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HomeMy WebLinkAboutADVANCED RISK MANAGEMENT TECHNIQUES, INC. 8-2009INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES L~~;' -~l-/7-020/ CLERK OF COUNCIL DATE: //-Og'~S p C 2~ CONSULTANT AGREEMENT N-2009-128 ens THIS AGREEMENT, made and entered into this 22°d day of September, 2009 by and Yi~1 1tiloY+~~P; between Advanced Risk Management Techniques, Inc., 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"). RECITALS A. On July 1, 2007, the parties hereto entered into Agreement N-2007-090, by which Consultant provided an independent actuarial audit of its Self-Funded Workers' Compensation and Liability Programs. B. The City desires to update the previous actuarial study utilizing current program data to project through 2010/11 fiscal year. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform actuarial evaluations of the losses, financial position and recommended funding for the workers compensation and liability programs, as set forth in Exhibit A, attached hereto and incorporated by reference. 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 $10,500.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 201 1, 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 Personnel Services 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 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. 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. b. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $5,000,000 per claim. c. 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. 2 d. 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 telefacsimile (714) 647-6956 With courtesy copies to: Personnel Services Agency, Risk Manager City of Santa Ana 20 Civic Center Plaza (M-28) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-5311 Attn: Jeff Stevens 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: Advanced Risk Management Techniques, Inc. 23701 Birtcher Drive Lake Forest, California 92630 Attn: Mujtaba Datoo A party may change its address by giving notice in writing to the other party. Thereafter, 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 4 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 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. // // // // // // 6 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST': ., MARIA D. H-UIIAI~~ n Clerk of the Council _ CITY OF SANTA ANA f ,~ , DAVID N. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney Laura Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: c,~.~ 4 KATHIE S. GONZALEZ Executive Director of the Personnel Services Agency CONSULTANT MUJTABA ATOO Consulting Actuary Tax ID# ~~ " ,~ ~ ~ ~ (~ 7~ EXHIBIT A SCOPE OF SERVICES Consultant shall develop reasonable funding and management guidelines for the City's Workers' Compensation and Liability Programs. Separate information will be provided for each program. This will provide important data for the City's comprehensive annual financial report, GASB Statement No. 10 requirements, budgeting and strategic planning. Consultant's specific scope of work is as follows: A. Estimate Outstanding Losses: Estimate outstanding losses including allocated loss adjustment expenses (ALAS) and 4850 benefits as of June 30, 2009, June 30, 2010, and June 30, 2011. Outstanding losses will be shown on a discounted present value basis including separate calculations for incurred but not reported (IBNR) claims. B. Project Financial Position: Project the financial position as of June 30, 2009. The projected financial position is a comparison of funds available with the estimated outstanding losses. C. Project Future Losses: Project future losses including ALAS for 2009/10, 2010/11 and 2011/12 fiscal years. Projected future losses will be shown on a discounted present value basis. The present value reflects future investment income earned on funds held to pay losses. D. Project Losses Paid: Project losses paid (claims disbursements) during fiscal years 2009/10, 2010/11 and 2011/12. E. Recommend Funding: Recommend funding for fiscal years 2009/10, 2010/11 and 2011/12. The recommended funding is based on the projected future losses, investment income, expenses and the projected financial position. F. Discuss Loss Experience: Discuss loss experience trends and compare the City to similar programs. G. Update the workers' compensation cost allocation system and liability cost allocation system for City departments. Consultant shall deliver a complete written draft report to City as soon as practicable and the final report shall be delivered to City by October 30, 2009, however, item G, above shall be completed and delivered to City prior to June 30, 2010. COMPENSATION City agrees to pay, and Consultant agrees to accept Six Thousand Five Hundred Dollars ($6,500.00) as total compensation for services pursuant to items A through F above. Compensation for work performed to complete item G, updating both the workers' compensation and liability cost allocation systems, shall not exceed Four Thousand Dollars ($4,000.00). Total compensation to Consultant pursuant to this Agreement shall not exceed Ten Thousand Five Hundred Dollars ($10,500.00) during the term of this Agreement. ACOR~-® CERTIFICATE OF LIABILITY INSURANCE ' DATE(MMlDDIYYYY) `,~/ 10!19/2009 PRODUCER AON RISK SERVICES CENTRAL INC. 130965 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , 1000 N MILWAUKEE AVENUE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR GLENVIEW, IL 60025 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE - 1-866-283-7122 FAX 1-847-953-5390 INSURERS AFFORDING COVERAGE NAIC # INSURED AON CORPORATION AND INSURER A: LEXINGTON INSURANCE COMPANY 19437 AON GLOBAL RISK CONSULTING INSURER B: 200 E. RANDOLPH DRIVE INSURER C: CHICAGO IL 60601 USA INSURER D: 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. LIMITS SHOWN ARE AS REQUESTED INSR DD' POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ POLICY PRO 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-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO THAN - ~ ACC $ F ~ ONLY: AGG $ EXCESS /UMBRELLA LIABILITY y,, . b.~~ f~~ >~Z EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE + ~ ~ . ~ ~ AGGFjF,C.ATE $ DEDUCTIBLE C ~ tiCi1. S'i . ~ $ 1 a~ ( (~tt0 . RETENTION $ .~ d"lly $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y IMI Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ^ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ A orHER ERRORS & OMISSIONS 7113473 4!17/2007 4/17!2011 EACH CLAIM: $5,000,000 "' ~ SEE ATTACHED ADDENDUM DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: AON GLOBAL RISK CONSULTING, 1901 MAIN STREET, SUITE 300, IRVINE, CA 92614. a.~r~ r rrw~ ~ ~ nvLV~R IiAIY I.CLLA l IV1V 13U2ibb CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATTN: PURCHASING DEPARTMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRfTTEN 20 CIVIC CENTER PLAZA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SANTA ANA CA 92702-1988 USA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ra .%Lca~ JPie~ic~ t;o~a~ .Jizc. ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ~E&O Coverage Insurer: Lexington Insurance Company Policy number: 7113473 Policy term: 4/17/2007 - 4/17/2011 (a) This certificate of insurance contains a summary of the policy coverage and does not include all terms, conditions and exclusions of the policy. The policy contains the full and complete agreement with regard to coverage. In the event of any inconsistency between this certificate of insurance and the policy, the policy language shall control. (b) The insured has a retention on each and every claim under the policy. The retention has a minimum amount of $500,000 on each and every claim and may increase based upon the amount of the loss. (c) The insured has the right to cancel the policy within 10 days of the policy effective date. The insurer has the right to cancel the policy for non-payment of premium. (d) This is a claims made and reported policy of indemnity. (e) After an aggregate $103,500,000 in claims has been paid under the policy, no additional claims will be paid by the policy. However, the Insured, in its sole discretion, may specify an amount less than $103,500,000 on any certificate of insurance. (f) The limits of liability may be reduced in the event of non-payment of premium. ACORDO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~~ 10/19/2009 PRODUCER AON RISK SERVICES CENTRAL INC. 130958 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , CHICAGO IL OFFICE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1000 N. MILWAUKEE AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GLENVIEW, IL 60025 PHONE - 1-866-283-7122FAX - 847-953-5390 INSURERS AFFORDING COVERAGE NAIC # INSURED AON CORPORATION AND INSURER A: CONTINENTAL CASUALTY COMPANY 20443 AON GLOBAL RISK CONSULTING INSURER B: TRANSPORTATION INSURANCE COMPANY 20494 200 E. RANDOLPH DRIVE INSURER c: AMERICAN CASUALTY CO OF READING, PA 20427 CHICAGO IL 60601 USA INSURER D: 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. LIMITS SHOWN ARE AS REQUESTED INSR DD' pQLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS /~ GENERAL LIABILITY GL4014098989 06/01/2009 06/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1 ~~~~~~~~ CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 1,000,000 X POLICY PRO- LOC A AUT OMOBILE LIABILITY BUA4014099026 06/01/2009 06/01/2010 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY ~ q $ NON-OWNED AUTOS .-~ - ~Vl (Per accident) ~ ~~ ~ tl~V p ' PROPERTY DAMAGE s, ROW VV $ P (Per accident) GA RAGE LIABILITY fI ~ ~- '"~ AUTO ONLY - EA ACCIDENT $ ANY AUTO I --~ "ti ~ . , ;y ~~ `'t'~ OTHER THAN EA ACC $ a,Ul ~_ , , ~ 1.~,'t6t1 V ~ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY ~$51~t`l y EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC414098958 06/01/2009 06/0112010 X WC STAB T- OTH- C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ~ AZ,CO,NV,OR,~VI E.L. EACH ACCIDENT $ 1,000,000 OFFICERlMEMBER EXCLUDED? WC414098975 AOS (Mandatory in NH) WC414098961 CA E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: AON GLOBAL RISK CONSULTING, 1901 MAIN STREET, SUITE 300, IRVINE, CA 92614. CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY POLICY PER ATTACHED ENDORSEMENT CG2010 0704. I sua5ts CITY OF SANTA ANA SHOULD ANY OFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEXPIRATION ATTN: PURCHASING DEPARTMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 20 CIVIC CENTER PLAZA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SANTA ANA CA 92702-1988 USA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ,%~ ~~ pp !7 ~~ .%LiJ~c J~etice~3 ~~ ~rnti~ ./nc. AGVRD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,. ~,....,. .y...-. if...V, ,, .., .r, .. ,..n :. .(a ..F .p,a.»~xl".....+: ,,.-. .., '~:Y~ jii3i`Y`BkY~ .xo' d::i4:ae' ..ta..... x'.. .,~, aS.s,...cv>. Ifo+r.:..x.,.. ~~. .: s'eY' ti:;J `i.\`F.,•' .~i::,,. ^.:?Y<~:R:x:uSi$ii~.:3: <x<. ...R~z. ..r su. :i. ,:~. o3»wp'.~iiiixo»~x.Gw.. •~{:i:A:<~f~ . ~~: `:.' ~i s :.:4}~ .<.kos.kir .>'.Kii:~y'X. ~ - .\..T. .s~'s.~E2-r.-s~:tFa:.::5~:3~xaa~;:.~.a. ~}.;N,~ .. `i's3% >.:., r~,:~<'s:. ~fw ,.{ . k .f u.•, - :r.»~. < . ., ,:3:,,~,.~ tt:>~E£:k.....::.::«zrx:.. .. ~ .: 4....x.•~:~<a:.i:..E,..~::xo'?~srma~_rs..x •~~iSti E`:Ef:;a4.k~z;6.. .,3Ef?~£~£:`~'~...sn'-....,..3>.:.,.......,........,., .......:<.n....,......,..•... POLICY NUhN3$R IN3D'RED NAME AND ADDRE33a GL 4014048989 AON CORPORATION 200 EAST RANDOLPH ST., 14TH FL C ICAGO, IL 60601 z ~9.~,::tx. »~.a~iLfn .\,wk.... ;:}. ~'?&CtuY¢ i.~.~ u .Y .-. ..3:$>~:.:: w ... C6Yff...:::.R...•,,-rfr'~~i:~.~•. ,t+i.~w., ..FY.`%.AsS47>'i<x:<{°.lt`£`?v'•x.....'•` .`~i3.. Ar.^t':' rl... +`. .:Ccu~:S~':c .2'.c :...... :...:.os.a.:.-.,.,.uo.,.a....w.<,,.,_,.>..>. Barg.,; ax,:...,~c%H,. ~.l~i, .cn.... .. s,. ,.,t,£,a.,<:.,.:...:?~':rM. x:,, .rc ,. ~~'x>.. .;..,fir, .~ ~,'sa ,,.~Ikai ... :...~ .... ........ .......r v:,b.M~,.... •,:o:i~`::: ..... • . ~YO.`<:6, F.4 .•Ul.L7»:aL.<::Si/,?a... .........._ :..ran..,.a:5:....A..tnai:;.Y.le3?.;r:1%2>;SYi~,}S~;i.3.:::.3' .. ^:~~.. r...... .... POLICY GHANGE9 ADDITIONAL YN3URED ~ O-iNERB, L$8SEE8 OR CONTRACTORB This Change EndoraemeIIt changes the Policy. Please read it carefully. Thia Change Bndorsameat ~.e a pert of your Policy and takes effect on the effective date of your Policy, uaiesa anothez effective date is shows. COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person{s} Or Organization (s}: Location (s} Of Covered Operations ANY PERSON OR ORGANIZATION FOR WHOM YqU ARE OBLIGATED TO PROVIDE GENERAL LIABILITY INSURANCE BY A WRITTEN CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II-Who Is An Insured is amended to include as an additional insured the person(s) or organization{s} shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1, Your acts or omissions; or 2, The acts or omissions of those acting on your ba_ha 1 f ; in the performance of your ongoing operations for the additional insured (s) at the locationts) designated above_ ..~.. B, With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "Dxoperty damage" occurring after: Chelmier, 01 file Board G-56015-B {f:D. 11/91) V SeCreta