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HomeMy WebLinkAboutBEAUCHAMP ENTERPRISES 1 - 2005City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM COTC Office Use Only 1: r t I 2 2 Please complete this form when the attached agreement and all amendments (if any) are no longer in effect.t g ;i Return form to the Clerk of the Council Office (M -30). r iL Call 647 -6520 if you have any questions. The agreement with No. A - C� (1) "'was completed on Ktr� (List all amendments. Use space below if needed.) N 22W T -106°V 0h) Revised D &2370 \SC and final payment has been made. Department: Phone /Ext.: Signature: II Date: A- 2005 -019 WURA;,,L ON FILL WORK IJIAY PROCEED UNTIL INSURANCE EXPIRES 0-11-05 CONSULTANT AGREEMENT CLERK OF COUNCIL DATE: 3-1(0-05 THIS AGREEMENT made and entered into this i M day of h Rr,, A,,V 2005 by C and between Beauchamp Enterprises, Inc., a California corporation (hereinafteultant" ), (S. fW 0) 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 real estate and paralegal services. 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 the following services, inter alia: ♦ Organizing and maintaining case files, both paper and electronic; ♦ The coordination and support of condemnation and other litigation processes as required ♦ Acting as liaison between the Public Works Agency, the Office of the City Attorney, outside counsel, opposing counsel, appraisers, title companies, and property owners; ♦ Conducting legal research. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, an hourly rate of $40.00 per hour. 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 shall continue until otherwise terminated pursuant to Section 12 of this Agreement. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer - employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. 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. b. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. c. 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. d. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of 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. S. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92702 -1988 telefacsimile (714) 647 -6956 With courtesy copy to: City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647 -6515 To Consultant: Rick Beauchamp Beauchamp Enterprises, Inc. 2654 -C Andover Avenue Fullerton, California 92831 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, 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, communication shall be effective or deemed to have been given twenty -four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon 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. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 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: Jo doval Sr. A stant City Attorney FOR APPROVAL: CITY OF SANTA ANA DAVID N. REAM City Manager CONSULTANT L R. Bid UCHAMP President /CEO Tax ID# 75- 3075206 Progressve Casualty Insurance Company PO Box 94739 Cleveland, 01144101 800- 4444487 Certificate of Insurance Awagam3 Commercial Auto Insurance Policy number: 01954225.4 February 15, 2005 Page 1 of 1 CertMrrots eeldv Agent CITY OF SANTA ANA 8 EAU CHAMP ENTERPRISES I PROGRESSIVE 20 CIVIC CTR PLAZA 2654- CANDOV RAVE PO BOX 94739 7TH FLOOR -0ECE CTYATTORNEY EULLERTON, CA 92831 CLEVELAND, OH 44101 SANTA ANA, CA 92702 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, after, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations. endorsements, and conditions of these policies. .. ..... ,.. ........... ........... _e . 2004. . _ . cY P Policy Effective Date: Dec 19, 2004 Poli Ex iration Date: Jun 19, 2005 Insurance coverap(s) ............................ Bodily Injury/Property Da mage $1 000,000 Combined Single Limit Employer's Non -Owned Auto BIPD $1,000,000 Combined Single Limit HlredAuto Bodily Injury/Property Damage $1,000,000 Combined Single Limit Description of LocationNehicles/5pecial Items Scheduled autos only ..................... __.... __... 