HomeMy WebLinkAboutCOMMERCIAL INTERIOR RESOURCES 2-2006
INSURANCE ON FILE
I'IoflK MAY PROCEED 3
UNTIL INSURANCE EXPIRES N-2006-ll
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0'. eDAm.Depot CONSULTANT AGREEMENT
(1)(Q,rolyn FJ
TllIS AGREEMENT, made and enlered into this I" day of July, 2006 by and between
Commercial Interior Resources (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
flooring, to install a decorative floor in the Depot at Santa Ana.
B. Consultant represents that Consultanl is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeahle in its field and that any services performed by Consultant wlder this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firnl in tilC field.
NOW THEREFORE, in cousideration o/,(he mulual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consnltant shall provide preparation, materials and installation of flooring at the Depot at
Santa Ana, as set forth in Contractor's Proposal dated, July 31, 2006, attached hereto as Exhibit
A.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as tolal payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed SlO,OOO 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 perfornlanee set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shaH commence on the date first written above and terminate on June 30,
2007, unless terminated earlier in a(.;(.;ordance with Section 12, below. The term of this
Agreement may be extended npon a writing executed by the Deputy City Manager for
Development Services of the Community Development Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall. during the entire ternl 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 arc the subject matter of this Agreement; however, the
services to he 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 ~imilar 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 [nsurance. Consultant shall maintain commercial
gem:ralliabiJity 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 dcath resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Reserved.
e. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
ofthe Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer:
Profcssionalliabllity (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
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e. The following requirements apply to the insurance to be provided hy Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covercd by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
f. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
tenninate this Agreement. Such tennination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification oftcnnination. 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 hannless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims fur property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors. subcontractors, agents,
employees, or other pcnmns acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitntion, judicial or equitable relief is due by reason of the tenns of or effects
arising from this Agreement. This indemnity and hold hannless agreement applies to all claims
for damages, just compensation, restitntion, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the tenns
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
cuunsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising Iromthis Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CUNFIDENTIALITY
[fConsultant receives from the City infonnation which due to the natnre of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose sneh infonnation except in the perfonnanee of this Agreement,
and further agrees to exercise the same degree of care it uses to protect i1s own infurmation of
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like importancc, but in no cvent less than reasonable carc. "Conlidential Information" shall
includc allnonpublic information. Confidential information includes not only written
information, but also infonnation 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 Agrccment. The foregoing obligations of non-use and nondisclosurc
shall not apply to any information that (a) has been disclosed in publicly available sourccs; (b) is,
through no fault of the Consultant discloscd in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to bc
discloscd by opcration of law; or ( e) is indepcndently developed by the Consultant without
re[erenee to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests amI sball not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
tclcfacsimile (714) 647-6956
With courtesy copies to:
Deputy City Manager for Development Services
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimilc (714) 647-6736
and City Attorney
City o[ Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
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To Consultant:
Commercial Interior Resources
1761 Reynolds Avenue
Irvine, California 926 I 4
Telefaesimile (949) 752-6103
A party may change its address by giving notice in writing to the other party. Thereafter,
any 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 aller 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 bCl;ll 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 hercof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agrcements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which arc 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 nnll 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 evcnt, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to rCl:cipt of such notice of termination,
snbjectto lhe lollowing 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 sneh work prodnct shall be
5
the property of the City unless prohibited by law, and Consultant consents (0 (he City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not he 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 orientalion, 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 loeallaws 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 cOImection 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 Stales, 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 pennits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for tennination of this Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbclow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnifY City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is nul, in fac~ held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as iffully set
forth in the body of this Agreement.
II
II
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
~-
/.~.-. / '-
.-
/ - _/:-L<-c
~;A1'RI;;A E. HEALY
Clerk of the CouncIl
DAVIDN. REA
Y City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
~'
',,-,,:- I
~;~.:i ~Jy n' .>' .
