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HomeMy WebLinkAboutLD SYSTEMS - 2012r) A-2012-141 fNSURANCE IVa UN i= LE: WORK MAY N � XEELD CLERK OF COUNCi LD Systems �.,�� DATE:, -1-12-17 DEPENDENT CONTRACTOR SERVICES AGREEMENT THIS AGREEMENT ("Agreement") dated this I" day of July, 2012 (the `Effective Date") is made by and between the City of Santa Ana ("City") and LD Systems, a Texas limited partnership, duly organized and existing under and by virtue of the laws of the State of Texas, authorized to conduct business in the state of California ("Contractor") having its principal place of business at 4200 International Parkway, Carrollton, Texas 75007, are collectively referred to in this Agreement as the "Parties". WHEREAS, LD Systems provides custom outdoor through the wall enclosed kiosk with currency bill acceptors, currency and coin dispensers, prepaid card recharge, and ability to access City accounts including Municipal Utility Services, parking citations, dog licenses, business licenses and related goods and services collectively determined by the City and Contractor, and WHEREAS, the Contractor is specially trained, experienced and competent to perform and has agreed to provide such services that are the subject of this Agreement; and WHEREAS, City believes its residents may benefit by utilizing a kiosk as a form of payment option; and NOW, THEREFORE, for good and valuable consideration of the mutual promises and covenants contained herein, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: Scope of Work. 1.1 The Contractor shall furnish to the City upon execution of this Agreement or receipt of the City's written authorization to proceed, those services and work set forth in Exhibit A, attached hereto and, by this reference, made a part hereof. 1.2 All software, and any documents, drawings and/or written work product pertaining thereto, prepared or produced by the Contractor under this Agreement and related to the physical, mechanical, or electronic functions of the kiosk, are and will remain the exclusive property of the Contractor. In the event Contractor programs or develops any new software or interface to enable its software to interact with City's software, Contractor shall retain sole and exclusive ownership of the work product. City will retain a royalty interest in this work product, but only if the product is later sold by Contractor to future customers without additional configuration, development, or programming. Additionally, City shall retain a perpetual license to use any such software or interface. 1.3 Services and work provided by the Contractor at the City's request under this Agreement will be performed in a timely manner consistent with the requirements and standards established by applicable federal, state and City laws, ordinances, regulations and resolutions, specifically including the Payment Card Industry Data Security Standards (PCI —DSS), and in accordance with a schedule of work set forth in Exhibit A. If there is no schedule, the hours and times for completion of said services and work are to be set by the Contractor; provided, however, that such schedule is subject to review by and concurrence of the City. 2. Consideration. 2.1 City shall pay Contractor as set forth in Exhibit A. 2.2 Except as expressly provided in Exhibit A of this Agreement, Contractor shall not be entitled to nor receive from City any additional consideration, compensation, salary, wages, or other type of remuneration for services rendered under this Agreement. Specifically, Contractor shall not be entitled by virtue of this Agreement to consideration in the 6/5/12 1 of 11 form of overtime, health insurance benefits, retirement benefits, disability retirement benefits, sick leave, vacation time, paid holidays or other paid leaves of absence of any type or kind whatsoever. 2.3 City will not withhold any Federal or State income taxes or Social Security tax from any payments made by City to Contractor under the terms and conditions of this Agreement. Payment of all taxes and other assessments on such sums is the sole responsibility of Contractor. City has no responsibility or liability for payment of Contractor's taxes or assessments. 2.4 Pursuant to Penal Code section 484b and to Business and Professions Code section 7108.5, the Contractor must apply all funds and progress payments received by the Contractor from the City for payment of services, labor, materials or equipment to pay for such services, labor, materials or equipment. Pursuant to Civil Code section 1479, the Contractor shall direct or otherwise manifest the Contractor's intention and desire that payments made by the Contractor to subcontractors, suppliers and materialmen shall be applied to retire and extinguish the debts or obligations resulting from the performance of this Agreement. 3. Term. 3.1 The term of this Agreement shall commence on July 1, 2012 and continue in effect for five (5) years from the date of installation of the kiosk, unless sooner terminated as provided below or unless some other method or time of termination is listed in Exhibit A. 3.2 Should either party default in the performance of this Agreement or materially breach any of its provisions, the other party, at that party's option, may terminate this Agreement by giving written notification to the other party. 3.3 This Agreement shall terminate automatically on the occurrence of (a) bankruptcy or insolvency of either party, (b) sale of Contractor's business, (c) cancellation of insurance required under the terms of this Agreement, and (d) if, for any reason, Contractor ceases to be licensed or otherwise authorized to do business in the State of California, and the Contractor fails to remedy such defect or defects within (30) days of the receipt of notice of such defect or defects. 