HomeMy WebLinkAboutCUMMINS CAL PAFICIC 1-2003
. INSURANCE ON FILE
WORK MAY PROCEED
UNTil INSURANCE EXPIRES
!f - .2:0"1.. ... ..
CLERK. Of COU. NCI~ I CONSULTANT AGREEMENT
DATEI~-3 'O-r ~
(,.' t~f\- THIS AGREEMENT, made and entered into this L day of 2003 by
(ç..FulI~) and between Cummins CAL PACIFIC, Inc., a California corporation (hereinafter "Consultant"),
I and the City of Santa Ana, a charter city and municipal corporation organized and existing under
I the Constitution and laws of the State of California (hereinafter "City").
N-2004-004
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
emergency generator maintenance, repair and full-load testing.
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 Exhibit A to this Agreement.
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 $1,500.00 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 November 1,2003 and terminate on October 31,
2004, 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 the
Community Development Agency 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, ajoint 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.
s.
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 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.
'St,'l:::>!1::-
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i)
Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
2
(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.
e. 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 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 I of this Agreement.
glv
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 infonllation 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.
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:
Executive Director of the Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
Cummins CAL PACIFIC, Inc.
1105 S. Greenwood Avenue
Montebello, California 90640
Attn:
Susan Morales
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.
4
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, 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.
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 either party upon thirty (30) days written notice of
termination given to the other party. 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:
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. 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 ofthis 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 ofthis 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 iffully set
forth in the body of this Agreement.
II
II
II
II
II
II
II
II
II
II
II
II
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
p~
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attprney
RECOMMENDED FOR APPROVAL:
JOHN P. REEKSTIN
Executive Director of the
Community Development Agency
CITY OF SANTA ANA
~~
City Manager
CONSULTANT
~~
SUSAN MORALES
Operations Manager
Tax ID# 'D.3- OY 8051 0
PLANNED MAINTENANCE AGREEMENT
Customer Address
Customer Contact
Contact: Carolyn Fullmon
Phone: 714 S6S-2690
Fax.: 714565-2693
Proposal Information
QuoteD.te: 23-0CT-03
Quote Num: 1078
Quoted By: Anthony T Mitchell
Quote Term: 1 YcaI(s)
CITY OF SANTA ANA
1000 EAST SANTA ANA BLVD
SUITE 108
Santa Ana, CA 92701
Site Information
I CITY Of SANTA ANA
11Œ DEPOT AT SAN!' A ANA
Site Unit Number
Service Event
Qty
SANTA ANA CA 92701
Serial Number Type
143917 AC
Sell Price Extended Price
446.00 446.00
569.00 569.00
Site Unit Number
MaDufadurer
Model
Prod Model
A
ONAN
GEN SET
50ROZ271
A
FULL SERVICE
LOAD BANK WIINSPECTION
'\
ANY REPAIRS NEEDED WILL BE ON A TIME AND MA TER1ALS BASICS.
Staadard Agreement Amount
Total DIscount Amount
Taxes
Proposal Total
Sl,O15.00
514.44
51,029.44
CUMMIN~ P~ LLC
Signature: ~ .
/ð ~l:~ - ß()(YJ
Customer Approval
Sij!:¡>an",,'
Date:
Dat.:
Page 1 of 1
&ilI-f /I
/<1/3
.,
Cummins CAL PACIFIC
1105 S. Greenwood Ave
Montebello, CA 8CNI4O
Field Service Center
Phone (323) 86IH426 ,.. (323) 86!H454
Date: OctOber 23,2003
Ms. Carolyn Fullerton
The Depot At Santa Ana
t 000 East Santa Ana Blvd. Suite 108
Santa Ana. Ca. 92701
Dear Ms Fullerton,
Here is a proposal to provide .Semi Annual. Planned Maintenance service to the
stand-by generator at your location.
The Program includes (1) comprehensive inspection and (1) full service.
Operation and function tests will be performed during these visits. Our agreement
includes all labor and travel. The futl service includes all applicable filters (oil,
fuel, water), specially formulated engine oil, oil sample test, and waste disposal in
accordance with EPA regulations. If a unit needs belts, batteries. a tune-up or the
replacement of a failed part (s), the Factory Certified Technician who performs
the service will bring the item (or items) to your attention and obtain approval
prior to performing the repair. Our Planned Maintenance customers enjoy the
benefit of lower repair labor rates and receive emergency service support 24
hours a day, 7 days a week.