Assistant City Allum'
RECOMMENDED FOR APPROVAL:
CONSULTANT
~~ Uw~ . .J;~~----
1m ,sTEPHEN . HARDING ~l'I'16HNSON
t1- Deputy City Manager for Development Services V.P. of Sales
Tax ID# 33-0052036
7
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.
1761 Reynolds Avenue
Irvine, CA 92614
Phone: 949.752.1470
Fax: 949.752.6103
Attention: Carolyn Fullerton
--'-
Salesperson: Adam Ryznar
-_.---
Proposal
c zr
Estimator:
Install Date
(ommen7a! mterior reJOllfY(J
Project Manager: Adam Ryznar
Addendums Read:
Plan Date
8111 To
PrOject
Bid Date:
7/31/2006
City Of Santa Ana
60 Civic Center Plaza
POBox 1981
Santa }\na, CA 92702
The Depot, 4th Fluur
1000 East Santa Ana Blvd
Santa Ana, CA 92701
Date
9/21/2006
Time
11:46AM
-
Camlyn Fullerton
Phone: (714) 565-2690-
Cell:
Pager:
Fax: (714) 565-2693-
Carpet Tile option
Revision #
Phone:
Cell:
Pager:
Fax:
Phone:
Cell:
Pager:
Fax:
Bid n"
32723
L ,ne Color Number Qu::mllly UOM
TAX INCLUDED THESE LINE ITEMS
1 VT-1 vinyl tile supplied and installed - 4th Floor
Amtico International ~ MQR54 Quarry Natural Clay - - N/A
125.00
SF
2 C-1 Carpet supplied and installed. by direct glue down method as circular field color.
Mannington Commercial Carpets - World Wide - 18" x 18" Tile - HEKI- Helsinki
65.00
SY
3 C-2 Carpet supplied and Installed. by direct glue down method as circular 18" accent border.
Mannington Commercial Carpets - Terry Cloth - 18" x 18" tile - ETRU - Etruscan
20.00
SY
TOTAL (TAX INCLUDED THESE LINE ITEMS)
$6,995.00
NOTES
. This proposal includes 6 hours of expected floor preparation to conform to the
manufacturers published guidelines. Ficld labor tickets for all floor preparation will
be presented for verification, and any time additional to the expecled hours will billed
at a rate of $75.00 per man hour plus materials used. This proposal is based on floors
being free and clear of all other trades and materials.
. This proposal is based on being done during normal working hours.
. This proposal excludes removal and replacement of existing furnishings.
9/2//2006
Bid #: 32723
Page 1 of 2
OCT I~ 2005 3'09 PM FR HRH IN5URANCE-ORANGE633 8065 TO 19497526103
P.02
Clis.....: 34725 2COMMINT
ACORn" CERTIFICATE OF LIABILITY INSURANCE I DATE(IIM/DDNY'f'Y}
1011912006
PRODUCER THIS CERTtFICATI:: 15 ISSUED AS A MATTER OF INFORMATION
Hilb Rogal & Hobbs Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Sorvices of CA, Inc. Lie #0511289 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1045 West Kotello, Suite 300 N'~oOt.-//3
Orange, CA 92867 INSUfUiRS AFFORDING COVERAGE MAle.
INSURED INSUR~ A; Golden ERgle 10375
Interior Resources Inc. IN$VR!R !;
dba: Commercial Interior Resourc;el INSURER c:
1761 Reynold. Avo. INmJReR D:
Irvine, CA 92814 INSURER E;
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THE POLICies OF INSuAANC'Gi LI$TIiC BELOW MAVE eeeN ISSUeD TO THE INSU~EC NAMeD ABOVE FOR THE PQUCV PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREOMIiNT, TERM OFt CONDITION OF HN CON'rAACT OR OTHER DOCUMENT 'NITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, TH~ INSURANCE AFFORDED BY THE POUOIES DESCRIBED HEREIN IS SUBJECT TO ALL iHE TERMS, EXCLUSIONS AND CONOITIONS 010 sue....
