HomeMy WebLinkAboutLawrence & Associates 2014-06-18 i _ _ _ _
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AGREEMENTFOR
PROFESSIONAL CONSULTING SERVICES
This Agreement, made and entered into this 1 j day of 7i��� C , 2014 (°Effective I
Date"), by and between CITY OF UKIAH, CALIFORNIA, hereinafter referred to as "City" and
Lawrence & Associates, a corporation, organized and in good standing under the laws of the
state of California, hereinafter referred to as "ConsultanY'.
RECITALS
This Agreement is predicated on the following facts:
a. City requires consulting services related to annual sampling of the gas-extraction system
at the City of Ukiah Landfill.
b. Consultant represents that it has the qualifications, skills, experience and properly
licensed to provide these services, and is willing to provide them according to the terms
of this Agreement.
c. City and Consultant agree upon the Scope-of-Work and Work Schedule attached hereto
as Attachment "A", describing contract provisions for the project and setting forth the
completion dates for the various services to be provided pursuant to this Agreement.
TERMS OF AGREEMENT I
1.0 DESCRIPTION OF PROJECT I
1.1 The Project is described in detail in the attached Scope-of-Work (Attachment "A").
2.0 SCOPE OF SERVICES
2.1 As set forth in Attachment "A".
2.2. Additional Services. Additional services, if any, shall only proceed upon written
agreement between City and Consultant. The written Agreement shall be in the form of
an Amendment to this Agreement.
3.0 CONDUCT OF WORK �
3.1 Time of Completion. Consultant shall commence performance of services as required
by the Scope-of-Work upon receipt of a Notice to Proceed from City and shall complete
such services within 60 days from receipt of the Notice to Proceed. Consultant shall ,
complete the work to the City's reasonable satisfaction, even if contract disputes arise or I
Consultant contends it is entitled to further compensation.
4.0 COMPENSATION FOR SERVICES
4.1 Basis for Compensation. For the performance of the professional services of this
Agreement, Consultant shall be compensated on a time and expense basis not to
exceed a guaranteed maximum dollar amount of $4,827. Labor charges shall be based
upon hourly billing rates for the various classifications of personnel employed by
Consultant to perform the Scope of Work as set forth in the attached Attachment B,
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which shall include all indirect costs and expenses of every kind or nature, except direct
expenses. The direct expenses and the fees to be charged for same shall be as set
forth in Attachment B. Consultant shall complete the Scope of Work for the not-to-
exceed guaranteed maximum, even if actual time and expenses exceed that amount.
4.2 Chanpes. Should changes in compensation be required because of changes to the
Scope-of-Work of this Agreement, the parties shall agree in writing to any changes in
compensation. "Changes to the Scope-of-Work" means different activities than those
described in Attachment "A" and not additional time to complete those activities than the
parties anticipated on the date they entered this Agreement.
4.3 Sub-contractor Pavment. The use of sub-consultants or other services to perform a �
portion of the work of this Agreement shall be approved by City prior to commencement
of work. The cost of sub-consultants shall be included within guaranteed not-to-exceed ,
amount set forth in Section 4.1. !
4.4 Terms of Pavment. Payment to Consultant for services rendered in accordance with this I
contract shall be based upon submission of monthly invoices for the work satisfactorily
performed prior to the date of the invoice less any amount already paid to Consultant,
which amounts shall be due and payable thirty (30) days after receipt by City. The
invoices shall provide a description of each item of work performed, the time expended
to perform each task, the fees charged for that task, and the direct expenses incurred
and billed for. Invoices shall be accompanied by documentation sufficient to enable City
to determine progress made and to support the expenses claimed.
5.0 ASSURANCES OF CONSULTANT
5.1 Independent Contractor. Consultant is an independent contractor and is solely
responsible for its acts or omissions. Consultant (including its agents, servants, and
employees) is not the City's agent, employee, or representative for any purpose.
It is the express intention of the parties hereto that Consultant is an independent
contractor and not an employee, joint venturer, or partner of City for any purpose
whatsoever. City shall have no right to, and shall not control the manner or prescribe the
method of accomplishing those services contracted to and performed by Consultant
under this Agreement, and the general public and all governmental agencies regulating
such activity shall be so informed.
Those provisions of this Agreement that reserve ultimate authority in City have been
inserted solely to achieve compliance with federal and state laws, rules, regulations, and
interpretations thereof. No such provisions and no other provisions of this Agreement j
shall be interpreted or construed as creating or establishing the relationship of employer
and employee between Consultant and City.
Consultant shall pay all estimated and actual federal and state income and self-
employment taxes that are due the state and federal govemment and shall fumish and
pay worker's compensation insurance, unemployment insurance and any other benefits
required by law for himself and his employees, if any. Consultant agrees to indemnify
and hold City and its officers, agents and employees harmless from and against any ;
claims or demands by federal, state or local government agencies for any such taxes or �
benefits due but not paid by Consultant, including the legal costs associated with
defending against any audit, claim, demand or law suit.
