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HomeMy WebLinkAboutMANAGEMENT PARTNERS, INC. (2007 EMT Retreat)Dh~ ~ Please complete this form when the attached agreement is no longer in effect. Retum form to the Sr. Deputy Clerk of the Council (M-30). Ca11647-5238 if you have any questions. The agreement with ~IgiJV~~6l"Y1 ~9~ rW~'R~~ ~'lC• , No.~- aOD~J-~C~o2 was completed on AJ1(~'IM ~ (k ~~7 ,and final payment has been made. Department: Signa re Date: 'J x-07 City of Santa Ana Revised 3-2-07 Clerk of the Council NSIl~Qlll'lu:: ~lAA~~~ UM1\\.~OC>? - we I~-I-,," c~ritaJNC\\. O~1E: /- ~J' 600 T ,j . 0fFi" o:c;,ty,,,gr.s ) (,)(c. ~""d;/'ov-cI N-2007 -002 CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this I day of January, 2007 by and between Management Partners. Inc.. a California corporation (hercinaller "ConsultanC). and the City of Santa Ana. a charter city and municipal ~orporation organized and existing under the Constitution and laws of the Stale of California (hereinafter "City"). RECIT ALS A. The City desires to retain a consultant having special skill and knowledge in the fLeld or planning and meeting facilitation services, to facilitate a one-day teambuildillg and goal setting workshop for the Executive ManagelTIt:nt Team. B. Consultant represents that Consultant is able and \villing to provide such serviccs to the City. C. In undcltaking the performance of this Agreement, Consultant represents that it is knowledgeahle in its field and that any services performed hy Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulling linn in the field. NOW THEREFORE, in consideration of the mutual and respective promises. and suhjeet to the terms and conditions hereinafter set forth. the parties agree as follows: I. SCOPE OF SERVICES Consullant shall facilitate a one-day teambuilding ami goal setting retreat for the Executive Managemcnt Team, including pre-workshop interviews and preparation of a post- \vorkshop final report. as sd forth in Exhibit A to this Agreement. Intervic\vs and \vorkshop dates will be agreed between the parties after execution ol'this agreement. 2. COMPENSATION Cl. City agrees to pay. and Consultant agrees to accept as total paymt:nt for its services. the rates and charges identified in Exhihit A. The total sum to be cxpended undcr this Agreement shall not exceed $14.500. Juring the term of this Agrccment. b. Payment by City shall he made within thirty (30) days following receipt ofplOper invoice cvidencing \vork performed. subject to City accounting procedures. Payment need not be made for wurk which fails to mcct the standards ofperlonnance set forth in the Recitals \vhich may reasonably be expected by City. 3. TERM This Agreement shal1 commence on the date lirst written above and terminate on December 31, 2007, unless terminated earlier in accordance \vith Section t 2. below. The term of this Agreement may he extended upon a writing executed by' the City Manager 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 allmv the City to exercise disl:retion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement~ ho\vever, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing slIch services. Consultant shall pay all salaries and wages. employer1s social security taxes, unemploymt:nt insurance and similar taxes relating to employees and shall he responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance ofwark under this Agreement. Consultant shall maintain and shall require its subcontractors, if any. to obtain and maintain insurance as described helow: a. Due to the nature ofth~ services provided, commercial general liability insmance is not required. b. Worker's Compensalion Insmance. 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 \\-'orker's compensation or to undettake self-insurance. Pdor to commencing the performance of the \\'ork under this Agreement, Consultant agre~s lo obtain and maintain any employer.s liability insurance with limits not less than $1,000.000 pcr accident. 