HomeMy WebLinkAboutPARADIGM IMAGING GROUP 2 - 2004
,r{sURA.NCE NOl ON filE.
WORK MA.Y t:!.Ql PROCEED
CLERK OF COUNCIL
DATE: PA?--o~
C:A,Vr-
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Af- ;;..004 -143
STANDARD CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this ~ day of N-otIZM0f!l-2004 by
and between Paradigm Imaging Group, a California corporation (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
data tabulation and imaging of engineering documents to facilitate creation of the
City's digital sewer atlas map.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $ 10,000.00 during the term ofthis 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 October
31,2005, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of the Public
Works 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, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution ofthis 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.
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d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification oftermination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of 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 asserting that personal injury, damages, just
compensation, restitution, judicial or equitable relief due to personal or property rights arises by
reason ofthe 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.
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,
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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 oflaw; 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, California 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director
Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M-21)
P.O. Box 1988
Santa Ana, California 92702-1988
telefacsimile (714) 647-5622
Attn: Ray Burk
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:
Randy Geesman, President
1590 Metro Drive, Suite 116
Costa Mesa, CA 92626
714.432.7222
4
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, 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 assigmnent, 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.
5
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 her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms 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 iffuily set
forth in the body of this Agreement.
c. City shall retain ownership over all documents produced pursuant to this
Agreement.
II
II
6
'.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
PATRICIA E. HEALY
Clerk of the Council
CITY OF SANTA ANA:
~-A2
City Manager
ATTEST:
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: ~.AP;?)~ D qdt
Laura Sheedy
Assistant City Attorney
CONSULTANT
RECOM~ENDED~PPROVAL:
~(~a~
JAMES G. ROSS
ElJ'ecutive Director
Yublic Works Agency
V
~a~
RANDY ESMAN
President
~
TAXID
~?:>tJ'7CJip '155
7
Date:
From:
Alln:
Company:
Address:
City, State Zip:
Small Format Black & White
......... Group
1590 Metro Drive, Suite 116 - Costa Mesa, CA 92626 USA
Ph: 714-432-SCAN (7226) - Fax: 714-432-7222
Sales Quotation
6/28/2002
I Frank Diumenti I
I Dave Patton I
ICity of Santa AnafWater Res.
1220 South Daisy Avenue
ISanta Ana CA 92703
Phone:1714-647-3379
RFP Number:IVerbal
Shipping Point: I Costa Mesa
Payment Terms:IN-30
DOCUMENT IMAGING SERVICES
< 1,000
< 1,000
< 5,000
< 5,000
< 10,000
< 10,000
8.5 x 11
8.5 x 14
8.5 x 11
8.5 x 14
8.5 x 11
8.5 x 14
$0.28
$0.36
$0.24
$0.31
$0,21
$0.28
Scan at 200 - 300 DPI to Til Group 4 Format
$25.00 Minimum Order. Prices Do Not Include Storage Media. Add $0.05 For Auto-Deskew Per Image & 50% For Hand Fed Documents Add $0.15 Per
Index Field (unique file naming is considered an index field). Document Preparation Extra (binding, staples, paperclips, etc.).
Documents in poor condition and require special handeling may require extra charges
Large Format Black & White
< 20
< 20
< 20
< 20
< 100
< 100
< 100
< 100
< 500
< 500
< 500
< 500
17X22
24x36
30x42
36x48
17X22
24 x 36
30 x 42
36 x 48
17X22
24x36
30x42
36 x 48
Scan at 300 or 400 DPI
to Tif Group 4 Format
$2.93
$3.71
$5.13
$5.85
$2.34
$2.96
$4.10
$4.68
$2.11
$2.67
$3.69
$4.21
$25.00 Minimum Order. Prices Do Not Include Storage Media. Add $0.05 For Auto-Deskew Per Image. Add $0. 15 Per Index Field (unique file naming
is considered an index field). Document Preparation Extra (binding, staples, paperclips, etc.).
Documents in poor condition and require special handefing may require extra charges.
EXHIBIT A
'.
......... Group
Aperture Card Scanning Black & White
1590 Metro Drive, Suite 116 - Costa Mesa, CA 92626 USA
Ph: 714-432-SCAN (7226) - Fax: 714-432-7222
< 20
< 100
< 200
< 500
Aperture Card Scanning Gray Scale (256 shades)
Scan at 200 DPI
to Tit Group 4 Format
A,B
C,D
or E Size
$2.50
$2.00
$1.75
$1.50
< 20
< 20
< 20
< 20
< 50
< 50
< 50
< 50
< 100
< 100
< 100
< 100
A,B
C,D
or E Size
$5.50
$5.00
$4.75
$4.50
< 20
< 100
< 200
< 500
Scan at 150 DPI to JPG Format
$35.00 Minimum Order. Prices Do Not Include Storage Media. Add $0.05 For Auto-Deskew Per Image Add. $0.35 Per Card For Hollerith Verification &
Correction. For Unpunched Cards. Add $0.10 Per Index Field. Minured. Reverse Images & Card Sorling Extra.
Documents in poor condition and require special hande/ing may require extra charges.
Large Format Color Scanning
17 x 22
24 x 36
30x42
36 x 48
17x22
24x36
30x42
36x48
17x22
24 x 36
30x42
36x48
Scan at 200 DPI to Tif or JPG Format
$18.00
$22.80
$31.56
$36.00
$15.30
$19.38
$26.83
$30.60
$13.77
$17.44
$24.14
$27.54
PLEASE CALL FOR QUANTITIES OVER 100 AND FOR OVERSIZED DRAWINGS UP TO 50" WIDE. $35.00 Minimum Order.
Add $15.00 for thick media or mounted documents.
Prices Do Not Include Storage Media. Add $3.00 For Manual Deskew Per Image. Add $0.15 Per Index Field (unique file naming is considered an index
field). Document Preparation Extra (binding, staples, paperclips, etc.).
Documents in poor condition and require special handeling may require extra charges.
Storage Media
-
Hourly N/A labor (in 15 minute increments)
~~.11lII II
1 st Copy 650MB CD-ROM
2nd Copy 650MB CD-ROM
3rd Copy 650MB CD-ROM
100MB ZIP Disk
...
$50.00
. -~\1!411
$20.00
$15.00
$10,00
$25.00
Other Storage Options Are Available. Please Ask Your Representative.
TM
CERTIFICATE OF LIABILITY INSURANCE
I DATE (MMIDDiYYYY)
DEC 20 04
\4 CORD
INSURED
~__ ~ AgencyLiC#: 03150~_
tJ -ao04 -1-'t3
PARADIGM IMAGING GROUP INC
1590 METRO DR #116
COSTA MESA CA 92626-
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
. INSURERS AFFORDING COVERAGE 1- NAIC #
-I~:_~::: ~_n ~~:~:~~~~~~~:~~NES~::~~I~~. ~- I ~ ~ .-
I",,~URE~__ ' _
INSURER 0:
INSURER E:
-
PRODUCER
ALLIED BROKERS\ YEARGIN INSURANCE AGENCY
15375 BARRANCA PARKWAY, #C-102
IRVINE CA 92618
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
1-~~-;rAOO~l TYPE OF INSURANCE
lTR'IINSR
72SBAAB2623
POLICY EFFECTIVE
DATE MMIDDIYY
NOV 20 04
POLICY EXPIRATION
DATE MMJDDIYY
LIMITS
POLICY NUMBER
A
GENERAL LIABILITY
1- X _COMMERCIAL GEN,=-RAL L1ABILI
~'MS MADE X OCCUR I'
-- -
GEN'L AGGREGATE LIMIT APPLIES PER!
NOV 20 05 EA~H OCCURRENC~ ___~_ _~OO~.OOO
~~~~~":~~~~""e' ' ~OO~
MED EXP(Anyoneperson} 1$ 10000
PERSONAL & ADV INJURY k -1.000:00~
GENERAL AGGREGATE ~__ 2,OOO!.!>.OO
PRODUCTS-COMP/OP AGG. $ _2,000,000_
POLlCY
PROJECT
LaC
AUTOMOBILE LIABILITY
; ANY AUTO
!---l ALL OWNED AUTOS
SCHEDULED AUTOS
72SBAAB2623
NOV 20 04
NOV 20 05
COMBINED SINGLE LIMIT
I' ~::I::~S~RY -----r,'
{Per person) I:
1,000,000
A
I-~
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(Per accident)
i$
PROPERTY DAMAGE
(Peraccidenl)
$
GARAGE LIABILITY
ANY AUTO
I' AUT9 ONLY - EAA~C;:IDENL--,!-_
OTHER THAN EA AGe $
AUTO ONLY: - $
EACH OCCURRENCE $
--- -~
,
I AGGREGATE
~I:~
'$
I I: E.XCESS/UMBREL.~__L1ABILITY I
__I OCCUR [J CLAIMS MADE
. , '
-1 DEDUCTIBLE I
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B ~~~16~:"~~1~~~~~~~~~:ECUTIVE
r:
v
v
3900001790031
OCT 1 04
OCT 1 05
I ,WCSTATU. L' OTHER
~-------IORYllMrrS_ I
I E.L. EACH ACCIDENT 1$
, ~~~SEAS-E~EA EMPLOYEEl $
E.L. DISEASE-POLICY LIMIT $
_~,ooo,ooo
100,000
1,000,000
;Ifyes, describe under
SPECIAL PROVISIONS below
OTHER: VALUABLE PAPERS
72SBAAB2623
NOV 20 04
NOV 20 05
$25,000.
A
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS PER THE ATTACHED ENDORSEMENT
THE CITY OF SANTA ANA
PUBLIC WORKS AGENCY Mas
220 SOUTH DAISY AVE.
SANTA ANA, CA. 92703
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAil 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
<:..
ACORD 25 (2001108)
Certificate #
3584
lchael Yeargin
0315093 @ACORDCORPORATION1988
Attention:
DAVE PATTON
'.
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company Hartford Insurance CompanY
This endorsement modifies such insurance as is afforded by the provisions of Policy
# 77!':RlI.lI.R71>7'l 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 ofthe named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective. )
Effective
Policy #
Issued to
11 /70/04 11/70 lor; , this endorsement form as a part of
72SBAAIl2fi2J
PARADICM IMACINC CROYPN INC.
amed Insured
COM","i,"",b~
or ntatlVe
pC:, C), /-,
'.';J.-J C t'
/
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
TM. i 10/21/2005
PRODUCER PhOlle:(949}453-1115 Fax: 949-453-1244 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ALLIED BROKERS\ YEARGIN INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
15375 BARRANCA PARKWAY, #C-l02 ~~;~;~~~~IS CERTIFICATE DOES ~.?~.~.,M!!'I~;"I~T~~~ n~R
IRVINE CA 92618
____ Agency Uc#: Q;3.1.5093 INSURERS AFFORDING COVERAGE NAIC#
HARTFORD CASUALTY INS CO - .-
INSURED N~aiXJ4-/4-3 INSURER A:
-
INSURER B EMPLOYERS COMPENSATION INS
PARADIGM IMAGING GROUP INC .- w_
1590 METRO DR #116 INSURER c'
-- -~
COST A MESA CA 92626- INSURER D" -_.--
,-..---
INSURER E:
COVERAGES
THE POLICIES OF INSURol.NCE 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 SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-- .- , .-
INSRADD'- TYPE OF INSURANCE POL.ICY NUMBER POLICY EFFECTIVE P~~EY,~~=~N LIMITS
LTRINSR DATE MM/1)DIYY
~NERAL. LIABILITY i 72SBAAB2623 11/20/05 11/20/06 EACH OCCURRENCE I 1,000,000
DAMAGE "TO RENTED
-" COMMERCIAL GENERAL LIABILITY ~-.LEaOE"Ufencal I 300,000
- ~~:] CLAIMS MADE [!] OCCUR MED. EXP (Anyone person) I 10,000.
A PERSONAL. & ADV INJURY ;$ 1,000,000
-- -- --
'GENERAL AGGREGATE I 2,000,000
-~ --- ..- I-PRoD~Crs-coMPIOP AGG
GEN'L AGGREGATE LIMIT APPLIES PER 'I 2,000,000
xl POLICY --I ~~T --1 LOC ,-- n
~OMOBILE L.IABIL.ITY 72SBAAB2623 11/20/05 11/20/06 COMBINED SINGLE LIMIT
ANY AUTO (Eaaccident) I
-
ALLOWNEDAUTOS BODILY INJURY
- (Per person) I 0
SCHEDULED AUTOS
A ----~--
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $ 1,000,000
I -i
- PROPERTY DAMAGE I 0
(Per aoodent)
GARAGE LIABILITY i ~!lTO ONLY" EA ACCIDENT $
=-1 ANY AUTO --
OTHER THAN EAACCI$ - -
, AUTO ONLY:
, AGG$
~CESS I UMBRELLA LIABILITY I _~_~_C_H Oo::URRENCE I
---
__ OCCUR 0 CLAIMS MADE ! AGGREGATE I
- I
DEDUCTIBLE I
- RETENTION $ ~ -.-
I
I~STATU-I IOTHER
WORKERS COMPENSATION AND SA811 00524332 10101/05 10/01/06 X TORY LIMITS.
'EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT ,I . _1,000,000
B
OFFICERlMEMBEREXCLUOED? E.L. DISEASE-EA EMPLOYEE I l,~O~
lryes, describe under :E~:-D--;-SEASE-POLlCY LIMIT
SPECIAL PROVISIONS below $ 1,000,000
OTHER: I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED FORM
550080401 FOR GENERAL LIABILITY ONLY. 0 FORM
APPROVED AS T
- /({M_'. ,IJt'I./A'.,_.
CERTIFICATE HOLDER ~ ~^" CANCELLATION
. yjP _ -.$HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Assistant CltY, Attorn ~~PIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
_ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
THE CITY OF SANTA ANA
PUBLIC WORKS AGENCY M85
220 SOUTH DAISY AVE
SANTA ANA, CA 92703
AUTHORIZED REPRESENT A TIVE
~l ~ L.
, ':;:;;..< - ~
MIChael Yeargin
@ACORD CORPORATION 1988
~- c..
Attention:
ACORD 25 (2001/08)
Certificate #
5538