HomeMy WebLinkAboutCOOPERATIVE PERSONNEL SERVICES 1 - 2002 .... ,~ v;¢ N'2002-030
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..~ C.;,,,5:> ~ ~ CONSULTANT AG~EMENT
~:'' THISAG~EMENT, made and entered into this ~ day of ~]~ ,2002by
~d be~een Cooperative Perso~el Se~ices, a California Joint Powers Authority (hereina~er
"Consult~t"), ~d the City of S~ta ~a, a cheer city ~d municipal co~oration org~ized ~d
existing under the Constitution ~d laws of the State of California (hereinafter "City").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
developing written examinations for the positions of Fire Captain and Fire Dispatcher.
B. Consultant is experiences, knowledgeable, and has the personnel capable of providing
the written examinations required.
City desires to purchase written examinations for the positions of Fire Captain and Fire
Dispatcher, prepared and developed by consultant. Consultant agrees to funfish the City
a multiple-choice custom examination for the positions of Fire Captain and Fire
Dispatcher, to be administered by the City at a time and date to be determined.
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
a. Consultant agrees to develop written examinations for the positions of Fire Captain and
Fire Dispatcher.
b. The City will select and, if necessary, edit specific questions after reviewing the
certification examinations.
Consultant will compile the selected exam questions and provide the City with the
requested amount of examination booklets. Extra booklets will be provided by
consultant upon request by the City.
d. Consultant is not responsible for exam validation or candidate qualification and ranking.
e. Related inquiries will be referred to the City's authorized representative.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as payment for the services
specified in Exhibit A. The total sum to be expended under this Agreement, shall not
exceed $10,000.00 during the term of this Agreement.
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.
Any breach of examination material security by City will compromise the
certification system, and will result in an assessment to the City of a $500.00 security
penalty fee.
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 term of this
Agreement may be extended upon a writing executed by the Executive Director of Personnel
Services 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 trader 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
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bodily and personal injury, including death resulting therefrom, and property damage, in the total
amotmt 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 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 mason 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, or if City receives from Consultant information
which due to the nature of such information is reasonably understood to be confidential and/or
proprietary, Consultant and City mutually agree that it shall not use or disclose such information
except in the performance of this Agreement, and further agrees to exemise the same degree of
care it uses to protect its own information of like importance, but in no event less than reasonable
care. The City agrees that all exam questions and contents shall be reasonably understood to be
confidential. City shall not use or disclose such information except in the performance of this
agreement. "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 soumes; (b) is, through no fault of the City or Consultant is
disclosed in a publicly available source; (c) is in rightful possession of the City or Consultant
without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or
(e) is independently developed by the City or Consultant without reference to information
disclosed by the other party.
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:
4
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:
Mary Radcliffe, Personnel Analyst
City of Santa Ana
20 Civic Center Plaza, M-24
P.O. Box 1988
Santa Ana, California 92702
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:
Cooperative Personnel Services
Attn: Mr. Vince MacManus
241 Lathrop Way
Sacramento, Califomia 95815
telfacsimile (916) 263-3613
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. 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 deriver
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
6
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 enfomement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of Califoruia. 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.
1N WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
Clerk of the Council
CITY OF SANTA ANA)
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Atto~
l~y:
Benign
Chief AssiStant Cit3~ Attorney
RECOMMENDED FOR APPROVAL:
nrique (F/~ry) ~ivai'
Executiv~l~ir;~t/or off?Personnel Services Agency
City of Santa Ama~
CONSULTANT:
Human Resource Services
March 25, 2002
Ms. Thien-Vu Ngo
City of Santa Aha
20 Civic Center P/aza
Santa Aha, CA 92702
Dear Ms. Ngo: . '
241 Lache~ V'~y
R~for~l O~ce
6~7.~45.6821
The ptrrpose of cms letter is to outline the Scope of Service and cost for Cooperative
Personnel Services (CPS) to develop written tests to be rented by the City of Santa A~a for
two selection exarninadons: Fire Captain and Fire Services Dispatcher. CPS is developing
both tests under CPS' standard fixed cost agreement for semi-stock tests. These costs are
outlined in the Test Security Agreement between the City of Santa Ann Human Reso~ces
and CPS.