6. INDEMNIFICATiON Consultant agrees tu and shall indemnify and hold harmless the City. its ollicers, agents. emrloyees. consultants, special counsel, and representatives from liability for personal injury. damages. just compensation, restitution, judicial or equitable relief arising out of claims lor personal injury, including health, and claims for property damage. whidl may arise from the direct or indirect operations of the Constiltant or its contractors, subcontractors, agents. employees, Ot. other persons acting on their behalfwhieh rclates to the services d~slTibed in section I of this Agreement. This indemnity and hold harmless agreement applies to all claims for damages. just compensation, restitution, judicial or equitable relicfsuffered. or alleged to have been suffered. by reason orthe events referred to in this Section or by rt:3S011 of the terms of: or effeds, 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 1'01' special counsel to be selected by thc City. regarding any aetion by a lhird palty challenging thc validity of this Agreement. or asserting that personal injury. damages. just compensation, restitution. judicial or equitahle relief due to personal or property rights arises by reason of the terms or. or 2 eftects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY I r Consultant receives from the City information 'which due to the nature of such information is reasonably understood to be contidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance or this Agreement, and further agrees to exercise the same degree of carc it uses to protect its ovvn information of like importance. but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only \,.,rritten 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 Agrct:ment. The foregoing obligations urnon-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 confilkntiality: (d) is required to be diselnsed by operation oflaw; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests. direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice. tender, demand, delivery. or other communication pursuant tu this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed hy tirst 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 Cuuncil City of Santa Ana 20 Civic Center Plaza (M~30) P.O. Box 1988 Santa Ana, CA 92702~ 1988 telefacsimile (714) 647~6956 To Consultant: Managen1cnt Partners, Inc. 2107 N. First Street, Suite 470 San Jose, CA 95131 telefaesimile (408) 453~6191 Attn: Andrew Belknap, Regional VI' 3 A party may change its address by giving notice in \'.'Tiling to the other pal1y. Thereafter. communication shall be addressed and transmitted to the new address. If sent by mail. l:ommunication shall ne effective or deemed to have becn given three (3) days after it has been deposited in the United States mail. duly registered or certitled, with postage prepaid, and addressed as set forth above. Ifsent by lelefacsimile. communication shall be eflective or deemed to have been given twenty-fom (24) hours after the time set forth on the transmission report issued by the transmitting facsimile mal:hine. addressed as set forth above, For purposes uf calculating these time trame" weekends, federal. state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represt:nts the complete and exclusive statemt:nl between the City and Consultant. and supersedes any and all other agreements. oral or \vritten. bctween the parties. In the event of a conniet bet\vcen the terms of this Agreement and uny attachments hereto. the terms of this Agreement shall prevail. This Agreement may not be modified except by \vritten 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 v,/ith. or in addition to. the terms and conditions hereof. shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no rcprcsentations. 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 seeure the specialized services of Consultant, Consultant may not assign. transfer, delegate. or subcontract any interest herein \....ithout the prior written consent of the City and any such assignment, transfer. delegation or subconlract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall he construt:d to limit the City's ahility to have any of the services \vhich are the subject to this Agreement performed by City personnel or by other consultants retaim:d by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In slleh event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services perfonned by Consultant prior tu receipt of such notice of termination, suhject to the lollO\ving conditions: a. As a condition of such payment. the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by la\\/, and Consultant consents to the City's LIse thereof for such purposes as the City decms appropriate. b. Payment need not be made for work which faib to meet the standard ofpert()[IllanCe spccitied in the Recitals of this Agreement. 4 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 prohihited hy applicable law. in the recruitment, selection. training, utilization, promotion. termination or other employment related activities. Consultant affirms that it is an ~4ual opportunity employer and shall comply with all applicable federal. state and local laws and regulations, 14. JURISDICTION - VICNUE This Agreement has been executed and delivered in the Stalt; or California and the validity. interprdation. performance, and enforcemt:nt of an)' of the clauses of this Agreement shall be determined and governed by the laws of the State ofCulifornia. Both parties further agree that Orange County. California, shall be the venue for any action or proceeding that may he brought or arise out of. in connection with or by reason of this Agreement. 