Loading...
HomeMy WebLinkAboutHAROLD WELLS ASSOCIATES 2c,20ob V/ AGREEMENT TERMINATION ?OT P? Pf i Please complete this form when the attached agreement is no longer in effeet. GI's i U Return foam to the Sr. Deputy Clerk of the Council (M -30). 1 4y ywe any questions. The agreement with �C1� CP &,OC. Eu. , No. W aO05 4d 7 was completed on /2�be� and final payment has been made. Department: W I r Signature: c- Date: k k -3 12016 City of Santa Ana Revised 8 -7 -03 Clerk of the Council 1 4 INSUR', L ON FILL NJO'r•r, u,' PROCEED UPd?it tNsS IRANCF EXPIRES (7 —1 -05 GLERR OF COUNCIf DA1F SEP 2 0 2005 THIS AGREEMENT, made and entered into this ' ' day of < / -/ ,-2005 by and between Harold Wells Associates, 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 "). & wW l+ 19 SAW) CONSULTANT AGREEMENT N- 2005 -109 RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of engineering, to prepare shop drawings and specifications for the Garthe Pumping Station. 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: SCOPE OF SERVICES Consultant shall perform those services as set forth in Consultant's Proposal dated July 28, 2005, 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. 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 pursuant to this Agreement, including but not limited to books, reports, plans, photographs, drawings and computer programs, which are produced as part or result of this project, the Consultant understands and shall ensure that all of Consultant's affected officers, employees, agents, contractors, and volunteer workers also understand that (a) any such material may not be copyrighted without prior review from the City; and (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 4. 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 the Public Works Agency and the City Attorney. 5. 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. 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. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self - insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. b. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. c. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. d. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 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. 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 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. 9. CONFLICT OF INTEREST CLAUSE Consultant presently has direct contractual relationships and indirect relationships with various equipment manufacturers and contractors. Consultant covenants that these relationships will not 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 the Public Works Agency City of Santa Ana 220 South Daisy Ave. Santa Ana, California 92703 telefacsimile (714) 647 -3342 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: Harold Wells Associates 741 East Ball Road Anaheim, California 92805 Telefacsimile (714) 490 -0772 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, County or City 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 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 her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall 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. /f IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: PA RICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By; Laurd Sheedy Assistant City Attorney RECOMMENDED FO ROVAL: V'I J [lJ Director of the Public Works Agency CITY OF SANTA ANA DAVID N. REAM City Manager CONSULTANT Tax ID# ?- L' 5 3 -& J y 14e- HAROLD WELLS ASSOCIATES July 28, 2005 City of Santa Ana Public Works Maint., M -8 Corp. Yard/ Bldg. A 220 S. Daisy St. Santa Ana, CA 92703 ATTENTION: NABIL SABA REFRENCE: PROPOSAL FOR ENGINEERING / CONSULTING SERVICES GARTHE PUMPING STATION Dear Mr. Saba: As requested, this proposal is for engineering services to prepare shop drawings and specifications to upgrade the GARTHE PUMPING STATION as part of a prepared bid package by the City of Santa Ana for solicitation of bids from various selected prime contractors. Site Description: ❑ Proposed Construction ® Existing Installation The facility is located at 2401 S. Bristol St. in Santa Ana, CA. The facility has an existing power distribution transformer, which is owned by Southern California Edison. The rated current and available fault current fall within the capabilities of the Power Distribution equipment, as displayed on the nameplate of the equipment, presently installed at the site. This facility has a small amount of single - phase loads installed. The three -phase loads are primarily pumping related. Scope of Work: ® Design Study ❑ Troubleshooting /Analysis The scope of work for this project included in this proposal is as follows: . 1. Conduct principle of operation study of the existing pump station and make recommendations for changes. The study will describe how the modified pump station will be operated to cover the entire range of pumping operations. A California Registered Engineer will complete this study. 2. Prepare bid drawings: • Existing layout of pumps, motors, electrical control room and power distribution. • Existing single line for the power distribution including utility transformer. • Demolition plan of all equipment to removed or relocated. Note this demolition plan specifically excludes any planning or engineering related to the demolition or removal or any equipment containing asbestos. • Revised layout showing relocation of reused equipment and new equipment added including 741 EAST BALL ROAD • ANAHEIM, CA • 92805 PHONE (714) 490 -0770 • FAX: (714) 490 0772 Santa Ana Pcoposal_Garthejuly_2005 doc 1 of 2 08/09/05 EXHIBIT A physical dimensions layouts. • New single line drawing of all power distribution. • Revised power wiring and field instrumentation changes including conduit and wire. 3. Write specification including: • Switchgear, Motor Control Center, Power Distribution • Variable Frequency Drives / Solid State Starters • Programmable Logic Controllers / Control Panel / Field Instrumentation • Pump Station — Sequence of Operation 4. Prepare design, drawing and specification review limitations with City of Santa Ana: • Initial Study design meetings with the City of Santa Ana .....................limit of (3) meetings • Drawing and specification review meetings with the City of Santa Ana.....limit of (3) meetings 5. Insurance coverage to include: • Professional liability "errors and omissions" liability - $1,000,000 NOT INCLUDED: 1. Submittal drawing review process of successful bidder. 2. Civil Engineering structural changes (by others). 3. Any planning for demolition or removal of asbestos or equipment containing or using asbestos. ALL FOR THE NET SUM OF: $10.000.00 TEN THOUSAND DOLLARS & NO CENTS Payment terms: Net 30 -days. Regards, .i /L Craig Lamascus, P.E. Harold Wells Associates Santa Ana Proposal _Garthe _ luly_2005.doc 2 of 2 os/09/05 ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID L DATE (Mnv4/ 05 HAROL -2 03/24N OS PRODUCER BOSWELL INS AGENCY ( #OA96080) Agents & Brokers, Inc. P.O. Box 4648 Mission Viejo CA 92690 Phone:949- 855 -0430 Fax:949- 837 -5528 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 NAIC# INSURED Harold Wells Associates Inc. 741 E. Ball Rd. Ste. 166 Anaheim CA 92801 -5952 INSURER A: CNA Insurance Companies A INSURER R: Landmark American Ins Co B1017696473 INSURER C. 12/01/05 INSURER D: $1,000,000 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Halt RUU`L LTR NSR TYPE OF INSURANCE POLICY NUMBER OCYEFFECTIVE DATE MM /DDM' POLICY DATE MM /DDKY PIRATION LIMITS A GENERAL LIABILITY X GOMMERCIALGENERALLIABILITY CLAIMS MADE " OCCUR B1017696473 12/01/04 12/01/05 EACH OCCURRENCE $1,000,000 PREMSES(Eaccoorence) $100,000 MED EXP (Any one person) $ 5 , PERSONAL 8 ADV INJURY _000 $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY E PRO- LOG JECT PRODUCTS- COMPIOP AGG $1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROVED �\ L� Ar r RO y Eye AS � T T-� 1 0 FOR COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO Assistant City Attorney AUTO ONLY - EA ACCIDENT $ OTHER THAN AACC AUTO ONLY: AGG $ $ EXCESWUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $� $ ' $ A WORKERS COMPENSATION AND EMPLOYERS`LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC173347435 10/01/04 10/01/05 X TORY LIMITS ER j E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $ 10000 00 E.L. DISEASE - POLICYLIMIT $1000000 B OTHER Professional Liab LHR803012 07/10/04 07/10/05 Ea Claim $1,000,000 Agg Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for non - payment of premium CERTIFICATE HOLDER CANCELLATION CITYA -1 SHOO LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Attorney DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TORO SO SHALL 20 Civic Center Plaza (M-29) P.O. Box 1988 IMPOSE NO OBLIGATION OR LIAB OFAN Y KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92702 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 'I Joe A. Boswell - ail) ACORD 25 (2001/08) © ACORD CORPORATION 1966 ACORD HAROP OL CERTIFICATE OF LIABILITY INSURANCE ROL L DATE IMM -2 12/27/05 ' 2 27 OS 7/05) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BOSWELL INS AGENCY ( #OA96080) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,Agents 6 Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I P.O. Box 4648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mission Viejo CA 92690 Phone: 949- 855 -0430 Fax: 949 - 837 -5528 INSURERS AFFORDING COVERAGE NAIC # INSURED !- INSURER A: CNA Insurance CO nle$ 0 7 INSURER B: Everest National Harold Wells Associates Inc. INSURER C. Landmark American Ins Cc 741 E. Ball Rd. Ste. 166 INSURER O'. Anaheim CA 92808 -5952 rnveowr_cc 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM /DD DATE MWDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISESEaocwrance) $50,000 A X COMMERCIAL GENERAL LIABILITY CA00000823701 12/23/05 12/23/06 CLAIMS MADE ILJ OCCUR MED EXP (Any om Person) $ Excluded PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO s2,000,000 POLICY PRO- ECT LOG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS . 'A � ?,1 r^ COMBINED SINGLE LIMIT (Eaewident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per amidenq $ HIRED AUTOS NON -OWNED AUTOS f `� PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE IS $ $ DEOIKTIBLE $ RETENTION S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICERIMEM ER EXCLUDED?ECUTIVE 5900001020051 10/01/05 10/01/06 X [QR� T _ ER E.L.EACHACCIDENT $1,000.000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 K s, desaibeundar SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT $1,000,000 OTHER C Professional Liab LHR804296 07/10/05 07/10/06 Ea Claim $1,000,000 Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for non - payment of premium rPRTIFIrATF Hnl nFR CANCELLATION CITYA -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Attorney DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Civic Center Plaza (M -29) P.O. Box 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92702 REPRESENTATIVES. AUTHORIZED REPRESENTA E Joe A. Boswell ACORD 25 (2001/08) cu nL:urtu wnrul l iwwii eoo l 1 X L ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE (M$EDOm ) PRODUCER HAROL -2 05119106 Salomon 6 Solomon Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CONFERS NO RIGHTS UPON THE CERTIFICATE Brokers HOLDER. 23332 Mill Creek Dr Ste THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Laguna Hills CA 92653 135 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:949- 5B3 -ninn r•�_. een ,. — _ INSURED - -.— - -. - -_ INSURERS AFFORDING COVERAGE NAIL /$ Al- ��s -i�9 �INSURERA. The Hartford II NSURCRB — Harold Wells Inc. MURERC- ---� -- 3A3ssociates AnaheimBCA192805s5952 #166 INSURER ¢__- COVERAGES INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED 1 C THE INSURED NAMED ABOVE FOR ANY REQUIREMENT. TERM OR CONDI I ION OF ANY CONTRACTOR OTHER DOCUMENT WITH MAY ]HE POLICY PERIOD INDICATED. NOI W ITHSTANOING RESPECT PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT POLICIES TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TO ALL AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH LTRIINSR TYPE OF INSURANCE POLICY pq {EYM�D�EP"Ll VEXIODAYY GENERAL LIABILITY LIMITS A �X1COMMERCIgL GENERAL LIASII ITY72wHTx7413 11 CLAIMS MADE LX OCCUR EACH OCCURRENCE $1,000,000 05/15/06 05/15/07 PREEMSES(E�aocccwe Ce $100,000 - I� 'ED EXP(Anyone Person) $5,000 PER$ONALSAD"LUP.Y 1,000, 000 AGGREGAIE E' L AGGREGATE LIMIT APPLIES PER $2,000,000 X POLICY PRO JECr LOC 'PRODUCTS- COMPIOPAGG E2,000,000 AUTOMOBILE LIABILITY Em Ben. 500 000 ANYAUTO cc LIMIT {' ecBINE (SINGLE $ ALLOW RED AUTOS SCHFDULED AUTOS Ej BODILY INJURY �_ HIRED AUTOS NON- OWNEDAUTOB $ (� BODILY INJURY !— (Per 9CUEen1) — PROPERTYDAMAGE (POBCGEBn Ij $ GARAGE LIABILITY ANY AUTO AUTO ONLY- FAACCIOENT g �OTHFRTHAN EA ACC $ E %CESSIUMBRELLA LIABILITY AUTO ONLY: AGG $ I _L OCCUR CLAIMS MADE EACH UCCURRENCE $ - y�-- F AGGRECATE _�?—_ RETENTION $ RETENTION - WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY TORY LIMITS EH ANY PROPRIETORIPARTNERIEXLCUTIVE OFFICERIMEMBER EXCLUDED' EL EACH ACCIDENT $ If yes. dewri�e unner SPECIAL PROVISIONS OeIOw _ E.L. DISEASE - EA EMPLOYEE S — OTHER E. L. DISCASEPOLICY LIMIT $ DESCRIPTION OF OPERATION9l LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 18PECWL PRDVISIONS *10 day notice of cancellation for non Payment o£ premium. " "4 " ' S�'�" CERTIFICATE HOLDER CITYATT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City Attorney -City Of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALL Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 civic Center Plaza (M -29) REPRESENTATIVES. Santa Ana, CA 92702 4UTNOR¢EO REPRE6ENTATIVE ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MMIDDIYYYY) PRODUCER BAROL -2 05 15 06 BOSWELL INS AGENCY ( #OA96080) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agents S Brokers, Inc, ONLY AND CONFERSNO RIGHTS UPON THE CERTIFICATE P.O. Box 4648 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Mission Viejo CA 92690 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:949- 855 -0430 Fax:949 -837 -5528 INSURED INSURERS AFFORDING COVERAGE NAIC M INSURER A: Admiral Insurance Co._ INSURERS Everest National Harold Wells Associates Inc. jINSURERC Landmark American Ins Co 741 E. Ball Rd. Ste. 166 r - Anaheim CA 92 8 05 -5 95 INSURER D. COVERAGES INSURER E: _ THE POLICIES OF INSURANCF LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY NEDUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYIHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NRR TYPE OF INSURANCE PoLICY NUMBER DATES MMIODM! OATS MM/DOIYY GENERAL LIABILITY LIMITS A X� COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 � CANCELLED 05/15/06 12/23/05 05/15/06 PREMIS s�o� $50,000 CLAIMS MADE X OCCUR MED EXP(my one PertnrJ ,$Excluded PERSONAL S ADV INJURY $1,000,000 GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY( JECT LOC ~PRODUCTS- COMPIOP AGO $2,000,000 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS (Ea eccidenl) �$ SCHEDULED AUTOS DODILV INJURY HIREDAUTOS �ODLL INJURY $ NON -OWNED qU IOS (Per accrdenQ $ PROPERTY DAMAGE GARAGE LIABILITY (Per eccitlenU $ ANY AUTO AUTO ONLY - EA ACC IDENT $ OTHER THgN EA ACC $ AUTO ONLY: qGG $ EXCESSIUMBRELL4 LIABILITY OCCUR CLAIMS MADE EgCHOCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION ANO $ B EMPLOYERS LIABILITY XTORYLIMITS ER ANY PROPRIETORIPARTNERIEXECUTWE 5900001020051 10/01/05 10/01/06. E L. EACH ACCIDENT $1,000 000 OFFICEWMEMBER EXCLUDED? R yECIAL PROVISIO E.L. DISEASE - EA EMPLOYEE SPECIAL PROVISIONS below s 1,000,000 OTHER E . DISEASE - POLICY LIMIT ' $ 1.000.000 C (Professional Liab LHR804296 07/10105 07/10/06 Ea Claim $1,000,000 DESCRIPTION OF OPERATION$/ LOCATIONSIVEHICLES IEX CLUSIONS ADDED BY ENDORSEMENT I SP ECIALPROVISIONS Limit $1,000,000 *10 days notice of cancellation for non - payment of premium non CERTIFICATE HOLDER CANCELLATION CITYA -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEXPIRATION City Attorney DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30+ City of Santa Ana DAYS WRITTEN 20 Civic Center Plaza (M -29) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.G. BOX 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R, RS AOENTS OR Santa Ana CA 92702 REPRFSFUieiwcc �� _