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Consultant warrants and represents that it is a properly licensed professional or
professional organization with a substantial investment in its business and that it
maintains its own offices and staff which it will use in performing under this Agreement.
5.2 Conflict of Interest. Consultant understands that its professional responsibility is solely
� to City. Consultant has no interest and will not acquire any direct or indirect interest that
would conflict with its performance of the Agreement. Consultant shall not in the
erformance of this A reement em lo a erson havin such an interest. If the Cit
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Manager determines that the Consultant has a disclosure obligation under the City's
local conflict of interest code, the Consultant shall file the required disclosure form with
the City Clerk within 10 days of being notified of the City Manager's determination.
6.0 INDEMNIFICATION II
6.1 Insurance Liabilitv. Without limiting ConsultanYs obligations arising under Paragraph 6.2
Consultant shall not begin work under this Agreement until it procures and maintains for
the full period of time allowed by law, surviving the termination of this Agreement
insurance against claims for injuries to persons or damages to property, which may arise
from or in connection with its performance under this Agreement.
A. Minimum Scope of Insurance
Coverage shall be at least as broad as: I
1. Insurance Services Office ("ISO) Commercial General Liability Coverage
Form No. CG 20 10 10 01 and Commercial General Liability Coverage —
Completed Operations Form No. CG 20 37 10 01.
2. ISO Form No. CA 0001 (Ed. 1/87) covering Automobile Liability, Code 1
"any auto" or Code 8, 9 if no owned autos and endorsement CA 0025.
3. Worker's Compensation Insurance as required by the Labor Code of the
State of California and Employers Liability Insurance.
4. Errors and Omissions liability insurance appropriate to the consultanYs
profession. Architects' and engineers' coverage is to be endorsed to
include contrectual liability. I
B. Minimum Limits of Insurance
Consultant shall maintain limits no less than:
1. General Liabilitv: $1,000,000 combined single limit per occurrence for
bodily injury, personal injury and property damage including operations, '
products and completed operations. If Commercial General Liability
Insurance or other form with a general aggregate limit is used, the
general aggregate limit shall apply separately to the work performed
under this Agreement, or the aggregate limit shall be twice the prescribed
per occurrence limit.
2. Automobile Liabilitv: $1,000,000 combined single limit per accident for
bodily injury and property damage. '
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3. Worker's Compensation and Emplovers Liabilitv: Worker's compensation
limits as required by the Labor Code of the State of California and
Employers Liability limits of$1,000,000 per accident.
4. Errors and Omissions liabilitv: $1,000,000 per occurrence. 'I
, C. Deductibles and Self-Insured Retentions
Any deductibles or self-insured retentions must be declared to and approved by
' the City. At the option of the City, either the insurer shall reduce or eliminate
such deductibles or self-insured retentions as respects to the City, its officers,
officials, employees and volunteers; or the Consultant shall procure a bond
guaranteeing payment of losses and related investigations, claim administration
and defense expenses.
D. Other Insurance Provisions
The policies are to contain, or be endorsed to contain, the following provisions:
1. General Liabilitv and Automobile Liabilitv Coveraqes
a. The City, it officers, officials, employees and volunteers are to be
covered as additional insureds as respects; liability arising out of
activities performed by or on behalf of the Consultant, products
and completed operations of the Consultant, premises owned,
occupied or used by the Consultant, or automobiles owned, hired
or borrowed by the Consultant for the full period of time allowed by
law, surviving the termination of this Agreement. The coverage
shall contain no special limitations on the scope-of-protection i
afforded to the City, its officers, officials, employees or volunteers.
b. The ConsultanYs insurance coverage shall be primary insurance
as respects to the City, its officers, officials, employees and
volunteers. Any insurance or self-insurance maintained by the
City, its officers, officials, employees or volunteers shall be in
excess of the ConsultanYs insurance and shall not contribute with
it.
c. Any failure to comply with reporting provisions of the policies shall
not affect coverage provided to the City, its officers, officials,
employees or volunteers.
d. The ConsultanYs insurance shall apply separately to each insured
against whom claim is made or suit is brought, except with respect
to the limits of the insurer's liability.
2. Worker's Compensation and Emplovers Liabilitv Coveraqe
The insurer shall agree to waive all rights of subrogation against the City, ,
its officers, officials, employees and volunteers for losses arising from
ConsultanYs performance of the work, pursuant to this Agreement.
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I 3. Professional Liabilitv Coveraqe
If written on a claims-made basis the retroactivit date shall be the
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effective date of this Agreement.
, 4. All Coveraqes
Each Insurance policy required by this clause shall be endorsed to state
that coverage shall not be suspended, voided, canceled by either party,
reduced in coverage or in limits except after thirty (30) days prior written
notice by certified mail, return receipt requested, has been given to the
City.
