Loading...
HomeMy WebLinkAboutXV SOLUTIONS -2014N INSURANCE CSN ORKMAY NEP�OC CLERK OF COUNCIL 1pt DATE: CONSULTANT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND XV SOLUTIONS A-2014-293 TIM AGREEMENT, made and entered into this � day of 2014, by and between XV SOLUTIONS, a sole proprietorship (hereinafter "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'). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of maintenance and supportive services for the City's water supervisory control and data acquisition (SCADA) computer systems, The City's Public Works Agency Water Resources Division owns, operates and maintains a number of computer servers that manage automated industrial processes for the water production facilities and support all infrastructure data. The services that will be ,provided include SQL database support, Sharepoint server support for data management, SCADA server maintenance, software and file backups and routine maintenance. B. Consultant represents that Consultant is able and willing to provide such scheduled and on call services to the City. C. On August 14, 201 A, the Water Resources Division of the Public Works Agency issued a request for proposals (RPP) for water resources SCADA network support services. D. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its .field and. that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the teens and conditions hereinafter set forth, the parties agree as follows. 1. SCOPE OF SERVICES Consultant shall provide scheduled and on call water resources SCADA network support services to the City. The scope of services is attached hereto as Exhibit A and is incorporated by this reference to this Agreement. 2. DELIVERY OF WORK PRODUCT Consultant shall deliver to City all work product which results from the services provided. Said work product shall be submitted in a. hard copy and produced in a form compatible with City's computer system, as agreed between the City's I'mject Manager and Consultant. In regard to material produced as a deliverable under the Agreement, including, but not limited to, books, reports, plans, photographs, drawings, videotapes, and computer programs, Exhibit 1 Consultant agrees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that the authors of all such material, whether copyrighted or not, award. to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, a royalty -free, nonexclusive, irrevocable license throughout the world to disclose, publish, translate, reproduce, and use such materials. 3. CONIPENSATION a, City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit B attached hereto and incorporated herein by this reference. The total sum to be expended under this Agreement shall not exceed $65,000.00 annually during the Term ofthis 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. A. TERM This Agreement shall commence on the date first written above and terminate three (3) years from said commencement date or upon the depletion of the maximum contract amount as stated in Section 3 above, unless terminated earlier in accordance with provisions below. The term of this Agreement may be extended for up to two (2) years upon a writing executed by both parties, including the City Manager and the City Attorney for the City. 5. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employce 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 mid similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, and in the aggregate. Such insurance shall (a) name the 2 City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence, Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation insurance, In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance, Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim, c. 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 charged in any other material aspect without thirty (30) days prior written notice to the City. f If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's tight 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. 7. INDEMNIFICATION To the fullest extentpermitted by law, Consultant shall indemnify, defend and hold harmless City, its officers, agents and employees (collectively, the "indemnified parties") from and against any and all claims (including, without limitation, claims for bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action, suits, losses, judgments, fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's fees, disbursements and court costs) of every kind and nature whatsoever (individually, a claim; collectively, claims), which may arise from or in any manner related (directly or indirectly) to any work perfonned or services provided wader this Agreement (including, without limitation, defects in workmanship and/or materials) or Consultant's presence or activities conducted perfonning the work (including the negligent and/or willful acts, errors and/or omissions of Consultant, its principals, officers, agents, employees, vendors, suppliers, contractors, subcontractors, anyone employed directly or indirectly by any of them or for whose acts they may be liable for any or all of them). Notwithstanding the foregoing, nothing herein shall be construed to require Consultant to indemnify the indemnified parties from any claim arising from the sole negligence or willful misconduct of the indemnified parties. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indenirdfication to be provided by the Consultant. 8. CONFIDENTIALITY if Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) Inas been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 9. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which world conflict in any manner with performance of services specified under this Agreement. 10, NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deened. to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Dox 1988 Santa Ana, CA 92702-1988 Facsimile: 714-647.6956 Copies to: Public Works Agency-- Executive Director City Hall — Ross Annex — 4a' Floor 20 Civic Center Plaza (M-21) Santa Ana, California 92702 Facsimile: 714-647-5622 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Facsimile: 714-647-6515 To Consultant: XV Solutions Attn: Servando Varela 344 Orange Blossom Irvine, California 92618 Facsimile: 714-918-6277 A party may change its address by giving notice in writing to the other parry. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by facsimile, 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. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the teens 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 ten -no or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 12. ASSIiGNMENT 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 persomiel or by other consultants retained by City. 13. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of terminadon, 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 fnr such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 15. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 16. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this 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: RECOMM NDED.Ol2,A ROVAL FREb j4ous%AviPbUR Executive Director - PWA CITY OF SANTA AZ ,17 NA/ City Manager CONSULTANT: XV Solutions Servando Varela Owner SCOPE OF SERVICES (Attached) EXHIBIT A CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR WATER RESOURCES SCADA NETWORK SUPPORT SERVICES SCOPE OF SERVICES INFORMATION TECHNOLOGY ENVIRONMENT The successful firm will have experience and/or knowledge of the components of the Water Division's technical Environment. The Water Division currently operates 12 individual host servers interconnected byway of several network 10/100/1000 24 port switches. The data servers run Windows Server 2008 R2, Windows Server 2003 and Redhat Linux operating system. This network supports the Water Division's SCADA, Video Server, GIS and file archive systems. Current Water Resources Computer Network (WRCN) Overview At a high level, the main objective behind the current IT network is to provide the Water Division a centralized computing network that provides a high speed processing and storage environment that offers Increased storage capacity, performance, robust fault tolerance and flexible storage administration. The WRCN is also very reliable and experiences very little downtime due to failures. The following is the functionality of the current infrastructure: • Ability to use a combination of high-end and lower end storage modla • Ability to create data replication groups • Ability to present LUNs to individual or multiple hosts including VM hosts, their guests and traditional fiber/Ethernet connected hosts • Alarm notification thresholds • Remote administration • Ability to expand capacity on demand without downtime • Ability to create different RAID level LUNs such as 0, 1, 5 & 6 • High block level 110 performance • Ability to present LUNs directly to VMs • Ability to send out packet data to remote sites over the radio network for control, status and monitoring, The WRCN is located in the Wafter Resources SCADA Server Room. It is a temperature controlled envlronment powered by a Symmetra LX Extended Run Backup universal power supply, Due to the nature of the water system, it is of the utmost importance to maintain system reliability and uptime for all equipment. Equipment Overview Dell Poweredge 8910 (3) Dell Poweredge R820 (2) — SCADA Servers (Redhat Linux OS) Dell Poweredge R210 Dell Poweredge 2950 Dell Powervault NF500 Dell Poweredge R610 Dell Poweredge R320 Dell Poweredge 1900 (2) — Legacy SCADA Servers (Redhat Llnux OS) Neo Overland Storage 2005 Tape Backup Drive RFP #14-045 —Water Resources SCADA Network Support Services Page 10 Description of Services The Consultant shall be expected to perform the following list of duties and assignments. 1. On-Call/Accessibility Requirement a. The Consultant will provide qualified and competent technical support staff on a regularly scheduled basis for SCADA networking maintenance as well as SQUWindows programming services at the City Central SCADA Control Room. The SCADA networking components are critical assets and as such require technical support 24 hours per day, 7days per week on demand. 2. The Consultant must be able to install, troubleshoot, diagnose and repair all existing networking equipment as it relates to SCADA Servers utilizing a Redhat Linux operating system. The Consultant shall also be able to provide network configurations for the Linux environment. Special consideration shall be given towards firms with experience with SCADA networking services and the City's DYNAC ES SCADA software. Special consideration shall also be given towards firms that staff personnel who will work on the SCADA network with a Bachelor of Science Degree in Computer Science. 3. The Consultant shall be responsible for core infrastructure and network assessments for ail network servers (physical and virtual), and one MDS network radio. Monthly tasks shall include the following; a. Keep the firewall functional and current. b. Review connectivity at all sites and make necessary upgrades to ensure optimal network performance and security. c. Establish and maintain virus protection on all servers and SCADA workstations. d. Address and maintain all backup procedures and system restore protocols. e. Establish and maintain secure remote accessibility. f. Private Network shall authenticate and authorize each remote connection in the Water Resources Division via private network access with specified feature codes. g. Establish, monitor and maintain remote access profiles within a specific IP pool range which are assignable only to Santa Ana Water Resources Division authorized devices. h. Prepare and create RAID configurations as recommended or necessary. 1. Manage and monitor VPN networks for Netgear and Cisco VPN hardware. J. The private network shall provide redundancy utilizing both a primary and a secondary gateway. The secondary gateway shall act as a hot standby to provide support when the primary gateway has experienced a failure and can no longer operate. Once the primary gateway becomes fully operational, data traffic will be redirected back to the primary gateway and the secondary gateway will revert to hot standby mode. Consultant shall monitor and maintain this operational parameter. k. Prepare monthly summary reports with backup status, event logs, patches applied, RAID status and other pertinent information. I. Assess and maintain MDS radio connectivity at the WRCN in the SCADA server room. m. Assess and apply server software patches as applicable. n. Consultant shall be familiar with APC Symmetra LX batteries to monitor, maintain and manage the backup power supply. Reports shall be provided if any anomalies occur. Recommendations shall be made towards replacement when applicable. 