HomeMy WebLinkAboutQUINN, SUSAN 2 - 2001
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THE QUINN COMPANY
AGREEMENT N-2001-013
AMENDED BY A-2001-026
SEE THAT FILE
.If''Ct'~;;:!C;E 0:J RLE N-2001-013
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r -JE: ')-~ -0 / (; Ifl;J CONSUL T ANT AGREEMENT
THIS AGREEMENT, made and entered into this (: ~( day of ~~!'W~ ,2001 by
and between Susan Quinn doing business as The Quinn Company, a California c oratIOn
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
k The City desires to retain a consultant having special skill and knowledge in the field of
employee training in effective communication.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance ofthis 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 $10,000.00 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 it shall include
services provided by Consultant since October 1,2000. The Agreement shall terminate on June
30,2001, unless terminated earlier in accordance with Section 12, below. The term of this
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Agreement may be extended upon a writing executed by the Executive Director of Personnel 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 ofthis Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Reserved
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 ofthe 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. 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.
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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 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.
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 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 behalfwhich 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 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
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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.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Personnel
City of Santa Ana
20 Civic Center Plaza (M- 24)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6930
and,
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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:
The Quinn Company
246 Via Presa
San Clemente, California 92672-9461
Telefacsimile (949) 366-5891
Attn: Susan Quinn
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
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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. 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 and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws of the State of
California. 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 ofthe 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
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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 ofthe 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.
c. The parties anticipate that the City Council will approve Consultant's providing
additional services to both Personnel and other City Agencies. If the Council does approve those
additional services, this Agreement shall be amended to include those services.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
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PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: ~A/1D- ,:5)\fl(!ry
Laura Sheedy
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
I
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Enrique lva..
Executi e Ditecjor ofthe
Personnel A:~cy
I .~ A .
0~~q~-~
Susan Quinn
President
7L1 - d- J-'H~5 q y-
Employer ID # or Individual SS #
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EXHIBIT A
SCOPE OF SERVICES
Consultant shall provide employee training in the Public Business Concepts (PBC) Program for
the City of Santa Ana Management Academy. The training session consists of 12 hours of
training in "Elements of Effective Communications & Coaching" for each scheduled PBC
Program.
The dates of training are:
I. Session 1 - October 3,2000 (8 hours) & October II, 2000 (4hours)
2. Session 2 - October 12, 2000 (8 hours) & October 19, 2000 (4 hours)
3. Session 3 - February I, 2001 (8 hours) & February 8, 2001 (4 hours)
4. Session 4 - May 3,2001 (8hours) & May 10, 2001 (4 hours)
Consultant may provide Consulting Services as requested.
COMPENSA nON
City shall pay Consultant $2,100.00 for each 12 hour training session in "Elements of Effective
Communications & Coaching". In addition, Consultant shall be reimbursed $13.00 for each
DISC behavioral profile instrument used in the training session.
Consultant shall be compensated at the following rates for other consulting services:
$1,700.00 per full day of consulting services
$ 850.00 per half day of consulting services
$ 90.00 per hour for individual work such as interviews, meetings and report
writing.
it CORO,. CERTIFICA:,"': OF LlABILlTY.INSUP ~NCE I DATE (MMIDDfYY)
11/13/2000
. PROOU""R (949) 859-8111 FAX ( 859-8222 THIS CERTIFICATE ISl'!ISUED AS A MATTER OF INFORMATION
Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 3613 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Laguna Hills, CA 92654-3613 INSURERS AFFORDING COVERAGE
INSUREO SUSAN QUINN INSURER A' GREAT DIVIDE INS CO C/O R.E. CHAIX & ASSOC
DBA: THE QUINN COMPANY INSURER B'
246 VIA PRESA INSURER C
SAN CLEMENTE, CA 92672 INSURER D
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~:: TYPE OF INSURANCE POLICY NUMBER r P&AL.f.!~~~~C8,w'r I ~gktrJ/~r.&h~N LIMITS
~NERAL LIABILITY GC030412 11/08/2000 11/08/2001 EACH OCCURRENCE $ 500,001
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,000
I CLAIMS MADE [!] OCCUR MED EXP (Any ona person) $ 1,000
A
ACORD,. CERTIFICA:r~ OF L1ABILlTY.INSUP "JNCE I DATE (MM/DDfYYl
11/13/2000
PRODUCER (949)859 8111 FAX (~859-8222 THIS CERTIFICATE ISl'!lSUED AS A MATTER OF INFORMATION
Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 3613 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Laguna Hills, CA 92654-3613
INSURERS AFFORDING COVERAGE
INSURED SUSAN QUINN INSURER A: GREAT DIVIDE INS CO C/O R.E. CHAIX & ASSOC
DBA: THE QUINN COMPANY INSURER B:
246 VIA PRESA INSURER C
SAN CLEMENTE, CA 92672 INSURER 0
, INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
r~~: TYPE OF INSURANCE POLICY NUMBER P8.k+~~~M~8a'~t: Pgk!fl,~~~~N
GENERAL LIABILITY "C030412 11/08/2000 11/08/2001 EACH OCCURRENCE
f-'c-
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE 0 OCCUR
LIMITS
FIRE DAMAGE (Anyone fire)
$
$
500,00C
50,oor
l,Ooc
SOO,OOC
500,000
INCLUDE[
MED EXP (Anyone parson)
$
A
PERSONAL & /J..DV INJURY
$
$
PRODUCTS - COMPIOP AGG $
-
-
~'L AGGRE~E [LIMIT AP~S PER
I POLICY I 1 j~g;: I ILOC
~TOMOBILE LIABILITY
_ ANY AUTO
-
SCHEDULED AUTOS
-
_ HIRED AUTOS
-
GENERAL AGGREGATE
ALL OWNED AUTOS
COMBINED SINGLE LIMIT $
(Eaaccidenl)
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident}
NON-OWNED AUTOS
GARAGE LIABILITY
~ ANY AUTO
EXCESS LIABILITY
:::~rOCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN
AUTO ONLY:
EAACC $
AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
.
I {~~-i' lfMI~S I IOJ~-
EL EACH ACCIDENT S
E.l. DISEASE - EA EMPLOYE $
E.l. DISEASE - POLICY LIMIT $
OTHER
JlJ::SCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS
~ERTIFlCATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT #S 114 (04/97)
.10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER
CANCELLATION
THE CITY OF SANTA ANA
ET AL PER ATTACHED LIST
PERSONNEL SERVICES DEPT
ATTN: JIM STIKELEATHER
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 iIa'UX~ MAIL
*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
~1I1(~XJlllOOOO(J(iI(lilOO@t~JCIl:oulJXJXi(X
~~X:lOOCdl'llI(MJ(i@tJ(iDXXXXXXX
APPROVED AS TO EO REPRESENTATIVE
/ ,I Ri~h~.rd Evnon/JEREMY
/7~' fJ/ ( I J Ii )
/ ij(NJAMIN ~UFMAN V -
ChiM Assistant City Attorn<lY
;;2b-< ?-.-
@ACORD CORPORATION 1988
ACORD 25-S (7/97)
~ THE CITY OF SANTA ANA ~
Certificate issued to THE CITY OF SANTA ANA
Comprehensive Insurance Services
11/13/2000
CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS ANO VOLUNTEERS
11/13/2000
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GREAT DIVIDE INSURANCE COMPANY
POLICY NUMBER: GC030412
LIABILITY ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement mod~ies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
THE CITY OF SANTA ANA,
ATTN, JIM STIKELEATHER
20 CIVIC CENTER PLAZA,
Premium $ 50
IT'S OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS
SANTA ANA, CA 92702
WHO IS AN INSURED (Section II) is amended to Include as an insured the person or organization shown in the Schedule
and only for liability arising out of your negligence and only ror occurrences or coverages no1 otherwise excluded in the
policy to which lhls endorsement applies.
Your DOIicy is p'rimary In the event of an occurrence caused by your sole negligence as respacts the job described below:
(MUS; BE COMPLETED)
Job Description:
TRAINING AND CONSULTING
All olherTerms and Conditions Of this Insurance remain unchanged.
S 114 (04/~)
cc:[~ 00, [, ~ON
c0d 60c
JOSS~ aN~ XI~HJ 3 ~ c~,pcc~6p6
. CERTIFICATE OF INSURANCE
SUCH 'INSURANCE AS RESPECTS THE 'TEREST OF THE CERTIFICATE HOLDER W'LL NOT BE CANCELED OR OTHERWISE
TERft/lINATED WITHOUT GIVING 10 DAVRIOR WRITTEN NOTltE TO THE CERTIF...,JrE HOLDER NAMED BELOW, BUT IN NO
EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE Yi1R1TTEN. THIS CERTIFICATE OF INSURANCE
DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW,
This certifies that: [j[] STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or
o STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
has coverage in force for the following Named Insured as shown below:
Named Insured QUINN, GERALD & SUSAN
246 VIA PRESA, SAN CLEMENTE, CA 92672
Address of Named Insured
POLICY NUMBER P41 3074-F19-7~A
EFFECTIVE DATE 6/19/00
OF POLICY
DESCRIPTION OF
VEHICLE 98 TOYOTA CAMR,
UABIUTY COVERAGE [iJ YES DNa o YES DNO DYES DNo DYES DNa
LIMITS OF LIABILITY
a. Bodily Injury 100000
Each Person
Each Aocident
b. property Damage ~vvvvv
Each Accidellt 25000
c. _~ I~"'Y & ~
Oamlge ~ngIe Umt ----
Each Accident
PHYSICAL DAMAGE [X] YES DNO '-.J YES DNO DYES DNO DYES DNO
COVERAGES
a. Comrv-<>h<>nsive $ 100 Deductible $ Deductible $ Deductible $ Deductible
CiJ YES DNO DYES DNO DYES DNO DYES DNO
b. Collision $ 250. Deductible $ Deductible $ Deductible $ Deductible
EMPLOYER'S Q9 YES DNO DYES DNO DYES DNO DYES DNO
NON.OWNERSHIP
COVERAGE
HIRED CAR COVERAGE [Xl YES DNO DYES DNO DYES DNO DYES DNO
n,~~
Signature of Authorized Representative
Name and Address of Certificate Holder
a..~
Title
'7795
9/.at/oo
Agent's Code Number Date
Name and Address of Agent
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CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
APPROVED AS
Stale Farm Insurance
..e Miller -lie. No. 0360139
31882 Camino Capistrano, #1058
San Juan Capistrano, CA 92675
(949) 493-3888 (949) 831-9811
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CERTIACATE HOLDER COPY
CERTIFICATE OF INSURANCE __
This certifies that 0 STATE FARM~E AND CASUALTY COMPANY, Bloomingto~inois
I&J STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
o STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
o STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
o STATE FARM LLOYDS, Dallas, Texas
insures the following pOlicyholder for the coverages indicated below
Name of policyholder QUINN, SUSAN & GERALD DBA THE QUINN COMPANY
Address of policyholder 246 VIA PRESA, SAN CLEMENTE, CA 92672-9461
Location of operations
Description of operations
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid
claims.
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period)
92 S6 8207 2 Comprehensive 01/16/01 01/16/02 BODILY INJURY AND
Business Liability : PROPERTY DAMAGE
----------------------------- .0 .?",eiu"i..~ C"iTipleted Operation.................. ---------
This insurance includes:
o Contractual Liability
o Underground Hazard Coverage Each Occurrence $
o Personal Injury
o Advertising Injury General Aggregate $
o Explosion Hazard Coverage
o Collapse Hazard Coverage Products - Completed $
0 Operations Aggregate
0
POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY Effective Date : Expiration Dale (Combined Single Limit)
o Umbrella Each Occurrence $ 1000000
o other : Aggregate $ 2000000
Part 1 STATUTORY
Part 2 BODILY INJURY
Wor1<ers' Compensation
and Employers Liability Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period)
AODL. INSURED
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
ATTN: JIM STIKELEATHER
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701-4010
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
If any of the described policies are canceled before
its expiration date, State Farm will O'I!€kocmail a
written notice to the certificate holder 30 days before
cancellation. XlXmllllllllJll),{lW: :faiIxacmxikilUlClxllotiE:El(
Jm~!)ffiwx!ildiliJi1x>ll'fijklloc:irn:Aoll'ldxovx~
~1IrntlI: :lIl!!lllllI$JOlCceJ[nlgelltll<<v:et::
VIL.'I, ~
S~~7-hofized Representative z/..z.z,k I
Hie Date
Agent's Code Stallfike Miller. Lie. No. 0360139
31882 Camino Capistrano, #1058
AFO Code San Juan Capistrano, CA 92675
(949)493-3888 (949)831-9811
Name and Address of Certificate Holder
AGENTS & VOLUNTEERS
558-994 a.3 Q.4-1999 Printed in U.SA
APPROVED AS TO FORM
~AA/l hu///y
ilira Sheedy
Deputy City Attorney
..
From: Susan Qu;n" To: J rr Stikeleather
Date: 02123/20C1 Time: 3:14:00 PM
Page 3 of3
.
'-'
DF Policy No. 92-S6-8207-2
....,
FE-6320
(7/88)
ADDITIONAL INSURED ENDORSEMENT
DESIGNATED PREMISES ONLY
'6.
