HomeMy WebLinkAboutTolerico's Electric 11City of Santa Ana ~~
'•r i Clerk of the Council
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no I ~~~e t
Return form to the Clerk of the Council Office (M-30). "~' ~~ 9~ ab
Call 647-2520 if you have an ~~4
y questions.
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The agreement with ~ ~'C (mil G~ S ~~~'G-~YI G ~ ~ 17L
No. N ' ZE~OL.~-- ~~~
was completed on ~ ?J b
and final payment has been made.
Revised 05-04-08
Department: C~ J 7~Glrn I
Phone/Ext.: ~J.3(oQ
Signature: kr (n.~l O~
Date: ~~ ~ --p G,
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
/"/6-D5
CLERK OF COUNCIL
DATE: #7-(¡;-vC¡ CONSULTANT AGREEMENT
t'tØli THIS AGREEMENT, made and entered into this ¡oJ1: day of ~ ,2004 by
(t. r:::uI/erlcn) and between Tolerico's Electric, Inc., a California corporation (hereinafte "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").
N-2004-080
RECIT ALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
on-call electrical lighting installation and repair.
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 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 general electrical and lighting installation and repair services at
the Santa Ana Depot, as approved by the Executive Director of the Community Development
Agency, at the rates set forth in Exhibit A to this Agreement. Prior to any such repair,
Consultant shall submit a proposal to the Executive Director, which shall be approved, in writing
before commencement of work.
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 $10,000.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3.
TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2005, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of 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, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, agents, volunteers, and employees as
additional insured(s) and shall include, but not be limited to protection against claims arising
from bodily and personal injury, including death resulting therefrom and damage to property,
resulting from any act or occurrence arising out of Consultant's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting therefrom, and property damage, in the total amount of $1 ,000,000 per
occurrence. Consultant shall supply City with a fully executed additional insured endorsement in
substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall
be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
2
(ii)
Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
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.
(i)
(iii)
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 affect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6.
INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7.
CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
3
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8.
CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9.
NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of 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:
Tolerico's Electric
12321 Moana Way
4
Garden Grove, CA 92640
714-636-6764
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10.
EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12.
TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
5
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.
COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
Consultant shall carry out all services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and
decrees of the United States, the State of California, the County of Orange, the City, and of any
other political subdivision, agency, or instrumentality exercising jurisdiction over the City,
including all applicable federal, state, and local occupation, safety and health laws, rules,
regulations and standards, applicable state and labor standards, prevailing wage requirements, the
City zoning and development standards, City permits and approvals, building, plumbing,
mechanical and electrical codes, as they map apply, and all other provisions of the City and its
Municipal Code (as they may apply), and all applicable disabled and handicapped access
requirements, including, without the limitation, the Americans With Disability Act, 42 U.S.C. §
12101 et seq., Government Code § 4450 et seq., and the Unruh Civil Rights Act, Civil Code § 51
et seq.
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.
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
f---
PATRICIA E. HEALY
Clerk of the Council
~=Id
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By:
Lau' Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
Jod f:stin
Executive Director of the
Community Development Agency
~ I......-:.a..
Kenneth Tolerico
President
I' 39' '--f-<.;-, S; <f-ð 7
Employer ID # or Individual SS #
7
TOLERICO'S ELECTRIC
LICENSE 11427918
Proposal
City of Santa Ana
Regional Transportation Ccntér
1000 E. Santa Ana Blvd, Suite 108
Santa Ana, CA. 9270 I
Carolyn:
Listed below art: the Hourly Rates and the Material Markup that we will be charging the
City for the 2004-2005 Agrcemént
. Material Standard Markup, 25% Over cost
Labor Rates
Monday through Friday, 7 AM to 6PM
Saturday 7AM to 4PM
$ 55.00 per hour
$ 5500 per hour
Monday through Friday, 6PM to Midnight
Saturday 5PM to Midnight
$ 82. SO per hour
$ 82. SO per hour
Midnight to 7 AM. Sundays and Holiday~
$ 11000 per hour
Respectfully Submitted 02. June 2004
~~Q~~
Kenneth J Tolerico
Owner
EXHfBfT
A
12321 MOANA WAY. GARDEN GROVE. CA 92640 . (714) 636-6742 . Fax (714) 636-6764
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EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the Clerk of the Council, City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
8
J8t '" '" n. Lf~ "'1:" Ilr.","" ....;;; vr L.1I"\glL.1 I . II"~ U nl"'\I' - I 02105/;
PRODUCER (949)472-6560 FAX (949)588-8348 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA n
Gal ifornia Southwestern ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Agency/Lic.# 0443354 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EX1l:ND 0
ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL
21 Orchard
Lake Forest, CA 92630 INSURERS AFFORDING COVERAGE NAlC#
.-----.-.-
INSURED INSURER A: Interstate Fire & Casualty
Kenneth J. Talerico INSURER B: Mercury Insurance Company
DBA: Talerico's Electric INSURER c:
12321 Moana Way I!\ SURER D:
Garden Grove, CA 92640 INSURER E:
'004
ON
R
°'IL.-
~nVEIU.GF~
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlICY PERIOD INDICATED. NOTWITHSTJ
PoNY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED (Ii
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR OM TYPE OF INSURANCE POLICY NUMBER POUCYeFFECTIVE PouCY EXPIRATIoN I.IIIIT9
GENERAL UABJUTY CLP6251323 01/15/2004 01/15/2005 EACH OCCURRENCE $ 1.01
X COI\l\olERCIAL GENERAL LiA8IL'TY DAMAGE TO RENTED $ 11
-0 .
CLAIMS MADE 0 OCCUR MED EXP (Anyone p9ß01\) $
-f--J
A X PERSONAL & ADV INJURY S 1.Oi
f--
GENERAL AGGREGATE $ 2.0i
f-- -
GEN'L AGGREGA"TE liM¡"T APPLiES PER PRODUCTS,COMPJOPAGG $ 1.0,
xl POLICY rl '1~T n cOC
AUTOMOBilE lIABILITY AC11054157 08/21/2003 08/21/2004 COMBINED SINGLE LIMIT
f-- (Ea ¡CCident) S
A!\ Y AUTO 1. Of
I---
ALL OWNED AUTOS BODILY INJURY
f-- S
~ SCHEDU.EO AUTOS (Per person}
B
X H:RED AUTOS BOOLY INJURY
X (Pel aCCid8n1\ S
NON-OWNED AUTOS
f-- -- --- - .--
f-- ~--._----- PROPERTY DAMAGE $
(Per aCCió....t)
GARAGE LIABILITY AUTO ON,- V . EA ACC:DENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ON,- Y: AGG $
EXCESSIUURE1.LA UABtUTY EACH OCCURRENCE S
'=:J OCCUR 0 CLAIMS MADE I~~EGATE S
.---.---.'- $
--
==1 ~EDUCT!!!LE S
RETf.NTIO~ $ S
WORKERS COMPEIiSATlON AND I we STATU. T l°,;r~'
EMPLOYERS' UABILITY ,~l"e.é¿/ EL EACH ACCIDENT ...!-...
ANY PROPRIETOR/PARTNER/EXECUTIVE /).3 ,--
OFFICERiMEI\.IBER EXCUJDEO? EL. DISEASE. EA E\IPlOVEE $
II yes, d8SCfibe unde<
SPECIAL PROVISIONS below v I E ' . DISEASE. POLICY LIMIT $
011iER /
DESCRIPTION OF OPERATIONS' LOCATIONS' VfHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAl PROVISIONS as additional
vertificate holder. its of jeers. employees. agents and representatives are named ì n~.
:)er attached endorsement CG2033 10/01 with respects to general jabi I ity only.
