HomeMy WebLinkAboutCONSOLIDATED DATA CONTROLS 2,~ J
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any
questions.
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The agreement with 1~0~s0~iCla~ t,t7-tp~j ~S , No. ~~ (~Ob~~ ~ 1 `("
was completed on ~]_ ~2 SOS ,and final payment has been made.
Department: ~I~~-.1,,..)a-~.~7,~~{~,G.}~'~i~
Signature: ~{ ~.,~, ~~ ~~,
Date: t ~! I ¢~~
City of Santa Ana
Revised 8-7-03 Clerk of the Council
N-2004-114
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: 9~/)-o4
CONSULTANT AGREEMENT
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THIS AGREEMENT made and entered into this /::2- day of A'~ cf-V57, 2004 by
and between Consolidated Data Controls, a California cOfporation (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
engineering and electrical services, to develop accurate as-built drawings for the City's
water production wells and pump stations.
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,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $10,000 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2005, 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 Public Works
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 ofthe 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.
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e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(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 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. WORK PRODUCT
All work product prepared by Consultant pursuant to this Agreement, including the
produced as-built drawings and "Operations and Maintenance" documents, shall be the property
of the City. Consultant consents to the City's use thereof for such purpose as the City deems
appropriate. Consultant shall submit all work product to City in hard copy and produced in a
form compatible with City's computer system, as agreed between the Project Manager and
Consultant
10. 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:
Public Works Agency
City of Santa Ana
220 South Daisy Avenue
Santa Ana, California 92703
4
telefacsimile (714) 647-3342
Attn: Nabil Saba
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: Consolidated Data Controls
1590-F Anaheim Boulevard
Anaheim, California 92805
Telefacsimile (714) 772-3301
Attn: Erv Pugh
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.
11. 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.
12. 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
5
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.
13. 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 oftermination,
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.
14. 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.
15. JURISDICTION - VENUE
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.
16. 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.
17. MISCELLANEOUS PROVISIONS
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a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
~czd
City Manager
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
RECO... ~JYEND. ED FHpROV AL:
~//[,{/irJ~
~/~ ~~ G. ROSS
/ ~ecutive Director of the
//Public Works Agency
1/
'--
CONSULTANT
~~.~~
ERV PUGH ./
Project Manc:ger. __ _
Tax ID # Jr2:J 0 &:J I Z-
7
CONSOLIDATED DATA CONTROLS
1590-F Anaheim Blvd., Anaheim, Ca. 92805
(714)772-3300 (714)772-3301 FAX
July 30, 2004
CITY OF SANTA ANA
PUBLIC WORKS MAINT., M-8
CORP. YARD / BLDG A
220 S. Daisy St., 2nd Floor
Santa Ana, Ca. 92703
ATTENTION: NABIL SABA
REFERENCE: PROPOSAL FOR WELL PUMP STATION UPGRADES,
CORRECTIONS -CITY OF SANTA ANA
Mr. Saba:
As requested, following is a proposal to provide engineering, electrical services, and as-built
information to develop and provide upgrades and miscellaneous requested corrections at
designated sites in the City of Santa Ana on a T & M basis as follows:
1. INITIAL INVESTIGATION
a. Upon direction by your staff, investigate requested site for operational integrity and
desired corrected operational procedure. The most recent available as-built drawing
information shall be made available for review to determine true conditions. Included
shall be the following
· Copy of best available blue-line drawings for the designated site.
· As-built drawings of all panels & electrically operated equipment that can be
marked up to true conditions.
· 0 & M manuals for the designated site including any equipment supplied.
b. Assistance from district personnel to help uncover any "known" changes not reflected
in the as-built drawings or 0 & M manuals. This is to be an ongoing process as needed
throughout the course of the designed site investigation.
c. Confirm and update all field ,,,'iring numbers and number all unmarked wires in
accordance with electric code standards.
d. If any downtime is necessary, it will be coordinated with your staff to minimize any
possible operational interruptions.
e. The blue-line and as-built drawings will be "marked" in red for any and all discrepancies
found as exceptions to the drawings.
f. Upon completion at each site, a final report and marked drawings will be given to your
staff for outsourcing final drawings to true conditions found.
EXHIRIT A
.
. .
