HomeMy WebLinkAboutMATTMAN COMPANY,THE 1 - 2003
"'~IIDJ\NCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
I - 17 - 05
CLERK OF COUNCIL
DATE: ;). -.;( /P -04
A-2003-267
CONTRACTOR AGREEMENT
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THIS AGREEMENT made and entered into this .;,> \ day of January, 2004 by and
between Mattman Company, a California corporation (hereinafter "Contractor"), 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 Contractor having special skill and knowledge in the field of
constructing custom 5th wheel trailers, to construct a Mobile Multi Media DUI
classroom.
B. Contractor represents that Contractor is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor 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
Contractor shall construct and deliver a Mobile Multi Media Dur classroom (hereinafter
referred to as "Project"), as set forth in City's Request for Proposal, incorporated by this
reference, and Contractor's Technical Proposal dated November 3, 2003, attached as Exhibit A
to this Agreement and incorporated by reference.
2. COMPENSATION
a. City agrees to pay, and Contractor 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 $160,000.00 during the term of this Agreement.
b. Payment by City shall be made as follows, subject to City accounting procedures:
. $50,000.00 shall be paid upon execution of this Agreement to provide
Contractor the funds required to purchase the trailer.
· The balance ofthe total Project price shall be paid to Contractor upon City's
acceptance of the fully operational Mobile Multi Media DUI classroom.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2004, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Chief of Police and the City
Attorney.
4. OWNERSHIP OF MATERIALS, SUPPLIES, DRAWINGS, SPECIFICATIONS,
PROGRAMS AND SYSTEMS
Any and all records, papers, drawings, specifications, programs, systems and other
materials prepared by Contractor pursuant to this Agreement, shall be the property of City.
Contractor agrees to provide City with any such materials whenever requested to do so.
5. INDEPENDENT CONTRACTOR
Contractor 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
Contractor performs the services which are the subject matter of this Agreement; however, the
services to be provided by Contractor shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Contractor 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, Contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Contractor 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 Contractor'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. Contractor 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. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the Labor Code, Contractor, if Contractor has any employees, is required to be insured
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against liability for worker's compensation or to undertake self-insurance. Prior to commencing
the performance of the work under this Agreement, Contractor agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
c. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
(i) Contractor 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.
d. If Contractor 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 Contractor's right to be paid for its
time and materials expended prior to notification of termination. Contractor 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
Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, Contractors, 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 Contractor 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. The Contractor 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 asserting that personal injury, damages, just
compensation, restitution, judicial or equitable relief due to personal or property rights arises
from this Agreement. City may make all reasonable decisions with respect to its representation
in any legal proceeding.
8. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor 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
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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 Contractor disclosed in a publicly available source; (c) is in rightful possession of the
Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of
law; or ( e) is independently developed by the Contractor without reference to information
disclosed by the City.
9. CONFLICT OF INTEREST CLAUSE
Contractor 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:
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)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Contractor:
Mattman Company
1004 Rancheros Drive
4
San Marcos, California 92069
Telefacsimile (760) 746-9542
Attn: Ted Carlson
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
Contractor, 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 Contractor. 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 Contractor 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 Contractor,
Contractor 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 Contractors retained by City.
13. TERMINATION
This Agreement may be terminated by City if Contractor fails to timely deliver the
completed Mobile Multi Media classroom. In such case the Chief of Police may require
Contractor to deliver to the City the trailer, all components completed and/or installed and any other
work product developed, built or acquired as of such date, and in such case such work product shall
be the property ofthe City unless prohibited by law, and Contractor consents to the City's use
thereof for such purposes as the City deems appropriate.
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b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
14. DISCRIMINATION
Contractor 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. Contractor affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
15. 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.
16. PROFESSIONAL LICENSES
Contractor shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision ofthe services
hereunder and required by the laws and regulations ofthe United States, the State of Cali fomi a,
the City of Santa Ana and all other governmental agencies. Contractor 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.
17. 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
indemuifY 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.
II
II
(Signatures on next page)
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
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PATRICIA E. HEALY
Clerk of the Council
DAVIDN. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: ~1{"d~'CJ'~C~/
Laur heedy
Assistant City Attorney
CONTRACTOR
MATTMAN COMPANY
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President
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Technical
Proposal
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EVENTS TRAILER
April 25,2003
Modified May 9, 2003
Revised November 3, 2003-KB
Revised January 8, 2004
1004 Rancheros Drive, San Marcos CA 92069
800/245-2865
Fax 760/746-9542
1
EXHiBIT l,
A. TRAILER SPECIFICA TlONS:
1. Competitive 40' OAL Gooseneck trailer with 32' of f1oorspace.
2. Independent torsion suspension axles.
3. Wide track 7000 lb. Axles.
4. Goodyear L T235-85R-16LRg tires.
5. Wide body design (102" 00 width).
6. Aluminum framed side door with built in step.
7. Bright mirror finish stainless steel front corners.
8. .050 exterior aluminum skin.
