HomeMy WebLinkAboutNATIONAL VISUAL SYSTEMS 4 - 2004
N-2004-138
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INSURANCE .NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: /1-£--04 CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this ]$ day OfO~Ujl~ 2004 by
and between National Visual Systems, Inc., a California corporation (hereinafter "Consultant"),
and the City of Santa Ana, a charter city and municipal corporation organized and existing under
the Constitution and laws of the State of California (hereinafter "City").
RECIT ALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
manufacturing and mounting of signage.
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 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 manufacture and install signage at the Depot at Santa Ana, on request of
the Executive Director of the Community Development Agency, 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 $6,000.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, 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 October 1, 2004 and terminate on September 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 the
Community Development Agency and the City Attorney.
4.
INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, 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 endorsement in substantially the form attached hereto as Exhibit B upon
execution ofthis 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. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
2
(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)
e. 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 ofthe 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
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.
3
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8.
CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9.
NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
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:
National Visual Systems, Inc
5482 Oceanus Dr. #G
4
Huntington Beach, California 92649
714-898-9034
Attn:
Lynn Perry
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:
5
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 ofthe City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13.
DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14.
JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any ofthe clauses ofthis 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.
COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
Consultant shall carry out all services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and
decrees of the United States, the State of California, the County of Orange, the City, and of any
other political subdivision, agency, or instrumentality exercising jurisdiction over the City,
including all applicable federal, state, and local occupation, safety and health laws, rules,
regulations and standards, applicable state and labor standards, prevailing wage requirements, the
City zoning and development standards, City permits and approvals, building, plumbing,
mechanical and electrical codes, as they map apply, and all other provisions ofthe City and its
Municipal Code (as they may apply), and all applicable disabled and handicapped access
requirements, including, without the limitation, the Americans With Disability Act, 42 U.S.C. §
12101 et seq., Government Code § 4450 et seq., and the Unruh Civil Rights Act, Civil Code § 51
et seq.
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.
6
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:
PATRICIA E. HEA~
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: .~. i:LUAt~þ1t/~.
Laura Sheedy /
Assistant City Attorney
CITY OF SANTA ANA
~~
AVIDN. REAM
City Manager
7
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Nat'l Visual S~stE'ms
7148989034
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5482-G Oceanus Drive
Huntington Beach, CA 92649-1043
Tel: 714.891.2670
Tel: 800.788.2670
Fax: 714.896.9034
HttD:/Iwww.nationalvisual.com
CITY OF SANTA ANA
REGIONAL TRANSPORTATION CENTER
STANDARD PRICING
INTERIOR AND EXTERIOR SIGNS
1/16", 1/8", ~" thick Plexiglass or y." Sintra (or equal)
Radius Corners
Velcro and double-sided tape mounting
Magnetic tape and screw-mounting
Custom colors
Painting of standard colors
Custom color styles
Logos
Sitkscreening (up to 2" high copy size)
Silkscreening (additional lines of copy)
Silkscreening (if more than 18 characters per line)
Bevel/bullnose edges
Flame polished edges
Directory strip re-orders (standard size)
Vinyl Letters
Installation
$ 0.53 pttl sq. in
$ 1.50 per comer
$ 3.00 per sign
$ 4.00 per sign
$ 70 for paint matching
$10-$44 minimum
$ 100.00
$ 100.00 minimum
$ 22.00 per line
$ 16.50 per line
$ 1.65 per character
$ 12.00 per sign
$ 12.00 per sign
$ 44.00
$ 0.72 per letter
$ 80.00 per hour
FOR CUSTOM SIGNS, CALL FOR QUOTATIONS
Note: The above prices reflect a 15% discount (off standard prices) given to the City of Santa Ana.
Effective June 1,2004 - May 31, 2005
EXHIBIT A
_~NIÉ~ BUCKLEY INSURANCE SERVICES
- 16651 GOTHARD ST STE A-1
HUNTINGTON BEACH, CA 92647
714-841-5830
1"10 \.oCtC.1 II"I""RI I:. I~ löttUt:U Að" MAIII:.K Ut' INt"UtC.MAIIUN
ONLY AND CONFERS NO RIGHTS UPON THE CERT1FICA TE
HOLDER. THIS C~RTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
DM&M CAPITAL. INC DBA NATIONAL VISUAL SYSTEMS
5482 OCEANUS DR #G
HUNTINGTON BEACH, CA92649 ¡..f- ~tXJ'f-Ij!1
INSURERS AFFORDING COVERAGE
'NSURERA. AIG-GRANITE STATE .
INSURERS, PREFERRED EMPLOYERS INSURANCE
NAIC#
INSURED
INSU~.~~ ç.;
INSURER D:
._---_._~-
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.
~~~'r- POLICY NUMBER -'PÖUëVEFFiWTlYE ~~~I:!XPlRATION ""'15
~NERAL LIABtLlTY EACH OCCURRENCE $ 1,000,000
A r!~ÔMMERCIAlGENERAl LIABiliTY BOP-1701077-01 5-1-04 5+05 ~~-'L9ÇÇt1rE!'),ce) $ 300,000
-...- - _n' CLAIMS MADE [K] OCCUR MED EXP (Any O_n!-p_e~n). $ .._m__.- 5000
PERSONAL& ADV INJURY ' 1,000,00()
c- 1---_?'POO'Ooo
-- GENERAL AGGREGATE --
m'LAGGRi~E.IJMIT A7LlEj ~ER: PRODUCTS, COM PlOP AGG ' .1,QQ.Q,Q9.Q.
X POLICY ~RT LOC
AUTOMOBILE LIABILITY COt.tBINED SINGLE LIMIT 1,000,000
A BOP-1701077-01 5-141 5-1-05 (Eaaœldenl) ,
- ANY AUTO --'.~._.
-_.,~ AllOWNEDAUTOS BODILY INJURY
$
SCHEDULED AUTOS (Perpe~Qn)
., --....
X HIRED AUTOS BODilY INJURY
$
~ NON¡QWNED AUTOS (Peraocldenl)
u... -
I-- I.... -------- PROPER1Y DAMAGE $
(Pllr.!lCCidønl)
RAGE UASIUTY ~U.T.QONlY ,EAACCIDENT $
ANY AUTO QTHERTHAN EAACC $
--
AUTO ONLY: AGG $
I!XCI!SSlUUBRaJ..A LlAB8llTY EACH OCCURRENCE $ 1,000,000
A rXl"OCCUR 0 CLAIMS MADE BOP-1701077..Q1 5-1-04 5-1-05 ..~GREGATE , 1 000"999-
, ____no
R DEDUCTIBi..E ,
----.-
RETENTION $ ,
WORKERS COMPENSATtON AND WKN123091-1 X I,WCSTA7' I IOJ~)
B EMPLOYERS'LlABILITY 6-24-04 6-24-05 1 ,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E:.L. EACH ACCIDENT ,
OFFICERIMEMBER EX ClU OED? .Ë.:.!:::_DI~~~~E)--E1.'-~_~?LOYEE $ 1 000 000
~Þèó~Lep:ô~~4~s beK>w E.l. DISEASE) POLICY LIMIT ' 1 000 000
OTHER
DESCRPTlON OF OPERATIONS I LOCATIONS/VEHICLESfEXCLUSlONSADDI!:D 8YENDORSEBENT ISPECIAL PROVISIONS
CITY OF SANTA ANA, ITS OFFICERS. AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED
. DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE AlOft DI!SCRl8!D POLICIES BE CANCELLED BEFORE THE EXPRA TION
DATE DIERI':OF, THE ISSUING INSURI!R WILL. -.-r"'-¡- TO MAIL ~ DAYS WRITTEN
CITY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIEF., ~u.. ~'-'- .- ~- -- -.--L
REGIONAL TRANSPORTATION AUTHORITY .....^..." ..... "'ft. ""."P''''''' .-. . .. _" ~I gr . I'" ~'Ig ",veri "¡:I& !fIlUM", 11'1 aSI'M. 9R
1000 E SANTA ANA BLVD #108 BIT.l.WÆ8.
SANTA ANA, CA 92701 ~D R~RESENTATIYE
~ '\' ;;0
. .-
ACORD 26 (2001/08)
--
, ACORD CORPORATION 1988
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EXlUBIT B
ADDITIONAL INSURED ENDOR.-SEMENT
LQR.COMMEkCIAL GP.NF.RAL LIASILlT"l POLICY
\""........"e COl:l'lpllllY
This endorsement modifi"s ouch In."""",e 115 i. afi'O<ded by the J{DYÎSions of Poli~y
~~l'Ntï1l'Y)TI-r.i Iclll1ille to the following:
\. TM HOWlìDg ^\&thøGty of Ihe CilY of SelMa Ana. 20 Civie C- PI...... Santa
Ana, CaliforJIia 92701; I~ u/liecrs. eIIIpJII)'eea.lIgcnts, yolurueus IIIId roprcsenlatÍyes KC oamod
as ;:odditi.møl iDsun-"CI$ ("addiborlal i~") with nolud to liability and dcfease of suitS arising
£TOlD the operlWon$ and uses ptlfonned by or 01\ beb8lf of Ihe named ìnsuted.