City of Santa Ana
Attention: Nabil Saba
July 30, 2004
Page 2:
2. OPERATIONAL REPORT
· A complete marked set of as-built electrical plans and a brief description of the
operational sequence of the facility.
· Included will be an assessment of any operational sequences discovered that may be of
concern to be reviewed with your staff as they occur whereupon any disposition will be
included in the final report for each site.
· Any correction action deemed necessary by way of materials and labor will be available
at the same rate charged for as-built investigation. Corrective work other than marking
wires will have to be approved on a case-by-case basis.
ALL FOR THE HOURLY RATE OF:
FIFTY FIVE DOLLARS AND NO CENTS PER HOUR.
$62.00/ HR.
TOTAL NOT TO EXCEED:
TEN THOUSAND DOLLARS 8. NO CENTS.
$10.000.00
Any material purchases for any correction action approved and implemented will be billed at
actual cost plus 10% for handling charges.
CONSOLIDATED DATA CONTROLS
ERV PUGH
CC: File
1
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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:
I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 9270 I; 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 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
8
WORKERS' COMPENSATION DECLARATION
,,- ereby affirm under penalty of perjury, the
, City of Santa Ana, I will not
employ any person in any manner so as to bec me subject to the workers' compensation
laws of Cali fomi a, and agree that in should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply
with those provisions.
DATE: l' 1.~4y
(
By: ~t... '~&
Name: 6; ~/~ A /'E?!7
Title: C) U/ P ,!.'?{
Telephone: f7('y 7'P?:3 7? 2..
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL TIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
~7
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.. ...ADDITIONAL INSURED ENDORSEMENT
Insurance Company ~ttsdale Insurance Comeanv
Tilis endoJ1:!!lTlQnl modifies such Insurance as is afforded by ths provisions of Policy
'# CLS0964310 relating to the following:
1. The CitY 01 Santa Ana. 20 Civic Center Plaza. Santa Ana, Cafifornia
92701; its officers, employees, agents and volunteer:; are named as ,additional insureds
C'additlonal InsuredS.) wilh rcgerd 10 liability and delense of suils arising from the
.ope(ations and uses perlermed by or on behalf oftM named insured:
2. . WIth respe~ to claims ari~ln9 out of the operations and' uses p~rformed by
or on behalf of the named Insured, such insumnc!! as is afforded by this policy is
primal)' and is nol additional to or contributing with any other insur!lnce carried Py or for
llle benefil 01 the additional insureds.
3. This insU1'ance applies separately 10 each insured against whom claim Is
made or suit is brought except with respect 10 the com~an1s 6mils of liability. The
inclusion of :lnY person or organization as an insured shall not affect ~ny right which
. cuch person or organization would have as 0 claimanl if not so itlcluded.
4. WIth. respec.t to the additional insureds, Ihis insurance ohall nol be
c:;nceled, or materially reduced In coverage or limi~ except aAer thiny (30) days written
notice has been given 10 the Cily of Sant!:l Ana, 20 CiVic Center Plaza. Santa Ana,
Cal1fornia 92701.
(Completion of the following. inciuding councersignatur!, is required to make this
endorsement e Hllctive.)
EffectiVe
Policy ~
Issued to
9/5/03
CLS0964310
Consolidated
, this endc!':\ement form 'as a pari of
Data Controls
Named Insured
tative
Countersigned by
;'__p r l-:,.C) v _EL _?~_ ~,-:_~v~
____====-.----~--=-==":~=~--~CJ<J-..,--" -)!?
-~ -~-- - -~/F----
~ . _.~ - - - ;
~ ..~ '. _. . ._ ->_'';H~' - . r- -; J
~_._------ - ---~ -.--- ----------' .---- - - _._~^--'.._.,....'~......,---_.._.._~-....
FEB-17 2n~4 01 :57 PM
~E9 11 2004 S,OOP"
COt',SiO J j dG't-~d Del- 0. Cr,'!_~'
714 -:-.."...., 3732
P.02
p.1
I ACORQ CERTIFICATE OF LiABILITY INSURANCE 1....,......,lIII'V) !
... i flIl,,"
1~""UIlAMDE ....,IQ!... IIIC. "1IH(;M1'jfIllQA1S .. t-..st M_ A-1lA1lWa Of W<*U.ttOM
cay MID eoHPIM lIlO "HT8 W'ON 1HI ~,.