9. Wall, ceiling and floor members on 16" centers.
10. One-piece seamless aluminum roof.
11. Electric brakes with 12v. breakaway switch and battery.
12. Dust-proof sidewalls.
13. Cast aluminum front cap with stainless steel insert.
14. Aluminum fenders.
15. ATP enclosed and finished landing gear area with access doors.
16. 10" double I-beam main rail.
17. Front hydraulic electrical jacks.
18. Outlaw II aluminum 8-lug wheels.
19. Rear drop down ramp with swing door built into ramp assembly.
20. Provide and install One (1) Slide-out section on curb-side of unit.
a.) 12W X 3'0 X 6'H.
b.) 12VDC powered operation for in/out.
c.) Cable carrier located on forward end of slide unit for all
electrical/antenna cable.
d.) Centered between side entry door and rear of unit.
Provide quick release mechanism for drive motors in the event
of motor or power failure.
GENERAL REQUIREMENTS:
1.) Provide and install One (1) Master control console.
a.) Contains all switches and equipment controls.
b.) 12VDC, 120VAC power distribution panels.
c.) Constructed with 3/4" birch hardwood plywood, covered
with Graphite Nebula laminate.
2.)Provide and install One (1) PIONEER AM/FM/CD player and Two
(2) pair of speakers.
a.) Model DEH-1400 deck mounted in electronics rack.
b.) Model TS-A1661 speakers mounted throughout the interior of
the trailer.
c.) Antenna provided and mounted up on front side corner.
2
3.) Provide and install One (1) stereo amplifier.
a.) Mounted near stereo.
4.) Provide and install placards for weight and height.
a.) Vehicle height sign on dash.
b.) Vehicle weight sign with axle loads and available axle
payload.
A. CEILING.
1.) Insulate with PRO-FOAM polyurethane spray foam. R-value of 14
a.)Applied with a minimum coverage of 1-112" thickness.
2.) Cover interior roof supports for sub-ceiling with 1/4" cabinet grade
luan hardwood plywood.
a.) Sub-ceiling to be applied with flush head mechanical fasteners
spaced on a maximum of 12" centers.
3.) Cover sub-ceiling with EXECUWALL ribbed, acoustical, flame
retardant, and mildew resistant loop pile fabric.
a.) Applied with a minimum coverage of 90% spray grade contact
adhesive applied to both surfaces.
b.) Color to be determined.
B. FLOOR.
1.) Cover interior flooring with 1/4" cabinet grade hardwood plywood.
a.) Sub-floor to be applied with flush head mechanical fasteners
spaced on a maximum of 12" centers.
2.) Cover sub-floor with COLLINS & AIKMEN commercial carpet.
a.) Flooring to have a 15-year limited warranty against wear.
b.) All exposed edges to be trimmed with carpet tack strip.
c.) In communications and conferences areas flooring material will
continue up walls approximately 30".
3.) Provide and install cove base molding at walllfloor interface.
a.) 3" high white vinyl material.
b.) Secured with silicone based adhesive.
C. WALLS.
1.) Insulate with PRO-FOAM polyurethane spray foam. R-value of 14
a.)Applied with a minimum coverage of 1-112" thickness.
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2.) Cover interior body side posts for sub-wall with 1/2" cabinet grade
luan hardwood plywood.
a.) Sub-wall to be applied with flush head mechanical fasteners
spaced on a maximum of 16" centers.
3.) Cover sub-wall with EXECUWALL ribbed, acoustical, flame
retardant, and mildew resistant loop pile fabric.
a.) Applied with a minimum coverage of 90% spray grade contact
adhesive applied to both surfaces.
b.) Color to be determined.
D. DOORS.
1.) Provide and install One (1) 32" load compartment entrance door.
a.) Step-well with automatic courtesy lights.
b.) Provided with 20" X 24" fixed window with 1" mini-blinds.
c.) Attached to unit with stainless steel hinge.
d.) Provide and install aluminum kick-plate on bottom of door.
e.) Three (3) 2" nylon door straps, stops door at 100 degrees open.
2.) Provide and install One (1) exterior entry assist grab handle.
a.) Chrome with rubber inserts.
b.) 30 degree offset stanchions.
c.) Located at all entry doors.
d.) 24" in length.
3.) Provide and install One (1) interior entry assist grab handle.
a.) Stainless steel grab bar.
b.) Located at entry doors.
c.) 30" in length.
4.) Doors will be factory furnished finish. OEM
5.) Features common to all doors.
a.) All doors to have identical keys.
b.) Install 2" wide, black non-skid tape.
E. ELECTRICAL SYSTEM-120VAC.
1.) Provide and install One (1) POWERTECH 15KW Gasoline Generator.
a.) Model PTSG15.
b.) Frame to be powder coated 1/4" steel angle construction.
c.) .090 aluminum shrouding cut per manufacturer's
recommendation for cooling.
d.) Compartment to be insulated and sound proofed with
ACOUSTICOMP.