The cost for each written test rental is as follows:
Fire Captain
Base Fee $295.00
Per candidate fee $13.00 X
City's estimate 40 candidates $520.00
Shipping and h~mdling (10% of total order) $ 81.50
Total for Fire Captain
$896,50
Fire Services Dispatcher
Base Fee $295.00
Per candidate fee $13.00 X
City's estimate 20 candidates $260.00
Shipping and handling (10% of total order) $ 55.50
Total Fire Services Dispatcher
$610.50
Total for both written test rentals
$1507.00
Please let me know if you have questions or need additional information.
Singerely&
Vince MacMamis
CPS Exam Services
CPS Board Member Agencies
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:
1. 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 Aha, 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
10
ACORD. CERTIFICATE OF LIABILITY INSURANCE
06/27/Z003
PRO~CER (916)443-0200 FAX (916)443-0251
Owen Dunn Insurance Services
License Number: 0670167
2831 G Street Suite 200
Sacramento, CA 95816-3721
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
INSURED Cooperative Personnel Services
241 Lathrop Way
Sacramento, CA 95815
TRAVELERS
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
/~NY REQUIREMENT, TERM OR CONDITION O~ ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIh, THE INSURANCE AFFORDED BY THE POLIC!E$ DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITION30~ SUCE
POLICIES AGGREGATE LIMITS S~OWN MAY HAVE BEEN REDUCED BY PAID CLA ~S.
O~N~L LmABiLm~ 607704A197 O7/01/2003 O7/01/2004
PRODJCTS COMP/O= AGG ~ 2 ~ O00 , 000
~AU~OMOBIm Lm~BIL~W 107704A197 O7/O1/2003 O7/O1/2OO4
I
I[X~ESSUASmU~ EX7704A197 07/01/2003 ' O7/O1/2004 EACH~CUR~ENCE
i WORKERS C0MPENSAnON ANt ~Bl176A220 07/01/2004
I EMPLOYER~' LIABI~! 07/O1/2003 v
~00,~0(
Re: Callforn~a OperatSons '~ ~
5enera] L~ab~]~ty Add~tJona~ Zn~red as per attached endorsement CG DZ 48 [OOZ w/ primary word~ng
Upon non-pa~ent of premium, [O ~y not~ce of cancellation appl ~es.
E HOLDER I ADOITIQNAL INSURED; INSURER LETTER: A CANCELLATION
City of Santa Ana
Attn: Thien-¥u Ngo
20 C~vic Center Plaza
Santa Aha, CA 92702
ACORD 25-8 (7/97)
SHOULD ANY OF 'NE ABCVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
AUTHORIZED REPRESENTATIVE
4aryanne Novak/CBV ~ ..... ~
OACOR~ CORPORATION 1998
IMPORTANT
If the certificate holder is an ADDITIONAL iNSURED, *,he policy(ids) must De endorsed A statement
on this certificate does not confer rights to the certificate holder ir- lieu of such endorsement(s),
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement A statement on thi~ certificate does not confer rights to the certificate
holder in lieu of such endorsement(s)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the ~ssuing insurer(e), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, e~end or alter the coverage afforded by the policies listed thereon.
ACORD 25.S
City of Santa Ana
:ert~ficate issued to City of Santa Ana
men Dunn Insurance Services
06/2?/2003
6/27/2003
:C D2 48 10 02
COMMERCIAL GENERAL LIABILITY
nsurance Carrier: TRAVELERS
'olicy Number: 6607704A197:
'olicy ~eriod: 07/01/2003 to 07/01/2004
HIS ENDORSEMENT CHANGES THE POLICY. PLEASE REA3 IT CAREFULLY.
LANKET ADDITIONAL INSURED
CONTRACTORS OPERATIONS)
OMMERCIAL GENERAL LIABILIIY COVERAGE PART
:O~iMERCIAL GENERAL LIABILITY - CONTRACTORS COVERAGE PART
· WHO iS AN INSURED - (Section II) is amended to include any per'son or organization you are required :o
nclude as an additional insured on th~s policy by a written contract or written agreement in effect during
his policy peri od and signed and executed by you prior to the loss for ~hich coverage is sought. The
ierson or organization does not qualify as an additional insured with respect to the independent acts or
,missions os such pe-son or organization. The person or organization is only an additional insured with
espect to liability caused by "your work" for that additional insured.
