HomeMy WebLinkAboutREVENUE & COST SPECIALISTS, LLC. INSURANCE ON FILL
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0 IA- ivx) CONSULTANT AGREEMENT
CITY OF SANTA ANA
THIS AGREEMENT is made and entered into on this 23rd day of January, 2026 by and between
Revenue & Cost Specialists, LLC ("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 ("City").
RECITALS
A. The City desires to retain a Consultant having special skill and knowledge to provide
supplemental professional services related to (1) preparation of the City's five-year
Development Impact Fee (DIF) Report, and (2) additional DIF Study revisions requested
by staff.
B. Consultant 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 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 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 $40,000.00.
b. 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
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
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set forth in the Recitals which may reasonably be expected by City.
3. TERM
This Agreement shall commence on January 23, 2026 and continue for a one-year term
with the option for the City to grant up to a one-year extension, exercisable by a writing by the
City Manager and the City Attorney, 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 non-exclusive 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 Iicense 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 B.
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,j udicial or equitable relief arising out of claims for
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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.
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
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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; (e) 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 frill-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.
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. NON-DISCRIMINATION
Consultant shall not discriminate because of race,color,creed,religion, sex,marital status,
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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
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
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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 Clerk
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:
Executive Director,Public Works Agency
City of Santa Ana
20 Civic Center Plaza(M-21)
P.O. Box 1988
Santa Ana, California 92702
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To Consultant:
Gregory Brown
Vice President
Revenue & Cost Specialists, LLC
1519 E. Chapman, Suite C
Fullerton, CA 92831
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: CITY OF SANTA ANA
er L. 11 =-'` A varo Nunez
City lerk City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO CONSULTANT:
City Attorney
oe
By:
.--
Kyle Ke lesen Gregory Brawn
Assistant City Attorney Vice President
RECOMMENDED FOR APPROVAL:
�a(!r
Ro lfo Rosas,
Acting Executive Director
Public Works Agency
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EXHIBIT A
Proposal for Supplemental Services- Development Impact Fee Program
City of Santa Ana
December 1,2025
City of Santa Ana
Attn: Gabriela Lomeli,Administrative Services Manager
20 Civic Center Plaza
Santa Ana,CA 92701
Dear Gabriela:
Revenue&Cost Specialists,LLC (RCS)appreciates the continued opportunity to support the City of
Santa Ana with its Development Impact Fee (DIF) program.This letter proposes supplemental
professional services related to (1) preparation of the City's five-year Development Impact Fee
report,and (2)additional DIF Study revisions requested by staff.
This proposal is intended as an add-on to the City's existing agreement with RCS.
Scope of Services
Task 1 -Five-Year Development impact Fee Report
RCS will prepare the City's five-year Development Impact Fee report in compliance with the
Mitigation Fee Act (Gov. Code §§ 66001 and 66006). Work includes collection and reconciliation of
financial data,preparation of the draft report, revisions based on staff feedback,and delivery of the
final report.
Fee:$20,000
Task 2 -Additional 2025-2026 Development Impact Fee Study Revisions
RCS will complete an additional round of revisions to the Development Impact Fee Study based on
the latest direction from City staff.This includes review of comments,refinement of fee calculations
REVENUE COST SPECIALLISTS
1519 E. Chaim- Suite C - Fullerton, C,A,• 9283
as appropriate,updates to narrative and technical sections,and preparation of revised drafts for
City review. Prepare presentation for key stakeholders.
Fee:$20,000
Total Supplemental Services Amount
Total: $40,000
Schedule and Invoicing
Task 1 -Five-Year DIF Report: RCS will coordinate with City staff on data collection during the
winter and will deliver the draft five-year Development impact Fee report in April 2026,with the
final version issued following receipt of consolidated staff comments.
Task 2 -Additional DIF Study Revisions: RCS will provide a draft revised Development Impact
Fee Study by January 9, 2026,with a final revised version issued after receipt of consolidated staff
comments.
Invoicing
RCS will issue an invoice after January 9,2026,covering the DIF Study revisions (Tasks 2).
RCS will issue a separate invoice after April 2026 for the five-year DIF report(Task 1).
