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HomeMy WebLinkAboutHOUTSON-HARRIS PCS,INC. 1AGREEMENT TERMINATION 7015 EUM 6 7 Please complete this form when the attached agreement is no longer in effect. Return form to the Deputy Clerk of the Council ) 9C' j �' a r ep ty in'1-30 . Call �� *,av� any questions. --------------------- --- --------------- The agreement with � �rN� '/ U/ �/iL4 , A- R003 ��JT was completed on 7 O dD and final payment has been made_ Department: Signature: Date:5— City of Santa Ana Revised 4-16-87 Clerk of the Council INSURANCE ON FILE WORK MAY PROCEED A-2003-214 UNTIL INSURANCE EXPIRES (, - a4-o4 CLERK OF COUNCIL CONSULTANT AGREEMENT DATE: ! a - 9-03 THIS AGREEMENT made and entered into this day of 02;LpJp2R 2003 by G� and between Houston -Harris PCS, Inc., a California corporation (hereinafter "Consultant"), and (A.lhdion) 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"). r,N RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of cleaning, inspecting and video taping sanitary sewer mains. 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 the City's Request For Proposals for Television Inspection of Sanitary Sewers, attached hereto as Exhibit A, and Consultants Proposal and Fee Schedule, attached hereto as Exhibit B, all incorporated by this reference. 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 $300,000.00 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 the date first written above and terminate on March 31, 2005, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Executive Director of Public Works and the City Attorney. 4. CITY OBLIGATIONS City shall provide Consultant with all records in the possession of City which will be of assistance to Consultant in the performance of this Agreement. 5. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -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. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance 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. 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 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. Reserved. 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. 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 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. 8. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) 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. 9. 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. 10. 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: Public Works Agency City of Santa Ana 220 S. Daisy Avenue, Bldg A (M-85) Santa Ana, California 92703 telefacsimile (714) 647-3345 and, Attn: Water Resources Manager City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 To Consultant: Houston -Harris PCS, Inc. 21831 Barton Road Grand Terrace, California 92313 Attn: Pam Houston 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. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the 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 nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 12. 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. 13. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of 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. 14. DELIVERY OF WORK PRODUCT Consultant shall deliver to City all work -product resulting from the services provided. Said work product shall be submitted in a digital video format, as agreed between the Project Manager and Consultant. Said work -product shall be the property of the City and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. 15. 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. 16. 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. 17. 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. 18. 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. HEAD Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: - ,t.il4(7'-E Laura Sheedy Assistant City Attorney CITY OF SANTA DAVID N. RI City Manager CONSULTANT HOUSTON-HARRIS PCS, INC. �P- -44 PAM HOUSTON Secretary / Treasurer Tax ID# 01/" - d V? 55�5� EXHIBIT A PROPOSED SCOPE OF SERVICES — TELEVISION INSPECTION OF SANITARY SEWERS The purpose of this proposal is to obtain a qualified firm to provide sewer video taping services. This project continues the video inventory of the city's sewer infrastructure. The majority of the work will consist of videotaping and cleaning individual sewer mains on an as needed basis. However, some of the work will also include the videotaping and cleaning of blocks of sewer mains (approximately 3,000 to 7,000 linear feet. The sizes of the lines to be videotaped vary from 4" up to 24" in diameter. The majority of the work will be performed on mains in the 6" through 12" range with more than 50% of the total work being 6". A. SEWER CLEANING: All sewers shall be cleaned within 24 hours prior to videotaping except as directed otherwise by the Engineer. Cleaning shall include removal of grease, roots, debris and other obstructions to facilitate the T.V. inspection. Consultant shall use the appropriate nozzle or cutter head, (e.g. high