HomeMy WebLinkAboutTSCM CORPORATION 3 - 2003
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WORK MAY i'illI PROCEED
CLERK OF COUNCIL
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CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this ¡sf; day of ~, 200f-by
and between TSCM Corporation, 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").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
steam cleaning and power washing of streets and sidewalks.
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 City's Request for Proposals, dated
June 9, 2003 and incorporated by reference and Consultant's Proposal, attached hereto as Exhibit
A. Consultant shall comply with all Federal, State and local requirements for collection, filtering
and disposal of waste and water.
2.
COMPENSA nON
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
$1,950.00 per month. The total sum to be expended under this Agreement shall not exceed
$24,000.00, annually, 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
December 31, 2004, unless terminated earlier in accordance with Section 12, below. This
Agreement may be renewed for three successive 12-month periods upon the agreement of the
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City and Consultant. Said option shall be exercised in a writing, executed by the Executive
Director of the Community Development Agency and the City Attorney, for the City, and
Consultant, at least 30 days prior to the termination of the then current term.
4.
INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsernent 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.
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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.
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,
INDEMNIFICAnON
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.
CONFIDENnALITY
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
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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 oflaw; 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.
NonCE
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 the Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6736
and,
City Attorney
City of Santa Ana
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20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
TSCM Corporation
18281 Gothard, #109
Huntington Beach, California 92648
Telefacsimile (714) 841-3222
Attn:
Frank Pappano
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.
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12.
TERMINA nON
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 condition:
Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13.
DISCRIMINAnON
Consultant shall not discriminate because ofrace, 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.
JURISDICnON - 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
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.
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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:
,,""""~7' . I
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~:~~ICIA E. HEALY
Clerk of the Council
CITY OF SANTA ANA
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L. '4",", :;1 v l,t..~_-
DAVIDN. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
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By"~ ruM"" , ," .I l'
., \1/- "V'-' " J{.L
Laura Sheedy
Assistant City Attorn y
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
THE DEPOT AT SANTA ANA STEAM PROJECTS
DESCRIPTION
ATTACHMENT J
THE DEPOT AT SANTA ANA - STEAM CLEAN AND PRESSURE WASH
FREQUENCY
G1 3 LEVELS OF THE PARKING STRUCTURE
FLOORS, LEDGES, LANDINGS AND LOW WALLS
ANNUAL
G2 WALKWAY TO SANTA ANA BLVD SEMI ANNUAL
FLAG AREA SEMI ANNUAL
CONCRETE DRIVE FROM FOUNTAIN TO FLAGS SEMI ANNUAL
PARKING STRUCTURE- NORTHI SOUTH STAIRWAYS AND ELEVATOR ENTRY AREA~ SEMI ANNUAL
PARKING STRUCTURE. MAIN ENTRANCE AND GREYHOUND AREAS SEMI ANNUAL
G3 BUS BAYS 1,2,3,4,5 & 6
NORTH ESPLANADE
SOUTH ESPLANADE
NORTH PLATFORM (TILE ONLY)
SOUTH PLATFORM (TILE ONLY)
COURTYARD STAIRWAYS TO 2ND LEVEL
QUARTERLY
QUARTERLY
QUARTERLY
QUARTERLY
QUARTERLY
QUARTERLY
G4 BUS BAYS 7,8,9 & 10
GREYHOUND ENTRANCE & BOARDIN(; AREA
MAIN ENTRANCE AND FOUNTAIN
FOUNTAIN AND SURROUNDING AREA
COURTYARD
WEST ESPLANADE
MONTHLY
MONTHLY
MONTHLY
MONTHLY
MONTHLY
PROPOSED
FREQUENCY
ANNUAL
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
AS NEEDED
MONTHLY
MONTHLY
MONTHLY
MONTHLY
MONTHLY
THIS NEW SPECIFICATION WOULD PROVIDE MORE CLEANING AT THE SAME CONTRACT PRICE. THE AREAS THAT
ARE USTED FOR SEMI-ANNUAL AND QUARTERLY SERVICES COULD NOW BE HANDLED ON A AS NEEDED BASIS
Page 1
EXHIBIT A
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
Margaret and Frank Pappano founded TSCM CORPORATION, a California
Corporation in 1986. The original company was named" The Steam Clean
Machine" a company specializing in expert customer service in the Property
Maintenance Industry. Today, TSCM has operations in California and
Arizona, and services properties from Sacramento to San Diego, while
employing over sixty people. TSCM is Caltrans certified as a DBE, MBE and
WBE business. TSCM is a member of BOMA and IREM.
TSCM provides a complete range of Property Maintenance Services,
including, (1) Power Sweeping, (2) Power Washing (3) Steam Cleaning (4)
Custodial Services (5) Parking Lot Striping (6) Curb Painting (7) Asphalt
repair and (8) Slurry Seal.
TSCM's philosophy and priorities are in Customer satisfaction and Quality
Control. TSCM utilizes State of the Art Equipment, which is environmentally
sensitive and cleans with responsibility that exceeds Federal, State and Local
Regulations and requirements.