... MIlT 0""'" UNE 11I). ~.=--~"" -......... - ::'".,;r,\;,&:1E'::'=
TIlACY CA 11m
,"OW, _... I~I""-
flAX; ........7.. .....'<IW<ll~ I JMSUIIIDD APP'ORDIIIO GOV"IfIUtOC
----.---"- - --
......... j'lBml!ft_ro.: ~UJ8\1Xt1U __"l\OI&Ai.~N~E
COH8Oi..~ATEI3 DATA eOlrll'ROL.a ~AL I
,... _"IIIMIll.YD.. -.om: D ~~!\~ ..1-.-
1tNAKt!.. CA- ....
1~.llID:
IN'UflIefte-: J
:= =~::"::'T~ ~~=~~~o~~=:J~:e~~=~:~:-g
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Il'allCltl8 Ml't1tM'.Te'LMrI .HOWN MAY ~ lIEN fQlDlJCID ...... !lAID CLQlI.
.. .,.,.. ...~........ """""- -- --- .....
..-. ........ I ~OOOI"aIlDAft.l"
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; rev II f":.
fr~ ,....10'..,.. PEIUIH i PUU. jCCYnffDIIIG...I.IMfJ 1,000;DIIO
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h I~"...,. !~ACC I
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--
lJI'HER I
I
DE:aCIIIPT1ON OF OPERATlOW84.OCATlOMl'VEHIClEIJIIiXCUlSION8 ADGED Bel I._L
. F ~.,.DAY ~A'" . DAft ALL 0"'"
I - OF lNII_eIl OM,;
CllY OF IANTA AlIA
20 CIVIC CENTE'1lt PL\ZA
.""TAANA, CiA .1M
AmI"'.:
ACOIIIO H' ~mI)
HP LABERJET 3200
-
~"'I.-aD;;""'.l.U'I_-
.HOUIJ:l1<<'f Of' lHi ~ 11-".-0 PGUC_ .. ~ 811ftJllllE:Trte'
. ~""'nDN M'l'!: lMOlrOF lltIl: 181UtNa ~ Wlu.DCWAVO<< TO .....l_
M"t'Il'IIUJlUI NCmCe 'YO 1'fI CUQlfD1e MQlDIIIl ..-a Te ,. lBT.lvr
~l TO DO.IIO .twJ....ouiO NO OIIt.fCMt"-'" aM tMaK.frt Of ANt -.:>>UPl>>I'ftC
'"..... rrI" liar....,." fltlllllT,'TNIi.
ALlfotClUllllllli_...-rA'I'MI
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--
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I~t~ (,
J...;:,:.-~_______
D1_
Sep 06 05 02:2lp
Public Works
Yard
714-647-3342
p.2
JAN 31 2005 2:13PM
HP LASERJET 3200
p. I
-,
ACORD CERTIFICATE OF LIABILITY INSURANCE I ""no (fttoIIOOm'YY)
l'M. i OCT l8 Ool
PRODUCER lHIS CERllFlCA'T5 18 ISSUED AS A MA.TTER OP WORMATION
,.t '_INSURANCe BROKERS, INC. OM.. r AH[) CONfeRS NO RttJIfTS UPON THE cER.TFICATE
, ,.. weST GRANT LINE RD. -.oLDER. Tlfll CERnFlCAT~ ~ W\T a.Unlf\ e'll'TS'un t\8
lllACY CA 96'71 ..'';:. r... ;;;;"-;;;'ioi;'Mf' '"
~~cv U,"" 0015034 ' INSURERS AFFORDING COVERAGE NAIC .
~"A Sl:omDAl~ INSURANCE COMPANY
INSUReD ,-' --,~
CONSOLIDATED DATA CONTROLS IINSURER B ,~"~
1590 S. ANAHEIM BLVD.. SlJITE D -~---
ANA~E1M CA mo5 INSURER C ------ --- -, -
~.:SURER 0: ,-
INSURER E
COVERAGES
n... Pf"lIII'"';:....,r Wl:"OIl.....e I JOlT", t;n::, ~.' .....,,~ DC"" K't'"e.... ...... T'-F, !1,'~l'!:l:r!:! NAi'lii,d..' .:.itV\..~ "VI\ L"", .........r ,.."IUUU ,l'RJ,<,.IUI:<..J, 1'!V,Vi/llnlJIAI'llUIl'lIU
- -:'-"'. ~~_~E_S!ES! ]O.~~~.T~_~!_~~AT~_f~~.~_I~S.~EI?_O~
....., ..-c:....",,,, ,~It: 'lIIClUIVVO\.t. ......~u IH 11"'$ I'VLI1"It;tI Ve:~!,;t'lfl1=";
POliCIES. A'GOIUiCl\TE UMfTS SHOWN MAY H!WE BEEN REDUceD 1:~' ?;.;-.
^',
TYPI!.ClPJI.I6UMNCl:!
POL""'\' NUMlJR
POLIC\'II!.,&e-- -1-==':':::=:--:-.. I
"'fe c.,-
"
- ~;':=AALUA9IU1Y ClS10l4l186 OCUIl4 I ocno. I EACH OCCuR~C1: --I' 1,OOlJ,,000
AI ^, co~GE~AALLNIl.IT ClI\MAI3 TO IlEJIITflO . 1DO.COO
13? ~..~~ OCOUR ~.""",..- ..-
, j M1!D. EXP (Al1t one periM) . 5,000
I PiORSONAL LAt:N IHJilRY . 1,000,000
,
i i (;;ENERAl ACGREGATE . 2,000,000
! 1- -,----- I
'~~~~T~n::1 f'ROOUCT&-GOMPIOP AGIG. . 1,OOO!GGO
, 1--
POLitY ~ ,....... LOC ,
AUTCMOEMlli. UlIlLIi1' I I I ~---
d .
P1h1Y,lWTO I tEe<<lCiDlnll
,Il,ll. OWNEDAUiOl! I eOOll Y HJURY I
1- SCHEOUCe. AUTOS I ,
, ill'erpelS(llll -f-
I
I -- ---
t HIR€O AUTOI ! i RQblLvINJUR.Y
I (P.r.~ .
, NO~EDAU~ I I - f--"
i- PftOPER'T'Y DltMGE .
{P\lrllCddlr.t}
i GAAAGE UAIIlJT'1 1 i ! ~~Y-EAACC~ENT ,
i I I
=l ANY AUTO j OTI'rf'RTHo'IN I^AC.<-&--__
, l AUTO ONLY .~ ,
E'Mens I UlltBRaL. LlAIILJTY I f.'.CHOCCU~ .
I
_,] OCCUR D ClAIMS !MOE ~REGATf .
-
-==] DEDUCTIBlE I - __1'-- ~,--
.
RETENTION :s: ,
WOI*EJt$ t::QM~11ONNID , WCITATlJ-, l__l~._
1.-.0"1..... LlA.'m" I
A1il'lFtllCflI.TCI~lICUft\lli I E,t,. EACfI ACCDENT t
GI'1'IC!.MII!fIIM5IEl1T:UIDED1 ELD'5E"'''''AE'''LO~-==-=
_Yft,OIIoCdlioIUIIdIo
II'IiCML PIlO'lIIlOMI !,elgw E.L DlSEASE-POLM;Y 1I1111T f
. rOll"tER' i
DeSCRIPTION 01' OPERATIO/oISIlOCATlONSNEHIClESIEXCl.USlONS ADDeD SY eNDOIlSEM~TI SPECIAl PROVISIOIolS
"'CITY OF SANTA ANA, ITS OFFICERS, EIII'LDYEeS, AGENTS AND VOLUNTEERS ARE SllOWN AS ADDITIONAL INSURED.llur ONLY WlT11
RI!SPECT TO Tl4E aENeRAL LIABILITY ARISING OUT OF THe O~TIONS PERFORMEO BY"f'toff NAMED INSURED .AODmONAL
ENDORS~IIIENT TO BE ISSUED BY CARRIER'ID DAY NOMAY, all DAYS AlL OTt1ER8
C F
NTV '=* ~NTA ANA
,. CeNTER PlAZA
SANTA ANA CA 12101
C CEt.LATION
6HOUlg fIW( OF THE ABOVE 0E8CRf1EO POlJCE8 liE C~llEf) BE;-, -,,-
EXPiRATIQN OATE THEREOF, TrlE mU1N[I, COIrlf'ANV WIll Ml\JL 30 ~YS \Wlri~
fIIOTICI:' TO THe CEFllFlCATE HOLDm NAM!Co TO 1I-lt ltFT
Alloftl/<ln:
ACORD 25 (20011Oi)
Certifiea tI 17&97
Laura Stitt Sheedy
Assistant City Attorney
Sep 06 05 02:21p
Public Works
Yard
714-647-3342
tAil 11, 2005 9. 34AM
HP LASERJET 3200
AMERiCAN f&S-SF 4IS-19B-!7l0
P. 4
JAN 31 2005 2:13PM
NO.ns!