velocity, water jet, root cutter, etc.), to accomplish the cleaning as required for that particular reach of sewer. Cleaning methods shall be employed to sufficiently clean the pipe so the camera can pass and can fully ascertain and document the structural and operational condition of the pipe. Any costs associated with videotape work that is necessitated by the consultant's failure to sufficiently clean the main shall be borne entirely by the consultant. The consultant shall use a maintenance report form supplied by the City to record the location of the cleaning operation, the number of feet cleaned and the conditions encountered for each section of sewer main that is cleaned. The maintenance reports shall be delivered along with the video, logs and other materials when a designated area of work has been completed. B. TELEVISION INSPECTION: The consultant shall visually inspect, videotape (VHS format) and/or digitally encode (in WMV format), and provide both written and computerized logs of all inspected sewers. The log and video formats shall be approved by the City prior to commencement of work. 2. The consultant shall use equipment specially designed and constructed for sewer inspection and televising. The camera must have light sources of suitable illumination output to provide a clear picture of the entire periphery of pipe. The camera must be able to be rotated to a position that will assure that the total periphery s of the sewer is in focus at all times, regardless of the diameter of the pipe being inspected. The camera, transport system, and other components of the video system shall be capable of producing a picture adequate for the purposes of the inspection as stated herein. The adequacy of the proposed equipment, resulting videotapes and the assessment logs shall be demonstrated to the City, if so requested, prior to award of contract. Cost of such demonstration shall be borne by the consultant. 3. A cable footage counter, accurate to within one (1) foot in 1000 feet, shall be used and shall be indicated on the monitor and recorded on the videotape. The date of inspection, continuous forward and reverse readout of camera distance from referenced access hole, as well as the run number shall be displayed continuously on the monitor and recorded on the video. The station or footage indicating the center of the manhole at the start of each run shall be set to accurately reflect a starting position 0.00 feet. 4. When specified, videotapes supplied to the City shall be new, NTSC color, high quality on VHS format. All tapes shall be recorded at the EP speed or in special circumstances at SP speed if requested by the City. When specified, digitally encoded video shall be compressed with the WMV format with settings specified by the City. Digital video shall be supplied to the City on stand-alone, hard disk drive systems. All tapes and systems will become property of the City and shall be included in the combined unit pricing for video and database. 5. Every sewer main assessment shall begin with a view of the open manhole and shall proceed uninterrupted in the downstream direction with the insertion of the camera into the manhole with the subsequent sewer main assessment. Recording of video against the flow will only be allowed with prior written approval of the City or when it can be shown that conditions made it unfeasible to record with the flow. 6. All tapes shall become the property of the City. 7. TV inspection, monitoring and recording shall only be performed by technicians with proven experience. The consultant shall furnish qualification details for each technician if requested to do so by the City. 8. During inspection, the operating technician shall, along with the audio record of conditions, log an assessment of the videotaped sewer. This assessment shall include the location of all laterals, indicated infiltration, cracks, deflected joints, collapsed sections, ex -filtration, misalignment, roots, deposits, and other conditions or data pertinent to the physical condition of the sewer. The consultant shall deliver printed and electronic versions of the log. 9. The electronic format shall be provided as a separate Microsoft Access database file for each VHS videotape and shall include the following: 9 a) An inspection table listing each run number, the name of the operator, the inspection date, weather conditions, City supplied videotape number, assessment standard used, address or intersection of the starting manhole, direction of the inspection with respect to the flow, sewer number as supplied by the City, material (VCP, PVC, etc.), diameter of the sewer, length of the sewer, starting manhole ID number and the ending manhole ID number. b) An assessment table listing the run number, starting and ending footage of every observation, assessment standard used, applicable assessment code, assessment code translation, additional remarks, starting and ending clock positions of observations where applicable and the time index of the video recording where the observation took place. c) Tabular formats (table names, column names and data types, etc.) shall conform to specifications provided by the City. 10. The consultant shall submit the aforementioned videotapes, electronic and written reports summarizing all defects and conditions specified above to the City within 10 days of inspection. In addition, the consultant shall retain copies of both the VHS tapes, and the digital video, when specified, for a term no less than that specified for the agreement and shall make additional copies available to the City if the copies originally delivered to the City are found to be either defective or incomplete. 