HomeMy WebLinkAboutCONTRERAS-LEO, CYNTHIA INSURANCE NOT ON FILE N-2026-158
WORK MAY NOT PROCEED
CITY CLERK
DATE: JUL 0 6 2026
v.. c_Ko (D-Z) COUNCIL AIDE PROFESSIONAL SERVICES AGREEMENT
THIS AGREEMENT is made and entered into on this I"day of July,2026 by and between
Cynthia Aurora Contreras-Leo ("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 obtain the services of a Consultant to provide administrative,
constituent, and legislative support for a member of the Santa Ana City Council.
B. Consultant represents that Consultant is qualified to perform these services.
C. In undertaking the performance of this Agreement,Consultant represents that Consultant
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 in the field.
i
NOW THEREFORE,in consideration of the mutual and respective promises, and subject to a
the terms and conditions hereinafter set forth,the parties agree as follows:
J. SCOPE OF SERVICES
a. Consultant shall perform during the term ofthis Agreement,the tasks and obligations
including all labor, materials, tools, equipment, and incidental customary work
required to fully and adequately provide administrative, constituent, and legislative
support services for Mayor Valerie Amezeua("Couneilmembee)as provided in this
Agreement and in the Scope of Services as described in subsection b below.
b. At the direction of Councilmember, Consultant shall perform a variety of
administrative, constituent, and legislative functions and tasks, including but not
limited to, conducting complex administrative studies, researching and responding
to constituents' inquiries, drafting written communications involving strategy,
policies, and/ or procedures, coordinating assigned project activities, preparing
creative projects, and serving as a liaison,where necessary. r
c. As may be required for services performed while at City Hall,the City may provide
access to the Councilmember's office space—consistent with City procedures should
Consultant require limited access to perform services required by the
Councilmember. Consultant shall maintain a business location separate from City
and Consultant understands that such access to office space is not required by the
City but provided to the Consultant on an as-needed basis and should only be used
when City Hall is open to the public or while the Councilmember is present.
i
i
Page I of 9
l
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services
for City, the hourly pay rate of $40.00, for services rendered pursuant to this
agreement, and that monthly billing pursuant to this Agreement, shall not exceed a
total sum of five thousand dollars ($5,000) per month. Consultant agrees and
understands that no changes to this pay rate shall be made during the term of this Agreement.
The total sum to be expended under this Agreement shall not exceed$60,000 during the term
of this Agreement.
b. Consultant agrees and understands that the not-to-exceed amount, provided above,
includes reimbursement for all out-of-pocket expenses, including but not limited to,
mileage, copying costs, and mail services authorized at the sole direction of the 1
Councilzmember in connection with the performance of duties under this Agreement.
The City shall not make any separate payments for any of the above expenses,
I
C. Consultant shall submit monthly invoices to City for work performed during the
billing period. Payment by City shall be made within thirty (30) days following
receipt of proper invoice evidencing work performed, subject to City accounting
procedures. Monthly invoices shall be in substantially the form attached hereto as
Exhibit"A." !
3. TERM
This Agreement shall commence on July 1,2026, and terminate on June 30,2027,unless
terminated earlier in accordance with Section 19,below.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to he an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship,
or to allow the City to exercise discretion or control over the professional manner in which
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,
benefits, employer's social security taxes, unemployment insurance, and similar taxes relating
to employees and shall be responsible for all applicable withholding taxes. '
5. POLITICAL CAMPAIGN ACTIVITIES j
a. Consultant is prohibited from the following political campaign activities 1
while this Agreement is in place:
1) Acting as campaign treasurer/manager or a campaign consultant for any
Page 2 of 9
candidate for Santa Ana City Council or Mayor;
2) Campaigning for any candidate for Santa Ana City Council or Mayor and
at the same time,working pursuant to this agreement and/or charging the
City for the time spent campaigning pursuant to this agreement;
3) Using City equipment, supplies or resources to campaign for any
candidate for Santa Ana City Council or Mayor;
4) Accepting any campaign contributions on behalf of any candidate for
Santa Ana City Council of Mayor;
5) Campaigning while wearing any attire or logo that identifies you as a
Consultant for the City of Santa Ana;
6) Campaigning while using any City room,building, or location that
has not been specifically designated for political speech;
7) Receiving any payment or reimbursement from a campaign candidate
for Santa Ana City Council or Mayor or their campaign.account;
and/or
8) Opening a campaign conurdttee or pulling nomination papers to run as a
candidate for Santa Ana City Council or Mayor.
b. Consultant will sign the declaration attached hereto as Exhibit B
acknowledging said prohibitions.
6. PROHIBITION AGAINST APPOINTMENT TO CITY BOARD OR
CONfMISSION
Consultant is prohibited from accepting appointment or continuing with any prior
appointment to any City Board or City Commission set forth in Chapter 2 of the Santa Ana
Municipal Code while this Agreement is effective.
7. BACKGROUND CHECK
Consultant agrees to submit to a background check including,but riot limited to, a live
scan and records check to City's satisfaction. Failure to do so is grounds for termination of this
Agreement.
8. 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 license any
and all Documents &Data. Consultant makes no such representation and warranty in regard to
Page of j
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,
9. INSURANCE
Insurance requirements are attached hereto as Exhibit C.
10. 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 indemrdty 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 erects, arising
from this Agreement. The Consultant f xffier agrees to indemnify, hold harmless, and pay all G
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.
11. 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.
1.2. 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
Page 4 of 9
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.
13. 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.
I
14. CONFLICT OF INTEREST CLAUSE
a. Consultant represents that neither it nor any of its officers,partners or employees has
a financial interest, as defined in Section 87103 of the Government Code, in the
subject matter of this Agreement other than the right to receive payment from City
for services rendered.
b. Consultant agrees that it shall not make,participate in making,or in any way attempt
to use its position as consultant to influence any decision of City in which Consultant
knows, or has reason to know, that any of its officers,partners or employees has a
financial interest as defined in Section 87103 of the Government Code.
c. Consultant warrants that-neither Consultant nor any of its officers, partners or
employees,has any financial interest in any real property,building or structure within
2,500 feet of the location of any project or assignment to which this Agreement may
apply in the City of Santa Ana. Consultant agrees to disclose to City any financial I
interest in such property as may be acquired by its officers, partners or employees
during the term of this Agreement. '
d. In accordance with the City's Conflict of Interest Code, if determined by the City
Manager to be a designated position, Consultant shall file a Statement of Economic
Interests (Form 700)with the Fair Political Practices Commission.
15. NON-EXCLUSIVE
Consultant understands and agrees that this is a non-exclusive Agreement and City may
enter into other agreements with other consultants and may use any of the contractors with whom
Page 5 of 9
City has contracts and, therefore, the City cannot estimate nor guarantee the volume or amount
of work to be received by Consultant under this Agreement.
16. NON-DISCREkIINATION
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 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.
17. EXCLUSIVITY AND AMENDMENT
1
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 an
Behalf of any party,which is not embodied herein.
18. ASSIGNMENT i
i
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant maynot 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. i
19. TERMINATION I
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,Consultant may be required 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
Page 6 of 9
performance specified in the Recitals of this Agreement.
ConsuItant's term shall automatically terminate immediately if, at any time, the
Councilmember is no longer an elected member or Mayor of the Santa Ana City Council.
20. WANER
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.
21.. 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.
22. 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 j
immediately and in writing of its inability to obtain or maintain such permits, licenses, i
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
23. 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
20 Civic Center Plaza(M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Page 7 of 9
With courtesy copies to:
City Manager
City of Santa Ana
20 Civic Center Plaza(M-31)
P.O.Box 1988 f
Santa Ana,CA 92702
To Consultant:
Cynthia Aurora Contreras-Leo
i
i
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,
communicationshall 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.
24. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature heroin 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 I
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. AlI Exhibits referenced herein, if any, and attached hereto shall be incorporated �
as if fully set forth in the body of this Agreement.
f
[signatures appear on following page] '
Page 8 of 9
IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year
first above written.