Policy No.: 92-86-8207-2
"..yu..t~
Named Insured:
QUINN, SUSAN & GERALD
Name of Additional Insured: THE: CITY OF SAllTA ANA
ITS OFFICBRS, EMPLOYEES,
AGENTS & VOLUNTEBRS
Address of Additional Insured: ATTN: JIM STIKELEATHER
20 CIVIC CENTER PLZ
SANTA ANA CA 92701-4010
Interest of Additional Insured: CONTRACTOR OF SERVICES - NON -CONSTRUCTION
location of Premises: 246 VIA PRESA
SAN CLEMENTE CA 92672-9461
The word "insured", wherever used in this policy, aiso includes the designated person or organization named
above as Additional Insured under lhe provisions of the policy Sections shown below as applicable by an "X" to
the extent indicated.
o SECTION I. This applies only to COVERAGE A . BUILDINGS.
o SECTION I. This applies only to COVERAGE B . BUSINESS PERSONAL PROPERTY
Description of Property:
IXI SECTION II. This applies only to COVERAGE l - BUSINESS LIABiliTY and COVERAGE M _
MEDICAL PAYMENTS and then only with respect to the ownership, maintenance or use of
the premises designated above and operations necessary or incidentai thereto. These
SECTION II coverages do not apply to:
1. structural alteralions or new construction performed by or on behalf of the designated person or
organization;
2 personellnJury caused by the designated person or organization:
3. liability the designated person or organization assumed under a contract: or
4. products-completed operations huard ansing out of goods or inventory which are not sold or
distributed by you or arising out of the manufacturing or packaging of such goodS or inventory.
All other provisions of the policy apply.
APPROVED AS TO FORM
Laura Sheedy
Deputy City Attorney
PrinttCllnU.$A
FE-tl320
(7188)
r&l
~
STATE FARM INSURANCE COMPANIES
RENEWAL CERTIFICATE
State Farm General Insurance Com~
31303 Agoura Road ).of
We.Uake Vmage,CA 91363.0001
BUSINESS.OFf'Iooool
JAN 16 2002 to JAN 16 2003
'J
D-7795-F416 FU 3
DATE DUE
PLEASE PAY THIS AMOUNT
,
"
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS & VOLUNTEERS
ATTN: JIM STIKELEATHER
20 CIVIC CENTER PLZ
SANTA ANA CA 92701-4010
11,1""1,11",111111,"11,1,,111,,""1111",,,1,111""1"11
Coverages and Limits
Section I
A Buildings
B Business Personal Property
C Loss of Income
Excluded
13 400
Actual Loss
Deductibles . Section I
Basic
Other deductibles may
apply - refer to policy
500
Insured: QUINN, SUSAN & GERALD
DBA THE QUINN COMPANY
Location: 246 VIA PRESA
SAN CLEMENTE CA
Section II
L Business Liability
M Medical Payments
Gen Aggregate (Other than PCO)
Products-Completed Operations
(PCa Aggregate)
$1,000,000
5,000
2~000,000
txcluded
Add Ins-II: THE CITY OF SANTA ANA
Add Ins-II: COUNTY OF LOS ANGELES
Forms, Options, and Endorsements
Special Form 3
Business Policy Endorsement
Amendatory Endorsement
Debris Removal Endorsement
Policy Endorsement
Glass Deductible - Section I
Advertising Injury Excl
Products/Operations Liab Excl
Personal Injury Exclusion
Additional Insured
Testing/Consulting E&O Excl
FP-6143
FE-6464
FE-6205
FE-6451
FE-6506.1
FE-6538.1
FE-6345
FE-6312
FE-6346
FE-6320
FE-6510
Annual Premium
Bus Liability - Cov L
Total Amount
$197.00
5.00
$202.00
Premium Reductions
Your premium has already been reduced
by the following:
Claim Record Discount
Yrs in Business Discount
Cov. A - Inflation Index: N/A
Cov. B - Consumer Price: 178.3
APPROVED AS TO FORM
~odj j
Laura Sheedy /
poputY CItY A\lafll~Y
Tkvrb~~fJS~F'"
Agent ~IKE MII~LER
Telephone (949) 493-3888
See reverse side for impcrtant information.
Please keep this part for your record.
Prepared NOV 07 2001
nATI.UfO
..
IF YOU HAVE MOVED PLEASE CONTACT YOUR AGENT. 7795-F416 F
INSURED IaUINN, SUSAN & GERALD
POLICY NUMBER I 92-S6-8207-2 BUSINESS-OFFICE
NOTE: DO NOT PAY. THE PREMIUM IS
BEING PAID BY THE INSURED.
