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Home My WebLink AboutPHOENIX GROUP INFO. SYS. 2A - 2005 Ie - ).,LeY] --(,3 7 -(){ . INSUR~~:'; ,L U,'j jj:_: ;','C:\L ,.;,;\\' H~OCEtD Ur~;iL Ji\jSURAr'JCE FXP!RE~ \C'-\-O::J CLERK OF COUNCil_ DATE, 5-;8 -05 FIRST AMENDMENT TO CONSULTANT AGREEMENT fb r--\s~ THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered on March~, 2005, by and between Phoenix Group Information Systems, a California corporation ('"Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). Recitals: A. The parties entered into Agreement #A-2005-037, dated February 22,2005 (hereinafter "said Agreement") by which Consultant has provided parking citation . . processmg services B. In accordance with the terms and conditions of said Agreement, the parties wish to amend the Scope of Services to allow Consultant to provide Refund Services as part of the citation processing. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: I. Section I, SCOPE OF SERVICES, shall be amended to add a Paragraph I.b., which will read in full as follows: "l.b. Consultant shall provide Parking Citation Refund Services as set forth in Exhibit A-I, attached hereto." 2. Section 2.a., COMPENSATION, shall be deleted in its entirety and replaced with the following: "a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. Consultant will charge, and City will pay, $3.50 for each citation refund, as set forth in Exhibit A-I. The total sum to be expended under this Agreement shall not exceed $130,000.00, annually, during the term of this Agreement. 3. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. . IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above, CITY OF SANTA ANA ATTEST: PATRICIA E. HEALY Clerk of the Council ,,--- "./} <Cr c~ ,~------- DA V N. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: . <~'iI t()/, 'f Laura'Sheedy Assistant City Attorney -LL/ / APPROVED AS TO CONTENT: CONSULTANT ^. RO~~~~ President "', cl ~j ~ \~ PA L M. WALTERS Chief of Police EXHIBIT A-1 Addendum to Consultant Agreement Phoenix Group Information Systems January 2005 Refund Services March 14, 2005 Background on Refunds: From time to time it is necessary to refund moneys collected for parking fines paid on parking citations. These refunds are made to correct various types of payments or Issuance errors. Current Status of Processing Refunds: The refunds are routed to Finance for disbursement by the various departments. The City mails a "voucher" to the recipient, which must be claimed in person validating claim by showing valid driver's license. Due to the time necessary in performing this function with approval of the refund, mailing the vouchers, then disbursing the cash, the CITY has requested an alternative to the current process. Phoenix Group (PHX) is proposing such services to the City of Santa Ana. Note: The CITY issued 113 refunds in 2004. Establish an Account: Based on the City's volume, PHX would add the City of Santa Ana (CITY) to an existing Imprest