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HomeMy WebLinkAboutSociety of St. Vincent De Paul 1City of Santa Ana C2ool Clerk of the Council AGREEMENT TERMINATION y Please complete this form when the attached agreement is no longer in effect.? NOV AN 9-- Return form to the Clerk of the Council Office (M -30). Call 647 -5237 if you have any questions. CITY �iA ANA The agreement with 6T V! nI Cz AJT Qc P,4-Lr.0 6V1 � �i Fi Ts 0 e/ /� ✓` Gas No. N '&OO(& — 0b9 00 / was completed on it /9-7/0 -7 No and fjnaf•payment has been made. No 5'&A V' ce s r, c c +, Department: _Roc s c` I V 44-e N U016 -o 6q Phone /Ext.: X- 13 ? 7 / Signature: A Date: / G 4)4 -�07 Revised 07 -23 -07 INSURANCE NOT ON FILE WORK MAY NCI PROCEED N -2006 -069 CLERK OF COUNCIL CONSULTANT AGREEMENT DATE: '7 -3r -06 ° Z Y%ti ,, THIS AGREEMENT made and entered into this I'` day of July. 2006 by and between Society of St. Vincent de Paul, Institute for Conflict Management (hereinafter "Consultant"). and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City") RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of mediation hearing procedure. B. Consultant represents that Consultant is ahle and willing to provide such services to the Citv. 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: 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 sum to be expended under this Agreement shall not exceed $10,000.00 annually, 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 he 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 .tune 30, 2007, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Chief of Police 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 perlormance 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. 'fhe 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. 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 of law; or (c) 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 retail, 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: Santa Ana Police Department Animal Services 60 Civic Center Plaza (M -18) P.O. Box 1981 Santa Ana, California 92701 telefacsimile (714) 973 -1461 and City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647 -6515 To Consultant: St. Vincent do Paul Center for Community Reconciliation 2525 North Grand Avenue, Suite N Santa Ana, California 92705 -8726 Telefacsimile (714) 288 -5619 A party may change its address by giving notice in writing to the other party. 'Thereafter, any communication shall he addressed and transmitted to the new address. IT 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 -fora• (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 nor obligate Consultant nor the City. Cach 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 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 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 lire City all work product completed as of such date, and in such case such work product shat I he 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 he 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 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 indemnify City folly, including reasonable costs and attomey'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: PATRICIA E. HLALY Clerk of the Council APPROVED AS 1'0 FORM: MSF.PH W. LETC Firp City Attorney RECOMMENDED FOR APPROVAL: PAUL M. WALTERS Chief of Police CITY OF SANTA ANA KDAVID NJ REAM City Manager SOCIETY OF ST. VINCENT DE PAUL INSTITUTE FOR CONFLICT MANAGEMENT �1COTT M. MATHER Director Tax [D # Society of St. Vincent de Paul Institute for Conflict Management November 21, 2005 Sgt. Marty Shirey Santa Ana Animal Services 60 Civic Center Plaza M -18 PO Box 1981 Santa Ana, CA 92701 Subject: Proposed Mediation/Hearing Officer Services Dear Sergeant Shirey: Please accept this correspondence as a proposal from the St. Vincent de Paul institute for Conflict Management (ICM) to provide mediation/hearing officer services for the City of Santa Ana Animal Services Department. The proposed mediation/hearing officer services provide a process in which representatives from Santa Ana Animal Services and those who have been or may be cited by Santa Ana Animal services meet face to face with a neutral third party, who assists them in discussing pending issues and formulating a mufually agreeable resolution to those issues. Steps in the process involve: 1. The referring agency sends the case file to ICM. 2. ICM staff perform intake on the case, setting up an in -house computer and paper file, and assign a Mediator/Hearing Officer who will verify information contained within the case file. 3. The Mediator /Hearing Officer will contact and schedule a time to either meet in person or over the telephone reschedule a mutually convenient time and place to facilitate a mediation hearing. 4. This mediation hearing usually results in an agreement, signed by the parties. 