HomeMy WebLinkAboutADVANCED RISK MANAGEMENT TECHNIQUES, INC. 6 - 2005C ~ oO ~~
City of Santa Ana
-- Clerk of the Council
AGREEMENT TERMINATION FORM
COTC Office Use Only
Please complete this form when the attached agreement and all amendments (if any) ~ T_ ~ ~
are no longer in effect. C9~`r _, "~,~~
Return form to the Clerk of the Council Office (M-30). -
The agreement with ~,~(J/~ n ('~(~~ i t ~L / v( G{ /1/,P ~~MP /! T ~ / C,f~ ` - ~i r S
No. ~~ Zoo ~ - 11 ~ was completed on p and final payment has been made.
(List all amendments. Use space below if needed.)
Department: ~~ / S/~n ~ {~
Phone/Ext.: ~ ~-~ 7 ~
Signatur .
Date: d a
Revised 07-22-09
N-2005-118
"'INSURANCl ON FILl
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CLeRK OF COUNCIL 5 CONSULTANT AGREEMENT
[)~le: OC1 1 9 200
, . ';].) THIS AGREEMENT, made and entered into this 7th d~y o~ Septembe~, 2005 b~ and
o . fJrr<s t between Advanced Risk Management Techniques, Inc., a California corporation (heremafter
(f;~ "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
auditing to conduct an independent actuarial audit of its Self-Funded Workers'
Compensation and Liability Programs,
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $9,850.00 during the term ofthis Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2007, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of Personnel
Services and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. 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.
b. Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $5,000,000 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.
2
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 proofthat 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: (I) 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 I 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 ofthe 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.
3
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Personnel Services Agency, Risk Manager
City of Santa Ana
20 Civic Center Plaza (M-28)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5311
Attn: Jeff Stevens
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
Advanced Risk Management Techniques, Inc.
23701 Birtcher Drive
Lake Forest, California 92630
Attn: Mujtaba Datoo
A party may change its address by giving notice in writing to the other party. Thereafter,
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
4
deemed to have been given twenty-four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes
of calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
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. DISCRlMINA TION
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
5
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 her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination ofthis
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
indenmifY 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.
II
II
II
II
II
II
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
~. . =di~
:, .J'/ .' . - -
PATRICIA E. HEALY ·
Clerk of the Council
DAIk!!!2-
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
~ ~ ~
By: .x cU..>.A '"'-"-.
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
~~lVlo/\ j)rvh-P
MUJT AB A TOO
Consulting Actuary
Tax 10# 33- Of 1./-18 f S
7
EXHIBIT A
SCOPE OF SERVICES
Consultant shall develop reasonable funding and management guidelines for the City's Workers'
Compensation and Liability Programs. Separate information will be provided for each program.
This will provide important data for the City's comprehensive annual financial report, GASB
Statement No.1 0 requirements, budgeting and strategic planning. Consultant's specific scope of
work is as follows:
A. Estimate Outstanding Losses: Estimate outstanding losses including allocated loss
adjustment expenses (ALAE) and 4850 benefits as of June 30, 2005, June 30, 2006, and June 30,
2007. Outstanding losses will be shown on a discounted present value basis including separate
calculations for incurred but not reported (IBNR) claims.
B. Project Financial Position: Project the financial position as of June 30, 2005. The
projected financial position is a comparison of funds available with the estimated outstanding
losses.
C. Project Future Losses: Project future losses including ALAE for 2005/06, 2006/07 and
2007/08 fiscal years. Projected future losses will be shown on a discounted present value basis.
The present value reflects future investment income eamed on funds held to pay losses.
D. Project Losses Paid: Project losses paid (claims disbursements) during fiscal years
2005/06,2006/07 and 2007/08.
E. Recommend Funding: Recommend funding for fiscal years 2005/06, 2006/07 and
2007/08. The recommended funding is based on the projected future losses, investment income,
expenses and the projected financial position.
F. Discuss Loss Experience: Discuss loss experience trends and compare the City to
similar programs.
G. Develop a workers' compensation cost allocation system for City departments and update
the liability cost allocation system.
Consultant shall deliver a complete written draft report to City as soon as practicable and the
final report shall be delivered to City by September 30, 2005, except for item G above, which
shall be completed and delivered to City prior to June 30, 2007.
8
COMPENSATION
City agrees to pay, and Consultant agrees to accept Five Thousand Eight Hundred Fifty Dollars
($5,850.00) as total compensation for services pursuant to items A through F above.
Compensation for work performed to complete item G, developing a workers' compensation cost
allocation system and updating the liability cost allocation system, shall not exceed Four
Thousand Dollars ($4,000.00).
Total compensation to Consultant pursuant to this Agreement shall not exceed Nine Thousand
Eight Hundred Fifty Dollars ($9,8500.00) during the term ofthis Agreement.
9
,ACORD
, ~
~,~/<<lIRIII''1n<:wt..'f4''
PRODUCER
Serial # 3919
, DATE (MMIDDIYY)
06/0112003
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
AON RISK SERVICES, INC. OF ILLINOIS
1000 N, MILWAUKEE AVENUE
GLENVIEW, IL 60025
PHONE _1_866_283_7122
FAX. 847-953-5390
CONTINENTAL CASUALTY COMPANY
AON CORPORATION AND
ADVANCED RISK MANAGEMENT TECHNIQUES, INC,
200 E, RANDOLPH
CHICAGO, IL 60601
~OM~ANY
COMPANY
I COM~ANY
C
I COM~ANY
INSURED
THIS IS TO CERTIFY THA TTHE 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 B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EfFECTIVE POLICY EXPIRATION
DATE (MMIDD/YV) DATE (MMIDDIYY)
LIMITS
A GENERAL LIABILlTY1GL268255672
~x CO, MMERC1Al GENERAL LIABILITY
, CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT I
06101/2003
06/0112006 GENERAL AGGREGATE $
PRODUCTS - caMP/OP AGG $
PERSONAL 8. ArN INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
2,000,000
1,000,000
1,000,000
1,000,000
1,000,000
10,000
A ~AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON~OWNED AUTOS
BUA2068255705
06/01/2003
06/0112006 COMBINED SINGLE LIMIT r.- 1,000,000
~IL Y INJURY
(Perpersonl
BODilY INJURY ,
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT ,
OTHER THAN AUTO ONLY:
EACH ACCIDENT "
AGGREGATE $
EACH OCCURRENCE ,
AGGREGATE ,
,
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' UABIUTY
'-"
o,!/
-r'BULge;
! EXCESS LIABILITY
UMBRELLA FORM
TI1EPROPRIETORl
PARTNERSlEXECUTlVE
OFFICERS ARE
IELEACHACCID>'NT ~
EL DISEASE - POLICY LIMIT ,$
EL DISEASE. EA EMPLOYEE $
OTHER
A,','KOVED A
'-'--1
SheedY
Deputy ell\' ,\m;'''fY
DESCRIPTlON OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS ON THE ABOVE GENERAL
LIA81L1TY POLICY,
'. l,iM ii-I "~ii, ,. ,II,
I .""iIIilllll II W,IiII.. Jiirorl II ""Ii, I
SHOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFK:ATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAilON OR UABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUT~OYD REPRESENTATIVE
~-O'.~
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
ATTN: JEFF STEVENS
O:\FMPR01\AON\10224227AONOO03 25S.FP5
fvLlt'
ACORD
~
Serial # 3919
DATE (MMJDDIYY)
0811112003
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
CO~ANY CCNTINENTAL CASUALTY COMPANY
CO";"Y TRANSPORTATION INSURANCE COMPANY
CO"8'NY AMERICAN CASUALTY COMPANY OF READING, PA
PRODUCER
"AON RISK SERVICES, INC. OF ILLINOIS
1000 N. MILWAUKEE AVENUE
GLENVIEW,IL 60025
PHONE _1_866-283-7122
FAX - 847-953-5390
INSURED
AON CORPORATION ANO
AOVANCED RISK MANAGEMENT TECHNIQUES, INC.
200 E, RANDOLPH
CHICAGO. IL 60601
THIS IS TO CERTIFY THAT 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 B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POUCY EXPIRATION
DATE (MMlDDIYY) DATE (MMIDDIYY)
LIMITS
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEOULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BUA2068255705
06/01/2003 06/01/2006 GENERAL AGGREGATE s 2,000,000
PRODUCTS - COMPIOP AGG S 1,000,000
PERSONAL & ADV INJURY S 1,000,000
EACH OCCURRENCE S 1,000,000
FIRE DAMAGE (Anyone fire) S 1,000,000
MEO EXP (Anyone person) S 10,000
06/01/2003 06/01/2006 COMBINED SINGLE LIMIT S 1,000,000
BODILY INJURY S
(Per person)
BOalL Y INJURY S
(Per accident)
An' OVED AS TO FORM . PROPERTY DAMAGE S
AUTO QNL Y - EA ACCIDENT S
THER THAN AlITO ONLY:
EACH ACCIDENT S
AGGREGATE S
EACH OCCURRENCE S
AGGREGATE S
S
A GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 00 OCCUR
,OWNER'S & CONTRACTOR'S PROT
GL268255672
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
B I WORKER'S COMPENSATION AND
C EMPLOYERS' LlABlUTY .
C . THE PROPRIETOR! - INCL
PARTNERSlEXECUTrvE
OFFICERS ARE' EXCL
OTHER
WC268255624(AZ,CQ,NV,OR,WI, WY)
WC268255638(AOS)
WC268255641 (CA)
06/01/2003
06101/2006
OTH-
ER
El EACH ACCIDENT $
El DISEASE - POLICY LIMIT $
El DISEASE. EA EMPLOYEE $
1,000,000
1,000,000
1,000,000
DE.SCRIPTION OF OPERATIONS/LOCATlONSIVEHICLESJSPECIAL ITE.MS
RE: CLIENT #002, ADVANCED RISK MANAGEMENT TECHNIQUES, INC., 1901 MAIN STREET, 4TH FLOOR, SUITE 420, IRVINE, CA
92614-0513. THE CITY OF SANTA ANA IS ADDITIONAL INSURED ON THE GENERAL LIABILITY POLICY.
CITY OF SANTA ANA
ATIN: JEFF STEVENS
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBlIGATION OR UABIUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESEMTAnvES,
O:\FMPR01\AON\10224227AONOOO3 25S.FP5
< ACORDm
Serial # 05014
DATE (MMIDDIYY)
0811112003
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
CO~ANY AMERICAN INTERNA llONAL SPECIAL TV LINES INSURANCE COMPANY
PRODUCER
AON RISK SERVICES, INC. OF ILLINOIS
1000 N. MILWAUKEE AVENUE
GLENVIEW, IL 60025
PHONE _1_866_283_7122
FAX - 847-953-5390
INSURED
COMPANY
B
AON CORPORATION AND
ADVANCED RISK MANAGEMENT TECHNIQUES, INC.
200 E. RANDOLPH
CHICAGO. IL 60601
COMPANY
C
THIS IS TO CERTIFY THAT 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
CERTlFICA TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co'
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POUCY EXPIRATION
DATE (MMIDDIVY) DATE (MMIDDIYV)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE $
PRODUCTS. CQMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
GARAGE LIABILITY
ANY AUTO
.zOYED AS TO F RlvJ
COMBINED SINGLE LIMIT $
BeDIL Y INJURY $
(Per person)
BODilY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY. EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
AUTOMOBILE LIABILITY
ANY AUTO
o ALL OWNED AUTOS
H SCHEDULED AUTOS
H HIRED AUTOS
j-l, NON-OWNED AUTOS
EXCESS LIABILITY
UMBRELLA FORM
L' n:-1 ~,11e,~.dy
Dc lllY City At orney
OTH-
ER
EL EACH ACCIDENT $
EL DISEASE. POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
i EMPLOYERS' LIABILITY
!THEPROPRIETORl
PARTNERSlEXECUTrvE
OfFICERS ARE
14762432
SEE ATTACHED ADDENDUM
412912003
412912007
LIMIT: $1,000,000
OTHER
A ERRORS & OMISSIONS
DESCRIPTION OF OPERATlONSILOCATIONSNEHICLESfSPEClAL ITEMS
RE: CLIENT #002, ADVANCED RISK MANAGEMENT TECHNIQUES, INC., 1901 MAIN STREET, 4TH FLOOR, SUITE 420, IRVINE, CA
92614-0513.
CITY OF SANTA ANA
A TIN: JEFF STEVENS
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO QBUGATlON OR UABIUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATN'ES.
AU~oyD REPRESENTATIVE OF AON RISK SERVICES. INC. OF lL
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T:\FMPR01\BRIDGE\AON\10224227 AONE&OO203 25S.FP5
.
E&O Coverage
Insurer: American International Specialty Lines Insurance Company
policy number: 4762432
policy term: 4/29/2003 to 4/29/2007
1. This certificate of insurance contains a summary of the policy
coverage and does not include all terms, conditions and exclusions
of the policy. The policy contains the full and complete agreement
with regard to coverage. In the event of any inconsistency between
this certificate of insurance and the policy, the policy language
shall control.
2. This policy is subject to commutation by the insured if the
insured receives a written notification from its independent
auditors or the united States Securities and Exchange Commission
that as a result of published changes in accounting rules
applicable to the insured and comprising united States generally
accepted accounting principles, all or substantially all of the
premium paid under the policy can not be expensed and all or
substantially all of the recoveries under the policy can not be
recognized as offsets to expenses incurred by the insured. In the
event of commutation, the insurer will have no liability whatsoever
under the policy to the insured or any other claimant regardless of
the date of occurrence of a claim or event giving rise to a claim.
3. The insured has a retention on each and every claim under the
policy.
4. This is a claims made and reported policy of indemnity.
5. After an aggregate $103,500,000 in claims have been paid under
the policy, no additional Claims will be paid by the policy.
6. The limits of liability may be reduced in the event of
non-payment of premium.
Serial #: 05015 Page 2