~E: All operations as covered by this policy
~E: Maintenenace/repair @I 1000 E. Santa Ana Blvd. #108
.Except: 10 day notice of cancellation Tor non payment of premium
INDINC
':UCH
JQ.."OC
¡O,DC
5,OC
¡O,OC
¡O,OC
IO....QC
:Q,OC
!Ired
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIU
City of Santa Ana
1000 E. Santa Ana Blvd
""01'1
Santa Ana. CA 92701
EXPIRATION DATE 11i~R!OF. THE ISSUING INSURER WILL &11111"814 TO MAIL
* 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAIoIED TO THE U. T,
gUT rail up, ""Q '."rt f"""V ~TI".r:: C!'u..., f ....o..,øe .19 ^D. mAT''''''' no f IADn " " ,
ACORD 25 (2001/08)
@ACORDCORPORATION19
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lD:W.BRUWN & ASSOC.
FAX:949 4.-~ 1398
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PRIMARY INSURANCE FOR SPECIFIED ADDITIONAL INSURED
ENDORSEMENT
THIS ENDORseMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endor&ement modifies insurance provl.jed under the following:
COMMERCIAL GENERAL IJABILn Y COVERAGE FORM
Thl& endor8ement changes Ih8 poficy effee1ive on the Inc8ption date of the policy unIe88 another date is indicaterj
below;
(The following needs to be completed only './hen this endorsement is issued subsequent to inception of the pollc!'.)
Named lnaured
TDlerico'. El8c8ric
,
Endorsement Effective
2+04
Polley Number
CLP8251323
I~by I
c9-L ~.~ i
(Authori2ed Repre.e.ntative)
With regard to ooverage provided by this en.totsement only. SECTIOH IV - COMMERCIAL GENERAL LlAIlLn y
CONDITIONS. 4. Other Insurance, p8I'8gI':1ph .. Primary IMUf1Ince is modifl8d as follows:
a. Prlm.ry In8Uranc8
The Insurance afforded to the A1ditionallnaured
City of Santa Ana
1000 E. Sa..... Ana BlVd. iI108
Santa Ana. CA 92101
Is primery ftndnon-contfibutory \ vitti respect to liability ari8ing out of work performed by the Named
Insured.
~ReL'j ~
I
All otner terms and oonditiona of this policy re main unchanged.
nn...r-L ~SH;7 (~-ð~)
Jan 1~ 0.. 0'4:09p
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o/QßKERS' COMPENSA nON DECLA~:rION
I ~/>oJETH :r~.f'el'~by aŒrm Wider penalty of perjury, the
(N.....n'lCk) a"";>./'JEt:
following declar:nion :
--- ~ ¿;;
l ccnify on behalf of /0< Ee/t:'o:s. r*~;h4hat dUriL1g the tenn of my
(Or¡:"'''!lIìal1 Name)
contract with the
, City of Santa Ana, 1 will nut
employ :my person in any manncr so as to bccome subject to the workers' compensation
taws of California, and agree thai if I should become :subject tu the wurker~'
compensation provisions of Section 3700 oflhe Lab<>r Code. I shall forthwith comply
witl1 those provisions.
DATE: 01- /¥'" 2CX":'> 1:1-
By: ~ / L"-e;.J'4'.r~
Name: K:r- '~é!?'/(:"ð
Title
OU-:JNEe.
/N/' ¿;,.3? ~ 07f/'?
Telephone:
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W ARN(NG: P AlLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLA WFUL. AND SHALL SUBJECr AN EMPLOYER TO CRIMfNAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00,000). IN
AODlTlON TO THE COST OF COMPENSATION. DAMAGES AS PROVlDEO !-'OR
rN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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03/03/20D6 FRI 11:19 FAX 714 46' 8731 Professional ChC?ice
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ACORD~
CERTIFICATE OF LIABILITY INSURANCE
I DATE.{MMIDDNYYY)
01/25/2006
THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION
OHL Y AND CONFERS NO RIGHTS UPON THE Ce:RTIFrCA TE
HOlDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
'.OOUCE. (714) 467-8726
Professional Ch02ce Insurance SV$
500 N State College Blvd, M550
OranCl"@
INSURED
Tol~rico's Electric
12321 Moana Way
CA 9:2B6B-1613
N-(}.,ooif-080
N - d.oi:J'I -OJ'O -0/
INSURERS AFFORDING COVERAGE
INSURER A: L;~co~Q~en~_;:a}.__!n.~_.__~o.
