HomeMy WebLinkAboutRACE CENTRALCity of Santa Ar -
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AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form. T,
Is the agreement(s) a permanent record? Yes No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
COTC Office Use Only
2'2 PP032
N-2018-173 j
No. was completed on to 12011O �/
and final payment has been made.
(List all amendments. Use space below if needed.)
Department: QRCCA 1 "Vm'o\-'
Phone/Ext.: ��9// M
Signature:
Date: q U�OIq
Revised: 10-18-16
INSURANCE ON FILE
WORK MAY PROCEED
ONTIL INSURANCE EXPIRES ly_2018473
WG: la--t-IrIn:
CLERK OF COUNCIL
DATE: EP aq 0 HIS
O: PRCS { j ) AGREEMENT FOR RACE TIMING SERVICES
suvia Cuevas FOR DOWNTOWN 5K RUN EVENT (2018)
THIS AGREEMENT is made and entered into this 20'h day of August, 2018 by and between Race
Central,("Contractor"), and the City of Santa Ana, a charter city and municipal corporation
organized and existing under the Constitution and laws of the State of California ("City").
RECITALS
A. The City desires to retain a Contractor having special skill and knowledge in the field of
race timing services to provide such services for the City's Downtown Santa Ana (DTSA)
51K Run event to be held in the City on October 20, 2018 ("Event").
B. Contractor represents that it is able and willing to provide such services to the City.
C, In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the ficld.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Contractor shall perform those services for the Event as set forth in Exhibii A to this
Agreement.
2. COMPENSATION
a. City agrees to pay, and Contractor agrees to accept as total payment for its services
the rates and charges identified in Exhibit A. The total sum to be expended under
this Agreement shall not exceed $ 7,130.00 during the teen of this Agreement. This
amount is comprised of (1) the sum of $6,200.00 and (2) a 15% contingency 'of up
to $930.00 for additional services as may be performed by Contractor at the sole
direction of the City.
b. Payment by City shall be made within forty-five (45) days following receipt of
proper invoice evidencing work performed, subject to City accounting procedures.
Payment need not be made for work that fails to meet the standards of performance
set forth in the Recitals which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date stated above and continue through October
20, 2018; unless terminated earlier in accordance with Section 13, below.
4. INDEPENDENT CONTRACTOR
Contractor shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor shall
it be construed to create an employer -employee relationship, a joint venture relationship, or to
allow the City to exercise discretion or control over the professional manner in which Contractor
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Contractor shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Contractor shall pay all salaries and wages, employer's social
security taxes, unemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes.
S. INSURANCE
Prior to undertaking performance of work under this Agreement, Contractor shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial GeneralLiability Insurance. Contractor shall maintain commercial
general liability insurance naming the City, its officers, employees, agents,
volunteers and representatives as additional insured(s) and shall include, but not be
limited to protection against claims arising from bodily and personal injury,
including death resulting therefrom and damage to property, resulting from any act
or occurrence arising out of Contractor's operations in the performance of this
Agreement, including, without limitation, acts involving vehicles. The amounts of
insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property
damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the
aggregate. Such insurance shall (a) name the City, its officers, employees, agents,
volunteers and representatives as additional insured(s); (b) be primary and not
contributory with respect to insurance or self-insurance programs maintained by
the City; and (c) contain standard separation of insureds provisions.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include
coverage for owned, hired and non -owned automobiles.
C. Worker's Compensation Insurance. In accordance with the California Labor Code,
Contractor, if Contractor has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to
commencing the performance of the work under this Agreement, Contractor agrees
to obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
d. If Contractor is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $1,000,000 perclaim with $2,000,000 in the aggregate.
2
e. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
(i) Contractor shall maintain all insurance required above in full force and effect
for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved by the City.
(iii) Certificates and policies shall state that the policies shall not be canceled or
reduced in coverage or changed in any other material aspect without thirty (30)
days prior written notice to the City.
(iv) Where the amounts or coverage provided by the certificates of insurance
provides coverage greater than those listed by this Agreement, the amounts
provided by the certificates of insurance shall be incorporated by reference into
the Agreement.
(v) Contractor shall supply City with a fully executed additional insured
endorsement.
f. If Contractor fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has
been procured and is in force and paid for, the City shall have the right, at the City's
election, to terminate this Agreement. Such. termination shall not affect
Contractor's right to be paid for its time and materials expended prior to notification
of termination. Contractor waives the right to receive compensation and agrees to
indemnify the City for any work performed prior to approval of insurance by the
City.
6. INDEMNIFICATION
Contractor agrees to and shall indemnify, defend, and hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
negligent operations of the Contractor or its, subcontractors, agents, employees, or other persons
acting on their behalf which relates to the services described in section I of this Agreement; and
(2) from any claim that personal injury, damages, just compensation, restitution, judicial or
equitable relief is due by reason of the terms of or effects arising from this Agreement. This
indemnity and hold harmless agreement applies to all claims for damages, just compensation,
restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the
events referred to in this Section or by reason of the terms of, or effects, arising from this
Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the
defense of the City, including fees and costs for special counsel to be selected by the City,
regarding any action by a third party challenging the validity of this Agreement, or asserting that
personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal
or property rights arises by reason of the terms of, or effects arising from this Agreement. City
may make all reasonable decisions with respect to its representation in any legal proceeding.
7. RECORDS
Contractor shall keep records and invoices in connection with the work to be performed
under this Agreement. Contractor shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Contractor under this Agreement. All such records and
invoices shall be clearly identifiable. Contractor shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all
work, data, documents, proceedings, and activities related to this Agreement for a period of three
(3) years from the date of final payment to Contractor under this Agreement.
8. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor agrees that
it shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like
importance, but in no event less than reasonable care. "Confidential Information" shall include all
nonpublic information. Confidential information includes not only written information, but also
information transferred orally, visually, electronically, or by other means. Confidential
information disclosed to either party by any subsidiary and/or agent of the other party is covered
by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any
information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the
Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor
an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is
independently developed by the Contractor without reference to information disclosed by the City.
9. CONFLICT OF INTEREST CLAUSE
Contractor covenants that it presently has no interests and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
10. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in writing and shall be deemed to be properly given if delivered in person or mailed by
first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax 714- 647-6956
With courtesy copies to:
Ralph J. Nunez
Interim Executive Director
Parks, Recreation, and Community Services Agency
City of Santa Ana
20 Civic Center Plaza M-23
P.Q. Box 1988
Santa Ana, California 92702
To Contractor: Race Central
229 S. Olive Ave
Rialto, CA 92376
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
11. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor regarding the subject matter therein, and supersedes any and all other agreements, oral
or written, between the parties. In the event of a conflict between the terms of this Agreement and
any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be
modified except by written instrument signed by the City and by an authorized representative of
Contractor. The parties agree that any terms or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not
bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by any
party, or anyone acting on behalf of any party, which are not embodied herein.
12. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement shall
be construed to limit the City's ability to have any of the services which are the subject to this
Agreement performed by City personnel or by other consultants retained by City.
13. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor
compensation for all services performed by Contractor prior to receipt of such notice of
termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Contractor to
deliver to the City all work product completed as of such date, and in such case
such work product shall be the property of the City unless prohibited by law, and
Contractor consents to the City's use thereof for such purposes as the City deems
appropriate.
b. Payment need not be made for work that fails to meet the standard of performance
specified in the Recitals of this Agreement.
14. NONDISCRIMINATION
Contractor shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by
applicable law, in the recruitment, selection, training, utilization, promotion, termination or other
employment related activities or in connection with any activities under this Agreement.
Contractor affirms that it is an equal opportunity employer and shall comply with all applicable
federal, state and local laws and regulations.
15. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the validity,
interpretation, performance, and enforcement of any of the clauses of this Agreement shall be
determined and governed by the laws of the State of California. Both parties further agree that
Orange County, California, shall be the venue for any action or proceeding that may be brought or
arise out of, in connection with or by reason of this Agreement.
16. PROFESSIONAL LICENSES
Contractor shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder
N-2018-173
and required by the taws and regulations of the United States, the State of California, the City of
Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and
in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and
exemptions. Said inability shall be cause for temrination of this Agreement.
1.7. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of
this Agreement, and shall indemnify City fully, including reasonable costs and
attorney's fees, for any injuries or damages to City in the event that such authority
or power is not, in fact, held by the signatory or is withdrawn.
All Exhibits referenced herein and attached hereto shall be incorporated as if filly
set forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the (late and year first
above written.
ATTEST:
Maria D. Huizarr i
l
7 Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: A?a"15-
Laura A. Rossini
Senior Assistant City Attorney
Agency
CITY OF SANTA ANA
Raul Godinez 11
City Manager
N-2018-173
EXHIBIT A
SCOPE OF SERVICES
VENDOR NAME: Race Central
EVENT: Downtown Santa Ana (DTSA) 5K Run
SERVICE DATE(S): Saturday, October 20, 2018
COMPENSATION DUE TO THE VENDOR: $7,130.00 (includes IS%contingency). Check made out
to Race Central. Billing address is 229 South Olive Avenue, Rialto, CA 92376.
BREAKDOWN OF COMPENSATION: $2,000 base fee+ $4,000 chip charges (based on 2000
runners) + $200.00 pre -packet pickup (includes one staff) _ $6,200.00. Additional 15% contingency of
$930.00 added for a total of 7 130.00. Balance to be paid after event and upon receipt of final invoice.
DESCRIPTION: Race Central will be providing timing services at the City of Santa Ana's 2018
Downtown Santa Ana (DTSA) 5K Run on October 20, 2018 from 8:00 a.m. —10:00 a.m.
BREAKDOWN OF SERVICES:
Base Timing Services Costs and Inclusions
• $2,000 Base Timing Fee (includes up to 1,570 full color bibs)
Chip Charges
• $1.00 per registered runner
• $1.00 for each timing B-Tag prepped
Equipment & Staffing Included:
• Start/finish line set up (4 Meters ea.)
• 1 LED Clock, 1 Generator, Live Services
• Wireless card & computer kiosks for Registration/Results
• Manual Stop Watches & Time Machine for back-up
• Announcer computer & PA System
• Two 20' inflatable arches
ADDITIONAL EQUIPMENT & CHARGES
Travel and Staff:
• I Staff @ $200 per staff/per day @ Packet Pick -Up (Week of October 15-19, 2018; date to be
agreed upon with City)
• Roundtrip Mileage: INCLUDED
• Safety Pins (INCLUDED)
EQUIPMENT & SERVICES TO BE PROVIDED BY RACE CENTRAL:
• Tent for scoring to be placed close to registration
• 2 chairs inside scoring tent
• 1 Table inside scoring tent
• Tables for registration / packet pickup area
• Power @ Finish Line & Registration by event (if possible)
ACCOR& CERTIFICATE OF LIABILITY INSURANCE
DATE(WWDDmYY)
0 121/1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 endorsements .
PRODUCER
NAMN AC
RITA PRICE INSURANCE AGENCY INC.
PO Box 189
PHONE 909 337-2518 N 909 338.6989
10
o AILSs: sherrv.rprice0farmersacenc .com
INSURER 8 AFFORDING COVERAGE
MAID e
Lake Arrowhead, CA 92352
INSURERA: HUDSON SPECIALTY INSURANCE COMPANY
OS44472
INSURED
RACE CENTRAL LLC
INSURER D
Judylkenbury N-MSA73
INSURERC:
INSu D:
229 S. OLIVE AVE.
INSURERS: _
RIALTO CA 92376
INSUR RF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR-
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.
ILTR HSR
INSURANCE
L
ADDTYPEOF
B
POLICY NUMBER
PINUDOMFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
X
X
HBD10015218
01127118
01127119
EACH OCCURRENCE
$ 110001000.
PREMIaESI o
$ 100,000
MED EA -An .n Perron)
$ 5,000
PERSONAL & ADV INJURY
$ 1000000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY[:]JEGOT MLOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 1000 00
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHE
AUTOS ONLY AUTOS �D
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
C BI ED SINGLE LIMIT
$
BODILY INJURY (Per PereWr)
$
BODILY INJURY (Per a Warm)
$
PROPERTY DAMAGE
(Per
$
UMBRELLA LIAR
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOPoPARTNERl ECUTIVE
OFFICERMIEMSER EXCLUDED?
(Manderory in NH)
DI EftIONOMaPE TI NS below
NIA
PER O H-
T TUTEEN
E.L. EACH ACCIDENT
$
Et. DISEASE -EA EMPLOYE
$
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS! LOCATIONS VEHICLES (AGGRO 101, Addkknel Remerb SCMdule, nrey lw etlaehed emoro eysceMrogelred) 6V'
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED �'14e Y
The City of Santa Ana, it;s officers, employees, agents, and representatives as additional ins* N 1�
\�G\YPd,��,,
City of Santa Ana
20 Civic Plaza
Santa Ana, Ca 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
ADDITIONAL INSURED - BLANKET
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Additional Insured Person(s) or Organization(s)
"Any person, entity, or organization with whom you have agreed, in a written
contract or agreement, to be added as an Additional Insured on your policy, provided such
written contract or agreement is fully executed prior to an "occurrence" in which coverage is
sought under this policy,"
Section II — Who is an Insured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or
the acts or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
�\e �-�e Cl
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HUD-G L 2010 0713 Page 1 of 1
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Rita Price Insurance Agency, LLC
This endorsement modifies such insurance as is afforded by the provisions of Policy
