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AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer i~fl~l. f 6 ICI
Retum form to the Sr. Deputy Clerk of the Council (M-30). Call 64Q#~11i>lief' yot li~.~ A
questions. CLERF( 0'i= =.":[1UNC L
The agreement with ~/~ >~~f ~r~~ , No. /l~"o~GYI'~'-ISS
was completed on ~]~~ / ~ 7 ,and final payment has been made.
Departure
Signatu~
Dat
Revised 8-7-03
Ciry of Santa Ana
Clerk of the Council
,
. .
N-2004-155
INSUKANCE l':ll,)T ONiLf:
WORK MAY aQI PROCEED
CLERK OF COUNCIL
DATE:':<-lo-o5
CONSULTANT AGREEMENT
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THIS AGREEMENT made and entered into this 28th day of December, 2004 by and
between Poma Systems, a sole proprietorship (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
managing enterprise database servers.
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 ofthe 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 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,
2006, 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 Public Works
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. DELIVERY OF WORK PRODUCT
Consultant shall deliver to City all work product which results from the services
provided. Said work product shall be submitted in a hard copy and produced in a form
compatible with City's computer system, as agreed between the Project Manager and Consultant.
In regard to any copyrightable material produced as a deliverable under the Agreement,
including but not limited to books, reports, plans and computer programs, which are produced as
part or result of this project, the Consultant understands and shall ensure that all of Consultant's
agents, contractors, and volunteer workers also understand that (a) other such material may not
be copyrighted without prior review from the City: (b) the authors of all such material, whether
copyrighted or not, award to the City, and to its officers, agents and employees acting within the
scope of their official duties, as a condition of payment to the Consultant, a royalty-free,
nonexclusive, irrevocable license throughout the world for governmental purposes to disclose,
publish, translate, reproduce, and use such materials.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
2
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. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
e. 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.
f. 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.
7. 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 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
3
Agreement. City may make all reasonable decisions with respect to its representation in any
legal proceeding.
8. 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 ofthe 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 oflaw; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
9. 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.
10. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702- 1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Public Works
City of Santa Ana
20 Civic Center Plaza (M-85)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-3345
4
and
To Consultant:
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
Poma Systems
Greg Poma
3405 Ladrillo Aisle
Irvine, California 92606
A party may change its address by giving notice in writing to the other party. If sent by
mail, 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, 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 or local holidays shall be excluded.
11. 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.
12. 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.
13. 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
5
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.
14. 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.
15. 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.
16. 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.
17. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
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:_. /
~, ~'tf'- ~'1
PATRICIA E. HEAL
Clerk ofthe Council
CITY OF SANTA ANA
~~
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
f
By: '-:1a-L/L<(~
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
h02__
'--::::~ -/
GREG POMA
Owner
.~
J E G. ROSS
Executive Director of the
L//Public Works Agency
TaxID# '_5q.lS-qJ.l:;;cf
7
Greg Poma
3405 Ladrillo Aisle
Irvine, CA 92606
~~
December 13,2004
Dear Dave Patton:
This correspondence outlines the complete scope of work you requested, including objectives,
procedures, and estimated fees.
SCOPE OF SERVICES
I. Maintenance Procedures (Monthly)
a. Check server event logs. Document event items outside of normal operation.
b. Verity server database backups have been completed successfully. Document and
troubleshoot all failed backup jobs.
c. Test Recovery of data from tapes. The first two Friday night backup jobs from the
previous month will be tested to ensure the data can be recovered from them, if
available at the time of the visit.
d. Record to a spreadsheet each of the following: server hard drive space available, total
database size, and system memory in use.
e. Check patch and service pack level of server, and patch as necessary.
f. Check server RAID controller and verity proper operation of all disks.
g. Prepare monthly summary report with backup status, event log, patches applied,
RAID status, and any other pertinent information.
2. Additional Service (Software Installation and Troubleshooting)
a. Work beyond the scope of the Maintenance Agreement will be completed at the rate
of$125 per hour, with a 2 hour minimum charge. Initial contact from these requests
will be at maximum 48 hours from the initial request.
b. Emergency requests with less than 48 hours lead time can be accommodated on an
as-needed basis at the rate of $150 per hour.
We appreciate the opportunity to service your server maintenance needs.
Sincerely,
Greg Poma
~
EX' 'j""'"
[''1 ,.:' J
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. ,
. .
DATE: December 13,2004
PROFESSIONAL FEE ESTIMATE:
Server Maintenance (Annual)
Server event log checks
Server drive space checks
Backup job check
Backup restoration check
RAID array check
Additional service (2 hour minimum)
Emergency service (3 hour minimum)
Greg Poma
3405 Ladrillo Aisle
Irvine, CA 92606
PROPOSAL
TO:
Dave Patton, City of Santa Ana
$5156.00
$125.00/hr
$150.00/hr
Fees above will be billed monthly on or around the second to last Friday of the month.
~
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,Feb
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0504:13p
Public Works
7146473345
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE(MMlDDIYYYY)
2/9/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION
Wright Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
33971 Selva Rd #120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Dana Poi.nt, CA 92629
(949) 489-1833 INSURERS AFFORDING COVERAGE NAIC#
INSURED Poma, Greg f\I- dQOI- _ 155 INSURER "'- Sequoia Insurance C01IIpany
...---
INSURER B
3405 Ladrillo Isle .._-~--.
INSURER c:
Irvine, CA 92606 - - ......-...
POV'ilQ S I_I INSURER D:
,949 294-8639 .., .._.~---.-
INSURER E:
,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAtoED ABOVE FOR THE pOLICY PERlOO INDICA TED. NOTWITHSTANDING
Pm REGlIJIRENENT. TERM OR CONDIT1ON OF Pm CONTRACT OR OTHER DQCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSVRANCE AFFORDED BY THE POLIClES DESCRIBED HEREIN fS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONllITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAl.~'?~:~ _
~: = TYPEnr:IM<:tIRA~j:: POUCYNUMBER ~ ;"jIVE: ~~YI::XPI AnON UMITS
GENERAl LIABIUTY EACH OCCURRENCE -~-- ' 1,000,000
~--- PREMISES 1&.....oocurence' , --300,000
- .. J ClAfMS MADE ~.1 OCCUR _~_~l?~~,~~y_()_n_~_~~) ." , 10,000
A X SBP200891-1 01-11-05 01-11-06 PERSONAl. & ADV INJURY , Inoluded
-.- 2,000,000
-~---~-- -------- ~~ERAL AGGR~ATE $
~~ AGGRnlllMfT An~ PER PRODUCTS-COMP~PAGG $ 2,000,000
POLICY ~8;: L.OC
~~OBlLE UA81UTY COMBINED SINGLE UMIT ,
ANY AUTO (Ea accldent)
-
- All O\IIfNED AUTOS 80DIL Y INJURY
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SCHEDULED AUTOS (Po< penonl
- -------.---.----.--.-. ..._._.__m_~
. HIREO AUTOS BODILY INJURY
,
NON-DWNEDAUTOS {Per accident)
- --.-------------.------- ..,. - ......-...,... ..
PROPERTY DAMAGE ,
(Pereeeident)
==rGELlABfLnY AUTO ONI. Y - EA AOODENT ,
ANY AUTO OTHER THAN EAACC .
AUTO ONLY: AGG ,
:::J~SSlUMBRELlA L1ABIUTY ~~H OC~~RE~_~L_.__ -~-~
OCCUR [] ClAIMS MADE AGGREGATE
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RETENllON , .
WORKER5COMPENSA~ANO we ATU., I ID~~
EMPLOYERS' L\ABlLlTY
N<< PROPRln"OIiUPARTh'ERlEXEClJT1VE: E.L. EACH ACCIDENT ,
-...-.....--..."......."....0.. .__. '~-=-=--==I
OFFlCElWEMeER exCLUDED? EL DISEASE - EA EMPLOYE
~~~~~beIoW --------.'-----
E.L DISEASe-. POUCY LIMIT ,
aTHER
A BUs/pers/Prop SBP200891-1 01-11-05 01-11-06 $5,000 Special Form
PPIH,\. $~POA ,n..."~'c"'''''''-
DESCRIPTION OF OPERAllONS I LOCATIONS I VEHICLES I EXCLUSIONS AODEO BY ENDORSEMENT I SPECIAL PROVlSlONS
Computer Consulting ...~ //2.
""'" Stitt Sheedy
.;,,:,l<ln1 City A Horney
.
CERTIFICATE HOLDER
City of Santa Ana, its officers,
employees, agents ~ representitives
20 Civic Center Plaza
Santa Ana, CA 92701
CANCELlATION
SHOULD ANY OF THE ABOVE DESCRIBED POU~LLED~ORETHE EXPIRATlO
DAlE THEREOF, THE ISSUING INSURER WILL~XO MAIL_ DAYS WRITTEN
NOllCE TO THE CERTIFICATE HOLDER NAMED TO THe LEFT, .KXHJ02.Q(QC~>>KlX
A'~:l!Ijf!R~ 1B:1NSIG8EItXSl.Ml
~
AUTHORIZED REPRESENTATIVE
ACORD26 (2001108)
.Feb J5.05 04:13p Public Works
01/12/2005 14:52 9494422401
7146473345
CAPRI CAPITAL IRVINE
p.1
PAGE 02102
AD~noNALINSUREDENDORSEMSNT
In,.uranc. Com.,.ny Sequoia nlsurance Company
This enctorsemen1 modifies such insurance a8 is afforded by the provisions of
Policy # SBP200891 -1 relating to the following:
1 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana. California
92701; Its officers, employees, agents 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 name 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
shaN not affect any right which such person or organization would have
as a claimant if not 80 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 PlaZ2l, Santa Ana, California 92701.
(CompleUon of the folloWIng, Including countersignature, is required 10 make this
endorsement effective.)
Effective
of
01-11-05
. Ihe endorsement form as part
Policy # .
SMP200891-1
Issued lei
APPROVED AS TO FORM
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Laura 51; Sheedy
Assistant ily AHorne\'
Ma~ 15 06 09:49a
Wright Ins Srv
949-489 5702
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ACORD,. CERTIFICATE OF LIABILITY INSURANCE I OATE(MM/OOIYYYY)
5/15/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wright Insurance Services ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
33971 Selva Rd 11120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Dana Point, CA 92629
(949) 489-1833 INSURERS AFFORDING COVERAGE NAIC#
-_. -----~~-_.- -. -~'--'. Sequoia ~nsurance .
INSURED Poma, Greg N -d-001- /55 INSURER k. Company
'. --
INSURER 8:
3405 Ladril.lo Isle INSURER c:
CA 92606 .--. - -
Irvine, INSURER 0:
,949-294-8639 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NM,tED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING
AtN REQUlREfvl:NT, 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 BYPAlDCLArMS.
L~= C'~ TY~~~~~~RANr':~ POLICY NUMBER ~~Y,J~f~e P8k+~~~~
GENERAL LIABILITY
~. COM. MERCIAL GENERA. L.L1A8ILlTY
_ _~I CLAIMS MADE r!:IOC::UR
A X SBP200891
~-'-~-~-'--
1.~!'fL AGGR~~E LIMIT APPLIES PER
=Y~L1CY I ~r~~8T rl-LOC
~OMOBILE L1A8IUTY
'--- ANY AUTO
f-- ALL OWNED AUTOS
I-- SCHEDULED AUTOS
~ HIRED AUTo,<:;
NON-OWNED AUTOS
liMITS
.-.-...-.-
01-11-06
01-11-07
EACH OCCURRENCE S 1,000,000
PREMISES~E~I::~~~~I!ct1J s _ ~ ~.~~-'_~~
MEDEXP(Anyonepersonj 5 10,000
PeRSONAL&ADVINJURY S Included
GENERAL AGGREGATE S 2~ob6~Ooo
~OOUCTS-COMP~~('o~G s 2,000,000
COMElINED SINGLE LIMIT
(Eaacc::ldent]
80DlL Y INJURY
(PerpelSOl1)
BODILY INJURY
(Peraccident)
..-.._.....~
PROPERTY DAMAGE
(Peraccid"nt)
~_iAGE LIABILITY
__I ANY AUTO
AUTO ONLY _ EA ACClDENT $
OTHER THAN
AUTO ONLY;
EA Ace s
'.._~
~CESSJUMBRElL~ LIABILITY
_ "I OCCUR [_J CLAIMS MADE
-~-I DEDUCTIBLE
-I RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS l\A6IUTY
ANY PROf>RIE1OR1PARTNERIEXECUTrvE'
OFFlCERiMEM8ER EXCLVOED?
UWt?ArPk~~~I~s below
OlHER
A Bus/pers/Prop
~_~ ~CCURRE~E
AGGREGATE
--~-- --
AGG $
j.
,
f-----
-'-..~-_.
,
I 1~~Ns I IOJt
E.L EACH ACCIDENT ._ _ +~
EL DISEASE . ~e:~PlOYE $
EL DISEASE - POLICY LIMIT $
SBP200891.
01-11-06
01-11-07
$5,000 Special Form
$500 Deductible
DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES I EXCl,.USlONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
Computer Consulting
CERTIFICATE HOLDER
City of Santa Ana, its officers,
employees, agents & representitives
20 Civic Center Plaza
Santa Ana, CA 92701
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES tilE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOf, THE ISSUING INSURER WILl~O P.MIL30 DAYS WRITTEN
NOllcE TO THE CERT1FICATE HOLDER NAMED TO THE LEFT, BUT FJ\ILURE 10 DO so SHAlL
IMPOSE NO OBliGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT AGENTS OR
REPRESENTAT1VES.
AUTHORIZED REPRESENTATIVE
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ACORD25(2001108)
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Wright Ins Srv
949-489 5702
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ADDITIONAl INSURED ENDORSEMENT
In!SUranC9 Company
Sequoia Insurance Company
This enelorsement modifies such insurance as is afforded by the provisions of
Policy # SBP 2 0 0 8 91 -1 relating to the following:
1 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701; its officers, employees, agents 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 name insured, such insurance as is
afforded by th is policy is primary and is not additional to or contributing
with any other insurance carried by or for the benefit of the addilional
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 cOllerage or limits except after thirty
(30) days written notice has been given 10 the City of Sanla Ana, 20
Civic Center Plaza, Santa Ana, California 92701.
(CompleUon of the following, inclUding countersignature, is required to make this
endorsement effective.)
Effective
of
01-11-06
, the endorsement form as part
Policy # .
SBP200891
Issued 10
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