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HomeMy WebLinkAboutASSOCIATION OF PEDESTRIAN AND BICYCLE PROFESSIONALS-2011 City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM COTCC Ofsic9 pse Only ; Please complete this form when the attached agreement and all _ amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with 6 - )(,f6:19 N-2011-117 l No, was completed on and final payment has been made. (List all amendments. Use space below if needed.) Department: ff(6) Phone/Ext.: (9-764 hi� Signature: J Date: `1//46I )l Revised 08-23-10 I N-2011-117 INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE OC-f _ 5 2011 CONSUI TANT AGREEMENT TOn ? Ct THIS AGREEMENT, made and entered into this s day of % 2011 by and Z?rbo. between Association of Pedestrian and Bicycle Professionals, a District of Colombia non-profit corporation ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of complete streets concepts, designs, and policies. Specifically, Consultant will be conducting a Laying the Foundation for Complete Streets workshop on November 7, 2011 in Santa Ana, California. 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 consultant services pertaining to a complete streets workshop. The scope of services (including estimated fees and costs) is attached hereto as Exhibit A and is incorporated by this reference to this Agreement. 2. DELIVERY OF WORK PRODUCT and computer programs, Consultant agrees, for itself and for its affected officers, employees, Consultant shall deliver to City all work product which results from the services provided. Said work product shall be submitted in hard copy and produced in a form compatible with the City's computer system, as agreed between the Project Manager and Consultant. In regard to all copyrightable material produced as a deliverable under this Agreement, including but not limited to books, reports, plans, photographs, drawings, films, recordings, videotapes, 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. COMPENSATION City agrees to pay, and Consultant agt•ees to accept as total payment for its services, the cumulative rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $1,630 during the term of this Agreement. 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. 4. TERM This Agreement shall commence on the date first written above and terminate on January 31, 2012, unless terminated earlier in accordance with provisions, below. The term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney. INDEPENDENT CONTRACTOK 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 reduire its subcontractors, if any, to obtain and maintain insurance as described below: a. Commet•cial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insureds) and snail include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed 2 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. Automobile Insurance. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $],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. Professional Liability lnsurance. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect 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. 1NDEMNIFICATION 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 due to negligent acts, omissions or willful misconduct, from the direct or induect 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 1 of this Agreement; and (2) from any 3 claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from, and to the extent of Consultant's, negligent acts, omissions or willful misconduct in the performance of this Agreement. CONFIDEN'I'IALI1'Y 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 transfen•ed 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 la?v; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 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. 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 C:/o Clerk of the Council 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702-1 9 88 telefacsimile (714) 647-6956 With copy to: Executive Director of PBA City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 4 telefacsimile (714) 973-1461 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:Association of Pedestrian and Bicycle Professionals Linda Tracy P.O. Box 831 1 Missoula, MT 59807-8311 telefacsimile (866) 720-361 1 A party may change its address by giving notice in writing to the other party. "thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, communication shall be effective or deemed to have been given riventy-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 flames, 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 instn?nzent signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any proposal 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 aze 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 wn-itten 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 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. NON-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. 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 govei?miental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 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 6 Agreement, and shall indemnify City filly, 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 withdra?vn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUiZA Clerk of the Council CITY OF SANTA ANA PAUL M. WALTERS Interim City Manager APPROVED AS TO FORM: JOSEPH A. STRAKA Interim City Attorney By: Ryan O. odg Assistan ity A orney RECOMMENDED FOR APPROVAL: JAY TIZEVINO t/ Executive Director - PBA ASSOCIATION OF PEDESTRIAN AND BICYCLE PRFESSIONALS =1? ?t-E'-L? ? 9 Kit Keller Executive Director 7 EXHIBIT A SCOPF_ OF SERVICES (Attached) National Complete Streets Workshop Delivery Contract The Association of Bicycle and Pedestrian Professionals (herein referred to as APBP) is working in partnership with the National Complete Streets Coalition (NCSC) to provide the National Complete Streets Workshops. APBP is the contracting authority and this contract is between APBP and the City of Santa Ana, California (herein referred to as CLIENT) for a Laying the Foundation for Comp/ete Streets workshop on November 7, 2011 in Santa Ana, California. The goals of the Laying the Foundation for Complete Streets workshop are to bring together key, diverse stakeholders such as elected officials, policy makers, agency staff, and advocates to: • Build a common understanding of the complete streets concept and approach. • Explore how complete streets policies can help achieve multiple transportation, health and community goals. • Explore examples of complete streets policies adopted by other jurisdictions. • Compare how traditional and complete streets designs use existing rights-of-way. • Give participants the experience of applying complete streets planning tools using local examples. • Network, build relationships, and collaborate across fields and disciplines. • Help identify specific next steps toward achieving your complete streets goals. APBP, NCSC AND ITS INSTRUCTORS WILL: • Provide two instructors with policy and design expertise to prepare for and lead the National Complete Streets Coalition workshop and any related events offered on the dates and at the location outlined below. • Prepare for the workshop including content discussions with the CLIENT. • Provide the Client with the Guide to Organizing a Workshop and work with the CLIENT's identified Workshop Coordinator to prepare for the workshop. • Provide the CLIENT with the core workshop participant materials, including a packet for each participant up to a maximum of 40 participants. • Make instructor travel arrangements for the date and location noted below, and provide a laptop computer with the necessary presentation files. • Provide a highly interactive workshop, in which the instructors will both convey information and engage participants in coming to their own understanding of how complete streets could work in their area. THE CLIENT WILL: • Secure funding and pay the APBP invoice upon receipt. • Recruit targeted participants. • Designate a Workshop Coordinator to secure a meeting room, provide equipment, arrange refreshments, and take care of all logistical elements as outlined in the Guide to Organizing a Workshop. APBP reserves the right to limit workshop size to 40 participants to assure the level of interaction necessary between participants, and between participants and instructors. The CLIENT designates the following person as its Workshop Coordinator responsible for completing the tasks described in the Guide to Organizing a WorKshop: Workshop Coordinator Name Telephone Email address This contract is for eons-day National Complete Streets Coalition Laying the Foundation for Comp/ete Streets workshop on November 7, 201 1 in Santa Ana, California. Plus support during the workshop planning process; two instructors' preparation and teaching time, travel, lodging, per diem and aone-hour post-workshop consultation conference call; and participant packets. The total fee for this workshop is $8,500. However, the total fee due from the City of Santa Ana is reduced by the unspent balance of a pre-paid workshop cancelled two weeks before is scheduled January 2009 date. On September 23, 2008, the YMCA of Orange County on behalf of a community coalition contracted with the Association of Pedestrian and Bicycle Professionals to provide a National Complete Streets Coalition workshop in January 2009. This grant- funded workshop was pre-paid, and expenses and professional time accrued prior to its late cancellation. The unspent remaining pre-paid workshop funds total $6,870. The balance due for the 2011 workshop from the City of Santa Ana is $1,630. An invoice will be sent at the conclusion of the event. The CLIENT agrees to pay this invoice upon receipt. Cancellations less than 30 days prior to the scheduled events are subject to half of the total fee identified for these events. I acknowledge and agree to the terms of this contract: Authorized Representative of CLIENT Printed name/title Date LENT Address National Complete Streets Workshop Delivery Contract 2 CLIENT Email Address August 29, 2011 Kit Keller, Executive Director Association of Pedestrian and Bicycle Professionals, Federal ID# 31-1618937 Please sign and return a copy of this contract via email, mail or fax to: Linda Tracy, linda@apbp.org APBP P.O. Box 831 1 Missoula, MT 59807-8311 Fax 866-720-3611 Linda@apbp.org 406/880-3880 For more information, contact: Linda Tracy at Linda@apbp.org or 406/880-3880. National Complete Streets Workshop Delivery Contract 3 Exlllsrr B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf 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 contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701 . (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # _ Issued to this endorsement form as a part of Named Insured Countersigned by Authorized Representative 9 Mitre-Ramirez, Norma Fmm; Zerba, Tonia Beal: Wednesday, October 19, 201112,15 PM To. Mlfre?Ramirea, Nc?ma, Trujillo, RoaeAne Buhject: FW,PROOFOFINSURANCEREOUESTED COl,pdf FVP, I dadt tmow If you need to know this ar not, but Ryan has waived the Ruto Crab. And E&Olnsurance for the Assoc, Pedand BlrydePros, Seeaftached, I will be sending the approved C01 for General Crab, And Worker's Camp, Attachments: ASSOCIATION OF PEDESTRIAN AND BICYCLE PROFESSIONALS N-2011-117,pdP,APBP From; Hodge, Ryan Sent. Monday, Ocoober 17, 20112;09 PM To, McCann, Melanie Cti Zerba, Tonia Subject; RE; PROOF OF INSURANCE REQUESTED This should work Thank you, I will stamp the insurance certificate that was previously provided and send it down to Tonia, PI¢aseletmeknowifyounee daoyth'mgelSe farthlsmatler Thanks again, Ryan From; Mdaon, Melanie SeoE Mcotlay, ONober 17, 20111:59 PM To: Hotlge, Ryaa Subject; RE; PROOF OF INSURANCE REQUESTED Hi flyan, I boos oof had tim¢ tc write an esplanaPmn, oth¢r thane This roosuhant is facilitating a one day workshop to educate 30 to 40 Gry stall and stakeholders regarding Complete Streeh, Basedonthe input?ramtheAPBAroesultam,the workshopan Novemberldoes not n¢ed autoinsuranc¢ cav¢rage as there us¢ no use of automobiles involved in It Th¢ instructom will take public, taxi or hotel shuttle transportation, or have one of the city staff pick them up from the airport. The workshop is no! engin¢ering or building anything, but rather proulding pollry best practic¢ examples from rommunities around the country, conv¢ning local eap¢rts and facilitating their discussions of the pest ways for Santa Ana to achieve her complete streets goals, the instruc1am rontrad¢d by APBP to d¢liu¢r this workshop are independ¢nt consultants, If you need more, I will need to work on it tomorrow Thanks, Melanie From; Hodge, Ryao Sent, Monday, October 11, 20111:59 PM To; McCann, Melanie Cc. Zerba, Tonic Subject, RE. PROOF OF INSURANCE REQUESTED From; Hodge, Ryan Sent, Tuesday, October 11, 201112,13 PM To, McCann, Melanie Ca, Zerba, Tonle Subject: RE. PROOF OF INSURANCE REQUESTED Melanie, Any update on this? If you can proNde me with au e?mall detailing whythe E&0 and auto'msurance policies are not necessary for thb matter, then we can waive those requirements and proceed with the General liability pofiry that was already provided byAPBP. Since it is just a one day presentation being completed by an independent contractor of APBP, I can see where the additional