If you have any Questions, don't hesitate to give us a call. To proceed with the
program, please sign a copy of the Agreement and return via fax to (323) 869-
7454.
Sincerely,
¡.----
Anthony Mitchell
(323) 869-7426
E A !I£ßrr /l
c:l ~3'
, .
EXHIBIT -An
CUMMINS CAt PACIFIC PlANNED MAINTENANCE AGREEMENT
TERMS. CONDmONS. LIMITED WARItANTY AND CREDIT POLICY
The Plo....d M_1WIa Acree-" ("A_")I<........d Info byOlmmlns Col Podftc,lø£. ("CCPI"I..d III' OIS,omer, _d In
the A_....nt', Schedule 01 Sorvl<a- 11.. ø- of"" Acree"'" IS to -- 0 pro-~ sdM:dulod. 1II0In,....""" JII1¥>III for the
,.Ulp...OII..ld; '0 achì<YI! p~r. ..Iiable equipme.. Oper¡olon, _me possibility of bœ- and avoid e.......,cr ..p,lIs. Upon
><Ctp"'oce of the A¡¡reo...n.. CCPI stull supply "" 111¡h"1 qu'.1)' pons ,00 ""..d,lI.. well .. provide Cenillfd T tchnlclo... to Ander ....
S""ic'['1Indl""." 00 die Pl,ooeol Moln...onœ Aøreemel1t Cbeck Un. This Sorvice[s1 ,',," be p<rformed duI1n¡¡..,.",.. businos& "'"'" of
8:00 AM '0 5:00 PM, Mondoy thmuKf¡ Friday. e",luding hoUd",. The frequency of Somc:e¡,) shaU be defined io the Schedule of S'M:"'.
I Tøms - CMIdId-
0-
The u:rm of the Ave<me.. III" be DR< ,"or and shaU ..new ....""",.:olly for SUCCessM ..nns 01 one ,"or ..ch; uoollconeeled by
,ither p>ny upon IIIIrIy [30} d'ys wr!lIe" notíce.
Tho Agn:em,n. become' err.etive when CCPlroctMi WtI.... COO""",,;oo from die Ontomer 10 .... form of , stsned Sch,dule of
!iervkes or , 'ip>ed Purd.... Order ..fo....clng 1110 Schedule of StIVf<e<.
If Is undomood "", dli Agrolme.. does no, obIig... CCP! ., provide any po.... labor, or "'1101 expo..., odler""n thooe requlrtd to
perform the <pe<ific Sttvire ['I ..d 111" tile f<UIpment lilted. ""'" - _d systtml, "IoU be in þ/'DIer QØel>dng corullt/OQ o,the
.Im, of ServIce.
CCPI "'an 110( be "'PO- for - to - StMœ(s) due '0 """"' bo\'OAd I.. comrot. l"du4lnt itrlk.. and ¡¡hor d""_.
11\< AIJ..mellC I< not .......,bIe - .... <- of CCPI and ..... ..main In rom pnd conceltd by either patty rhrou8h _Ifn
noti<e to ÚII! _r.
Should either pony br",h oht "-",,,m and leul xolon be Insdlufed 10 ,nforte lI1e t18h1S or dudes herein ..t - ..~bIo
loomey's f.., nuy be .....-de<! 10 !he surc...1U1 part}'.
TIlt CUW>mer ,h,g only poy for oht ....1It performed ond portS plus lPØlkable so'" !Ø.
h.
c.
d.
e.
a.
.. ---...-..
,.
AddlrJoft¡l pa"" nu...uk aodI... ..paIrs - ....., be œquJred bur ... INK _In !he """"""" - be IHou¡\t 10 ....
CU'!Ome~' ollendon. Such llem< wll be x"d "-' only ofitr die aammer"", proper -- II> CCPI. A- wort,
beyond Ibe scope or !he A_m, "IoU be pelfonned a, lobar ntes Indiated in lI1e _nl', SdIeduIe of SØvlw.
CCPI provides Emet'ftncy ser.lco _.four [24) holm a ..." """[7) """ _k. fmer8tncy - stuD be performed It labor
".., Indicoted in 1110 Agree""",,', S<hedule "f ~rvfc...
b.
III Uooohed Wo-
b.
