HomeMy WebLinkAboutSALLY LOW & ASSOCIATES, INC. - 2006
NSURANCE NOT ON FILE
WORK MAY NQI PROCEED
CLERK OF COUNCIL
DATE: 7-//- ot
o C07C O),(C",,;,,,,-e,.,,,..,,) CONSULTANT AGREEMENT
N-2006-053
TIllS AGREEMENT made and entered into this 6th day of July 2006, by and between
Sally Low & Assuciales, 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 u[ the State of California (hereinafter "City").
RECITALS
A. The City desires tu retain a consultant having special skill and knowledge in the field u[
providing document translation services.
B. Consultant represents that Consnltant is able and willing to provide such services to the
City.
C. In undertaking the perfonnance u[this Agreement, Consultant represents that it is
knowledgeable in its field and that any services perfonned by Consultant under this
Agreement will be perfonned in compliance with such standards as may reasonably be
expected ftom a professional consulting finn 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 translate the City's Notice of Election and Argument Guidelines,
attached hereto as Exhibits A-I and A-2, respectively, into Chinese, Korean, Spanish and
Vietnamese. City may reqnest additional services, in writing, which will be provided on the
tenns and conditions set forth herein.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as tutaI payment for its services,
the rates and charges set forth in Exhibit B. The total sum to be expended under this Agreement
shall not exceed $2,000.00 during the tenn 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 perfonnance set forth in the Recitals
which may reasunably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2007, unless tenninated earlier in accordance with Section 12, below. The tenn of this
Agreement may be extended upon a writing executed by the Clerk of the Cuuncil and the City
Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire tenn 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, ajoint 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 snch services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
empluyees and shall be responsible for all applicablc withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agrccment, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain Worker's
Compensation Insurance. In accordance with the provisions of Section 3300 of the J "abor 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. Consultant shall maintain
Workers Compensation insurance in full force and effect for the entire period covered by this
Agreement. Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in form by the City Counsel.
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 hcalth, and claims for property damage, which may arise [rum lhe
direct or indirect operations o[the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement. The Cunsultant further agrees to indemnify, hold hannless, 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 asserting that personal injury, damages, just
compensation, restitution, judicial or equitable relief duc to pcrsonal 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
2
If Consultant receives ftom the City infonnation which due tu the nature of such
information is reasonably understood to be confidential and/or proprietary, Consnltant agrees
tbat it shall not use or diselose such infonnation 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 nu event less than reasonable care. "Confidential Infonnation" shall
include all nonpublic information. Confidential infonnalion includes not only written
information, but also infunnation transferred orally, visually, electronically, or by uther means.
Confidential infonnation 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 nondiselosure
shall not apply to any infonnation that (a) has been diselosed 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 Consuitant without
reference to infornlation 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
lhis 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 firs! class or certified mail, postage prepaid, or sent by telefacsimi1c or other
telegraphic communication in the manner provided in this Section, to the full owing persons:
To City: City Clerk
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:
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
Tu Consultant:
Sally Low & Associates, Inc.
600 W. Santa Ana Blvd., Suite 208
Santa Ana, California 9270 I
telefacsimile (714) 834-9035
3
A party may change its address by giving notice in writing to the other party. If sent by
mail, commnnication shall be effective or deemed to have becn given three (3) days after it has
been deposited in the United States mail, dnly registered or certified, with postage prepaid, and
addrcssed as set forth above. If sent by telefacsimile, communication shall he effective or
deemed to have been given twenty-four (24) hours after the time set forth on the transmission
report issued hy the transmitting facsimile machine, addressed as set forth above. For purposes
uf calculatiug 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 cvent of a conflict between the tenns uf lhis Agreement and any attachments hcrcto, the
lerms of this Agreement shall prevail. This Agreemcnt may not be modified except by writlen
instrnmcnt 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 tenns and conditions hereof, shall not bind or obligate Consultant nor
the Cily. Each party to this Agreement acknowledges that no reprcscntations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf uf 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
wriUen consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written conscnt shall be considered null and void. Nothing in this Agreement
shall be cunstrued lu 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 consnltants retained by City.
12. TERMINATION
This Agreement may be tenninatcd by the City upon thirty (30) days written notice of
termination. In snch 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 oftennination,
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 snch work product shall be
the property of the City unless prohibited by law, and Consultant cunsents 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 ofperfonnance
specified in the Recitals of this Agreement.
4
13. DISCRIMINATION
Consultant shall not discriminate because afrace, 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 regnlations.
