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HomeMy WebLinkAboutGENERAL LEARNING CLIMATES 1 - 2003 PÓ f~ iNöÚRilNCE ON filE WORK MAY PROCEED U, '", I' INSURAI~CE EXPIRES :1' ì-o't CLERK OF COUNCIL, 3 CONSULTANT AGREEMENT DATE: I;;" - .3 , - 0 M THIS AGREEMENT, made and entered into this /5 day of þ.¿tCf11h£R, 2003 by and between General Learning Climates, Inc" a California corporation (hereinafter "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 (hereinafter "City"). A-2003-243 RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of policy implementation required for the City to provide continuous quality service to the public. 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, an hourly fee of one hundred, seventy-five dollars ($175.00), The total sum to be expended under this Agreement, shall not exceed $30,000.00 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, subj ect 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 December 3 I, 2004, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Chief of Police 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, 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$I,OOO,OOO 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. 2 e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (ii) 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. (i) (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. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (I) 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 I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The 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 3 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: Captain of Administrative Services Santa Ana Police Department 60 Civic Center Plaza (M-97) P.O. Box 1981 Santa Ana, California 92702 telefacsimile (714) 245-8007 and, 4 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: Dr. David Hartl General Learning Climates, Inc. 180 East Main Street, Suite 240 Tustin, California 92780 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. 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. 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 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. 6 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 indemnity 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: ~l . ./ ~Z~ TRICIA E. HEALY Clerk of the Council CITY OF SANTHNA 1 ~/)~ AVID. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney r '-o' By: Pi}: /1 'I ( Lau a Sheedy Assistant City Attorney y.G " ( / / CONSULTANT GENERAL LEARNING CLIMATES! T~c.. ~ DR. DAVID HARTL President Tax ID# 33-0067744 7 EXHIBIT A SCOPE OF SERVICES Consultant shall provide consultation and training in the following areas: I. POLICY ANALYSIS Assessing the impact of implementation of policies designed to improve the quality of services provided by the Agencies and Departments comprising the City of Santa Ana. 2. CONSULTATION SUPPORT Providing assistance with managing the changes required as the organization undergoes ongoing transformation to continuous quality management and services. Providing assistance with insuring that the organizational climate supports the values of integrity, community safety and security, community participation, courteous and efficient service and organizational growth. 