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THIS AGREEMENT, made and entered into this l~tL day of 5-1/~ k_, 2001 by
and between TIFCO Industries, a California corporation (hereinafter "Consultant"), and the City
of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City").
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N-2001-162
CONSULTANT AGREEMENT
02-
RECITALS
A. The City desires to retain a consultant having special skill and knowledge.in the field of
welding safety.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the perfonnance ofthis Agreement, Consultant represents that it is
knowledgeable in its field and that any services perfonned by Consultant under this
Agreement will be perfonned in compliance with such standards as may reasonably be
expected from a professional in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
tenns and conditions hereinafter set forth, the parties agree as follows;
1. SCOPE OF SERVICES
Consultant shall provide training for welding safety class in the safety aspects in
operating new rescue equipment as further detailed 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 $ 1,000.00 during the tenn of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work perfonned, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards ofperfonnance 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 tenninate on June 30,
2002, unless tenninated earlier in accordance with Section 12, below. The tenn of this
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 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 fIl1d 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
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 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 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 ofthe 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 ofthe 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 reasonably understood to be confidential and/or proprietary, Consultant agrees
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 ofthe 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
With courtesy copies to:
Fire Chief
City of Santa Ana
20 Civic Center Plaza (M-80)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-5779
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:
TIFCO Industries
P.O. Box 40277
Houston, TX 77240
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 bytelefacsimile, 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
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 ofthe services which are the subject to
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 oftermination,
subject to the following conditions:
a. As a condition of such payment, the Deputy City Manager 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 ofrace, 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 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 ofthis 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 ofthe United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notifY the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
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.
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IN WITNESS WHEREOF. the parties hereto have executed this Agreement the date
and year first above written
ATTEST:
~
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
::~
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
~e J.!If r,J--
Fire Chief
RC:RB:er
TI FCOI NDUSTRIES.8. 27.01
CITY OF SANTA ANA
ie-.krJ
fbAVID N. REAM
City Manag.er
CONSULTANT:
,r=' t1~ ~:n
'-.lee Morin
Fed IDIt 74-1390895
Welding Safety Instructor
Tifco Industries
P.O. Box 40277
Houston, TX 77240-0277
'-.2''''''^ 11/:11/101 " MA'"","''' '~'~.r' . '~~U""" p.""- .
ACOBD~ CERTIFICATE OF LIABILITY INSURANCE I OATEI"M/DOfYYI
08/27/01
,Pft;JttUCER' 'IllIS CERTIFICATE IS ISSUED IS A MATTER OF INFORMATIOO
Brady, Chapman, Holland & Assoc. llIlLY AND CONFERS NO RIGHTS UI'QI 'IllE CERTIFICATE
HOlDER. 'IllIS CERTIFICATE ODES NOT AMEN~ EXTEI<<l OR
2190 North LOOp West ALTER 'IllE COVERAGE AFFORDED BY 'IllE PQ.J IES BELOW.
suite 200
Houston, TX 77018 INSLflERSAFFORDING COVERAGE
INSURED INsuAEA.,Maryland Casualty Co. (Zur~ch)
TIFCO Industries Inc IN'U,"" ..National Standard InG. Co. I Zurich
P.O. Box 40277 INSUAEAe, Zurich Insurance
Houston, TX 77240 INsuAEAD,NorLhern Ins. Co. of New YorklZur
INSU"EA",American Safety Casualty ISullivar
COVSlAGES
THE PaJC1ESOFINSJIWlCE USTED aacw HAVE BE8'< ISSUED TO THE INSJRED NAIIE) MI:NE FORTHEPCUCYPERlOOINDICA1ED. NOIWITHSTANDNG
ANY ROClJIEl!ENT. Tm.1 m CONDrT1ON OF ANY CONtRACT m OTHER DOCUMENT 'M1H ROlPECT TO WHICH THIS CERTFlCATE MAY BE ISSJED m
MAY PERTAJ\!. TIiE INSURANce: .AFFOfDEI) BY nlE POUClES CESCFIBED HEFBN IS SUBJECT TO JU THE TERMS, EXaJJsta\lS AND cx:t.Iomoos OF SUCH
Pa.JCES. AGQfEC16.TEUMrrsSHOWN MAY HA\IE ElEEN FEDUCED BYPNJ Cl...NMS. ~~~~.P~ ~ll~.~~r...A,.,T~
Ir:: TYPEOFINSURANCE POLICY NUMBER AT MM 0 ATE MM 00 liMITS
A ~NmAL LIABiliTY CMM49294953 06/30/01 06/30/02 EACH OCCURRENCE .1 000 000
X 5MERClAlGEN EAAl L1ABllllY FIRE QAMAGE(AnyClfle fire) .100 000
- CLAIMS MADEOO OCCUR MED EXP(Any cne person] .5 000
PERSONAL lADY INJURY .1 000 000
- GENERAlAGGRffiATE .2 000 000
"LAGGAl'nE,llMI: AF"nPEA: PAODUCTS -COMP/OPAGG .2 000.000
POLICY ~gT lOG
B ~TOMOBILELlABILl1Y CMA58201600 06/30/01 06/30/02 COMBINEDSINGLE LIMIT '1,000,000
X ANY AUTO (Euccldtnll
- ALLOWNEDAUTOS BO:)ILYINJURY
.
SCHEDULED AUTOS (~rplllra~J
X HIRED AUTOS ~ODllYINJUAY
X ,Per&C(:idenl) .
NON -OWN EO AU TOS
X Drive Other Caz PRO?ERTY DAMAGE
{PerllCcidenl) .
~".GE L1..lLllY AUTO ONLY . EAACCIDENT .
ANY AUTO OTHEA THAN EAACC .
AUTO ONLY: ... .
C EXCEaS LIABILllY UBA49294979 06/30/01 06/30/02 EACH OCCURRENCE .15 000 00
~ ~CCUA 0 OlAIMS MADE AGGREGATE .15 000 00
.
~ ~EOUeTlBlE .
X. RETe:.~TIO.~ .10000 .
D WORKEAI COMPENSATION AND TC258553034 06/30/01 06/30/02 X I~~~I tJ,'ls I IOJ~
E EMPLoYERS'LIABllllY CIw5206762 06/30/01 06/30/02 .500 000
E.l. EACII ACCIDENT
E.L.OISEASE-EA EMPLOYEE .500 000
E.L. DISEASE-POLICY LIMIT .500 000
OTHER
DESCRIPTION OF OPERATIO:NS/lOCA.T10NS/VEHIClES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIA.l PROVISIONS
CERTIFICATE HOLOER I I AODITIONALINSUREOO;INSUAE:RlETTEFt CANCEllA TlllIl
SHOU lDANYOFTH EABOVE DESCRlBEO roUCI ES B ECANCEL lED BEFORETH E EXPIRA ~ON
Santa Anna Fire Dept. DATETHEREOF, THEISlSUING INSURER WILL ENDEAVOR TO MAlllLL-OAYSWRfTTE)j
Attn: Roberta NOTICETOTH E CERTIFlCA TE HOLDER NAWED 10 THE LEFT, BUT FAI LURE 10 OOSO SHALL
IMPORTANT
ff 1I1e certificate holder is an ADDmoNAL INSURED,1I1e poIicy(ies) must be endorsed. A statement
on Ihis certificate does not oonfer rights to Ihe certificate holder in lieu 01 such endorsement(s).
ff SUBROGATION IS WAil/ED, subject to Ihe terms end oondhions oflhe policy, certein policies may
require an endorsement A statement on 1I1is certifica1e does nO! oonfer rights to Ihe certifica1e
holder in lieu of such endorsement(sj.
DISCLAIMER
The Certificate of Insurance on 1I1e reverse side of Ihis form does nO! oonstitute a oontract between
1I1e Issuing insurer(s), aulhorized rep-esentalWe or fJ"Oducer, and Ihe certificate holder, nor does h
affirmatively or negatively amend, extend or alter 1I1e COIIerage aJIorded by 1I1e policies listed Ihereon.
,
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PRDCUC EFI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brady, Chapman, Holland & Assoc. llIILY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AM~ EXTEND OR
2190 North Loop West ALTER THE COVERAGE AFFORDED BY THE POI.J ES BELOW.
suite 200
Houston, TX 77018 I~ERSAFFORDING COVERAGE
IIISUA ED INSURER.,uaryland Casualty Co. (Zurich) ---
TIFCO Industries Inc 'NOU"". ..National standard InG. Co. (Zurich
P.O. Box 40277 INSU.".O, Zur~ch Insurance
Houston, TX 77240 INSURERO,NorLhern Ins. Co. of New York(Zur.
INsu."REAmerican Safety Casualty rsullivar
THE PCUCESOF1NSURNllCE USTED BELOW HA\IE BE8\lISSUED TO THE INSUFED NAMED NJCNE FOFIi1l-lEPaJCYPERIODINDICATED. NOTWITHSTANDING
lollY fECJJIIBlENT. 1EIN OR CXWOIT1ON 01' ANY CONTRACT OR OTHER DOCUMENT 'MlH fEllPl'CT TO WHICI-l -rn1S CEIlTFICATE MAY Bl" Issurn OR
MAY PSlTAN, THE 1N8l...lRMlCE ,M=FOf[;lED BY THE POlICES DE8CFIBED H~ 18 SUBJECT TO PU. THE TB1J18, EXa.U8IONSANO ~DrnCX\lBOFSUCH
Pa.JCE8. .AOliFEGATE UMIT$ SHOWN MAY HAVE BEEN FEDUCS) BY PAl) ClAIMS.
I'~:: TYPE OF INSURANCE POLICYNUMIEA ~~~I~~l PI II ION LIMITS
.T
A ~NERAL LIAIIILITY CMM49294953 06/30/01 06/30/02 EACH OCCURRENCE .1 000 000
X COM "'E'RCIA LG E'\I ERAL L1ASI UTY fo'lFlE DAMAGE(Anvcrtef're) .100 000
>- :=J CLAIMS MADEOO OCCUR 'WlED EXP(Anyon..p.rsonJ .5 000
>- PERSONAL&A.DV I~JuAY '1.000,000
>-~-- GENERA.L AGCiAEGATE ' '2...Qill)...QQQ..
~'L"'GUFlvnElIMITAPI~PEA: PAODUCTS -co MPJOP AGG s2 000 000
, PO L1GV ~~.2;:; I.-OC
B ~:MO.IlE lIA.,lIty ,CMA58201600 06/30/01 06/30/02 COMBIN!;D6INGLELlMIT iSl 000 000
X ANY AUTO [Euccidenl].' ,
ALlOWNEDAl;TOS BODllYINJURY
~ SCHEDuLED AUTOS I (Perplll'lloo] l:=-
,
.! HIR~DAUTOS 80DILYINJUAY
.! NON -OWNED AUTOS ! WeracCidlmt)
.! Iorive other Car . --
PROPEATYOAMAGE
l~rlllC(;ld.nt) ,
~..GE 1I..lLlty AUTOONLY- EAltCCIDENT S
illWAUTO aTH ER THAN ~AACC .
AuTO ONLY; .00 S
C ""O"SlIABlLlty 'UBA49294979 06/30/01 06/30/02 EACH OCCURRENCE !.15.000,OO
~ OCCUR o CLA',..,SMA:JE' AGG.REGAT~ ,15 000 00
~ DEDUOTiBLE ! . - -
,
Xi RET;::NTIOIII s10000 : s
D WORKERS COMPENSAllONAND TC258553034 06/30/01 06/30/02 X 1~~~l~I'i<. I 10~~
E EMPLOYERS'LIA.ILilY CIW5206762 06/30/01 06/30/02 .500 000
E.L EAC'I ACCIDENT
~L.DISEltSc-EA c""PlDYEEI $50 0 000
E..l.DISEASE-POUCYLl~IT ,500,000
OTH ER
i APP D Af': ~'(')
OESC.,"O. OF O'E.."0.0/LOO."0.0",E"'C'''/EXCLU8'0.0 .DDEO BY ENDO.SEMENT/S'""r ~ ' ?--
eRls LEE SHAW
Deputy City Attorney
CERTIFICATE HClDER I IAODITiONALINSUAEO:INSURtRLmm CANCElLATION
SlHOULDANYOFTHEAIOVEDESCRlIED PO LICl Ell ECANCELLED 8EFORETHE EXPIAA TlON
Santa Anna Fire Dept. DATETHEPlEOF, THEl9SUINCi IN8URER WILL ENDEAVOR 10 MAILl.O..- DA'I'SWPlIITEN
Attn: Roberta NOllCETOTHE CEFmFtCATE HOLOEFINIdllEOTOTHELEFT, IUTFAILURE 10 0080SHALL
,.............. "'III! U:U.Tlnlol nA II.a.RIII1YnF ,f,IIlYI(I..D UPON lH ElN9URER.IT9 AGaITS OR
ALUI'IU ",en. U"""""" ~ ur 1.011"\101I11.011
COVERAGES
A "IFA &27101 a:
BRAD CHAP N H LAND S
~ G"" 2
IMPORTANT
~ the certificate holder is an ADDmoNAL INSURED, the poIicy(ies) must be endorsed. A statement
on this certificate does n01 confer righlS to the cenificate holder in lieu cI such endorsement(s).
~ SUBROGATION IS WAI\IED, subject to the terms and condnionsofthe policy, certain poIdes may
require an endorsement. A statement on this certilIcate does not confer righlS to the certilIcate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate oflnsurance on the reverse side of this form doesnol constnute a conIract between
the ""uing insurer(s), au1hori:zed representative or producer, and the cenlficate holder, nor does n
affirmatively or negatively amend, extend or alter the COIIerage aflorded by the policies listed thereon.
7146475779 P.02
ljJOOZ
. 08-28-2001 03:22PM 0105940734FlRE DEPT
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I \.-/;' ~ end uses p.rtormad tIy or on be"'" of1he ~ il'lllutecl.
i \ 2. Wllh respllllt to d8imnrilii~ out ~the opflf'Btlor.und 1.l!lll8I"'"~I'~ tly
I or Cll"I ~ of tma nan\8CI ~. euCI'I ~ lIS is 1lI't'u..Wd by this pcIi~ is
\ mrv and J~ ~........ 10 fJI' _~"""lIlng with any ather 1I'lIU~ CsrrIed by CI' fIlf
I I ben~af lid .orwllnsureda. .
i '~ c;.o-'{ i. ~ Insurancs awtie* sepnlety to uch Insured ioOflll'llt WI'lecn !;181m is
: .-~ ro .. matl. ct tuit is !:JroI,Ight e=pl wi\tl ~ to the cOm~i'IY'$ nl'llltl or U~. The
II ~ ~ ~ at 8"}1 pil'lCl/'l cr o.r\IzIltign ill In inll,1ClICI 5ha11 not lifted .n'l right whietl
~i . ...ch peregn or ~n wauld haVe as II deImant If /'lOt ~ Ifdudlld.
I ,
!' ~ . ,04. Wilh ~ to tha .ddltloneI' inNed.. ltIi. jnSufliInllil &hall ngt be
I ,I ok' ~d, or materially rttdYoed Ir\ G~ Of limits seaPt ... thirtY (W) days written
01.' ~ ndl'" Mil beQJ'I given 10 1I'c C"lIY rl Sana Ma, 20 Civic conter PlDUl, SWlta AM,
~\ Celiflilmie e27Q2.
\
I
ADDITIONAL INSUREO ENOORSEMliNi
JrleUfSt\C'l Company
,
~.(Ul.J AiL
~~ modili" IUCh ine~ as Is a1fO~acl by th<< prvvlsiQllll d polICy
... . \.\q"c, ~ ntlelin9 tD thll fOllowing;
,
,
!
\
I
\
I
i
1
\
I
i
i
1
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~
(COmj;let\oI'l of N fOlIowUl9. lodudinlJ ~nabJl'e. II requ\nld 10 TnelQ \hiS
~,AdIve.)
Jf'8ttM1 '2:. ~ ~"{ - c I . ltii .,dorsemen! fotlll ell part CJf
Policy # ...t... ~ ('(', 'l..\ ot ~ q \...\. G. S ;a..
IswtldtO f, c.,...n ~L"~'. f.~ e~ :r~
. !llTIed 1nBUI'ed
CO~dUfQ f'~. ,~~ C~~~
~ flepreMrUi
~A
.", S TO FORM
.. CINE LEE s~
Deputy City Attorney
TOTAL P.02