HomeMy WebLinkAboutIRVINE VALLEY VETERINARY HOSPITAL �r , N-2026-051
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DFI! HAR 10 2026
o.. ?D (m) AGREEMENT WITH IRVINE VALLEY VETERINARY HOSPITAL
M0AV5Urenson(D2) FOR EMERGENCY VETERINARY SERVICES
THIS AGREEMENT is made and entered into on this 29' day of January, 2026 by and between
Irvine Valley Veterinary Hospital, Inc., a California corporation ("Provider" or "Consultant" or
"IVVH"), 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 ("City" or"Client").
RECITALS
A. The City desires to retain a Provider having special skill and knowledge in the field of:
emergency veterinary services.
B. Provider represents that it is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth,the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform during the term of this Agreement, the tasks and obligations
including all labor, materials, tools, equipment, and incidental customary work required to fully
and adequately complete the services described and set forth in Scope and Manner of Services
attached hereto as Exhibit A and incorporated by reference.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services for
City, the rates and charges identified in Exhibit A. The total amount to be expended
during the term of this Agreement shall not exceed $49,000.
b. City shall compensate Provider for all services rendered per the attached Exhibit B.
Costs for past services defined in Exhibit B shall not exceed$10,571.37. This amount
is included as part of the not-to-exceed amount defined in Section 2.a. above and is not
provided in addition to the amount above. Provider agrees and understands Exhibit B
covers all past due services owed by the City and that any increase to the not-to-exceed
amount above may be done by way of an amendment to this Agreement. Said
amendment may be subject to approval by the City Council for the City of Santa Ana.
c. Payment by City shall be made within forty-five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. City and
Consultant agree that all payments due and owing under this Agreement shall be made
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through Automated Clearing House (ACH)transfers. Consultant agrees to execute the
City's standard ACH Vendor Payment Authorization and provide required
documentation. Upon verification of the data provided, the City will be authorized to
deposit payments directly into Consultant's account(s) with financial institutions.
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 through June 30, 2028,
unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent Consultant 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 and shall be
responsible for all applicable withholding taxes.
5. OWNERSHIP OF MATERIALS
This Agreement creates a nonexclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes,which are prepared or
caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant
shall require all subcontractors to agree in writing that City is granted a non-exclusive and
perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Consultant represents and warrants that Consultant has the legal right to license any and all
Documents & Data. Consultant makes no such representation and warranty in regard to
Documents & Data which were provided to Consultant by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
G. INSURANCE
Insurance requirements are attached hereto as Exhibit C.
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7. INDEMNIFICATION
Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers,
agents,employees, contractors, 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 death, and claims for property damage, which may arise from the
negligent operations of the Consultant, its subcontractors, agents, employees, or other persons
acting on its 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.Notwithstanding the foregoing,
to the extent Consultant's services are subject to Civil Code Section 2782,8, the above indemnity
shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of,
pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Consultant shall defend and indemnify the City, its officers, agents, representatives, and
employees against any and all liability, including costs, for infringement of any United States'
letters patent,trademark,or copyright infringement, including costs,contained in the work product
or documents provided by Consultant to the City pursuant to this Agreement.
9. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed
under this Agreement. Consultant shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Consultant under this Agreement. All such records and
invoices shall be clearly identifiable. Consultant shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all
work, data, documents, proceedings, and activities related to this Agreement for a period of three
(3) years from the date of final payment to Consultant under this Agreement.
Page 3 of 8
10. 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.
11. CONFLICT OF INTEREST CLAUSE
a. 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.
b. No immediate family members of either the Mayor, City Council Member, or any
appointed City Official, including appointed board and commission members, as
defined under the City's Municipal Code, whose position with the City shall award or
influence the award of this Agreement, or any competing contract or amendment
thereof, shall be employed in any capacity by the Consultant or have any other direct
or indirect financial benefit or interest in this Agreement.
c. The section also prohibits the awarding of any agreement, contract, grant, or any
amendment to those awards,to any former full-time employee for one-year from date
of employee separation except for any CalPERS retiree as authorized by City Council
resolution
d. The Consultant must comply with all conflict of interest laws, ordinances, and
regulations now in effect or hereafter to be enacted during the term of this Agreement.
The Consultant warrants that it is not now aware of any facts which conflict with the
prohibitions defined above. If the Consultant hereafter becomes aware of any facts that
might reasonably be expected to create a conflict of interest, it must immediately make
full written disclosure of such facts to the City. Full written disclosure must include,
but is not limited to, identification of all persons implicated and a complete description
of all relevant circumstances. Failure to comply with the provisions of this paragraph
will be a material breach of this Agreement.
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e. Consultant covenants that none of its directors, officers, employees, or agents shall
participate in selecting or administrating any subcontract supported(in whole or in part)
by City funds stemming from the Agreement where the awarding of the subcontract
has any direct or indirect financial benefit or interest to any individual, as defined in
subsections (b) and (c) above.
12. NONDISCRIMINATION
Consultant shall not discriminate because of race, color,creed,religion,sex,marital status,
sexual orientation, gender identity, gender expression, gender, medical conditions, genetic
information, or military and veteran status, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization,
promotion, termination or other employment related activities or any services provided under this
Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
13. 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 or 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 is not embodied herein.
14. 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.
15. 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(s) completed as of such date, and in such case
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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.
16. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or
granted by the provisions of this Agreement shall be effective unless it is in writing and signed by
the party waiving the breach, failure,right or remedy.No waiver of any breach, failure or right, or
remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not
similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
17. 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.
18. 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.
19. 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 fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City:
City Cleric
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax: 714- 647-6956
Page 6 of 8
With courtesy copies to:
Chief of Police
City of Santa Ana
60 Civic Center Plaza
Santa Ana, California 92702
To Consultant:
Irvine Valley Veterinary Hospital, Inc.
Attn: Yennine Hernandez, Finance Manager
14980 Sand Canyon Ave.
Irvine CA 92618
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 fax, 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.
20. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below 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.
[signature page to follow]
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IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first
above written.
ATTEST: CITZOANT7A A
61-
]en fer L. 11 '' Ivaro Nunez
City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO PROVIDER;
City Attorney
By:
Tamara Bogosian
Senior Assistant City Attorney Tit
RECOMMENDED FOR APPROVAL:
�a L�L
Robert Rodriguez
Chief of Police
Page 8 of 8
EXHIBIT A
SCOPE AND MANNER OF SERVICES
#2150729vl
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IRVINE VALLEY
'1LILP;NAi?7 1-1 I)"P T -
EXHIBIT A
Scope and Manner of Services
The Irvine Valley Veterinary Hospital is to provide emergency veterinary triage services for dogs and cats
only found within the city of Santa Ana and presented to The Provider by an Animal Service or Santa Ana
Police Officer.These services will be offered at a standard flat fee.
FLAT RATE SERVICE:$250
Examples of services that will be provided for the standard fee include, but are not limited to:
Physical exam
SCQ Fluids
Mild wound care
Mild sedation
Bandaging/Splinting
Pain control
Nursing care
FLAT RATE SERVICE FOR EUTHANASIA:$150
FLAT RATE SERVICE FOR TRANSPORTATION:$125
An additional transportation rate from the hospital to the Orange County Animal Care Shelter will cost
$125 at the request of the Animal Service Manager.
FLAT RATE SERVICE FOR ADDITIONAL BOARDING:$80
Examples of services that are NOT included in the standard fee:
Diagnostic blood/urine sampling
Radiographs
Ultrasound
IV Catheter/IV Fluid therapy
Hospitalization
Surgical procedures
* 14980 SAND CANYON AVENUE,IRVINE CA 92618 * (949)552-5200 * www.irvinevalleyvet.com
* 14980 SANG CANYON AVENUE,IRVINE CA 02618 * (949)652-6200 :r. www.irvinevalleyvet.com *
The expectation is that IVVH is to provide only emergency services and pain control after-hours and any
follow up care Is to be provided by licensed veterinarians at the shelter. All cases seen will be provided
with written copies of the medical record at discharge. If the animal requires more extensive treatment
beyond what Is Included in the standard fee, IVVI-I will make contact with the Animal Service Manager
for consent.
The Provider will not provide services for wildlife,or any species other than dogs or cats,with the
exception of euthanasia.The Provider will provide euthanasia services for wildlife at the request of the
Client.If the doctor on duty assesses that the wildlife animal does not require euthanasia,the Client will
transport the w€idlife to another facility.
The Provider will examine all animals on a triage basis.The most critical animals will be examined and
treated first. No preference will be given to animals presented by the Client or animals that are clients of
the Provider with regards to exam priority. If there are more critical patients waiting to be examined
when the Client presents an animal,the Client may leave the animal with the Provider until such time as
it can be examined.
No traps, cages,carriers,or other equipment belonging to the Client will be left with the Provider for
storage.
The provider shall not provide services to good samaritans, only Animal Control officers and police
officers may bring in a pet for treatment under the 5A AC account.All others will be treated as regular
clients.
EXHIBIT B
PRIOR SERVICES AND COSTS
421507290
Exhibit B
Invoice Date Invoice
Invoice# Invoice Rec'd Patient Dame
(check out) Amount
78691 07/07/25 $ 160.29 11/19/2025 homeless cat
80513 07/26/25 $ 67.24 11/19/2025 kitten
80863 07/31/25 $ 3,167.30 11/19/2025 max
81066 08/04/25 $ 229.39 11/19/2025 stray dog
82810 08/25/25 $ 196.53 11/19/2025 kitten
82989 08/26/25 $ 223.58 11/19/2025 kitten
83400 08/29/25 $ 228.07 11/19/2025 stray 3 - no id yet
83305 08/29/25 $ 257.46 11/19/2025 kitten hatz
83398 08/30/25 $ 67.24 11/19/2025 stary 1-diluted orange
83419 08/30/25 $ 67.24 11/19/2025 stray 2-orange
83419 08/30/25 $ 67.24 11/19/2025 stray 4 kitten dark orange
84045 09/05/25 $ 67.24 11/19/2025 black kitten 1-blackest(moyao 3727)
84046 09/05/25 $ 67.24 11/19/2025 black kitten 2- phat head (moyao 3727)
84047 09/05/25 $ 67.24 11/19/2025 gray/white neck kitten 3 (moyao 3727)
84048 09/05/25 $ 67.24 11/19/2025 gray kitten 4(moyao 3727)
84049 09/05/25 $ 67.24 11/19/2025 gray/white belly kitten 5(moyao 3727)
84138 09/07/25 $ 723.12 11/19/2025 unknown
84468 09/09/25 $ 285.39 11/19/2025 orange cat
86597 09/27/25 $ 94.47 11/19/2025 stray-no id yet
86067 09/28/25 $ 271.03 11/19/2025 unkown mix
87579 10/05/25 $ 583.83 11/19/2025 white/black
89658 10/24/25 $ 20.29 11/19/2025 kitty
90263 10/31/25 $ 177.96 11/19/2025 stray cat
91176 11/04/25 $ 285.39 11/19/2025 injured cat
91043 11/06/25 $ 1,293.84 11/19/2025 dog
91408 11/13/25 $ 68.57 11/19/2025 stray cat
92274 11/13/25 $ 185.68 11/19/2025 stray cat
92298 11/14/25 $ 111.23 11/19/2025 stray tuxedo kitty
93096 11/23/25 $ 228.95 1/13/2026 black cat
93805 11/27/26 $ 64.34 1/13/2026 Velma (black pitty)
93912 11/29/25 $ 101.57 1/13/2026 stray cat
95366 12/12/25 $ 68.57 1/13/2026 stray dog
95760 12/17/25 $ 67.24 1/13/2026 stray dog
96341 12/21/25 $ 185.81 1/13/2026 dog
96619 12/26/25 $ 230.07 1/13/2026 stray husky
97119 12/29/25 $ 241.12 1/13/2026 poodle
98242 01/07/26 $ 190.42 1/13/2026 stray orange gutter
100314 01/28/26 $ 24.70 1/30/2026 Blacky
$ 10,571.37 38 invoices
EXHIBIT C
INSURANCE REQUIREMENTS
#2150729v1
Exhibit C—Insurance Requirements
Prior to undertaking performance of work under this Agreement, Consultant shall maintain and
shall require any subcontractors to obtain and maintain insurance as described below for the entire
Term of this Agreement against claims for injuries to persons or damage to property which may
arise from or in connection with services, products and materials supplied to City. Total cost of
such insurance shall be borne by Consultant.
MINIMUM SCOPE AND LIMIT OF INSURANCE
I. Commercial General Liability (CGL): Insurance Services Office Form CG 00
01covering CGL on an "occurrence" basis, including products and completed operations,
property damage, bodily injury and personal & advertising injury with limits no less than
$1,000,000 per occurrence and $2,000,000 aggregate, Required policy limits can be met
with primary and umbrella/excess insurance policies.
2. Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1
(any auto), with limits no less than $1,000,000 combined single limits. In the event
Consultant does not maintain commercial automobile liability insurance, City will accept
evidence of personal automobile insurance, provided that such policy is endorsed for
business use and provides coverage with a minimum limit of$1,000,000. Required policy
limits can be met with primary and umbrella/excess insurance policies.
3. Workers' Compensation (WC): as required by the State of California, with Statutory
Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per
accident, policy or employee, for bodily injury or disease. Coverage is not required if
Consultant has no employees and signs request to waive such insurance.
4. Professional Liability (PL): with limits no less than $1,000,000 per occurrence or claim,
and $2,000,000 aggregate.
If Consultant maintains broader coverage and/or higher limits than the minimum requirements for
each line of coverage shown above, City requires and shall be entitled to the broader coverage
and/or the higher limits maintained by Consultant. Any available insurance proceeds in excess of
the specified minimum limits of insurance and coverage shall be available to City.
Other Insurance Provisions
The above required insurance policies are to contain or be endorsed to contain the following
provisions:
1. City, its City Council, its officers, officials, employees, agents, and volunteers are to be
covered as additional insureds, under Consultant's CGL and AL policies, with respect to
any liability arising out of work or operations performed by or on behalf of the Consultant
including materials, parts, equipment, and personnel furnished in connection with such
work or operations.
2. Consultant's Insurance company(ies)agrees to waive all rights of subrogation against City,
its City Council, its officers, officials, employees, agents, and volunteers for losses paid
Exhibit C—Insurance Requirements
under the terms of Consultant's CGL, AL, and WC policies which arise from work
performed by Consultant under this Agreement.
3. For any claims related to this contract, Consultant's insurance coverage shall be primary
and any insurance maintained by City, its City Council, its officers, officials, employees,
agents, or volunteers shall not contribute with it.
4. A severability of interest provision must apply for all the additional insureds,ensuring that
Consultant's insurance shall apply separately to each insured against whom a claim is made
or suit is brought, except with respect to the insurer's limits of liability.
5. Insurance policies required herein shall provide that coverage shall not be canceled,
suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or
materially changed except after thirty(30)days prior written notice has been given to City.
Ten (10) days prior written notice shall be provided to City for policy cancellation or non-
renewal due to non-payment of premium.
6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana,
Attention: Santa Ana Police Department, 60 Civic Center Plaza, Santa Ana, CA 92701.
The name and location of project must be included in the Description of Operations section
of each certificate.
Self-Insured Retentions
Self-insured retentions must be declared to and approved by the City. The City may require the
Consultant to purchase coverage with a lower retention or provide proof of ability to pay losses
and related investigations, claim administration, and defense expenses within the retention.
Acceptability of Insurers
Insurance is to be placed with insurers authorized to conduct business in the State of California
with a current A.M.Best rating of no less than A:V1I, unless otherwise acceptable to City.
Verification of Coverage
Consultant shall furnish City with original Certificates of Insurance including all required
amendatory endorsements(or copies of the applicable policy language effecting coverage required
by this clause)and a copy of the Declarations and Endorsement Page of the CGL policy listing all
policy endorsements before work begins. However, failure to obtain the required documents prior
to the work beginning shall not waive Consultant's obligation to provide them.
City reserves the right to require complete, certified copies of all required insurance policies,
including endorsements required by these specifications, at any time.
Special Risks or Circumstances
City reserves the right to modify these requirements, including limits, based on the nature of the
risk,prior experience, insurer, coverage, or other special circumstances.
RC44511
AC Rom'® 1 CERTIFICATE OF LIABILITY INSURANCE DATE11(MMfDDIYYYYJ
312 02 6
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
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).
PRODUCER CONTACT
NAME:
Safehold Special Risk, Inc,(916)589-8000 PHONE FAX
AIC No Ext: (AIC,No:
In California,Safehold Special Risk&Insurance Services,lnc.#OG13561 EMAIL
ADDRESS:
10940 White Rock Road,2nd Floor INSURER(S)AFFORDING COVERAGE NAIC#
Rancho Cordova,CA 95670-6076 INSURERA: National General Insurance Company 23728
INSURED INSURER B: Nationwide Mutual Insurance Company 23787
Irvine Valley Veterinary Hospital INSURERC: Technology Insurance Company 42376
14980 Sand Canyon Ave INSURER D:
INSURER E:
Irvine,CA 92618
_1 INSURER F:
COVERAGES CERTIFICATE NUMBER: 16019364 REVISION NUMBER: See below
THIS 1S TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
XCOMMERCIAL GENERAL LIABILITY EACH OCoA
IU=CURRENCE S 1,000,000
A X ACPBP013201950140 05115/2025 0511512D26
CLAIMS-MADE Ix I OCCUR PREMISES Ea occur ence S 30o,D0o
MEO EXP(Any one person) S 5,000
I
PERSONAL&ADV INJURY S 1,Oo0,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000,000
POLICY PRO PRODUCTS-COMPIOPAGG S 2,000,000
JECT LOC
OTHER: S
A AUTOMOBILE LIABILITY X ACPBPO13201950140 05/15/2025 05/15/2026 CO ccl nt SINGLE LIb11T
a acci S 1,DOo,QOo
E d een
ANY AUTO BODILY INJURY(Per person) 5
OWNFO SCHEDULE4 AUTOS ONLY AUTOS BODILY INJU ld RY(Per arcem) S
x HIRED X NON-OWNED PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY Per acciderrl
S
B x UMBRELLALIAB H OCCUR ACPCU013201950140 05/15/2025 05115/2026 EACHoccuRRSNCE S $1oao,oca
EXCESS LIAB CLAIMS-MADE AGGREGATE S S1,000.000
DED RETENTION$ S
G AND EMPLOYERS COMPENSATIONREMPLOYERS'
LIILIT X KWC1416494 10/15/2025 10/1,912026 X STATUTE ER"
AND EMPLOYERS'LIABILITY Y 1 N
ANYPROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT S 1,000,000
OFFICERIMEMBER EXCLUDED? N I A
(Mandatory in NH) EL-DISEASE-EA EMPLOYEE S 1,000,000
If yes,describe under 1,OOo,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
B Professional Liability ACPBP013201950140 05115/2025 05/1512026 $1,000,000 Per Occurrence
$3,000,000 Aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate holder is named as Additional Insured per the attached endorsement.Primary Wording and Waiver of Subrogation applies per attached
endorsement
Digitally signed
Tu Tran by Tunan
Nguyen
Nguyen 1 5152-05'0 APPROVED
By Tu Tran Nguyen at 2:51 pm,Jan 13,2026
CERTIFICATE HOLDER CANCELLATION
City of Santa Ana,its officers,officials,employees and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana,CA 92702
AUTHORIZED REPRESENTATIVE
The ACORD name and logo are registered marks of ACORD ®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03)
(Th,s c ff le replaces ceNfi-b,ft 16019139 issued on 11119Q025)
BUSINESSOWNERS
PB60720711
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
AMENDMENT TO OTHER INSURANCE CLAUSE FOR
ADDITIONAL INSUREDS - PRIMARY AND NON-
CONTRIBUTORY WHEN REQUIRED IN A WRITTEN
AGREEMENT OR CONTRACT WITH YOU
This endorsement modifies insurance provided under the following:
PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS
Only with respect to any additional insured, in the COMMON POLICY CONDITIONS,form PB 00 09, under
condition H. OTHER INSURANCE, paragraph 2.a, is replaced by the following:
H. OTHER INSURANCE
2. Under any liability coverage provided by this policy,
a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional
insured under another policy, our obligations are limited as follows:
(1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a
loss covered by this policy, then this insurance provided by us shall be excess over such other
insurance, unless you have agreed in a written contract or written agreement signed prior to the
loss that this insurance shall be primary:
(a) Then this insurance is primary. If other insurance is also primary, we will share with all that
other insurance as described in d, below; and
(b) The coverage afforded by this insurance is non-contributory with the additional insured's own
insurance.
Paragraphs (a)and (b) do not apply to other insurance to which the additional insured has been
added as an additional insured to any other person or organization's policy; or
(2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then
only the highest applicable Limit of Insurance shall apply to such loss.This condition does not
apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance.
All terms and conditions of this policy apply unless modified by this endorsement.
PB 60 72 07 11 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1
SUSINESSOWNERS
1313 04 97 07 07
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS
SCHEDULE
Name Of Person Or Organization:
CITY OF SANTA ANA
In condition K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US,under paragraph 2.
Applicable to Businessowners Liability Coverage,the following paragraph Is added:
We waive any right of recovery we may have against the person or organization shown in the Schedule above
because of payments we make for injury or damage arising out of your ongoing operations or"your work"done
under a contract with that person or organization and included in the"products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule above.
All terms and conditions of this policy apply unless modified by this endorsement.
PB 04 97 07 07 Includes copyrighted material of Insurance Services Office,Inc.,with its permisslon. Page 1 of 1
BUSINESSOWNERS
PB 04 4811 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED DESIGNATED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM
A. The following is added to Section It.WHO IS AN INSURED:
Any person or organization shown in the Schedule of this endorsement is also an insured, but only with
respect to liability for"bodily injury","property damage"or"personal and advertising injury"caused, in whole
or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in the
performance of your ongoing operations or in connection with your premises owned by or rented to you.
HOWEVER:
1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and
2. if coverage provided to the additional insured is required by a contractor agreement,the insurance
afforded to such additional insured will not be broader than that which you are required by the contract or
agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds,the following is added to Section III.
LIMITS OF INSURANCE AND DEDUCTIBLE,:
If coverage provided to the additional Insured is required by a contract or agreement,the most we will pay on
behalf of the additional insured is the amount of insurance:
1, Required by the contract or agreement; or
2. Available under the applicable Limits Of Insurance shown in the Declarations; whichever is less.
This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations.
C. This insurance, including any duty we have to defend"suits", does not apply to:
1. "Bodily injury"or"property damage"that arises out of, in whole or in part, or is a result of, in whole or in
part,the active negligence of the additional insured shown in the Schedule of this endorsement.
2. "Personal and advertising injury"that arises out of any independent"personal and advertising injury"'
offense committed by the additional insured shown in the Schedule of this endorsement.
All terms and conditions of this policy apply unless modified by this endorsement.
SCHEDULE
Name Of Person Or Organization:
CITY OF SANTA ANA IT'S OFFICERS, OFFICIALS, EMPLOYEES AND VOLUNTEERS
20 CIVIC CENTER PLAZA SANTA ANA
SANTA ANA, CA 92702
PB 04 48 11 14 Includes copyrighted mate6al of Insurance Services Office,Inc.,with Its permisslon. Page 1 of 1
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06
(Ed.04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right
against the person or organization named in the Schedule, (This agreement applies only to the extent that you perform work under
a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 5%of the California workers'compensation premium otherwise due on such
remuneration.
Schedule
Person or Organization Job Description
City of Santa Ana,it's officers,offcers,employees and Per Written Contract
volunteers
20 Civic Center Plaza
Santa Ana CA 92702
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below Is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 10/15/2025 Policy No. KWC1416494 Endorsement No, 1
Insured Irvine Valley Veterinary Hospital, Inc.
Insurance Company AmTrust Insurance Company
Countersigned by
WC 04 03 06
(Ed. 04-84)