HomeMy WebLinkAboutSIGN EXPERT 1 - 2001
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f'. ,_., O. C'~"-;' CONSULTANT AGREEMENT
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THIS AGREEMENT, made and entered into this ~{Pday of ~'" -;fc ,2001
(hereinafter "date ofthe Agreement") by and between Sign Expert (hereinaft "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").
C~"v
N-2001-159
oz,--
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
manufacturing of signs.
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 manufacture, deliver, install and remove three (3) signs for the
Empowerment Zone. Consultant shall also provide sign posts. One of the three signs shall be
for Delhi Community Center. The signs shall have an area that can be changed with each new
sign as further detailed in Exhibit A. The sign for the Delhi Community Center shall contain the
logo of the Empowerment Zone and the colors shall be black, red and white. The scope of
service is further detailed in Exhibit A.
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 $ 1954.50 during the term of this Agreement. This amount includes
the cost for the manufacturing of three signs, six posts, and installation and removal of the three
SIgnS.
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.
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3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2002, or upon the satisfactory delivery, installation and removal of the signs, whichever occurs
later, 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.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter ofthis 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, 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.
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
ofthe 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
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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 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 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 1 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 ofthe 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
ofthis 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.
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7. 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 ofthe 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.
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
telefacsimile (714) 647-6956
With courtesy copies to:
Santa Ana Empowerment Zone
20 Civic Center Plaza (M-21)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
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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:
Sign Experts
2311 South Otis Street
Santa Ana, CA 92704
Attn: Jane Somers
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 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 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, that 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
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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.
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 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.
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 government 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.
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,
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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
indenmify 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.
17. DELIVERY
Consultant shall, at his sole cost and expense, deliver and install the Delhi Community
Center sign within 7-10 days after the date of the Agreement. Consultant shall deliver and
install the sign at a place designated by the City. Consultant shall manufacture, deliver and
install the remaining two signs within 30 days after request by City.
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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
/ ~OYJ
v^ PA ClAE. HEALY
Clerk ofthe Council
.AJY
DAVID N. RE
I Ci", M=g"
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City.
By,
Cristine L. haw
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
JO~O
Executive Director of the
Community Development Agency
~~~~.
ane Somers fOe Q ~RuAlc;. ~rce.A
,
Owner 0 ~ f,IG,v /3Jd"'6.e. TS
,=3.~-O? ~a.;< 3<1
Employer ID # gr lHlI1yiffillH gg It
8
ICONTRACT #
,{ COMPANY: City of Santa Ana, Community Development AgCj. ATTN:
ADDRESS: 20 Civic Center Plaza. M - 25 CITY:
BUS: 714-647-5360 FAX: 714-647-6549
JOB ADDRESS: locations in City of Santa Ana. CA
Larry
Santa Ana. CA ZIP: 92701
DATE DUE'
35% surcharge on all RUSH orders
TOTALS
2311 S. Olis SI.
. Santa Ana, CA 92704
Bus: 714.432.9444
Fax: 714.549.9984
slgl9XP8rts@eartl1link.net
ALL WOAK TO BE DONE MUST BE IN WAfTING
Job Site Signs
Furnish New Job Site Signs
Copy: THE FEDERAL
~ EMPOWER ZONE
(logo) DEUiI COMMUNITY CENTER ......
PARTNERING TO BUILD
A BETTER COMMUNITY
FOR YOU
Size: 1/2' X 4' - 0' X 8' - 0'
Colors: Client Choice
Material: Sign Face, MOO Plywood
Mounting, 4' x 4' x 10' Posts
(this area to change with each new sign)
One (1) to Three (3) Signs
Four (4) to Six (6) Signs
Seven (7) to Twelve (12) Signs
Posts
InstaJlation
Removal
390.00 Each
375.00 Each
320.00 Each
15.00 Each
125.00 Each
75.00 Each
Customer to provide electric service within 5 ft. of sign location. Price based on normal installation. lack of access or
unforeseen structural conditions shall be an edditional charge over and above the estimated price.
D SIGN EXPERTS fXl CUSTOMER AI pennilS cblalnld for c:usDner wi be an adlIIIonaI chaIge.
YES TOOBTAlNPERMlTS NO ~ RESPONSlBlUTY A1W01111ha1recJll9Sapermllvillnolstartll'dilpellllitlaoblai'ted
J.11J\IIlloll 12. 40% ~approvaIoIDesign 13. 50Ua'a"ceIlueUponInstalalian. I 4.1Ol..."'..,lIolillillld.....liIpoIlGl
...""",to . III . '1I''''UIt' ......."IiI_ .)il,I<! l! siQII.doH""
pustoboyorlllll""....poidlnf...InIl1o"..llhallogllpcocoMg''''!OqIitodtocalloclll1o_d'', ..._..... lopIJ all <OSls"_lndodng allomoy"""pad.
PERUlT:
HTW.'\UOflNO
TERMS:
Contract
Accepted by:
Date:
Job Completed
& Accepted by:
Sales Person:
Ray Harris
81212001
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
9
I.
S hOI--- P'1 (
-'l""-;~'
, ..' ~ , CERTIFIC,A~~ OF LIABILITY INSUP-'NCE>:ig~E.:1 I DATE (MMIDDiYY)
ACORD. 03/20/01
~-~-_---....:- -
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
John L. Campbell Ins. Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4497 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES 8ELOW.
Laguna Beach CA 92652 INSURERS AFFORDING COVERAGE
Phone: 949-494-1008 Fax:949-497-9830
INSURED Mercurv Insurance Comnanv ..---- ~~
INSURER A"
INSURER 8:
m~
Si~n Experts, Inc. INSURER C
23 1 S. Otis st. INSURER D:
~anta Ana CA 92704 INSURER E:
THE POLlClES OF INSURANCE LISTED BELOW HAVE BEEN ISSueD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlW1THSTANDING
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 CLA.lMS.
l~fRRl- , TYPE OF INSURANCE POLICY NUMBER DATE MMIDE:i~t:; t"~k+~~~6fr&N LIMITS
i GENERAL LIABILITY EACH OCCURRENCE J_':!'OOQ.O_OO
- ~-- -..------.---
A $MERCIAL GENERAL LIABILITY M38234 03/28/01 03/28/02 FIRE DAMAGE (Anyone fire) , 50000
CLAIMS MADE L!J OCCUR MED EX? (Anyone person) , 10000
b PERSONAL & ADV INJURY , 1000000
GENERAL AGGREGATE '2000000
~.~ AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG , 2000000 ~--
II PRO~ n
X POLICY I JECr LOC
i AUTOMOBILE LIABILITY COMBINED SINGLE LIMiT !
~ (Eaaccident) i'1000000
A h ANY AUTO
, -r,-----
~ ALL OWNED AUTOS BODILY INJURY
: SCHEDULED AUTOS {per person) I'
03/28/01 03/28/02 --
~ HIRED AUTOS M38234 BODILY INJURY
: X' NON-OWNED AUTOS 03/28/01 03/28/02 (Per accident) ,
M38234
PROPERTY DAMAGE ,
. I (per accident}
~AGE LIABILITY AUTO ONLY. EA ACCIDENT ': S
R ANY AUTO EAACC Is -
OTHER THAN
AUTO ONLY AGG I s
I EXCESS LIABILITY EACH OCCURRENCE ! $
e OCCUR o CLAIMS MADE -
AGGREGATE ,
,
~~ DEDUCTIBLE ,
I RETENTION , ,
i WORKERS COMPENSATION AND I ro~~ LIMITJ IUER- I
I EMP,-vYER$ liA5i1..1T{ I E.L EACH ACCIDENT I' . ...
I EL. DISEASE - Ell. EMPLOYES $
E.L DISEASE. POLICY LIMIT ! $
-1 OTHER
:
DESCRIPTION OF OPERATlONSJLOCATIONSNEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
ATTN: BILL ALBRIGHT APPROVED AS TO FORM
n1, ~I lLl;h
Michael Vigliolla / -=--------~-~~ -~
~. .
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LEITER A CANCELLATION
SANTA A SHOULD ANY OF THE ABOVE DESCRIBED POliCIES BE CANCELLED BEFORE THE
The city of Santa Ana, its EXPIRATION QATETHEREOF, THE ISSUING INSURER WILL !II!E :VlTr IJlAIL
officers, employees/agents & 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
representatives LEFT. =: -:;., 7/
p, o. Box 1988 /
Santa Ana CA 92701
~ -/:. // P'I
, John L~/C Ins. AtTencV
- ./ .~ ACORD CORPORATION 1988
ACORD 25 S (7/97)
[
COVERAGES
'_;-'('2>.P.'Y;:'Q2-0l 09: 04A
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ATTACHMENTD
ADDITIONAL IN.wllliD ENDORSF.MEl'lT
fQR COMMFRCIAL GENE&Af,. LIABILITY PO CY
Insurance Company ~~bW~. -
!.1'!J.r-
Thi' cndorsement mouif,es 5\ICh in~lIrnnce a5 is affurded by Ihe provi. ions of l'oliry
/I #.~J1."JIf _ relaling 10 the following;
1. The City uf Santa Ana, 20 CivIc Cenler Pla~a, Santa ^ n, Califomia
9270 I; its officers. employees. agenls. volunteers and representatives ro nllmed.,
additiunal insureds ("addItional in,uredo") with regald to liability und e.feMe of SllltS
alising frum Ihe opera lions and uses performed hy or on hchalf of Ihe amed insured.
2. With respecllo c\<lims mising out of Ihe operalions and us,'~ performed hy
or on hcllalf of the namcd illlu/ed. such insurance a\ is afforded by Ih. policy is plimary
and" 1101 additional r" or conhihutillg with any olher insurance carrie by or f", Ihe
benefit of the addilional insureds.
3. This I!'ISllranCe applies sepuately to each insured again I whom claim is
made or suil is brought except with respect 10 the company's limits of r ability. The
inclusion of any per~on or organitalinn as an i!'l~urcrl shall nut affect a y risht whIch such
pcmm or urganizaliun would have as a claimant if nOt so includcd.
4. With re~pectl" the aduilional insureds, Ihis insurance ~ all not be
cancelled. or materially ..eluced in coveroge or limit. excepl afler thin (~O) day~ wrillcII
!'Iotice has been given 10 Ihe City of Santa Ana. 20 Civic Center Plaza, aflla Ana.
CalifomlU 9170 l.
(Complelion (If the l"olluwing. including euunler~ignatuJ(:, is requlled t make this
endorsemenr effective.)
Hre",ive #.t.!j()(. ., this endorsement oml as a pall of
Poljey /I li'ffD/- __
Issued 1~dm.#:LfJ' I At?. ZlIl ,LQf(S ~f'. ,.s:.w7]J'A1t.I
Nameu Insured
Countemgned ~~~ ... -"'---
Authorized Repres mauve
AN(~D VS ['0 : .
Michael Vigliolla
Deputy City ("....0. ,.
P.Ol
",~