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HomeMy WebLinkAboutHouston-Harris PCS, Inc.2City of Santa Ana t ` Clerk of the Council COTC office use AGREEMENT TERMINATION FORM 17 I V� �; 1 Please complete this form when the attached agreement and CITY amendments (if any) are no longer in effect. 1 1 OF S A h9 T a Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with Wbt,tw—OQ No. A— ZDpLj--? ZO (a) U�Ttwas completed on JZ --�O- Zp(, and final payment has been made. (List all amendments. Use space below if needed.) Department: 7tr2c A- Li l;q4--F� Phone/Ext.: 3J Signature: Date:z—l7 C��7 Revised 10-31-12 A-2004-220 ]RANGE ON FILE. IRK 61AY PROCEED UNI IL INSURANCE EXPIRES CLE3K OF COUNCIL DATE: /0 -,, 7 - 1/ CONSULTANT AGREEMENT A THIS AGREEMENT made and entered into this � day of ON-Obeg , 2004 by �p and between Houston -Harris PCS, 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"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of cleaning, inspecting and video taping sanitary sewer mains. 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 Proposal and Consultant's Proposal, attached hereto as Exhibit A, and incorporated by this reference. 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 B. The total sum to be expended under this Agreement shall not exceed $300,000.00 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 the date first written above and terminate on October 31, 2005, unless terminated earlier in accordance with Section 12, below. This Agreement may be renewed for an additional one-year period upon the written agreement of the parties. The term of this Agreement may be extended upon a writing executed by the Executive Director of Public Works and the City Attorney. 4. CITY OBLIGATIONS City shall provide Consultant with all records in the possession of City which will be of assistance to Consultant in the performance of this Agreement. 5. 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. 6. 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 C 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. 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. 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. 7. 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. 8. 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. 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. 9. 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. 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 S. Daisy Avenue, Bldg A (M-85) Santa Ana, California 92703 telefacsimile (714) 647-3345 Attn: Water Resources Manager City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 To Consultant: Houston -Harris PCS, Inc. 21831 Barton Road Grand Terrace, California 92313 Attn: Pam Houston 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 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 of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. DELIVERY OF WORK PRODUCT Consultant shall deliver to City all work -product resulting from the services provided. Said work product shall be submitted in a digital video format, as agreed between the Project Manager and Consultant. Said work -product shall be the property of the City and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. 15. 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. 16. 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. 17. 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. 18. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: LaurK Sheedy Assistant City Attorney CITY OF SANTA ANA DAVID N. RI City Manager CONSULTANT HOUSTON-HARRIS PCS, INC. PAM HOUSTON Secretary / Treasurer Tax ID# �6 - D 411 ff-�Z6� com CERTIFICATE )F LIABILITY INSURANC OP ID x DATE(MM/DDIYYYY) H01UST-2 1 06/23/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Austin Cooper & Price ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE Ins Agency Inc (Lic-0546677) HOLDER. THIS CERTIFICATE DOESNOTAMEND, EXTEND OR P O Box 3260 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Bernardino CA 92413-3280 Phone:909-886-9861 Fax:909-886-2013 INSURED A—Aoo A1-aao Houston & Harris PCS Inc 21831 Barton Road Grand Terrace CA 92313 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Firem_an's Fund Ins Co INSURER B: Itatio..L surety Corporation INSURER C: Redwood Fire and Casualty Ina. INSURER D: GEN'L/AUTO/PROP/EQUIP/ INSURERE EXCESS RENEWALS ONLY 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD EFFECTI PM'O EXPIRATION DATE MM@OfYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 H X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F--1 OCCUR MZX80860171 06/24/06 06/24/07 PREMISES Eeoccurence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1 000 000 GENERALAGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000 X POLICY PRO LOC JECT F3 AUTOMOBILE LIABILITY ANY AUTO MZXB0860171 06/24/06 1 06/24/07 LE LIMIT Eaacci acciED dent) (Ea accident) $ 1 000 • r 000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABIUTY AUTO ONLY - EAACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG S $ B EXCESSIUMBRELLA LIABILITY X OCCUR DCLAIMSMADE XAE98404684 06/24/06 06/24/07 EACH OCCURRENCE s4,000,000 AGGREGATE $4,000,000 $ DEDUCTIBLE $ RETENTION $ Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECU7IVE OFFICERIMEMBER EXCLUDED? Il yyes, describe under SPECIAL PROVISIONS below W5934598 09 /07 /05 09/07/06 X , TORY LIMITS ER E.L_EACH ACCIDENT $1,0.001000 E. L. DISEASE - EA EMPLOYE $ IOQO OQO E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER A Equipment Floater MZX60860171 06/24/06 06/24/07 See Below If Applies A Property MZX80660171 06/24/06 06/24/07 See Below If Applies DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Operations pertaining to named insured for certholder. City of Santa Ana and its officers, agents, representatives, volunteers, & employees are add'1 insd respects gen'1 liab per CC7158 12/03. 30 days N O C except 10 days for nonpayment. UAIIUCLLH 11 JN CI SANG 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City Of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL M-21 Ross Annex 4th flr 20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92704 REPRESENTATIVES. ALIT RE9RES ATIVE ACORD 25 (2001l08) © O COR ORATION 1988 INSURED: HOUSTON. & H9.RRT_S P.CS INC POLICY: MZX80860171 Policy Effective Date: 06/24106 MultiCoyer® - CG 71 58 12 03 Policy Arnendment(s) Commercial General. Liability Coverage Form - Your Commercial. General Liability Coverage Form is revised as follows: 1. Broadened Named Insured A. SECTION iI - WHO JS AN INSURED, item 4., is replaced by the followuzg. 4. Any organization that you ,own at .fhe inceptibn. of this policy, o; newly,acquire or = fo_ rm during ,the pol;cy..peiiod ' acid , over which you ma.intaizx during the pol- icy period majority ownership or major- ity interest, will.., qualify .,as .a Named Insured if. a. There is no other. similar insurance available to that organisation;' and 2 .b• The first Named Insured shown in the Declarations has the responsi- :bility of, placing insurance for" that organization; and C. That organization is incorporated or organized uudtar the laws bi -the 'United.States .of America. Howe.ver- (1) Cgvcrage under this provision 4 is afforded only until the new occur- _ , zing annual anniversary of the be- ginning of the policy pmi.od shown in the Deciarations, or the end of the policy period, whichever is earlier; and (2) Coverage A does not apply to bodily injury or property damage that oc- curred before you acquired or formed the organization; and (3) Coverage B does not apply to per- sonal and advertisina..injury arising . out of an offense committed before' you acquired or formed the organ :i7atiosz. B. SECTION II - WHO IS,AN INSURED, the last, para-graph, is > ep}aced by th.e wing - No person or organization is an, insured with -respect to the'_conduct of.any:current or past - . • ::partnesshp, .joint vesture, or Iimitetl',liabi?ity company that is,not ahown as a. Named In sured in the Declaratons.:.However; this does not apply. -to. a, limited liability ,company that meets all bf .the ,conditions in -Section II Who Is An Insured, item 4., alcove.. A. dditionalInsured SECTION II WHO IS AN 'INSiTR,ED, sub- section5.2.e. is added as foLows: e. Any person or orgariization is included as an additional in"s'ured, but,oilLy :to.tlic Extent such person. or organization° is held •'liablc:>;for bodily i ijury,'proper.ty damage or personal and .advertising injury caused by your acts or omissi,oris.', With respect to the, insurance . af= forded. to such lri mrcd,. all of the. following �a.dditional provisions .apply; (1) You .and such . person or organization have aereed in a written insured contract that ..such person or . organization 'be added as an additional insured under this Policy- (2) The bodily injury, .property damage or personal and advertising injury for which said person or organization is held liable occurs subsequent to the' execution of such insured contract; This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund lnsurance Companies as clamed in the policy Se retary President CG715s la -as Ltcludes copyrighted ma�_-rial of L-asurance Servicer OCtiee, fnc. with its pezn ssioe. Page 1 of 6 The most we will pay is the lesser of behalf of the additional insured at — either the Limits of insurance shown in the site of the covered operations, the Declarations or the limits of incur- r has been completed; ance required by the insured contract; (c) Which takes place after that portion (4) Such person or organization is an insured of.your work odt of which the injury only with respect to: or damage arises has been put to its intended use by any other person or (a) Their ownership, maintcnance, or organization other than another use of that part of the premises, or contractor or subcontractor engaged land, owned by, rented to, or !cased in performing operations for a .prin.