4. Required Licenses, Certificates and Permits. Any licenses, certificates or permits required by the federal, state, county or municipal governments for Contractor to provide the services and work described in Exhibit A shall be procured by Contractor and be valid at the time Contractor enters into this Agreement. Further, during the term of this agreement, Contractor shall maintain such licenses, certificates and permits in full force and effect. Licenses, certificates and permits may include but are not limited to driver's licenses, professional licenses or certificates and business licenses. Such licenses, certificates and permits will be procured and maintained in force by Contractor at no expense to the City. 5. Office Space, Supplies, Equipment, etc. Unless otherwise provided in Exhibit A, Contractor shall provide such office space, supplies, equipment, vehicles, reference materials and telephone service as is necessary for Contractor to provide the services identified in Exhibit A to this Agreement. City is not obligated to reimburse or pay Contractor for any expense or cost incurred by Contractor in procuring or maintaining such items. Responsibility for the costs and expenses incurred by Contractor in providing and maintaining such items is the sole responsibility and obligation of Contractor. 6. Insurance. 6.1 Contractor shall take out, and maintain during the life of this Agreement, insurance policies with coverage at least as broad as follows: 6.1.1 General Liability. Comprehensive general liability insurance covering bodily injury, personal injury, property damage, products and completed operations with limits of no less than One Million Dollars 6/5/12 2 of 11 ($1,000,000.00) per incident or occurrence. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to any act or omission by Contractor under this Agreement or the general aggregate limit shall be twice the required occurrence limit. 6.1.2 Automobile Liability Insurance. If the Contractor or the Contractor's officers, employees, agents, representatives or subcontractors utilize a motor vehicle in performing any of the work or services under this Agreement, owned/non-owned automobile liability insurance providing combined single limits covering bodily injury, property damage and transportation related pollution liability with limits of no less than One Million Dollars ($1,000,000.00) per incident or occurrence. 6.1.3 Workers' Compensation Insurance. Workers' Compensation insurance as required by the California Labor Code. In signing this contract, the Contractor certifies under section 1861 of the Labor Code that the Contractor is aware of the provisions of section 3700 of the Labor Code which requires every employer to be insured against liability for workmen's compensation or to undertake self-insurance in accordance with the provisions of that code, and that the Contractor will comply with such provisions before commencing the performance of the work of this Agreement. 6.2 Any deductibles, self-insured retentions or named insureds must be declared in writing and approved by the City. At the option of the City, either: (a) the insurer shall reduce or eliminate such deductibles, self-insured retentions or named insureds, or (b) the Contractor shall provide a bond, cash, letter of credit, guaranty or other security satisfactory to the City guaranteeing payment of the self-insured retention or deductible and payment of any and all costs, losses, related investigations, claim administration and defense expenses. 6.3 The Contractor shall obtain a specific endorsement to all required insurance policies, except Workers' Compensation insurance and Professional Liability insurance, if any, naming the City and its officers, officials and employees as additional insureds regarding: (a) liability arising from or in connection with the performance or omission to perform any term or condition of this Agreement by or on behalf of the Contractor, including the insured's general supervision of its subcontractors; (b) services, products and completed operations of the Contractor; (c) premises owned, occupied or used by the Contractor; and (d) automobiles owned, leased, hired or borrowed by the Contractor. For Workers' Compensation insurance carrier shall agree to waive all rights of subrogations against the City and its officers, officials and employees for losses arising from the performance of or the omission to perform any term or condition of the Agreement by the Contractor. 6.4 The Contractor's insurance coverage shall be primary insurance regarding the City and City's officers, officials and employees. Any insurance or self-insurance maintained by the City or City's officers, officials and employees shall be excess of the Contractor's insurance and shall not contribute with Contractor's insurance. 6.5 Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City or its officers, officials, employees or volunteers. 6.6 The Contractor's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability. 6.7 Each insurance policy required by this section shall be endorsed to state that coverage shall not be suspended, voided, canceled by either party except after thirty (30) days' prior written notice has been given to City. The contractor shall promptly notify, or cause the insurance carrier to promptly notify, the City of any change in the insurance policy or policies required under this Agreement, including, without limitation, any reduction in coverage or in limits of the required policy or policies. 6/5/12 3 of 11 6.8 Insurance shall be placed with California admitted insurers (licensed to do business in California) with a current rating by Best's Key Rating Guide acceptable to the City. A Bests rating of at least A -:VII shall be acceptable to the City; lesser ratings must be approved in writing by the County. 6.9 Contractor shall require that all of its subcontractors are subject to the insurance and indemnity requirements stated herein, or shall include all subcontractors as additional insureds under its insurance policies. 