HomeMy WebLinkAboutJDP PHOTOGRAPHY City of Santa Ana
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cif Clerk of the Council
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longed t^) ~ Eg~~ ~: ~~
Return form to the Clerk of the Council Office (M-30). - '
Call 647-5237 if you have any questions. , 4,
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The a reement with n ~,L./ ~ ~ /
No. /~/~ ~Q(~~'~ /~ ~ was completed on ~ ~ ~~. ~'/ ~-~~
and final payment has been made.
Department: C `~,¢ ~ (,(f
Phone/Ext.: , x ~'~p ~--~
Signature:
Date: ~~
Revised 07-23-07
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FAX No, 714 835 7330
INSI(,~AANCE: O~::IU:
~J( MA~' PRCCEED
~"IJ..If\!SI!RMJGEEXPRE:S
p- '7-0'7 __I WORK FOR HIRE AGREEMENT
~~~~t~L7 WITH JDP PHOTOGRAPHY
0: COA IWIG .
(2") Fro"" 6otZ\ TIllS AGREEMENT, made and entered into this .1l.- -W1tay of August 2007 by and
between IDP Photography, a California corporation (hereinafter "Contractor"), and the City of
Santa Ana, a charter City and municipal coxporation organized. and existing under the
CoDStitution and laws of the State ofCalifomia (hereinafter "City'').
N-2007 -106
RECITALS
A. The City desjres to retain the undersigned having special skill and knowledge in the field
of commercial photography.
B. The undersigned Con1Iactor has created Work, the '"Work" which term as used herein
shall only refer to that which is created by the Contractor, specially commissioned for
use by the City. '
C. The parties expressly agree that the Work shall be considered a Worle fur Hire within the
meaning of that term under section 101 ofilie Copyright Act.
D. The Contractor understands that the City exclusively owns ilie copyright in the Work
and all rights incident to such ownership, including all electronic and derivative rights,
in all mediums of expression now existing or devised in the future, and may utilize those
exclusive rights both in the United States and throughout the world and Universe
NOW THEREFORE, in C9llSideration of the mutual and respective promises, including the-,
possibility of having the W olk considered. for publication by the City, Contractor agrees that the
Wark is Work. for Hire as set forth in the recitals above, and subject to the terms and conditions
hereinafter set forth, the parties agree as follo:m:
1. SCOPE OF SERVICES
Contractor shall perform those services as set forth in Exhibit A to this Agreement.
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2. COMPENSATION
a City agrees to pay, and Contractor agrees to accept as total payment for its services,
the rates and charges identified in Exhibit B. The total sum to be expended under this
Agreement shall not exceed $3,000.00 during the tenn of this Agr:eeroen.t.
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.
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FAX No, 714 835 7330
3. TERM
This Agreement shall conunence on the date fust written above and terminate on
December 31) 2007, unless tenninated earlier in accordance with Section 14, below.
4. DELIVERY OF WORK PRODUCT
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Contractor shall deliver to City all work-product resulting from the services provided.
City shall retain ownership and control of any work product produced as a deliverable pursuant
to this Agreement, including but not limited to photographs, negatives, writings, images, discs,
drawings, recordings and videotapes.
Contractor authorizes City~ in its sole discretion, to make any editorial changes, additions,
_ . deletions, abridgment and condensation whatsoever in the.body of the Work, and is further
. authorized to title, sub-title, and change the title and image of the Work, and to couple the Work
. with any ancillary work. including, but not limited. to, other writing. photos, imllges, sounds,
video, and animations, such authorization shall extend to all subsequent uses of the rights owned
. by the City pursuant to this Agreement. City reserves the right to omit any part or all of the.
Work submitted by Contractor.
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5. WARRANTY OF RIGHTS.
Contractor warrants and represents that the Work is original and has not been published
or altered; that he or she is the sole Creator of the Work and has full power, :free of any P'riOF
contract, lien or rights of any nature in anyone which might interfere therewith, to enter into this
Agreement and to grant the rights hereby conveyed to the City; that the Work contains no matter :,
which is libelous or otherwise unlawful, in(ringes no right of privacy, proprietary right or
copyright (whether statutory or common law); that he or she has not heretofore and will not
hereafter enter into any agreement or understanding with anyperson, firm or;corporations other,
than City for the rights in the Work granted hereunder.