15, PROFESSIONAL LICENSES Consultant shall. throughout the term of this Agreemt:nt. maintain all necessary licenses. pennits. approvals, waivers. and exemptions necessary for the provision of the scrvil:cs 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 immcdiatdy and in \vriting of its inability to obtain or maintain slIeh permits. licenses, approvals. waivers. and exemptions. Said inability shall be cause for terminatioll of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Eal.:h undersigned represents and warrants that its signature hcreinbelmv has the power. authority and right to bind their respective paLties to each of the terms ol'this Agreemcnt. and shall indemnify City fully, including reasonable costs and atlorney's fees. for any injuries or damagi.:s to City in the event that such authority or power is not, in fact. held hy the signalory or is \vithdrawl1. b, All Exhibits referenced herein and attachcd hereto shall be incorrorated as i r I'ully set forth in the body of this Agreement. II II II II II , IN WITNESS WHEREOF, the parties herelo have execoted this Agreement the date and year tirst above '\\'Tittcn. ATTEST: /r ,,' - , / ~#/ , ,\L/ 1';7 /:2C~GLcJ<~ .J.C> PATRICIA E. HEALyl;;f- / ) Clerk of the Cooncil I J ~ APPROVED AS TO ~'ORM: JOSEPH W. FI.ETCHER City ~ ()jJ By: IA m./ 1\1L(,J Laur . heed; '7 Assistant City Attorney CITY OF SANTA ANA C1~'~~ -p~DAVIDN. REA T City Manager MANAGEMENT PARTNERS, INC. M/~ ANDREW BEI.KNAP Regional VI' Tax 10# ~ I ~ I L.ttl'1 5"'1> '" 6 EXHIBIT A SCOPE OF SERVICES We appreciate the opportunity to submit a proposal to you for facilitation of a teambuliding workshop with the City's Executive Management Team. We have the experience and skills needed to plan and conduct a workshop that would be useful to the team, and we would enjoy doing so. We understand the value to a City Manager and management team of allocating time for teambuilding and prioritizing workload and goals. Taking time away from the day-to-day work of the City to engage each other in how the team operates, roles and expectations, and what team members hope to accomplish is a useful effort. When new people join the team, as has occurred in the City of Santa Ana, it is a particularly good time for a workshop. The key activities we propose in preparing for and conducting the workshop are described below. Our Approach A collaborative approach between our consultants and the City's designated workshop coordinator will be used. We are proposing a one-day workshop with a two-person consulting team, whose expertise is summarized below. We will begin by interviewing the team members who will be participating in the workshop. Through the interviews, we will identify workshop outcomes desired by the City Manager and other team members. Typical desired outcomes from a management workshop are improved effectiveness in working relationships, clarified roles and expectations, greater understanding about team members' individual management styles, understanding of the legacies individual members and the team as a whole would like to leave, and priorities and goals the team will accomplish. An agenda will be created and discussed with the City's workshop coordinator. Following the workshop, a summary of agreements and follow up actions will be prepared by our consultants and submitted to the City. We use a highly interactive approach in our management workshops. In the design of the workshop, we plan informal time for team members to get better acquainted, exercises which ensure that all participants are able to express their views, and small and large group discussions We have a full range of exercises designed to engage the participants in the workshop and achieve the outcomes intended through the workshop. There are three essential activities in the scope of work for the workshop: planning, facilitating and repotting. The following describes the scope of work anticipated for the engagement Activity 1 - Prepare for the Workshop Preparation for the workshop will involve interviews, a team assessment instrument, and agenda planning. We will begin by conducting on-site interviews with the City Manager, Assistant and Deputy City Managers, and the other individuals who will be participating In the workshop. In our interviews we will ask about strengths, weaknesses, opportunities and threats (SWOT) facing the City of Santa Ana and the management team. Following the interviews, we will conduct a short, confidential on-line team assessment in order to learn more about the team's collective views of the team's effectiveness. We will prepare a draft agenda and recommended workshop process, which we will review with you. The design and agenda will be finalized based on your feedback We will coordinate logistics and preparations for the workshop, including any materials that will be needed with designated City staff. 7 Activity 2 - Facilitate the Workshop We will facilitate the one-day workshop, and ensure that the intended outcomes are met. The workshop will include opportunities for the management team members to get to know each other, identify needs and expectations of team members, and develop the basis for increased effectiveness. From our interviews, Management Partners will have a good idea of the most important issues facing the City and will be able to facilitate both small and large group discussions aimed at establishing a practical framework for productively addressing these issues. During the workshop the focus will be on how to use the power of strategic dialogue to identify opportunities to move the organization forward. By strategic dialogue we mean the collaborative inquiry into issues facing the organization By examining the different perspectives and knowledge of stakeholders in a supportive setling, teams can make breakthroughs on how problems are thought about and collectively develop new approaches and solutions. Our consultants provide the supportive environment, knowledge of the local government setting, and a general understanding of the issues facing Santa Ana. Team members provide the speCific knowledge about challenges and opportunities facing the City for which the team must be prepared to respond. The combination of expert facilitation and committed team members enables the group as a whole to think in a systematic and productive way about new approaches. Activity 3 - Prepare Workshop Summary Following the workshop, we will prepare a summary of the results. The summary will include agreements made about team expectations and norms, future steps to be taken by the management team, and other outcomes. Since the workshop is intended to set a foundation for future learning and actions, we will work with the City to make it a usable vehicle, which can be updated and modified as various strategic initiatives take further shape. FACILITATORS Two of our consultants will serve as the facilitation team for the Executive Management Team workshop. Jan Perkins, Partner, has 30 years of management experience in local government. She provides assistance to government leaders in leadership development, facilitation, coaching, strategic planning, visioning and goal setting, community engagement, teambuilding, organizational analysis, policy board/staff effectiveness, and executive performance evaluation. Julia Novak, Regional Vice President for Management Partners, directs the work of our Management Partners' office in the east. Since joining Management Partners, Julia has directed organizational reviews and studies for virtually all areas of municipal operations, including finance, human resources, planning and development review, health and human services, public works, facilities, fleet, public safety and parks and recreation. She has been directly Involved in developing business plans, strategic plans and developing and reviewing performance measures/indicators. Board development, employee feedback, process management, facilitation, training, and leadership development are among her areas of specialty. Julia is certified to administer several Level-B Psychological Assessments, including the Myers-Briggs Personality Type Indicator (MBTI), the Apter Motivational Styles Profile (AMSP) and the Strength Deployment Inventory (SOl). In addition, she has completed training 8 In popular Level-A Assessments, including the Thomas-Killman Conflict Modes Inventory and the Human Element-B (FIRO-B). Project Hours and Cost Management Partners estimates a minimum of 55 professional hours will be required for the project, and will complete the proposed plan of work for a fee of $13,300. We have estimated our hours as follows: Activities 1. Pre are for the Workshop a. Conduct interviews with all EMT members c. Conduct and analyze on-line team survey d. Summarize interviews e. Prepare agendaffinallze with City/discuss 10 istics 2. Facilitate 1-0a Workshop 3. Summarize Results of Workshop TOTAL HOURS Estimated Hours 16 5 3 6 22 3 55 9 THE HAUSER GROUP 8260 Northcreek Dr. Cincinnati OH 45236 Phone: 513-74S-9200 Suite 200 OP ID MAN-P-1 01 16 THIS CERTIFICATE. IS ISSUE.D 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. 