3. TRAINING SUPPORT Providing in-house training and team development experiences for organizational executives, managers, supervisors and employees to support the transformation of services to a quality basis. 8 EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, 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 Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective. ) Effective Policy # Issued to , this endorsement form as a part of Named Insured Countersigned by Authorized Representative 9 APR-28-2004 10:03 SANTA ANA POLICE DEPT 714 245 8094 P.01 "';~'"~''' MdlBP. CERTIFICATE OF LIABILITY INSURANCE .1~ ØAft~ ~~1 0'/22/0. - THIS CamFlCATE IS ISSUED ~S A MATTEIt )f If FO~TION ONLY AND CONFERS NO RIGHTS uPON 'nil; C!RTIPICf.TE LPL :1n.~an~ A98nC¡ :Ene IIOLDØI. T>4fS.CI!"TlFItA1E DOES NOT AlIENO. ~OR 4&11 Eureka Avenue ¥ ALTI;R THIS C_Q¡; ""FORDED 8'1' THE POLIClEllIlELDW. Torba LiDda ÇA 92886 Phon.:714-572-9700 ra.:714-572.9880 IIISURERS AfFOI\OING COYIRAGe 1We' IN....., /I¡ -.J. 003- .243 _A '~~I"'þll:PWt:I UdI..lRUI. ~QI) CASInU.'tY INS CO UU4 ~'n.1. ~lNG CLIHAI!£S IN$UREA. C. Db§"¥Jn-1IM'n. PO' 2 "'''''''0 0 CA 92859-0788 , -e. COVERAGEs 11£POU:ES OF "SUIWG: ll$1G IELO'4V HAW 8EE!II1$$IJID TO TIE ItISI¡IREQ NMED ABOVe FOtI TI'4 POUÇY ÞVbOO ~1iD. IIIQ'JWrT1q:rIoNC)l!lG Ñl'fReaLItIŒIiIEHT."ÆRN °" tOND'TtOH Of I¥W ~ICTRAÇT gill OTHeR DOtUtliEtllT\'VfTH RI$pE;r;T fOWtUtH THIS C¡RTlA:A'J1: ~y.e: IlIlÆD:O" ~YPeIllTAIN.1'1G! ~ oti.FFOADEClIY'01I: POl,f!::1I:3CeSCUEðI1EfU:.INISSUlJEC1TQ AU. ftlr. Tt.~. £kCLU8Q13AHQc:GfoIQlTtOfq Of' WCH 11'0&.1,,", ~nl.MTS ~~Y HA'4 lIEN NClIJtm IY"AID W"ø. -, ;ou;,. NUÌtHJI. M'. .~~T m _.. -,. "uuaTï - ~ . '- .. lTII TV'" OF ...,....CI ,!!'efW.1JQIUTY , I <AC"OCCUOUO.- .1000000 B ..~ ~RCt.I.L~ERAlllAQmo 72SJSaJm9228 0./Ol/0~ 04/01/05 I p.....uUIh-"-1 . 300000 CtJUllSlIIADE CiJOCCtnI: "'Q liD' t"'- -..-.J 110000 X B1.t.a... OVøeJ!:e ~&AfIII1rItNRY .1000000 GENeIW. AGGMGI'.'J8 .2000000 ~~ñtUITanñ,Pl~ [ I'RQDUI;T8 . CCIMÞIOÞ atGG .2000000 POUC;1' ~ I.OÇ .. ,- T -. ~1Jt01ØO..e uaP.m ~""'EI.IMIT . - -.uno ...- - ALL OWMED..uTO$ ecoILY8iI.,JURY . - tC~DUU!DAlnOS (II...,.,..... ~ ......- 8OtlI,'ItU1.MY . _Al/TOI '(pe'''-''" I- """"E'nT- . 1""-1 .........~ ..aø1'&ONt'r - f.,8, ÞCCI:IfNT . ~-AM'!'AUTo. OTKR-.. ..""'. / ~ 'j / AOTa~"'~ """. r"...-'-' . . UA8IJft /)0/UJi:;' . -:...., 1{)d/ ! '/,5 ......~ , 0-... 0 tINOoS "-'DE 1/' _1i- . ',,-/ . . h~""",. . . : . 11111',,"001 . . ~_Gøtr"CJlt~TQN AtlD ~IIW~ A ElØ'LQY&a!I' LULln 1443563 0./Ó1/0~ 0./01/05 .1000000 am P",gÞAC'I'0IIDaA1\IS.M:ÆCUT1VE. !.L.~"AeCIDEJIO' ~~AIiXQ,WIO'1 i.L ð8£ME - EA U8\C'J'rØ; '1000000 :m~"Z'LbIIow !.L~.PCM.fCt\JII8T 01000000 ""'"" I ~'f'IcÞN0F OP£M~11.OCA11QIC~~~~DCUISIQIØ~'" IIIDOMEIIfNT' IfJGW. ~vdmNS ALL 0_TtON9 01' '1'112 INSVIŒÐ JUI COVEIŒD In: 'I1ŒSE POL1C1BS. IU: CONsm.'rIHC: S!i:RVUZS. TII.E: ÇITY W !UUftA -. ITS DIi'FI(;I!Jg. ~!J-. I!MP1.Dnzs 1IIID ,",L1JNTUP.S ME N»IED JI!ID¡:'rIO!IAI. INSUUU PER JI.'M.'Jl.CIŒt) CG2010 10"3. 'rEM DAY lIO'l'IC:Z O¥ CAIICEUJI'lION APPLIES FOR, --PA'IMEN'J: OF pJll:Mt1 M. CERTIflC~TE HOLDER tl'1'YOFS CANelllLATJON SHOÞLD"" D5 nt£A8CW&DU~ ~..~~ .-8ØOM,'þf !""'" . DATE nIfJtEðF- ntEJS5UDIGlNIC,IIQRN..L 1 1, M. 3& ~~ . MC~TOftili[;riii,c.tt" . --mTO'~LEPT.M.I.r' . .., J:lHUt 1Ií~V'..3I':Y ""'""""""..,-,........ ..-ul8iVM ~:J[.V:Y-1iX ..-- (!J:ft Olr SJIIt1'rA lINA ATTIC: Ln. LNM C-,ry t:?1.EA1( 20 CIVIC CEN'l'2R ~ StIII'!'A aNA ~ .2'101 ow- S . CI'CU AÇQAÐ '''/2GO'f1ll81 0 RO CORPOItATlON,1I88 ¡MJ r- i . ... APR-28-2004 10:03 MAK n iOP' IbJPM ¡¡¡ f ,.,. ,... '":'" SANTA ANA POLICE DEPT STME Em !,to\(~. ~ 11~-G33--1¡sa 714 245 8094 ~,:51 p.! I'Iar, ¡¡ ~4 Bló'\lPl'l P\ P,02 llØ1J",ll CEImI'ICA'fI or 1N.IiIll\.NC& Gf6œ1.+-V . ....0 Ap.' 1S49 Al'O 418 'n..iIr"'~N ',' , Slam fill;" MuI~,aI ^\llsn.."U~ h,"tn.n6¥ c.a~ft.V . - " " . ~BI89Ji'I~n. IIIhll10 Iou -It.. ra"" ..1116"'. i0oi- ,..th"",~,~ i!<A'..,,- 1f6,.-rop.. oh""'IHI'~-wI!I""'lD dsIY8 'M'iü"ft ".- 1"61 ÇiIY or IUtA ~A AtÇ\\' City Cletk 20 C1Y1$ C.4ttr JJLI& Santa UA C& niO! . ~; " . :," ", " I"'" '. ". . .;'1" ',~or1¡>1!...'otV",loi.:, 1m. 't,W . , . ,~ ':',.r,'I,"¡jì,."'jJGU "'.' .... ~,., r.-: UAJIIUl'J(, ,CO,'I'I{RMII/\ " I.",I~' .n'¡',b~~, . , , ' !)o'¡oy tP¡UIJ' , ' \"I6~J\~ 0."...". !\o(;ly !,g.'C I '''';'JIOOI I )¡¡I>'P ...h-,.-- I """"- "I' .......iII<Jt f !lmglel.iwlh 5 , 11k_0 3"',i.;n~'", ' "I,'.:'IÖ~ðO:. $ '.010._" . , . . ~I ~,. . :. ¡ I " ~ 11,. ,C,,~ .nlll\lfNlOl ~ MI ""''W''!he! ':'I)"""SO P"" Îdtd 1'1' 111. ;loittiHð 1'0\11\', ï I! .""" ~...'" IIAII.TL. ÞA VIJ) n . G!!rW1. LFJ.I\ 1IIO CI.IK.\f&i ! ' rOn.,.IY.\lnbt<' Vf<j III3-AI$-7tK t ~I\\ool¡;'. Þ"", J'AB I), .oo~ I 11.111 A-M. s-bh11'hw < K " .'. ;', .. ;': 6Q7'..I1 , ~~~,)).. CbItl't!Rv ~Pw am.- t¥-> ,~ -. , )l ,.' '-.- ~II" bno.1d "'" trol16Jnil1a! memo 11171 ~ ~¡ C¡t'/¡J'SI4 . ;¡'i.f5-80'fJi Ca. 3 ~+c.... ;:.-:::---. /.. r;Y?7tfi"(y-;ß 3 ~' (/ RPR-28-2004 1O:O4 SRNTA ANA POLICE DEPT 714 245 8094 P,03 . ,... " . c THIS ENDORSEMeNT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, CG 20 10 1093 ADDmONAL INSURED.;QWNERS, LESSEES OR CONTRACTORS (FORM' B) nlis endorsement modifies insurarlœ pl'Q1/klQd under !he following: C()~CIAL GENERAL LIABILI1Y COVERAGE PART This endorsem8l1t change.S the policy elhlctive on the inception date of lIIe policy unlfi~ ¡mother dale is indicsled below. Eador5emenl,efftd;..e PoIiey No- , 4I112Ø84- . _."n.. --. '1'7'1'\, 6.11"- '"' ""'" T.!SBr\K9226 - - -_._-- .- ,.. '- ...- Named-Insured Counlelsigneá by' GENERAL LEARNING ClJMA 1ES ...-,.-. (_i¡çdJlc~"') SCHEDULE Name of Persœ or Organizlltion: THE CITY Of SANTA ANA, ITS OffiCEKS,AOfNTS. [MPl.QYE.ES 1\1'10 YOLUNTI!I!I!.S. (If no entJy apþeara abOVe, Informallon requirelllo complete this endorsement wiD be shown In !he Dec:lanJIions as applicate to this endor&ernenl} WHO IS AN INSURED (Section II) is amenllld \0 Inciude ¡IS ¡In ¡n.¡urad thlt perwrI QI' Organízil!ion shown in Ihl! Schild- ule. but only with respect to liability aritling 01.11 of your ongoing operallOns performed for tl\;lt in$I)~, ¡l!5/Uf'ðI3/S ..p -- ..- --. '--"'.--..- ---.""""-"__-On.."'" Copyr;gM, InsLlianc:e. $entices OffICC lac... 1.~ TOTRL P,IZI3 --- . r~J STATE FARM INSURANCE COMPANIES@ 900 Old River Road Bakersfield CA 93311 DATE OF NOTICE: APR 08 2004 39A A A - ,;>,þO 3 - ,;)J-I3 CITY OF SANTA ANA CT ATTN; CITY CLERK 20 CIVIC CENTER PLAZA SANTA ANA CA 92701-4058 11,1,",1,11,"111'111"11,1"111111,1,1,1"1",1,111111"1,11 ¡ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: V541083.A15-75M S HARTL, DAVID E YR/MAKE/MODEL: 1993 LEXUS 4DR ::: 3808 E LARKSTONE DR VIN/CAMPER: JT8UF11 E7P0151 684 :!: ORANGE CA 92869-5355 AGENT NAME: TANYA PEARSON ~ AGENT PHONE: (714)289-1226 a: ENDORSEMENT NO: 6028AU 0- N POLICY MESSAGES: This policy shown above supersedes policyl V541 083-75L. i The policy includes a los8 payable clause protecting the additional insured's interest in the de~oríbed car to the extent of the insurance -- provided and $ubject to all policy provisions. The additional ¡n,urad will be given 20 days notice if the policy is terminated, Until 8u~h notice ; is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 daya of ('II any change of interest or ownerahip coming to their attention. Failure to do so will render this policy nul! and void. "I 0 ~ COVERAGE: Bl AND PD LIABILITY $1 MILI$1 M\L/$1 MIL $100 OED. COMPo $250 DED COLL, POLICY EFFECTIVE MAR 23 2004 UNTIL TERMINATED ~//L {1Æß~ 6037F.11 CERTIFICATE OF INSURANCE 35996-4-2 ~ Agent 8549 AFO 418 This is to certify that: State Fann Mutual Automobile Insurance Companv , of Bloomington, Illinois has coverage in force as shown below for the named insured. If the coverage is changed or tenninated we will give 10 days written notice to: CITY OF SANTA ANA CT ATTN: CITY CLERK 20 CIVIC CENTER PLAZA SANTA ANA CA 92701-4058 Description ofVehic1e: 1993 LEXUS JT8UFl1E7POl51684 LIABILITY - COVERAGE A Limits of Liability Bodily Injury each person I each accident 1000000 $ 1000000 Property Damage each accident Bodily Injury and Property Damage Single Limit $ $ 1000000 $ each accident " ~ ~ m 0 rn This Certificate ofInsurance does not change the coverage provided by the described policy. s Named Insured HARTL, DAVID E M 0 0 N N 0 ~ Policy Number V541083.Al5-75M ~~~~-\Ç>/. Chief Executive Officer Effective Date MAR 23 2004 12:01 A.M, Standard Time Countersigned (Year) ¡;; 0 ~ 0- M 6037F.ll By Authorized Representative ~¿/~