EaV ��:i �b +.-. .l,ti 1a7 i$r.x.�x"r. fA L.�t' t
��i. f, +aim k1i :4 ice, i1 �'�j.
i).:�..�l. wf ... .`�tr'{-. at�e.a,^t Ul�:7
t]'C.l� it .� ♦.; J.a In f.r. ye/�♦ aY�• µ'1a } ,, �i ltA
} Rtf ♦ y'4 ti0'
a
r
i L I asb y
91'i�i NY.j,'d: 1.i"�', d. �'i:,t r'�='F� ;.i" i,.� sF .:_'.,. '� *A':/
fi, •, ..,,}i }'..
'a'i .. VA tr Li
will" ,. * Ra . .! �., i.;..f-• � _ ..
kvi.t d i.. F"�' .f ,. �,. +. ^.1 - r '''.. t
. :: i.'«# !
a, ! :�•g M
t
i 1
. .« ;:[.."....—...... .»^... .-..S-�h«'+�.>.,. .tea......
tii. a,Yx iir✓.Ais♦ .A!♦ i. �# ">b Y'gkf nal,.:.. ':'�i Y�M1�K.:.
4-
�
+x x .. a •yR ' a
����W�+it. I^'�. g,'f ly�r Y4 F.y.#' hii: k� .#:. i'Y'♦ �.f!
•#
.Aa i +
k A [ri if
'. ` :4 • J
41a ♦YX-ieli .11
+
lidos! ��a
t
x
.- }�A.��'at nar• bi 1,"txj
"F
;'��"ic.�}"7taiiCp ri
O
S J, 0 trY F `6j
L01.J C6—L Ns u.s �.0 {.tV u:.IT i1♦T
tv.o:Pr-Y 4r,o "'C' wI' nin
t'iv,- -a:—,,aav w;iys aI'tp -
r
no ca to proct-zi z: a
i `: � n, sir t� r,31 i
, � Win; y y 7ja•4cj! F' I: o
{{. 4
�. t�rxl tr,%�t>in ion"}�1. nie. ._, .,tiv�
� 1 i..i♦ 'ri (i;S.
.l ',Ffa i lyil.. .. �� ��lr t}R.+L+'�. «. �:� iij
1 r) Fa ,�, C y
.r+r
s• •' -. y, a
x t. 4, ➢ +. W Gi} l: ky 1 I � 4i. A
... t ,.: ;" . . �.
Wt. ?
ram'„, :Y Y 1'1. xz r.. L, ..
L c..ln F.t. �. f}� ..t.,x �,
4":•.^l�,l M ..
�.i� .,'."F}' i15
t
1!1 W.
11 w
iA{� SS ^^ss a
♦rF .)yw}FS�J u. 1J "Jr F.Y.�w�.a +Y.
k�)fl ii "i F�.x r.. t.�l ".i
t�r'a'k.,�ak��. i. e'F'ra ". ..:'�aF`�jF .'l .�,l
draw iit :,it
-ma
Uti Pdb
12. f':36ZA.iiir.4 ti✓i. ,�s, a"*
i, 1J
corgi.. "ant and
A, (.p
;up;?vv J sort' ,;oiIr; r u n J p r s'11aI
not tip Go pgat?u tf7 a ny pprsr,n
oil Prit-i ty w thou t t;iP CS)nzont o 3r:LT
ti",-,
C','
c: Y
Sliali bo ov-,:ti(yp_', its f1r;r} Lu:I.'.nt;
:iit, a. i'Ita :. .'i 3'.. Y.i=$ c36.iiok�Mp"3
is In � ffpct.
x)
YY� Sal ., i.j.`.2 ,r ii;..;'A,'•, i; i' f :. i•;p jJ3
i.,. +u i"''S el'i"t.. ,.. .: .ta i.3 U
tl i)
4'.'S �. 1 " f r h `:i t 1 Fi , 3 4 S. �i V � 11 T. � �.. t.[ fw 4 } L 1 + � . £� . �
..kit ' Y �i f q� v . i F' 1 i" i 3.4 l+ . ! • + u �y L [ [ ....�
� . " :7
a�SYY'1 tray)-,inri...... .+�.t
e y
i ... tin
o tf
A.+1, ... J v: [
r '
v1E,f?i'� 9 AP't),'.�:Cu;
n tri.tta .. ii
city
4
t o I
Pt,: `r1Ci3
3/31/3
City or II .... tuiyti+u 11u.1elt TO G, it fiut�on, City Attbrnt`e
City AI%.rr,—v
1' O i1,- I'M CiTY OF HUNTINGTON PEACH, CALIFORNIA a
IIy
Iiiini.n,lion 11—ch, CA 9.1048 %f
t.oVv in R•r+. M,n.a•i „it•. <Ppm-1 A MUNICIPAL CO`ll"ORATION
This it to cattily that the policies of insurance ai described below hara been issued to the insured by the undersigned and ere in force
at this time 0 these policies are cancelled or changad in such a matinot that will al fact this certificate, the insurance Company agrties
to give 10 days prior written notice, by mall, to Cis of Huntington Beach P. 0 Box 711.Huntington 8&ach, Cei-fornia 92648 ALL
ITEMS MUST BE COMPLETED, ANY DELETION OR CHANGE IN THIS FORM SHALL BE SiGNED AND DATED BY AN
AUTHORIZED REPRESENTATIVE OF THE INSURANCE COMPANY AND MUST BE APPROVED IN WRITING BY THE CITY
ATTORNEY.
Name of Insured KEITH AND AR9t1( TATFq (/�'i} �I►
Address of Insured 1525 SOUTH GRAND :A
ANA. CA.LIVORNIA 92705
Location of Work or Operations to b>f performed DEIGN OF- NEWI AND STORM DRAIN 1,M?R VEMENTS
Description of Work or Operations DESIGN OF NOWLAND STORM DRAIN IkJPROV M7:NTS
POLICY OAT ES
LIMITS OF LIAS'LiTY
NAME OF COMPANY
Effective
Expirmson
POLICIES iN FORCE
POLICY NO.
InThausandt (000;
(INS.)
GENERAL LIABILITY
Xl
COMPREHENSIVE FORM
$136-25-34-44
1-19-84
1-19' 85
y 1,000 CSL
Great American
Each Occuranco
XI PREMISES• OPERATIONS
Insurance.
K I
EXPLOSION ANO
Companies
COLLAPE HAZARD
DC.I
UNCERG ROUND HAZARD
( I
PRODUCTS. COMPLETED
ProfessionEl
Liability
Certificate
,oP:RATtONS HAZARD
see
ii
CONTRACTUALINSURANCE
I
IXl
RROAO FORM
PROPERTY DAMAGE
N)
tND.EPENDENT
I
CONTRACTORS
(+(I
PERSONAL INJURY
3
t
AUTOMOBILE LIABILITY
KI
COMPREHENSIVE FORM
BINDER
1-19-84
1-19-8.5.
(great American
K I
OWNED
j
5 bOQ csL
Insurance
KI
HIRED
i
Companies
Each Occurance
KI
NON•owNED
e
s
- EXCESS LIABILITY
t
i
UM8RELLA.. FOAM
1
j
OTHER THAN
S
UMBRELLA. FORM
i
WORKERS' COMPENSATION
t
t
and
ii
EMPLOYERS' LIABILITY
Additional Insured Endorsement:
The insurer agrees that the City of Huntington Beach and its City Council, and/or all City Council appointed groups, committees,
cornmisdicns, boards and any other City Council appointed body, and/or elective and appointive officers, servants or employees of the
City of Huntington Beath, when acting as such are additional insureds hereunder, for the acis of the insured, and such insurance shall
be primary to any insurance of the City of Huntington Beach, as their interest may appear.
Data ) " 2 AUTHORiZED REPRESENTATIVE OF INSURANCE COMPANY
INSURANCE COMPANY ' By Alexander Alexrsnder of C.Aliforniq, Inc.
Great American Insurance . Companies i.f'
N.m.
Addresal City Blvd. West, Suite 1700 Add,m 323� Palk Center 'Drlve
Orange, city Costa Mesa, California 92626-1907
clis 714) 957 -6005 Y 268
'i`elsnhe ne
�� ����T...�`��..3.T.sFs�[�.'«s•�'.�5�..«1L^...�'t.«2�."�.^..tYGSSiT�.�:-1Ri.,".YaY.iF'�3.Y'.:.�.EY::•:2�'s�::X[, Y_. �Lw.=.:..�sS23 .
HOLD HARMLESS AGREEMENT
(to be exocuied'by insured)
The insured v"*. dAv , • agrees to protect, defend, indemnify, save, and hold harmless the City of Huntington Beach its
officers, agents, and employees against any liability, foss, damage, cost, or expense by reason of any and ail Irabdrty, suits, claims,
demands, judgments and causes of actiost caused by insured, his employees, agents or any subcontractor or by any third party arising
out of or in consequence of the performance of all or any operations or activity for which this certificate of insurance is furnished.
° (t1 Soto Propriatatship (2) Parinenhip 0! rpotstion (4) Other (Slats)
HOLD HARMLESS SIGNED: By Inrurod: r ' ..• ' 1 : i Ili*
�n f
(All dims} %hall G* grimed or typed 13y InsuredyS . erg "i i Tith t w 9
below oech signolure.) _
If Corporation, TWO Officers must sign, oe prosent evidence of authorization to bind Corporation.
z; ty Fit 1
Ca,( Ail , ',
t' 41 tt t,, 4
iruma�,i,,,. t),sh, CA dJlSa$ CITY :;)�' tlt�d`rifii'fii�ihz f.'4 ASH. (:riLlF l')fi".I Cc
C..ut1Y 4n la{�. Msnaa/i ,<Iiil ejlril ('.M It'}•
Aftxt}NIt„11rAL tar �i't.)I.ATltfr'v' 1'
Thar it to cattily that the policies of insuaanes as doscribad below Nava been iuued to the ins,rrr,cf fly t'oA untteis�grsad its in force
a1 this time. it 'these policies are cancaifed or charmed in sitrh a mvnut that will :0190 tt,% cart.liease. at s ,nturance cc;mpany egrue'•
to give 10 days prior written notice. by mail, to City of Huntington 8iracli P 0 BOO 711, Huntir iWO Beach, Cahlointa 92648 ALL
ITEMS MUST BE COMPLETED, ANY OE.: ETION OR CHANGE N THIS FORM SHALL BE SIGNED AND DATED BY AN
AUTHORIZED REPRESENTATI JE OF THE INSUFANCE CO sN AND MUST BE APPROVED IN WRITING BY THE CiTY
ATTORNEY. raj
FT 1 N t�'�rt zsnf'TA r' d�
Nar;ye of insured
Address of Insured 1525 SOLTH GRAND AVENUE, 5A1vrA A: CALIFORNIA 92705
Location of Work or Operations to be performed DESIGN OF MLAND STORM DRAIN IMPROVEMENTS
Description of Work or Operations DESIGN OF NEWLAND STORM DRAIN IMPROVEI EMNTS
POLICY DATES
POLICIES IN FORCE POLICY NO. Effective I Expiration
GENERAL (ABILITY
Ix i
1x 1
kI
IXi
If
Kl
�1
�l
V'l
LIMITS OF L1AalLi
In Thousands i0001
COMPREHENSiVEFORM. IBk6-25-34-44 1-1.9-84 11--19-85 131,000 CS.L
PREMISES, OPERATIONS
EXPLOSION AND
COLLAP,E HAZARD
UNOEnt:ROUND HAZARD i
PRODUCTS COMPLETED }ee PrOfes
,OPERATIONS HA7ARD p
CONTRACTUAL
iNSURANCE.i
BROAD FORM
PROPERTYDAMAGE
INOEPENOENT
CONTRACTORS.. i
PERSO14AL INJURY
v
'- Each Occuranco
{
1 T.iabili y Certi.fic to
1
i � z
AUTOMOWLE LIABILITY
lt.I
COMPREHENSIVE FORM
..';BINDER 111-1.9-84
fi I
OWNED
� t
f{i
HIRED-
T
1
NO NOYYNED
EXCESS LIABILITY
Qj
Urta RELLA FORM
t
I I
OTHER THAN
d;
UMO RELLA FORM
1
l
WORXERS'COMPENSATiON
r I
and
l
E PLOYERS' LIABILITY
1-19-85 1
s 600 CSL
Each Occutance
NAME OF COMPANY
I iNS,I
Great American
Insurance
Companies
Great American
Insurance
Companies
s
Additional Insured Endorsement -
The insurer agrees that the City of Huntington Beach and its City Council, and/or all City Council appointed groups,: committees,
commissions, boards and any other City Council appointed body, and/or elective and appointive officers, servants or employees of the
City of Huntington Beach, when ac;sng as such ate additional insureds hereunder, for the rcts of the insured, and such insurance shall
be primary to any insurance of the City of Huntington Beach, as their interest may appear.
Cate "' AUTHOT41ZED REPRESENTATIVE OF INSoRAKSL- COMPANY
INSURANCE ; OssPAt Y ? Alexander & Alexander t?f CAifornia, Inc.
Name Great American Insurance Companies y 3L33 Park Center Drive
Addevs,l City Blvd. West, Suite 1700 Addcityrrri
Costa :Mesa California 92.626-1907
city Orange, '.a. Tit alihp�. 714) 957 6005 N 268
HOLD HARMLESS AGREEMENT
(to be axucuted by insured)
The insured ' `' i". t !1 8 A 1.oe 1groes to protect, defend, indemnity, save, and hold harmless the City of Huntington Beach its
officers, agents, and employees a3ainst any liability, loss, damage, cost, or expense by reason of ar - and all lisbtirty, skips, claims,
demands, judgments and causes of action caused by insured his employees, agents or any subcontractor or by any third party arising
out of or, in consequettci: of the performance of all or any operations or activity for which this certificate of:insuranco it furnished.
' Ill Sohi Propneici4hip t2) Partnership (]) Corporeuon (4) Other 6164l I
HOLD HARMLESS SIGt7EII: BY Insured: ' r" yf= Title
Sc R S rt r w� G ti
(All nemaf shalt beprintedof typed By Insured. _ x.r + .1 Tale t_1-1zf a t z
,below tiuch sitinature,)
11 Corporation, TWO Officers must sign, or present evidence of euthoritatior -to bind Corporation,
aK' {� ]�!k '�� x - v,-:^.`�'=,y�+vxGaT -rst� nyt cw�r�."uV'y�.wr.,.r-c[,'•s.�'wpa�.,{��r.,,�..� � „3Ns �, _�,,t, yp tiler'
yF- i i µ J } t£"'.y„ R.ah +r h t �yy p3�� ,,`�.�p`.'{"V.�C{. g 1 `.i�.yg�y���.�•+r 1 rci
�V iRUtlVwrasawXY'W. +� ill• �� �t�l,� #iP c.'��o �,��.'± »� �1.7C.u� �SR"Yt�>'�fQ .i;^���Y�,t'" $T' � S k'! �Z�3
COMPANIES AFFORDING COVERAGES
ALEY.ANDE'R & e1LEXANDER OF CALIFORNIA, INC.
SUITE 500, 3233 PARK CEtiTEF DRIVE }
COSTA MESA, CALIFORNIA, 92526— 907 E, -A'L ACCIDENT INSLRA CE CO. OF AI PI
KEITH kND
1525 SOLYM GRAND
AVENUE
ASS
SAtvTA A,VA, CALIFOR=vIA 92705
,eiiY�
GEN
yk :.
�n #
t
�1
kakk �
A PROFESSIOtvAL PE 13623 4-1-85 $300,000
LIABILITY
INCLrDES CONTRACTUAL LIABILITY ENDORsEMr,,NT
XX)WXHXXX
CITY OF HUNTINGTON BEAM 3-28-84 Llt
�.,. 0200BOX
0 '`�IN STREET ALE:ANAER & ALE, *IDER OF CALIFOaTI , �IN(
i..19tx
HU 'TINGrO� § BEACH, CALIFORNIA 92648 BY:
i `r„sr ;-.:. nx �.^� �^mvvn ^x,«✓�r^�+^^p�,.�- - ;- N .; n a st_i x
�"'�. __K � .�:'� inl���.1 • ��'k^3%. n '�y� mow!' 15j�< : i''f a i'ife7x�: +� ��';Tr J�N� xP C �*�s...1;;,.-.i �f.�'.x.we