5. ICM staff monitor agreements until the agreed upon resolution is completed. 6. Cases are then closed and case files maintained for the correct proscribed period. The fee for providing the above mediation/hearing officer services is $75.00 per mediation. Upon receipt of invoice for services provided by ICM, this fee is to be paid within thirty (30) days or within timelines established by normal billing/payment procedures utilized by Santa Ana Animal Services. Thank you for your interest in the Institute for Conflict Management. Please give me a call at the number given below if you have any questions or required additional information regarding our services. We look forward to providing mediation services for Santa Ana Animal Services. Sincerely, Scott M. Mather Director St. Vincent de Paul Center for Community Reconciliation 2525 North Grand Avenue, Suite N, Santa Ana, CA 92705 -8726 Phone: 714- 288 -5600 Fax: 714 - 288 -5619 -k- p = t www.svdr)- center.org r .;' 1 71 s- 00-'oz�7 Society of St. Vincent de Paul Institute for Conflict Management ❑ Mediation ❑ Conciliation Case # Date: Location: A) As a result of this mediation I, will be responsible for 1) Financial Restitution: I will make total restitution in the amount of S This payment will be made: in one payment due on 77 in several payments made in the amount of 5 or beginning on and ending on Lj Payment(s) must be made to the City of Santa Ana with the account number #68 -01 -5627 written on the face of the payment. n Payment must be made to Payments must be made by check or money order and mailed (or delivered) to the 1CM office at 2525 North Grand Ave., Suite N, Santa Ana, CA 92705. 2) Pay the 1CM Program Fee: I agree to pay the $45.00 program fee. I will send a check or money order to the JCM office at 2525 North Grand Ave., Suite N, Santa Ana, CA 92705, payable to ICM. This payment will be made: 0 in one payment due on - or in several payments made in the amount of $ beginning on and ending on _ 3) Complete Community Service: I agree to complete community service hours fur the City of Santa Ana . Community service hours will begin on _ , and must be completed by will go to an orientation meeting : Orientation is on Thursday at 5:30pm, Santa Ana Senior Center, 424 West 3rd St., near Ross. 1 will bring this document to the orientation meeting. 4) — B) As a result of this mediation, it is agreed that upon the completion of the terms listed above, the Santa Ana Police Department will not file charges regarding this incident, or pursue further claims against A copy of this agreement will be sent back to the law enforcement agency (probation, Police, etc) which referred the case to ICM. Failure to abide by the terms of this agreement will result in civil action being taken against the offender andlor their guardian, for the unpaid restitution and the offender being referred to the Criminal Court for prosecution. Please sign your name here 1) Sign: 2) Sign: 3) Sign: 4) Sign: 5) Sign: 9 I; Initial here if you agree to waive the confidentiality of this agreement provided under California Evidence Code Section 1115 -1128. Your initial here would allow this agreement to be admitted as evidence in civil court. 11 21 3) 41 51 6) Please print your name here St. Vincent do Paul Cenlerfor Community Reconciliation 2525 North Grand Avenue, Suite N Santat Ana, CA 92705 -8725 Telephone: 714 -288 -5600, Fax: 714- 288 -5619 email: vorpoc(�gc.ape.org http l /members. aol. com/CnflictMgt �omu,nn.vwna :msacom.da ,e.mion 31158 EXHIBIT B ADDITIONAL INSURED F.NDORSEMEN'I' FOR COMMERCIAL GF,NERAL 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 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 92701. (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 rponne. 21-IAA 67&cnr- IFaell ACORDTM CERTIFICATE OF LIABILITY INSURANCE DNYYY' POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR 0113017 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northern California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 50 California Street, Suite 650 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94111 GENERAL LIABILITY 3CU7170 415 273 -8700 INSURERS AFFORDING COVERAGE NAIC # INSURE Society Vincent de Paul 422 West t Almond Avenue INSURER A. ESSEX Insurance Company 39020 INSURER B Commerce and Industry Insurance Comp 19410 Orange, CA 92666 INSURER C INSURER U: INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDNY) POLICY EXPIRATION DATE MM DD/YY LIMITS A GENERAL LIABILITY 3CU7170 10/27106 10/27/07 EACH OCCURRENCE 51000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50,000 MED EXP (Any one person) $1,000 CLAIMS MADE 51 OCCUR PERSONAL& ADV INJURY $EXCLUDED X $500 Ded Per Claim GENERAL AGGREGATE s2,000,000 GEWL AGGREGATL LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG sEXCLiDED X POLICY