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HomeMy WebLinkAboutORANGE COUNTY HUMAN RELATIONS COUNCIL 4 - 2011INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES N-201'1-075 y- ?6 i? CLERK OF COUNCIL DwrE;. JUN 2 1 20ti a : CAA Js? moo,,-ospe G?? CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this 8th day of June, 201 1, by and between the Orange County Human Relations Council, a 501(c)(3) non-profit corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a qualified consulting firm that has experience and skill in providing mediation consulting 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 provide mediation consulting services for the Community Development Agency as set forth in the Proposal/Scope of Services attached hereto as Exhibit A, and incorporated by reference. 2. DELIVERY OF WORK PRODUCT Consultant shall deliver to City any work product which results from the services provided. In regard to all copyrightable material produced as a deliverable under this Agreement, including but not limited to books, reports, plans, photographs, and drawings, Consultant agrees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material may not be copyrighted without prior review from the City, and (b) the authors of all such material, whether copyrighted or not, award to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, aroyalty-free, nonexclusive, irrevocable license throughout the world for governmental purposes to disclose, publish, translate, reproduce, and use such materials. 3. COMPENSATION a. Consultant shall be compensated at the rates set forth in the Proposal/Scope of Services attached hereto as Exhibit A. Total fees payable for the services performed hereunder shall not exceed $15,000 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice including a detailed breakdown of the services and tasks performed, hours and hourly rates related to performance of those services and tasks, subject to City accounting procedures. c. 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. In the event that the City disputes a portion of Consultant's invoice, any sums not in dispute shall be remitted to Consultant. 4. TERM This Agreement shall commence on the date first written above and terminate upon expenditure of all funds hereunder, unless terminated earlier in accordance with Section 13, below. 5. 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 anemployer-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. 6. 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: 2 a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insureds) 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 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. 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. 3 7. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) 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 negligent performance of services of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 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 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. 8. 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, 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. 9. 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. 4 10. 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: City of Santa Ana Clerk of the Council 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 Executive Director Community Development Agency -City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 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: Orange County Human Relations Council Attn: Alfonso Clarke 1300 S. Grand Avenue, Bldg B Santa Ana, CA 92705 Fax (714) 567-7474 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. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 11. 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. 12. 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. 13. 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 City Manager 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 of this Agreement. 14. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and 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. 6 15. 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. 16. 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 her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. 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 if fully set forth in the body of this Agreement. [Remainder ofpage intentionally bZankJ 7 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: fi'?y .?J c-, .? MARIA D. HUIZ? Clerk of the Council CITY OF SANTA ANA: ??4??