E. Acceotabilitv of Insurers I
Insurance is to be placed with admitted California insurers with an A.M. BesYs
rating of no less than A- for financial strength, AA for long-term credit rating and
AMB-1 for short-term credit rating.
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F. Verification of Coveraqe
Consultant shall furnish the City with Certificates of Insurance and with original
Endorsements effecting coverage required by this Agreement. The Certificates
and Endorsements for each insurance policy are to be signed by a person
authorized by that insurer to bind coverage on its behalf. The Certificates and
Endorsements are to be on forms provided or approved by the City. Where by �
statute, the City's Workers' Compensation - related forms cannot be used, I
equivalent forms approved by the Insurance Commissioner are to be substituted.
All Certificates and Endorsements are to be received and approved by the City
before Consultant begins the work of this AgreemenL The City reserves the right I
to require complete, certified copies of all required insurance policies, at any
time. If Consultant fails to provide the coverages required herein, the City shall
have the right, but not the obligation, to purchase any or all of them. In that
event, the cost of insurance becomes part of the compensation due the
contractor after notice to Consultant that City has paid the premium. ,I
G. Subcontractors
Consultant shall indude all subcontractors or sub-consultants as insured under j
its policies or shall furnish separate certificates and endorsements for each sub- �
contractor or sub-consultant. All coverage for sub-contractors or sub-consultants
shall be subject to all insurance requirements set forth in this Paragraph 6.1.
6.2 Indemnification. Notwithstanding the foregoing insurance requirements, and in addition
thereto, Consultant agrees, for the full period of time allowed by law, surviving the
termination of this Agreement, to indemnify the City for any claim, cost or liability that
arises out of, or pertains to, or relates to any negligent act or omission or the willful
misconduct of Consultant in the performance of services under this contract by
Consultant, but this indemnity does not apply to liability for damages for death or bodily I
injury to persons, injury to property, or other loss, arising from the sole negligence, willful
misconduct or defects in design by the City, or arising from the active negligence of the li
City.
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� "Indemnify," as used herein includes the expenses of defending against a claim and the
payment of any settlement or judgment arising out of the claim. Defense costs include
all costs associated with defending the claim, including, but not limited to, the fees of
attorneys, investigators, consultants, experts and expert witnesses, and litigation
expenses.
Refererices in this paragraph to City or Consultant, include their officers, employees,
agents, and subcontractors. i
7.0 CONTRACT PROVISIONS
7.1 Ownership of Work. All documents furnished to Consultant by City and all documents or
reports and supportive data prepared by Consultant under this Agreement are owned
and become the property of the City upon their creation and shall be given to City
immediately upon demand and at the completion of ConsultanYs services at no
additional cost to City. Deliverables are identified in the Scope-of-Work, Attachment "A".
All documents produced by Consultant shall be furnished to City in digital format and
hardcopy. Consultant shall produce the digital format, using software and media
approved by City.
7.2 Governinq Law. Consultant shall comply with the laws and regulations of the United
States, the State of California, and all local governments having jurisdiction over this
Agreement. The interpretation and enforcement of this Agreement shall be governed by
California law and any action arising under or in connection with this Agreement must be
filed in a Court of competent jurisdiction in Mendocino County.
7.3 Entire Aqreement. This Agreement plus its Attachment(s) and executed Amendments
set forth the entire understanding between the parties.
7.4 Severabilitv. If any term of this Agreement is held invalid by a court of competent
jurisdiction, the remainder of this Agreement shall remain in effect.
7.5 Modification. No modification of this Agreement is valid unless made with the agreement
of both parties in writing.
7.6 Assiqnment. Consultant's services are considered unique and personal. Consultant
shall not assign, transfer, or sub-contract its interest or obligation under all or any portion
of this Agreement without City's prior written consent.
7.7 Waiver. No waiver of a breach of any covenant, term, or condition of this Agreement
shall be a waiver of any other or subsequent breach of the same or any other covenant,
term or condition or a waiver of the covenant, term or condition itself.
7.8 Termination. This Agreement may only be terminated by either party: 1) for breach of '
the Agreement; 2) because funds are no longer available to pay Consultant for services
provided under this Agreement; or 3) City has abandoned and does not wish to complete
the project for which Consultant was retained. A party shall notify the other party of any
alleged breach of the Agreement and of the action required to cure the breach. If the
breaching party fails to cure the breach within the time specified in the notice, the
contract shall be terminated as of that time. If terminated for lack of funds or
abandonment of the project, the contract shall terminate on the date notice of
termination is given to Consultant. City shall pay the Consultant only for services I
performed and expenses incurred as of the effective termination date. In such event, as
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a condition to payment, Consultant shall provide to City all finished or unfinished i
documents, data, studies, surveys, drawings, maps, models, photographs and reports
prepared by the Consultant under this Agreement. Consultant shall be entitled to
receive just and equitable compensation for any work satisfactorily completed
hereunder, subject to off-set for any direct or consequential damages City may incur as
a result of ConsultanYs breach of contract.
