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HomeMy WebLinkAboutCOMMUNITY VETERINARY HOSP 1City of Santa Ana Clerk of the Council ,r. AGREEMENT TERMINATION FORM GOT Qfiice Use Only Please complete this form when the attached agreement and allR d amendments (if any) are no longer in effect MER" , F Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. t The agreement with Community Veterinary Hospital No. A-2001-228 was completed on 08/01/2015 and final payment has been made. (List all amendments. Use space below if needed.) Department: Police Department Phone/Ext.: (714) 245-8004 Signature: Date: 08/78/2015 Revised M23-10 MAYOR Miguel A. Pulido MAYOR PRO TEM Patricia A. McGuigan COUNCILMEMBERS Claudia C. Alvarez Lisa Bist Alberta D. Christy Brett Franklin Jose Solorio October 16, 2002 0 )cation I., CITY OF SANTA ANA OFFICE OF THE CITY ATTORNEY 20 CIVIC CENTER PLAZA M-29 • P.O. BOX 1988 SANTA ANA, CALIFORNIA 92702 (714) 647-5201 • Fax (714) 647-6515 Community Veterinary Hospital, Inc. Dr. William A. Grant II 13200 Euclid Garden Grove, California 92843 Dear Dr. Grant CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Patricia E. Healy Pursuant to the Consultant Agreement #A 2001-228, which you entered with the City of Santa Ana, Section 3 — "Term", the time period of said Agreement is hereby extended from December 31, 2002, until December 31, 2003. The insurance certificates and Additional Insured Endorsement are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions in this regard, please feel free to contact Sergeant Marty Shirey at (714) 245-8015 Sincerely t UL M. WALTERS Chief of Police Cc: Clerk of the Council APPROVED AS TO FORM JOSEPH W.FLETCHER I By aura Shee y Assistant City Attorney C 5 879 iNUIRANICIE JIB ON FILL , WORK 'SAY PROCEED A-2001-228 CURK OF COUNCIL PALM � '� � '� � CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this�_ day of� 2001 by and between Community Veterinary Hospital, Inc., a California corporation (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 veterinary medicine to provide veterinary services for sick and injured animals brought into the City's animal shelter, and to provide euthanasia when necessary. 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: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in City's Request for Proposals and Consultant's Response, attached hereto as Exhibit A. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement, shall not exceed $80,600.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on January 1, 2002 and terminate on December 31, 2002, unless terminated earlier in accordance with Section 12, below. The term of this • 0 Agreement may be extended upon a writing executed by the Chief of Police 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 and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, agents, volunteers, and employees 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. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. 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. 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. 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 in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. 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 right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. 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. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of • like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: Chief of Police City of Santa Ana 60 Civic Center Plaza (M-97) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 245-8007 and, City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) 4 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Consultant: Community Veterinary Hospital, Inc. 13200 Euclid Garden Grove, California 92843 Telefacsimile (714) 537-1971 Attn: Dr. William A. Grant II A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. • 12. TERMINATION This Agreement may be terminated by the City upon 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 law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be governed and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney y: La L1e La a Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: '010VAUL M. WALTERS Chief of Police 7 CITY OF SANTA ANA -L 2 DAVID N. REAM City Manager CONSULTANT y� WILLIAM A. GRANT, II Chie of Staff 5- a��3bifk Employer ID # or Individual SS # 9� E Scope of Duties (Community Veterinary Hospital) 1. Refer to RFP 2. After hours emergency veterinarian service may be sub -contracted to Orange County Emergency Pet Hospital. EXHIBIT q, 0 • 1.0 SCOPE OF WORK _The City may contract -with more than one vendor in order to completely satisfy the scope of wort required. Please indicate which services you are able to provide. If you are unable to completely satisfy or must deviate from specific requirements, please explain in detail on a separate sheet. Work under this contract includes, but is not limited to: Complies? (circle one) 1.1 General 1.1.1 Availability of a veterinarian 7 days a week between the hours of yes /6) 8:00 am and 7:00 pm. 1.1.2 Ability to accept and diagnose injured animals brought in between �e / no the hours above and to be examined by the attending veterinarian within 3 hours of their arrival at the facility. After hours care for injured/sick animals to be provided by either the vendor or the Orange County Emergency Pet Clinic. Animals taken to OCEPC shall be transferred to the contracting vet for further treatment and housing the following morning. 1.1.3 Providing housing for all injured animals in impound. If the es / no vendor cannot accommodate the volume of injured animals, the vendor shall dispatch a licensed veterinarian or veterinarian technician to administer medication and check condition on a daily basis. Ideally, the veterinarian's facility should be capable of accommodating a minimum of 10 dogs and 5 cats from the City shelter at any given time. 1.1.4 Performance of medical exams on all types of animals as required. es no 1.1.5 Supervision of all medical testing. Pe /no 1.1.6 Follow up and continued care, both at the vendors facility and at yes / no the shelter as needed, on all sick and injured animals. . 1.1.7 Availability to assist with injured large livestock if required. / no 1.1.8 Employment of a competent staff, capable of dealing with various es / no personality types with care and consideration. 1.1.9 Availability of a veterinarian technician to assist with shelter needs at / no contractors discretion and direction. 1.1.10 Ability to work with special interest and rescue groups in order to es no adopt those animals whose injuries will allow it. 1.2 Technical 1.2.1 Performance of spaying/neutering of adopted cats/dogs within three days of adoption (approx.1,700 dogs and cats annually). Complies? (circle bne) no 1.2.2 Provide suture removal and post-surgical follow up of adopted pets ((yep /no at no additional cost to the City or pet owner. Any further service �U or ongoing services between the adopted animal's owners and the veterinarian and related costs are the responsibility of the pet owner. 1.2.3 Provide required rabies or other vaccinations to all adopted es no dogs/cats, and all owner redeemed unvaccinated dogs. 1.2.4 Performance of euthanasia by injection and disposal of animals �/ no (Approx. 1,500 annually). This includes unwanted, healthy pets when requested and deemed appropriate and authorized by. Animal Services staff. 1.2.5 Perform necropsies on animals as necessary and document results es / no for possible court prosecution. 1.3 Administrative 1.3.1 Order and distribute tranquilizer and euthanasia drugs to Animales / no Services Officers use in the field. U 1.3.2 Provide examination and diagnosis of all animals impounded for/ no cruelty investigations, accompanied with professional opinion of v animals condition and probable causes or contributing factors. Determine and advise shelter staff when animals have been abused and provide documentation for prosecution when necessary. 1.3.3 Provide ongoing support to management and operational staff of e / no the shelter. 1.3.4 The Contractor shall maintain and provide to the City records on each s / no treated animal with the following information: Date of treatment; description v of animal (including whether spayed or neutered); age; gender; tag information; owner information; treatment provided • 0 2.0 QUALIFICATIONS 2.1 ' Vendor shall possess or employ Rersons possessing a valid State of California Veterinary License and valid DEA License for narcotic drugs. Vendo shall comply with all requirements stated in th Californa e�rp-Pra isti e Act o 9. L` 2.2 In order to minimize transpovendor's facility s abated within a 5 mile driving distance of the shelter. 2.3 The vendor shall, prior to contract award, shall furnish the City with an insurance certificate evidencing that it carries the amounts required as prescribed by the City Attorney and shall list the City, its officers, employees, agents, and representatives as additional insured. 3.0 PROPOSAL REQUIREMENTS 3.1 One (1) original and three (3) copies of the proposals are due in the office of the City of Santa Ana Purchasing Division, 20 Civic Center Plaza, Fourth Floor, not later than 5:00 pm, Monday, October 29, 2001. Proposals shall include the following: 3.1.1 A summary of personnel currently employed by the contractor who would be performing work under the resulting contract indicating position titles, names, years of experience, qualifications (include bilingual capabilities and specify languages), California veterinary license numbers, the number of employees in each position. 3.1.2 Provide a complete list of available services and vaccines. 3.1.3 The name, address, contact name, and phone number of five (5) clients to whom you currently provide these services. 4.0 CRITERIA FOR SELECTION 4.1 A committee of City staff members including representatives of the Finance and Police Departments and the City Attorney and City Manager's Office will evaluate proposals. The selection committee may interview final candidates. 4.2 Evaluation of proposals and interviews will include the following criteria (in no particular order): 4.2.1 Experience and reputation of the vendor as documented by reference check. 4.2.2 Experience and credentials of key personnel assigned to the project. PROPOSAL FORM'— PART I Responding to a Request For Proposal due. not later than 5:00p.m., October 29, 2001 the undersigned Offeror agrees to furnish VETERINARY SERVICES in aocordance with RFP 01-127. I/We have stated herein the price(s) shown at which I/we will furnish and deliver the specified services. Where there is a discrepancy between words and figures WORDS SHALL GOVERN. ITEM UNIT DESCRIPTION 2 3 4 5 6 7 8 Hourly Veterinary treatment visit at shelter iii, iATiq� .,• % 'T3; +' i : t'_' 1 (8 am to 7 pm, no portal-to-portal charges allowed) Hourly Emergency veterinary treatment