1"'1f~S' AGGREGATO CIMITS SHOWN MAY HAV. ...N ..OUC.O .Y PAID CLAIMS.
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r;- COMMERCIAL ~ENERAL LlABlLlT'( DAMAGE TO RENTal .100 000
I CLAIMS MADE CiI OCCUR. MED EXP IMY IXIC OI:r.sonl .10000
X PO Dod:l.000 PER$ONN. ~ ArN II'WRY .1 000 000
- GENERAL AGGREGATE .2 non 000
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e.rtificate applies to all operations usual to the Named Insured as
cove.-ed by these policies.
The CIty of Santa AnA, its officers, agents and employees are named
Additjon~llfW,ured wIth respects to GElnflll'"al Liability as their Interest may
(Se~ Attoohe:d Descriptions)
COVERAGES
City of Saflta Ana
Depol.1SantaAni\n1;'OVED AS TO FORM
1000 E. Santa Ai,kishtd
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Santa Ana. CA 92701 ell
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CANCELLATION
SHOULD JJ4Y OF THE A&oYE D&SCRI~D POl.tc:1&8 BE CANCil.L..ED BEFORJ; 'THE GXPIMTIIJN
CATt'rHilREOf'.THEIlSUINGU-lSUIlERWlLLJilIll:D061fRRX......11, ~ MVSWRITTEN
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AUTN lZJ!O REPRESENTATM
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OCT 19 2006 3,09 PM FR HRH INSURANCE-ORANGE633 8065 TO 19497526103
P.03
IMPORTANT
If the certificate holder ls an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement
on thi5 certificate does not confer rights to the certificate holder in lieu of such endolOement(s).
II SUBROGATION IS WAIVED, subject 10 .ho lOun, and condilions of the policy. certain policies may
require en endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such end"rsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
ttJe i$iUing insurer(s). authottted representative or prodUCIif, and the certificate holder, nor does k
affirmatively Or negWv'ely amend. extend ()( alter the coverage afforded by the policies listed thereon.
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poli:ey. *10 day Notiee of Cancellation mAY be issued for non-Pt-yment of premium.
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lol. ",IM:c..:e",L(ltIlltQr IPIIllI'\~~t *1l\QII~' ~"'C~ltlll
I:
{\~:'.rRO\/li...-:.' ('.' ,': Iii ,j
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A"~;;:LI! '-
OCT 19 2006 3'09 PM FR HRH INSURANCE-ORANGE633 8065 TO 19497526103
P.05
Policy # CBP8072946
b If required by a wri~en "insured contract", we waive any right ~f recovery we may have against any
person or organization because of payments We make f~r injury or damage artslng out of your
~ngoing operali~ns or "your work" done under that written "insured contracr for that person or
organization and included in the "products-compleled operations hazard",
Item 10. and Item 11. ate added.
10. 'Cancellation Condition
If we eaneellhis policy for any reason olh~r than nonpayment of premium we Will mail or deliver
written notice of cancellatIon to the first Named Insured at least 60 days prior to the effective date of
cancellation,
11. Liberalization
If Wi adopt a chonge in our forms or rules which would broaden your coverage Without an extra
charge, the broader coverage Will apply 10 this policy. This extension is effective upon the approv.1
of such broader coverage in your state.
SECTION V. DEFINITIONS
The following definiUons are added or changed:
9. Itlnsured contracttt
.. Is ch.nged (0:
2.. A contrac{ felf a lease of,premises. H~weve:r, th.at portion of the contrsr;t for a I,eas:e of p~mis,es that
indemnifh:es any person or organization ,for. damage, by','fi~e, ~xplosioh, or sprinkler teaka'ge,to
premises ivhile rented to you, or lemporanly ocGupied by you ,With permission' of the owner, or
manag.d by you under a written agreement With the owner is not an "insured conlracf',
23 and 24 alE added:
23, "Location" means premises involving the same or connecting lots. or premises whose connection is
interrupted only by a slreet, roadWay, watelWaY or right-of-way of a railroad. .
