HomeMy WebLinkAboutWESTERN AUDIO VISUAL-2016INSURANCE ON FILL
N1oFiK mAY PROCEED
UNTIL INSURANCE EXPIRES
%-2, -14-2-0 I (�a
CLERK OF COUNCIL
DATE: -7 Z,(a ° t (e
CONSULTANT AGREEMENT
THIS AGREEMENT Is made and entered into this 21st day of June, 2016 by and between Western
Audio Visual, a subchapter S corporation entity, (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 "),
A. The City desires to retain a consultant having special skill and knowledge in the field of
audiovisual equipment, service and support.
B. Consultant represents that Consultant is able and willing to provide such services to the City,
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this Agreement
will be performed in compliance with such standards as may reasonably be expected from a
professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms
and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement. The scope
of services shall be in compliance with Proposal Submitted in response to the City's Request for
Proposal, attached hereto as Exhibit B.
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 B. The total sum to be expended under this
Agreement shall not exceed $80,000 during the term of this Agreement.
b. Payment by City shall be made within forty-five (45) 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.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 20,
2017, unless terminated earlier in accordance with Section 15, below. The terra of this Agreement may
be extended for two successive two year periods, subject to nonsubstantive changes, upon a writing
executed by the City Manager and the City Attorney,
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 regutations governing such services.
Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance
Exhibit 2
INSURANCE ON F111
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
t `2 _ I I-Ie 2-0 t (,v
CLERK OF COUNCIL
DATE: '-7 — V, — t tP
CONSULTANT AGREEMENT
A-20116-i56
THIS AGREEMENT is made and entered into this 21st day of June, 2016 by and between Western
Audio Visual, a subchapter S corporation entity, (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
audiovisual equipment, service and support.
B. Consultant represents that Consultant is able and willing to provide such services to the City.
C, In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its geld and that any services performed by Consultant under this Agreement
will be performed in compliance with such standards as may reasonably be expected from a
professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms
and conditions hereinafter set forth, the parties agree as follows:
SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement. The scope
of services shall be in compliance with Proposal Submitted in response to the City's Request for
Proposal, attached hereto as Exhibit B.
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 B. The total sum to be expended under this
Agreement shall not exceed $80,000 during the term of this Agreement.
b. Payment by City shall be made within forty -five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment
need not be made for work which falls 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 June 20,
2017, unless terminated earlier in accordance with Section 15, below. The term of this Agreement may
be extended for two successive two year periods, subject to nonsubstantive changes, upon a writing
executed by the City Manager and the City Attorney,
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
Exhibit 2
and similar taxes relating to employees and shall be responsible for all applicable withholding taxes
6. OWNERSHIP OF MATERIALS
This Agreement creates a non- exclusive and perpetual license for City to copy, use, modify,
reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans,
specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any
tangible medium of expression, including but not limited to, physical drawings or data magnetically or
otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant
under this Agreement ( "Documents & Data "). Consultant shall require all subcontractors to agree in
writing that City is granted a non - exclusive and perpetual license for any Documents & Data the
subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has
the legal right to license any and all Documents & Data. Consultant makes no such representation and
warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not
be limited in any way in its use of the Documents and Data at any time, provided that any such use not
within the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall maintain and
shalt 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 naming the City, its officers, employees, agents, volunteers and
representatives as additional insured,(s) and 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, with $2,000,000 in the aggregate. Consultant shall supply City with a fully
executed additional insured endorsement in substantially the form attached hereto as
Exhibit C upon execution of this Agreement.
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 3700
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. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not
less than $1,000,000 per claim with $2,000,000 in the aggregate.
e. The following requirements apply to the insurance to be provided by Consultant pursuant
to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved by the City.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (34) days prior written notice to the City.
If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been
procured and is in force and paid for, the City shall have the right, at the City's election,
to forthwith terminate this Agreement. Such termination shall not affect Consultant's
right to be paid for its time and materials expended prior to notification of termination.
Consultant waives the right to receive compensation and agrees to indemnify the City for
any work performed prior to approval of insurance by the City.
7. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal Injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal
injury, including death, and claims for property damage, which may arise from the direct or indirect
operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons
acting on their behalf which relates to the services described in section 1 of this Agreement, and (2) from
any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due
by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless
agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief
suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by
reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to
indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for
special counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or
equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from
this Agreement. City may make all reasonable decisions with respect to its representation in any legal
proceeding. Notwithstanding the foregoing, to the extent Consultant's Services are subject to Civil Code
Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section
2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful
misconduct of the Consultant.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Consultant shalt defend and indemnify the City, its officers, agents, representatives, and
employees against any and all liability, including costs, for infringement of any United States' letters
patent, trademark, or copyright infringement, including costs, contained in the work product or
documents provided by Consultant to the City pursuant to this Agreement.
Consultant shall keep records and invoices in connection with the work to be performed under
this Agreement. Consultant shall maintain complete and accurate records with respect to the costs
incurred under this Agreement and any services, expenditures, and disbursements charged to the City
for a minimum period of three (3) years, or for any longer period required by law, from the date of final
payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable.
Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of
such records and any other documents created pursuant to this Agreement during regular business
hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related
to this Agreement for a period of three (3) years from the date of final payment to Consultant under this
Agreement.
10. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such information is
reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or
disclose such information except in the performance of this Agreement, and further agrees to exercise
the same degree of care it uses to protect its own information of like importance, but in no event less
than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential
information Includes not only written information, but also information transferred orally, visually,
electronically, or by other means. Confidential information disclosed to either party by any subsidiary
and/or agent of the other party is covered by this Agreement. The foregoing obligations of non -use and
nondisclosure shall not apply to any information that (a) has been disclosed in publicly available
sources; (b) Is, through no fault of the Consultant disclosed in a publicly available source; (c) is in
rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without reference to
information disclosed by the City,
11. 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 in Certifications,
Exhibit D, attached hereto and incorporated in this Agreement by reference.
12. 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 snail, postage prepaid, or sent by fax 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. Box 1988
Santa Ana, CA 92702 -1988
Fax 714 -647 -6956
With courtesy copies to:
Fred Mousavipour, Executive Director Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M -21)
P.O, Box 1988
Santa Ana, California 92702
Fax 714- 647 -5622
Me
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Fax 714- 647 -6515
To Consultant:
Western Audio Visual
1592 Batavia Street, Suite 2
Orange, CA 92867
Fax: 714- 637 -7272
A party may change its address by giving notice in writing to the other party. Thereafter, any
communication shall be addressed and transmitted to the new address, If sent by mail, communication
shall be effective or deemed to have been given three (3) days after it has been deposited in the 'United
States mail, duly registered or certified, with postage prepaid, and addressed as set forth above, If sent
by fax, 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.
13, 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, the
terms and conditions hereof, shall not bind or obligate Consultant or 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.
14, 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.
15. 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, 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 taw, 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.
allllni • Z.
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.
17. 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.
18. 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 shaft 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.
19. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbefow 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 c
Clerk of the Council
E *a •!
SONIA R. CARVALHO
City Attorney
ANDOVAL
Chi Assistant City Attorney
CITY OF SANTA ANA
DAVID CAVA OS
City Manager
DIED FOR APPROVAL: CONSULTANT
IV � W
FRED M USA IPO este n A dio Vis
Executive irector By: 6�elf i'(�
Public Works Agency Title: SGI t?l ?-V
Tax ID# N 04D 423
PROPOSAL INCLUDING SCHEDULE (OR) RATES AND CHARGES
Imo: IfiE
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy #
relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers,
employees, agents, volunteers and representatives are named as additional insureds ( "additional
insureds ") with regard to liability and defense of suits arising from the operations and uses performed
by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on behalf
of the named insured, such insurance as is afforded by this policy is primary and is not additional to or
contributing with any other insurance carried by or for the benefit of the additional insureds.
3. This insurance applies separately to each insured against whom claim is made or suit is
brought except with respect to the company's limits of liability. The inclusion of any person or
organization as an insured shall not affect any right which such ,person or organization would have as a
claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been given to the
City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701..
(Completion of the following, including countersignature, is required to make this endorsement effective.)