20006OD4 PICKUP 167GL22XM786987 Certificate number 04605ITY225 Please be advised that the certificate holder will not be notified in the event of a mid -term cancellation. APPROVED AS TO FORM Lama Stitt Sh, edy ram 5241 00ra2) Assistant City Attorney PROGRESSIVE COMMERCIAL PO BOX 94739 CLEVELAND, OH 44101 BEAUCHAMP ENTERPRISES I 2654 -C ANDOVER AVE FULLERTON, CA 92831 Additional insured endorsement Name of Person or Organization CITY OF SANTA ANA A 20 CIVIC CTR PL SANTA ANA, CA 92705 PROGREJJ /UE® COMMERaAL Policy number: 01954225 -8 Underwritten by: Progressive Casualty Insurance Co Insured: BEAUCHAMP ENTERPRISES I December 23, 2006 Policy Period: Dec 21, 2006 - Jun 21, 2007 Mailing Address Progressive Casualty Insurance Co PO Box 94739 Cleveland, OH 44101 800 - 895 -2886 For customer service, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 01954225 -8 Issued to (Name of Insured): BEAUCHAMP ENTERPRISES I Effective date of endorsement: 12/21/2006 Policy expiration date: 06/21/2007 Form 1199 (07/04) a i'k I A - -dc5c5-c(` PROGRESSIVE COMMERCIAL PO BOX 94739 CLEVELAND, OH 44101 BEAUCHAMP ENTERPRISES I 2654-C ANDOVER AVE FULLERTON, CA 92831 Additional insured endorsement PR99REWYE L7ir4s?"?u"z' Policy number. D783b225-H Rc —5P;e C, -- -4r„ � -q'r rs Co 21, 7^r7 Pcr.,,, a_,.A- ` -n 21. 2'.17 - Mw7mg Address Pr- = -n Ca -'*Y Ca PO ern 94739 _0101 1 8DD- 895.2935 For cus Omer serr--, 24 hc-:5 a day, Name of Person or Organization 7 dais a sek CITY OF SANTA ANA A 20 CIVIC CTR PL SANTA ANA, CA 92705 The person or organization named above is an insured with respect to such liabf!mr cr'ere^n as is afforded by the policy, but this insurance applies to said insured only as a person liable I-, the ccnduct of another insured and then only to the extent of that liability. We also agree :,! th you that i^ r:-arc= provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability, — -- Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain urrchangec. This endorsement applies to Policy Number: 01954225 -9 Issued to (Name of Insured): BEAUCHAMP ENTERPRISES I Effective date of endorsement: 06121/2007 Policy expiration date: 12/21/2007 rpm 1198101,041 AP. ^R{3'iJ �S TO FORM ',I) Auoraey, %� *`20GRESSIVE COMMERCIAL PO BOX 94739 - CLEVELAND, OH 44101 000057 Named insured ;'�:' : # -7-L:—'Z"1' BEAUCHAMP ENTERPRISES I 2654 -C ANDOVER AVE FULLERTON, CA 92831 Commercial Auto Insurance Coverage Summary _ -- This is your revised Renewal Declarations Page Your coverage begins on December 21, 2007 at 12:01 a.m. This policy expires on tune 21, 20;8 at 12.0; _. �. This coverage summary replaces your prior one. Your insurance policgr and any pc;i_; your coverage. The policy limits shown for an auto may not be combined ,vRh ti�a li^ i °. t-a _a: -e unless the policy contract allows the stacking of limits. The policy contract is fa r; 5912 ; ' T- -..� _ _ _ _- -_ . Z435 (12/06), 4757 (03/05), 4852CA (10104), 4881 CA (12104), Z228 (07105), 1198 i,01 r+�, ' 3�0 01,-G3 The named insured organization type is a corporation. Outline of coverage - Description - -- -- -- - bmits ............................................................................ ....................... ........ ......... .... .... ... _ Liability To Others Bodily Injury and Property Damage Liability $1,000,000 combined singe limr .... .. ............. ............................... ................. -..... ...... ... .... . ........ ............. . .................. ..._.......... ...._. - . .... ._ ... Uninsured /Underinsured Motorist Rejected - ........... ............. ................................. ....... ................. .........I.........._..._...... _ ...... ..._........... . -. _ ... ... Uninsured Motorist Property Damage Rejected - _..._ .................................................................................. ...................... ......... .. ... .. . Medical Payments $5,000 each person ............ . ...... ............... .............................. ..................... ............................. ... ....... Comprehensive See Schedule Of Covered Autos Limit of liability less deductb:a ............... .................. . .................. . ....... ................... .:........ .......... ... .... . . Collision See Schedule Of Covered Autos Limit of liability less deduc ib'e ................................................................................. ............................... . Hired Auto Liability To Others Bodily Injury and Property Damage Liability $1,000,000 combined sing'a lira^ ........ ............ ................_........................ ......_......__... ................._.._.......... Employer Nonowned Auto Liability To Others Bodily Injury and Property Damage Liability $1,000,000 combined sing e'ir^t Subtotal policy premium ................................................................................. ............................... California Vehicle Assessment fee ................................................ ............................... . ....... . ................... Fees . .... ... ... . ............ ................ . ....... . ....... ......................... I ...... ................... ..... . Total 6 month policy premium Number of Employees (0 - 10) Rated driver ......... ......... .. .................. ....... .................. ................. .._............. ...._ ......... 1. RICHARD BEAUCHAMP C� Form 6489 CA (05/06) �.� Lit _ Auto coverage schedule 1. 2000 Dodge Pickup VIN: 1B7GL22X7YS786987 Liability liability. MedPay ................... . ................... Premium $457 $15 Comp Comp Collision Collism Physical Damage Y g Deductible Premium Deductible Premium ....... I..... Premium ... ................................. I................. $1,000 $28 $1,000 $128 Premium discounts Policy • Stated Amount. Garaging Zip Co- .................................. ........................................ .. ..............I...I............ 01954225 -6 Paid in Full and Renewal Additional Insured information ............................ ....................... .......... I ....................... ....... . 1 . Additional insured CITY OF SANTA AMA A 20 CIVIC CTR PL SANTA Ai IR, Company officers President Form 6489 CA (05106) Secretary z ' M Hired Auto Coverage endorsement Except as specifically modified in this endorsement, all provisions of the Comm_rca ' u c Poli,li, ac-c We agree with you that the insurance provided under your Commercial Aut o Polio. �S mcdf -�Ec as Additional definitions used in this endorsement When used in this Endorsement, whether in the singular, plural, or possessive: 1. 'Hired auto' means an auto you lease, hire, rent or borrow. This does nct include an; auto vnu lease; hire, rent or borrow from any of your employees, partners (if you are a partnership';, members Of�rou are a lirn4ed liability (ompany) or member of their households. 2. 'Cost of hire' means the total amount paid by you for the hire of autos. incijdina c; arges for services performed by motor carriers of property or passengers that are subject to tie comoulscr; re:a iram,er of an, motor carrier laws or regulations. Changes in Part I - Liability To Others When used in Part I - Liability To Others, the definition of insured auto is amend _u tc a j�ed auto. Other Insurance The insurance provided by this Hired Auto Coverage Endorsement is excess o.er an, other ;aid and collectible insurance, whether primary, excess, or contingent. Premium agreement The premium for this Hired Auto Coverage is based on the cost of 1 ',rs, ands sub -.- ' - 7.im cost e `� =r= as listed below. We may audit the cost of hire and charge appropriately for additional premium f0r up to ,r&E (3) , ears after the policy expiration. Schedulle offiited Auto-Premium. BIRD tiabil"rty Coverage ... ................................................................. ............................ Rate per $100 Cost of hire $1.00 ................................................................... ............................... Minimum cost of hire $5,000.00 ... .... .. ............................................................ ......... ... ................ . Minimum Premium $50.00 .................................................................... ............................... . Estimated cost of hire $5,000.00 .................................................................. ............................... Estimated premium $50.00 Form 1891 (09104) PROGRESSIVE COMMERCIAL PO BOX 94739 CLEVELAND, OIL 44101 Po icy ni.4m.ben OIS-34225-i BEAUCHAMP ENTERPRISES I 2654-C ANDOVER AVE FULLERTON, CA 92831 Maiiing Address Additional insured endorsement Name of Person or Organization CITY OF SANTA ANA I A 20 CIVIC CTR PL SANTA A NA*', CA 92 05 The person or organiza4ion named ab,).,e!s an afforded by the policy, but this insurance applies to said insureri of another insured and then on1v to the extent of thst ljabdit:. We