4. The Consultant shall have the ability to perform the following services on an as -needed basis. Compensation will be provided based upon the hourly fee rate submitted in Exhibit C. a. Consultant shall have the ability to deploy, configure, manage and maintain VMWare Vsphere software. Consultant shall configure, monitor and optimize all VMware systems for performance and reliability. b. Consultant shall have experience with the NASSCO sewer rating system and provide RFP #14-048 - Water Resources SCADA Network Support Services Page 11 programming support for the Sewer Video Server. c. Consultant shall have experience troubleshooting Inter*Comm USA (ICU) Ticket Management software and provide networking setup and system support for this software, Coordination with the City Vendor will be required, d. Consultant shall have the ability to deploy, configure, manage and maintain Sharepoint servers as they relate to backflow records and Water Resource Division digital records. The Consultant shall provide ongoing support and maintenance including, but not limited to the following tasks: a. Training availability for end users. b. Proactive care and maintenance to provide stability, availability and reliability. c. 2417 server, network and workstation monitoring. d. Remote management and support tools. a. Antivirus management. f. Hardware and software patch management. g. Onsite services on an as -needed basis. h. Coordinate with City IT Staff as necessary. Compensation for services under Item 5 shall be based on the hourly fee rate submitted in Exhibit C. RFP #14-048 — Water Resources SGADA Network Support Services Page 12 EHIBIT B FEE SCHEDULE (Attached) EXHIBIT C 017Y OF.SANTAANA REQUEST FOR PROPOSALS FOR WATER RESOURCES SCADA NETWORK SUPPORT SERVICES PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING Certifi'cati'on ® I certify that I have read, understs nd and agree to the terms and conditions of this Request for Proposals, I have examined the Scope of Services (Exhibit A) and am familiar with the soaps of work locations. I am familiar with all the existing conditions and Jim Ration that may Impact work requests. I understand and agree that I'am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the subm isslon of my proposal Proposal Item P rige - Pricing shall be based on a (Hourly cost, fimo and materials basis -.Soo narrative) for services described in Exhibit A. Fee must be Inclusive of all costs, including but not limited to, direct and indirect costs for labor, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Monthly Fee for Services as described In Exhibit A, Description of Services, Item 3 $ 500,00 /Manth Provoser shall attach a se arats ho uriv rate scha ule with hourly rates for staff perob elassiflcatiori. The hourly rate fee schedule shall Include response times during normal business hours, after regular business hours and weekend hours. The use of Subcontractors is allowed but will require approval by City prior to start of any assigned work. When a Subcontractor perforins all or any part of the work, a markup shall be applied to the Subcontractor's actual cost of such work. The Contractor may add a markup of 10 percent on the first $5,000 of the subcontracted portion of the extra work and a markup of 5 percent on work added in excess of $8,000 of the subcontracted portion of the work. XV Solutions 344 Orange Blossom, Irvine CA, 92618 (714) 269-8.190 $er_vando Varela "' Owner DRINTEDNAME OFAI}THORIZf DAGENT _M- TITLE 09/09/2014 xsvarela(ftmaii.corn FEDERAL ID NUMBER (IF APPLICABLE) �__ ENVIRONMENTAL LABORATORYACCRED[DATION PROGRAM CERTIFICATE NUMBER (ELAP #) RFP #14-048 - Water Resources SCADA Network"Support Servioes Page 2b Septeniber 9, 2014 XV Solutions P,O. Box 25373 3101 W. Sunflower Avenue Santa Ana, CA 42799 City o£ -Santa Ann, Public Works Agency Request for Proposal for Wetter Resources Network Support Services RFP # 14.648 Hourly Rate;Fee Schcdulet To .Accompany Exhibit C XV Solutions hourly rates and job classifications Job Classification: Sr, IT Consulting Engineer Classification Description; Sr., IT Consulting Engineers have a considerable breadtlx and depth of experience in computer systems that include: conaputet progrnnuning,netwmkigg, storage, data baclulp, disaster recovery, knowledge of SCADAsystcrns,'VPN/Firewall, configuration, "Windows Server operntiug systems, Linux operating systems, Microsoft Sq,L Server, and network security. Additionally; Sr. ri ConsuItinS)=+ngineers have a 13aaheloe's Degree aia C on-,putee Science £coni an acct ediked University. Hourly Rate: $150/14our S42erelyI,. 4w z va,14 Servnadc Varela Owner, XV Solutions 178504 Servando Varela Elba XV Solutions Certificate of Insurance :;SII~_ 2[. (page 1 of 1) 01/19/2015 08;23:11 AM A1?1:)r CERTIFICATE LIABILITY INSURANCE DA E(MMIDDf YY) Ikk�THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE, OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: 000 Techlnsurance PHONE 800-668-7020 FAX IA/G Ne ex._tp,Al ..Nol: (877) 826-9067 0' 1301 Central Expy. South, Suite 115 1301 Tech Insurance E-MAIL Allen, TX 75013 PRODUCE112-_ ._w-. _......-- GUST _fN1.�R, to #: ...-.. _...... _ ..,._ ............. INSURER(5) AFFORDING COVEf_AGE MAIC # ........ - ...._ INSURED INSURER A: Sentinel Insurance Company, Limited 11000 Servando Varela dba XV Solutions INSURER B: Hartford Fire Insurance Company 19682 3414 'Orange Blossom ww Irvine, CA 92618 INsuRER C : _ INSURER D: INSURER E.: INSURER F:: %I U 4' r_ MIA U GJ GiEk11HUAIE NUMB'ER'. RC\IIQlnAl All IKARCQ.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE -1 - 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. I ...._'. POLICY EEE POLICY EXP LTR TYPE OF I'NSURANCE.. WVDPOLICY NUMBER IMMIDDfYIYM MM1DDIYYYY LIMITS GENERAL. LIABILITY EACH OCCURRENCE. $ 2,000,000 ✓ COMMERCIAL GENERAL LIABILITY QAMP,GJE T RENTED .....