HomeMy WebLinkAboutPrincipal Decision Systems 30200
s
AGREEMENT TERMINATION
Please complete this form when the attached agreement is fro, TTpr!7 effect e k 6e
Return form to the Sr. Deputy Clerk of the Council (M 30,)s -.Cull 647 -5238 if you have any
questions_
The agreement with �� �iy�LiOeir� (�i , No. — "t' -0,5 � U
was completed on final payment has been made.
N -2004 -052 Department:
Signature:
Date: i w
City of Santa Ana
Revised 8 -7 -03 Clerk of the Council
s✓
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longgr-,in effect.
Return form to the Sr. Deputy Clerk of the Council (M -30). Call - 647:5238 if you have'ahy
questions.
--- - - - - -- ------- --- - - - - -- ------ - - - - -- -- '- - - - - -- -
The agreement with `'Mk.C'� No.
was completed on�� ��an-d final payment has been made.
` 200`�'OSZ Department: /"lf.c
Signature:
Date:
City of Santa Ana
Revised 8 -7 -03 Clerk of the Council
_ � czooU
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect. _;
u
Return form to the Sr. Deputy Clerk of the Council (M -30). Call' 647 -5238 if you have any
questions.
The agreement with ry y�Jg_,j Li�G S o rt 54s{ e✓nS f tevu�oo , No-d, of 007 -052,-(01
was completed on and final payment has been made.
Department: �Ce,
Signature:
Date:
City of Santa Ana
Revised 8 -7 -03 Clerk of the Council
WORK J 'EED
CLERK ;?; ;,,, j CIL
DATE:.
C: F
SOFTWARE MAINTENANCE AGREEMENT
N- 2004 -052
��• e► i0►t�G+) ' 2004 b
THIS AGREEMENT, made and entered into this ik-' J day of N� �7 i ' y
and between Principal Decision Systems International, Inc., a California corpor lion (hereinafter
"Consultant "), and the City of Santa Ana, a charter city and municipal corporation organized and
existing under the Constitution and laws of the State of California (hereinafter "City ").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
software maintenance and support.
B. City and Consultant entered into an Agreement dated January 1, 2002 (hereinafter "said
Agreement "), by which City purchased a license and Consultant agreed to provide
maintenance and telephone support for software used by City's Fire Department. Said
Agreement expired when the parties failed to renew the term.
C. The parties wish to renew the maintenance and support provisions of said Agreement
and to add web based support services to said Agreement.
D. Consultant represents that Consultant is able and willing to provide such services to the
City.
E. 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 provide maintenance, updates and telephone and web based suppost
services for Telestaff and Webstaff software, 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 TeleStaff and
annual maintenance fee of $3,150.00 and for Webstaff, an annual maintenance fee of $4,320.00(-p'r4'�,
The total sum to be expended under this Agreement shall not exceed $7,470.00 during the term ��rrvv
of this Agreement.
b. Payment by City shall be made within thirty (30) days following execution of this
Agreement, subject to City accounting procedures.
3. TERM
This Agreement shall commence on January 1, 2004 and terminate on December 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 Fire Chief 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.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. 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.
b. Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $1,000,000 per claim.
c. 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.
d. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If either party receives from the other party information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, each party 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 receiving party disclosed in a publicly available source; (c) is in rightful possession of the
receiving party without an obligation of confidentiality; (d) is required to be disclosed by
operation of law; or (e) is independently developed by one party without reference to information
disclosed by the other party.
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: and:
Fire Chief City Attorney
City of Santa Ana City of Santa Ana
1439 S. Broadway 20 Civic Center Plaza (M -29)
Santa Ana, California 92702 P.O. 1988
telefacsimile (714) 647 -5779 Santa Ana, California 92702
telefacsimile (714) 647 -6515
To Consultant: Principal Decision Systems International, Inc.
