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HomeMy WebLinkAboutSKYLINE REAL ESTATE SERVICES 1 - 2009~~ ~ ~~faj,r,~,~:,r~y ~?~ INSURANCE ON FILE i~1ctr y ;'~c~U+~c,~ WORK MAY PROCEEQ UNTIL INSURANCE EXPIRES CLERK OF COUNCIL CONSULTANT AGREEMENT N-2009-092 DATE: ,UL Q 249 3 THIS AGREEMENT, made and entered into this 26th day of May, 2009 by and between Skyline Real Estate Services, a sole ownership entity, (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of providing the City with appraisals for residential properties and providing representation relating to appraisals for the City if necessary. B. Consultant shall submit an invoice for each completed appraisal. C. Consultant represents that Consultant is able and willing to provide such services to the City. D. 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 at the rates 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 $25,000 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 the expenditure of funds, unless terminated earlier in accordance with Section 12, below. 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 anemployer-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 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 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 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 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 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 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 of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by 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 Fax 714- 647-6956 With courtesy copies to: Deputy City Manager for Development Services City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6736 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. BOX 1988 Santa Ana, California 92702 Fax 714- 647-6515 4 To Consultant: Skyline Real Estate Services P.O. Box 181333 Coronado, CA 92178 Office 619-318-0961 Mobile 951-218-2952 Attn: Hannelore Inman A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, 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, 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, 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 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 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 its 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. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: ~jr.PATRICIA t~~'. ALY Clerk of the Council CITY OF SANTA ANA DAVID N. M City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: ti LISA . STORCK Assistant City Attorney RECOMMENDED FOR APPROVAL: ~~,CYNTHIA J ELSON Deputy City anager for Development Services I/i~~1~ 70'tq Employer ID # or Individual SS # ~1~~~ 6 ~: Fee Schedule (SAMPLE) TYPE OF APPRAISAL FEE Single Family Residential Interior and Exterior ~ ~ Multifamily Residential 2-4 U n its ~ ~ 5-10 Units 11-20 U n its 21-30 Units 31+ Units Multiple buildings ** If your firm offers additional services that are appropriate, please include them in your fee schedule. ~~~~ A~ORD CERTIFICATE OF LIABILITY INSURANCE OPID $ DATE(MMlDD/YYYY) SKYLI06 06 05 09 PRODUCER Powers and Company Insurance Agents and Brokers Box 619043 Lic #OB02564 P O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . . Roseville CA 95661-9043 Phone: 916-630-8643 Fax:800-783-0083 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Scottsdale Insurance Ca®pany 41297 INSURER B: line Real Estate Services Sk INSURER C: y PO Box 181333 INSURER D: Coronado CA 92178 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER pA7~ M E TIVE DATE M PI LIMITS GENERAL LU161UTY EACH OCCURRENCE $ 1 , 000 , OOO A X X COMMERCIAL GENERAL LIABILITY CPS0989390 03/13/09 03/13/10 PREMISES (Eaoccurence) $ 100,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ INCLUDED }[ POIJCY ~EC7 LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-0WNED AUTOS (Per accident) PROPERTY DAMAGE (Peracddent) $ GARAGE IJABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ E%CESSAIMBRELLA LWBILITY EACH OCCURRENCE $ OCCUR u CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ ff yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMff $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES / E%CLUSIONS ADDED BY ENDORSEMENT / SPECULL PROVISKNS *10 day NOC applies for non-payment of premium. Certificate holder is included as an Additional Insured under Commercial General Liability policy per endorsement to be determined by carrier, subject to a written contract between the Named Insured and the Additional Insured. **Endorsement to follow from company, subject to approval. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Fax: 714-667-2267 20 Civic Center Plaza, 3rd Flr Po Box 1988 Santa Ana CA 92702 CITYOFS I SHOULD ANY of THE ABOVE DESCPoBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SNALL IMPOSE NO OBLIGATION OR LU161LTTY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATNES. ~~ ~~ ACORD 25 (2001/08) ~ .a ©ACORD CORPORATION 1988 ,~ ~ ~ . ~~ irNJAI~IN itAUF N Chief Assistant City Attorney IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ~pp~,OVF,p ~S TO FOB Pr ~ ~ 13F J~1MIN iCAU~MA ¢hiet= sistant City Atto-'~Y 25 CERTIFICATE OF AUTOMOBILE INSURANCE Mtririal- THIS TS TO CERTIFY THAT the named insured is at the date of this certificate insured by the company with respect to the automobiles hereinafter described for the types of insurance and respective coverages hereinafter designated by entry of the limits of liability or a statement that the covuage is in effect and in accordance with the provisions of the Automobile Policy in use by said company. This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the policy. Named Insured HANNE INMAN Address PO BOX 181333 CORONADO CA, 92178-1333 _ ~ «• . .... .. _ :c _E."~r~ess~_C!r.-_ .............__._._~._._...._ ..... ~~. . mn .,,_ .- .. .-..: .. ,:. - -_- - -t~~..'~c`~'C_71NIF policy Number A02-268-004958-40 Effective Date 03/25/2009 Expiration Date 03/25/2010 PART A PART B PART D - DAMAGE TO YOUR AUTO COVERAGE Coverages: LIABILITY MEDICAL COVERAGE FOR "`~- _ --•°-°•~• ~--~ COVERAGE PAYMENTS COVERAGE LOSS CAUSED SY COLUStON INCLUDED Loss Caused Collision ~ a u by Collision Limits of •ncv ma;..~.. s<mu c..n vm. •ecv mas~.e.. ncsa.~ c..n vul. Liability 250/500/100 ACV ~... 1,000 ~d~~~. ACV ~~ 500 ~uoe'~w +Includes Accidental Death Benefit: S Protection Against Uninsured Motorists: Each Named Insured Each Per. S Each Acc. Medical Expense 250/500 POLICY INCLUDES: ~ BASIC NO-FAULT COVERAGE OPTIONAL NO-FAULT COVERAGE ~., ..~C4Ga[j;a~~ _ '.CSC-4;CC~~ ^_.__. .. __ - _ _ _ _ xS.,NW.~ Cr°e .7110 J~~C>:..,, _ ~~ _ v. 8' `:im;~m-y~>"~w ":s.~~~isc: au ~g~s~w "y,,,3 , '"~:_:_..__. _ , ,.,:..:.._ ~,;"::;!=i,;y-~•• 2n ~.;;~: mvv~i.w -- ~- --.. r.. ~;~ .--n:c. s.,... e:~ewurw r 1~-:._:-=~:____P~LINimeaa - - - -_-` - -- -- .....-.-.- .1 i .... :. .ti.^_ -. .. ~.~. y '°9!:.^. WA:.:i::~.~.:..L. _; ~'IJI4Uf N:~::l _--._~u:r. ?S"' -"~ Year of Model Trade Name Body Type Identification or Serial Numbcr 2005 CHEVY SILVERADO 1GCEC14X45Z206046 - 1 ,y7 z r>r r. ~ (.~ e .: . ~ .a 1 ~ ' Such insurance as is afforded under the Liability Coverage of the policy shall also apply, with respect to covere autos, to each interest herinafter named, as an insured; but such inclusion of additional interest or interests shall not operate to increase the limit of the company's liability. Name CITY OF SANTA ANA Street Address 20 CMC CENTER PLAZA City SANTA ANA State CA Zip 92702 ._. A.n J. " . y , Such insurance as is afforded by the policy for loss of or damage to the automobile is payable, as interest may appear, to the named insured and the Loss Payee indicated below in accordance with terms of the Loss Payabl Clause on the reverse side hereof: Term of Loan: From: To: ~_ The insurance described herein is in effect on the date of this certificate and shall remain in force until canceled in accordance with the terms of the policy. ® Liberty Mutual Fire Insurance Company ^ Liberty Insurance Corporation ^ Liberty Mutual Insurance Company ^ The First Liberty Insurance Corporation ^ LM Insurance Corporation ~ ~t ~ - x.. Loss PAYEE and ADDRESS ~~.~~ . „ . ~~`. 1 1:..e: SECRET P'Ft BT~Elif'1'. Dated 06/082009 At S:15PM ~ ~ -, r, ~ ~,~Cz{ttersigned Signature of Authorized Representative a £OZO T6Z 5TT XV3 TT~9T 600Z/60/90 PRU 485 ~ i ~? , ~1 11/1/03 Cill~~ 515.~.ttr .r~ 't:,~{Fy £00/Z00 fi3] ~' LOSS PAYABLE CLAUSE Page 2 Loss or damage under this policy shall be paid as interest may appear to you and the loss payee shown on the first page of this certificate. This insurance covering the interest of the loss payee shall not become invalid because ofyow fraudulent acts or omissions, unless the loss results from your conversion, secretion or embezzlement of your covered auto. However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall terminate this agreement as to the loss payee's interest. We will give the same advance notice of cancellation to the loss payee as we give to the named insured shown in the declarations. When we pay the loss payee, we shall, to the extent of payment, be subrogated to the loss payee's rights of recovery. LOSS PAYABLE CLAUSE (NORTH CAROLINA) Loss or damage under this policy shall be paid as interest may appear to you and the loss payee shown on the first page of this certificate. This insurance covering the interest ofhe Ioss payee shall become invalid only because of your conversion, secretion of your covered auto. However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall terminate this agreement as to the loss payee's interest. We will give the loss payee 10 days notice of cancellation. When we pay the loss payee, we shall, to the extent of payment, be subrogated to the loss payee's rights of recovery. LOSS PAYABLE CLAUSE (TEXA.S~ tten. ~~ ~ ~ ~ B JAfvlrtl~.lll~i'i<pA. Chle Assistant City ~ltt~irlt ~' £OZO T6Z 4T6 XV3 ZT~9T 600Z/60/90 Loss or damage under Coverage for Damage to your Auto shall be paid as interest may appear to you and the loss payee shown on the first page ofthis certificate. This insurance covering the interest of the loss payee shall not become invalid because of your fraudulent acts or omissions, unless the loss results from your conversion, secretion or embezzlement ofyour covered subs. However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall terminate this agreement as to the loss payee's interest. We will give the same advance notice of cancellation to the loss payee as we give to the named insured shown in the declarations. When we pay the loss payee, we shall, to the extent ofpayment, be subrogated to the loss payee's rights of recovery. NOTICE TO OTHERS IF "We" will not cancel "Your" Policy or reduce the insurance under any of its coverages until at CANCELLATION least 10 days after we have mailed a written notice of such cancellation or reducxion to the OCCURS person(s) named as additional interest on reverse side. AS 1019 (ed 12-89) Additional Insured (Lessor) -Applies when additional insured is complete! on reverse side. AS 11$7 11 90 (PP 03 l9 08 8t7 Description of "your leased auto": as described on reverse side. Any liability and any required no-fault coverages afforded by this policy for "your leased auto" also apply to the lessor named in this endorsement as an additional inswed. This insurance is subject to the following additional provisions: l . We will pay damages for which the lessor becomes legally responsible only ifthe damages arise out of acts or omissions of: (a) you or any "family member", or (b) any other person except the lessor or any employee or agent of the lessor using "your lease auto". 2. "Your lease auto" means: (a) an auto shown in the Declarations or in this endorsement which you lease for a continuous period of at least six months under a written agreement which requires you to provide primary insurance for the lessor, and (b) any substitute or replacement auto furnished by the lessor named in this endorsement. 3. if we terminate this policy, notice will also be mailed to the lessor. 4. The lessor is not responsible for payment of premiums. 5. The designation of the lessor as an additional insured shall not operate to increase our limits of liability. Copyright, Insurance Services Office, Inc., 1986 This endorsement must be attached to the Change Endorsement when issued after the policy £00/£00 ~ CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-08-2009 GROUP: POLICY NUMBER: 1825933-2009 CERTIFICATE ID: 2 CERTIFICATE EXPIRES: 01-01-2010 01-01-2009/01-01-2010 CITY OF SANTA ANA SD ATTN: MARY AGUILAR 20 CIVIC CENTER PLZ 3RD FL SANTA ANA CA 92701-4058 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. ~k!~ `~~C../ THORIZED REPRESENTATI ) PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. EMPLOYER INMAN, HANNELORE RUTH DBA: SERVICES PO BOX 181333 CORONADO CA 92178 SKYLINE REAL ESTATE /~ /' ~ / `/ ~++~. / y ~'~C~I1~E;K ASSf5td!°kt'r,F'j ;,r~,.:y ' [EDC,CS] SD IREV.Z-051 PRINTED 07-08-2009 F,XHIBTT C ADDITIO1~TaL INSURED IND~DRSEI<ZENT lnsurarnce Company Scottsdale insurance Company This endorsement modifies such insurance as is afTvrded by tlne provisions of Policy # CpS09$9390 relating to the following: 1. Tlie City of Santa Ana located 20 Civic Center Plaza A4-2b, Sang. Ana, Califorrnia 92701; and their rzspectivc officers, employees, agerris, volunteers and representatives are named as additional insureds ("additional insureds") ~~~itln regard to liability arnd defense of suits arising from the operations and arses perforned by or on behalf of the narnled insured. 2. V~~itln respect to claims arising out of the operations and uses performed by or on behalf ofthe named 'ensured, such insurance as is afforded by this policy is primary and is not additional to or corttribtrting with vn}, other insurance carved by or far the beriefrt of the additional insureds 3. This isnrance applies separately to each i1`GUred against whore claim is made or suit is brought ehcept with respect to the company's liunits of liability.. The inclusion of any person or organization as an insurad shall not affect any right w}nicln such person or organization would have as a elainiant if not so included. =1. ~~rith respe~~t to the additional insureds, this insurance shall not be cancelled, or materially reduced in co~terage or lien its except after thirty (.3U) days Gvritten notice has been givers to the Conununity Red4velopnnent Agency of the City of Santa Ana. 2U Civic Center Plaza (b~f-26). Santa r'1na, California 92701. (Cornpletiorn of the following, including countersignature, is requied to male this indorsement effective.) Effective 06/30/09 ,this enndorsement f.'orm as a part of Policy # Issued to Skyline Real Estate Services Named Insured Countersignzd b>~ ~~ /' ~' !• G'~^~~ A r tied R epresantative ~~,c:r t, .;fir t•„,~ ,r' ,~~ .~