HomeMy WebLinkAboutBAINBRIDGE GROUP, INC. 1 -2002
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'INSURANCE ON FILE
WORK MAY PROCEED
U;i i IL 1i~~URANCE EXPIRES
/2/¡'} J {);;¿. . CONSULTANT AGREEMENT
CLERK OF 7~CIL tA. -f A
DATE: 7 f?íIS AGREEMENT, made and entered into thisd3' day of ~tfr ,2002 by
and between the Bainbridge Group, Inc., a California corporation (hereinafter" onsultant"), 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 (hereinafter "City").
"
N-2002-068
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RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
asbestos, hazardous and microbial consulting services.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance ofthis 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 $ 10,000.00 during the term ofthis 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,
2003, unless terminated earlier in accordance with Section 12, below. The parties agree that
services provided by Consultant from May 20, 2002 until the commencement of this Agreement
will be considered part of this Agreement. The term of this Agreement may be extended upon a
writing executed by the Executive Director of the Community Development 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 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, agents, volunteers, and employees 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.
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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.
Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
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.
(ii)
(iii)
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.
INDEMNIFICA TION
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 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 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
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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, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Community Development
City of Santa Ana
20 Civic Center Plaza (M-37)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 667-2225
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
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P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
The Bainbridge Group, Inc.
2522 Chambers Road
Tustin, California 92780
Facsimile (714) 573-4097
Attn:
Henry A. Moreno, Principal-Project Manager
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, that 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.
5
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.
DISCRIMINA TION
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 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
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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.
7
....,
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
~~
PATRICIA E. H AL Y
Clerk of the Council
t
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By:ifLU~ Po #7
Laufa Sheedy ..
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
jli
JO P. REEKSTIN
Executive Director of the
Community Development Agency
~MORE~
Principal - Project Manager
?~-~,z'5"(P
Employer ID # or Individual SS #
8
The Bainbridge Group, Inc.
Environmental Consul.tants
2522 Chambers Road
Tustin, California 92780
(714) 573-4005 fax (714) 573-4097
BAINBRIDGE
May 16, 2002
Mr. Terry Gilbreth
Housing Programs Analyst
Community Development Agency-City of Santa Ana
20 Civic Center Plaza, M-37
Santa Ana, California 92702
Asbestos, Hazardous and Microbial Consulting Services -
Company Qualifications/Proposal for the Community
Development Commission-City of Santa Ana, Caiifornia.
Dear Mr. Gilbreth:
RE:
We are pleased to submit our fee proposal and qualifications in
response to the Community Development Commission-City of Santa
Ana's request for the services mentioned above. The Bainbridge
Group, Inc. has performed these services for government agencies
throughout Southern California for the past nine years. The Bainbridge
Group has diligently assisted these clients by performing asbestos and
lead paint surveys, design of specifications for abatement and has
provided clearance/monitoring services of abatement in support of the
various housing and facility environmental programs.
In addition, The Bainbridge Group provides mold/microbial
investigation/testing and remediation consulting services for residential
and commercial properties.
For this contract, The Bainbridge Group proposes to provide
survey/testing, abatement specifications, bidding assistance, and air
clearance and monitoring in accordance with the requirements of the
Community Development Commission-City of Santa Ana standards, as
well as OSHA, AHERA standards and other government requirements
therein.
PROPOSED SERVICES:
Phase 1 - Survey and Testing
Inspections will be conducted by first reviewing available blueprints,
plans and other data that describe the property layout, construction
materials and dates of construction and renovations. A walk-through of
the property will then be conducted to identify the areas of concern.
Asbestos - Collect samples as warranted and assess existing condition
of areas identified to contain asbestos. Our services will be performed
by in-house State of California certified consultants, trained under the
AHERA programs for inspector, designer, management planner and
project supervisor. All asbestos sampling will be performed in
accordance with regulatory and state of the arts standards and
practices.
-:, .' ~ , 1"1 3 T :'~
"., ;., . :'..~' . ,.,
CDC-Santa Ana - Co. Qualifications/Proposal
The BainbridGe Group. Inc.
05l1tW2
Paoe 2
Phase 2 - Abatement Specifications
The Bainbridge Group proposes that project specification documents be
written in accordance with strict-level health and safety procedures and
in accordance with asbestos regulations. Thß nature of the abatement
requires that certain engineering controls be specified in the project
documents so that asbestos fiber/concentration levels are minimized to
prevent re-entrainment of the materials into the ventilation system and
other surfaces. The specifications/work plan will be designed in
accordance with federal, state and local regulatory requirements in the
ASTM and CSI contract format.
At the conclusion of this phase, a Project Manager will assist the CDC in
the coordination and attendance of the contractor's pre-b:d conference
and will also assist in the review of the contractors' bid documents prior
to contract award.
Phase 3 - Asbestos Abatement Monitoring
Prior to the start of the abatement, The Bainbridge Group will assign a
senior level Project Manager to attend a pre-con meeting with all parties
involved so that all issues and field coordination are discussed and
resolved prior to the abatement work.
The Project Manager will then review the awarded abatement
contractor's submittal package to assure that all required contractor's
documents are satisfied and in compliance with the requirements in the
project specifications and the work plan. Once the contractor's
submittals are approved, a notice to proceed to abate is given to the
abatement contractor.
At this time, The Bainbridge Group will provide one (1) full time
personnel as required to monitor the contractor's abatement performance
in respect to the safety and compliance to pertinent asbestos
regulations and work practices. Monitoring services will be conducted
for the duration of the projected abatement work. Periodic air sampling
will be conducted before (background), during and after (clearance) to
ensure and record the contractor's performance and general personnel
protection inside .and outside the abatement work areas.
The monitor will also maintain daily observation logs as well as other
documents generated during the abatement project. These documents
will then be compiled into a book form and will ultimately be forwarded to
the CDC at the conclusion of the project along with the waste manifests.
COMPANY QUALIFICATIONS:
The Bainbridge Group, Inc. is a medium size, minority owned and
managed business (MBE/DBE) with a diversified staff of experienced
management and technical professionals with collective backgrounds in
asbestos and hazardous material industrial hygiene.
Specifically, these personnel have extensive and pertinent experience
in asbestos, and hazardous material related inspections, design of
abatement specifications, working drawings, abatement oversight
(monitoring), project support and management.
CDC-Santa Ana - Ca. Qualification&'Proposal
The Bainbridge Graue. Inc.
0511 em
Paœ3
Generally, our consulting service capabilities include the following:
Asbestos:
. AHERA Surveys, Testing & Evaluations
. Cost Estimates & Working Drawings/Biddil")g Consulting
. Project Abatement Specifications
. Renovation/Demolition Design
. AHERA and Operations & Maintenance Programs
. Construction/Abatement Administration & Monitoring
Lead-Based Paint:
. XRF/Niton Lead Testing
. EPA Title X Real Estate Disclosure Assessments
. Construction Assessment Surveys & Testing
. Cost Estimates & Working Drawings
. Abatement Design Specifications
. Construction/Abatement Administration & Monitoring
Environmental Assessment & Remediation Services:
. Phase 1 Environmental Site Assessments
. Indoor Air Quality/Mold/Fungi Microbial Testing & Monitoring
Our company's experience and proximity to the City of Santa Ana
housing projects will further allow for a quick-response service
commitment to fit the best interest of the CDC.
INSURANCE:
The Bainbridge Group provides A-rated professional liability coverage
for up to $5,000,000.00 occurrence and general liability coverage for up
to $5,000.000.00 by American Safety Casualty Insurance Company.
Attached please find our rates for your review and consideration. We
look forward to answer any questions that you may have regarding this
proposal and our qualifications. Please feel free to contact me at (714)
573-4005.
Respectfully Submitted,
THE BAINBRIDGE GROUP, INC.
Attachments
HAM/mp.
The Bainbridge Group, Inc. General Rates
Professional Staff/Support Staff and Material/Sample Fee Schedule
Asbestos Consulting Services:
Classification
Principal
Senior Project Manager
Certified Asbestos Consultant (CAC) - PM
Certified Site Surveillance Technician (CSST)
Clerical
8-Hour Shift Abatement Monitoring
(includes max. 5 pcm's)
Bulk Sample Analysis
hour analysis)
Air Samples - Phase Contrast Microscopy
hour analysis)
Bulk Sample Analysis
15%/each (8-hour analysis)
Air Samples - Phase Contrast Microscopy
15%/each (8-hour analysis)
Air Samples - Transmission Electron Microscopy
15%/each (24-hour analysis)
Air Samples - Transmission Electron Microscopy
15%/each (8-hour analysis)
($) Rate
72.00/hr.
63.00/hr.
54.00/hr.
48.00/hr.
28.00/hr.
390.00/shift
9.00/each (24-
9.00/each (24-
cost +
cost +
cost +
cost +
Revised 3119102
.
,
. . .
"
.
The Bainbridge Group, Inc. General Rates
IAQ - Microbial Consulting Services
Professional Staff/Support and Material/Sample Fee Schedule
Staffing:
Staff Classification
Certified Industrial Hygienist (CIH)
Senior Project Manager (IH)
Project Manager (IH)
Associate Technician (IH)
Clerical/Admin.
Combined Services:
Service Type
Inspection & Scope of Work (1 Apt. Unit)
Post Abatement Clearance (1 Apt. Unit)
Microbiology/Bioaerosol Analysis:
Culturable Air Samples (Andersen. SAS. RCS)
Fungi
Bacteria
Culturable Samples (dust. bulk. swab. other)
Fungi Quantitative, 1 medium (MEA)
Fungi Quantitative, 3 media (MEA, cellulose, DG18)
Bacteria, 1 medium (TSA blood)
Bacteria, 3 media (TSA blood, CAN, MacConkey)
E. coli/coliform, presence/absence (MUG)
Non-Culturable Air Samples (Zefon)
Non-viable spore trap slide
Zefon Air-G-Cell Cassettes
Surface Samples (tape lifts. bulk. swab. other)
Surface samples, direct examination
($) Rate
125.00/hr.
90.00/hr.
75.00/hr.
60.00/hr.
40.00/hr.
($) Rate
325.00.each
595.00 each
($) Rate
55.00/each
45.00/each
($) Rate
55.00/each
65.00/each
45.00/each
65.00/each
50.00/each
($) Rate*
55.00/each
10.00/each
($) Rate*
40.00/each
* Normal rates for ~ to 5 working days.
Same day rush analysis fees add 50%
Culturable samples require incubation time, therefore rush services
will not apply.
The Bainbridge Group, Inc. revised 412002
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ú NAMES INS~ED
Th; Bainbridge G~uP. Jnci
Gulf 4nderwriters If'lsurance Company
ORIZED RiPRESENTATlye .;
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Freberg Environmental Inc.
1451 Lañmet Sf. Suite %00
Denver. CO 8020t
ENDORSEMENT
This endorsement forms a part of the policy to which it is attached. Please read it carefuHy.
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. ., ."~ DO' '1NSÐREÐ ENOORSEM ' "Q .:t;:eR'c-:-."..~,.,.
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In consideration of the premium charged, and notwithstanding anything contained in this policy to the
contrary, it is hereby agreed that this endorsement applies to the following designated coverage parts
only: -
x
X
Commercial General Uability
. Contractors Pollution Liabifity
Site SpecifIC ThIrd Party Pollution Liability
Onsae Cleanup Coverage
SCHEDULE:
Name of Person or Organization:
City of Santa Ana
20 Civic Center Plaza M-26
Sant Ana, CA 92701
(1f no entry appears above, Information required to complete this endorsement will be shown in the
Declarations as applicable to thiS endorsement.).-
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization
(called -additional insured") shown In the Schedule, but only with respect to liability arising out of your
ongoing operations performed (or that additional insured.
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APPROVED AS TO FORM
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Laura SheedY ... ..~-
.pèputy CitY~tt~ìÖèY
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All other term~and conditions remain the sa.",.
fu-esP-29' 0 (09-02)
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VIV Q\JQ IVV\J
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1l0UCY N . MBER
, GU283'947
PtLiCY CHANGS
. EFFECTIVE r
03127/03
> NAMES INSU . D
Thp Bainbridge Gipup, Inc.
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COMPANY
~
Gulf Underwriters Ina;urance co", an
A)JTHORIZED ~PRESENTATIYE
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Freberg envifoninentallnc. :-
1451 Larimer St. Suite 200
Denver, - 0 80202
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Et,lDORSEMEtiT
This ,ndorsement f°1J"S a part of the policy to which ft is attached. Please read it carefuUy.
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SCHEDULE:
Name of Person(s) or Organization(s):
City of Santa Ana
20 Civic Center Plaza M-26
Santa Ana, CA 92701
In consideration of the premium charged. and notwithstanding anything contained in the policy to the
contrary, it is hereby agreed if we decide to èancel this policy on or before the expiration date of the
Coverage. Form. we will mail or deliver to the person(s) or organization(s) shown in the Schedule, written
. notice of cancellation not less than 30 days prior to cancellation. This will not apply to non-payment of
premium. ~
APPROVED AS TO FORM
----~----
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La'ura Sheedy
-~---c-----DeputyÇjty A!t9rI1ey
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fU-ESP-47O1 (06-02)
All other tenn, and conditions ,emain the sam.,.
rage 1 of 1
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PO ':ICY CHANGE~
EF~.ECTIVE
031;t7/03
COMPANY . ~
Gulf Und~rwriters Insufqpce Company'
AUTHORIfEO REPRESEþIT A TIVE
:. .'
Freberg ~vironmental Ipc.
1451 u.riq1er St. Suite 240
Denver, QO 80202 ~
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THI~ ENDORSEMIfNT CHANGES THE POLICY. plEASE READ IT CAREFULLY.
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PRI¥ARY AND NO"-CONTRIBUT~RY INSURANqE
This endoIJement modifi~ insurance provided under the ~pllowing:
COM~ERCIAL GEN~RAL LJABILllY COVERAGE PART
SCHEDULE
1.
am, and Address of Person or Organization (Additional Insured):
, City f S,ota Ana .
. 20 C c 'tenter Plaø M-26
Sa ArÌa. CA 92701
2.
dditional Premium: Appfied
urance is pñmarywith respect to the coverage afforded to the Additional Insured shown in the Schedule
by the following endorsement: GU-ESP-2010 (09-02).
Any ther insu~nce which the Additional Insured may have is excess and non-contributory.
ALL THER TERMS AND CONDITIONS OF TIllS POLICY REMAIN UNCHANGED.
41912003
DATE
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APPROVED AS '"f0 FORM ,.
l!¡fl~ d 1.
Laúra Sheedy.
Deputy City Attorney
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G ,~.1200 (°7-01)
SP
CERTHOLOER COpy
STATE
COMPliNSATION
INSURANCE
FUND
P.O.
807, SAN FRANCISCO,CA94142-.0aO7
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
THE CITY OF SANTA ANA
20 CiVIC CENTER PLAZA
SANTA ANA CA 92701
SP
GROUP:
POLICY NUMBER: 1466943-2004
CERTIFICATE 10: 14
CERTIFiCATE,EXPIRES: 03-01-2005
03"01-2004/03-01-2005
JOB: ASBEStoS CONSUL TINa
SERVICES
ISSUE DATE:
03-01-2004
N-;"o();1.- 0(,'
tJ - ~()O~ ":'/JII rd
This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California InslJr"9ce 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 you3Q daYs'adv"9ce notice should this policy be cancelled prior to its normal expiration.
This certificateof/ins~raqce is oot"n insurance policy and does not amend. extend or alter the øoverage $fforded
by the policies lI.~ted herein. NotwithsUind¡ng "9y requirement. term, or c9ndition of any contr;lct or .,ther . document
with resPect to which this certificate óf insurahce maye. issued or may pertain; the insurance afforded bY the
policies descrilted herein is subject to.allthe terms, ,,"clusions and conditions of such policies.
~
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AUTHQRIZEDREPRESENT A TIVE
PRESIDENT
EMPLOYER'S LIABILIty LIMIT INCLUDING DEFENSE COSTS:
$1,000,000.00
OCClIRRENCE.
. ENOORSEMENT#2OSS ENTITLED CERTIFICATE HOLDERS 'NOTICE EFFEctIVE 03~O1-2()04 IS
FO- A PARt OF THIS POLICY' .
AND
EMPLOYER
LEGAL .NAME
IREV.'-O'!
¡>til'r
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND scw 10260
1'0408