JEC LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea acatlenl) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -0W NED AUTOS ) A, y R0VL: FORM AS Tr 1' RM BODILY fear accitlendent) p $ PROPERTY DAMAGE I Peraccitlenp $ Z GARAGE LIABILITY ANY AUTO °' t_ w +l. L 6' Ir At`T:C Z AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ $ AUTO ONLY AGG EXCESSMMSRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE S ODOUR FI CLAIMS MADE DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION ANO 3424145 01(01107 01/01/06 X TWC ORYSTAT U - OTH- LIMI EMPLOYERS' LIABILITY EL EACHACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE LL DISEASE - EA EMI'LOYEE1 $1,003 ,000 OFF,CERIMEM3tH EXCLUDED -, if yes, deembeuntler EL DISEASE - POLICY LIMIT $1,000000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS In the event of non - payment, 10 days notice of cancellation may be given. RE: Society of St. Vincent De Paul, Institute for Conflict Management(Consultants). City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects to General Liability (endorsement to follow from carrier). City of Santa Ana 20 Civic Center Plaza (M -30) Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR AUTHORIZED REPRESENTATIVE I. V.c RJV<JJ 19LJIN U" VVRrURX I IVIY T VOID it,'I197i�i,I I If the certificate holder is an ADDITIONAL INSURED, the policy(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 the 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 negatively amend, extend or alter the coverage afforded by the policies listed thereon. Awrcu zna tzuur/out 2 of 2 #90233 of SL, -- ..,tact CIL, $,ulenur zi i4b SOCIEPAU ACORD,- CERTIFICATE OF LIABILITY INSURANCE PRODUCER T HIS CERTIFICATE IS ISSUED AS A MAY USI Northern California ONLY AND CONFERS NO RIGHTS UPON 50 California Street, Suite 650 HOLDER. THIS CERTIFICATE DOES NOT San Francisco, CA 94111 415 273.8700 N— INSURED Society of St Vincent de Paul 422 West Almond Avenue Orange, CA 92666 Cnvconr_cc UC7� INSURERS AFFORDING COVERAGE 7 INSURER A. ESSEX Insurance Coml INSURER & Commerce and Indust/, INSURER C. INSURER D. NSURER E. DATE (MMIDONYYY) 2/8107 EXTEND NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R DD' LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT MM DNY POLICY EXPIRATION GAT MM A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE apCCUR 3CU7170 10/27/06 DIY 10/27/07 LIMITS EACH OCCURRENCE $ 1 DDD ODD DAMAGE i0 RENTED $5O DDD X MED PAP (Any one Person) $500 Ded Per Claim $1 000 PERSONAL S ADV INJURY $EXCLUDED GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2000000 PRODUCTS - COMP /OP AGO $EXCLUDED X POLICY PRO LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT IEa accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ EXGESSNMBRELLA LIABILITY '. AUTO ONLY AGO $ OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE 8 DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 3424145 01101!07 01101/08 �( WC STATU- OTH- $ ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLJOED? E.L. EACH ACCIDENT $1 OOO,DDD E.L. DISEASE - EA EMPLOYEE $1 DDD DDD "'us, SPEC deIAL scrPRib Oe un VISdIer ONS belo w EL DISEASE - POLICY LIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS In the event of non - payment, 10 days notice of cancellation may be given. RE: Society of St. Vincent De Paul, Institute for Conflict Management)Consultants).� City of Santa Ana, its officers, employees, agents, volunteers and representatives are REVISED named as additional insured as respects to General Liability per attached endorsement. Super(`> des q plPV 0.mk1 CERTIFICATE HOLDER _- ..__...___.. ,� �� rr`3HOULp ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana i . 1' l! DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL R0_ PAYS WRITTEN 20 Civic Center Plaza M -30) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana, CA 92702 DOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR •� / Shredy REPRESENTATIVES. Attor•�° gUTHORIZEp REPRESENTATIVE ACORD 25 (2001108) 1 of 2 #90233 19LJN © ACORD CORPORATION 19RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(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 the 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 negatively amend, extend or alter the coverage afforded by the policies listed thereon. w 1 rcaocJ4 PPROVE0 AS TO FORM gS�Laura t SI._eJ As�istanr �.