HomeMy WebLinkAboutCAL STATE FULLERTON FOUND. 2-2001
CONSULTANT AGREEMENT
C " ?lot\.~.7 THIS AGREEMENT, made and entered into this 31st day of~, 2001 by
(' I rJ and between the CSUF Foundation, Center for Demographic Research, a California 501 (c )(3)
corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal
corporation organized and existing under the Constitution and laws of the State of California
(hereinafter "City").
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RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
research and analysis of demographic information related to the City.
B. Consultant represents that it 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 $10,000.00 during the term of this Agreement.
b. Consultant shall submit an itemized invoice to the City for all expenses incurred
pursuant to the Scope of Services set forth in Exhibit "A". Said invoice intervals shall not be
less than thirty (30) days. 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. Consultant shall submit a final invoice
and statement of costs incurred, marked "FINAL", not later than sixty days after termination of
the Agreement.
3. TERM
This Agreement shall commence on the date first written above and terminate on August
31,2003, 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 Deputy City Manager for
Development 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. 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$I,OOO,OOO 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 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. 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 oftermination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance ofthis Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
3
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:
Deputy City Manager for Development Services
City of Santa Ana
20 Civic Center Plaza (M-20)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 973-1461
and,
4
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:
Center for Demographic Research
California State University, Fullerton
P.O. Box 6850
Fullerton, California 92834-6850
Telefacsimile (714) 278-1396
Attn: Dr. Bill Gayk
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 ofthis 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
5
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 either party upon thirty (30) days written notice.
In such event, Consultant shall take all reasonable measures to prevent any further costs to the
City under this Agreement, and the City shall reimburse Consultant for all costs and nonvoidable
obligations incurred by Consultant in the performance of this Agreement prior to the date of
termination, but not to exceed the amount prescribed in the budget herein, and 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 ofthe 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 reasonable standard of
performance specified in the Recitals of this Agreement.
13. 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.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed 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 ofthis 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 ofthe 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,
6
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
;~
PATRICIA E. HEALY
Clerk of the Council
~~
City Manager
~
,c
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
(M--
RECOMMENDED FOR APPROVAL:
CONSULTANT
~
C THIA J. NELSON
Deputy City Manager for
Development Services
a~,~CL
WILLIAM M. DICKERSON
Executive Director
95-2081258
Employer ill # or Individual SS #
7
EXHIBIT A
SCOPE OF SERVICES
Consultant shall provide assistance in the research and analysis of demographic information
related to the City of Santa Ana, including, but not limited to, a comparison of select Census
2000 Statistics at the state and national level. This work effort shall be ongoing and performed
on an "as needed" basis to assist City staff in a variety of Census and demographic tasks. All
related tasks are to be processed and requested through the designated Plarming Division Project
Manager on behalf of the City.
COMPENSATION
All work shall be performed on an hourly basis per the attached list of hourly rates for the Center
for Demographic Research staff.
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.
t
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
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 ofliability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant ifnot so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion ofthe following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
QJ~
~A
9
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THIS CERTIFICATE IS ISSUED AS A MATTER"OF'i'NFORMATION ONLVAN.D........._..
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PRODUCER
Driver Alliant Insurance Services
500 Washington Street
Suite 300
San Francisco, CA 94111
(415) 371-5400
INSURED CSU Fullerton, Foundation
2600 E. Nutwood Ave., Suite 275
Fullerton, CA 92631-3599
Attn: Bill Herbert
INSURERS AFFORDING COVERAGE
Please refer to Coverages section below.
481
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.
CoverageType
InsullIr
Polley
ar.ctlveDate ExplratlonD8t. Llmnrype
Amount
Pt1ma ExcMs G..,eral Llabll
Royallndemnty Company
RHJ090411
01-Jul-2002
JO-Jun-200J
Combine Sing"" Limit, Per Oce
S.I.R.
Scheduled 0Nned AlIto (if any).
Hired and Non-Owned AlIto.
ProductslCompletedOperations.