625 The City Drive South, Suite 190
Orange, California 92868
Telefacsimile (714) 703 -2970
Attn: Brooke Guilliatt
A party may change its address by giving notice in writing to the other party. 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, with
postage prepaid, and addressed as set forth above. If sent by telefacsimile, any communication
shall be effective or deemed to have been given twenty -four (24) hours after the time set forth on
the transmission report issued by the transmitting facsimile machine, addressed as set forth
above. For purposes of calculating these time frames, weekends, federal, state, County or City
holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, 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 the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
�
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL
PHILLIP GARCIA
Fire Chief
CITY OF SANTA ANA
i
AVID N. REAM
City Manager
CONSULTANT
GREG EKSTROM
President
TaxID# 77 -0*1 -S 'inJ
EXHIBIT A
SCOPE OF SERVICES
Telestaff software is a staff scheduling program which tracks sworn members daily attendance
and enables sworn members to sign up for overtime. Webstaff software allows any member to
be able to use the Telestaff software for overtime sign up and to check scheduling over the
internet.
Consultant grants to City a license to use its Telestaff software, services, and updates, as set forth
in that certain agreement between Consultant and City, dated January 1, 2002, for a one -year
period commencing January 1, 2004 and ending December 31, 2004.
Consultant grants to City a license to use its Webstaff software, services, and updates as set forth
in Appendix A hereto, for a one year period commencing January 1, 2004 and ending December
31, 2004.
Appendix A— WebStaff Information
1. Functionality
WebStaff 1.3.6 is designed specifically to give TeleStaff administrators and end -users further access to
TeleStaff from any browser. WebStaff extends the reach of the TeleStaff system beyond the client
workstation and the telephone to any computer with Internet access. WebStaff combines the visual
benefits of the TeleStaff Client with the accessibility of the telephone to give your TeleStaff users visual
access to a significant amount of information from any Internet computer. Further, WebStaff is simple to
use because it mimics the TeleStaff Client workstation functions in an easy -to -user browser interface.
WebStaff Administrators can:
Create vacancies based on your department's rules and guidelines
> Fill Vacancies from the Candidate's Window
➢ Initiate the Auto Hire function
➢ Approve requests
➢ Initiate the Automated Contact feature
WebStaff End -users can:
> View their personal calendar
➢ Request work through the Available feature
➢ Request/record work exceptions
➢ Remove Availability and Exception work codes (if definition allows)
➢ Receive notifications sent by the TeleStaff system
➢ View and change select personal data including telephone numbers
• View roster for any date
• View detailed work history report over any date range
• View the Pick List
2. Accessibility
Theoretically, WebStaff is accessible 24 hours a day, 7 days a week from any computer with Internet
access as long as the Web Server is accessible. Accessing WebStaff is a simple as directing your browser
to the WebStaff home page and logging in using your TeleStaff User ID and Password. Once logged in,
the web server connects to your organization's TeleStaff database to provide real -time data access similar
to using a TeleStaff client workstation or accessing TeleStaff by telephone.
3. Customer Deployment
WebStaff is available in two options, a Customer Hosted WebStaff Software License or a PDSI Hosted
Service. There are advantages to both, depending on the organization's need. With the Customer Hosted
model, PDSI provides only the WebStaff application software and the customer is responsible for installing
it on a web server and managing all access to the application. Internet security becomes the responsibility
of the customer since there is no interface in this model to PDSI's web server infrastructure. Customer
Hosting is an ideal option for those customers with an existing web server environment and capable
resources to manage it. Under this option, the customer licenses WebStaff from PDSI and can optionally
purchase maintenance and support that provides functional helpdesk support and enhancements to
WebStaff. In order to host WebStaff:
`r Customer must have or deploy an appropriate Web Server
> The Web Server must be capability of running Java Servlets
The PDSI Hosted option is ideal for customers without an existing web server infrastructure and /or
availability of resources to manage one. Under this option, the WebStaff application resides on a secure
web server cluster maintained and managed by PDSI. The WebStaff application communicates across a
secure VPN (Virtual Private Network) pipe to the customer's TeleStaff database server. Customer setup is
A-1
designed to be simple but may be complicated by existing intranet/internet infrastructure. In general,
however, the following steps will be taken to deploy WebStaff in this model:
Customer must have constant internet access (highest speed possible without dial -up)
Customer must have a static and public IP address
Customer must provide PDSI with the address of its public IP and TeleStaff database IP
> PDSI will procure appropriate firewall hardware for each customer and will configure the
firewall using specified IP addresses
> PDSI will deliver the configured firewall with installation instructions to the customer and will be
available by telephone for assistance
➢ For more complicated installations, PDSI will provide the customer with access to one of our
networking service partners.
Pricing for the PDSI Hosted WebStaff option consists of a one -time setup fee and an annual and renewable
service fee. The setup fee includes all hardware and services required to add each customer to the
WebStaff network. The annual service fee provides each customer employee with web access to the
TeleStaff application.
A -2
WEBstaff
rq�
WEB ACCESS TO TELESTAFFTM
Features, Benefits and Deployment
I. FUNCTIONALITY
WebStaff 1.3.6 is designed specifically to give TeleStaff administrators and end -users
further access to TeleStaff from any browser. WebStaff extends the reach of the
TeleStaff system beyond the client workstation and the telephone to any computer
with Internet access. WebStaff combines the visual benefits of the TeleStaff Client
with the accessibility of the telephone to give your TeleStaff users visual access to a
significant amount of Information from any Internet computer. Further, WebStaff is
simple to use because it mimics the TeleStaff Client workstation functions in an easy -
to -user browser Interface.
WebStaff Administrators can:
lo Create vacancies based on your department's rules and guidelines
D Fill Vacancies from the Candidate's Window
Initiate the Auto Hire function
Y Approve requests
Initiate the Automated Contact feature
WebStaff End -users can:
Y View their personal calendar
Request work through the Available feature
Request/record work exceptions
v Remove Availability and Exception work codes (if definition allows)
y Receive notifications sent by the TeleStaff system
T View and change select personal data Including telephone numbers
Y View roster for any date
➢ View detailed work history report over any date range
A View the Pick List
2. ACCESSIBILITY
Theoretically, WebStaff is accessible 24 hours a day, 7 days a week from any
computer with Internet access as long as the Web Server is accessible. Accessing
WebStaff is a simple as directing your browser to the WebStaff home page and
logging In using your TeleStaff User ID and Password. Once connected, the web
server connects to your organization's TeleStaff database to provide real -time data
access similar to using a TeleStaff client workstation or accessing TeleStaff by
telephone.
3. NAVIGATION
The very nature of the web provides WebStaff users with navigational features not
available in TeleStaff. Using WebStaff, users are one click away from all major
functions. A convenient menu on every page provides immediate access to other
functions. All web pages resize automatically based on your computer's screen
definition (support for PDA, WAP upcoming), and the WebStaff roster scrolls one line
and a time.
VVTBstaff
4. CUSTOMER DEPLOYMENT
WebStaff is available in two options, Customer Hosted or PDSI Hosted. There are
advantages to both, depending on the organization's need. With the Customer
Hosted model, PDSI provides only the WebStaff application software and the
customer is responsible for installing it on a web server and managing all access to
the application. Internet security becomes the responsibility of the customer since
there is no interface in this model to PDSI's web server infrastructure. Customer
Hosting is an ideal option for those customers with an existing web server
environment and capable resources to manage it. Under this option, the customer
licenses WebStaff from PDSI and can optionally purchase maintenance and support
that provides functional helpdesk support and enhancements to WebStaff. In order
to host WebStaff:
➢ Customer must have or deploy an appropriate Web Server
The Web Server must be capability of running Java Serviets
The PDSI Hosted option Is ideal for customers without an existing web server
infrastructure and /or availability of resources to manage one. Under this option, the
WebStaff application resides on a secure web server cluster maintained and
managed by PDSI. The WebStaff application communicates across a secure VPN
(Virtual Private Network) pipe to the customer's TeleStaff database server.
Customer setup is designed to be simple but may be complicated by existing
intranet/internet infrastructure. In general, however, the following steps will be
taken to deploy WebStaff in this model:
Y Customer must have constant Internet access (highest speed possible
without dial -up)
'r Customer must have a static and public IP address
Customer must provide PDSI with the address of its public IP and
TeleStaff database IP
PDSI will procure SonicWall's Telecommuter firewall hardware for each
customer and will configure the firewall using specified IP addresses
PDSI will deliver the configured firewall with Installation Instructions to the
customer and will be available by telephone for assistance- If required
v For more complicated installations, PDSI will provide the customer with
access to one of our networking service partners.
WEBstaff
5. WEBSTAFF PRICING
• Firewall hardware (if necessary) to ensure secure connection between PDSI
server farm and customer's TeleStaff database
• PDSI Technical Support for the customer configuration of the firewall
• PDSI setup of customer access to the server farm
• Technical support required to make WebStaff operational
• Training support for WebStaff via the helpdesk
OPTION 1
Cost for PDSI- Hosted Model: $5,760.00 /Annually
Includes a 1 -month FREE trial, beginning 1" day WebStaff is connected.
Pricing for the PDSI Hosted WebStaff option consists annual and renewable service
fee. The annual service fee provides each customer employee with web access to
the TeleStaff application.
OPTION 2
Cost for CUSTOMER — Hosted Model: $ 15,000.00 — On Time License Fee
$ 3,000.00 - Annual Maintenance Fee
Note: If you decided to purchase the CUSTOMER Hosted Model please contact your
Implementation manager and a software purchase agreement will be sent to you.
'06/10/2004 16:37 _ 7146475779 SANTA ANA FIRE DEPT
maiim;m4 PAGE 02
v4CMpm P. 00z
06/10/2004 14:45 OIS-888 -6715
Ar-M. CERTIVIt-be7e
R BBPi.ti. T"Uranan Ageacy
fEeaC�id■ Osvm BtP. 376
A hill! 4 91301
:810^697 +7890 raa;81#- 597 /- '0y0�78
eriaca.
Al -
i ormat �O■Iliai a
ea 8retom
^Orado PCA3978$i 8euth #198
G I __.,
M
GOLDEN EMPIRE: INS
FOR
A
IN9URERP AFVCWV 10 CCVEOAGE
PAGE 07.
MEEROYL OERERALUMLITY I
I EACR a"+Pw4.HCE 1
CuRp M&DE ! JOCCUR:
I
FMC CAWM .wv" IAII 1
_
rEROORµ6Acv NAW c
�ElT 4GORlOAT■LWIr APPL[R rGP
AOOREOAR i "
POLICY T LOC
fI —EAIFAU
vROWCTR•COYMOP AOC i
't AUTL1eORIN WNIm
AR"AUTO
cCdeMFO LAYT
BRIDLE
4
A PARRCAuTOO
ER■RlwRI ■
^ -HMO
DCM■AILIOAUiOO
COOLLYrWRT
J_ AVFOR
I tRwARrnl 7
NOR-0AMKO AIRO1
tswkvw�RY 1
I
GRAai LLAabir -
Pti RaO FI AYAOE A
AMr AUTO
r'
IT0 EA
M0■Lr. Ae—w ■
EAACC
W
■ACIIM LA'LaLlry i�`� /
COR„LYR AOO
/ /JJ
.,_ OCCUR CLAe1R AIMOE
G�� � _
■wCR 1111: Iii Views R
AGOIIEOATE
I
.1
OF TIM
I( ■
OFTEMA]R
WORI®1■ CDRR■M■AYLO■ yp
—'�
. e/wLD�■Re Lu.Lm
E
TOILymaTt
i
EL FACF.ARCa(RT - R
4 L MEAN . EA EMPLOYEE 1
O■"m
C t OI ■EAEE . PRICY le1T R
A PEOlMeioTLAll Lieb ROCCO0022IS -05
0fi /01/04
u■ 7e■ sno. n mEynTwrFWLpr i
06/01/05 1,000,000 saah Claim
,A�d.Irlar,mFn..Fw,...—
2.000 Oee .--- .
- __--_ - -
aANTJLFI W° WL Or 11e AaA20EATNM NOLEIRS RR CAMOELAEO■�R }IIEEDMIATIO
CAT■iKRECr.TW.1s&m ,a~ feel
6"te hn rlsa IFOrE.e rorR■rgTFIPIOAT■Ra I&- OAwwlar
1020 womt 17tL � r� +fit T■R4ft fAWVffl Wq
aeoto AAA CA 92706 R * ■I.ieea
'06/16/2004 15:32 7146475779 SANTA ANA FIRE DEPT
PAGE 01
IA PLl5i 06!331 O°' 12:3cpm P. mcr.r
tit �r 06/1012004 13139 16185970070 GOLDEN EMPIRE PAGE 02
TO Acoma CERTIFICATE OF LIABILITY INSURANC9,;gl °'p6 oq
ry��S ARDOUCER TWISCERTIFICAIEW 16511 As A MATTER OF INFORMATION
✓✓ /` ONLY AND CONFERS ND A*WS UPON THE CERTIFICATE
W� Colder BmlE+ire 1'nrurance Agency HOLDER THIS CERTIFICATE 0069 N07 AMEM0, 9RTEN0 OR T+
29720 Roaehide Drve Soo_ 379 ALTER THE COYERACE AFFORDED BYTHS POLICIES DELOW.
Agevrs Milla CA 91301
Phone:814- 597 -7490 Far: 698 -59? -0074 INSURERS APFOgDIN61:OVERIIGE
&MREO McIACRk Continental Cas"Ity nv
INSURER I.
Principal Decision systams IN9ummC
afar� �tiopal
ra go City Dr. 3oYth 9190 rNSW[RO
Oranga CA 92868
MOP ANY CCKMACT OR OTMR OOCNAIENT VMTR RESPECT TO VMICM TNU CERTIFMATE AUT BE MIRIED OR
IEO e•ME AOLICIIE OESCAelDNERTRI ISSUa+EGiiO ALL THE TIIRIS. EiCLUSON! AND COMMONS OF ILICM
L TAEm INOYRANCI I
10LAN NUMIIA pAR DATL M
UIRS
491J6RAL LIA1MIR
•FACN OCCIIRNF.NCG
s
CORWIRCIAL OENIMLLUTARI'
ePF pArMOEA aerml
S
CLV?A MLOI 7 OCCUR
111
HEO Ce�fA�ATU AYtleI)
S
,r-
AEAEOIAAL a AOY INJURY
1
CSNEML AOORIOAT!
L
OFIe1AC4KOAMLtUITAAALIRSeEA
. PftuuLL, cmPeor AGO
A
WUCY -J P Ca 'I LOC
,, AUMMOGILE UAOITM
COee1NlO aPA:LE LNST
1
Aw,
SEA AmdmS
�.-. ALL OAMeO AUTOS
!�
OCOLY NWAT
I
EeHEmu1O AUTOS
—'
'let MR"
^• HAEDAUTOE
tlODR.T INUWY
we"V AA0 AUTOS
IPeI eeee:dNl
•
PAOPIRTT DAUAOE
{M A ~j
1
[AMTS. LUIILR^
______.... .i..
AW70MIT- GACCI0ENT
L
ANYAUTO
OTRER YNAN GAACC
I
1 7—
. ANTOM ADO
L
[Rae.Sb WAIAl1Y
EACH=U MENeI
IF
OCCUR CLAWS MADE
I
ASORlOATE
_
1
E
DFwcTal.e
1
—• AEIENTAIM f I
1...'�..
I
' , pORRERS CONAEN94T10NAH0
x Y 1 L '
A RNP`amAr LOJW.JTY
MC272417129 06/23/04 06/23/05
E.LIACRACCIREM
131000000
EL OIREALI • EA lMALOT[G $ 1000000
1
E.L OILWE -POLICY LNIT
51000000
OTHER
00513 PTATJ OF OAFAATNNRARGT1011RNFHIDL CSCL UIIdL9 AODGR BY INDdg1AHENTfa1ECML P{OMNDNtl
CERTIFICATE HOLDER ri ADOnR]MALAVSN[EO; MLUAIe IlT1ER: CANCELLATION
TAM&PT aAGM1R nNY OF THl AaOYE DCPGRpAA [D pA Ra AAKEW![FAY>Al TMI RN[eAfl
cATf HEREOF, THE ISSYMOINSUnFa S{L, WiI NIIR'1cA
NO,Nr td TNe ClRTRATEN DSdTpE
Santa Ana Vivo Department
1029 IInOS 11r6Ie
Santa Ana CA, 92106
Page 1 of 1
Jacquez - Nares, Patricia
From: Gee, Connie
Sent: Tuesday, April 11, 2006 12:15 PM
To: Jacquez- Nares, Patricia
Subject: FW: PDSI Principal Decision Systems
FYI
- - - -- Original Message---- -
From: Sheedy, Laura
Sent: Tuesday, April 11, 2006 11:22 AM
To: Gee, Connie
Cc: Watson, Bill
Subject: PDSI Principal Decision Systems
Hi Connie
This is another Consultant that does not require General Liability insurance. You can process the DPV submitted by Fire.
Bill, will you make sure the Workers Comp insurance is filed.
Thank you
Laura
4/11/2006