HomeMy WebLinkAboutHAM'S ELECTRICAL 1-2006
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/ - f - 0"7 __..___, AGREEMENT
CLU:K OF COUNCIL d
UATc: 17-'" "/-DI# THIS AGREEMENT, made and entered into this 'J.J-" day of May, 2006 by and
between Ham's Electric, Inc., a California 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").
N-2006-040
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
making and installing flexible electrical cabling.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $2,000.00 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 terminate on City's
written acceptance of the work, unless terminated earlier in accordance with Section 12, below.
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 $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. 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.
c. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
2
, Client#: 3566 n"-d-OO'/~(;;" (", HAMSELEC
ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDD/YYVY)
01/02/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Edgewood Partners Insurance Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lie #OB29370 (714) 937-1824 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
A --:.Loo7 -I~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
One City Blvd W, #700
Orange, CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A' State National Ins. Co. Inc.
Ham's Electric, Inc. INSURER B' National Union Fire Ins Co of PA
1848 West 11th Street, Suite J INSURER c, Discover Property & Casualty
Upland, CA 91786 INSURER D' Redwood Fire & Casualty
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIDD 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 POLICY EFFECTIVE POUCY EXPIRATION LIMITS
TR NSR
A ~NERAL LIABILITY STL300001801 01/01/08 01/01/09 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE T9~ENTED $100000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5000
PERSONAl & ADV INJURY $1 000 000
- GENERAL AGGREGATE $2 000 000
~'L AGG:nE LIMIT APf~!.~t,PER: PRODUCTS - COMP/OP AGG $2 000 000
POLICY I ~~,P.,: Loe
D ~TOMOBILE LIABILITY CAAOOl434 01/01/08 01/01/09 COMBINED SINGLE LIMIT
~ ANY AUTO (Eaaccldent) $1,000,000
- ALL OWNED AUTOS BODilY INJURY
$
- SCHEDULED AUTOS (PerpBtsOn)
!.. HIRED AUTOS BODILY INJURY
$
1L NON.OWNED AUTOS (PeraC<lfdent)
- PROPERTY DAMAGE $
{Per accident)
RRAGE LIABILITY AUTO ONLY - EAACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B OESS1UMBRELLA LIABILITY BE4697643 01/01/08 01/01/09 EACH OCCURRENCE $2 000 000
OCCUR D CLAIMS MADE AGGREGATE $2 000 000
- $
8 DEDUCTIBLE $
X RETENTION $10000 $
C WORKERS COMPENSATION AND D272W00209 10/01/07 10/01/08 X I J(tH!~);~; I IOJ!;'-
EMPLOYERS' LIABILITY E.L EACH ACCIDENT $1 000 000
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1 000 000
If yes, describe under E.L. DISEASE. POLICY LIMIT $1 000,000
SPECIAL PROVISIONS below
OTHER
. - 'rA p()RM
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS AT r . . .c
RE: All operations ofthe Named Insured; if required by written contract, ,O~. I/~
City of Santa Ana is Additional Insured per attached blanket endorsement(s) _~" ,.,j, /1'<-
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1\ ,>:.l.'tl~,.lL City Attorney
CERTIFICATE HOLDER
CANCELLATION
City of Santa Ana
Attn: Lynda Kelly - Information Svcs. 'Rep.
20 Civic Center Plaza, M.12
Santa Ana, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIl. ----30- DAYS WRITIEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE l.EFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
~ORIZE~ .;cPRESENTATIVE
ACORD 25 (2001/08)1 of 2
#M25239
SCOl
@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDiTIONAL INSURED, the pollcy(ies) must be endorsed, A statement
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 of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to ttie certificate
holder in lieu of such endorsement(s),
DISCLAIMER
The Certificate of Insurance on the reverse side of 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 negativeiy amend, extend or alter the coverage afforded by the policies listed thereon,
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ACORD 25-S (2001/08) 2 of 2
#M25239
I
POLICY NUMBER: STL3000018 oof
COMMERCIAL GENERAL LIABILITY
CG20100704
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provi~ed under the foliowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Locatlon(s) Of Covered ODeratlons
Or Oraanizatlonfsl:
Blanket as required by written contract. Blanket as required by written contract.
It is agreed that such insurance as is afforded by this
policy for the benefit of the additional insured shown
shali be primary insurance, and any other insurance
maintained by the additional insured(s) shall be ex-
cess and noncontributory as respects any claim, loss
Dr liability allegedly arising out of the operations of the
named insured, provided however that this insurance
will not apply to any claim loss or liability which is
determined to be solely the resuit of the additional
insured's negligence or solely the additional insured's
resoonsibilitv.
Information required to comolete this Schedule if not shown above will be shown in the Declarations.
A. Section II - Who Is An Insured Is amended to
include as an additional insured the person(s) Dr
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or 'personal and advertising injury"
caused, in whoie or in part, by:
1. Your acts Dr omissions; Dr
2. The acts Dr omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additionai insured(s) at the location(s) desig-
nated above.
CG 20 10 07 04
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions appiy:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts Dr equip-
ment furnished in connection with such work,
on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; Dr
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor Dr subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
@ ISO Properties; lric., 2004
CI
Page 1 of 1
\
POLICY NUMBER: STL3000018 00
CO~MERCIAL GENERAL LIABILITY
CG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETEP OPERATIONS
,
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
eratlons
It is agreed that such insurance as is afforded by this
policy for the benefit of the additional insured shown
shall be primary insurance, and any other insurance
maintained by !he additional insured(s) shall be excess
and noncontributory as respects any claim, loss or
liability allegedly arising out of the operations of the
named insured; provided however that this insurance
will not apply to any claim loss or liability which is de-
termined to be soleiy the result of the additional in-
sured's negligence or solely the additional Insured's
res onsibiiit . .
Information re uired to com lete this Schedule if not shown above, wili be shown in the Declarations.
Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury" or "property dam-
age" caused, in whole or in part, by "your work" at
the location designated and described in the sched-
ule of this endorsement performed for that additional
insured and included in the "products-completed
operations hazard".
CG 20 37 07 04
@ ISO Properties, Inc., 2004
Page 1 of 1
Cl
d. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability 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.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation oflaw; 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
3
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copy to:
Executive Director of Finance and Management Services
City of Santa Ana
20 Civic Center Plaza (M-17)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5420
To Consultant:
Ham's Electric, Inc.
1848 West II th Street, Suite J
Upland, California 91786
Telefacsimile (909) 982-2538
A party may change its address by giving notice in writing to the other party. Thereafter,
communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, communication shall be effective or
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.
4
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
5
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indenmify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST: . / '
.'~ .' 'fle".-'
, . <(L'A.,,"">' 1
. PATRICIA E. HEALY \
Clerk of the Council
CITY OF SANTA ANA
~~ttjH~AM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
BY:~A~-e~
LaJta Sheedy-
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
HAM'S ELECTRIC, INC.
~~"","~M., \..,.....~.
FRANCISCO GUTIERREZ
Executive Director
Finance and Management Services
6
EXHIBIT A
April 24, 2006
City of Santa Ana
P.O. Box 1988
Santa Ana, CA 92702
A TT: George Blessing
EMAIL: GBlessing({i)CLsanta-ana.ca.us
REF: L15-30 Outlets
(Ham's Electric, Inc. Qaotation #2062)
I-LOT WORK AND/OR MATERIAL OFFERED:
Provide labor and materials as required to install (2) L 15-30 isolated ground outlets with 30 foot blue sealtite flex
whips at the City Hall Basement Computer Room. Install (2) QOB 330 circuit breakers at PDU-Panel "B", to feed
new flex whips. Identify panel schedule, circuit numbers on new outlets and test outlets to verify correct voltage
and phase rotation. Installation is to be done during normal working hours.
Exclusions:
1. Plans, Permits, and Associated fees.
2. Premium time labor.
WE OFFER TO PROVIDE THE ABOVE WORK/AND OR EQUIPMENT FOR THE SUM OF $1.275.00. THIS
DOES INCLUDE APPLICABLE TAXES. WARRANTY PERIOD OF I-YEAR. THIS QUOTE IS GOOD FOR
60 DAYS. PAYMENT TERMS ~ NET 30 DAYS.
Thank You,
Robert R. Ham
President/CEO
RRH; klm
Date:
Signed Acceptance:
Title:
P.O.:
7
.'
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:
1. 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 of liability. 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 if not 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 9270 I.
(Completion of the 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
Authorized Representative
8
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYYYY)
05/10/06
PRODUCER THIS CERTIFICATE IS ISSUeD AS A MATTER OF INFORMATION
Caleo Ins Brokers & Agents Ine ONt Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lie #OB29370 (714) 937-1824 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
One City Blvd W, #700
Orange, CA 92868 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Lexington Insurance Company
Ham's Electric. Inc. INSURER 8: USF&G Company
1848 West 11 th Street, Suite J INSURER c: Hartford Casualty Ins Co.
Upland, CA 91786 INSURER D:
INSURER E:
Client#" 3566
HAMSELEC
COVERAGES
THE POLICIES OF INSURANce L.ISTED 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 I PnOI\L~Y EFFECTIVE POLICY EXPIRATION LIMITS
LTR "8
A ~ENERAL LIABILITY 8761658 01/01/06 01/01/07 EACH OCCURRENCE .1 000 000
DAMAGE TO RENTED
elL p~MERCIAL GENERAL LIABILITY " '50 000
ex CLAIMS MADE ~ OCCUR MED EXP (Any one person) .N/A
BIIPO Oed :2,500 PERSONAL & NJV INJURY .1 000 000
~ .2 000 000
- GENERAL AGGREGATE
~'LAGG~EnE LIMIT AP~!5fIPER PRODUCTS - COMPIOP AGG .1000000
POLICY P~,Q;: LOC
C ~TOMOBILE LIABILITY 72UECTR3692 01/01/06 01/01/07 COMBlNEO SINGLE UMrT
~ ANY AUTO (Eeaeeldenl) '1,000,000
- AlL OWNED AUTOS BODILY INJURY
(Per person) .
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
X (PeracOOenl) .
~ NON.OWNED AUTOS
- PROPERTY DAMAGE .
(P<<lICCIdent)
iRAa, COAOlCOTY N/A AUTO ONLY - EA ACCIDENT .
ANY AUTO OTHER THAN EAACC .
AUTO ONLY: AGG .
:5~SSIUMBREL.LA LIABILITY N/A EACH OCCURRENCE .
OCCUR 0 CLAIMS MADE AGGREGATE .
.
R ~EDUCTIBLE .
RETENTION . .
B WORKERS COMPENSATION AND 0272WOO037 10101/05 10/01/06 X I, we STI~J.~ I IOJ~
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT .1 000 000
ANY PROPRIETORlPARTNERlEXECUTlVE
OFFICERJMEIvleER EXCLUDED? E.L. DISEASE - lOA EMPlOYEE .1,000,000
IfYlIs,de8Ioribeunder E.L. DISEASE - POLICY UMIT .1 000,000
SPECIAL PROViSIONS below
OTHER N/A
DeSCRIPTION OF OPERAnONS I LOCATIONS I VEHICLES I EXCLUSIONS AOOED BY I:NDQRSEMENT I SPECIAL PROVISIONS
If required by written contract, City of Santa Ana, Its officers, employees, agents,
volunteers and representatives are Additional Insureds under the General Liability,per the
attached endorsement.
CERTIFICATE HOLDER CANCELLATION - ..w
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED BEFORE TliE EXPIRATION
City of Santa Ana OATE THEREOF', THE ISSUING INSURER WILL ENDEAVOR TO MAlL -..3.0.- DAYS WRITTEN
20 Civic Center Plaza NOTICE TO THE CERTJRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Santa Ana, CA 92702 REPRESENTATIVES.
~ORIZE~ ~EPRE~rAT~_
ACORD 25 (2001/08) 1 of 2
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ENDORSEMENT # 2
This endorsement, effective 12:01 AM 01/01/2006
Forms a pan of policy no.: 8]61658
Issued to: HAM'S ELECTRIC, INC.
By: LEXINGTON INSURANCE COMPANY
ADD IT! ONAL INSURED-OWNERS. LESSEES OR CONTRACTORS (FORM B)
This endorsement modifies insurance under the fOllowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name of Person or Organization: Blanket where required under written
contract
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to this
endorsement.)
WHO I S AN I NSURED (Sect i on II) is amended to I nc I uded as an Insured
the person or organization shown in the Schedule, but only with
respect to liability arising out of "your workll for that insured by
or for you.
It is further agreed that such insurance as is afforded by the policy
for the benefit of the additional insureds shall be primary
insurance, but only as respects any claims, loss or liability arising
out of the Named Insured's operations and any insurance maintained by
the additional insured shall be non-contributing.
CG20101185
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LEXDOC021
LX0404
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