CCP\'ssol.l¡¡bftI" and IIIe CUKomer" salt _lor 0 f>I(uft or-- - be"""""'!he ","",mom _d In !he
A",'menL
PON ..d lobar covered by IIIe A_....... .. well . oddldoNl ""'Ñk, øoru Ind ..".In. sIuII be """nfed for olofty 1901 "'"
from <om- or.... Setvic< aodIor ..".ir.
AJI cl¡jm¡ "'"" be brou¡ht to oht o¡œnolon ofcm_... (10) clays ofœrcllloco..ry or.... faIIu...
In no event Is CCPI DIble for "" deI¡ys ... -"'1... .-ti>l........,..
ThIs """"" ¡hall !lOt 'lIP'" ""
I. FilUuleduetOnonNI......,-...-...................ofodllrdQIItY.forCOSor........ ..~tJI\IUdIcxbed
modioc.lion or impn1pe< --
2. F>I1ure olp"" Clllitdbr' tIefI<1lnOftÞted.,.,.........tIIe_or........,...lIØIbdon-
J. Renal equipment wed while - ",,>Irs Oft be'" made.
4. 11\< added cost of .......... ¡¡hor. (OYtnJme ....... mtIIt be _d olld Ihe _IW e-
pro'approved by Ibe Cmtomer.)
k k ...ually u_oDd 1hat Ihe U'ntUd w- lOt -....... -.. die - of Ihe AlnttNnt. My - ...""my
provision or oor revidon elfocùntr Ihe -'"'" ... ftduaion of /iabi8tJ ..... be òIIIIIoooWd arwllor ..,....,...r, In wr1ØIf. by .n ome..
of cm ¡nd !he Omomor.
c.
d.
e.
IV CnIIt PoIkr
o. OpeD ..nns, net 1hIrt, [301 d"', l'eQUIh credit _01. cm stuD p""""" a OIdh ADPlbIlDn for tbk _. Widlout prior
mdit oD\ll1MI. A....,.. Service!!) .>nd .ddlllcwf Io1tU and ~Io11ß shIH Ix! pmvIdod on . c.O.D. bHIs.
R.vlled
12/2000
EXf-/r:5Cr/l-
J~3
î .'
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
WõOó....s <.V' <ò~~s, ~c....
Q..~ -e..n 0'\ as;l :¡:;.,. ~. es:..
This endorsement modifies such insurance as is afforded by the provisions of Policy
# \'43r081 2.8 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 9270 I; 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 Q.- I -o~
Policy# l'-i 2> DoB 12.S
Issued to ~~ ~I 7Q~.Ç;,,- «-«-c....