6.10 At least ten (10) days prior to the date the Contractor begins performance of its obligations under this Agreement, Contractor shall furnish City with certificates of insurance, and with original endorsements, showing coverage required by this Agreement, including, without limitation, those that verify coverage for subcontractors of the Contractor. The certificates and endorsements for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. All certificates and endorsements shall be received and, in City's sole and absolute discretion, approved by the City. City reserves the right to require complete copies of all required insurance policies and endorsements, at any time. 6.11 The limits of insurance described herein shall not limit the liability of the Contractor and Contractor's officers, employees, agents, representative or subcontractors. 7. Defense and Indemnification. 7.1 To the fullest extent permitted by law, Contractor shall indemnify, hold harmless and defend the City and its agents, officers and employees from and against all claims, damages, losses, judgments, liabilities, expenses and other costs, including litigation costs and attorneys' fees, arising out of, resulting from, or in connection with the performance of this Agreement by the Contractor or Contractor's officers, employees, agents, representatives or subcontractors and resulting in or attributable to personal injury, death, or damage or destruction to tangible or intangible property, including the loss of use; provided, however, such indemnification shall not extend to or cover loss, damage or expense arising from the negligence or willful misconduct of the City or its agents, officers and employees. 7.2 Contractor's obligation to defend, indemnify and hold the City and its agents, officers and employees harmless under the provisions of this paragraph is not limited to or restricted by any requirement in this Agreement for Contractor to procure and maintain a policy of insurance. 8. Status of Contractor. 8.1 All acts of Contractor and its officers, employees, agents, representatives, subcontractors and all others acting on behalf of Contractor relating to the performance of this Agreement, shall be performed as independent contractors and not as agents, officers or employees of City. Contractor, by virtue of this Agreement, has no authority to bind or incur any obligation on behalf of City. Except as expressly provided in Exhibit A, Contractor has no authority or responsibility to exercise any rights or power vested in the City. No agent, officer or employee of the City is to be considered an employee of Contractor. It is understood by both Contractor and City that this Agreement shall not be construed or considered under any circumstances to create an employer-employee relationship or a joint venture. 8.2 At all times during the term of this Agreement, the Contractor and its officers, employees, agents, representatives or subcontractors are, and shall represent and conduct themselves as, independent contractors and not employees of the City. 8.3 Contractor shall determine the method, details and means of performing the work and services to be provided by Contractor under this Agreement. Contractor shall be responsible to City only for the requirements and results specified in the Agreement and, except as expressly provided in this Agreement, shall not be subject to City's control with respect to the physical action or activities of Contractor in fulfillment of this Agreement. Contractor has control over the manner and means of performing the services under this Agreement. Contractor is permitted to provide services to others during the same period service is provided to City under this Agreement. If necessary, Contractor has 6/5/12 4 of 11 the responsibility for employing other persons or firms to assist Contractor in fulfilling the terms and obligations under this Agreement. 8.4 If in the performance of this Agreement any third persons are employed by Contractor, such persons shall be entirely and exclusively under the direction, supervision and control of Contractor. All terms of employment including hours, wages, working conditions, discipline, hiring and discharging or any other term of employment or requirements of law shall be determined by the Contractor. 8.5 It is understood and agreed that as an independent Contractor and not an employee of the City, the Contractor and the Contractor's officers, employees, agents, representatives or subcontractors do not have any entitlement as a City employee, and do not have the right to act on behalf of the City in any capacity whatsoever as an agent, or to bind the City to any obligation whatsoever. 8.6 It is further understood and agreed that Contractor must issue W-2 forms or other forms as required by law for income and employment tax purposes for all of Contractor's assigned personnel under the terms and conditions of this Agreement. 9. Records and Audit. 9.1 Contractor shall prepare and maintain all writings, documents and records prepared or compiled in connection with the performance of this Agreement for a minimum of three (3) years from the termination or completion of this Agreement. This includes any handwriting, typewriting, printing, photostatic, photographing and every other means of recording upon any tangible thing, any form of communication or representation including letters, words, pictures, sounds or symbols or any combination thereof. 9.2 Any authorized representative of City shall have access to any writings as defined above for the purposes of making audit, evaluation, examination, excerpts and transcripts during the period such records are to be maintained by Contractor. Further, City has the right at all reasonable times to audit, inspect or otherwise evaluate the work performed or being performed under this Agreement. 10. Confidentiality. The Contractor agrees to keep confidential all information obtained or learned during the course of furnishing services under this Agreement and to not disclose or reveal such information for any purpose not directly connected with the matter for which services are provided. 11. Nondiscrimination. During the performance of this Agreement, Contractor and its officers, employees, agents, representatives or subcontractors shall not unlawfully discriminate in violation of any federal, state or local law, rule or regulation against any employee, applicant for employment or person receiving services under this Agreement because of race, religion, color, national origin, ancestry, physical or mental disability, medical condition (including genetic characteristics), marital status, age, political affiliation, sex, or sexual orientation. Contractor and its officers, employees, agents, representatives or subcontractors shall comply with all applicable Federal, State and local laws and regulations related to policy, the Fair Employment and Housing Act (Government Code sections 12900 et seq.); California Labor Code sections 1101, 1102 and 1102.1; the Federal Civil Rights Act of 1964 (P.L. 88-352), as amended; and all applicable regulations promulgated in the California Code of Regulations or the Code of Federal Regulations. 12. Assignment. This is an agreement for the services of Contractor. City has relied upon the skills, knowledge, experience and training of Contractor and the Contractor's firm, associates and employees knowledge, experience and training of Contractor and the Contractor's firm, associates and employees as an inducement to enter into this Agreement. Contractor shall not assign or subcontract this Agreement without the express written consent of City. Further, Contractor shall not assign any monies due or to become due under this Agreement without the prior written consent of City. 6/5/12 5 of 11 N 13. Waiver of Default. Waiver of any default by either party to this Agreement shall not be deemed to be waiver of any subsequent default. Waiver or breach of any provision of this Agreement shall not be deemed to be a waiver of any other or subsequent breach, and shall not be construed to be a modification of the terms of this Agreement unless this Agreement is modified as provided below. 14. Notice. Any notice, communication, amendment, addition or deletion to this Agreement, including change of address of either party during the term of this Agreement, which Contractor or City shall be required or may desire to make shall be in writing and may be personally served or, alternatively, sent by prepaid first class mail to the respective parties as follows: To City: Finance — Treasury Division City of Santa Ana Christine Duarte 20 Civic Center Plaza (M14) P.O. Box 1988 Santa Ana, CA 92702 Fax 714-647-5304 To Contractor: Cliff Dean LD Systems 4200 International Parkway Carrollton, TX 75007 (972) 862-4327 cliff@ldsystemsinfo.com 15. Conflicts. Contractor agrees that it has no interest and shall not acquire any interest direct or indirect which would conflict in any manner or degree with the performance of the work and services under this Agreement. 16. Severability. If any portion of this Agreement or application thereof to any person or circumstance shall be declared invalid by a court of competent jurisdiction or if it is found in contravention of any federal, state or county or city statute, ordinance or regulation the remaining provisions of this Agreement or the application thereof shall not be invalidated thereby and shall remain in full force and effect to the extent that the provisions of this Agreement are severable. 17. Amendment. This Agreement supersedes any and all other agreements, either oral or in writing, between any of the parties herein with respect to the subject matter hereof and contains all the agreements between the parties with respect to such matter. Each party acknowledges that no representations, inducements, promises or agreements, oral or otherwise, have been made by any party, or anyone acting on behalf of any party,which are not embodied herein, and that no other agreement, statement or promise not contained in this Agreement shall be valid or binding. 18. Entire Agreement. This Agreement supersedes any and all other agreements, either oral or in writing, between any of the parties herein with respect to the subject matter hereof and contains all the agreements between the parties with respect to such matter. Each party acknowledges that no representations, inducements, promises or agreements, oral or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein, and that no other agreement, statement or promise not contained in this Agreement shall be valid or binding. 19. Advice of Attorney. Each party warrants and represents that in executing this Agreement, it has received independent legal advice from its attorneys or the opportunity to seek such advice. 20. Construction. Headings or captions to the provisions of this Agreement are solely for the convenience of the parties, and are not part of this Agreement, and shall not be used to interpret or determine the validity of this Agreement. Any ambiguity in this Agreement shall not be construed against the drafter, but rather the terms and provisions hereof shall be given a reasonable interpretation as if both parties had in fact drafted this Agreement. 6/5/12 6of11 21. Governing Law and Venue. This Agreement shall be deemed to be made under, and shall be governed by and construed in accordance with, the laws of the State of California. Any action brought to enforce the terms or provisions of this Agreement shall be brought in the County of Orange, State of California. IN WITNESS WHEREOF, the Parties have caused this Distribution Agreement to be executed and effective as of the Effective Date. CITY OF SANTA ANA By:�1- Print Name: Paul M. Walters Title: City Manager Address: Clerk of the Council 20 Civic Center Plaza (M-30) Santa Ana, CA 92702 Date: LD SYSTEMS By: _._ _....._.. Name: Cliff ]Dean" - Title: CEO Date: ATTEST: D Maria D. Huizar , Clerk of the Council. Recommended for Approval: "A&\-�' % A -A. Francisco Gutierrez, Ex Dir FMSA 17 fj' 6/5/12 7 of 11 EXHIBIT A A. SCOPE OF WORK 1. Pursuant to the requirements of State of California and all applicable local regulations, Contractor shall provide Treasury payment services on a 24/7 basis at City Hall, 20 Civic Center Plaza, Santa Ana, CA 92701. 2. Equipment. Contractor shall lease a kiosk to City at the rate set forth in Attachment 1 hereto. Additional kiosks may be leased and installed at the mutual agreement of the parties. Each kiosk shall stylize a touch screen and services shall be available in both English and Spanish language. Initially, contractor shall install one kiosk in the City Hall lobby area, accessible from the front patio area during hours that City Hall is closed. Contractor shall provide additional kiosks at the same lease amount should the City elect to install additional kiosks at its facility; provided, however, that (a) such election must be made within 12 months of the execution of Agreement and (b) there are no basic interest rate changes. 3. Subcontractors. Contractor elects to provide all required Contractor services through its work force. Contractor agrees to provide City with prior written notice of any use of subcontractors to perform the required services. Contractor shall assure that each subcontractor utilized will be appropriately insured and bonded. 4. Support and Maintenance. a. Contractor shall provide the necessary technical support and maintenance of all kiosk machines in accordance with the following policy: Support calls will be received by Contractor's technical support partner ("Support") between the hours of 5:00 am and 5:00 pm, Pacific Standard Time (PST), Monday through Friday, with a 2:00 pm call receipt cut-off time for same day parts shipment. This provides same- day phone diagnostic response. Support will endeavor to answer calls in real time, but response within two hours is guaranteed. Support will promptly work through a series of questions with City to provide basic diagnostics of the issue and determine if a replacement part and / or a Field Service Technician needs to be sent out. If this is the case, Support arranges for overnight shipment of replacement parts and schedules the Field Technician Visit to arrive within 24 hours of call receipt. While the Field Technician is scheduled as part of this same-day process, the customer site visit does not occur until the following day when the part has been delivered. Support always utilizes the best overnight shipping delivery available for the defined location — FedEx Priority Overnight or UPS Next Day Air. Following this chronology eliminates the cost and interruption involved with duplicate site visits. Getting the replacement parts in the Field Technician's hands (as part of the repair process) provides a streamlined, productive service call and has been proven to be the most effective way to minimize down-time on mission critical applications. 6/5/12 8of11 b. Software support will be provided in accordance with the following severity table: Priority Description SLA 1 Emergency Condition making use or continued use of any one or more 2 hours functions of the Software impossible 2 Any condition which makes the use or continued use of any one or 4 hours more functions of the Software difficult, and which customer cannot reasonably circumvent / avoid. 3 Any limited problem condition which is not critical —no loss of data 8 hours occurs and which customer cannot reasonably circumvent without expenditure of significant time / effort 4 Any minor problem, condition or documentation error which customer 2 business days can easily circumvent or avoid. Includes new feature requests. c. If repairs or support are required as a result of City's negligence or misconduct, investigative hours incurred by Contractor or Support will be billed to City at $195./hour. 5. Transactions. a. City shall be responsible for maintaining a sufficient amount of cash in the kiosk and taking cash from kiosk on a regular basis. City shall reconcile accounts serviced through the kiosk. b. Contractor shall develop and install an interface with iNovah, the City cashiering system, allowing City Treasury customers to utilize the kiosk to pay municipal utility bills, business licenses, dog licenses, and parking citations with cash, check or credit card, at the Contractor's kiosk. All transactions shall be made in real time. Payments shall be accepted twenty-four (24) hours per day, seven (7) days per week. The interface shall include development, testing and live integration, and shall be completed within forty-five days after installation of the kiosk at City Hall. The kiosk shall be installed and operational on or before December 31, 2012. c. Contractor shall in collaboration with CardFlex/First California Bank and iNovah, develop an interface to allow paycard customers to utilize the kiosk to load or withdrawal funds from the CardFlex debit card sponsored by City, in compliance with federal and state banking regulations. d. Contractor shall guarantee that transactions performed at the kiosk will comply with all Federal, State and local laws, rules and regulations, including Payment Card Industry Data Security Standard (PCI DSS). 6. Website/Treasury Cashiering System. a. Contractor's kiosk. Shall provide to City, via iNovah interface, a real-time listing of all deposits/payments made via the kiosk. Contractor interface shall permit the appropriate City Personnel to confirm each individual transaction. r b. Contractor shall interface with the City's iNovah Cashiering system at the commencement of this Agreement at no cost to City. If subsequent interfacing is requested by City, City will pay the additional programming and developing costs incurred by Contractor as set forth in the fee schedule attached hereto as Attachment 1. c. Contractor is responsible for maintenance and repair of kiosk and interfaces to the cashiering and paycard program systems. Any repairs to kiosk will be completed in accordance with Section 4 of this Exhibit. Any maintenance or repairs needed for communication lines and/or software owned or managed by City (including but not limited to CardFlex and iNovah) are City's sole responsibility. 7. Continuing Contractor Duties a. Contractor shall install technology allowing City to obtain transaction reports, including, but not limited limited to: • Multiple account summary history; • Depositor history (web/telephone; kiosk); • Customer transactions detail (kiosk transaction with picture of depositor; kiosk cash transactions; kiosk credit card transactions; web/IVR credit card transactions; address of record); and • Capability to export results to Excel. b. Contractor agrees to provide services allowing additional kiosk payments, such as building permit, if requested, under the same quoted fee structure and conditions. c. Contractor shall provide all necessary training with respect to the use and operation of equipment and account managing at no additional cost to City. d. Contractor shall not release any confidential information regarding any customer to a third party without the City's prior written consent. e. Contractor shall perform background checks on all of its employees assigned to provide service hereunder. f. Contractor shall, to the extent practicable, endeavor to collaborate with City's contracted e - payment vendor, TransFirst, for the provision of services hereunder. B. COMPENSATION 1. Contractor shall be compensated in accordance with the fee schedule attached hereto as Attachment 1. 6!5/12 10 of 11 kste>•ns A partner, not just a vendor. Cliff Dean 4200 International Parkway Carrollton, TX 75007 Phone (97 929 9228 Ext 327 214 676 5199 Invoice For: Christine Duarte, Treasurer City of Santa Ana 20 Civic Center Plaza M13P0Box 1964 Santa Ana CA 92702 Payment Kiosk Series 1 ATTACHMENT 1 CONTRACTORS INVOICE DATE 7/31/2012 Invoice # 8000836 Customer ID Invoice valid until: August 30, 2012 'repared by: Cliff E. Dean 1 Unit Added Units QUANTITY DESCRIPTION UNIT PRICE TOTAL PRICE 1 Custom Outdoor Thru Wall Enclosure based on LD Systems design. Metal Construction w/Powdercoat Finish, Lock -n -key entry, fans, Service Door. Includes the following components: 17" Panel Brite (Litemax) with resistive touch screen Rugged External Keyboard and Trackball, USB interface Kiosk Amplified Dual Speaker System 80mm thermal receipt printer -- TG2480H, USB, low paper and paper end sensor included Magtek Outdoor configured magstripe credit card reader 3 track/port powered with USB interface Bill Acceptor - MEI Cashflow SC6627R RS232, 1,200 note [no barcode] - includes power supply & universal bezel Coin Acceptor - EMP800.14 Hemisphere West USB powered. Standard bezel [ccTalk] Bill Dispenser - Fujitsu Bill Dispenser F56 "Semi Bunch" with 3 denomincations includes: Serial interface, Power supply, Communication Cables, SDK kit and Shutter Kit with Cable Coin Dispensers - Telecuip T -Flex USB PC - Optiplex XE, Pentium Dual Core E5300/2.60 Ghz, 800FSB, 2M cache, 2GB RAM (1333Mhz DDR3), Integrated Video, 160GB SATA 3.0G1b/s, 8X DVD -RW, Windows 7 Professional 32-bit [CPUDELLXEW7-PRO] Check imager - Pertech 6100 Series Financial Imager [return or keep check option; MICR Stamp, Full Width Metal Deck, & Check Face Up Included] HVAC (3000 btu) KA4C3DP21 L Artwork Software loading of image Nre Cost Pallet & cardboard packaging Optional Additional TTW Kiosk units up to 5 $44,033.00 $44,033.00 $9,500 $ 9,500.00 $42,033 1 License per Terminal due upon acceptance) 19,816.00 $ 19,816.00 1 API Integration perIndividual System* 19,000.00 $ 19,000.00 1 S/W Development Advanced Bill Payment $68,000.00 $68,000.00 1 Estimated US Freight & Delivery Cost Per Unit $1,285.00 $1,285.00 1 Installation In Prepared Location $3,000.00 $3,000.00 *One API integration is for acess to City direct or Credit card processing company that accesses the records . Additional API integrations—e.g., CardFlex/First California Bank—will be charged $19,000/integration. Optional Add On Features Second Tray for B4600 printer to 500 sheets $382. per terminal Zremote* $125. per yr perterminal * Reporting - Optimize Transactions Service Options 1 year Parts included 1 year on-site maintenance arts and labor $5,800 $5,800.00 5 800.00 3 years on-site maintenance arts and labor $ 22,767.00 when selected at time of Agreement $22,767 Notes: 1. Plus taxes, if required. 2. Wiring and phone line- customer's responsibility. 3. Warranty: One year free parts. 4. License usage click fee $1.00 per transaction paid Month) 5. Site preparation -customer's responsibility including all Permits and costs 6. Terms - 50% w/order $72,408.00 40% prior to shipping balance on acceptance. 7.LicenseMaintfee/yr $475.00 $ 475.00 8. Agreement for processing is for 60 months, will be automatically renewed annually, unless either party gives a 90 day notice. 9. Price quaranteed for additonal units up to 3 months 10. Added products for cost reduction im limented are 50/50 revs lit after costs Santa Ana Tax Assessor / Collector SUB TOTAL $ 170,909.00 Plus Taxes If applic TOTAL 170 909.00 THANKS FOR YOUR BUSINESS! The daily balancing of the equipment and loading of supplies will be done by the customer. Training will be supplied at the time of the install. Leasing options are available and in the event of these are chosen the development costs and cost the equipment will be paid by customer and upon acceptance of installation Macquarie/LD Systems Capital will send total funds to customer. Monthly lease depending on term selected will start the time. Monthly lease depending on term selected will start the time. License fees of $19,816; 1 yr. maintenance fee of $5,800; and, License Maint fee/yr of $475 will be payable upon City's acceptance of kiosk and modules. c it A`c,oRD® CERTIFICATE OF LIABILITY INSURANCE 910/2012 ) 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(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 endorsement(s). PRODUCER Frederiksen & Frederiksen, A Corp. Insurance & Risk Mgmt Services 12900 Preston Road, Suite 500 Dallas TX 75230 NAME, CONTACT Melinda Carey PHONE . (972)387-8646 FAX AIC No(972)991-9307 ADMDRRE :melinda@fredandfred.