- 1,040,440 � PRwEMISES ✓� -ERE-CEa occurrence _L CLAiM5-MADE OCCUR EXP (Any one person) $, 10,000 A Yes 46SBMUV8485 512812414 972812015PERSONAL &ADV IN,IiURY $, 2,000,000 ..._ GENrRALAGGREGATE S 000,000 GEN'L AGGREGATE LIMIT APPLIES PERS PRODUCTS - C2MP1OP AGG S 4,400..000 .......�. "✓ POLICY PRO-.. JECT LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '. .._.. tEa accident) S ANY AUTO BODILY INJURY (Per person) _ -s __.._.._ -- ',.. ALL OWNE:DAUTOS m_ ....... BODILY INJURY (Per accident) $ -......_. SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNFr7 AUTOS S 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB .CLAIMS-MA�E'... AGGREGATE S DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION WC —STAT U- OTH- AND EMPLOYERS` LIABILITY YIN T : RY 1 ,$......I ER ANY PROPMETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT S _..w OFFICER/MEMBER EXCLUDED? N f A �,.... E.L. DISEASE - FA EmPLC S (Mandatory in NH) If yes.. describe under ff . .-.. .... .w-. DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liability (Errors and Omissions) 46TE0288286 111312©15 1/10/2016 Occurrence f Aggregate $1,000,000 1 S1„000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101., Additional Remarks Schedule, if more space is required) Operations pertaining to named inured for cert'holder, City of Santa Ana and its officers, agents, representatives, volunteers, & employees are additional insured f prim wrd as respects gen'I liab per eri CG7158 12/03&CG7253 9/05"30 day Should any of the above described policies be cancelled before the expiration date,the issuing insurer will endeavor to mail 30 days written notice (10 days notice if due to non-payment) to the certificate holder named below, but failure to do' so shall impose no obligation or liability of any kind upon the insurer, Its agents or representatives. I 0v UER I II GA I Ic HOLDER CANCELLATION City of Santa Ana 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A , zooj, Reyes, Kathia From: Servando Varela <xsvarela@gm:ail.com> Sent: Tuesday, June 30, 2015 1:23 PM To: Reyes, Kathia Subject: Re: FW: Auto Insurance? Hi Kathia, Sorry, I thought I had attached the updated copy. The one I'm attaching is valid from June to December 2015. Regards, Servando V. ­ GAUFORRIA AUMM�ItE �SEIV MWRId CAHd MERCURY MERCURYfNSURANCE c COMPANY PoucyNuw EA EFFECT E $r F— mW Wes 0401 U9 UD95GD552 @6/0#112015 17/04/2DIS �An "KE 2Q1 11 AUDI 4 AU 3FAFMIAA158265 "WD fflusE SFAVANDO VARELA VVAUUrAFMIAA15a265 —TK9RAl ANGELICA VARELA _2REORTO� t"=5ItTh� � Hn,.5cava (sss2asa�+r® THE COVERAGF PROVEDFI) BY THIS POLICY NWTS THE MINEMUM LJAPUJTY LINIVI'S PRESCIUDED BY LAW D. D. n.t di— lhod&.i mM anyara cxuga y-, TAm *1. N TOREPOBTACI-111111=11 y! THE COVFRACE PROVWFD BY THIS POLICY MFEn THF NILNI.NiUM UABUXrY LIMITS PRESCRUIFA) BY LAW RJONHAVE AN ACLIDENg N.0) � pdkm CnP— ft Np, m, d—to othu wb!,T­ U."=ftp-Im —W13 aa,nJ 1.- - - - ---------- - - - - -- -- - - --- -- --------- --- - -- - ---- --- - - -------------------- 1111% M E RC U RY f N SU RAN C E GROUP IDENTIFICATION CARDS YOUR NEW AUTOMOBILE TE)ENTIFICATfON CARDS ARE ATTACTIED, KEEP ONLCARD IN YOURNIOTORVEHICLE, WHILE IN' OPER NrIOM M`11o,o P On Tue, Jun 30, 2015 at 12:11 PM, Reyes, Kathia <KReyes2(0,sqnta-qna.org)> wrote: Hi Servando, The attachment is the old expired AL card. Provide update at your earliest convenience. 'rhank you, Xa,tttia. lZeyes ---E�IASIOTWS�ANCEP-00i A 'MERCURY MERCURY INSURANCE COMPANY Numem 04019909959'9552 ErfEw;iN'E 4 DATES 06104=15 1ZM4)2015 WAA WKE7`c-� We MER 2010 AUDI VVAUUrAFMIAA15a265 SERVANDO VARELA ADDRl NALDANFa45) ANGEEICA V RE TOREPOBTACI-111111=11 y! THE COVFRACE PROVWFD BY THIS POLICY MFEn THF NILNI.NiUM UABUXrY LIMITS PRESCRUIFA) BY LAW RJONHAVE AN ACLIDENg N.0) � pdkm CnP— ft Np, m, d—to othu wb!,T­ U."=ftp-Im —W13 aa,nJ 1.- - - - ---------- - - - - -- -- - - --- -- --------- --- - -- - ---- --- - - -------------------- 1111% M E RC U RY f N SU RAN C E GROUP IDENTIFICATION CARDS YOUR NEW AUTOMOBILE TE)ENTIFICATfON CARDS ARE ATTACTIED, KEEP ONLCARD IN YOURNIOTORVEHICLE, WHILE IN' OPER NrIOM M`11o,o P On Tue, Jun 30, 2015 at 12:11 PM, Reyes, Kathia <KReyes2(0,sqnta-qna.org)> wrote: Hi Servando, The attachment is the old expired AL card. Provide update at your earliest convenience. 'rhank you, Xa,tttia. lZeyes 178504 Servando Varela dba XV Solutions Certificate of Insurance (page 1 of 1) 01/19/2015 08:23:11AM -� Ar CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY) 1/19/2015 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 pol'icy(ies) must be endorsed. If SUBROGATION' IS WAIVED, subject to the terms and conditions of the 'policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Techlnsurance mom®° 1301 Central Expy. South, Suite 115 .0: Tech Insurance Allen, TX 75013 NAME: NAME: PHONE 800-668-7020 Nma,Ext)' a C Ngo : (877).. 826-9067 E-MAIL DSS„ PRODUCER _ CUSTOMER ID If. INSURERIS) AFFORDING COVERAGE MAIC 9 INSURED ..- Servando Varela dba XV Solutions 344 Orange Blossom Irvine. CA 92618 INSURER A:. Sentinel Insurance Company,Limited 11000 INSURERB: Hartford Fire Insurance Company 19682 INSURER C: INSURER D ;. INSURER E: INSURER F: rnircDAr:r-CZ r`-K'aT'IMrATF NIIMRFR^ 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. I'.. INSR LTR � TYPE OF INSURANCE -M5 _DL IMS SU POLICY NUMBER POLICY EFF MM1DDIYYYY POLICY B.XP MMIQD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED 1,000,000 PREMISES fEa occumenceJ $ MED EXP (Any one person) $ 10,000 CLAIMS -MADE � OCCUR PERSONAL & ADV INJURY $ 2,000,000 A Yes 46SBMUV8485 912812014 9/28/2015 _.. GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG $ 4„000,000 $ 7,/ POLICY I PE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) . ANY AUTO BODILY INJURY (Per person) $ _. RLL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE m (Per accident) $ NON -OWNED AUTOS S UMBRELLA LIAR L1CLAIMS-MADE. OCCUR EACH OCCURRENCE $ '.... AGGREGATE $ EXCESS LIAB . DEDUCTIBLE _ $ _. $ RETENTION $ V¢ORKERS COMPENSATION WC STA'rT- IJ Y LIMITS R AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERtEXECUTIVE ._..__ E.L. EACH ACCIDENT Is E.L.. DISEASE - EA EMPLOYEE, $_.... OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N 1 A _.... ..- E.L. DISEASE - POLICY LIMIT I S If yes, describe under DESCRIPTION OF OPERATIONS below B Professional Liability (Errors and Omissions) 46TE028B286 1/13/2015 1'.11312016 Oceurrenca f Aggrsgale $1,000,0001$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule.,, if more space is required) Operation's pertaining to named inured for certholder, Dty of Santa Ana and its Officers, agents, representatives, volunteers, & employees are additional insured 0 prim wrd as respects gen'I liab per end''ts CG7158 12/03&CG7253 9105"30 day Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days Written notice (10 days notice if due to non-payment) to the certificate holder named below, but failure to do so shall impose no obligation or liability of any kind upon the insurer, Its agents or representatives. CERTIFICATE HOLDER CANCELLATION @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA. 92701 AUTHORIZED REPRESENTATIVE @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Reyes, Kathia From: Storck,Usa Sent: Friday, August 2I,20I5lI:4OAK4 To: .' Reyes,Kothia Subject: RE- Assistance Needed: Insurance Question for A-2014-293 Kathia - if the consultant is not driving to various City buildings in the course of his work under the contract,hedoesnot need professional auto coverage, although he is required to have auto insurance pursuant to state law. Lisa E. Storck Assistant City Attorney Phone: (7l4)G47'52O7 FAX: /714\G47 -651S This email lsconfidential and may besubject toattorney-client and/or work product privileges. This email iointended for the addressee only, |fyou received this email imerror, please reply tnthe sender toadvise ofthe error and delete the original email. Unauthorized use ofthis email could result inlegal action. —'------�-----r-----�'-'—'---'— �MEHCURYIN$URANCE MERCURYINSIJR NCECOMPANY040109 MERCURY os/04(2015 1Zr04J2D15 040109 009509552 0GM412015 12104/2015VA(S 009509552 ANGEUCAV2FIELAARGELICAVARINTIME COVERAGE PROVIDW BY TIMIS POIJCY AMETS THE WE COVERAGE PROVWED BY Till$ POIJCY NMETS TILE -------------------------- From: Reyes, Kathia Sent: Friday, August 07, 201510:46AM To:Stoock,Lisa Subject: Insurance Question for ArZO14-Z93 Morning Lisa, I'm updating our XVSolutions files A-2014`293and | need your assistance. You reviewed our last contact with XV Sn|udonsM-2O14-112andbaoedontbeservicesprovidedondthefacttha1cuntnartnron|ydrivesto[orpmrateYardymu helped us determine that vendor did not need to provide Auto insurance Professional insurance. Can you please review contract A-2014-293 and let me know if we can waive auto and professional insurance requirements? 178504, Servando Varela dba XV Scidutions Certificate of Insurance A . �- i '0? ' (page 1 of 1) 02/1 1 /201 6 04144 PM ACCW?"DATE (MM/DD/YYYY) li.i CERTIFICATE OF LIABILITY INSURANCE 1 2/11/2016 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 poli:cy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the I certificate holder in lieu of such endorsement(s). I PnooucEA I CONTACT 000 200* Tech Insurance TechInsurance800-668-7020 1301 Central Expy, South, Suite 115 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. ,A-GUL FAX No): (877) 826-9067 (A/C, E-MAIL ADDRESS: SUB R POLICY NUMBER Allen, TX 75013 POLICmY EXP (MM/DDNYYY) - V COMMERCIAL GENERAL LIABILITY INSURERS} AFFORDING COVERAGE NAIL i INSURER A: Sentinel Insurance Comgan �Limited� 11000 INSURED INSURER 8 Fire Insurance CompAoy_...._ 19682 Servando Varela dba XV Solutions DAMAGE TO RENTED 1,000,000 INSURER C: ..Hartford 344 Orange Blossom Irvine, CA 92618 INSURER E: MED EXP (Any one person) $ 10.000 ('nVFRAr.F.q r'FPTlIZIii KII IfiAnt:n- Dr-11101inkil Ell ]RADC0. 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. ,A-GUL INSR LTH TYPE OF INSURANCE SUB R POLICY NUMBER POLICY EFF (Mi IYYYY) POLICmY EXP (MM/DDNYYY) LIMITS V COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,100,000 CLAIMS -MADE IV] OCCUR DAMAGE TO RENTED 1,000,000 PRE $ i og&[Tnce1-- MED EXP (Any one person) $ 10.000 . ...... .. A Yes 46SBMUN0237 613012015 6/30/2016 . .......... PERSONAL & ADV INJURY S 2..000'000 AGGREGATE LIMIT APPLIES PER: GENT GENERAL AGGREGATE S 4,000,000 PRO - POLICY JECT LOC F—P1C1u`G"­TS—COMP1OP AGG S 4,n00,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) 5 ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS NON -OWNED PROPERTY DAMAGE H I HIRED AUTO AUTOS tP" ""di UMBRELLA LIAR OCCUR EACH OCCURRENCE�­ $ AGGREGATE $ EXCESS LIAR CL A !YS --MADE —-DED � I RETENTION$ S WORKERS COMPENSATION O TH AND EMPLY/N OYERS' LIABILITY _[PER STATUTE ­­.-LRET1 RH-- _— ANY PROPRIETORIPARTNERJEXECLJTIVENI . EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? ❑A -EL. (Mandatory in NH) E�T. DISEASE - EA EMPLOYE S If yes, describe under E.L. DISEASE - POLICY LIMIT 8 DESCRIPTION OF OPERATIONS below 3 Professlonal Ljabilii (Errors and Omissions) 46TED294403 111312016 111312017 $1,000,000!$1,0001000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ll more space Is required) City of Santa Ana and its officers, agents, representatives, volunteers, & employees are named as Additional Insured as their interests may appear in regards to general liability. This insurance is primary and non-contributory to any other insurance provided! as respects general liability coverage. Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days written notice (10 days notice if due to non-payment) to the certificate holder named below, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. ;,i i iriw-k i r- nVILUMM UAINULILLA I 1UN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 0 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ,dMERCURY INSURANCE,. CALIFORNIA EVIDENCE OF LIABILITY INSURANCE TO REPORT A CLAIM, please call (800) 503-3724 For access to ROADSIDE ASSVSTANCE ONLY, please call (866) 519-6478 This lnsurance cornpines with CVC SI 6056 or $16500,5 NAJC# 27553 r, told in half here A I 555 W, truperial Highway, lura, (7A 92821 THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT Notify the police immediately. Capture the narrics, addresses, telephone numbers, driver license numbers and license plate Numbers of all persons involved and of witnesses. Note any damage to other vehicles. Do not admit fault. Do not discuss the accident with anyone except your agent, Mercury or the police. Immediately report all claims to Mercury at (800) 503-3724. Take phoia5 