# HBD10015218-2 relating to the following:
1. The City of Santa Arta, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents and volunteers are named as additional insureds ("additional
insureds") with regard to liability and defense of suits arising from the operations and uses
performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be canceled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective 8/31 /18 this endorsement form as a part of
Policy # HBD10015218-2
Issued to Race Central LLC
Named Insured
Countersigned by
CITY OF SANTA ANA I RISK MANAGEMENT 126 CIVIC CEN'
CERTHOLDER COPY
1
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 08-19-2018
MEGAN DOYLE LUDGATE
55 E JACKSON BLVD STE 1010
CHICAGO IL e0604-4413
GROUP:
POLICY NUMBER: 1110258-2017
CERTIFICATE ID: 12
CERTIFICATE EXPIRES: 12-01-2018
12-01-2017/12-01-2018
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein, Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
affordedbythepolicy described
herein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative President and CEO
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER;
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT H2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-1998 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
IKENBERRY, DENNIS AND IKENBERRY, JUDY DBA:
RACE CENTRAL
229 S OLIVE AVE
RIALTO CA 92376
[JRC.CNI
(REV,]-2014) PRINTED : 06-19-2018
SIP
POLICY NUMBER
BA040000036S31
STATE OF CALIFORNIA
AUTOMOBILE INSURANCE LIABILITY
IDENTIFICATION CARD
EFFECTIVE DATE
12/06/2017
California Automobile Insurance Company
This insurance complies with CVC S16056.S16500.5
NAMED INSURED
RACE CENTRAL LLC AND INFINITY TIMING LLC
YEAR MAKE MODEL
2001 DODGE RAM WAGON B3500
AGENT: DELANEY INS AGENCY INC#
AGENT'S PHONE NUMBER: (909) 491-7222
EXPIRATION DATE
12/06/2018
NAIC If 38342
VIN
2BSW03SY41KSS2582
TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK
PLEASE CALL (800) S03-3724
STATE OF CALIFORNIA
AUTOMOBILE INSURANCE LIABILITY
IDENTIFICATION CARD
POLICY NUMBER EFFECTIVE DATE
BA040000036531 12/06/2017
California Automobile Insurance Company
This Insurance complies with CVC S16056.516500.5
NAMED INSURED
RACE CENTRAL LLC AND INFINITY TIMING LLC
YEAR MAKE MODEL
1999 SUBARU LEGACY-4CYL.
AGENT: DELANEY INS AGENCY INC#
AGENT'S PHONE NUMBER: (909) 491-7222
EXPIRATION DATE
12/06/2018
NAIC # 38342
VIN
4S3BG6852X7648965
40
u
x"2 Qr
TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK
PLEASE CALL (800) 503-3724
STATE OF CALIFORNIA
AUTOMOBILE; INSURANCE LIABILITY
IDENTIFICATION CART]
POLICY NUMBER EFFECTIVE DATE
BA040000036S31 12/06/2017 12/EXPIRATION PATE
�
California Automobile Insurance Company
This insurance complies with CVC S16056.S16500,5 NAIC # 38342
NAMED INSURED
RACE CENTRAL LLC AND INFINITY TIMING LLC
YEAR MAKE MODEL
2012 SUBARU VIN
TRIBECA LIMITED TOURING 4S4WX9HD7C4402303
AGENT: DELANEY INS AGENCY INC#
AGENT'S PHONE NUMBER: (909) 481-7222
TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK
PLEASE CALL (800) S033724
STATE OF CALIFORNIA
AUTOMOBILE INSURANCE LIABILITY
IDENTIFICATION CARE;
POLICY NUMBER EFFECTIVE DATE
BA040000036531 12{06/2017 EXPIRATION DATE
12/06/2018
California Automobile Insurance Company
This insurance complies with CVC S16056.S16500,5 NAIC # 38342
NAMED INSURED
RACE CENTRAL LLC AND INFINITY TIMING LLC
YEAR MAKE MODEL
2012 MERCEDES-BEN2 VIN
SPRINTER 2500 WD4PE7CCXCS621S78
AGENT: DELANEY INS AGENCY INC#
AGENT'S PHONE NUMBER:
(909) 481-7222 11U
TO REPORT A EA CALLO( 00) 503 37r24®AYS A WEe o�G�e�\�
R�`
STATE OF CALIFORNIA
AUTOMOBILE, INSURANCE LIABILITY
IDENTIFICATION CARD
POLICY NUMBER EFFECTIVE GATE
BA040000036531 12/06/2017 EXPIRATION DATE
-22/06/2028
California Automobile Insurance Company
This insurance Complies with CVCS16056.S16500,5 NAIC# 38342
NAMED INSURED
RACE CENTRAL LLC AND INFINITY TIMING LLC
YEAR MAKE 2012 MODEL VIN
MERCEDES-BENZ SPRINTER 2500 WD
WD4P68CC6C5629666
AGENT: DELANEY INS AGENCY INC#
AGENT'S PHONE NUMBER: (909) 481-7222
TO REPORT A CLAIM, 24 HOURS A DAY, 7 DAYS A WEEK
PLEASE CALL (800)503.3724