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1.) Lead lined, flame retardant material.
e.) Generator remote located in front overhead console.
f.) Door to be 11/2" box pan construction, with
1.) polished stainless steel O-ring handle.
2.) Dual double rotary latches.
3.) 1 1/2" stainless steel hinge with 1/4" pin.
4.) Polished stainless steel drip rail.
5.) Gas struts to hold door open at 170 degrees.
6.) EPDM rubber seal around door.
g.) Separate fuel tank provided for unit.
h.) Exhaust exit out the roof of unit.
2.) Provide and install One (1) PANELTRONICS 120 VAC Power
distribution panel.
a.) UL listed magnetic/hydraulic switch rated circuit breakers.
b.) LED indicator light feature.
c.) Label backlighting feature.
d.) Digital voltmeter.
3.) Provide and install One Automatic transfer switch.
a.) Located in electric box.
4.) Provide and install One (1) HUBBELL shore power inlet.
a.) 50 Ampere capacity. Twist lock connectors.
b.) Cord hard-wired through 50 ampere double pole circuit breaker.
c.) 6' 120/240 pigtail provided.
5.) Provide and install One (1) ULTRA-3 75 Ampere power converter.
a.) produce a filtered, regulated 12VDC output with a variable input.
b.) Units must keep battery voltage within one (1) volt of optimum
charge at maximum 12VDC draw.
c.) Work in unity with each other without the use of external
isolators.
d.) Never "over charge" the batteries.
e.) Switched on 120VAC power distribution panel.
f.) Use of un-regulated power converters with the ability to
over charge batteries is not acceptable.
6.) Provide and install sixteen (16) LEVITON specification grade interior
duplex wall receptacles.
a.) Brushed stainless steel covers.
b.) Receptacles located near a source of water will be GFI rated.
c.) Locations are shown on attached drawings.
d.) Switched on 120VAC power distribution panel.
e.) Dedicated 15 Amp circuits.
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7.) Provide and install Four (4) LEVITON specification grade interior
duplex wall receptacles.
a.) Brushed stainless steel covers.
b.) Receptacles will be colored orange for inverter.
8.) Provide and install six (6) LEVITON specification grade GFI exterior
duplex receptacles.
a.) Exterior grade weather resistant covers.
b.) Flush mounted into exterior.
c.) Switched on 120VAC power distribution panel.
d.) Two (2) dedicated 15 Amp circuits.
9.) Provide and install One (1) PROSINE INVERTER.
a.) Model ProSine 3.0
b.) 120 AMPS battery charger.
c.) 50 AMP surge capacity.
d.) Remote control panel on console.
10.) All 120 VAC main wiring.
a.) 8 gauge minimum.
11.) Branch circuit wiring to be MC stranded 10 or 12 gauge.
a.) Wiring to be routed using appropriate conduit per application.
F. ELECTRICAL SYSTEM-12VDC.
1.) Provide and install Four (4) AGM auxiliary batteries.
a.) Batteries to be protected with mega fuse or hi-amp circuit
breaker.
2.) Provide and install One (1) PANELTRONICS 12VDC power
distribution panel.
a.) UL listed magneticlhydraulic switch rated circuit breakers.
b.) LED indicator Iightfeature.
c.) Label backlighting feature.
d.) Digital voltmeter.
3.) Provide and install four (4) Interior 12VDC outlets.
a.) Cigarette lighter type.
b.) Mounted in stainless steel plates.
c.) 15 Ampere rating per outlet.
4.) Provide and install One (1) STANCOR battery disconnect relay.
a.) Controls auxiliary battery system.
b.) Current capacity- 0 to 200 ADC, 1000 ADC 20 sec.
c.) Switched remotely at the dash. Switch to have indicator light.
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d.) Relay to be placed within 18" of battery.
e.) Water and Explosion proof.
5.) Provide and install One (1) ICP solar charger kit.
a.) Model Pro-kit 45W.
b.) 45 watts, 8-10 Amp Hrsfday.
c.) Includes charge controller.
G. LIGHTING.
1.) Provide and install Twenty (20) THINLlTE 18" fluorescent lights.
a.) Located in ceiling.
b.) Switched from 12VDC power distribution panel.
2.) Provide and install Eight (8) THINLlTE 12" fluorescent lights.
a.) Located under overhead cabinets.
b.) Switched from 12VDC power distribution panel.
3.) Provide and install Six (6) WHELEN 810 series relampable halogen
light heads.
a.) Model 810CAOZR scene lights.
b.) 8" X 10" size.
c.) 3 on each side.
H. EMERGENCY LIGHTING AND EQUIPMENT.
NONE
I. WIRING REQUIREMENTS.
1.) Terminals to conform to MIL-T-7928 and MS 25036.
a.) Terminals to be crimped with tool recommended by
manufacturer and per MIL-SPEC.
b.) Spade and hook terminals are unacceptable.
2.) All wiring to be supported with insulated clamps complying
with MS 21919.
3.)Wire bundles to be tied with trimmed nylon cable ties.
4.) All added DC electrical circuits to be protected by resettable circuit
breakers rated for 125% of circuit load.