7.9 Duplicate Oriqinals. This Agreement may be executed in duplicate originals, each
bearing the original signature of the parties. When so signed, each such document shall
be admissible in administrative or judicial proceedings as proof of the terms of the I
Agreement between the parties.
8.0 NOTICES
Any notice given under this Agreement shall be in writing and deemed given when
personally delivered or deposited in the mail (certified or registered) addressed to the I
parties as follows: i
CITY OF UKIAH LAWRENCE & ASSOCIATES
DEPT. OF PUBLIC WORKS 3590 IRON COURT �
300 SEMINARY AVENUE SHASTA LAKE, CA 96019
UKIAH, CALIFORNIA 95482-5400
9.0 SIGNATURES
IN WITNESS WHEREOF, the parties have executed this Agreement the Effective Date:
CONSULTANT
BY: '��c �+-La_ �y?�rL�-�c �tiU�. . /� �c �< �
BONNIE LAMPLEY � D te I
94-2661102
IRS IDN Number
CITY OF UKIAH
BY: � � l�- I
/JANE CHAMBERS Date
CITY MANAGER
ATTEST
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KRISTINE LAWLER, CITY CLERK Date I
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City of Ukiale June 12, 1014
i Proposal jor 2074 Annua!Emissions Samp/ing Page 1 of 3
Introduction
As requested by Mr. Rick Seanor of the City of Ukiah, this proposal describes the scope of work
and associated wsts for conducting the annual emissions sampling of the perimeter gas-
extractio� system at the City of Ukiah Landfill (Landfill). �
In 1997, a perimeter gas-extraction system was installed at the Landfill to control the migration
of landfill gases away from the Landfill. The system consists of vertical extraction wells
(between the landfill and the property line) connected to a header pipe. Landfill gas that has
migrated outside of the Landfill is collected by the wells, and then conveyed in the header pipe to
the stack. I
The collected gas is discharged without treatment, because a screening-level health-risk
assessment, conducted when the system was staRed, showed a less than ]0-in-one-million excess
cancer risk (the 10-in-one-million limit was established by Mendocino County Air Quality
Management District [MCAQMD]). Monitoring since start up has shown similar results each
year.
The system is operating under a "Permit to Operate" issued by the MCAQMD. Condition
XN.B.2. requires annual testing of stack gas for methane and the"specified air contaminants" of
the California Health and Safety Code, §41805.5, and reporting of the results to the MCAQMD
30 days before each permit renewal date (August 30 of each year). This condition requires
sampling and analysis by EPA TO-14 methodology. TO-14 analysis, however, is not appropriate
for inethane and some of the specified air contaminants. The appropriate analytical methods are
described in the Scope of Work, below.
Special Condition XIV.B3. states that if a health-risk assessment conducted by the MCAQMD
shows a greater than 10-in-one-million excess cancer risk at the nearest receptor, the MCAQMD
may require treatment of the effluent. A health-risk assessment conducted now or in the future
would be based on the annual sampling conducted for Special Condition XIV.B.2.
Scope of Work
This scope ofwork addresses Special Condition XIV.B.2 (the annual emissions sampling) in the
Permit to Operate.
For all analyses, the system effluent will be sampled via a tee fitting attached to the sampling
port on the stack, inside the blower building. All samples will be collected in duplicate.
Formaldehyde samples will be collected using vacuum pumps constructed of stainless steel,
Teflon, Viton rubber, and borosilicate glass, and designed for gas monitoring. Samples for
I P03748.00 Task l3 Lawrenee&Associales I
City nf Ukiah Jiuee l2, 2014 I
Proposu!jor 2014 An�iva!Emissions Sanepling pqge z of3 I
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formaldehyde will be drawn through DNPH-coated silica-gel cartridges at about 1 liter/minute
' for 6-8 hours. A field blank will be analyzed for formaldehyde. The field blank will consist of a
cartridge that remains in its culture tube next to the pumps during the duration of sampling.
Hydrogen sulfide samples will be collected in tedlar bags, and volatile organic compounds and
fixed gases will be collected in 6-liter SUMMA canisters cleaned at the laboratory. Before
sampling, the canisters can hold a vacuum of up to -28 inches of inercury. The high vacuum
allows sample(s) to be drawn into a canister, without the use of a pump, when the stainless-steel
bellows valve on the canister is opened.
All samples will be shipped overnight to Air Toxics, Ltd., Folsom, California. Air Toxics is a
Califomia certified environmental laboratory.
� Fixed (natural) gases and total nonmethane hydrocarbons (nonmethane organic compounds,
NMOC) will be analyzed by ASTM Method D-1945. The specified air contaminants of the
Cu(ifornia Health and Safety Code, Part 4, Chapter 3, Article 2, Section 41805.5(i)(6) will be
analyzed by EPA Method TO-ll (for fonnaldehyde), EPA Method TO-14 (for halogenated
hydrocarbons), and ASTM D-5504 (for hydrogen sulfide).
Results wil] be presented in a written report containing field notes, laboratory sheets, tabulated
summaries of the data, and a discussion of results. The results also will be used to evaluate
compliance with Special Condition XIV.B.I, the emission limit for NMOC of 220 pounds/day.
The work does not include a health-risk assessment. If results from the proposed sampling are
similar to previous results (for which a health-risk assessment was conducted), presumably the
excess cancer risk of 10-in-one million would not be exceeded. The City does not need to
conduct a health-risk assessment unless specifically requested to by the MCAQMD.
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P03748.00 Tusk 13 Lawrence&Associales i
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� Ciry oj(7kiah Juire 71, 2074
Propnsa!jor 10I4 Annua!Emissions Sampling Page 3 of 3 �
� Cost Estimate
The estimated cost of work is not to exceed �4,827. This includes laboratory analysis. A �
detailed cost estimate is shown below.
ANNUAL GAS-EXTRACTION SYSTEM SAMPLING-2014
Item Qty Unit $Nnit Subtotal
LABOR
Principal geologist, review report 0.5 Hr $145.00 $72.50
Field geologist, prepare report 6 Hr $95.00 $570.00 ,
Technician, 24 Hr $80.00 $1,920.00
order sampling supplies, prepare to
sample, collect, package,
and ship samples (requires 6-S hr for
formaldehyde)
AutoCAD operator, prepare figures 1 Hr $75.00 $75.00
Clerical, edit and reproduce report 1 Hr $60.00 $60.00
Subtota[ 52,697.50
EXPENSES
Report materials 3 Ea $20.00 $60.00
Equipment rental (pumps, manometer) 1 LS $100.00 $100.00
Laboratory (Air Toxics, Ltd.)
Mod. TO-14 (vol. organics) 2 Ea $144.00 $288.00
Mod. TO-1] (formaldehyde) 3 Ea $115.00 $345.00
Mod. ASTM D-1945 (natural gas) 2 Ea $172.50 $345.00
Mod. ASTM D-5504 (HzS) 2 Ea $ll5.00 $230.00
Tedlarbags (1 liter) 2 Ea $34.50 $69.00
' Formaldehyde cartridges 3 Ea $29.00 $87.00
6-liter SUMA canister 2 Ea $34.50 $69.00
Shipping (samples and reports) 1 LS $150.00 $150.00
PerDiem 1 Dy $120.00 �120.00
Mileage 380 Mi $0.70 $266.00 i
Subtotal �2,129.00 I
LABOR $2,697.50 I
EXPENSES $2,129.00
TOTAL �
IP03748.00 Task 13 Lawrence&As:+ociutes
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ENGINEERS 8 GEOLOGISTS
SCHEDULE OF FEES
Professional Services
Engineering GeologisdHydrogeologist
Principal ..................................................................................................... $145/hour
Senior.......................................................................................................... $120/hour �
Associate................._.................................................................................. $105/hour �
Staff............................................................................................................. $95/hour
Assistant...................................................................................................... $90/hour
Fngineer
Principal Engineer.......................................................
................................ $150/hour
Senior Registered Civil ............................................................................... $125/hour
AssociateCivil............................................................................................ $I15/hour
AssistantCivil..........._....................................................._......................... $95/hour
Gngineering Technician..........................................................................._.. $80/hour
ProjectManager......................................................................... $]20/hour
AutoCAD Operator(Level I) ........................................................................... $75/hour
AutoCAD Operator(Level 11) ................_._................................................... $65/hour
FieldTechnician ........................................................................ $80/hour
Laborer.................................................................................... $60/hour
Surveyor........................................................................................................... $75/hour
Tank Fund Administrator................................................................................. $60/hour
Clerical ............................................................................................................. $60/hour
WordProcessor................................................................................................ $60/hour
Depositiou and Court Appearances
Minimum charge .............................................................................................. $1200 part or full day
DepositionRate ............................................................................................... $180/hr
Prepara[ion at consulting-service ra[es.............................................._............. as lis[ed above
Drilling Services (CD1E-55 drilling rig)
7-5/S and 9-SiR-inch OD augers w�ith operator and helper............................._ (See drilling
Mobilization..................................................................................................... schedule of fees)
Other In-Hause Equipment
1'est pumps(submersible,through 5 HP)......................................................... quoted/job .
Campbell 21 X data loggers w/transducers(water and gas)............................. quoted/job �
Conductivity, oxygen, temperature and dissolved oxygen probes.............._.... quoted/job
Me�eorological station(wind direction and velocity)....................................... quoted/job
Gas-extraction and air-monironng pumps........................................................ quo[ed/job
Mileage ..............................._.......................................................................... $OJO '
Mileage(drillingrig)........................................................................................ �1.00 �
Pcr diem(per person/day; may vary dep. upon location)................................. $120+/day I
Level D protection(per person/day)................................................................. $30/day
Level C protection(per person/day)................................................................. $50/day I
Survey equipment(per day) ............................................................................. �50/day
GPS SurveY�Per day)....................................................................................... 5150/day
Expenses, Matcrials, Outside Services
. (All direct-job related expenses: reproduction,rental equipment,
�I materials, subcontracted labor and equipmenQ ............................................._. at cost+ 15% i
3590 Iron Court • Shasta Lake,California 96019 • (530)275-4800 • fax(530)275-7W0 • wwwJwmccom
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ACORD�. CEhTIFICATE OF LIABILITY INSURa4NCE °"'E,MM,°°""", I'
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aeo�ucea THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION I
Dealey, Renton&AssoCiates ONLV AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;
P. O. 6oc 12675 HOLDER.THIS CERTIfICA7E DOES NOT AMEND,EXTEND OR �
ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW.
Oaklantl,CA 94604-2675
510 465-3090 INSl1RERS AFFORDING COVERAGE NAIC k
iNSUaeo imsuaeA n� Hudson Specially Ins.Co. 37079
Lawrence&Associates wsuaea e: Travelers Property Casualty Co 25674 '�
3590 Iron Court I
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COVERAGES
1 FE FGLDES OF INSURANCE�iSTED BELOVr'hAVE BEEY ISSIJE�i 0 THE INSURED NAA1ED ABOVE FOR THE POLICY PERIO�INDICATEO.NDTWITMSTAN�ING
4VV RLOU'.REMENT,TEH'J OR CONDiTIDN OF Arvv CGNiFACT OR OTHER DOCIIMF.M K'iTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE�OR I
MqV nFHTnIN THE INSl1RANGE AFFOROE�BY iHE PO'JCIES�ESCRIBED HEREiN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
PO�ICI[S AGGREGATE LIMITS SHOWN MAY FAVE BEEN REGUCED BY PAIO C�N415.
' POIICYEFFECTIVE FOLICVE%PIRATION
LfN N R TyPEOFINSUFANCE POLICYNIIMBER D/TE MM�� OATE MM1VOD LIMRS
q �EHEqaivaewrv E564205121401 02101I74 02f01(15 =ncnoceuHaeHCe s2000000
X URMPGt i0 RENTEO
coumeacin�aer+eR;.:urai�"rv ea i 550 000
ev.iMSM.+oE �occuH MEOExaia�y��,evr,so-�� s5000
% BI/PD Ded:10000 veasonni s aov iwuav s2 000 000
GENEHALAGGREGFTE SP OOO,OOO
GENIPGGREGATELIMiiNPPULSPEH� PROpOCTS�COM?IOPAGG SYOOOOOO
PXO-
X PO�ICY 1 I.OL
B nurornoai�eunaiurr BA3977X570 02/Ot/14 02/01I15 COIABMEOSINGLEUMIi
X ��NYnllTO 1Eae«menq S1,OOO.00D
Au OW VED wJi05 BOOILY INJURY
(Pe�p¢rsm) 5 I
SGHE�ULED AJT0. I
X HI4EU FUi05 pOpll Y INJURY I
X NON�ONMEOAlli05 IPe�s[ctlBnl� S
aaOPFFiYDAMPGE 5
(Per am0¢n:l
GARAGELIA&LITV /WTOO�V-EFACCIDENT 5
FV1'PUTC' pl"MEHTHhN EAACC $
AUTDOV�P. pGG 5
E%CESS:UMBRELLALIABILRY CACHOGCUHRLNCE S
OCCUH �GIAIMSNhOE AGGREGATE S
5
DED�CT��BLE 5
RFTFNTbN $ 5
WGST�TU- OTH-
WORKE0.5 COMPENSATION pNO
EMGLOYERS LIABIIJTV
E...EACHACCIOENT S
AvY GHOPftIETOR��NRTmEN�E%ECUTNE
OfFlCER/MEMBERE%CLII�ED? E.�..D6EASE-EAEMPLOYEE 5
uyes aescnoeo�ae�
5'ECIP:PRO'JISiONS o&o�e E�.DISEASE�POIIGY LIMII 5
q omea professional ES64205721401 021071i4 02/Ot115 $2,000,OOOperclaim
Liability $2,000,000 annl aggr.
OESCRIPTION OF OPEF/110N5�LDCAi10N5�VEHIQES/E%C W SIONS A�DED BT ENDOqSEMENi/SPECIPL PROVISIONS �.