Margaret Pappano, President of TSCM, oversees the office, administration
including all financial, human resources and marketing functions. Ms.
Pappano has a Bachelor of Arts Degree from the University of Texas and was
pronounced as one of the Top 20 Female Executives in Orange County by
the Orange County Business Journal.
Frank Pappano, Vice President of Sales and Operations, monitors and
oversees the TSCM Service Operations, Sales Force and the entire contract
and bid proposal process. Frank has in excess of 20 years of sales and
managerial experience in the Industry, as well as, technical expertise. Frank
has a Bachelor of Science Degree from St. Joseph's University, Philadelphia
and a Masters Degree in Chemistry from University of California.
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
Cesar Torres, Director of Operations has been with TSCM 10 years. Cesar
oversees all company operations in California and Arizona, as well as
scheduling all jobs. Cesar hires personnel, oversees training and works
directly with personnel and supervises. On Mondays, he conducts Quality
Control checks for all work completed during the weekend. Cesar has .
improved quality, productivity and overall performance via his meetings with
personnel to discuss the operations.
Fredy Garcia, General Manager has been with TSCM for 12 years and
oversees the quality control and quality checks during the weekdays. Fredy
assists Cesar with training and operational aspects of the business. Fredy
conducts meetings and works directly with personnel he supervises.
Maggie Madson, Office Manager, has been with TSCM for three years.
Maggie handles customer service and customer relations, oversees the day
to day scheduling of jobs and personnel matters. Maggie writes the work
orders and calls customers to confirm dates and times. Once the job is done
Maggie calls the customer to inform them that the job is completed and check
for total customer satisfaètion.
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
B- VACUUM POWER SWEEPING - AIR-BLOWING
All Sweepers are equipped with noise, water and dust suppression systems. All sweeper
trucks are equipped with curb broom and on board fresh air blowing. Echo backpack
blowers conforming to current noise control specifications (ANSI B175.2) are used in the
sweeping process. Several Sweepers are Rule 1186.1 certified including the Tymco Model
210. The complete list is located on the South Coast Air Quality Management District's
website. Sweepers having a gross vehicle weight of 14,000 pounds or more are subject to
this rule. '
. Our method is to air blow all debris to the center aisle and then power sweep with our
trucks curb to curb and corner to corner the parking structure and or lot. This method is
very effective for cleaning and liability purposes. All air blowing is performed with the
low noise approved backpack blowers. The City of Irvine requires certification of these
air blowers to be used within the City limits. As required by law we will dispose the
debris in the dumpster located at each property.
EQUIPMENT LIST
. TSCM maintains on a daily basis:
. One (1) Chevrolet 1600 RBS QT Mr. Air -Sweepers with down draft, water and dust
suppression systems.
. Two (2) Tymco Model 210 Sweepers with Regenerative air system.
. Four (4) Toyota Tundra 1600 RBS Mr. Air Sweepers with down draft, water and
dust suppression systems.
. Two (2) Alto (American-Lincoln) Ride on Sweeper I Scrubber units. All broom
sweeper with attached vacuum unit for water pick up.
. Sixteen (16) Echo Model 330 Low Noise Backpack Blowers. These blowers are
approved for use in the City of Irvine and Newport Beach.
. All trucks and sweeDer units are reo/aced every three years.
. Broom sweeping available upon request.
DISPOSAL PROCEDURES
Sweeping Debris and Disposal Procedures.
. All sweeping debris will be disposed on the site where the debris is picked up. This
is required by law since if we move debris that is hazardous from one point to
another we are acting as a waste hauler. This would require another license to
perform this work.
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
TSCM is a unique environmentally sensitive company and dedicated to quality service.
Our valued clients rely on our availability, particularly in an emergency. TSCM ensures
organized and timely communication with all field representatives, prompting a swift
response time to our client's needs.
Each service includes highly trained, uniformed staff with an on-site supervisor. TSCM, a
maintenance oriented business, ensures our clients of timely "quality control" checks and
scheduled weekly walkthroughs with prompt follow through to all our client's needs.
The most significant service We offer our client is individualized assistance with site
specifications.
TSCM is at your service... 24 hours a day, 7 days a week.
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
Steam Cleaning and Pressure Washing Wastewater Procedures.
. All wastewater is processed onsite and the remaining oily water waste is deposited
in barrels for pick up by Infinity Environmental. The barrels are then transported to a
local dumpsite and are processed into marine diesel fuel and other low-grade
petroleum products. Uniform Waste Manifests are then generated after the
wastewater is properly classified and are available for your review. All of our
procedures conform to the City of Newport Beach, City of Irvine and the CountY of
Orange water quality code of requirements
CUSTODIAL MAINTENANCE
Expertly trained, uniformed staff with a supervisor at each site, including dayporters.
Services available: debris removal, pressure washing, and general clean-up.
Services conform to the client's specifications and are developed for the client's site plan.
The custodians are the most important arm of the cleaning process since they pick up
trash and debris every workday. They report any problems with sweep or steam.
They communicate to us the places that need to be cleaned either by sweeping or steam
cleaning / pressure washing: The addition of the custodians is one of the most important
factors in reducing sweep times over the last four years. They communicate via cell phone
any immediate service that is necessary.
