HomeMy WebLinkAboutSTRATEGIC SOLUTIONS 4 - 2013M€:tdRAN%ON HLE
V11ORN MAY PROCEED
li (I'_ 16URANCE EXPIRES
OE COUNCIL
CONSULTANT AGREEMENT
N- 2013 -166
gpEC 3 1 2013
d • FMSCr� This�greemen or tl inlanec of services ( "Agreement ") is made and entered into
d
"on this oV day of ir, 13 ( "Effective Date "), by and between Strategic Solutions, a
California independent consulting firm which provides grant consulting services to public and
private agencies /companies, with its principal place of business located at 2825 South Palm
Canyon Drive, Palm Springs, California 92264 (herein after referred to as "Consultant "), and the
City of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City"), with its principal place of
business located at 20 Civic Center Plaza, Santa Ana, CA 92701. City and Consultant may be
referred to herein individually as a "Party" or collectively as the "Parties" or the "Parties to this
Agreement."
RECITALS
A. City desires to retain a Consultant having special skill and knowledge in grant
consulting services and with a deep understanding of all phases of the grant process;
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.
D. The Parties have specified in this Agreement the terns and conditions under which
such services will be provided and paid for.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terns and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services identified in StrategicSolutions' Proposal for
Comprehensive Grant Consulting Services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $25, 000.00 during the tern of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2014, unless terminated earlier in accordance with Section 12, below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire tern of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer- employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. THIS IS WAIVED.
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. 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.
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 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.
6. 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 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 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. City may make all reasonable decisions with respect
to its representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and /or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance 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.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any 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:
and,
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702 -1988
telefacsimile (714) 647 -6956
Executive Director,
Finance & Management Services
City of Santa Ana
20 Civic Center Plaza (M -17)
P.O. Box 1988
Santa Ana, California 92702
To Consultant:
Charlotte D. Whitney,
dba StrategicSolutions
2825 South Palm Canyon Drive
Palm Springs, CA 92264
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
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, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty -four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon fifteen (15) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property 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.
13. 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.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations 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.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as 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. Huizar
Clerk of the Council
APPROVED AS TO FORM:
Sonia Carvalho
City Attorney
By:
Jo a doval --
Chie ssistant City Attorney
RECOMMENDED�FOn\\y\IRAPPROVAL:
Francisco Gutierrez
Executive Director
Finance & Management Services
CONSULTANT
arlotte D. Whi ney
dba StrategicSolutions
Consultant /Owner /President
Employer ID # or Individual SS # 043 -36 -2895
CITY OF SANTA ANA
_�J"e
David Cavazos
City Manager
STRATEGIC SOLUTIONS
PROPOSAL
COMPREHENSIVE GRANT CONSULTING SERVICES
to the
City of Santa Ana
Facilities, Fleet and Central Stories
Fiscal Year 2013/2014
,�1T1 4 ATAI�h�l
Charlotte D. Whitney, d.b.a. StrategicSolutions, will provide comprehensive grant consulting services to
the City of Santa Ana Facilities, Fleet and Central Stores (FFCS). Drawing on its extensive experience in
all phases of the grant process, StrategicSolutions will work interdepartmentally and with public and
private entities to achieve program objectives and maximize access to funding.
StrategicSolutions will focus on funding opportunities to support the following FFCS plans and priorities:
1. Green Facilities, Fleet and Central Stores Strategic Plan
2. Green Fleet Action Plan: Electric Vehicles and Charging Infrastructure
3. Green Fleet Action Plan: Propane Vehicles and Infrastructure
4. Green Fleet Action Plan: Environmentally Preferable Purchases and Practices Policy
5. Public Outreach for Green Initiatives
6. Others, as identified or assigned
ACCOMPLISHMENTS: FISCAL YEARS 2010/11— 2012/13
In Fiscal Year 2010/2011, StrategicSolutions with the assistance of FFCS staff developed a Green
Strategic Plan to increase the sustainability of the division. The plan outlines specific short and long-
term goals, punctuated by a timeline of quantifiable actions. Focusing heavily on energy efficiency
initiatives and employing forward thinking in fleet management, the goals of the plan are to improve air
quality, reduce the City's carbon footprint, and channel cost savings into environmental projects.