Ge�eral liability excludes claims out of the performance of professionai services
All Operations of the Named Insured The City of Ukiah, its officers,officials,employees and volunteers are
named as additional insureds as respects geaerel liabiliry for claims arising from the operations of the
nametlinsured. 'I
CERTIFICATE HOLDER CANCELLATION
SHOIILD 4NV OF THE FBOVE DESCNIBEO GOLICIES BE CANCELLED BEFOFE THE E%P�0.l�ilON
CityofUkiah DATEiHEREOF.TXEIS5l11NGIN5UREFWILLENOEAVORTOM.AIL �Q_ DAVSWRITTEN
Dept. of Public Warks NDTICE i0 THE LERTIFlCATE HOL�ER NPMEO TO iHE tEFT,BIIT FNL'JRE TO DO 50 SHALL
.�SOO SCl111�18(Y AVE. IMPOSE NO OBLIGATION OR LIPBI�RY OF NNV HIND UPON THE INSURER,ITS NGENTS OR I
I Ukiah,CA 95482•0000 REaaESeNrarrvES.
PIITMOR12E0 REPRESENTRiIVE '
ACORD 25(2001I08)� of 1 BS863513IM663515 MXG a �+CORD CORPORA710N 1988 �I
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POLICY NUMBER: BA3977X570 COMMERCIAL AUTO '�
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED '
This endorsemeM modifies insurance provided under the(ollowing: �
BUSINESS AUTO COVERAGE FORM
GARAGECOVERAGEFORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverege Form apply unless modified
by this endorsement. I
This endorsement identifies person(s)or organization(s)who are "insureds" under the Who Is An In sured Provision of
the Coverage Form. This endorsement does not alter coverege provided in the Coverage Form.
This endorsement changes the policy effective on the inception dale of the policy unless anoiher date is indicated
below.
Endorsement effective '��
ovc�i�a ,
Named Insured Countersigned by n/ '// i_ �� �
//il^*-����c.r
Lsw:ence 8 l�csocietes �I
(Authorized Representative)
SCHEDULE I
Name of Person�s)or Organization(s): ��,
The G[y o`Ukiah,its officers,oRCials,employees an0 volunteers
Qf no entry appears above, information required to complete [his endorsement will be shown in the Declarations as
applicable to the endorsement.)
Each person or organizalion 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 o(the
Coverage Form.
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CA 20 48 02 99 Copyright, Insurance Services Office, Inc.: 1998 Page 1 of 1 III
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HUDSON SPECIALTY INSURANCE COMPANY
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(A New York Domiciled Corporarion)
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ECO-PAK
Additional Insured Owners, Lessees or Contractors
Automatic Assignment Endorsement
In consideradon of the pcemium paid,it is hereby undcrstood and agreed that thc following shall !
apply to:
PolicyNumbec �t�"'0`�'!'�'� I
Effective Datr. �
This endorsement modifies inwrance provided under the applicable Policy covetage patt(s)
SCH F.DUI.E ��.
Name of Person or Organizarion:
An}'person(x) or ocganizadon(s) whom the NAMED IVSCRED agrees, in a written contract,co
name as an addirional insurcd, shall be deemed an INSURED. However,this scatus e�sts only foc
the project specified in that conttac[ but onl}'�V�th respect to [ha[persods or organizanon's
vicacious liabiliry arising ouc of ongoing operations perEoimed for[hat addi¢onal insuled.
This endorsemrnt does not apply to the Envizonmental Professional Liability covezage part.
A!I othrrpoGcy tenne�and condiuons shall remain the same. I,
� J�.� . I
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A T ORIZEll RESENTATIVE ''
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ESB-COM-llb&279 Page 7 of 1 I
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,aco°� CERTIFICATE OF LIABILITY INSURANCE DATE�MMIpD/YYYY�
�i� 6/11/2014
THIS CERTIFICA7E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH7S UPON THE CERTIFICATE HOLDER. THIS li
CER7IFICA7E DOES NO7 AFFIRMA7IVELY OR NEGATIVELY AMEND, EX7END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ��
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETVJEEN 7HE ISSUING INSURER(S), AUTHOR�ZED
� REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If lhe certiticate holder is an ADDITIONAL INSURED, the policy(ies)musl 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.