24. "Product recall notification .xpen..... mean. the reasonable additional expenses (including, but net
limited to, cost of eon-espondence, nevvspaper end magazine advertising, radio or television
~nnouncements and transportation cost), necessarily Incurred in arranging for the return of products,
but excluding eosts of the repl.cement product<land the cash value of the damaged products.
. The following ProvIsions are al5'o added to this CQverag. Part:
A. ADDITIONAL INSUREDS.. BY CONTRACT, AGREEMENT OR PERMIT
1. Paragraph 2. under SECTION II .. WHO IS AN INSURED is amended to Include as an insured any
person or organization when you and such person or organizatIon have agreed in writing In a contract,
agreement or permit that such person or organization be added as an addl.tional insured on your policy to
prOVide insurance such.as is afforded under this Coverage Part. Such person or organrzation is not
entitled to any notice~ that we are required to send to the Named In~ured and is an additional insured
only with respect 10 liability arising out 0"
a Your ongoing gperations performed for that person or Or9ani2:ation:,qr~~. () i ~_~~) /L; T0 FORM
b. Premises or f:3cilitles owned or used by you. YE
-. -
GECG 602 (QS1,lQ4)
-.,.,_, ,:t :;;..TJy
Includes copyrighted matcrisl ofll15urMCie Service;, Offices me. with its ~mii~furl! c_ ;) I L. i l Y ~lf0r4'
OCT 19 2006 3:10 PM FR HRH IN5URANCE-ORANGE633 8065 TO 19497526103
P.06
Policy # CBP8072946
With rt9.spect to provision 1.8. above, a person's or organization's status as an insured under this
endorsement ends when your operatlons for that perSon or organization are completed.
With respect to provision 1.b. above, a pef$on's or organization's status as an insured under this
endof$ement ends when their ""ntract or agr.ement with you for suoh premises or facilities ends.
2. This endorsement provision A. doeS no{ apply:
a. . Unless the writt~n contract oregreementhas been executed, brpermit has been issued, pribr to the
"bodily inju'Y". "property damage" or 'personaland advertising injury";
b. To '"bodily injury'" or .property damage- occurring after:
(1) All work, including materials, parts or equipment furnished In ""nnection with such work, in the
project (6ther than seMce, maintenance or repairs) to be perfonned by or on behalf of the
additional insured($) at the site of the covered operations has been completed; or
(2) Thai portion of "yourwcrk" out ofv.tllch the injury or damage arises has been put to its intended
use by any person or organization ether than another contractor or subcontractor engaged 1n
performing operations for iiiI principal as a part of the same project; 0
c, To the rendering of or failure to render any professionai services including, but not limited to, any
professional architectural, engineering or surveying services such as;
(1) The prepartng, approving, or failing to prepare or approve, maps, shop drawings. opinions,
reports, surveys, field order$, c:hange orders or drawings and specifications; and
(2)' Supervisory, inspection, architectural or engineering activities;
. . .
d. To';bodily injury". ..property damage".or "perSOnE\1 and advertising injury" arisIng out of any actj error
or omi~ion that results from the additionsl insured'S sole negligence or wron9doing;
e. To any person or organization included as an insured under provision B. Of this endorsement;
f. To any person or organi.1;:alion included as an insured by a separate additional insured endorsement
issued by u. and made a part Of this policy.
B. ADDITiONAL INSURED - VENDORS
Paragraph 2. under SECTION 11- WHO IS AN INSURED is amended to include as an insured any person or
organization (referred to beJow as .vendQr") wilh whom you agreed, fn all written contract or agreement to
provide insurance such as is afforded under this policy, but only with respect to "bodily inju'Y" or "property
damage" arising oul of "your productsa which are distribuled or sold in the regular course of the vendor's
business, subject to the followingaddit1onal exclusjons~ .
1. The insurance afforded the vendor does not apply to:
a, "Bodily injury" or "property damase" lor which the vendor is obligatod to pay damages by
reason of the assumption of lIabliity In a contract or agreemen~ This exclusion does not apply
to liability for damages that the vendor would have in the absence of the contract or '
agreement, .
b. Any express warr.lnty unauthorized by you;
. ,
c. Any physical or chemical change in the product made intentionally by the vend6r. c.
} /..::.
to FORM
/ ?!i3
'o""~;! :'
0""06<>' (09""'>
Includes t'Q9yrlg,hUd nwl:riaJ o(1nsur;mcc ~rvjces Offi~ In.c. with ib pc:rmi..nion
l: \..~JLV i\llUr:;.~y
Page S 0(5
OCT. 19. 2006 10:4JAM
8005922541
NO 8365
p
1/1
~CDRD. CERTIFICATE OF LIABILITY INSURANCE 'oP ID.:~' ~ATEIMM/tIl'J1VYYY)
COllME-1 10/19'06
"RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cal1foroia Contr~ctors ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
'N~t.work, Inc. HO"DER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
2151 Convention Center Wy *203 ALTER THE COVERACiI; AFFORDED BY THE P[,)L1CIES BELOW.
antar~o CA 91764
Phone~800-592-0047 Fsx,SOO-592-2541 INSURERS AFFORDING COVERAGE NAlC#
INSURSD N-.1-D06-//3 INSUR.!!!RA; ca1tf""",~... C41ntzalRDn 14.,;~~l<
INSURER Il~
crnnmereial Intl<!rio:r i(esourc85, INI5UIilERC:
Inc.
1761 ReeRc~c18 Avtill. IN6\JRERD:
Irvine 2614
'I'lSUI<I!RE:
THE POLICIES OF INSURANce LlSTEClIII.LOW HAVE SeEN ISsueo TO THIO INSURED NAME'" ASOV!: I'OR THE POLICY PERIOCi INOICA-TED. NOTWITHiT1o.ND1NC
ANY REQUIREMENT, Tel<M M CONDITION OF N-lY CONTRACT OR. OTHIiiR DOCUMeN'l' WITl-I ~SS!lI!CT '1'0 WHICM THIS cl!:ATII"ICATE; MAY BE ISSUED OR
MA'r' peRTAIN, THE IN&Uw.lCtiAFFOROED ilYT1'l1!: pOLItiES OESCRIElIiD HERel~ IS SUBJeCT TO Al.~ THE TERMS, EXCL.l.IliIONii AND COItolDITIONS QF .tuel-t
!'OLlCIES. AGOFl.EGATi l.IMITS SHOWN MAY HAVl'! BeEN ~EDUCED BY PAlO el.A'~i, CA.T"i.MM~
ern ... TYPE OFlNilUIU.t<<lE POLlOY NUMIlIft o....re. 111M/DO UMITll
~NEI'fALLWWLITf :5CI.JRRI!NCe .
COMMeRCIAL G"ENEAAL LIABILITY F'R ES OCCUl'1Inct' .
I CLAIMS lIMOS 0 OCCUR MED EXP tAl'll' OM J'IlI'SOI') .
PE",9:0NAt,. ADV INJURY .
GENERALAGG~eGATE .
n'~ AG~En tlM1T ,.\Pr:~~t PER; MODUCTS - COMF'fOP AGG .
POuOY ~:8i LOe
~TOMOIIIU;: UABILlT1' COMBINED !INC!lLE LIMIT .
_ A1<<AUTt"J (ea~dCnu
- ALL OWNI!:D AUTOS BODILY INJURY
.
- SCHeoutEO At.n'OS (~lIrp~n)
- HIRED AUTOS MOlLY INJURY
NQN..owNEO AUTOS (Peracdd&nt) .
-
PFl.OPEFl.T'f CAMA.GE .
(Peraocldll/1l)
=f"' UA~UTV AUT!') t"lNL.Y. EAACCIOENT .
ANY AUTO OTHER THAN EAAM .
AUTO ONLY: AGO .