The ;nsurance providec to the additional insured is limited as follows:
) In the event that the limits of liability stated in the policy exceed the limits of liability
equired by a written contract or written agreement ~n effect dur'ng this policy period and signed and
xecuted by you prior to the loss for which coverage is sought, the insurance provided by this endorsement
halt be limited to the limits of liability required by such contract mr agreement. Th~s endorsement shall
pt ~ncrease the l~mi~s st2ted ~n Section Iii - LIMITS OF INSURANCE.
,) The ,nsurance orowdeP to the additicnal insured does not apply to "bodily injury", "property
lamage", "personal injury" or "advertisirg in3ury" arising out of an architect's, engineer's or SUl-veyor's
endering of or failure to render any professional serwces ~nctuding:
The preparimg, approving or failing to prepare or approve maps, shop drawings, opinions, reports,
urveys, field orders, change orders, or drawing and specifications; and
I. Supervisory on inspection activities performed as part of any related architectural or engineering
) This insurance does not apply to "bocily in3ury", or "property ~amage" caused by "your work" included
n the "products-completed operations hazard".
Subpart (1)(a) of the pollution exclusion under Paragraph 2., Exclusions of Bodily Injury and
'roperty Damage Liability Coverage (Section I - Coverages) doe~ not apply to you if the "bodily injury" or
property damage" arises out of "your work" performed on premises which are owned or ren~ed by the
dditional insured at the time "your ~ork" is performed.
Any coverages provided by this endorsemen~ to an additional insured shall be excess over ark other
alid and collectible insurance available to the additioea] insured whether primary, excess, contingent or
n any other basis unless a written contract or written agreement ~n effect during this policy period and
igned and executed by you prior to the loss for which coverage is sought specifically requires that this
nsurance apply on a primary or non-contributory bases· When this ~nsurance is primary and there ]s other
nsurance available to the additional ~nsuned from any source, we will sharq ~th ~atkg~qe~-~surance
he method described in the policy. '
City of Santa Aaa
:ertificate issued to City of Santa Aaa 06/27/2003
Wen Dunn Insurance Services
As a condition of coverage, each additional insured must:
) Give us prompt written notice of any "occurrence" cr offense which may result in a claim and prompt
fritter notice "suit".
) Immediately forward all legal papers to us, cooperate in the investigation or settlement of the claim
:r defense against the "suit", and otherwise comply with policy conditions.
) Tender the defense and indemnity of any claim or "suit" to any other insurer which also insures
gaqnst a loss ~ cover under this endorsement. This includes, but is not limited to, any insurer which has
ssued a policy of insurance in which the additional insured qualifies as an insuree. For purposes of this
'equirement, the term "insures against" refers to any self-insurance and to any ~psurer which issued a
olicy of ~nsurance that may provide coverage for the loss, regardless of whether the additional insured
as actually requested that the insurer provide the additional insured with a defense and/or indemnity
~nder that policy of insurance.
l) Agree to make available any other insurance that the additional insured has for a loss we cover under
his endorsement.
C D2 48 10 02
Copyright, The Travelers Indemnity Company, 2000
,4/11/2002
iG 20 26 11 85 COMMERCIAL GENERAL LIABILITY
~MED INSURED: Cooperative Personnel Services
'OLICY NUMBER: 3MG70450510
NSURANCE COMPANY: American Manuf. Mutual Ins Co
FFECTIVE DATE: 07/01/2002
his endorsement changes the policy. Please read it carefully.
DDITIONAL INSURED DESIGNATED PERSON OR
IRGANIZATION
his endorsemnent modifies insurance provided under
:OMMERCZAL GENERAL LIABILITY COVERAGE PART,
CHEDULE
lame of Person or Organization:
The Community Redevelopment Agency of the City of Santa Aha, and the City of Santa Aha, their
espective officers, employees, agents, volunteers and representatives,
C~t¥ o~ Santa Aha
:erti~¢ate ~ssued to City oF Santa Aha
~wen Dunn [nsurance Services
06/27/2003
leclarations as applicable to this endorsement.)
~HO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
chedu]e as an insured but only with respect To liability arising out of your operations or premises owned
ly or rented to you.
C 20 26 11 85
Copyright, Insu'ance Services Office, Inc., 1984