TSCM PROVIDES ADDITIONAL SERVICES i.e. STRIPING AND CURB PAINTING,
ASPHALT AND SLURRY COATING AND CONCRETE GRINDING.
Company Holidays
. While TSCM observes Thanksgiving and Christmas as Holidays, we remain on duty
for sweeping since our Retail accounts Fashion Island and The Irvine Spectrum
require our services 7/24/365.
Emergency Numbers
. The emergency phone number is accessed through our answering service. This
number is 714-514-4150 and is the number of Frank Pappano, Vice-President of
Operations. All emergencies are then handled by Frank and followed up by Cesar
Torres and Freddy Garcia. There numbers are listed for your convenience.
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An Environmentally Sensitive Service Corporation
18281 GOTHARD STREET #109 . HUNTINGTON BEACH, CA 92648 . (714) 841-1988' FAX (714) 841-3222
www.tscmcorp.com
PROPERTY SERVICES
I. DESCRIPTION OF METHODS AND EQUIPMENT
A- STEAM CLEANING - PRESSURE WASHING - INDUSTRIAL SCRUBBING
. All waste will be managed according to California title 22 and CFR 49 for the disposal
and treatment of both Hazardous and Non- Hazardous Waste streams.
. TSCM uses the AGOR (Above Ground Operatíng Reclaimer) and the Mermaid Filter
system to process wastewater and recycle the water for continued cleaning in the
structures. This means less water used and less waste to be removed by a licensed
waste hauler. TSCM uses Infinity Environmental to remove and deliver waste to the
proper facility. Infinity provides a waste manifest, which is kept on file in both their
headquarters and TSCM's office in Huntington Beach.
CLEANING WITH ENVIRONMENTAL SENSITIVITY AND RESPONSIBILITY:
. All drains and easements are boomed and sand bagged to prevent run-off into the
storm drains and sanitary sewer system. Water recovery is performed and the water is
treated to ensure zero discharae, which means the treated water can be eliminated
throuah the sanitary sewer svstem with proper permission from the municipal water
district. Our method meets EPA requirements and local POTW's.
The oil and other solid waste products of the cleaning process are separated and
placed in proper containers for transport and treatment. TSCM contracts with various
waste management haulers for the transportation and treatment of the material
generated. The property owner is considered the Generator and is provided with a
Uniform Hazardous Waste manifest by the hauler and the waste treatment facility will
provide the property owner with a certificate of recycling and treatment.
. Scrubbing includes: complete cleaning with total removal of water and residue.
. TSCM maintains fifteen (15) Hydro-Tek 3500 psi hot water pressure washers I steam
cleaning units. These units are capable of removing grease, oil, gum, dirt and grime.
The temperature reaches 250 degrees F during the cleaning process.
EQUIPMENT LIST
. TSCM maintains eighteen (18) Chevrolet Y. ton Pickup Trucks
. (2) AGOR units (Above Ground Operating Reclaimer)
. (8) Mermaid Filter Systems (1 micron ability)
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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 ofthe 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 9270 I.
(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
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MdÆD... CERTifiCATE Of LIAtSlLl1 T IN~UI'(AN\.I: I 01/22/2004
P'ooU"~ (949)756->710 FAX (949)756-5740 'THIS CERTIFICATE IS ISSUED AS A MATTeR OF INFORMATION
Spectrum Ri.k Mgmr. & In.urane! Services ONLY AND CONFER5 NO RIGHTS UPON THIi CERTIfICATE
H.~~. THIS C!MlFICA~nl'l,S;l.:t NOT AMINO, iXc'T!ND OR
CA Lie. '0(77485 AL THE COVEIU.GE AF 0 8Y 'THE POUCIE .
18010 skypark Circle, .140
Irvin@. CA 92614 INSURERS AfFQIU)ING COVERAGE NAte .
"'u",O TSCII Corp. '-R.: "van.ton Insurano;e C~ny
11281 Gothard St.,Ste.lot '_RD: _rican States Insurance
Huntington B....ch I CA 9264& INUE' c: AIG Group
A ~~()o4.()~ '."'","D. StateCi>ma8nsat,Oft Ins. Fund 35076
1N!uR£R E~
CO
THE POUCI!S O. INSURIINC. LISTED BtLOW HAVE BEEN ISSUED TQ THE INSUReD _° ABOVE FOR THE POliCY ~ERIOO INDICATED, N01WlTHST^NDIN
ANV REQUIREMENT. TEIIM QR CONDITION OF AAV CONTAACT OR OTHER DOCUMENT W'TH RES"!CT TO WHICH Tt1IS CERTlFICI\TE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BV THE PO\.lCles caSCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POlICIES AGGRfGME L/MfTS SHOWN W. Y tiAve BeEN niDUCEO av ÞAlO ClAIMS.
