HomeMy WebLinkAboutORPAK USA, INC. 1- 2007
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
3 - 1-08
CLERK OF COUNCIL
DATE: if-;;o-o1
(): Fn.J (.l1
~~) THIS AGREEMENT, made and entered into this 5th day of February, 2007 by and
between Orpak USA, Inc., (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").
A-2007-030
CONSUL T ANT AGREEMENT
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
designing and installing computerized fuel management systems.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration ofthe mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall provide, install and train City personnel on the use of a fuel management
system to track the usage of gasoline and diesel for each City vehicle, as set forth in Exhibit A to
this Agreement. The system will reflect real time usage online and a web based program that
tracks actual gallons pumped per vehicle. The system will include a key pad identification
system for use by authorized City employees.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $51,959.70 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on
installation of the system and completion of training of City personnel.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. 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.
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d. Professional liability (errors and omissions) insurance, with a combined single limit of
not less than $1,000,000 per claim.
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
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
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: (I) 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 I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold hannless agreement applies to all claims
for damages, just compensation, restitution, 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 terms
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
counsel 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 from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
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,
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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 (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Finance and Management Services Agency
Corporate Yard - Fleet Facilities
City of Santa Ana
215 S. Center Street
Santa Ana, California 92703
telefacsimile (714) 647-3359
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
4
To Consultant:
ORPAK USA
100 First Street, Suite 200
Hackensack, New Jersey 07601
Telefacsimile (201) 441-9830
Attn: George A. Prince, Jr
Vice President Western Division
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 after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, communication shall be effective or
deemed to have been given twenty-four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes
of calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
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. TERMINA nON
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
5
compensation for all services performed by Consultant prior to receipt of such notice oftermination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals ofthis Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because ofrace, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
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 fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as iffully set
forth in the body of this Agreement.
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
/
ATJES'f:--i ~
(/J';i/~,. "' / '\~ . .
'. <______' G[ L. i..-A-'A>L.- . .~
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
/'
By: (;;'{{Ait.,dt ",Pi- -
Lau Sheedy (
Assistant City Attorney
CITY OF SANTA ANA
~t;'~~4Jf
City Manager
ORPAK USA, INC.
~
~[~/.
GEORG A. PRINCE, JR. /
Vice President
Western Division
TaxID# ;rJ.'?12'1c(6 (j
7
ORPI\fV{ U5^
ORPAK USA, Inc. 100 First St. Suite 200, Hackensack, NJ 07601
Phone: (201) 441-9820 . Fax: (201) 441-9830 . www.orpakusa.com
QUOTATION No. 04JAN07
4-Jan-2007
Mr. Terry Price
Corporation Yard/Fleet Facilities Mgr.
City of Santa Ana
Fleet Service Division
Santa Ana CA 92703
* FueJOmat *
Fuel Management System
Fully Automated*Reliable*Secured
Ph: 714-647-3348 Fax: 714-647-3333
Emai/: Tprice@cLsanta-Ana.ca.us
ORPAK USA UP GRADE FUEL MANAGEMENT SYSTEM
REAL TIME ON LINE & WEB BASED
KEY PAD ENTRY
Descri tion Part No Unit Price t $ Total Price
Iii
~iteOm<l! .__ . _.. -.--n--~~-~==:.:.~===_t==_-j_~_~_--I~~.~~-~~~~_~~~:
Fleet Head Office Software (2 Sites) I I 7,500.001 1', 7,500.00
OrPT island controller, pedestal mount -, ~6Q922x-xx, 2[67.0..901- 3'- -- _8'-6~-:Q.o
~J~6;~tmto;~b1~~nication Unit~\Nir~~~s -. ~~~~~;~~~ - ~~~.~%:~~---~ -1- i{J~&.gg
Wi reless Gateway (Acce~~i'()Lnt) ~__ .::....._::.... ji009"f2500 _ _~~Q, 0_0_ _....1._I___......:..-i.-~~b. 00
Pump Subsystem I ..________ ____._
Instaliatlon cableKif(2h()ses)---.--~. -70:2:100116-" 257:301' 10 2,573.00
MPI - MechanicalPump Interface, Hoses .... ".!8()6936266 "._f316.oOi 11 I .. 8~~10.60
MPI PowerRelay Box!2Rela.1'~_...____. .... __..__ _________2?Q:0_Ql_l1________2,Z50,OQ
I
Performace Payment Schedule--"-' - .....- Ie '1
1/3 at Installation i I I
1/3 at 30 Days i I .':r
RemaingUpon Si9ri OJ{ . --- - ~---:= === =__+ .. ... r. J. -I ____
-- -m._____ .-----+-- ___1__1____
Site Installation/Training/Fireup . 7023001251 11,540.001 1 I ___!.h?4:Q.OO
-..- - --. .~-"--===~="'--=-=~===-~'=:::=--'----F-"'-'- .--=:= 1-'-~==:=r$5i.733.00
Discount Price Total $51.959.70
Notes:
1 All prices are FOB Hackensack, NJ
2 Quote validity is 60 days
3 Delivery of equipment is 4-6 weeks after receipt of order
4 Warranty is one year from delivery
Page 1 of 2
EXHIBIT A
5 Taxes, licenses and permits If applicable are not included.
6 Host computer to be provided by the customer
7 Customer to provide power (on separate breaker) and communication links at the Host computer and controllers
8 Travel Time and Expenses are not to exceed $ 1500
9 Training prices are based on consecutive training days
10 SiteOmat controller requires internet connection for communication to Head Office PC, upgrades and
remote troubleshooting
11 We assume that the environment is conducive with standard WIFI wireless networking wlo the use of
directional antenna
We look forward to serving you.
6i rely ~
- v\-~
Georg A. prince~
Vice President
Western Division
Please approve and fax back.
Name & Signature
PO No.
Date
Page 2 of 2
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf ofthe named insured.
2. With respect to claims arising out ofthe 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.)
, this endorsement form as a part of
Effective
Policy #
Issued to
Named Insured
Countersigned by
Authorized Representative
8
PRODUCER
DATE (MM/DDIYYYY)
03/23/2007
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.
COMPANIES AFFORDING COVERAGE
TAVOR CORP.
400 MORRIS AVENUE
DENVILLE, NJ 07834
COMPANY
A Federal Insurance Company
INSURED
ORPAK USA, INC.
100 First Street
Suite 200
Hackensack, NJ 07601
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NO"TWITHSTANDING ANY REOUIREMENT, 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLlCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LIMITS
LT. DATE (MM/DDIYYYY) DATE (MM/DDIYYYY)
GENERAL LIABILITY GENERAL AGGREGATE ,**2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS. COMP/OP AGG ,**2,000,000
A CLAIMS MADE [!] OCCUR 35875487 '03/01/2007 03/01/2008 PERSONAL & ADV INJURY $**1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE ,**1,000,000
FIRE DAMAGE (Anyone fire) ,**1,000,000
MED EXP (Anyone person) $*****10,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT ,
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person) ,
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident) ,
NON.OWNED AUTOS
PROPERTY DAMAGE ,
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT ,
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT ,
AGGREGATE ,
EXCESS LIABILITY EACH OCCURRENCE ,
UMBRElLA FORM AGGREGATE ,
OTHER THAN UMBRELLA FORM ,
WORKERS COMPENSATION AND X STATUTORY LIMITS
EMPLOYERS' LIABILITY 71734583 EACH ACCIDENT ,**1,000,000
A THE PROPRIETOR/ 03/01/2007 03/01/2008 $**1,000,000
X INCL DISEASE - POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXeL DISEASE - EACH EMPLOYEE ,**1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS The City of
and representatives are named as an additional
insured product and services.
Santa Ana;its officers, employees, agents,
insureds but only with respect to the named
i'lPI;102' 07 F11 ,'], '-" P')""
.elL ~ Ifl;;.
City of Santa Ana
Att.Purchasing Dept.
20 Civic Center Plaza
Santa Ana, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAil
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
1316
Apr' 17 2007 s: 06AM
(973) 625-2282
p.3
~
CHUBB
Liability {nsurance
Endorsement
Policy Period !<!:ARCH 1,2007 TO HARCR 1,2008
Effective Date MARCH 1,2007
PoiioyNumbor 3587-54-87 FPO
Insured
ORPAK USA,INC.
NamQofCompany FEDERAL INSURANCE COMPANY
Date Issued APRIL 12,2007
TI1;s B:odorsementapplie& to tho followit:gfonns:
The city of Santa Ana,it's Officers,employees,agents,and
repre5entatives are named as aditional insured
-
Under Vlho Is An Insured, the followin,g provision is added:
Who Is An Insured
ScheduledPerson Or
Organization
Subject to all of the terms and conditions of this insur8nce~ any pe:son or organizationriliawnin the
Schedule, acting pursuant to a written contract or agreement betw'ecn YO-:J. and such person or
organization, is an Insured; but they are Insured. onlywitb. <espectto liability arising out of your
c?eraticns, or yom premises, if you are obligated, pursuant to such contractor agreemen~ 10 prmride
them with. sucb. \nsL.u"anceas is afforded by this policy.
However ,no su(:,h person or organization is an insured vnth respect to any:
""sllIllptiouofliabilityby the;n in a tontractor agreement This lirnitationdoe. not apply to
the liability for damages fur injllI}' or damage, to which this insuranteapplies, that the person
or orgaLization. would have 1TI rl+e absence of such contract or agree:ne.o.t.
damages arising o.~t of their sole neg1igence.
Schedule
I. ..
Liability Insurance
Form BG-02-23B7(Rev. 8-0<)
Ar:Jditronal [[1surerJ -SClie.de.'IBd P&(SOl1 Or OlgBnlzatlon
Endon;.M1ent
..;;Z/~
continued
Page 1
ORPI'n. USA
ORl'Atc: USA, Inc. 100 First St. Suite 200, Hackensack, NJ 07601
Phone: (201) 441-9820 . Fax: (201) 441-9830 . www.orpakusa.com
April 17, 2007
SUBJECT: CERTIFICATE OF INSURANCE issued by Federal Insurance
Company, POLICY # 35875487. INSURED: ORPAK USA INC.
PRODUCER: TAVOR CORP.
To the City of Santa Ana, Katie Montgomery,
I, ORPAK USA, INC., am under a contractual relationship with the City of Santa
Ana to provide FUEL MANAGEMENT SYSTEM UPGRADE and understand the
City's insurance requirements. While I have the necessary insurance coverage
plus the Additional Insured Endorsement, as required, my insurance carrier,
Federal Insurance Company, will not agree to the cross-outs in the cancellation
clause (bottom right hand corner).
Therefore, I, George A. Prince, Jr., agree and promise that I will personally
provide the City with the required 30 days' notice should my coverage be
cancelled or materially reduced in amounts.
Very truly yours,
~
L t7C) f----------z:
./ G:Org~ A. Prince, Jr. '
Vice President, Western egion
Ap~ 17 2007 9:01AM
(973J 625-2282
p.1
INSURANCE
40" MORRIS AVENUE
DENYILLE, ~J 07634-1362
973-625-5200
212-517-8308
FAX: 973-625-2282
E-MAIL: MAIL@TAIIOf..CORP.COM
TAVOR CORP
FACSIMILE
TRANSMITTAL
IN CASE OF PROBLEMS WITH TRANSMISSION PLEAS/; CALL: (973) 625-5200
THIS TRANSMISSION CONSISTS OF J PAGES INCLUDING THIS PAGE
DELIVER TO:
Katie Montgomery
City Of Santa Ana
FROM: Tal Novik
FAX No: 714 647.6944
DATE: April 17, 2007
TRANSMITTED BY:
nME: AM/PM
THIS TRANSMISSION IS ~TENDED ONLY FOR ThE USE OF iH( INJIV\DlJAL OR ENT;TrI" TO WHICH IT 1$ ~OAESSEO ,A,ND MAY CONTAIN INFORMATiON THAT IS
PRIVILEGGO. CONFlDENTIJI..LAND EXEMPT F~OM DISCLOSURE: UNDER APPI.ICABlE LAW. If' THE READER OF THIS MESSAG= IS NOT THE INTEIiCED RECIPIENT,
YOU ARE KEREBYNQTlflED TH....,. ANY GI$SEMlNATK)1't, )lSTR1BunON OR CO?YlNG OFTI-llSCOMLlllN1CATI0N 1$ STRICTL- Y flROHIBITEO. F Y~U HAVE REGaVe::
T~J5 COMMUNICATION IN ERROR. PLEASE NOTIFY '.IS IMMEDIATe!. Y AND ~l:.rURto.i THEORfG,NI\L MESSAGE TO us AT THE ABOVE ADDRESS. THANK YOO.
Re: ORPAK USA, INC.
Certificat8 of Insurance
Dear Katie,
Enclosed please find a copy of the certificate of insurance together with the Additional insured
endorsement under the insured's policy.
Please be advise that Chubb offers 60 days of notice BUT is not willing to amend the cancellation
clause on the certificate.
Please review and advise if the endorsement is acceptable and we can leave the cancellation
close as is.
Regards
Tal
kpr v.} VI U~:4tjE1
U~n U;:?ly
212867SG20
p.2
.4c..QRD~ CERTIFICATE OF LIABILITY INSURANCE I M,'!"E!Mt.\llm,"l"T)
"307
"""",,,," TI1IS CEFfI"IFICATE IS tsSUED AS A MA1TI;R OF INFORMATION
DAN DA~ Y AaENCY IHe OHL Y AND CONFERS NO RI~ UPON THE CERTIFICATE
HOLDER. TIllS OERTIFICATE DOES I'IQT AIIEHll EX11:ND DR
420 ~EX AVE ST. 5DS ALTER 'THE COVERAGE AFFORDED E1V THE PiiL/c'E$ BELOW.
Ny NY '0170
INSUFlIma AFFORDING COVERAGE
-. --
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