During Fiscal Year 2011/2012, three area - specific action plans were developed to advance FFCS ultimate
goal of running an environmentally friendly fleet and stores operation. The first plan discusses electric
vehicles and infrastructure, the second focuses on propane vehicles and infrastructure, and the third
plan advocates environmentally preferable purchases and practices within the FFCS. Last Fiscal Year,
2012/13, as required by local funding agencies, a public outreach and education plan was developed for
the FFCS. The plan proposes actions that will increase public awareness of the green initiatives of the
division and by doing so increase public support for funding.
Concurrent with and in support of strategy development, StrategicSolutions secured close to $1.1
million in grant funding for FFCS. Funding included propane and compressed natural gas (CNG) vehicles
and propane, CNG and electric vehicle infrastructure. Implementation of proposed actions over the last
three fiscal years resulted in the FFCS steadily climbing from #99, then to #38, then to #10 and finally to
#5 in 2013 in Government Fleet Magazine's 100 Best Fleets competition.
Proposal Santa Ana Grant Consulting_2013 -2014 Page 1
811912013
r°
STRATEGIC SOLUTIONS
ffAI
FOCUS: FISCAL YEAR 2013/2014
Beginning in Fiscal Year 2012/2013, while still working to identify additional grant funding for new
projects, StrategicSolutions began to extend its services to Post - Application Implementation and Grant
Management. In order to realize the funding secured, the projects which received funding needed to be
implemented and required activities completed. Two required elements - community outreach /public
education and reports /requests for reimbursements - began to feature strongly in the work program.
In Fiscal Year 2013/2014, StrategicSolutions proposes to continue its focus on securing funds for
additional projects, completing grant management activities as required by the grant agreements and
implementing the Public Outreach for Green Initiatives plan. Working with staff, the company will also
start the process of LEED Certification for the Corporate Yard.
StrategicSolutions will draw from the list of grants identified in the Green Facilities, Fleet and Central
Stores Strategic Plan and the three supporting specific action plans for additional grant funding. For
Post - Application Implementation and Grant Management activities, StrategicSolutions will draw from
the contractual agreements between the City of Santa Ana and the funding agencies.
SERVICES
The following is a representative list of services that may be preformed.
Grant Identification and Strategy Development
Identify applicable grants
Research grant databases and agency specific databases on -line for funding opportunities
Attend training and bidder's conferences
Develop a database of grants that match funding needs
Maintain a comprehensive grants inventory for each project area
Prepare strategies and action plans
Facilitate project scoping
Write program descriptions
Grant Development and Preparation
Download and review guidelines, applications and forms
Develop strategies that maximizes funding and prospects for approval
Research and assemble information needed for applications
Obtain specifications, vendor quotes, brochures and other supporting materials
Secure relationships, resolutions, cover letters and letters of support
Prepare draft materials for review and comment
Prepare final applications for submittal
Overnight mail and /or deliver applications to funding agencies and clients
Prepare, update, and /or assemble additional documents as required by funding agencies
Track applications through review process
Assist with contract development and signing
Proposal Santa_ Ana_ Grant Consulting 2013 -2014 Page 2
811912013
STRATEGIC SOLUTIONS
and
SERVICES, continued
Grant Implementation and Management
Prepare calendar of report due dates
Download report requirements and forms
Obtain and assemble information for preparation of reports
Prepare draft reports for review and comment
Prepare final reports for submittal
Prepare materials for status meetings with clients, agency staff and /or other consultants
Coordinate with staff on invoicing and requests for reimbursement
Coordinate with outside agency staff and consultants on funding status and grant implementation
Maintain computer and hard copy files for audit
AVAI LABI LTIY
Charlotte D. Whitney will dedicate the required time and materials to complete quality work submitted
on deadline.
Charlotte D. Whitney will be available for consultation as needed by telephone, e -mail, and FAX.
Charlotte D. Whitney will be available for meetings at the offices of the City of Santa Ana as required.
COMPENSATION
The City of Santa Ana will be billed monthly for work completed at a rate of $85 per hour
A detailed activity report and copies of completed projects will be submitted with each invoice.
Ordinary support services, including mileage and telephone, are included within the monthly charge.
Total amount of compensation will not exceed $25,000.
TERMS
The Agreement will be in effect for Fiscal Year 2013/2014 ending June 30, 2014.
D. Whitney
Proposal Santa Ana Grant Consulting 2013 -2014
811912013
Date
Page 3
EXHIBIT 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 apart of
Named Insured
Countersigned by
Authorized Representative
Alf Y yr2"
CERTIFICATE OF LIABILITY INSURANCE
06-14 -2013
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 ADDITIONALINSURED,the pollcy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements).