5.) Full wiring schematics are to be provided.
a.) 120 VAC main and branch distribution.
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b.) 12 VDC main and branch distribution.
c.) Generator and shore transfer.
d.) Audio/video distribution.
e.) Low voltage control circuits.
f.) Wiring to be color coded.
g.) Numbered at both ends.
h.) Charted on master wire list.
6.) All added wiring to be protected from chafing and abrasion.
7.) Electrical installation.
a.) Complete 12 VDC system and electrical appliances will be to
modern automotive standards through out the installation.
b.) Extreme care will be exercised to provide for easy serviceability
of the system in the future years.
8.) Provide and install HUBBELL basetrack PVC wiring raceways.
a.) Provide labeled pull strings for future expansion.
b.) Extends from communications closet to the front and rear of
unit.
9.) NO EXCEPTIONS WILL BE ACCEPTABLE IN THIS SECTION!
J. INTERIOR FEA TURES.
1.) Provide and install Three (3) custom inlaid deep tint horizontal slide
windows.
a.) 30"W X 22"H.
b.) Window box on inside for 1" white plastic mini blinds.
1.) Covered with the same laminate used for the
countertops.
c.) 1 located on curb side up front in operator's area.
d.) 1 located on street side up front in operator's area.
2.) Provide and install Three (3) COLEMAN roof mounted heat pump/air
conditioners.
a.) 15,000 BTUH cooling capacity.
b.) 12,700 BTUH heating capacity up to 47degrees F.
c.) 5,600 BTUH heating capacity below 47 degrees F.
d.) Direct ducting with controls mounted on interior ceiling shroud.
e.) Switched on 120VAC power distribution panel.
3.) Provide and install eight (8) HON workstation chairs.
a.) High back.
b.) 5 arm spider base with dual casters.
c.) Bungee harness to secure chair for transit.
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d.) Chairs will have pneumatic height adjustment.
4.) Provide and install Two (2) FANTASTIC-FAN roof ventilators.
a.) Unit to be high volume with three (3) fan speeds.
b.) Unit to have reverse air flow capabilities.
5.) Provide and install Safety equipment to consist of the following.
a.) 2-5Ib. ABC rated fire extinguishers.
1.) 1-located inside side entry door.
2.) 1-located inside rear door.
b.) 2-9VDC smoke detectors.
c.) 2-9VDC carbon monoxide detectors.
6.) Provide and install workstation junction boxes
a.) Located at all workstations.
b.) To include the following connectors:
1.) RJ-11.
2.) RJ-45.
3.) 12VDC.
4.) 120VAC.
5.) 120VAC inverted.
7.) Provide and install four (4) acrylic brochure holders.
a.) Capable of holding 2 sizes.
b.) 4-1/2" brochures and 8-1/2" X 11" pamphlets.
c.) Location to be determined.
K. LAVATORY & GALLEY.
NONE
L. CABINETS.
1.) Construction of all components as follows.
a.) Fabricate and install interior compartments, counters shelves,
tables, and work stations per drawings.
b.) All components to be constructed of 112" and 3/4" A1 grade
Birch plywood pre finished with polyurethane.
c.) Cases to be of uni-frame to provide light weight durability and
flexibility during body flex.
d.) All cases and countertops to have post formed, seamless front
edges. Preventing chipping of laminate and eliminating
sharp edges.
e.) All cases and countertops to be covered with high impact plastic
laminate.
1.) Post formed grade.
2.) Color to be determined.
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3.) All doors and drawers to be flush with cabinet
faces, Inset style.
f.) Install BLUM European style hinges on all doors and lids.
1.) 125 degree opening.
g.) All drawers and doors will have one (1) SOUTH CO flush mount
positive latching pulls on all interior doors and drawers.
h.) Provide sPD gas pressurized springs on all upward opening
doors.
i.) All drawers to have ACCURIDE ball bearing slides.
a.) 100 Lb. rating
b.) Full extension.
j.) Adjustable shelves constructed from 3/4" plywood with 1-1/2"
aluminum angle lip.
k.) Overhead cabinet doors to be finished in erasable white
board material.
I.) Provide and install One (1) operator's workstation.
a.) To include the following.
1.) 120 VAC dome outlet-15 AMP.
2.) 12 VDC outlet-15 AMP.
3.) RJ-11 Phone outlet.
4.) RJ-45 Computer outlet.
b.) Constructed with 3/4" birch hardwood plywood, covered
with plastic laminate.
c.) Provide and install One (1) three drawer bank.
d.) L-shaped counter in front of unit facing rear workstations.
m.) Provide and install Nine (9) simulator workstations.
a.) Provide One (1) Keyboard slide-out tray at each station.
b.) Allow space for mounting CPU's under countertop.
c.) Provide dividers between stations to allow for a wrap
around configuration of 3-17" monitors.
d.) Located in the rear of unit close to ramp will be One (1)
station meeting ADA requirements.
n.) Provide an install storage access for soda machine on inside.
a.) Need room to store cooler, soda syrup and water
canisters.