F-�zc ac'-F;c- you provided by this enclorsernertvAl be prilral. I I o I a"; P C Declarations Page. Limit of Liability Bodily Injury "'ict applicatHI: Property Damage Combined Liability 1,0 0,nCC-,' eat accident All other terms, limits and provisions of this policy remain unchangecl. This endorsement applies to Polic.; t1urnberl 0, 954225-6 Issued to (Name of Insured): BEAUCH,= -,NIP ENTEPPMES I Effective date of endorsernem 12121/20',0 PROGRESSIVE PO BOX 94719 CLEVELAND, OH 44101 Named insured BEAUCHAMP ENTERPRISES I 2654{ ANDOVER AVE FULLERTON. CA 42831 PRWREWI/E aDasbe GNU C" )�tluu�tl�ulu r�lunl�r)rlr)u r�)Inu nll)ur�r��l utlrll Commercial Auto Insurance Coverage Summary This is your revised Renewal Declarations Page policy number: 07954225.7 Underwritten by: progressive Express Ins Company May 30, 2008 Policy Penod: Jun 21, 2008 - Dec 21, 2008 Page I of 2 progressive.com Online Service Make payments, check billing activity, pnnt policy documents of heck the status of a dam. 500- 895.2886 For customer service and daims,eramce, 24 homy a day. 7 day; a week. Your coverage begins on June 21, 2008 at 12.01 a.m. This policy expires or Oecemter 21, 208 at 12.01 a.m. This coverage summary replaces your prior one. Your insurance policy and any policy endorsements conta n a full explanation of your coverage The policy limits shown `or an auto may not be combined with the limits for the same coverage on another auto, unless the Z435 (12(06)'x4757 (03105), s'acking limits. The (12104),, Z228 (07/05), 11981(01104)51890 (02 /05) and 1 91 modified (09104)forms The named insured organization type is a corporation. outline of coverage Description ....... ... Liability To Others Bodily Iniury and Property Damage Liability UninswedlUndeiinsured Motorist Uninsured Motorist Property Damage Medical Payments Comprehensive See Auto Coverage Schedule Cal!ision See Auto Coverage Schedule Hired Auto Liability To Others Bodily Injury and Property Damage Liability Employer Nonowned Auto Liability To Others Bodily Injury and Property Damage Liability Subtotal policy premium. .... Calttomia Vehicle Assessment Fee Fees Total 6 month policy premium Number of Employees (0 - 1 U) Rated driver 1. RICHARD BLAUCHAMP form 6429 cr (05:06) conhnaed Dednrtible Premium $421 $1,000,000 combined single limit Rejected Rejected $5,000 each person 13 28 Limit of liability less deduc, ble .. - ....... _. 117 Limit of liability less deduciible 50 $1,000,000 combined single limit . ... 31 $1,000,000 combined single limit $660.00 _, ... 0.90 2100 $685.90 conhnaed Policy number. D 1954225 7 BEAUCHAMP ENTERPRISES I P9ye 2 nt 2 Auto coverage schedule Premium discounts Poly ... .. 01954225-7 Paid in Full and Renewal Additional Insured information i Addrtionallnsured CITY OF SA'NiA ANA A 2U CIVIC C1 PL SANTA ANA, CA 92705 Company officers �� �rr g. i i President form 6489 CA (05:D6) Secretary ft S 8 a o — o °o w °a e a °o [7 a a a C a Stated Amount: $18,000 1. 2000 Dodge Pickup Garaging Zip Code. 92831 Radius: 50 VIN. 197GL22X7YS785987 Liability V Med P .... _.., ....__ .... Iia6i10 a ............." . Premium $121 $13 G Cmn CGli;ion Coi Adla Tolal Camp P Deductible Prenxum ..._ _.. -- �� Physical Damage DeJura6le Premw!n -- — $579 Premium $1,000 $28 $1,000 $117 Premium discounts Poly ... .. 01954225-7 Paid in Full and Renewal Additional Insured information i Addrtionallnsured CITY OF SA'NiA ANA A 2U CIVIC C1 PL SANTA ANA, CA 92705 Company officers �� �rr g. i i President form 6489 CA (05:D6) Secretary ft S 8 a o — o °o w °a e a °o [7 a a a C a PROGRESSIVE PO BOX 94739 CLEVELAND, OH 44101 BEAUCHAMP ENTERPRISES I 2654 -C ANDOVER AVE FULLERTON, CA 92831 Additional insured endorsement Name of Person or Organization CITY Of SANTA ANA .A 20 CIVIC CTR PL PROGREII /bE` Policy number: 01954225 -7 Underwritten by Progressive Express Ins Company Insured: BEAUCHAMP ENTERPRISES I May 30, 2008 Policy Penod. Jun 21, 2008 - Dec 21, 2008 Mailing Address Progressive Express Ins Company PO Box 94739 Cleveland, OH 44101 800 - 895 -2886 For customer service, 24 hours a day, 7 days a week SANTA ANA, CA 92705 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number 01954225.7 Issued to (Name of Insured); BEAUCHAMP ENTERPRISES I Effective date of endorsement: 06/21,2008 Policy expiration date 12/21/2008 i"" 1 981ei 041