PRODUCER
BIN INSURANCE HOLDINGS LLC /PHS
505500 P:(866)467-8730 F:(877)905-0457
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
PHONE FAX
Ext: 866)467 -8730 A /C, Not: 1877)905 -0457
E/&N
ADDRESS:
INSUR AFFORDING COVERAGE NAICk
INSUREaA: Sentinel Ins Co LTD
INSURED
INSURER B: US Liability Insurance Co.
INSURER C:
5 1,000, 000
STRATEGICSOLUTIONS
2825 S PALM CANYON DR
INSURER D
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE D OCCUR
X General Liab
11
PALM SPRINGS CA 92264
INSURER E:
06/12/2013
INSURER F
MED EXP (Any one person)
S 10,000
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 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 INSURANGE
INSF
WVD
POLICY NUMBER
POLICY E£F
IMMIDD(YYYY)
O / EXP
(MM/DD/YYYY)
LIMITS
GENERAL 1 /ABILITY
EACH OCCURRENCE
5 1,000, 000
PREMISES Te occunenca
S 1, 000, 000
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE D OCCUR
X General Liab
11
El
46 BRIM ID6280
06/12/2013
06/12/2014
MED EXP (Any one person)
S 10,000
&ADV INJURY
11 000 000
_PERSONAL
GENERAL AGGREGATE
s2,000,000
GE 'L AGGREGATE LIMIT �P�PPLIIEIS
POLICY � PRD X
PER:
LOG
PRODUCTS - COMP /OP AGG
S 2,000, 000
$
AUTOMOBILE GAIILITY
COMBINED SINGLE LIMIT
(Ea accident)
S
BODILY INJURY (Per pereonl
S
ANY AUTO
ALL OS SCHEDULED
AUTOS AUTOS
HIRED AUTOS AU 0'
— AUTOS
❑
BODILY INJURY (Per eccidentl
b
PROPERTY DAMAGE
(Per accident)
S
5
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS LIAR
CLAIMS -MADE
DE I RETENTION S
5
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORRMRTNER /EXECUTIVE❑
OFFICER/MEMBER EXCLUDED?
(Mandatory It NHI
N/A
❑
TORY L {� ,j,
OTH
E.L. E CIDENT
9
E. EA ' - EA it PLOYE
'–"
If yes, describe under
DESCRIPTION OF OPERATIONS below
.. DISE E- 0 LI
S
B
PTOfeSSional Liab
D
.
SPI01341OF
06/26/2013
0 1
T ,0 1,000,000
7�/g
DESCRIPTION OF OPERAT IONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, d umde seece is raquiretl)
Those usual to the Insured's Operations. 100,
a
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
-
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
City Of Santa Aria
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
P 1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
12!19/2613 14:18 1760,1163326 ALM ILIAE- CENTER 46 PAGE 02/60
EVIDENCE OF INSURANCE - STATE OF CALIFORNIA J FARM F R 5
Nomeal PONcynumbor 97 169897765
2325L,D1 CG D CANYON 911divadala: 10.12�nol.%
zags s PALM r.ANYnN r>R
PALM SPRINGS CA 92264 -9336 Nllirari0a data: 04- 12.2014
NAIC nrnhor: 21 687
MIO�CEN'I'NRY INSURANCE COMPANY, LOS ANGELES, CAL IPORNtA ,anamborhedCtdr£ornia
l.nsumn in cumpli,tnce veich I:hC California 1- 1nanchd Rosponrtib'dlty Act, cubhes chat it has issued a
pr)liey in an wilounr not leas than that t' quinxi by the (1ilifooria finaneio-d Roaponsihility Taw Fox ehe
described motor. vehideo).
*'Ide dmarPaare Nps m d (rimer
2007 GMC ?RUCK YUKON 4 DOOR 02 '1nKFC13147RI29302 CIMMOTTM n 14011TnTY
2U -12 BMW 335 t 4D 2WD SA W13A,1A9G57C14P353 22 CIIAUO^T1: 0 wMITY
AScnt name! MATTHEW TGIIRAN.i P1101%, 110; (949) 553 ^0813
25.4400 8.17. Romp lNia eartihrato in jour veN& At all tluraa, DMV REGIStRAT10N COPY Ah4004$2
12/19,2013 14:101 L'IGN1S3320
AIM MAIL CENrER 45 PAGE 04/08
AZ-,A& FARM E RS�
NAMED INSURIDit
Polky Idiffirit Wall 02
CHARLOTTE 0 WHITNEY
2825 S PAIM CANYON OR
•........ • 1,01,10 N UMBER. 14989-77-65
This is not a bill I
PALM SPRINGS (A 92264-9336
I 0011 12!0'1 A.M. On 10-12.2013
f IVIr 11fti, All, tile amewo 4i'e 11"t i
i,ch. d.Wad will Nl molied mile'st6y i &XIA'011110h: 12t01 A.M. on 04.12-2014
YOUR AGENT.