- to -you, except such person or or- opal as part of the same project; ganization is not an insured with re- spect to structural alterations, * new (d) Which takes place after the expira- construction or dernolition cper- tion of any equipment lease to ations performed by or bn behalf of which (4)(d) above applies; such person or organization; . (6) With respect to architects, engineers or (b) -Your ongoing operations performed surveyors, coverage does not apply to for that insured; bodily injury, property daunage or per- sonal 'and advertising injury arising out (c) Their financial control of you, ez-. of the rendcrin; or failure to render any cept such person or organization is professional services by or for you, in - not an insured *with,respect.to struc- eluding: tural alteration:' new construction ? or derrioiition operations performed (a) The preparing, approving, or failing �} by or on behalf of such person or to prepare or approve, maps, shop ' • ,organization; drawings, opinions, reports, surveys, - g P P Y field orders, change orders, or draw- (d) 'I rze maintenance, operation or use ings and specifications; by you of equipment leased to you by.such person or organization; (b) Supervisory, inspection, arehitcc- tural, or engineering services. (e) Operations performed by you or on your behalf and for which a state or However, if. an Additional insured endorsement is ;11 political � subdivision: has 'issued a Attached to this policy that specifically names a_ - permit, provided such operations are person or organization as an insured, then this F not performed for such state or pol- 1 subsection 2.e. does not apply to such person or. itical subdivision, and are not in- organization. eluded within the roducts=cam leted p p 3. Additional insured - Vendors \v� operations hazard; • Unless the products -completed operations hazard (5) This insurance does not apply to bodily is excluded from this policy, SECTION II - WHO injury, property damage, personal and IS AN INSURED, item 1a. is added as follows' advertising injury, occurrence or offense: g. Any vendor of yours is included as an addi- t? (a) 'Much takes place • at a .parLicniar tio,rzal insured, but only with respect to bodily d premises after you cease to be a injury or property damage caused by your tenant of that premises; products which are distributed or sold in the regular course of the vendor's business, sub- (b) '�, hick takes place after all `work, in- ject to the following additional exclusions: eluding materials, parts or equip- " ment furnished in connection with (1) The insurance afforded the vendor does such work to be performed by or on not apply to: CG71 S8 12-03 c Includes copyngtted matenai of Imurance Services Diftice, ir_c. with iu permission. Page 2 of 6 (a) Bodily injury or property damage for into, accompanying or coritauung such which. the vendor is obligated to pay products. damages by reason of the assump- tion of liability in a contract or However, if an Additional Insured - Vcndors agreement. This..exclusion does not endorsement is attached -to this policy that apply to liability for damages that specifically names a person or organiaation as the vendor would 11avc in the ab- s. ts. not an insured, then this subsection dot Bence of the contract or agreement; apply to that person or organization- (b) Any express warranty unauthoHzcd 4•. Waiver of Subrogation by you; : SECTION IV - COMMERCIAL GENERAL (c) Any'physical or chemical change in .LIABILITY CONDITIONS.,. item 8., is replaced. the ,product made intentionally by by the following! the vendor; S. Transfer of Rights of Recovery Against Oth- (d) Repackaging, unless unpacked solely ers to Us: and Blanket Waiver of Subrogation for the purpose of inspection, dem- a. If the insured has rights to .recover all or onztration; testing, • of ' the snbsti- anywe have made under tution of parts under instructions - P of ''Payment this Covera.e Part, those rights are ' from the mamu€acturer, and then re- transferred to us. The insured must do packaged in the original container; r nothing after, the loss to impai, those (e) Any failure to male such in- tights.. At our request, the insured will � . specaions, adjustments, tests se:- . brzzzg suit ;or transfer those rights to us ,or vicing as the vendor has agreed to and help us enforce them. make or-nozxnafly uizdertalces to b. If required by a written iusured.contract makein the usual course of busi= executed prior -to -the: occurrepce or of - mess, in connection with the distrib- fensc, we waive any right of recoverywe ution or sale of the products; may have against any person or organ- (f) Demonstration, installation, sc><vic- ization' named in such insured contract, ing or repair operations except such :because of payments we make for injury operations performed by the vendor or damage arising out of your operations or work for that or organ - in full compliance -wifh 'the mac- your person cation. tifacturer's -ni itten instructions at the vendor's premises La.. connection 5. Cancellation - 120 Days with the sale of the product,' (g) Products which, afier distribution or sale by you, have been labeled or relabeled or used as a container, part or m2redient of any other thing.or substance by or for the vendor; or (h) bodily injury or property damage arising out of, the liability of the vendor for its orvn acts or omissions or those of its eraployces or anyone else actir:g oil its behalf. (2) This irisurancc does not apply to any u>- sured person or organization from whom you have acqu-ired such products or any ingredient, part or container, entering Common Policy Conditions endorsement IL0017, A..Canccllation, item 2.b. is replaced by the fol- lowing b. 120 days before the efrectivc date of caacclla- lion if we cancel for any other reason. 6. Liberalization SECTION IV - COMMERCIAL GENERAL, LIABILITY CONDITIONS, the following is ad- ded: Liberalization If we adopt a change in our forr_ts or rules which would broaden the coverage provided by any form that is a part of this policy without an extra CC-715s 12-03 inc}ud.s copyri�ied matcriai of Insurance Services Of.Sce, lnc, with iLs permission. Page 3 of 6 } premium charge, the broader -coverage will apply *hilc rented to you, temporarily occu- -- to this policy. This extension is effective upon the pied by you with permission of the approval of such broader 'coverage in your state. owner,. or managed by .you under a writ- ten agreement with the owner; . — 7. Fire, Explosion, Sprinkler Leakage, or Lightning Legal Liability Coverage (c) That is insurance purchased by you to _ = A. SECTION I -COVERAGES COVERAGE cover your liability as a tenant for property damage to premises rented to A BODILY INJURY AND .PROPERTY you, temporarily occupied by you with —_ DAMAGE .LIABILITY, 2. Exclusions, the the permission of the owner, or managed .last paragraph, is replaced by the. following: by you under a written agreement .with Exclusions c. through n. do not apply. to the owner; or :damage by fire, explosion, sprinkler leakage, D. SECTION V - DEFINITIONS, 9. 'Insured oz lightning to premises while: Contract, item a., is replaced by.thefollowing: I. Rented to you; a. A contract for . a lease of premises. — 2. Tem oraxily occu ed b p pi y you' with However, that portion of the contract for .the permission of the otivncr; or a lease of premises that indcmnifies any person or organization for damage by 3. Managed by you under a written' agree- fire, explosion, sprinkler leakage, or meat with the owner. lightning to premises while rented to you, temporarily occupied .by , you with per - A. scparatc limit of insurance applies to this mission of the owner, or managed by you coverage as described in Section III: - LIMITS under a written agreement with ' the _ OF INSURANCE. owner, is not an insured contract; ' _•� B. SECTION IN - LIMITS OF.INSURANCE, S, Non -Owned or Chartered Watercraft item 6., is replaced by the following: " SECTION I - COVERAGES, COVERAGE A 6. Subject to 5. above, the Damage. to BODILY INJURY AND PROPERTY DAM- Pramises Rented To You Limit shown AGE LIABILITY, 2. Exclusions, item g. Aircraft, in.the Declarations, for property damage Auto Or Watercraft, item (2), is replaced by the to any one premises while rented to you, 'case following: or in the of damage by fire, explo- sion, sprinkler leakage, or lightning while -(2) A watercraft you do not own•that is: rented to you, tempora y occupied -by « '" .' , {a) Less ...than 51 feet long; a..*ad you with the permission of the o.wncz, 1 or managed by you under ; a written (b)' Not being used for public transportation agreement with the owner, is the greater of: , or as a common carrier; a. $1,000,000 Any One Premises; or 9. Chartered Aircraft b. The Damage To Premises Rented SECTION I - COVERAGES, COVERAGE A To You Limit shown in the Decla- BODILY .INJURY AND PROPERTY DAM - rations. AGE LIABILITY, 2. Exclusions, g. Aircraft, Auto Or Watercraft, item (6), is added as follows: C. SECTION IV - COMMERCIAL GEN- (6) An au -craft iu which you have no ownership ; F,RAL LIABILITY -CONDITIONS, 4. interest and that you have chartered with a Other Insurance, b. Excess lxisurauce, (1), crew. u items (b) and (c), are replaced by the follow -Wig: 10, Coverage Territory - Broadened (b) That is Fire, Explosion, Spiiolder Leak- SECTION V - DEFINITIONS, item 4.a., is re- age, or Lightning insurance for premises placed by the following: CG71 S8 12-Q3 Includes copyrighted rnaterial or lnnLance Services orricc, Inc. with i peir[llssia Page 4 of 6 a. The United_ States of America (including its territories and possessions), Puerto Rico; Canada, Bermuda, the Bahamas,"The Cayman Islands, and the'British Virgin Islands; 11. ..Personal and Advertising Injury - Contractual UnIcss personal and advertising injury is excluded from this policy the following applies: SECTION I - COVERAGES, COVERAGE B, 2. Exclusions, item e., is deleted. 12.. fellow Employee Coverage MTION II - WHO IS AN INSURED, 2.a., it(1) is replaced by the following: (1) Personal and... advertising injury; However, subsections (a), (b), (c) and (d) of item' (1) r=aairi unchanged. 13. , Bodily. Injury Definition - Broadeped SECTION V - DEFINITIONS, 3. Bodily Injury -is replaced by the following: Bodily injury means bodily injury, sickricss, or. di- sease sustained bya person including death or mental anguish resulting from any, of these at any time. Mental anguish means •any .type of mental or emotional iLrie.ss or disease. 14. Unintentional Failure to Disclose Hazards SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, ite3n.6. Rcprc,-, to-. tions, the following is added: r� d. If you unintentionally fail to disclose any ha- zards existing at the inception date of this policy, we will not deny coverage under this Coverage Form because of' such failure. However, this provision does not affect our ziaht to collect additional.pre=iium or exercise our right 'of cancellation or non -renewal. 15. Supplementary Payments - Increased Limits SECTION I - COVERAGES, SUPPLEMEN- TARY PAYMENTS - COVERAGES 'A AND B, items I.b. and Ld., are replaced by the follow- ing: b. The cost of bail bonds required because of accidents or traffic law -violations ansina out Of the use of any vehicle to which the Bodily CG715S I2-03 tncludet copy i„a[ed m.stcri3l of Insurance Services a ice, Inc. with iti oe-ision. Injury Liability Coverage applies, We do not have td-furnish these bonds. d. All reasonable expenses incurred- by the in- sured at •our request to assist us'. in' iht: inves- tigation or defense of the claim or sult, including substantiated loss of earnings up to $500 a day because of time off from work., 16.'. Duties in the Event of an Occurrence, Offense, CIaim, 6e Suit - Amended SECTION IV COMMERCIAL GENERAL LLABILITY CONDITIONS, items 2.a. and 2.b., are replaced with the following: a. You must see to it that we or any licensed agent of ours are notified of a General Liability occurrence or offense which may re- sult in a claim as soon as practicable after it becomes known to: (1) You, if you are an individual.; (2) Your partner or member, if you are a partnership or joint yen,turc; (3) Your member, if you are a limited liabil- ity company; (4) Your •executive officer if you are an or- gatiization other than a partnership, joint ' venture or limited liability company; or (5) Your authorised representative cr.insur,- suet rnanaor :Kno.wledge of an occurrence or offense'by persons other than those listed above does not imply that those listed above also -have such knowledge. b. To the cxtemt possible, notice should include: (1) How, when, and where the occurrence or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage ansing out of the occurrence or offense_ 17. Non Employment Discrimination Liability Unless personal and advertising injury is excluded from this policy the following applies: Page 5 of 6 I I 4 A_ SECTION V - DEFINITIONS, 14. Personal and advertising injury, item h. is added as fol- lows: h. Discrimination. B. SECTION V - DEFINITIONS, item 23. is added as follows: C 23. Discrimination means the unlawful. treat- ment of a person or class of persons be- cause of their specific race, color, religion, gender, age, or national oligin 'in com- parison to .one or more persons who are notrrmembers of the specified class. SECTION I - COVBRAGES,.COVERAGE B ' PERSONAL AND ADVERTISING INJURY LIABILITY, 2. , Exclusions, the following are added: o. Discrimination directly or indirectly re- Iated to the past employment, =ploy- ment or prospective empioyment,of any person or class of persons by any insured,• p. Discrimination directly or indirectly re- lated to the sale, rental, lease or sublease' or prospective sale, rental, lease or sub- lease of any dwelling, permanent lodging, or premises by or at the direction of any insured; q. Discrimination, if insurance thereof is prohibited by law; or r_ Fines, penalties, specific performance, or _ injunctions levied or imposed by a gov- ernmental entity, governmental code, law, or statute because of discrimination. 