HomeMy WebLinkAboutMAXIMUS, INC. - 2005
A-2005-218
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I jLlR~~I': . IN FILE
VI..."'!:, .,.;\, .,) I. PROCEED
v ~.:.. Jr COUNCIL
OA I E: 1- /0 - 0 ,
AGREEMENT FOR STATE MANDATED
COST REIMBURSEMENT SERVICES
This Agreement is made and entered into this 19 day of September, 2005 by the City of Santa Ana,
a municipal corporation and charter City duly organized and existing under the constitution and
laws of the State of California ("City") and MAXIMUS, Inc. ("Consultant"), a California
Corporation.
REClT ALS
A. The City desires to retain a Consultant having special skill and knowledge in the field of
preparing applicable State Mandate Reimbursement claims in order to maximize revenue to City.
B. Consultant represent that Consultant is an independent contractor that has the knowledge
and experience to prepare and submit such State Mandate Reimbursement claims on behalf of 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 and provide those products as set forth in Exhibit A to
this Agreement. The following terms shall be apply to the terms and conditions set forth in Exhibit
A: I) City shall approve each claim 2)Claims shall be filed based upon proof of City costs 3)
Claims shall not be filed if costs do not exceed One Thousand Dollars ($1,000) per program per
year. If data needed to file applicable claims is not provided by City in a timely manner Consultant
cannot guarantee timely submission of claims.
Information and materials provided bv the City:
Consultant will file the claims with information obtained from City. Consultant shall only
file claims for which adequate records or documentation has been provided by City. Claims shall
not be filed for amounts that do not exceed One Thousand Dollars ($1,000).
2. TERM
This Agreement shall commence on the date first written above and terminate on the 19th
day of September, 2006, with two (2) options to renew for one year at the City's sole discretion,
unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be
extended upon a writing executed by the Executive Director of the Finance Department and the City
Attorney.
3. 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 $12,500.00 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.
c. City shall be billed on an annual fixed fee. Consultant agrees to file all eligible annual
fiscal year 2004-2005 actual cost reimbursement claims, and all eligible estimated 2005-2006
reimbursement claims for a fixed fee of Twelve Thousand Five Hundred Dollars ($12,500). The
cost of all work proposed will be billed May I, 2006, however the fee will not be due until July 31,
2006.
4. INSURANCE
Consultant shall obtain and maintain for the entire term of this Agreement comprehensive
general liability insurance, with companies acceptable to the City, authorized to issue such
insurance in the State of California. Said insurance shall consist of the following:
a. Reserved.
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. Professional Responsibility (Errors and Omissions) insurance with a combined
single limit of not less than $1,000,000.00 per claim.
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force an
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution
of this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be
canceled or reduced in coverage or changed in any other material
aspect without thirty (30) days prior written notice to the City.
f. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been
procured and is in force and paid for, the City shall have the right, at the City's election, to
forthwith terminate this Agreement. Such termination shall not affect 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.
5. LIABILITY
Consultant shall be responsible for performing the work pursuant to this Agreement in a
professional manner and shall be responsible for the acts and omissions of its employees as related
to this Agreement. Liability of Consultant to City with regard to all work and services performed or
provided by Consultant for City under this Agreement shall be limited to the total fee actually paid
by City to Consultant. Under no circumstances shall Consultant have any liability to City in excess
of the amount of such fees or compensation. City acknowledges and agrees that but for the above
limitation of liability, Consultant would not be able to provide the services for City under this
Agreement for the prices applicable to this Agreement, and that this limitation of liability is
reasonable.
6. WORK COMPLETION IN A TIMELY MANNER
City agrees to provide information needed to complete the claims two weeks prior to the
established due date or two weeks after the data has been requested by the Consultant, whichever is
first. If information has been received in a timely manner, Consultant agrees to complete and file
the claim(s) on or before the date established for submitting such claims to the State of California.
If data is not provided in a timely manner and Consultant is unable to complete the claims,
the claims shall be submitted late, when allowed by the State. City understands that late claims are
subject to a 10%or One Thousand Dollar ($1,000) per claim penalty (whichever amount is less) up
to one year after the original due date. City understands that the State does not allow claims be
submitted more than one year after the original due date.
Consultant shall not be responsible for late penalties or for the loss of claiming
opportunities. Consultant shall not be liable for any claims not filed due to incomplete, insufficient,
or late information. Consultant shall be responsible for late penalties or failure to file claims if
caused by mistake or negligence of its employees, officers and agents.
7. CALCULATION OF INDIRECT COST RATE PROPOSALS OR OVERHEAD
RATES
Consultant shall make every reasonable effort to calculate overhead rates when data is
available and provided by the City in a timely manner and where direct costs of a claim exceed Two
Thousand Dollars ($2,000.00).
8. 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.
9. ASSIST ANCE IF AUDITED
In the event an audit is conducted by the State Controller's Office and upon notification by
City, Consultant shall assist City in defending its' claim(s).
10. 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 negligent
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. 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 with Consultant. 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.
11. 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 ofthe Consultant without an obligation of
confidentiality; (d) is required to be disclosed by operation oflaw; or (e) is independently developed
by the Consultant without reference to information disclosed by the City.
12. 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.
13. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in ""Titing and shall be deemed to be properly given if delivered in person or mailed by first
class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication
in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Finance
City of Santa Ana
20 Civic Center Plaza (M-17)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714)
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:
MAXIMUS, Inc.
4320 Auburn Blvd., Suite 2000
Sacramento, California 95841
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.
14. 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, that 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.
15. 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 ofthe 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.
16. 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.
17. DISCRIMINATION
Consultant shall not discriminate because ofrace, 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.
18. 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.
19. 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.
20. 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.
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;
A CORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIOOIYV)
01/13/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
SUITE 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1255 23RD STREET, NW, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
WASHINGTON, DC 20037 COMPANIES AFFORDING COVERAGE
Alln: SHARON HENNING 202 263 7600
COMPANY
500625.0P ROF-ON L Y- A FEDERAL INSURANCE CO
INSURED I COMPANY
MAXIM US, INC, AND ALL SUBSIDIARIES B TWIN CITY FIRE INSURANCE COMPANY
11419 SUNSET HILLS ROAD
RESTON, VA 20190 COMPANY
II C AMERICAN INTERNATIONAL SPECIALTY LINES
COMPANY
0 HARTFORD INSURANCE CO, OF THE MIDWEST
COVERAGES this certificate supersedes and replaces any previously Issued certificate. 1
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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGAlE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POL.ICY NUMBER POL.ICY EFFECTIVE POL.ICY EXPIRATION L.IMITS
LTR DATE IMMIDDIYY) DATE (MMIDDIYY)
GENERAL LIABILITY GENERAL AGGREGATE 1$ 2,000,000
A Ft2'MERCIAL GENERAL LIABILITY 3537-42-97 105/01/05 05/01/06 PRODUCTS - COMP/OP AGG 'I $ 2,000,000
CLAIMS MADE ~ OCCUR I I PERSONAL & ADV INJURY $ 1,000,000
H (IN NER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
I FIRE DAMAGE (Anyone fire) I $ 1,000,000
r-l MED EX? (Anyone person) 1$ 10,000
AUTOMOBIL.E LIABILITY 105/01/05 COMBINED SINGLE LIMIT $ 1,000,000
A ~ ANY AUTO 74978992 (AOS) 05/01/06
A ' ALL OWNED AUTOS \74978994 (VA) 105/01/05 05/01/06 BODlLY INJURY 1$
~ SCHEDULED AUTOS (Per person)
HIRED AUTOS I BODILY INJURY 11$
R NON-OWNED AUTOS I I (Per accident)
-I PROPERTY DAMAGE 1$
pAGE LIABILITY I I \ AUTO ONLY - EAACCIDENT $
ANY AUTO II I OTHER THAN AUTO ONL. Y:
11 EACH ACCIDENT $
AGGREGATE $
- ~CESS LIABILITY I 105/01/05 ! EACH OCCURRENCE $ 1,000,000
A X UMBRELLA FORM 17977-05-65 05/01/06 AGGREGATE $ 1,000,000
OTHER THAN UMBREL.LA FORM I $
WORKERS COMPENSATION ANa. I 1105/01/05 X I T"6~ySl~MT);!S I I OJ~
I EMPLOYERS' LIABILITY
B 10WBRMF5811 (WI) 105/01/06 EACH ACCIDENT " $ 1,000,000
THE PROPRIETOR! ,~ 105/01/06 1$ 1,000,000
D Pl'NC~ 110WNMF5810 (AOS) 05/01/05 DISEASE - POLICY LIMIT
PARTNERSIEXECUllVE 'I DISEASE - EACH EMPLOYEE I $ 1,000,000
, OFFICERS ARE: EXCL
THER 114914809 105/01/05 1105/01/06 I
C PROFESS IONAL LIAS 1,000,000
1 I I
DESCRIPTION OF OPERATIONSIL.OCATIONSIVEHICL.ESISPECIAL.LTEMS
THE CITY OF SANTA ANA, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSUREDS UNDER THE GENERAL
LIABILITY COVERAGE AS REQUIRED BY CONTRACT W ITH THE NAMED INSURED,
CERTIFICATE HOLDER CLE-001436866-02 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
CITY OF SANTA ANA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
20 CIVIC CENTER PLA~i\"I!,\-R'! )\ 'e]) !- '; TO FOl\.N -------
SANTA ANA, CA 92701 -' .,;,;,,/ " BUT FAIL.URE TO MAIL SUCH NOTICE SHAL.L.IMPOSE NO OBLIGATION OR L.IABILlTY OF
//L ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
,/:,_Af^ d " A, AUTHORIZED REPRESENTATIVE -7" -~.--7. -A
Timothy M. Sasser V-e~... - .$"irt /
ACORD 25 (11/05) - / - L~~r; sui! S~~.:.cJy El ACORD CORPORATION 1988
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11 10.200::' 1~.29 FAX 171~84CI4U~:l
SW.\NK nt's J ~ESS CE"n'Ell
lJ 01)::
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Fedc>fO~ \ r(<:!) rO/K~CJ)iY\ p?nV
, '
This endorsement modities such insurance as is afforded by the provisions of Policy
# 35'3:,1]4:-;).. '1~L- relating 10 the following
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701; Its officers, employees, agents and volunteers are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from ttle
opera~ions and uses performed by or on behalf of the named insured.
2, With respect 10 claims arising out of the operaUol1s and uses performed by
or on behalf of the named insured. such insurance as is afforded by this poticy is
primary and is not additional to or contributing with any other insurance carried by or for
the benefit of the addillonallnsureds.
3, This insurance applies separately to each insured against whom claim is
made or suit is brought except with respect to the company's limits of liability. The
inclusion of any person or organiution as an insured shaH not affect any right which
such person or organization would have as a claimant if not so included
4. With respect to the additional insureds, this insurance shall rID! be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given tc the City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92-(01,
(Completion of the following, including countersignature, is required to make this
srldorsernent effective.)
,
Effective \ \ I \ \ 11- 0 0 tJ . this endorsement form as a part of
Policy#~._____.___
Issued to M A X1= ./VI ~t S. . rr \ c-~ .
Named Insured
Countersigned by cr )'\., II:!.;:'''''' \ \'~ _ ~-
Authorized Representative
. r~PP,-/J oJ r:,;.) ;\~~ fO FORI'v!
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EXHIBIT B
IN WITNESS WHEREOF, the parties have executed this Agreement the date and year first above
written.
CITY OF SANTA ANA
a municipal corporation of the
State of California
QJ2a
DAVIDN. REAM
City Manager
ATTEST:
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
\ ,; '1
'\if '(AA (~\LU'~
~, JbSEPH W. FLETC R
City Attorney .
+.0<2.- ~ ~ v..ltJ), C'v<--
m~ ~CJ-UJ
11l11Vl"'lt C v Clv i) ll.(S
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SP U\("'\: '?Dn..\~" '-J \
ALLAN BURDICK
Vice President
Tax ID# 9-\- - \ 0 0 0 s "8. 8,
EXHIBIT A
Scope of Work & Fee Structure
- Absentee Ballots
_ Administrative License Suspension
_ Airport Land Use Commissions/Plans
- Animal Adoption
_ Brendon Maguire Act
_ Domestic Violence Arrest Policies
& Standards
_ Firefighters' Cancer Presumption
- Grand Jury Proceedings
_ Health Benefits for Survivors of Peace
Officers & Firefighters
_ Mandate Reimbursement Process
- Open Meetings Act
_ Peace Officer Cancer Presumption
_ Peace Officer Personnel Records
_ Photographic Record of Evidence
_ Police Officers' Procedural Bill of Rights
_ Rape Victim Counseling Center Notices
- Regional Housing Needs
_ Threats Against Peace Officers
I
------~I-I~~;~-~:d in Fee AbOVe--1
I (for all claims shown
in the left column)
i 2004-05 (actual)
i 2005-06 (estimates)
01/15/06
i
,
i 2000-01
i 2001-02
i 2002-03
I 2003-04
i 2004-05
I
I 2005-06
I
i 1999-00
i 2000-0 I
i 2001-02
i 2002-03
i 2003-04
I 2004-05
i 2005-06
I
-----+
\
_____._M___.____~.-----~----..---
iNe;;'7Lme7Pe;;din~--Ci;;i;;'s-----
, _ DNA Databases & Postmortem
Examinations: Unidentified Bodies
_ Crime Victims' Domestic Violence
Incident Reports
~---_.._~-~--_..
Expected due
date prior to
6/30/06
$12,500
Fixed Fee
(for all eligible claims
shown in the left column)
I
I
I
i
I
\ I
L________'
_ False Reports of Police Misconduct
_ Peace Officer Personnel Records
_ Domestic Violence Arrests & Victims Assistance
NOTE: estimated and new claims are
contingent on State appropriations.
2000-0 I
2001-02
2002-03
2003-04
2004-05
2005-06
Expected due
date prior to
06/30/06
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
Included in Fee Above
(for all claims shown
in the left column)
JjCORD"
CERTIFICATE OF LIABILITY INSURANCE
DATE (M1>l/DO/VYYY)
09/27/2006
p/HllllCrli
Aon Risk Services Tnc. of washingron, D.C./ flunr
200 Ed5t I{andolpn
rh-i (0.90 II 60601 USA
TillS CERTfnCATE IS ISSUEO \S A ;\IATTER OF INFORl\tATIOK O:\"LY
.-\,\-1) CCY,\FlmS NO RiGHTS VI'ON TUr. nm.TIFICATE llOLlH~n. rHIS
CElnrrlC-YfE DOES I\'OT A;\JE:\D, EXTE,",1) on ALTER THE
COVERAGE AFFO/mEn BY TIlE l'OLICIES BELOW.
l'IlW'f:-(866) 283-7122
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11419 Sunset tJills Road
Reston VA 20190 USA
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