if possible. rev. 09/13 ------------ t - - - - - - - M�11 culaong(I criI - - - - - - - - - - - - - - - - - - - - - - - - cr— 'AMERCURY INSURANCE,. CALIFORNIA EVIDENCE OF LIABILITY INSURANCE MERCURY INSURANCE COMPANY AGENCY SCHCOLSFIRST INS SVCS LLG(714)� 258.4309 I POLICY NUMBER 0401 09 O'09509552 YEAR MAKE 2010 AUDI NAMED INSURED SERVANDO VAR!ELA ADDITIONAL DRIVER(S) ANGELICA VARELA EFFECTIVE & EXPIRATION DATES 12/10/2015 06/110/2016 VEHICLE IDENTIFICATION NUMBER WAUBFAFM1 AA1 58265 TO REPORT A CLAIM, please call (800) 503-3724 1 For access to ROADSIDE ASSISTANCE ONLY, please call (866) 519-61478 tl This insurance complies with CVC S15056 or S16500 5 NAIC1t,27553 told in half here A THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT Notify the police immediately, Capture the nalnes, addresses, telephone numbers, driver license numbers and license plate cUrnbenOf all persons involved and of witnesses. Note any damage to other vehicles. Do not achnit fault. Do not discuss theaccident with anyone except your - agent, NferCLIT-Y or the police. Immediately report all claims to Mercury at (800) 503-3724, Take photo% if possible. rev. 09113 -------------------------------- YOUR NEW AUTOMOBILE IDENTIFICATION CARDS ARE ATTACHED, KEEP ONE CARD IN YOUR MOTOR VEHICLE WHILE IN OPERATION. - MERCURY INSURANCE COMPANY AGENCY SCHOOLSIFIRST INS SVCS LLC (714) 258-4309 POLICY NUMBER EFFECTIVE & EXPIRATION CATES 0401 09 0109509552 12/10/2015 06/10/2016 YEAR MAKE VEHICLE IDENTIFICATION NUMBER 2010 AUDI WAUBFAFMIAA158265 NAMEDINSURED ACENCY 8CHOOLSFIRST INS SVCS LLC (714) 258.-4309 SERVANDO VARELA ADDITIONAL DR IVER(S) r POLICY NUMBER EFFECTIVE & EXPIRATION DATES ANGELICA VARELA 1 0401 09 009509552 12110/2015 06/10/20116 TO REPORT A CLAIM, please call (800) 503-3724 For access to ROADSIDE ASSVSTANCE ONLY, please call (866) 519-6478 This lnsurance cornpines with CVC SI 6056 or $16500,5 NAJC# 27553 r, told in half here A I 555 W, truperial Highway, lura, (7A 92821 THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT Notify the police immediately. Capture the narrics, addresses, telephone numbers, driver license numbers and license plate Numbers of all persons involved and of witnesses. Note any damage to other vehicles. Do not admit fault. Do not discuss the accident with anyone except your agent, Mercury or the police. Immediately report all claims to Mercury at (800) 503-3724. Take phoia5 if possible. rev. 09/13 ------------ t - - - - - - - M�11 culaong(I criI - - - - - - - - - - - - - - - - - - - - - - - - cr— 'AMERCURY INSURANCE,. CALIFORNIA EVIDENCE OF LIABILITY INSURANCE MERCURY INSURANCE COMPANY AGENCY SCHCOLSFIRST INS SVCS LLG(714)� 258.4309 I POLICY NUMBER 0401 09 O'09509552 YEAR MAKE 2010 AUDI NAMED INSURED SERVANDO VAR!ELA ADDITIONAL DRIVER(S) ANGELICA VARELA EFFECTIVE & EXPIRATION DATES 12/10/2015 06/110/2016 VEHICLE IDENTIFICATION NUMBER WAUBFAFM1 AA1 58265 TO REPORT A CLAIM, please call (800) 503-3724 1 For access to ROADSIDE ASSISTANCE ONLY, please call (866) 519-61478 tl This insurance complies with CVC S15056 or S16500 5 NAIC1t,27553 told in half here A THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT Notify the police immediately, Capture the nalnes, addresses, telephone numbers, driver license numbers and license plate cUrnbenOf all persons involved and of witnesses. Note any damage to other vehicles. Do not achnit fault. Do not discuss theaccident with anyone except your - agent, NferCLIT-Y or the police. Immediately report all claims to Mercury at (800) 503-3724, Take photo% if possible. rev. 09113 -------------------------------- YOUR NEW AUTOMOBILE IDENTIFICATION CARDS ARE ATTACHED, KEEP ONE CARD IN YOUR MOTOR VEHICLE WHILE IN OPERATION. - --- IF'51v -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INSURANCE, CALIFORNIA EVIDENCE OF LIABILITY INSURANCE - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - I I AJMERCURY "Al MERCURYINSURANCE 'AMERCURY INSURANCE CALIFORNIA EVIDENCE OF LIABILITY INSURANCE MERCURYINSURANCE COMPANY w COMPANY ACENCY 8CHOOLSFIRST INS SVCS LLC (714) 258.-4309 AGENCY: SCHOOLSFIRST INS SVCS LLC (714) 253-4308 POLICY NUMBER EFFECTIVE & EXPIRATION DATES r POLICY NUMBER EFFECTIVE & EXPIRATION DATES 1 0401 09 009509552 12110/2015 06/10/20116 0401 09 009509552 12/10/2015 06/10/2016 YEAR MAKE VEHICLE IDENTIFICATION NUMBER YEAR MAKE VEHICLE IDENTIFICATION NUMBER Ii 2011 MASERATI ZAM39JKA6130058336 2011 MASERATI ZAM39JKA680058336 NAMEDINSURED II NAMED INSURED SERVANDO VARELA SERVANDO VARELA ADDITIONAL DFIIVFRQS) ADDITIONAL DRIVER(S) ANGELICA VARELA ANGELICA VARELA TO REPORT A CLAIM, please call (800) 503-3724 a TO REPORT A CLAIM, please call (800) 503-3724 For access to ROADSIDE ASSISTANCE ONLY, please cafi (866) 519-6478 For access to ROADSIDE ASSISTANCE ONLY, please call d366) 519-6478 This insurance complies mth CVG 516056orS16500.5 NAIC#27553 This insurance complies with CVC $16056 or 516500.5 NAIC427553 F, fold in halt here A R fold in half here A 555 W. Imperial 141gluvay, Brea, CA 92821 5551'4. Imperial Highway, Brea, CA 92821 THE COVERAGE PROVIDED BY THIS POLICY MEETS THE THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIM171S PRESCRIBED BY LAW NUNIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU RAVE AN ACCIDENT Notify the police finnrrediaWy, u IF YOU HAVE AN ACCIDENT i » Notify the police unniedrately. LAI; CUPtILUC the names, addresses, telephone numbers, driver license sUlubers and License, plate numbers of all persons inveNed and of witnesses. i s Capture the names, addresses, telephone numbers, driver I icense numbers; mid license plate nurnbers of all persons involvedand of witnesses, Note any darnage to other vehicles. Note any damage to otlier vehicles. Do noladrnit fauft. Do not discuss the accident with anyone except your Do not admit furill. Do not discuss the accident with anyurre exceptyour i Z j— ageni, Mercury or the prifice, agent, meremy or the ixflice. linurediately report all claims to Mercury at (800) 503-3724. Ininiediately report adl clainis to Mercury at (800) 503=3724. 'rake photos if possible,, rev. 09113iP --------------------------------------- Take photos iftmsMlik. rev - 09/ 1,3 --------------------------------------------------- 1 --------------------------------------------- �RANCE, CALIFORNIAEVIDENCEOFLIABILITTYINSURANCE NSIJ -------------------------------------------------------- CALIFORNIA EVIDENCE OF LIABILITY AjMERCURYMERCURY MERCURY INSURANCE AOA INSURANCE INSURANCE MERCURY INSURANCE COMPANY COMPANY AGENCY SCHOOL SFIRST MS SVCS LLC (714) 258-4309 I AGENCY SCHOCILSFIRST [N3 SVCS LLC (714) 2584309 uI POLICY NUMBER EFFECTIVE & EXPIRATION DATES n POLICY NUMBER EFFECTIVE & EXRRATION DATES 0401 09, 009509552 06115/2016 12/15/2016 0,4011 09 009509552 06/15/2016 121,15/2016 YEAR MAKE VEHICLE IiDENTIFICATfON NUMBER I YEAR MAKE VEHICLE IDENTIFICATION NUMBER 2011 MASERAT11 ZAM39JKA6B0058336 20,11 MASERATI ZAM39JKA6B0058336, NAMED, INSURED NAMED (INSURED o SERVANDO VARELA SERVANDO VARELA TO REPORT A CLAIM!, please call (8001) 503-3724 I TO REPORT A CLAIM, please call (800) 503-3724 For access to ROADSIDE ASSISTANCE ONLY, please call (866) 519-6478 i For access to ROADSIDE ASSISTANCE ONLY, jpUease call (866) 519-6478 This irisurance complies with CVC 516056or5165010,5 NAiC#27553 I This insurance complies with CVC 516056 or S 165001 5 NAIC#27553 K� fold! in half here A a r, told in half here A 555 W. Imperial Highway, Brea, CA 92821 555 W. Iniperiall flighway, Brea, CA 92821 THE COVERAGE PROVIDED BY THIS POLICY MEETSTHE a THE COVERAGE PROVIDED BY THIS POLICY MEETSTHE II MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW o MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT IL' YOU HAVE AAI ACCIDENT` Notify the police immediately. . Notify die police mrimcgliaely. Capture the name%, addresses, 1clephone numbers, driver license numbers I . Capture the names, addresses, telephone numbers, driver license numbers and license plate numbers ofall persons involved and of witnesses. i and license plate numbers of all persons involved and ofwariesses, Note any damage to other vehicles. I . Note any dunage to other vehicles, I t Do notadmit fault. Do not discuss the ac6dent with anyone except your . Do not admit fault. Do not discuss the accident with anyone except your' agent, Nfercury or the police. Agent, Mercury or are police. o Immediately report till 0aurns to Mercury at (800) 503-3724. . Immm ediately report all clais to Mercury at l800) 503-3724, Take photos if possible. rev. 09/13 . Take photos tI gx s i111e. rev. 09/13 kp IV 0- c), La 1��> Q 0� 314 1 16,ol YOUR NEW AUTOMOBILE IDENTIFICATION CARDS ARE ATTACHED, KEEP ONE CARD IN YOUR MOTOR VEHICLE WHILE IN OPERATION. LnLes- - - - - - - - - - - - - - - - - - - - -- -- - - - - - - - - MERCURY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - $INSURANCE. CALIFORNIA EVIDENCE OF UABILITY INSURANCE 'AMERCURY INSURANCE,. CALIFORNIA EVIDENCE OF LIABILITY INSURANCE AGENCY AGENCY POLICY NUMBER EFFECTIVE & EXPIRATION DATES POLICY NUMBER EFFECTIVE & EXPIRATION DATES YEAR MAKE VEHICLE IDENTIFICATION NUMBER YEAR MAKE VEHICLE KIENTIFICATION NUMBER NA SURED: ', D V V P"ME5WNSURED AIIIIIIIIIIII111L U L)IG TO REPORT A CLAIM, please call (800) 503-3724 1 TO REPORT A CLAIM, please call (800) 503-3724 Foraccess in ROADSIDE ASSISTANCE ONLY, please call (866) 519-6478 1 For accessto ROAD& DE ASSISTANCE ONLY, please call (866) 519-6478 This insurance complies with CVC 516056or516500.5 NAIC#27563 I This insurance complies with CVC 516056or$16500.5 NAIC#27553 F, told In half here A i K field In half here A 555 W. Imperial Highway, Birea, CA 92821 i 555 W. Imperial Ifiglaway, Brea, CA 92821 THE COVERAGE PROVIDED BY THIS POLICY MEETS THE THE COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY Llmrirs PRESCRIBED BY LAW MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT m IF YOU HAVE AN ACCIDENT Notify The police onmediately. Notify the police immediately. Capture the names, addresses, telephone nUmbers, driver license ournIvris Capture the names, addresses, telephone numbers, driver license numbers and license plate numbers ofal I persons involved and of witnesses. iand license plate numbers of all persons involved and of'witricsse,%, Note any damage to other vehicles, Note any damage to other vehicles. • Do not admit fault, Do riot discuss the accident with anyone except your i Do not admit fault, Do not discuss the accident with anyone except your agent, Mercury or the Police. i agent, Mercury or the police. Immediatzly report aH claims to, Mercuryat (NO) 503-3724. i Immediately report all claims to Mercury at (800) 503-3724. 'Take photos if possible. rev. 09/13 --------------------------------------- Take photos if possible. rev. 09113 1 -------------------------------------------------- 178584 Servando Varela dba Xv Solutions Certificate of Insurance (page 1 of 1) CERTIFICATE OF LIABILITY INSURANCE 82/17/2Q17 12:06:02 M DATE (MM/DD/YYYY) 2/17/2017 „ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE, HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCONTACT ''... NAME: Techinswrance PHONE tea c N4 x }: $00.568-7020 IA✓c. Nod (877) 826-9067 °° 1101 Central Expy. South, Suite 250 :': Tech Insurance EMAIL _ADDRESS: Allen, TX 75010 __..-__. ... INSURER(S) AFFORDING COVERAGEMAIC k INSURER A.: Sentinel Insurance Com an. . ....� 11000 Limited _Py -... _ _ _ . ..,..,,..... ..INSURED INSURER B : Hartford Fire .Insurance QafDppny _... 19682 ..... . Servando Varela dba. Xv Solutions INSURER C : 344 Orange Blossom _..___ . ..__................ _... _._ ................ INSURER o Irvine, CA 9261$ INSURER E INSURER F: COVERAGES CERTIFICATE NUIMBER- RFVIglnN NHM'RFR° 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.. _. (NSRTYPE LTR OF INSURANCE ApDC-'SUBR _...... ..-.w. POLICY EFF POLICY EXP POLICY NUMBER MM✓pp/YYYY MM1DDlYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000.000 S CLAIMS -MADE P OCCUR ..6Ad AA, E"rrT'RENTED ._ 1.000,000 6�R' MISES Ea occurrence MED EXP (Arty one person) S 10,000 PERSONAL 2,000.,000 A(- &ADV INJURY $ A Yes 46SBMUN0237 613012016 6/30/2017 GEN'L AGGREGATE. LIMIT APPLIES PER: I.. S 4,000,000 .1 GENERAL AGGREGATE I POLICY 7 PRO- 7 LOC JECT PRODUCTS - COMP/OPAGG. S 4.000,9 00 _.._.,.... OTHER: AUTOMOBILE LIAaBLITY SINGLE LIMIT COMBINED $ Ea a"'dent BODILY INJURY (Per person) 5 ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS _,..._...__..�__..., BODILY INJURY (Per accident) $ NON-OWNiED PROPERTY DAMAGE HIRED AUTOS AUTOS Par accident S UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE S EXCESS LIAB AGGREGATE S. DED RETENTION$ $. WORKERS COMPENSATION ''i OTH- ANY / N .D EMPLOYERS' LIABILITY SPER TATUTE ..., ER E.L. EACH ACCIDENT $ m ANY PROPRIETORIPARTNEPIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes„ describe under DESCRIPTION OF OPERATIONS below F .. DISEASE -POLICY LIM..IIT B Professional Uabillty (Errors and Omissions) 46TE0294403 103/2017 W312018 $1,000,000 f 51,000,000 DESCRIPTION Of OPERATIONS / LOCATIONS / VEHICLES ACORD 101,. Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana and Its Officers, agents, representatives, Volunteers, & employees are named as Additional Insured as their interests may appear in regards to general! liability. This insurance is primary and non-contributory to any other insurance provided as respects general liability coverage. Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days Wratten notice (10 days notice if due to non-payment) to the certificate holder named below, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.. UCr1 Ii Ir iuA I C r1ULL7C1`1 1, ANJLr1=LLA. I JUN SHOULD ANY OF THE, ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE (EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are regi'ster'ed marks of ACORD ,4 a 0 - -.---- - - - - - - - - - - - - - - - - -- - - - - ---._ - - - - - - - - - - - - - - - - - - - - - ------------ -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I'�„�'r 'CALIFORNIA INSURANCE.. EVIDENCE OF LIABILITY INSURANCE MERCURY CALIFORNIA EVIDENCE OF LIABILITY INSURANCE A4MERCURYf'Wr"" . MERCURY INSURANCE INSURANCE- '0'0A4 MERCURY INSURANCE COMPANY Y COMPANY AGENCY SCHOOLSNIRST MS SVCS LLC 07141 258.4309 I AGENCY SCHOMSFIRST INSSVCS Et C 1714,) 258.4109 tl POLICY NUMBER EFFECTIVE & EXPIRATION DATES I POLICY NUMBER EFFECTIVE & EXPIRATION DATES V(' 0401 09 0095'0'955'2 12/20/2016 06/20/2017 0401 09 009509552 12/20120:16 06/20120117 YEAR MAKE VEHICLE IDENTIFICATION NUMBER YEAR, MAKE VEHICLE IDENTIFICATION NUMBER 2011 MASERATI1 7AM39J IKA6BOO58336 2011 MASERATI 2AM139JKA660058336 TAMED INSURED NAMED INSURED SERVANDO VARELA SERVANDO VARIELA TO REPORT A CLAIM, please call (800) 503.372,4 II I TO REPORT A CLAIM, please call (800) 503-3724 FEJTacce9s to ROADSIDE ASSISTANCE ONLY, pWqse call (EIE6) 519-6478 For access to ROADSIDE ASSISTANCE ONLY,, please call! (8661519-6478 This insurance complies with CVC S16056 or S16500,5 NAIC#27553 Y This Insurance complies with CVC 516056 or 516500 5 NAIC#27'553 n. I IC fold In half here 7 I K fold in half here, A 555 W. [mperial Highway, Brea, CA 92811 i 1:55 W. buixrial flighway, Brea, CA 92821 THE COVERAGE, PROVIDED BYTIHS POLICYMEEI-S T14E i ]'HE C'OV'ERrAGE PROVIDED BY TBIS POLICY MEETS THE 111 MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW MININIUM LIABILITY LIMITS PRESCRIBED BYLAW I FYOU HAVE AN ACCIDENT IF YOU HAVE AN ACCIDENT . Nod ly lbe police ininnediaidy Notify the police . Captwe the natnDs, addremes, telephone nurrikis, driver liecasc Numbers i Capturie the names, adcl tolephoac nurnbcrs, tinvor license numbers and Ncense plate numbers of petsons involvcdand ofwitnesseq. i II and liecTise plate narnbers ofall per:son% inw,0wal and of wittiosscs, . Noicwiydamage, to Wier vohiOvs, re Note any damage w wher vehicles. Do not adma fauh. Do not diseass IhCWCidCnl` %fth nny0nC QXQapt your Donoradmit rauk Do fiat disc Liss flic accidcri't 541ahcmyone except y our agent, Mercury or'the police. i agent, Mercury or the pofice, laintediately repomall clainisto NkrCLIt-yal (00) 303-3724. Irranediawly report all claims to Mcircury at (800) 503-3724 Take pficios ifpisssiblc� rov. . 09/ 13 Take phetw if lxyswible. rev 09/13 ----------------------------- -------------------------------------- YOUR NEW AUTOMOBILE IDENTIFICATION CARDS ARE ATTACHED, KEEP ONE CARD IN YOUR MOTOR VEHICLE WHILE IN OPERATION. --- _�rrLqlongqoqed Lys -:'5....«..».. ,»-.. - - - - - - - - - - - - - - MERCURY; CAUFORNIA EVIDENCE OF LIABILITY INSURANCE MERCURY 7',I INSURANCE. MERCURY INSURANCE '00,1' INSURANCE. CALIFORNIA EVIDENCE OF LIABILITY INSURANCE 6 0 MERCURY INSURANCE COMPANY i COMPANY AGENCY: SCHOCLSFIRST INS SVCS LLC (714) 258-4309 I AGENCY SCHCOLSFIRST INS SVCS LLQ (714) 258.4,109 POLICY NUMBER EFFECTIVE & EXPIRATiON DATES I POLICY NUMBER EFFECTIVE & EXPIRATION DATES 0401 0'9 009509,552 12120,12016 06/2012017 I 0401 109 009509552 1212012016 06120/2017 YEAR MAKE VEHICLE IDENTIFICATION NUMBER YEAR MAKE VEHICLE IDENTIFICATION NUMBER 2007 LAND ROVER SALMF15407A239174 2007 LAND ROVER SALMF15407A239174 NAMED INSURED Y NAMED, INSURED SERVANDO VARIELA SERVANDO VAIRELA TO REPORT CLAIM, please call (800) 503-3724 TO REPORT A CLAIM, please calf (800) 503.3724 For access to ROADSIDE ASSISTANCE ONLY, please Ceti (866) 519-647H For aocess to ROADSIDE ASSISTANCE ONLY, please call (B66) 519-6478 TlhYsIinsurancevonlpliesdvithCVCS16056orS$6500,5 NAIC927553 a This insurance complies with CVC $16056 orST6500,5 NAIC#:27553 K fold In halif here A R fold In half here A 555'41, Iniperial Ifighway, Brea, CA 92821 5.55 W. imperial Highway, Orkni, CA 92$21: THE COVERAGE PROVIDED BY THIS POLICY NII ETSTHE T14E COVERAGE PROVIDED BY THIS POLICY NIEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BYLAW MININIUM LIABILITY LIMITS PRESCRIBED BY LAW IF YOU HAVE AN ACCIDENT r IF YOU HAVE AN ACCIDENT' Ned (y the police innoteckately. Noti N the pofice irm-nediat0y Capiure tho minics,addresscs, tclephone numbers, driver license numbers Capture tire viattics, isildresses. wtcphoric nurnbers, dri ver ficeot nurnben, and Itcvvise plaw nurnbers; ofall pertions mvoved and of witnesic.q. and ficense Flow nuiubcrs ofall pcn.Inis involved and of %Inesscs. Noteany daniage to other velticies. Note any damage to other V cl-neles, Do not 'adink Inuh. Do, rica discuss the accident with anyoriv. execpt your Elio not admit fault. Do Istat discuss ffic accident willianyone except your agent, wreury or the pofice. agent, Nlorcury or the, riolica, Immediately reportafl clairris to Mcrcury at (800) )0,3-8724. r Immediately report all CinurnS Ui Mercury at (800) 503-3724, Take plicaos Of piristsic to, rery 09.13 -------------------------------------- Take photos il'possible rev. 09/ t 3, -------------------------------------- Kathia Reyes A-2014-293PAGE2OF2 Kathia Reyes