18. Medical Payments Unless COVERAGE C MEDICAL PAY- MENTS, or the products -completed operations hazard has been 'excluded from this policy the fol- lowing applies: A. SECTION I - COVERAGES, COVERAGE C MEDICAL PAYMENTS, 2. Exclusions, item f., is replaced by the fallowing: f. Products -Completed Operations Hazard Included within the products -completed operations hazard. However, this exclu- sion does not apply to expenses for den- tal services. B. Section I - COVERAGES, COVERAGE .0 MEDICAL PAYMENTS, is amended to in- clude item 3. as follows: 3. Limit of .Insurance The Medical Expense Limit of Insurance shall be the greater of: a. I I0,00C Any One Person; or b. The amount shown in the Dechira- tions. cG�t sa t �-aa ;nclndes copyrighted matcnai or Insurance Services Office, Inc, wi&k s pemimon. Page 6 of 6 REQUEST FOR PROPOSAL TELEVISION INSPECTION OF SANITARY SEWERS The City of Santa Ana is soliciting proposals from qualified firms for the cleaning, television inspection and video recording, by means of a closed circuit color television camera, of approximately 300,000 linear feet of sanitary sewer mains. This work shall include cleaning of sewer mains prior to videotaping. PROPOSED SCOPE OF SERVICES — TELEVISION INSPECTION OF SANITARY SEWERS The purpose of this proposal is to obtain a qualified firm to provide sewer video recording services. This project continues the video inventory of the city's sewer infrastructure. The majority of the work will consist of videoing individual sewer mains on an as needed basis. However, some of the work will also include the videoing and cleaning of blocks of sewer mains (approximately 3,000 to 10,000 linear feet. The sizes of the lines to be videotaped vary from 4" up to 24" in diameter. The majority of the work will be performed on mains in the 6" through 12" range with more than 50% of the total work being 6". A. SEWER CLEANING All sewers shall be cleaned within 24 hours prior to videoing except as directed otherwise by the Engineer. Cleaning shall include removal of grease, roots, debris and other obstructions to facilitate the T.V. inspection. Consultant shall use the appropriate nozzle or cutter head, (e.g. high velocity, water jet, root cutter, etc.), to accomplish the cleaning as required for that particular reach of sewer. Cleaning methods shall be employed to sufficiently clean the pipe so the camera can pass and can fully ascertain and document the structural and operational condition of the pipe. Any costs associated with video work that is necessitated by the consultant's failure to sufficiently clean the main shall be borne entirely by the consultant. The consultant shall use a maintenance report form supplied by the City to record the location of the cleaning operation, the number of feet cleaned and the conditions encountered for each section of sewer main that is cleaned. The maintenance reports shall be delivered along with the video, logs and other materials when a designated area of work has been completed. The City reserves the right to use both the comprehensiveness and completeness of the cleaning reports along with the cleanliness of the pipe as evidenced by the supplied video to ascertain whether to pipe was cleaned sufficiently. Any costs required 8 to re -clean either an unreported or an insufficiently cleaned main shall be borne entirely by the contractor. B. TELEVISION INSPECTION: 1. The consultant shall visually inspect, digitally encode video in WMV format (or another format if mutually agreed upon) and provide both printed and computerized logs of all inspected sewers. The log and video formats shall be approved by the City prior to commencement of work. In addition, the City reserves the right, with prior notice and on a case -by -case basis, to require or suspend the delivery of VHS videotape when it deems necessary. 2. The consultant shall use equipment specially designed and constructed for sewer inspection and televising. The camera must have light sources of suitable illumination output to provide a clear picture of the entire periphery of pipe. The camera must be able to be rotated to a position that will assure that the total periphery of the sewer is in focus at all times, regardless of the diameter of the pipe being inspected. The camera, transport system, and other components of the video system shall be capable of producing a picture adequate for the purposes of the inspection as stated herein. The adequacy of the proposed equipment, resulting video and the assessment logs shall be demonstrated to the City, if so requested, prior to award of contract. Cost of such demonstration shall be borne by the consultant. 3. A cable footage counter, accurate to within one (1) foot in 1000 feet, shall be used and shall be indicated on the monitor and recorded on the video. The date of inspection, continuous forward and reverse readout of camera distance from referenced access hole, the upstream and downstream manhole with an arrow indicating flow direction (or the database number, run number and direction of flow), the size of the pipe, the name of the street, the time of day and the project or location name as supplied by the City shall be displayed continuously on the monitor and recorded on the video. The color of the overlay information shall be adjusted so that it remains legible throughout the run. The footage relative to the center of the manhole at the start of each run shall be set to accurately reflect a center of manhole starting position of 0.00 feet regardless of where along the pipe and at what footage the run begins. 4. When specified, videotapes supplied to the City shall be new, NTSC color, high quality on VHS format. All tapes shall be recorded at the EP speed or in special circumstances at SP speed if requested by the City. Digitally encoded video shall be compressed with the WMV format with settings specified by the City. Digital video shall be supplied to the City on stand-alone, hard disk drive systems with plug -and - play capable USB connections. Digital video files, Microsoft Access Database files, PDF report files and disk directory naming conventions on contractor -supplied hard disk systems shall be approved by the City prior to the commencement of work. All disks and related components will become property of the City and shall be included in the unit pricing for producing digital sewer video. 5. Every sewer main assessment shall begin with a view of the open manhole and shall proceed uninterrupted in the downstream direction with the insertion of the camera Z into the manhole with the subsequent sewer main assessment. Recording of video against the flow or passing through interim manholes will only be allowed with prior written approval of the City or when it can be shown that conditions made it unfeasible to lift an interim manhole cover or to record with the flow. 6. TV inspection, monitoring and recording shall only be performed by technicians with a minimum of two years prior experience. The consultant shall furnish qualification details and sample video for each technician so that their involvement in the project can be approved by the City prior to the commencement of work. The use of a video technician not approved by the City will be considered sufficient cause for the rejection of any related work and any costs associated with re-videoing shall be at the contractor's expense. 7. During inspection, the operating technician shall, along with an audio record of conditions, log a computerized assessment of the videotaped sewer. This assessment shall include the location of all laterals, indicated infiltration, cracks, deflected joints, collapsed sections, ex -filtration, misalignment, roots, deposits, and other conditions or data pertinent to the physical condition of the sewer. 8. The computerized format shall be provided as a separate Microsoft Access database file for each quantity of digital video that constitutes either six hours of videotape or a predetermined series of runs (not exceeding an amount equivalent to six hours of videotape) specified by the City. In addition, the contractor shall provide identical copies of the aforementioned printed logs to the City in PDF format. The Microsoft Access database shall include the following: a) An inspection table listing each run number, the name of the operator, the inspection date, weather conditions, City supplied (the next sequential) videotape or database number, address or intersection of the starting manhole, direction of the inspection with respect to the flow, sewer number as supplied by the City, material (VCP, PVC, etc.), diameter of the sewer, length of the sewer, starting manhole ID number and the ending manhole ID number. b) An assessment table listing the run number, starting and ending footage of every observation, applicable assessment code, assessment code translation, additional remarks, starting and ending clock positions of observations where applicable and the time index of the video recording where the observation took place. c) Tabular formats (table names, column names and data types, etc.) shall conform to specifications approved by the City. 9. The consultant shall submit the aforementioned video, electronic and printed reports summarizing all defects and conditions specified above to the City within 10 days of inspection. In addition, the consultant shall retain copies of both the digital video and VHS tape when specified, for a term no less than that specified for the agreement and shall make additional copies available to the City if the copies originally delivered to the City are found to be either defective or incomplete. Upon acceptance of the agreement, the contractor acknowledges that given the quantity of video to be provided and the time it will take for the City to review the video after delivery that the City's request for replacement data or videotape may not be timely. 10. Databases shall be numbered in sequential order with any deliverable VHS videotape reflecting the same unique number differentiating each tape. It is therefore important that the quantity of video itemized within a given database to approximates the amount of video required to fill a six -hour videotape. The starting database number will be specified by the City at the beginning of the contract. Barring any notifications by the City to the consultant of changes to the sequence number, the consultant will be required to keep track of the next sequential number and use it on the tape, the electronic database files and the printed logs. The City will notify the consultant of any changes to the sequence number prior to requesting additional work. 11. Prior to the commencement of work, the City shall provide the contractor a Microsoft Access database of manhole ID numbers, sewer main ID numbers, street names and any other tabular data that the City deems necessary. The City will also provide a bound set of atlas maps that indicate the streets and the manhole numbers that will be used to designate the locations that are to be videotaped. If the consultant encounters conditions in the field that do not correspond to those indicated on the atlas maps he shall promptly inform the City of the discrepancy. If manholes or terminating cleanouts are encountered that are not shown on the atlas maps, the consultant shall use the next available manhole number as shown on the atlas maps for the video assessment and indicate the footage or location where the manhole was found. The City will incorporate those changes into the maps. When changes are made to the atlas maps, the City will provide the consultant with updated sheets. The consultant will be required to replace any modified sheets with those provided by the City and to discard any outdated sheets. When the contract is completed the consultant will be required to return the bound set of atlas maps to the City. The use of non-standard or incorrectly numbered manholes by the contractor in either the database or on the video overlay as shown on the digital video is cause for rejection of both the digital video and the database in which it is referenced and any costs associated with re-videoing of the main, modifications to the video overlay or rectification of the database that are necessitated by the contractor's failure to use designated naming conventions will be borne entirely by the contractor. 12. Any videotapes delivered to the City shall be labeled (on the cassette and also on the cassette storage carton) with the following information: a) Street name or location of sewer if not in a City street, and limits of inspection for each sewer reach included on tape; e.g., McFadden Avenue sewer between Grand and Standard). The City's corresponding sewer atlas sheet number(s) shall also be noted on the label. b) Date of inspection. c) Videotape (database) number 13. Printed reports shall contain as a minimum the following information: a) Date and time of inspection b) Name of consultant c) Names of operating technician/inspector d) Pipe size, material, and total length e) Number and street or intersection location and the City designated number for the starting manhole. f) Number and street or intersection location and the City manhole number for the ending manhole. II g) Direction of inspection (upstream or downstream). h) The videotape number. i) Observations, comments, recommendations, laterals referenced to footage counter and videotape clock (tape counter). 14. At all points within the sewer showing defects, laterals and sewer appurtenances, the consultant shall stop the camera, rotate (up to 360 degrees) and/or tilt the camera lens to ensure adequate video coverage. 15. Each database shall have runs numbered in sequential order starting with one (1). The operator shall proceed to the next run number whenever the camera is withdrawn regardless of the reason, encounters the next manhole, next cleanout or when a run is terminated. Digital video files (one for each run) shall conform to the same indexing system that is used for videotape (database) with each file being designated by concatenating the videotape (database) number with the run number (i.e.: 1179-01.WMV would designate the first run on videotape (database) number 1179). If such naming by the contractor is found to be technically unfeasible, the contractor shall deliver the files, along with any tabular information that would be necessary for the City to automate the file naming process. Any file naming convention that does not conform to the aforementioned requirements is subject to prior approval of the City. 16. Prior to the commencement of work, the contractor shall demonstrate to the City the procedures that shall be used for the inputting of City manhole numbers, run numbers, street names, or any other data that is encoded in the video database and how the quality and uniformity of that data will be guaranteed. 17. The camera shall be stopped and/or backed up to view and analyze conditions that appear unusual or uncommon to a sewer main in good condition. There shall be no loss of video quality at any time. 18. As the video is produced, the technician shall provide an audio narration of the inspection to include identification of the sewer main location, by street intersection location or street address as well as by City manhole number, inspection direction (upstream/downstream) and complete descriptions of the line conditions as they are encountered. The audio portion of the videotape shall be free from electrical interference, feedback, hum, and background noise. 19. If the camera cannot pass the entire sewer reach from its point of insertion, the reach shall be inspected from both directions. The inspection logs for the reach shall include an identification of the nature and location of the blockage. The consultant shall notify the City immediately of any such obstruction so that it may be repaired or mitigated by the City and/or the contractor so that work may proceed. 20. Video runs showing condensation or submersion of the lens, poor or out -of -focus images, poor audio, or otherwise poor image quality shall be cause for rejection and may necessitate re -televising at the consultant's expense if the City determines the video run is not of acceptable quality. 21. In special cases, when directed by the City, the consultant shall be responsible for plugging manhole outlets during videotaping. The sewer lines will be in service at the time of inspection. 12 22. Television inspection of sewer mains with high volumes of flow (pipe running 1/3 full or more) will be done at night between the hours of 10 p.m. and 5 a.m. unless otherwise directed by the City. No adjustment in cost shall be allowed for night work. Notwithstanding, the consultant shall always use whatever mechanical means are available, including modification or changing of the camera wheels or treads, to insure that the image is recorded in an upright, un-rotated position. The City reserves the right to reject any videotape where changes in the orientation of the camera could have been corrected by such modifications or by performing the work during periods of low flow. 23. Traffic control for sewer inspection shall be the responsibility of the consultant and shall conform to the work Area Traffic Control Handbook (WATCH). Flashing arrow boards shall be used on arterial streets. 24. In two (2) working days after being notified to inspect a particular section of sewer main, the consultant shall begin T.V. inspection, and shall diligently pursue that work to completion. In addition, the contractor shall regularly supply an ongoing tabulation of the footage of video recorded, main lines cleaned, along with the associated charges to the City. Such notification shall occur no less than once per week while the consultant is actively doing work for the City or after the completion of designated work, whichever comes first. 13 COMPENSATION The 300,000 L.F. quantity is an estimate only and is shown solely for the purpose of comparing proposals. The City reserves the right to increase or decrease the amount of any quantity shown without any adjustment in the unit price. Consultant shall be paid the unit price shown in the bid for the amount of work actually completed. In special circumstances, the consultant may be called on to provide emergency video service for a specific problem area or may encounter work that is atypical in nature and requires extra time to complete. In such cases the consultant may elect to invoke an hourly rate for services in lieu of the unit price. The City reserves the right to approve the consultant's request for an hourly rate of compensation and shall base its approval on the following criteria: 1. The hourly rate is designed to allow the consultant fair compensation for work performed that is of an emergency or of an unusual or unexpected nature. Such work would reasonably be expected to consume significantly more time than it would take to complete video in most areas of the City. 2. The hourly rate shall be calculated by taking the unit rate for video and multiplying that rate by a factor of 400. 3. The hourly rate may be invoked without the prior approval of the City when the number of feet specified in a single request for video does not exceed 1600. In such cases the consultant may invoke the hourly rate and charge a four-hour minimum. Hourly rate requests for footage exceeding 1600 or for work requiring more than four hours to complete will be evaluated by the City on a case -by -case basis. 4. Requests for hourly rate compensation based on unexpected conditions must be accompanied by videotape or other evidence showing the nature of the delay or difficulty. Hourly rate compensation will not be granted for routine blockages and obstructions that often interrupt the progress of work during a typical day of videotaping sewer mains. These occurrences are to be included in the unit price for video. 5. Hourly rates and unit rates for video may be applied on the same calendar day only if the total number of billable feet, as designated by a combination of any footage billed for video at the unit rate added to the number of hours billed multiplied by 400 does not exceed 3200. 6. Cleaning will be billed on a per unit basis whether or not video services are compensated with hourly rates. However, the City reserves the right to compensate the contractor at an hourly rate for cleaning by using the unit rate for cleaning and multiplying it by 800. Any contractor requests for hourly -rate compensation must be accompanied by either direct supervision of the cleaning operation by the City or by videotape showing the nature of the extenuating circumstances that necessitated it. Under no circumstances will the contractor be allowed to invoke an hourly rate for cleaning without prior written approval by the City. Hourly rates and unit rates for cleaning may only be applied on the same calendar day only if the total number of billable feet, as designated by a combination of any footage billed for cleaning at the unit rate added to the number of hours billed multiplied by 800 does not exceed 6400. 14 7. Hourly rates may only be applied during work performed, including actual videotaping or cleaning of mains and manholes, setting up equipment or traffic control and travel time between video locations within the City. It may not be applied to travel time to the first job location or away from the last job location or for activities unrelated to the videotaping or cleaning of City sewer mains or manholes. 8. The City reserves the right to invoke hourly compensation in lieu of unit rate compensation whenever it deems necessary. Such requests will be made prior to the commencement of work. 15 EXHIBIT B Houston & Harris PCS, Inc. Proposal for Santa Ana Public Works Agency Television Inspection Of Sanitary Sewers Houston & Harris PCS, Inc. was established in June 1988 for the purpose of providing quality video pipe inspection and hydrowashing of sewer, storm drain and water lines to private contractors, engineering firms, municipalities and other government agencies. Beginning as a partnership between Larvin Houston and William Harris and incorporated in September 2002. With the overwhelming growth for the need of our services we have taken the initiative to become educated and up-to-date on the latest technology available. We have increased our staff from 4 to 29 employees and our fleet size from 2 to 15 vehicles. Due to the rapid changes in the video industry we have developed an Information Technology Department to accommodate the numerous deliverable options available. This department is also capable of developing customized data collection programs specific to clients' need. The IT Department has certified professionals with the ability to communicate with clients on all levels of computer knowledge. We use only high -resolution 3-lux color cameras to do all our video inspections. All cameras have the ability to pan and tilt with a 360-degree view of the pipe. We also have a zoom option, which will highlight small defects. This zoom option will also allow us to view down the pipe if we need to see beyond debris that has impeded the progress of the immediate line. All of our operators are familiar with industry standards for inspection of new projects i.e. grout requirements, joint inspections, proper installations of all lateral lines or sub -drain connections, water tight pipe, etc. They have also been trained to accurately mark any and all defects encountered in either new or existing lines. These include but are not limited to offset joints, joints that are missing grout, damaged joints, angular voids as a result of damage, infiltration from weak or damaged pipe, root intrusion at joints or through damaged areas within the pipe. In addition to marking defects operators have been trained to read onsite plans to identify material type, pipe size, along with the structure they are entering with the camera equipment. We have two tractor set-ups to video pipe ranging in size from 6 inch to 120-inch pipe. Using a specialized storm drain tractor specifically for pipe 24 inches and larger allows us to travel over moderate debris. This tractor is capable of turning to avoid obstacles as well as inspect pipe containing sharp radii or square box culvers that conventional equipment cannot maneuver. Houston & Harris PCS, Inc. uses Vactor 2100 Series and Vac -Con combinations cleaning vehicles for all our debris removal projects. This equipment ranges in age from 6 months to 5 years, once again, demonstrating our commitment to keeping abreast of the latest technology in 16 our field. All Vactor units have 9-yard debris tanks and Positive Displacement pumps. The Vac -Con unit has a 12-yard debris tank and uses a 3-stage fan. All combination vehicles have the capabilities of 80 GPM at 2500 PSI. Work Plan Houston & Harris PCS, Inc. proposes the following procedures: Sewer Hrdrowashinp Hydrowashing shall be completed within 24 hours prior to video inspection. Various size nozzles, chain flails, and root saws will be used to accommodate all sizes of pipe for the removal of grease, roots, debris and other obstructions. All cleaning will be done with the flow, starting at the downstream manhole and proceeding to the upstream manhole. Debris will then be removed by vacuuming using one of several combination cleaning trucks. All debris will be disposed at a city approved location. Houston & Harris PCS, Inc. will acquire a water meter from the City of Santa Ana to accurately monitor water consumption. Video operators are in constant contact with cleaning crews to ensure that any line not sufficiently cleaned can be re -cleaned without delay. CCTV Video Inspection Houston & Harris PCS, Inc. trains all video operators involved with each project on the requirements of the City's scope of work to ensure all specifications are met. Televising will consist of real time image capture on VHS tapes to later be converted to a digital format by the City. Operators will give audio narration of all information pertinent to the inspection to include, but not limited to, street name or location of sewer if not in the street, date and time of inspection, name of consultant, name of operator, pipe size, pipe material, address and City designated starting and ending manhole numbers, direction of inspection, video tape number and all observations, comments, and laterals referenced to the footage counter. Inspections of sewer mains with high volume of flow (1/3 full or more) will be completed during a low flow period. All cameras have suitable illumination to provide a clear picture of the entire peripheral of the pipe. Inspections will begin with the camera looking down the invert of the starting manhole. The camera will then be lowered uninterrupted to the center of the manhole. The footage will be calibrated at this time to document accurate footages at all defects, laterals, and manholes. Inspections will consist of assessment of laterals, indicated infiltration, cracks, deflected joints, collapsed sections, ex -filtration, misalignment, roots, debris, and all other conditions pertinent to the physical condition of the sewer. All observations and pipe ratings conform to the US-WRC assessment code format, and all VHS tapes are numbered using City specified designations. All lines that are unable to be completed from the original set-up point will be attempted from the opposite manhole up to it's overlap point. Any lines that do not correspond to the City's database/map will be documented and brought to the City's immediate attention. 17 Data Processing Houston & Harris PCS, Inc. prides itself on quantity with the best possible quality available in the industry. All lines televised, first go through our quality control process to ensure all information, lighting, audio clarity and picture clarity are correct. All data on that line is then put on our data backup/recovery system. This line then goes into its actual data processing phase. A record of this line, when applicable, is cataloged onto a data spreadsheet, which is forwarded to our client daily, for a progress update. This spreadsheet is also sent to our accounting department to ensure all televised lines being billed, have passed quality control and are ready for delivery to the client. From this point the database and all data is processed to meet all clients' specifications i.e.: database structure, file naming, video compression and the reports are printed on our commercial laser printer on premium paper. We have the ability to index these reports on a PDF file for an easy -to -use report, eliminating the necessity to flip through a binder in search of a particular report. The IT department does all of our own in-house Database programming. We have the capabilities to write code in visual basic for tasks as small as, converting our database structure to match clients' existing database structure, up to writing a complete data management software for clients who may need their complete sewer data infrastructure set up. After the data is set up for delivery, it is put on its final media for storage. Our work does not stop upon delivery of this data; Houston & Harris PCS, Inc. remains available to help with the integration of data into our clients' system. Our Information Technology staff is unmatched in the industry with knowledge in computer hardware, software and networking. Traffic Control Traffic control will be the responsibility of Houston & Harris PCS, Inc. at no cost to the City of Santa Ana and will conform to the work Area Traffic Control Handbook. It is understood that flashing arrow boards will be used on arterial streets. 18 Hydro -washing Video Inspection Data Processing VHS Tapes Pamela Houston / General Manager rpm $0.235/Ft. $0.485/Ft. $0.32/Ft. $0.50/Ft. 21831 Barton Road. Cr d'Cerr . CA 92313 (909) 422-8990 FAX (909)-0841 info(dhoustonandhacris.c B Sep 20 04 12:50p .W , 'k Houston&HarrisPCS 9094220841 POLICYHOLDER COPY p.2 STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 09-15-2004 CITY OF SANTA ANA M-21 ROSS ANNEX 4TH FL 20 CIVIC CENTER PLAZA SANTA ANA CA 92704 GROUP: POLICY NUMBER: 127063e-2003 CERTIFICATE ID: 372 CERTIFICATE EXPIRES: 12-01.2004 12-01-2003/12-01-2004 This is to certify that we have issued a valid Workers Compensation insurance policy in a forth approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and Conditions, of such policy. gUrHORREO REPRESENTATIVE PRES:DCNT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - WILLIAM C HARRIS, PRES - EXCLUDED. ENDORSEMENT #1600 - LARVIN B HOUSTON, VP - EXCLUDED. ENDORSEMENT #1600 - PAMELA D HOUSTON, SEC,TRES - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-1992 IS ATTACHED TO A14D FORMS A PART OF THIS POLICY. EMPLOYER HOUSTON a HARRIS PCS INC 21531 BARTON RD GRAND TERRACE CA 92313 sc; D U315-nol SCIr ID]B2E Accept leis cemlcalemly Iyou seealanl walcrrt,aMlwvuatls'OFHCIgL STATE FUND COCl1MENi' RINTEPAGE 10`1 Sep 20 04 12:50p . 11 Houstont,HarrisPCS 9094220841 Fax To: City of Santa Ana Date: 9/20/200412:42 PM Attn: Dave r From: Leanne Hernandez Fam 714-647-3345 Pages: 2 It..Invoice CC: File ❑ Urgent ❑ Please Cerement ❑ Please Reply e Comments: Attached is the copy of the Insurance Cert you requested. Thank you, -'ea m&96*wndc E1 Per your Request 21831 Barton Road, Grand Terrace, CA 92313 909-422-8990 909422-0841 fax HoustonHa nis@hotmeil. com Sep 23 04 10:43a HoustonaHarrisPCS 9094220841 p.2 ACP CERTIFICATES Fax:909-886-0053 SeD 22 2004 15:13 P.02 c n_ CERTIFICATE OF LIABILITY INSURANCE HOVST DATE IMWDDITTTT) 2 09/21 04 PwbucEn THIS CERTIFICATE IS ISSUED AS A MATTER INFORMATION Allsti7 Cooper L Prioe ONLY AND CONFERS NO RIGHTS I F'ON TM ERTIFICATE CERTIFICATE Ins Aq P O oniGy Ina (Lic-0546677) 3200 HOLDER THIS CERTIFICATE DOES NOT ANI ALTER THE CCWERAGEAFFORDEI I BYYHE NO, OrrEND OR. DOLICIESSELOW. ,"aidina.CA 9.,2413.328C, .,,., ',',:. ).;r.: Phone 909-886-9861 Fdx:9D9-BB6-2013 "- ..•.. .:��.': INSURERS AFFORDING COVERAGE NAIC0 m5 - .. INSURmEA Ihtioarl SR«q-rota tY w911nertc "' Haos on 6 Barris PCS Inc ...219310Harton Road'•'' I ..:. Cyan Terrace CA,92313 wsDReR D: ... .. ' "SURER F:. COVERA S . - TNE.POLI ANYRED ' IESOFWSURANCELaTrOBGLOWNAVEREEMILWADMD RINSURMURMEDAYDVE FORTIRE POLICY PERIOD INDICATED. IRF1N9n, TERM OR CONOITION OF ANY CONTRACT OR OTHERDDCUMENTWTH RESPECT.iD WHICH THIS CERTIFICATE MAY BE IS UEDTNIp OR 0' MkTPER AM. THE WORANCEAFFORDEDDYTHE POLICIES DESCRIBED HEREIN IS SUBIECTTO ALLTHE TERMS. E)(CAMMIONSNFD.CONDrFI 8OF SUC - POUCE AGGREGATE LIMITS SHOWN MAY WIVE SEEN REDUCED BY PALD CLAIMS, LTR TYPe OPW E PMMYNUMBER T• YMN DATA WIM N LIMIn UAaNTr EAOI • CURREN s'1 DDD 000 A X I COMBERCULOENERALLLABILm� «AMt MADE DDOCUR MX80829622 � D6/26/OQ �`06/24/05, P S(E• $100 U00 WED E14'wMcn Tay.:' a5,000 PERBONALaAOY" 'sl 000 000: GemEWAGGREG47r $ 2 , 000 000 . 'NL.f.DREOa7e LNE'F AIYLIES Pete PROOU TS-Cbor AOO 'E2 DDD;DDD-- PDUCY Peer LDc .. A MO•EE LJAREMY ANY AMD _ NMX80829622 06/24/04 06/24/05 crne•DE•SMwLE C AIII Fnt) IMrt . E1,000,000 ALL OWNED AUTOS 9plPna cn AllT09' '. GODLY 1� PUuW, s , HIM ALROS NON-OWNEb AUTOS . I BODILY miJURY " (PN DAMAG ... s - . ELLMLITY - - _ .. ARID LY'i PAA DENT 3 ANYA)TD . - OTHER AL?70 C .. SLY. I, EA ACC E AGO 't.' 5 MFRLLN LNBEfrI OCCUR CLAIMS MADE .. XEKOOO85758233 06/24/04- '.. 06/24/05 EACH• ' N LSARE C `7Q DD D, DDD AGGRE ATE et 000 000 DEwDnBLE ;� .