07 ACORD.. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Management Partners, Gerald Newfarmer 1730 Madison Road Cincinnati OH 45206 Inc. INSURERS A~FORD1NG COVERAGE _ _ j NAle # _ r~URE~ Th_e Hartford C-;sualty ins .--=co223_57 __ ~~:~:::: - - - - -- - 1_- INSUHl=RD I Fax:S13-745-9219 INSURED N-'2.OC'l-=.<. INSUHIoHE COVERAGES THE POLICIES OF INSURANCE LISTED Brl ow HAVE BEEN ISSUED TO THE INSURHJ NAMED ABOVE FrlR THE POLICY PERIOD INDICATED NOTWITHSTANlJlNG ANY HIoUUIREMENT, TFRM OR CONDITION OF ANY CONTRAC I OR OTHER DOCLJMENTWITH RESPCCT TO WHICH THIS CER1IHCATE MAY BE ISSlIFrJ OR MAY PERTAIN, TlIC INSURANCE AFFOHUED BYTHE POliCIES DESCRIBCD HEREIN IS SUBJECr IU ALL THE TERMS, FXf;UJSIONSAND CONDITIONS OF SUCH POLlCIES_ AGUHEGATE LIMITS SHOWN MAY HAve BEEN REDUCED BY PAID CLAIMS I~i~ N~~ - TYPE ~~NSURA~C;--- -- POL-ICYNUMBER-- QENERAL LIABILITY A X x] C.OMMCrlCIAL GENERAL LIABILITY 33SBALU7 0 8 9 _I ,J CLAIMS MADE iiJ UCCUR j< Cont~_acturC;ll:__ 1 Liabili~ 1 I' _~_~'L AGcnE~T~ LIMIT AP~ES PER, I POLICY X I ~Cg , ! LOC AUTOMOBILE LIABILITY Xl ANY AUTO TPOLlCY_~FFECTIVE'POLlC_YJXPIRATION ,- - -- - I 'O~ATE IMMiOOlYVI- DATE tMM.lDO/VY' 'I LIMITS 1_:;::1g~~~~~ __I $ _~!._gOO_LOOO__ 09/28/07 ,PREMISES(F~nCCLJI~"Cel ,$ 300,000 I ME~ EX~ {~nYO~~_e'5or_l)=r $ ~- lQ:=-OOO~-- I.!ERSONAL&ADVINJUR!_ I' $~, 00J0 DOg GENERAL AGGREGATE $ 2, 000, 000 r;~~DUCTS_ COMP'OPAG~T$2, Q20, 000- _ 09/28/061 AI I 33UECTI2490 09/28/061 09/28/07 COMBINED SINGLE LIMIT I:Eaacciclenr. $1,000,000 1 GARAGE LIABILITY 1 1 I 33SBALtJ7089 1 09/28/061 , , , r~- ,n. r - - - -- - -- - RODILYINJURY 1 S (PArpHrSLJIl) - ---- - - - Bonll Y INJURY $ IPeraccidRl11', I ~A~PFRTY DAM~~- -I. -- -- (Parace'nAnl) ALL OWNED AUTOS X 1 SCHEDULED AUTOS x IX' - HIRED AUTOS NON-OWNED AUTOS ANY AUTO AU2..~ONL'Y - EA AC~ENT ~_~ OTHER THAN E~~CC_~ AUTOONIY A EXCESStUMBRELLA LIABILITY r - nwm [J CCAIMS M^DE i I IlFr:JlJCTIBLE xl RFTENTloN $10,000 ! WORKERS COMPENSATION AND 1 EMPLOYERS' LIABILITY ANYPROPRIEIUHtPARTNER:FXF"IJTIVE OFFICERiMEMBloH EXCLUDE[l" ~~~~IAtS~~'0v~~16~s b810w I OTHER I EACHOC"IJRRENCE AGG $ _ !~,OO(),OO_~_ . $__~, 0 O~_O 09__ __1'_ - ii 09/28/07 AGGRFGATF - -- I- - - - 1 ~Lc.?(~j 'I' \,li('r';~\, ~', Trrky<'L1MITS ..::~~- __ f.-El EAr:HAr:r:IDENT $ E L DISFilSF EA EMPLOYEEI $ I E.L_DISFASF POLICY LIMiT 1> I DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl. PROVISIONS The Certificate Holder is added as an Additional Insured as respects to all projects associated with the Named Insured under normal operations. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Clerk of the City Council #M-30 20 Civic Center Plaza Santa Ana CA 92701~4058 SANTA A SHOULD ANY OF THE ABOVE CESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE.SSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE: TO DO SO SHALL IMPOSE NO OBLIGATION OR L1ABIL1T Y OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES A :~T1VE @ ACORD CORPORATION 1988 ACORD 25 (2D01!08) v ,( '''-I... "u, " ~., c' r r, fI CERTHOLDER COPY STATE COMPI:NSATlON INSURAwce FUND PH BO)( 4Z0B07, SAN FRANCISCQ,CA 941 42-0B07 CERTlFICAT& OF WORKERS' COMPENSATION INSURANce lSSU~ DATe~ 01-10-2007 GROUP: POLICY NUM8~R, 1414076-200B CER1IFICA TE ID: 92 CE'RTIFICAT[; EXF'IFt~S; 12-0.-2007 12~01-~ooa/12-0'-2007 CITY OF SANT^ ~ C~~RK Of THE CITY COUNCt~ 20 CiVIC O~NTER PL2 M-30 SANTA ANA CA 92101-4068 SL 7hJ! is to !;lllrtll\, thai ""10 hllve issuod I v,lid Work8r:s' Comflensslion insurance pclicy in I form .llpprov!!d by the C,lilorni~ Insur,ncl! Commls"lllnOr 10 tn!! employer nllmetl below for the policy period Illdic<lle~. Thj~ Jlalicv is: not s.ubjt'lct to ~a!.,cellatio!'l bV Ihe F",ncl except IJpon30 dIVE adv.:arlce written nptice to Ine lImplOyM. We will ~I~o gillA you 30duys advpnce l10tice should thi~ policy bl!! cane~lled p,i....r to its normal ex~irallOr'l. 'J'nis: cerHficllle of In'Sl.Iranca I~ nOI ,In InlOur;nr;:e pulky ~d d01i!5 nat amend. extend or .altElr tho CQver;ge altotdtld by the pOlio,; li~tpd hereill. Notwithstandinj any rl'lqUlrl'Jmtlr'lt, term or r;:QndlLlgn gf anv l:'ontrJCl or gt,",er Q"l;lcvmam with ra~pecl Ie whleh this certificate of I'I!1Uralll;'" mal' be is;Jued or to whieh it mAY p"'(~il.ln, 1h6 insurlnc" Dfford~d by thl! POllOI' d(l~cribec:l herein ilt subject to all the u"rms. e)C(lju~ions. and condition:!!. of suon l=>oHcy. ~ THORIZii:O R'ePRESENT ATI PR~SIDENT EMPLOYERIS LIABILITY LIMIT INCLUDING DEFENSE COSTSl Sf,OOO,OOO P~R OCCURRENCE. eNCORSEM~NT #lSDO - GERALO NEWfARMER PRES CED SEe - ~XCLUDED. ENDORSEMENT #20BB ENTIT~ED CERTIFICATE HOLDERS' NOTICE EFF!crrv~ 12-01w2002 IS ______ATTACHED To AND rORMS A PART OF THIS POLICV, eMPLOYER ~ '.'/ ;::~-e.;~. 7: .".--...-'" MANAGEMENT PMTNERS. iNC 1730 MADISON Flb CINC!~ATI OH 45208 SL PRINTED [JC1.SCl 01.10-2007 IflEIJ.:'OSI Igj V\i Ii V'-'! SL ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID~lr1 DATE (MMIDD.rYYVY) MAN~P~l 01/16/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THE HAUSER GROUP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8260 Northcreek Dr. Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cincinnati OR 45236 phone: 513-745-9200 Fax:513-745-9219 INSURERS AFFORDING COVERAGE NAlelt __n_ -- ---..------- INSURED INSURER A The Hartfor_d __~"':~1.lal~J_~~~_~9~235! INSURERB Manayement Partners, Inc. - - u - Gera d Newfarmer INSURERC , 1730 Madison Road ----- ---- Cincinnati OH 45206 INSURER 0 INSURERE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW IIAVE D[[N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONIHACI OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCF AFFnRnFn BY THE POLICIES DESCRI8ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS or SUGII POLICIES, AGGREGATE LIMITS SHOWN MM HAVE BEEN REDUCED BY PAID CLAIMS. INS" ~~~ -- -- PD~'i!~~~Ji~W - Pgk~1vr~~~~i~~N u_ --- ----- lTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY ~~CHOCCURRENCE $ 1 r 0 9g_~(U) Q.__ -- A1'OUl.GE TO RENTED A X X I COMMERCIAL GENERAL L1ARIIITY 33SBALU70B9 09/2B/06 09/2B/07 ~~S(Eao_c.:'-":~nc~) S ~ 0,Q,L9 0 0__ _~":J CeM" M'" [XJ OGC"~ ~E_D_~XP{Anyon"PE"5on) , 10~~O 0 - I X Contract ural _P_E_~SONAl & ADV INJURY .$_~..!_~jJ~jJ_Q.~L --..- , ~i~~lity______ GENERAL AGGREGATE $ 2,000, _ooq___ GEN'l AGGREGATj LIMIT APA" PFR PRODUCTS- COMP.IOP AGG $ 2, qg.Q-,_ggg__ , ,I: '"0 ----.-- POLICY X JEeT IOC AUTOMOBILE LIABILITY , I COMBINED SINGLE LIMIT i $1, 000, 000 A X ANY AUTO 33UECTI2490 09/2B/06 09/2B/07 fEaawdelltl - ----~-- -- - ALL UWNED AUTOS BODllYIN.JIJRY $ X SCHEUULl:UAUIUS I.P""rprsnnl X HIRED AUTUS BOnll YINJURY $ X NON OWNED AUTOS IPeraccioenll ---------- - - ----- PROPERTynAMAGF $ (Peraccloent) i$ ,-'~ , GARAGE LIABILITY AUTOONIY-FAAGGIDFNT , ANY AUTO OTHER THAN FAI\GG I $ 1 AUTO ONLY. 1\(";(";1$ EXCESS,IUMBREllAlIABllITY FAGHOGGURRFNCF '$ 2, 000, a-cia xl OCCUR LJ CLAIMSMALJE _____n A 33SBALU70B9 09/2B/06 09/2B/07 AGGREGATF ~~Lf)QO, 000 -...-------------.--- $ ------.--.---- - i :'~ DEDUCTIBLE $ '.', ----------.- ,X RETENTION ,10,000 $ WORKERS COMPENSATION AND _ .lWRYLIMITG I I' en- EMPLOYERS' LIABILITY ~~( -- ANY PROPRIETORIPARTNERiEXECUTlV[ , E.L.EACHACCIDENT $ , ;;;/Jty -.--.---- OFFICER/MEM8ER EXCLUDED? I I- --p E.L.DISEIISE- EA EMPLCiY~.E $ Ilye~, desG,ibe under -.----.-- , , SPECIAL PAQVISIONS below I E.l.DISEIISE POLICY LIMIT $ OTHER V / . , I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES,I EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS The Certificate Holder is added as an Additional Insured as respects to all projects associated with the Named Insured under normal operations. CERTIFICATE HOLDER CANCELLATION SANTA A SHOULD ANY Of TH.. ABOV.. DeSCRIB..D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOf, THe ISSUING INSURER WIll eNDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE fiOLDER NAMED TOTHE LEFT, BUT FAilURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A :~TIVE @ACORDCORPORATION1988 City of Santa Ana Clerk of the City Council #M-30 20 Civic Center Plaza Santa Ana CA 92701-4058 ACORD 25 (2001/08) ',' ti ILl L'/V I I I '-'C' r i1^ CERTHOLDER COPY STATE C;:OMPliNSATION INSUAANce FUND P.O. BOX 420807, SAN FRANCISCQ,CA 94142-0807 C5RTlFICATIi OF WORI<ERS' COMPENSATION INSURANCIi ISSUE DATE: D1-10-2007 GROUP: POLICY NUMBEfli 1414078-200B ceRTIFICATE: 10: 92 CER.TIFICATE: EXPIRJ:S: 12-0'-~007 t2-01-2008/12-01~2007 CITY OF ~ANTA ANA CLERK OF THE CITY COUNCIL 20 crVIC CENrrER PLZ M-30 SANTA ANA ~A e2701-~05e 'L Tnl~ is to Cllnlly Insl VV(;l hllve issuod a valid Workl'lrs' Ccmpen5stlon insurmC6 policy in I form llpprc,"1Id by lhe Calijornia Iruurancl'l Commls-slonor 10 tlla IIm!)loyer MDm~c:! below for tho policy Pl!lrlod Indicalei;l. Tnis pollc~ I~ not :iubJl'let 10 c:~ru'lsll~tior'l by thl;! i=und e:<clIpt IJpon30 d'-YI: lIdv~cg Wr'lthm nQtice to Ihe (ImplOI'Or. Wa wdl al$O Qi~l!I you 30 days aevllnco notice sr.culd tr.i$ pcllt:". b~ OAl'ItolJ.:"d prior 10 ils norl'T1al expifatlon. lhlS cf;lrtifiC&1S of insur~neo Ie not an Insur..nclOl pollr::y pnd does not IImlJfld, extend Q: Dlt!;lr tho ccveragll Ifforded pv thll policy fill led ,heroi!'l- Notwithstmding .ny f8CjuirLlII,.u.'t1t, _ r"nm 0'- r;ondiUon of illY c:ontrlc:t or ol'-1E1r nOCuillSnl willi respecl to w}llch this certifIcate of IMut;mQQ m.llY CI;1I Ill-sued cr to which 1\ n'lIY pl!lruin, tile insur"nce ~florded by th~ POliOI' described herein is SUbj6Cl to ,Ill the terms. /i'lxcl~ions. pnel conditions. of such policV. ~R.PRESENTATI EMPLOYER'S LIABILITY LIMIT ~ FAESIOE'NT INelUO!NG DEFENSE COSTS~ 51,000.000 PER OCCURRENOE. ENCDRSEMENT #1800 ~ GERALD NEWfARMER PRES CEO SEe - EXCLUOED, ENODR5EMENT N20BS ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIve 12-01-2002 IS ------ATTACHED TO AND PORMS A PART OF THIS POLICY. I!MPlO'r'E~ ~/ MANAGEMENT PARTNERS, INC 173G MADISON FtU CINCINNATI OH 4B20e SL (~Ev.'