14. JURISDICTION - VENUE
Tbis Agreement has been executed and delivered in the State of California and the
validity, interpretation, perfonnancc, and enforcement of any uf the e1auses of this Agreement
shall be detennined 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 lhe term of this Agreement, maintain all ncccssary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hcrcnnder and required by the laws and regulalions ofthe United States, the State of California,
lhe City of Santa Ana and all other governmental agcncies. Consultant shall notify the City
immediately and in writing of her inability to obtain ur maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for tennination ofthis
Agrcemcnt.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signalure hereinbelow has the power,
authority and right to bind their respective parties to each of the tenns ofthis Agreement, and shall
indemnity 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 ofthis Agreement.
II
II
II
II
5
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first ahove written.
ATTEST:
CITY OF SANTA ANA
?-
~
PATRICIA E. j-lEAL
Clerk of the Council
gAe.
DAVID .REAM
City Manager
APPROVED AS TO fORM:
JOSEPH W. FLET~ER
City Att~ey / I _
//1 ! /-
/ ' v
By: ; .
Lau;a S
Asrt
ttorney
ES, INC.
TAXID: 3:5- V <;'j S-(; C/.'!:"
6
EXHIBIT A-I
NOTICE OF ELECTION
CITY OF SANTA ANA, CALIFORNIA
NOTICE IS HEREBY GIVEN that a general municipal election will be held in the City of Santa Ana, on Tuesday,
the seventh day of Novernher 2006 for the following officers:
Mayor
Ful12-year term
Councilmember, Ward 2
FuJI 4-year term
Councilmember, Ward 4
Full 4-year tenn
Councilmember, ward 6
Full 4 year term
The polls will be open between the hours of 7:00 a.m. and &:00 p.m.
AND
MEASUllES TO BE VOTED ON
NOTICE [S HEREBY GIVEN that the following measures are to be voted on at a special municipal election
consolidated with the general municipal election to be held in the City of Santa Ana, California on Tuesday, the
seventh day ufNovemher, 2006:
Shall the administrative provisions of the Santa Ana Charter be amended to: begin
council terms on the 2'd Tuesday of December; call elections by ordinance or
resolution; permit modifications in an ordinance between 1st and 2nd readings; give the
council authority to act by motion, ordinance or resolution; and, permit orders for the
emergency payment of funds to be made at all council meetings? Charter Sections
400,413 and 1200.
Yes
No
Shall contrading provisions of the Santa Ana Charter be amended to: require the council to set the limit on the
city manager's contract authority by ordinance; require the council to adopt by ordinance rules and regulations fur
the purchase of goods and services for the city; and authorize alternative procurement mdhods including the use
of design-build procedures for public works contracts? Charter Sections 421 aod 422.
Yes
No
7
Shall the term limit provisions of the Santa Ana Charter be amended to: require an 8 year waiting period for
termed-out councilmembers to run for council again; and, clarify that the term limit exception for short or partial
terms apply only where a collncilmemhcr is appointed or elected to fill a vacated seat? Charter Section 401.
Yes
No
Shall the board/commission appointment provisions oCthe Santa Ana Charter be amended to: formalize the
practice of council members nominating candidates to seats tied to council wards; permit the mayor to nominate a
city-wide seat with 2-year term; require at least 50% of the persons nominated by a councilmember be residents
ofhisJher ward; and, prohibit termed-out councilmembers from being immediately appointed to boards and
commissions? Charter Section 901.
Ves
No
Shall the organizational provisions of the Santa Ana Charter related to boards and
commissions be amended to: prohibit campaign treasurers from being appointed to
boards and commissions; conform the duties of the planning commission to provisions
of state law; permit non-Santa Ana public employees to serve on the personnel board;
and, clarify that the personnel board's jurisdiction is limited to disciplinary matters?
Charter Sections 901.1, 910, 911 and 912.
Vcs
No
Patricia E. Healy
Clerk of the Council
City of Santa Ana
8
EXHIBIT A-2
NOTICE
TIME LIMIT TO SUBMIT BALLOT ARGUMENTS
Charter Amendmcnts~ City of Santa Ana
Special Municipal Election Consolidated with General Municipal Election
November 7, 2006
PLEASE TAKE NOTICE that arguments with respect to the [ollowing ballot measures relating to
changes in the City Charter uftbe City of Santa Ana will be received by the Santa Ana Clerk of the Council:
Shall the administrative provisions of the Santa Ana Charter be amended to; begin council terms on the 2nd
Tuesday of December; call elections by ordinance or resolution; permit modifications in an ordinance between
1.1 and 2nd readings; give the oouncil authority to act by motion, ordinance or resolution; and, pennit orders for
the emergency payment of funds to be made at all council meetings? Charter Sections 400, 413 and 1200.