11. Videotapes shall be numbered in sequential order. The starting number specified by the City at the beginning of the contract. Barring any notifications by the City to the consultant of changes to the sequence number, the consultant will be required to keep track of the next sequential number and use it on the tape, the electronic database files and the printed logs. The City will notify the consultant of changes to the sequence number prior to requesting additional work. 12. The City will provide a bound set of atlas maps that indicate the streets and the manhole numbers that will be used to designate the locations that are to be videotaped. If the consultant encounters conditions in the field that do not correspond to those indicated on the atlas maps he shall promptly inform the City of the discrepancy. If manholes or terminating cleanouts are encountered that are not shown on the atlas maps, the consultant shall use the next available manhole number for the video assessment and indicate the footage or location where the manhole was found. The City will incorporate those changes into the maps. When changes are made to the atlas maps, the City will provide the consultant with updated sheets. The consultant will be required to replace any modified sheets with those provided by the City and to discard any outdated sheets. When the contract is completed the consultant will be required to return the bound set of atlas maps to the City. 13. All videotapes shall be labeled (on the cassette and also on the cassette storage carton) with the following information: 10 a) Street name or location of sewer if not in a City street, and limits of inspection for each sewer reach included on tape; e.g., McFadden Avenue sewer between Grand and Standard). The City's corresponding sewer atlas sheet number(s) shall also be noted on the label. b) Date of inspection. 14. Written reports shall contain as a minimum the following information: a) Date and time of inspection b) Name of consultant c) Names of operating technician/inspector d) Pipe size, material, and total length e) Number and street or intersection location and the City designated number for the starting manhole. f) Number and street or intersection location and the City manhole number for the ending manhole. g) Direction of inspection (upstream or downstream). h) The videotape number. i) Observations, comments, recommendations, laterals referenced to footage counter and videotape clock (tape counter). 15. At all points within the sewer showing defects, laterals and sewer appurtenances, the consultant shall stop the camera, rotate (up to 360 degrees) and/or tilt the camera lens to ensure adequate video coverage. 16. Each videotape shall have runs numbered in sequential order starting with one (1). The operator shall proceed to the next run number whenever the camera is withdrawn regardless of the reason, encounters the next manhole, next cleanout or when a run is terminated. Digital video files (one for each run) shall conform to the same indexing system that is used for videotape with each file being designated by concatenating the videotape number with the run number (i.e.: 1179-01.WMV would designate the first run on videotape number 1179). If such naming by the contractor is found to be technically unfeasible, the contractor shall deliver the files, along with any tabular information that would be necessary for the City to automate the file naming process. 17. The camera shall be stopped and/or backed up to view and analyze conditions that appear unusual or uncommon to a sewer main in good condition. There shall be no loss of video quality at any time. 18. As the videotape is produced, the technician shall provide an audio narration of the inspection (on the videotape) to include identification of the sewer main location, by street intersection location or street address as well as by City manhole number, inspection direction (upstream/downstream) and complete descriptions of the line 11 conditions as they are encountered. The audio portion of the videotape shall be free from electrical interference, feedback, hum, and background noise. 19. If the camera cannot pass the entire sewer reach from its point of insertion, the reach shall be inspected from both directions. The inspection logs for the reach shall include an identification of the nature and location of the blockage. The consultant shall notify the City immediately of any such obstruction so that it may be verified and/or repaired. 