account set up for Refunds. The CITY would fund the account for the purpose of funding the disbursements for refunds. At such time that the fees are disbursed; the CITY would be invoiced monthly for an equal amount to replenish the funds to make available for the next months disbursements. The account balance would be set-up to cover an average month of refunds. Based on recent activity, the account would be established with a $1,000.00 deposit. Phoenix Group will prepare a monthly accounting of the distribution revenue and forward in detail to the CITY. A request to refund the parking fine can be generated by the issuing agency or by Phoenix Group. In order to facilitate the process of refunding moneys: I. PHX or CITY may request a refund, 2. Only the CITY may approve or authorize a refund, PHX will request approval either by fax or email prior to any disbursing of funds, 3. CITY can request the refund on-line, PHX will maintain the Name of the requestor, 4. PHX will ensure that the Refund request has been properly completed and approved by the CITY, 5. PHX will verify the correctness of the refund and notify the CITY of any discrepancies, . .. Refund Services Page two 3114/05 6. Prepare checks to each reCipient, drawn from the Imprest account, for the indicated refund amount within 7 - 10 days, 7. On-line data available: Refund Request initiated (date pending), completed date, the recipient's name and address, amount disbursed and the letter mailed to accompany the refund is available to view and reprint by all departments. 8. Provide a monthly report of refunds, and the supporting detail to the CITY, 9. Request replacement into the Refund account on a monthly basis. Cost: $3.50 each - PHX will charge a transactional basis to the CITY for the above Service. Estimated Budget impact $33.00 monthly, $395.50 annually. Note: PHX is providing a disbursing function to the CITY. Therefore, it is important to note that by accepting this service, the CITY specifically grants PHX the authority to disburse such funds. Further, The CITY does not relinquish responsibility for the accuracy of the amounts disbursed in it's behalf by PHX and must take whatever measures deemed appropriate to ensure the correctness of these disbursements. Services Quoted bv: Mary Houghton Vice President !~~~~'.. "lATI(~"" DlnlO~ THIS CERTIFICATE IS ISSUED AS " MATTER OF IHFOIltolATION ONLV AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES HOT AMEND, EXTEHD OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ii,nd.l. In.qr.nc. a..noy 150 F.~rl.nt Avenue P. O. aO)l 831 GI.n4.,. Cl 112D'~31 (8111 244-1141 CONPANY J\ Hertf.rd Fir. I.sur.nce to. 00I0IP_ B Hartford' C..u.lt In'. c.. CC>.lPoINV C .. Ph4.nlx 8r~p ~At.rm.tl.ft S,.. 38. Valt ..... W.r, _no Tnren"., CA IO&D1 ^ - .;It()<f-I}/ J' . .:i~~.:J~:' ~.' .,~1Mt'Ut~\WA~~!i1~~&i1: ~~j~tf-it~,.::: *i .U~~,{~ti~~gt!tl;i.~iL :'~, ':?,~~l~:, :~~1;.1.