INSURER B:
NAIC;'
lNSUReRC
Garden Grove
COVERAGES
CA 92840-
~g~n:,.
I'~'D'R'
THE PQlJCtES OF INSURANCE USTEO BElOW HAVE 6EEN ISSUED TOlHE INSURED NAMED ABQVE FOR THE POliCY PERIOO INDICATED. NOTWlTHSTANDING ANY
REQllIREMEN", TERM OR CONDITION" OF ^~ CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE A.FFORDED BY THE POlICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXClUSlOOS AND CONDITIONS OF SUCH POLICIES
AGGRI:GAT I: LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS
l!'l~~ I~~: TYPE Of INSURANCE PQUtY NUMBER P8A~,:'~8~1! "&'i~(~~ lIMITS
~NERAl UAelllTY 0200'19976 01 01/15/2006 01/15/2001 EACH OCCURRIONCE . 1,000,000
'-"- D~ERClAl GENERAL LlABtlITY ~~~~~?e~~~~nce\ , 100,000
A X - ClAIMS MADE [!] OCCUR 1 f f f Ml"DEXfl'tAnvonepernoo) , 5,000
- PERSO~'''' . ~...." INJURY I l,OOO.OQ()
- 1 1 1 1 GFNERAl A6GREG~TE , 2,000,000
~'lAG~EnLIMll n~PEr~: PRODUcrs-~-';:';;oP""'''' $ 2,000,000
X POLlCY m?-i loe 1 1 1 1
~rONoBILE llABILllY 1 1 1 1 COMBINED SINGlE llMlT
I
- Nf'fAUTO (EaaCClderll)
- All OWNED AUTOS 1 1 1 1 BOna Y If>LJIJRY
(petplitSQl1) ,
- SGHEWlEDAUTOS
- ~IREO AUTOS 1 1 1 1 eODllY INJU~Y
(r'eraoxident) ,
- NON-OWNEO AUTOS -'-~ --
1 f 1 f PROPER7YOM.......Gt:
(Per ~c~H1el'll) ,
R~GE lIMlUTY _~~Tt::'ONLY -~ACCIDENT I
...."lVAUTO f 1 1 f OTJ.lERTUAN -.!.~A(:C I ,~~
AUTO ONlY: AOG I
D~SJU"BRl!lLA lIABILITY f f 1 1 EA,CH OCCtJRRENCE .
OCCUR 0 CLAltIIS MAOr AGGREGATE ,
,
R ~UCTIBLE 1 f f f . ---
RETENTION $ I
WQRKERS COMPENSA nON AND I' fO, iV11 1 IT'(\~~lil.lNsl JOJ;!' .-
EMPLOY2RS' UABlUTY ;f;fJv eEl
ANY PROPRIETORlPARTNERlEXECUTlVE di~__ FL EACH ACCIDENT ,
OFFICER/MEMBER EXCWDCO? 1 1 E.L DISEASE. EA EMPLOYEE S
Uyes.des.r.rihAundl'l' -.--
SPEClALPROVISIONSbeltlW E.1. llISE...sE. POUCY LIMIT 5
OTHER (/ ,7 'I 1 1
, 1 /' 1 1
1 1 1 1
DESCRIPTION OF O~RAT1ONSlLOCAnoNSM;HICl~XClUSlDNSAO[)I:O 8Y ENOORSEMENTlSPeClAl PROVlSIDNS
Certif~cat9 Ho~de~, 1t~ orricers, Ulployeas, ag&nc~ and rs~e~.ntaL~v.. ~e named ~$ Addi~iQn~~ In.ou:sdfi'.
RE: All oparations as covered by this policy. uCOVERAGE IS PRIMARY AND NON-CONTRIBU'rORYu
R)~: Molintanancwhvpair 41. ~Oi)O I. Santa AncI. Bl.vd. 11.08
10 day notice cancellation for non paymont o~ prlQllliUJ.ll.
CERllACATE HOLDER
(714) 565-2690 TQl
(714) 565-2693 Fax
CANCELLATION
SHOULD ANY Of THE ABOVE DESCRIBED POUCIES 1If; CANCElLED BEFORE IHt
EXPIRATION DATI!: THEREOF, TtI!' ISSUING INSURI!!R WILL .........-,,^.. TO MAIL
10 D"YS WRlTTl"H NOlJC.. TO THE CERTIFICATE HOLM'R NAIlED TO THE LEI'T. IMI:I'
ELECTRONIC LASER FORMS, INC.. (1100)327.0545
WJ.-
City of Santa Ana
1000 E. S~nt4 Ana Blvd.
Santa Ana CA
ACORD 25 (20U1/06)
ftn.-INS02S\010&).OS
il08
92701
ACORD CORPORATION 1188
Pagelofl
c y-
Mar 06 06 09:52a Tllagl
~ 03/06/2006 HON 9: 33 FAX 114 457 8131 Ptofessional. Choice
p.3
1JJ003/003
POLICY NUMBER: 6320019316
COMMERCIAL GENERAL UABlUTY
CG 211101001
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modHles insurance provided under the following:
COMMERCIAl GENERAlllABIUTY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SANTA ANA
PROJECT LOCATION: 1000 E. SANTA ANA BLVD. # 108
1000 E. SANTA ANA.BLVD. # 108
SANTA ANA, CA USA 92101-0000
([f no entry lIPll6ars abo..., information required to complete Ihls endo"",ment will be shown in \he Declaralions
as applicable \0 this endorsement)
A. Section /I - Who Is An Insured is amended to
include as an insured the person or organization
s~own In !he Schedula. but only with r""pectto
liability arising OUl of your ongoing Operations
performed for that Insured.
B. \I\W1 respect to \he insurance afforded to these
additional insureds. the followillg exclusion is
added:
:t Exokl$lons
This insurance does not apply to 'bodily In-
jury' or "property damage' occurring after:
(1) All wolk, 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
co--,d operations has been com.
pleted; or
(2) That portion of '\four work" out 01
which tho injury or damage ariSes has
been put 10 its intended use by any
person or organization other than an-
other contractor or subcontraotor en-
gaged in performing operations lor e
principal as.a part of the same project.
/68?/~ __h
CG20 10 1001
@ ISO Properties, Inc., 2000
Page 1 oft 0
.-..d 0Jpy
. Mqr .09,06 03: 48p Tllagl
03/~9/2005 THU 15:26 FAX 714 467 8131 Professional ehoice
p.2
l.IJoo 2/002
Policy #
6320019376.01
ENDORSEMENT
LINCOLN GENERAL INSURANCE COMPANY
Named Insured Tolerico's Electric
Agent. Name
PROFESSIONAL CHOICE INSURANCE
Effective Date: 01/15/2006.
1:2:01 A.M., Standard Time
SERVICE!Agenl No. 014118
LG CG 20 10 02 06
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIO~ INSURED- Ow,NERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION INCLUDING PRIMARY COVERAGE
.
This endorsement modifies insurance" provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person(s) or Organization(s) :
City of Santa Ana -1000 E. Santa Ana Blvd. #108
f8~~tr~hCfs'~p1covered operations:
1000 E. Santa Ana Blvd. #108 Santa Ana, CA 112701
(If no entry appears above, information required to complete this
schedule, if not shown above, will be shown in the Declarations.
A. Section 11- ~ho Is An Insured is amended to include as. an insured
the person(s) or organization(sl shown in the Schedule,but only with
respect to liability for "bodi~ injury", 'property damage" or
"personal and advertising injury caused!, in whole or in part, by:
1. Your acts or omiss ons; or .
2. The acts or omissions of those acting on your behalf; in the
performance of your ongoing o~erations for the additional insured(s)
at the locat~on(sl designated above,
B. With respect to the insurance afforded to these additional
insureds, the following exclusions apply;
This insurance does not apply. to IIbodily. injuryN or Ilproperty damage II
. occurring after:
1. All 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 location of the covered operations has
been completed; or .
? That portion of "your,work" out of which the injury or d?mag~
arrses has been put to ~ts rntended use by any person or organrzatlon
other than another contractor engaged in performing operations tor a
principal as part of the same project.
C. The insurance afforded by the policy to the Additional Insured(s)
listed in the Schedule for the described loca-tion(s) is primary
insurance.> Any other insurance or self-insurance maintained by the
Additional Insured(s) is excess of this insurance and Shall not
contribute to it.
LG CG 20 10 02 06 Contains Copyrighted Material of the Insurance
Services Office, I~c 2004
MAN-GL (01/00)
ProduClrCopr .
~83!3
...
...~ .
ACORD... CERT~. .CA TE OF LIABiliTY INSUR. _. ~CE I OA TE (MMlOOIYYYY)
03/09/2007
PRODUCEIl: (714) 467-B726 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
l'~ofessional Choice Insurance Svs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE OOES NOT AMENO, EXTEND OR
500 N State College Blvd, #550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
I
Oranqe CA 92868-1613 INSURERS AFFORDING COVERAGE NAIC#
- N"~()j?- 08'?
INSURED INSURER A Linoo~n GenQral Ins. Co. I
--
Talerico's Electric AI" :lOe)6 -OYJ-O/ INSIIRER B:
12321 Moana Way IV.... ci606 "O8~ INSURER C !
---..--"
INSURER D' .
Garden Grove CA 92840- #";1.00 Y . OK(J-o ~SURER E: !
COVERAGES A/.. ;;U'J(jJ.l - 0 KIf -t'J, A/... tJ.Dn -V.. (') ylJ
THE POliCIES OF INSURANCF.lISTED BELOW IlAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIKEM",NT, TERM OR CONDITION Of ANY CON.RACT OR OTHER nOCUMENT WITH RESPECT TO WHIClf THIS C(;RTIFICA TE MA Y 13~ ISSUED OR MA Y PERTAIN,
THE INSURANCE AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SllBJECT TO ALL THE TERMS. EXCL~JSIONS AND CONDITIONS OF SUCH POliCIES.
AGGRECATE LIMITS SHOWN M~Y HAVF BE'EN REDUCED BY PAl 9. CLAIMS. ..- -.--
I~:: ~~~.~ TYPE OF INSURANCE I POLlCY NUMB Ell PJ'ili~~::J85~~ Pg~iil~m,~~N LIMITS
A X GENERAll.lABIUTY I 6320019376 02 01/15/2001! 01/15/2008 EACH OCCURRENCE S 1,000,000
~. I ~~~~~~?E~~J~r?onc.) .- ..
~Lr"'ERCI""l GENERAlllABlLlTY . S 1,000,000
>-- Cl.J\IMS"'....OE W OCCUR! / / / ( MED FXP (Anyone PC"'"") S 5,000
f'ERSON....l & ADV INJURY S 1,000,000
-.. / / I / / GENERAl AGGREGATE $ 2,000,000
-il' AGC~I~E liMIT I~ES PER 1 PRODUCTS. COMPIOP AGG $ 2,000,000
X POliCy ~:N!T lOC I /
( ( /
~TO!,lOBllE LIABILITY : / / I I COMBINED SINGlE lMrr
(Ea acdd.nl) S
-- ANY AUTO r---'.'
- All OWNED AUTOS I / I / BODIlY INJURY
tPef per-sM) $
-- SCHEDULED AUTOS
HIRf:U AUTO.s I I / / DODlt V lNJURY
I-- S
NON-OWNED AUTOS (P81 a.:-cldcml)
-- c---'
I I i I / PROPERTY DAMAGE
-- S
(Po( occJctenl)
GARAGE LIABILITY I AUTODNLY.EAACCIO[Nf $
n ANY AUTO .-
/ / I I OTHER THAN EAACC S
AUTO ONLY. AGG $
EXCESSIUMBRElLA liABILITY / / ( / EACH OCCURRENCE $
D OCCUR 0 CLAIMS MADE AGGREGATE $
S
~ DEDUCrlBlE / / I / $
RFTENTI(lN S t
WORKERS COMPENSATION AND / / / ( I T'6~~ mANs I IOTH-
ER
EMPLOYERS'UABllITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Lt.. EACH "'CCrDENT 3 '-
OFFICER/MEMBER EXCLUDED? I / / / !'.c. OI$EASE. FA EMI'\.OYEE S
~kcl~~tio~;~~~~ b~ow E.l. DISEASE. POLICY liMIT S
OT1<ER / ( / /
/ / / /
I I / I
VESCRIPnON OF OPERATlONSILOCATIONSNEHICLESlEXCLUSIONS ADDEO BY E//DDRSENENTiSPECIAL PROVlSIONS
The City of Santa Ana, 20 Civic Center P~azaf Santa Ana, Ca1ifornla 92701; l.ts officersr employees I agents ( vo~unt6er.
and repras9ntstiveg are na.med as "additional in3uredn wi th X"'e'ga.rd to liabili.ty and defense of suits ari.sing from the
operation. and U58S performed by or on behalf of tho naAed ~n.u~&d.
Re: All Dperatio~s as eovered Oy th1B policy.
CERTIFICATE HOLDER
(714) 565-2690 Tel
(714) 565-2693 Fax
CANCELLA liON
SHOULD ANY OF lliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATlON DAn; THEREOf. THE JSSUlNG INSUR~~ WILL <, -.. -- TO MAll
30 ()AVS WRI~N NOTICE TO tHe CSRfIF'(CATl! HOLDER NAMED TD mE LEFT, BUT
,...,Lllllr TG Be 69 SII,I.,lL 'IIIPEl8~ '19 9BYS1TIQtJ 9R ll,l,SlllFr Sf AllV Hille !,jpell~ IE
City of Santa Ana
20 Civic Center Plaza
Santa Ana CA 92701
ACORD Z5 (2001/08)
ft.v. INS025 (0'08).05
988
. (800)3270545
1 of 2
Il:6 WV Ll 9flV lIDZ
,{~~! (h__
2"d
1 ~e 111
dvE:20 LO SO Jew
i -. ...
.~.,
~ "I
Lj
POLICY NUMBER: 6320019376 02
!"'-}
COMMERCIAL GENERAL UABIUTY
. I.G CG20 100206
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION INCLUDING PRIMARY COVERAGE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the followIng:
SCHEDULE
Name of Person(s) or Organlzation(s)j LOcatior~s)of cowred o~rations; Additlonallnsured(s) Address:
CITY OF SANTA ANA
RE; 1000 E. SANTA ANA BLVD, SANTA ANA, CA 92701
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
(If no entry appears above, information required to complete this schedule, [f not shown above, will be shown in .
the Dedarations..
A Section IJ. Who Is An Insured is amended Ita
include as an insured the person(s) or org;3fliza-
tion(s} shown in the Schedule, but only wHh re-
spect to liability for "bodily injury", "property darn-
. age" or "personal and advertising injury" caused,
in whole or in parI, by;
1. Your acts or omissions; or
2. The.acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations
for the additional insured(s} at the location(s)
designated above.
B. With respect to the insurance afforded to these
addllionaJ insureds, the following exclusions ap-
ply:
This insurance does not apply to "bodily injury"
or .property damage" occurring after:
(1) All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than ser-
vice, maintenance or repairs) to be per-
formed by Or on behalf of the additional
insured{s) at the location of the covered
operations has been completed; or
(2) That portion of ''your work" out of which
the injury or damage arises has been put
to its intended use by any person or or-
ganization otherlhan another contractor
~. engaged in performing operations for a
. / principal as part of the same project.
. . The insurance afforded by the policy to the Addi-
/ tionallnsured{s) listed inlhe Schedule for the de-
scribed locetion{s) is primary insurance. Any other
insurance or self-insurance maintained by the Addi-
tionAl Insured(s) is excess of this insurance and
shall not contribute to it..
LGCG20100206
Contains Copyrigt:lted Material of the Insurance Services Office. Ine
2004 .
Page 10f 1 0
1/0 L{ L
E.d
PrMIlf"''''r r..nn-.,
r~ell.1
dSE:GO LO 60 ~ew