INIR 'NflEOFIN~CI POL.I~HU-- 'f
«'.'''''''AOIUIY O4GI.PlO052J6 Ol/Ol/ZOIM 01/01/Z005
)( COMMe~ClAl GENii,P.,\\.I,JAIULlT'Y
CLAIMS MAOE m OCCUR
Jan 23 04 08:41a
Tlla;:l
SPECTRUM RISK MGMT
JAN-22-2ØØ4
15'34
lOlOrs
.
.
A
tÆO Þ,II (An, OM D8ltQt1) S
PERSQNAl & ÞtJV INJURY S
afNERA\.AGGMGATE "
-~Tti'CO""PIO"AOO S
lOC
01-CE-7 34Z6-tiQ 01/01/2004 01/01/2005
COMBINED SIftØle. LIMIT
(110-'1
B
<\Nt' AUTO
AU, O'MoED AUTOS
SCHEDUlED AUTO!
10011,.'( tNJUA'\'
(Per I*IOQ)
HftItID AU1'O$
NON-OWNED AUTOS.
¡/r
~
8DD1\. Y INN'h'
(Per R;ftnt)
PAOPERTY 04MACS
CP.,Itt\ft¡nI)
O&AAGi LlAB!UTV
AN'f' AuTO
AUTOONlY-I£AA.CC'DEN'r S
EA,ACC 5
ACe .
OTNY THAN
AUTO Ot04L Y.
(
PCESSNUBREU.A UA8ILITV
X OCCUR 0 CLAIMS MADe
BE2349062 01/0l/Z004 Ol/Ol/ZooS
.
.
.
.
.
°"',
EACH OÇÇURRENCE
"GBREOATi
DE:DUC'l'I8l~
X A'TENTION ,
~R1UiiQ tOWC.NlA.TION AND
eMPtOftRS' UAlla.ITY
0 hWY PROPRIETORtP~TNeP.lExeçUTlve
OFFICER/tI1EMeER EXC1.UDiO?
II "'Ii,.KtiIltIoIn<S81
SrofCML f'ftOV151ON8 þtlow
OT>tfJI
10,00
1750075 -OJ 07/01/2003 07 01/2004 X
e.,L. IACM AcclOÞlT S
1tL, [)SfASI! .tftD1lfLOYf ,
£.L. OIS5A$Iii . IIQUC'f' UMI,. S
guçf'l.P.TICN OF g,.~l'IOfIt8 ,\.oçATt~ VE1t8Cl.18 IIkt:L.ù&tONI ADDID tv ~DQMfMENT tSPECIAL fIftØYIItONI
. (,ty Of Santa Ana, ,ts officers, agents' -.pIOY..s are aøa1t1on.1
er the attached fOMII,
p.l
P Ø2/Ø5
.
,
.
.
1.000,
100 00
10000
insureds with respect to the 'L
e: Notice below: 10 days notice fo~ non-ren_l of preoniUII and/or non-reporting of payro11.
~~a¥'F .--- ,.~
aNGUlD ANY OJ! TM5 ABOVE aut""1) JtQI.ICIU U CANClll£D IlEFOIŒ THE.
DP"'ATtON DATe TMEIŒ01', THIIISSUlNð IttIURER WILL ~ MAU.
.J!.... DA VS VVlUTTEII NO'T1C1 TO THE CI!8mFK:A.TE HO\DI!R NAMl!O TO THE ll!FT.
The Depot of Santa Ana ~""r or w"-"",,*~lIIIXlØtxx
1000 East Santa Ana, Suite 108 _"'(~1:>"ww"""""."'''\I~xnxxxx
Santi Ana, CA '2701 AUTHORaO ft£PfteIfNTAnvl o-1'l~,...
J1. wa..rftDU.-h"-~NT&
ACOIUI 25 (2001108)
iÞACORD CORPORATION 1818
Jan ~3 04 08:41a
JAN-22-2004 15:35
T11ag1
SPECTRUM RISK MGMT
POliCY #046LP1005236
Evanston Ins. Co.
THIS ENDORSEMENT CHANGEIi THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-oWNERS, LESSEES OR CONTRACTORS
(fORM C)
This endorsement modifies insuranev provided under the following:
COMMERCiAl GENERAL LIABIUTY COVERAGE PART
SCH!DULE
Name of Person or Organization: City of Santa Ana Its officers, employees, agents
and representatives
Re: Steam Clean & Pressure Wash Services for Downtown Santa Ana
AS PER WRITIEN CONTRACT
If no entry appears above. Information required to complete this endorsement Will be
shown in the Declarations as applicable to thi$ endorsement.
WHO IS INSURED (Section II) Is amended to Include as an insured the person or
organization shown in the schedule. but only with respect to liability rising out of "your
work" for that insured by or for you.
It is further agreed that such Insurance as Is afforded by the policy for the benefit of the
AdditiOnal Insured Showrl shall be primary insurance. and any other insurance
maintained by the Additional Insured shall be excess and non-contributory, but only as
respects any claim, loss or liability arising out of all the operations of the Named Insured,
and only if such dalm, loss or liability Is determined to be solely the negligence or
responsibility of the Named Insured. This covlrage is limited to "your work" completed
within the policy year.