~~~~~wj~lW~~;~~.'r :it~m~1t~~~ THIS IS TO CERTII'Y THA TTHEPOLICIESOFINSURjI>.NCEUSTEDIlELOW HA VEBEENISSUEOTOTHE INSUREONAMED ABOVEFOA THEPOLICYPERIOO INDICA TED,NOTWITHIT ANOINOANYREDUflEr.IENl. TlRMORCONOITIONOl' "'NVCONTIlACT OROTHl'!RDOCUMENTWI1'HIlESPECTTOWHlCHTHS CEIlTII'ICA TE.....Y SE ISSUED OR 1M Ii' PJ;fITAlN, THE INSURANCE AFFORDED BV THEPOUC1E8 DESCRIBED HEREIN IS SUIlJECTTO ALL THE TERMS, El(CLUSIONS AND CONDmONS OF S\l<:H POLlCIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY ."'10 C\.A_. ~ TYPIO'.'U"ANca POLlC'(II..... 'D~:~ 'l:';:=:~) UMI1'8 . GIN...... UMiLlTV n~lq3lli 10101104 10/0l/OS GENERIoL AGGREGA.1E $ Z IlllO.OOO COltolAERCrAL IlENERALLlAl!lLllY PROClJCTS"-cOlol'/OP AaG $ 2,DCO Gaa CLAIMS MADE [!J ~ PERSONAl. . AnV INoUfY $ 1 000 000 OW>ER'S . CONTRACTal'S PIlOT EACli OCCUMENCE I 1 CGQ,aoo FIRE DAW.GE ("IV CIne fir.) , 300 00ll r.EIl EX' (Any aN ",,""'> I SOlO A1I1'OI&O.... UAliIJ'TY 7311.\A'Z138 10101/04 10/01/01 COlIBINED SINGLE UIoIII $ ArN AUTO Z ,ooO,OOll AU OWI/ED AlJtOS BOOIL If INJIJRY $ SCEDlA.ED AUTOS fPt( !)I~on) X H,JlEO "'UTOS 8001\.. Y INJURY t X NON-oWNED AUIOS: {P.... accIdent) PROPERTY DAMAGE $ , QA..AClI LIAaurr "IJfO ~ Y . EA ,"CCIDENT , ANV I>lJJO OlHER THAN Aura CNl. Y: :;01Md~%!}1WitWMt?jY ~Oi ACCllENr I Laura S itt Slleed A<WlEBA1E . b(S.. UAaUTY As~istaut ity Attorney EACH OCClAAENCE iMlREW. FORW AaoREtlA1E ODER THAN !AeReLLA FOAU . ~.COIIP'IM-.-noN4ND 1Z1WCOUU '.Ial/CH 10101/08 hIfil.O'rI"" L1A.Lm a. EACH ACCIDENT . , _ DOll TIE PROPRIETOOI 1NQ.. EL DISi!,l.SEof"Qt.IC't' UhUl I PARTtBtSJEXECUTIVE I,OlIO ooa QFFl~ERS ARE: EXCl. EI. OISEASE.EA EIoF\.Ol1!E , 1 OlIO ooa alii... COIllll.nl.1 Crl.. P,.Hey I~D7Z23 lIJ1SI1I3 11111104 511S,DDD l'.lt p.r a.aurr..ot $21,000 D.4v.tl~l. .- N c. It Is e,r... thlt the Clt, of Saftt. Ana f. n...4 Aalttloft,1 I.aur" ./r...rd to len,r.1 Lllbillty .'~.r.... and p.~ the e1t.o.~ .~dltl'~'1 Insurad iD~r."'nt. Cltr .f Sent. Aa. Itt.ntl.n: Laure lhedd~ 20 Cfyl, t.nter Ple.a 'Mt, Ana. eA 12.10\ ;" .,:t.:t1f.-~ ~~V ~:,,~' ~l_ 1:," . ,j . ~ i#!~.;.~i h'Zr,*~~... ';l., aw.oLU>> AMY 01' TNt gOVl DUOIUldb POUCII:I I' ClNfc-..LlO uroll TH'I llD'--.nalf DAft THIIICOI', 1')U' ".1..UNll CClUPANY WI.L. IllDIArGlI TlJ M.... SO DA.n wlun... "OTI_TO THa""""'JCAl'I Hoc.DlJIl. NAMID'IO'THIiUPT, aUT PIt.LUM: TO MAL 'UOH NGTIOW SKML ~.O aLlOA1'ICN DR UMUTY 01' idlY IaICD UflON n4. CO " IN' AQUIZ&.. R....UNTATI'IU, A lili:~~II...II.IIIIIII.III!I..II!'!~~!!!!!4"!!I]~!!!I![I:;~=:'::: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Glend,le Insurance Agancy 750 F.lr.ont AVlnu. P. O. Box 831 6Iand,l, CA 91209-0831 18181 244-1144 INIURED COtd'ANY A Hartford Fir. Insuranol Co. Pholnlx &roup Information Sys. 2870 N. Main Str..t, Suit. ZOO Santa Ana, Cl 92705 ./1- .7 a:P- 05 '1 A-dOo5 - 037-0/ COMPANY B COMPANY C National Union Fir. In.urane. Com an THISIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDINGANYREQUIREMENT, TERMORCONDITIONOF ANYCONTRACTOROTHERDOCUMENTWITH RESPECT TOWHICHTHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TYPE OF INIU..NCE POUCY.....CYIVI! POLICY