20. Video runs showing condensation or submersion of the lens, poor or out -of -focus images, poor audio, or otherwise poor image quality shall be cause for rejection and may necessitate re -televising at the consultant's expense if the City determines the video run is not of acceptable quality. 21. In special cases, when directed by the City, the consultant shall be responsible for plugging manhole outlets during videotaping. The sewer lines will be in service at the time of inspection. 22. Television inspection of sewer mains with high volumes of flow (pipe running 1/3 full or more) will be done at night between the hours of 10 p.m. and 5 a.m. unless otherwise directed by the City. No adjustment in cost shall be allowed for night work. Notwithstanding, the consultant shall always use whatever mechanical means are available, including modification or changing of the camera wheels or treads, to insure that the image is recorded in an upright, un-rotated position. The City reserves the right to reject any videotape where changes in the orientation of the camera could have been corrected by such modifications. 23. Traffic control for sewer inspection shall be the responsibility of the consultant and shall conform to the work Area Traffic Control Handbook (WATCH). Flashing arrow boards shall be used on arterial streets. 24. In two (2) working days after being notified to inspect a particular section of sewer main, the consultant shall begin T.V. inspection, and shall diligently pursue that work to completion. In addition, the contractor shall regularly supply an ongoing tabulation of the footage of video recorded, main lines cleaned, along with the associated charges to the City. Such notification shall occur no less than once per week while the consultant is actively doing work for the City or after the completion of designated work, whichever comes first. COMPENSATION The 300,000 L.F. quantity is an estimate only and is shown solely for the purpose of comparing proposals. The City reserves the right to increase or decrease the amount of any quantity shown without any adjustment in the unit price. 12 Consultant shall be paid the unit price shown in the bid for the amount of work actually completed. In special circumstances, the consultant may be called on to provide emergency video service for a specific problem area or may encounter work that is atypical in nature and requires extra time to complete. In such cases the consultant may elect to invoke an hourly rate for services in lieu of the unit price. The City reserves the right to approve the consultant's request for an hourly rate of compensation and shall base its approval on the following criteria: 1. The hourly rate is designed to allow the consultant fair compensation for work performed that is of an emergency or of an unusual or unexpected nature. Such work would reasonably be expected to consume significantly more time than it would take to complete video in most areas of the City. 2. The hourly rate shall be calculated by taking the unit rate for video and multiplying that rate by a factor of 390. 3. The hourly rate may be invoked without the prior approval of the City when the number of feet specified in a single request for video does not exceed 1560. In such cases the consultant may invoke the hourly rate and charge a four-hour minimum. Hourly rate requests for footage exceeding 1560 or for work requiring more than four hours to complete will be evaluated by the City on a case -by -case basis. 4. Requests for hourly rate compensation based on unexpected conditions must be accompanied by videotape or other evidence showing the nature of the delay or difficulty. Hourly rate compensation will not be granted for routine blockages and obstructions that often interrupt the progress of work during a typical day of videotaping sewer mains. These occurrences are to be included in the unit price for video. 5. Hourly rates and unit rates may not both be applied on the same calendar day. 6. Cleaning will be billed on a per unit basis whether or not video services are compensated with hourly rates. 7. Hourly rates may only be applied during work performed, including actual videotaping of mains and manholes, setting up equipment or traffic control and travel time between video locations within the City. It may not be applied to travel time to the first job location or away from the last job location or for activities unrelated to the videotaping of City sewer mains or manholes. 8. The City reserves the right to invoke hourly compensation in lieu of unit rate compensation whenever it deems necessary. Such requests will be made prior to the commencement of work. 13 1*41011t10aH Houston & Harris PCS, Inc. Proposal for Santa Ana Public Works Agency Television Inspection Of Sanitary Sewers Houston & Harris PCS, Inc. was established in June 1988 for the purpose of providing quality video pipe inspection and hydrowashing of sewer, storm drain and water lines to private contractors, engineering firms, municipalities and other government agencies. Beginning as a partnership between Larvin Houston and William Harris and incorporated in September 2002. With the overwhelming growth for the need of our services we have taken the initiative to become educated and up-to-date on the latest technology available. We have increased our staff from 4 to 29 employees and our fleet size from 2 to 15 vehicles. Due to the rapid changes in the video industry we have developed an Information Technology Department to accommodate the numerous deliverable options available. This department is also capable of developing customized data collection programs specific to clients' need. The IT Department has certified professionals with the ability to communicate with clients on all levels of computer knowledge. We use only high -resolution 3-lux color cameras to do all our video inspections. All cameras have the ability to pan and tilt with a 360-degree view of the pipe. We also have a zoom option, which will highlight small defects. This zoom option will also allow us to view down the pipe if we need to see beyond debris that has impeded the progress of the immediate line. All of our operators are familiar with industry standards for inspection of new projects i.e. grout requirements, joint inspections, proper installations of all lateral lines or sub -drain connections, water tight pipe, etc. They have also been trained to accurately mark any and all defects encountered in either new or existing lines. These include but are not limited to offset joints, joints that are missing grout, damaged joints, angular voids as a result of damage, infiltration from weak or damaged pipe, root intrusion at joints or through damaged areas within the pipe. In addition to marking defects operators have been trained to read onsite plans to identify material type, pipe size, along with the structure they are entering with the camera equipment. We have two tractor set-ups to video pipe ranging in size from 6 inch to 120-inch pipe. Using a specialized storm drain tractor specifically for pipe 24 inches and larger allows us to travel over moderate debris. This tractor is capable of turning to avoid obstacles as well as inspect pipe containing sharp radii or square box culvers that conventional equipment cannot maneuver. Houston & Harris PCS, Inc. uses Vactor 2100 Series and Vac -Con combinations cleaning vehicles for all our debris removal projects. This equipment ranges in age from 6 months to 5 14 years, once again, demonstrating our commitment to keeping abreast of the latest technology in our field. All Vactor units have 9-yard debris tanks and Positive Displacement pumps. The Vac -Con unit has a 12-yard debris tank and uses a 3-stage fan. All combination vehicles have the capabilities of 80 GPM at 2500 PSI. Work Plan Houston & Harris PCS, Inc. proposes the following procedures: Sewer Hydrowashing Hydrowashing shall be completed within 24 hours prior to video inspection. Various size nozzles, chain flails, and root saws will be used to accommodate all sizes of pipe for the removal of grease, roots, debris and other obstructions. All cleaning will be done with the flow, starting at the downstream manhole and proceeding to the upstream manhole. Debris will then be removed by vacuuming using one of several combination cleaning trucks. All debris will be disposed at a city approved location. Houston & Harris PCS, Inc. will acquire a water meter from the City of Santa Ana to accurately monitor water consumption. Video operators are in constant contact with cleaning crews to ensure that any line not sufficiently cleaned can be re -cleaned without delay. CCTV Video Inspection Houston & Harris PCS, Inc. trains all video operators involved with each project on the requirements of the City's scope of work to ensure all specifications are met. Televising will consist of real time image capture on VHS tapes to later be converted to a digital format by the City. Operators will give audio narration of all information pertinent to the inspection to include, but not limited to, street name or location of sewer if not in the street, date and time of inspection, name of consultant, name of operator, pipe size, pipe material, address and City designated starting and ending manhole numbers, direction of inspection, video tape number and all observations, comments, and laterals referenced to the footage counter. Inspections of sewer mains with high volume of flow (1/3 full or more) will be completed during a low flow period. All cameras have suitable illumination to provide a clear picture of the entire peripheral of the pipe. Inspections will begin with the camera looking down the invert of the starting manhole. The camera will then be lowered uninterrupted to the center of the manhole. The footage will be calibrated at this time to document accurate footages at all defects, laterals, and manholes. Inspections will consist of assessment of laterals, indicated infiltration, cracks, deflected joints, collapsed sections, ex -filtration, misalignment, roots, debris, and all other conditions pertinent to the physical condition of the sewer. All observations and pipe ratings conform to the US-WRC assessment code format, and all VHS tapes are numbered using City specified designations. All lines that are unable to be completed from the original set-up point will be attempted from the opposite manhole up to it's overlap point. Any lines that do not correspond to the City's database/map will be documented and brought to the City's immediate attention. 