"Insureds are advised thllt eertiflcates of insurance should be used only to
provide evidence of insurance in lieu of an actual copy of the applicable insurance
policy. Certificates should not be used to amend, expand. or otherwise alter the
terms of the actual policy"
IC02260501
AJ?~J>/1
p.3
P.04/Ø5
Ja~~3 04 08:44a
JAN-22-2004
1'5:35
Tllagl
SPECTRUM RISK MGMT
p.l
. WH,'.
.... ""'" - ~ ..
P. 0'5/Ø'5
STATE
C;O"''''EN.AT'ON
¡Þl5V8"'Nca
I=UNÞ
PO~ICYHO~OER CO~y
P.O. BOX 420807. SAN FAANCISCO, CA 9L 1'~.0801
"
CERTIFICAT~ OF WORKERS' COMPI!NSATION INSURANCE
I
D~CXI!aØ 1:1. }OD)
aROIJP:
POLtC~ NUMII~: ~1s.n~-'GO¡
CERTIFICoIoTE I . n
C~RT1PIColotl PIREi: 0" Q' .210'
OT~Ot-aOð1/0'.Olw20ft~
TRE <;ITY or SANTA I\IU.
lIS ~~;T FO"TH '~E~. 2D1
S~~ ANA ~ g~'Ql
Ni:. STUJ1 CLIAI' , ,US$UKE !UlIK
snVl0U AT 'lK& o",err AT UII'I'Jo -
1000 I. IANTA "'A8~VII. _A AlIA.
~
This i. 10 c.llily 11111 "" hlJ\l8 ¡mea I "QlIt! Worurg c:_uan In.url!lC8 Dolley In I 'oM>lIppr...' Þy 1/11 ClRromia
I",ur¡n~. COl1\rllllI'O/1If '0 In. ''''P'OYW n....d ....... lor'" polioy pi.ed ind1ot1oi1.
T"1t peli<y ,. .......o.~ 10 _lalto. by 1111 ~und _PI Ulonl0 d'1/1'- wrillt.lIOIiç, 10 1/1. _lore',
w. "jil '''0 gtv. Y"wlO dlY' -1ICt 'IeIÍOe >hOuIcI1h1f oalley b. CInoAtIcd prior 1D lis nonnol erOltolion,
Thll ..nllicalt of "su_ls not,," iMII"",el POIIoY II1d do" nOl_GJ _ncI 01 alltl tilt COI/t",.IIIf~tlllIy ,"a
o........liII.04 horoln. _....."";",,"\1 ..qu,""""nl. ...... or <onllltloll.. any conne! or -........ whh
flsøea ,. ....uctI "'" <8n111cat. 0110..- "",y lie ¡o.woe! or ""!1 PIIIIIn. ... in~~"'" .~.rdH by lhe p.¡¡e,.1
doscriÞod he,... II aubita 10 .n lhe 1'-, alCl",lonl. 1ft' <andMIO/IJ. of""¡' lIOIiGill.
~
""'''''CII!KD''I.IIIItf.K''ff''TN'1
At4" ~. e. BL
...u".,
rMPLOYER'S LIABILITY LIMIT INCLUDIUC OrPEW'¡ COSTI, 81,000.000 JEÃ OCCVRREN~
SNCORnMSIIT C2085 ~"'nn.¡;tI CR"T¡rtCAn KOLOUS' NOTICI! E~pECTIVt Q7-0.-.003 XS
R'I'I'ACHEO !o AIIC rolUolS " PAR'!' OF ':HIS POLICY.
'WLO"'¡;R
TS~ CORP
111S1 QgT~ oT ST2 lot
HUNTIWC1,. 'eM CR '2C48
~?¿¡/y
SCIF 'oaOIl
Œ~..vl:"\
TOTAL P.04
TOT~ P.Ø'5
Jan 23 04 OB:3Ba
. JAN-22-2ÐØ4 15:34
Tl1agl
SPECTR\JI', RISK MGMT
p.2
P.Ðl/Ø5
. ~ RlSKMANAGEMENT & INSURANCE SERVICES. LLC
Insurance for BI/siness CA UC8Ilie /I OC77485
FAX Cover Sheet
TO: Carolyn Fullerton PHONE: 714.565-2690
COMPANY: The Depot of Santa Ana FAX: 714-565-2693
FROM: Jim WaterhouselGiMie L. Clarke PHONE: 949-756-5730
DATE: January 22, 2004 FAX: 949.756-5740
PAGES: S RE: TSCM CORP
Good afternoon Carolyn,
Please see the attached ceniticatc for our insured TSCM CORP. We have $\lpplìed you with all the
coverages that you have required:
. Per project aggregate
. Primary wording
. Additional insured wording requested.
. 30.day cancellation wordiog. to-G,ay non-payment of premium
However, we are not ab1e to fiU out the Additionallnsured Endorsmenl that you have requested.
The carrier has approved fonn¡¡/endolSemel\ts that are scheduled on the policy. Only those
forms/endorsements are to be used, and they arc .lso the only approved alteration of the policy that
gives you the coverage that )Iou are requesting.
These said fonns/endorsements are more valuable to YO\llhan the form that you hav", drafted, as
carriers do not penn;! outside fonns.
We find that we have supplied )Iou with all that we can and would ask that you review this with your
Risk Manager. We hope that we can resolve this matter for both you and our Insured, and ask thai
you call Us if you require anything additional.
Kind r~gard.S, Jì .
e;t~
Ohmie Clarke
Account Manager
(!C: MttGobl~
114-1(111-322;2-,
18010 Skyþ..k CI..I., SUII. 140 . I..in.,. CA 926J4
'ft'ww.tpedrumriak..com
AUG-17-200"
11:"6
SPECTRUM RISK MGMT
P.01/04
k;(
.ACDRQ. 'CE~TIFICATE OF LIABILITY INSURANCE I õaïi7iioö4' '
ReouCIR (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INfORMATION
Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERl'~~CATE DOEs NOT AMEND, EXTEND OR
CA Lic. #OC774~5 ALTER THE COYERA E AFfORDED BY THE POUCI!s BELOW,
18010 Skypark C;rcle, 1140
Irvine, CA 92614 INSUReRS AFFORDING COVERAGE NAIC'
"UIUD l"SCíf Corp. A-~eo3-~ INSURS"" Evanston Insurance Co. 35378
18281 Gothard St..Ste.l09 IN9VREIU: Arneri tan States Insurance
Huntington Beach. CA 92648 A -~wt- 023 INSURER c, AICì Grolll
~9VRERD, State COmpensation Ins. Fund 3507&
INSURER e;:
THE PO~ICIES OF INSuRANCE LISTED SELOW HAvE BEEN ISSUED TO THE INSURED NAMED AIIOvE FOR THE PO~ICY Pa¡.IOD INDICATED. NOTWlTHSTANDIN'
ANY REDUI'lEMENT, TERM OR CONDITIQIII OF ANY CONTRACTOR OniER DOCUMENT WITH RESPECT TO WfjICH THIS CERTIFICATE MAY SE ISSUeD OR
MAY PERTAIN, niE INSURANCE AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A~~ THE TERMS, EXC~USIONS AND CONDITIO"'; OF SUCH
PO~ICles. AGGREGATE ~IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID cv.IMS.
IS" ""E OJ! IN8URANCI! POUtY NUIlBElt PfJUCY I£FFEC11VI POUCY DJl'RA'nc.
GIJIIJW.LWIIU1Y 04CLP1005236 01/01/2004 01/01/2005 Eo>.~OCCURAlHCE
X COUNERClAL GENeRAl UABtUTY ~r.tAGe TO ~
C'-""S MADE [!] OCCUR
.
L.IIITII
.
.
^
~~EXP(Any".penonJ S
ÆR90NAL.1 AOV INJURY S
GENERAL AGGRE~TE S
~IJUCTS - COMPIOP AOG S
LOC
01-CE-703426-&O 01/01/2004 01/0l/2005
CO&.4lINED SINGLE L.IWIT
fEe I~danl)
X ANY AUTO
ALL OWNED AUTOS
aoDR.Y IMJURY .
(Pør~)
BODILY ll\UURY .
(Pol' 1CCi(~Q
'3 PROÆRTY DAMAGE
(PlII"lIc::I:IdR) .
B
SCHEDULED AUTOS
X HIRElt AUTOS
X NON~WNED Al,ITDS
AUTO DNl.Y. Eo>. ACCClENT .
OTHER TWAN EAACC $
AUTO om Y: AGG S
EACH OCCURRENCE .
"GGR£~TE $
.000,000 .
.
GARAGI! UQIUTY
ANY AUTO
C
8CEllell8BREUA LIA8JTT
X OCCUR D C~ ~DE
8E2349062 01/01/2004 01/01/2005
DeDUCl18I.E
RETs¡fIDN
.
.
1750075-04 07/01/2004 07/01/2005 X WCnAT1J. OTH-
TO BE ISSUED BY 5aF, ..L. EACH ACÇIDEI<T S
E.LDI5EA5E'EAE"""- .
1;.1.. OI5r;ASE. ÞOUC'f UMIT .
WOIÐŒR8C(8IEIiIIA11ON MO
EIIPLDYERS" LIAIIIUTY
D ANY PAOPRtETORIPARTNERlEXECUTIVE
OFFlCE_- exCLUDeD'I
~,... ._Þe ,n."
SPECIAL ~ISIONS l!illlol~
OTHER
)EIC~N OF OPERAn0N81 LOCATIONI1¥EHlCtL.R' !lCWIIONI ADDIO av I!IIDCIR$EIIENf, "Scw. PROVISION'
he Clty of Santa Ana, its ofT1cers, employees, agents, and representatives
nsureds. Insurance 1s pr1~ry and non~contributory
s
20000
are included as additional
e notice below:
10 Days for NonPayment/NonReporting Payroll
.---
.. ---..
9HOULD ANT ~ f'tie A80Vl 0!8C1tf8IO POUCII!8 ØI! CAI8;:ELJ..&D BEFORE THE
EXP8IAllQN OA"fE nEREOF. TttE 8S8UIMG IN8IJRI!1t WILL MVltV'\1lfoWlN. *"-
-ILDAYIWlim&N NOTICE T1'J ~ C~RTIFICATE HOlŒR NAIlED TO ntE LEFT.
16_"""-"'~ r~-IfUIIII6I!tVlIIII-ICX
IfNIiI! '---'__.m- "-ww_............. -IQOCXXXXXXX
AUTH.""".""'.HEIITA11\IE I'ì..-. rl --
:Hm Water-house/CINNIE ...".-- ~ <À/
ilMCORD CORPORATION 1881"Y ()
City of Santa Ana
20 Civic Center Place
P.O. box 1918
Santa Ana. CA 92702
'CORD 25121Ø1/D81
RUG-17-200<1
11:<17
SPECTRUM RISK MGMT
P.02/0<1
IMPORTANT
lithe certificate holdlit' is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement
on this cartificate does not confer r1ghill to the certificate holder in lieu of such endon;ement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endonlement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsemenl(a).
DISCLAIMER
The C8flifiœle of Insurance on the reverse side of this form does not consUMe a contrad between
the issuing insurer(s), authorized representaUve cr produçer, and the çertlflcate holder, nor does 11
affirmatively or negatively emend, extend or alter the coverage afforded by the policies listed thereon.
~~¿b
ACORD 25 (2001108)
AUG-30-200d 13:d9
SPECTRUM RISK MGMT
P.02/02
Policy #04GLP1005236
Evanston Ins. Co.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS
(FORM C)
This endorsement modifies insuranoe provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organiz:ation: City of Santa Ana its officers, employees, agents
and representatives
Re: Steam Clean & Pressure Wash Services for Downtown Santa Ana
AS PER WRITTEN CONTRACT
If no entry appears above, information required to complete this endorsement will be
shown in the Declarations as applicable to this endorsement.
WHO IS INSURED (Section II) is amended to include as an insured the person or
organization shown in the schedule, but only with respect to liability rising out of "Your
work" for that insured by or for you.
It is further agreed that such insurance as is afforded by the policy for the benefit of the
Additional Insured shown shall be primary insurance, and any other insurance
maintained by the Additional Insured shall be excess and non-contributory, but only as
respects any claim, loss or liability arising out of all the operations of the Named Insured,
and only if such claim, loss or liability is determined to be solely the negligence or
responsibility of the Named Insured. This coverage is limited to "your wOrk" completed
within the policy year.
"Insureds are advised that certificates of insurance should be used only to
provide evidence of insurance In lieu of an actual copy of the applicable Insurance
policy. Certificates should not be used to amend, expand, or otherwise alter the
terms of the actual policy"
IC02260501
¿¿J~/:t~
AUG-t7-200"
11:"7
SPECTRUM RISK MGMT
P.0"/0"
.
P,Q. BOX 420807, SAN FRANCISCO, CA 94142-0807
STATE
eOMIII8NSATION
INSURANC;I!
FUND
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
xSSUB nLTB. 08-17-200&
GROUP:
POLICY NUMBER: 1750075~;¡00'
CERTIFICATE ID: 106
CERTIFICATE S;PIRES: 07-01-2005
07-01-200&/07-01-2005
C:I'l'!' OJ' SARTI. IIiI.
::10 cmc cØTD pLAC!I
P.O. BOX U88
pæA IIiI. CA92702
Tliis Is to certify that we have issuad a valid Worker's Companaallon insurance polley in a !orm approved ÞY Ilia Callfomie
Insuranca Commissioner to the employør named below for Ihe policy period IndlCØled.
This policy is nol subjact 10 clll1cellalion by,lhaFund excapt upon 30 d~ aØvarn;e written. notICe 10 the employer.
We will also gtve you 30 days advance nOtice sliould this policy be cancillled,PrionollS normal, expiration.
This certificate of insurance is not an insurance policy and does nOl amend, eJrtend ,or alter the covarage afforded by the
policy listed herein, II1Þtwithstandlngany I9quiremOl1l;le~or condition gf anycontraclor otharclocument with
respect to whicli this ce~ificate of insurance may be Issued or to whlQh ¡¡may pertain, the Insurance aflorded by the poliCy
described herein is subjêctto alllheterme, exclusions;and~ondltions.oI sueh"pollcY;
~
AUTHORI~ED AEPAE$EN!ATIVE
,d;d..~ #
c f:JL.
PIIESIDENT
IDIPLOUR'9 LIUU.:r'l'!' LIKI'.r DlCLUD:l:HG mlJ'BlTSB coSTS. $1,000,000 PD C)CCtJRRBIIICK.
IDIDOR9_.t '1600 - DKGIIØT PAP.Al\1O, PRl:SIDBØT SJCCUTDY ... aC¡.OÐIID.
BIIDOIUIIIIIDI't 111600 - rRMØ: PUI'AIIO, v::tCII I1U9IDIDI'1' - BZCLUDBD.
ZRÐORSEIIIIN'l' 12065 IIII'1'ITLBD CIU\'1'IJ':I:CA'1'II BOLDBII8' NOTI!:B BJ'~'1'IVII 07-0:1,-2003 IS
A'1"1'AC:IIIID '1'0 AlII) II'ORIIS A PDor OJ' THIS POLIc:Y.
~¡2vz~
EWPLDYEA
'1'801 COD
18281 GQœRARD ST 9'1'& 109
IIUlII'rIIIIIi'l'Ii ØCllCA ,al568
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DOfYYVYj
'" 01/03/2008
PRODUCER (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA Lie. #OC77485 A-:;too 5-;u.. 8" HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
74 Discovery A'.;!oO"-O;l.3
Irvine, CA 92618 A - iU>CJ<. - 3;;25 INSURERS AFFORDING COVERAGE NAIC#
INSURED TSCM Corp. A-::lO07 - 005 INSURER A Navigators Ins. Co. 42307
18281 Gothard St. ,Ste.l09 N-I'j"1'1-:2-1) INSURER B. General Ins. Co. of America
Huntington Beach, CA 92648 INSURER C St.Paul Fire & Marine Ins. Co.
A - ;2.003- ;l- 3l?" INSURER 0: Cypress Insurance Company 10855
A-;;J..O04 -0;2.3 INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
I,N~~ ~e.~: TYPE OF INSURANCE POLICY NUMBER POLlCY EFFECTIVE PQ~!f",Y EXPIRATION
~NERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE [K] OCCUR
LIMITS
B
-"lGEN'L I AGGR_EFGAT'fEI LIMIT APPLIES PER
PRO- r---l
POLICY JECT I I LaC
~TOMOBILE LIABILITY
~ ANY AUTO
ALL OWNED AUTOS
-
_ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON-OWNED AUTOS
1,000,001
50,000
5,OO(
1,000,000
2,000,000
1,000,000
A
1,000,000
~~~GE LIABILITY
H ANY AUTO
C
~ESSIUMBRELLA LIABILITY
0J OCCUR D CLAIMS MADE
h DEDUCTIBLE
Ix1 RETENTION $ 10 , 001
4,000,000
4,000,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
D ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
!f yes descr;b8 u:"\de~
SPECIAL PROVISIONS b810w
OTHER
1,000,000
I,OO()~
1,000,000
L...o_ESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~e: Parking lot sweeping services.
~he City its officers, agents, employees are named additional insureds
iability per the attached forms.
with resepect to the GL and auto
e: Notice below: 10 days notice for
CERTIFICATE HOLDER
'" ,
non-payment of premium and/or non-reporting of payroll.
. .., . .
, ,.' '.' ,'" ';"ANCELLATll"IN
~~~n~i~~r~fy~a~~~1:~~oMn_2~5 ,'. '~'~'.I' .../..,'./~' -
20 Civic Center Plaza ~.'.
Community Development Agency
Santa Ana, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~~PJ~JION DATE THEREOF, THE ISSUING INSURER WILL IllsE 8R TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
., P"T r." ,'~~~... ..." co,...." .'?T'..... <'"., , ",n"""',,, "':' Q~' ....A........'...n' 'An., 'TV
~. ..... IUlm tlf 81JTII! 1118b1AEfl,lT8
BErna BR REPRE&Ern "'FI"li>:EI.
AUTHORIZED REPRESENTATIVE
Jim Waterhouse/GINNIE
9-rl~
ACORD 25 (2001/08)
@ACORDCORPORATION 1988
I
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in 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 this 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 issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
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Named Insured: TSCM Corporation
Policy # 06CGL00048102
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFUU.Y.
BLANKET ADDITIONAL INSURED ENDORSEMENT
(EXCLUDING RESIDENTIAL)
This endorsement modifies in.surance plovided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B)
CG 20 10 11 85
SCHEDULE
Name of Person or Organization:
Any person or organization Ihat the named insured is obligated by virtue of a
written contract or agreement to provide insurance such as is afforded by this
policy.
WHO IS AN INSURED (Section II) is amended to include as an insured the person or
organization shown in the Schedule, but only with respect to liability arising out of "your work"
for that insured by or for you.
The following additional provisions apply to any entity that is an insured by the terms of this
endorsement:
1.
Primary Wordina
If requ ired by written contract or agreement: Such insurance as is afforded by this policy
shall be primary insurance, and any insurance or self-insurance maintained by the above
additional insured(s} shall be excess of the insurance afforded to the named insured and
shall not contribute to it.
j(
2. Waiver of Subroaation
If required by written contract or agreement: We waive any right of recovery we may have
against an entity that is an additional insured per the terms of this endorsement because
of payments we make for injury or damage arising out of "your work" done under a
contract with that person or organization.
3. Neither the coverages provided by this insurance policy nor the provisions of this
endorsement shall apply to any claim arising out of the sote negligence of any additional
insured or any of their agentsl employees.
4. This endorsement does not apply to any work involving or related to properties intended
for permanent residential or hab~ational occupancy (other than apartments).
The words "you" and "your" refer to the Named Insured shown in the Declarations.
"Your work" means work or operations performed by you or on your behalf; and materials, parts
0.- equipment furnished in connection with such work or operations.
ANF-ES 160 {51 2006)
Prodtlc~rC"py