IXP'IR:ATlON LT1l: PDLlCYNLlMIIR DATI (MMlDDIVY) DATI (MMlDDIYY) LIMITe A GINI""L L1"ILITY 72SBAAB211315 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [!] OCCUR OWNER'S & CONTRACTOR'S PRQT 10/01108 10/01108 GENERAL AGI3REGA TE S PRODUCTS.COMP lOP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ 2,000,000 2,OOO,DOO 1,000,000 I,OOO,ODO 300,ODD 5 000 AUTOMOILE L1ABA.ITY ANY AUTO All OWNED AUTOS I SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS 72S8U82838 10/01105 10/01106 COMBINED SINGLE LIMIT $ 2,000,000 BODilY INJURY (Per person) $ BODilY lNJl.JlY (Per accident) 1$ PROPERTY DAMAGE $ GAIIAGE LIABLITY ANY AUTO THE PROPRIETOR/ I PARTNERS/EXECUTIVE OFFICERS ARE: OTHEII C Caamerclel Crlm. Polley INCl EXCl AUTO ONl V - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCEII LIAILITY U~REllA FORM OTHER THAN LJ..1BREllA FORM WOIIKIltI COMPUIATION AND EMPLOYERI'LIABLITY Laura I S.'ilstant tt\)rn~\ El DISEASE-EA EMPLOYEE 5520888 11118/04 11115/05 51,000,000 Limit p.r ooourrence 525.000 Deduotlble DUCIIPTION OF OPIIIATIONIA..OCATIONIIYEHICLEIIIPECIAL ITEMS It Is a.r..d thet the City of Sent. Ane Is n...d Additional Insur.d ./re.erd to &.n.rel LI.blllty cov.r.... end p.r the etteoh.d Additional Inlur.d Endorlem.nt. JIMmlitt:.tu.nt .. :.:.,:;:::;.;:;:;:;::)/;,.,::::91tnm~\l#H1@nl%U@Ml:dtH%Mtdtt.:: . '.. ... ......... IHOlLD ANY OF THE AIDVI DIICfIIIIID POLlOl.I II CANClLUD IEFOIII TNE IXPIIIATIDN DATI THEIIIDF, THE IIIUING COMPANY WLL INDEAVOII TO MAL 30 DAYI MlmlN NOTI~TO THE ClllTlPlCATI HOLDIII N...,..D TO TNILEFT, IUT ,ALUII. TO MAL IUCH NOTl~ IHALL IMPOI. NO OIUGATlON 011 UAILITY 0' KIND U MPANY, ITI "QINTS OR ..IPRUINTATlVU. IPIIII City of S.nt. An. Att.ntlon: Laure Sh.ddy 20 Civic Cent.r Plez. S.nt. An., CA 82701 .ul Tr.u.hber V::':'::"':'''':''':y:~~.: .:'~'.~'~:":": :'::":m.f'~ :::":iili CERTIFICATE: D02/D01/ D01DS -. Phoenix Group Info. Sys. POLICY NUMBER: 72 SBAAB 2635 COMMERCIAL GENERAL LIABlUTY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modIfies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Nama of Pa..on or Organization: City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorae~ ment.) A. Section 11- Who Is An Inlured Is amended to include 8S an Insured the person or organizatIon shown In the Schedule, but only with respect to liability arising out of your ongoing opera~ tlons performed for that insured. B. With respect to the insurance afforded to these additional Insureds, the following exclusion is added: 2. Exclusions This Insurance does not apply to .bodlly injury" or .prop- erty damage" occurring after: (1) All work, including materials, parts or equipment furnished In connection with such work. on the project (other than service, maintenance or e- pairs) to be performed by or on behalf of the ad- ditional Insured(s) at the site of the covered q>- erations has been completed; or (2) That portion of "your work" out of which the Injury or damage arises has been put to lis intended use by any person or organlzatton other Ihan an. other contractor or subcontractor engaged in per- forming operations lor a principal as a pari of the same project. APPROVED AS TO FORM ~2h . LaUra StItt Sheedy i\S.)Jstant City Attorney CG20101001 COpyright, Insurance Services Office, Inc., 2000 P.".10'1 1'~~~111.1I11.1111:111111,111!1.1..lltllll"IIIIII!lllliil1111:11.'~/~~:MYil: 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. COMPANIES AFFORDING COVERAGE Glend,', Insurenel A,lncy 150 F'lr.ont AvenuI P. 0, Box 131 6Iende', CA 81Z09-D831 1818) 244-1144 INSURID COMPANY A H.rtford Fir. Insur.nol Co. Phoenix Group Inform.tlon Sye. 2570 N. Wlln Str..t. Suit. 200 Sent. An.. tA 82105 COMPANY B COMPANY C Nltlonll Union Fir. Insuranel Com In THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L1STEDBELOWHA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED,NOTWITHST ANDING ANY REQUIREMENT, TERMORCONDITIONOF ANY CONTRACTOR OTHERDOCUMENTWITHRESPECT TO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE 0.. INIUlltANCE "ouey IFPICTIVI pouey IXPIRATION LTO PDUOY HUM.." DATI (rMtIDDIYY) DATI (MMIDDIVY) LIMrrl A GENIIIAL L1".LfTY 72SBUB2835 10/01/05 10/01101 GENERAL AGGREGATE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PROOUCTS.CQMP/OP AGG S 2,000,000 CLAIMS MAOE [!) OCCLR PERSONAL & AOV INJURY S 1,000,000 i OWNER'S & CONTRACTOR'S PRCT EACH OCCURRENCE S 1.000,000 FIRE DAMAGE (Anyone fire) S 300 ,ODD iviED EXP (Anyone person) S 5 ODD AUTOMalU LIAILITV 72SBUB2138 10/01108 10/01/01 COt.eINED SINGLE LIMIT S ANY AUTO 2.DOO,ODQ ALL OWNED AUTOS BODILY INJURY (Per person) S SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE UAIUTY AUTO ONLY. EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONl... Y: \'0 fOR EACH ACCIDENT S AGGREGATE EXClII U"ILITY i\.1'1'?-' EACH OCCURRENCE ..,-- UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKERI COMPENSATION AND EMPLOYERI'LIA8LITY THE PROPRIETOR/ INCL EL DISEASE.pOLICY LIMIT PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE.EA EMPLOYEE OTHIII C Conwnlrcl.1 Crimi Polloy 58201188 11111/04 11111/05 51,oOO,OOD Limit plr ooourr.nol 525,DDO D.duotlbl. DEICftlPnON OF OPIRATiONI...OCATiONIIYIHICLIIIIPICIAL mMI It I. egreld thet the City of Sent. Ane I. nemld Additional Insured ./r.gerd to Sln.r.1 Liability cav.r.g'l end per the etteah.d Addition., Insurld Endor....nt. t.~tJij'li.e;f#m;r~:!~WHlr;mfit:: :~'.'.. t::~\:t;~~~L%kknt/iMl. nttllMHnHVWUMH ......... IHOULD ANY 011 THE AIOYl DIICRUD 'OUCIII I' CANCILLID U'OIlE THI IXPMATION DATE THIIIIOF, THI IUUING COIFANY WLL INDEAVOII TO MAL 30 DAn WllmliN NOTICI TO THE ClIITIFlCATI HOLDER NAMID TO THI LIFT. IUT FALURI TO MAL IUCH NOTICIE IHALL IIFOII HO om.IGAnON OR LIAILITY OF ND "'0 ANY, JTIi AGINTI 011 1I1'IIIIIHunnl. II 'II.I.NTA VI City of Sente An. Attention: Leure Shlddy 20 Civic C.nter Pie.. S.nt. Ana, CA 82701 ......................'........... '.,.,.,.,.,."."". ;,'-,.",...,;,;:~:::::::::~::<::;::,'.. ::::':::::::::;:':::::'::'::::~::::~::::::::::~::: I Traughber . ",.", w.";'i,ltidii"lii't CERTIFICATE: 002/001/ 00108 ACORD CERTIFICATE OF INSURANCE ISSUE DATE ~' 9/28/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS DICKERSON EMPLOYEE BENEFITS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ~918 RNERSIDE DR. AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. [Los ANGELES, CA 90039 COMPANIES AFFORDING COVERAGE COMPANY INSURED LETTER A ..~ PHOENIX GROUP INFORMATION I <iDMPANY LETTER B 2670 N. MAIN STREET COMPANY SUITE #200 LETTER C SANTA ANA, CA 92705 COMPANY LETTER 0 : <iOMPANY LETTER E COVERAGES THiS IS TO CERTIFY THAT 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 PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, excLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAJMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE ,M".,,1lIYY1 DATE'MMlDD/YV) GENERAL UA8IUTY GENERAL AGGREGATE $ r- COMMERCIAL GENERAL LIABILITY PROD\JCTS.COMP/DPS AGG $ f- ~ CLAIMS MADE 0 OCCUR PERSONAl. ADV,INJURY $ r- OWNER'S' CONTRACTORS PROTo EACH OCCURRENOE $ r- FIRE DAMAGE (Any llIMI fIrw) $ - " , MED, EXPENSE (Anyone P8/SOfI $ AUTOMOlllLE L1ABJrrv J -Do ~i>'-'-' COMBINED SINGLE - ANY AUTO LIMIT $ " - . .---- - - .. .~ ALL OWNED AUTOS 'I.' ,'; ':.- ,~.. '-' - cl :... -~-'~J' BODILY INJURY - SCHEDULED AUTOS 1,'l..J;)[d.u City .f-\.tlor .cy (porptm>nl $ r- HIRED AUTOS PROPERTY DAMAGE $ r- GARAGE LIABIliTY EXCESS LIABILITY EACH OCCURRENCE $ q UMSRELLA FORM AGGREGATE $ OTHER THAN UMBRElLA FORM I STATUTORY WORKERS' COIIPENSATlC>>I SA81- LIMITS A AND 1005- 10/1/05 10/1/06 I!ACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY 24364 DISEASE POLICY UMIT $1 000 000 DISEASE EACH EMPLOYEE $1 000 000 OTHER DESCRIPTION OF OPERAT1DNSILOCATIONSNEHICLESISPECIAL ITEMS CEI'tIlFICATE HDLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLlCIED BE City of Santa Ana Attn: LaLlra Sheddy 20 Civic Center Plaza Santa Ana, CA 92701 CANCELLED BEFORE THE EXPIRATION ~tE THEREOF, THE ISSUING COMPANY WR.L ENDEAVOR TO MAIL 30 DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlLURl! TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ~ ~-<<-A-~- "'w AUTHORIZED REPRESENTATIVE Acfiim~ ceRTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNY) 8/3112006 PRODUCER GUl:NDALE INSURANCE AGENCY, INC. 1lI1S CERllFICA TE IS ISSUED AS A MA ITER OF INFORMATION P. O. Box 831 ONLY AND CONFERS NO RIGHTS UPON THE CERllFICA TE HOLDER. 1lI1S CERllACA TE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Glendale CA 91209-0831 _____ ~_1818}~44-1~44_ INSURERS AFFORDING COVERAGE ~~_._------------ American "Economy Insurance CompanY- - ..... INSURED INSURER A: Phoenix Group Information Systems National Union Fire Insurance Company . ---.....---- INSURER B: 2670 North Main Street, #200 -.------ ~~RC; -.'---------- INSURER 0: Santa Ana CA 92705 .- 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. 1~~11 TYPE OF ~~SURANCE - POLlC~ NUMBER POLICY EFFECTIVE POLlCY EXPIRATION I GENERAL LIABILITY I xl CqMMERCIAL GENERAL LIABILITY Ail-I ~AIMSMADE L!J OCCUR - -- --- - -- ---- ~~'L AGGRE~E LIMIT A~~l~;S PEA: X I POLICY i i "~,9~ I I LOC 02BP50901610 10/112006 101112007 LIMITS ~~~H OCCU~RENCE ___L~__ FIRE DAMAGE (Anyone fire) [$ MED EXP (Anyone person) $ PERSONAl & ADV INJURY ,_L~___ M__ GENERAl AGGREGATE $ PRODUCTS - COMP/OP AGG $ 2,000,000 . __~()O,OOO 10,000 2,000,000 4,Ooo,OC?~ 4,000,000 AUTOMOBILE LIABILITY I ANY AUTO C !______ ALL OWNED AUTOS SCHEDULED AUTOS A 'x-I HIRED AUTOS ';~~-:! NON-OWNED AUTOS I . i -"---- ...---- ~~IRAGE LIABILITY I ANY AUTO 10/112007 COMBINED SINGLE LIMIT (Eaaccident) --..-.- -- ----- ------ - - . ----- I 1$ -I .------------ 1$ rp~~~~d~nt?AMAGE _ ---~---------------------- $ 2,000,000 02BP50901610 10/112006 BODILY INJURY (Per person) BODILY INJURY (Per accident) A - -- 01WC10616010 10/112006 10/112007 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC +---!.-.. AUTO ONLY: AGG $ EACH OCCURRENCE $ _~~~~A~_____ ___~~~:=J~~__~_____- -=~~=~_-_ I=~---=--:~-* ------ ..h'Z~~L~Ms I IOJ~-J____n ..._ E.L. EACH ACCIDENT +-s- 1 ,000,000 E.L. DISEASE - EA EMPLOYE" $ 1,000,000 E.L. DISEASE. POLICY LIMIT $ - ---'.000,000 $1,00??oo Limit per Occurrence $25,000 Deductible EXCESS LIABILITY tL.:l' OCCUR [-I CLAIMS MADE I --:1 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER B Commercial Crime Policy 4949735 11/1612005 11/1612006 DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS It Is agreed that the Certificate Holder Is named Additional Insured w/regard to General liability coverages. J?:. //;~", ~~'/ //~ ~7L. / /",- '- CERllFICA TE HOLDER I i ADDITIONAL INSURED; INSURER LETTER' 1 CANCELLA liON SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVeS. A I'f" "";\SZ::~ -i7... City of Santa Ana Attention: Ron Stires '111410 5f\1"i:l 60 Civic Center Plaza Santa Ana CA 92702 ACORD 2S-S (7/97) LM: lPWv1.9.8on 1016106 . 11:05 by UserName lP: LPWv1.9.Bon 10/6106-11:06 :'userNarl' @ACORD CORPORAll0N 1988 PFv1.0.1 0-.L ,. , . . . .' Insured: Phoenix Group Information Systems, Inc. POLICY NUMBER: 02BP50901610 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Santa Ana 60 Civic Center Plaza Santa Ana, CA 92702 (If no entry appears above. information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. ;(115 ~VL CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 ACOBlt. CERTIFICA~ OF LIABILITY INSUr-\NCE 0::;> URANCE AGENCY THIS CER11FICAlE IS ISSUED AS A MATTER OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CER11FICATE HOlDER. THIS CERTIFlCAlE DOES NOT AIlEND, EXTEND OR ALlER 1HE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE THE POUClES OF INSUAANCE USTEO BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. N01WITHSTANDlNO ANY REOUlREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT1-I RESPECT TO WHICH THIS CERllACATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PCll.IClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, exQ.USIONS AND CONDITIONS OF SUCH POUClES. AOOREOATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO a.AlMS. ,If'!I\\' lYPEOFl1l8URANCE POUCYIlUIII8I!R ~ ~~ :..!!"ER"L I.JA8LJTY X COMMERCIAl GENERAL UABtUTY ,-U CLAIMS MADE 00 OCCUR A_ SHOULD NfYOfIlIlaMOVlDDCIlIHD POl.IC881CANCI!UED -.oRl!THEEXPlRAlIOM DATE 1HERIOF. 'fItE"UING 1H8UMR WILL I!NDI!AVOR TO MAIL 30 DAYS WAITTEH NOT1CnO 1IlIe CERTlFlCAft ItOUlER NAIII!D TOTHI! LEFT, 8UI' FAILURE TO DO 1O.wJ. lIII'OIE NO O8l.JGAnON OR UA8LITY OF MY lORD UPOtI ~ 1N8URER, ITS AGENT8 DR R!PRI!sl!NrAnvES. A ~ ..",... _ I AUT'MORIZI!D REPRI!8Efn'ATlW / , , ',/It, ("'---l.". II It ACORO" CORPORATION 1988 GlendllIe 818 244-1144 CA 91209 _UIlID INSURER A: AmerICan Econom lneul'llnce Com n ... INSURER B: National Union Fire Insurance Com n INSURER c: INllOREfl 0: INSUAEA E: Phoenix Group Inform..lon System8 2670 North Main Street, 1200 Santa COVERAGES CA92706 O2BP5090162 UMIT8 $ S S S GENERAL AGGREGATE S PRODUCTS. COMPIOP AGO S 1011flOO7 1011/2008 EACH OCCURRENCE FIRE DMlABE (Mj one ftre) MED EXP (Any -1*Mlfl) PERSONAl. & ArN IHJURY - ~L~UMIT N'P~S PER: IXIPOlIC'fI I~ , ILOC ~UAIIIUTY I--NlYAUTO '-- AU. OWNED AUTOS A -:- SCHEDUlED AUTOS -! HIRED AUT08 .!. NON-OWNED AUTOS '-- A-2005-037 ^ ..........- ......... .... A-2006- 62 ^ ")nnc IC") n. A-2006-026 COMBINED SINGLE LNIT (Ea lDXIIrd) 028P5090162 101112008 900ILY INJURY (per pel'IClll) 1011/2007 IlOOlI. Y IHJURY cPir ..ndenI) I'ROPERTY DAMAGE (Per accIdentl ~GAIIAGE.I.IAIIlUTY MlV AUTO /'/9' P EXCH8UAaJTY ~.7 =:J"OCCUR 0 CLAlMSMAbE" ~ ..... AUTO ONLY - EA ACCIDENT EA ACe NaG S S S $ S S $ $ ~llv~ 10f112OO8 E.L EACH ACCIDENT $ E.L DISEASE. EA EMPLOYEE $ E.L DISEASE. POlICY LIMIT $ $1,000,000 1111812007 per Occurrence $25.000Deductlble DE8CflIPllDN OF 0PeRA11DNSI\.OCA11ON8M!HlCt.I!lI/EXQ UIlIOHI ADIlI!D BY ENDOR8EMENTIlPEClAL PROYIIIOllS It Is under8tooc:l and agreed that the c.urlcate Hold.. named below Is named Addlttonal Insured w/regard to General Liability Coveragee. All rights of subrogation are waived a8 respects the c.tIffcate Holder by the Workers' Compenaatlon Insurance Carrier. I OTHER THAH AUTO ONLY: =i:e -; EACH OCCURRENCE AGGREGATE s WDRICI!RI COWINeAnON AND 1IIPLOVER8' LlAaITY A 01 WC1 0818020 10f1flOO7 ernEA A Commercial Crtme Policy 009858183 1111&12008 CERnFICATE HOLDER I I ADDmOIW..IN8URED;IN8URERLEr1l!R: 87 CANCEU,A,l1ON City of Santa Ana Attention: Yolanda Bautista 60 Civic Center Plaza Santa ~ ACORD 26-8 (7117) LM: LPW v1 .9.8 on 9i12107 . 13:06 by UserName CA 92702 LP: l.PW .1.9.8 on 11/12107 - 13:09 by UserName 2.000.000 300.000 10.000 2.000.000 4.000.000 4,000,000 S 2,000,000 $ s $ 1,000,000 1,000,000 1.000.000 -- PF .1.0.1 \ - IMPORTANT If the certlftcate holder is an ADDITIONAL INSURED, the poIicy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the tenns and conditiOns of the policy, certain policies may require an encJorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authoriZed representative or producer. and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26-8 (7/97) Ltot lPW v'.1l.8 on 9t'12107. 13:0&1ly ~ \.P; lPW vl.9.8 on 9fl2I07 . 13:09 by UserName PF v1.o.1