Insurance polices may not he necessary. Next time, we will have to evaluate the insurance more closely before complet'mg the contract Thank you, Ryan Fram; McCann, Melanie Sent. Tuesday, October 11, 2011 ID:09 AM To; Hodge, Ryan C? Zerba, Tonic Subject, FWPROOF OF INSURANCE REQUESTED HI Ryan, This consultant Istacilitafmg a ane day workshop to educate 30 to 40 Chy staff and stakeholders regarding Compl¢Ie Streets. If need be, Is there some fleai6dlty In this Professional liability requirement? Thanks, Melanie From, Zerba, Tooia Sent, Tuesday, October 11, 2011739 AM To: prykafsy@ogc org Cc; Cmda Trary; McCann, Melanie Subject; PROOF OF INSURANCE REQUESTEO Goad morning Paul, I am the contrail adm'mistrafor for the Cityof Santa Ana Planning and Building Agency. I have been working with Melanie McCann and lioda Tracy to eaecte an agreement for the Complete Streets Workshop Attached is the executed agreemem; however, work may not proceed until insurance Icon file, Gnda preuitled a certificate of'msurance foriheRssociafion of Pedestrian and Bicycle Professionals, but Itdoes not rover the Professional Ciablllty Errors and Oni insurance as set forth in the agreement. Per the agreement and our City Attorney, we will Deed the following from you, since you are przsenting at the workshop, Professional CiabllitylnsurancePro(essiona[liabilityerrorsaodomissions'msurancewifha combined single Ilmlt of no(less than $1,000,000 per claim. Plaasaprovide acertificate ?proofJof'msuraoceassoooaspossihlaIfyouareuoablotomeeflhiscoadition,plaaselat me know Todia Zerba Sr. ?tmunfing Assistant City of Santa Ana Planning and Building Agency 20 Livic Center Plaia, Md0 Santa Ana, CA 92101 Thank you, L (714 66L2704 f'. ?714? 973-1461 wwwsantaanaoralnba &O RD CERTIFICATE OF LIABILITY INSURANCE oPID TRW . - RISE" 0 ' PHOWrPe TH6 CERTIFICATE IS IS9HEDAE A MA'TEROF INFDMIATNIN Aon Assn Services, a Division ONLY AND CONFERS NO RIGHTS UPON THECEATIFfCATE of Affinity Ins, Services, Inc HOLDER THIS CERTHRCATE DOES NOTAMEND, EXTENDOR 1120 20th St NW ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Washington DC 20036 Phone: 800-432-7465 Fas:202-857-0143 INSURERS AFFORDING COVERAGE NADM KAISER KRURRA' GrOL Unnno lmunm'o Co, -' "-"- A i ti f d INSURERO. --- -- ssoc a on o Pe estrian 6 Biople Professionals MS<mEr,o. PC Boc 93 Cedarhurg WI 53012 INSUwRBr. NSDUSE'. COVERAGES THE POLICIES OF No. RANCE LISTED BELOW HAVE AIR I TO THEIKSIRED WED MOVE FOR THE POMOY PERIWINCId1EC. NOMIINRTPNDIM1C AHYREONRPMENI, TERM OR CONDITION OE AVCOTR4CTOR ORDER W6UMENT ANN RESPECT TOMICH THIS CERIIFIGIE AAW 85 ISSUED OR MV PERTAIN THE NCHANCE91'OBOEDSY THE POLICIES DESCGSEDHEREIN IS SUNEC T TO AT THE ISMS, EQUSIONS AND COMOTION50E SUCH POMGE9, AGOflEWTE LIMNS SHOWN MAY HAACTSN SECURED BY PMO CLAMS. Lift ITS MFOPMSURANrf POMCYNLWBPR OAIF EVAOCf? OAIf MYIDOAY lWl a OEVERRU PTY SUCHQNJR NC6 11 DOD DDG A X DoIYMEeGwaEhEanluwRltt GL29225755 06111111 06?11?12 PBEUMts EEaanse 6700 000 CLUMSMADE ?WWR MEDEV(4nTMLW Sl0 OOO PERSONALaAW WnRY $1 000 DDD GENERA AGOREGIE 12 000,000 OENI AGGRE6AIE LMIT APP II E6 PER'. PAOWOTS-COAI41GPA0G 12 000 000 ? POLICY JMEA LOO AU TCAOORE LMWDIY CWIBINED3INGLELIMIT ANYAD[0 IfoxNCmR 6 ALL WED ANDS tl SCNEOGlf0W1T09 AS TO M umonn Fupnoo) 1 Hm60wras omRYINIDPo S NONtlAMEONIf06 Pn LwWn4 ? 10 PROPERTY WMEE IPnwNIOI S OAA ACEIIABBAY ANOONLYEUCCIGPNT I ANYAOIO EAPCC OIXERIMIN ! Alt(OQVEY: AGG S PXCfM9WaBRPW LIADIMry FPCNOCCGPAMICP 0 _ OCCIa ?CUIMS MADE pGmFeAlf ! afOUCTRlE S flFTENIION 7 VMRNEflSCOMPFNSAIgNANO EMPLOVSSS K IOAYLWR6 fA A Ueslun WC922675fi 06?11?11 06?11?12 ET uGRUDIOwI 100000 ANY PflOPRIENRPARINEPhNfCU1NE . ! OPEICEGMEMSEflFMGUIX01 N e m M FLOISFAFEFAFhROYEE S 100000 yyL sw u n M WIB 6 P PFC L R iCN6? F,L OICEASFPOLmYLIIM 7600000 OTNER OF6CAIPWNOFOPE0.AilONAILWAlION6lVFN&LF61E%CLG6NIISADOEODYENOOASEMENTI6EPCmLPROV1610N9 Event: workshop on 11?1?11 Tha City of 6enta Ana, its officers, employees, agents, volunteers and rapceeentativea ace inoluded as additional insured per the teams 6 aonditiona of the policy. CEPTIFICATENCLOEN CANCELLATION CIPYBAN SNOGLDWYOFIIIEAfiOVEOF6CRIBEDPOLIgE9BErANCF0.P0BFiORFINPEMPRApON LAIEIIIEAEOP,IREIfi60WOIN0GRFRWMLFIIDEAWRIOMWL 10 WYBIMRIEN NO(ICFIOINECFRIIFICAIPNOtMRNAMPOTOTNFIEfi,Bl11FAIWRFIOWSOSNA0. City OF Banta Ane 20 Civio Center Plaaa M-20 IMPOSENOOBLNATgNCfl IIMBRttYOPANYA4OUPoNINFINPoRPR,NSACFNISOR Same Ana CA 92701 BEVSS6BUruluss. AUtNORMEOREPRE6ENIARV Ehazon Balmer ' ACORD26(2001N9? ©ADDRDDDRPDRATIDN 1959