Loading...
2200 - ADM Architects, Inc. - Architectual Design Services for Maintenance YardPROFESSIONAL SERVICES AGREEMENT Zios C16006 PUBLIC WORKS MAINTENANCE YARD IMPROVEMENTS PROJECT - ARCHITECTURAL DESIGN SERVICES (ADM ARCHITECTS, INC.) 1. PARTIES AND DATE. *w W � This Agreement is made and entered into this OeT day of Jd,47ecf9 , 20 /S (Effective Date) by and between the City of Rosemead, a municipal organization organized under the laws of the State of California with its principal place of business at 8838 E. Valley Blvd., Rosemead, California 91770 ( "City ") and ADM Architects, Inc. with its principal place of business at 10855 Beverly Drive, Whittier, CA 90601 ( "Consultant'). City and Consultant are sometimes individually referred to herein as "Party" and collectively as "Parties." 2. RECITALS 2.1 Consultant. Consultant desires to perform and assume responsibility for the provision of certain professional services required by the City on the terms and conditions set forth in this Agreement. Consultant represents that it is experienced in providing architectural design services to public clients, is licensed in the State of California and is familiarwith the plans of City. 2.2 Project. City desires to engage Consultant to render such architectural design services for the Public Works Maintenance Yard Improvements Project ('Project'), also referred to as "Services" as set forth in this Agreement. 3. TERMS 3.1 Scope of Services and Term. 3. 1.1 General Scope of Services: Consultant promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional architectural design services necessary for the Project, herein referred to as "Services'. The Services are more ADM ARCHITECTS, INC. Page 2 of 10 particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Agreement, the exhibits attached hereto and incorporated herein by reference, and all applicable local, state and federal laws, rules and regulations. 3.1.2 Term: The term of this Agreement shall be from the Effective Date shown above to December 31, 2015 unless earlier terminated as provided herein. Consultant shall complete the Services within the term of this Agreement, and shall meet any other established schedules and deadlines. The Parties may, by mutual, written consent, extend the term of this agreement is necessary to complete the Services 3.2 Responsibilities of Consultant. 3.2.1 Control and Payment of Subordinates; Independent Contractor: The Services shall be performed by Consultant or under its supervision. Consultant will determine the means, methods and details of performing the Services subject to the requirements of this Agreement. City retains Consultant on an independent contractor basis and not as an employee. Consultant retains the right to perform similar or different services for others during the term of this Agreement. Any additional personnel performing the Services under this Agreement on behalf of Consultant shall also not be employees of City and shall at all times be under Consultant's exclusive direction and control. Consultant shall pay all wages, salaries, and other amounts due such personnel in connection with their performance of Services under this Agreement and as required bylaw. Consultant shall be responsible for all reports and obligations respecting such additional personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, disability insurance, and workers' compensation insurance. 3.2.2 Schedule of Services: Consultant shall perform the Services expeditiously, within the term of this Agreement. Consultant represents that it has the professional and technical personnel required to perform the Services in conformance with such conditions. In order to facilitate Consultant's conformance with the Schedule, City shall respond to Consultant's submittals in a timely manner. Upon request of City, Consultant shall provide a more detailed schedule of anticipated performance to meet the Schedule of Services. 3.2.3 Conformance to Applicable Requirements: All work prepared by Consultant shall be subject to the approval of City. 3.2.4 Substitution of Key Personnel: Consultant has represented to City that certain key personnel will perform and coordinate the Services under this Agreement. Should one or more of such personnel become unavailable, Consultant may substitute other personnel of at least equal competence upon written approval of City. In the event that City and Consultant cannot agree as to the substitution of key personnel, City shall be entitled to terminate this Agreement for cause. As discussed below, any personnel who fail or refuse to perform the Services in a manner acceptable to the City, or who are determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project or a threat to the safety of persons or property, shall be promptly removed from the ADM ARCHITECTS, INC. Page 3 of 10 Project by the Consultant at the request of the City. 3.2.5 City's Representative: The City hereby designates the City Engineer, or his or her designee, to act as its representative for the performance of this Agreement ( "City's Representative "). City's Representative shall have the power to act on behalf of the City for all purposes under this Agreement. Consultant shall not accept direction or orders from any person other than the City's Representative or his or her designee. 3.2.6 Consultant's Representative: Consultant will designate a designee to act as its representative for the performance of this Agreement ( "Consultant's Representative'). Consultant's Representative shall have full authority to represent and act on behalf of the Consultant for all purposes under this Agreement. The Consultant's Representative shall supervise and direct the Services, using his /her best skill and attention, and shall be responsible for all means, methods, techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this Agreement. 3.2.7 Coordination of Services: Consultant agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.8 Standard of Care; Performance of Employees: Consultant shall perform all Services under this Agreement in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Consultant represents and maintains that it is skilled in the professional calling necessary to perform the Services. Consultant warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Consultant represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License, and that such licenses and approvals shall be maintained throughout the term of this Agreement. As provided for in the indemnification provisions of this Agreement, Consultant shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Consultant's failure to comply with the standard of care provided for herein. 3,2.9 Laws and Regulations: Consultant shall keep itself fully informed of and in compliance with all local, state and federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal /OSHA requirements, and shall give all notices required by law. Consultant shall be liable for all violations of such laws and regulations in connection with Services. If the Consultant performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Consultant shall be solely responsible for all costs arising therefrom. Consultant shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Agreement, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.10 Insurance: Consultant shall maintain prior to the beginning of and for the ADM ARCHITECTS, INC. Page 4 of 10 duration of this Agreement insurance coverage as specified in Exhibit B attached to and part of this agreement. 3.2.11 Safety: Consultant shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services, the Consultant shall at all times be in compliance with all applicable local, state and federal laws, rules and regulations, and shall exercise all necessary precautions for the safety of employees appropriate to the nature of the work and the conditions under which the work is to be performed. Safety precautions as applicable shall include, but shall not be limited to: (A) adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention for all employees and subcontractors, such as safe walkways, scaffolds, fall protection ladders, bridges, gang planks, confined space procedures, trenching and shoring, equipment and other safety devices, equipment and wearing apparel as are necessary or lawfully required to prevent accidents or injuries; and (C) adequate facilities for the proper inspection and maintenance of all safety measures. 3.3 Fees and Payments. 3.3.1 Compensation. Consultant shall receive compensation, including authorized reimbursements, for all Services rendered under this Agreement and shall not exceed Nineteen Thousand Five Hundred Dollars ($19,500.00). Extra Work may be authorized in writing, as described below, and will be compensated atthe rates and manner set forth in this Agreement. 3.3.2 Payment and Compensation: Consultant shall submit to City a monthly itemized statement which indicates work completed and hours of Services rendered by Consultant. The statement shall describe the amount of Services and supplies provided since the initial commencement date, or since the start of the subsequent billing periods, as appropriate, through the date of the statement. City shall, within 45 days of receiving such statement, review the statement and pay all approved charges thereon. 3.3.3 Reimbursement for Expenses: Consultant shall not be reimbursed for any expenses unless authorized in writing by City. 3.3.4 Extra Work: At any time during the term of this Agreement, City may request that Consultant perform Extra Work. As used herein, "Extra Work" means any work which is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the execution of this Agreement. Consultant shall not perform, nor be compensated for, Extra Work without written authorization from City's Representative. 3.3.5 Prevailing Wages: Consultant is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 6, Section 1600, et seq., ( "Prevailing Wage Laws "), which require the payment of prevailing wage rates and the performance of other requirements on "public works' and "maintenance' projects. If the Services are being performed as part of an applicable "public works' or "maintenance" project, as defined by the Prevailing Wage Laws, ADM ARCHITECTS, INC. Page 5 of 10 and if the total compensation is $1,000 or more, Consultant agrees to fully comply with such Prevailing Wage Laws. City shall provide Consultant with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Consultant shall make copies of the prevailing rates of per diem wages for each craft; classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Consultant's principal place of business and at the project site. Consultant shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 3.4 Accounting Records. 3.4.1 Maintenance and Inspection: Consultant shall maintain complete and accurate records with respect to all costs and expenses incurred under this Agreement. All such records shall be clearly identifiable. Consultant shall allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 3.5 General Provisions. 3.5.1 Termination of Agreement. 3.5.1.1 Grounds for Termination: City may, by written notice to Consultant, terminate the whole or any part of this Agreement at any time and without cause by giving written notice to Consultant of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Consultant shall be compensated only for those services which have been adequately rendered to City, and Consultant shall be entitled to no further compensation. Consultant may not terminate this Agreement except for cause. 3.5.1.2 Effect of Termination: If this Agreement is terminated as provided herein, City may require Consultant to provide all finished or unfinished Documents/ Data and other information of any kind prepared by Consultant in connection with the performance of Services under this Agreement. Consultant shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services: In the event this Agreement is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3.5.2 Delivery of Notices. All notices permitted or required under this Agreement shall be given to the respective parties atthe following address, or at such other address as the respective parties may provide in writing for this purpose: ADM ARCHITECTS, INC. Page 6 of 10 CONSULTANT: ADM Architects, Inc. 10855 Beverly Drive Whittier, CA 90601 Attn: Carlos Chavez - Andonegui, A.I.A. Phone: (626) 403 -9902 CITY: City of Rosemead P.O. Box 399 Rosemead, CA 91770 Attn: Rafael M. Fajardo, P.E. — City Engineer Phone: (626) 569 -2151 Fax: (626) 569 -2303 Such notice shall be deemed made when personally delivered or when mailed, forty -eight (48) hours after deposit in the U.S. Mail, first class postage prepaid and addressed to the party at its applicable address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. 3.5.3 Ownership of Materials and Confidentiality. 15.3.1 Documents & Data, Licensing of Intellectual Property: This Agreement creates a non - exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ('Documents & Data "). Consultant shall require all subcontractors to agree in writing that City is granted a non - exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were prepared by design professionals other than Consultant or provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at anytime, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 3.5.3.2 Confidentiality: All ideas, memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other Documents and Data either created by or provided to Consultant in connection with the performance of this Agreement shall be held confidential by Consultant. Such materials shall not, without the prior written consent of City, be used by Consultant for any purposes other than the performance of the Services. Nor shall such materials be disclosed to any person or entity not connected with the performance of the Services or the Project. Nothing furnished to Consultant which is otherwise known to Consultant or is generally known, or has become known, to the related industry shall be deemed confidential. Consultant shall not use City's name or insignia, photographs of the Project, or any publicity ADM ARCHITECTS, INC. Page 7 of 10 pertaining to the Services orthe Project in any magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of City. 3.5.4 Cooperation; Further Acts: The Parties shall fully cooperate with one another, and shall take any additional acts or sign any additional documents as may be necessary, appropriate or convenient to attain the purposes of this Agreement. 3.5.5 Attorney's Fees: If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Agreement, the prevailing party in such litigation shall be entitled to have and recover from the losing party reasonable attorney's fees and all other costs of such action. 3.5.6 Indemnification: To the fullest extent permitted bylaw, Consultant shall defend, indemnify and hold the City, its officials, officers, employees, volunteers, and agents free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, in any manner arising out of, pertaining to, or relating to any negligence, errors or omissions, recklessness, or willful misconduct of Consultant, its officials, officers, employees, agents, and Consultants arising out of or in connection with the performance of the Consultant's Services, including without limitation the payment of all consequential damages, expert witness fees, and attorneys fees and other related costs and expenses. Consultant shall defend, at Consultant's own cost, expense and risk, any and all such aforesaid suits, actions or other legal proceedings of every kind that may be brought or instituted against City, its directors, officials, officers, employees, agents, or volunteers. Consultant shall pay and satisfy any judgment, award or decree that may be rendered against City or its directors, officials, officers, employees, agents, or volunteers, in any such suit, action or other legal proceeding. Consultant shall reimburse City and its directors, officials, officers, employees, agents, and /or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Consultant's obligation to indemnity shall not be restricted to insurance proceeds, if any, received by the City, its directors, official's officers, employees, agents, orvolunteers. 3.5.7 Entire Agreement: This Agreement contains the entire Agreement of the parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings or agreements. This Agreement may only be modified by a writing signed by both parties. 3.5.8 Governing Law: This Agreement shall be governed by the laws of the State of California. Venue shall be in Los Angeles County. 3.5.9 Time of Essence: Time is of the essence for each and every provision of this Agreement. 3.5. 10 City's Right to Employ Other Consultants: City reserves right to employ 1 other consultants in connection with this Project. ' 3.5.11 Successors and Assigns: This Agreement shall be binding on the successors and assigns of the parties. �i ADM ARCHITECTS, INC. Page 8 of 10 3.5.12 Assignment or Transfer: Consultant shall not assign, hypothecate, or transfer, either directly or by operation of law, this Agreement or any interest herein without the prior written consent of the City. Any attempt to do so shall be null and void, and any assignees, hypothecates or transferees shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 3.5.13 Construction; References; Captions: Since the Parties or their agents have participated fully in the preparation of this Agreement, the language of this Agreement shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not work days. All references to Consultant include all personnel, employees, agents, and subcontractors of Consultant, except as otherwise specified in this Agreement. All references to City include its elected officials, officers, employees, agents, and volunteers except as otherwise specified in this Agreement. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Agreement. 3.5.14 Amendment; Modification: No supplement, modification, oramendment of this Agreement shall be binding unless executed in writing and signed by both Parties. 3.5.15 Waiver: No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a Party shall give the other Party any contractual rights by custom, estoppel, or otherwise. 3.5.16 No Third Party Beneficiaries: There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 3.5.17 Invalidity; Severability: If any portion of this Agreement is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. 3.5.18 Prohibited Interests: Consultant maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Consultant, to solicitor secure this Agreement. Further, Consultant warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Consultant, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon or resulting from the award or making of this Agreement. Consultant further agrees to file, or shall cause its employees orsubconsultants to file, a Statement of Economic Interest with the City's Filing Officer as required understate law in the performance of the Services. For breach or violation of this warranty, City shall have the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. 3.5.19 Equal Opportunity Employment: Consultant represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee ADM ARCHITECTS, INC. Page 9 of 10 or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex or age. Such non - discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. Consultant shall also comply with all relevant provisions of City's Minority Business Enterprise program, Affirmative Action Plan or other related programs or guidelines currently in effect or hereinafter enacted. 3.5.20 Labor Certification: By its signature hereunder, Consultant certifies that it is aware of the provisions of Section 3700 of the California Labor Code which require every employer to be insured against liability for Worker's Compensation or to undertake self- insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 3.5.21 Authority to Enter Agreement: Consultant has all requisite power and authority to conduct its business and to execute, deliver, and perform the Agreement. Each Party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and bind each respective Party. 3.5.22 Counterparts: This Agreement may be signed in counterparts, each of which shall constitute an original. 3.6 Subcontracting. 3.6.1 Prior Approval Required: Consultant shall not subcontract any portion of the work required by this Agreement, except as expressly stated herein, without prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Agreement. [Signatures on next page] ADM ARCHITECTS, INC. Page 10 of 10 CITY OF ROSEMEAD J Allred, City Manager D to Attest: —AG Iona M� olleda, City Clerk Date ADM ARCHITECTS, INC. By: l 4 Vte a�te / Name:�a2GG5 A11AkWZ-AX% ®04)5[iJ/ Title: [If Corporation, TWO SIGNATURES, President OR Vice Pres[den! AND Secretary, AND CORPORATE SEAL OF CONSULTANT REQUIRED] By: ,� , 03 23 r5 Date Name: G/d,7 FC/f/EY�z Title: 5 FC' ADM ARCHITECTS, INC. EXHIBIT A SCOPE OF SERVICES SEE REQUEST FOR PROPOSAL (RFP) AND CONSULTANT'S PROPOSAL A -1 ADM ARCHITECTS, INC. 10855 Beverly Drive, Whittier, California 90601 • T: 626403 -9902 • E: cea@aderarchitects.us February 24, 2015 Mr. Sean Sullivan, Public Works Manager City of Rosemead 8838 East Valley Boulevard Rosemead, California 91770 Reference: Proposal for Professional Services for Alteration of Existing Commercial Space into New City Maintenance Yard and Warehouse Located at 2714 River Avenue, Rosemead, CA. Dear Mr. Sullivan: ADM Architects Inc. is pleased to submit this proposal /agreement for professional services to provide architectural and electrical engineering documents for the alteration of an existing commercial space into a new City of Rosemead. Maintenance Yard and Warehouse commensurate to your designated Scope of Work which includes the following: Phase I: Office /Administrative Space Conceptual Plan —based on information submitted by staff, site visits, and possible workshop brainstorming session to be held with Public Works Staff Construction Documents — to incorporate all comments agreed upon during conceptual review phase. Documents will be utilized in Public Bid Phase Preliminary items for Office /Administrative Space include the following: • Offices/ Small Meeting Room — 4 Total (Approx 200sf each) • Large Meeting Room / Lunch Room / Multipurpose Room (500 -600 so May include Kitchenette Counter — Sink and electrical • Locker /Changing Room (175 sf) • Men's Restroom with 2 Stalls /2 Urinals - Women's Restroom 2 Stalls • Shower Room — l Single Use/Unisex Shower • Janitorial Closet (70 sf) • File Storage Room (75 so • Lead Man Room (250 -300 sf) — Would include open concept 4 -6 workstations Phase 11: Warehouse Space Spatial Analysis and Planning for organization and use of warehouse space Our work shall also consist of the following: I. Site Survey: Interior building measurement to establish base drawings for demolition and new design plans which shall include development of an AutoCad file reflecting information gathered during the site survey. 2. Coordination with city staff to establish and review a Preliminary Design Program. 3. Provision of Architectural and Electrical Engineering Design Construction Documents which will include design and installation of a new power panel; lighting design; coordination with the Edison Co., if needed, and submittal of required forms and drawings to the latter agency. This project will be built within a pre - constructed space and this proposal shall include work required for handicap compliance such as design of access upgrading of existing toilet facility and any other upgrading for ADA compliance including parking. The Architectural Construction Drawings will consist of, but not limited to the following: • Demolition Plan. • Site Plan; Floor Plans; Reflected Ceiling Plan. • Enlarged Floor Plans. • Interior and Exterior Elevations. • Construction Details. During the Construction Phase of the work, provide technical support. Submittal of Final Notice of Completion to the City of Rosemead. Our proposal includes the following provisions: • Completion of Construction Documents shall be done within a reasonable length of time from issuance of approved contractual agreement, provided there are no delays caused by unforeseen conditions or other issues outside the control of the Architect and his consultants. Our total fee for this work shall be $ 19,500 to be paid per the following increments: 30% of fee to commence the project and measure the site and start the Preliminary Design Phase and coordination with Owner and design consultant. 30% of fee at approval of preliminary design and prior to commencement of Construction Documents. 30% of fee at end of Construction Document Phase and submittal of plans to respective government agencies. ADM ARCHITECTS, INC. 10855Eeverlyl) iWe,Whittiey California 90601 • T: 626403 -9902 • E: cca @admarehitects.us 10% at end of Construction Phase or 90 days after submittal of last previous pay request, which ever comes first. Included in this fee will be the provision of documents for city approvals, including sets for back - checking purposes and the provision of 2 sets of approved Construction Documents which will be given to the City. Printing costs beyond those sets included as part of this agreement will be charged at printing face value plus a 20% servicing fee. Thank you for your consideration of our firm, we look forward to working with you. Your acknowledgement shall constitute our agreement to commence with the Project. Sincerely, ADM Architects Inc. C. Chavez- Andonegui, A.I.A. Architect / President RESUME: Carlos E. Chavez- Andonegui, A.I.A. ED UC AT I ON/RE GIST RAT I ON Licensed Architect State of California, 1983 Bachelor of Architecture (Advanced Degree equivalent to Master) University of California, Berkeley, Minor: Urban Design PROFESSIONAL ACTIVITIES Pasadena - Foothill Chapter, American Institute of Architects Member, 1983 - Present Los Angeles Chapter, American Institute of Architects Member, 1983 - Present State of California Office of Emergency Services Registered Disaster Service Volunteer, 1995 State of California Board of Architectural Examiners Exam Commissioner, 1987 AIA Minority Resources Committee Chair, 1989 AIA Architects for Education Committee Chair, 1990 - 1994 American Institute of Architects Guest Lecturer on Design, 1990 - 1994 Woodbury University, College of Architecture Visiting Design Critic, 1991 Arts Center College of Design Guest Lecturer on Transportation Graphics, 1976 UCLA Oral History Class Guest Lecturer, 1971 Los Angeles Conservancy Member, 1994 - Present City of Montebello Hillside Development Community Action Committee Chair, 1993 MERITS / MEDIA Street Gallery by Robin J. Dunitz Second Edition Los Angeles Beautiful Organization Business & Industry Award Office of the Mayor Award For Design of Dialer -Ride Program, City of Los Angeles I- DEN' -TI -TY Magazine Article: "Window on His World ", Jan /Feb 1995 Hispanic Business Magazine Article: "The secrets behind UNIVISION's sale ", Feb. 1993 American Institute of Architects: L.A. Architect Publication "On the Eastside: Examples of Architecture ", Oct. 1991 KCAL - Channel 9 News Profile: "Primp Latino ". Aired May 3, 1991 Hispanic Magazine Article: "Building Futures ". April, 1991 Los Angeles Times Syndication : VISTA Magazine Profile: "Learning to Enjoy ". Mar. 16, 1991 La Opinion Newspaper Article: "Nueva arquitectura escolar ayuda a estudiantes Iatmos ". Jan. 1991 Under gkkworks: Team Member in Chaffey College SSA Building, named in 4 American Institute of Architects Merit and Honor Awards, including the Pasadena - Foothill Chapter, the San Fernando Valley Chapter, the Orange County Chapter, and the State of California AIA Honor Award. Progressive Architecture Magazine November 2008 Edition's web -site for Chaffey College SSA Building. LANGUAGES Fluent in English and Spanish. REPRESENTATIVE PROJECTS Firm: _glickworks Architects. Position: , Principal / Sr.. Project Mana eg r 2005- 2008 Chaffey Community College. Student Services Administration Building. Description: Construction of a 25,000 sq. ft., two story office building to house administrative services and offices for the Chaffey College student body and staff. Duration of construction was approximately 16 months at a cost of $ 10 million. Los Angeles Mission College, Sylmar. Tenant Improvement of Faculty Offices. Description: Gutting of existing office area of approximately 7,500 sq. ft. and reconstruction of new Faculty Dept. offices. Approximate cost: $ 22 M. Montebello Unified School District: Montebello Intermediate School. Construction of an 11- Classroom Building. Description: Construction of a 17,292 sq. ft., two -story classroom building to house science labs on the first floor and regular classroom on the upper floor. Construction will include development of new basketball courts and faculty and visitor parking. Start of Construction is expected in 2009. Approximate cost: $ 5.12 M. Montebello Unified School District: Washington Elementary School. Construction of an 11- Classroom Building. Description: Construction of an 17,292 sq. ft., two -story classroom building prototype to house classrooms including restrooms. Start of Construction is expected in 2009. Approximate cost: $ 3.95 M. Kem High School District: Modernization of the Library, Cafeteria and Lecture Hall at the Arvin High School in Bakersfield. Description: Modernization of facilities, including upgrading of the HVAC system in each facility. El Monte City School District: Shirpser Elementary School. Construction of new Classroom Building and the Library and Site Upgrade. Description. New construction of a two -story, 24,000 sq. ft. building and redesign of the playgrounds, fields and parking area. Construction finished in 2006. Los Angeles Unified School District: Design and Replacement of Garfield High School Auditorium, including Demolition Documents. Description: Design of a new auditorium as replacement of burned facility. Status of project: Design Development. Pasadena Unified School District: Facilities Master Plan for entire School District. Description: Led the effort to evaluate and validate condition of facilities at 30 campuses throughout the district, the outcome of which resulted in a Facilities Master Plan in which recommendations were presented in a priority system. This effort was completed before the November 2007 Ballot and used as a community guide, evaluation, and analytical study confirming areas of desired upgrade and new construction Firm: ADM Architects, Inc. Position: Principal. 1983 — 2005 / 2008 - Present EDUCATIONAL Bell Gardens Elementary School, Bell Gardens, CA — Construction of Marquee Montebello Unified School District Will Rogers Elementary School - Modernization of Main Classroom Buildings. Lynwood Unified School District, Lynwood CA Mulholland Middle School - Modernization of the Library and Office Addition Los Angeles Unified School District, Van Nuys, CA Aldama Elementary School: Construction of Classroom Building and Auditorium Los Angeles Unified School District Rosemead Adult School - Construction of Parking Lot and the Lunch Shelter El Monte Unified School District South El Monte High School - Construction of the Training Center El Monte Union High School District Adult Education and Computer Technology Center - 217 Garfield Ave. Alhambra School District Rockdale Elementary School: Construction of Classroom /Administration & Library Los Angeles Unified School District Buchanan Elementary School: Construction of Classroom Building and Lunch Shelter Los Angeles Unified School District Earthquake Damage Analysis for Various Schools Lynwood Unified School District Jefferson Complex Reconstruction and Heat Reduction Program Los Angeles Unified School District Sunrise Street School: Design of New Lunch Shelter & Remodel of Library & Classrooms Los Angeles Unified School District North Valley Occupational Center Child Care Facility Los Angeles Unified School District Muriel Gluck Child Care Center Los Angeles Unified School District Aztecs Headstart Child Care Development Centers City of Bell and City of Los Angeles Bienvenidos Child Care Center City of Covina, CA Earthquake Damage Analysis for Various Schools Los Angeles Unified School District Historical Restoration of Marshall High School Los Angeles Unified School District Carver Middle School Auditorium Restoration Los Angeles Unified School District Eugene Field School Multi -Media Center Pasadena Unified School District Installation of Portable Buildings at Various Sites Lynwood Unified School District Carpenter Ave. School Earthquake Damage Repair - FEMA Project Studio City, CA. Los Angeles Unified School District Montebello Park Elementary School Head Start Playground Expansion Montebello Unified School District COMMERCIAL Park View Place - Alhambra, CA 43 Unit, 5 -story senior living condo, 96,407 s.f. Construction Administration for D. I. Group, Inc. Fremont Gallery - South Pasadena, CA Self -help Graphics- Los Angeles, CA Design development of administrative offices, galleries and art workshop areas Ebony Showcase Theater Complex - CRAILA Mid City: 4710 -4726 Washington Blvd, Los Angeles, CA 90016 Design Development for a multi -use entertainmenticommercial project La Huasteca Restaurant - 45 S. Fair Oaks Avenue Old Town Pasadena, CA Malverde Restaurant - 11215 Long Beach Boulevard Plaza Mexico, Lynwood, CA Margarita Jones Restaurant - 541 Arroyo Parkway Pasadena, CA Margarita Jones Restaurant - 1125 West Covina Parkway West Covina, CA KMEX Channel 341 UNIVISION Corporate Offices and Broadcast Studios, Los Angeles KMEX / UNIVISION Trovare Italian Restaurant Woodland Hills, CA Whittier Blvd. Commercial Improvement Program - Facade Improvement & Signage Program City of Montebello Ebony Theater Complex (including Retail & Restaurant) Los Angeles Redevelopment Agency, Mid -City Ordonez Restaurant - Facade Remodel Montebello, CA Quiet Cannon Restaurant Elevator Tower City of Montebello Leaders Seismic Retrofit & Remodel of 8,000 s.f. Bldg.- Facade Improvement / Signage El Monte, CA Moreno Becerra & Guerrero Attorney Corporate Offices Building & Facade Remodel, Montebello, CA Leaders Warehouse - Part of City of El Monte Redevelopment Target Area El Monte, CA Dynamic Brokers Corporate Headquarter, Montebello, CA. Dynamic Brokers, Inc. 387 Washington Blvd. Industrial Complex Miranda Electrical Corp. Lynwood Middle School Community Health Clinic Wesley Health Centers + JWCH Institute, Inc. Civic City Hall East Wing Expansion (Personnel Dept.) and Lounge Patio City of Montebello Corporate Yard Transit Warehouse City of Montebello Senior Citizens' Recreation Center City of Montebello Iris Lane HUD Housing Project El Monte, CA Habitat for Humanity Design of Multiple Houses City of El Monte RESIDENTIAL: Park View Place Senior Living Condos — Alhambra, CA Luevano Residence, Pasadena, CA Rivera Residence, El Monte, CA Chavez- Andonegui Residence -Whittier, CA Banos Residence - Glendora, CA Bodger Street Residences - El Monte, CA Habitat for Humanity Residences - El Monte, CA Lieberman Residence - Corona Del Mar, CA Dabbs Residence, Diamond Bar ( "The Country"), CA CHARD Community & Human Resources Housing Complex, Los Angeles, CA Portillo Condominiums, Puerto Vallarta, Mexico Galvan / Kastagar Condominiums, Manhattan Beach, CA R & L Development Apartments, Alhambra, CA Chavez Residence, Montebello, CA Perea Residence, Los Angeles, CA R. Lara Residence Beach, Baja CA Robert Salas Residence, Manhattan Beach, CA Gramercy Place Residence, Los Angeles, CA Bissey Apartments, Montebello, CA Abraham Khan Residence, Walnut, CA Raymond Barba Residence, Walnut, CA Wilzig Residence, Bel Air, CA Wlzig Investment Residence, Pico Rivera, CA Dr. Zambrano Residence, Whittier, CA Dr. Arroyo Residence, Glendale, CA Richard Schuster Residence, South Pasadena, CA DeFulgentis Residence Hollywood, CA Trammel Crow Jr. Residence, Vail, CO Fredrick Field Residence Raquetball Court, Hamby Hills, CA Brandon Residence del Rey, CA Balance Residence, Montebello, CA Warren Beatty Residence - Bel Air, CA (under Pearson & Westhoff Architects) Merlin Olsen Residence - Orange County, CA (under Pearson & Westhoff Architects) Sammy Kahn Residence - Beverly Hills, CA (under Pearson & Westhoff Architects) ADM ARCHITECTS, INC. EXHIBIT B INSURANCE REQUIREMENTS Prior to the beginning of and throughout the duration of the Work, Consultant will maintain insurance in conformance with the requirements set forth below. Consultant will use existing coverage to comply with these requirements. If that existing coverage does not meet the requirements set forth here, Consultant agrees to amend, supplement orendorse the existing coverage to do so. Consultant acknowledges that the insurance coverage and policy limits set forth in this section constitute the minimum amount of coverage required. Any insurance proceeds available to City in excess of the limits and coverage required in this agreement and which is applicable to a given loss, will be available to City. Consultant shall provide the following types and amounts of insurance: Commercial General Liability Insurance using Insurance Services Office "Commercial General Liability" policy form CG 00 01 or the exact equivalent. Defense costs must be paid in addition to limits. There shall be no cross liability exclusion for claims or suits by one insured against another. Limits are subject to review but in no event less than $1,000,000 per occurrence. Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including symbol 1 (Any Auto) or the exact equivalent. Limits are subject to review, but in no event to be less that $1,000,000 per accident. If Consultant owns no vehicles, this requirement may be satisfied by a non -owned auto endorsement to the general liability policy described above. If Consultant or Consultant's employees will use personal autos in anyway on this project, Consultant shall provide evidence of personal auto liability coverage for each such person. Workers Compensation on a state - approved policy form providing statutory benefits as required by law with employer's liability limits no less than $1,000,000 per accident or disease. Excess or Umbrella Liability Insurance (Over Primary) if used to meet limit requirements, shall provide coverage at least as broad as specified for the underlying coverages. Any such coverage provided under an umbrella liability policy shall include a drop down provision providing primary coverage above a maximum $25,000 self- insured retention for liability not covered by primary but covered by the umbrella. Coverage shall be provided on a "pay on behalf basis, with defense costs payable in addition to policy limits. Policy shall contain a provision obligating insurer at the time insured's liability is determined, not requiring actual payment by the insured first. There shall be no cross liability exclusion precluding coverage for claims or suits by one insured against another. Coverage shall be applicable to City for injury to employees of Consultant, subconsultants or others involved in the Work. The scope of coverage provided is subject to approval of City following receipt of proof of insurance as required herein. Limits are subject to review but in no event less than $1,000,000.00 per occurrence. RE ADM ARCHITECTS, INC. Professional Liability or Errors and Omissions Insurance as appropriate shall be written on a policy form coverage specifically designed to protect against acts, errors or omissions of the consultant and "Covered Professional Services" as designated in the policy must specifically include work performed under this agreement. The policy limit shall be no less than $1,000,000 per claim and in the aggregate. The policy must "pay on behalf of'the insured and must include a provision establishing the insurer's duty to defend. The policy retroactive date shall be on or before the effective date of this agreement. Insurance procured pursuant to these requirements shall be written by insurers that are licensed carriers in the state of California and with an A. M. Bests rating of A- or better and a minimum financial size VII. General conditions pertaining to provision of insurance coverage by Consultant. Consultant and City agree to the following with respect to insurance provided by Consultant: 1. Consultant agrees to have its insurer endorse the third party general liability coverage required herein to include as additional insureds City, its officials, employees and agents, using standard ISO endorsement No. CG 2010 with an edition prior to 1992. Consultant also agrees to require all contractors, and subcontractors to do likewise. 2. No liability insurance coverage provided to comply with this Agreement shall prohibit Consultant, or Consultant's employees, or agents, from waiving the right of subrogation prior to a loss. Consultant agrees to waive subrogation rights against City regardless of the applicability of any insurance proceeds, and to require all contractors and subcontractors to do likewise. 3. All insurance coverage and limits provided by Consultant and available or applicable to this agreement are intended to apply to the full extent of the policies. Nothing contained in this Agreement or any other agreement relating to the City or its operations limits the application of such insurance coverage. 4. None of the coverages required herein will be in compliance with these requirements if they include any limiting endorsement of any kind that has not been first submitted to City and approved of in writing. 5. No liability policy shall contain any provision or definition that would serve to eliminate so- called "third party action over" claims, including any exclusion for bodily injury to an employee of the insured or of any contractor or subcontractor. 6. All coverage types and limits required are subject to approval, modification and additional requirements by the City, as the need arises. Consultant shall not make any reductions in scope of coverage (e.g. elimination of contractual liability or reduction of discovery period) that may affect City's protection without City's prior written consent. 99 ADM ARCHITECTS, INC. 7. Proof of compliance with these insurance requirements, consisting of certificates of insurance evidencing all of the coverages required and an additional insured endorsement to Consultant's general liability policy, shall be delivered to City at or prior to the execution of this Agreement. In the event such proof of any insurance is not delivered as required, or in the event such insurance is canceled at any time and no replacement coverage is provided, City has the right, but not the duty, to obtain any insurance it deems necessary to protect its interests under this or any other agreement and to pay the premium. Any premium so paid by City shall be charged to and promptly paid by Consultant or deducted from sums due Consultant, at City option. 8. Certificate(s) are to reflect that the insurer will provide 30 days notice to City of any cancellation of coverage. Consultant agrees to require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, or that any party will "endeavor" (as opposed to being required) to comply with the requirements of the certificate. 9. It is acknowledged by the parties of this agreement that all insurance coverage required to be provided by Consultant or any subcontractor, is intended to apply first and on a primary, noncontributing basis in relation to any other insurance or self insurance available to City. 10. Consultant agrees to ensure that subcontractors, and any other party involved with the project who is brought onto or involved in the project by Consultant, provide the same minimum insurance coverage required of Consultant. Consultant agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. Consultant agrees that upon request, all agreements with subcontractors and others engaged in the project will be submitted to City for review. 11. Consultant agrees not to self- insure or to use any self- insured retentions or deductibles on any portion of the insurance required herein and further agrees that it will not allow any contractor, subcontractor, Architect, Engineer or other entity or person in any way involved in the performance of work on the project contemplated by this agreement to self- insure its obligations to City. If Consultant's existing coverage includes a deductible or self- insured retention, the deductible or self- insured retention must be declared to the City. At that time the City shall review options with the Consultant, which may include reduction or elimination of the deductible or self- insured retention, substitution of other coverage, or other solutions. 12. The City reserves the right at any time during the term of the contract to change the amounts and types of insurance required by giving the Consultant ninety (90) days advance written notice of such change. If such change results in substantial additional cost to the Consultant, the City will negotiate additional compensation proportional to the increased benefit to City. B -3 ADM ARCHITECTS, INC. 13. For purposes of applying insurance coverage only, this Agreement will be deemed to have been executed immediately upon any party hereto taking any steps that can be deemed to be in furtherance of or towards performance of this Agreement. 14. Consultant acknowledges and agrees that any actual or alleged failure on the part of City to inform Consultant of non - compliance with any insurance requirement in no way imposes any additional obligations on City nor does it waive any rights hereunder in this or any other regard. 15. Consultant will renew the required coverage annually as long as City, or its employees or agents face an exposure from operations of any type pursuant to this agreement. This obligation applies whether or not the agreement is canceled or terminated for any reason. Termination of this obligation is not effective until City executes a written statement to that effect. 16. Consultant shall provide proof that policies of insurance required herein expiring during the term of this Agreement have been renewed or replaced with other policies providing at least the same coverage. Proof that such coverage has been ordered shall be submitted prior to expiration. A coverage binder or letter from Consultant's insurance agent to this effect is acceptable. A certificate of insurance and /or additional insured endorsement as required in these specifications applicable to the renewing or new coverage must be provided to City within five days of the expiration of the coverages. 17.The provisions of any workers' compensation or similar act will not limit the obligations of Consultant under this agreement. Consultant expressly agrees not to use any statutory immunity defenses under such laws with respect to City, its employees, officials and agents. 18. Requirements of specific coverage features or limits contained in this section are not intended as limitations on coverage, limits or other requirements nor as a waiver of any coverage normally provided by any given policy. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue, and is not intended by any party or insured to be limiting or all - inclusive. 19.These insurance requirements are intended to be separate and distinct from any other provision in this agreement and are intended by the parties here to be interpreted as such. 20. The requirements in this Section supersede all other sections and provisions of this Agreement to the extent that any other section or provision conflicts with or impairs the provisions of this Section. 21. Consultant agrees to be responsible for ensuring that no contract used by any party involved in any way with the project reserves the right to charge City or B -4 ADM ARCHITECTS, INC. Consultant for the cost of additional insurance coverage required by this agreement. Any such provisions are to be deleted with reference to City. It is not the intent of City to reimburse any third party for the cost of complying with these requirements. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. Consultant agrees to provide immediate notice to City of any claim or loss against Consultant arising out of the work performed under this agreement. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City. FW Ibil" OP ID: AI arr° CERTIFICATE OF LIABILITY INSURANCE DATE,Mm25/15 " "' 03/25/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER 626- 943 -2200 CONTACr NAME. AnO_ Love Nar Insurance rve 641 W. Las Tunas Drive 626 - 299 -1010 _gets _ _ ac eo En: 626- 943 -2225 ac, rvu 626- 299 -1010 - - PO Box 1509 E MNL . ADDRESS clove @narveccom San Gabriel, CA 91776 Wesley G. Hampton _ - - PRODUCER -- - - CUSTOMBN ID a:ARCHDA $ INSURERISI AFFORDING COVERAGE NAIOM INSURFD Architectural Design Matrix INSURER A: Hari-e, Ineurzoce Dump, 22292 10855 Beverly Drive -- _ -- -- - -- - ` - - -- Whittier, CA 90601 INSURER B: INSURER(. _ INSURER D: I INSURERS INSURER F: INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lm�ttPEOFINSU�CE_INSR ilHSft iADDL U WYO INCLUDED POLICY UP POLICYNUMRER IMMIDAYYY) LMMIDOIYYYYI _ LIMITS EACH OCCURRENCE $ GENERFWPBILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES Ea Owurt nJ_ $ MED UP (My one person) $ PERSONAL S ADV INJURY $ $ _GENERALAGGREGATE GEN LAGGREGATI E LIMIT APPLIES PER PRDDBLT$- COMNOPACO $ PRO- POLICY LOC __._ S __.._ AUTOMOSILE LIABILITY COMBINED SINGLE LIMIT He ecclderh S ANY AUTO BODILY INJVRY (Pel person) 5 ALL OWNED AUTOS BODILY INJURY (Per Mc a, $ SCHEDULED AUTOS HIRED AUTOS ' PROPERTY DAMAGE ;Perawmenll $ _ NON OwNEO AUTOS $ $ VMBRELLA LIAB iOCCUR. EACH OCCURRENCE $ EXCESS LUSS CLAIMSMAOEI I AGGREGATE $ _ $ _. _ —.. RETENTION 5 RETENTION NIA _ YroRKERS COMPENSATION 4NO PLOYERS LMILITY IX ANY PROPRIETOREARLNEROXECUTIVE OFFICERIMEMBER IXC UDED1 ❑ W06TATU- T V LMT EL EACH ACC $ - NaandalSy in Nm I E L DISEASE EA EMPLOYEE $ Xvaa aaaube under DESCRIPTION OF ORE RATONSeelow I EL. DISEASE POLICY LIMIT s q Profe ssional Liab. I, LH0 A141654 01 10/25/14 10/25/15 Each 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Mach ADDED 101, PGdXional Remarks Schedule, If hors space Ia UnBulnd) City of Rosemead named as additonal insured, per written contract or agreement. Subject to all policy terms, conditions and exclusions. *10 days notice of cancellation in the event of non - payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of Rosemead H THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Sean Sullivan Public Works Manager pUTNOR6EO REPRESENTATIVE 8838 East Valley Blvd Rosemead, CA 91770 / ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD DECLARATIONS cmTZn111r'111-111 PAGE 1 OF 1 RENEWAL Infinity Insurance Company DECLARATIONS EFFECTIVE 0 2/0 312 01 5 PD Box 830189 Birmingham, AL 35283 -0189 CURRENT POLICY PERIOD. POLICY IS EFFECTIVE AT THE ADDRESS OF THE POLICY HOLDER AS STATED HEREIN POLICY NUMBER. 10453941-3587 -001 268.00 FROM 12:01 AM 02/0312015 TO: 12:01 AM 0210312016 74.00 STANDARD TIME 365,00 PRODUCER NUMBER ANDONEGUI, CARLOS CHAVEZ NIC INSURANCE AGENCY INC 5505555 10855 BEVERLY DR PO BOX 10789 WHITTIER CA 90601 -2509 GLENDALE, CA 912093789 TELEPHONE NO, 8185461255 DESCRIPTION OF OWNED AUTOMOBILE CAR USE YEAR MAKE, MODEL, BODY VEHICLE IDENTIFICATION DRV PTS RATE ZIP 268.00 $500.00 Deductible 34.00 74.00 NUMBER IN NUMBER 365,00 642.00 01/21/15 1 PLEASURE 200] TOUT RAV4 NEWGENER RAV4 20.00 0 1,76 2 PLEASURE 2010 NISS ALTIMA 2.5/2.5 S SE IN4AL2AP2AN422820 1 0 90601 COVERAGE AND LIMITS OF LIABILITY PER PERSON Bodily Injury Liability $15,000 each person Property Damage Liability Comprehensive Collision Total Premium For Each Car Processing Fee CA Fraud Fee Recoup ENDORSEMENTS 03276RO410; 01169RO713: 01193R0410; 0230OR0711; 0141280601; 0348680110; 01213R1004; 00540R1004; 00507R1014 V—P— Lrvu I J VI- LIcILI IT AN V rntMl V M UNAK61:8 ARE INDICATED PER ACCIDENT CAR 1 CAR 2 CAR $30,000 each accident 119.00 174.00 $5,000 each accident 135.00 268.00 $500.00 Deductible 34.00 74.00 $500.00 Deductible 365,00 642.00 01/21/15 653.00 1158.0 INSURED COPY 20.00 1.76 1,76 TOTAL PREMIUM FEES CASH APPLIED PAYMENTS - - - - -- 1ST PAYMENT DATE $ 1811.00 $ 5.19 $ 160.00 11 @ $162.23 03/03/2015 COUNTERSIGNEDAT BY 507DN 01/21/15 6 -1 Special INSURED COPY