< AMANDER & AI.EX. ANDER OF CALIFORNIA_ ING. COMPANIES AFFORDING COVERAGES
SUITE 500, 3233 PARK CENTER DRIVE
COSTA MESA, CALIFORNIA 92626--1907 AGENERAL ACCIDENT INSURANCE CO. OF AMERII
7
_1
KEITH AIM ASSOCIATES
1525 SOUTH GRMM AVEI+TIIE p..,.
SANT,& ANA, CALIFORNIA 92705
.t
GENERAL OAB. OT*f
4
y hid
{,
A�
A PROFESSIONIAL PE 13623 4-1-85 $300,000
LIABILITY: DEDIICTZBI,E $5,000
INCLUDES CONTRACTUAL LIABILITY ENDORSEMENT
Cancol«a son. jor rsodifidd {
h CITY OF HMITINGTON BEACA 3 Z$-$4 . LR,
2000 MAINSTREET AI.EICAPER, & ALEX&NDERCALIFORNIA, OF CALIFOINC
P.� O. .BOY 190 a
HUNTINGTON BEACH, GALIFORNIA 92648 BY: �
ALEXc4NA 6 ALYffANM OF CAY,MR NU, oc. � COMPANIES AFFORDING COVERAGES
3333 FWM CAR DtiL , SUM 500
co TA mm, cALMmm& 92625=1907 ( HARTP RD Acimm An :EwmnaTi CAI
7141957 6005 t __ _ _ _ _..
IMrTH & Associmm C SULT=r CT-vn
A CORP.
1525 —DOMM G,LYM tLY.G1oE9Vi] S 16
SAm An, CUMDR= 92705
00\
GENERALS iF }aii T�
C
A9
T
,
�t
F Y%w"a4a5v6+T,; y'zYFfi i1F i..° _ rZli
It 4�
72 KF3123 7 / i / 84 Mua
REQUEST FOR CITY COUN tL ACTION
{?ate April 5, 1984
Submitted to Honorable ,Mayor and City Counci�610elr
Submitted by, C. W. Thorpson, City Administra`
prepared by Paul E. Cook, Director of Public Works
Subject. Newland. Storrs Drain; CC 615
Statement of Issue, Recommendation, Analysis, Funding Source, Altern five Ai7ns. ttaohments:
SMME"Mi Fr OF ISSUE: f-
Proposals were requested from aualified civil engineering f -cis to prepare plans,
specifications and cost est:retes for the construction of the Newland storm drain.
OM DATI%IS
1. Approve the selection of Keith and. Associates to prepare glans, specifications,
and cost for the construction of storm drain improvements adjacent to
Newland Sheet.
2.. Establish a deign budget of $17,50G (this will include consultant agreement and
miscellaneous costs as required).
3. Authorize the tiayor and City Clerk to execute the attached consultant agreement
with Keith & Associates for a fee not to exceed $16.000.00.
ANALYSIS: t
The approved ;Master Plan of Drainage for the City s e-cifically addresses the need
for additional storm drain facilities in the vicinity of Newland Street and Hamilton
Avenue. The construction of a 60 inch storm drain from the Newland pump station
northerly to Hamilton Avenue, then westerly in Hamilton to the intersection of
Newland Street, is essential. Secondly, frcm the intersection of Hamilton Avenue
and Newland Street, a 42 inch storm drain imst be installed northerly to St. Aum_, Stine
Drime. A.third improveTent will be the installation of a 24 inch storm drain line
in Newland Street from an existing manhole at the intersection of Hamilton Avenue
and Newlc d. Street south to D01 County channel. Plans, specifications and cost
estimates for these improvewmts have not been prepared and, therefore, pursuant to
Chapter 3.03, "Professional Services" of the Code, requests were solicited
from qualified engineering firms to prepare the construction drawings. llequests were
received on February 20, 1984. Staff reviewed each of the proposals received and
reommends the selection of Keith and Associates.
FIliD2W SOURCE:
Cost of Plans & Specifications $16,000
Y scellaneous Costs: 1,500
Total: $17,500
P4venue Sources earls are budgeted for this project in Drainage District Budget
Account 1826150 (Newland Storm Drain).
ALTEMATIVE AM^TICk7S:
Deny approval of Keith and Associates and direct s,a.ff on how to proceed with these
essential :master planned stem drain improvewants. .,
AMODMM. Consultant Agreement -1
P1041B1
CSSTi PEC : DPI: �y
ITT OF HUNTINGTON,BEACH
2000 MAIN STREET CALIFORNIA 9264E'
OFFICE OF THE CITY CLERK
April 19, 1964
Keith & Associates
152.5 S. Grand Avenue
Santa Ana, CA 92705
The City Council. of the Cit., or Huntington Beach at its regular meeting
held April 16, 1984, approved a Consultant Agreement with your firm For
the construction of storm drain improvements adjacent to Newland Street.
Enclosed is a duly executed copy of said agreement together with a copy
of the insurance certificate you submitted.
Alicia M. Wentworth
City Clerk
AI1W: CB: j
enclosure
cc: Don Noble, DPW
Judy John, Finance
ITefephanr 71'4-53G-52271