�t'. '.i. POLICY ENDORSEMENT # 1 This Endorsement is Attached to and made part of Policy # 3CU7170 Insurance Company Essex Insurance Company Effective date of this Endorsement is 1/30/07 at 12:01 AM Standard Time. In consideration of the premium below, it is hereby agreed that the: X Additional Insured(s) Agent copy Issued to: Society Of St. Vincent De Paul Agent: USI Northern California Producer: Heritage General Agency In consideration of an additional premium of $100. - Fully Earned, form ME009- Additional Insured Endorsement is added in favor of: City of Santa Ana All other Terms and Conditions remain the same. Issue Date: 218/07 Issued By: C un i nature N1'VT(0 L70 AS TO FORM Additional Premium 100.00 .? State Tax 3.00 Stamp Fee 0.18 uuru S(Iu S',. -:; Total 103.18 i_�i, ,.ilur,a Client#: 21346 SOCIEPAU ACORD CERTIFICATE OF LIABILITY INSURANCE 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. INSI 0;1 tit PRODUCER /�� USI Northern California ' " �� �O _� "q _00 SD California Street,' Suite 650 . / -T QQrr� — (J q /V pq LP 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. San Francisco, CA 94111 /� KQ 415 273 -8700 �L-l.! W U INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Commerce and Industry Insurance Comp 19410 Council of Orange County Society of St Vincent De Paul (A Non -Profit Corp) 422 W. Almond Avenue Orange, CA 92666 INSURER EL INSURER C: $ INSURER D: INSURER 6: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSI TYPE GF INSURANCE POLICY POLICY EFFECTIVE POLICY EWPATION LMBTS GENERAL IABILRY EACH OCCURRENCE $ COMMERCIAL GENERAL TABILITY DAMAGE TOREITTED E CLAIMS MADE O OCCUR MED EXP (Any one person) $ PERSONALBADVNJURY $ GENERAL AGGREGATE $ GENL AGGREGATELIMR APPLIES PER PRODUCTS - COMPIOP AGO $ POLICY J LOC AUTOMOBILE LIABIURY ANYAUTO COMBINED SINGLE LIMIT (Ea acddw) E BODILY INJURY (Per parson) E ALL OWNED AUTOS SCHEDULED AUTOS _ - BODILY INJURY (Px acddenl) E HIREDAUTOS NONNOWNED AUTOS PROPERTY DAMAGE (Pere Lent) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCEESNMBRELIA LIM LDT _ EACH OCCURRENCE 3 AGGREGATE 3 OCCUR �CLAIMS MADE S $ DEDUCTIBLE $ RETENTION E A woRIERB coMPENSATwN AND 3424145 01/01/07 01/01/08 X wcsTATU- oa EMPLOYERS LABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1,000,000 OFFICERRAEMBER EXCLUDED'/ M yaa� tleaviba under SPECIAL PROVISIONS b DISEASE - POLICY UMIT $1,000,000 OTHER DESCRIP I OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY EMOO1SElENT / SPECIAL - In the event of non payment of premium, 110 days notice of cancellation may b r - -^ � .. -• , .r � ,. ', .,^p RE: Cold Weather Shelter. A; City of Santa Ana, Community Development Agency P.O. Box 1988 Santa Ana, CA 92702 ACORD 25 (2001108) 1 of 2 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIATION EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS YAUTTEN To THE CERTIFICATE NULDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KIND UPON THE INSURER ITS AGENTS OR 198E Sl1r IFPA11 ACORD..r CERTIFICATE OF LIABILITY INSURANCE 12;2810; ° """' PRODUCER USI Northern California A -f+nr_ 031 -_o4 50 California Street, Suite 650 ' I �Rg - ( 2-1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES ALTER HOLDER, EHCOVERAGE AFFO DEDNBYT HEEPOLICItES BELOW. San Francisco, CA 94111 El- iqq Af ,O'{g�py 415273 -8700 A -aODO _v O INSURERS AFFORDING COVERAGE NAIC# INSURED A- 1003 -0100 Society of St Vincent de Paul INSURERA. ESSEX Insurance Company 39020 INSURER B: National Union Fire Ins Co - Pittsbu 19445 422 West Almond Avenue INSURER C. 10127/08 Orange, CA 92866 INSURER D. DAMAGE TO RENTED HEIFERS V 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, IN R LTR NSR TYPE OF INSURANCE POLICY NUMBER MWDOjyyI POLICY DAEXPIRATION LIMITS A GENERAL LIABILITY 3CX6581 10/27107 10127/08 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $50,000 X COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) $1000 CLAIMS MADE FXIOCCUR PERSONAL 8 ADV INJURY $ X BI1PD Ded: $500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ POLICY M PRO ECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accldeni) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per acclEen) $ GAR AGE LIABILITY AUTO ONLY * EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO S AUTO ONLY: AGO EXCESSIUMBRELIA LIABILITY EACH OCCURRENCE S OCCUR FJ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE X WC STA IU^ O1H- $ -- ____ . -- RETENTION _______ B _$ WORKERS COMPENSAI ION AND ____ 3426673 01/01/06 01/01/09 El EACH ACCIDENT 51,000,000 EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $1,000,000 EL DISEASE - POLICY LIMIT $1,000,000 IF yes. descnba under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS In the event of non payment of premium, 10 days notice of cancellation may be given. RE: Society of St. Vincent De Paul, Institute for Conflict Management (Consultants). City of Santa Ana 20 Civic Center Plaza (M -30) Santa Ana, CA 92702 2512nn1/0R1 i _f2 8RQQ77A /MQQ77F SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AUTHORIZED OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 19UN 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(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 the 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 negatively amend, extend or alter the coverage afforded by the policies listed thereon. ArnRD 25S (2001109) 2 of 2 #S997761M99775