HomeMy WebLinkAboutU.S. TRAFFIC CORPORATION 1-2003 A-2(X)3..02~
[~_~w~,~ ~ CONSULTANT AGREEMENT
~S AG~EMENT, made ~d entered into *is 7 day of~, 2003 by
~'~d be~een U.S. T~c Co~oration, a Cflifomia eo~orafion (hereinafter "Cons~mt"), ~d
City of S~m ~g a cheer city ~d m~icipfl co~orafion org~zed ~d existing ~der ~e
Comtimtion ~d laws of~e State of Califomia (herei~er "Ci~").
CIT S
A. The City desires to retain a consultant having special skill and knowledge in the field of
traffic signal control systems, including equipment, repair and support.
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 bom a professional consulting finn 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 paymem for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $120,000.00 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.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2004, unless terminated earlier in accordance with Section 12, below. The parties acknowledge
that Consultant has provided services since February 18, 2003. Those services shall be included
within the Scope of this Agreement. The term of this Agreemem may be extended upon a
writing execmed by the Executive Director of the Public Works Agency and the City Attorney.
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 exemise 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 lnsurance. InaccordancewiththeprovisionsofSection3300
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.
2
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 fight, 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 behaif 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 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 temas
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.
7. 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 mall, 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 Arm
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of the Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M-43)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5604
and,
City Attomey
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ama, California 92702
telefacsimile (714) 647-6515
To Consultant:
U.S. Traffic Corporation
9603 John Street
Santa Fe Springs, California 90670
Telefacsimile (562) 923-9600
Attn: Diane Crcootonk
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 instnlment 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. 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 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 governed 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 Aha and all other govemrnental 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 fight 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 Agreemem the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
DAVID N. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
Lad~a Sheedy -'
Assistant City Attorney
CONSULTANT
U.S. TRAFFIC CORPORATION
DIANA GROOTONK
Executive Vice President, Administration
Tax ID# t~
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company Steadfast Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# Sco383~27200 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Arm, California 92701; its
officers, employees, agents, volunteers and representatives 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 cancelled, 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 gna, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective Nay 16, 2003
, this endorsement form as a part of
Policy # sao~Sa89e?na
Issued to U.s. Traffic Corporation & any m~b~ ~ ~ ~ ~ ~ ~ ~ ~ hereafter acquired
N~ed ~ --
Co~tersi~ed b~~
,~a~ 21 03 05:27p ~ana Groo~on~ SG2-946-0529 p.!
U.S. l'raffi i,, oration
Manufactur~ Engineers
Mamh 13, 2003
Mr. TC Sutaria
City of Santa Asa
Public Works Agency
Traffic Engineering
20 Civic Center Plaza, M43
Santa Arm, California 92701
Via Facsimile: 714-647-5616
Re: Traffic Signal Service & Supply Agreement
Pursuant to our convexsafion US TP&.fl'lC would like to propose the following Service &
Supply Agreement outline to the City of Santa Asa, whereby US Traffic will provide
repair services, new products, engineering services, eonstdfing services, etc:
Spare Parts
New Products
Repairs
Field Service Labor
In House Labor
Engineering Services
Consulting Services
Mise Services
105/0 off List Price
10% off List Price
List Price
$125/Hour
$65/Hour
$250/Hour
Negotiable
Negotiable
US Traffic has enjoyed its business relationship with the City and hopes to continue
serving the City in its capacity as an industry leader and supplier.
Should you have any additional questions or conunent3 please contact me at 562-923-
9600 enl. 103.
Sincerely,
Diana Grootonk
Executiv~ FP, 'Administration
Cc: .lack. Hastings, Regional.gales Mgr
9603 ]ohn Street - Santa F¢ Springs. C.\ 90670
Tel: (562) 923-9600, (800) 733-7872 · Fax: .i~62) 923.7555
EXHIBIT A '
U.S. Traffic Corporation
Manufacturers SYstem Engineers
NoN-WARRANTY FLAT RATE REPAIR POLICY
Returned Goods
I'
In order to expedite handling, a U.S. Traffic Corporation assigned Return Merchandise Authorization (RMA) number
must accompany all returned goods, whether for repair or credit. Upon request, an RMA number will be assigned
by contacting your U.S. Traffic Corporation Customer Service Representative at our Corporate Office (800) 733-
7872. Use this RMA number to cleady identify your package upon return to U.S. Traffic Corporation by noting the
number on the outside of the box and on your packing list when returning goods. Failure to note the RM^ number
will effect the timeliness of your repair or merchandise credit. A restocking charge plus freight charges will be
assessed against returned goods for credit unless return of goods was due to an error by U.S. Traffic Corporation.
Repair or replacement of any product will be made at U.S. Traffic Corporation's facility. Extent of repair or
replacement is at U.S. Traffic Corporation's discretion. Freight charges to and from U.S. Traffic Corporation's
facility is the responsibility of the buyer.
NOTE: If unit is not repairable, customer will be contacted and advised. These units will be held for up
to 30 days, then they will be discarded as scrap.
Exclusions I
U.S. TRAFFIC CORPORATION manufactures a number of products using advanced software and firmware.
Many units that receive physical damage may also experience a phenomenon known as a soft failure. Soft
failures can occur in software and firmware, and it is almost impossible to test for this failure. Therefore, units
displaying physical damage (e.g. lightning, incorrectly applied voltages, damaged components, incorrectly installed
components, etc.) will not be repaired. Units that are modified by an end user and are not built to production
drawings will be returned to the buyer as non-repairable. Custom oroducts may not be returned.
Shipping
All units returned for repair shall be shipped to U.S. TRAFFIC CORPORATION freight prepaid. COD or collect
shipments will be refused. Units being returned to the end user will be shipped FOB, Santa Fe Springs, CA.
U.S. TRAFFIC CORPORATION Return Facility
Prices subject to change without notice,
Corporate Headquarters
9603 John Street--~
Santa Fe Springs, CA 90670 · USA
(~ Do not send returns to the former Stanton, Rancho Dominguez or Downey facilities.
All have relocated to Santa Fe Springs.
Rates on reverse side
Effective 04/18K)3 (flatrte2.pm65)
NoN-WARRANTY FLAT RATE REPAIR CHARGES
(pa~ U.rr)
Detectors~-Parldng Counters ' '
I Speed of Service Loop Test Equipment
All Single Channel Loop Detectors ................... $70.00
All Dual Channel Rack Mtg. Loop Detectors ..... $72.00
All Four Channel Rack Mtg. Loop Detectors... $178.00
All Dual Channel Shelf Mount Detectors .........$140.00
All Four Channel Shelf Mount Detectors .........$215.00
All Isolator Modules ........................................... $35.00
All Detector Rack Power Supldies ................... $50.00
All AVl Detectors/Receivers ............................ $110.00
TLS-1 Traffic Logger ....................................... $150.00
ILA-550 ........................................................... $425.00
ILA-550 Re-calibration & Certification ............. $125.00
Loop Testers (501 or 3050-2) ......................... $125.00
Loop Finder Modules (502 or 505) .................... $80.00
Loop Insulation Tester (507) ........................... $110.00
Single Channel Test Box (508) ....................... $100.00
Note: 503 not repairable
Neon Pedestrian Signal Modules
Don't Walk/Walk Modules (4400-4) ................... $75.00
Symbol Message Module (4400-14) ................. $75.00
Solid State Module (4500-14D/5500-14D) ...... $135.00
(No~e: Neon pedestrian signals or modules which are
returned with broken tubes are a non.warranty repair.)
Auxiliary Equipment
APS-10 Audible Ped Signal ............................ $200.00
All Trafrm Controllem I
390,390CJ, 820A, 870,170E, 179 ................. $615.00
I "' On Street Masters
OSAM and TMM500 ........................................ $850.00
', Monitors [
Models 210, 210-P, 218-P, NM-6,
NM-12, NP-6, NP-12 ................................. $245.00
Models LCD-6P, LCD-12P, LCD-18P,
NP-18 ....................................................... $428.00
MT-180 w/certification and limited
warranty* .................................................. $475.00
MT-180 replace Mother Board ........................ $975.00
MT~180 Y2K upgrade (104204) ........................ $50.00
i lOP ............................................................. $74o.oo
) Flashers -- Loadswitches I
U.S. TRAFFIC CORPORATION does not offer repair
service for flashers or Ioadswitches.
Repair Warranty
Ninety (90) days parts and labor.
*Exception: MT-180, 1 year excluding printer.
VVVVV Time Clocks
0100-1010-XXX ..................................... ; ........ $640.00
0100-1020-XXX ........................................... $1,125.00
0100-1030-XXX ........................................... $1,125.00
U.S, Traffi~"~orporation
Manufacturers ~ System Ensineers
9603 John Street · Santa Fe Springs, CA 90670
Tel; (562) 923-9600 · Fax: (562) 923-7555
Toll Free: 1-800-733-7872 · www. ustraffic.net
Effective 04/18/03
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company Steadfast Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# sCO383927200 relating to the following:
1. The City of Santa Aha, 20 Civic Center Plaza, Santa Arm, California 92701; its
officers, employees, agents, volunteers and representatives 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 cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Aha, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective ~y 16, 2003 , this endorsement form as a part of
Policy # SC038~8927pOO
Issuedto U.s. Traffic Corooration & any .qub~w~. nn= ~YqStSng or hereafter acquired
APPROVED AS 'lO V0RM
Deputy City Attorney
8
CERTIFICATE OF LIABILITY INSURANCE
06/25/03
THIS CERTIRCATE IS ISSUED AS A MATTEE OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gallagher Risk Mgmt Svca, Inc. ~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
125 $. Wacker Drive, Suite 500 t ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chicago, IL 60606 ~ ~ % _ ,a INSURERS AFFORDING COVERAGE
Cheryl Bryant 9312) 803*6346 ~ .m ~ ~."7.~
mu~;o Quixote Corporation (~)~'~ 0 '~ ', ~su~.,~ Steadfast Insurance Company
~st Waoker Drive ~.~ s: Federal Insurance Company
~.su~.c~ American International Specialty Un
Suite 3000 ,.scar o:
I Chicago, IL 60601 ,
COVERAGES
ttt ,
A ~e~..a~. u~,.m, SCO383927200 05/16/03 07/01/03 ~CH OCC. U~.C~ $1,000,000
I ~us ~ [] occu. M~o ~x~ ~, ~. ,~.1 sS,000
X..~ 31~D Ded:25000 ;';RSON~. & ,U~V ~,~URY SI,000,000
~ GENERAL AGGREGATE $2~0001000
B ,urrm~omcs u~ucn'Y 74982828 05/~6/03 07/01/03 COUI~NED SINGLE LIUIT
X~ANY ^m*O (Es acc~=nl) $1,000,000
GARAGE UABIUTY Deputy City AttOffl ~y AUTO ONLY. EA ACCIDENT S
C ~xc~ss U~mUTY BE7413967 05/16/03 07/01/03 ~CH OCCU~;E,CE
X~ occur ~ c~,~s ~ ,*,C~mm~ s2S,000,000
F~'~rm~ sl0000 s
B m~K~qS ¢OUPGHRA~floN *NO 71707613 05/16/03 07/0t/03 X
G.~, ~G~. ~¥ u~ sl r000;000
The named insured schedule shall include US Traffic Corporation & any subsidiaries now existing or hereafter acquired
City of Sants Aria, its officara, employees, agents, volunteers and raprasentstives ara shown ss additional
insurede solely with respect to general liability coverage as evidenced herein as required by w~ttefl contract
with respect to work performed by the named insured.
CERTIFICATE HOLDER I I ADOillO~ALJNSURED;INSUKERLE1TER: m CANCELLATION
Executive Director of the Public
Works Agency, City of Santa Ana
20 Civic Canter Plaza (M-43)
P.O. Box 1988
Santa Ana, CA 92702
ACORD 25-5 (7/97)t of 2 #S1080051M102293
~ ~.~RD CORPORATION 1988
IMPORTANT
If the certiticate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. A statement
on this certificate does not confer rights to the certif'm, ate holder in lieu of such endoraement(s).
If SUBROGATION IS WAIVED, subject to the termsand cendit~ons of the policy, cartain policies may
require an endoraement A statement on this certiTw, ate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificata of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), autho~zed representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage affordsd by the policies listed thereon.
ACORD25-S(7/97)2 of 2 #S108005/M102293