COMMEAOlAlGeNEIlAL LlAIIIllTY
CO 10 10 0?04
THIS ENDORSEMENT CHANGES THE POlICY. PlEASE READ ITCAREFULL Y.
POUCYNUIJIBER: CIoSI04lH6
ADDITIONAL INSURED. OWNERS. LESSEES OR
OONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
COMMERCIAl GENERAL UAlJILnY COVERAGI! PART
Thill endorsement modllles 1Il.lllan~. prDIIIll8d lIlIder the following:
SCHEDULE
N.m. 01 AdcRIaMl.....lPWd PIl'Ion(e)
OrOdanlZallorii&l .
ern' os SNlTA ANA
~ 0 C!VI C C1lNTItR PLAU
SANT ANA, CA ~27Cl
..
of Oov.rsl 08-'<lno
Infomle\Ion reaUiI1ld to CQmr:dele ttis SchelUe, .1IOl ~ lIbOVtl, WIIIIle ._In the Dec:larotions.
A. Sectio.". Wh"l. An '.IU"",, i. ameMed to I.-
c1ude iii an llddilloret iNUI'lld !till peROn(l) or 01.
-~-b""_.(,) ohown In the ScheCllfe. btJt only with
1'I;;~~1 UJ ,rjb_lty ior '"bcdlly iV! ~~'! ~t!m
aglror'PIJ(f;Qn;II and adYlllIl8i,... :;~c., ...;~cc. ,..
whole or In part by.
1. VntJr f!'1~~ orom"'iooB' fW
~. iiili iii:;-';i Oi Vroitiiji:;nre Ui ihYK Q.~~iV 1tiI1' VWt
bMalf.
III U"' "'~IVII''l1If_V'.'~w vt~"'~_':::=__::.....__._ __._
,hit addlUorellnliUftCJll;Sf I.. the ,-"-"",><"",, -;;;;;;.Zf
nlled above.
B. Wab reopeclla lbl inSUl'Ilnce !Il\Ol'd1~ 10 lhe8e ad-
dltlonel ""lAdl, tile lO/IOWing lIdd~ional exclu-
llo",."p1y:
-property"amagl' accurnng entr.
1. All wark, Inc/udl/lg meteria... parts or oq~-
"'''''' f~mi.hed 1<1 cannecllan with such work,
on the pt*~ :....l-_a ...... ..... .1-... _...1...-
"~rll'~ f'!II' ~~~.... 01.. ...............-...J VI VI' "'"Sr.
=<l<lhlonel n..-"",.l III "'. location
pleled;Ot
2. That parllon of "yDu. work. out of whiCh tile ir.
IlIIY or damage IlIl8IB hili blBn put 1ll IrB
l-.:lecl use by any plIJaOn or ""ii"':"='-'-
~.,.. .,,"~ 4Mlber COlIllactar anubconu""""
~ 1....iinoI ~ij pel'formtng opere:~tL-!'I'! 1.:01' ~ rri"~i.