Contractual Liab~ity"
$1,000,(((1
""',(XX)
.AII Coverages included in CSL, PerOee Liml
Prim Excess E&O (Evlden.:. or Insurance On )
100 0&0 and Prof Liability RoyallndemnilyCompany
Excess Liability (For evidence of Insurance On
Sch:>ols Excess Liability Fund
0702-19J1247
01-Jul-2002 JO-Jun-20OJ EachOcculTence $2,000,000
S.I.R. $25O,(XX)
Aggrega1e $2,000,000
O,-Jul-2002 JO-Jun-20OJ Each Occurrence $14,000,000
RHJ090417
'VED f' TO FORM
liNE LEE. SHAW
Deputy City Attorney
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds as respects to the Agreement set forth in
Exhibit A between CSU Fullerton Foundation, Center for Deomographic Research and the City of Santa Ana.
This cancel and re laces certificates issued on June 26, 2002.
IMPORTANT
If the certflcale hoKler is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. A sta1ement on this certificate does no1 confer righ1s 10 the certificate holder In I~u of such endof1lemenl(s).
If SUBROGATlON IS WAIVED, slbJeet to Ihe terms and conditions otthe policy, certain pollclls may require an endol$ement A s1a1emerrt on this certificate does not l;(lnler rigrts to the certificate
holde'
The Certifica1e of Insurance on ths form does not conslMute a contract between the issuing insurer(s), authortzed represertative or producer, and the certlficale holder, nor does it amrmatlvety or
negalr.-e1y amend, extend or a/terthe coverage aIIorded by1he po~c.\!I$listedthereon.
DISCLAIMER
City of Santa Ana
Clerk of The City Council
20 Civic Center Plaza (M-30) P.O. Box 1988
Santa Ana, CA 92702-1966
6476-1526
SHOULD ANY OF THE ABOVE DESCRIBED POliCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL JO DAYS WRITTEN NOTlCE
TO THE CERTIFICATE HOLDER NAMED lOTHE LEFT.
AUTHORIZED REPRESENTATIVE
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Il!>YAI.7(tNAllIANCI.
This endorsement number:
Per Blanket Additional Insured Endorsement attached to policy
number listed below.
Effective:
07/01/2002
Forms a part of policy number:
RHJ090417
Issued to:
California State University Risk Management Authority
Auxiliary Group - Purchase Insurance Program
By:
Royal Indemnity Company
This Endorsement Changes The Policy. Please Read It Carefnlly.
Governmental Program
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
SCHOOL LIABILITY
The definition of Insured is amended to include any person or organization you are contractually obligated to
include as an additional insured, and for which a certificate of insurance has been issued evidencing such status
and which is on file with the Company, with respect to Bodily Injury, Personal Injury and Property Damage
arising out of the Named Insured's operations or premises owned by or rented to the Named Insured The
insurance provided to the additional insured does not apply to any liability occurring after those operations or use
of premises have ceased.
The inclusion of more than one Insured under this policy shall not operate to impair the rights of one Insured
against another Insured and the coverages afforded by this policy shall apply as though separate policies had
been issued to each Insured The inclusion of more than one Insured shall not, however, operate to increase the
limit of the Company's liability.
Any other insurance carned by a certificate holder which may be applicable shall be deemed excess and the
Insured's insurance primary notwithstanding any conflicting provisions in the Insured's policy to the contrary.
A certificate holder shall not, by reason of their inclusion under this policy, incur liability for payment of
premium for this policy.
In the event of reduction in coverage or cancellation of this insurance, we agree to mail thirty (30) days (ten (10)
days for non-payment of premium) advance notice of such reduction or cancellation to each entity added as per
certificates on file with the Company which specify that a written contract exists and requires that the certificate
holder be an additional insured.
SJP 2001 (10/97)
All other terms and conditions in the policy remain unchanged.
N ... 2.002.-
Driver Alliant Insurance Services
500 Washington Street
Suite 300
San Francisco, CA 94111
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION o"NLVANO-.---....
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
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PRODUCER
(415) 371-5400
INSURED CSU Fullerton, Foundation
2600 E. Nutwood Ave., Suite 275
Fullerton, CA 92631-3599
Attn: Bill Herbert
INSURERS AFFORDING COVERAGE
Please refer to Coverages section below.