6. COPYRIGHT AND PATENT INDEMNITY.
Contractor will indemnify and hold City harmless and will defend, at its own expense, any
threatened or actual suit against City based upon claim that the website or software used. therein
infringes upon a patent, copyright, trade secret or any other intellectual property right of any third
party in the United States, and will pay any settlement, costs and damages aw~ provided that:
(a) such infringement has not resulted. from modification of the website effected by or for City from
combining the software with. any other program or data; (b) Contractor is notified in writing
promptly of any notice received by City of any claim or of any threatened or actual suit; (c)
Contractor has the right to control the defense of any claims, suits or proceedings, and City will not
settle any claims, units or proceedings without Contractor's consent; and (d) at Contractor's request
and expense. Contractor is given sufficient information and assistance by City for the defense of the .
claims, suits Or proceedings.
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FAX No. 714 835 7330
7. INSURANCE
Prior to undertaking performance of work under tbis Agreement, Contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
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a. Commercial General Liability Insurance. Conttactor 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 Contractor'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. Contractor shall SUpply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit C upon
execution of this Agreement and shall be approved in form by the City Attorney.
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b. If Contractor is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of notjess '.
than $1,000,000 per claim.
c. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section: .
(i) Contractor shall maintain all insurance req~d 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 writt~ notice to the City.
d. If Contractor fails or refuses to produce or maintain the insurance required by this:
section orJails 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 Contractor's right to be paid for its
time and materials expended prior to notification of termination. Contractor waives the right to
receive compensation and' agrees to indemnify the City for any work performed prior to approval
of insurance by the City-
8. INDEMNIFICATION
Contractor further agrees that he or she will indemnify and hold hannless from liability
City, its distributors, employees, licensees, partners, agents, advertisers, and any retailer against
any suit, claim, demand, proceeding, prosecution, recovery or penalty and any ~pense,
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FAX No, 7148357330
including attorneys" fees and litigation expenses arising out of same, by reason of any claim or
violation of any of the foregoing warranties or representations. 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 ot or effects, arising from this Agreement. The Contractor.
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.
9. CONFIDENTIALITY
If Contractor receives from the City information which due to the :nature of such
information is reasonably understood to be confidential and/or proprietary, Contrac:tor agrees that
it shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like .
importance" but in no event less than reasonable care. "Confidential Information" shal~ include
all non public information. Confidential information includes not.on1y written informatioo,.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 infomlation that (a) has been disclosed in publicly available sources; (b) is, through no fault
of the Contractor disclosed in a publicly available source; (c) is in rightful possession 'ofthe',
Contractor without an obligation of confidentiality; (d) is required to be disclosed by 'operation of
law; or (e) is independently developed by the Contractor without reference to information
disclosed by ilie City.
.10. CONFLICf OF INIEREST CLAUSE
Contractor 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.
11. 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
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FAX No. 7:4 835 7330
Santa Ana. CA 92702-1988
telefacsimile (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
telefacsimile (714) 647-6549
and,
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City Attorney
City of Santa Ana .
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Contractor:
IDP Photography
Attn: Julie DieboIt Price
10381 Prather Lane
Tustin, CA 92782
telefacsimile (815) 331-5338
A party may change its address by giving, notice in writing to the other party. Thereafter;
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
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 certifi~ with postage prepaid, and
,addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the traT1Rmission report issued by the transmitting facsimile machine,
addressed as set forth above. For puzposes of calculating these time :frames, weekends, federal,
state, County or City holidays shall be excluded.
12. EXCLUSMTY AND AMENDMENT
Ibis Agreement represents the complete and exclusive statement between the City and
Contractor, and supersedes any and all other agreements, oral or writt~ between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
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FAX No. 714835 7330
temlS of tbis Agreement shall prevail. lbis Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Contractor. 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 neither
Contractor 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.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor 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 CitYs 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 Contractors retained by City.
14. TERMINATION
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This Agreement may be terminated by the City upon thirty (30) days written notice- of.
termination. In such event, Con1ractor shall be entitled to receive and the City shall pay Contractor
compensation for all services perfonned by Contractor prior to receipt of such notice of ter.mination,
-subject to the following conditions:
. a As a condition of such payment, the Executive Director may require Contractor to deliver
to the City all work product completed as of such date, and in such case such WOlX product shall be
the property of the City 1lllless prolubited by law, and Contractor 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 RecitIJ.s oftbis Agreement.
,15. DISCRIMINATION
Contractor shall not discriminate because of race, color, cree~ 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. Contractor affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
16. 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 ofCalifomia Both parties further.
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FAX No. 714 835 7330
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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 oftbis Agreement.
17. PROFESSIONAL LICENSES
Contractor shall. throughout the term .of this Agreement, maintain all necessary licenses,
pennits, 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. Contractor 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.
18. MISCELLANEOUS PROVISIONS
a. Each unde:rnigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of 1be tenns oftbis Agreement, and shall
indemnify City fully, including reasonable costs and attorneys fees, for any injuri~ or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. An Exln"bits referenced herein and attached hereto shall be incoxpo.rated as if fully set.
forth in the body oftbis .Agreement
JN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
A~T~ ~ '
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p ATRICIAB. HEALY
Clerk of the Council
CITY OF SANTA ANA
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
Lorena C. Pen
Assistant City Attomey
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RECOMMENDED FOR APPROVAL:
f1 MJ~ l/u)cud:J
fin Stephen G. . g
c(J Deputy City Manager for
Development Services
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FAX No, 714 835 7330
CONTRACTOR
ulie Diebolt Price
Owner, JDP Photography
Employer ill # 73-1649022
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FAX No. 714 835 7330
Exhibit A
Scope of Work
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FAX No, 714 835 7330
Work for hire to include the following:
.) Pre-photo shoot site visits, minimum of two (2) hours
.,. One day and a half of photography (up to 12 hours)
.,. Digital images of photography sessions shall be stored and provided on CD at no
extra cost. All images will be color balanced, cropped (as required) and
enhanced for delivery
.) Shot list to be provided by client. Shots to include candid and posed work shots
SEP-05-2007-WED 01:01 PM Else
FAX No, 7148357330
Exhibit B
Rates and CharQ.!! .
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FAX No. 714 835 7330
EXHIBIT C
ADDmONAL 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:
L ' The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, vollmteer:s and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. . With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or con1ri.bu'ting with any other insurance carried by or for the benefit of the
additional insureds.
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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 qrganization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insmance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
J this endorsement fonil as a part of
Named Insured
Countersigned by
Authorized Representative
9
10381 Prather Lane
Tustin, CA 92782
Phone: 714/669A537
E~mail
Web Site
julie@jdpphotography.com
www.jdpphotography.com
Net 30
DESCRIPTION
Consulting - Pre-photo shoot site visits to be arranged. [Actual hours witl be invoiced in 1 S-minute
increments; 2 hour minimum; Includes mileage,)
Day Photography Rate - 5 to 8 hours. Digital images from these sessions on CD are included. AH
images will be color balanced, cropped (as required) and enhanced for delivery.
Shot list to be provided by client. Candid and posed photographs of people at work.
Mileage Reimbursement - mileage TBD based on travel from anival at original site to final destination
Miscellaneous Products - Municipality Insurance Sel'Iices, Sparta Quote ffIN-'l2f373"
"Insurance required by City of Santa Ana, purchased by JDP Photography for this work.
Subtotal of items above
Half-Day Photography Rate - 3 to 4 hours. This additional time may be required if all photos cannot be
completed on Day One. Digital images from these sessions on CD are included. AU images will be color
balanced, cropped (as required) and enhanced for delivery.
Mileage reimbursement, as required above.
EVENT = Photograph staff and pre-selected people within city limits
DATE = TBD
LOCATION = within City of Santa Ana, CA
TIME = TBD
PRODUCT DELIVERY = CD within 72 hours of session completion, unless extensive retouching
requested
Current O.C. Sales Tax
This estimate is good for 30 days from date shown above. Please contact us if you have any questions.
NOTICE OF COPYRIGHT: It is illegal to copy or reproduce this studio's photographs elsewhere without
the photographe(s permission, and violators of this Federal law will be subject to its civil and criminal
penalties.
SIGNATURE
9l3Ol2OO7
aTY
3
1
20
1
1
TOTAL
Estimate
DATE ESTIMATE NO.
8/17/2007 ( 180) 183
COST
125.00
1,200.00
0.485
307.94
850.00
7.75%
PROJECT
2007 Annual Report-Workforce ..
TOTAL
375,00
1,200.00T
9.70
307.94
1,892.64
850,00T
0.00
0.00
NAME/ADDRESS
City of Santa Ana
Fran Jutzi
WIB Admin. Unit, M-73
888 W. Santa Ana Blvd.. Room 208
Santa Ana CA 92701
TERMS DUE DATE
158. 88
$2,901.52
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REQUEST FOR QUOTATION
DATE: ~uS~ \', J..O(:,'
NAME: JDP ?r1~Ybi>h,y
Vendor #:
Phone: 1l4---fo~ .4'5'3'1
FAX: 'b\S' ?,3\' s-;~~
Email: "'if. jd.pproit>~ . ~
Instructions: lease submit q ote by
Faxing to Fran Jutzi at 714-835-7330
or email to(fjutzi@ci.santa-ana.ca.us
SANTA ANA WORKFORCE INVESTMENT BOARD
WIS Admin. Unit, M-73
888 W. Santa Ana Blvd., Room 208
Santa Ana, CA 92701
Fran Jutzi (714) 565-2621
Quotes due by 5:00PM on August 3, 2007.