M. AUDIONIDEO.
1.) Provide and install six (6) CRT 19" monitors.
a.) Located on inside facing out through windows.
b.) Curb side under awnings.
2.) Provide and install One (1) PANAsONIC DVD/CDNCR player.
a.) Model PV-D4742.
b.) DVD-Video discs CDs, audio CD-Rs & CD-RWs, and MP3 CDs.
c.) Hi-FI, 4-head VCRl181 channel tuner.
10
d.) Mounted in electronics rack.
e.) Switched on 120VAC power distribution panel.
3.) Provide and install Two (2) pair of exterior speakers.
a.) Mounted on curb-side exterior with removable chrome mounts.
b.) Waterproof connectors.
c.) Connected to AM/FM/CD player on interior.
4.) Provide and install Two (2) exterior audiolvideo inputs.
a.) Camera/camcorder connection.
b.) Inputs located under exterior covers on side.
c.) RCA style connections.
5.) Provide and install One (1) CHANNEL PLUS modulators.
a.) Model 5545.
b.) Converts video feeds to RF for distribution.
6.) Provide and install One (1) CHANNEL PLUS distribution panel.
a.) Model 3308.
b.) CATV and 2-modulator inputs and 8 outputs.
7.) Coaxial cable for TV distribution system.
a.) BELDEN RG-59 with 20 AWG solid copper center conductor.
b.) Nominal attenuation of 6.4 db/100 feet @ 700 Mhz.
8.) TV distribution system will operate as follows.
a.) All sources will be selected by TV tuner ONLY!
b.) All video sources are to be modulated @ +24 db output.
c.) Modulator sources will be located at upper end of band.
d.) All sources can be viewed independently on any monitor.
N. RADIOS.
1.) Pre-wire for One (1) customer supplied radio.
a.) Includes 3/4" NMO bases per specified frequencies.
b.) Coaxial cable to be LMR-240.
c.) Cable to be run in 3/8" flexible aluminum conduit.
d.) 12 VDC 3/8" stud type junction posts at pre-wire locations.
O. TELEPHONE SYSTEM.
1.) Provide and install One (1) CO landline inputs.
a.) RJ11 connector.
b.) Located on street-side behind drivers door.
c.) Mounted under exterior weatherproof cover.
II
2.) Provide and install One (1) interior telephone extension jack.
a.) RJ11 connector.
b.) Located at main work station.
c.) Mounted in stainless steel covers.
P. COMPUTER EQUIPMENT.
1.) Provide and install One (1) 10Base T computer network.
a.) 10-RJ-45 connectors.
b.) Category 5 cabling.
c.) Data switch located in utility closet.
d.) Input located on street-side behind drivers door.
Q. EXTERIOR COMPARTMENTS.
1.) Provide and install three (3) exterior access doors.
a.) One (1) 28"H X 50"L for generator on street-side of
gooseneck.
b.) One (1) 32"H X 50"L for electricallbatteries box on front of unit.
c.) One (1) 32"H X 50"L access doors for storage on curb-side of
gooseneck.
R. EXTERIOR EQUIPMENT.
1.) Underbody to be undercoated.
a.) All exposed metal.
2.) Awning to be supplied and installed by the CUSTOMER.
3.) Provide and install One (1) HICKORY SPRINGS pull-out step.
a.) Mounted under curb-side entry door.
b.) Manual operation.
4.) Provide and install one (1) 48" X 18" removable exterior counter.
a.) Connected to truck with chrome table brackets.
6.) Provide and install One (1) removable white board.
a.) Stainless steel mounting brackets on exterior.
b.) Stored in interior closet.
7.) Provide and install Two (2) CP PRODUCTS stabilizer jacks.
a.) Crossframe mount, Model 76857.
b.) Located at each end of unit.
12
S. OTHER EQUIPMENT.
1.) Provide and install One (1) RDS aluminum fuel tank.
a.) Capable of holding 60 gallons diesel fuel.
b.) Provide fuel fill on street-side.
c.) Provide fuel for generator.
2.) Install One (1) customer provide soda vending machine.
a.) Located behind One (1) ROM door.
b.) Exterior accessability.
3.) Provide and install Two (2) Rubber wheel chocks.
a.) Meets OSHA Specification 1910.178(k).
b.) Stored in underbody box.
T. PAINTING SPECIFICA nONS.
1.) Paint preparation for exterior, to consist of the following processes.
a.) Fully sanded to assure removal of imperfections in surfaces.
b.) All sheet metals to be chemically etched with acid type cleaners
2.) Entire trailer body to be WHITE.
U. GRAPHICS.
NONE
V. WARRANTIES.
1.) The Mattman Company provides a Two (2) year, unlimited mileage
against defects in materials or workmanship.
W. TERMS.
1.) DELIVERY: Upon arrival at customer's facility, one factory-authorized
representative to perform the following training schedule.
a.) Four (4) hours training for instructors.
b.) Four (4) hours for drivers, operators, maintenance
personnel, and other personnel with instructors
present to provide further training.