15 Data Processing Houston & Harris PCS, Inc. prides itself on quantity with the best possible quality available in the industry. All lines televised, first go through our quality control process to ensure all information, lighting, audio clarity and picture clarity are correct. All data on that line is then put on our data backup/recovery system. This line then goes into its actual data processing phase. A record of this line, when applicable, is cataloged onto a data spreadsheet, which is forwarded to our client daily, for a progress update. This spreadsheet is also sent to our accounting department to ensure all televised lines being billed, have passed quality control and are ready for delivery to the client. From this point the database and all data is processed to meet all clients' specifications i.e.: database structure, file naming, video compression and the reports are printed on our commercial laser printer on premium paper. We have the ability to index these reports on a PDF file for an easy -to -use report, eliminating the necessity to flip through a binder in search of a particular report. The IT department does all of our own in-house Database programming. We have the capabilities to write code in visual basic for tasks as small as, converting our database structure to match clients' existing database structure, up to writing a complete data management software for clients who may need their complete sewer data infrastructure set up. After the data is set up for delivery, it is put on its final media for storage. Our work does not stop upon delivery of this data; Houston & Harris PCS, Inc. remains available to help with the integration of data into our clients' system. Our Information Technology staff is unmatched in the industry with knowledge in computer hardware, software and networking. Traffic Control Traffic control will be the responsibility of Houston & Harris PCS, Inc. at no cost to the City of Santa Ana and will conform to the work Area Traffic Control Handbook. It is understood that flashing arrow boards will be used on arterial streets. 16 OT FEE SCHEDULE Hydro -Washing Data Processing Digital Video Digital Video with VCR Tapes (not to exceed 10,000 feet) Larry Houston Signature 11/19/2003 Date $0.235/Ft. $0.46/Ft. $0.548/Ft. $0.602/Ft. FEE SCHEDULE Hydro -Washing Data Processing Digital Video Digital Video with VCR Tapes (not to exceed 10,000 feet) Larry Houston Signature 11/19/2003 Date $0.235/Ft. $0.46/Ft. $0.548/Ft. $0.602/Ft. •ACGRD CERTIFICATE OF LIABILITY DarE(MMDDm) INSURANCE OPID OUST-2 11/10/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Austin Cooper 6 Price ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ins Agency Inc (Lic-0546677) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 3280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE San Bernardino CA 92413-3280 Phone:909-886-9861 Fax:909-886-2013 INSURED INSURER A: National Surety Corporation INSURER B. INSURER C. Houston S Harris PCS Inc INSURER D: 21831 Barton Road Grand Terrace CA 92313 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. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY (EFFE EFFECTIVE DATE MM/ODm N POLICY EXPIRATION DATE MM/DDm LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MZX80815378 06/24/03 06/24/04 FIRE DAMAGE (Any one fire) $100,000 CLAIMS MADE FX] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL $ ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 17 POLICY F7 PE 0 X LOC A AUTOMOBILE LIABILITY ANY AUTO MZX80815378 06/24/03 06/24/04 COMBINED SINGLE LIMIT (Ea accident) $1, DDD DDD X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per eccitlenl) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per acdtleni) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: ADD $ ANY AUTO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AL,PRONtED AS i0 FO iM AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY '1Ut'8 SltcedV I)Cj>tlLy LIO' tic fDCV TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISUSE - EA EMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ OTHER A Property Section MZX80815378 06/24/03 06/24/04 DESCRIPTION OF OPERATIONS/LOCATIONS EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Pipe Cleaning opertions pertaining to named insured for certholder City of Santa Ana and its officers,agents,reprsentatives,volunteers 6 employees are add'1 ins/prim wrdg as respects gen'l liab per CG7158 1001 30 days N O C except 10 days for nonpayment CARRIER has approved modification of Cancellation for City Santa Ana Only CERTIFICATE HOLDER I Y I ADDITIONAL INSURED: INSURER LETTER: A -CANCELLATION City Of Santa Ana M-21 Ross Annex 4th flr 20 Civic Center Plaza Santa Ana CA 92704 HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO! CISAN06 7 DATE THEREOF, THE ISSUING INSURER WILLS MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 26S (7/97) ACORD Dec 04 03 10:44a HOUston&HarrisPCS 9094220841 p.3 ACP 6tNM ICATES Fax:909-8B6-0053 Dec 2 2003 13:30 P.02 0EC. 1. NO 12:58PN N0. 776 P. 2 — Filelaan3 Fond POLICY NIA R 3 17 IMX E02153 7e .Named Itmteed 9equadw Eadotsemeol Number 006 - SOUSTON a EARRIS PCs, 2NC - . PORTFOLIO C{AWE ENDORSEMMT E£fsctiom 11/20/03, 12:01 A.M., - &teadar2 Time at the address of the insured -This is as 3dorsement only: Dthar than changes shown, ail ot2ier Pre-e:ist±ng cove,rage remains in full -.area and affect. -Premium adjuaw=a..6 are shown. PREIGUY3U20L%RT' - aDLM2Dlta7. PRIDgm[ DD3 -jMN USS-00 Terrorism R1sY Insurance act -Certified Act, Oo►erage - Alleceeragea oval wC - Net Cewessd - $0.00 Includes CALIFORN--A Surcharge of $5.00 The 2remium shown includes Adjus=able PreVUUW(3). Re=er to PremiUM Adjustment- - Inforoacion attached. The following other General Liability esdersement-ie)-are added to toe police - - and app17 se shown: - - - - ADDITIONAL INSURED 3 DOR93MENT - 1E0009 0669 - - - INSURANCS COMPAN-': NATIONAL. 31JR"TY CORPORATION TRIS ENnOR.4EMNT MODIFIES 67CH INSURANCE AF IS AFFORDED BY THE - PROVISIONS OF POLICY aMZX E0E1.E37a RELATING TO THE FOLLOW=M: 1. Tn CITY OF SANTA APA, 20 CIVIC CENTER ?LAM, 6ANTA AEA, CALIFORNIA 92701r :TS OFFTCERS, EMPLOYEES, AGENTS AND R2PFBSSNTATIVES ARE NAMED AS ADDITIONAL INSM?D9(*ADDITIONA:, INSU=5*) WITH REGARDTOL3ABIL27Y-AND DEFENSE OF SUITS AR-7 SING FROM THE OPEWATIONS AND USES PERE'ORMED BY OR ON BE AL7 OF TFM DAY.ID TNSURED'. - 2. WITR RBSp= TO LiAnts ARISING auT OF TIa OPERATIONS AIM USES PER}02HXD BY OR OR BESALay OF Tim HAM INSURED, EIICII - INSURANCE As 25 AFFORDED BY THIS POLICY 15 PREIMARY AND IS NOT ALDITIORA_, TO OR CONTRIBDTINO WITH ANY DTRE& INSORANCE CARRIED BY OR FOR THE BamrIT OF TIM AVDITIOIfAL INSMEDS. J. TRIG INSORANCE APPLIES SEPARATELY TO EACH INSURED AGAINST - WFOM CLAIM IS MELDS OR SOTT IS EROUGRT EXCEPT WITH RESPECS' - coaete stSOAtse - of AOthorizc4 Agent: - Des il/21/03 Rodnra AU5T1N COOPB2 a FR2CE tvVVL�7�"fd"' AGENcY, INc. _ Y.O. BOX 3290 - SAN BEEA7aRDINO CA 92+•13 - CHANGE ENDOR.StMEN'T cornNOF.D ON. PAGE 2 Page 1 A3 pjWVE + AS iCl FORM iat shcedy_ �- Deputy City Attornev - - - ➢ec 04 03 10:44a Houston4HarrisPCS 9094220841 P•4 ALP LtHIIFICATES Fax:9D9-886-0053 Dec 2 2003 13:30 P.03 _ oEC, 1.2003 12:78PU NO.776 P• 3 — PQLXCY 1VSIMSER S 17-. MEX 2901 53 78 Named b3ured SequenfMl EM MMcur Kw ober - 006 (eodtbmad) . .SOUSTON 'a SAxxis PCs, zw _ ADDYTIONAL INyUR>:D 'SNDCRSEMEDIT - - - - 180009 0665 (COntil d) TO TEO COMPANY'S LIMTT6 OF LIABILITY. :TS2. INCLUSION OF ANY DZSSON OR ORGANIZATION - AS' AN Insumm Sw= No, AFFECT ANY RIGHT WHICH STCR PSRSOM OR ORANIZATION WO= BAVR AS A CLAIMANT IF NOT SO INCLUDED. 6. WITH RRS-ECT�TO M ADDITIONAL INSDREDS, THIS INSURANCE .SHALL NOT BE CANC'ELLM, OR MATUTALY RUMED 2N COVERAGB OR LXMITS-EXCEPT ArTM THIRTY 130) DAYS WRITTW NrTTCS . HAS BEEN QIV£N TO THE CITY OF SANTA AM, 20, CIVIC CER1147R . _. PIAZA,'SANTA ANAL CALIFORNIA 92-101.: UFSCYIVE-11-20-2004, TIM MWOR9MMUT FORM. AS PART OF POLICY NONBBR V=8081S379 - - -- :SSTMD TO AOUS70N. I-= RABBIS PCs. TNCI S7Ai�7 INSDIID - CHANGZ ENDORSEN.TM..fT CONTINUED ON PAGE -3 - Page 2 A;'i-iZOVl-D AS. -0 /FORM 11..E Lau a Shccdy Mputy City Attnrnev SK CERTHOLDER COPY STATE P.O. BOX 807 SAN FRANCISCO,CA 94142-0807 COMPENSATION'S INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-01-2003 GROUP: POLICY NUMBER: 1270838-2003 CERTIFICATE ID: 306 CERTIFICATE EXPIRES: 12-01-2004 12-01-2003/12-01-2004 CITY OF SANTA ANA SK JOB: PUBLIC WORKS AGENCY ATTN DAVID PATTON 20 CIVIC CTR PLZ M-21 ROSS ANNEX -FL 4 SANTA ANA CA 92702 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding < any requirement, term, or condition of any contract or other document...... with respect to which this certificate of insurance may: be issued or may pertain,,: the insurance afforded by the policies described herein is subject to all. the terms, exclusions and /Anconditions of such policies. `yy' AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2003:'IS ATTACHED TO AND FORMS A PART OF THIS POLICY. F't ed(s`, bi "" TO "OR", L. pcputy City AtIo ney EMPLOYER ....LEGAL NAME HOUSTON & HARRIS PIPE CLEANING HOUSTON & HARRIS PCS INC SPECIALISTS 21831 BARTON RD GRAND TERRACE CA 92313 Alu 11-17-2003 .....,.., Sep 23 04 10:43a Houston&HarrisPCS 9094220841 p.2 ACP CERTIFICATES Fax:909-006-0053 Seo 22 2004 15-11 P 117 C D_ CERTIFICATE OF LIABILITY INSURANCE PAYS imwa"TTw) NOUST 2- 09/21 04- PRobucER Austi Ins P O sang M - Cooper 6 Price cy Ina (Lic-0546677) '3,280 maLrd'no CA 9.,2413. 3280 THIS CERTIFICATE R ISSUED AS A ONLY AND CONFERS NORIGHTS HOLDER. THIS CERTFICATE DOES ALTER THE COVERAGE AFFORD MATTER PONTH NOT' STTHE INFORNSlT10N - CERTIFICATE D, E:17E61D OR. LICIESBELOW Phone 909-986-9861 r":909'-886-2013 INSURERS AFFDRDINGCOVERAGE ,. NAICt ...: . waMER B; FiremanIe Fund. ns •CEO:.... wBORERC a ., _ Ror.e on 6 Barris PQS Inc : 21'83ytERirton Read".' .' '`. 'Grand Terraee CA ,92313.' '.. - wRo- :., ... .. .. ,. INSURER El. ,.., .... ... ,..�. .. ;.. .- COVERA $ TNE.POU ANT REO M4TPER POLICE N;S OF, F INSURANCE LMMO BELOW HAKEREEN ag"Ismm THE N¢URm NaN6DAYOW FORTNE POLICY PERIOD INDICATED. IREYEM. TERM OR CONDITION OF ANY CONRtACT OR OTNERDOCWENT WITH RESPECT.7O MICH THIS CERTIFICATENUIY MISS AM, THE WSURANCEAFFORDEO BY THE PWCJ64 OESCRIBm HEREIN IS SUB.IECTTO ALL 7NE TFJtMB, E'xGA18NNIBAHD.CONO ACCREGITELART63NOWNIMYIMVEBEEN REDUCED BY PMDCUWB .. fM 7zog Um OR 6OF 9UC .. 0' LTR ME OP NIA E mO Y NMBEfl TE YNID DATE CAPIM - LIID7i IL X I NFAAL LIABILITY CoMeREACWL GENERAL LIABILITY CIAwn NADE Oaartm .. _ MZXB0829622 - 06/24/04 ' 06/2,7 '. EAm c CISIREN S1,000,000 P s(ER a s 100 000 WED WyPti LPN.:' :15,000 PERSONAL A ADWII ANY31,000.000 GEN TE IS 2,000 000� NLAOCNEWTe CYpT APPLIES PEIC PRO S-C6LAP 'P AGO '12 600,000'' - POLICY F7 JET LOC MOMLELWmnY . A ANY AUTO MZX80829622 06/24/04 06/24/05 ' Mal 6WDLE aRT $1,000,000 ALL OWNED Auras UL SCHEDED NITOs" .. .. - (P DEY INJURr Y MREOAUTOs NON1rWNEbVY0 A9 � . : - BODILY (Per AeWM) µIURY" ' _, PR (Pr DANAG •' ... i MARAGIE LIAMLITY .. Ly=GA Imw S. ANY AUTO - . OTHER AUTO. . M. ICA cis A00 11.- 8 MMm.LAL41aLITT OCCUR �cuILeNAoc XEK00085758233 06/24/04 •.. 06/24/O5 EACH CURPEN 74 000,000 ADca6 TE et OOO,ODO DEDUCTIBLE RETENTION i -. i . . Ea ANY 'a'Fl 1,., BPEC coNPElmAmNAND .. MEAaWTY ARTN6VFXPdnDAE MELeER EACLUpmT U r PRONBIONS bNP• . f/ `' a - a./_._ , �� �'_ . - _ - •LMIIS ! �. EL ACC t : ELDS E-FAG PLOY I' E.L YIINR � - EI 8 A Prc DFpDgIP Op6ra 'pmeat Floater - T,9C19890157 06/24/04 '06/24/05 see LQrt Section b=80829622 - 06/24 04 06/24/05 OPO►aNT10N8l LOa11TN)NBIVFfII('1E6/EJfCLVBNfI{9 ADOEO BY ENOORSdEM,M'EMLPROPIBIONB ' 'ons pertaining Co'named insured for c,rtholder.- be pw City' empZ •30 CIE Santa Ana and its officers, agents, represenWtives,volunteers, es are add'1' iasd/prim. wrdg, as respeeta gen,l liab Is N OC except 10 days for non-payment of premium,'-. 6 I - CERTIFI WE HOLDER -. CANCELLATION. • .. CISAN06 EHOU MYWF EABDU OD RMMPO DiC E LLEOME EME:WIMTNW City Of Santa Ana - M-21 Beas a.. 6t1L £lr DATE TMERF2IP,TIK ai1111JCa IN6YR6R 'NOTICE roTla O[pTIFIGT[nGLO6R wuieo OrNi AWL +'3O Opy$WROTEN 20 Civic Center Plaza. r$NS Santa Ana CA 92704 WORD (2001108), 0 RD CORPORATION 198S Sep 23 04 10:43a HOUstan6HarrisPCS ACP CERTIFICATES Fax:909-886-0053 9094220841 p.3 Sep 22 2004 15:13 P.03 I i POLICY NU,"tM 'MZX90829622 Named S ik Sogor-0Ha1 aDDamoM y IIaflyTR PCS, ISPC 001 Da]LTPCLZa L3ANr.B IImOA,aHM6E1T ,.. ;, .• ... , Effe6!ioa " &E. 04'12a01. ao standard Tinr2 at� the addreae of Lba laau7red Tbia is an Rmdgraement only. Other than chaagam mhewn, all other e4 atlas cove„-mge remains in lull force and of fazt. Premium ad�u tmeata ax'e PRSYO:ID!S97618AYa ADPr7lIDaAL 11>rm1*= D98 PCIf .... Te drjam Rtak Iyaurmn Act -Certified AOtm cot►erage - AU. C... Ear asel fit Not Ce ared -Includes culrowu S�Omrge of The premium ahowa,+naludaa Adjuasabla ftsmium(s), Refer to Premim Adj m.nt . .... Ia£o-r�eipn attadied. '.. .... • ..... � ... � .. Tha follewiag other Genweal Liability mndora�t(w) a;m addwd'ce the ,p .cy an4 spplr sa Oho .. .. .... .. ,_. ... .. . 1N9aRANC6 cnwmy: b*a.TIMML smwzy COP.PORATIOM MS SSMMUZM MT XMIPIR9 fit= =9=ANCB 'AS 3s A7002 O BY THE FRcRaSICKS OF PaLICTMY%80829¢22 RStiTING tip TBB PCW,QIi:DTG: . 1. MM CITY'CP BAUM AMA, 20 CSC CEWX= PLAZA, SANTL WhI' .. CALIFORNIA 98701, ITS C7fI —9, ENPLODMO, AGOWTS REP' RE98 WATIVE9 ARR 241 = AS AOOr=CNAL INSC=ff ("ADDITI .MSOMMAm) WXTS PLMMAiO TO T; A =ST7C AbM S}EF== OF 8. ARSSINO PBOK MM GPERATIONa 'A= DSIM 'RERY'ORM= BY OR SLPiALS OP I= lf141'ddb. 11CSUREU. .. .. .. .. ... .. .. 2. WITS RSSPBCT TO CLAIMS ARI5TBG OUT OF TBa 02SRA2 cbT5 AM MM PERPORMT5 BY OR ON W ALP OF THE NAME IXSQ=, luffm ANC& AS is APPORDSD BY Tf(l! POLICY I9 PRH.yp%RY' IS. MOT aDnITZONAL TO OR CONTRIbOTTN4 WITB An aTSEt= -S .. C MIBD BY OR YM T_m BYBEFIT OP TBS AIIDITxcmt. S; . 3. THIS IBBDRA = APPLIES SEPARATELY TO PACs T WSOK CLA7O6 Is IMaIDB Oa SUIT IS BROUGYT =CBPT vz' H CT CG=LW=Jgmd— of Atu =lwd Ayrak F( _ �1!!d PrO&OW AUSTIN COOPER 6 BAKE Vd. AaSN�CY, INC. . P.O: Bar 33a0 .: .. .. RAN BERiffiRDINO' 'cm 92513 .. .. CBANGB MMOB.YEMLWT C"OD7TX-A=M ON PALM 2 Dam 921/04.'.. ... _.PLO ... _.. ..,..... . 1 Sep 23 04 10:43a Houston&HarrisPCS 9094220841 nor btM��r�LA�tJ Fax:909-806-0053 Se0 22 2004 15:13 --------- r I P. 04 p.4 ADDITIONAL ZntU , ENDCRSZMMT .. 280009 0665 (coaki-atie3) TO %=.CODD?r•i4Y's IMICTS OP LIABILITY. TBY IMMUSIOR ANY ➢RRSO8 ORORCAWZ=101I AS AN IIQ60R$0 SSAIZ ID07...... ..... .. ANY AM= WSIC8 sucu FSRBON OR OSANIZATTOW 7f07I.D EAVS AS. . A CLXMKhNT IS NOT 90 Z1fI; M=. 4. WITII RZIPErf TO TYE ADDITIQRAL X"CREM, THIS IN GML NOT B3 CABCSLLM, OR ! ATERTALY R$1II® I'M OR LlkXTP EXCRFT AFTER. T=RTY (30) OARS WRS'== FLAB B= GIM TO THE CITY OP SAr= Ate, 20 CIVTC cndwg PLAOA. SANPA A", CALIPORNIA 927O3. SFFECTIVR 6/24Y04"-••• TER xwxAmENsbrT mmm AS POLICY Nmmg HZX668. 22 .) ..... .. ISSUED TO I=STOW AND Is PC6, INC. CHANG2 =ORa2zfwT CONTINOBn ON PAGE 3 . P. 2 .