HomeMy WebLinkAboutDIAGNOSTIC VETERINARY LABORATORIES, INC 10�
AGREEMENT TERMINATION -,
Please complete this form when the attached agreement is no longer in effect.
Return form to the Deputy Clerk of the Council (M_3O). Call 047_5250if you have any questions.
,
The agreement with
No. �j 1 -34 was completed on C>1
and final payment has been made.
Department:
Signature:
Date:
City of Santa Ana
Clerk of the Council
Revised 05-22-08
Iiv~URAirCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
g-a~-off
CLERK OF COUNCIL
DATE: Ic-3-erg
N-2008-134
CONSULTANT AGREEMENT
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C.av 1u.7~ti~~^Pk%~ THIS AGREEMENT, made and entered into this 25~h day of September, 2008 by
and between DIAGNOSTIC VETERINARY LABORATORIES, INC., a California
corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and
municipal corporation organized and existing under the Constitution and laws of the State
of California (hereinafter "City").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the
field of providing veterinary laboratory services including clinical laboratory
testing, cytology, histopathology and consultation services.
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 of the 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 perform those services as set forth in Exhibit A to this
Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its
services, the rates and charges identified in Exhibit A. The total sum to be expended
under this Agreement shall not exceed $10,000.00 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 shall
terminate on June 30, 2009, unless terminated earlier in accordance with Section 12,
below. Services provided by Consultant since July 1, 2008 shall be included with in the
Scope of Services ofthis Agreement. The term of this Agreement may be extended upon
a writing executed by the Executive Director of Parks, Recreation and Community
Services Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended
nor shall it be construed to create an employer-employee relationship, a joint venture
relationship, or to allow the City to exercise discretion or control over the professional
manner in which Consultant performs the services which are the subject matter of this
Agreement; however, the services to be provided by Consultant shall be provided in a
manner consistent with all applicable standards and regulations governing such services.
Consultant shall pay all salaries and wages, employer's social security taxes, unemployment
insurance and similar taxes relating to employees and shall be responsible for all applicable
withholding taxes.
5. INSURANCE
Prior to undertaking 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. Business automobile liability insurance, or equivalent form, with a combined
single limit of not less than $1,000,000.00 per occurrence. Such insurance shall include
coverage for owned, hired and non-owned automobiles.
b. Worker's Compensation Insurance. In accordance with the provisions of
Section 3300 ofthe Labor Code, Consultant, if Consultant has any employees, is required
to be insured against liability for worker's compensation or to undertake self-insurance.
Prior to commencing the performance of the work under this Agreement, Consultant
agrees to obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
c. Professional liability (Errors and Omissions) insurance, with a combined
single limit of not less than $1,000.000.00 per claim.
d. 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.
e. 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 harmless agreement applies to all claims for damages, just
compensation, restitution, judicial or equitable relief suffered, or alleged to have been
suffered, by reason ofthe 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 ofthe 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 ofthis
Agreement, and further agrees to exercise the same degree of care it uses to protect its
own information of like importance, but in no event less than reasonable care.
"Confidential Information" shall include all nonpublic information. Confidential
information includes not only written information, but also information transferred orally,
visually, electronically, or by other means. Confidential information disclosed to either
party by any subsidiary and/or agent of the other party is covered by this Agreement.
The foregoing obligations of non-use and nondisclosure shall not apply to any
information that (a) has been disclosed in publicly available sources; (b) is, through no
fault ofthe 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 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:
Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
Telefacsimile (714) 571-4235
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
Telefacsimile (714) 647-6515
To Consultant:
Diagnostic Veterinary Laboratories, Inc.
1401 South Street
Long Beach, California 90805
Telefacsimile (562) 423-8606
Attn: Scott Stanford
A party may change its address by giving notice in writing to the other party.
Thereafter, 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. TERMINATION
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 compensation for all services performed by Consultant prior to receipt
of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant
to deliver to the City all work product completed as of such date, and in such case such work
product shall be the property ofthe City unless prohibited by law, and Consultant consents
to the City's use thereof for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because 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 ofthe 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 her 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 ofthis Agreement.
II
II
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
AT'!'F;ST:)
~ '7/-
~~~..
. PATRICIA E. HEALY
Clerk of the Council
CITY OF SANTA ANA
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
,/ ~
By: d(}A.-<Anc 4
Lauta Sheedy
Assistant City Attorney
RECOMMENDED FOR PROV AL:
CONSULTANT
Pu~ vt
GERARDO MOUE
Executive Director 0
Parks, Recreation an
Community Services Agency
0->>~
SCOTTSTANF
Laboratory Director
TAXID# ~ S 030?f?O
EXHIBIT A
Scope of Work
Consultant shall provide veterinary laboratory services to the Santa Ana Zoo including:
. Clinical laboratory testing
. Cytology and histopathology
. Consultation services
In providing these services Consultant shall:
. Furnish pick up as needed on an "on call" basis.
. Furnish laboratory supplies.
. Fax a hard copy of all laboratory results to the Santa Ana Zoo at (714) 953-7401 and
to the contract veterinarian.
. Adhere to the guidelines established by the College of American Pathologists
Commission on Laboratory Accreditation "Standards for Laboratory Accreditation".
Compensation
Consultant shall be compensated for its services as provided in the Fee Schedule attached
hereto as Exhibit A-I. City will not be charged for Consultant's pick up of laboratory
samples.
EXHIBIT A-I
FEE SCHEDULE
09/29/2008
08:02 L1\lJf~ ',5 INC
DIAGNOSTIC VETERINARY LABO~ATORIES
1401 SOUTH STRFET. lONG BEACH. CALIFORNIA 9060:;
(800) 247.$621 ($62) 984-50$0 diagnOslicve'labs.com
~
PAGE 01/01
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From:
To: 1"7i45714C0S
;11- 2P.?::1/3/ 38
, MONICA SAlMON INSURANCE: AGENCY
000 K/o.TELl.A AvE
LOS ALAMITOS. CA gOnO
CERTlFlCA TE OF LlABlLlTY INSURANCE
AS
ONLY AND COIIFI!A8 NO RIGIIT5 UPOIi THE CERTIFICATE
HOLDER. THIS CERTIF1CATE 00E5 IiOT AMEND, 1llT!IiD OR
AL'TER THE COVERAGE AFFORDED BY THE POUCIES BlLOW.
SCOTT ST ANFORO
DBA' OIAGNOSTIC VETliRINARY UtlsS. INC
'401 SOUTH STREET
LONG BEACH. CA 90805
INSUllEIlS AFFORDING COveRAGE
--t ,"su... A H"'!!F<?RD CASUAl. TY INSURANCE
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I INSURER u
1frO.oA:0lS;
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COVERJlGES
lES u 'EDBELOWHAvE8li iii 011 YPeIWOI/IllICA'!EO NO
AN' RFOUIRE"'N'. "'....OR CONO/TIONOF Wf CON'IR/oCT QR eTHER OOCVMENTWlTH _CT TO W+lII;H "US ~RTIfJc.o.n!MY BE .S!lUEO OR
I MA,V P!RT~. Tl-tE INSURANCE AFFOAl)W 8Y 1l1E POLICIE$ CEStRt8EC HI!!IU!:IN IS !l&JECT TO ALL THE TERMS, FXC'.l. iJSlONS AND cQi'DlTIOHS OF St.iClot I
pOLICIES. AC..aRFGlI.lt:: uMlni SHOWN MAY HAVi 'UN RfOUCEDBV P.\lDCLAlM6.
I .. -- ......1iIU.... . POLICY UIieC'ftlii" ,,'lION . UIIJTS
". ~.
72 SSA AG$S10
O&'26/2OOll
kf".....oecUMt.NCC t.
~~f '
~OEXPjArwCNPlllonl
l"t:~l..l.M'!.IMJUR,( I
G~~..GGfl:t:Go\l~
I"ItOClJC1s.co~&Cy $
.
1.000.000
:lOO.OOO
10.000
1.OIJU.000
2,000,000
2,000,000,
72 saA A_10
OBl2&1201l8
081261200& CQIl,lDlNCD$IlI&E~11
.Eaa(,Q...~1
1.000,000
^
"-U \)MlIdJ AUTOS
$GHeOIJtzfl AlJTOS
X I1IRED AuTOf;
)( t<<)N OWNFn AUTf.'lS
1OOIL.l'I"",JRY
{'..~l
I.
1.000.000
G,lAAGIU....Ul'f
--J Nff AUTQ
6OCl.V INJI._V
(Peracci'*-"\)
P~EktT IMHMil:
("~Il
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.wIU UNLY. ItC'A 1
.
1.000.000
1,000,000
I!XCElMJIIIDR~LA u...all.IT'I'
I O('.('.lJR LJ CL.AlWC MAD!;.
I!AOl. OCCURRENCe S
AOGREG^T!. &
.
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, rum:HTOl 'Ji
WQIl;IO.' CQMPEliIIU,TiCMAMO
CIIfI1.O'l'IIa'LIMILITY
NO'I'maPAlIi.l0MAAT~C1.lTMi
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08l281200~
0812612009 PeRSONAL
. DECVCTIllLE
$
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~IU'IIONOF ClN1I4'nClN1 f I..OCA11ONS IvelICI.I.$/ UCIo.UIION:lADDIlD IV ..........1 '1PECW..~1IQId
CITY OF SIINTA N;A, ITS OFfiCERS. AGENTS, EMPLOYESS,REPReSENTATIVESAND VOLUNTliERSARE INCl.,UOED
AS ADOTIONAL INSURED AS RESPECTS TO OPE~ATlONS PER~ORlAeD BY THE NAMED INSURED.
I
CERTI CA TE H
C
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THE CITY 01' SANTA ANA PARKS
W CIVIC CENTER PU\ZA
SANTA MlA. CA ~70'
aMOULD,....,c. neMO\l/E~OIl'Q.K:I..1le c:,IMC~ U'ON': 'PfIexJlIUTOI
DAft THIIUOP. 'T11I!! IAUNG wtl.lRP: WILl. etlCltAVCIlt TO MAIl.. ~ CA.'I'& WII1TTt':"
liIIOTtC! TOnte.lZImJlCAlI.HOUIIItN.WeD 10 n1."'", IlJT 'au"! TO DO $Os..N.l.
IWO&NOaaICA"nOliII o-lJMIUlYfWAN'I' t(IIItI U~ TMC.I~,I18AG11f'T1 01
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All
AOOIT10~ INSURED:
ACOIl 25 {2OO1I1lB)
Fax frofl'
1I1I;2V88
15:11&
PlI: 2
RUG-2&-2008 10:43
From:
10:11145714209
Pa'3e~4/4
POLICY IIUMBER: '" ZOIl AG9G'ro
~
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
MJOITIONAT. I NSURt:l> - P~'RSON"OP.UANl ?.A'11U.N
TUE CIT~ OF SP.NT7\ !\loA. .1Tf:i OFPIC"',:;~, l\GElII'.L'~, mPllOYEES.
~EPI":Jo:.~~'F'.N'TATIVZS ANti VOLW':T":..:IotS
)0 C:1V1C' C'iN'H,;)t VI..A7.A
~jA..'\1TA ANA.. CJ.. c;;>701
'7H'F. T~r;mu"NC'1::: Ar.t"URD~~C :JNDER 'THTS IJOJ...1C~ 1G PRIMARY Arm
NON CONTRIBUTOR\' 'TO N~Y O'J'HF.n UlISUAANc:F. 'POLICY .H~1..U BY TIlE 1 N!inRF.n
For", IH 12 DO 11 as T SEQ. 110. r.o~
PrQGtss Date; OCi/l1/oa
Printed In U,S.A. Page t'J01
expiration Dltl: u"I,'/U~
uw COpy
F.:uc t:rOlJl
IlIYZ6~
18:43
Ps: 4
FAX r~
AUG-2&-2008 10:43
Fr"om:
To: 1714571420S
P~'ie:2"'4
1 0 This Spectrum Policy conslsl. Glltle Declarations, Covcrllllo fGrms, Comrnon Policy Cor,dilions and any
(jfj other Forms and Endorsements issued lO~)t! a part of the Pollc~. This insurance i$ provided by the stOt'.k
JlC insurance company of nNt Hamord Insurance Group shown helnw
S~^
INSURER: HARTFORD CASUAL':'V INSUIlAl<C'" CUMPANY
llAR,','ORD PLAZA, llAAT~ORD, C'I <>6' "
COMPANV CODE: )
THEl
HARTFORD
Policy Number: 7? SBA 1\09610 '"
SPECTRUM POLICY DECLARATIONS
COpy
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011\01105"'1<: VETERINARY !.,.II0RJ\TORIllS
TNC'
14 OlE SOU1'H S'f
LONG DEACH CA ~oeos
Policy Porlod: FrOlll 03/~G/nR To 08/26/0' 1 Y>:JIR
'.2.01 ..m.. Standard limo at your rnaillng address Shown allOlle, Excaptlon: 12 nGon in New Hampshire,
NameofAg.ntlBroker: <'lRAY-S1'Otl'" ~ COMPANVIPHS
Code: 2;3&51
Named Insured and Ma1Nng Address:
[No., Street, lawn. Slale, Zip Codel
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PrevioUs Po~icy Number: 12: S811. A,G961n
Named Insuntd is: COilj,)ORA'i'ION
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Audit Period: NON-AUDITAB1,F,
Type of PrGperty Coverogo: S.'ECIAL
Inlur.nce provided: In relurn for Iho pAyment 01 ttle premlu,n "nd $ubject 10 all of Ihe lerm. 01 this policy. we
Ogrcc wIth you to provide insurance as ~lMled in this policy
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$2,3'J
TOTAL ANNUAL PREMIUM IS:
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Countersigned by
or./l'loa
Oate
Aulhorized RCprillSElntiiuve
farm SS 011 021206
proc.., Data: 06/n/oo
Page 001 (CON'J'lNU~U ON NllXT PAGF.)
Policy E~piralion Dale: 0012GI09
LOW COPY
IIlV26/HB
1B:43
1'9: 2
~U6-2&-a0e6 10'43
From:
To: 11145714209
?aie:3/4
SPECTRUM POLICY DECLARATIONS (Continued)
?OUCY NUMBER: " SM ;....9610
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BUSINESS LIABILITy
LIABILITY A.ND MEDICAL EXPENSES
MEDICAL EXPENSES. ANY ONE PERSON
PERSONAL AND ADVERTISING INJURY
_.
01
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DAMAGES TO PREMISES RENTED TO YOU
A.NY ONE PREMISES
AGGREGATE LIMITS
PRODUCTS-COMPLETED OPERAnONS
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GENERAL A.GGREGATE
ftUSTWISS T.IABIL['1"Y OI"UONAL
COVSRAGIlG
~lRSp/NON-ONNSP AUTO LIABILITY
rOD: :;5 04 38
01
.
Form SS DO 02 \2 06
Proc.... Date: 06111/08
liMITS OF INSURANCE
$1,000,000
~ 10.00.0:
$1 ,onn. ClOO
'$ 300,000
S2.000.aoo
$~,OOO.OOQ
SlfOOO.OOO
Page 005 CCONTINUF;C ON NEXT p^GEl
Policy Ellpiration D.te: oA/~'/04
8812&/88 18:43
'!f: 3
STATE
COMPEN:5-ATIOH
INSURANCE
I=UND
IN RCfI'L Y RCFE'R TO:
APRIL 16, 2007
CITY OF SANTA ANA
1801 E CHESTNUT AVE
SANTA ANA CA 92701-5001
CERTIFICATE OF WORKERS'
-----------------------
COMPENSATION INSURANCE
----------------------
C~CELLATION/CONVERSION NOTICE
------------------------------
RE: CERTIFICATE DATED APRIL 11, 2006
THE WORKERS' COMPENSATION COVERAGE PROVIDED UNDER THE
POLICY LISTED BELOW IS BeING CONVERTED TO A NEW POLICY
EFFECTIVE APRIL 1, 2007.
UNINTERRUPTED COVERAGE.
THE NEW POLICY WILL PROVIDE
YOU WILL RECEIVE A NEW CERTIFICATE or INSORANCE UNDER
THE NEW POLICY NUMBER: 541-0000424-06.
IF '!!OU I-l..VE ANY QUESTIONS, PL~SE CONTACT THE CUSTO-v.ER
SERVICE CENTER AT THE NUMBER LISTED BELOW.
EMPLOYER:
DIAGNOSTIC VETERINARY LABRTRS, INC
1401 E SOUTH ST
LONG BEACH, CA 90805
POLICY 1845779-06
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(877) 405-4545
1275 Miwkol Slreot . San Francisco, CA 94103-1410
Mail;ng Addro...; P.O. Bex 420801 . San Francisco. CA 94142-0807
~CIF l',lClZ
,