"AT""""
THIS IS FOR INFORMATION ONLY
246 VIA PRESA
SAN CLEMENTE CA
'NI~UN"
2309000006
State Farm Insurance Companies
138-3016 f.5 Rev. 02-2001 Printed in U_S.A. 01100811
FOR OFFICE USE ONLY 9130 401 M
Prepared NOV 07 2001
N
REB
0000
H':UM ~IR~ ~Hi.:M IN~. MIKI:: MVi.:
\
~HUNI:: NU. : 114 ~J1 ~~11 ~
Hpr, l~ ~~~1 ~~:l~~M ~1
~
CERTIFICATf OF INSURANCE
This certifies that 0 SlATE FARM FIRe; AND CASVAL TY COMPANY, Bloomington, IlIinoi.
g] STATE FARM GENERAllNSURANCIO COMPANY, BlllOmmgron, Winl,is
o STATE FARM FIRE AND CASUALTY COMPANy, SCarborough, Ontario
D STATe; FARM RORIDA INSURANCE COMPANY, Winter Haven, Florida
o STATE FARM LLOYDS, Dalla., Texas
insur.. the following policyholdl!l' for the coverages indicated below;
Name of policyholder QUINN. SUSAN . GERALD DBA '('HE QUINN COMPANY
Address of policyholder 246 VIA ~!lJ::SA. 5~\I CLEMENTE, CA 926n-9~61
LOCItion OfOperatigns tawn Bow:..ing C"!nt@T", ~ant~ An... Ca.
o..cription of opBrlilions
The policies list'i>d below have b....n issued to the policyholder for the policy periods shown, The insunonee deseribed in lhese policies Is
subject to all the terms exdusions, and conditions Of those policies, The limIts of liability ahllWn may have been reduced by any paid
daims,
POLICY PERIOD LIMITS OF LIABILITY
POLICY NIJMBER TYPE OF INSURANCE EtfK1lV$ DiIte : Expirlllion on. (at """inning of policy .-rlad)
92-S~-e207-2 Comprehensive 01/16/01 01/1~/02 BODILY INJURY AND
Business liability : PROPERTY OAMAGE
---- __0.__._____________ 'D. P.r04iiOiS.=co;.r"pr~'iilj'o;;eraiions""" , "------------------
This insurance includes:
o Contractualliabil~y
o Underground Hazard Co_age Each Oeeurren~ $
o Perso""llniury
o A"'ertising Inju"Y General Aggmgate $
o Explosion Hazard Coverage
o Collapse Hazard Coverage Products - C<>mpleted $
0 Operation, Aggrt!lgete
0
POLICY PERIOD BODI~ Y INJURY AND PROPERTY DAMAGE
EXCESS liABILITY l;tfectiV$ Dale : Expirolion o.te (Combined Single Umit)
o UMl'>reIl. , Each Occurrence $ 1000000
:
o Other , AOo_ate $ 2000000
, Part 1 STATUTORY
Part 2 BODI~ Y INJURY
Worker$' Compen.lIlion
and Employers Liabil~y , Eaeh Accident $
,
, Cis...... Each Employee $
Dls..... - Policy ~imit $
... - POLICY PERIOD LIMITS QF L1ASIUTY
POLICY NUMBER TYPE OF INSURANCE Effective Date : D:Ibt <at beginning of policy period)
:
,
,
THE Cl;IUlI'ICATl; 01' INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATlvr:l Y NOR NEGATlVEl Y
AMI"NDS, ~TENDS OR ALTERS THE COVERAGE APPROVEO BV ANY POUCV OESCRIBED HEREIN. . ,
If any of the de.cribed poliCies ere ""nceled before
ils expiretion date. State Fanm will Iry 10 mail a
written notice to the certificate holder 30 days before
cane<>lIation, If hOWOMOr, we fail to mail such nctice,
...0 obli!1Ation or liability will bfll imposed on Statil
F6rm or its agents or repreaenlDlives,
~J_ 7?t-U~.AAj
"'~_ ofAulll_ "...__.,.
~~~
Tnl
AIJOnI"'Code_: iUl'llnCI
nrlJIBlVliller -lie, No. 0;60138
:tl B82 Cimino CI,i5lruo #1058
",FO Cod. 80" JUan CaJ)i$trano, lIA' 92675
(949) 4113.388B (949) 83HIIll
Name and Address of Certificate Holder
ae.dl ins ~
THE CITY OF SANTA ANA
rTS Orr%eE~S, EMPLOY!ES.
" VOLUNTEERS
20 Civic Center Plaza
Santa ~. c__ 92701
lV:'EI'T$
SS8..00h~.3 04-1_ PriI'l1ed in U.:iA
APPROVED AS TO FORM
/~//"( /idl?'d~,
L\lura Sheedy ,
D,eputy City Attorney
4/113/01
Dole
FROM : ST~rE FRRM INS. MIKE M\..cR
~
PHONE NO. : 714 831 9811
..."