Standard payment terms apply(30 days from invoice).
Sincerely,
GREGORY BROWN
Vice President
Revenue&Cost Specialists,LLC
EXHIBIT B
Consultant shall procure and maintain for the duration of the agreement, the following insurance
coverages:
MINIMUM SCOPE AND LIMIT OF INSURANCE
Consultant shall maintain limits of insurance coverage in the following minimum amounts and
shall be at least as broad as:
• Commercial General Liability (CGL): Insurance Services Office Form CG 00 01
covering 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.
• Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1
(any auto), with combined single limits of$1,000,000. 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.
• 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, per employee, per policy for bodily injury or disease. This requirement can be
waived if Consultant has no employees.
• 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 minimums 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 insurance policies are to contain, or be endorsed to contain,the following provisions:
1. CGL and AL policies:City of Santa Ana, its City Council, its officers, officials,
employees, agents, and volunteers are to be covered as additional insureds with
respect to 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. CGL,AL, and WC policies: 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 under the terms of any policy which arise from work
performed by Consultant for City.
3. All required insurance policies: 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. All required insurance policies: 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. Each insurance policy 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.
6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa
Ana, Attention: Emily Ho, 20 Civic Center Plaza M-21 Santa Ana, CA 92701. The
name and location of the project or event should 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. City may require
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 AN11, 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 to Entity before work begins.However, failure to
obtain the required documents prior to the work beginning shall not waive the 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.
Claims Made Policies
If any of the required policies provide coverage on a claims-made basis:
1.The retroactive date must be shown and must be before the date of the contract or the
.beginning of work.
2. Insurance must be maintained and evidence of insurance must be provided for at least
three(3) years after completion of work.
3. If coverage is canceled or non-renewed, and not replaced with another claims-made policy
form with a retroactive date prior to the contract effective date, Consultant must purchase
"extended reporting" coverage for a minimum of three (3) years after completion of work.
Subcontractors
Consultant shall require and verify that all sub-contractors maintain insurance
meeting all the requirements stated herein, and Consultant shall ensure that City is
an additional insured on insurance required from subcontractors,
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.
�►�® CERTIFICATE OF LIABILITY INSURANCE E°Ax�'z��2o26'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must 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 NAME: Mary StrOhmari
Kessler Alair Insurance Services, Inc PHONE (949)931-1500 FAAX No: (909)932-2133
IAIC,No
License # OA 91387 E-MAIL DDRESS: m mstrohan@kessleralair.com
A
12487 N. Mainstreet, Ste. 240 INSURERS AFFORDING COVERAGE NA1C9
Rancho Cucamonga CA. 91739 INSURERA:Philadelphia Insurance 18058
INSURED INSURER B:Employers Preferred Ins Co 11512
Revenue & Cost Specialists, LLC INSURERC:
1519 E. Chapman Ave., Suite C INSURER D:
INSURER E:
Fullerton CA 92831-4013 INSURERF:
COVERAGES CERTIFICATE NUMBER:2025-2026 GL, XS, WC REVISION NUMBER:
THIS IS 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.
TR TYPE OFINSURANCE ALI SUBR POLICY NUMBER MM1DDfYYYY MMIDDnYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,Doe
A CLAIMS-MADE M OCCUR DAMAGE TO RENTED PREMISES 500,000
Ea occurrence $
X X PMLX20001810-05 12/31/2025 12/31/2026 MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,00
GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 3,000,000
R POLICY JET LOC PRODUCTS-COMPIOPAGG $ 2,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
ANYAUTO BODILY INJURY(Per person) $
A ALL OWNED SCHEDULED
AUTOS AUTOS eHHx20001010-05 12/33/2025 12/31/2026 e001LY INJURY(Per accident) $
H[REDAUTOS Ix
NON-OWNED PROPERTY DAMAGE $
AUTOS Par accident
x UMSRELLALIAB OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESSLIA13 X CLAIMS-MADE AGGREGATE $ 1,000,000
DFD X RETENTION$ 10,000 PHUB987768-017 12/31/2025 12/31/2026 $
WORKERS COMPENSATION STATUTE ERH
AND EMPLOYERS'LIABILITY Y i N
ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA
E.L.EACH ACCIDENT $ 1,000,000
OFFICERIMEM8 (Mandatory
EREXCLUDED7 E1G2980142-06 12/31/2025 12/31/2026 E,L,DISEASE-EA EMPLOYEE $ 1,000,000
{Mandatory in NH)
If yes,describe under
DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ 1,000,000
A Professional Liability PHSD1B49273-023 12/31/2025 12/31/2026 PerClalmLlmlt $1,000,000
$2,500 Deductible AggregateLimii $2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES{ACORD 101,Additional Remarks Schedule,maybe akached it more space Is required)
Additional Insured is City of Santa Ana Human Resources Department, its officers, officials, employees,
or volunteers, per endorsement attached, waiver of subrogation and primary & non-contributory applies per
endorsements attached.
APPROVED
CERTIFICATE HOLDER CANCELLATION [By Tu Tran Nguyen at,3:32pm,Jan29,2026
TJacobs@santa-ana.org
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS.
ATTN: Emily He
20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
Santa Ana, CA 92701
Mary Strohman/MARY C.ugnA,,
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
1NS026{201401)
Philadelphia Indemnity Insurance Company
PI-BOP-003 (01/18)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
A. SECTION Il—LIABILITY, C.Who Is An Insured is amended to include the following as an additional
insured:
Any person(s)or organization(s)for whom you are performing"your work" under a written contract or
agreement,that requires such person(s) or organization(s)to be added as an additional insured on
your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for
"bodily injury", "property damage"or"personal and advertising injury" occurring after the effective date
of such contract or agreement that is caused, in whole or in part by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on your behalf;
in the performance of"your work"for the additional insured.
Coverage for an additional insured under this endorsement ends when "your work"for that additional
insured ends or is put to its intended use by any person or organization.
B. The following is added to SECTION Il—LIABILITY, B. Exclusions, 3.Applicable To Both
Business Liability Coverage And Medical Expenses Coverage—Nuclear Energy Liability
Exclusion with respect to this endorsement only:
There is no coverage under this endorsement for loss or expense, including but not limited to the
cost of defense for"bodily injury", "property damage"or"personal and advertising injury"
occurring:
a. After all of"your work", including materials, parts or equipment furnished in connection with
"your work"and performed under the above referenced written contract(s)or agreement(s)
has ended; or
b. When that portion of"your work" out of which the"bodily injury", "property damage"or
"personal and advertising injury" arises and performed under the above referenced written
contract(s) or agreement(s) has been put to its intended use by any person or organization;
whichever occurs first.
PI-BOP-003 (01/18)
Page 1 of 1
PI-MANU-1 (01/00)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Waiver of Subrogation and Primary Non-Contributory Wording
1.Other provisions of the policy notwithstanding,this policy will be primary for all losses covered herein,and the existence of
other insurance will not serve to reduce our obligation.
2.You will have the right to waive our rights of recovery prior to a loss with respect to any party.This must be done in writing to
affect our rights.
All other terms and conditions of this Policy remain unchanged.
Philadelphia Indemnity Insurance Company
PI-BOP-012(01/18)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
HIRED AND NON-OWNED AUTO LIABILITY
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
A. Insurance is provided only for those coverages for which a specific limit or premium charge is shown
in the Declarations.
1. Hired Auto Liability
The insurance provided under SECTION II—LIABILITY, A. Coverages, 1. Business Liability;
applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired
auto" by you or your"employees" in the course of your business.
2. Non-Owned Auto Liability
The insurance provided under SECTION II —LIABILITY, A. Coverages, 1. Business Liability;
applies to "bodily injury" or "property damage" arising out of the use of any"non-owned auto" in
your business by any person other than you.
B. For insurance provided by this endorsement only:
1. The exclusions, under SECTION II —LIABILITY, B. Exclusions, 1. Applicable to Business
Liability Coverage, other than exclusions a., b., d., f. and i. and the Nuclear Energy Liability
Exclusion, are deleted and replaced by the following:
a. "Bodily injury"to:
(1) An "employee" of the insured arising out of and in the course of:
(a) Employment by the insured; or
(b) Performing duties related to the conduct of the insured's business; or
(2) The spouse, child, parent, brother or sister of that "employee" as a consequence
of Paragraph (1) above.
This exclusion applies:
(1) Whether the insured may be liable as an employer or in any other capacity; and
(2) To any obligation to share damages with or repay someone else who must pay
damages because of injury.
This exclusion does not apply to:
(1) Liability assumed by the insured under an "insured contract"; or
(2) "Bodily injury" arising out of and in the course of domestic employment by the
insured unless benefits for such injury are in whole or in part either payable or
required to be provided under any workers compensation law.
PI-BOP-012 (01/18)
Page 1 of 3
Includes copyrighted material of Insurance Services Office, Inc.,with its permission.
Philadelphia Indemnity Insurance Company
PI-BOP-012(01/18)
b. "Property damage'to:
(1) Property owned or being transported by, or rented or loaned to the insured; or
(2) Property in the care, custody or control of the insured.
2. SECTION II—LIABILITY, C.Who Is An Insured, is replaced by the following:
a. Each of the following is an insured under this endorsement to the extent set forth below:
(1) You;
(2) Any other person using a"hired auto"with your permission;
(3) For a "non-owned auto", any partner or "executive officer' of yours, but only while
such"non-owned auto" is being used in your business; and
(4) Any other person or organization, but only for their liability because of acts or omissions
of an insured under(1), (2) or(3) above.
b. None of the following is an insured:
(1) Any person engaged in the business of his or her employer for "bodily injury" to any
co-"employee" of such person injured in the course of employment, or to the spouse,
child, parent, brother or sister of that co-"employee" as a consequence of such "bodily
injury", or for any obligation to share damages with or repay someone else who must
pay damages because of the injury;
(2) Any partner or"executive officer"for any"auto"owned by such partner or officer or a
member of his or her household;
(3) Any person while employed in or otherwise engaged in duties in connection with an
"auto business", other than an "auto business" you operate;
(4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or the owner of
a "non-owned auto" or any agent or"employee" of any such owner or lessee;
(5) Any person or organization for the conduct of any current or past partnership or joint
venture that is not shown as a Named Insured in the Declarations.
3. This insurance does not apply: If you regularly deliver the good or products which you are in the
business of selling, "bodily injury" or"property damage" arising out of the delivery of those goods
or products.
4. This insurance does not apply: If you deliver any goods or products for a charge, "bodily injury" or
"property damage" arising out of the delivery of those goods or products.
C. The following additional definitions apply:
1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or
parking "autos".
2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you
lease, hire, rent or borrow from any of your "employees" or members of their households, or from
any partner or "executive officer" of yours. This DOES NOT include any "Auto" you lease for a
period of more than 30 consecutive days.
PI-BOP-012 (01/18)
Page 2 of 3
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Philadelphia Indemnity Insurance Company
PI-BOP-012 (01/18)
3. "Non-Owned Auto" means any "auto" you do not own, lease, hire, rent or borrow which is used
in connection with your business. However, if you are a partnership, a "non-owned auto" does not
include any"auto" owned by any partner.
PI-BOP-012 (01/18)
Page 3 of 3
Includes copyrighted material of Insurance Services Office, Inc.,with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06
(Ed. 4-84)
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 2 %of the California workers' compensation
premium otherwise due on such remuneration.
Schedule
Person or Organization Job Description
With respect to all employees subject to the
workers' compensation laws of the state of
California, any person or organization for whom
the Named Insured has agreed by written
contract to furnish this waiver.
This policy Is subject to a minimum charge of$250 for the issuance of waivers of subrogation
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.)
This endorsement, effective 12/31/2025 at 12:01 AM standard time, forms a part of
Policy No. EIG 2980142 06 Of the EMPLOYERS PREFERRED INS. CO.
Carrier Code 00920
Issued to REVENUE&COST SPECIALIST, LLC Endorsement No.
Premium $676
Countersigned at on B) :
Authorized Representative
WC 04 03 06
(Ed. 4-84) 01998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved.