HomeMy WebLinkAboutREGENTS OF THE UNIVERSITY OF CALIFONIA,THECity of Santa Ana
r Clerk of the Council
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amendments (if any) are no longer in effect.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.
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 1
No. N-2022-356 was completed on
(List all amendments. Use space below if needed.)
Department: LA A
COTC Office Use Onl
. �3
City of Santa Ana,
JAIL 1.1 2024
City Claret's Cf e
�Ql�lfo *q
COMPY's)
(Irvine
i:lagreernents*rmsltorm - agreement termination form_goldenrod.doc
and final payment has been made.
Phone/Ext.:
Signature: i
Date:
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: NOV 2 9 2022
N-2022-356
AGREEMENT WITH THE REGENTS OF THE UNIVERSITY OF CALIFORNIA FOR
PROFESSIONAL DEVELOPMENT SERVICES AT THE CITY OF SANTA ANA
p: Lioogry (E• SepvlvedA)(n)*k LIBRARY �
THIS AGREEMENT is made and entered into on this � d
_IQay ofNOV- 201Zby and between
The Regents of the University of California on behalf of its Irvine Campus ("Consultant') 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 Consultant having special skill and knowledge in the
field of professional development.
B. Consultant represents that Consultant is able and willing to provide such services
to the City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably
be expected from a professional consulting firm in the field.
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
Consultant shall perform during the term of this Agreement, the tasks and obligations
including all labor, and incidental customary work required to fully and adequately complete the
services described and set forth in Scope of Services - Exhibit A, attached hereto and incorporated
by reference.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services for
City, the rates and charges identified in Exhibit A. The total amount to be expended
during the term of this Agreement shall not exceed Six Thousand, Four Hundred Four
Dollars and Zero Cents ($6,404).
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.
c. 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.
Page 1 of 8
#19793v3
RINEW11D17h1
This Agreement shall commence on January 1, 2023 and terminate on July 31, 2023,
with the option for the City to grant up to two (2) one -,year renewals, exercisable by a writing by
the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15,
below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent Consultant 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 Consultant
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Consultant shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Consultant 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.
5. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or
caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant
shall require all subcontractors to agree in writing that City is granted a non-exclusive and
perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Consultant represents and warrants that Consultant has the legal right to license any and all
Documents & Data. Consultant makes no such representation and warranty in regard to
Documents & Data which were provided to Consultant by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, each Party shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Minimum Scope and Limit of Insurance
Commercial General Liability (CGL): Insurance Services Office Form CG
00 01 covering CGL on an "occurrence" basis, including products and
completed operations, property damage, bodily injury and personal &
advertising injury with limits no less than $1,000,000 per occurrence. If a
Page 2 of 8
#19793v3
general aggregate limit applies, either the general aggregatelimit shall apply
separately to this project/location (ISO CG 25 03 or 25 04) or the general
aggregate limit shall be twice the required occurrence limit.
2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code
1), or if Contractor has no owned autos, hired, (Code 8) and non -owned autos
(Code 9), with a limit no less than $1,000,000 per accident for bodily injury and
property damage.
3. Workers' Compensation: as required by the State of California, with
Statutory Limits, and Employer's Liability Insurance with limit of no less than
$1,000,000 per accident for bodily injury or disease.
4. Broader Coverage: if either Party maintains broader coverage and/or higher
limits than the minimums shown above, the other Party requires and shall be
entitled to the broader coverage and/or the higher limits maintained. Any
available insurance proceeds in excess of the specified minimum limits of
insurance and coverage shall be available to the injured Party.
b. Other Insurance Provisions
Additional Insured Status: the City, its officers, officials, employees, and
volunteers are to be covered as additional insureds on the CGL policy with
respect to liability arising out of work or operations performed by or on behalf
of the Contractor including materials, parts, or equipment furnished in
connectionwith such work or operations. General liability coverage can be
provided in the form of an endorsement to the Contractor's insurance (at least
as broad as ISO Form CG 2010 1185 or if notavailable, through the addition of
both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later
edition is used).
2. Primary Coverage: for any claims related to this contract, the Contractor's
insurance coverage shall be primary coverage at least as broad as ISO CG 20
O1 04 13 as respects the City, its officers, officials, employees, and volunteers.
Any insurance or self-insurance maintained by the City, its officers, officials,
employees, or volunteers shall be excess of the Contractor's insurance and shall
not contribute with it.
3. Notice of Cancellation: each insurance policy required above shall provide that
coverage shall not be canceled, except with notice to each Party.