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Travelers Lloyds Insurance Co 41262 INSURED CE Dean Enterprises, Inc. dba LD Systems 4200 International Parkway Carrollton TX 75007 INSURERB:Travelers Casualty and Surety 19038 INSURERC: INSURER D: INSURER E: INSURER F: GUVtHAti1-5 CFRTIFIU'ATF NIIMRFR•CL122bUUH44 DC\/ICIl1W W111111DCD- 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRENTED REMISES AMAGE ToEa occurrence $ 300,000 A CLAIMS -MADE Fx_] OCCUR ILPACP0661W261TLC /25/2012 /25/2013 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ AANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ILPACP0661W261TLC /25/2012 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS [/25/2013 PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 B EXCESS LIAB CLAIMS -MADE AGGREGATE $ 3,000,000 DED I X I RETENTION$ 10,00 $ P7584Y575 /25/2012 /25/2013 B WORKERS COMPENSATION WC STAT OTH- X TORY IMIT R AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IAUB5937L148 /25/2012 /25/2013 If yes, describe under E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) - _i a (1 T J City of Santa Ana Treasury Manager 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLXCIE&wBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICEL DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Frederiksen/MKC `%�� �o v p� _l N%.VRU 40 tcv[vivo) ©1988-2010 ACORD CORPORATION. All rights reseryed! INS025 (201005).01 The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company: TRAVELERS LLOYDS CASUALTY & SURETY INSURANCE This endorsement modifies such insurance as is afforded by the provisions of Policy #: General Liability-ILPACP066 I W26 I TLC, Auto Liability-CUP7584Y575, Umbrella Liab- IAUB5937LI48, WC-IAUB593 )7L) 48 relating to the following: I The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92 70 1; 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- 2/25/12 thru 2/2513, this endorsement form as a part of Policy #: ILPACP066 1 AN7261 TLC lssued to: CE DEAN ENTERPRISES INC I DB D S F S N ed I re Countersigne by Au Drize Representative ACC)RbF CERTIFICATE OF LIABILITY INSURANCE lk.� 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. IMP DRTANT: If the oartificati, holder is an ADDITIOWAL -INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies my require an endorsement A statement on this cartificaft does not confer rights to the Frecieriksen & Froderiksen, A COrP. Insurance & Risk Mgmt Services 12900 Preston Road, Suite 500 Dallas TX 75230 INSURED CE DEAN ENTERPRISES,INC. DEA LD SYSTEMS 4200 INTERNATIONAL PARKWAY 991-9301 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 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A TYPE OF INSURANCE GENERAL LASILITY TXCOMMERCIAL GENERAL LMOILITY CLAIMS -MADE X OCCUR AWL PCI.ICY NUMBER ZLPACP066IW26 ITLC POLI Y err /25/20%3 7 POUCyaxF J�MYYYYI /25/2014 LIMITS EACH OCCURRENCE 3 1,000,000 CAMAJM IORtISNhu PREMISES (Ea WCUNVNit) $ 300,00 MEIDEXPW4.6;3�) S 5,000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATIE S 2,000,000 PRGMCTS - COMPtOP AGG S 2,000,000 GEML AGGREGATE UMIT APMJES PER .7% POLICY r7 PRO" M LOC IFCT $ E LIMIT AUTOMOBLE LIABILITY .1,000,000 BODILY INJURY (PR, Nmw) $ A ANY AUTO ALL OWNED SCHEDULED AUTO$ AUTOS • HIRED ALTOS NOWOViNED AUTOS LFACV*661W261TrLC 2/25/2013 /25/2014 BODILY INJURY (ft ��) 3 707k�RE S $ IS • UMBRELLA UAS EXCE HOCCUR CLAIIMS-MADIF NIA LP7584YS75 1AU85937L148 /23/2013 2/25/2013 /25/2014 2/25/2014 EACH OCCURRENCE S 3,000,000 AGGREGATE S 3,000,000 1 OED I X I RETENTION$ 10,00( WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORiPARTNERVEXECUTIV5 [E] OFFICEIVIVIENSER EXCLUDED' 1,anIiiitory in NH) RI" )N&OPERATIONSW. �M' ; L X I T& ER, E.L. EACH ACCIDENT $ 500,000 $ 500,000 E.L. DISEASE - POLICY LIMIT 3 500.000 OESCR1PnON OF OPERATIONS I LOCATIONS f VEHICLES (AMch ACORD 101. A&IINW.1 �k* lk*�UW If cw. jNt!. I*N,q.I,.d1 7�) p,0R4 �qft Ose Sa InviorA - ando ssistan t tr ri City of Santa Ana Treasury Manager 20 civic Center Plaza Santa An&, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Fradariksen/NKC 0 1985-2010 ACORD CORPORATION. All INS025(niom)w The ACORD name and logo are registerea marKS Or A�VKIJ ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company Phoenix Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # 680-0661W261 relating to the following: I . 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. I 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 2/25/2015 this endorsement form as a part of Policy # Issued to CE Dean Enter rues Inc. dba LD Systems Named Insured Countersigned by Auth6ized RepresentAKSEN ACC? V CERTIFICATE LIABILITY INSURANCE DATE (MMIDDYYYY) 4/21/2015 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 hoes not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Frederiksen & Frederiksen, A Corp. NAME CT Melinda Carey PHONE (972.)387-8646 1572) 991-9307 ADDRE :melinda@£redandfred. com Insurance & Rask Mg t Services 12900 Preston Road, Suite 5.00 INSURERS AFFORDING COVERAGE MAIC# INSURERA:Phoenix Insurance Company 5623 Dallas TX 75230 INSURED INSURERB:Travelers Casualty and Surety 19038 INSURER C: CE Dean Enterprises, Inc. INSURER D: dba LD Systems INSURER E: 222.1 Justin Rd Ste 119 INSURER F: Flower Mound TX 75028 COVERAGES CERTIFICATE NUMBER.CL1542102058 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR UBR. WV0 OLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMlDDIY'MYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY CAMAGE TO RENTED 3'00, 000 .. (. Ea occurrence $ MED EXP (Any one person) $ 5,000 A CLAIMS -MADE ®OCCUR 680-0661W261,-15°42 /25/2015 /25/2016 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2 , 000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM..PIOP AGG $ 2,000,000 $ X I POLICY PRO- LOC AUTOMOBILE LIABILITY E® acct deDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) S....... 'A` ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS 680-0661W261-15-42 /25/2015 /25/2016 BODILY IN9URY(Peraccidenl) S PROPERTY DAMAGE $ Peraceddent $ ......EACH X. UMBRELLA LIAR X I OCCUR OCCURRENCE. $ 3,000,000 AGGREGATE $ 3,000,000 .B EXCESS LIAR fD CLAIMS -MADE DED I X .RETENTION$..... 10,00 UP7584Y575 2/25/2015 /25/2016 $.... B WORKERS COMPENSATION X WC STATLI OTH- r AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR1PA.RTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 1A.U85937r,148 2./25/2015 /25/2016 E.L. EACH ACODENT $ 500 000 .. E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAttach ACOR'D 101, Additional Remarks Schedule, If more space Is required) FYI"'E 1) Af ' 2 Z CERTIFICATE City of Santa Ana Treasury Manager 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE'SENTATIV'E Frederiksen/b= ACORN 25 (2010105) (P1988-2010 ACORD CORPORATION. All rights reserved. INSSn25 /?ninny nt Thca AC`OPn nano anri Innn arca rwanietarorl rnarkc of Arr)Pn /4- Z ArDATE "' 'Dotyyy CERTIFICATE OF LIABILITY INSURANCE E2/ 18 /M2 0 16 THIS CERTIFICATE 17 S LIED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIDER. T CERTIFICATE DOES NOT BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IINSURER(S), AUTHORIZ REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, w IIMPORTANT; ADDITIONAL pendorsed. , IS WAIVED, subject the terms and Conditionsppolicies enidorsement. A statement on this certificate does not confer rigihtsto t certificate holder in: lieu of such endorsendontis), PRODUCER i k � rr Insurance & Risk Mgmt Services /1 b w iR IY '^ IM 12900PrestonRoad,r 500 TN5UKhH(S) AFFORDING Dallas TX 75230 INSURERA:Phoenix Insurance Company INSURED INISURERB:Travelers Casualty and Surety FlowerCE Dean Enterprises,Inc. ,INSURER C:Charter Oak Fire Insurance Co. LD Systems 2221 Justin RdSte 119 ' ,w '. .1 Il, ^.., It 1 I .. 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. NOTI THSTANDINCS 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7N -SRT--' —. ____ R TYPE OF INSURANCE TD -DL SUBr3 ___.—._______ - POLICI° EFF POLICY EXP POLICY NUMBER _JMM1DD1YYYYIJWMMQ1y=LIMITS GENERAL LIAMUTY EACH OCCURRENCE $ 1,000,1000 COMMERGIALGENERALLIABILITY I?Ah�AGE TO RENITE—D-- PR MD - Faaccurrence—. $300,000 ACLAIMS-MATTE ® OCCUR 680-0661W261-16-42/25/2016 /25/2017 MED EXP (Any one person) $ 5,10010 PERSONAL AADV INJURY $ 1,000,000 . GENERAL AGGREGATE:....... $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER $.. 2,000,000 .1". Pt7LICY '... PRO- LOC $ AUTOMOBILE LIABILITY COM BIINED SINGLE LIMIT Eaacaldent $ I. p'pa pp0 i BODILY INJURY (Perpersar) $ ANY AUTO BODILY INJURY (Peracddentl) $ ALL OWNED SCHEDULED 680-0661W261-16-42 /25/2016 /25/201.7 AUTOS AUTOS PROPERTY DAMAGE Per aacidert $ HIRED AUTOS AUTOS AUJTOS $ X 1 UMBRELLA LIAB..' OCCUR IEACH I OCCURRENCE $.. 3, 000 , 000 AGGREGATE $.. Paoa,aaP � EX.CESSLIAB7CLAIMSmMADE $ LEC RETENTION$ 1.0,00 CUP7584Y575 /25/2016 /25/2017 C WORKERS COMPENSATION X7TWC STACRY LIMT11 OrWi- -� A,ND EMPLOYERS' LIABILITY YPN —.---.- ANYPROPRDETCRIPARTNERYEXECNTIVE E.L.EACIHACCIIDENT $.. ,500.000 (Mandatory In 1= EXCLUDED? (Mandatoiry In NH) NAA IOUB59,37L148 /25/2'016 /2 5/2017 E.L DISEASE - EA EMPLOYE _d_.. $ 500 ,000 It yes describe under DESCRIPTION OF OPERATIONS d0ow E.L. DISEASE - POLICY LIMP $�� 500 ,0100 DESCRIPTION OF OPERATIONS C LOCATIONS 1 VEHICLES (Attach, ACORDD 101, Additional Remarks Schedule, If more space Is requiredl) The City of Santa .Aria, 2,0 Civic Center Plaza, Santa Ana, CA 92701; its officers, employees, agents, volunteers and representatives are named as additional insured as required by written contract. b CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF', NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION'S, City of Santa Ana Treasury Manager 20 Civic Center plaza AUTHORIZEDREIaRESENTATIVE Santa Ana, CA 92701 Mark Prederiksen/MKC AC RID' 20 (2010105) @ 1950-2010 ACC'RD CORPORATION. All rights reserved. INSn2 s r7nirurup.o of "IThaza ,58 .0Pn s'a�,m a mnrl Inewn 2raa ranictarari' m2rka of .6r NPP This endorsement modifies such insurance as is afforded by the provisions of Policy #680-0661W261 relating to the following: 2, With respect to claims arising out of theoperations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is 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 organ'ization 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, Ovilfornia 92701. (Completion ofthe following, including cou ntersig nature, is required to make this endorsement effective.) Effective ,2/25/2016 , this endorsement form as a part of *olicy # 680-0661TT261 .sisued to —CE Dean Enterprises, Inc. d1ba LID Systems Z10110411TRIMMO Co�untersigreed by ut ord ed Representative FREDERIKSEN & FREDERKSEN Z- Iq APPROI'ED A-Z®►2^/1(/ A�� br CERTIFICATE OF LIABILITY INSURANCE 3/21/2018 ' 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(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 endorsement(s). PRODUCER Frederiksen & Frederiksen, A Corp. Insurance & Risk Mgmt Services 12900 Preston Road, Suite 500 Dallas TX 75230 CONT Melinda Carey PHONE (972)387-8646 FAC e. (9'!2)991-930'! -MAZE II.melinda@fredandfred. com OR INSURERS AFFORDING COVERAGE NAICW INSURERA:Phoenix Insurance Company 5623 INSURED LD Systems 718 Scottish Mist Trail Suite 119 Highland Village TX 75077 INSURERB:Travelers Indemnity Company 5658 INSURER C:Travelers Casualty and Surety 19038 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL1832103164 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL JUR SUBIR VIVO POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP IMWDDIYYyYlLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 680-0661W261-18-42 /25/2018 /25/2019 DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL &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 JFQT $ AUTOMOBILE LIABILITY EasBIIJeDSINGLE LIMIT t 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 680-0661W261-18-42 /25/2018 /25/2019 BODILY INJURY(Peraccident) $ XX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Pereccidenl $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESSLIAB CLAIMS -MADE DED X RETENTION$ 10,00 $ OP-7584YS75-18-42 /25/2018 /25/2019 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE MeGERflaEn NH EXCLUDE07 ( ry ) NIA -3x497461-18-42 /25/2018 /25/2019 X I WCSTATU-OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its officers, employees, agents, volunteers and representatives are named as additional insured as required by written contract. �✓ 3 PP by: City of Santa Ana Treasury Manager 20 Civic Center Plaza M15 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Frederiksen/MRC INS025r9mixm m Thn ArnPn name and Inn^ aro ranietored m�rkc of ArnPr1 POLICY NUMBER: 680-0661W261-18-42 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 01/12/2018 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 PORT SCHEDULE Name of person or organization: THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 WHO IS AN INSURED (Section II) is amended to include as an insurea the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. 3_-22 701e u CG T4 91 1188 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1