....
............. ...
MATIHWEHRAIN
..........
—ig lotkt R j2es 0
7,7
fmailz notelvan0fartnemagantcom
vmunuceuntnnanienr
a
ZIP
8mc TRIJU:;,
YUKON 4 DOOR 4X2
SE
RTYSCik
Page
Campreiii
Additional Equipment
Uninsured Mof Prq1'Doffl"qd*,,�
Uninsured Mot Prop Damage -vii/
RATED SINGLE
2012 -
335 141) 2WD SA
*SeD 1pformation or Additional rres on the rovelw
56-5797 ISTRIT1011 2,13 (57)7171 t(ontlaued in thartivano side) 115l -I a 1 1 9
7
12!113/201.3 14:1f4 17G@4163320
YOUR DEDUCTIBLES AND LIMITS BY VEHICLE
,
Camprdlsoissive $ 1,000
Collision $.;1,000'` ,
AddlUoaal Egaiipmpat n I,OOD
for any coverage Ifmit not steown, sod aaaptohlO endorsamenl.
AIM MAIL CEN-TER 46
PAGE 05/013
CA044
'
IST
LIMITED COVERAGE IN MEXICO
12
CA004
_PD ,
--0 10 AMENDING DEFiNiT10NS ,.PARTV.L1ARRITY
fAD96A
IST
END EXCLCOVERAGF, FOR FENSONALVENfCtESHARING
1,2
fA098A
IST <<
. ENBp$ 9DYtEf11AMENI )INGTFRMINATfiPIICbNDiF10NS = = , -
1'2. -
H1157
IST
ADDING PROPERTY DAMAGE TO TIM CVG
.
12
Hit; `.
IST r'
SAFETY GLASS OEbUCTIBIERtJYRACX.i.COVERAGEE ..,
1,2''.
2S0531
1012
CAd}FORtI A t10310E OF INFOR ALT1.6N PR,iCHCES
),2
16934=
LST' ° °
k0.S4 PA'YAD€F @ROVySlONS ENO0R50ACNT
WASE CONTACT YOUR FARMERS AGENT FOR A FREE FARMERS FRIENDLY REVIEW TO ENSURE THATYONR FAMILY IS PROPF..RLY FROTECIGD AND THAT YOU ARE RECEIVING
ALL OFTUEDISCOUNTS /CRETUTS CDVERAGESANpPAfXAGEP0I .ICIESAVAlIAOIE.
SEE ITALt ON17NE GO TO FARWRS.COM OR CONTACFYOOR FARMERS AGENTAND'GO PAPERLESS' WITH ELECTRONIC OOCUMRII DELIVERY TO YOUR EMAILADORESS,
VEHICLE 1,2 � THE STATEANTI FRAUD FEE IS S 0.9E
VEUICtE1,7 • COVERAGE FOR 111157 IS C-2
VEHICLE 1,2 - BED, REDUCED 10$100 FOR GLASS LOSS
The "Fee, stated in the "Premium /Fees' box to the front apply on a per - policy, not on account hosis. The following additional fees also apply:
A. Installment Service Charge per Installation (ln t0nsfdermion of Our agreement to RROw you to pay in Installments):
-For Monthly Recurring Electronic Funds Transfer (EFT) and fully enrolled online hilling (Imperless): S 0.00 pet a amid
for other Monthly EFT plans: S 2.00 per account
For all other payment plans; S 5.00 per mmum
1 1 1 his account Is far more Ilion one policy, changes in these fees are not effedtve until the revised fee Information N provided for each policy,
B. Late Fee:SIDAO pet accoual
C. Refdrued Payment Charge: 525,00 per thedc, electronic Uansadlan, or other remittance which is nor honored by your Ihmntial institution for any reason inducting
hill 1101 limited to insufficient funds at a closed account
0. Reinstatement Fee; $16.40 (applied per vehicle, 20% discount will apply for Good Drivers)
One or more of the `fees or charges described above may lie deemed a pod of premium under applicable stole Inw,
5LS777 ISTfamaN 7.13 (5797122
�Cauni`(e�rlsignnjum � -V
12/19/2013 14:10 "L 76047.63320
Ii1
NAMED INSURED:
CHARLOTTE D WHITNEY
2925 S PAU6 (ANYON OR
PALM SPRINGS fA9226 -9336
AIM MAIL. CENTER 46 PAGE 06108
nev
& FARM E RS
Palley EdlUon Number:
02
POLICT NUMBER:
169 s 9 � 77.6 a
MONO'. 12:01 A.M.
on 10. 12.2013
EXPIM90M 12,01 A.M.
on 04.12.2014
SAFE DRIYlNG
S4SA�A IM tmnnu in in n�nne„i
le
S4SA�A IM tmnnu in in n�nne„i
Ifl
72!19/2013 14:18 'L7604163320 .AIM MAIL CENTER 46 PAGE 07/08
RATING INFORMATION
L.
RmedDrNer(s)
- •.�v6h Ole 1
CNARLUTEDWNlfN[Y
veh� -la 2
CHAR1.01TEDWHRNEY
.._ __.....
A
Excas volilds
No
Systam Scare
[ortew
Annual Mlleup
15000
15000
"
AnnualMNeogo
17709
13000
Years of
DriOng Npotience
49.53
N/A
gender
FEMAU:
term length
6 Months_
S Months
Rating Polnls ciial(ons/Acc(denls:
Minor
0
p
°
Car
°
DIPp
27
09
UM
Con elfensiva
z
6
--
OTHER INFORMATION
1211':1/ 2013
14:13 17604163320 AIM MAIL., CENTER 46 /' /�
/�
PAGE 02/011i
FAMES'
LOSS PAYABLE PROVISIONS A934
11t 8drlien
Subject to the Loss Payable Provisions or any other loss payable endorsement Attached to the policy, payment
for loss thereunder is payable a; interest may, appear to the named insured and the Lierdtoider oe Other
Interest In the Declarations.
Loss Payable Provisions
It is agreed that any payment for loss or damage to tic vehicle described in this policy shall be made on the
following basis:
(1) At our option, loss or damage shall be paid as interest may appear to the policyholder and the lienholder
shown in the Declarations, or by repair of the damaged vehicle,
(2) Any act or neglect of the policyholder or A person acting, on his behalf shall not void die coverage
afforded to the lienholder.
(3) Change in title or ownership of the vehicle, or error in its description shall not void coverage afforded to
the lienholder.
The policy does not covet conversion, embVAernett or secretion of the vehicle by the policyholder or,
anyone acting in his behalf while in possession under a contract with the lienholder.
A payment may be made to the lienholder which we would not have been obligated to r ake except Eor these
terms. In such event, we are entitled to all the rights of the lienholder to the extent of such payment, The
lienholder shall do whatever is necessary to secure such rights. No subtogltion sha11 impair the right of the
lienholder to tecovcr the full amount of its claim.
We reserve the right to cancel this policy at any time as provided by its teens, In case cf cancellation or lapse
we will .notify the lienholder. At the address shown in the Dcclarationg. We will give the lienholder advance
notice of not less than 10 clays from the effective date of such mrtcellatioa or lapse A% respects his interest.
Mailing notice to the loss payee is sufficient to effect cancellation.
The Following applies as respects any loss adjusted with the rnortgagec interest only:
(1) Any deductible applicable to Comprehensive Coverage shall not exceed $250.
(2) Any deductible applicable to Collision Coverage shall not, exceed $250.
This endorement is part of your policy. It supersedes and controls anything to the contrary. It. is otherwise
subject to all other terms oPthe policy.
43.6994 I5il01 ON 4.12
16994101
12119/2 013 14:18 17604163320 AINI MAIL CENTER 46 PAGE 02/08
WORKERS' COMPENSATION DLC�AR1•LTION
I, Qharlotte D. WhitW rL hereby affirm under penalty of petjury, the
(Namelride)
following declaration:
I certify on behalf of StrategioSolutlous that during the term of my
(Ofgoni>.atian Namo)
contract with the Facilities Fleet and Central Stores .Division, City of Santa Ana, I will
not employ any person in any manner so as to become suhiect to the workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of'the Labor Code, I shall forthwith
comply with those provisions.
DA'Z'E: Z-2 i %.�-3
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI)YIINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN
ADDITION TO T14E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR
rN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.