p81n a pall of Ibl oame p1ej..;;,
Page 1 of I
co 20 10070. CllIll/Ilofl, ISOPl'opalIIel\ 1nc.,2004
I".lJllBD
. "l)";:,u A.S 'fO FORM
--' ~Sl:'{~dY
h .~ls[alU City Attorney
p.3
p.2
I
JAN 31 2005 2:13PM
HP LASER JET 3200
;
p.l
ACORD CERTIFICATE OF LIABILITY INSURANCE , DATE IMMlDOfYYYY)
,
'M , OCT1a D4
PRODUCEFl: THIS CER11F1CATE 1$ lISUEO AS ... MATTEA OF INFORMATION
. 'L ToIMONT INSURANCE BROKERS, INC. ONLY AND CONFI!RS NO R1Gf1TS UPON THE CERTIFICATE
,",. WEST GRANT LINE RD. ftOLDER. THIS CERTIFICATE !Inll:Q IdnT ...II-=ldn CYTEIt,.l" na
TRACY CA 95376 ALTER THE COVERAGE AF;::'--
I
Aaencv L1cl1: OC15034 i INSURERS AFFORDING COVERAGE NAICf
INSURED y/- '-f INSURER A: SCOTTSDALE INSURANCE COMPANY
CONSOLIDATED DATA CONTROLS N.-;}.o~ - II !INSURER B:
1590 S. ANAHEIM BLVD.. SUITE 0 1--------- ,.. --
ANAHEIM CA t2805 INSURERC . -- ~_.- i
INSURER D; i
~--_.- -'---- ut
INSURER E
COVERAGES
1,10110 I>n,w,,,~,,~ ,~":,'o,,.......,. "~ 1:11:1 ""'\AI ....."': ....:I:OJ ,,,,..,,"'''' T^"f"UC 1!J"'ID~n ..A...." ___,._.
_ ',- ,',..-,...._- N........~ -VVI:"'-'" Ln!: r-ULU..Tl"l:lUUU INLlII......Il:U, ......,vvllnil"~"'~
.~_.!t~!E_~! .!O-"'~_~~_T~~ CERTIFICATE MAV BE ISSUED OR
AlITOOM...,(.E,,-~g\.II_ .
-oT~ER T-i,l,N ~~<;:C .
AUTO ON!.. '( .= .
I EACH OCCURRENCE it
I AGGREGATE ,
is
,
[ .
~~~~~;. I IOT~E'l
[ H. e-ACI1 ACCIDENT ,
----
E.L DISEASE..u. EMPLOVEE ,
E.L. OtSEASE-POLlCY_IWT "
...... ..r:..,..,.., ll'l~ '''OVI'IoHHI..I:. .......vro\L/CU~, '"" t'VLI""t:> 1Jt;~I,;:-"'Jtf;.:.; . _
POliCIES. AGOFUOCATE LIMITS SHOYtfN W\Y HAVE llEEN- REDU:ED =r:' =':'~-,
Nil{"'OO\.i
"1"Fl,...'
TYPE OF IN-8tJRANCe
POllCYNUMBER
~CIl.IC't.~-
Oo\n~c".
OCT 3 04
OCT 3 QS
tACH OCCURRENCE
J"""'Gti:TQ~lIlTEO
A
I
-~..~_4.L UABlUTY
^ _ \;uriWii:.Rcw. GENERAL !..lABILlT
:+e~IMS~W oceu.,
: GEN'L AGGRE~ LWIT APPllFS PERi
I POLICY! 1..n.JFr.T ~ Lod
MED. ex'p (AAy 0'" perlO'"
-
PERSCNA!.. &. AOV INJURV
I GENERAL AGGREGATE
PROOUCTS-COMP/OP AGG.
____mm 'm
CLS1044866
AUTOIIOBlLE llASlllTY
I
I
CONBrNEO SINGLE. L-fMIT
(Ea~1
--
. 80DlL Y NJURY
(PerplJfSOf\l
; I ANY AUTO
1.---1 ALLOWHEOAU~08
1--1
,_-' i SCHEOl.;LE~""UT08
~ ::~='AVTO$
-i
BODIlY INJURY
'(PetlltclGenl)
,-------
;
I:~:~~t~
~, GARAG! UA!lILITY
!~ ANY AUTO
,--J
1 eXCESSJUIlBRalAllAIItJTt
i~ OCCUR 0' CtAtMS MADE
1_ j 1
i
[
I
[
[
I
I
1--1 OfotJCTIBlE
i RETENTIONS:
WORkERS COUPENSAnoN"ANO
I !IIPLOYl':RS' lIABilITY
A1fY ~llCl'ItIlTOllP.lJt1NIAllueU1Ml
OFFICEItIfIIEMl.EREXCLUDEO?
.V-..dtnltllllundD!
al'EC1AL MOVIaIONllllelow
i
I
1
OTHER.:
I
,
i
. 1.QQO.QIIO
. 100,QOO
, 5,000
, 1,OIlG,QOO
f. 2,OODtOOO
-'-__ 1,1100,001)
I.