P0.0DUCER ����A�� HEdCYlEL Dickereon
NAME:
S F I Insurance Services v�o�E (530)244-7446 F'ix . �sao�z�z-oios
1524 Market Street E#IAIL
INSURER 5 AFFOR�ING GOVERAGE NAIC p i
Redding CA 96001 INSURERA:StdCE Com eneation Ine. Fund 5076 '
INSURED
INSURER B:
Lawrence & Aseociates ZIIC INSIINERC:
3590 Iron Ct INSURERD:
INSURER E'
Shasta Lake Cit CA 96019 INSURERF:
COVERAGES CERTIFICATE NUMBER:2014-15 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLIQES OF INSURANCE LISTE�BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TME POLICV PERIOC
INDICATED. NOTWITHSTqNDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER �OCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BV THE POLIGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
E%CLUSIONS AND CONDITIONS OF SUCH POLIGES.LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
MSR rypEOFINSURPNCE AODL BR pOLICYNUMBER MMID�DNVYY MMIOD�IYYYY LIMITS
LTR
GENERAL LIA9ILITY EAGH OCCURRENCE S
OAMAGETO N ED '
COMMERCIALGENERALLIABILITV PREMISES Ea urte 5
CLAIMS�MADE ❑OGCOR MED EXP(An me person 5
PERSONAL 8 ADV INJIIRY 5
GENERA�AGGREGATE 5
GEN'L AGGREGATE LIMIT aPPUES vER. PRODUCTS-COMPIOP AGG 5
POLICV PRO- LOC 5
AUTOMOBILE LIABIIJtt COMBINED SINGLE LIMR
Ea acciEenl
ANY AUTO
BODILYINJUftY�Pttperson) 5
ALLONMED SCHEOULED BODIIYINJURV�PeramlCenl) 3
AUTOS AUTOS
NON-OWNED PROPERTYDAMAGE a
HIREDAUTOS qUT05 P raccitlenl
S
UmaRELLALINB OCCUR EACHOCCURRErvCE 5
EXLE55 LIAB �LAIMS-MAOE AGGREGATE 5
❑ED RETENTION$ 5 �
j� WONKER$COMPENSATION X WC STRTU- OTM- ,
AND EMPLOVERS'LIABILT'
ANYPROPRIETOWPARTNEWEXECUTNE� N�p E.LEACHACCIOENT 5 1�000 OOO ��
oFFicEamieMaEa excwoEO? 968162-19 /1/]014 /1/2015
(MantlatoryinNH� ELDISEASE-EAEMPLOYE 5 1 OOO 000
II yes EeuribeunCer
DESCRIPTIONOFOPERATIONS�elow ELOISEASE-POLICVLIMIT $ 1 OOO 000
OESCRIPTION OF OPERATIONS I LOCATION51 VENICLES �AtlacM1 ACOPD 101,Ftltlitlonal RemarNS ScM1atlule,II more zpace Is reyulretl)
WAIVER OF SUBROGATION APPLIES TO POLICY # 1968162-14
CERTIFICATE HOLDER CANCELLATION �I
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICV PROVISIONS.
CITY OF UKIAH i
300 SEMINARY AVE.
UKIP.H� CA 9 54 82-540 0 FUTHORI2EDREPRESENTATrvE
Joe Gibeon/HLD `�' - ���--4'-- -- I
ACORD 25(2010/OS) OO 1988-2010 ACORD CORPORATION. All rights reserved.
� INS025¢oionsl.oi The ACORD name and logo are registered marks of ACORD '
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ENDORSEMENT AGREEMENT
WAIVER OF SUBROGATION
� 1968162-13
RENEWAL
NF
HOME OFFICE 0-79—BS-40 I
SAN Ff7ANC15C0 PAGE 3 �F 8 I
ALLEFFEC7IVE �ATESARE
ar iz oi nnn PACIFIC EFFECTIVE JULY 1, 2013 AT 12, 01 A.M.
STANDqRD TIME OR rHE AND EXPIRING JULY 1 , 2014 AT 12 , 01 A.M.
TIME INDICaTED A7
PACIFIC STANDARD TIME I
DAVID A LAWRENCE INC
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3590 IRON CT i
SHASTA LAKE, CA 96019
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I ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING,
TT IS AGREED THAT THE STATE CONPENSATION INSURANCE FUND
I WAIVES ANY RIGHT OF SUBROGATION AGAINST,
�; CITY [1KIAH I
WHICH MTGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS
� POLICY IN CONNECTION WITH WORK PERFORMED BY, I
! DAVTD A LAWRENCE IRC �
I IT IS FQRTHER AGREED THAT THE INSURED SHALL MAINTAIN
, PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION I
OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE ��
iEMPLOYER.
' IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINCS OF 5[1CH I
EMPLOYEES SHALL BE INCREASED BY 03%. i
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� NOTHING IN THIS ENDORSEMENT CONTAINED SHqLL BE HELD 70 VARY, ALTER, WAIVE
OP EXTEND ANV OF THE TERMS, COND1710NS, AGREEMENTS, OR LIMI7A7�ONS OF THIS
POLICY OTHEP THAN AS STATED. NOTHING ELSEWHERE IN 7HIS POLICY SHALL BE i
HELD TO VARY, ALTER, WA7VE OR LIMIT THE TFRMS, CONDITlOMS, AGREEMENTS OR ,
LIMITATIONS OF THIS ENDORSEMEN7.
I �
COUNTERSIGNED AND ISSUED AT SAN FRANCISCO� JUNE 2� � ZO13 ZS7O
,���/�� `�. �� �
' AUTNORIZED REPRESENTA WE PRESIDENT AND CEO
SCIF FORN I041) 16EV.1-2012j OLD OP 21)
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