Rpr, 182001 02:19PM P2
CERTIFICATE OF INSURANCE
This Cffilfies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
~ STATE FARM GENERAL INSURANCE COMPANY, Bloominglon, 11I;"'>;$
o STATE FARM FIRE: AND CASUALTY COMPANY, iOoarborough, Ontario
o STATE FARM FLORIDA INiOlJRANCE COMPANY, Winter Haven, Florida
o STATE FARM LlOYDS, Dalll>5, T"xas
insur.. the following policyholder for too wverages indicated below:
NaMe of policyholder QUINN. S:JSAN . GERALD DBA THE OUINll COMl>ANY
Address of policyhok:lOf
246 VIA PRF.SA, SAN CT"EMENTE, CA 92672-9161
Location o1opGtation$ .20 Civic; Center Plaza, S.nt~ Ana, Ca 92701
DescrIption of operations
The policies listed below h....e ~n issued 10 the policyholder for the policy pomods shown. Th8 insurance d"soribed in !helle PGlicies is
.u~\>Ot to alllhe terms ""clusions. and condnlons of those policies, The limits of liabili!'f shown may have been reduced by any paid
claims.
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFlRMATlVEL Y NOR NEGATIVELY
AMENDS EXTENDS OR ALTERS THE COVERAGE APPROVED BY AWl POLICY DESCRIBED HEREIN.
, If any of the described policies are canceled before
n. expiration date. Stall> Farm will try to mail a
written notice to the certificate holder 30 days bafore
canootlation. If however. we fail to mail such notice,
rib obligAtiM O~ li~~ility wi" t;,. iMj)l)t+c:t (u'l $\;at.
Farm or it. age~ntaliv"",
7JJ p./~
slg"",,," 01 """'or1Dd R......._...
:l.~en.t.
Tille
AGent'. COde s6lrIJIj Nlele, . lie. Nil. 0300139
Sla~2 (;8mlnn ClIlIUtrallO, #1058
I AFO c.... S8~ Juan Capistrano, CA 92675
1l/49) 4!13-3888 (949) 831-9811
POLICY NUMBER
92-S6 8207-2
POLICY PERIOD
TYPE OF IN$IJRANCE EffRCtlve Ollie : ElQlIraIIoI'lllale
Comprehensive 01/16/01 , 01/16/02
Bu$ll'lfts liability ,
- -jj-PrOd~-~ cQirii)'CtC"d "Openiiionsn n_...... - -- -- __'m - n..
o Contractual lIabilny
o Und...ground Hazard Coverage
o PersonallnJ\lry
o Advertising Injury
o Explosion Ha:zard coverage
o Collapse Hazard Coverage
o
o
This insurance includes;
D;CESS lIABllIn'
o Umbrella
o Other
POLICY PERIOD
Etfeclive D_ : Expirlllion D....
Workers' ComP9l1s4ltion
and Employers Liability
POLICY NUMBER
POLICY PERIOD
TYPE OF INSURANCE Eilin:IiV8 0_ : l::XpI_ Oale
Name and Address 01 Certificate Holder
addl in!!:
THE CITY OF SANTA ANA
ITS OFFIC~RS, EMPLOYEES,
. VOLUNTBERS
20 Civic Center P1.a
Santa Ana, Ca 92701
AGENTS
APPROVED AS TO FORM
J..,.f
Laura Sheedy
Deputy City Attorney
~a.3 04.1999 PrUdt."CI in U.s.A.
UMITlj OF LIABILITY
fat beginning of policy periOd)
aODll Y INJURY AND
PROPERTY DAMAGe
Eeeh Oecu....n~ S
~eral Aggregate $
Pradu"", - Completed $
OperatIons ....ggregate
ilOOJl Y INJURY ANrl "ROPERTY DAMA~e
(Combined Single Um~)
Eaoh Occurrence $ 1000000
Ailgregllle $ 2000000
Part 1 STATUTORY
Part 2 BODilY INJURY
Each Accident $
Disease Each Employ.... $
Disease - PoliO)' Lim it $
LIMITS OF LIABILITY
(at beginning of policy period)
4/1U/01
Date
IhQJ}INN
com pan y
""'"
October 26, 2001
Mr. George Alvarez, City Engineer
City of Santa Ana
Department of Public Works
20 Civic Center Plaza, M-21
Santa Ana, CA 92702
Dear George:
In order to comply with city insurance requirements regarding the work I will be
doing with the city, I agree to notify the city at least 30 days in advance ifmy
insurance with State Farm General Insurance Company, liability insurance policy
#92-S6-8207 -2 is canceled.