_ - ? PAUL WALTERS Interim City Manager APPROVED AS TO FORM: JOSEPH STRAKA Interim City Attorney .?? - ?". By: Lisa E. Storck Assistant City Attorney CONSULTANT: usty K.?nn Execut' irector 8 EXHIBIT A PROPOSAL/SCOPE OF SERVICES Nancy Edwards, Acting Executive Director Santa. Ana Community Development Agency 20 Civic Center Plaza Santa Ana, CA 92701 Re: Mediation Consulting Services Letter of Interest for the Downtown Santa Ana Property Business Improvement District (PBID) Dear Ms. Nancy Edwards, OC I-lumen Relations would like to express (ts interest in the City of Santa Ana's request for participation as a consulting mediation services provider in the mediation of the Downtown Santa Ana Property Business Improvement District (PBID) situation. OC Human Relations has about 40 years of experience in the mediation of disputes ranging from landlord tenant and neighbor neighbor situations all the way up to multi-party multi-issue more complex situations, including business to business where mediation services have proven to be effective and needed. Additionally, OC Human Relations has had significant experience and knowledge working in and with the City of Santa Ana throughout the years in many different respects. We have facilitated dialogues and provided mediation sarvtces for several community disputes, including some that have involved various community neighborhood association members and neighborhood associations themselves, as well as participated and attended several downtown Santa Ana Business Merchants Association meetings where we have introduced and invited the members to use our mediation services, in case they have needed it, and we have mediated soma of these cases. In addition to being a CDBG grantee recipient to provide mediation services for Santa Ana residents for several years, we have also held special contracts to mediate specifically homeowners association disputes as well as mobile home park disputes to name other examples of our working relationship with the city of Santa Ana In the past. Please find below the proposed fee structure for the mediation services to ba provided: Processing fee: $50.00 Pre-Medlat/oil Consultation Fea: $950/hour for separate assessment/discuss/on of Issues w/th the parties Involved Mediation ServlcesFee: $300/hour (2-hour min/mum) up to 3 hours par session "'Special discount rate: 50% off the 1st scheduled session, up to 3 hours, i.e. $150/hour (2-hour trtinimum) plus the processing fee. Mediation services provided beyond the initial promotional time frame of 3 hours or subsequent sessions, iF needed or desired, will be charged at our standard mediation services rate. Please contact me at 714-834-7198. Should you have any questions about our letter of Interest or if you would Ilke to discuss further our participation in mediating this Santa Ana business development community dispute. Thank you for your appreciated attention to our letter of Interest. Best regards, Alfonso Clarke TY?+tOB ? Director Alternative Dispute Resolution , OC Hurnan Relations 1300 5. Grand Ave, Bldg B Santa Ana, CA 92705 Voice: (714) 834-7198 Fax: (714)567-7474 ?vww.ochumanrelations ore 9 OP ID• HILA '4??°?O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YVYY) 06/01/11 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 policy(ies) 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 ho)der Fn lieu of such endorsements . PRODUCER 714-436-6400 CONTACT NAME; Laura Hicks Schweickert $ Company 714-436-6499 15 P t C R __ PNONE 714-6.89-,177.1 F c --.-_--_ LAl?NOI: 714-436-6498 e ers anyon oad Irvine CA 92606 E?MAIL ADDRESS: !aura schweickert.com .. , __.._ __,__ _. PR D ER OCHUM 1 - C TOMER ID #: _ _.-__.. INSURER(S) AFFORDING COVERAGE NAIC # INSVREO OC Human Relations Council INSVRERA-PhIladBlphla Insurance Co?any_,__ 18058 Attn: Shari Wingate INSURER B : 1300 S. Grand Ave., Bldg B _ INSURERC: Santa Ana, CA 92705 INSURER D : _ _ _ INSURER E -_ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NIIMRF12e 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 CE RTIFlCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOR DEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAIMS. I T R TYPE OF INSURANCE POLICY NUMBER M DD/YY YY MM/ODry YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE -. S 1,000,00 _. ___ A X COMMERCIAL GENERAL LIABILrTY _._ X PHPK545799 04/28H1 04!26!12 6A?AGE T6-RENTE?- pREMiSg?Ea occurrence) 5 100,00 _- CLAIMS'-MADE ? OCCUR . -__ MEO EXP (Any ons?rsoni - - ___ S 5,00 - PERSONAL SADV INJURY $ 1,000,00 GENERAL AGGREGATE 5 2,000,00 GEN'L AGGREGATE L]h11T APPLIES PER: PRODUCTS -COMP/OP AGG S 1,000,00 POLICY PRO LOC 5 AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,00 PHPK545799 04/26H 1 04/26/12 <Ea accldenq A X ANY AUTO BODILY INJURY (Per person) 5 ALL OWNED AUTOS 99 FORD VAN Yf93611 BODILY INJURY (Per eccidenp 5 SCH EDIILE? AUTOS PROPERTY DAMAGE $ A X HIRED AUTOS PHPK545799 04/26/11 04/26/12 (Per accldenf) A X NON-OWNEUAVTOS PHPK545799 o4/zsnl 04!26/12 s --- $ UMBREL[A LIAB OCCUR ai+O t? R? EACH OCC URRENCE _ $ __ EXCESS LIAR CLAIMS-MADE APPROVED A 1 _a. _ AGGREGATE 5 _ ___ _ DEDUCTIBLE ___ _ S RETENTION 5 - $ WORKERS COMPENSATION ) WC