,
"
I
I'
-
'.
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCWSIOItS ADDED BY ENDORSeMENTI SPECIAL PROVISIONS
"CITY OF SANTA ANA, ITS OFFICERS. EMPLOYEES, AGENTS AND VOLUNTEERS AR! SHOWN AS ADDITIONAL INSURED, BUT ONLY WlTH
RESPECT TO THE GENERAL LIABILITY ARISING OUT OF THE OPERATIONS PERFORMED BY THE NAMED INSURED 'ADDmONAL
ENDORSEMENT TO BE ISSUED BY CARRIER '10 DAY NOII.pAY, 30 DAYS All OTHERS
FI T
r.ITV ~ 54.NTA ANA
C"ENTER PLAZA
SANTA ANA CA 92701
.
CANCELLATION
SHOUlO ANY OF THE ABOVE DfBCRIBfO POlICIES BE CANCELLED e~.'"'-:'
EXPIRATION DATE THEREOf, THE ISSUING COMPANY WIll MAIl. 30 DAYS WNtnEN
,"'OTtCE TO THE CERTlFICAiE HOLDER NAMED TO THE LEer.
AIItnllon:
ACORD :Ii (ZClO1lOa,
0&44907 @ACORD CORPORATION 1998
JAN 31 2005 2:13PM
,.,H, 31. 2005 934AM
HP LASERJET 3200
AMERICA~ E&S-Sf 415-398-8730
, .
NO. 3358 F. 4
POUCYNUMBER: CLS104t666
COMMERCIAL GeNERAl LIABILITY
0020100704
THIS ENDORSEMENT CHANGES THE POLrCY. PLEASE READ IT CAREFUllY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorllement modllles Insurance provided uoder thlllollowlrIQ:
COMMERCIAL GENERAL UABIUlY COVERAG! PART
&CHEDULS
loc8tIon a of Coveted 0 0""
CITY OF SANTA ANA
~o CIVIC CENTER PL~~A
SANT AN~, CA 92701
Informlllon 1
A. Bection II . Who Ie An Inaured is amended 10 In.
ctuc!e as an &ddkIOl1lIInsUllld lha person(a) or 01-
:'-'-'.~~fi') shown In lhe 5chadlle. but only with
IG~i13i,.i ~[J ,,.;Dlityfor "bodily 1nJur-! .nr!"!~!'!'o~ !'!!!~
age" or 'periOnaI and advlllli&i"~ .. .,_., __cc....
whole or In part by:
f. YnlJ'8Ctsorom@~'or
B. Wdh lupsct to 11I1 insurance aIIordecllO the" ad-
dkloflll ln8ureda, the tollOWing &ddnional elCl:lu-
slOns apply.
-prnpeny uamall8' occumng ener:
1. All work, InclUding materiala, pam or equlp-
man! tumished in connection with such work,
on 1M pr*~ ~_I..._- 6L....... ........1.... __1_-
n~n~ t)II'~'iiji;;..,.... ...... "'_................. "", .... VI'_-
"j(jillonallnsllrlld(sl 8l1he location
,,-, Thv uv~. vi v.ij~~f.6 ijJj ii'-~ iil!,,-iiiiV wit fWI
bMAI~
'" HI9 ,",'O"IorIIl'ClI'''';;d(.\lY' """"~~";__:,,__,__,. . ..---
tM eddlllonal In8 I) al lhe '~~"_"\_' ___.~
natad above.
plerlld; 01'
2. Thel partlDn of "\'Our work" oUl of which the in-
lury 01' clamaga arises has bt6n put to Ira
Inlended use by 8"'1 peraon or ;;-r;;-=,Occ,"
""!~~. ~~~ !~01her contractor or S1Jbcornt~J
.... i......_ ;jj ;:;elforrnlng OJ)f!!'e'~r\IZ. In!" .. r';~L
pel" 8 pe/1 of lhe _ pm!"",.
CG 20 100704 CllIlyrlgll. ISO Propet1las. Inc., 2004
1NS1lR1iC
"U" uJ AS 'to 1"OttM
Pagel of'
~2/~
'.aura Stitt Sheedy
'. ."J~tant City Attorney
p.2