Sincerely,
~~
Susan R. Quinn
Principal
~~TO FORM
CRI N EE~
Dtplol~ Ol~ Attorney
246 Via Presa
San Clemente. CA 92672-9461
TEL (949) 366-5890
FAX (949) 366-5891
From: ?usan Quinn To: Paula lome"
Date: 0111512001 Time: Q:23:0Q AM
Page 1 of 1
'-"
~
~
the Quinn Company
246 Via Presa
San Clemente, CA 92672
Phone: (949) 366-5890
FAX: (949) 366-5891
e-mail: susanqubm@eartbllnk.net
TO: Paula Lomeli
FROM: Susan Quinn
DATE: 01/15/01
FA-X NUJI;ffiER: 714-647-5041
NUMBER OF PAGES
(including cover sheet): 1
SUBJECT:
Scope of Work
MESSAGE:
Hi, Paula. Here is the scope of work for the department:
On March 21,2001, two focus groups will be facilitated by Susan R. Quinn of the Quinn
Company involving all the employees of Community Preservation, except for the
management and supervisory staff. TIle tirst focus group will be conducted from 8:00
a.m. to 11:00 a.m., and the second from 1:00 p.m. to 4:00 p.m. The purpose of the focus
groups will be to determine the training and/or development needs oftIle organization.
Following the tocus groups (date to be determined), the consultant will meet with Bruce
Dunam and seniors to discuss the results and to make recommendations for training or
facilitated activities.
The total fee for the focus groups will be $1,700.00. There will be no charge for the
follow-up meeting. There will be no other expenses for this scope of work.
".)I'r .'\, f
a..H t\I
-y Mack
Dat. 0111512001 ~~_otl P1PS .~1i\\~
_,,,.Y. .714647SQ,41., ~.'p!l!;..lUl.1iIm.. 0 ~-- "1i,1It_
~"".... u..."""" .......
'-'
....,
The following is a proposed approach for the upcoming team building workshop:
A 1.5 to two-day team building/problem-solving workshop will be facilitated by Susan R. Quinn
of the Quinn Company (Consultant) for a small intact work group of code enforcement personnel
at the City of Santa Ana (City). The length of the workshop will be finalized following the
interviews of participants. The workshop will be held at a location to be contracted by the City.
The city will also provide a flip chart on tripod. Approximately seven people will participate.
The workshop preparation wiil involve interviews of the participants. Interview time will be
limited to approximately 45 to 60 minutes each. A schedule for interviews will be prepared by
the Consultant, and the City will be responsible for scheduling the participants for interviews.
Any participant who is unable to be available at a scheduled time is responsible for arranging an
alternate time with the Consultant. After the interviews are completed, the Consultant will
arrange to speak with the group's supervisor to finalize the workshop agenda. Participants will be
supplied with hand-out materials that correspond with the agenda; these will be supplied at no
cost to the City. Following the workshop, a report of the results will be provided.
The costs for this project are as follows: the workshop cost is $1,700.00 per day, $850.00 per half
day; interviews and report writing time will be billed at $90.00 per hour. No other expenses are
anticipated.
"'"
CERTIFICATE OF INSURANCE ""'"
o
t8l
o
o
o STATE FARM LLOYDS, Dallas, Texas
insures the following policyholder for the coverages indicated below:
Name of policyholder QUINN, SUSAN & GERALD DBA THE
This certifies that
STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
QUINN COMPANY
Address of policyholder 246 VIA PRESA, SAN CLEMENTE, CA 92672-9461
Location of operations
Description of operations
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid
claims. .
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date : ExpIration Dale (at beginning of policy period)
92-S6-8207 2 Comprehensive 01/16/03 01/16/04 BODiLY INJURY AND
Business Liability PROPERTY DAMAGE
--------------------_.------- .t:j.pro.duCis.:c:orn.ple;tEld.Oijeraiic;ns.......--------------.-----
This insurance includes:
o Contractual Liability
o Underground Hazard Coverage Each Occurrence $
o Personal Injury
o Advertising Injury General Aggregate $
o Explosion Hazard Coverage
o Collapse Hazard Coverage Products - Completed $
0 Operations Aggregate
0
POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY Effective Date : ExpIration Date (Combined Single Limit)
o Umbrella , Each Occurrence $ 1000000
o Other Aggregate $ 2000000
: Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability Each Accident $
i Disease Each Employee $
Disease - Policy Limit $
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE Effective Date : ExpIration Date (at beginning of policy period)
,
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
if any of the described policies are canceled before
its expiration date, State Farm will try to mail a
written notice to the certificate holder 30 days before
cancellation. If however, we fail to mail such notice,
no obligation or liability will be imposed on State
Farm or its agehts or fepresentatives.
