HomeMy WebLinkAboutSigma Data Systems 5City of Santa Ana
'I Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M -30).
Call 647 -6520 if you have any questions.
The agreement with Sigma Data Systems
G 2006
CITY _h.7 s s zt H,
C' E R K 0'
Only
No. N- 2002 -059 was completed on 06/30/2006 and final payment has been made.
(List all amendments. Use space below if needed.)
N -2002- 059 -07
N -2002- 059 -02
N -2002- 059 -03
Revised 0 8-23 -10
Department: Personnel Services Dept,
Phone /Ext.: 714- 647 -5372
Signature:
Date:
Jacobo- Valdez, Alma
From: Mitre - Ramirez, Norma
Sent: Tuesday, May 12, 2015 12:46 PM
To: Jacobo - Valdez, Alma
Subject: Termination slip
Attachments: Form -AGREEMENT TERMINATION FORM_goldenrod.doc
Good Afternoon,
Please provide termination slip for N- 2002 -059 and it's amendments listed below so that we may close out the file and prepare for records
destruction.
Thank you,
Norma Mitre
Sr. Deputy Clerk of the Council
City of Santa Ana I Clerk of the Council Office
714- 647 -5237 ( nmitre�a ors
2
` N- 2002 -059
INS.1RANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: I -3_02 STANDARD CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this day of March, 2002 by and
between Sigma Data Systems, a California corporation (hereinafter "Consultant "), and the City
n' of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City ").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in telephone
technical support for all SIGMA IV related matters, upgrades to SIGMA, KIOSK and
Job Analysis /WRIPAC programs, and on -line documentation.
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 those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant 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 $2,715.30 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
E?NEUX-Iiu1
This Agreement shall commence on July 1, 2002 and terminate on June 30, 2003, unless
terminated earlier in accordance with Section 12, below. The term of this Agreement may be
extended upon a writing executed by the Executive Director of the Personnel Services Agency
and the City Attorney.
C
4. INDEPENDENT CONTRACTOR
Consultant 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
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. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant 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 Consultant'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. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
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 provisions of Section 3300
of the Labor Code, Consultant, if Consultant 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, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant 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 per claim.
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant 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 in form by the City Attorney.
(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.
f. If Consultant 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 forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant 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
Consultant agrees to and shall indemnify 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 health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 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 terns 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 Consultant 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.
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
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 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.
8. 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.
9. 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 telefacsimile 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, California 92702 -1988
telefacsimile (714) 647 -6956
With courtesy copies to:
Executive Director
Personnel Services Agency
City of Santa Ana
20 Civic Center Plaza (M -24)
P.O. Box 1988
Santa Ana, California 92702 -1988
telefacsimile (714) 647 -6930
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647 -6515
To Consultant:
Sigma Data Systems, Inc.
6367 E. Tanque Verde Road, Suite 110
Tucson, Arizona 85715
telefacsimile (520) 721 -1459
Attn: Roberta Perlman
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
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 telefacsimile, any notice, tender, demand, delivery, or
other 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.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, 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 Consultant. 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 nor
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.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
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 consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. hi 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 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 which Fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant 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. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws of the State of
California. 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.
15. 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 her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow 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.
b. 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:
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.
City Attoygie
IS
Attorney
City of Santa Ana
CITY OF SANTA ANA:
DAV�AM
City Manager
LTANT
Re �rlrttatie Troy Wintersteen
e Executive Vice President
Sigma Data Systems, Inc.
86- 064 -08 -22
Tax ID Number
MESIGHA EXHIBIT A
Simplifying Your Future
SIG.A1A DATA SYSTEMS, INC.
March 14, 2002
Mr. Mike Ernandes, Personnel Operations Manager
City of Santa Anna
20 Civic Center Plaza M24
Personnel Services Dept.
Santa Anna, CA 92702
SUBJECT: SIGMA IV EXTENDED TECHNICAL SUPPORT
Dear Sigma Customer:
Your Extended Technical Support (ETS Program) will expire on July 1, 2002. Enclosed is an invoice for
renewal.
The renewal of your Technical Support contract entitles you to unlimited toll -free telephone support on
all SIGMA IV related matters, upgrades to SIGMA IV, our KIOSK and Job Analysis /WRIPAC
programs, on -line documentation, and discounts on training seminars, software modules, options and
licensed users.
Please sign and return a copy of the ETS Certificate to us along with the Information Update Form. If you
do not wish to renew your ETS Program, please notify us within THIRTY (30) DAYS from the date of
this letter. The cost for technical support for those who do not have the ETS program is based upon the
time spent assisting you. The cost is four dollars ($4.00) per minute, with a $60.00 minimum charge for
the first fifteen minutes. Customers not in the ETS Program will need a P.O. number or verbal purchase
order commitment when they call for support.
Our objective is to provide you with the best support available. Please call us with any questions you may
have about your agreement.
Sincerely,
Roberta Perlman
Office Manager
6367 E. TANQUE VERDE ROAD • SUITE 110 • TUCSON, ARIZONA 85715
(520) 721 -1191 • U.S. (800) 677 -1275 • FAX (520) 721 -1459 • www.gosigma.com
Tiff/ ��- GdY_G� -ate
MESIGMA
Simplifying Your Future
SIG:iIA DATA SYSTEMS, INC.
Extended Technical Support Certificate
SIGMA I U Software
City of Santa Anna
I . This Extended Technical Support Certificate ( "Certificate ") sets out the terms of the SIGMA IV Extended
Technical Support Program (the "ETS Program "). Your right to participate in the ETS Program is subject to
your payment of $2,715.30 ($2,520,00 +sales tax of $19530) to Sigma Data Systems, Inc. The fee is based on
the number of modules, options, and users licensed to your agency.
2. Participation in the ETS Program entitles you to receive:
a. Upgrades to the SIGMA IV Software for which you are licensed. Upgrades to the SIGMA IV Software are
designated by a change in the number to the right of the decimal point of the release identification, e.g.
Version 4.8 is the 8ih upgrade to SIGMA IV
b. Sigma KIOSK program (Upon request).
c. Sigma JOB ANALYSIS PROGRAM and WRIPAC Manual (Upon request).
d. Unlimited toll free telephone support Monday through Friday, 7:30 AM to 4:30 PM MST, on all SIGMA
IV related matters.
e. SIGMA IV on -line documentation in Windows® 3.X or Windows® 95 format.
f. Fax back technical support documents.
Significant discounts on additional modules, options, and licensed users.
h. Discounts on training seminars.
i. Significant discounts on SIGMA V, currently under development.
The one I (one) year period during which you may participate in the ETS Program begins on the renewal date
show on this Certificate pursuant to receipt of payment.
4. Please designate primary and alternate SIGMA IV administrators on the Information Update Form.
5. If you fait to notify its flint you will NOT be renewing your ETS Program and should Signta Data Systems,
Inc. provide goods or services in good faith without notification of non- renewal, you are liable for the full
crest of such goods or services provided in good faith.
BeDnning date of support: July I, 2002
Expiration date of support: June 30, 2003
SIGMA DATA SYSTEMS, INC.
Licensor: �c'" / Date: March 14, 2002
President i
• D
Licensee: A / .Irt �5- Date: ,j -,)- -0 )-
6367 E. TANQUE VERDE ROAD • SUITE 110 • TUCSON, ARIZONA 85715
(520) 721 -1191 • U.S. (800) 677 -1275 • FAX (520) 721 -1459 • www.gosigrna.com
M � IGMA
Simplifying Your Future
SIG%LA DATA SYSTEMS, INC.
INFORMATION UPDATE FORM
DESIGNATED SIGMA IV ADMINISTRATORS
The above listed primary and alternate SIGMA IV administrators are the designated representatives for
support calls to SIGMA Data Systems, Inc.
Donna Slupik
Senior Personnel Technician 3 -20 -02
Name & Title (please print) Date Signed
6367 E. TANQUE VERDE ROAD • SUITE 110 • TUCSON, ARIZONA 85715
(520) 721 -1191 • U.S. (800) 677 -1275 • FAX (520) 721 -1459 • www.gosigma.com
PRIMARY
ALTERNATE
Name: Donna Slupik
Name, Susan Wathen
Title: Senior
Personnel Technician
Title: Senior Personnel Svcs. Spec.
Department:
Personnel Services Dept.
Department: Personnel Services Dept.
Address.
20 Civic Center Plaza
Address: 20 Civic Center Plaza
Santa Ana, CA 92702
Santa Ana, GA 92702
Phone Number:
714- 647 -5340
Number: 714 - 647 -5338
E- Maiklslupik @ci.santa - ana.ca.us
E-Mail swathen @ci.santa - ana.ca.us
Fax
Number:
714- 647 -6930
Fax
Number: 714-647-6930
The above listed primary and alternate SIGMA IV administrators are the designated representatives for
support calls to SIGMA Data Systems, Inc.
Donna Slupik
Senior Personnel Technician 3 -20 -02
Name & Title (please print) Date Signed
6367 E. TANQUE VERDE ROAD • SUITE 110 • TUCSON, ARIZONA 85715
(520) 721 -1191 • U.S. (800) 677 -1275 • FAX (520) 721 -1459 • www.gosigma.com
ACORD,. CERTIFICATE OF LIABILITY INSURANCE 112
DATE
-29 -2003
PRODUCER
LOVITT & TOUCHE' , INC/PHS
300818 P:(866)467-8730 F: (877)905 -0457
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
P. O. BOX 33015
SAN ANTONIO TX 78265
INSURED
INSURERA:Twin City Fire Ins Cc
INSURER B:
INSURER C:
SIGMA DATA SYSTEMS INC
NSURER D:
6367 E TANQUE VERDE #110
INSURER
TUCSON AZ 85715
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSq TYPE OF INSURANCE POLICY NUMBER
LTR
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE MM /DD/VV DATE MMIDD/VY
GENERAL LIABILITY
EACH OCCURRENCE
5
$
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$
CLAIMS MADE a OCCUR
MED EXP (Any one Person)
PERSONAL & ADV INJURY
S
GENERAL AGGREGATE
$
GENT AGGREGATE LIMIT APPLIES PER
$
PRODUCTS - COMP /OP AGG
POLICY JECT LOG
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per xcidentl
S
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per ecciden )
$
GARAGE LIABILRY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
5
ANY AUTO
5
EXCESS LIABILITY
EACH OCCURRENCE
5
OCCUR a CLAIMS MADE
AGGREGATE
IS
5
S
DEDUCTIBLE
5
RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
59 WEC CQ0958
02/01/ 4
02/01055
WC STATUS X DER
T RY LIMI S
E.L. EACH AC CIDENT
$l, 060, 000
E.L. DISEASE - EA EMPLOYEE
$1, 000,000
E.L. DISEASE - POLICY LIMIT
51 , 000,000
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Those usual to the Insured's Operations,
CERTIFICATE HOLDER I X I ADDRIONAL INSURED: INSURER LETTER: CANCELLATION
City of Santa Ana,
Personal Services Department
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
60 DAYS WRITTEN NOTICE (10 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE
Attn : Michael Ernandes
20 Civic Center Plaza, M24
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR
REP ESENTATIVES. LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Santa Ana, CA 92702
AUTHORIZED REPRESENTAXWE
ACORD 25 -S (7197) - c ACORD CORPORATION 1988
.A
ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE
01 -04 -2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LOVITT & TOUCHE I , INC /PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
300818 P:(866)467 -8730 F:(877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED fir?cx:z_w1 INSURERA.Hartford Fire Ins Cc _
d ✓��-- oSY -01) 0,21 pj INSURER R. Twin City Fire Ins Co
SIGMA DATA SYSTEMS INC ,INSURER C.
6367 E TANQUE VERDE RD #110 INSURER D:
TUCSON AZ 85715 INSURFR E.
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFfECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER DATE IMMIODPIYI DATE IMMIDD/YYI LIMITS
GENERAL DAR OW EACH OCCURRENCE 1 $2,000,000
A y COMMERCIAL GENERAL UgeTV59 SBA DD7259 02/ Ol/ OS, 02/ O1/ 06 M 'w f600,000
V-AmS MADE I X OCCUR VED E%P IAnv on= ' <1 C , U 0 G _
IX' Business Liab I PERSONAL 6AOVINJURY is2,000,000
GENERAL AGGREGATE s4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGO 54 , O00 , 000
POLICY JEGT X
AUTOMOBILE LIARILOY j COMBINED SINGLE LIMIT 52 , 000,000
A ANY AUTO 59 SBA DD7259 02/01 /05(02 /01 /061IE =P =a<nll
Ac, OWNED AUTOS
SCHEDULED AUTOS BODILY .,I.nl RV 9
Fes. { (P <�N
x HIRED AUTOS j1 n�I }i� M y] —
X NON -OWNED AUTOS Al PR" Y ELD r,i9 I [ `(_�l \M BODILY INJURY 5
(Per accoen0
PROPERTY DAMAGE
IP<l ttntlanC
GARAGE UGRRRY
(AUTO ONLY - EA ACCIDENT iS
ANY AUTO
fL 111Ti
i -1 f �`FDIV
EA ACC
OTHER THAN
5
AUTO ONLY qGG
$
EXCESS LIABILITY
IEACH OCCURRENCE
SZ,000, OOO r
A X OCCUR _, CLAIM$MADE
59 SBA DD7259
:02/01/05 1
02/01/06 AGGREGATE
s1, 000, 000
�5
''. DEDUCTIBLE
5
X RETENIION ;10, 000
_
,
1 WORKERS COMPENSATION AND
S AT OTH�
WC LIMITS MITS X R
IB EMPLDYERB'LMBILRY
,59 WEC CQ0958
1102 /O1 /OS
/ /
02/01/06 � 1I.SACH ACCIDENT
!Slr!�OO, OOO
E.L. DISEASE EA EMPLOYEE
$1, 000, 000
EL. DISEASE - POLICY LIMIT
OTHER —ti
I
DESCRIPTION OF OPMATIONSILOCATIONSIVEHI CLESIE%CLUSIONS ADDED RY ENOORSEMENTISPECU'L PROVISIONS
Those usual to the Insured's Operations,
HOLDER X
ADDITIONAL
City of Santa Ana,
Personal Services Department
IAttn: Michael Ernandes
120 Civic Center Plaza, M24
;Santa Ana, CA 92702
ACORD 25 -S
JULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
- IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
CS ENI CFwE
ACORD CORPORATION 1988