Named Insured
, this endorsement form as a part of
Countersigned by ~~~
Authorized Representative
ONLY ANU ¡;UN""K" NU KII.,"'" U~U" '"~ "~~"nVM'~
Woods & Grooms, Ino. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
529 Washington street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Columbus IN 47201
Phone: 812-373-4435 Fax: 812-373-4445 INSURERS AFFORDING COVERAGE NAIC#
INSURED .' ¡./-.),tc-,/ ~ {[if INSURER A' Ce.".."l '.'~ce Com,..., 19909
INSURER a, '" ^,l=ho ~,~, '_a.,.. 19895
Cummins Cal Pacific LLC INSURERC
1939 Deere Avenue INSURER D.
Irvine CA 92606
INSURER E,
COVERAGES
THE POLICIES OF INSURANCE LISTED BelOW HAVE BEEN ISSUEOTO THE INSUREO NAMED ABOVE mR THE POLICY PERIOO INDICATED. NOTWITHSTANDING
ANY REOUIREMFNT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OCCUMENTWITH RESPECTTO w,nCH THIS CERTIFICATE MAY BE ISSUEOOR
MAY PERTAIN, THE INSURANCE AFFORDED aYTHE POLICIES DESCRIBED HEREIN IS SUOJECTTO ALL THE "RMS, EXCLUSIONSANO CONDITIONS OF suell
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTIt NSR TYPE OF INSURANCE POLICY NUMBER DATE MMICDÍVY DATE "MID LIMITS
GENERALUABI~ITY EACH OCCURRENCE $1,000,000
A X X COMMERCIAL GENERAL LIABILITY 743008128 08/01/03 08/01/04 PREMISES lEa "'",ence $ Included
CLAIMS MAOE ŒJ OCCUR MEO EX? (Any cne pe~cn) 05,000
A X Broad Form LiaJ:> PERSONAL' AOV INJURY 11 000 000
A X Contractual Liab GENERAl AGGREGATE 01,000,000
PRODUCTS - COMP/op AGG '1,000,000
L COMBINEDSINOLE LIMIT Sl,OOO,OOO
A X X ANY AUTO (Ea'co"enl)
ALL aWNEO AUTOS BOallYINJURY
SCHEOULED AUTOS (P"pe"'n)
A X HIREOAUTOS 743008128 08/01/03 08/01/04 BOOILY INJURY
A X NON.oWNEO AUTOS (P""'"denl)
A X Auto Phys Damage PROPERTY DAMAGE
(P"ace""I)
AUTO ONLY - EAACCIDENT 01,000,000
743008128 08/01/03 08/01/04 OTHER THAN EAACC 0
AUTO ONLY' AGG ,
EXCESS'UMBRELLA LIABILITY EACH OCCURRENCE '5 000 000
0 GLAIMSMADE 743008128 08/01/03 08/01/04 AGGREGATE 55 000,000
0
DEDUCTIBLE 0
X RETENTION no 000 0
WORKE.B COMPENSATION ANO X TORYLlMIT8
B EMP~OYERS' LIABIlITY 400532114 08/01/03 08/01/04 H.EACHACCIDENT 0500,000
ANY PROPRIETORiPARTNERlEXECUTJVE E.L DISEASE-EAEMPLOY.. ,5ÒÒ , 000
OF"CERiMEMEeREXCLUOED7
~m~'~~~J:~16~s MI~ E.L alSEASE - POLICY LIMIT 0500 000
OTHER
Property Insurance 743008128 08/01/03 08/01/04 Spec Form A
A
RC
DESCRIPTION OF OPERATIONS' ~OCAT10NS' VEHIC~ES I EXCLUSIONS ADDED BY ENDORSEMENT' SPEI;!AL PRaVI~'aNS .
Diesel engine sales and service. The City of Santa Ana, J.ts offJ.oers,
emmp10yees, agents, volunteers, and representatives are added as add~t~onal
insureds for work performed, but only as respects tc> Cummins Cal PacJ.fJ.c,
LLC's sole negligence. fax323-869-7499 Susan Moral..s
The Depot as Santa Ana
Carolyn I!'ullerton
1000 East Santa Ana Blvd. #108
Santa Ana CA 92701
CANCELLATION
DE POTSA SHaULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATE THEREOF, THE ISSUING INSURER WlLL_a MAIL ~ OAYS WAlnEN
NOTICETOTHE CERT1FICATE HOLDER NAMED TO THE LEFT. D'" .." "D'~ MM ,-,
_SE"BBB"'.".'S"'.""'.' I KIt"UP.,'TII'It""P"""'~"fHP
CERTIFICATE HOLDER
ACORD 2S (2001/08)
w~
@ ACORD CORPORATION 1988
2'd
1:1e111
e10'SO vO E~ u~C
Jan 23 04 09:01a
Tllar;l
Oll15(200~ 15;35 FAX 3238697454
CUMIlINS CAL PACI
. '.'.
EXHIBIT B
ADDITIONAL INSURED ENDORSEME1'JT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
Woo~ ~ c&~- , ~c..
~.oÛ"\"¡~ ~~. ~.
This endorsement modifies such insurance as is afforded by tbe provisions of Policy
# ìlt~l2. ¡¡ relating to the following:
1, The City of Santa Ana, 20 Ci ~ic Center Plaza, Santa Ana, California 92701; its
officers. employees, agents, volunteers and representatives ate named as additional insureds
("additional insureds") with regard to liability and defense ofsuits arising nom 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 insurçd, such insuranç~, 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 res)Cct to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such per.on Or organization
would have as a claimant if not so included. .
4. With respect to the additional insureds, this insurarfce shall not be cancelled, or
materially reduced in coverage or limits "xcept after thirty (30) days wnUen notiee has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Caiífonúa 92701.
(Completion of the following, \Deluding countersignature, is required to make this endorsement
effective.)
Effective &.;2.- I ~~ . this endorsement form as a part of
Policy # -,~ = tIoB \ z.& .
Issued (0 ~- C ø./ ~~c..
Named Insured
CoWitersigned by ~'-'V'\.Q-" ~A J
Authorized Representative
"-.. / / .
F:5Iv."/'l,7 ~ /2-..
\4)01
p.3