One-Day Photo Shoot
One and half day photo shoot
TOTAL PRICE $ ~ olfO
TOTAL PRICE $~lqO~
See ~c:m\.wlk G<20) I g 3
Requirements:
One-half day - still shots at 1000 E. Santa Ana Blvd. of staff and board members.
One-half day - 2 or 3 site visits of selected people working. May need another half day
if all photos cannot be completed on day one.
Format: Digital (industry standard)
Type: Color
Final Product: CD only (no print copies) due within 72 hours of photo shoot.
City of Santa Ana/Santa Ana Workforce Investment Board to have full rights to
all pictures. Make-up and props not required. Initial intended use is annual report.
Photo shoot schedule to be arranged within the next 30-45 days. Pre-photo shoot site
visits to be arranged.
Quote submitted bY:~. .~
Julle "Dae.bcH." -Py, ce....
Thank you for your immediate attention to this quote request.
Fran Jutzi - WIB Admin. Unit
714565-2621
e-mail: fjutzi@ci.santa-ana.ca.us
Page 1 of 1
Certificate of Insurance
Sparta Program
Name Insured:
JDP Photography
10381 Prather Lane
Tustin, CA 92782
Certificate #
Coverage
Limits
Deductibles
Terms &
Conditions
Exclusions
Named Additional Insured:
SANTA ANA (SPARTA)
20 Civic Center Plaza PO Box 1988
Santa Ana CA 92701
SSA06-0040
SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard 1
Contract Value: $3,000.00
Coverage Period: 91712007 to 1217/2007
Insurance Carrier: Essex Insurance Company
Master Policy: 3CV8902
Master Policy Effective Date:Il/1512006 to expiration
$2,000,000 General Aggregate 1 $1,000,000 Each occurrence 1 $1,000,000 Products/Completed operations 1
$1,000,000 Personal & Advertising Injwy/$50,000 Fire Damage 1 Medical Payments Excluded
$500 BI & PD Per Claimant Including Loss Adjustment Expense
$250.00 Premium (Fully Earned)
$7.94 Taxes (Fully Earned)
$50.00 Certificate Fee (Fully Earned)
$307.94 Total Amount
I. No Cancellations Allowed. Premium, taxes and fees are fully earned at inception.
2. Operations and Rating Based: Photographer - Still shots of Workforce Investment Board staff
3. Department: Community Development Agency
4. Additional Insured(s): Not Applicable
5. No Professional Liability Coverage provided.
6. WORKING WITHIN THE CITY OF SANTA ANA DEPARTMENTS AND THEIR EMPLOYEES ONLY.
Asbestos, Assault & Battery, Employer Related Practices, Subsidence, Independent Contractors, Pollution, Cross
Suit, Lead or Silica Dust, Mold or Bio-organic Growth or Mildew, Punitive Damages, Animal, Breach of Contract,
Y2K Electronic Data, Medical Payments, War or Terrorism.
The insurance provided under this policy is limited to your work performed on behalf of the entity named as
"Additional Named Insured" above and doesn't extend itself to any other work performed by you or your
organization. Coverage is limited to the description of operations and rating bases listed in "Terms & Conditions"
item 2.
Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc., 302 W.
Cerritos Ave., Building #7, Anaheim, CA 92805
Carol Frost I President
Municipality Insurance Services, Inc.
302 W. Cerritos Ave Bldg# 7 Anaheim, CA 92805 (800) 420-0555 (714) 687-1 100 fax (714) 687-1106 LicensesCA:OC04849; OR: 195423
Website address www.2sparta.com
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Name Insured:
JDP Photography
10381 Prather Lane
Tustin, CA 92782
Certificate #
Coverage
Limits
Deductibles
Terms &
Conditions
Exclusions
Certificate of Insurance
Sparta Program
Named Additional Insured:
SANTA ANA (SPARTA)
20 Civic Center Plaza PO Box 1988
Santa Ana CA 92701
SSA06-0040
SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard I
Contract Value: $3,000.00
Coverage Period: 9/7/2007 to 12/7/2007
Insurance Carrier: Essex Insurance Company
Master Policy: 3CV8902
Master Policy Effective Date: 11/15/2006 to expiration
$2,000,000 General Aggregate / $1,000,000 Each occurrence / $1,000,000 Products/Completed operations /
$1,000,000 Personal & Advertising Injury/$50,000 Fire Damage / Medical Payments Excluded
$500 BI & PD Per Claimant Including Loss Adjustment Expense
$250.00 Premium (Fully Earned)
$7.94 Taxes (Fully Earned)
$50.00 Certificate Fee (Fully Earned)
$307.94 Total Amount
I, No Cancellations Allowed. Premium, taxes and fees are fully earned at inception.
2. Operations and Rating Based: Photographer - Still shots of Workforce Investment Board staff.
3. Department: Community Development Agency
4. Additionallnsured(s): Not Applicable
5. No Professional Liability Coverage provided.
6. WORKING WITHIN THE CITY OF SANTA ANA DEPARTMENTS AND THEIR EMPLOYEES ONLY.
Asbestos, Assault & Battery, Employer Related Practices, Subsidence, Independent Contractors, Pollution, Cross
Suit, Lead or Silica Dust, Mold or Bio-organic Growth or Mildew, Punitive Damages, Animal, Breach of Contract,
Y2K Electronic Data, Medical Payments, War or Terrorism.
The insurance provided under this policy is limited to your work performed on behalf of the entity named as
"Additional Named Insured" above and doesn't extend itself to any other work performed by you or your
organization. Coverage is limited to the description of operations and rating bases listed in "Terms & Conditions"
item 2.
Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc., 302 W.
Cerritos Ave., Building #7, Anaheim, CA 92805
Carol Frost / President
Municipality Insurance Services, Inc.
302 W. Cerritos Ave BIdg# 7 Anaheim, CA 92805 (800) 420-0555 (714) 687-1100 fax (714) 687-1106 LicensesCA:OC04849; OR:195423
Website address www.2sparta.com
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Name Insured:
JDP Photography
10381 Prather Lane
Tustin, CA 92782
Certificate #
Coverage
Limits
Deductibles
Terms &
Conditions
Exclusions
Certificate of Insurance
Sparta Program
Named Additional Insured:
SANTA ANA (SPARTA)
20 Civic Center Plaza PO Box 1988
Santa Ana CA 92701
SSA06-0040
SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard 1
Contract Value: $3,000.00
Coverage Period: 9/7/2007 to 12/7/2007
Insurance Carrier: Essex Insurance Company
Master Policy: 3CV8902
Master Policy Effective Date:ll/1512006 to expiration
$2,000,000 General Aggregate / $1,000,000 Each occurrence / $1,000,000 Products/Completed operations /
$1,000,000 Personal & Advertising lnjury/$50,OOO Fire Damage / Medical Payments Excluded
$500 BI & PD Per Claimant Including Loss Adjustment Expense
$250.00 Premium (Fully Earned)
$7.94 Taxes (Fully Earned)
$50.00 Certificate Fee (Fully Earned)
$307.94 Total Amount
1. No Cancellations Allowed. Premium, taxes and fees are fully earned at inception.
2. Operations and Rating Based: Photographer - Still shots of Workforce Investment Board staff.
3. Department: Community Development Agency
4. Additional Insured(s): Not Applicable
5. No Professional Liability Coverage provided.
6. WORKING WITHIN THE CITY OF SANTA ANA DEPARTMENTS AND THEIR EMPLOYEES ONLY.
Asbestos, Assault & Battery, Employer Related Practices, Subsidence, Independent Contractors, Pollution, Cross
Suit, Lead or Silica Dust, Mold or Bio-organic Growth or Mildew, Punitive Damages, Animal, Breach of Contract,
Y2K Electronic Data, Medical Payments, War or Terrorism.
The insurance provided under this policy is limited to your work performed on behalf of the entity named as
"Additional Named Insured" above and doesn't extend itself to any other work performed by you or your
organization. Coverage is limited to the description of operations and rating bases listed in "Tenns & Conditions"
item 2.
Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc., 302 W.
Cerritos Ave., Building #7, Anaheim, CA 92805
Carol Frost / President
Municipality Insurance Services, Inc.
302 W. Cerritos Ave Bldg# 7 Anaheim, CA 92805 (800) 420-0555 (714) 687-1100 fax (714) 687-1106 LicensesCA:OC04849; OR: 195423
Website address www.2sparta.com