Shall contracting provisions of the Santa Ana Charter be amended to; require the council to set the limit on the
city manager's contract authority by ordinance; require the council to adopt by ordinance rules and regulations
for the purchase of goods and services for the city; and authorize alternative procurement methods including the
use of design-build procedures for public works contracts? Charter Sections 421 and 422.
Shall the term limit provisions of the Santa Ana Charter be amended to: require an 8 year waiting period for
tenned-out councilmembers to run for council again; and, clarifY that the term limit exception [or short or partial
terms apply only where a councilmember is appointed or elected to fill a vacated seat? Charter Section 401.
Shall the board/commission appointment provisions of the Santa Ana Charter be amended to: formalize the
practice of councilmembers nominating candidates to seats tied to council wards; penn it the mayor to nominate a
city-wide seal with 2-year term; require at least 50% of the persons nominated by a councilmember be residents
of his/her ward; and, prohibit tcnncd~out councilmembers from being immediately appointed to boards and
commissions? Cbarter Section 901.
Shall the organizational provisions of the Santa Ana Charter related to boards and commissions be amended to:
prohibit campaign treasurers from being appointed to boards and commissions; conform the duties of the planning
commission to provisions of state law; pennit non-Santa Ana public employees to serve on the personnel hoard;
and.. clarify that the personnel board's jurisdiction is limited to disciplinary matters?
Charter Sections 901.1, 910, 911 and 912.
9
The City Council has authorized any member of the Councilor any member of the Charter Amendment
Citizens' Task Force lo write arguments for or against the five proposed Charter Amendments. Any voter registered
in the City of Santa Ana, or bona fide association of citizens may submit an argument for or against each measure.
Each argument submission must not exceed 300 words and should be typed double-spaced. The deadline to submit
ballot arguments is TuesdaYl August 1, 2006.
Additional information on argument requirements and specifications, and requests for lhe text of each ballot
mea~urc should be directed to the Clerk of the Council at (714) 647-6520..
10
EXHIBIT B
Sally Low & Associates, Inc.
DATE July 6. 2006
We speak, read and write all languages!
600 W. Santa Ana Blvd., Suite 208
Santa Ana, CA 92701
Phone (714) 834-9032 Fax (714) 834-9035
email: info@interpreterservice.com
To: Quotation valid until: August 7,2006
Carol Molina Espinoza Prepared by: Usa Hall
Sr. Management Analyst lisa.hall@interpreterservice.com
Office of the Clerk of the Council
Santa Ana, CA
(714) 647-6520
Comments or special instructions: Targets: Chinese, Korean, Spanish & Vietnamese
Source: English
Deliver as MS Word, Client to define Traditional or Simplified
Document Language Word Count per word Certification AMOUNT
Notice ot Election Chinese 473 $0.24 nla $113.52
Argument Guidelines Short Chinese 498 $0.24 nla $119.52
Notice of Election Korean 473 $0.24 nla $113.52
Argument Guidelines Short Korean 498 $0.24 nla $119.52
Notice of Election Spanish 592 $0.20 nla $118.40
Argument Guidelines Short Spanish 623 $0.20 nla $124.60
Notice of Election Vietnamese 473 $0.26 nla $122.98
Argument Guidelines Short Vietnamese 498 $0.26 nla $129.48
TOTAL $961.54
Total words 4128
Accepted by: Title:
Print name: Date:
THANK YOU FOR YOUR BUSINESSI
Additional languages will be translated at the following rates:
Japanese
Thai
Hmong
Russian
Armenian
Farsi
French
German
Indonesian
Arabic
Italian
$00.32Iword
$00.32/word
$00.40/word
$00.28Iword
$00.28/Word
$00.28Iword
$00.28/Word
$00.28/Word
$00.30/word
$00 281word
$00.28/word
11
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STATE
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ISSUE a~Te: O'~11-2001
GROOP;
r'OUCy NUhII3ER: 07Z029~-Z005
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Thr. poJiey '$ "'Qt 5ubjll;t \'il' ~'Ml~eollltiQn 'Qy thl Fund eXCl~l)t UPQI1 to dlY;t WvillCtl wriuen notloe to the e.~loYflr.