visit at.shelter (between 7 pm and 8 am, no portal-to-portal charges allowed) Hourly Veterinary treatment at vendors facility'(8 am to 7 pm) Hourly Veterinary technician treatment visit at shelter (8 am to 7 pm, no portal-to-portal charges allowed) Hourly Emergency veterinary technician treatment visit at shelter (between 7 pm and 8 am, no portal-to-portal charges allowed)) Hourly Veterinary technician treatment at vendors facility (8 am to 7 pm) Each Euthanasis and carcass disposal Each Necropsy and carcass disposal O ate NAME OF F ROR (PERSON, FIRM, CORP.) COST i it i 3 iii, iATiq� .,• % 'T3; +' i : t'_' 1 SMKATURE OF AUTHORIZ REP DR. WILLIAM A. GRANT II COMMUNITY VETERINARY HOSPITAL, INC, J ADDRESS BANOE 0EUCUD .?8;3 NAME &TLE (please print) ADD SS /0 3 7- o TELE HONE NUMBER Person authorized to bind bid: ANY AND ALL ADDITIONA —'— L Ia%-U1Y1L,:1Y 1.7, Ct%1LUJILM 1 U STIPULATE SHALL BE CAUSE FOR DISHONORING ANY ADDITIONAL CHARGES. �'77� Fu,�,✓ Cr/ cZ� -ZZ76/ C47,—,V as U DATE FA IMILE NUMBER .5-o vp Z viaws PROPOSAL FORM — PART II Responding to a Request For Proposal due not later than 5:00p.m., October 29, 2001 the undersigned Offeror 'agrees to furnish VETERINARY SERVICES in accordance with RFP.01-127. I/We have stated herein the price(s) shown at which Uwe will furnish and deliver the specified services. Where there is a discrepancy between words and figures WORDS SHALL GOVERN. ITEM UNIT DESCRIPTION Each _ Spaying & neutering 10 Day Board & care for recovering animals 1 I Hourly Documentation preparation (relating to cruelty investigations, for use in prosecution when necessary). 12 Each Vaccinations COST Provide a cost breakdown on a separate sheet Qa $ $ Provide costs of available vaccinations on a separate sheet 13 Materials and supplies other than those listed above to be + / - % invoiced at list price plus(+) or s (-) {circle one} 411, Date,�7*/� AME OF O F ROR SIGNATURE OF AUTHORIZED (PERSON, FIR)5R. WJ�M A. QRANT 11 COMMUNITY VETERINARY HOSPITAL, W. IS= EUCLID ST_ ADDRESS OWENGROVE,CAgM NAME & TITLE (please rint) AD RESS 7— 7=3 IFQ T2ftPHONE NUMBER Person authorized to bind bid: l ae DATE (71V) ea FACSIMItE MBER "P,fnt Name ' ANY AND ALL ADDITIONAL COST MUST BE INDICATED IIS' fb bdQ' STIPULATE SHALL BE CAUSE FOR DISHONORING ANY ADDITIONAL` y A i R9T " • EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # _ Issued to this endorsement form as a part of Named Insured Countersigned by Authorized Representative 11 f, r ORD. CERTIRWATE OF LIARI - - - C_i•fi�t#-: -11 32 1 ___-!:'0MmLV�TF- I..ITY lh-sANCE p"Z�imre-ri}r•r;_---- i-/ 06/C2 ?t;opUccR THIS CERTIFICATE IS ISSUED AS A MATTE,9 of I•^IFaRMATFO Z19S�:C ctt.L'Jn unit: ONLY AND CONFERS NO RIGHT6 UPON Tile CERTIFICATE APED Insurar_ce S- Financial Services I "OLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3J� 5'�alnu r � Strunt L.— ER THE COVERAGE AFFORDED RY THE POLICIES mEI OW. I:zzluood C4 Ly; -CA _ 94 C, E3 INSURERS AFFORDING COVERAGE CammuT)Ity Veterinary Hosplzai, ITu. ;NSLHE9A r Irefriar ' u Td=nsuzdrlCE 13200 EUCIid Street -- Garden Grove, CA 92843 INSURen D. - IINSuriERF "-- —' I-uvtRAwI=t THF FO�-CIFS Sr- INSURANCE LISTEN BELOW HAVE BEEN ISSUED TO THE INSuPEP NAMCD ADJVE FOR THE POLICY P_FI1OD INCICATEO. NOY ANY REGU;REME WIThlSrAr) [)q NT: TEEM (.9 CONDITON OF ANY CONTRACT Uti OTr•Ic"9 DOCUMENT 'KITH RESPECT TO uVrf:Ch1 THIS CERTIFICATE MAY 819 ISSUED DR MAY FEP.TA'N, THE INSUP,ANCE AFFOg020 BY THE PO: ICIFS DESCRIEED HCR;9h IS SUBJECT TO ALL THE TFAI.IS, EXCLUSIONS ANO CONDITIONS OF SUCH PO' ICIEo TYPE Of e. UAK Cies S;�OY1� MAY HAVE BEEN RE000Ep BY PAID nL1E`eetwE hOAicr xAi AT ---'--' -- LIMITS r��__ c I•. T SHOWN v lIi-. ° POLIDY NUMOUR rir,I:DDlYY} DTE MMD NYt I Pr erJ;-na u•alu-t AZ 8 0! 11C-086 10,/ v l 0 2' 10 G 1 �A�rl �.cuFrevc:j , ._ .1.'��I'IM'/+.-;a,GGfvG(;A,._+n8rl�r{ , --+�i r 600 ._ 00-- i s n 1 I i I IFRFOAmAGEtAn o c al Nalre'-i3� OG -,_CGS M pE r X. CCCum 1 _.'!: - —_ rEnsoranL a n?v Ir.lu�} b� , 0 0 0. 000 i i GENERAL AOOfj2OATE ! s2 COO ,-0 0 0 `OWN':IGGFF.GAIE.Iti11TAP'LIESPER: j I "" -'- �--r IQ -'N" — j j pri O• J PACOUCTS _COMP;CF nrr ! #2 ! _Poo, 0 0 PxICY r I I LOC I I ! AUTOYO6ILE UASIL!TY I -- --' ANY AUTONo C�v1BYV60 6 hG:F. 41 M'1 azdesiq y I Al,rXVri!iC A..7O3 �. �_ _... .. i .=fIi:CULEG.�I:'TCS I I i a•:OILY I ; tFv�Par90 URY _. MR—) AJTQ -- ----- j N-X"O^a O ALITp6— I 130DILY !N•tURY I 'FG, amloarf) i ?10P:ATr D1,MAGS ,Pv' o�aldcnq I ? GARAGE UAdILITY i q•�Y AUTO AUT'0 C+,'LY AC .. - ---_--.._-.E..A IOGNT i OTHEq THAN EA ACC Y I AUTO ONLY LEXCE39 UAHILi7Y I ' aCCUP i G -A MS MAUE ! ' -ACh._OCCUFlflcNCE 15 I _ .. _ ------ — i I AGGREGATE -- _ vr,r4 Cr K—E E ReTF rIJN i _ I �•P ._. ... A I WORKPRECOMPSNSAMN W4 ItJ�n8:i907523 1 EIAPLCYER6' LiApIU)Y J f� l`JC S A (07% 01/02 0 i; 0-./ ,3 X ;a:� ; T Y' i..T6_.- ._;_tee–! -----__-_ i EL FILCH ACCIP. P;T .. �� , 000,000 0:9EAJC EA fNfm aYGEI��-r I}C 0 0 00 A OT;hER ��;.e,T s o.r.a1. If,L�aC7100£iE . ;POLICY i.IMIT 0 C 0f 0 0 0110/01/01 '10/01/03 !$1,000,000/$2,000,000Liabilit P"CR)PTION OF CPERAnt?N6ri0CKTIOtirJVEHiCI:Sl;YCLUSICNS ADDeD OY ENOORSE;MENT16PECiAL PR,7VI&ICNG Certificate Holder .is :lamed Add'1 Insured as respects to Veterinary Services per-ormed by the ra*red inol red.. ].3200 Euclid St.; GARDEN GROVE, CA - COmmunity Veterirnary gospi.talInc IJoc## 2 - 1322C Eucl-d St. ; GARDEN GROVE, CA - Anir,Tal Fr'iendo Pet :iotel Loc#f� 3 - 13252 EucI.ici 5t.;GARDEINT GROVE, CA - Anil al Discount Clinic CERTIFICATE HOLDER X i Accilnnae _ _-HOJLOANYOFTMEANOVEDRgCR:'6iEFP0�10166 REG0.NCE:.LkA3EFOFEr.•TEEXplCATON pity of Santa Ara DAT£ TH!AEOF, THE ISSUfNG INSUR2,4 W't-L}1QCP.Sit<R':�L9PdAfL 20 Ciul,- Center N:a, M,3() !Nonc_roT;•e crRnF:ca,£ HOLu�P�rAatATaTHeL�F-.�Q���� S.t)Ita Ana, Ch 92702 laat�,:x�t�c��m �EaEt�rt�lxs,c AUTH ^`ZED PEPRE3ENYAr)VE — '— ---- ACOR0 26.8 17x07) 1 p r ? #i 4 4 0 0 8 =, CL�h.IdTJ VE`: E. -- t�AP T O ACORO CORPORATION Uio _ AraSheed �e l)ty Cit Attornev IMPORTANT It the corlifiowe 11.019e� Is an ADDITIONAL INSURER, the policy(les) must be enuarsed. A stata;nert an this cer0licate dogs nor confer rights to the certificate holder in lieu of such endorsemant(s,,. It SUBROGATION IS WAIVED. subject to the lerms and Condtticns of the policy. certain, policlea may require an endorsement. A statement an this certifica!a does not confer rights to the certificate hof: sr In lieu of such endorsement(s). DISCLAIMER I The Catji(icate Oj In6ufajlCe on the feVefSB elle of It1I1 farm rinac nnl nnnei:�.•�a a .�. _. 1_..__ _ ' POLICYNUMSER: t; C8u7:�O,dn • COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT Ct{ANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Narrie of Person Or Orga-iization; City of Sana Ana 20 Civ_c Center Plaza, NI -30 Santa Ana, CA 92 702 (If no entry eppears above, information required to complete this endorsement will be shown In the Declarations as appI ca le this endorsement.) WHO IS AN INSURED (Section tl) is amended to Include as an insured the person or organization shown in the Schedule, but only with respeo! to liability arising aut of your operations or premises owned by or rented to you. Certificate older is named Ad3'l ineured as respects to Veterinary S'l-vi.Ces perHf_or_med by the rained izaurecl. A?VROVED AS TO FORM. *'Sheedy CG 20 26 1-1 95 - EXHIBIT B QI'TIU?�.,L [ SURED ENDORSTMENT %OR C U VI>wLERCIAYI_ GENERAL LIABTLITY POLICY Ins:irance Company This endorsement modifies such insurance as is afforded by the provisions of Policy - # II = C 9.) 71 e e Lt- relating to the following: I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Califomia 92701; its officers, employees, $gents, volunteers and representatives are namett 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. With respect to claims arising out of the operations and Uses performed by or on behalf of die named insured, such instuance 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 claire is ntada 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 Of Urg,-:nization WoaId have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or tnaterialiy reduced in coverage or Iimits except after tlu, &y (30) days uTitten notice has be --n given to the City of Santa Ana, 20 Civic Center Plaza (M-30), Santa Ana, Califonnia 92701. (Completion of the following, including countersignature, is required to make this endorsemem effective.) Effective /o - / —_ , this endorsement form as a part of Policyf _ Issued to131 61- 14 2 Countersigned by Authorized Representative APPROVED AS TO FORM ea eedy Deputy City ttorney 10 Client#: 18321 COMMUVETE ACORD- OF LIABILITY INSURANCE CERTIFICATE LTR os;8/04°Y""' PRODUCER POLICY NUMBER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Association Unit ABD Insurance 8 Financial Services LIMITS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2480 Natomas Park Dr. Suite 200 GENERAL LIABILITY AZC80733297 Sacramento, CA 95833 10/01/04 INSURERS AFFORDING COVERAGE NAIC # INSURED Community Veterinary Hospital, Inc. 13200 Euclid Street3 Garden Grove, CA 92843 R— 0 egV0j-22 A CJ d$ �- INSURERA: Fireman's Fund Insurance INSURER B' NE INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDM/ POLICY EXPIRATION DATEMM/DD/YY) LIMITS A GENERAL LIABILITY AZC80733297 10/01/03 10/01/04 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 MED EXP (Any one person) $10,000 CLAIMS MADE F—x1 OCCUR PERSONAL &ADV INJURY $1,000,000 GENERALAGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ /y DEDUCTIBLEY!�/g- g $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOVERS' UABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? yEdeecdbe under I E.L. DISEASE -POLICY LIMIT $ S SPECC IAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ** Supplemental Name ** Doing Business As: Community Veterinary Hospital, Inc. (dba) Animal Friends Pet Hotel (dba) Animal Discount Clinic (See Attached Descriptions) City of Santa Ana 20 Civic Center Plaza, M-30 Santa Ana, CA 92702 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL EN RK400M PIL 'A0_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, /1V VRU LD t'VV 1/VO) T of 3 0584786 COMMUVETE DF © ACORD CORPORATION 1988 /'. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AWKU ZDS (ZUU1IUU) 2 of 3 4584786 . DESCRIPTIONS (Continued from Page 1) William A Grant & Virginia L Grant, Trustees of the Grant Family Trust, agreement dated 3126180 as respects improved real property Certificate Holder is named Add'I Insured as respects to Veterinary Services performed by the named insured. Loc# 1 - 13200 Euclid St.; Garden Grove, CA Loc# 2 - 13252 Euclid St.; Garden Grove, CA Loc# 3 - 13220 Euclid St.; Garden Grove, CA AMS 25.3 (2001/08) 3 of 3 #584786 POLICY NUMBER: AZC80733297 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana 20 Civic Center Plaza, M-30 Santa Ana, CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your operations or premises owned by or rented to you. Certificate Holder is named Add'l Insured as respects to Veterinary Services performed by the named insured. CG 20 26 11 85