HomeMy WebLinkAboutMILLER, H.L. CONSTRUCTION 1 - 2002
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CLERK OF COUNCIL
DATE: 5-3 -IJa CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this IJ NiP day of J4..'DR I L. ,2002 by
and between H. L. Miller Construction, a sole proprietor ~fter "C~d the City
of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of Cali fomi a (hereinafter "City").
N-2002-037
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RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
construction to replace certain ceilings in the Santa Ana Depot.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $9,999.00 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,
2002, unless terminated earlier in accordance with Section 12, below. The term of this
APT""m"nt mHV he extenoeollnon a writin" executed hv the Executive Director of the
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee ofthe City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. reserved.
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.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the 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 injury, 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 all 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
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 Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonablv understood to be confidential ami/or nronrietarv ['on.lIltant aPT""'.
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 oflaw; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk ofthe 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
To Consultant:
H.L. Miller Construction
747 West Taft
Orange, California 92865
Attn: Rick Huffman
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 bv mail. anv notice. tender. demand. deliverY. or other
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms ofthis Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assigrunent, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property ofthe 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.
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 ofthe State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any ofthe clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination ofthis
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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
//"'~A, .
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ATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: 6~7'
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
JOit.~EKSTIN
Executive Director ofthe
Community Development Agency
CITY OF SANTA ANA
( ~=ti:-
DAVillN. REAM
City Manager
CONSULTANT
~
Project Manager
. c;:;R - /1-35156
Employer ill # or Individual SS #
. PROM , HL_M ILLER
FRX NO. : 17149988598
w. L. MILLt;R
construction
PROPOSAL
Mar. 082002 02:15PM P2
The Train Depot
1000 E. Santa Ana Blvd.
Santa Ana, CA 9270 I
Re: Hard Cap Ceilings
.. _ _h ....__f_
,..--..
tl'''\''''/.''\^^ _
~ "- ~.::J a. r.A
.rROM ; HL_MILLER
F~ NO. : 17149988598
Mar. 08 2002 ~d:lJ~M ~~
l-l. L. ft\ILLI;R
construction
PROPOSAL
March 8, 2002
Caroline Fullerton
The Train Depol
1000 E. Santa Ana Blvd.
Santa Ana, CA 92701
Re: Hard Cap Ceilings
Caroline,
Remove existing spline ceiling; replace with 5/8" drywall re;for pilint.
Restroom's (North End) Each Cost $ 2737.50 ;::::" '$1.0700
Restroom's (South End) Each Cost $ 2262.00 :::: I/> 45d. 4. 00
Excludes: Drawings and Permits
Caroline thanks for allow;ngH.L. Miller Construction to bid this project for you.
Sincerely,
Rick HulTman
H.t. :-''!iller Conslnlction
ce. nid~ Out
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. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf 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 ofliability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion ofthe following, including countersignature, is required to make this endorsement
effective.)
, this endorsement form as a part of
Effective
Policy #
Issued to
Named Insured
Countersigned by
Authorized Representative
~COhD. · CERTIFICATE OF LIABILITY IN5URAN(;t:I~:h~~3 I .........,..,..",,'......"'1
03/25/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Silverstone Ins SVB lnc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jetton & Asaoa Ins SV8 loc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8300 Utica Ave, 247 #OC04829 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rancho Cucamonga, CA 91730-3852
Phone: 909-980-4211 Fax:909-980-4785 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Gemini Insurance CO.
INSURER B: American States Business Ins.
H L Miller Construction Co lnc INSURER c: State ComDensation Ins Fund
dba H L Miller Construction
747 W. Taft Avenue INSURER 0:
Orange CA 92865 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
INSR; TYPE OF INSURANCE POLICY NUMBER ~2HfrMtF,b~WJ,YE P~ktiY ~~r~rJ.}?N LIMITS
LTR
~ERAL LIABILITY ; EACH OCCURRENCE $1,000,000
A X COMMERCIAl GENERAL LIABILITY VCGP003077 02/01/02 02/01/03 I FIRE DAMAGE (Anyone fire) $ 50, 000
, I CLAIMS MADE !Xl OCCUR I I MED EXP {Any ~:me ~~~ ~J OQQ_..,_~_
,
1ftt;......U. .
..,I:K II~I(';A It: UJ- LIABILITY INSURANCl;i~I~~3 DA~E31~;~7;~
--~TIH IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE OOES NOT AMENO, EXTENO OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Silvera tone Ins Svs Inc
JettoD . ASBOC Ins Svs Inc
8300 Utica Ave, 247 #OC04829
Rancho Cucamonga, CA 91730-3852
Phone: 909-980-4211 Fax:909-980-4785
INSURERS AFFORDING COVERAGE
INSURED
INSlJl<1 il"
Gemini Insurance Co.
-- --- ---
American States Business Ins.
State _Compens~ti,?~_In_~ Fund
H L Killer Construction Co Ine
db. H L Miller Construction
747 W. Taft Avenue
Orange CA 92865
INSUHf H II
i INSllf<[I{i:
INSIJHU,D
INSUI~r:111
COVERAGES
THE POlICIES OF INSURANCE L.I,;TED BELOWHAVf BEEN ISSUf.l.Jl(j Ifif INS:Ji<t Ii NAMFI) A[J(!V[ f()I. lHI~_ PCJIICY PERIOD INDICA1
AHVREQUlREMENT, TERMOR CONDITION OF ANY C:ONTRACT (H{ (lIHI..I{ flOC-JMI NT WIIIII~f~;f'1 CI TO \lVIIICI) IIIIS CERTIFICAII
MAY PERTAIN, THE INSURANCE AFFORDED BVTHL ['OlleIES Df ';CHIIJi.n IIL-I{IIN I.'i SlI13.1ICI.IO fIll 1111. TI'IlMS, EXCLUSIONS AND
POLICIES. AGGREGATE LIMITS SIIOWN MAY HAVE HEEN REDUCl.I) IW prill] CI/\IMS
_...~._- POLICY EF~f-.CTIVF --
'~ TYPE OF INSURANCE POLICY NUMHLR DATE (MMiDOiYYI Pc?}+~~J~r6~~]W
GENERAL LIABILITY -~~--
A Xl COMMERCIAL GENERAl. UABILlTY VCGP003077 I 02/01/02 02/01/03
I I t'.l4IUl:l:Uaru:: Iv "'\"""13
UJ NOTWITHSTANDING
MAY LlE iSSUED OR
CONDITIONS OF SUCH
N'
LIMITS
I'A~H O~_CURRe.NCE __1_$ 1~9_9, 000
FlR~__D_AM~GE~Anyon--=f:re) ~-?O, 000_
;'coIl0. · CERTIFICATE OF LIABILITY IN5UKAN(;t;figI't~3 I .......'..\'.m"~~" 'I
03/25/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Silverstone Ins Svs lnc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jetton & Asaoa Ins SVB loc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8300 Utica Ave, 247 #OC04829 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rancho Cucamonga, CA 91730-3852 INSURERS AFFORDING COVERAGE
Phone: 909-980-4211 Fax:909-980-4785
INSURED INSURER A: Gemini Insurance Co.
INSURER B" American States Business Ins.
E L Miller Construction Co loc INSURER c: State Compensation Ins Fund
dba H L Miller Construction
747 W. Taft Avenue INSURER 0:
Orange CA 92865
I 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.
l~f:1 TYPE OF INSURANCE POLICY NUMBER b~i~~if,b~~YE p~..N~~r.'i~r~'rJ:.?N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A I~ COMMERCIAL GENE~IABIUTY I VCGP003077 02/01/02 02/01/03 FIRE DAMAGE (Anyone fire) $50,000
II 1'" A'UC! UAn", V nl"I"IIR MED EXP (Anyone person) $ 5, 000
ACORO. Ct:RTIFICA Tt: UI- LIAtslLl1 Y IN~UKANvl;'~gI1f.~3 I 03/25/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Silverstone Ins Svs Ine ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jetton & Assoc Ins Svs Ine HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8300 Utica Ave, 247 #OC04829 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rancho Cucarr.onga, CA 91730-3852
Phone:909-91J0-421l Fax:909-980-4785 INSURERS AFFORDING COVERAGE
--
INSURED INSURER A: Gemini Insurance Co.
INSURER 8: American States Business Ins.
H L Miller Construction Co Ine INSURER c: State ComDensation Ins Fund
dba H L Miller Construction
747 W. Taft Avenue INSURER 0:
Orange CA 92865
INSURER E:
COVERAGES
THE POLICIES Of' INSlJf{i\NCf- liS I LlJ OElO'N II/WI: mTN ISSIJl:!) 101 HI- INSURED NAMf::D ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMEN T _ -TRM OH CONDlllON 01 ANY CON I HAC r Of, 0 IIII_I{ DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, TilL ,NSUI(ANlT Af-lormFD flY II\l f-)OIICILS Df.SCI<IBIIJ HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGHLGAF llMl1 S SHOWN MAY II/W[- RHN I,UH.ICfD IlY I'AIO CLAIMS.
LI V E TIVE POll Y EXPIRATI N
-.J:J::!..KL'1:::>jLU1'llUJ..1J.U.L'Ii:t i:JAWD
"--'-"--'--"'--: ,',- "':... ..... -
GEN'LAGGRFGAlE LIMIT APPLlLS PER
I POLICY j~g LDC
AUTOMOBILE L1A31L1TY
B 'LX I ANY AUTO
I ALL DWNE_D AUTOS
PRODUCTS-C~_ .i,oOcl'CCG
02CD124224
12/G2/G1
COMBINED SINGLE LNIT
12/G2/G2 (Eaoocldent)
$l,GGG,GGG
SCHEDUI.FO AUlOS
BODILY INJURY
(Pw person)
$
I
I X' H\REIJi>.lJ1.0S
i
,I X ' NON-OWNErI AUTOS
BODILY INJURY
(Per IICddent)
$
EXCESS L1ABILlTf
i OCCUR
ClAIMS MADE NO COVERAGE PROVIDED
OTHER THAN
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
.
.
.
t,
PROPERTY DAMA~ ~
(Per acaIdent)
" GARAGE LIABILITY
I ANY AUI 0
\ :.'
\ (
~6.}.4 0 G ~ ,,;(\.J,
04/01/01
04/01/Q2
n.
.HOO OOG'
100 I), r
DEDUCTIBLE
RETENTION
I WORKERS COMPENSATION AND
C I EMPLOYERS' L1A31L1TY
./
OTHER fi~u_!-';-, ~/, .I</~
f-rl~l~ ; -.., I .:" '
(,.il \',I",'il
DESCRIPTION OF OPE ATIONS1LOCATIONSNEHICLES1EXCLUSIONS ADDE'.D BY ENDORSEMENT/SPECIAL PROVISIONS
*10 day notice for non-payment of premium. Job: dry wall ceiling/ 4
bathrooms Cert holder is named additional insured per the attached
endorsement.
Santa Ana Regional
TraLsportation Cntr.
Attr:,: Carolyn Fulerton
'nn~ ~ g~n~~ An~ Rlvrl H lOR
SANTAAN SHOULD ANY OF THE ABOVE DElCllflleD POLICIES BE
DATE THEREOF, THE ISSUiNG..... WI
NOTICE TO THE CERTIFICATE ~ NAIlED TO THE .
CERTIFICATE HOLDER
N ! ADDITIONAL INSURED: INSURER LETTER:
CANCELLATION
;
,
~)
nsured: H L Miller Construction Co. Inc
olicy Number: VCGP003077
nsurance Company: Gemini Insurance Company
olicy Period 2/1/02-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAli 1'1 (' \IUTI 11.\
his endorsement modifies insurance provided under the followil1~:
OMMERCIAL GENERAL LIABILITY COVERAGE PART
"nrr.rrn-..e< .I.lll.T..... ro"..,.lto.T......n....~Tr\TlC' nDr\TJ;'f"'l'T'T"1J' I JADlll'T'V "'\\'1, I) \1 t jl \ I) I
'1. ..
Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1/02-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance nrovided under th.. follow in".
WHO IS AN INSURED (Section II) is amend to include as an insured: any person, organization,
trustee, estate or Governmental entity to whom or to which you are obligated, by virtue of a written
contract or by the issuance or existence of a permit, to provide insurance such as is afforded by this
policy, but only with respect to operations performed by you or on you behalf or to facilities used by you
and then only for the limits of liability specified in such contract, but in no event for limits of liability in
excess of the applicable limits of liability of this policy: provided that such person, organization, trustee
estate or Governmental entity shall be an Insured only with respect to occurrences taking place after
such written contract has been executed or such permit has been issued.
It's agreed that any insurance maintained by the County of Orange will apply in excess of and
not contribute with insurance provided by this policy
l~ame 01 rerson or urgamzanon:
Santa Ana Regional Transportation
Re dry wall ceiling/4 bathrooms
VEOO 37 01 95
Gemini
l-u...t'ROVED iI.S 'u I-ORM
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Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1/02-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
_'".......Tr'l......~ .. ....T....... r"lr'O.lt.T'T"Tlo'" r"o'T"r't.T1oC'< nn....'T'pr'1TY"T." T T A DTT T'T"T F'<^"Vn A rv DA. D'T'
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Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1/02-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
^,"Tllr.TT."n~ A.1\.TTlo ~r\l\..TTD A r'Tr\n~ DDOTVr"TI"V I I A nIl ITV rOllii'D Ar:.1i' PART
'\, .
Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1102-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
~ .
Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1I02-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
oI"'"lo'n:'....TT:"T'H.:' ... llrr.TT'l r<"....",."'-T'T'n ... r'1'T'nnC1 nDr\.'T'J;'r'l'T'T"Jj' T T A. DIT TTV ~r\"Jj'D A r<.... D A. DT
Insured: H L Miller Construction Co. Inc
Policy Number: VCGP003077
Insurance Company: Gemini Insurance Company
Policy Period 2/1102-03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
WHO IS AN INSURED (Section II) is amend to include as an insured: any person, organization,
trustee, estate or Governmental entity to whom or to which you are obligated, by virtue of a written
contract or by the issuance or existence of a permit, to provide insurance such as is afforded by this
policy, but only with respect to operations performed by you or on you behalf or to facilities used by you
and then only for the limits of liability specified in such contract, but in no event for limits of liability in
excess of the applicable limits ofliability of this policy: provided that such person, organization, trustee
estate or Governmental entity shall be an Insured only with respect to occurrences taking place after
such written contract has been executed or such permit has been issued.
It's agreed that any insurance maintained by the Countv of Orange will apply in excess of and
not contribute with insurance provided by this policy
SCHEDULE
Name of Person or Organization:
Santa Ana Regional Transportation
Re dry wall ceilingl4 bathrooms
VEOO 37 01 9S
Gemini
fu'l'ROVED AS ,,; i-ORM
La~~
Depu[~ (d., .AlLorney