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Home My WebLink AboutHDR Engineering PSA I-15 Nichols Road Interchange Improvement Project Study Report & Development Support 01-10-2023 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 AGREEMENT FOR PROFESSIONAL DESIGN SERVICES HDR Engineering, Inc. 1-15/Nichols Road Interchange Improvement Project Study Report-Project Development Support This Agreement for Professional Services (the "Agreement") is made and entered into as of January 10, 2023, by and between the City of Lake Elsinore, a municipal corporation ("City") and HDR, Inc., a Corporation ("Consultant"). RECITALS A. The City has determined that it requires the following professional services: 1-15/Nichols Road Interchange Improvement Project Study Report-Project Development Support B. Consultant has submitted to City a proposal, dated December 22, 2022, attached hereto as Exhibit A ("Consultant's Proposal") and incorporated herein, to provide professional services to City pursuant to the terms of this Agreement. C. Consultant possesses the skill, experience, ability, background, certification and knowledge to perform the services described in this Agreement on the terms and conditions described herein. D. City desires to retain Consultant to perform the services as provided herein and Consultant desires to provide such professional services as set forth in this Agreement. AGREEMENT 1. Scope of Services. Consultant shall perform the services described in Consultant's Proposal (Exhibit A). Consultant shall provide such services at the time, place, and in the manner specified in Consultant's Proposal, subject to the direction of the City through its staff that it may provide from time to time. 2. Time of Performance. a. Time of Essence. Time is of the essence in the performance of this Agreement. The time for completion of the professional services to be performed by Consultant is an essential condition of this Agreement. Consultant shall prosecute regularly and diligently the professional services contemplated pursuant to this Agreement according to the agreed upon performance schedule in Consultant's Proposal (Exhibit A). b. Performance Schedule. Consultant shall commence the services pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all services within the time period(s) established in the Consultant's Proposal (Exhibit A). When requested by Consultant, extensions to the time period(s) specified may be approved in writing by the City Manager. Attachment 1 -Agreement.pdf Pagel DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 C. Term. The term of this Agreement shall commence upon execution of this Agreement and shall continue until the services and related work are completed in accordance with the Consultant's Proposal (Exhibit A). 3. Compensation. Compensation to be paid to Consultant shall be in accordance with the fees set forth in Consultants' Proposal (Exhibit A), which is attached hereto and incorporated herein by reference. In no event shall Consultant's compensation exceed eight hundred sixty-one thousand six hundred seventy-eight dollars and eighty-two cents ($861,678.82) without additional written authorization from the City. Notwithstanding any provision of Consultant's Proposal to the contrary, out of pocket expenses set forth in Exhibit A shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment. 4. Method of Payment. Consultant shall promptly submit billings to the City describing the services and related work performed during the preceding month to the extent that such services and related work were performed. Consultant's bills shall be segregated by project task, if applicable, such that the City receives a separate accounting for work done on each individual task for which Consultant provides services. Consultant's bills shall include a brief description of the services performed, the date the services were performed, the number of hours spent and by whom, and a description of any reimbursable expenditures. City shall pay Consultant no later than forty-five (45) days after receipt of the monthly invoice by City staff. 5. Background Checks. At any time during the term of this Agreement, the City reserves the right, to make an independent investigation into the background of Consultant's personnel who perform work required by this Agreement, including but not limited to their references, character, address history, past employment, education, social security number validation, and criminal or police records, for the purpose of confirming that such personnel are lawfully employed, qualified to provide the subject service or pose a risk to the safety of persons or property in and around the vicinity of where the services will be rendered or City Hall. If the City makes a reasonable determination that any of Consultant's prospective or then current personnel is deemed objectionable, then the City may notify Consultant of the same. Consultant shall not use that personnel to perform work required by this Agreement, and if necessary, shall replace him or her with a suitable worker. 6. Suspension or Termination. a. The City may at any time, for any reason, with or without cause, suspend or terminate this Agreement, or any portion hereof, by serving upon the Consultant at least ten (10)days prior written notice. Upon receipt of such notice, the Consultant shall immediately cease all work under this Agreement, unless the notice provides otherwise. If the City suspends or terminates a portion of this Agreement such suspension or termination shall not make void or invalidate the remainder of this Agreement. b. In the event this Agreement is terminated pursuant to this Section, the City shall pay to Consultant the actual value of the work performed up to the time of termination, provided that the work performed is of value to the City. Upon termination of the Agreement pursuant to this Section, the Consultant will submit an invoice to the City, pursuant to Section entitled "Method of Payment" herein. Page 2 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 7. Plans, Studies, Documents. a. Ownership of Documents. All plans, studies, documents and other writings prepared by and for Consultant, its officers, employees and agents and subcontractors in the course of implementing this Agreement, except working notepad internal documents, shall become the property of the City upon payment to Consultant for such work, and the City shall have the sole right to use such materials in its discretion without further compensation to Consultant or to any other party. Consultant shall, at Consultant's expense, provide such reports, plans, studies, documents and other writings to City upon written request. City shall have sole determination of the public's rights to documents under the Public Records Act, and any third- party requests of Consultant shall be immediately referred to City, without any other actions by Consultant. b. Licensing of Intellectual Property. This Agreement creates a nonexclusive 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 that all subcontractors agree in writing that City is granted a nonexclusive 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 & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. C. Confidentiality. All ideas, memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other Documents& 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 under this Agreement. Nor shall such materials be disclosed to any person or entity not connected with the performance of the services under this Agreement. 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 relating to project for which Consultant's services are rendered, or any publicity pertaining to the Consultant's services under this Agreement in any magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of City. 8. Consultant's Books and Records. a. Consultant shall maintain any and all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services, or expenditures and disbursements charged to City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant to this Agreement. Page 3 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 b. Consultant shall maintain all documents and records which demonstrate performance under this Agreement for a minimum period of three (3) years, or for any longer period required by law, from the date of termination or completion of this Agreement. C. Any records or documents required to be maintained pursuant to this Agreement shall be made available for inspection or audit, at any time during regular business hours, upon written request by the City Manager, City Attorney, City Auditor or a designated representative of these officers. Copies of such documents shall be provided to the City for inspection at City Hall when it is practical to do so. Otherwise, unless an alternative is mutually agreed upon, the records shall be available at Consultant's address indicated for receipt of notices in this Agreement. d. Where City has reason to believe that such records or documents may be lost or discarded due to dissolution, disbandment or termination of Consultant's business, City may, by written request by any of the above-named officers, require that custody of the records be given to the City and that the records and documents be maintained in City Hall. Access to such records and documents shall be granted to any party authorized by Consultant, Consultant's representatives, or Consultant's successor-in-interest. 9. Independent Contractor. a. Consultant is and shall at all times remain as to the City a wholly independent contractor pursuant to California Labor Code Section 3353. The personnel performing the services under this Agreement on behalf of Consultant shall at all times be under Consultant's exclusive direction and control. Neither City nor any of its officers, employees, or agents shall have control over the conduct of Consultant or any of Consultant's officers, employees, or agents, except as set forth in this Agreement. Consultant shall not at any time or in any manner represent that it or any of its officers, employees, or agents are in any manner officers, employees, or agents of the City. Consultant shall not incur or have the power to incur any debt, obligation, or liability whatsoever against City, or bind City in any manner. b. Notwithstanding any other federal, state and local laws, codes, ordinances and regulations to the contrary and except for the fees paid to Consultant as provided in the Agreement, Consultant and any of its employees, agents, and subcontractors providing service under this Agreement shall not qualify for or become entitled to, and hereby agree to waive any claims to, any compensation, benefit, or any incident of employment by City, including but not limited to eligibility to enroll in PERS as an employee of City and entitlement to any contribution to be paid by City for employer contribution and/or employee contributions for PERS benefits. 10. PERS Eligibility Indemnification. In the event that Consultant or any employee, agent, or subcontractor of Consultant providing services under this Agreement claims or is determined by a court of competent jurisdiction or the California Public Employees Retirement System (PERS)to be eligible for enrollment in PERS as an employee of the City, Consultant shall indemnify, defend, and hold harmless City for the payment of any employee and/or employer contributions for PERS benefits on behalf of Consultant or its employees, agents, or subcontractors, as well as for the payment of any penalties and interest on such contributions, which would otherwise be the responsibility of City. 11. Interests of Consultant. Consultant (including principals, associates and professional employees) covenants and represents that it does not now have any investment or interest in real property and shall not acquire any interest, direct or indirect, in the area covered Page 4 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 by this Agreement or any other source of income, interest in real property or investment which would be affected in any manner or degree by the performance of Consultant's services hereunder. Consultant further covenants and represents that in the performance of its duties hereunder no person having any such interest shall perform any services under this Agreement. Consultant is not a designated employee within the meaning of the Political Reform Act because Consultant: a. will conduct research and arrive at conclusions with respect to his/her rendition of information, advice, recommendation or counsel independent of the control and direction of the City or of any City official, other than normal agreement monitoring; and b. possesses no authority with respect to any City decision beyond rendition of information, advice, recommendation or counsel. (FPPC Reg. 18700(a)(2).) 12. Professional Ability of Consultant. City has relied upon the professional training and ability of Consultant to perform the services hereunder as a material inducement to enter into this Agreement. Consultant shall therefore provide properly skilled professional and technical personnel to perform all services under this Agreement. All work performed by Consultant under this Agreement shall be in accordance with applicable legal requirements and shall meet the standard of quality ordinarily to be expected of competent professionals in Consultant's field of expertise. 13. Compliance with Laws. a. Consultant shall comply with all local, state and federal laws and regulations applicable to the services required hereunder, including any rule, regulation or bylaw governing the conduct or performance of Consultant and/or its employees, officers, or board members. b. Consultant represents that it has obtained and will maintain at all times during the term of this Agreement all professional and/or business licenses, certifications and/or permits necessary for performing the services described in this Agreement, including a City business license. 14. Licenses. Consultant represents and warrants to City that it has the licenses, permits, qualifications, insurance and approvals of whatsoever nature which are legally required of Consultant to practice its profession. Consultant represents and warrants to City that Consultant shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance and approvals which are legally required of Consultant to practice its profession. Consultant shall maintain a City of Lake Elsinore business license. 15. Indemnity. a. Indemnification for Professional Liability. To the fullest extent permitted by law, Consultant shall indemnify, defend and hold harmless City and any and all of its officials, employees and agents ("Indemnified Parties") from and against any and all claims, losses, liabilities, damages, costs and expenses, including attorney's fees and costs, to the extent they arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. Consultant's duty to defend shall consist of reimbursement of defense costs incurred Page 5 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 by City in direct proportion to the Consultant's proportionate percentage of fault. Consultant's percentage of fault shall be determined, as applicable, by a court of law, jury or arbitrator. In the event any loss, liability or damage is incurred by way of settlement or resolution without a court, jury or arbitrator having made a determination of the Consultant's percentage of fault, the parties agree to mediation with a third party neutral to determine the Consultant's proportionate percentage of fault for purposes of determining the amount of indemnity and defense cost reimbursement owed to the City. b. Indemnification for Other Than Professional Liability. Other than in the performance of professional services and to the full extent permitted by law, Consultant shall indemnify, defend and hold harmless City, and any and all of its employees, officials and agents from and against any liability (including liability for claims, suits, actions, arbitration proceedings, administrative proceedings, regulatory proceedings, losses, expenses or costs of any kind, whether actual, alleged or threatened, including attorneys' fees and costs, court costs, interest, defense costs, and expert witness fees), where the same arise out of, are a consequence of, or are in any way attributable to, in whole or in part,the performance of this Agreement by Consultant or by any individual or entity for which Consultant is legally liable, including but not limited to officers, agents, employees or sub-consultants of Consultant. Consultant shall not be liable to third parties for any liability exempted by statute. C. General Indemnification Provisions. Consultant agrees to obtain executed indemnity agreements with provisions identical to those set forth here in this section from each and every sub-consultant or any other person or entity involved by, for, with or on behalf of Consultant in the performance of this Agreement. In the event Consultant fails to obtain such indemnity obligations from others as required here, Consultant agrees to be fully responsible according to the terms of this section. Failure of City to monitor compliance with these requirements imposes no additional obligations on City and will in no way act as a waiver of any rights hereunder. This obligation to indemnify and defend City as set forth here is binding on the successors, assigns or heirs of Consultant and shall survive the termination of this Agreement or this section. 16. Insurance Requirements. a. Insurance. Consultant, at Consultant's own cost and expense, shall procure and maintain, for the duration of the contract, unless modified by the City's Risk Manager, the following insurance policies. i. Workers' Compensation Coverage. Consultant shall maintain Workers' Compensation Insurance and Employer's Liability Insurance for his/her employees in accordance with the laws of the State of California. In addition, Consultant shall require each subcontractor to similarly maintain Workers' Compensation Insurance and Employer's Liability Insurance in accordance with the laws of the State of California for all of the subcontractor's employees. Any notice of cancellation or non-renewal of all Workers' Compensation policies must be received by the City at least thirty (30)days prior to such change. The insurer shall agree to waive all rights of subrogation against City, its officers, agents, employees and volunteers for losses arising from work performed by Consultant for City. In the event that Consultant is exempt from Worker's Compensation Insurance and Employer's Liability Insurance for his/her employees in accordance with the laws of the State of California, Consultant shall submit to the City a Certificate of Exemption from Workers Compensation Insurance in a form approved by the City Attorney. Page 6 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 ii. General Liability Coverage. Consultant shall maintain commercial general liability insurance in an amount not less than one million dollars ($1,000,000) per occurrence for bodily injury, personal injury and property damage. If a commercial general liability insurance form or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the work to be performed under this Agreement or the general aggregate limit shall be at least twice the required occurrence limit. Required commercial general liability coverage shall be at least as broad as Insurance Services Office Commercial General Liability occurrence form CG 0001 (ed. 11/88) or Insurance Services Office form number GL 0002 (ed. 1/73) covering comprehensive General Liability and Insurance Services Office form number GL 0404 covering Broad Form Comprehensive General Liability. No endorsement may be attached limiting the coverage. iii. Automobile Liability Coverage. Consultant shall maintain automobile liability insurance covering bodily injury and property damage for all activities of the Consultant arising out of or in connection with the work to be performed under this Agreement, including coverage for owned, hired and non-owned vehicles, in an amount of not less than one million dollars($1,000,000)combined single limit for each occurrence. Automobile liability coverage must be at least as broad as Insurance Services Office Automobile Liability form CA 0001 (ed. 12/90) Code 1 ("any auto"). No endorsement may be attached limiting the coverage. iv. Professional Liability Coverage. Consultant shall maintain professional errors and omissions liability insurance appropriate for Consultant's profession for protection against claims alleging negligent acts, errors or omissions which may arise from Consultant's services under this Agreement, whether such services are provided by the Consultant or by its employees, subcontractors, or sub consultants. The amount of this insurance shall not be less than one million dollars ($1,000,000) on a claims-made annual aggregate basis, or a combined single limit per occurrence basis. b. Endorsements. Each general liability and automobile liability insurance policy shall be with insurers possessing a Best's rating of no less than A:VII and shall be endorsed with the following specific language: i. Notwithstanding any inconsistent statement in any required insurance policies or any subsequent endorsements attached thereto, the protection offered by all policies, except for Workers' Compensation, shall bear an endorsement whereby it is provided that, the City and its officers, employees, servants, volunteers and agents, including without limitation, the City Manager and City Attorney, are named as additional insureds. Additional insureds shall be entitled to the full benefit of all insurance policies in the same manner and to the same extent as any other additional insureds and there shall be no limitation to the benefits conferred upon them other than policy limits to coverages. Page 7 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 ii. This policy shall be considered primary insurance as respects the City, its elected or appointed officers, officials, employees, agents and volunteers. Any insurance maintained by the City, including any self-insured retention the City may have, shall be considered excess insurance only and shall not contribute with it. iii. This insurance shall act for each insured and additional insured as though a separate policy had been written for each, except with respect to the limits of liability of the insuring company. iv. The insurer waives all rights of subrogation against the City, its elected or appointed officers, officials, employees or agents. V. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, its elected or appointed officers, officials, employees, agents or volunteers. vi. The insurance provided by this Policy shall not be canceled, or materially changed except after thirty (30) days written notice has been received by the City. C. Deductibles and Self-Insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City. At the City's option, Consultant shall demonstrate financial capability for payment of such deductibles or self-insured retentions. d. Certificates of Insurance. Consultant shall provide certificates of insurance with original endorsements to City as evidence of the insurance coverage required herein. Certificates of such insurance shall be filed with the City on or before commencement of performance of this Agreement. Current certification of insurance shall be kept on file with the City at all times during the term of this Agreement. 17. Notices. Any notice required to be given under this Agreement shall be in writing and either served personally or sent prepaid, first class mail. Any such notice shall be addressed to the other party at the address set forth below. Notice shall be deemed communicated within 48 hours from the time of mailing if mailed as provided in this section. If to City: City of Lake Elsinore Attn: City Manager 130 South Main Street Lake Elsinore, CA 92530 With a copy to: City of Lake Elsinore Attn: City Clerk 130 South Main Street Lake Elsinore, CA 92530 If to Consultant: HDR Engineering, Inc. Attn: Thomas T. Kim 2280 Market Street, Suite 100 Riverside, CA 92501 Page 8 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 18. Assignment and Subcontracting. The parties recognize that a substantial inducement to City for entering into this Agreement is the professional reputation, experience and competence of Consultant and the subcontractors listed in Exhibit B. Consultant shall be fully responsible to City for all acts or omissions of any subcontractors. Assignments of any or all rights, duties or obligations of the Consultant under this Agreement will be permitted only with the express consent of the City. Consultant shall not subcontract any portion of the work to be performed under this Agreement except as provided in Exhibit B without the written authorization of the City. If City consents to such subcontract, Consultant shall be fully responsible to City for all acts or omissions of those subcontractors. Nothing in this Agreement shall create any contractual relationship between City and any subcontractor nor shall it create any obligation on the part of the City to pay or to see to the payment of any monies due to any such subcontractor other than as otherwise is required by law. 19. Waiver. Waiver of a breach or default under this Agreement shall not constitute a continuing waiver of a subsequent breach of the same or any other provision under this Agreement. 20. Litigation Expenses and Attorneys' Fees. If either party to this Agreement commences any legal action against the other party arising out of this Agreement, the prevailing party shall be entitled to recover its reasonable litigation expenses, including court costs, expert witness fees, discovery expenses, and attorneys' fees. 21. Mediation. The parties agree to make a good faith attempt to resolve any disputes arising out of this Agreement through mediation prior to commencing litigation. The parties shall mutually agree upon the mediator and share the costs of mediation equally. If the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS and thereafter the mediator remaining shall hear the dispute. If the dispute remains unresolved after mediation, either party may commence litigation. 22. 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 solicit or 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. 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. 23. Equal Opportunity Employment. Consultant represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee 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. Page 9 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 24. 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 8, Section 16000, 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. Consultant agrees to fully comply with all applicable federal and state labor laws (including, without limitation, if applicable, the Prevailing Wage Laws). It is agreed by the parties that, in connection with the Work or Services provided pursuant to this Agreement, Consultant shall bear all risks of payment or non-payment of prevailing wages under California law, and Consultant hereby agrees to defend, indemnify, and hold the City, and its officials, officers, employees, agents, and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The foregoing indemnity shall survive termination of this Agreement. 25. Severability. If any term or portion of this Agreement is held to be invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall continue in full force and effect. 26. Controlling Law Venue. This Agreement and all matters relating to it shall be governed by the laws of the State of California and any action brought relating to this Agreement shall be held exclusively in a state court in the County of Riverside. 27. 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 to bind each respective party. The City Manager is authorized to enter into an amendment or otherwise take action on behalf of the City to make the following modifications to the Agreement: (a) a name change; (b) grant extensions of time; (c) non- monetary changes in the scope of services; and/or (d) suspend or terminate the Agreement. 28. Counterparts. This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the parties when at least one copy hereof shall have been signed by both parties hereto. In approving this Agreement, it shall not be necessary to produce or account for more than one such counterpart. 29. Entire Agreement; Incorporation; Conflict. This Agreement contains the entire understanding between the parties relating to the obligations described herein. All prior or contemporaneous understandings, agreements, representations and statements, oral or written, are superseded in total by this Agreement and shall be of no further force or effect. Consultant's Proposal is incorporated only for the description of the scope of services and/or the schedule of performance and no other terms and conditions from such proposal shall apply to this Agreement unless specifically agreed to in writing. In the event of conflict, this Agreement shall take precedence over those contained in the Consultant's Proposal. 30. Amendments. This Agreement may be modified or amended only by a written document executed by both Consultant and City and approved as to form by the City Attorney. [Signatures on next page] Page 10 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the date first written above. "CITY" "CONSULTANT" CITY OF LAKE ELSINORE, a municipal HDR Engineering, Inc., a Corporation corporation DocuSigned by: Docu Signed by; �' -- - - 2/10/2023 � 12:35 PM PST a 30's , SiaKMV, 2/10/2023 1 12:45 PM By: Thomas T. Kim City Manager Its: PE-Senior Vice President ATTEST: Doc uSigned by; 2/10/2023 1 9:16 PM PST APPROVED AS TO FORM: FDocuSigned by: �caz4".1..4e1eD& 2/7/2023 1 11:03 AM PST City Or"On C. 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M vi t t -a W O R -0 a �_ E O R O = a) a) `) � ou o ¢ a`) a) Q p a) a) U u o Ll °�° Z o .� O m N N p t = Q v O 0 00 N v O n -6 y bq 'O ra N E E O Q o a) o a as M v CDa ou .N o a R o v aj 2 > n V bQ `� E •p > ON N u a m v v u CL Q p bq m C c� v O m r� 0 m o C a) 0 0 W a) m .� %A W 0- U d -0 O_ -0 fV f/) u LL) O H R iS Cl M Q ¢ C U) L) U 0 Ln 0 VI W GC M i ro a) • m O v b0 '� = Q _ R �= = O c S j a y � ca O > ICD N �+- 0 •i o O > Ln 'cam °� vi c do = o_ W ,_ _ aj is C c a N o c a=i • > o t > u a W 6Q7 rn X a6i c U sz ram+ ria o c o i `° .1w o_ c u vi a • rn -� ai v .— CD bEo .U 5 m o t o = a s O '6 o O C G! O > O •� N i a=i an n = 131 o p 41 ra t o t c • aj O O R CRR in 00 >' >> a� 'o `a Q a• -O o E G bOq O E �i-. ca •� O C C d E O a) O aJ V aJ �, aJ ...0 c.7 ca O O C + O U -06 j, L N d a) M > 'ad t O W3 = W '� a a, _ `° �- •� eta n o •UO uOo .R p N vi ¢ Tv •c oc •O O Q a ai N b0 �, ' E o 'i yo u w o " i _g Ln R 6 O � o D N CL R 1 Faj n— U a o W o E ca. CE O U ovi 10NZaj ^ O C ci 'n 00 O W O S m Q IBC b v �_ > III bbl •O •— .• O O bq 'n O t^ O aJ O — 21, of d 'V ca � • V 12 6 i R aj ra "O U a� o ra o b0 ra � —E c = CCR t¢i) R E Ld O d b4 "_' ..O a ' N C "a Y bQ }' O O N -a Q a d y O sa aX ^ VS a i u . t ¢ ra a� 3 O = V �, ca + _ c n a a> > d w �o 0 0 a �+ w ^ � c O >, W CO a d W J = =O ,v C> mV Q = ai p s fa cd V y a� o u a� _ ¢ Ln X E o f O a) ^ J O m O a) U i115 w O 'N w 80 'bo is a� CIC G >a� •� = v O ra U M N W � N > to O = C '^ a� w c o u +-. > tovi O u CL O O O Z a17 �o -6 CJ EN v W 04 a o o ra a"i �' ra -0 — W � Q a ¢ a, o '� .tom.. ,� C�Lj •L ca bO0 0 `n W a� '� Ln Cj N a O .v d y m` a) u O- +L+ W N � C) U 2i 0 O p m C rvl O O- O Y O W +' ra •rn N 10 a) -3: • rn O a) O b0 d 01 • ¢ � m 00 00 fl. 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W O +�-. a '� �^ a) R C 0 a) U fl- o O ou a) v = ,ru� i •� i s - W d is . -v ca-6O � O .w 0 a a Ln 0 Eu . ai b ii ca- u a v .� c ra u L 8- = O — u •— C O a) — I— c U a YJ o c ra c N u u y Q —O E a) O v p y of a t ca y b=-0 O O O O ca a) N E N o O ON R a) Q d R 'a O w vi - o > d Q a is a w •+�-' N N L u �1 d ( U U ,b0 O R iJ U W bO > -p kn N O V C 'a a c a) ai d 'v O 'Ui co u io o a) > — 3 �`-° a g n o fl a c ao v _ rya c � �° o •� K 72 `^ U w bq = ra a) W 'Z5 vi O CD X c6 2 a) F— 12 N @ N �O ca Q U t O > O Q ,rn b4 U a) N W bD o m 'R p a •— cv a)o o 'om � H 'a m '10 � 0 u w Z ra p m a Y L p C1 cu> cl O ciOEcya CGaCRR• is � aO au `n C = Cm d t n0 w Cb0+0 OV rr0a LE �aOii Q • E w o"aU_)' 0 bo OR a vv) U c O aa p t �C = a 16 U � O Qb4 V ca C C caj O 0 ca t O to N s r6 �_ tit N o u O b00 U a) i c0 u .N X > v x t O L u t a) a o Ly 0 a > o R •c �= > a c OC Q .> � o u m w a C o ^ p o u a W M o V) m = rr bq — O a o E c +� o` > E t o V O a) rua a au) ra c G7 ¢ a) ,On a�i a .r? ra N w co a o bo �n rya Lu o u o X E N c p d 66 c _O W a) C E C > L a s V c O c A. Q a) d a=+ 'N = r=a C � ra > Imo-• -6 m O o u O 'a p -0 ca a co N ra U ++ d W ai a) a) Q O �[ O Y o a) C) ,;aU bO O Vj w a d N m a) ai o f fl- ,o In a) c a) ca R a) U c a, .m a s d = LZ o 0 0 = � > w 7 N O VI ^ a) y--� a) -p N to �, J rn O ra IA U O 'O O a) \ a) a) � U y r) v7 a) ti U E O U c c •� d is v > 0 •Q ¢ w u bo 0 o Y o Q > E a) t ra bO ��- o Qj o C v') LZ u — o ca a G a) m R a Q u ca a M C b00 w o U v a) ~ c E ,c '6 rn a) E cn W w ra p .� -0 V ca O R v) -0 v+ —O b0 a N O.. ra is p p 0 a) a r+ ra p c O ca a) aj c ra a Uvwi fO aoi a) o p 'ca `" y � °° '' � t 'n () a o e Q a) a) m. o Q aui � L a) V, b0 U � O a) rua 'x °) a w E .> �n a d = O ri t 0 n a) c c r+ ra �n c E a) 0 o a V J Q "- a .N o °° E u o t Q a) p o o L N a) Ca u(31 o > u O i c O .- > ra n = ra LLJ u y i L d O U ut V of R 'N a) a) "J Cl- N O 0 U n C b0 > 0 a) °� n a Y 0 w = p p ca o d a - > a) c CCO C (v L � u a=) ,= a d o C) o - O vi O O aL--. O G 'O Y N b•0 ca aj C LO a) ra a� (v " u \ CR a 0 > f�a b4 w L N .� c > m N m a rn N W b0 'W � c O b00 N '6 o O Q � o w - N Cl) R c +_ + a) G! ra ra G U a) c _ > o W p E E .c �_ v� o a o a °) o a o 'a. `^ a, Ev m o p a ra ra 3 _ 0 3 O o u R Y fl �_ a i � m ._ a) >' .,� •� t > > o bO d d o W O Q i a) p O E a) '� u ca ca al t p •� b4 a) 'o N H _ a a) a) a O 0 ra ra c c ca Z u u O = a) a a O C m ri a N o f C in J yJ N .M '6 .4% `° d: .N R is m O a) o w N m co U F— > aa)) H .^ V = a is is m m ._ m V Q a c U) U O 0 0 wi W •• b4 a bO Q) X Vl Q C� d fa V u O O a) N p a) i C tJ f6 Eo LZ � _a ro az'°i o a v m w °.�' o = =o o boo o O ♦ O O C CL C aJ .� O O a O > c blO ra o O 7 Q L O N in >. O Z 2 a) W G d • u vi Ou N v • u 7a > c ra ¢ b0 x in N ra a al O L5 • o ou o o •o o '� ajp a� L p o • n °1 ~ a� u O \ Y a o - c O a� • rOo is O R U 7 tOa @ O O a) O N .•♦ C aJ • U a' d ,U • a' a, boo �' w = .> m a aai Y boo t E C Q J �' vl •b4 t N J f6 (J Q) 0 f0 Q) X C • p _ t w O � c a O Q H o � v a c _ o a E • O a) a)LLj U Q C p — a) E- Ou > Me C �O LE 0 J Q Ln a � aui a) o v aui = L N a�i vLi k2 d i O a� o j o u V '_ c ra � 'a > d O a O a ra W O3: ra a 82 IIW, , • O p 1 • C = a S O d = z W bO a) w Q O O i N R O • E y > u \ _ O O O c • _ ' u • O O O O n= a a s y eC u a! 91 LLl o d i c E o 2 a; � L a aW • • b4 bq ra C �� a 0 n O - W .b0 s - in c > ++ c p _ n c v O ai O CO W C (.n I'� W a � N •X w p r6 N aJ rp i d O E E c Qo v = a ai a E a o ¢ �a c ^ u = i a o • c d U O E y bq "= ra 'O C an • �+ -O c 0 o v ° Q p a� O 'bo—p a� b4 0 w � O 7 Ov v • • a c \ U E O V d =a >, O U = ¢ > R .f°+ a� C, aco O a a ` C OC in .0 O O a > U a0-' E C V _ Q O •o W L d L O jr- a, O C -O 7 '>, i O In C a .• x u a _ x d GO bo v a Q W a s O • • O N O v W R rn • "-' O rn 1 O — a O Oo O M yR uv Ju CyiQ = ° Y v b0 O ra O cU p � LW - a o • CI- CO W O ai a N — i O fl- oR ra V J Ua-ii m aJ y cJ -6 • t _6 LJ.J C o C IYO dlu >' = o o 'N •' _ d •E 3 > vCl 000 C to O O J 0J Q - 4J 00 co > C O ,E d p Oa v Q > ca Uj ccy iz, w —r a c E O i 7 `n py Q U o O a La 00 >, o U ,n x r+ E O t vi Z p � LEa+ S _ ro is M LUJ V 2i Ou 0 2 is 2i V d S in U- Cp t0 • U C • L co • o oC. C, .• 00 i-- c -r) _ m a Cl) _ r6 m N > d O Ln C a 2 ♦ O C 0 c •N N c >, W a • •� Ou > CO ¢ O d N O S C W 'i W -0 W '� ?j LL _ • O M p CL� � c o td �• E C O O C G: LZ ao c c •� v~i P 2 _ w b0 CC p C vi vi ra ^ Q v } CC >- 0 li 2 W Go 0 N W OC N N 0 > ba_q > a v c tia "= � m =o + o u i y Y x L,6 a, O n eNa 0 .� 3 fl u° aJ o O ra vn b,p m' a S Q ¢ O •� n_ U R d c o b0 vi ¢ V t Ln O in 0 O o o aJ = •� t J o a U °_° a a O M .M O bU C. nRi L 4! `� u > V a m o n t 0 ° c ra E o Q a) a `^ u to Wa= Va Q p w .N 76 U d QO Q j O o aj 0 u a N 0_ b4 (a R '6 N d C c b0 j V o p O O � _ 4. .� u c r= c a) `n O `n V = R aJ u U fn p 0 CO W ou t = w a O O bRo p •tyao > W a w m > w d v a 0 m aJ C CL) a) O 0 = � � �n � o � y � w vS Ln � _ W = o G -6 O^ H Q � vi R dJ is U N > o D. �_ in E u v W >, .� bO O 0 00 vi C N W = a c/'1 t vOi N o n � C v .2 E E 0 -a c c t y c a) v c i C7 ca > `° N u p d c aOJ Ou . ¢a U ac • • NU _0 W W O � ¢w j :a u (v yuo -' 7 ca_ LU -0 a C x M v 3 c c R rr v p ¢ E d d 0 c u aJ W -0 o H d O p ''n }, C >, _O' r6 ON = J -O .0 >, b0 p -ram v •= U v ~= R O � U b0 �fV O N iv aJ ~ 'a 21 aj a N o E O v ca 0 v_ >_ H o aJ a) d ~ E E E a b�° E a *' a ? �= N 0 z > `�' R c a0 c = L E V) > o O c v = Q x o Ln w ca > w 0 E c N E ra ¢ M .�+ bO O _ t R c a x - � wr ¢ = _� aj �° N R , c s= = ra aJ u p d O E U o 6 u C a a) •C = LLJ bA O vi a) O bO v� _ L a m cru W r6 -a�i tw Q E `n c a o n i 3 � E n o n c Q c H 3 c aui `� h Q o n N aJ °Ji v LBO o y a r m > .o aJ m R 0 = oo t 0 p Ov0 a o = O H ra in N C o Q = m N in v u +� .'^ .� m u 'A V I U _N O s t _u a) V) o U Z d /1 aJ p O = ly6 w a b�0 o p a) v v d o a o = avi E y a o C. 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C d a) �, O L E U a) i d a W l/1 • c�a ro cYv bO4 c = i a`) > �' � .E E � fl.. � a� E m O a O E ti O a bO �? c V C a� O > u L a� �'' i o o N • E N t O O O "-" R N -0 -0 iJ c_7 L C C li a) u a Li • u bO .p J d Y Wry) _ fah O Y s U C �O a) • • '6 ra w > w = 41 Y a� m u cn cn : .- '> 3 at i a o m • O o � C E m : o ra d O N ra o O a x a J o c n a u a> > a 00 O E-N N n N O N E is - a) U ^ V _ a p •• a� a2 ro t4 = a •N N a o GC i ra -a 1 v l � a� LZ a) 0 O • ca O Y ut '6 a) �--� m >� i 000 • coo vi o .� e0 r`na (3.) t a p b0 ra c •a' a� 0 .• L bEo = ao 1° bo v H oo H 00 rc o Q v) rv) �+ y rp o rC a� c c a .� '' _ > a� a a"i ro � aD t n L V H M D U E ai a V m o O ra O a U v 00 LL L co rn O � • v v m • 0 ce) t:xb aj b4 •> m O cn CD • ra a) rd ' W a)E E a� c aj CC Q b0 O O _O V1 N • W ra w m tlo W W Z ci W > U U � ro W • O 7 O O Q. C Z U u w�+ ix O M W '2 a) 'E l/1 •E W 2 O C } } Q Li 2 W m d Z Z N Y. 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W Z d W Z Cl- w Z LU Q.) 8- W U 10 Cl- W Z v 0 - av'' 'N .ra..: C t% N v O V) to O v `D ra m R .,��, ca ru (a O O O �- O O O i Z O = O Z- > O O O tCk- o V > L J v ao v > N > W O N > N > v > v v = N v v '� v '� v O v '� v •= v O to i c i • O = O = O = O = O = O i to UOq c4 u O U=4 O = b=q b�0 b W i �0- _ O - w E W s W �•• L U E W s W N w f6 > v f6 V ut v V U V �>. V O V) 0 L 1 0 ul Z L/ a) O v) O v) N '> V) ra � is m Cl- m a o m a C m Cl- m om — m U on U blo c N W r)00 v N v ti R O v } } } v — m a ca ^ ra 12 O M Lf) N I� O >, m y-. 0 _ aJ � U � W a 0 U • a U ca v a a) O N c � W C) ca c U rya �o 0rLlO- LLJ• "= rn o ra 0 0 rz LO w Q w C)7 c=a Q S ut L° w 0 O 0] W Cl) LLI 0. r) uj d. W H W d C d i W Y1 a O = R 3 = Y = 7 O E O R V •L R N CD i N •i d > m R R a t y �_ - R �_ a+ c s R m y m p m aLL. 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Ro° = Cl- aj uO -� _ o i ooai = E _2 E o a v ai E ai � m fN _ @ a) U r v � ¢ - ad O N c � LU 3 un L, � •N w C) au CL i aui 3 aoi =o o = c c aNi U = ra ,�Qp o = �Qp o p UN � v� .p � � � o^ ✓� pU E .v reap = dwZ$ Cli E = a- w � O c ¢00 waj bya aj aN >, � ia � C.7Z � ¢ � w ai � ¢ O =o ai � ¢ O 00 ram ra o O = J o �CL Q ai �. aS �¢ — = cli w = '> c w = 'c N — 'c U >c3i bo ra ra ¢ _ a`i c a w V) 'I v, a � c 'v, a L rd a) Ln + ,� ) `o � ry a) o ,u N a O = > bo v, E 'v ra vi p a) w *� Cl. ,a w + a Q ;� Q ra to U ra f1 O a) N C O f6 LJ O w a a p a) aaj w ra p a=i w rap vi co E E Ln J a p ru n > u rn a`j ra a) ru a) LL) cl� Y U-) u w Y �n u w im O ' 0 _ " w ra • p = L7 = `� > -1c cL Y v Ln a ra E = ra E = U U - u = u U a^ a) ra ra d O J > = aj >- LZS J > = >- LZS = ' = i = VI m U (; O d O O� U O d = R = = O d m - ra •2 L j 2 p .O O �C O l/1 (,.) ob¢o � m � m aui r=a (_j a E U a>i � U � Cl O ¢ U 'O U d' U ra U U ra U 0 0'U O' U ra c a o ¢ z � U O • N J J a aj ra QJn t • ¢ ¢ ¢ o f ¢ o n o v C — ra N O cli O i> N O Vl v a) O rt� v a) bo rro a b0 Z by ,N > i .� ''-' b4 O N = a) U _O L.n ra O ra '� = yr __ t > Cli ra +� is u O o � a) v_ E U °�° vv o a°)i m u _ 'c o a) ut bo ra u a) �- u =_ v Um T O b4 plu t b4 o O a) _ ++ • ra -10 l.! j = _L N J Of1 0 15 b0 'v�U a)va ra p a) _ p O = o V) _ c n _ c 0 22 U O ¢ O ¢ - bo m `o U > -< o Q = o m a ¢ a) = U :tu—. °) L) a rn a) > ra c ¢ m 'c vi ra °� ¢ is vi ° ¢ 'c ¢ �c ¢ a�i ¢ o 'c bo o vi a) mU ca � U mv, � � mC) mz ¢ = ZD ¢ U mv, a) _ by N w i N N v1 i N 00 _N m O ra ra r aJ a) a) v ru N O r) N co r— CV Ln Ln rb — — — — — — N L•u i N N rn i m Y O fa @ @ ra 0 J } } r r } O ON rV N Ln M M O > 00 U N b4 O C c p = a aJ Z \ ' Q U • E E ra o ra O = Y Q O i ra w C > o LL LL) Lu f6 C • O, o = °) O w LL) ra O O 0] Cl) o a h o E N d C ° = R o ea m .. 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U "=' w •= U a=i > a) w c �n n ^ (o � -�, cn O : b4 E c ca u � -o N n a) W c) C) boo a �>— o I- p v -o Q z � ate) m m u � : w voi o w 6 � a V o o R N In Z p O a) a s O c � "firLE V bp0 o c a) c ra t _ 0 3 +' a n O Q = tom-, -_ v ra n3 o > o c 0- ro b°'o > •`-' rraa y u CL L _ O O U `n6 _ Ln QN O ,, aJ ra O O b0 p a >, :EW ,� O @ N a) 00 E O -4% = c ram_ _ @ Ln � d m u Ln a) C., a 3 U Fu -O m O bo O U Ed bo a) E +. a) is c w -a ..`R O o 0 0 � o a) O c E � a o `° a) a a o aF' v U om r ai o o 0 lu w ,� in O O C v a OU '��—, b00 a c U ro O cG aui _c > '+>—_. bE0 =0 fl. is a) O O O f6 Q t >o a) r° N _ ,� a E O ,E ,c m a m o vi E a) ou Q E °� a o v v v o = t 3 0 o •= n E c p n T E 0- Ln � o c u3 Ea) ra O ja) L a) -O � Q = E w = m o aa) o ra a a YaO) c a+a>.)) ou m a a O — m a) M aJ :E -n o 0 O bo a) u�-� o vi m Cl) 4- Q Iv is d ai v�i mac ; E w o > c u U C t U Vf a) 1n aui bp0 = o " c c `a A > w Y o Q o L/) bo N > O U a) -m - u v . 22 t O -w a) 2' v O bo 'v7 R '6 c _ n _ � c - c a� 'n 2 N W = C fa u 2i ma) a) y--� E O O U = N O p c -2 1 ' vi o u O ap c Q IS 2 p m o a W 0bn.0 a) U Ora Oaj ca - U O b0 �' 'J Ou O O c co ca O a) O a) z 'p C C 'i L � a) ❑ J T� a� 'O o }�A p ra 'in O` O m t c w ❑ O a) O t -O N ra O a) a) O }� n m Q _ n c a) n a) t > E . ca in (a U > E a p c bo > �� o = o a) E 3 bo v) v u fl H o ra u c v 0 0 00 r I Q a.�i c > = x a0�' I axi Y raa , o m o �/ p O_ O C� •mLn m N - ra OU N N Q � — co O 00 a) V +j ca O O R bo > o 14 c) c Y _� •� O � E a) - U t v O af O O O !n N > _ v) is p O � —^ N = j OU 2i L y-- >O O _ _ O •� I� •� t u d O cj � U a) ' bQ a) y--� U CJ LU U) U O N a) O v J c`no O c Ln U a! a) V CJ O ~ t a) E N c06 v ^ �p N O '� rn •� _ p N N N N > u rp C T C C _ ja t ra c c •� v u V, IU- =' ~ a� 'o 0o a� c t a b9 O ¢ v u o u c a) —o v � E — ro c a o ca- a °' c o +- cru n , j C �" m, i \ T o O N ,�-, o E N .� Q .� N t U O N u � - U c U is d u O v, v) t d Y C N aJ Z V a) a--� � a--� 00 IV � ca i1 Q •0 C -c E w -°Q' � � 'o 'n E aj ' aJ > b4 t t _ _ t/'10 E O �_ s O ¢ N ,E, rn ca bO a v ai v 3 •c a 3 3 ? bO v aEi °� cOa n LE v') h rrz �" c '� a) Q b�4 Q d ra .}, N I- E o N O ,O 'n O C - ry o d b04 Q O O N `� co > c U ; O � Y O cp -0 'O bO N an O > E '> •� _ ;^?i• _ �: E y C C -N d O U w V C 7 .O Oy v o a a U o > aj t c >' w ca a� O a c E c = t N p0 � SO _ c O n Ou p vp- u t .� N %) a U rn Cl) p U ++ rO OO ai U m .ti a OV U W > O >, rEp v L W r _ an o C ti O N a) ra is C r6 _ E ' ' p ,Oa v u n ra ~ > > u@ E u r bq ..r'rb a aJ d rL--� � bq u t 2 a) (V .�. m •`n ''_' 'aj R M V aj L v O W N `J (p6 O -� w � L w N m -0 L j +� p ,';;s*. •g O O U U v- m -se �c cn .E .E a) N u Z Cl- 0 u o _ E 2 Z O bq t +cu ca lJ u� io a� bq O o u ra O o C C ra U - O ai M � Q O a) � to � � d b4 CL V a) N -p N +� L aJ Cw xu _ o O O7tf ra E +_ > is c > p -0 v E i O o u ro 'E " O_ - N C u o p i t ri c ca- t o o w o 6 ,o > Ln •N a) p C a) Ln 'u O N Y v) O 0- a \ O w =0 ra N N O O� Z v) rn 72 +-' 'a M O = bq bq �, rn O (D U c O bq ra v ai a�i bo o i bq •N W c C •.0 LJ ) � .0 12 w W LZ C N W N Q _O u 00 > d O () - ++ O .� ai >+ to z = i J N b4 vi n U _ 3 + o r R v) a > bQ -� i � -O rn � rOru U EO U aj Q J t Q N i! N aJ VI E p W = = �+ o Z o °' ;° 'o o E c Q c E o M o W v W � is � -O 'O al c u O Z w •� O (p U N �, s � > r06 ra N .r C U O ra - Q L _ _ 1.�1 l.f) Q v bo au U ai a - •= v, .- -p Tm = aJ U u v E .S In >p E n j ro �. a t ai y--+ P- E t > Q o o fl = W > U E � � o n a E t ° n a a ¢ � > co I� O nua ro p ^ - Y ,a; b� E00 v) O p a)_ a . ,n F m = •2 mrn r° ra >, _ rn is Cl) o a i bE0 o '� E r>a a _ t � ,O p c Ou ai O O w t rE Ln a ras a��i ) a) = a� vl n E ^-� > o v) a� 9 ra Ln - U O u -= O a) > a> > u a� a a) R c ai u a U u a� > o w �— a m o m 3 o E ¢ c U O 0 N s n Tao a i Q oo$ - � c a1Oi c ¢ .o a - F c r v c5 s u � � o 5 o m o _ � � E - s 3 d �•� � - - co m - -15 �+ - Lu o o N oeo . o N V • ® P l E c E Ow 3 � o O OF E a �..! v E 42 42 _m00 kii '•ti r Z 'pp x O O' O O a LLI 5 '. ,¢� n aa 12 •M y '« E LLI - a. w c d0 oso ~� . - t W v w wl LLI � � a. v �N � __ ,off►, �E �. ,r. 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Q 0 O 0 T = bo 0 O O L N EO L C O O 0 N Z .� a C _ O C N rn W i L fC L > `u n u '> t t o` po vI W u Y b4 u "' E a� boo b0 0 v co 0 0 E c+_o a� o bO , o ro t > H t -0 `J° `° E o c c Y E bO IV E aJ - E � n �, > o c a� �- o o a, d t o c `° ao o a g p c v ra w N > rc ry �o ra � u !6 'in n c U) U O 0 N N N L i _ Qj , Y a0., 00 "O O t OV >` _p ro a, s a 0 O a, "0 ut Ta ;� -73 c co a, u u o 0 a d O > is "' a bp0 0 Vol � 4 O 5 0- c0 u -o o = ro a, o Lnc v 0 0 fa o ro x o R io a, c u a, W c 00 � 0 > c N .o w rya CL _ •�-' c 0 by C O ut O 0 R u a, +' v) d p O a c O -00 O ro •� u c p -i6 O c u >� 0 to N L O O •N O cL., c6 CU r0a/r aiW , -02 a a E b 7 N u E 0 +0J r>0ao cu u �o o V, a, -2 O ao, — o - W co 0 o Q d n °1 yV �' c a c ^ a, 0 a > > u c co O V — '� �n $ 'u c 0 u c u ro > p O ry E a co 0 c_, c co m 0 p W W O a, +J a, 0 E p C vi Q =_ V 0 a 0 p L co N - c76 C @ in O c .`n c V ra N ..-. 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LU E V _ s Rio c LLI I 0 m M N O N W T m O N n 1 6� O a A C •- OL —y N W a �, r �.. � � a v - x � w - _ �y •1 Im W oqca LU Z g6 f- N V j d IS g a W s o ¢ V _ W N n LU °° W a yy o LU no a @ in x Nam .. W E No W Z Z LU oc u N a D 3 W J � W a= W ❑ � d d uo U 2 rn q O no fO c N v O u oq s = ¢ -Fe .E .E o m M ❑ N O N W T m O ❑ N C G Q o @ ra r oAe� ru eC0 F= t a .0 C (v � � C � � s o N t O NIn C N U i � c6 O OY rn v) 2 >, -� � O C O O N o f a C N — m � U 6 O XO_ N IS O 3 N - d U - Lp �gm AU (6 O C O = Z y W p o t a E yd > CC - o V 04 Q E N rc Y -:' m o ao = o o oo s n c bl g LLI .0.,, U ri O t O Q p ++ 1• m a a N C Q Q t C Q ■ _ E - _ ffi E - _ £ m o Q o a 0 o ao 3 u 0 t 00 > a C N O ru ro O = 0 0 U „t In o N O N O vi N Q N U m x N W co O O O O r) N t`ni� C O N N N U = ,�-J to O ro cv O to a� p - oo W Q b0 •y O c .E U O O O co m r6 c6 }, y-- u d N - om J N U •+�- M 0 CJ N f6 "O N I U 000 0 > . O U O ch lJ _.o � S N c a,, O E a� a p �n gE .u b0 O U N ra a r`a '� O U = U co _ do n roco Ui � LL V - p v O2 $ U u R N 3 v w C n o u a�i bo `co Eo oL V aa) a�i ra O_ u a _ m 'Ao E o C7, a� o cr) = cvo a au ra "D > � O •� O — .N b.Q U t .V > — -.E o c o N j � 00 00 '= U O EO L N W o a L �a —ao N 'E °' W c E a� a� a = - 0 _ �, w •= - � E b0 � • a' E o0 —0 E Z o _ w z - 3 = ¢ O mu 0 0 o 0 c U 0 N n 1 6� O a tV t2 f f r 0 0 lJ a O 0 E r o T E w .2 - E n c Eo m zLULAA Z a E c Z c W 3 u a 3 W u (AE o ¢ x o i p E W m P4 o ..Q c aLU = .E � � d a u -a Ew � A .+ E a s s o ♦ _ vo � — o um/ -2 s mu ello b v — 0 W c E H ZLU 18 LE v I to _ o Q 1. uo LU m J � M � V y N o � N � b0 W Ir T O 4 1 _ 6 O oy n D.Q A'D L b0 F� C O N p'O n d d E O E bq C C O Z E C p E b0 d R � O W `O Y 6 d O K � In U H V _ 7 it Y o 12 o � N v o � E E .� « v E ou - co �., o � w 3L o � - 3 � a n b0 c - A N3 0 .- a A o ' n co s _ v .:: on n wu o m s d a oo ' a o_ o a �' y c v p a .o co- - 3 o L c - a o` -o c s +• 30 - o o f o — �o d . 7 eq s v E v 90 - a - N v u `o o.«. 3 'E o Y+n �. a m` fO co o a� w w, m w, a a c s ' - = a o0 0 - o E w- 3 = o tO a.4 0 .F s -u o o o a c `u o o? Q c b0 a o o v N o oN v um N =n - �a ._ C s p bq.s-. N o 'a m o s u o 0 0 s ° - E a _° t v o eo.s o eo o �= v - u .a v o a c a c s c w 3 c �d c� _ o o - y IS n 3 o v R a o ao o_ H c c s N a o. £ v v s ai o v Y c c N uco c ao = 0 3 '3 w a - w om.co- v o n'o @ - o �. o a-�i 3 a E `o= c co c m E v - _ ..- 3 a 1^.. c v c 3 m �v�i o �' ,,, N d -� - _ c .� sv. aoi o o_ w oa.o LE' _ 3 _ y_ c u �n - aci o.a E a c E o o_ •= H E � _a'oo aci ou E u o auai v = c a�ni c t o nn o E > w = Eo c - Eani a c rn w 0 O M O •� c o oLn a) a 6 Qaa a) ._�x a) >, O O _ aco y ro ov o OO — o N ry N a) fQ L ra C _ _ _ c O c `� ^ O aXi =3 c Q O —M O w O 0- '� U L N m m C = - O N NL-+ O . i Q a m U '.'c' ro = t >i O b0 O. 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w u d = W O O N O •� O_ ~ U Ou Q) "O to T o -0 m V)z a o c O = O a= 0 o E o a) L ou ¢ v c� 3 •u a w = O a) -0 o o LZ 0 ra o E c > Z �' =O O = _ z a) u -4% N Qa > CL m ,w�_+ rOc a) Q a � = .O = 0 a) o -S = p � _ ) U rp bE0 W •-0r _ Q •> v`i'i R •+•r ''N'' d OO o (v m t o � .c _ �, 0) N o J 6- a) co O c > a) +� .`6 E O a) %A :� Q a) W a) 0 a u w aui O = u a a> > co Z in Q i 0. a) = a) = a) O n o N a) t N u N 0 u N F _ O a) u o Eca Ua � ivi � -uN@ �nS a u t) c r 'N �a7) w E , oo = a) a � OfaN b4 � Nav . v! ) 'c Ww o 43 = v ¢ > 'u > U o > ra o u o c o •b0 S '> fl. t U N E = v� i 0 x -5 "- o n a) E u �_ ca v 0 i cuo o o = _ _a 0 N O U (3) � >' c0 = In '—' i O 7 O O �c m = N > - N O m � a) (� m O N •C u a N b04 > >` R 0 f6 tC V a) aJ t6 +� _ U cn O a) > - J O O Q R = N = Z r0 ¢ v E t M a) N 5- •b4 N E N U o - O c aNi E _ rp t 3: a) o rOa 'an, W o o c_=c v - (° a`�i a) N O > Z .. •`—' c1ao >, > V E r��o O O_ b0 aJaj So CC a) N �= N f0 N U 0 U L o Y O V, a) C � W = _ _ c co u a a) %A i �) t = ai a) L� v a) E i a) LL V _ u '� > ra n a) ' t W u a u _ a) 'o t o E ba rl- �- 0 = o a a) o `o ai = c° c> Fu � boo a+�) aui o O — '> =o v 0 p aEi o r`a)o c u Q u o O Q Lo N o °° 'E += t v=i ¢ O ~ O u ^ c 3 , a"') V o ° m c bo '6 ca O = O O u u N c m O a) O m n3 t t .� b0 W vNi Y � Ou .'^ O •p a 6i' N bo °� c = v = .o = o ) aii Z > a) aN) c - 0 CD LD u u - ._ N O N Lu O = Q o t a o u .0 0 E a) —2 .Oo a) a u Q � E w 00 cn nou V .S ¢ �' ro Y o co .� G. v) ou c U) U 0 M N 0 N • id v Z c C. 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'0 m= p —0 Q fl. > Op W 'd Q N O vi O O t O U p N a 0ca_ = o o E t ani Y c a a oN � '� 'o u bOo E t '� E ; 0 3 a E o ra = ra x c a� ora p J V N 0 ra E >' d.O � rOa •�E ar-a • viura E :> O w vO ra U O O W N vi _N b0 co Cv O �' c a Y t •� — 0 3 'co O mo � .��.. � i ra o = 2_ o o O N � V o 0 n ra o a� o ra ra 'bq O � ra o o vi Oo O W U M '6 Y O V O O iJ ra Q d U �'-� O C CJ OLv A GC C C O > O a = Y d O ra N O N N + ii O — C N U ra N > i CCL 'a-+ C 7 O > r W a m Y -O c vi O O ra -0 O yam., O c� m — -0 1p L Q Q bD r6 U O _ x ML N vi U N >' C ra 'O 7 of U Cl) Q E = E o Eo E � c v o 3 o a� y �, rya a m o o r6 S >_ _0 ig E c v o E °' t 0- Q H o �o - u L o _� � � c U E o Ea a •N v a> > V Y ra c a� �' a� N o O n N W a o v c o o o N (v ti° 2 � O '1 b4 u i ci 0 �' O Y u fl- O' O 0 > N to E pC o v Eo o a fl .N o N a� w ca t W C d V) d N ra v .Vi O d. �--� ra Y 0 .� 2i V) OV Ln -00 c _0) U) O U O 0 0 W.c C O •� p E O C F V Ed O w V W b0 c +L+ f b0 c is a E o 2 — � o� � A C p r a A 0_ ` 2 Y `O_ o � G C E R W Y p d N _ - a E� V V o v E x o E v _ E72 N c E a a E g c E cq E `T' i c c Y � � a�� m o E v d c N ,-R c o,� w E � ao E•- c V ao d a�n.� N.o - .. a b v o y o o.� axi c on c °' aoi o.£`"% o A c a v A�o m.E oa o at E °'ai ao c y ai c = ai a`i a`i —a — a d? $a E�E d a s o z 3 � o t o c a E � i Y O Y c m i } - c C C p E o E E Y K - � bc0 Ti C 1 N mg C 1 d \ E O O j j E N tYi 32 E — - - O H H O = O O 2 E E - - _ O O O m O w 0� c u C Ap o e °o N c . d C Rlp - C G N N d yy� O q _ A C gN Y W pYp Q �Cp G G ic tR V N N 4 O A ,C C V •V` N .N Q A O o \ g g .wck: .y CO �6 C N R a lei e � � � m c •� ° is �, S � d m r d o d GG ; •� .c � E � t p� aNi o W aY, A c ,'$ o a •°-' � °�' : a'�, C � '�^ �' R A G o e o 'C 'C mot„ C G 3 Y �u� 'p� �' .a0 •�' °�' .E .F 4 .E p N a4i Q \ Oe d \ �' t°, Oe ti C i" ti d •o o i : N o �' W 0 a � � a E u o d o z o71 21 ISul 3 N A o � d - o E gi II Lt -orz` _ E `� ¢ N '2 An �g d :n :E x �T- '2 v oQo V W = C o0 t A O H C O N m Y - r J p CD zl* o _ y 6J �J O �_ _ O Cl N Om m V rn +q. Y.I J rV m O O ur ri ri v�i ri u�'i ri r'i u�'-i G H y O O O O O O i j y o 00 O O O O O O O O O O O O O O O O O R W 1 H m T O n - o qL d d _a v E u E o s°' - A E N L b0 _O C Q E N - - o E v .� F E o c c E Eo tV t2 _ 2 2'— - _ H v+ O a Qm o 42 - vzo•-•• .�L o.. c � $_ o n d 3 E oQ . 3 w aci c > o - s v � E� m� 3 Ed - °— o E a v v E E c Z E E-- ao o E.`� E s 0 z E n G en E E E E a ke o W V J¢ m o L C E C L C C w N N L - - O u o e e O R O C O v w C S 4c d d q V '^ d d a •�� a E 2 i N Q QO V V Q 4 2 Q N V u L Im o c E w u' 23 c T W - U � � T ✓1 T � C � d a E °' c o ¢ E AD o ¢ o m _ ti w, _ _ _ _ _ _ _ _ _ L U q 75 V � N m 0 0 m � O C. C> G Cl O O Cl O Cl O O O O O O Cl O vi vi vi vi j O O O O O O O O O O O O O OO O O O O W m T m O a G G O d Q _ C OO tV t2 CO N �� C �V O d GJ � a Y-J C � eJ bq V 3 c � c � _ o °1 s � s � — `ou E E n G � Lz EA bo 75 en — a - a `o 0 _ 2 . `o u V o . Q • o ' n 1 1' • n o • a o Y O O N O �D N N N ON N OJ W N .N- .N- .N- � .N- .N- p p �- N W O] O a C d � W N O O � 9 Y v E N F a ry a N >o d � N e E ° �• m i � o a W u m = V w e a � •,�-„ ❑ N O C - C Oi N K '` y ` q T. Z e ¢ N V .. L ¢ in .01. ❑ � i � = a e � °�� c � .e. `3' 'o » C v e a Q z N N f c` C u' E W £ 3 _ N E `� - �' m x n •`- o °in= m a m .� .`-'�' ¢ .� .E .� a w x n N � e E u co i '° a s W W r ' a z a 'a 3 a° � — d o C h o W U al ❑ r O u ca V� n W o y E cc o aU W AS. rn 0 ❑ ul E i O N cr GV N 00 00 00 N m n O co m - co 00 v v LL 00 s O 00 0 a o c w c U I � DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS F)l Section 2:Technical Proposal I D.Required Forms D. Required Forms The forms listed below are included on the following pages for HDR and our sub-consultants. • Signature Authorization Form,including Addenda acknowledgment • Non-Collusion Affidavit Form • Debarment and Suspension Certification 40 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. (:/ � -- 09/29/2022 Bidder's Signature Date Thomas T. Kim Senior Vice President Print Name Title 41 C-10 DocuSign Envelope ID:D3BO5087-5F8444C6-93BO-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-1S Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal C D.Required Forms CITY OF LAKE ELSINORE NON-C O LLU SIO N A FFI DAVIT I-'ESINichols Interchange Improvement Project Project Study Report-Project Development Support(PSR-PDS) City Project No. ZI0082 STATE OF CALIFORNIA } } ss COUNTY OF Orant�e } (NAME:)Thomas T. Kim affiant being first duly sworn, deposes and says: That he or she is Senior Vice President of (sole owner, partner or other proper title) HDR Engineering, Inc. the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Sid are true; and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 3230 El Camino Real, Suite 200, Irvine, CA 92602 ( Telephone Nv.: 714)730-2300 Print Name:Thomas T. Kim Signature: Title: Senior Vice President Date: 09108/2022 StGN[N-G-INSTRUCTIQNS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary rglJjficate immediately following this page. If the Bidder fails to properly sign or omits the required signature,the bid will be considered non-responsive and will be rejected. C-11 42 Docusign Envelope ID:D3BO5087-5F8444CE-93BO-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal C D.Required Forms CALIFQRNIA JURAT GOVERNMENT CODE 5 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of 6yow Subscribed and sworn to(or affirmed)before me on this 75� day of ✓ , 20 ;?Z , by Date Month Year (�1 -Pho 1c .3 Ti . t m (and(2) ), Name(s)of Signer(s) ROSA LbPf2 SAN711.1-Att votary Public.Cal info roved to me on the basis of satisfactory evidence to Qrongr County � � rY C°mmissM 0 23116117 be the person(s)who appeared before me, My Comm,Expires Dec 11.2025 J Signature _ Place Notary Seal andlor Stomp Above ignature of Notary Public OPTIONAL Completing this information corn deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document l Title or Type of Document: ,n" Document Date: SPp 3-ffl e°v b t zoZZ Number of Pages: �Y�Q Signer(s) Other Than Named Above: OiKkf tpe.rS 2019 National Notary Association 43 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? YES / NO (circle one) N/A Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 09/29/2022 Signature Date Thomas T. Kim Senior Vice President Print Name Title HDR Engineering, Inc. Contractor Name C-20 44 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS LN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. 09/29/2022 Bidder's Signature Date Keith B. Cooper CEO Print Name Title C-10 45 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE:ELSINORE NON-COLLU 1QNAE'1f7AVIT 1.16/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No,Z10082 STATE OF CALIFORNIA ) ) SS COUNTY OF LOS ANGELES ) 4 NAME)Keith B. Cooper affiant being first duly sworn, deposes and says, That he or she is CEO of (sole owner, partner or ether proper title) Environmental Review Partners. Inc the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or share Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication. or conference with anyone to fix the bid price of the Bidder or any other Bidder,or to fix any overhead, profit. or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract, that all statements contained in the Bid are true;and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto,or paid, and will not pay, any fee to any corporation, partnership, company associations,organization, bid depository,or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address 1752 W Adams Blvd. Ste 201, Los Angeies,CA 90018 Telephone No.� (310)439-3424 Keith 8. Cooper Print Name, Signature: Title: CEO Date 9/27/2022 SIGNING INSTRUCTIONS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notarp certificate immediately foilowinu this nape. if the Bidder fails to property sign or omits the required signature,the bid will be considered non-responsive and will be rejected. C-11 SEE ATTACHED CERTIFICATE 46 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS LN Section 2:Technical Proposal I D.Required Forms CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 :tCV"'A. �.ru r +car rccccecsrrs� rrs - scc ce ,.. .-•,crr cc�tcar s See Attached Document (Notary to cross out lines 1-6 below) See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 ff any] A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of CalifornizL Subscribed and sworn to (or affirmed) before me County of UA*C&— on this 2 A day of _ _, 20 2 by DLatte_ Month Year (1) r' N,FROST-SAVTH 1 (and (2) j ), 90my Notary Public-Celiforn" Nani of Signers)Los Angeles County Comm.Expires Nov fig,2024 proved to Tile on the basis of satisfactory evidence to be the person( appeared before me. Signature Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: K"- U-6 tx�Document Date: Number of Pages:_ Signer(s)Other Than Named Above: @2014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) (tern#5910 47 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,I-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / G (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? YES / NO (circle one) NOT APPLICABLE Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 09/29/2022 Signature Date Keith B. Cooper CEO Print Name Title Environmental Review Partners, Inc. Contractor Name C-20 48 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-1 5/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. 09/29/2022 Bidder's Signature Date Jason Pack Principal Print Name Title C-10 49 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE NON-COLLUSION AFFIDAVIT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support(PSR-PDS) City Project No. Z10082 STATE OF CALIFORNIA } SS COUNTY OF (NAME)Jason Pack affiant being first duly sworn, deposes and says: That he or she is Principal of (sole owner, partner or other proper title) Fehr& Peers the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true;and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto,or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 3750 University Avenue Suite 225, Riverside, CA 92501 Telephone No.: 951,274.4800 Print Name:Jason D. Pack, P.E. Signature: Title: Principal Date: 9/27/2022 SIGNING INSTRUCTIONS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary certificate immediately following this page. If the Bidder fails to properly sign or omits the required signature,the bid will be considered non-responsive and will be rejected. C-11 50 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CALIFORNIA JURAT GOVERNMENT CODE 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the docurnentto which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Countyof 1-2"V e(-.5 Subscribed and sworn to (or affirmed)before me on --L't M 2_L this- day of S c r- , 2 0 -, by Date Month Year (1) J Pci,. S.METZ Notary Public-California Los Angetes County Commission#2247110 (and(2) Nume(s)of Signer(s) My Comm.Expires Aug 11,2023 W-400mar-ow� proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me- SignaturePlace Notary Seal and/or Stamp Above zlgn e of Notary Public OPTIONAL Completing this information can deter alteration of the document at, fraudulent reattachment of this Porn?to on unintended document. Description of Attached Document Title or Type of Document: ly*k rcfs 1 91 /4 _J C Document Date: 'CFA-7/-L_-L_ Number of Pages: Signer(s) Other Than Named Above: �A2'�2� Y_':Z,s_' =2019 National Notary Association 51 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,I-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? YES / NO (circle one) N/A Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 09/29/2022 Signature Date Jason Pack Principal Print Name Title Fehr& Peers Contractor Name C-20 52 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,I-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. 09/29/2022 Bidder's Signature Date Bernie Mclnally, PLS Executive Vice President Print Name Title C-10 53 DocuSign Envelope ID:D3BO5087-5F8444C6-93BO-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal C D.Required Forms CITY OF LAKE ELSINORE UQN-COLLUSION,r{FFIDAVIT I-161Nichols Interchange Improvement Project Project Study Report-Project Development Support(PSR-PDS) City Project No.Z10082 STATE OF CALIFORNIA ) Orange SS COUNTY OF9 � (NAME)Bernie Mclnally, PLS affiant being first duly sworn, deposes and says: That he or she is Executive Vice President of (sole owner, partner or other proper title) Guida Surveying, Inc. the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true;and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository,or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 220 Commerce. Suite 150, Irvine, CA 92602 Telephone No.: 949.777.2000 Print Name:Bernie Mclnally, PLS Signature: Title: Executive Vice President Date: 09/22/2022 SIGNING INSTRUCTIOtiS TO THE CON7 AFC Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary certificate kmedlialelyIf the Bidder fails to properly sign or omits the required signature,the hid will be considered non-responsive and will be rejected. C-11 54 DocuSign Envelope ID:D3Bi15087-5F8444CE-93BO-DD87B28DCD82 City of Lake Elsinore Engineering Department,I-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CALIFORNIA,ALL-PURPOSE ACKNOWLEDGMENT - CML CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate Is attached,and not the truthfulness,accuracy,or vatidity of that document. State of Califomia ) County of n�ao u J ) On 1Z before me, Gate Here Insert Name and Title of th Officer personally appeared IP Yn.le. L1�1 Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 3R.DGE""E KIUTL! --EK SLBVIK WITNESS my hand and official seal. •, Ho[try Public•cattfvnia ' [kanle CaLnty commiSSlbr Y a34C+4C _ pry.1amm.E lsires CC 27.1C75 Signature _ ignaf a of Notary Public Place Notary Seat Above OPTIONAL - - — - u h this section is optional, completing this information can deter alteration of the document or --�fraudulent reattachment of this form to an unintended document. Description of Attached-Document Title or Type of Document: `�-•_ Document Date; Number of Pages: . Signer(s) Other Than Named Above: Capacityfies)Claimed by Signer(s) Signer's Name, ._ Signer's Name: 117 Corporate Officer — Title(s): _ L Corporate Oftic6t---�Ttle(s): LJ Partner — J Limited CJ General ❑Partner — El Limited'' General i Individual ❑Attomey in Fact ❑Individual D Attome-�-irk Fact Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or`Gonservator Other: __ ❑ Other.- Signer Is Representing: Signer Is Representing: - .. �. .{e:[."'• .. . .::_f..-.2.^t%(X�Cc17'.:{,v_•,;�'t'{7e=i.�X.Y%(7::VXUC.'<'�Y%4'4r.'S:L.a._�,v Ctat 5 National Notary Association www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 55 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,I-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support(PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? N/A YES / NO (circle one) Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. 09/29/2022 Signature Date Bernie Mclnally, PLS Executive Vice President Print Name Title Guida Surveying, Inc. Contractor Name C-20 56 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. ( 09/29/2022 Bidder's Signature Date Darren Riegler Senior Vice President Print Name Title C-10 57 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE NON-COLLUSION AFFIDAVIT 1-151Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 STATE OF CALIFORNIA ) SS COUNTY OF ORANGE ) (NAME)Darren Riegler affiant being first duly sworn, deposes and says: That he or she is Senior Vice President of (sole owner, partner or other proper title) Michael Baker International, Inc. the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true;and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 5 Hutton Centre Drive, Suite 500, Santa Ana, CA 92707 Telephone No.: 949-472-3484 Print Name, Darren Riegler Signatur Title: Senior Vice President Date: September 22, 2022 SIGNING INSTRUCTIONS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notaryy certificate immedialgly LQ112wina Jhi§ . If the Bidder fails to properly sign or omits the required signature,the bid will be considered non-responsive and will be rejected. 58 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CALIFORNIA ACKNOWLEDGMENT CIVIL CODE§1189 Anotary public orother officer completing this certificate verifies only the identityof the individual who signed thedocument to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County y of QQ2=AN^ )E t 1 On bttr a� aOa before me, i��}}`1 r-r t�1'�P M ,,St3 r n 1ftf4 V+MJ1t farxte Here Insert Nome and Title of the finer personally appeared me(s)of signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herltheir authorized eapaclty(ies),and that by his/her/their signature(s)on the instrument the person(sy,or the entity upon behalf of which the person(s)acted,executed the Instrument. I certify under PENALTY OF PERJURY under the P41LUP MAM laws of the State of California that the foregoing rotary Put+tk-CatHarma paragraph is true and correct, (range county I ca"r"'SSW 0 I4MM WITNESS my hand and official seal. 0.,comm.Expires MAY 21,ZM Signature V Place Notary Seal and1br Stomp Above Sigri Aire of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document t` , h� Title a Type of Document:� 0V%"C C f 1 SAS l VY- Y -17 1 J r,J 1 Document Date:! 4Oae )01- Number of Pages_ Signers)Other Than Named Above: Capacity(ies)Claimed by 5lgner(s) Signer's Name- Signer's Na Corporate Officer- Title(s): rate Officer—Titie(s): © Partner— 0 Limited 0 General ❑ Partner— ❑ Limited ❑ General la Individual ❑ Aft act ❑ Individual ❑ Attorney in Fact ❑ Trustee uardian or Conservator ❑ Trustee 0 Guardian or Conservator 0 Other: 0 Other: Signer is epresenting-- Signer is Representing: (C2419 National Notary Association 59 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? YES / NO (circle one) N/A Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion there hall also constitute signature of this Certification. 09/29/2022 Signature Date Darren Riegler Senior Vice President Print Name Title Michael Baker International, Inc. Contractor Name C-20 60 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE ACKNOWLEDGMENT OF ADDENDA RECEIVED 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 The Bidder shall acknowledge the receipt of addenda by placing an "X" by each addendum received. No Addenda was released Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 If an addendum or addenda have been issued by the City and not noted above as being received by the Bidder, the Bid Proposal may be rejected. 09/29/2022 Bidders Date Jessica DeBusk Regional Principal Print Name Title C-10 61 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE NON-COLLUSION AFFIDAVIT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support(PSR-PDS) City Project No. Z10082 STATE OF Virginia ) SS COUNTY OF James City ) (NAME)Jessica Debusk affiant being first duly sworn, deposes and says: That he or she is Regional Principal of (sole owner, partner or other proper title) PaleoWest, LLC the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any Bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other Bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other Bidder, or to secure any advantage against the public body awarding the Contract of anyone interested in the proposed Contract; that all statements contained in the Bid are true; and,further,that the Bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company associations, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. (Public Contract Code Section 7106) Address: 517 S. Ivy Avenue Telephone No.: 626.408.8006 Print Name:Jessica DeBusk Signature: Title: Regional Principal Date: 9/27/2022 SIGNING INSTRUCTIONS TO THE CONTRACTOR Non-Collusion Affidavit must be accompanied by notary certificates for signature. Note the description of the document on the notary certificate. Attach notary certificate immediately followina this page. If the Bidder fails to properly sign or omits the required signature,the bid will be considered non-responsive and will be rejected. Please see the attached page for Notarial Statement. C-11 NotaryCam Doc ID: 926f821a-369f-4b21-8199-618065c6fdbe 62 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS F)l Section 2:Technical Proposal I D.Required Forms Certificate of Acknowledgement Commonwealth of Virginia County of James City On 9/27/2022 ,before me,Samantha Drake Brown ,personally appeared,-1 u pssira DPRsk proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s)acted,executed the instrument. �Q p,""" WI SS m h d and official seal '` y '_=Cy�:'ELECENONIC NOTARY PUBLIC AEG A 7679100 I was commissioned as Samantha Rose Drake EXPIRES My commission expires,September 30 2024 Completed via Remote Online Notarization using 2wa Audio/Video Technology. ''`,.�EALTN��*,`'`� P 9 Y 9Y "'111rrrrrrrtit4+'° NotaryCann Doc ID:926f821a-369f-4b21-8199-618065c6fdbe 63 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal I D.Required Forms CITY OF LAKE ELSINORE DISQUALIFICATION OR DEBARMENT 1-15/Nichols Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) City Project No. Z10082 Has your firm, any officer of your firm, or any employee who has a proprietary interest in your firm ever been disqualified, removed, or otherwise prevented from bidding on, performing work on, or completing a federal, state or local project because of a violation of law or a safety regulation? YES / NO (circle one) If yes, provide the following information (if more than once, use separate sheets): Date: N/A Entity: N/A Location: N/A Reason: N/A Provide Status and any Supplemental Statement: N/A Has your firm been reinstated by this entity? YES / NO (circle one) N/A Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. ►�' ""'� 09/29/2022 Signature Date Jessica DeBusk Regional Principal Print Name Title PaleoWest, LLC Contractor Name C-20 64 m LA O O_ O cn O V W co I N V 00 Q 1 U m P � O co 6� (O t. co � r � co LO 0 0 w R, 0 U O DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS F)l Section 2:Technical Proposal I E.Cost Proposal E. Cost Proposal Per the RFP instructions,the cost proposal has been submitted separately from the proposal on PlanetBids. 65 G� V fa i N li 7 � 1 00 0 04 A r 5 W 00 m � 0 O m _ xAd - co + r 00 �f �n r co t 0 `n 0 m M 0 0 III O o O > ui O r r U 0 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I F.Insurance Requirements F. Insurance Requirements Page 1 Of 1 .4ct;7iZf3 CERTIFICATE OF LIABILITY INSURANCE 06%02 tf2g 22 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 N07 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS),AUTHOIUZE13 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDITIONAL INSURED,the palicylies)must have ADDITIONAL INSURED provisions or 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{a}, PRD,DOCER CONTACT Willis To x Watscn Cattifioata Cgetar HAMS- x111J.s Towers Hataan Midxs4t, Sao, PHONE 1-$77-445-73RH - FAX 1-flfla-45T-23Tfl c/a 26 Cantury Blvd wut Na,.en WIL HcJ. _ P.Q. Boa.305191 E-MiCL ADDRESS: oartilicatas$xillis.aom Navlwv>lle, TN 37230519i Usk I111SURER(s)AFFOHOiNG COVERAGE NA1C0 INSURERA; Labarty Hat—' L"ra Xcan anoa Ca>mIIII'aay 23035 4NSURED INSURERA Ohio Caaualty IaN anoe Ccmgany 24074 t�R&aganaaring, ins• 19 i7 a—th 67th Sinai INSURERC. Lzbarty Insurance Ccrparation 42404 Omaha. IRE 5919E INSURER O. INSURER E. INSURER F COVERAGES CERTIFICATE NUMBER:w24977699 REVISION NI11N$ER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BFI-OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIUATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, tXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE E BEEN REDUCED BY PAID CLAIMS- IN5Rt; .AIIOL S-U POLICY EFF POLM1C"l FXP L7R: TYPEOFlNAURANCE FOL10YNUMrBBR MMm MMfO I UMITrs X COMMERCIAL GENERA L LIABILITY 2,D0O,a00..•-,_ EACH OCCURRENCE 5 _I CLRIMSMAOf X (1C[;,IR pRF�L`RE.�i£®?4S7nl+Rr9l1 ,a 1,OgD,ORO. A X_COntsantual Li hb 1,1,y MED EXP{Agy Ana paraalJ 5 10,000 T92-641-444950-032 .045/07../2022 06/13112023 1'ER8OkA1_6A0VINJURY— 5_— 2.,006,000 GEN'L AGGREGATE LIMIT APPLIES PER: C,ENERAL AGGREGATE S 4,000,000 r wr'e I X jE"T I_X,Lac PRODUCTS COMP-UP AGO S ■.ODD,DDO OTHER 6 AUVOMOI Ol UAINIUTV tDOM.61NEQSIMGLE I-Off S 2 ODD,000 X ANY NUTS BODILY INJURY(Per pn ;I S A OWNER SCHEDULED AS2-641-4440SO-042 D6/01J2022 06/01/2029 BODILY INJURY f1'ar aazManzi 5 .AUTOS ONLY AUT43 _ HIRM) NON-OWNED DANL4OE AUTOS ONLY _ AUTQS ONLY PROP€ITV.SO as RTY II a UMBRELLA LIAR X OCCUR cACHOOCURALNDE IS 5ra00,000 X EXCESS LIAR CLAIMS MADE I 8770t23}579I9363 06/01/2022�06/01/2023 AGGRFGAT 5 5,000,000 DED X RETENTION 5 0 5 WORKERS COMPENSATION X R OTH- ANOeMPLOYERSrUAaILITY .STAWTE_' ER- ._ Y!N 1,0p0,OOa r 0N71CF WEMEIN{PART111::R1♦:%ECUTIVE El GACH ACGIDENI 5 JM+ndwtofvin REREXGlODED? N!A ifA7-64D-4409sD-g 12 06J03 JPI722 OS/O112D23-- 1,Dog,goo i4landawrylnNNl Ei DISEASE-EAFMPLOYEF 5 Irx",dos "urakr _ _.—. .._ Y,Og0,0d0 De SCRIPTION OF OPERATION5 miaw E.L.DISEASE.POLICY UMI I 5 LESC RIPTIQM OF OPERATIONS P LOCATIONS!VEHICLES IACORO iOt Addwarc Rams**SChndHlr may Ea attached FF apace fa r.gW,.d) CERTIFICATE HOLDER CANCELLATION S3f,,Pl,a SHOULD ANY OF THE ABOVE DESCRIBED POLia8S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. ND110E WILL 0E DELIVERED IN ACCORDANCE WITH THE PQLTCY PROVISIONS. AUTHORIZED REPRESENTATNE ®1888-2016 ACORD CORPORATION. All rights reserved. ACORD 25 12016)03) The ACORD name and logo are registered marks of ACORO sn TD 22658058 aArcn: 2547319 66 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Section 2:Technical Proposal F.Insurance Requirements ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMIM .ilh 61P2023 1 61I12022 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, E)TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,cortaln policies may require an endorsement. A statement on this cortifrcate does not confer rights to the Certificate holder In Neu of such endorsement(s). PRODUCER Locktan Companiem CONTACT 444 W.47th.Suvet,Suitc 900 PHONE ENE FAX ox - IkDnsim City MO 6411].-1906 EMAIL (816)960-9000 ADDRESS kct9u@)Iockmn.comINSURER(S)AFFORDING COVERAGE NAICa INSURER A Lioy[ls_of I_,oTt4ILTD. z INSURED [iDRENGINECRING,INC. INSURERS. 1429583 11917 SOUTH 67T)i STREET INSURERC — OMAHA NE 68106 INSURER o INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 18584305 REVISION NUMBER: xxxxxXX THIS IS TO CERTIFY THAT THE POUCiES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I R. LTR TYPE OF INSURANCE 'POOL.5uag: POLICY EFF POLICY ExP LT fN a WVD POLICY NUMBER I14=fYYY- LIRBTS COMMERCIAL GENERAL LJAR1LrFY NOT APPLICA13LE EACH OCCU14R.ENCE �](X.JC—XXX _ CLAIMS-MADE OCCUR 15AWW TO REHTEd- PREMISES JEa_occyrr@n s xxxxxxX f MEO EXP(Anyone pumml 5 XXXX.XXIN PFAsw m-a ADv rRiL4m s XXXNXXX GeN'L AGGREGATE.LIMIT APPLIES PER. GENERAL AGGREGATE_[,G 3t s X"Kyz{X,xxx POLICY CT r LOC. PRODUCTS-C€kA hv I S XXXxXX -- OTTI-IER -_— 15 AUTOMOBILE LAW LITY NDTA13PLICABLE I:OMtllN L IMIT 5 ' (CaaLtiden1l XJtX?tXXX AN,AUfO dOO-LY INJURY(Per pesos] 5 XXXXXXX OWNED sCH EDULED - - ...__-.- AUTOS ONLY AUTOS BODILY NARY(Per aceldertl 5 XKX3C)M AUTOS ONLY ALTOS ONLY f PNIt PEFWbAMAGt _art S 3CXXXXXX sXxXxxxx UMBRELLAIIAD t7CCUR NOTAPPLICASLF 6ACH0=R4eNCE S xxxxxxx EXCESS LIAB -- CLAIMS-MADE AGGREGATE_ -- _-S XXXJ{XXX DrD I I RETENT1f7N5 S XXXX)D(X WORKERS COMPENSATION No APPLICABLE PER TH- AND EMPLOYERS'LIABILITY YIN 5TANTE ER ANY PROPRIETM?PARTNERF-XfGUTIVE E.l,EACH ACCIDENT :S X3C7�;XXXX OFF CEMWEMBER EXCLUDED? ❑ NIA (Mamm"In NH) F-L DISEASE-E'A EMPLOYEE S X)OC XXX iF yynn,,despipg uncle. 0E--RIPTION OF OPERATION54e_few E.L DISEASE-POLICY LIMIT'.3 X)LXXXXX A ARCH&ENG N N Pt1(1141220LT NIr-l12.. 6/112023 PER CLAIM:S1,000.1111G PROI`ES51ol•IAL AOGRFOATF,51.000.1Hu1 LIA1}7i.1'i'Y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES{ACORD IqN_Addl[I4na1 Rem4rke$Chedula,may be aft-hid if mare apace is mqulMdl CERTIFICATE HOLDER CANCELLATION Sec Attachincra 18584305 WWII SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCOROANCE WITH THE POLICY PROVISION& AUTHORLZED REPRE5ENTATIV r% Z)1988CO015 ACORD CORPORATION, All rights reserved. ACORO 25(2015+03) The ACORD name and logo are registered marks of ACORD 67 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Section 2:Technical Proposal I F.Insurance Requirements Attachment Code.D608624 Mauer ID:1429583,Certificate ID: 18584305 This endorsement,effective:06/01P2022 12:41 A.M. Farms apart of policy no.:P001412200 Issued to:HDR,Inc By:Lloyd's of Landon NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS ENDORSEMENT Except respect cancellation non-payment premium(10 day notice cancellation),the Insurer shall give day notice cancellation the Certificate Holder(s)set Forth herein,provided that The First Named Insured is required by contract give notice cancellation the Certificate Holder,and Prior the Insurer sending notice cancellation the First Named Insured the First Named Insured shall provide the Insurer in writing,either directly or through the First Named Insured broker record,the name each person or organization requiring notice cancellation and the corresponding address such person orther employee responsible receipt of notice of cancellation on behalf of such organization. Notice cancellation be sent in accordance the terms and conditions the policy,except that the Insurer may provide written notice individually or collectively the Certificate Holders by email at the current email address given by the First Named Insured Proof sending the notice of cancellation by email shall be sufficient proof of notice. Any failure provide notice cancellation the Certificate Holder due inaccurate or incomplete information provided by the First Named Insured shall remain the sale responsibility the First Named Insured The following definitions apply to this endorsement. 1.First Named Insured means the Named Insured shown in Item 1.of Declarations. 2.Insurer means the insurance company shown in the header on the Declarations. All other terms and conditions of the policy remain the same 68 0 �J } Q 2 =I a Ln !� - x I�R yA y — j t, %4 ■ �l ■ �• 1 � 1 Iby. H ` i ■ � 1 ca O V) V) cn y— G� O .v i J O a.:+ V) 04 00 •Q -O U V �r 4�• y' P p 5 US K t ' 14, 00 ih•.i'"1b d � P (14 00 CD CO r v 00 LL 00p LO 00 Q - � �' , .:;- aka. c �t Of L r {twr3. Q § }�i DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Appendix I Copies of Professional Credential Licenses Copies of Professional Credential Licenses ISSUANCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND 3YNE 23.2994 WXPUTATNNN DATE GEOLOGISTS sEPTEMISBIRM 2021 CGRRiNT DATE 0"ME SEPTEilDIR 29.7922 S5i5AM LICENSING DETAILS FOR: 70332 NAME:FIaNNA...r-11!f NNIFFA DR,h-KC ADDRESS LICENSE TYPE,CIVIL ENGINEER S23V EL C INC!REa120a IRIIRIE CA S25P! LICENSE STATUM CLEAM O ORANGE COUNTY MAP ISSUANCE GATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND UECkh'GEII Lti Al GEOLOGISTS ERPPWSTIDNBATE MARCH 31 n24 CURRENT DATE i TIME SEI'tEMSER 9 2R IV I 3'T. M LICENSING DETAILS FOR: 79062 NAPE,HERNFNDF'2 JULIAN MOREDR LICENSE TYPE,LNR E14ttINELR PC)BOX Wa MORE110 VA LEY CA 9253: LICENSE STATUS,CLEAR 49 RITEPSIOE ctwNry MaP 1111111. � ISSUANCE GATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND GEOLOGISTS rPT PATION DATE SFPTrrAftER 11 20; _ CURRENT RATE,TIME SFPTEMGER 15.Z627 )s2 EPM LICENSING DETAILS FOR; 65140 NAME, G3AD1 EY MIC-f.L ADDRESS LICENSE TTPE,CTYII,ENGINEfR ,A5/!CHESHRiE PL Iu1 rIN CA'JRT30 LICENSE STATUS:CLLAR ORANGE COUNTY MAP ISSUANCE GATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND JANUFt126 ZW GEOLOGISTS EkPiRATI11NMTe DUNE 3C•j0�3 G ",I DATE,TIME StiPTEM13E3 19 3 PM 3 Tf 1]PM LICENSING DETAILS FOR: 2402 NAME:;'ACP.0-10N❑ ADDRESS LICENSE TYPE,tPATFIC ENGINEERS 1GI PAQPFICA BUTTE 300 IRVINE CA IM ill LICENSE STATUS,t;l.-AR EN ORANGE COUNTY MAP 69 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Appendix I Copies of Professional Credential Licenses ISSUANCE GATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND GEOLOGISTSE%P1R0.T1s„DATE GU RRENT➢ATE I TIME SEI"Ei1SEH 3ti32 3'a2 43 PAI LICENSING DETAILS FOR: 69834 NAME,1';1TDD€I1 I].ANIg1 SC[1il ADORE" LICENSE iYp El CPfR EHGIN[£R 1861 E F IRS i 914wc $ANTA AMA GA 9276; LICENSE STATUS,CLEAR 0 ORANGE COW,I. MAP ISSUANCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND =N'.:2Y]Iri'lo ):G, GEOLOGISTS E%PIRATI➢NDRTE JJ\E::LvLi CURRENT RATE i TIME ?931 P,,1 LICENSING DETAILS FOR: 67659 NAME:^W1 M K ADDRESS LICENSE TYPE:CIVIL ENCINEE,1 22c31AArweT 87$TE 169 RIV€RSs"CA yP5Cf LICENSE STATUS,N FAR a RIVERSIDE COUNTY MAP III Ilitirm ISSUANCE GATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND ,-DRIIARY420 oP GEOLOGISTS f11PIRATIOMGATE E JuNE 3¢z¢ay _ CURRENT RATE f TIME S€PT€MRFR IA 2¢Z2 3 J5 19 AM LICENSING DETAILS FOR: 59969 NAME:'.RY,:I 'rpitm A➢G.ESS LICENSE TYPE,CIVIL(NGWER 182 SCRAID WAVE ORANRQ CA 929;9 LICENSE STATUS,CLEARO OkSNGE CD➢N" MAP � II_ N ISSUANCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND hIA,: GEOLOGISTS EXPIRATION SATE seprcMDr R..+.a.3621 i CURIeSR►'OATS?TIME SEHTFMSER ea;E P 19 263d 3 M LICENSING DETAILS FOR: 84282 NAMIEISLAT11R TESSMA ADDRESS LICENSE TYPE,CFO[HGINCER 1¢ed I'r,y N TRAEUCOC NYON CA w*70 LICENSE STATUS,OLM ID URAfiu CoumlY MAP 70 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Appendix I Copies of Professional Credential Licenses SEARCHV la==;a I SSUWNCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND JECEMNLR,l 2311 GEOLOGISTS F%PIRATIDN DAT E k4ARCN f1.2023l3 EURRENT RATE I TIME SEPTEM6ER 19.2622 5 1130 PM LICENSING DETAILS FOR: 83512 NAME, �-:" A"$tfiM LICENSE TYPEr - 230 IN ORANGE GRovkr w ARGAD1A CA 91505 LICENSE STATUS:'..= D I❑F ANGELi%COUNTY 111111111/ SFARCH I55UAN"DATE // BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND GEOLOGISTS E%PI RATLON DATE _ CURRENT DATE;TIME '=TCIAFlFTi 99?qT2 LICENSING DETAILS FOR: 2797 NAME,I-F RR1�,NN.WW,TNIFR ADDRESS LICENSE TYPE,TRAd EI11 ENGINEERS 136P CRE5I A'D(YD DR REULAN05 CA 923,3 LICENSE STATUS,CLEAR® SAN R1;RWDW.CDUNTI' NMP ISSUANCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND E%PIRAFION GAT E GEOLOGISTS CURRENT DATE TIME SG1"EI,IRGR 19= 14041 PM LICENSING DETAILS FOR: 84914 NAME:SI^I'=N JA5M AVEINUa LICEN 5 E TYPE,CIVIL ENCiINUR 191$0 NARIAAL.ADE vT RIVERSIDE CA 92509 L ICEN S E STATUS,C.L EAR& RIVERSIDE COUNTY N.V IMUANSE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND IAlIUARY 55]g59 �04 GEOLOGISTS E%PIR J UNE 2 RATE. UNE 9 2013 CURRENT DATE I TIME St+'i ElnyfR 99 S0 9 PM S !9 PM LICENSING DETAILS FOR: 61444 HAVE:SANDRL45kGATwM UIHAYAKUMAR ADDRESS LICENSE TYPEI GIYIL EFIGINkER S5 PARR ELL AVE EOOTIULL RANON{;A 9ZCIV LICENSE STATUS[ClE-AR O ORANGE WUNTY MAP 71 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,)-15 Nichols Road Interchange Improvement Project PSR-PDS Appendix I Copies of Professional Credential Licenses AND RATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND :M1Nu6RY7;Sri GEOLOGISTS E3s.nRAnRR RUE n1NF ne 7on ass CURRENT DATE,TIME S[PTE MDER 19 I 3 5.4 Y;PM PM LICENSING DETAILS FOR.77738 NAME:STARlr. 3AA1E 5 ARIHI LICENSE TYPE,CP.L EN(mNET:.R 3230 EL CAMINO REAL STE NU IRUINE CA 91fi0 LICENSE STATURI CLEAA 0 ORaNGE COUNY UAP IIIIIIII1 � ISSUANCE RATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND 10,F 7,:OJJ EXWXIGEOLOGISTS 3E PTETL mDFR m1 RATE yp 707,1 _ CLARENT DATE,TIME SF PTF4.1RFR 10 3 pgmZ S:52 PM LICENSING DETAILS FOR.66884 NAYEe ARARCA.PEARL ADDRESS LICENSE TYPE,CIVII FNGN1E'FR 325 N MAPLE AVE Mi U Mti41TEBEtL0 CA 90,W LICENSE STATUS,CLEAA.0 LUSANGELES CUIRlTT ALLP ISSUANCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND WILY 2S.2022 �tAi a y EXPIRATION DATE \\ GEOLOGISTS .,EC EI.,RER 31.2022 NOR CURRENT RATE i TIME SEPTEMRER 19.70P3�7 352 2] LICENSING DETAILS FOR: 94171 NAMES TL,N6.*XiAOT+Iv ARRRE$S LICENSE TYPE.i;WIL E01NEER IN37 CONN[R CIRCLE WES tMINStER CA DA03 LICENSE STA WIN CLEAR O ONANGi COUNTY MAP NISUARCE DATE BOARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND 'ULY1<1•,91 GEOLOGISTS EXPIIPAT4ON DATE t-4 ' F•E[ENRER 4+.tp73 CURRENT RATE IT,ME SE+'rENRER 9 1FM 3+9 i1 AM LICENSING DETAILS FOR: 7177 NAMES VWAK LISA M HENSTRIDCE ADDRESS LICENSE TYPE:LAND 511RVEY011 s�.NtGIIT DLCIoM IRWK CA STOP LICENSE SiArm CLEAR O ORANGE COUNTY MAP 72 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 City of Lake Elsinore Engineering Department,1-15 Nichols Road Interchange Improvement Project PSR-PDS FN Appendix Copies of Professional Credential Licenses Member prople details Membership level RPA(Founding) First name Roberta Last name Thomas Highest Degree M.A. Preferred Contact Information Employer PaleoWest Archaeology Professional Title Senior Archaeologist/ProjectManager City Monrovia US State or Canadian Province California Zip Code/Postal Code 91016 Country United States RPA Reg Number 3749430 1 affirm that I will abide by the I agree Register's Code of Conduct and Standards of Research Performance 73 d IR � y N Lr) Er �Y � i J � � OZ:3 O N } x V (6 �.L V icy .L 00 ,� .0 K AN d5 .ry~ { r f. ■ ,'�-t �?air. :% Ora a1x{• .. 4' s •�� .mot. Y O O O r T 00 N N m (b q' O M Lq N N 00 ~ (MO O � W t` 0) 00 r, L O S O N (9 O O tD O N OD Cl) O LO V L: 00 OD (D V' 1- O OD N r O U R C 6G, rfl 6G,(Al 69� (fl 6S 60)� F O _ = 1° o a�I L o g U LO V (n M O r "t 00 N N N (` r V O M (n N N O (9 N O O (O 00 U7 O r OD n O co r- O LO 00 co O Ln d' t` O O co c') (D V I,- to � N r tb fA Q4 EA EA ER (A 61) Qa EH j� O O y O O LO LLn O N N 0) N N d Gq ua (9 (0 m (b to M N Ln N el m N Cl d' W lO d �I co (0 r a M Lf� M M EA EA VD, EA 403, a U Iq (COo N o Le a 00 o LO LO of N N I- (D co LL d h N W N O O N N n N d> fH 6S O m O O V E O O Z 7 Q.I L00 fi LOA W Ln LO d (H Y) U V (fl co 0) r N O -It IL r 00 C) M O L.- O O M (O of h W O O V 00 Q M O N O N x V M N r LL 2 (D CO LO CO O t` M O 9 M (O V 1- E r r 03 � EA EA EA EA ER EA EH EA {/� N LL 0 00 ro 0 Q U w00 o 0 d a N N m O n Q M O 0 � 0 N � U 0 O L >+ m C U m co N O C O E Q a3 C N � 00 a) 0 3 to C (n L.L E O E j. A= d > E m > I� _ O C Q 00 _ r c U Q LL a C m p a am Z LOg (o C > m a 0) E m �_ a)m •i U 0 E Q U C E O M (� - 0 y N 20) Q 0 Q LL � � c a Q d Q eV Lf) Lf) Lf) O O O LO O N NI C? C? O N N m 00 O 00 O O O L N W C .Sp co 7 U O DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Interstate 15 Nichols Road Interchange Improvement Project Project Study Report-Project Development Support (PSR-PDS) Scope of Work CONSULTANT will prepare PSR-PDS in accordance with Caltrans Guidelines and Procedures, California Environmental Quality Act(CEQA) and National Environmental Policy Act(NEPA). The purpose of the PSR-PDS is to scope the PA&ED phase relative to CEQA/NEPA and program the project for funding relative to construction and capital supports costs. WBS 100.05 Task A: PROJECT MANAGEMENT A.1 PROJECT INITIATION AND PLANNING CONSULTANT will schedule a Pre-PID meeting with Caltrans per Appendix S of the PDPM. CONSULTANT and CITY will meet with CALTRANS to communicate a shared view of the PROJECT and to establish an understanding of the procedures, roles, and responsibilities of the PROJECT. The meeting will begin the process to prepare and enter into an agreement with Caltrans for reimbursable work. CONSULTANT will review the PSR-PDS and PID development processes with CALTRANS and set the framework of the design concept and scope, as well as the purpose and need for the PROJECT. CONSULTANT will develop agenda and meeting minutes for the meeting. Deliverables: • Pre-PID Meeting Agenda, handouts, and meeting minutes A.2 COORDINATION AND MEETINGS CONSULTANT will be responsible for overall project management, liaison with CALTRANS and other affected agencies, and progress monitoring and maintenance of PROJECT files. CONSULTANT will supervise, coordinate, monitor and review project for conformance with Caltrans and City/County standards, policies, and procedures. CONSULTANT will develop a project schedule for delivery of major milestones of the PSR-PDS, PA&ED (Begin Environmental, Circulate ED, and PA&ED), Design and Construction. A 12-month schedule is anticipated for scoping purposes. CONSULTANT will attend a kick-off meeting, lead monthly Project Development Team (PDT) meetings, coordinate with sub-consultants as needed, coordinate with the City and Caltrans, utility companies, and all other pertinent stakeholders as needed. Deliverables: • Monthly(12) PDT Meetings and Agendas/Minutes • Two(2)Stakeholder Meetings and Presentations • Project Schedule • Monthly Progress Reports and Invoices A.3 QUALITY MANAGEMENT PLAN CONSULTANT Project Manager will prepare and implement a Quality Management Plan (QMP). CONSULTANT will prepare a responsibilities matrix outlining responsibilities of independent DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Quality Control on respective tasks within this scope of work herein. Refer to Chapter 5, Article 9 of the PDPM Appendix S for general guidance on the Quality Management Plan. Deliverables: • QMP • Project Communication Plan A.4 RISK ASSESSMENT CONSULTANT will prepare the Risk Register in accordance with PDPM Appendix S. Since the reduced amount of data that is required for the PSR-PDS transfers risks to future phases and it is important to identify the risk, define the probability, define the severity, identify who or what the risk will impact, and identify the ownership of the risk. CONSULTANT will coordinate with the CITY and project team members to jointly identify, assess, quantify, prepare a response to, monitor, and control capital project risks within the Risk Register. Potential risks will be evaluated and discussed by the PDT, and ownership of the risks will be identified. CONSULTANT will summarize project risks in the PSR-PDS. Deliverables: • Risk Assessment • Summary of Risks in PSR-PDS WBS 150.05 Task B: PROBLEM DEFINITION B.1 REVIEW OF EXISTING REPORTS/ DATA GATHERING COUNTY and CITY will provide existing reports, studies, mapping, and other information for the PROJECT. CONSULTANT will review all provided information and obtain any other available and necessary information for preparation of PSR-PDS. CONSULTANT will obtain as-builts, utility information, Transportation Concept Report/Route Concept Report(TCR/RCR), Corridor System Management Plan (CSMP), Regional Transportation Plan (RTP), Congestion Management Program (CMP), 10-Year SHOPP, the State Implementation Plan, County of Riverside General Plan, City General Plan, local development plans, other reports. Deliverables: • Photographs, Exhibits, Inventory List of related studies, mapping, and reports • Caltrans Encroachment Permit B.2 MAPPING (OPTIONAL TASK) The PSR-PDS will utilize available aerial mapping provided by the CONSULTANT. CONSULTANT will utilize available GIS right of way mapping. New or additional aerial mapping, survey, topographic mapping, or right of way mapping for the PROJECT may be required (optional task)for this phase of the work. CONSULTANT will obtain Caltrans Encroachment Permit for general field and non-ground disturbing activities to obtain information for the project, such as field photography, traffic data, etc. DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Deliverables: Supplemental Topographic Mapping (Optional Task) B.3 TRAFFIC FORECASTS Per the PSR-PDS guidelines the Traffic Engineering Performance Assessment(TEPA)will be limited to an assessment of readily available information. The TEPA will be based on information obtained from the 0 Ethanac Road/Highway 74/Nichols Road Expressway Traffic Operations Report(Fehr&Peers, May 2018) 0 Interstate 15 &State Route 74 Central Avenue Interchange Project Project Approval/Environmental Document Traffic Operations Analysis Report(EA: Riv 08-OF310) (Fehr& Peers, March 2022) 0 1-15 Express Lanes Project Southern Extension (ELPSE) Project Approval and Environmental Document (EA OJ0820) Final Traffic Operations Analysis Report (Fehr & Peers, February 2022) Data collected and found in these reports are representative of pre-pandemic conditions and considered the most comprehensive available data for use in the PSR-PDS. Other additional and available data will be referenced if needed. B.3.1 Analysis Scenario o Existing Conditions o Design Year(2045)Conditions—No Build Alternative o Design Year(2045)Conditions—Build Alternatives(up to three build alternatives) B.3.2 Intersections 0 Nichols Road/Collier Road o Nichols Road/Bedrock Road (future road) o Nichols Road Road/Southbound 1-15 Ramps o Nichols Road Road/Northbound 1-15 Ramps Deliverables: • Traffic forecast volumes B.4 PROBLEM DEFINITION CONSULTANT will establish the PROJECT need and purpose in accordance with Caltrans guidelines in the PDPM and Environmental Documentation requirements. The analysis will summarize the information on capacity and operational deficiencies, congestion levels, future traffic levels of service (LOS), queuing analysis, and accident data provided by Caltrans and PROJECT scoping. CONSULTANT will complete the Scoping Tools including the Transportation Planning Scoping Information Sheet (TPSIS attachment) and Design Scoping Index as outlined in DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Section 5, Article 2 and 4 of the PSR-PDS guidelines (Appendix S)within the Project Development Procedures Manual (PDPM). Deliverables: • Purpose and Need Statement • Transportation Planning Scoping Information Sheet(attachment to PSR-PDS) • Design Scoping Index WBS 150.10 TASK C: PRELIMINARY ENGINEERING AND INITIAL ALTERNATIVES DEVELOPMENT CA CONCEPT ALTERNATIVES DEVELOPMENT CONSULTANT will identify three (3)alternative concepts for the PSR-PDS. The three (3) alternative concepts will be agreed upon through an alternative screening process. The alternative screening process will consist of comparing up to five (5) alternatives through various criteria that will be developed and coordinated with CALTRANS and the CITY. One (1) alternative screening workshop will be held to determine the three (3) alternative concepts that will be considered in the PSR-PDS and future phases. Each alternative studied will go through a constructability review to determine feasibility. CONSULTANT will prepare layout schematics in 11x17 format at 1" = 500' scale for three (3) alternative concepts as Caltrans standard cut sheets including title block. The layout schematics will illustrate proposed ramp configurations and include proposed lane configurations, shoulders, and right of way for each alternative. Right of way requirements, retaining wall and sound wall locations will be shown (if applicable). Deliverables: • Alternative Screening Matrix with up to five(5)alternatives • One(1)alternative screening workshop • Layout schematic and typical section sheet(2 total)for three(3)alternative concepts C.3 PUBLIC/LOCAL AGENCY INPUT CONSULTANT shall use available information as collected from other involved agencies to prepare a compatible interchange design with existing and future conditions. Involved agencies include, but will not necessarily be limited to the following: • Caltrans • Riverside County Transportation Department(COUNTY) • City of Lake Elsinore(CITY) • Western Riverside County Regional Conservation Authority • United States Fish and Wildlife Service • California Department of Fish and Wildlife DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 CA PERFORM PUBLIC AND COMMUNITY OUTREACH The CONSULTANT will support the City by executing an abbreviated but strategic public outreach program to explain the proposed project, understand community/business concerns, offer opportunities for community feedback and two-way dialogue, and discuss the purpose and need for the project. Outreach activities will support the technical team, with materials designed to be bi-lingual and "user friendly"to confirm that the public understands the Project Initiation Document(PID) phase and how to provide valuable input to the delivery team. The CONSULTANT will conduct community analytics research in producing a demographic and conditional elements report to help tailor strategies and tactics to support all communications and outreach efforts now and throughout the project's life. The CONSULTANT will organize and attend one (1) public outreach workshop to inform the community of roadway improvement concepts being considered within the project area, to inform the public and responsible agencies about the proposed project and the environmental process, and to solicit input from local residents and businesses that can be obtained during the planning and concept evaluation stage of the PSR-PDS. The workshop will be advertised through various channels to ensure community attendance. The CONSULTANT will create a distribution plan to boost participation in those areas most impacted and within disadvantaged communities. The CONSULTANT will attend one (1) City Council Meeting to support the project team's presentation of the roadway improvement concepts considered within the project area to the City Council. The outreach component of this presentation will assist the City and the project team to better understand the public concerns and will provide the team with an opportunity to address community concerns as the project moves forward in the planning phase. Clear and concise project information will be produced through an equity lens and distributed by hand at meetings, through mailings, and electronically through email, web, and social as necessary. The CONSULTANT will facilitate developing and distributing a Fact Sheet in English and Spanish for the Public Outreach Workshop and presentation at the City Council meeting. The English/Spanish Fact Sheet and FAQ document will be prepared in close collaboration with the technical team, followed by one update. The information produced can be provided to City staff to be uploaded on the existing City hosted website for additional ongoing public access during the project's planning phase. The informational materials will explain and illustrate the viable conceptual design alternatives to be studied further in PA&ED, the purpose and need, anticipated project delivery timeline, potential funding sources, and ways to obtain more information and provide feedback on the proposed project. The CONSULTANT will produce a PowerPoint presentation for stakeholder briefings and as visuals for use at the public outreach workshop. It is assumed that any public outreach sessions will occur at a City-owned facility and no local law enforcement would be required. If law enforcement presence is desired, it would be coordinated and provided by the City staff. DELIVERABLES: • Community Analytics Report • Attendance and participation at one (1) Public Outreach Meeting • Attendance and participation at one (1) City Council Meeting • Stakeholder Contact Database/Project Distribution List(1 electronic copy); o Public Input/Comment Acknowledgment • Project Fact Sheet in both English and Spanish (1 electronic copy and up to 100 color printed 8.5 x 11 copies) • Visual displays for Public Outreach Meeting (up to 5 color printed) DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 • Preparation of PowerPoint presentation for presentation at a City Council Meeting WBS 150.15 TASK D: ALTERNATIVES ANALYSIS D.1 RIGHT OF WAY CONCEPTUAL COST ESTIMATE CONSULTANT will summarize the anticipated right of way, and utilities impacts for the three (3) build alternatives within the PSR-PDS using the Conceptual Cost Estimate Request/Right of Way Component in accordance with Section 5, Article 7 of the PSR-PDS guidelines (Appendix S) within the PDPM. CONSULTANT will utilize available GIS preliminary mapping showing the property boundaries and right of way requirements to estimate the number, area, and magnitude of parcels required for acquisition and the likely number of easements needed. CONSULTANT will identify existing utilities and potential relocation activities using existing, available information (e.g., permit search, as-built drawings, field review). CONSULTANT will prepare "Conceptual Cost Estimate— Right- of-Way Component'to develop an order of magnitude cost estimate and to identify additional studies that may be needed during PA&ED. CONSULTANT will coordinate with the COUNTY to assess per square foot unit costs and associated right of way costs relative to impacts to adjacent properties. The square foot unit costs will be developed in coordination with COUNTY and comparable properties within the vicinity of the project. Deliverables: • Preliminary Right of Way Requirement Exhibits for three(3)build alternatives • Utility and Assessment • Conceptual Cost Estimate—Right-of-Way Component D.2 PRELIMINARY STRUCTURES ASSESSMENT Using available as-built information for the existing structure facilities along the corridor, CONSULTANT will identify proposed structure improvements for each of the three (3) build alternatives in support of the cost estimate for the PSR-PDS. CONSULTANT will use a streamlined estimating process, such as square-footage costs to develop a "Structure PSR-PDS Cost Estimate"for inclusion into the PSR-PDS document when bridge and/or nonstandard retaining wall work is necessary. CONSULTANT will prepare the Division of Engineering Services (DES) Scoping Checklist in coordination with Project Liaison Engineer. For a PSR-PDS, the level of detail in the DES Scoping Checklist and "Structure PSR-PDS Cost Estimate" is limited to information required to develop accurate work plans for the PA&ED phase. Deliverables: • Structures PSR-PDS Cost Estimate • DES Scoping Checklist C.2 PRELIMINARY GEOTECHNICAL ASSESMENT& LIFE CYCLE COST ANALYSIS Using available Geotechnical information, the CONSULTANT will assess the existing data in the area. CONSULTANT will prepare a Life Cycle Cost Analysis (LCCA)for the PID phase of the proposed project. A preliminary materials report(PMR) is not anticipated to be required for the PID phase of work and excluded from the scope of work. The LCCA will be divided into three different pavement scenarios: DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 o Pavement Scenario 1 —worst case ramp 20/40-year Flexible & Rigid o Pavement Scenario 2—worst case Nichols Road 20/40-year Flexible & Rigid o Pavement Scenario 3—worst case outside auxiliary lane 20/40-year Flexible & Rigid CONSULTANT will review existing geotechnical maps and reports in order to develop preliminary pavement sections based on highly simplified pavement assumptions. It is assumed that Caltrans Mechanistic-Empirical calculations will not be required for this preliminary planning phase. CONSULTANT will also Perform geotechnical analysis of the collected data and develop LCCA calculations and prepare a preliminary LCCA report presenting findings and preliminary pavement recommendations for the proposed improvements. Deliverables: • Draft and Final LCCA Report D.3 PRELIMINARY DRAINAGE ASSESSMENT Freeway, County, and City drainage systems will be reviewed and the impacts of the proposed three (3) build alternatives on these facilities will be assessed. Necessary replacements and/or improvements including incorporation of Water Quality Best Management practices will be reflected in the cost estimates. Detailed hydraulic/hydrologic calculations are outside the scope of this scope of work. CONSULTANT will identify permits for design, construction, and operations of drainage facilities. Deliverables: • Identification of impacts to major drainage facilities • Preliminary cost estimates to affected major drainage facilities DA TRAFFIC CAPACITY ANALYSIS CONSULTANT will evaluate the project in accordance with Caltrans Traffic Operations Policy Directive 13-02: Intersection Control Evaluation. CONSULTANT will evaluate intersection variations based on the first step of the screening process. CONSULTANT will document evaluation in an ICE Technical Memorandum to identify the preferred intersection control for the three (3) build alternatives within the PSR-PDS. Deliverables: • Intersection Control Evaluation Technical Memorandum (Step 1) D.5 TRAFFIC ENGINEERING PERFORMANCE ASSESSMENT In coordination with the CITY and other project-related engineers, CONSULTANT will utilize available transportation reports for the corridor, performance monitoring systems, local agency transportation studies to complete the Traffic Engineering Performance Assessment(TEPA)as required within Section 5, Article 5 of the PSR-PDS guidelines (Appendix S)within the PDPM. CONSULTANT will estimate the scope and magnitude of the Traffic Engineering studies (i.e., Travel Forecasting; Traffic Analysis; Infrastructure Evaluation; Warrant Analysis; and Safety Review)that need to be performed during the subsequent Project Approval & Environmental Document (PA&ED) phase. To meet the purpose of the PSR-PDS, it is intended that the DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 preliminary traffic engineering studies should be limited to an assessment of readily available information and data, and macro-level analysis and evaluation. This effort will produce preliminary traffic engineering findings and estimates to inform and advise the PDT on: o The potential scope of work and features (especially the traffic"elements" referenced above) o Potential performance benefits and deficiencies o The scope and magnitude of traffic engineering work (traffic forecasting, modeling, analysis, and evaluation)to be performed during the Project Approval and Environmental Document phase CONSULTANT will identify the traffic forecasting and traffic engineering studies needed to analyze, evaluate, and more accurately predict or estimate operational and safety performance of the proposed improvements during the future PA&ED phase. Future studies may require new data collection and forecasting. CONSULTANT will perform a macro-level analysis at the study intersections and locations using Synchro software and HCM methodology. Microsimulation is not assumed under this task. Traffic analysis will be conducted under existing conditions, design year(2045) no build conditions, and design year(2045)with two build alternatives conditions. The analysis will present delay and level of service at each study intersection and freeway mainline. The analysis will be used to determine three (3) build alternatives for the PSR-PDS. Detailed analysis (FREQ, CORSIM, VISSIM, etc.)will not be performed as part of this scope of work. CONSULTANT will summarize the assessment and key findings and estimates and incorporated into the PSR-PDS document. Deliverables: • Traffic Engineering Performance Assessment • Preliminary traffic assessment of three (3) build alternatives • Summary of traffic engineering studies and scope for PSR-PDS D.7 CONSTRUCTION ESTIMATES CONSULTANT will prepare a "Capital Outlay Project Estimate" in accordance with Section 4 of the PSR-PDS guidelines (Appendix S)within the PDPM. The cost estimate will be in the format of Appendix AA of the PDPM to support the PSR-PDS. A cost estimate will be prepared for three (3) build alternatives within the PSR-PDS. For the PSR-PDS capital cost estimates, an order of magnitude cost estimate will be prepared. CALTRANS will prepare the "Capital Outlay Support Estimate"to identify level of staff support for PA&ED Deliverables: • Capital Outlay Project Estimates for three (3) build alternatives D.8 EXCEPTIONS TO DESIGN STANDARDS DEVELOPMENT Fact Sheets for exceptions to advisory and mandatory Highway Design Manual standards are not required and excluded from this scope of work. CONSULTANT will evaluate three (3) build alternatives using Design Information Bulletin 82-01 "Design Checklist'. Deviations from design standards will be identified and described in the PSR-PDS. CONSULTANT will perform a non- standard feature risk assessment to indicate a level of risk for conceptual acceptability of the build alternatives. The design standards risk assessment is a list of design standards that will likely not DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 be met for each alternative and the probability of approval for each proposed non-standard feature. CONSULTANT will attend a Design Exception Risk Assessment meeting with CALTRANS design staff to obtain approval of risk assessment. A Multi-Modal Decision document will be prepared and coordinated with the CITY and CALTRANS for approval. Deliverables: • List of non-standard features for three (3)build alternatives • Risk assessment for approval for non-standard features • Design Exception Risk Assessment Meeting • Multi-Modal/Complete Streets Decision Document WBS 150.20 TASK F: PRELIMINARY ENIVRONMENTAL ANALYSIS (PEAR) F.1 PEAR PREPARATION CONSULTANT will prepare a draft and final Preliminary Environmental Analysis Report (PEAR), per CALTRANS Standard Environmental Reference Guidelines and the PEAR Handbook. Caltrans guidelines for the PEAR will follow the guidance available as of contract date. The PEAR will identify the anticipated Environmental Document, anticipated impacts, the future technical studies, and anticipated mitigations. The PEAR will also estimate the scope, schedule and preliminary costs associated with completing environmental compliance. The PEAR will also present and discuss the results of preliminary environmental studies in order to identify environmental analyses that may affect design. The information contained in the PEAR will serve as a foundation to begin studies for the PA&ED phase. In addition, cumulative impacts and context sensitive solutions will be summarized in the Technical Summaries section of the PEAR, but will not have a separate technical memoranda prepared. The PEAR will also include: o Purpose and Need Statement o A discussion of environmental resources and a description of the potential PROJECT issues or impacts, which could delay the PROJECT or affect any PROJECT alternative. o Description of studies that are needed to complete an environmental evaluation (noting as necessary any seasonal constraints for these studies). o A recommended environmental determination/documentation and a tentative schedule for its completion. o Required or anticipated permits or approvals. Deliverables: • Initial Site Assessment(ISA)Checklist • Draft and Final PEAR DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 F.2 VEHICLE MILES OF TRAVEL DECISION DOCUMENT(VMTDD)ASSISTANCE CONSULTANT will assist the project team in filling out the VMTDD that is now required as part of the PSR/PDS phase of the project. CONSULTANT will include preliminary forecasting to assist in estimating VMT and coordination with the project team to derive information needed for the document. CONSULTANT to prepare information for, coordinate on, and respond to comments. Deliverables: • VMT Decision Document WBS 150.25 TASK G: APPROVED PSR-PDS&SWDR G.1 DRAFT PSR-PDS CONSULTANT will prepare a Draft PSR-PDS Report to document the geometric assumptions, initial studies, methodology, alternatives, findings, FHWA coordination and involvement, anticipated design exceptions with general PROJECT strategy of how to address within PA&ED phase (no fact sheets anticipated), stakeholder meetings and involvement and results in accordance with the requirements outlined as outlined within PDPM Appendix S. Deliverables: • Draft PSR-PDS G.2 FINAL PSR-PDS CONSULTANT will prepare the Final PSR-PDS based on any comments received from Caltrans and schedule a focus meeting on first review comments. Response to comments will be prepared to address all the Caltrans comments received on the Draft PSR-PDS. The Final PSR-PDS will establish the scope, schedule, and estimated costs of the alternative concepts to the PROJECT. The document will also include a tabulation of estimated project support costs and capital costs by project phase and fiscal year. CONSULTANT will coordinate and obtain final approvals of the PSR-PDS. CONSULTANT will update the FTIP and coordinate with RCTC on the project description, funding, and schedule. Deliverables: • Approved Final PSR-PDS • Cost Estimates for Alternatives • Updated FTIP Description G.3 STORMWATER DOCUMENTATION CONSULTANT will prepare stormwater documentation in accordance with Section 5, Article 3 of the PSR-PDS guidelines (Appendix S)within PDPM. Since the main purpose of the PSR-PDS is only to estimate the resources needed to complete PA&ED, the expected level of stormwater information for a PSR-PDS is much less than a regular Project Study Report or Project Report. The PSR-PDS evaluation will mainly focus on determining if there will be any DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 significant impacts to the three (3) build alternatives, right-of-way needs, or PROJECT costs due to the need to incorporate treatment Best Management Practices (BMPs)for compliance with stormwater requirements. Deliverables: • Storm Water Data Report The scope assumes the Project Initiation Proposal and Cooperative Agreement with Caltrans is completed by others prior to NTP. Public outreach and utility coordination are not required by Caltrans procedures during the PID phase and therefore are not required in this phase of work. Utility coordination will be conducted via Dig-Alert. 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THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. C/o 26 Century Blvd PHONE 1-877-945-7378 FAX 1-888-467-2378 PA No Ext: AIC No): P.O. Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual Fire Insurance Company 23035 INSURED INSURERB: Ohio Casualty Insurance Company 24074 HDR Engineering, Inc. 1917 South 67th Street INSURERC: Liberty Insurance Corporation 42404 Omaha, NE 68106 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W27910706 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IY LIMITS LTR INSD WVD POLICY NUMBER MM/DDYYY IY MM/DDYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE � OCCUR PREM SES(E.occur REITEence) $ 1,000,000 A X Contractual Liability MED EXP(Any one person) $ 10,000 Y Y TB2-641-444950-032 06/01/2022 06/01/2023 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY� JECT PRO- � LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y AS2-641-444950-042 06/01/2022 06/01/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE Y Y EUO(23)57919363 06/01/2022 06/01/2023 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? No NIA Y WA7-64D-444950-012 06/01/2022 06/01/2023 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written contract and as permitted by law. Umbrella/Excess policy is follow form over General Liability, Auto Liability and Employers Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Lake Elsinore AUTHORIZED REPRESENTATIVE Attn: City Manager 130 Souh Main Street Lake Elsinore, CA 92530 c7 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 23613616 BATCH: 2809240 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 AGENCY CUSTOMER ID: LOC#: �kF ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Midwest, Inc. HDR Engineering, Inc. 1917 South 67th Street POLICY NUMBER Omaha, NE 68106 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Re: I-15/Nichols Road IC Improvement PSR - PDS. City Project No. Z10082. Additional Insureds: City and its officers, employees, servants, volunteers and agents and independent contractors, including without limitation, the City Manager and City Attorney. Waiver of Subrogation: City, its elected or appointed officers, officials, agents, employees and volunteers. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 23613616 BATCH: 2809240 CERT: W27910706 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy Number: TB2-641-444950-032 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): All locations owned by or rented to the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally b. Claims made or"suits" brought; or obligated to pay as damages caused by "occur- rences" under Section I — Coverage A, and for all c. Persons or organizations making claims or medical expenses caused by accidents under bringing "suits". Section I — Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated "loca- damages or under Coverage C for medical tion" shown in the Schedule above: expenses shall reduce the Designated Loca- 1. A separate Designated Location General tion General Aggregate Limit for that desig- Aggregate Limit applies to each designated nated "location". Such payments shall not re- "location", and that limit is equal to the duce the General Aggregate Limit shown in amount of the General Aggregate Limit the Declarations nor shall they reduce any shown in the Declarations. other Designated Location General Aggre- gate Limit for any other designated location 2. The Designated Location General Aggregate shown in the Schedule above. Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A, except damag- Occurrence, Damage To Premises Rented To es because of "bodily injury" or "property You and Medical Expense continue to apply. damage" included in the "products-completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Decla- under Coverage C regardless of the number rations, such limits will be subject to the appli- of: cable Designated Location General Aggre- a. Insureds; gate Limit. CG 25 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by 'occur- "products-completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to operations at a single designated reduce the Products-completed Operations Ag- "location" shown in the Schedule above: gregate Limit, and not reduce the General Ag- 1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gen- damages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defi- under the General Aggregate Limit or the nitions Section is amended by the addition of Products-completed Operations Aggregate the following definition: Limit, whichever is applicable; and "Location" means premises involving the same or 2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit. interrupted only by a street, roadway, waterway or right-of-way of a railroad. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 04 05 09 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy Number: TB2-641-444950-032 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All construction projects not located at premises owned, leased or rented by a Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by 'occur- damages or under Coverage C for medical rences" under Section I — Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen- completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 0 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by 'occur- "products-completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit, whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 POLICY NUMBER: TB2-641-444950- COMMERCIAL GENERAL LIABILITY 032 CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A Section II — Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only with work, on the project (other than service, respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury' on behalf of the additional insured(s) at the caused, in whole or in part,by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf; injury or damage arises has been put to its in the performance of your ongoing operations for intended use by any person or organization the additional insured(s) at the location(s) other than another contractor or subcontractor designated above. engaged in performing operations for a principal as a part of the same project. However: C. With respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III —Limits Of Insurance: law; and If coverage provided to the additional insured is 2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a contract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured will amount of insurance: not be broader than that which you are required 1. Required by the contract or agreement; or by the contract or agreement to provide for such additional insured. 2. Available under the applicable limits of B. With respect to the insurance afforded to these insurance; additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the This insurance does not apply to "bodily injury" or applicable limits of insurance. "property damage" occurring after: SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): Any person or organization with whom you have agreed All locations as required by a written contract or through written contract, agreement or permit to provide agreement entered into prior to an'occurrence"or additional insured coverage offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 POLICY NUMBER: TB2-641-444950- COMMERCIAL GENERAL LIABILITY 032 CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement;or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2. If coverage provided to the additional insured is limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any person or organization to whom or to which you are Any location where you have agreed,through written, required to provide additional insured status in a written contract, agreement,or permit,to provide additional contract, agreement or permit except where such insured coverage for completed operations contact or agreement is prohibited. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy Number TB2-641-444950-032 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY— OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Section IV—Conditions 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed prior to a loss, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. (3) This insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same 'occurrence", claim or"suit". LD 24 153 08 16 ©2016 Liberty Mutual Insurance Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 POLICY NUMBER: AS2-641-444950-042 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy Number:AS2-641-444950-042 Issued by: Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s)who are"insureds"under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s) or Organizations(s): Any person or organization where the Named Insured has agreed by written contract to include such person or organization Regarding Designated Contract or Project: Any Each person or organization shown in the Schedule of this endorsement is an"insured"for Liability Coverage,but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. AC 84 23 0811 © 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc., with its permission. DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 POLICY NUMBER: TB2-641-444950-032 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done un der a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 POLICY NUMBER: AS2-641-444950-042 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Names) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract of the contract requires you to obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a c ontract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss. Issued by:Liberty Insurance Corporation For attachment to Policy No WA7-64D-444950-012 Effective Date 06/01/2022 Premium Issued to:HDR Engineering, Inc. WC 00 03 13 © 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed. 4/1/1984 DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy Number TB2-641-444950-032 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY— UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Or anization s : As required by written contract or As required by written contract or 30 written agreement written agreement A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 Policy NumberAS2-641-444950-042 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY— UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): As required by written contract 30 or written agreement A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. DocuSign Envelope ID: D3B05087-5F84-44C6-93B0-DD87B28DCD82 NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): As required by written 30 contract or agreement All other terms and conditions of this policy remain unchanged. Issued by Liberty Insurance Corporation For attachment to Policy No.WA7-64D-444950-012 Effective Date 06/01/2022 Premium$ Issued to HDR Engineering,Inc. Endorsement No. WC 99 20 75 ©2016 Liberty Mutual Insurance Page 1 of 1 Ed.12/01/2016 DocuSign Envelope ID:D3B05087-5F84-44C6-93B0-DD87B28DCD82 BUSINESS LICENSE CITY OF LAKE ELSINORE This business license is issued for revenue purposes only and does not grant authorization Administrative Services-Licensing to operate a business. This business license is issued without verification that the holder is 130 South Main Street, Lake Elsinore, CA 92530 subject to or exempted from licensing by the state, county, federal government, or any other governmental agency. PH (951)674-3124 Business Name: HDR ENGINEERING,INC. BUSINESS LICENSE NO. 020158 Business Location: 1917 S 67TH ST Business Type: PROFESSIONAL/ENGINEERS OMAHA,NE 68106-2973 Owner Name(s): CHARLES L O'REILLY Description: PROFESSIONAL ENINEERING SERVICES Issue Date: 1/1/2023 Expiration Date: 12/31/2023 HDR ENGINEERING, INC. 1917 S 67TH ST OMAHA,NE 68106-2973 Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other languages by going to:https://www.dca.ca.gov/publications/ TO BE POSTED IN A CONSPICUOUS PLACE THIS IS YOUR LICENSE • NOT TRANSFERABLE