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iftgrdc<l by the ~oliG)' de!li:lrlhed hereIn Is subject to all the tarm" e:tcIU3ions. and condltJons. cf ,...ch .oDHCy.
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t'OO v SANTA ANA 8LVD STE 201
SAJ'ffA ANA CA '2701
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CEf'.THOLDER COpy
SP
STATE
COMPli1"lliAnON
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FUND
P.O. BOX 420807, SAN FRANCISCO.CA 94 1 42,-OB07
N .OtO~ _063
/'I.~o o~ - oS}-o/
CERTIFICATE OF WORKERS' COMPENSATION INSURANCi
ISSUE a~Te: O'~11-2001
GROOP;
r'OUCy NUhII3ER: 07Z029~-Z005
CliiRT1FICA re 10: ;3
~!:RrIFlCAn; EXPIRES; 1Q-Ot-2006
10~Ol-Z005/'O-Qt-ZOO5
C1T~ Jf SANTA ANA
AT'IlI: CITY CLUK
PO BOX 1818
SaNTA ANA CA '2102-1988
SP
This IS to c~rtity tIlat we hWfI 'ISSUed a valtd Worlteirs' Com~ens.Jtio" insur~c" pOllCV in :J forrn lIpproved ~ t~C1
California In5L6a1'\aa Commb5iOl'lflf to Vie emploVflr named blillow for the poliCY peflod inClcat"d
Thr. poJiey '$ "'Qt 5ubjll;t \'il' ~'Ml~eollltiQn 'Qy thl Fund eXCl~l)t UPQI1 to dlY;t WvillCtl wriuen notloe to the e.~loYflr.
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Th~ OQrtl~'~ c: Im:urlif1ce is net 3I'l i"-SlJ"JnCO polley 2M does ,",ot amend, ~tI,",d ell' ~t.r tr.~ wQ\fli!fI9' afforded
by thQ policy listed herein. NotwitnStJndil"lQ IJf'IV r9Qulrllmillm. Ulfrn Or condition ot "'''1 ~ol"ltraet or o!~r do~ument
with r8tl1l8Gt to which thiS cli!ftifl'cote of jn'3\lflllce rmy bill Issued or t(J wI'Iietl it rn3l' pertain, ttl€l Insur3'lct;
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COSTS: $110001000 PER OCCURRENCE.
ENllIlllSEMENT Nj~OO MM<TH/I. .RGIl'LL" - """,-UDOD.
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I ACORD. CERTIFICATE OF LIABILITY INSURANCE II ..n
04-07-2006
1~'",9 THIS CERnACATE lJi ISSUED AS A MAnER OF INFORMATION
WHITE & COMPANY INC!PHS ONLY AND CONFERS NO RIGHTS UPON THE CEAllFICATI!':
HOLDER. THIS CERTIFICATE DOES NOT AMlND. EXTEND QR
;250885 P: (866)467-873'0 F: (877)905-04.57 ALTER THE COVEAP.GE AfFORDED,.BY THE POLICIES BELOW.
I PO BOX 33015 INSURERS AFFORDING COVEMGE
SAN ANTONIO TX 78265
,.Midi N-~-'IXk>-C53 ,",uflifl",;Hartford Casualty Ins Co
IrII&UFlEFlS:
SALLY LOW ASSOCIATES INC N. C>.(tio. Q03 - c' i --,.-
lN5UfI!'FlC,
600 W SANTA ANA BLVD. STE 206 ~~,
SANTA ANA CA 92701 ~sumAE
COVERAGES
WH-,WE BE(lfi~uUl 10 TH[ INSU"'Rt:'D i'o1AMED ABOVf FO~ THE POLICY .~t~ I A I H
ANY REQUIREMENT. TERM OR CONDITION OF ~NV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ~ICH IBIS CERTlFlCA1~ MAY BE ISSUED OR
MAY PERTAIN, THE ~NSURANCE AffORDED BY THE POLICIES O[SCRlBfD HEREIN IS SUBJECT TO All T1-If TERMS. EXCLUSIONS AND COND~TIONS OF suet-!
POUClES. A.GOFl:GATE U"'ITS SHOWN MAY HAVE BEEN flfDUCED Erl' PAID CLAIMS
l'jIRI Tf~CJ'~""'NCI I'GUC~ NIIM_ ... j :.~J:~'?, 1~Lf.y.BC.:.mm~1 ~..
i~ 1"...~Hac~llFlrl:Nn 1.2,000/000
A COMr.lERClAl GtNI:IW, UA8I~lfY 72 SSA CL7452 06/20/06 06/20/07IMfI;O.wAG~I""v....lir.f ! .300 000
I c......."'$ MH)~ ~ CJ~~ll" L'-\Eo'I(l'I...............-.i /.10 000
X Business Liab IPEASONAl......CJ...INJUA' .2 000 000
tIH.EMLAGIOllEGAfO 14,000,000
~'LAGG~r-ATELI"'IT""'I'I.IUPill' I PflODlJCU-(llMP/llPAfiG 1.4. t 000 1000
!-IPOucy -IPfIO I-XllOC -..-
~IiIICtllLllIoUIUTY 06/20/06 06/20/07 COMBItft:ClSl'lGLEUr.lIf .2,000,000
[A - ol.NVAUTO 72 SSA CL7452 IE.o---.,,,
...u(JWNm~Um$ IOODILYINJURY I.
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~.HIREOAUTO$ aOlllLYlI\UUfIY .
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PROPEFlTY!).........GE
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MolY...UTO OTHUITHAN ~- -- -
AUTO ON~ v; '" .
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WOIlll&MCll_nlIlAIlD I we STATij~IIOTI+
fMI'LOV_. WIMITY C-l.-.VCHAC\;lOl;NT .
E.L. DI~<.o.5E EAfMPLOn. .
f- ,-- f_l. O1SeAS~ POLICYLI...IT .
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Those uBual to the Insured's Operations.
I
l. . .--- CANCELlA .-
CERTIFICATE HOLDE.R I I AllumoOlM.IlIUMl);IIlIUl'ZIlaTTal:
, I~H[JUlD Ai'll' Of' THE AIIDV" OESCRIUEO POLICIES ~ CANCELLED SEFORE T1-IE
, EXPlAATION DAlE T1-IEREOl'. T~E ISSUlfIG INSUII€R WILL ENP~AVOR TO "'....IL
SUNWEST BANK 30 DAVS WmTl"EN NOTICE (10 DAYS FOR HON.pA.YMENn TO THE CEIlTlflCAT
I COMMERCIAL BANKING 1I000ER NAMED fO TKf' LEFT, 8LJT FJlollUAE TO 00 SO SHALL IMPOSE NO
Ol:llKiATION OR UABIUTY OF ANY KIND UPON THE INSUIlEA. ITS AGENTS OR
17542 EAST 17TH STREET REPRESENTATIVES
,TUSTIN CA 92780 -.
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ACORD 26.S (1/97) ot> ACORD CORPORAnON 11.
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CERTHOLDER COpy
STATE
COMPENSATION
INSURANCE
FUND
P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 10-01-2007
GROUP:
POLICY NUMBER: 0720294-2007
CERTIFICATE ID: 3
CERTIFICATE EXPIRES: 10-01-2008
10-01-2007/10-01-2008
fI/ -- cQ Cf...,lb -- () :> .3
f'/- ;lOC)(, U~) J -'\) I
CITY OF SANTA ANA
AnN: CITY CLERI<
PO lOX 1188
SANTA ANA CA 12702-1188
SP
ThiS IS to certify thllt we hlllle Issued II IIlIlId Workers' Compensation Insurance policy In a form appro lied by the
ClIllIorn'lI Insurllnce Commissioner to the employer named below for the policy penod indicated
ThiS POliCY IS not subject to cancellation by the Fund except upon 10 days advance written notice to the employer.
We will III so give you 10 days advance notice should this policy be cancelled prior to its normal expiration.
ThiS certificate of Insurance is not an insurance policy and does not amend. extend or alter the coverage afforded
by the POliCY listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the Insurance
afforded by the pOlicy described herein is subject to all the terms. exclusions, and conditions. of such poliCY.
C1:::-REPRESENTATI
EMPLOYER'S LIABILITY LIMIT
~~~~-
PRESIDENT
INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #1700 - MARTHA ARGUELLES - EXCLUDED.
ENDORSEMENT #1700 - PATRICIA FITZGERALD - EXCLUDED.
ENDORSEMENT #1700 - SALLY M. LOW - EXCLUDED.
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EMPLOYER
MARTHA ARGUELLES, AND SALLY M, LOW AND SP
PATRICIA FITZGERALD DBA: BROZEY, LOW &
ARGUELLES
600 W SANTA ANA BLVD STE 208
SANTA ANA CA 92701
(REV.2-051
PRINTED
09-17-2007
SP
M0408