EXCS55lUM~1.LA L1A,BIUTY I:ACH ocCufl;RENCE .
~-OCCUP; 0 CLAlM$MAOE "'GG~GATE ,
.
~ CIiCUCTIQLi ,
RETENTION . .
WCRKEfI,S (;OIlP~T10N AMP X ,OR'l'LlMrrS "0'
I:MPLO'fE.R.$' LIABILIn'
A ANY PFtOPRIETORIPARTNERlexECUTlVe: 06-I-450J-017 07/01/06 12/3:1./05 E,L, ~CIot ACCIDEN'r :s 1,000,000
OFFICERlMEMSER EXCL.LJCED? IL... OISliASe.l!A EMF'LO'fe s 1,000 000
l1yO$.de&albltLlndlll"
S"I!!Ok/l.~ PROVISIONS bel~ E.L DISEASE _ POLICY LIMIT .1 000,000
OTHr;R . .
.j
/;'
,,,::;../ !
DESCRlPno", 01' Oll2U1l0N31 \..OeA'tIOHS ,V2HlCLES I EXcLUGION$ ADD~ BY ENOOItSEiM15N1' I $PEOIAL PROVI5lONS . '}1)'L7
Re: Depot At Santa Anal i.ts agents and employees ~'/L- Jc ,- ------
Authorized. l:Iy State of California ~Departm.ent: of lnd:ustria.1. Re1ations
-Of.fi..CQ of th8 Director
Certi.f;i.cat.e to Sel:t Insu=e 414503
C~RnF'ICATl! HOLDER
CANCELLATION
COVERAGe;
Ci ty of Santa Mla -Depot:. at
Santa Ana
1000 ~ast Santa Ana Blvd.
Santa Ana CA 92701
SAN'1'CI~ ~HCULg ANY OF THE AQOVEi uC:SC:KlElEI) POLlCI&S 81i (;ANCcu,eD BEFORE THE EXPIRATION
DATE nlS'l;~p. THE ISSUING INSURRR WILL ~NDUVO~ YO ~ll- ~ CAYS WFt.ITT"N
NO'MCE! TO 1lfE ceRTlF'IC....TE I-lOLDER NAM~ TO THE J,.I!FT, QUT F.AlI-URE 'to CO SO SHALL
IMPQSE!: NO OBUGATlON OR ~\A8tl.lTf OF Nl'f KIND UPON T"~ 'NSURER, ITS ....G~T& QR
REPRESE!NTATlVES.
AUTHORIZED R&PRi.5BNTATlIfE
Thomas J. Wheeler
ACORD ~~ (2001m8)
e ACORO CORPORATION 1988
A/~r;2fJo6-//..3
"
"
CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDM{NTS
FROM: DEPT.:
,
MAIL STOP: gc;
EXL 1Jb-C:::j-JbCJ 0
I
THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY:
TO:
CONTACT PERSON:
AGREEMENT NUMBER (if amendment): A I N
AMENDMENT NUMBER (if applicable):
COUNCIL APPROVAL DATE:
AMOUNT: VER $10,000 ~NDER/ 10,000 e. 9-.
NAME OF CONSULTANT: 1 j
TERM OF AGREEMENT: EFFECTIVE DATE:~': TERMINATION DATE:
INSURANCE REQUIRED: 0 NO ~/jtJ0
~ES If yeS~TTAcHED 0 IN PROGRESS
o AUTO ~L (Commercial General Liability)
o PROFESSIONAL LIABILITY ~ORKERS COMPENSATION
(INS, APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC)
o 1ST
o 2ND
o 3RD
o
SIGNATURES REQUIRED:
~' VENDOR
~ CITY ATTORNEY
COMMENTS:
FOR CLERK OFFICE U
AGENCY (UNDER $10,000)
OTHE~
j\ (/ Nli/
o
PROCESS
o
DO NOT PROCESS
o MISSING SIGNATURES
o NEEDS COUNCIL APPROVAL
o OTHER
ADDITIONAL REMARKS: