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HomeMy WebLinkAboutCOPIER PRODUCTS GROUP 1-2011INSURANCE ON FILE ?A v U K MAY PROCEED N-2091-067 Pr_+wTtL INSURANCE QEXPIRES Cost Per Image Agreement Billing Ad-InIM-tor. CoplerProduclsGroup Z '7- 8 LERK OF COUNCIL 1231 East Dyer Rd., Suite 135 Santa Ana. CA 9270705 DATE: 6- .C 1 W??V-A-- Cori ?? CUSTOMER (hereinafter referred to as "You" or "Your" Agreement No. Full Legal Name City of Santa Ana Address City State Zip County 20 Civic Center Plaza Santa Ana CA 92701 Orange Supplier (hereinafter referred to as "We" or "Us" Name City State Copier Products Group Santa Ana CA Program Summary (Details listed in Attached Schedule B): X Monthly Payment = $. 390.00 with Excess Per Image Charge., AND Fx] By Device OR Consolidated OR Sae attached Mono = $. 0.039 Color = $. 0.144 Per Image Charge Only By Device see Attached SERVICES OFFERED: We agree to provide all consumables, along with free printer environment monitoring, auto toner replenishment, proactive service error monitoring, free phone technical support, service, and quarterly environment reporting under this Cost Per Image Agreement. Further information on the Service Management details are on the back of this document. Covered equipment, along with Cost Per Image pricing, is listed in Schedule B. IMAGE CHARGES: Payments are due monthly, beginning the date the Agreement is initiated (as noted by the Agreement date below) or any later date designated by Us (see "Transitional Billing- section below) and continuing on the same day of each following month until fully paid. You are entitled to make the total number of images reflected in the Monthly Image Allowance shown on in Schedule B each month (if consolidated), or the monthly amount Image Allowance Per Machine or Group (if not consolidated). If You use more than the applicable Allowance(s) in any month, You will pay Us an additional charge equal to the number of additional metered images multiplied by the applicable Excess Per Image Charge.. In addition to the foregoing, You agree that effective on each/any anniversary of this Agreement, We may annually increase both the Minimum Monthly Payment and the Excess Per Image Charge by a percentage equivalent to the percentage change of the Consumer Price Index (CPI) Los Angeles, Orange, Riverside, during the preceding calendar year, times the then current payment and/or charge in each year. TRANSITIONAL BILLING: You shall pay Us for each day, from the date CPG actually commences services pursuant to this Agreement . GOVERNING LAW, CONSENT TO JURISDICTION AND VENUE OF LITIGATION: This Agreement and each Schedule shall be governed by the laws of the State of CA. YOU AGREE THAT ANY DISPUTE ARISING UNDER OR RELATED TO THIS AGREEMENT WILL BE ADJUDICATED IN THE FEDERAL OR STATE COURT LOCATED IN CA. YOU HEREBY CONSENT TO PERSONAL JURISDICTION AND VENUE IN THAT COURT AND WAIVE ANY RIGHT TO TRANSFER VENUE. EACH PARTY WAIVES ANY RIGHT OT A TRIAL BY JURY. LATE FEES: If any amount payable to Us is not paid when due, You will pay Us a late charge equal to: 1) the greater of ten (10) cents for each dollar overdue or twenty-six ($26.00) dollars; or 2) the highest lawful charge, whichever is less- AGREEMENT PERIOD: This agreement is for a period of 6 months from the Agreement is initiated. This agreement can be cancelled by either party. THIS AGREEMENT IS SUBJECT TO THE TERMS AND CONDITIONS PRINTED ON THIS PAGE, THE REVERSE SIDE, AND ATTACHED SCHEDULE B, ALL OF WHICH PERTAIN TO THIS AGREEMENT AND WHICH YOU ACKNOWLEDGE HAVING READ. THIS AGREEMENT IS NOT BINDING UNTIL ACCEPTED BY US. YOU CERTIFY ALL ACTIONS REQUIRED TO AUTHORIZE EXECUTION OF THIS AGREEMENT, INCLUDING YOUR AUTHORITY, HAVE BEEN FULFILLED. -- SUPPLIER: (As Stated ove) CUSTOMER: (As Stated Above) By: A/Ul Date Accepted: O01 1 By X Date: S' y/ I Signat a Signature Print Names Title: Tricia Sanchez Print Name s Title: David N. Ream, Cit Mana er `,• JL, Cost Per Image Agreement Billing Atlminlstrotor: Copley Products Group 1231 East Dyer Rd., Sulfa 135 _ Santa Ana, CA 92705 1. MAINTENANCE AND SUPPLIES. The charges stated in the Agreement include charges for maintenance (from 8 a. m. to 5 p. m. local time, except weekends and holidays ("Regular Service Hours")), inspection, adjustment, parts replacement, cleaning material required for proper operation, and black toner and developer for such Equipment and may also include charges for such maintenance and supplies provided to You for the equipment (reflected on Schedule B). You must purchase paper and staples separately. Color toner and developer supplies will be provided for production of pages as shown, with 20% page coverage. Supplies required for production in excess of 20% page coverage will be invoiced separately. A. Equipment Eligible for Coverage. This only applies to the Equipment identified on Schedule B. You represent and warrant that, other than as set forth Schedule B there is no other equipment located at Your site(s) that will be utilizing Our supplied toner and ink consumables. All equipment that will be using Our supplied toner and ink consumables must be included in Schedule B. To the best of Your knowledge, there are no equipment conditions that do not meet manufacturers specifications ("Pre-Existing Conditions"), other than those specifically identified in Schedule B. B. - Definition of Services Provided. We agree (a) to perform only those repairs involving worn Equipment components that have failed during ordinary use of the Equipment under normal operating conditions ([rays, covers and other non-consumable parts are not covered), (b) to provide regularly scheduled maintenance with respect to the Equipment, and (c) to supply You with all toner and ink consumables required to operate the Equipment. Requests for services outside of Regular Service Hours will be provided on a best effort basis at our prevailing time and material hourly rate. Such charges for services outside of Regular Service Hours are in addition to the prepaid Minimum Monthly Payment. This Agreement does not cover after-hours service, shop overhauls, and service made necessary by accident, fire, water or natural disasters. C. Access to Equipment. We shall have the right to access Your site and any other of Your premises that may house Equipment upon reasonable notice for access with Your supervision during regular work hours. We reserve the right to invoice You at Our prevailing time and material hourly rate, separate from the Minimum Monthly Payment, when access to the Equipment is denied for greater than fifteen (15) minutes, when You initiated the request for service. We shall apply an estimated monthly page volume to any and all Equipment that cannot be accessed for page count recording purposes. D. Authorized Maintenance Providers. We, at Our discretion, may authorize Our approved maintenance subcontractors or approved service providers to perform maintenance and repairs to the Equipment. In cases where We manage Your third party service agreement on your behalf, then all sums currently due under that agreement must be paid in full before We will assume any obligation or responsibility. E. Repair Responsibility. Our responsibility ceases if persons make repairs to the Equipment other than Our authorized representative or subcontractor. It also ceases if competitive supplies are used, or if the damage occurs as a result of Your abuse or improper handling. F. Ownership and Control of Toner and Ink Consumables. All toner and ink consumables supplies provided under this Agreement shall at all times remain the property of Us. You may use the toner and ink consumables pursuant to the terms of this Agreement, but You shall not have any ownership rights in or to the toner or ink consumables. You shall promptly return to Us all empty consumables supplied by Us under this Agreement. Your failure to return the number of empty consumables to Us equal to those delivered during the term of this Agreement will result in a lost consumables surcharge equal to the current replacement value of the lost consumable. In the event of Your default, You shall promptly return all toner and ink consumables to Us. You shall not be charged for any toner or ink consumables in use upon the expiration of this Agreement. Any toner or ink consumables not returned shall be billed by Us to You at the prevailing cartridge retail purchase price. The ordering of consumables significantly in excess of the number of prints produced may be charged to You by Us. G. Additional Equipment and Right of Inspection. You shall notify Us promptly upon installing any additional equipment ("Additional Equipment") at Your site capable of using Our supplied toner and ink consumables. Equipment installed subsequent to the date of this Agreement will be evaluated by Us, and included in, or excluded from, this Agreement on the mutual agreement of both parties. Additional Equipment deemed included in the Agreement shall be added to Schedule B and will automatically be covered by and considered Equipment under the terms of this Agreement. Billings or surcharges for Additional Equipment output will be reflected in the billing cycle immediately following the billing cycle in which the Additional Equipment is installed. If You add Additional Equipment the Minimum Monthly Payment may be adjusted accordingly at Our sole discretion. If any such Additional Equipment is used equipment, You represent and warrant to Us that, except for Pre-Existing Conditions duly disclosed to Us prior to such Additional Equipment being covered by this Agreement, all of the Additional Equipment shall, on the date such coverage commences, be in good working order. We shall be entitled to take a physical inventory of the Additional Equipment upon or prior to its being covered by this Agreement to determine whether they are in working order. In the event, as of the date coverage commences under this Agreement, any Additional Equipment is not in good working order, You shall have such Additional Equipment repaired at Your sole expense and, until such Additional Equipment is so repaired, any Additional Equipment with Pre-Existing Conditions shall not be covered under this Agreement. An initial meter reading of zero (0) is agreed, unless You provide timely information to the contrary, for any Additional Equipment that meets the conditions . 11. WARRANTY. Notwithstanding anything in this Agreement to the contrary. We warrant (a) that all personnel performing services hereunder by or on behalf of Us will have appropriate training and experience and (b) all equipment is in accordance with industry standards, and all supplies and materials are of good quality. Without limiting the generality of the foregoing (and without limiting any obligation of Us to make repairs under this Agreement). You expressly agree and acknowledge that in no event shall any manufacturers warranty, including but not limited to any implied warranty of merchantability, and fitness for a particular purpose, be deemed given by or otherwise transferred or applied to Us. If Your notify Us within ninety (90) days from performance of the services that the services or a part thereof fails to conform to the standards specified herein, Your sole and exclusive remedy is that We shall promptly repair, replace or re-perform the non-conforming services. dissemble the Tracking Software, (c) rent, lease, loan, resell, distribute, use in a customer-server network to provide third parties access to, or otherwise transfer the Tracking III. TRACKING SOFTWARE. A. If Tracking Software is involved, You grant Permission to Install and Maintain Tracking Software. We own software ("Tracking Software") that enables Us to monitor the usage of, and the copy count produced on, the Equipment. You agree that We shall have the right, at any time during the term of this Agreement, to install the Tracking Software on one or more of Your computer networked station(s). You agree to provide Us, during normal business hours, access to Your computer-networked station(s) to enable Us to upgrade, modify or maintain the Tracking Software or to install new releases or additions to the Tracking Software. Under no circumstances will the Tracking Software provide Us access to Your information other than information directly related to this Agreement. You agree to not delete or remove the Tracking Software or to alter, modify or otherwise render it unusable during the term of this Agreement without the prior written consent of Us. If You disagree, then We retain the right to invoice You the prevailing hourly billable rate for labor required to obtain meter readings, per meter reading cycle. B. No License, other Prohibitions. Nothing herein shall be construed as granting a license to You for the use of the Tracking Software. You may not, nor may You permit or cause any other person to (a) use or copy the Tracking Software, in whole or in part, In any manner, (b) modify, translate, reverse engineer, decompile or Software, or (d) remove any proprietary notices on the Tracking Software. C. Intellectual Property Rights. All rights (including all intellectual property rights, whether recognized currently or in the future) in and to the Tracking Software (including any source code, executable code, object code, tools and/or libraries related to the Tracking Software) will at all times be owned by Us. No modifications and/or use by You of the Tracking Software shall under any circumstances transfer any right, title or interest in or to the Tracking Software to You or any third party. D. Tracking Software Warranty, Liability. You acknowledge that the Tracking Software will be installed on Your networked workstation(s) °as is" without warranty of any kind, either express or implied, including the implied warranties of merchantability, fitness for a particular purpose. We do not warrant that the Tracking Software will be error free or will operate without Interruption. We shall in no event be liable to You for any special, consequential, incidental or indirect damages in connection with the Tracking Software. If the software is found to cause issues on Your network, and these issues can be reasonably associated to the installation of the software through uniform software testing and tracing me[hotlologies. Our liability will be limited to the removal of said Tracking Software from Your environment. IV. MISCELLANEOUS. - - A. Software. Performance issues related to Software and/or connectivity are not covered under the terms of this Agreement. Any warranties related to Software will be those offered by the manufacturer and will be passed directly to the user. B. Software/Hardware. Connectivity and performance issues related to Software and non-standard hardware are not covered under the terms of this Agreement- Any warranties related to these solutions, which include but are not be limited to: HP Digital Sending Software, Web Jet Admin, Auto Store, any OCR software, - computers and scanners, will be those offered by the manufacturer and passed directly to the user. Operation and configuration of the Software will be the responsibility of You after initial install and operation test of (1) "Send Tom folder is completed by Us. C. Commercial General Liability Insurance. Supplier shall maintain commercial general liability insurance which 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 AIAF"CP M G Cost Per Image Agreement Billing Administrator: Copier Products Group w 1231 East Dyer Suite 135 A Santa Ane, CA 92705 damage, in the total amount of $1,000,000 per occurrence. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and occurrence arising out of Supplier'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 representatives as additional insuretl(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. D. Indemnification. Supplier agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligence or willful misconduct of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf in the performance of the services described in 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 of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement on the date set forth above. ATTEST: Maria D. Huizar Clerk of the Council APPROyED AS TO FORM: LLaau Laura Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: Francisco Gutierrez Executive Director - Finance and Management Services Agency COST PER IMAGE SCHEDULE B This Cost Per Image Schedule B (hereafter "Schedule") is hereby made a part of that certain Master Agreement ("Agreement") City of Santa Ana ("Customer') and Copier Products Group ("Supplier'), which Agreement is identified in Owner's records as Agreement No. The Excess Per Image Charges under the Agreement shall be determined under this Schedule. If there is any provision in this Schedule which conflicts with a provision in the Agreement, the provision in this Schedule shall govern. ?- BEGINNING METER READING MONTHLY IMAGE ALLOWANCE PER MACHINE IF NOT CONSOLIDATED EXCESS PER IMAGE CHARGE PLUS TAX TYPE, MAKE, MODEL NUMBER AND INCLUDED ACCESSORIES SERIAL NO. B8W COLOR B8W COLOR BB.W COLOR LaserJet 5000 Series US63019107 0.039 0.144 LaserJet 4000 Series USEF206979 0.039 0.144 LaserJet 9050 JPCL57P03P 0.039 0.144 LaserJet 8150 Series JPBTL17115 0.039 0.144 LaserJet 5000 Series USB3009401 0.039 0-144 Color LaserJet 9500 JPLJB02216 0.039 0.144 Color LaserJet 473Omf JPNLH04695 0.039 0.144 Color LaserJet CM4730 MFP JPDLH12792 0.039 0.144 LaserJet 4000 Series USQA010385 0.039 0.144 LaserJet 3055 CNBK408790 0.039 0.144 LaserJet 8100 Series USCF040898 0.039 0.144 color LaserJet 4600 JPAK604486 0.039 0.144 LaserJet 4000 Series USEF227167 0.039 0.144 color LaserJet 4600 JPBKC24422 0.039 0.144 color LaserJet 4600 JPBKC24419 0.039 0.144 TOTAL CONSOLIDATED MONTHLY IMAGE ALLOWANCE PER METER FR EOUENCY. MONTHLY ALLOWANCE FOR MONO oNLV. 10,000 0.039 0.144 MONTHLY COST PER IMAGE--MONO $0.039 MONTHLY COST PER IMAGE--COLOR $0.144 EO UIPMENT LOCATION: 20 CIVIC CENTER PLAZA, SANTA ANA, CA 9270'1 METER FREQUENCY: MONTHLY IF NOT CHECKED ? OTHER ? • The undersigned hereby verifies that the information on this Schedule is complete and correct. Th undersigned also ackno edged having ec ved a cop of this Schedule. City of Santa Ana X - ?`Iirar,GSCO ?ar?'textr?? ??'C?R^^c?r •? _ E??c. iar. aC-Fmr? Tnln,ti.1-?nros. ? l2?(Il CUSTOMER SIGNATURE PRINT NAME & TITLE DATE OD305AG_070H 4%14!2011 2:23:10 PN_ PST (GMT-3) FROM: insurar_cevisions-Dom-TO: 1?=4612717 Page: 2 of AC?O/120® CERTIFICATE OF LIA BILITY INSURANCE DATE WM/DDMrYrI vwonucER Industrial Risk & Insurance Services InC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , P O Box 1'1829 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . . HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana, CA 9277'1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0747540 714 T96-1000 wv/w.industrialriskinc.com 714 796-7015 INSURERS AFFORDING COVERAGE NAIC iY NISURED Copier Products Group NSURERA Reprographics Fax Group Inc., INSURER B: Dyer Road #? 35 '123'1 E . INSURER C: Santa Ana CA 92705 2011-067 INSURER D: N- INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTNTTHSTAN dNG ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUM ENi WITH RESPECT TO WHICH THIS CE RTIFlCATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEV REDUCED BV PAID CLAIMS. INSR POIIGY NUMER POLICY EFFEGTNE POLCY E)<PfrATON LNI<r 3 A GEN ERAL LIABILnY CCPOO12494 7/B/2O1 O 7IH/201 1 EACIi OGCVRRENCE $ 1 OOO OOO ? 60MME RCIgL GENERAL LIABILrI-Y p S 100,000 CLAIMS MACE ? OCQJR MED EJ(P One 'aOn $ 5 000 PERSONAL6ACY INJV RY S 1.000,000 GENERAL AGGREGATE S ?I,000,OOO GE NL AGGREGATE LIMIT AFPIIES F£R: PRCDUCI"S -COMP/OP AGG S 2 OOO OOO ? PoucY PRO- Loc AUT DMOBILE LUIBIlTY GONBINED SNGLE LIMIT $ ANY wUTO iEe eocldr t) All. OWNED AUTOS BOCILY INJVRY SCHEDULED AUTOS iP9r pereOn) $ HIRED AUTOS BOCILY INJURY S NON-OWNED AUid4 ? Psr acodenll PROPERTY DAMAGE i - $ P9f Bfa JQ111 GARAGE LIABLITY gUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTD ONLY: AGG EXGE8e/UN?iELLA MA®JTY EACH OCCIRRENCE $ CCf?UR QCLAINS MADE S' i AGGREGATE $ T? T? <' Ac T O ?? !'J T? ?o 1 1` $ DEDUCTIBLE ? A Al L R v S RETENTION $ § woR.?R S CDnIVEFLSwroN we sTATV- Dn+- AND ENP LOYERB' LMBILTiY SL1Ct ' eedy S Ar.Y R2DPRIETOR,PARTNERi£%EiVTNE ? .emu T d, ? E.L. EACH ACCIDENT $ OFF ICEILNEMBER EJ[CLUDEDT (MAntlebry :n NH) A5S1St:TnL Clt ?. t () T n l:l E.L. DISEASE-EA EMPLOYE S M Yes, tlesabe under SPECIAL FROVIS IONS Uabw E L. DISEASE - POIICV LIMIT $ OTHER DESCRFTON OF OPERATgN3 / LOCATONS / VEHIOIJ=3 / FXGLU3?N9 AOOEO HY ENDORSEMENT / BPE CIAI. PRON9OIVS L,CRIIT'IL.AIC rIVLYCK I:AN "t IIVN SH OUlO ANYOF THE ABOVE DESCWBED POLIOE9 BE CANCELLED BEFORE THE EXPIRATgN City of Santa Ana DATE THEREOF, THE EISUMG INSURER wE1 ENDEAVOR TO MAIL 30' DAYS wnn-rE3+ 20 Civic Center Plaza NOTICE TO THE CERTFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 90 SHALL Santa Ana CA 92707 IMPOSE NO OBLG ATON OR LNBLITY OF ANY KND UPON THE INSURER, RS AGENTS oR RE PRESENTATNES_ ' 10 pay Iw Nen-0ayn>tenl of Remium. AUl NONIZED REPRE6ENTATNE ?? /?/?? Nils Martinson , AGGRO 25 (2009/01) ©1988-2009 ACO RD CORPORATION. All rights reserved. r_a,T Y' !3 !3: F1iS-? _I.L F.N: ?=?JGE- TOP PP. Pig. ?..? P[.Ea'?" d/l.C: l'"Jll _.-f_C!1 I+%1 P'aYP l Wit' RPR-14-2011 02:22PM From: insurance?.Jisions cDm ID: CPG INC Pa9e:002 R=96% r-ee? VI OF LIABILITY INSURANCE 1%I CERTIFICATE OF LIABILITY INSURANCE DATE (MM DO YV) L" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER CONTACT NAME: Tutton Insurance Services nlc°0 Edt: (949) 261-5335 FAC No: (949)Zd1-1911 ; 2913 S. Pullman St. Eft ADDRESS' PRODUCER 001737B CUBT.MER ID Ip. Santa Ana CA 92705 INSURERIS AFFORDING COVERAGE NAICe INSURED INSURERA Mercury Casualty Insurance CO. Copier Products Group INSURERS' Reprographics Fax Group, Inc. INSURER C' INSURER D : INSURER E : INSURER E COVERAGES CERTIFICATE NUMBER:11/12 GL Cert REVISION NUMBER! THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OFINSURANLE POLICY NUMBER MMIIDorYEYYY MMIDDIYYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea pcwnence $ 50.000 A CLAIMS-MADE a OCCUR 7 CP0012494 /13/2011 /8/2012 MELD EXP (Any one person) $ 10,000 PERSONAL B ADv INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ ANY AUTO BODILY INJURY (Per person) E ALL OWNED AUTOS BODIL'r INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per ecd dent) NON-OWNED AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ E%CESS LIAR CLAIMSdMADE AGGREGATE $ DEDUCTIBLE $ RETENTION N $ T? $ WORKERS COMPENSATION WC STATE- OTH- AND EMPLOYERS' LIABILITY TORY ANY PRORNETOR,PARTNER/E%EOJTIVE YIN FF ? ' NIA E.L. EACH ACCIDENT $ O ICERIMEMBER EXCLUDED / (Mandatory In NH) _ J E.L. DISEASE - EA EMPLOYEE $ It yes, dy, Ccnbe under - VVV DESCRIPTION OF OPERATIONS below \!?t "-- EL DISEASE - POLICY LIMIT $ ^,.>„r. .. Romer DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ali ACORD 101, AUdMpnal Fermi Sehadub, If man apace la rayulnd) Proof of General Liability coverage, No Auto coverage included CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, (A 92702 AUTHORIZED REPRESENTATIVE /?Op `41l (A n/fLZ. Stanley Tutton/ROBRTA?y ACORD 25 (2009109) O 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200000) The ACORD name and logo are registered marks of ACORD