Y72L~ f/2Ul.1N
Signature of Authorized Representative
AGENT
Title
Agenl{iJp MIKE MILLER, Agent
Uc. #0360139
A 31882 Camino Caplslrano,Sune 105A
AFO ""iIIUNC San Juan Capistrano, CA 92675
Phone: 949-493-3888
Fax: 949-481.1032
Name and Address of Certificate Holder
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
ATTN: JIM STIKELEATHER
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701-4010
AGENTS & VOLUNTEERS
558-994 B.3 04-1999 Printed in U.S.A
/U'l'i~OVED AS
~~cA
~~~~~(~; :;
DCPLilY Citj o/\I/flrney
lU ["-~,;\...i
3/20/03
Date
IA-,I
L3
.. I. State Farm Generalll\8urance OOIT,-,'
31303 AgOlUll Road
We.~akO Village,eA 91363-0001
nCI..c.vwA.L. vt=.H III'"I\"'" It:
POLICY NUMBE..... ~ 92-S6-8207-2
BUSINESS-OFFK:E
JAN 162003 to JAN 162004
U
:1
D'7795-F416 F U 3
DATE DUE PLEASE PA V THIS AMOUNT
TO BE PAID BY INSURED
Ii
THE CITY OF SANTA ANA
lITS OFFICERS, EMPLOVEES,
AGENTS 8 VOLUNTEERS
ATTN: JIM STIKELEATHER
~O CIVIC CENTER PLZ
'SANTA ANA CA 92701-4010
11,1""1,11",111",,"11,1"111",,"1111"1"1,111,,"1,.11
Insured: QUINN, SUSAN & GERALD
DBA THE QUINN COMPANY
Location: 246 VIA PRESA
SAN CLEMENTE CA
Add Ins-II: THE CITY OF SANTA ANA
Add Ins-II: COUNTY OF LOS ANGELES
Forms, Options, and Endorsements
Speoial Form 3
Business Policy Endorsement
Amendatory Endorsement
Debris Removal Endorsement
Policy Endorsement
Glass Deductible - Section I
Advertising Injury Excl
Produots/Operations Liab Excl
Personal Injury Exclusion
Additional Insured
Testing/Consulting E&O Excl
.-i-
r
7kLr r.fdtifa.S'JWW~..
Agent IVIIKE MilLER
Telephone (949) 493-3888
Coverages and Limits
Section I
A Buildings
B Business Personal Property
C Loss of Income
Excluded
13,700
Actual Loss
Deductibles . Section I
Basic
Other deductibles may
apply. refer to policy
500
Section (I
L Business Liability
M Medical Payments
Gen Aggregate (Other than PCO)
Products-Completed Operations
(PCO Aggregate)
$1,000,000
5,000
2~000,000
txcluded
FP-6143
FE-6464
FE-6205
FE-6451
FE-6506.1
FE-6538.1
FE-6345
FE-6312
FE-6346
FE-6320
FE-6510
Annual Premium
Bus Liability - COV L
CA Surcharge
Total Amount
$244.00
6.00
5.00
$255.00
Premium Reductions
Your premium has already been reduced
by the following:
Claim Record Discount
Yrs in Business Discount
Cov. A. Inflation Index: N/A
Cov. B - Consumer Price: 181.0
,~
~.. .
"
,
"".
" y ".~" ..
'.-1.... .
~-~ (
~
D\"'t'~~.. .....,... :'.l'Uliley
--
APPROYED AS:'~ FORM
., \ ~ ' '. "
4-z 8031106404
See reverse side for important information.
Please keep this part' for your record.
Prepared NO" 04 2002
IF YOU HAVE MOVED, PLEASE CONTACT YOUR "GENT.
NOTE: DO NOT PAY. THE PREMIUM IS
BEING PAID BY THE INSURED.
A
INSURED
''''UU''C1.
POliCY NUMBER
92-S6-8207-2
\
138-30761_5 AlIv.02-2001 Printed in U.S.A. (oH00811)
OR OFFICE USE ONLY 7834 401 M
Prepared NOV 04 2002
N
n95-F416 F
DATE DUE
PLEASE PAY THIS AMOUNT
BUSINESS.OFFICE
THIS IS FOR INFORMATION ONL V
246 VIA PRESA
SAN CLEMENTE CA
2309000006
Slate Farm Insurance Companies
RES FIRE REN
0000