2.) Training subjects to include:
a.) Generator/Shore power systems use and maintenance.
b.) 12VDC and control systems use and maintenance.
c.) Communications systems use and maintenance.
13
d.) AudioNideo systems use and maintenance.
e.) Water systems start-up and shut-down procedures with
simulation exercises.
3.) F.O.B. Destination:
a.) Santa Ana, U.S.
4.) TERMS OF PAYMENT:
a.) 50% deposit, balance due upon delivery.
5.) CLARIFICATIONS:
a.) Quoted prices are in U.S. dollars, and exclusive of all applicable
Federal, State, and Local Taxes.
b.) Quoted prices include The Mattman Company standards.
1.) Quality control and functional testing of all on-board
systems.
2.) Test results and Certificate of Compliance to be provided
with each completed vehicle.
c.) Any changes with this proposal must be submitted in writing.
Signed by customer representative and Mattman sales
administrator.
Verbal requests for changes in original specification will not
be accepted.
The MA TTMAN Company Inc. is an original equipment manufacturer (OEM) and
classified as a small business in the State of California.
x.
COST.
$138,564.00.
. Does not include sales tax or registration fees
Y. ACCEPTANCE SIGNATURES.
John Mattman
The Mattman Company
14
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 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 ofliability. 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 ifnot 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 9270 I.
(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
8
0211:10.12004 11: 06 FAX 7607402052
.~--
DRIVER/HOSPITALITY
I4J 002
CERTIFICATE OF LIABILITY INSURANCE I DATE {MM/OD!YYYY}
02/12/2004
P~OOUCER THIS CERTIf'ICATE IS ISSUED AS A MATTER OF INFORMATION
BURNS /I WILCOX INSURANCE SERVICES, INC_ ONLY AND CONFERS NO RIGHTS UPDN THE CERTIACATE
2650 CAMINO DEL RIO NORTH, SUITE 308 HOLDER THIS CERTIFICATE DOES NDT AMEND, EXTEND OR
ALTER THE COVERAGE AFFOROED SY THE POLICIES BELOW.
SAN DIEGO. CA 92108 COMPANIES AFFORDING COVERAGE
COMFI"NY
CA '.31 aB4-DRIR03-910800-PRO A COLONY INSURANCE COMPANY
INS U~EO COMPANY
THE MATTMAN COMPANY B
1004 RANCHEROS DRIVE l;QMPANy
SAN MARCOS. CA 92069 C
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF IN$URANCE LISrED BELOW HAVE BEeN ISSUED TO THE INSUReD NAMEP ABOVE FOR THE POLICY PERIOD
IND1CATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR QTH!:R DOCUMENT WITH RESPECT 10 WHICH nits
CERTIFICATe: MAY BE ISsuE:D OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICieS OESCRlljlliD HEREIN IS SUBJECT '1'0 ALL THE TERMS,
EXCLUSIONS ANCl CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MA.Y HAVe BEtiN REDUceo BY PAlO ClAIMS.
CO 1'1'P'E. OF lJII$uRAl\lCE FOUCV NU"'BEfl Pg;~i~:~~~i; P~l;'~ .EX"'IRA!.~N LlMrrs
LT" CIA TE fMMfCDh'Y)
GENERAL L1AaIUTY GeNERAL AGGREGATEi . 2 000.000
i ~OMM"RCIAL GENERAL LIABILITY PRooUCTS-COMP!QP AGG $ 2,000.000 .
A ~, QAIMS MADE [KJ OCCUR. GL 152084 01/17/2004 01/17/2005 PERSONAL &MJV INJURY . 1 000.000
:!!!Z OWNeRS &. CONTRACTORS pROT, EACH OCCURReNCE $ 1,000.000
- 100,000
- FIRE DAMAGE (Any on/il fire) $
ME.O EXP (Anyone parson) . 5.000
~UTOM081U: UASIUTY COMBINED SINGLE LIMIT $
N-lYAUTO
ALL OWNED AUTOS BOOIL Y INJURY $
- SCHEDULEO AUTOS (Perpe:n;on)
HIRED AUTOS . BOOILY INJUR.Y $
- NON-oWNED AUTOS (Ptraccldent)
- , ,,--, PROPERTY OAMAGE .
GARAGe: LlARIUTY ~J.i? AUTO ONL Y-EA ACCIDENT I
I- ANY AUTO OTHER THAN AUTO ONL V: '" 'Imnl~IUi;) 1,
f-- ! SACH ACCIDENT $
, .- . AGGREGATE .
EXCESS UABILITY EACH OCGUAAI!NCE $
R - UMe~eLLA FORM AGGRE(;ATE .
OTHER THAN uMBRELLA FORM $ .
WORKER.S COMP~SATlON AND I STArUTORYLlMITS 'ijliiii~~'lf~,g"":nii~I':R
5MPLO\'ERS LIA.8ll.JTY ,11 .,1, I \r,,~1 I /1,
EACH ACCIOENT .
THe PROPRIETOR! RINCL. DISEASE-PO\.ICY LIMIT I
PAATNERS/EXEcuTIVE.
OF~ICE.RS ARE ""CL DISEASe-EACH EMPLOYEE $
OTHER
DESCRIPTION OF' OPERATlONS/LOCATlONSNEHICLES/SPEClAllTEMS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED-PRIMARY WORDING APPLIES PER FORM U156P-0403
CERTIFICATE HOLDER CANCELLATION "10 DAYS FOR NON.PAYMENT
CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, SHQULO ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE I"HE
AGENTS. VOLUNTEERS AND REPRESENTATIVES EXPIM.T10N DATi THeREOF, THe ISSUING COMPANY WILL ENDEAvOFl: TO MAIL
20 CIVIC CENTER PlAZA ~ DAYS WRITTEN NOTICE '1"0 THE CERTIFICATE HOLDER NAMED TO tl"lE
SANTA ANA, CALIFORNIA 92701 LE:fT, BUT FAlL.U~1! TO MAIL SUCH NOTICE SHA1..L IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COM.PANY, ITS AGENTS OR REiPRESENTATIVEG.
AUTHyZENTAT~ ~
l :..lX_J J A /1 .i .k
aWSD 2S (Oa/2000) / @ 2000 ~E SOFTWARE
..../
"w" ,.)
~/9A-
CLERK'S OFFICE
(M-30 / T-ll)
TO: CITY AlTORNEY
FROM: CLERK OF mE COUNCIL
PLEASE REVIEW INSURANCE AND COMMENT.
Agreement No. !).Dt)3 -cx.it 1
With~
BAccept
~1 o Reject .I ~ )
ffr/:{!; ;';);'';j KdC
~~"'./ ~ ~ ' /;,~. co - 1to f
CAO*23FEB'04PM3:07 ~
r. ttomey
05/11/2004 10016 FAX.~07402052
.
DRIVER/HOSPITALITY
141002
>,
,:;.-:'.- ~ --'-
<
THIS ENDORSEMENT CHANGES THE ~OLlC\'. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -
OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Pel1lon or Organization (Additionallnsurod):
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA, CA.92-101- ------- -.'-
AS RESPECTS TO: DUI TRAINING VEHICLE CONVERSION
A SECTION I _ COVERAGES. COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2.
Exclusions is amended and the following added:
This insurance does not apply to:
Additional Insured Contractual Liability
,
"Bodily injury" or "property damage" for which the "additional insured(s)" are obligated to pay damages by
reason of the assumption of liability in a contract or agreement.
Finished Operations or Work
"Bodily injury' or "property damage": .
(1) occurring after .your work", including materials, parts or equipment furnished in connection with such
work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the
"additional insured(s)" at the site of the covered operati.ons has been completed; or
(2) occurring after that portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization.
Negligence of Additional Insured
"Bodily injury" or "prdperty damage' directly arising out of or resulting from the negligence of the "additional
insured(s)".
B. SECTION 11- WHO IS AN INSURED is amended and the following added:
I
The person or organization (called 'additional insured") shown in the Schedule is also an insured but only:
a. with respect to indirect liability caused by or resulting from your ongoing operations performed for that
"additional insured(s)": and
b. when you and the person or organization shown in the Schedule have agreed in writing in a contract or
agreement that such person or organization be added as an "additional insured" on your policy.
A person's or organization's status as an "additional insured" under this endorsement ends when their
contract or agreement with you ends_
C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. other Insurance is amended and
the following added:
The insurance afforded by this Coverage Part for the "additional insured" shown in the Schedule is
primary insurance and we will not seek contribution from any other insurance available to that
"additional insured".
a!fM< dy;2/::?
. ... . / .. .
ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.
I
U 156 P-0403
ENDT 1
Page 1 of 1
,
~
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY)
,. NO. 2 05 06-2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
EMPLOYERS DIRECT INSURANCE COMPANY CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
4360 PARK TERRACE DR. AFFORDED BY THE POLICIES BELOW.
.
WESTLAKE VILLAGE, CA 91361-5696 INSURERS AFFORDING COVERAGE NAIC#
INSURER A: EMPLOYERS DIRECT INSURANCE COMPANY
-
INSURED INSURER B:
J MATTMAN SECURITY, INC.
MATTMAN SPECIALTY VEHICLES INSURER c:
1004 RANCHEROS DRIVE
SAN MARCOS, CA 92069 INSURER 0:
4 - ')jJoj .. J..lv1 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.