48'
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.
Coverage Type
InauAlr
PolicY'
!ffectlveDete ExplratlonDlri:e UmltType
Amount
PM! excaa aenn UIlblI
RoyallrdemnlyCompany
RHJ090417
01-Jul-2002
JO-Jun-2003 Combine Single Umit, Per Oce
S,I.R.
Sc:he<t.J1ed OWIledAuto (ifan~.
HlredanclNon-Q'MledAulo.
ProductelCompll!ltedOperatlons.
ContractualLlablltty"
$1,000,000
",",,000
.AII COverages Included In CSL, PerOce UmM
Prl Excen E&O Evidence at Inaurance On
tm:1 0&0 and Prof Liabilly Royallnclernr1ty COmpWlY
Excess Llabll For Evldenoe at Insurancl On
SChools Excess Uabilly Fund
0702-19J1247
01.Jul-2002 3O-Jun-2003 EachOC<:urrence $2,000,000
S.IR ",",,000
Aggregale $2,CXXl,CXXl
01-Jul-2002 3O.Jl>>2003 Eac:hOccurrence $14,000,000
RHJ090417
APPROVED AS TO FORM
i!!ltR ~
aura Sheedy
Deputy City Attomey
DESCRlP110N OF oPERAll0NSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named as additional insureds as respects Consultant
Agreement between CSU Fullerton Foundation and City of Santa Ana for Oral Histories Recommendations, Project No. 56928. Term of contract expires
FebnJa 28, 2003.
IMPORTANT
If the certrlC8te holder is an ADDITIONAL INSURED, the poMcy(ies) must be endorsed. A statement on this certificate does not conferrightsto the certificate holder in lieu cA such endorsemert(s).
If SUBROGATION IS WAIVED, sltlJect to the terms end conclnions ollhe polley, certain policies may require an endorsement. A stEDment on this certificate does not confer rights to the certifICate
DISCLAIMER
The certillcate or Insula"lC8 on this fOnTl does not constttlie a contrae1 between the Issuing il18Ul9r(S), authorized represer1at1vlt or producer, and the certII~ holder, nor does n affirmaUvety or
negalt./e1yamend, exiend or elterthe cowrage Ei'fon:ted by th& policies listed thereon.
City of Santa Ana
Clerk of The City Council
20 Civic Center Plaza (M-3D) P.O. Box 1988
Sanla Ana, CA 92702-1988
6476.1526
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, BlIT FAILURE TO DO
so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
""---:7
?' ....v ~ ~
~'
ROYAL & .... . .... ..
~ ~SUNALl1ANCf
This endorsement number:
Per Blanket Additional Insured Endorsement attached to policy
number listed below.
Effective:
07/01/2002
Forms a part of policy number:
RHJ090417
Issued to:
California State University Risk Management Authority
Auxiliary Group - Purchase Insurance Program
By:
Royal Indemnity Company
This Endorsement Changes The Policy. Please Read It Carefully
Governmental Program
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
SCHOOL LIABILITY
The definition of Insured is amended to include any person or organization you are contractually obligated to
include as an additional insured, and for which a certificate of insurance has been issued evidencing such status
and which is on file with the Company, with respect to Bodily Injury, Personal Injury and Property Damage
arising out of the Named Insured's operations or premises owned by or rented to the Named Insured The
insurance provided to the additional insured does not apply to any liability occurring after those operations or use
of premises have ceased,
The inclusion of more than oue Insured under this policy shall not operate to impair the rights of one Insured
against another Insured and the coverages afforded by this policy shall apply as though separate policies had
been issued to each Insured The inclusion of more than one Insured shall not, however, operate to increase the
limit of the Company's liability.
Any other insurance carried by a certificate holder which may be applicable shall be deemed excess and the
Insured's insurance primary notwithstanding any conflicting provisions in the Insured's policy to the contrary.
A certificate holder shall not, by reason of their inclusion under this policy, incur liability for payment of
premium for this policy.
In the event ofreduction in coverage or cancellation of this insurance, we agree to mail thirty (30) days (ten (10)
days for non-payment of premium) advance notice of such reduction or cancellation to each entity added as per
certificates on file with the Company which specify that a written contract exists and requires that the certificate
holder be an additional insured.
SJP 20 01 (10/97)
APPROVED AS TO FORM
L~~
o.cputy CIty Attorney
All other terms and conditions in the policy remain unchanged.
;"{',
,,:"G'IRmIIIIA'EE!' '111,G:<I'IIi5'l1l!1:E!;-:' ' ,,' :'1, :,,:::U:,::
: ' ;,' , ," " ", '"" L " , ;; " "", ;; ti,;~L;J q~, 1 ;-v~~~,~;
,:,....:.......'.:.:.:-:->:.:.:'>:.:...:
.,:;:.:.:.;:.:.:.:.:,::;:,:;::::~.;::::~:.
:;~;;:L:~}j;:IiIF~1.mlJmnI!
:::::'::::::::;::~::::
,:::::,:,::',::':::::::
25-Jul-2002
:::,,:.:........
'..............;.;.
Driver Alliant Insurance Services
500 Washington Street
Suite 300
San Francisco, CA 94111
THIS CERTIFICATE IS ISSUED AS A MATTER OF EVIDENCE ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PRODUCER
(415) 371-5400
INSURED CSU Fullerton, Foundation
2600 E. NutINood Ave., Suite 275
Fulierton, CA 92631-3599
At1n: Bili Herbert
481
MEMORANDUM OF COVERAGE NUMBER
AGPIP-0203-01
PROGRAM AFFORDING COVERAGE
CSURMA Auxiliary Group Purchase Insurance Program (AGPIP)
THIS IS TO CERTIFY THAT THE COVERAGE IS AFFORDED TO THE ABOVE NAMED MEMBER. AS PROVIDED BY THE MEMORANDUM(S) OF COVERAGE, FOR THE
COVERAGE PERIOD SHOWN BELOW, NOTHWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
RESPECT TO WHICH THIS CERTIFICATE MA'( BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE PROGRAM OEscRIBEO HEREIN IS SUBJECT TO
All THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM(S) OF COVERAGE. THE FOllOWING COVERAGE IS IN EFFECT:
PUBLIC ENTITY LIABILITY IS DEFINED IN THE MEMORANDUM(S) OF COVERAGE ON FilE WITH THE ENTITY, AND COPIES ARE AVAILABLE ON REQUEST.
fy.p;Oi.c;;;~.;g;.:-............................_._._.-.-. ._..E;;;ctiV;D;t~-.- .-EiCpir;ii;;~D~l.-. .-.-.-.-.-.-sTir....-.-.-..... ._._.....D;d.~.;iii;r;....._._. _......Ti~bmty-.:.T;;fip~r.-......
Public Entit Liabilit Includin Occurrence
AGPIP S.I.R. Fund - iabili
General Uability
Scheduled OWned Auto
Hired and Non-OWned Auto
ProductslCompleted Operations
Contractual Uabil'
01-Jul.2002
30.Jun-2oo3
$250,000
Auto Ph sical Dama e. Col 'sion Deduct'ble
Scheduled Owned Auto
Actual Cash Value
01.Jul-2002
30-Jun-2003
$1,000
Scheduled Owned Auto
Actual Cash Value
01-Jul-2002
30-Jun-2003
$500
Includes Directors & Officers and Prof Liabilit
01-Jul-2002
30-Jun-2003
25000
$250 000
APPROVED AS TO FORM
K~Siif
Laura Sheedy ,
D,eputy City Attorney
DESCRlPllON OF OPERAll0NSIlOCAllONstVEHICLESIEllCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named as additional insureds as respects Consultant
Agreement between CSU Fullerton Foundation and City of Santa Ana for Oral Histories Recommendations, Project No. 56928. Term of contract expires
February 28, 2003,
",' 'i!R,IiFll1AtiiJil'OLlliiRnt!'tbiitdttiiVilbVidilblnVnc' 1:11,'llill:II:I\. .,', '
City of Santa Ana
Cieri< of The City Council
20 Civic Center Plaza (M-30) P,O, Box 1988
Santa Ana, CA 92702-1988
SHOULD ANY OF THE ABOVE DESCRIBED pOLICIES BE CANCELLED BEFORE THE
6476 _ 1523 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 DO
so SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE ._,_.. ,.,,:_ :.. ..... ..;....~
~"7, ...Vr""'" /~,~-
AUXILIARY GROUP PURCHAS.E INSURANCE PROGRAM (AGPIP)
This endorsement number:
Per Blanket Additional Insured Endorsement attached to policy
number listed below.
Effective:
07/01/2002
Forms a part of policy number:
AGPIP-0203-01
Issued to:
Auxiliary Group Purchase Insurance Program
Issued By:
CSURMA Auxiliary Group Purchase Insurance Program
This Endorsement Changes The Policy. Please Read It Carefully.
Governmental Program
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
SCHOOL LIABILITY
The definition of Insured is amended to include any person or organization you are contractually obligated to
include as an additional insured, and for which a certificate of insurance has been issued evidencing such status
and which is on fIle with the Company, with respect to Bodily Injury, Personal Injury and Property Damage
arising out of the Named Insured's operations or premises owned by or rented to the Named Insured The
insurance provided to the additional insured does not apply to any liability occurring after those operations or use
of premises have ceased.
The inclusion of more than one Insured under this policy shall not operate to impair the rights of one Insured
against another Insured and the coverages afforded by this policy shall apply as though separate policies had
been issued to each lusured The inclusion of more than one Insured shall not, however, operate to increase the
limit of the Company's liability.
Any other insurance carried by a certificate holder which may be applicable shall be deemed excess and the
Insured's insurance primary notwithstanding any conflicting provisions in the Insured's policy to the contrary.
A certificate holder shall not, by reason of their inclusion under this policy, incur liability for payment of
premium for this policy.
In the event ofreduction in coverage or cancellation of this insurance, we agree to mail thirty (30) days (ten (10)
days for non-payment of premium) advance notice of such reduction or cancellation to each entity added as per
certificates on file with the Company which specify that a written contract exists and requires that the certificate
holder be an additional insured.
All other tenus and conditions in the policy remain unchanged.
AGPIPOOOl (07/02)
APPROVED AS TO FORM
~l^~Of~
La a heedy
Deputy City Attorney
1 :"'ER1'IFIl
_ ,,>l~<<'.' ....>:1
29-0ct-2001
Driver Risk Services
500 Washington Street
Suite 300
San Francisco, CA 94111
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.
PRODUCER
(415) 371-5400
INSURED CSU Fullerton, Foundation
2600 E. Nutwood Ave., Suite 275
Fullerton, CA 92631-3599
AUn: Bili Herbert
INSURERS AFFORDING COVERAGE
Please refer to Coverages section below.
481
epVERASE$ ,
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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUEO 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.
CoverageType
Insurer
Polley
EffectlveDate ExplratlonDatB LlmltType
Amount
BneralLlabl1l Occurrence
School Liability Royal Indemnity Company
RHJ090270
01-Jul.2Q01
30-Jun-2002 Each Occurrence
Personal & Adv Injury
Products - CompJOp Agg
$1,000,000
$1.000.000
$1,000,000
,i.i".'
,
~~iu"L" ; .
,- %
. C INt. L:~ri,..n
Deputy City Attorney
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds as respects to the Agreement set forth in
Exhibit A between CSU Fullerton Foundation, Center for Deomographlc Research and the City of Santa Ana.
DISCLAIMER
If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A statement onthis certificate does.not confer rights to the certificate holder in lieu of such
endorsement(s). If SUBROGATION IS WAIVED. subject to the tenTIs and conditions of the policy, certam poliCies may reqUire an endorsement. A statement on thiS certIficate does not
confer rights to the certificate holder in lieu of such endorsement(s).
The Certificate of Insurance on this fOnTI does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder. nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
IMPORTANT
CERTIli'1
City of Santa Ana
% Clerk of The City Council
20 Civic Center Plaza (M-30) P.O. Box 1988
Santa Ana, CA 92702-1988
6476- 603
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
00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY,
ITS AGENTS OR REPRESENTATIVES.
AUTH
iRoyallnsurance
This endorsement number
Per Blanket Additional Insured Endorsement
attached to policy number listed below.
Effective
07/01/2001
Forms a part of policy number
RHJ 090270
By
CALIFORNIA STATE UNIVERSITY RISK MANAGEMENT AUTHORIT'
AUXILIARY GROUP - PURCHASE INSURANCE PROGRAM
R01i:r.Li.'i;;nmEMfiiiTY COMPANY
Issued to
This Endorsement Changes The PoTiey. Please Read It Carefully.
Governmental Program
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
SCHOOL LIABILITY
The definition of Insured is amended to include any person or organization you are contractually obligated to
include as an additional insured, and for which a certificate of insurance has been issued evidencing such status
and which is on file with the Company, with respect to Bodily Injury, Personal Injury and Property Damage
arising out of the Named Insured's operations or premises owned by or rented to the Named Insured. The
insurance provided to the additional insured does not apply to any liability occurring after those operations or use
of premises have ceased.
The inclusion of more than one Insured under this policy shall not operate to impair the rights of one Insured
"~"'''>\ "'Mhe, I..~u,~d u"d '.I,~ v6.crages afforded by this policy shall apply as though sepa""l" polid"5 had
been issued to each Insured. The inclusion of more than one Insured shall not, however, operate to increase
the limit of the Company's liability.
Any other insurance carried by a certificate holder which may be applicable shall be deemed excess and the
Insured's insurance primary notwithstanding any conflicting provisions in the Insured's policy to the contrary.
A certificate holder shall not, by reason of their inclusion under this policy, incur liability for payment of premium
for this policy.
In the event of reduction in coverage or cancellation of this insurance, we agree to mail thirty (30) days (ten (10)
days for non-payment of premium) advance notice of such reduction or cancellation to each entity added as per
certificates on file with the Company which specify that a written contract exists and requires that the certificate
holder be an additional insured.
All other terms and condilions in the policy remain unchanged.
CiNE LEE SHAW
Deputy City Attorney
SJP 20 01 (10/97)
;;;:'I!i'
::';':':':':"~.':
.:,,:-:.;.;:,.;.:". '.:.;<-,
.....,.,nl'l!iA~IIIRIIN .
:~'t:!~:~.<'~ii ,.,.. ',.:
n.......'."N...~.....e...".,...
: -:: "::. :'.:"" -,::::::
'.' .. "",""'
:~.:.:h:.:::::!:::)::~.;~:::::~-::i<-;.:.::a}"
'.; w
..::.:{:
.;.:.:.:.:.
.;., .," .._",: ::,;:;:;~::::::: :," W'
,:,:,: ,-, :~::::~.; :::,: .". ..,..."
:"".:..,>;. .. ." .::>:.:.:.::.~-;.:::::~L:;:t:::}n:;. \?r\<::.~:::::~::~ ::~::-;~;:::::::}n:th?
:;ATE IS ISSUED AS A MATTER OF INFORMATION ON"lY-ANO-'-.-'-'
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
lEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
OW.
:.:.:.:.:.:.:.;.
...,,:.:.
25-Sep-2003
),:;
.,,"...;.......::::: ...
:~.:.:,_:.:~...;M..
Driver A1liant Insurance Services
500 Washington Street
Suite 300
San Francisco, CA 94111
tJ ;)00)
i9~
PRODUCER
(415) 371-5400
INSURERS AFFORDING COVERAGE
INSURED CSU Fullerton, Foundation
2600 Nutwood Ave., Suite 275
Fullerton, CA 92631-3599
At1n, Bill Herbert
Please refer to Coverages section below,
..,
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
PERT,AJN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERF::IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Excess SIR Uabll
54
arectlYeDate ExplraUonData L.lmltType Amount
01-Ju~2003 01-Ju~2004 General Uabillty. Each occurrence
AutoL.iablllty (Incl. InGL.U'nl)
Hired'NonOwned Auto (IneL In GL. L.lmK)
Prod,lCompl. Operalons (Inclln GL. Uml)
COntractual Uablllly (Inel in GL.L.JmK)
01-Ju~2003 01.Ju~2004 GeneralL.iabiuty.EachOccurrence
General UabilltyAggr8Qate L.imlt
AutoL.iabillty~ncl.lnGL.I..ImK)
Hired'NonOwned Auto (IncI, In GL. UmIt)
Prod,fCompl. Operations ~nclln GL. Urn.)
COntraclual Uablllty (Inelln GL. L.lmit)
01-Jul-2003 01-Ju~2004 SIR Errors &.Omlssions
Excess SIR Errors to OmSSions
AggregaieL.lmlt
01-Jul-2003 01-Ju~2004 GeneralUabilty. Each Occurrence
_,000
Covera.Type
Insuntr
poWcy
SIRFundUsb11l
AGPIP S.I.R Fund
GPIP-0304-01
GENESIS
$750,0XI
$1,SOO,0XI
Excess SIR E&O L.lab Evklen~ of In.uran~ Onl
GENESIS
_,000
$750,000
$1,5/Xl,OOO
Excess L.labll
or Evidence of Insuran~ On
SChools Excess UabllltyFund
0703-19J1247
$14,000,000
, "J)., L,)
j U l'Ut{.
;::su n , rdu
.:tl~.~'<-'-r--'-----'
"
"
DESCRIPTION OF OPERAllONSlLOCA1l0NSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTSlSPECIAL PROVISIONS
The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named additional insureds as respects Consultant Agreement
between CSU Fullerton Foundation and Ci of Santa Ana for Oral Histories Recommendations, Pro'act No. 56928.
IMPORTANT Ifltle certftate I'Ioklerls .... ADOITIONAL. INSURED, the policy(ies) muslbe endorsed, A sta1ernen! on !hls cer1lf1cate does no1conterrlghtstothe certificate holderln lieu c1suchendorsement(s}.
It SUBROGATION IS WAIVED, slbject to Ille terms and condKKlns or the policy, certain policies may require an endorsement. A s!Pment on this certificate does not confer ngrts to the oer1iticale
DISCLAIMER The Cerllflca!e o1lnsuranoe on this fOITll does not constillte a comract between the Issuing Insurer(s}, authoriZed repNsenta11ve or prodlX8l', and 1he certificate holder, nor does K amrma1lvety Of
neg~lyamend,ex1endOrallerthecoverageltfordedbythepolicleslistedthereon
City of Santa Ana
Library Building 26 Civic Center Plaza. M-75
PO Box 1988
Santa Ana, CA 92702
Attn: Indhira Dawkins
9963.1526
SHOUL.D ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEL.LED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIll. ENDEAVOR TO MAIL. 30 DAYS
WRiTTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT , BVT FAIL.URE TO DO
so SHAL.L.IMPOSE NO OBUGATION OR UABIL.ITY OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~.'~/4o?17'
""" ....,.
TillS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Endorsement
Number -1-
POLICY NUMBER ENDORSEMENT EFFECTIVE COMPANY
Genesis Insurance Company
YXB300954 July 1, 2003
NAMED INSURED COVERAGE PARTS AFFECTED
The School Policy
California State University Risk Management Authority - Auxiliary Retained Limit Form
Group Purchase Insurance Program Coverage Part A
CHANGES
BLANKET ADDITIONAL INSURED
Paragraph D. in SECTION II - WHO IS AN INSURED in Coverage Part A is deleted and replaced by the following:
D. Any person, entity, or organization you are required by an insured contract to include as an insured we will
include as an Insured under this policy but only with respect to bodily injury, personal injury, advertising
injury or property damage arising out of your operations or premises owned by or rented to you. This insurance
shall be limited to the extent of coverage and Limits of Liability required by the insured contract and shall not
increase the limits slated in SECTION III - LIMIT(S) OF INSURANCE or alter any of the terms of coverage
slated in this policy. The insured contract must be effective and executed prior to a covered occurrence. The
insurance provided herein to any person, entity, or any organization qualifying as an Insured, does not apply to any
liability occurring after those operations or use of premises have ceased.
Except with respect to the relevant Limit(s) of Insurance, any applicable exclusion(s), and any rights or duties
specifically assigned to the First Named Insured, this policy applies separately to each Insured against whom
claim or suit is brought.
.,. ..D AS 1
~ '. >..........
, ,
if(}/. L/.A;---
r/(;,lwcdY
{-;'\ ,\ ttnrn,':,'
Signed at Stamford, Connecticut on September 25, 2003
PEPRLF 999-1
Authorized Representative
Copyright, Genesis Insurance Company, 2003
30-Jun-2003
Driver AlIianllnsurance Services
500 Washington Street
SUITe 300
San Francisco, CA 94111
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DDES NDT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PRODUCER
(415) 371-540D
._________...__mm______.___._m_____..____________....__mm__....____n_____..__________._._._mmm___ _____._mn,._m__
INSURERS AFFORDING COVERAGE
INSURED CSU Fullerton, Foundation
2600 Nutwood Ave., Suite 275
Fullerton, CA 92631-3599
Attn: Bill Herbert
01.-'lq~
. \/;"0
i\J 481
Please refer to Coverages section below.
.Ji\lIg~~~;;;L:;.;;.;;.;;.;;;;::";ZL"',,.:,,;;.;;..i;.J,;;:L.;;.;,:,A":,:":2z;m:i;5j:id;;;:lcJX;;;~,,,:",,,,LiL;;,,Lb:;i":LhbdiL".iih":;",,,,,;;;:;"::i:,,,Ji,,,,,,,,,,,,,,,,,,,,,,Lii;;,,,,,,;;;:L
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.
coverag~TYpf;.mmmm........m"lri~urer..mm............m.........................mm. poiicy............................ "EffectiveDate"rElip'lrat"lonD~te' i:in.-IiTYpe..mm............m..--.....-..-.....TA.;.;Ount-.......mmm_'.
SIR FundLlabll
T0703-19J1247
01-Jul-2003 01.Jul-2004 General Liability-Each Occurrence
Auto LiabilityOncL InGL Limit)
HiredINonOWned Auto Onc!. In GL Limit
Prod,lCompL Operations (lncl in GL Li
Contractual Liability (Incl in GL Limit)
01.Jul-2003 01-Jul.2004 General Liability- Each Occurrence
General Liability Aggre9ate Limit
Auto liability (IncL In GL limit)
HiredINonOWned Auto Onc\. In GL Limit
Prod.lCompl, Operations (Incl in GL li
Contractual Liability (Incl in GLLimit)
01.Jul-2003 01.Jul.2004 SIR Errors & Omissions
Excess SIR Errors & Omissions
Aggregate limit
01-Jul-2003 01.Jul-2004 General Liability. Each Occurrence
$2tiO,OOO
AGI-'IP S,I,R Fund
ABI-'IP-0304-01
Excess SIR Llablli
GENESIS
YXB3oo954
$750,000
$1,500,000
Excess SIR E&O Llab Evidence of Insurance anI
GENESIS
YX83oo954
$250,000
$750,000
$1,500,000
Excess LiabUl For Evidence of Insurance Onl
Schools Excess liability Fund
$14,000,000
fORM
ura SheedY v
CI\y A\tl1fne,
PC?\ltY
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds as respects to the Agreement set forth in Exhibit A
between CSU Fullerton Foundation, Center for Deomographic Research and the City of Santa Ana.
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A stamment on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions afthe policy, certain policies may require an endorsement A statement on this certificate does not
confer rights to the certificate holder in lieu of such endorsement(s}
The Certificate of Insurance on this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
DISCLAIMER
City of Santa Ana
Clerk of The City Council
20 Civic Center Plaza (M-3D) P.O. Box 1986
Santa Ana, CA 92702-1988
6476. 1526
SHOULD ANY OF THE ABOVE DESCRIBED pOLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT .
i l._~ L J")14Ml... ._1._
NTA~
~J