- k -RETENTION S . S EM R:OMPEN•ATON BE'LIA•WTY / _q., .. fG - �� .': •LIMITS E : . . 'OF MEAGER EXCLWECIfiIYE ED, RunaOWSIONSbAYa.ELO L ,II _ __ T - E.L DIS ASE - EA M IFLOYEE i' .P UMTe9t Floater MXI9840187 - 06/24/04 06/24/65 as be ow TEP�t Section M=6829622 - 06/24 D4 06/24105 O►ORABADDEDWENDOs pertaining 'to named"visored for certholder.anta Ana and its o£fYcera, agents, iapresentat.ivea, volunteers, are add' 1 iasd/prim wrdg, as rraspeets gen r 1 liab - - •30 dimys N OC except 1D daye for non-payment of premium.' '. - - (%kTW4CkTErNOWM .. CANCELLATION. :. :..... .... . CIS"06 BHOULDANY OF THEASDVB MUREM PO L ES bEC GELLED BEFORETNEOIPLRATION . City Of Santa Ana - � M-21 Besa Annex Qth flr DATE TNEREOP, THIS asum UMURtRwR CE 'NOTToTim CERTIFICATE HoLDERNASIM HAD. *30 oAyEwRwre, To THE LEP, 20 Civic Centar Plaza. Santa Ana CA 92704 - - WORD 2 (2001l0S)_ .. .. .. 0 A,MRD CORPORATION 1989 Sep 23 04 10:43a Houston&HarrisPCS ACP CERTIFICATES Fax:909-886-0053 9094220841 Sep 22 2004 15:13 P.03 p.3 bbird POLICY NT:,XM MZX 0829622 .. .. ... .. . Piamed Tasorai Segomtl}t � 001. ,8OU8TON i B�ART_4 PCS t„ � .. .. ... . .. CJ rffectLI0 Ef£e0tive •12-01.ostandard 612 /04 .1SS+APT_ .. 7ather me va4/Od Time attha address of the insured Thie is an Redoreement only. Other than chnngas ehoan, all a e41a4 ocve.-'age re lmx in full force and affect. Prmium adjustments else s ' PRSHZfiM S97pd aAYa - . JIDDrTSoetAL PRMMCTr1t DG8 POR. Tarrorism Vex *muraewe Ant -Certified Act. Coverage - .. . All CavermH-x &=I *0 -]Tat Oa mrad .. .. - ' Iatlude:r CALIPORMIA Surcharge of .. The Premium shown,inciudae Adjustahle Premium(s) Refer to PremiLl. Ads meat Information attaalied. .. .. Tin folloriag other Gon. al Liability aadaroas@nt(ml„.ate added to the p01i cX_ ... � xPP1T .e ebo.Tr<. .... ADDITIMAL =SpR-1$D, cunnneMOIT Isom - 0869 - - - - . .. I990 MUM COKSMY: Nl.T--MML SDRSTIC CORPORATION TAI9 E1®OR9L9 MODIPIS9 8UC8 IN9URAttCE as IS 71e"rownp SY TFM PROVISICNS OF POLICYXZX40829,¢22 RRLi.TING To TSB FO7d.0'9S% . I. TB8 CYTV OF SANTA AM, 10 C7v C CEWlCA PLLZA,..&%W=. WAI. _ CN.IFORKMA "701, ITS OXPICOLS, MWILCYEe3, AGMEWS • RP.PRFSMMATIVES ARE »D AS ADDITIONAL IRHOAEDE("ADDITI . INSOJUMM•) WITS 22mtAD TO IxAn7maTY'MID AEFSNSA OFTITS: ARISING FROK "M OPVRATIONe AED USBS 'v3wxOBMED' BY OR OW REM" OF TO 1@XW ntsmm. -. 2. WI= RESPECT TO CLAIMS ARISING 07Z OF TER OPERATIONS AXD . USES MZGPJGM BY OR 08 &EEALP OF TEE MAO49 INSMD, MCK IXEMPAMS AS IS Ayr== SY -Tf{IS POLIOY IB MIMARY �= I8. mat-WDITIONAL To OR CMMrAOTINO NITR ANT OTXMt IN E .' C!"21RD BY OA FM T_M BSN£PIT OP TBZ AWITIONAL .S'. .. 3. TJQS TRMMANCE APPLIES SEPARATELY TO RACK TN$V= WOOK CLAIM IS MADR OR SUIT IS 370VO cr EXCEPT VITH - CT \� of AS1dTvd:ad A �2Cnumtewl8natmc Duc 9 21 {04' ?rodnea AVSTIN COOPER & PRICE Va. AGENCY, INC. _ .. 2.0; BOr 3180 .: .. '. :.. .... •• 4EN WSRATDt1TMh 'f2 a]XaR Sep 23 04 10:43a Houston&HarrisPCS 9094220841 p.4 nor LtniiricAitS Fax:909-BB6-0053 Seo 22 2004 15:13 P.04 FT POLICY NTMJMR MZX80829622 Named, lumd . ... .. .. BaOETOH Q,aS�RXS .PCs. INC ..... ADDITIONAL n6URW. UDaRSMQzMI ... TO TAII , COA@M'S 1,IHIT8 O! LMILITY. "M INCS.9SYON ANY IMAM OR OROAVZ=XON AS AN nrgmu O sm= 8O'1. .... .. .. ANY AMT N.RICB G=R PERSON OR ORANIZATTON WOULD HAVD AS, . A CLAtba IF NOT SO IPfCLOOBO_ 4_ WITH FE9PECC To TFiH ADDITIONAL IM&ORRB, THIS IN BSRLL.NOT AX CAM MM, OR maTnXALY R ucgo IN .. Ole LIN= rvmr T Mm '1TY OF - (30) OARS i20 CIVIC C ' :lA9 88EN 61'VPSf TO Tiffi CITY OF kANTA AIA. 2li CIVYC .. PLXM, MART? ANA, CALIPORNIA 92701 SFFECTIVs 6/24y04 T= mma"2ENRXT POEM As PBRT'O. _.. P=XC t NO= .HZX808 Z YSSDED TO =OSTON .AIM EMR13 PCB. INC_ .. . .. . ... CSANG^a MMO=2ZfMT COOTMIED ON PAGE 3 P 2 acoRD CERTIFICATE L. LIABILITY INSURANCE ROUST 2 DA 09/09/ 5) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Austin Cooper & Price ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ins Agency Inc (Lic-0546677) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 3280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, San Bernardino CA 92413-3280 j Phone:909-886-9861 Fax:909-886-2013 INSURERS AFFORDING COVERAGE 'NAIC# INSURED � l.nAA� INSURER A: Natroml surey m_-pora_non -vI' INSURER B: Fireman's Island Ins Houstn & Harris PCS Inc -� INSURER C. Redwood Cire antl 2183ioCasualty Inc. Barton Road INsuRER D Grand: Grand Terrace CA 92313 INSURER E COVERAGES THE POLi LIES OF INSURANCE US[ _U BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P=RIOQ INDICATED. NOTWITHSTANDING ANY R201.1'R[MEN T, TERN DR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT W9TH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY "ERTAIN, 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 RFDIICED BY PAID CLAIMS. tN5RA00 LTR NSR TYPE OF INSURANCE I POLICY NUMBER —POLICY F DATE MMIDDIYY u Y PI A N LIMITS DATE jMMI GENERAL LIABILITY EACH OCCURRENCE $ 1,090,000 A X X COMMERCIALCENERALLIABILI-Y MZX80844752 06/24/051 06/24/C6 IPgEMlses fEaec:urence) 'S_l_00,000 CLAIMS MADE FX OCCUR LIED UP (Any One Perscm) S 5 , 000 PERSONAL 8A➢V INJURY S1,000,0010 GENERAL AGGREGATE $ 2 , 000 , 000 GENT AGSRF-GAIF I IMIT APPLIES PER FRODUCTS-COMPIOPAGG 52,000,000 POLICY FRO- 1 LOC L-CT F _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1I 000, D00 A X ANYAUTO MZX80844752 06/24/05 � 06/24/06 (Ea awtlenq BODILY INJURY $ A_L OWNED AUTOS SCHEDUI ED AUTOS (Per person) BODILY INJJRY S X HIRED AUTOS - X I NDITOWNED AUTOS (Pet ac d.Ne PROPERTY DAMAGE -_ - (Per acotlent) $ GARAGE LIABILITY AUTO ONLY - EAACIDENT $ ANYAU70 GTHER THAN EA ACC-' $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4 , 000 , 000 B IX IOCCUR ❑CLAIMS MA7IF XAE69114882 06/24/05 06/24/06 AGGREGArE I$4,000,000_ $ $ �..-- DEDUCTIBLE $ RETENTION S WORKERSCOMPENSATION AND X' dORV LIMBS ER C EMPLOYERS' LIABILITY W5934598 09/07/05 09/07/06 E.L. EACH ACCIDENT - S1,000,000 ANVPROPRIETORIPARTNEWEXPCLITIVF .. __. _ S 1,000,000 OFFI CERIMEMBER EXCLUDED> HOHX IVMv Ic:NewAL ONLY E.L. DISEASE- EA EMPOYEE S ?ECIALPROPROm510NBLdcw 'EL. DISEASE-POLICYLIMIT 41, 000,000 OTHER B Equipment Floater MZX80844752 06/24/C5 06/24/06 See Below If A Property Section 06/24/05 06/24/06 Applies DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES, EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations pertaining to named insured for certholder. City of Santa Ana and its officers, agents, representatives, volunteers, & employees are add'l insd respects gen'1 liab per CG7158 12/03. 30 days N O C except 10 days for nonpayment. ff I CERTIFICATE Ci�y Of Santa Ana M-21 Ross Annex 4th flr 20 Civic Center Plaza Santa Ana CA 92704 CI nl. AND 6 SHOULD ANY OF THE ABOVE OESC.RIHFD POI KIPS RF CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDR VOI MAIL 30 _ DAYS WRITTEN � i NOTICE TO THE CERTIFICATE HOLDER NAMSrO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF trIJY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES I ACORD 25 (2001109) 2,d .Q 1 J22:2o 90 Ei deW 1MultiCoverll - CG 71 SS 12 03 Policy Amendments) Co=_ercial General Liability Coverage Form Your Commercial.Gencrxl Liability Coverage Form is - (3) Coverage B does not apply to per- r-vised as follo-ays: sonal and adyertising,injury arising out of an offense committed before' 1. Broadened Named Insured you acquired or farmed the organ- ization. A. SECTION II - W110 1S AN INSURED, item 4., s replaced by tqe folowi _ - B. SECTION II -'WHO IS AN INSURE.^., the lit. paraaph,is zeplzceaby the following:: -. -^. Amy organniiation that you own at the inception. of this policy, o: newly acquire No person or organ- ation isan insured with or form during the policy .and respect to the conduct of.any current or past .period, , over rvlvch you maintain durssg the ool- ' pa`tae:ship, .lomt veatuie, or limited- liability - - icy period majority owncrship or major-' ,company that is,act shaven -as a -Named Ia- ity L.ferest, -will qualify ,as a. - Named sured inthe Declarations. However, this does Insureds: - not apply. to. a limited liability. companythat - e - meets ail ofthe conditions .inSection I1 - a. Tacre is no other similar insurance Who Is An Insived, item 4., above.. available to that organization; and ' Additional Insured b. The first Narmed Insnred shown Ln SECTION II - WHO IS AN INSURED, sub - the :Declaratror_s l as the respons - sections.2.c. is added as, folluws: ability of piacirg insurance for that . , organizanon; and - C. - Any person or organization is included as an - additional insured, but only to the extent s: Ch c. That cr=znizatior, is incorporated or person or organization is held Eabiet•:for organized under the laws of the bodily injury; property damage or personal and -United States of Arricric a. _ . advertising injury caused by your acts or omissions: With r_spect to the insurance af- However. forded to such insured, all of the following provisions apply: - (1) Coverage under this provision 4 isadditienal afforded only until ti next occur- (1) You and such _ person or orgarnzation .. _ ring annual anniversary of the be- have weed in 2 written insured contract ginning of the policy period shown that such person or orPanization be in the Declarations, or the end of the added as an additional insured under this policy period, whichever is earlier; policy; and (2) The bodily injury, property darnage or (2) Coverage A does not apply to bodily personal and adyertising injury for which injury or property damage that oc- said person or organizatioa is held liable Hazed before you acquired or occurs subsequent to the execut:en of formed the or=,,,;>xtion; and such insured contract; This For� must be areached to Chi .,e Endorsement when issued aieer the noGcy is tvn[ter. One or the Firertac's Fur:3 Iuwraac^_ ,,^,onip:mires as mined in the po:icy O 17 Se -e!ary ?revden: CG-lis 1403 3_ncln�tz cov)r.=hxL antcaal 4f' 1,zac S..-de 03i:e, 3c. 6•d Page I Of 6 daa:ao 90 EI Jew (3) The mast we will pay is The lesser of behalf of the additional insured at either the Limits of Insurance shown in _ the site of the covered operations, the Declarations or the limits of insur- has been completed; Once required by the insured contract, (c) Which takes place after that portion Such person or organization is an insured of.your work out of which the injury only with respect to: or damage arises has been put -o its intended use by any other person or (a) Thcir ownership, maintenance, or organization other than another use of that part of the premises, or coat actor or subcontractor engaged land, cwntd by, rented to, or leased in performiag operations for a prin- to you, except such person or or- cipal as part of the same proiect; _anicaticn is not an insured With re- spect to structural alterations,. new (d) Raich ta'.,es place after the expira- construction or demolition oper- lion of any equipment lease to - ations performed by or on behalf of which (4)(d) above applies; such person o. organization; (6) TVith respect to architects, engineers or (b) Your ongoing operations pedormcd surveyors, coverage does not apply to for that insured; bodily injury, property damage or per- sonA and advertising injury arising oat (c) Their financial control of you, ex- of the rendering or failure to render any ceps such person or organization is professional services by or for you, in - no' an insured ivith respect, to stnrc- eluding: teral alterations, new construction or demolition operations peribrmed (a) The preparing, approving, or failing by or on beha-Y of such person or '. to prepare or approve, maps, shop .organza?ion; drawings, cpamons, reports, surocys, field orders, change orders, or draw- (d) The maintenance, operation or use ings and specifications; . by you of equipment leased to you by such person or organization; (b) Supervisory, inspectio,' arch tec- tLind, or engineering services. . (e) 'Operations performed by you or on ; your behalf and for which a state or However, if. an Adaitional )assured endprsemem is - politics' subdivision has issued a attached to this policy that specif, ally narnes a._ permit, provided such operations are . person or organization as an insured, then this - not performed for such state o.-pol- subsection 2.e. does not apply to such person or itical subdivision, and are not in- organization. c'_uded within the products -completed 3. Additional insured - Vendors operations hazard; Unless the products -completed operations hazard (5) This :assurance does nor apply to bodily is excluded from this policy, SECTION 11 - Vie rlO injury, property damage, personal and IS AN INSUl°.ED, itera'_.g. is added as follows: advertising injury, occurrence 01- o$ensc: (a) T%1_,ch talccs place at a partin..iar premises after you cease to be a truant o_ that premmises; (b) IWILuch talcs place after aL work, in- dcding materials, parrs cr equip- ment f-=shed in connection w;1t such work to be performed by or on g. .Any vendor of yours is included as an addi- tional insured, but Orly with respect to bodily iniury or property damage caused by your products which are distributed or sold ir the regular course of the vendor's bus.ness, s❑b- iect to the fofowing additional exclusions: (1) The insurance a"_ordcd the vendor does not apply to: CG"l is s_-o; lrx'udcs vn,)n�ntd mmenJ of !r�a�no<Scrvi ¢e OiSe, inc, ei _. ies o-.^scion. :�a_'P, of J y•d daa:zo 90 61 Jew (a) Bo;iiiy injury or property damal-e for Which, the vendor is obligated to pay damages by reason of the assump- tion of liability in a contract or aEreement. This.exclusion does not apply. to E•abihty for damages that the vendor would have in the ab- sence of the comract or agreement; (b) Any express warranty unauthorized by you; (c) Arty physical or chemical chaa2c in The product made intentionally by the vendor; (d) Repackaging, unless unpacked solely for the purpose of inspection, dem- onstration; testi.g, or - the substi-tution of pans under instructions from the manufacturer, and then re- packaged in the prigiaal container, (e) Any ,failure to make such in- spections, adjustments, tests or ser- vicing as the vendor has ageed to make or no—nnialy un irrakos to makein the usual course of busi- ness. in connection with the distrib- ution or sale of the products; ( .. (f) Demonstration, installation, servic- ing or repair operations, except such operations performed by the vendor in full compliance with the man- ufacturer's -ptitten rrs:truction, at the vendor's p=ises in connection with 2e sale of the product; (g) Products which, after dlstrrbL'ticn or sae by you, have beta labeled or relabeled or used as a container, part or ingredient of any other thiag or substance by or for the vendor; or (h) Bodily injury or property damage arisuig out of. the Lability of the vcr_do: for its own acts or c:iiissioris or those of its employees or anyone else actirg on its beha�t_ (2) This insurance does not apply to any in- sured person or or.=iz7ation from whom ycu nave acquired such products or any urgredicac, part or container, enters; cc?:ss t' Ci g•d into, accompanying or coataiain; such products. However, if an Additional Insured - Vcadors endorsement is attached to this policy that specifically names a person or, organization as an insured, then -his subsection 2.g. does. not apply to that per. sor. or organization. S. Waiver of Subrogation SECTION IV - COMiMERC.AL GENERAL LLABILITY CONDITIONS, icm S., is replaced by the following: _ S. Trarsfer of Rights of Recovery AEainst Oth- ers to La and Blani:et Waiver of SubroEation a. if the insured has rishts to recover all or part of any payment we have mace under this Coverage Part, those rights arc transfeced to us. T'ae insured must do nothing after_ the loss to impair those rights.. At our request, the insured will b_mi.� suit :or iransfc; 'those rights to us and help us enforce them. b. If reouired by a w?tten'insureil contract executed prior to the occurrence or of- fense, we waive any right of recovery we may have against any person or organ- ization named in such insured contract, ,'because of payments we make for injury or damage arising out of your operations or your work for that person or orsan- ization. - 5. Cancellation - 120 Days _ Common Policy Conditions endorsement IL0017, A. Cancellation, item 2.b. is -enlaced by the fol- Icwing: b. 120 days before the effective date of macella- tion if we cancel for any oche: reason. 6. Libel alizirriea SECTION IV - COMMERCUL GENTEIL;I., LIABIITn' CONDITIONS, the following is ad- ded: Libc; alization ff we adopt a change in our forms er rules which would broaden the coverage provided by any form that is a parr of rfi s policv without an extra ?"7ofn d6a:ao 90 61 Jew ` premium charge, the broadercoverase will apply while rented to you, temporarly to this policy. This e; en zon is efective upon the _ pied by you with pemvssion of the _ approval of such broader coverage in your state, owner,, or married by you tend_.- a w-h- ?. Fire, Explosion, Spriri iJcr Leakage, or Lightning ten agreement with the owner; — Legal Liability Coverage fc) That is insurance purchased by you to A. SECTION I- COVERAGES, COVERAGE cover you liability as a tenant for A BODILY INJliRY AND PROPERTY property damage to premises rented to DAlvLAGE LL43ILITY, 2. Exclusions, the Yon, temporarily occupied by you with last nara2raph, is rcplaccc by the,followinp:: the permission of the owner, or managed by you under a written agreement with Exclusions c. through n. do no: apply to ,the owner; or danuge by fire, explosion, sp-inkier leakage, D. SECTION ti - DEFIVZTIONS, R, Insisted or lightning to premises while: _ Contract, item a., is replaced bythc following: 1. Rented to you; a. A -contract for a lease of premises. 2. Temporarily occupied by you with the However, that portion of the Contract for permission of the owner, or a Lease of premises that indemnues any person or organization for damage by 3, Managed by you trader a written a=ee- fire, explosion, sprinkle leakage, or men, with the owner. lightning to premises while rented to you, - - temporarily occupied by you with per- A separate limit of insurance applies to this raission of the owner, or managed by you �wifn coverage as described in Sec,.'On IT - LI_M[TS under a written - agreemen{ the OF INSURANCE. owner, is not an insured contract; SECTION III - LIMITS OF INST3R_A.NCB, S. Non -Owned or Chartered Watercraft t� item 6., is replaced by the following: - 1 .SECTION I - COVERAGES, COVERAGE A 6. Subject to 5. above, the Damage to BODILY INJURY AND PROPERTY- D-kM- Pre_-.ses Rented To You Limit shown AGE LL9.BIL_'TY, 2. Exclusions, item g. Aircre., in the Declarations, for property damage Auto Or Watercraft, item Q2 , is replaced by the to any one premises while rented to you, following. or in the case of damage by pre, explo- sion, sprio-Utr leakage, or fi�tning while (2) A watercraft you do not own that is: rented to you, temoora;i,ly occupied by (z) Less than 51 feet long; and you with the perm ssion of the owner, or managed by you under -a written (b)Not being used for public transportation a-arcernent •xith the owner, is the ¢eater or as a commor. cz*rier; - Of: 9. Chartered _Aircraft a. S I,000,00C Any Ore Premises; or SECTION I - COVERAGES, COVERAGE A b. The Damaee To Piesiscs Rented BODILY .IINJURY AND PROPERTi, DAM - To You Limit shown is the Decla- AGE LIABILITY, 2. ESCILEioas, g. Asia$, reions. Auto Or Watercraft, item (6), is added as follows: C. SECTION IV - CONFNERCLkL GEN- E (6) An aircraft in which you have no ownership EF_SL. L,IC>EILITY CONDITIONS, 4. ;merest and that you have chartered with Other InsiLance, b. E>:cess Lusuauce, (1), crew u items (b) and (c), are replaced by the follow- 1 10. 1 Coverage Territory - Broadened (b) That is Fire, Explosion, Spraklc: L-al- SECTION V - DEFINITIONS, item 4.a„ is re - art, or Lightnina ins, -trance for premises placed by the followiao: cal:ss ❑43 - - L^cluck• ca ny-i�nm[ r_t_-ns' cf Invz�:c 5-,-v.ca pf:i cc, ! c, xi to i� _ac.-i'-'s.o^.. pa'C a oI E 9,d d62:20 90 61 Jew a. The Lni:ed States of America (i:.c:uding its tarrtories and possessions), Puerto Rico, Canada, Bermuda, the Bahamas, The Cayman Islands, and the British Virgn Islands; 11...Personal and Advertising injury - Contractual Unless personal and advertising injury is excluded from this policy the folicwirro applies: SECTION I - COVERAGES, COVERAGE B, 2. Exclusions, item e-, is deleted. 12. Fellow Employee Coverage SECTION II - WHO IS AN INSURED, 2.a., item (1) is replaced by the following: (1) Persnnal and advertising injury: However, subsections (a), (b), (c) and (d) of Sttm (1) remain unchanged. j� 13. Bodily Injury Definition - Broadened SECTIOI\ V - DEFINITIONS, 3. Bodily Injury (\ is reoiaced by the following: �Y Bodily injury means bodily injury, sickness, or. di- sease sustaL'1ed by -a .person including death or mental a: aguish resultiz:o from any of these at any a . time. Mental anguish means any .type Of taental '- or emotional illness or disease. 14. Unintentional Failure to Disclose Hazards SECTIOl\ IV - COMMERCLAL GENERAL LLABILITY CONDITIONS, item6. Represcra tions, the following is added: d. If you uniateudoually fail to disclose any ha- zards existing at the inception date of this Policy, we will not deny coverage under this Coverioe Form because of such failure. However, this provision does not at=ect our to collect additional orevoium or exercise our right of cancellation or non -renewal. li. Supplementary Payments - Increased Limits SECTION 1 - COVF,RAUES, SUPPLEMEN- TP_RY FAYMRNITS - C:OV RAGPS A AND B, items l.b. and l.d, arc replaced by the follow- b. The cost of bad 'ponds mean red because of - accidents or teak 1_w vioia:ions ar-sing out of the use of any vehicle to which the BcdEy cc?ss !=-es �•d Irjury Uabiity Coverage applies. We do not have to fu-nis'n these 'bonds. d. All reasonable expenses incurred by the in- sured at our request to assist us in the inves- tigation or defense of the claim or .Suit, including substantiated loss of earnings up to 1500 a day because of time off from mark. lo'.Duties in the Event of an Occurrence, Offense, Claim, or Suit - Amended - SECTION :V COMMERCIAL GENEIL=-L LIABILITY CONDITIONS, items 2.a. and 2.b., are replaced with the following: a. You must see to it .hat we or any -licensed agent of ours are notified of a General , Liability occurrence or a$ense which may rt�- suit in a claim as soon as practicable after it becomes known to: (1) You, if you are an individual; (2) Your partner or member-, if you are a partnership or joint venture; (3) You: member, if you are a limited Iiab2- iry company; (4) Your executive officer if you are an or- eanization other than a partnership, joint venture or limited liability company; or (5) Your authotiied representative or inzar- ance manager. Knowledge of an occurrence or offease'by persons o+tier than those listed above does not ir✓p'.y that those listed above also have such etnow1^d2t- b. To the extent possible, notice should include: (1) How, whoa, and where the occurrence or offcase took place; (�) The names and addresses of any injured persons and w unesses; and (3) Too nature and laca.ioa of any =jury Or da-mage ansing ou: of the occurrence or offense. 