HomeMy WebLinkAboutMENDOZA BERGER & COMPANY 1 - 2002
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N-2002-118
~ INSURANCE ON FILE
WORK iM Y PROCEED "2.----
· UNTIL INSUR4NCE EXPIRES [)
I 7-tf-O-z.
CLERK OF COUNCIL CONSULTANT AGREEMENT
DATE. 8- 2-7-O'?-
. ~~ TH1S AGREEMENT, made and entered into iliis2~j:hday of ~ 51e'Sr, 2002 by
; C' t; /. ~ and between Mendoza Berger & Company, a California Limited Liability Partnership
J '~ (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. City desires to retain a consultant having special skill and knowledge in the field of
preparing year end audits, tax documents and audited financial statements wiili
supplemental reports.
B. Consultant represents iliat Consultant is able and willing to provide such services to
City.
C. ln undertaking ilie performance of this Agreement, Consultant represents iliat 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 provide all necessary state and federal tax paperwork for the
Empowerment Zone as well as 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, an
amount not to exceed $8,000.00 during the term of the Agreement. Ofiliis amount, $5,500.00
shall be the audit fee as identified in Exhibit A and $2,500.00 shall be for preparation of tax
paperwork, forms, etc.
b. Payment by City shall be made after completion of al1 services identified in Section
1.0 above. Consultant shall provide City with a proper invoice evidencing work performed
under this Agreement. City shall pay Consultant within 30 days after receipt of the invoice,
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.
.
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3. TERM
This Agreement shall commence on the date first written above and terminate on
December 31, 2002, unless terminated earlier in accordance with Section 12, below. The term of
this Agreement may be extended upon a writing executed by the Executive Director of
Community Development Agency and the City Attorney. Consultant shall adhere to the
following timeline:
· A Scope of Work including a draft audit report shall be presented by the
auditor to the Santa Ana Empowerment Corporation (SAEC) Board of
Directors on September 25,2002.
· Final audit shall be completed by October 31, 2002.
· Prior to the completion of the audit, the auditors shall appear at the SAEC
board meeting on September 25, 2002 or October 23,2002.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of City. This Agreement is not intended nor shall it
be construed to create an employer-employee relationship, a joint venture relationship, or to
allow 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 City, its officers, agents, volunteers, and employees as
additional insured(s) and shall include, but not be limited to protection against claims arising
from bodily and personal injury, including death resulting therefrom and damage to property,
resulting from any act or occurrence arising out of Consultant's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting therefrom, and property damage, in the total amount of $1 ,000,000 per
occurrence. Consultant shall supply City with a fully executed additional insured endorsement in
substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall
be approved in form by the City Attorney.
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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 sha1l maintain a1l insurance required above in fuU force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shaU be furnished to 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 shaU not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to City.
f. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish City with required proof that insurance has been procured
and is in force and paid for, City shaU have the right, at City's election, to forthwith terminate
this Agreement. Such termination shaU not affect Consultant's right to be paid for its time and
materials expended prior to notification of termination. Consultant waives the right to receive
compensation and agrees to indemnify City for any work performed prior to approval of
insurance by City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal irtiury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to aU claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
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harmless, and pay all costs for the defense of City, including fees and costs for special counsel to
be selected by City, regarding any action by a third party challenging the validity of this
Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or
equitable relief due to personal or property rights arises by reason of the terms of, or effects
arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from 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. "ConfidentiaIInformation" 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 City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
te1efacsimile (714) 647-6956
With courtesy copies to:
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Executive Director of Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (7 1 4) 647-65 1 5
To Consultant:
Mendoza Berger & Company LLP
5500 Trabuco Road
Irvine, CA 92620
Telefacsimile 949-387-9652
Attn: Henry Mendoza CPA
Managing Partner
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 local holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between 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 City and by an authorized representative of Consultant. The parties agree
that any terms or conditions of any purchase order or other instrument that are inconsistent with,
or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor City.
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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 City and any such assignment, transfer, delegation or subcontract without
City's prior written consent shall be considered null and void. Nothing in this Agreement shall be
construed to limit 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 City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and 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 City all work product completed as of such date, and in such case such work product shall be the
property of City unless prohibited by law, and Consultant consents to City's use thereof for such
purposes as City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed and construed in accordance with the laws of the State of
California. 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.
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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,
City of Santa Ana and all other governmental agencies. Consultant shall notify 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 if fully set
forth in the body of this Agreement.
c. All work product arising from this Agreement shall be the property of City and shall
be presented to City in a form compatible with City computer applications.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY OF SANTA ANA
/~/ ~
~c~~~ ~~--c:
, PATRICIA E. HEALY t
Clerk of the City Council
~,~
_____ ~-L-- --
'iA VID N. REA
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: .. JAA/lc,jJiuf!<-f
Laura Sheedy !
Assistant City Attorney
APPROVED AS TO CONTENT:
CONSUL T ANT
gll4/~-<L-~~
J hn P. Reekstin ;-
Executive Director of the Community
Development Agency
l~,f1f:'/D0
Managing Partner
']1- Cl77 "1</.)2-
Employer ID # or Individual SS #
K:I WPDOCSID0291POO 1 I00005293.DOC
8
EXHIBIT A
SCOPE OF SERVICES
Consultant shall provide the following services:
· Audit the 3'd year funds for the Empowerment Zone
· Prepare and finalize the Empowerment Zone statements
· Prepare all necessary state and local tax paperwork
· Render an accounting opinion in the Report
· Prepare 30 bound copies of the final financial statements.
COMPENSA TION
Consultant's fees are as follows:
.
Audit fee for the year ended June 30, 2002
Fee for tax preparation, forms, copies, etc.
$5,500.00
$2,500.00
.
The total compensation to be paid for services provided pursuant to this Agreement shall not
exceed $8,000.00.
9
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
10
AC0RD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYY)
-- '" 08/06/2002
PRODUC~R (909) 484 2456, FAX (909)484-2491 ONLY Ami 'coNFERs ;.to'~~~HTS UPO~N ;-H~ CERTIFICATE"~"
Cumbre Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
10600 N. Trademark Pkwy, #406 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.o. Sox 4700 INSURERS AFFORDING COVERAGE
Rancho Cucamonga, CA 91729-4700
INSURED MENDOZA, BERGER AND COMPANY L.l.P. INSURER A' Hartford Insurance
5500 TRABUCO RD., STE. 150 INSURER 8 Municipal Mutual
IRVINE, CA 92620 INSURER C Chicago Insurance Company
INSURER 0
r JNSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PER/OD INDICA TED 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 SUBJE:CT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
I'LrR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDfYY) DATE {MM/DDIYY) LIMITS
GENERAL LIABILITY 2SBANR0645 12/04/2001 12/04/2002 EACH OCCURRENCE S 1,000,000
rx COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (An>' one fire) S 300,000
J CLAIMS MADE 0 OCCUR MED EXP (Any one p~rson) S 10,000
A PERSONAL & ADV INJURY S 1,000,000
- GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S 2,000,000
I 'nPRO- n
POLICy JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) S
ANY AUTO
- All OWNED AUTOS
BODILY INJURY
- (Per person} S
SCHEDULED AUTOS
r- HIHED AUTOS
BODILY INJURy
r- (peracCldenl) S
NON-OWNED AUTOS
r-
r- PROPERTY DAMAGE $
(Peraccldenl)
GARAGE LIABILITY AUTO DNL Y - EA ACCIDENT S
3 ANY AUTO OTHER THAN EAACC S
AUTO QNL Y AGG S
EXCESS LIABILITY EACH OCCURRENCE S
~ OCCUR o CLAIMS MADE AGGREGATE $
S
=1 ~EDUCTl8lE S
RETENTION $ S
WORKERS COMPENSATION AND NC0359-02 04/01/2002 04/01/2003 X~TORY LIMITS I _ rER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT S 1,000,000
S
EL DISEASE - EA EMPLOYE S 1,000,000
EL DISEASE - POLICY LIMIT S 1,000,000
OTHER DV20090102 07/26/2002 07/26/2003 $1,000,000 cl aim
rofessional Liability ea
C $1,000,000 aggregate
DESCRIPTION OF OPERATIONS/LOCATIONSNEH1CLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ity of Santa Ana i, named ., additional insured for general liability pe'A.!Jldorsemftt
'j "c, V D AS TO FORM
0 day notice of cancellation in the event of non payment of premium ~~~p~o4
_aULJ ~:':1CC y
" ,.
CERTIFICATE HOLDER t X _ I ADDiTIONAL INSURED; INSURER LETTER A CANCELLATION 1-"-.; .., '",v,ney
SHOULD ANY OF THE ABOVE OESCRH3ED POLICIES BE CANCELLED BEFORE THE
. ..
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EN~~~.I,i:~MAIL
City of Santa Ana ~ DAYS WRITTEN NOTICE TO THE CERTIFICAtE HOLDER NAMED TO THE LEFT,
Emmy Bada
20 Civic Cernter Plaza ~"l'JXlJ(<JI-~~Il<~HH~}I_~~~:t'~"~~~~JIl!lJl-\TXX
M2\ ~~~~~MX~M~K~~~~~~~K~~~~~~~xxxxxxxx
Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ~ d/-;< /(~,/
will iam (ook/MP / ~<,_<c~l~__-c
- ,..H} FAX: 714 647 6549 , '""'
(
~, :bI,,~;JL_S~nta Aha
".. . -
) (714)847-838'"
I
10/01/01 1_,20A P.~02
ADDITIONAL INSURED ENDORSEMENT
Insurance Company
HARTFORD INSURANCE COMPANY
This endorsement modifies such insurance as Is afforded by the provisions of
Policy # 72SBANR0645 relating to the following:
1. The City of Santa Ana, 20 Civic center Plaza, Santa Ana California 92702j
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 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 tot he company's limits of
lIabJllty. 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 t 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 92702
(Completion of the fOllowing including countersignatures is required to make this
endorsement effective.)
E;ffectlve
Policy #
Issued to
12/04/01- 12/04/02
, this endorsement form as a part of
77t:1Ul\mf)f;45
Mendoza Ber~er and Company LLP
Name Insured /j
Countersigned by ,~ i~l ~{
APPROVED AS TO i( )!{AJ
;-
J_
1V19102
.......
13,50 FAX 1 909 ~84 2491
CUMBRE. INS
ItJ002
~
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OATElMM/llOIYV)
ll/lt/looZ
.It,,,,,,,,.. ~909) 4&4-l4SI FAX (909)4&4-2491 TIllS C~~~TI! IS ISSUED AS A MATTER OF ~~IUN
ONLY AND CONPERS NO RIGHTS UPON TIlE CEIlTlACATE
OIIIbre InliUrllllCll Sarvices HOLDER. TIllS CERTIFICATE DOES NOT AMI!ND, ~TEND OR
10ti00 N. Tradellllrk Pkwy. 1406 AI. TER THE COVERAGe: "'FFORDED BY TIlE POlICIES BELOW.
P.O. Box 4700 IllSURERS AfFORDING COVERAGe
IIancho CUC'-lJlI. CA 91729-4700
- .B"""""...... .L.P. \10 INSURiRA: Hartford Insurance
5500 TIIABUCO RD.. sn:. 150 /) ./ \ IMSURIR 8: Municipa. MIlt" I
IRVINE. CA 'ZizO l(j)'" 11I&9U1\E!1\C; Chicago Insurance UllllPany
~ , /v 1NS00iR D:
I to I~ERe:
CoVI!RltGU
THI! POLICIES OF INSURANCii LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED I\IlOVE FOR THE POlICY PERIOD INDICATED. NOTWITtiSTANDING
ANY REQIJIREMENT. rEM! OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICM THIS CERTIFICATE MAY BE ISSUED OR
WlY PERTAIN. TME INSURANCE AFFORDED BYTttE POLICIES DESCRIBED HEREIN IS SUllJ!CTTO I\lL _ TEJlMS, EXCl.UBIONS AND CONOlnONB OF SUCH
OQLICIES. AOOREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
TVPf: 0," INBURN!CE ~tCV NUMBae.
GENE""" UAllUrv l58I1NR0fi45
X COMMfRCW- GiMiRAlIJA8JLlTY
CLAM: MAce 00 OCCUR
UUlTO
EACH OCCUftMNCEi . 1000
Fll"t IWMG' (MW'~ rlNl) . 300
tM:C iXP (Any 0ll11'erlOn . 10
PIiRSONAL ~ ArN lNJOftV . 10000
GENE1W. AGGREG~lE . z 000
PRODUCTS. CQt.1P/OP AGG . lOOO.
COMgINI3J SINOI.&: LlMrr .
JI!a iKddenl)
BOI)IL Y INJuRY .
(ptfpetSfJll)
BODILY!HJljRY .
lPerllCtfdln()
FORM PROPERTY DAMAGE
(P'eraccldBnQ .
AUto O~V . EAACCIDENT .
O~'lHAN "ACe .
AUTO ONLY: AGO .
fACH OCClnlllENC.E .
AGGR'GA" .
.
.
.
. 1.000
. 1 000
07/26/200l 07/26/2003
A
LDC
AlL OWNED AUTOs:
iCHEiO\,lLED .\UfOS
HIRED AUTOs
I9OH-OWNa;> "L1TO$
GARAG~ UABlLrn
ANV' AUTO
!XCESS L1ABILl1Y
OCCUft 0 CLAIMS MAtlE
DeDUcnBLE
ReTeNTION .
WORKERS COMPENlA.11ON AND
liiMPtOVEFtS' UABa.Jry
B
c
~~sional Liability
o day no~ice of cancelladOll in tIuo _t of _ _t of P......."'"
CERTIFICATE HOLDER X __O;_IRLm1!'" A CANCELLATION
SMOULDANY DFntEABO'II! tJlSCftI8EO IIOUeIliS.1i. CANCIlL&D BEFORE THE
1XP1AATION DATI! l'HIltIo.... THI! ISSUING INSuMft W4t.L..,.i1IIlIIIIl. ~L
...ML. DAYS WftlnEH NO'nCI TO 'nfI CIiRT1FICATI: HDlDU IWED TO lliE Lln.
16lIlllIIOI01'-~_llNliIllfjil9lll1Dl1l"".Jl"_~
~YIDI'~~~~--~-MW.WMIDn~xx
AlITHO_O.I_.NTA.... ,,? /;;/.J . -:?, /?/
Willillll QIokIlIP ~ <"~L
City of Sallt. Ana
EISIII)' Bad4l
lO Civic: Cerllter PllSZl1
11I25
Santa Ana. CA 9Z701
ACORD FAX. (714)M7-'549
ClACORD
ON 1988
/ l
CUlIBjlE.INL.
-
a/19/0~ 13:50 FAl 1_909 484 2491
~003
Ci~~ of Gan~a Ana
-....-,........,
(714)S4"-SS60
11/19~02 1110eA P.082
ADDmONAl. !NSlJftED flNDORSEMENT
FOR COMMER<;;lAL GENBRAL LlABILITY POLICY
ln~urllJlce Comp~ny
HartfDrd Iuaurauce Co.
Thi~ endorsement modifies such insurunea ll~ is offol'dad by the pruvi~itms of Policy
# 7?SBA NR0645 ,'eluting \0 the folloWIng:
I. The City of SlInm Ann. 20 Civic Cenlerl'l:JZll, Snnta Ana, California 92701: irs
o(fjcel'll. employees, agenls, volunteers and represenmlives arc named as additional insureds
C"additionnJ insurcds") with ~gard to'liability and defense of sui" ariNing from the opel'ations
and \I&C8 pcrfonned by or on behalf oflhc named insuNd, .
2. With I'tlSpeet 10 elmms m'ising 0111 of the operations and uses perfomled by or on
bellllJf CJf the named insured. such insUrance as Is afforded by this policy is Plimary llnd is not
additional 10 Or COl1mblltinll with allY other insunlllce c:tUricd by or for the benefi l of the
at.ldil\unal insureds, .
3. 'this insurance applies separately to each insured agllin~l whom clnim is made Ill'
suit is brought except with respect to the company's limits of liability. The irlclusion of 'my
per~on or tll'gllni:l:i1tiotl as an insured shall not affe"l any right which SUch per,wn l>r "rg.ll1iZlllion
would have as a claimant if 1101 &0 included.
4. With !l:b-pect 10 the additional insureds, this insunmce shall not be cancelled, Or
materially redUCed in coverage or limilS cxceplllfte.r thirty (30) da)'ll written noli~ hIlS been
given to the City or Sunla Ana, 20 Civic Center t>llllOlI, SlII1lll Ana. Californja 9270\.
(Completion of the fol1~win!il' incllldlng couR1.enignlll:ure. is required to 11lake tllis endorsement
. effccrivo,)
Effective
Policy #
lUlled to
12104102
72 BRA. NR064S
Mendoza BerRer
, lhi~ omdOl1lCmcnt form lIS a part of
Counlersigned by
and Company, LtC
Nwncd Insured
/"-~
Authorized Rcpresl'ntat;ve