2. With respeeI to daiJD! ar,iSÏIIg out of rite OpcnliODS and IISes perfOl1lll'd by or on
behalf of !be named iAsuted, sw:h jIi$\QI\Ce as ¡. Gftòtdcd by this polic;y ÌI primary and is not
:odditloDaI to or conlributing with any olber insurance earried by or lOr the benefit of the
additional Wu.-eds.
J. TIt;" ia.urançe applies s&pIØtItely 10 cadi insured apinst whom claim is mod. or
'\lit IS b","¡¡ht ""cepl with r6pec:t to the company's IÌDlits of liability. Tbe incll1!1ioD of my
""'$OD OI ol'ltsniz:Ltion as ... insured shall not offcel any ri¡bl which .""" P""OJl or orsanWulon
would have asa claimant ifoot so included.
4. Wilh te$p8C' 10 .... additional ift&Ul'eds. this itlSuraDCC shall 001 bt c:ll1CeUtd, or
materially redllCCd ill oovc:rage or limitr èl<œpt aft8¡ tllitty (30) cllI}'I wr\ttea JIOIÌÇe has bcca
¡:ivon to tbe Housing AmborilY of me City of Sanla Ana, 20 Civic C=nU:< PI...., s..o,. Ño/I,
CaJifomi. 92701.
(Complction of the foUowÌllIl. iÞclucling ø"",er.¡ÌgtIa1un:. is reqllired 10 make this enclo~1
clreelive.)
r::~?tt~~f~~~=~
Named /nsUnd
Cl!unttUlilledbY~
Aúthoriæd Reprnéá\llliw
,
'~2/L
na';j (:.....,J U..J U'-. .....["'"
, ...
ACORD CERTIFICATE OF LIABILITY INSURANCE I OATElliIMIbOf'f'Y'fY)
~._--_.~~..... OS/23/2005
PRQOue... (714) 941-5830 THIS CEIlT1FICAlE IS ISSUED AS A MATTER OF INFORMATION
DanieJ. BuckJ.ey Insurance Services ONLY AND CONFERS NO RIGHTS UPON THIF. C,ERTIFtCA TE
HOLDER. lHlS .~~P'~ICA 1E DOES NOT AMEND. EXTEND OR
16651 Gothard St Ste A-l ALTER .rnE COy AfFORDS> BY THE POLICIES BELOW.
,
~ington Beseh c>. 92647- INSURERS AFfORDING COVERAGE NAle..
lNSUftEll INSURERA:Uartford Caaualtv Ins Co
DM&M Capi t,,"1 Inc. Dba Nationa1 Visual. SysteDts lN$lJRERB.- Pref"errad Emnlovtill1:'s
5482 Oceanus Drive fG N- aOcH -/3 '! INSUREItC
WSURERO
Huntinaton Beach CA 92649- INSI.IRERE:
COVERAGES
THe POlICIES OF INSURANCE LISTED BELOW HAVE Bl!eH ISStJEO TO THE lNSUR!:;D NAMED ABOVE FOR TI-tE POLICY PERIOD INDICATED. NO~THSTANDING ANY
REQUIREIIIENT, TERM OR CO~tTION OF ANY CONlRACT OR oTHER: DOCUMENT WTH RESPECT TO WHICH nus CERTIFICATE MAY BE ISSUED OR MAV PERTAIN,
me lNSuAANCE AFFORDED BY ""E POI.IClES DESCRIBED HERE.. IS SUbJECT TO ALl THE TERMS. EXCLUSIONS AND CONDITJONS or SUCH PQLK:IES.
AGGRFGA TE uurrs SHOWN MAY HAVE BEEN REDUCED BY PAlO ClAIMS.
"50 OO'L TYfoE. Of" INSURANCE POUCY MUM\N!.1t ~ALfi:~g~8~,E ~::I=m-:.;~
lTR NSRD LIMITS
A ~"ERA.LI.1A..un 1 1 1 / eACH OCClIRR[!.lCE . 1,000,000
~p~EtIClAL GENEORALl.IA81LlTY ~~~JOS:~~ltnc.) . 300 ~~
_ CLANS "'DE 0 OCCUR 39SMlUS:nS 0'/01/2005 05/0'/200' Ml!De<"(A. _,1111'$0/'\) , 10,OeC
~ ~~& AD\! IN,)LJRY . 1,000 I OQO
- / / 1 1 GEJlERALAGGREGl.Tf . 2,000.ODO
-ii-l ^GG:En~ l.IMIT ^A:PEft I'ROQUCT5. CDMP!OP AGG ~ 2,000,000
X POLICY r;~g- LOC 1 / 1 /
~UT<*O"'U'. U4BtllTY 1 / / / COMBINED SIHGlE LIMIT lrOOO,OOO
{EaaCCi4&n11 .
- AmAvro
A - ALL OWNED AUTOS 39SBAJU8315 05/01/2005 0'/01/200' 600ft....,N~Y
(P'El'pWSooIl) ,
- SCH~OULEbAtJTOS
~ }-IJI?I00AVTOS 1 1 / / f!OOlLY INJURY
IPor~nl} ,
..! NON-OI/I,INED AI.JTOS
/ / / / MOPERlY OMMGj;;
(PerllWclelll) .
R.w....'" "UTI) OM.. v _ Ell. A.CCIm;:A;T .
AN" AUjO / 1 / I O'-HER THAN EAACC S
II.U1"C) O~l y AGG ,
A ~:.tSIUM8RE1.LA L1A8IUTv 3938NU0315 05/01/2005 05101/200. f ~4{'.liOCCUIU'E"NCf': , 1,OOO,~
OX OCCUR 0 ClAIMSIMOE ^GGIl:EG....re , 2.. 000,000
,
~ ~DVCT>>tLt / / 1 I .
X RETENTION .$]0,000 ~mr~",1 IO,;r" ,
B WORKERS COMPEHSAf1DN ANI) WKN123091-.l 06/24/2004 06/24/2005
EMPLOYERS' UASollITY 1,000,000
II.NV PROPRIETORIP"'AlNE~te.xI':CllTllfE: c.L EACH ACCIDUH_ .
OffICER/Ml::.\4B(R ~Cl.UD&D? 1 1 I I E.l. DISEASE - fA EMPLOYEE$' 1,000,000
lfylltll.dUcliblllf'ldltr 1,000,000
SPECIAL PROV1SfON!i Ct!lkl'W E.L_ DolSEASt:. POLICY LIMiT S;
OTIUIl 1 1 / 1
1 I 1 1
I I I I
OE;SCltfPTtON OF OPERA flO.lI8I1.OCAlIDMSNEHlCl'Eall!X<::lU$lO~ ADOI!D BY EN I)OASEMEH'OSPECI,"- PJlO\IJSlOlll$
~ Cit.y of SOionU Ana, 20 Civic:: C-antc.r Pl.aza. SMta AtJ,~, ClIo.U..fu.:m.i.iIo 92701, i.t.'B ut~ioorfl, employees, &glints and
rop:J:esent&UWlos llIrQ namGd Illlll a.dditional :l.na\2Nd. .ith. ~ t:o GfUMlra1 r..:t.abi.H.ty a!l; t:hilftr i.n.t:8r..~ lIl.l'I.y &pPQfl.J:'.
CERTIFICATE HOlDER
(714) 565-2690
(714) 565-2693
CANCELU-nON
attOUlD- AWf Of THE AQOYE DESCRIBED POLlCln Be CAH(;EUED _'-ORfi TIfE
EXPmAl10N DAll! "THEREOF, THE ISSUING INSURER WlI..I. TO MAIl.
30 DAYS wrunEN Ncmc:E 10 ntE CERl1FICAU; tWLDliR NAlfeo TO THa LEn,.....
The Depot of Santa Ana r II r IlTI If II
100 &ast. Santa Ana B1vd.
Sui tQ 108 E PMf!:EIITAnw
Santa Ana CA 92701 :--- ~
ACORD l5 C2001/1l81
ft.....INS025 rotll8l,as Eler.l1l:QNlC LASEH FORMS. !NO . (AD0)327.u~&
T j
-- 't - -
-- --
~ACORDCORPORATlOH'~8
Psg81of2
APPROVED AS TO FORM
), \( ( ,; {c I //~..::?
Laura \Kfrt,Shccuy
^:;:;istantt.~ilY Attorney
~.d
1:1.. 111
dIS:20 SO S~' ~"W '
_' Ma~...31 05 10:0Sa
Ha~ 24 05 10:17a
j 11 at 1
p.2
ADDlTI<;lNAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
IllSUIance Company ...J,\u\;..(-l)(r\ Cn"',., ,'. ~ 'kd- L",<;. (~
This endorsement modifies such insurance as is afforded by the provisions of Policy
# i!f;~(} ~\ ~) relating to me following:
1. 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 of the operations and uses performed by or on
behalf of the named insured, :such inSW'lUlCC 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 llgJIinst 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 /lot 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 illSlUllllCe 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.)
op'
Effective :;:)
Policy # .
Issued to \'k.J\ '\- \-\
, this endorsement fonn as a part of
, \r~..... L: ,
Named Insured
Countersigned by 9 ~~,
Authorized Rep . e
APPROVED AS TO FORM
'--/~-(,) ,;" /;:z
;<Laura Stitt ShccJy
AssiSlant City Attnrn~y