STATU- OTH- AND EMPLOYERS' LIABILITY ... Y/N t Cit Attorne ANY PROPRIETOR/PARTNER/EXECUTNE ? N / A ,Assistan E.L EACI{gCCIDENT S ------ - - OFFICER/MEMBER FXCLUDEDP / -- -- ---- (Mentlalory In NH) / E.L. DISEASE - EA EMPLOYEE $ 11 yes desuibe under OESLIRIPTION OF OPERATIONS below ? -- --- - - - E.L. DISEASE -POLICY LIMIT - -_-- 5 /? Balsiness Property PHPK5467B9 04!26/11 04/26/12 Coverage TO,00 Dedafcti b! 50 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AHach ACORD 101, Addlllonal Ramarka Bcheduf e, 1f more space I5 required) The Community Redevelopment Agency of the City of Santa Ana, The City of Santa Ana, 20 Clvlc Center Plaza, M-37, Santa Ana, CA 92701: it's officers, Employees, Agents and Volunteers are named as Additional Insureds with re ard to liability and defense of suit i fr m the o i eratio d g p s ar s n o ns an see erformed b or on behalf of th ctK 1 IrICA I f= HOLDt=K GANG ELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Communit Redevelo ment A enC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. of the Clty of Santa Ana City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-37 f?.? ?! ? ? ?" Santa Ana, CA 92701 ? to . r AQ? ? 1-.Y-[-. c=.le4? © 1986-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: PHPK545799 CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of person or organization: The Community Redevelopment Agency of the City of Santa Ana, The City of Santa, 20 Civic Center Plaza, M-37, Santa Ana, CA 92701, It's officers, employees, agents and volunteers are named as 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- Section I! -Who is An Insured is amended to Include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the Performance of your ongoing operations: or B. In connection with your premises owned by or rented to you. ?p V£D SA E• S"CC?CK L\ t City Atto?rey pssistan ?? CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 OP ID: PC ACO/2 _ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DONYYY) ? 10/01/10 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and contlitions of the policy, certain policies may require an entlorsemant. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER f)26-4OS-S 031 CONTACT NAME: Chapman B2B-4OS-O$HS PHONE.__. _. -_ - ___ _. FA% - - ___. - __. ? License #0522024 SA/C, No)_ _-- MAILO E t]=_ _ _ - ___. __ _ _._ _ P O_ Box 5455 ADDRESS _ ____ _-- _ _ - - - . Pasadena, CA 91117-0455 Plxoou cER OCHUM-1 cu?TOM ER to x,.___. , _ ___. _. _ __ -. _ _ _ HOUSe_AGGOIInf ____ __-. ______. __.._ -_. -_-_ _ -_ _.--. --. ____ ___--_-_.___. INSURER(S?AFFORDING COV ERAGE _ NAICY INSURED OC Human Relations COU nCII INSURERA:EVerest NatlOnal 10120 1300 S. Grand Ave., Bldg B Santa Ana, CA 92705 INSURER e : --- --------_. ... ._ - ---- __..__ ------. _._. INSURER C _ ? -- _ -- - ?- - _ INSURERD - j _ _ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 ANV 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. __ INSR _-- - --- - - - -- -_-- ADDL SUBR - LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYVY MM/DD/YYYY GENERAL LIABILITY _ __ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _-- _ I I p?gIAOiE T6 RENTED ? - PREMISES SEa om rrenc 1 -- - $ CLAIMS-MADE ? - J OCCUR MED EXP (Any me person) $ ____ __ _ __ i _PERSONAL B_ADV INJURY $ _ _ r_ _ _. -. -_ _ __ GEN ERAL AGGR EGATE $ ?_GEN'L AGGREGATE LIMIT APPLIES PER: ? ? O"? F? PRODUCTS -COMP/OP AGG - _. ? - - _ - _. $ _ __._.. PRO- POLICY _ T LOC T? AUT OMOBILE LIABILITY Rp COMBINED SINGLE LIMIT F '?pp +` ?/? ?-?" (Ea accitlent) $ ? ANY AUTO j ? -_ r _. i // t%Jp (?Y/ K BODILY INJURY (Per person) $ ? ALL OWNED AUTOS V l E A -?pRG - BODILY INJURY (Per acdtlenl) - $ i SCHEDULED AUTOS `?S AttOrn t - - - I ? istant C y DAMAGE O $ 4 - HIRED AUTOS Ass I (Pe r acadanl f---- NON-OWNED AUTOS ^ l _____ - __. __ $ _. ___. ___-_-. / UMBRELLA LIAB OCCUR __ EACH OCCURRENCE $ __. EXCESS LIAB CLAIMS-MADE _ __ _ _ AGGREGATE _ _ $___ _ _ _ DEDUCTIBLE $ RETENTION $ g WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LIABILITY ./ / N IQRY Llhl1T? _ ER - _. _ ___. -__.- A ? ANY PROPRIETOR/PARTNER/EXECVTIVE r- 1 OFFICER/MEMBER EXCLUDED? J N / A 6600000739101 10/01H0 10/01H1 EL EACH ACCIDENT (- -. -- - $ 1,000,000 - - -- - ?- (MantlatorylnNH) ? EL DISEASE EA EMPLOYE $ 1,000,000 If yes, tlesQibe untla -- - --- -- ___ -- -- - -- - _ DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT ? $ 1,000,000 _- __ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Atltlltlonal Remarks Scbatlula, if more space is raquiretl) Re: Dispute Resolution Program. 1 O days notice of cancellation for non-payment of premium. ?.clcl Irlasa Ic nvl_u cr< GA NGtLLAI IUN CITYSAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clty of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-37 Santa Ana, CA 92701 -4OSH A(U?T?H O?RIZ?ED?RE_PRESEN TATIVE i \?L+"`-? `? - ©1968-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD