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HomeMy WebLinkAboutSANTA ANA CHAMBER OF COMMERCE 2 - 2015ENWRARCE ON RLE N -2015 -036 WORK PAY PROCEED UNM �SURANCE ExPIR& CLERK OF Cf}NIIIGtC VV3 DAT f;, CONSULTANT AGREEMENT ®" C bACz, THIS AGREEMENT is made and entered into this 1st day of April 2015 b and between the BtrN(�a'e M. Y P Y Santa Ana Chamber of Commerce (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 ( "City"') RECITALS A. The City desires to retain certain services by the Consultant as part of the City's ongoing effort to encourage the retention and expansion of existing businesses in the City. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreerrient, 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 aprofessional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERN710ES Consultant agrees to perform during the term of the Agreement the tasks and obligations set forth in Exhibit A, incorporated by reference. Except where noted, Consultant shall supply all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services. 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. B. The total sum to be expended under this Agreement shall not exceed $5,000.00 during the term of this Agreement. C, Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting pmeedures. 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. 3. TERM This Agreement shall commence on the date first written above and terminate on March 31, 2016, unless terminated earlier in accordance with Section 12, below, 4. 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- 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. 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 City, its officers, employees, agents, volunteers and representatives as additional insmed(s); (b) be primary and not contributory with respect to insurance or self - insurance programs maintained by the City; and (e) contain standard separation of insured's 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 California state law, 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 cancelled 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 frunish 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 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 To the fullest extent perni tied 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 performed or services provided under this Agreement (including, without limitation, defects in workmanship and /or materials) or Consultant's presence or activities conducted performing 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 indemnification to be provided by the Consultant. 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 infotnnation 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 non - public information. Confidential information includes not only written information, but also infonmation 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 facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92702 -1988 Facsimile: (714) 647 -6956 With courtesy copies to: City of Santa Ana Economic Development Division 20 Civic Center Plaza (M -25) Santa Ana, CA 92702 Facsimile: (714) 647 -6549 and City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) Y.O. Box 1988 Santa Ana, California 92702 Facsimile: (714) 647 -6515 To Consultant: Santa, Ana Chamber of Commerce 1631 W. Sunflower Ave., #C -35 Santa Ana, CA 92704 Facsimile: (714) 541 -2238 Telephone: (714) 541 -5353 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, 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. 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 patty, 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 thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: A. As a condition of such payment, Consultant may be required 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. NON - DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. 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. 15. PROP+ESSIONAL 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 his 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 herein below 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 uiz Ma a� a� Maria D. Htii2ar City Clerk APPROVED AS TO FORM Sonia R, Carvalho City Attorney By: Vw Jobfi M. Funk Assistant City Attorney RECOMMENDED FOF APPROVAL A&<11 / " e de , Exeeufive Director City of Santa Ana �J CITY OF SANTA ANA Da id Cavazos City Manager CONSULTANT David L. Elliott, President & CEO Santa Ana Chamber of Commerce I#'IaiNW, City /Chamber Business Retention Proeram Scope of Work In an effort to encourage the retention and expansion of existing businesses in the City of Santa Ana, the City has established a cooperative business retention program with the Santa Ana Chamber of Commerce, The intent of this program will be to outreach to local businesses and provide local contacts in the City and Chamber and gather pertinent data on their immediate needs, future plans and opportunities for continued growth in the City. This program will fulfill the City's Strategic Plan Initiative Economic Development, Goal 1d of ensuring a healthy, vibrant and friendly business environment. Program: To ensure the City is proactively reaching out to Santa Ana businesses, the City of Santa Ana would like to contract with the Santa Ana Chamber of Commerce to conduct co -op business retention site visits. City Obligations: • The City will provide a business list to provide to retention team members for outreach. • The City will, to its best ability, be available to attend with Chamber members during business outreach meetings. • The City will send a follow -up letter /email thanking the business for taking the time to provide the survey information. Any additional follow -up will be responded to by the City. • The City will input survey data into its Executive Pulse business database, • The City will prepare a monthly summary report for discussion at the monthly meeting. Chamber Obligations: + The Chamber will provide the City a list of Chamber representatives that will be going out on retention visits. • The Chamber will conduct business retention visits (in- person) and will complete the City's approved retention survey with that business. EXHIBIT A • The Chamber shall conduct a minimum of 20 surveys per month during the term of the Agreement. • The Chamber shall submit completed surveys on the 10th day of the following month with an Invoice. • Chamber representatives shall administer the business retention survey and receive responses to a majority of the questions posed. • The Chamber shall participate in a monthly meeting to discuss survey information received. Compensation • For the above services performed by the Chamber, the City shall pay Chamber $300 per month. • For each survey in excess of twenty per month, the City shall pay Chamber $15, • The total amount payable under this Scope of Work is not to exceed $5,000 for the term of the Agreement, • Compensation will be made in accordance with Section 2 of the Agreement. Chamber Contact: David Elliott CEO Santa Ana Chamber of Commerce 1631 W. Sunflower, C -35 Santa Ana, CA 92704 City Contact: Kelly Reenders Executive Director for Community Development sfateFarm STATE FARM GENERAL INSURANCE COMPANY 3' AA 57-OCK ! COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS Ba0e Old ®ln4, ®6,4 R 8331 f -8501 M 001114 3123 Named Insured R- 23- 0450 -FBBA F N SANTA ANA CHAMBER OF COMMERCE C/O MARTY PETERSON 1631 W SUNFLOWER AVE STE C35 SANTA ANA CA 92704 -7460 Businessowners Policy DECLARATIONS COVERAGE SUMMARY JAN 142015 Policy Number 92- CM- E499 -2 Policy Period Effective Date Exp(ration Dale 12 Months MAR 1 2015 MAR 1 2016 The polldcy period bpins and ends at 12:01 am standard time at to premises ocatlon. Agent EDDIEa®UIL R LAE Address S JR 415 N BROADWAY SANTA ANA CA 92701 -4656 PHONE: (714) 617 -7150 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: NON - PROFIT Requested By: Policyholder Policy Premium Discounts Applied: Years in Business Protective Devices Sprinkler Claim Record $ 2,565.00 Prepared JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 008530 290 1 M Continued on Reverse Side of Page N Page 1 of 6 Ho 686 0 BA1 7011 0132a10 DECLARATIONS (CONTINUED) Buslnessowners Policy for SANTA ANA CHAMBER OF COMMERCE Policy Number 92- CM- E499.2 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1631 W SUNFLOWER AVE STE C35 No Coverage $ 123,700 25% SANTA ANA CA 92704 -7460 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEXES) Gov A - Inflation Coverage Index: Gov B - Consumer Price Index: SECTION I - DEDUCTIBLES Basic Deductible $500 Special Deductibles: Money and Securities 250 Equipment Breakdown 500 Other deductibles may apply - refer to policy. N/A 238.3 Employee Dishonesty Prepared JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP -4000 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. $250 008830 Continued on Next Page Page 2 of 6 SPaBe��jjFarm DECLARATIONS (CONTINUED) Businessowners Poll for SANTA ANA CHAMBER OF COMMERCE Policy Number 92- CM- E499 -2 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" Indicated, please refer to that policy provision for an explanation of that coverage. flVA"i Prep JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc „ with its permission. 008831 290 Continued on Reverse Side of Page Page 3 of 6 N LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) flVA"i Prep JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc „ with its permission. 008831 290 Continued on Reverse Side of Page Page 3 of 6 N I �] di7 A_\ T � i E ►7: i EY (KM] � Y i t c L I l d i)' Businessowners Policy for SANTA ANA CHAMBER OF COMMERCE Policy Number 92- CM- E499.2 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Employee Dishonesty Loss Of Income And Extra Expense lyk/ LA CY" LIMIT OF INSURANCE $10,000 Actual Loss Sustained - 12 Months Prepared JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 OMP -4000 Includes copyrighted material of Insurance Services Office, Inc,, with its permission, 008831 Continued on Next Page Page 4 of 6 SPaPeFarm DECLARATIONS (CONTINUED) Businessowners Policy for SANTA ANA CHAMBER OF COMMERCE Policy Number 92- CM- E499.2 SECTION It - LIABILITY Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form FE -6271 Amendatory Endorsement CMP - 4705.1 Loss of Income & Extra Expnse CMP -4710 Employee Dishonesty CMP -4709 Money and Securities FE- 6999.1 Terrorism Insurance Cov Notice CMP -4804 Addl Insd Club Members CMP- 4788.1 Addl Insd Mgrs Lessor of Prem FD -6007 �Inland Marine Attach Dec Prepared JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 008832 290 Continued on Reverse Side of Page N Page 5 of 6 LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $3,000,000 Coverage M - Medical Expenses (Any One Person) $10,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $6,000,000 General Aggregate $6,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form FE -6271 Amendatory Endorsement CMP - 4705.1 Loss of Income & Extra Expnse CMP -4710 Employee Dishonesty CMP -4709 Money and Securities FE- 6999.1 Terrorism Insurance Cov Notice CMP -4804 Addl Insd Club Members CMP- 4788.1 Addl Insd Mgrs Lessor of Prem FD -6007 �Inland Marine Attach Dec Prepared JAN 14 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 008832 290 Continued on Reverse Side of Page N Page 5 of 6 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY stateFaam INFORMATION PAGE 23- 0450 -FBBA POLICY N0. 92- CQ- F524 -7 COVERAGE IS PROVIDED BY REPLACES N0. 92- BL- F765 -6 STATE FARM FIRE AND CASUALTY COMPANY 900 OLD RIVER RD, BAKERSFIELD CA 93311 -9501 1. NAMED INSURED & MAILING ADDRESS NCCI CARRIER CODE NO. 14842 SANTA ANA CHAMBER OF COMMERCE FEIN 951190030 ATTN MARTY PETERSON LOCATION: 1631 W SUNFLOWER AVE STE C35 1631 W SUNFLOWER AVE STE C35 SANTA ANA CA 92704 -7460 SANTA ANA CA 92704 INSURED IS NON PROFIT CORPORATION COPYRIGHT 1987 NATIONAL COUNCIL ON COMPENSATION INSURANCE 2. THE POLICY PERIOD IS FROM 02/01/2015 TO 02/01/2016 12:01 A.M. STANDARD TIME AT THE INSURED'S MAILING ADDRESS. ---- -------------------------------------------------------------------------- 3A. WORKERS COMPENSATION INSURANCE: PART ONE OF THE POLICY APPLIES TO THE WORKERS COMPENSATION LAW OF THE STATES LISTED HERE: CA B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3A. THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE: BODILY INJURY BY ACCIDENT $1,000,000 EACH ACCIDENT BODILY INJURY BY DISEASE $1,000,000 EACH EMPLOYEE BODILY INJURY BY DISEASE $1,000,000 POLICY LIMIT C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO ALL STATES EXCEPT ME, MT, ND, OH, RI, WA, WV, WY AND STATES LISTED IN 3A. D. THIS POLICY INCLUDES THESE ENDORSEMENTS AND SCHEDULES: WCOOOOOOB WC040360A WC040601A WC000404 WC040104 WC040416 WC040301B WC040105 FE -4893 ------------------------------------------------------------------------------ 4. THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATING PLANS. ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE BY AUDIT. ------------------------------------------------------------------------------ PREMIUM BASIS TO- RATE /$100 ESTIMATED CODE NOS. AND TAL ESTIMATED AN- REMUNERA- ANNUAL CLASSIFICATIONS NUAL REMUNERATION TION PREMIUM ---------------------------------- - - - - -- ----------- - - - - -- --- -- - - -- --- - - - - -- 8742 91,500 1.02 933 SALESPERSONS - OUTSIDE 8810 CLERICAL OFFICE EMPLOYEES - NOC COMPANY SURCHARGE FOR INCREASED EMPLOYERS LIABILITY LIMITS TERRORISM 9740 207,692 299,192 NE 03 1,682 115 .I MINIMUM PREMIUM $ 250 CALIFORNIA TOTAL ESTIMATED ANNUAL'PREMIUM $' 2,820 PREMIUM ADJUSTMENT PERIOD SHALL BE QUARTERLY DEPOSIT PREMIUM $ 846 STATE FRAUD SURCHARGE $ 2.10 SEE SURCHARGE OVERFLOW PAGE PREPARED 11/20/2014 COUNTERSIGNED WC 00 00 01 04 -84 'Fs 80 2057 8120 BY AGENT WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY SURCHARGE OVERFLOW PAGE ® ®„ PAGE NO: 01 23 -0450 FBBA POLICY NO. 92- CQ- F524 -7 COVERAGE IS PROVIDED BY STATE FARM FIRE AND CASUALTY COMPANY 900 OLD RIVER RD, BAKERSFIELD CA 93311 -9501 1. NAMED INSURED & MAILING ADDRESS SANTA ANA CHAMBER OF COMMERCE ATTN MARTY PETERSON 1631 W SUNFLOWER AVE STE C35 rPREPARED 11/20/2014 �,innnnnnn i c n n A l l FEIN 951190030 LOCATION: 1631 W SUNFLOWER AVE STE C35 CA SURCHARGE $ STATE ASSESSMENT $ LBR ENFMT COMPL ASMT $ OCC SAFETY HLTH FUND $ SUB INJ BENEFITS ASMT $ UNIN EM BENEFIT ASMT $ 15.60 10.50 2.10 1.80 1,20 1,50 Exhibit: 13 ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company: Slate F+artn Inuurance This endorsementmodifies such insurance as is afforded by the provisions of PolicyNtimber; 92- CMti- 499 -2 relating to the following: 1. ',the City of Santa Ana, 211 CMo Center Plana, Santa Ana, California 927191, its elected and appointed officials, its officers, employees agents, volunteers and ropresetitatives are names as additional insured with regard to liability and defense of snits arising from operations and uses performed by or on behairof the named insured. 2. With respect to claims arising out ;of the operations and uses performed by or on behalf of the names insured, such insurance as is afforded by this policy is primary and is not additional to or to contributing with.anty other insurance carried by or fooribe benefit of the additional insured. 3. This insurance applies separately to`each insured agaitastwvhom clahn is or wit is brought except With respect to the 00irlsany's li nit.of liability. Thi's inclusion of any person or organtxation as an insured shall not affect any right which is such person or organization would hawse as claimant if not So included. 4. With respect to the additional insured, this insurance shall not be aancellted, or:inatorially reduced in coverageror limits except after thirty (M) written notice has been given't'ho City of Sartta:A,na, 20 Civic Center Plaza, Santa Ana, California 927111. ffe c,tive Ivlaircli tt9, 2015 this endorseraaent form as a part of'Policy Number, `92 -CME -499 -2 Issued to Saints Ana Chamber an'fC'ammeirsn Countersigned by *—/� am tthorized Rcpnc nlativc I— T A b CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYYI 05/8112016 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 AFFORDEED 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 HOLDEK IMPORTANT; If tho certificate holder Is an ADDITIONAL, INSURED, the policy(im) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statOMOnt on this certificate sloes not confmr rights to the certificate holder In lieu of such eadorsement(s). PRODUCER Eddie Quillares Jr. State Farm Agency 415 N. Broadway Santa Ana, CA 9270 NAME T EdUie uiUare Jr_ PRONb j 714 61 FA c o :714.61 7158 ADaRESa eddie eddi inaurance,Cam INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: St& teFafn15lre and Casual_t+LCompany 26143 Li INSURED Santa Ana Chamber of Commerce INSURER B.State Farm General Insurarg.,g QqMpp,n.y,__.__. PREMISES N11 n urrenee} IN5URERC: MEO EXP (An one LM4on 1631 W. SunfIOWerAve STE C 3 5 PERSONAL R ASV INJURY $ 31004,000 Santa Arta, CA 92704 11 V: OENERALAGGREOATC 5 6,004,000 � GEN'L AGGREGATE LIMIT APPLIES PER' POLICY PRO Lac ATTN: Marty Perterson MSIJURE: ENSURER F COV15aAGES C514TIF'ICATI= NUMBEIZ75d)450 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES QF INSURANCE LISTED SEwLOW HAVE 6EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INIDiCATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIDN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUI3JECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN'rR TYPE OF INSURANCE 0. POLICY NUMBER POLICY EI=F MMIDalYYYY xP 1DQaYYY LIMITS A GENERAL LIARIUTY COMM I:RCIALGENERALUABILITY ..,i CLAIMS -MADE D OCCUR Y 92 -CM- 15H499 -2 G 03!0112016 03!0112617 EACH OCCURRENCE $ a,aao,aoo �-1 PREMISES N11 n urrenee} $ 340,404 MEO EXP (An one LM4on 5 10,000 PERSONAL R ASV INJURY $ 31004,000 OENERALAGGREOATC 5 6,004,000 � GEN'L AGGREGATE LIMIT APPLIES PER' POLICY PRO Lac PRODUCTS- COMPIORAGG 8 6000,000 $ ALJTOM0BI E UASILTY ANYAUTO ALI, OVAtED SCHEDULED AUTOS AUTOS LN-CWIIED HIREDRUTOS gUTQS ❑ 431 6546-COI-75 60l0172011 4/p912p1i CO oiNER L I I ant s I { W01LY INJURY IPer person) 1,000 SOOILY INJURY (Fier acs &rV) S 1,00 PRTPERT DA9,7 Pereccid F S 1,0000 5 _ i1MSRLI J A L1,1 EXCESS LIAR OCCUR CLAIMS MAD III E ❑ EACH GCCURREtdCE $ AGGftEOATE �W� S DEO RE ENTIONR C WORKER$OOMPFtNSATIRN AND ENPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERJEXECUTIVE OFFICEWFMQER EXCLUDED? IMandatory In NHI Ifyes, dest;Pbe under N A I Y JRa"E966 -6 02f0112p1G I t12f0112017 x TORY cSLATU_ C7TrH E.L EACH ACCIDENT S 1,000,00() E.L. DISEASE - EA EMPLOYE $ 9,000'wo E.L. DISEASE - POLICY LIMIT $ 1,000,000 ID56CRIPTION OF OPERATIONS I LOCATIONS I VEHICLRS (Atrarh ACORD 109, AtI(Wonal Remarks 50edule, IT tours spaatf Is MgUIMM V" City of Santa ADS SHOULD ANY OF THE ABOVE DESCRIBED POLITIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF:, NOTICE. WILL BE DELIVERED IN 20 Civic CeEtter Plaza ACCORDANCE WITH THE POLICY PRR105IONS. Santa Ana, CA 92701 AUTHO SEHTA ell m 1488 -2616 D CORPORATION. All rights reserved, ACORD 25 (20161045) The ACORD name and logo are registered marks of AC 10014BG 132944,7 03 -01 -2012 Exhibit 0 INSURED ENDORSEMENT' 1',"OR F-'RAL. LIABILITYPOLICY Insura,nee Company Marta; Fwrn Inswrance 11iis 'en(forsernent InOdAs sudi hsuranoo is is aflbrded by the provisions of POicy Nlllllbcr. 92-C`lM-E499-2 relating to the followiiig� W 'The City of Samra Am NJ (Adc Plazi Samw Ana, MGM 15701; A dected and appolulled officials., A Max CmPhyms, at! ,ents volunteers and ws additiom'd insurQd wah regard to liability and dd iwc of suRs ulWg Rom cToMms aml u,s,oq perf6rn)cd by, �or on tichalf'offlic, named insured. 2) Allihrospoctrooassa&iigadortQoperal,ior:isa,tidtiscs[wrtnmed Cal, car aura bebtfofHaar naines insured, stwh insuranocas is alMed by iMs policy is priniary and rs not -,uld fuss n;al to or to contributing "it any ather insurance carded by or fbr tho 1)��,nefit of the ackfitional insurm,l 3) 'Tins insurancc, a4ppjjcs to tins h immed agwml Awn chki A or Al A bwuolt vXCUP1 widl YOPM1 U) die compall� "S' fifnit of 11why. Ills awwwon of agy Paw w cmVmAzwiwi as an insurod shaH tioi al'F6.-,t any, rigylit which is such pt,rscffl Or orgairlizafirwj %wuld liave as clairviant if not so included- 4) W)th respect to the ackhtional in,sured. this insurance shalt not be cancelled, or inatcrially reduccd in covcraj. ,c or 1jinks excepi after thirty (30) w•itlo'l n0ficQ has bo,Fl givon tollic City� MM An* 20 Civic Plaza. Sxila Awa, Calilk,,wnia 92701 Eff-'ccn%,e, March 01, 20 16, this endomenten! Onn as a pan of My MW 92-(M-F.499-2 Ismud lu ;Santa Ana ("liambe• of Commerce C.ounrmigncd AVvvjz