Effective
Policy # _
issued to
this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
*32
CERTIFICATIONS
A6 RH CERTIFICATE OF LIABILITY INSURANCE
00ATE (MMiDDIYYYY)
6/22/2016
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 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
Denise K Hudson Insurance Agency, Inc
ss ss License # OB86530
SSH &B�iYflf
1045 W Katella Ave Ste 240
4 Orange, CA 92867
CONTACT LORRIE SASAN
_NAME; E -- - - -— FAx --
J.41C No ai 3 &6118 A/c x,714 633 3720
EMAIL
rrie@
ADDRESS /orris @denlsekhudson.com
— - -.- —. ...-
INSURERjSJ FFORDING COVERAGE Hall
INSURER A State Farm General Insurance Company
Y
—_— ..._..._.. —_
INSURED WESTERN AA/ INC
INSURER6 State Farm Mutual Automobile Insurance Company
_
26178
1592 N BATAVIA ST STE 2
ORANGE, CA 92867
INSURER C
-----_...—...__..._._......._.._....__....._......._..._.._..._..._.........__.._----_.._.......__..._._—
INSURERD:
_�I
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
'TYPE OF INSURANCE
IAHOL SUER
IN SO VD
POLICY NUMBER
POLICY EFF-1
MMIDDIYYYV
POLICY EXP
MMIOOIYYYY
T ..__._.._ .... ___.
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
92 -EX- 5166.6
0511612016
0511612017
EACH OCCURRENCE_
$ 2,000,000
CLAIMS -MADE JOCCUR
�PkEM 9ESEoo,.cicugDcnae
$ 300,000
MED EXP (Any . ono person)
$ 5,000
PER bONAL&ADVINJURV
$ 1,000000
GENERAL AGGREGATE
$ 4,000000
GENLAGGREGATE
UMITAPPLIES PER
l
r-
POLICY —.] JECT �� LOC
_...
PRODUCTS- COMP /OP AGO
$ 4,000000
OTHER:
iBUSINESS PROP
$ 230,100
B
AUTOMOBILE LIABILITY
375 9392- F17 -75P
06!1712016
1211712016
COMBINED SINGLE LIMIT
(Ea acclpenu,
$ 1,000,000
M ANY AUTO
BODILY INJURY (Per person)
$
___
ALL OWNED aChIEDULED
X AUTOS X AUTOS
. X I HIRED AUTOS .X AOT SWNED
_
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(PCraccWont)__
$
$
/\
x UMBRELLA LIAR X OCCUR
I
92- XC- 0351.6
1211412015
12/14/2016
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$
1 EXCESS LIAB iCLAIMS-MADE
DED RE TEN TION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNER /EXECUTIVE
OFFICER/MEMBER EXCLUDED? �1
i(Mandarory In NH) --
jif yes,de.cnle.under
DESCRIPTION OF OPERATIONS below
NIA
92 -L4- 6790.1
(
0110112016
01/01/2017
X PTATUTE ERH
EL EACH ACCIDENT
- - - - —-
.EL. DISEASE EA EMPLOYE
.... -.... _.._........_ —. __
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
- - -_. ......_....
$ 1,000000
_ _.__......_......._......_.
$ 1,000,000
I
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DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may bo attached if more apace is required)
AUDIO VISUAL SERVICE & INSTALLATION
Business Location #1 6353 Corte Del Abeto, Suite 106, Carlsbad, CA 92011 /Business Location #2 1592 N Batavia St., Ste 2, Orange, CA 92867
Certificate Holder, City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional insured
REVIEWED BY: EUNICE HEREDIA (PG y OF y)
CERTIFICATE HOLDER CANCELLATION
@ 1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/09) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 -04 -2014
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
--
AUTIibRIZEO REPRESENTATIVE
@ 1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/09) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 -04 -2014
� t • = s s jl ► � . I���Ii:��r7�� � � ' ' t tii
Policy No.: 92- EX- 5166 -6
Named insured;
WESTERN 0ING
1 576 N BATAVIA ST STE 2
ORANGE CA 92867.3559
Additional Insured (include address):
CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & REPRESENTATIVES
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
M-6609
Page 1 of i
D
WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the
Additional Insured shown above, but only to the extent that liability is Imposed on that Additional Insured solely because
of your work performed for that Additional Insured shown above.
Any insurance provided to the Additional Insured shall only apply with respect to a claim made or suit brought for
damages for which you are provided coverage.
The Primary Insurance coverage below applies only when there is an "X" in the box.
® Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary Insurance.
Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to
you.
All other provisions of the policy apply,
CREVIEWEDM EUNICE MEREOIA(PG2oF Z4