.as~ PRINTED pCl.SCI 01~10-2007 l:'!J IJ 1) I, V~, I ,I. LOOZ-O~-~O : 03lNI~d [N:)'V\ll.l) (SO-~','\3lJ:' 15 eozs~ HO IlYNNI~NI~ aH NOSIOYW OEl.~ ~NI 'SH3NLHYd LN3W3DY~W ~~ !:l3AOldV'J3 'A~I10d 5IHl ~O lHVd V SWHO~ ONV Ol 03HOYllV------ SI ~OO~-~O-~~ 3^Il03~J3 30IlDN ,S~3C10H 31V~I~I1H3~ a311IlNa 590ZK lN3W3SHOON3 '030nlOX3 - 035 030 S3Nd N3WHV~M3N 01VH3~ - 009~K LN3W3SHOON3 '3~N3HHn~~0 H3d OOO'OOO'~$ :5l500 3SN3~3a ~NIan10NI lN30lS3CJd ~ lIWI1 AlI1ISVIl S,H3AOldW3 I"V1N3S3"d3"~ 'A:J!IOd ~:Jns ~o 'SUO;1IPUO:J rue- 'suo!snpxEl 'SUJol81 8LJl Ill!' 01 p~rqns SI UIGJG4 pGquOSGp AOIIOd 8LH "q p8p.JOjjl! aOUl!olnSUI a~) 'Ull!lJad ^I!'W 11 lP!4M 01 10 panss! aq AI!'UJ wOUl!".JnSUI 10 ell!"Ollllol8:> Sl~l UOILlM 01 loadsaol L11'M .uawn:;JOp jaLHO olO Pe-.JiUOO Aue 10 UO!l!PUOO jO W.J81 '~uawaol!nbaj Aue 6U1pue~s4~!N\j.ON -u!aJay palSIj AOllOd 8tH tlq papolOHl!' aBl!"J.MOO 841 J81111 JO PU81X8 'puewe lOU seop PUE! Ib!lod 8:JulljnSU! Ul!" lOu Sl a:>ul!'olnsu! 10 illl!":J1111J90 SIIH 'UO!lIU!dxa II!'WjOU S~; OJ olO!.Id P9119:JUI!':J aq A:J'IOd SI41 PlnoLJs aOI~ou 8:Jue^pe sAep Ot noli 9^!6 aSI!!' 111M aM 'olaliajdwa aLll O~ a:Jllou uenpM a:Jul!'l\p!!' srl!!'p Otuodn ~d8:Jxa pun:l 841 fiq UOIlIl'1I9:JUIl'O 01 j:Jsfqns lOU SI A:>!IOd SI41 p<lle':JlpUI pO!jad A:Jllod 8L11 .IO~ MOl8q pawll'u J8AOldw8 aLll 01 jeuo!ss!wwo:) a:Jul!'jn5ul "!uJO!I!l?] a~~ Aq pS/l01ddl!' WJo:f l? U! A-:J!IOd a:JuejnSUI uoqesuadwoJ ,sja)lJoM PHii'll Ii' panss! aliii'Ll aM ~eLl~ AppS:l 01 51 S!lU '5 8g0~-~OL~6 V~ VNV VlNVS Ot-" Z1d H3lN3~ jIAlj O~ 1I~NnOj A!Ij 3H! ~O ~H31j VNV V!NVS 40 A!I~ LOO~-~O-~~/900~-~O-Z~ LOO~-~O-~~ :S3!:lldX3 31V]I:lIHJ3:J ~6 :01 31 V:JI:lll~:HJ 900l;-9LO~~U :!:l38lt\1nN AJI10d :dno~S1 LOO~-O~-~O :3!Va 3nSSl 3:lN\fl:lnSNI NOll\fSN3dVIIO:l ,Sl:l3)1l:l0M ~O 3l\f:lI~lll:l3:l L080-~17L176 \fJ'OJSIJN\ftlo N\fS 'L080~17 X08 Ud CNn:::l aON'l:fl::lnSNI NOI~'cfSN3dVllO::l 3.L'd.LS 1S AdOJ tl30l0Hlt13J CERTHOLDER COPY SL STATE COMF'ENSATION INSURANCE FUND P.O BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-10-2007 GROUP: POLICY NUMBER: 1414076-2006 CERTIFICATE ID 92 CERTIFICATE EXPIRES- 12-01-2007 12-01-2006/12-01-2007 CITY OF SANTA ANA CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLZ M-30 SANTA ANA CA 92701-4058 SL ThiS is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by 1he California insurance Commissioner 10 the employer named below for the policy period indicated. ThiS poLey is not subject to cancellation by the Fund except upon30 days ildv.mce written nolice to the employer. 'vVe will also give you 30 days advance nolice should this policy be cancelled pI-jar to its normill expiriltion This certifiCilte 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. tile insur<lnce atforded by the policy described herein is subject to all the terms. exclusions, and conditions, of such policy. tREPRESENTATI EMPLOYER'S LIABILITY LIMIT ~ PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - GERALD NEWFARMER PRES CEO SEC - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2002 IS ------ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER ~, MANAGEMENT PARTNERS, INC 1730 MADISON RD CINCINNATI OH 45206 SL RF\!2.05) {JC1,SC] PRINTED : 01-10-2007 POLICYHOLDER COPY 5L STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142,-0807 COMPENSATION I N S U R A N C E FUND CERTlF1CATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-10-2007 GROUP: POLICY NUMBER: 1414076-2006 CERTIFICATE ID: 92 CERTIFICATE EXPIRES: 12-01-2007 12-01-2008/12-01-2007 CITY OF SANTA ANA SL CLERK OF THE CITY COUNCIL 20 CIVIC CENFER PLZ M-30 SANTA ANA CA 92701-4058 ihis is to certify that we have issued a valid Workers' Compensation insurance policy in a form approued by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation 6y the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate o1 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 aN the terms, exclusions, and conditions, of such policy. THORIZED REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 41,000,000 PER OCCURRENCE, ENDORSEMENT /!1600 -GERALD NEWFARMFR PRES CEO SEC - EXCLUDED. ENDORSEMENT k2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2002 IS ----ATTACHED TO ANO FORMS A PART OF THIS POLICY. EMPLOYER MANAGEMENT PARTNERS, INC SL 1730 MADISON RD CINCINNATI OH 45206 ~a~v.ros '~ . ~~ ~J ~, s " s: ~~ ICJ ~l ~~ err ~~ ~r„ cy (JC1,SCj PRINTED 01-10-2007 ACORD", ,-..:: rrn t= I L"'" l.