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HomeMy WebLinkAboutABLE RAIN GUTTER - 2008City of Santa ~ • Clerk of the Council °>~._ AGREEMENT TERMINATION ,; ~, Please complete this form when the attached agreement is no longer in effect y F . ,` e µ :: i`i Return form to the Clerk of the Council Office (M-30). ~ ' i Call 647-6520 if you have any questions. ~;~, , :, . ___________________________________________G ----- The agreement with " " N ~ 0200 , © was completed on 0 No. and final payment has been made. ~eaa tz-m-o~ Department Phone/Ext.: ~~~~ nature: Sig Date: INSURANCE ON FILE ' ~ ~NORK MAY PROCEED N-2008-040 UNTiL INSURANCE EXPIRES ctERli OF COUNCIL ijATE: ~_ l~. DK AGREEMENT BETWEEN THE CITY OF SANTA ~ ; r/-p {~ (~~ ANA AND ABLE RAIN GUTTER c~.olY~ Fuller-+a~ THIS AGREEMENT made and entered into this t3 day of March 2008, by and between Able Rain Gutter (hereinafter "Contractor"), 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. The City desires to retain a Contractor having special skill and knowledge in the field of repair and maintenance of rain gutters and downspout protection. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor 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: SCOPE OF SERVICES Contractor shall perform preventative maintenance and repair services, as well as installation of rain gutters and downspout protection as set forth in Exhibit A to this Agreement, and on an as-needed basis with a written proposal and invoice prepared by Contractor for each requested job. 2. COMPENSATION a. City agrees to pay, and Contractor 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 $25,000.00 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 upon expenditure of funds allotted hereunder, unless terminated earlier in accordance with Section 12, below. 4. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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. INSURANCF, Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintair. insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insureds) 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 Contractor'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. Contractor 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, Contractor, if Contractor 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, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor 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 Contractor 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 Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor 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 Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, Contractors, special counsel, and representatives from liability 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 Contractor 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. The Contractor 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. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor 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. 8. CONFLICT OF INTEREST CLAUSE Contractor 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: and, Deputy City Manager for Dev. Services Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6939 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 Contractor: Able Rain Gutters 3345 Newport Blvd., Ste. 214 Newport Beach, California 92663 Phone: (949) 675-8432 Facsimile: (949) 675-9694 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 Contractor, 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 Contractor. 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 Contractor 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 r.f Contractor, Contractor 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 of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, however, payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Contractor 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. Contractor 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. 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 Contractor shall, throughout the term of this Agreement, maintain all necessayy 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. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall he 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 ~ s wi thdrawn. h. 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: ,~~ ~~P TRICIA F,. EALY Clerk of the Council CITY OF SANTA ANA ll~~' c~c"`~- DAVID N. RE City Manager APPROVED A5 TO FORM: JOSEPH W.FLETCHER City Attorney ~• y: Lisa E. Storck Assistant City Attorney RF~COMMENDED FOR APPROVAL: Io~STEPHEN . HARDING "~ Deputy City Manager for Development Services Community Development Agency CONTRACTOR Ron Zotovich, CEO Tax ID# Sl3-g9-I18~ PROPOSAL ~~~~¢ y PAT BUILDERS 478330 GENERAL CONTRACTORS PROPOSAL o. Q ABLE t2AtN GUTTER • lNSTALL• CLEAN/NCi • REPAIR sti T 3345 Newport Blvd. Ste. 214 E Newport Beach, CA 92663 Q - t q - 2~ (949) 675-8432 Fax: (949) 675-9694 PROPOSAL SUBMITTED TO~~[7nLV -.I 1=i.11.(.~eTorJ tt~ ~PE N loon ~k`t~- s~c~- AwA-i~luD ~ SRtJt'A- FwA- ~. ~t2~o -i t ~}- ~lpS -240 OtL~IG~ l d- 9CoS --2C~?3 WORK TO BE PERFORMED AT: Sr~M Co S1~t._ s I-q-~ WE HERBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR THE COMPLETION OF t. C t~L,J -OUT P-raid 1+~,.t! ou.lrl - Lr 2 , ~1= wrJ nl w v ~ - 5 3 . $A~ L-oDr A-,a ~ . oTl` ; W t= N A 1 5' To -Jle- ~5 Co li• ~-lion.Pa.IG[>5 ' 2 ~ ~ of I ~ B n1 5 't-3 i l 'DOwn- 3(00 ~1=A S -f. 4E~--rY ®F 'P ~F ~ ~=o~. i sA- R- Q~ I+ 3 ~ 4 2--MM.I ~s "'0 6. o r-onr~ s -t- l.~s' w ~ t.L. Si`. 1= ufo- wo l~5 ' 1$6a= 1,t_ W o CoV A-Q P.*-~ ~ ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED, AND THE ABOVE WORK TO BE PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND SPECIFICATIONS SUBMITTED FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MAN1N~ER FOR THE SUM OF NINA- ~~-t'GU<~Rn~ EL~H-T- t~i1NY~~' D ~~f-~I-'~I--1'1ti~0 I~DOLLARS (~ q ~~~ " ) WITH PAYMENTS TO BE MADE AS FOLLOWS: ~ ~ayM~T ~-~ eoMP ~ AaD StW1A1L. TIME TO COMPLETE WORK: to WOPrY~IN(a DA.yS L~ONTlh11JOFJS ST~'t'~ bp.T~; RESPECTFULLY SUBMITTED ~,/zoTo//~/ THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISfACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE. ANY ALTERATION OR DEVIATION iROM ABOtlE SPE[IFlOAT10N5IHVOLVIN6 E%TRA -S IGNATUR COSTS Wlll BE EXECUTED UPON WRITTEN ORDER, AND WILL BECOME AN EXTRA CHARGE OVER AND A80VE THE ESTIMATE. ALL AGAEEMENTS CONTINGENT UPON SIGNATUR STRINES. ACCIDENTS, OR DELAYS BEYOND ODR CONTROL PROPOSAL Apr ',. 8 lO'3Sa Tllagl 07 0 e ADle Kaln Gutte' ,,-. I If-! '-" p.2 949 6'"",094 p2 N-aoof:~oYo i PROOUC~' . ~EO~G" '" IIRQwN IN_ce MeNCV . PO'.'I!IOXID8D 1lA,~ ~~~N\i;, CA 9261"- (>>09) 36'.1400 ''''''(lI4!1tMI.21IIl' CERTIFICATE OF INSURANCE ----- ! lMuE:.OJI!W'~ ' "':"-;'1 ~~ . eeril 4&321 00_ A COlCMY INStlR.\NCli toMI'ANV . COMPANY B CllMAANr c COMPANY o . JCOVEAAGeS . . . '. .' ,,;. '1 :"..,....'l.m'~Il",.TMrtlt!POI.lCom:'~lrllTiotelQwflNR'IUI\I_\JfIJJUII4EI/IIWfIIO/llllWl:OfdlOYl.OftTM.".O':,.;"~'JlIIl!If.4rwo.' " :~ " . .'.Q~a:r.,r~DI~.. IU<<.flIQV~lIIiHr, tElN:()RCONOI1'1OtlQf.tM"~'0Il0Tl4.[I~"r-wntt~~.TQ~lC!H~COI Ji,fIA lfll!',llll!Il.lf.D:OR:. ~v. .itf:RT.QJiII''''''W,liij~~n'n.nout'ae.QI.I:'tI.DHVlIIl;I\I1Ii1lUll.IECT'fOAtl..lttr:n..... DcUll_ANQ~lIiDf I'OL~ lJlllJT'l~~"'Y . '~~~{IIl~~6"'''A1DCl.UI8.. . .:,," . ;,: ; .. ,o'~L' ~Dr"~' ""'""..... - I 'Ol~.........,. ""''''''.............-. c:';" ...~-. ", :!:" " l11l1 . , ~ll!(YIIIQ0I"f'l') MlE~ .:. "'f. I~EN~~-l~ILftY .;~.~~1'i " ':i.Qi;JI}.ooP ~~-.:. -- .,". ~",~/;t ~ '.',' . ~,;ewQ~CO~fIIlCIOMIPltQT', .:. MC,"__. " ..' . .~;I .:!,,~,OOO . ',. ': . "rftt<l-~.'Ii~~f"ow~:' j. ~PO,QgQ . . : , ., ~!~~.: .' )1,'5; . '-1"UTQ';'<!-OII.E"IAOl.JTYI~~~("",:.: .:~" .yol~.~'Jt. , .:. ;,.' _ .,;', .....'/W"..~t06 ..0...._, . ~;:::,. ' IIIC11rpJ~t;JJW:ro, ~"'~l".~' i,,'> -e!> ."''''' . 1001\.' "".... " ;5. ~N~eoWr~ l~~:' " .If .IN&!JIIlEO , AIl~E AAINGLlTTERS, RON ZOTOVICH; DBA ,,' :,. ',h- ;', '" '50; 36T1iI STREET 'NEWPORTllllJi,i:JH. CA ~2663 I'" . .......,......, '. ,~~rY'~' : AU'TociM.V',~'~..,.~..,~ ~ ':~_., orttel!l'T'twt'~L"': '" <^Cft~I~"I'< \&; .,','; :~!, . '. :~.e~'JE..' EolICtt.OC~fCr" ;'. '.' ":': ~CMre.;.. .i. ",t:, :.,~ ::: ';' ,[. >,,> .1-. ,( ~.;; :,1 ~" ' '. _GARA~ tiAB1:urY n""lu'o -,,--~ , ~\IAlII!JlV . ::'Vt.4tJ~fLLA"~i!'. - ~'~~l<lP.:~l"b.. woRKElrs ~tlON AN" . ~~YEflS'llAllIl,I1Y . "'''~..-'i'!:':'__ ~ ~~~..-.!"'~ 'DGL "'Oflil'R ' '] IF. A.-.(~O~, THE JOB. ~RlMAAY WM<lING W1t.l1lli PO\""''''''' . .' "L . ., '~~lo.naNOJl.ON.""TPGlLQe4T~~lAl.'m!!" .' 'OOisiDDlMoPlJ!ll'Os6s0~Lr . ~., . /l11 , " '~~~t~ ~~o!'Cl(:ui!~..:.. '. ~$~~"'" . .. ....IlL, ~c' '.~" '.r ,. . '.' . '., " H-:---- .-;.... { " 'i,' :~. 't., ...";' r ,~ ,< ., :,- .:Jr..... ','.'a';.'. ,''''' ....... ".' ""'.' ~ in ;15 ~~..j;..~.i;1--::,,:;.S.,~.~ ~.. : CriYOF,1>A1\ITAANA : . .. THIl..Ofo'j.l:ri'AT ~TAANA . lQoO EMiT '~I\I;rA.AHA eWQ, $I,JITE 1118 $.<\II!TA./\j,u>;.CA S~7oi " . t ',: " ....:r:TN CI'lR9L VN I'Ull:ERTON ..; " ' '~"''':;.~-1t~,i.~}~~~'''I:::-j::it~_t;;:r~.< ''''il,''',;: ~ ' " .! ":;'rf'~,. ,~r. - .,~ I.~r-':~i::-:~i'~:' .;; .......,.,.,....""'''"''''..''''-a1C~_..~;(.o.:.~O~..:;...;; ~I'1AAY'IQfJ~n-1He:_jp.~~.~"'-;:_-..,;~._.."...._ ~~" . MtI1T'fM~!'m~'~~7,,1o"llE~::~' :.1;: "';, 'OoOA'fWlJ~QF CAN~LlA~~~!~~~OF~~i :. ~ fI'1lV'f';'., ,,", .:' 'Sc::: '.'_i ...""-,: ~ " ;-: 'I;' ._,....;.; .....' 1BltB 39Vd SNl B18 tSlZl9E606 ii:zo '8B~/61IEB Apr 07 08 10:3Sa "..., lJ I f LUOt! t:J':l: 111 T11ag1 94930J '1 ...... p.3 GLB 1'6 AlilNCY - PAGE u7/n:2 THIS ENDORSEMENT vtlANGES THE POLICY. PLEASE ,,~AD IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZA nON This endorsement modifies insurance orovided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Na-~ of Person or Or~anll'att-D1't (Ackfll:ion;J~ 'nSYfoo)' City of SanlJ Ana. The Depot ~t Sanl~ An" 1000 E S~nta Ana Blvd. Ste, 103 S~nla Ana. C~927<J' "11 is further agreed lI,al tillS inslJrance 9hall be pnmary and non,contribl.ltory but only in the event of the r'lamF.d insured's so,'e negljg~nce ^ SECTION 11- WHO is AN INSURED IS amenaed .nd the follOWing added: The person or organization (called'~ddltlonal ,",ured") ,howr 10 the Schedule IS also an insured but fl'1iy a. wilh resoed to'-')ljl!~GL liaDllity caused by or resulting from your ongoing operations performed (or tha~ "ao"ditional insured(s)', and b.. when you ane: th. person or orga~:7.aUon show~ in the Schedulo have agreed In writing in a contract or aqreemenllhal 5uch person or orgMI<"ttoo be added as on "additional insured" on your policy A per~ol"l'S or. organization's- status-as an "addllional H"lsured" under this endorsement ends when their contract Qr agreoment w'tl, you ends. B SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY. 2. Exclusions is amended and the following added ThiS insUr::JI1CB does not apply 10' Additional Insured Contractual liability "Bodily Injury' or "property d.mage" for which the'addltlonallnsured(s)" are obligated to Pay damages by reason 01 the assumpllo~ or liability in a conlract or agreemen: Finished Operations or Work 'Bodily Injury" or "propelty damage (1) occurring after "YOLlr work", incluolng malerals. parts or equipment fumished In connection with suoh wmk on the project (ather than sef\'ice, maintenance 0" repairsllo be performed by Or on beha'f of the "adoitlonal Insured{s), at the site of the covered operations has been completed; or (2) occurnng aft", ,hat port~on of "your work" out 01 which the Inful'/ or damage anse" hes been put to its :r:tended use by any person or organization, Negligence of Additional Insured "Sodily injUry" or "property damage" direcJIY..ansing out of or reSUlting from Ihe negligence of the , additionalin.ur.ed(e)" ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED :J; 56.0702 Page 1 of , ~-IP Apr 07 08 10:3Sa Tll~-l Apr 02 02 12:11p Able Rain Gutter_ . 949 67-.....f-i4 p.3 POLICYHOLDER COFlY STATE COMpENSA.TION lNSURAN:CE I=UNO POBOX 420807, SAN FRANCISCO,CA 94142.-0607 CERTIFICATe OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-~1~2006 GROUP: POLICY NUMBER 1547M8-~OO8 CERTIFICATe 10: 1ali CERlIFICATE EXPiQES: O' -01-2*& 01-01-2008/01-01-2009 T~lS CERTIFICATE SUPfRSEOlS. AND CORRECTS CERTlFlCATE It 1B3 QATEO .o3~ 14-2008 .oB: THE DiPOT AT SAHT A ANA ClTV OF SANTA ANA 1000 ~ SANT A . ANA 8L VQ STf. 1QB SANTA ANA CA 92701-3900 SG nis IS to cer~lfll tl1at we "ilve i:o;stJed .. valid VJorilters' COf"\POr'1sa~lon In-:;urencr:: pOliCY in ..form approved by 'he (.allforni. :,.surs:'!CQ CO'illnissroner 10 the arT'lplo:.'er Il~rned bel::Jw ~O' ~h8 polie~ period incicll'led Tt-is pollc'r is not sub;e=:l to cilncellatlon by Ihe Fund except upor 30 days ad\'.iI.,ce wrl1tel'1 I"lotiee to the &mploffr ''/\ie will all;.o giYEI you 30 days ad'Jilnce lO~.ce should \N~ POltCI' ~ C&1'Icel.ed pr or to iU normal (J.xpirOltion. r"l, certif!cale of i1SU"~,.,ce ir. n01: <:;" hsurancll policr ,jid :ot::i not amend, Qxt&rld 01 0111101' tt\e cO\lerage 41ffo'd!Jd by :he poh:;y listed. ~,~r'lIn, Not":"',lhst.rIdI1\9 arw requirement, term or condition o~ .ny conlrael or othfir dOCUmElfl[ with respect to vvhlcl1 this; certlfrcate of InSUr.:lna6 may be Issued or to whicn II m~'1 ;:>ert_ir'l, the: ln$Urar-l~6 iI'forded oy the PoliCY dl9scn",od herein is svblect to ai' the t8tms, exc(usiOris. ana conditions. QI such poiicy. Q::RE??ESENTAm ~E~~ UNLESS INDICATED OTH!RWlS! BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXC~UDES THE fDLUOWING; THOSE NAMED IN THE POLICY DECLARAT10NS AS AN INDlVlDUAL eMP~Oye~ OR A HUsa~ AND WIFE EMPLOVER; ENPLOVEES COVERED ON A COMPREHENSIVE PERS~L LIABILITV INSURANCE POLICV ALSO AFFORDING CALIFORNIA WORKE~S( COIIIP'iNSATlON BENEFITS; EMPLOYEES EXl.':l_UDEC UNDER CALXFORNIA WlJRt<ER;S~ COMPENSATIDN LAW, E~PLoYeR'S LIABILITY ~lMtT INc~UD]Na DEFENSE COSTS: $1,000.000 PER OCCURRENCE. ENDORSEMENT N2065 ENTITLED C'ATIFICATE ~D!RS' NOTICE EFFE~lIVE 01-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLI~V, '; ,~ >\)j,Ivl ~ --------- ",( \ ,iv '\11 ..:\ EMPLOVEQ ZOTDVICH, PETER RONALD DBA. PAT BUILOERS DBA: ABLE RAINGUTTERS 3345 NEWpORT BLVD STE 214 NEWPORT BEACH CA 92663 ICAV.C~I 03-17-2008 PRINTEO IRf'/.2'C~1 p.4 SG