4. Self -Insured Retentions: self -insured retentions must be declared to and
approved by the City. The City may require the Contractor to purchase coverage
with a lower retention or provide proof of ability to pay losses and related
investigations, claim administration, and defense expenses within the retention.
Page 3 of 8
#19793v3
The policy language shall provide, or be endorsed to provide, that the self -
insured retention may be satisfied by either the named insured or City.
5. Claims Made Policies:
i. The retroactive date must be shown, and must be before the date of the
contract or the beginning of contract work.
ii. Insurance must be maintained and evidence of insurance must be
provided for at least five (5) years after completion of the contract of
work.
iii. If coverage is canceled or non -renewed, and not replaced with another
claims -made policy form with a Retroactive Date prior to the contract
effective date, the Contractor must purchase "extended reporting"
coverage for a minimum of five (5) years after completion of work.
6. Acceptability of Insurers: Insurance(to include Self -Insurance) is to be placed
with insurers authorized to conduct business in the state with a current A.M.
Best's rating of no less than A:VII, unless otherwise acceptable to the City.
7. Verification of Coverage: Contractor shall furnish the City with Certificates
of Insurance including all required amendatory endorsements (or copies of the
applicable policy language effecting coverage requiredby this clause) and a copy
of the Declarations and Endorsement Page of the CGL policy listing allpolicy
endorsements to City before work begins. However, failure to obtain the
required documents prior to the work beginning shall not waive the Contractor's
obligation to provide them.
The City reserves the right to require complete, certified copies of all required
insurance policies,including endorsements required by these specifications, at
any time.
8. Special Risks or Circumstances: City reserves the right to modify these
requirements, including limits, based on the nature of therisk, prior experience,
insurer, coverage, or other special circumstances.
7. INDEMNIFICATION
Each party agrees to defend, and shall indemnify and hold harmless the other Party, its
officers, agents, employees, 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 out of the
performance 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 but only in proportion to and to the extent such liability, loss, expense,
Page 4 of 8
#19793v3
attorney's fees, or claims for injury or damages are caused by or result from the negligent or
intentional acts or omissions of the indemnifying party, its officers, agents, special counsel,
representatives, or employees.
E:�.1DroW89 is
Consultant shall keep records and invoices in connection with the work to be performed
under this Agreement. Consultant 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 Consultant under this Agreement. All such records and
invoices shall be clearly identifiable. Consultant 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. Consultant 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 Consultant under this Agreement.
9. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant 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 be clearly
marked "Confidential Information." Confidential information includes not only written
information, but also information transferred orally and reduced to writing, 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 Consultant disclosed in a publicly available source; (c) is in
rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
10. CONFLICT OF INTEREST CLAUSE
Consultant 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.
11. NON-DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, gender identity, gender expression, gender, medical conditions, genetic
information, or military and veteran status, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization,
Page 5 of 8
#19793v3
promotion, termination or other employment related activities or any services provided under this
Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor, 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 Consultant 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 is not embodied herein.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Consultant 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 Contractors retained by City.
14. TERMINATION
This Agreement may be terminated by either Party upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant 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 Consultant to
deliver to the City all work product(s) completed as of such date, and in such case
such work product shall be the property of the City unless prohibited by law, and
Consultant 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.
15. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or
granted by the provisions of this Agreement shall be effective unless it is in writing and signed by
the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or
Page 6 of 8
#19793v3
remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not
similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
16. 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.
17. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder
and required by the laws and regulations of the United States, the State of California, the City of
Santa Ana and all other governmental agencies. Consultant 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 termination of this Agreement.
18. 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
Library Services Director
City of Santa Ana
26 Civic Center Plaza (M-75)
P.O. Box 1988
Santa Ana, CA 92702
To Consultant: Melissa Shan
6210 Donald Bren Hall
Irvine, CA 92697-3425
melissak(&uci.edu
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,
Page 7 of 8
#19793v3
N-2022-356
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.
19. 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.
b. The Agreement is the final and complete agreement and any prior or
contemporaneous agreements for similar services between the parties is superseded
by this Agreement. This shall not apply where the Parties are currently engaged
and Consultant is providing services not contemplated by this Agreement
C. All Exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first
above written.
ATTEST:
(r+ Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
Brandon Salvatierra
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
Brian Sternberg
Executive Director
Library Services Agency
#19793v3
CITY OF SANTA ANA
Kn�dge
City Manager
CONSULTANT:
(- L 9644-&M,
Erika Blossom
Senior Ancillary Agreements Officer
Page 8 of 8
EXHIBIT A
SCOPE OF SERVICES
EXHIBIT "A"
Santa Ana Public Library/University of California -Irvine: Professional Development Series
Scope of Work
Year One: January 1, 2023 - July 31, 2023
The purpose of this document is to propose a scope of work which doctoral students under Dr. Kylie
Peppier and/or Dr. Andres Bustamante will complete for the Santa Ana Library System.
Length of Time
The proposed term of the project is three years, with contracts created and renewed in one year
intervals. The first contract would range from January 1, 2023-July 31, 2023, with the option to renew
for two 1-year terms. Renewals will be processed 30 days prior to the contract termination and will
include the workshop schedule for the upcoming year.
Types of Work
The proposed contract would establish a one to three-year relationship between UC-Irvine and the
Santa Ana Public Library, (Department of the City of Santa Ana) of during which time the parties
involved would undertake activities meant to improve programming and access for library patrons.
These activities include:
• Professional Development (PD)
o In response to areas of interest or value, a Graduate Student Researcher (GSR) under Dr.
Peppier's and/or Dr. Bustamante's will co -design and implement professional
development for library staff. There may also be an opportunity to explore including
certain community educators in this training as well.
o We propose to budget for around 1 month of 100% FTE GSR effort annually toward
professional development workshops, including time for planning, leading PD
workshops, and follow-up communications.
o Topics for professional development could include: E-textiles, robotics, AR/VR,
maker -based teaching and learning, promoting community workshops + conversations
and/or other topics aligned with expertise and needs of the libraries.
Deliverables
These activities will produce the following deliverables:
• Professional Development
o UCI staff and faculty agree to design and implement professional development as
requested by the Santa Ana Public Library during the contracted period. These
professional development opportunities will be in two hour sessions per the
Library's request.
UCI will put together a resource list for each workshop. The Santa Ana Public
Library will be responsible for coordinating schedules and attendance of staff,
potential educators, and purchasing materials. The Santa Ana Public Library will
be responsible for providing supplies and materials for workshops.
o Deliverables include: Design and resulting implementation of professional development
for librarians and potential area educators, summary of next steps to increase capacity
of library staff.
The year one PD sequence will focus on designing toward Connected Learning (Ito et al., 2013).
inected Learning
After participating in these workshops, library staff will be able to:
• Understand and apply connected learning principles to library programming (group, face-
to-face, online);
• Design programs and activities based on student interests in their area (e.g., YA, children,
families);
• Evaluate the effectiveness of their programs per a connected learning model
Note: The library has requested that workshops occur on a bi-monthly schedule as listed below. Schedule
is subject to change.
Events/deliverables
Timeline
Participants
Budget
(All PD workshops will be 2 hours)
(All dates are
(one month GSR FTE is approx. 20
tentative and
days, workshop supplies not
subject to
included)
change)
PD #1: Kick off workshop
Feb. 9, 2023,
Librarians and
Communication and prep
10am-12pm
library staff
for session: 2 days
Topic. Connected Learning and
- Day of travel, set up,
Constructivism in Libraries
session, clean up: 1 day
Assessment (participant
Objectives:
survey analysis): 1 day
The first PD session will bean
overview of Connected Learning
and Constructivism with hands on
expiration of making tools.
Impact toward additional
stakeholders: Planning team will
prioritize topics that build staff
capacity toward community
offerings.
PD #2
March 9, 2023
Librarians and
- Communication and prep
10am-12pm
library staff
for session: 2 days
Topic: Designing toward youth
- Day of travel, set up,
interests
session, clean up: 1 day
- Assessment (participant
Objectives:
survey analysis): 1 day
The second session will focus on
centering youth interests in
designing library activities
PD #3
April 13,
Librarians and
- Communication and prep
2023,
library staff
for session: 2 days
Topic: Relationships and networks
10am-12pm
- Day of travel, set up,
session, clean up: 1 day
Objectives:. The third PD session
- Assessment (participant
wili focus on centering
survey analysis): 1 day
relationships and networks in
designing library activities.
PD #4
May 11, 2023,
Librarians and
Communication and prep
10am-12pm
library staff
for session: 2 days
Topic: Opportunities
- Day of travel, set up,
session, clean up: 1 day
Objectives: The fourth PD session
- Assessment (participant
will focus on designing library
survey analysis): 1 day
activities and programs that
connect youth to academic, civic,
and/or career opportunities.
PD #5
June 8, 2023,
Librarians and
- Communication and prep
10am-12pm
library staff
for session: 2 days
Topic: Assessing library programs
- Day of travel, set up,
using a connected learning
session, clean up: 1 day
framework
- Assessment (participant
survey analysis): 1 day
Objectives: The final PO session
will focus on assessing library
programs and activities based on
a connected learning model.
May or June,
Librarians and
- Communication and prep
Final meeting for review, establish
2023
library staff
for session: 2 days
objectives for the next year.
- Day of travel, set up,
session, clean up: 1 day
Note: Plan subject to change based on feedback from library staff.
j
o 0 o
c
n n v v
N
3 C o m
y
C C y 7
N
y
3 (n In
N d T Cp
N
Z Z Z
C
3
h 1
d d T—
0
m o -0
3
-'mo
O
J W- a m
o
m e
m n
c$
d
Ip
Z
3 w
o i
N
� N
c
o
m
-
m
N
N
N
d
N
w
v
d
N
N
N m A
N
w w W
a
�
w Q)t0
NO
m N
N
W m
j m N
O
W p m
W O) O
O
Oo m
w V O
O
0 V
T
N
N mmm\
- NO
O
000
m mmm^'
0 00
O
OOO
�9��"
boo
o
eva
T
N
r�o
N
N W a D W W
000
J
O O O
o
ao i N
d
O
9999
000
O
000
T
N
n
n
O
a
A
wb wV
O
OOOo
O
n
O m m m N
O O O.O
60
bb bioi3
0 0 O��O
N
3
3
J
S
_
N
d
F
0oo.'m°.
m
to
N
N
N
c
N to
N
A O
W
W
W
N
N N
N W
o m
w
w
w
w w
o
0 o
w
A V
J
V
V
N N 0 0 0
N
0 0 0 0
N N
0 0 0 0
V W
m
N
N
N
N
a
N N
N
m
O
O
O
O
N N
N
N N
A
O N
W
W
W
cc 0 0 0
W
0 0 0 0
m W
O O O O
�
V W
V
m
m
of
w
w w
to
tD
0o
A to
N
w
N
W W 0 0 0
V
n
3
C
V
N
A
A
A
A
A
A
d
A
O
A
A
A
A
A
m
W
woo
0
0
Ww
0
0
J
O
O
O
O
V
V
0000
NOTICE OF COMPLIANCE
CITY
. "A ,AM I1111RI T I'III I IPi 1111AGE ,CND INCLUDE Ck I 111 1AGREEMENTTOT111IE CLERK CSC 111I➢C COUNCIL
Contractor The Regents of the University of California
Name:
Project N-2022-356
Number:
Project Agreement With The Regents Of The University Of California
Name: For Professional Development Services At The City Of Santa
Ana Library
The Certificate of Insurance (COI) submitted indicates that the coverages are in
compliance with the insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
TYPE OF INSURANCE
POLICY
EXPIRATION
COI DATE
FILE
NUMBER
DATE
NAME
uc-
AUTOMOBILE LIABILITY
SELFINSURED
07/01/2023
06/15/2022
;certificate-of-
insurance-
..............
2022.pdf.
uc-
GENERAL LIABILITY
SELFINSURED
07/01/2023
06/15/2022
=certificate-of-
insurance-
2022.pdf
uc-
WORKERS COMPENSATION AND
certificate -of -
EMPLOYERS' LIABILITY
SELFINSURED
07/01/2023
06/15/2022
insurance-
2022.pdf
NOTICE OF COMPLIANCE
MY w M U U U U U°°IHS PAGE AND MLUDE GNU U FII AGREEMEM M UFIE CLERK OF U U IIIC COMM
Contractor The Regents of the University of California
Name:
Project N-2022-356
Number:
Project Agreement With The Regents Of The University Of California
Name: For Professional Development Services At The City Of Santa
Ana Library
The Certificate of Insurance (COI) submitted indicates that the coverages are in
compliance with the insurance requirements. No further action is required at this time.
The compliant coveraae(s) are:
TYPE OF INSURANCE
AUTOMOBILE LIABILITY
GENERAL LIABILITY
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
7/17/2023 7:58 PM
POLICY EXPIRATION COI DATE
NUMBER DATE
SELFINSURED 07/01/2024 07/17/2023
SELFINSURED 07/01/2024 07/17/2023
SELFINSURED 07/01/2024 07/17/2023
FILE NAME
UC Generic Cert of Self -Ins
2023-2024.pdf
UC Generic Cert of Self -Ins
2023-2024.pdf
UC Generic Cert of Self -Ins
2023-2024.pdf