\ T E fY,;: ._.~ <-._ -, " , ~;1 . ',;i:o. iI .."..,.. . "'3- H i"~->V fi'\.JSURA" . ; 'i::""! I l~ , N OPID MM~-P-l 08/28/07 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 TH;o POLICIES BELOW. I INSURERS AFFORDING COVERAGE I NAIC # INSURER A The Hartford Casual ty Ins. Co. 22357 OA TE (MM/DDll' r'Y) PRODUCER THE HAUSER GROUP 8260 Northcreek Dr. Cincinnati OR 45236 Phone: 513-745-9200 Suite 200 Management Partners, Gerald Newfarmer 1730 Madison Road Cincinnati OH 45206 Fax:513-745-9219 N . ZOOt"]. Of::."J Inc .N ,2.C)O 'I - 002. INSURER B INSURER C INSURER 0 INSURER E. INSURED 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. 1NSR = TYPE OF INSURANCE POLICY NUMBER ~9N~iri~rJ~~E P~k~<iYfij~b~JW LIMITS LTR GENERAL LIABILITY I EACH OCCURRENCE $$1,000,000 "--- I A X X COMMERCIAL GENERAL LIABILITY 33SBALU7089 09/28/07 09/28/08 PREMISES (Ea occurence) $ $300,000 1 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $$10,000 ~ Contractural PERSONAL & ADV INJURY $$1,000,000 __ Liabili ty GENERAL AGGREGATE $$2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $$2,000,000 ~ !xl PRO. n Ltd. EPL $5,000 POLICY X JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $$1,000,000 - A ~ ANY AUTO 33UECTI2490 09/28/07 09/28/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ ~ SCHEDULED AUTOS I (Per person) ~ HIRED AUTOS BODIL Y INJURY $ ~ NON.OWNED AUTOS (Per aCCident) - PROPERTY DAMAGE $ (Per aCCident) GARAGE LIABILITY AUTO ONL Y . EA ACCIDENT $ ==l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ $2,000,000 A ~ OCCUR o CLAIMS MADE 33SBALU7089 09/28/07 09/28/08 AGGREGATE $ $2,000,000 $ R DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TO'Ry\'IM:f'S I xi cJh1- A EMPLOYERS' LIABILITY 33SBALU7090 09/28/07 09/28/08 $ $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EMPL. LIAB. ONLY E.L. DISEASE - EA EMPLOYEE $$1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ $1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The Certificate Holder is added as an Additional Insured as respects to all projects associated with the Named Insured under normal operations. .. , -1".'--,' -./. / I.. . 'I" .. / ./ /' ".. .. - '.f / / _' / "'~ ___..' c CERTIFICATE HOLDER CANCELLATION SANTA A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE QANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 REPRESENTATIVES. A :LXX:TIVE City of Santa Ana Clerk of the City Council #M-30 20 Civic Center Plaza Santa Ana CA 92701-4058 ACORD 25 (2001/08) CERTHOLOER COPY SL STATE COMPENSATION INSURANCE FUND tJ, ?oD7-00:J- P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 N,:;)DD7-007 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-01-2007 GROUP: POLICY NUMBER: 1414076-2007 CERTIFICATE 10: 92 CERTIFICATE EXPIRES: 12-01-2008 12-01-2007/12-01-2008 CITY OF SANTA ANA CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLZ M-30 SANTA ANA CA 92701-4058 SL This IS to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 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. tREPRESENTATI EMPLOYER'S LIA8ILITY LIMIT ~(~~ PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - GERALD NEWFARMER, PRES CEO SEC - EXCLUDED. ENDORSEMENT #206S ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2002 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER MANAGEMENT PARTNERS, INC 1730 MADISON RD CINCINNATI DH 45206 SL M0408 PRINTED 11-16-2007 (REV.2-0'5\ STATE COMPENSATION INSURANCE FUND tJ - d001-OO~ tJ - doo-7- Q(P) IN REPLY REFER TO: NOVEMBER 28, 2007 CITY OF SANTA ANA CLERK OF THE CITY COUNCIL 20 CIVIC CENTER PLZ M-30 SANTA ANA CA 92701-4058 CERTIFICATE OF WORKERS' ----------------------- COMPENSATION INSURANCE ---------------------- CANCELLATION/CONVERSION NOTICE ------------------------------ RE: CERTIFICATE DATED DECEMBER 1, 2007 THE WORKERS' COMPENSATION COVERAGE PROVIDED UNDER THE POLICY LISTED BELOW IS BEING CONVERTED TO A NEW POLICY EFFECTIVE DECEMBER 1, 2007. THE NEW POLICY WILL PROVIDE UNINTERRUPTED COVERAGE. YOU WILL RECEIVE A NEW CERTIFICATE OF INSURANCE UNDER THE NEW POLICY NUMBER: 562-0001885-07. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE CUSTOMER SERVICE CENTER AT THE NUMBER LISTED BELOW. EMPLOYER: MANAGEMENT PARTNERS, INC 1730 MADISON RD CINCINNATI, OH 45206 POLICY 1414076-07 CUSTOMER SERVICE REPRESENTATIVE CUSTOMER SERVICE CENTER (877) 405-4545 1275 Market Street . San Francisco, CA 94103-1410 Mailing Address; P.O. Box 420807 . San Francisco, CA 94142-0807 selF 19102