INSRboOL POLICY EFFECTIVE POLICY EXPIRATION
lTR INSR TYPE OF INSURANCE POLICY NUMBER DATE'MM/DDfYY\ DATE IMMlDDfYY\ LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
CLAIMS MADE OCCUR PREMISES (Ea occurrence)
NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: $
GENERAL AGGREGATE
POLICY PROJECT LOC $
PRODUCTS-COMP/OP AGG
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccidenl)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY {Per person}
HIRED AUTOS BODILY INJURY $
{Per accident)
NON-QWNED AUTOS PROPERTY DAMAGE $
{Per accident)
GARAGE LIABILITY AUTO ONL Y.EA ACCIDENT $
ANY AUTO NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY OTHER THAN EA ACCIDENT $
I I AUTO ONLY: AGGREGATE $
EXCESS/UMBRELLA LIABILITY I I
OCCUR CLAIMS MADE NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY EACH OCCURRENCE $
DEDUCTIBLE AGGREGATE $
RETENTION $
A WORKER'S COMPENSATION AND WC -000148-00 01-01-04 01-01-05 X WC STATUTORY OTHER
EMPLOYERS LIABILITY LIMITS
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? N E.L DISEASE-EA EMPLOYEE $1,000,000
If yes, describe under
SPECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $1,000,000
OTHER
. " /' / /
~-{l L . .
C~ C;" )/'V? ('U/
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY 'f.NDOR~EMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
CITY OF SANTA ANA, POLICE DEPARTMENT BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
ATTN: SGT. D. MCDERMOTT (SWATT/TRAFFIC) WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO ,
60 CIVIC CENTER PLAZA I
P. O. BOX 1981 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A/D UPON
SANTA ANA, CA 92702 THE INSURER, ITS AGENTS OR RE~NTATIVES.
AUTHORIZED REPRESENTATIVE C LJI'/' I
!PRINTED BY U10 ON 05/06/04 AT 7:37 AM i
ACORD 25 (2001/08) 10f2 / @ ACORD CORPORATION 1988
~cr
.
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 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.
ACORD 25 (2001108)
2012
ACORD CERTIFICATE OF LIABILITY INSURANCE J DATE (MMfDDfYYYY)
,. NO. 12 29 2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
EMPLOYERS DIRECT INSURANCE COMPANY CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
30301 AGOURA ROAD AFFORDED BY THE POliCIES BELOW.
SUITE lOO INSURERS AFFORDING COVERAGE NAIC#
AGOURA HILLS, CA 91301-2096
INSURER A: EMPLOYERS DIRECT INSURANCE COMPANY
INSURED INSURER B:
J MATTMAN SECURITY, INC.
MATTMAN SPECIALTY VEHICLES INSURER c:
1004 RANCHEROS DRIVE
SAN MARCOS, CA 92069 INSURER D:
A -:;iL7D3 - Jl &0'1 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 Certlficate 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.
INSR ADDL POLICY EFFECTIVE POLICY EXPIRAT~?N
LOR INSR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDfYYI DATE fMMIDDIYY LIMITS
GENERAL liABIliTY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
ClAIMS MADE OCCUR PREMISES lEa occurrence)
NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPliES PER:
GENERAL AGGREGATE $
POLICY PROJECT Lac $
PRODUCTS-COMP/OP AGG
AUTOMOBILE LIABILITY COMBINED SINGLE liMIT $
ANY AUTO (Eaaccidenl)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY (Per person)
HIRED AUTOS BODILY INJURY $
{Per accident)
NON-OWNED AUTOS PROPERTY DAMAGE $
(Per accident}
GARAGE LIABILITY AUTO QNL Y-EA ACCIDENT $
ANY AUTO NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY OTHER THAN EA ACCIDENT $
I I AUTO ONLY: AGGREGATE $
EXCESS/UMBRELLA liABILITY I I
OCCUR CLAIMS MADE NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY EACH OCCURRENCE $
DEDUCTIBLE AGGREGATE $
RETENTION $
A WORKER'S COMPF.NSATION AND ~.:C 000148-01 01-01-05 01-01-06 X WC STATUTORY OTHER
EMPLOYERS LIABILITY LIMIT:;>
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? N E.L. DJSEASE-EA EMPLOYEE $ 1, 00 0 I 0 0 0
If yes, describe under AFFROV 'Jfi)DI~E~YlJ'J@T~' $ 1,000,000
SPECIAL PROVISIONS below
OTHER .
DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 'Y:Y ,;;,., :JL,.~
, .-_..
i":ldL J(,., (!>
A::.sislam ell) /-Uld.,l....;Y
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
WILL ENDEAVOR TO MAIL ----l9.- DAYS WRITTEN NOTICE TO THE
CITY OF SANTA ANA CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
20 CIVIC CENTER PLAZA SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
THE INSURER. ITS AGENTS OR REPRESENTATIVES.
SANTA ANA, CA 92701 10 DAY NOTICE FOR NON-PA YME~REMIUM ci~N-REPORTING
AUTHORIZED REPRESENTATIVE 7: L~" I' /,
PRINTED BY U07 ON 12/29/04 AT 1,48 PM
ACORD 25 (2001/08) 10f2 / @ACORD CORPORATION 1988
JRN10'05 lOti 3'07 PUR
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 s1atement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance 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.
ACORD 25 (2001/08)
2012
JANIO'05 ptJ 3:07 PUR