17. Non Employment Discrimination Liability } Unless person:-[ and advertsing iaiury is excluded from this policy th_ following acpLes: d62.20 90 61 deW i i A- SECTION V - DEFINITIONS, 1?. Personal and advertising iniury, item h. is added as fo'- lows: h. Discrimination. S. SECTION V - DEFINITIONS, item 23. is —' added as follows: 23. Discrimination means the unizwfuitrcat. went of a person or class of persons be- cause of their specific race, color, religion, gender, age, or national origin in com- parson to one or more persons a$o are not members of the sj:= cd class. C. SECTION I - COVERAGES, COVERAGE B PERSONAL AND ADVERTISING 1NrJURY Ld kBILITY, 2. Exclusions, the followinc are added. o. .Discrimination directly or indrectly re- lated to the past employment, employ- . mcm or prospective employm^nt of any person or class of persons by any insured; p. Discrimination directly or indirectly re- lated to the sale, rental, lease or sublease or prospective sale, rental, Lease or snb- lease of any dwelling, permanent lodging, _ or premises by or at the direction of any insured; g. Discrimination, f insurance thereof is prohibited by law; or r. Fines, penalties, specific performance, or injunctions Lvied or imposed by a oav- emnicntal entity, govern.-nentai code, law, or statute because of discrimina[ion_ 16. Medical Payments Unless COVERAGE C MEDICAL PAY MENTS, or the products -completed operaticns hazard has been excluded from this policy the fol- lowing applies: A. SECTION I - COVERAGES, COVERAGE C MEDICAL PAYMENTS, 2. Exclusions, item f, is replaced by the following: f. Products -Completed Operations Hazard Included within the products -completed operations hazard. However, this exclu- sion does not apply to expenses for den- tal services, E. Sectinr- I - COVERAGES, COVERAGE C MEDICAL PAYMENTS, is amended to in- clude item 3. as follows: 3. Lunt of Insurance The Medical Expense Lunt of Insurance shall be .he zTeater of: a. 110,000 Any One Person; or b. The amount shown in the Declara- tions. `ice 717 CG71 JH li-0' n:.mrzzi On. '� ti g • d dE2:00 90,61 �eW Oct• 03 07 09: 13a prom pA"Wa henry %K MLRYn Vcm*w a naa< msuamw m9wwy r�mu. awr•000-�++w •u ..... scow CERTIFICATE OF LIABILITY INSURANCE °"1D a""' 2"Q; PPIDWA at Alliant Insuranaor 8orvicas , Xime (Lim-0C3"63) P O Iles 3280 San Bernardino CA 92413-3200 Phone.-904-886-9064 Psx:904.886-2013 TM CUMMATB E NUM A3 A MATTER OF MKWJ IITM ONLY AND CONFIEt6 NO ROM NPON THE CERTIMATE HOLDER THO CERTIFICATE DOE.! NOT AMEND. EXTEND OR ALTER THE COVENNIM AFFORDED BY THE Mum BELOW. MMMAFFORD00GOVERAW�* baufto Houston i MarziLs P" 21SOMA 6oD 21 mace U 82313 .rtuRsaeA: iiir4 I ruod Ins Go - wa1/MRe Vstasw1 •wsq r rpw"Aa. • eu ILL9Lf1ERe COVERAGn t11E►OlICE90FarmOR/alteuateDeELC1RrMA11taeeag1'Or TOT11LFORM aAl® ARM FORTHEVOucYFIFAIM00CA1TED-10TWITIt MINIq AWRWtMtBWV,TEfMORCOMOLTId10FfiNCOU?MaCROTHMOOCUMDOVAMRESP=To C111Ti}faCOVICAT&MVIIIENIIEA011 Low PERUK D* 61 I1MMCEAFFORDW BY PMb=nE4C1aEED MH1110615Va,L0 TO ALL TIST8MIR=MWItlGMLOMMI 000 OF SUCH POUML 0400 ATaumasnemm RRA ism MEN A=U=8VPMCuww lPOUOYM11mlR -ran quu% LTR MHTYPE umn GINVALLPMUTY EACIIOOCLNIe10E $1 000 000 3 X X C-MR-Gff"-utss" N=0875849 06/24/07 06/24/01 4100,000 �uA.earwE QocwR NMOFWVone Pellet) iS 000 P1110110maAL—uty 52,000 DOG GeNHftAGW11*HE s 2 000 000 (;EifLA001F91PELAifAPPLIFSP PRofR,cls-LTORiYOPAAO $2 000 000 POt1L7 LOG 3 AUVONORMLJAM.tlV X AWAMIO MZX00675849 06/24/07 06/24/08 �L"T a1+000,000 AIL OVOW AUMS SCHMULMAMa70 IFr►Ee/Lo° _ X INED AUIOS X Pa+w iEua►ros 110my INQUIRY cPr f eOUVA E : OARROE_LwRrtY AL71OtMAY-6►ACC7QEM i AIPf AUiD DTI+FTLTwM �� AMOWY: At:G s 3 SLilowa . .AR.RE,L►LRA.L^Y ❑ wrMS— 17Dues9104897 06/24/07 06/24/00 EMA OCDAFOU $ 2 000, GOD AMAE9ATE s 2 000, 000 RErOLna' >t s TCpRa�pliATggAMD met,ora` LwLm u Est ffl.EACMACCVfW S Of7.Ol�EXCILOE F-L.ONFAK EAEIMtOr t eeelYc•nee, FL015VJE-P0U6YL9ff 3 PROrNrfllselrr A BgLRipalsat gloater MMO860171 06/24/07 06/24/09 see Below If Applies A Pr IME220060171 06 24/0 006/24/00 sea Below If lies 66idtlP"MOFLIPmhvw M=160CJLIa iVoNeCMflifLLN1011fAGMW 1lR7\IP�IAppIK Operations perta+nimg to named insured for aertholder. City of Santa Ana aad its ofrioara, agenta, rupwesentatives, volmteess, i "VID3 04/� Aa d I I it pr�wzdq Z*spects 9oa' I liab per C97258 12/02 c Y-paYmeat except 10 days HOC for non-PONVAUt. Hall A Voids prior oertificato issued 07/10/07. f_Ra'rEw-A 7i Amu -- City 0t Santa Ana M-22 Roos Annex 4th fir 20 Civic Cantor plaza Ssntz Ana C>R 92704 25 CISAp06 �RA������feEDPOIJCESBEQAM[Y1LfOmfPORl71EE]ItiIATiOL 041MT1ERIMF.Vi aggew1Rs/®tvat9110EA1PORVOR1VL 3011 OAVOWOr l 110110E?OWE CEJ MWAVEUMMLMUWTOVMtar,MffFALIaMTO00l03kat 980EMOa1LMAMMORUABLWOPAMY$M1lOMnrLwmLmm ,ns AGf11Ta OIL Poo .6091M.16 100W. . ,td= r� o„trc q��G 71.g I `" Fes► 4 r L Coor Yostat ;•" • ISAOTACO ,. •' .. at rouWAU" ,ad .nolumaloto food WW20" cool," iJM,[ do rare-` i (b) opt !!rat oWpT:"WW '4ZVOO tali VNXOA at &WOO off as !=Ace 700 wvgchvww� . 'ou to 04 V�doo— cAbl Iva —Al --% ilas two* io slsii 0 --- woof fibs .. toy °rod, bag aft OW 99000, *00 is Pot The in;&w. us* %6 sw Z;jAo10mmv" . "woOv p.v c (p _mom 'a ,low 10 at Y, 09 !�t• ^"Mfz 000. less dam to to mat woo' 24� ix w bG va'atear j* t*O 04 or • col Soma b154000'a won glib v=OQ'f 7161� A* W V" *W4 bow SAd iv OAS ww at vvwm �0'a Ot Sdb- 2 0 40M--A.&Vp CO AIO oo- 0-- oe to ca f *0 00 at IV - at at pi* �� t bra,, vo 4; ot 40 sop"r- ;.00 WOO" vo 4 ;00 - * ;000t &. e lZic 10 .400 Ids djdta!IWA - '000- to tA *0 at vi Ov 00 Z00 VI �040 asses" O% -at log .04 0 ag . 10 �. I . VIA . 0 too so Ila 1OP7. '*A ol ad olp�� sow. io - tot ttoo at Sol ISO irl - aou -001.00 1p� ;;batd � S. vot .00 w yxt*. ea Wag 1 00, �, �w- ,,.,� 00 00 vot .0010 to 69, VO do vow- •'s �. off' tom"` ci ' ro `;' � � � sue'`' '►�` ��`„'�� ��' � '°AO�� icy ObiCOT io'� y s ,�'�,�i► �• a,a Use - Not 00 bow tA to 100ACOA Col..;� 01, co �Otx "�ly►'� � *0 SSCIA.Viko w X50 Oht» 03 07 08: 15a _ -•--• --- p- 8 A_ VX ION V - DEFINITIONS. 14 Passmal =- F� ck or a d add= hv= h. is aMM u fC& _ ioj� bvW or imps W by s Vr- la+m r emad ca ft 'a+r.Maca and soda► fair, or aloft be=se od Win. IL Disai�iaatiea. B. SEC77ON V - DB MY MOM, im 4. b added at 5obwa 23. l6w6dunde means do aaLwft bat t" of a I. ig q t or class dpamma 6r pooda. ale, cr noional 04M in cm Pon= to cme at persons' 40, e pamemben of the ass. C SSCnPW ? - COVEL4 S.-MVERAGB B PMWNAL A 0 ADVI34tT1SM VQMY LiAHII.i'1T, 2..Roefmd=6 dw sm A .113Laimlaatien dkct* a Ms- UW to the Prat aamivy.upok..!Egkw- - meat or prorprdivr a opmnmt d —1 pumm or dpp ofpessops by.aw imwmd: P. aio- baed ha -the mik nnI4 isaeo or aabiaew of p bglp tics sd% tinall, h> or aab- Im m dap! dwAffin6 p- W bwwmo or mniby or at flat din e+f my 4 Diaaiebstlm +f immW m tbmd is pmbi4ftW by lwm m . cwlse ws mares av*^W amW of bmwaAft t. w_ ta. Memel �� Ualm . CDVERRAGE C BVUXCAL PAY- • 4a=rd Las bam e=bded tom tHs pofiq the fal- laws >n&= A. SZCrI 1N J - CDVMV&QM CpItE'R.AOS C WMICAL PAYMMM 2. Ba:im&w. iota E, is scplaead by * i foLol W i rra=,rd Ioetudd iritbia � �ooie4-�e,.Vletei opt ig" bull. ••Reftm, this 6eeia- An dos not sp* to asps w fat da. - tal en+ieef. . R. Samdon I - CO'VBRA ES, CO` OtACM C MBDYCAL PAYMB1M. it sums ad to ir, Omb i4w 3` ad 931b ws. 3. LIeNt otiasooamoe 7be ]�dad'ieal 8;prgaee T�ima n[' Ind eiaB 6 �e �evles e� a 514,=Asr Uaa Pump, or b. The me" sbotra in tbt Owds s- "_ _. . _! e Got 03 07 09:16a Policy 1o2der: A mstoa► i PCs Policy Hier: i?X80l7W49 Policy Effective Date: 06/24/-7 21600 LLC AmmWmentto Condition 4. Other Inmmnee - CG 73 53 09 05 Policy Ameadwmals) Commercial Genets) liability 'I'm foibwiag is added as a accord pvnWWh to Sec- agtaed in a written wouvr tmdrM tlat this inotattca rims IV Conditions. Cion"o ► 4. Odw inaoraw- fat- is prinmy and rat -contributory with other itatmatsoit Ong p an a; b-(2)= avalbbie to that additi*W ' I '. shim iaemasee is prime y and we will mot sods contribstioa km sack However, if you have added any prior, orzmnt m additional imttared's other moxame 7 m provision or vendor of yam as an additiaad iaaurW to this door not apply to osier irwunwt to whi& rich sddi- Policy by way of a MuhiiCovar* atdoraament and irve tumA issued has beet added se an ttdditiomai issued. Tb;r foes wn be mead 0 Chmp Edbn&v.d .hs lard emc de poky is riisaa toe of die Ph m** ilea aroraree C- I d u oomd w dw polity Sep 26 07 02:55p ACORD CERTIFICATE LIABILITY INSURANCL— DATE (MMAX)1VYYY) 09/05/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alliant Insurance Services, Inc - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE (Lie-OC36861) - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR B O Box 3280 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San zernardino CA 92423-3280 Phone: 909-886-9861 Fax: 909-886-2013 INSURERS AFFORDING COVERAGE NAIC 9 - -- -------- /�SURER A- x*awooa nm and c&rAl_y tn.. SURER B: --_ ... ...... HHqq��Tt tton & Karris PCs Inc ,4 al Rao - IntSURERC: — --- 2161 Barton Road O / Grand Terrace CA 92313 INSURER M.-17 THE POLWASOF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR TWPOUCY PERIOD INDICATED. NOTWITHSTANDING ANY REOULWWNT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wl TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TEAMS. EXCLUSION$ AND CONDITIONS OF SUCH POLI'JES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED SY PAID CLAIM. L. MBR ,- -- TYPE OF INSURANCE- - — POLICY NUMBER ` pA ATE G_EJYERALLM48WTY I EACH OCCURRENCE�—} s f �_ CO-LOAERCIALGENERALLVBL[TY PRE--S E.a�aaae�m, CLaI-OCCUR%W EIA+n WW-O&Mr)t S PERSONAL s ADV PwRY is GENERAL AGGREGATF s ' GENLAGGREGATE LIWTAPPL*9PEA 1 — i _ PRODUCTS-COMPiOPAGO s- POLICY r JECT I OC ' c AUTOMOBILE LIABILITY j I COMBINEDLIMIT I S ANYAU70 I ' Ma rSWGLE i ALL OYMED AUTOS BODILY INAIRY SCHEDULED AUTOS (Per pe"WI) f HIRED AUTOS BODILY IWURV NON.OWNED AUTOS :Pp a Amwt) S �- PROPERTYDAUAGE (Per ac d"I S i GARAGEL"LITY AUTO ONLY-EAACCIDENT f ANY AUTO j I OTHER THAW FJL ACC _— S t AUTO ONLY. AGG , f. EXCESBM1MSREL A LLABILRY I EACH OCCtjRRENCE f JOCCUR CLAStS"04DE I AGGREGATE i � f f -- DEDUCTIBLE �f RETENTION f —._.-f---_—___- f WO COMPENSATIONANp S 7pRV LIWT ER Ts A W7934598 09/01/07 09/01/08 E.L. EACHACC1oENT Is1 000,000_ ANY PROP'RETORIPARTIlEWEK£CUTIVE OFFICERIMEMBER EXCLUDED? r4wI " SPECAL PROVISIONS CC%Ow y AL PRO ISIO E.L. D6EASF - EA EMPLD S1,000,000 E.L DISEASE POLICY LIMIT s 1,000,000 I OTHER i DESCRIPTION OF OPERATIONS / IACATKWSI VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISdONS **SEE NOTES SECTION FOR ADDITIONAL WORDING** reetaele.�rr u I Mm CISAN06 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THEEKPIRATLC LATE THERBOP, THE ISSUING INSURER WALL ENDEAVOR TO MALL * 30 DAYS wmTTEN City Of Santa Ana NOTICE 10 THE CERTIRCATE HOLDER NAMED TO THE LEFT, OUT FMLURE TO DO SO SHALL M-21 Ross Annex 4th fir 20 Civic Center Plaza IMPOgE00OBLIGATION ORIJASKMOFANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92704 REPRESENTATIVES. ACORD 25 (2DOWD6) ZAC-WRD CORPORATION 196E Sep 26 07 02:55p p.3 sOrsT-z PAGE 2 NOTEPAD: INSURBD'SNAME O-StOn 6 Aarrie PCS Inc �-OP10 AS DATE 09/05/07 -10 DAY NOTICE TO INSURED OF CANCELLATION FO4 NOW -PAYMENT OF PREMIUM/NON-REPORTING OF PAYROLL. ANY OTHER ALTZAATION TO THS CANCELLATION SECTION ON THIS CERTIFICATE WILL NOT APPLY (INCLUDING REMOVAL OF "ENDEAVOR TO" WORDING).ADDITIONAL ZKPLOYEAS LIABILITY LIMIT: $1,000,000 (ACCIDENT -POLICY LIMIT)