ATTEST CZSANTASA ANXI
i'4
aP7���'
Alvaro Nunez
City Manager
APPROVED AS TO FORM CONSULTANT
SONIA R. CARVALHO
City Attorney
y
. - -��--
Jonathan T. Martinez C is Aurora Contreras-Lea
Assistant City Attorney
Page 9 of 9
EXHIBIT A
Monthand Year Invoice
Your Name
Street Address Invoice#:
City, ST Zip Code Agreement #:
Phone Date:
Bill To:
City of Santa Ana
20 Civic Hourly Rate:
Center Plaza Total Billable Hours:
Santa Ana, CA Amount Due:
92701
Description of Work
Date Start Time Time Out Performed Billable Hours
0.00
I i
OM
0.00
E r
a ,
0.00
8 1 i 0.00
I
: 1
0.00
0.00
f 0.00
OM
I
1+JXf BTr IE
Acknowledgment Reggrding Political Activities Prohibitions
, Cynthia Contreras ,am an independent contractor working as a Council Aide pursuant to this
s Agreement.
1. 1 acknowledge and agree that during the term of this Agreement, Twill not participate or conduct '
the following political activities:
a) Acting as campaign treasurer/manager or a campaign consultant for any candidate
for Santa Ana City Council or Mayor;
b) Campaigning for any candidate for Santa Ana City Council or Mayor and at the
same time,working pursuant to this agreement and/or,charging the City for the time
spent campaigning pursuant to this agreement;
c) Using City equipment, supplies or resources to campaign for any candidate for
Santa.Ana City Council or Mayor;
d) Accepting any campaign contributions on behalf of any candidate for Santa.Ana.
City Council of mayor;
e) Campaigning while wearing any attire or logo that identifies you as a Consultant
for the City of Santa.Ana;
f) Campaigning while using any City room,building, or location that has not been
specifically designated for political speech;
g) Receiving anypaymer t or reimbursement from a campaign candidate for Santa Ana
City Council or Mayor or their campaign account;and/or
h) Opening a campaign committee or pulling nomination papers to run as a candidate
for Santa Ana City CouncH or Mayor,
1
2. 1 acknowledge and understand that failure to abide,by any of the above prohibitions are grounds i
for immediate termination of this Agreement.
Signed this day of
Cynthia Aurora Contrerae-Loo �•... C.p p
(Name of Consultant) t ture of Consultant)
Date
Stephanie Garcia �r�crtL
(Name of Witness) ^� (Signature of Witt )
r
EXHIBIT C
Insurance Requirements
Consultant shall procure and maintain for the duration of the agreement, the following insurance
coverages:
N INEVIT. M SCOPE AND LE WIT OF INSURANCE
Consultant shall maintain limits of insurance coverage in the following minimum amounts and shall
be at least as broad as:
• Automobile Liability (AL-, Insurance Services Office Form CA 00 01 covering Code 1 an
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.
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 E
The insurance policies are to contain, or be endorsed to contain,the following provisions:
i
1. City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers
are to be covered as additional insureds on Consultant's AL policy 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. 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 the Consultant's AL policy which arise from work perforincd 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. The Certificate Holder on each Evidence of Insurance certificate shall be: City of
Santa Ana, Attention: City Manager's Office M-31 Santa Ana, CA 92701.The name
and location of 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.
i
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 ANIL 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 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. i
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 sub-contractors. '
Special Risks or Circumstances
City reserves the right to modify these requirements, including limits, based on the nature of the R
risk,prior experience,insurer, coverage,or other special circumstances.
i
GEICO, Tel: 1-800-841-3000 Declarations Page
ge
I � This is a description of your coverage.
Please retain for your records.
GEICO Protection Insurance Company
P.O. Box 509090
San Diego, CA 92150-9090
Policy Number:
Coverage Period;
01-01-26 through 07-01-26
12:01 a.m.standard time at the address of the named
insured.
Date Issued: November 27, 2025
CYNTHIA A CONTRERASLEO AND
Email Address:
Named Insured Additional Dryers
Cynthia Aurora Contrerasleo David Ramon Rodriguez
Christopher Matthew Leo
Vehicles VIN Vehicle Location Finance Company/
Lienholder
1 2014 Toyota Sequoia SANTA ANA CA 92704-6652
2 2016 Nissan Altima. SANTA ANA CA 92704-6652 SCHOOLS FIRST FC.0
3 2019 BMW X1 SANTA ANA CA 92704-6652
A Pr RO V ED
By Charlene R. Muro at 1:43 pm, Mar 05, 2026
Coverages* Limits and/or Deductibles Vehicle 'I Vehicle 2 Vehicle 3
---------------------------•-•....... ------------------------ ........--------------------------------------------------------------------------------------------------------------------------------------------.............
Bodily Injury Liability
Each Person/Each Occurrence $100,000/$300,000 $147.70 $99.90 $363.90
------------------------------ ------------------------------------ ---.----.......---..---. •---...........................------------------ ----- -- -. -.------------------------------
Property Damage Liability $50,000 $93.10 $68.20 $171.50
Uninsured& Underinsured Motorists
Each Person/Each Occurrence $100,000/$300,000 $76.80 $41.80 $148.40
--------------------------------------------
Uninsured Motorists Property Damage $3,500 $3.40 - -
- -- ---------------------------------------------------------------------------------------------------------------- ------ --------------......--------------------------
Comprehensive(Excluding Collision) $250 Ded $90.40 $41.60 $189.10
------------------------------------------------------------------------- ------------------------------- ------------------------- --------- ------------------------------------
Collision $500 DedlWaiver - $169.70 $561.30
---------------------- ----------------------------........--- ----------------
Emergency Road Service Full - - $10.40
---------------------------------------------------------------------------------
Rental Reimbursement $50 Per Day
$1,500 Max - - $32.90
Continued on Back
DEC, PAGE(03-14) (Page 1 of 4) Renewal Page 10 of 51
Coverages* Limits and/or Deductibles Vehicle 1 Vehicle 2 Vehicle 3
------------------------------ --------------------------------- -- -- . -- ...................
Six Month Premium Per Vehicle $411.40 $421.20 $1,477.50
--------------------.......--------- -
Total Six Month Premium $2,310.10
*Coverage applies where a premium or$0.00 is shown for a vehicle.
If you elect to pay your premium in installments,you may be subject to an additional fee for each installment.The fee amount
will be shown on your billing statements and is subject to change.
Discounts
Loyalty Persistency (Ail Vehicles)
Single/Multi-Car Factor (All Vehicles)
Subclass Factor(Veh 1, 2)
California Good Driver(All Vehicles)
Anti-Theft (All Vehicles)
Advanced Safety Features (Veh 1, 3)
Group Insurance Plan:
Professional Group Insurance Plan
Contract Type: A30CA
Contract Amendments: ALL VEHICLES-A30CA SIGPGCW
Unit Endorsements: UE316C(VEH 2)
Class: A-L-39MM- V (VEH 1); A-L-39MF- K(VEH 2); 0-N-04SM - R (VEH 3)
Important Policy Information
-You have elected to receive your insurance documents via electronic delivery at the electronic mail address
displayed on this Declarations Page. To change the address where you receive your policy documents, visit
geico.com or Gall 1-800-841-3000.
- No coverage is provided in Mexico.
- Reminder-Physical damage coverage will not cover loss for custom options on an owned automobile, including
equipment,furnishings or finishings including paint, if the existence of those options has not been previously reported
to us. This reminder does NOT apply in VIRGINIA, however, in Virginia coverage is limited for custom furnishings or
equipment on pick-up trucks and vans but you may purchase coverage for this equipment. Please call us at
1-800-841-3000 or visit us at geico.com if you have any questions.
- Congratulations! Your policy qualifies for the Professional Group Insurance Plan and includes a savings of$851.60.
- Subject to the policy carrying Comprehensive and/or Collision Coverage, if a non-owned auto, in operation while
leased or rented for a fee, has a Manufacturer Suggested Retail Price above$100,000, the limits of liability for loss
to the non-owned auto is the highest of the actual cash value of any awned auto shown on the Declarations
page.
Continued on Next Page
DEC_PAGE(03-14) (Page 2 of 4) Renewal Page 11 of 51
Important Policy information
- GEICO now offers a discount in California for advanced safety features factory-installed on many vehicles. Please be
sure to review each of your vehicles on geico.com or call us at 1-800-841-3000 to confirm all applicable safety
features are listed.
- For your protection, California law requires the following to appear on this form: "Any person who knowingly presents
false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is
guilty of a crime and may be subject to fines and confinement in state prison."
- Confirmation of coverage has been sent to your lienholder and/or additional insured.
- In California, you have the right to designate one person to receive notices from GEICO if your policy is about to
cancel or expire for non-payment. Your designee will not have any rights or benefits under your policy other than the
right to receive the notice or make a payment. You can change or remove the designee at any time. If you would like
to add, change or remove a designee from your policy, simply log into your account at geico.com or call us at
1-800-841-3000.
- Claims incurred while an insured vehicle is being used to carry passengers for hire may not be covered by this
contract. Please review the contract for a full list of exclusions and contact us if you plan to use any of your insured
vehicles for this purpose.
- Your policy has been adjusted to reflect that you are now insured with GEICO Protection Insurance Company.
- Please verify that the coverages you requested are accurately reflected on your Declarations Page. Visit geico.com to
review additional coverages and/or limits available to you.
- Please call our toll free number 1-800-841-3000 and provide us with the LIENHO.LDERS name and address for your
2019 BMW.
- In accordance with Section 1872.87 of the California Insurance Code, in addition to your premium, a $0.88 charge per
vehicle its assessed to fund auto insurance fraud reduction initiatives. This charge is applied once per policy term per
vehicle.
- The number of vehicles and drivers on your policy affects the calculation of your premium.
- The annual mileage figures applicable to the vehicles on your policy for the current and upcoming policy
periods are:
Vehicle Current Mileage Upcoming Mileage
2014 Toyota Sequoia 13,153 13,153
2016 Nissan Altima 4,626 2,965
2019 BMW X1 11,869 9,368
DEC—RAGE(03-14) (Page 3 of 4) Renewal Page 12 of 5
DEC—PAGE(03-14) (Page 4 of 4) Renewal Page 13 of 51
EICO
P�BQOX PROTECTION INSURANCE COMPANY
1-800-841-3000 Fredericksburg, VA 22403-9506 NAIL
17511
California Evidence of Liability Insurance
Policy Number Effective Date Expiration Date
01/01/2026 07/01/2026
Insured Cynthia A Contrerasleo View All Active Drivers
CHRISTOPHER M LEO
VIN
Year Make Model
2014 TOYOTA SEQUOIA
This policy complies with Sections 16056 or 16500.5 of the California Vehicle Code.
Evidence of financial responsibility shall at all times be carried in the vehicle. Proof of insurance
is required to register or renew the registration of your vehicle. A law enforcement officer can
ask you to prove that you have liability insurance meeting the basic requirements of California
law. A violation of these requirements can result in a fine of up to: $1,000 for the first time $2,000
for additional times. Also. a judge can have your vehicle impounded. False proof of insurance
may result in a fine up to $750 and 30 days in prison. Insurance information has already been
submitted directly to the DMV electronically, submit this document to DMV only if specifically
requested by DMV.
What to do at the time of an accident:
• Stay at the scene in a safe location to exchange information.
• If necessary, contact the police or call 911.
• Do not admit fault or reveal your coverage limits.
• Visit geico.com. to report your claim.
CITY OF SANTA ANA
Risk Management a division of Human Resources
Managing Risk through Awareness and Action
AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE
I, Cynthia Aurora Contreras—Leo (,'Representative"),attest that I am an authorized
(Name and'Title of Vendor Representative)
C nthia Aurora Contreras-Leo
representative of � ("Company„), and
(Constdtant/Compary Name)
possess the authority to legally bind Company.
In my capacity as Representative of Company, I represent and confirm the following, as relates to the
agreement between Company and City of Santa Ana,agreement number
("Agreement")to provide council aide services ("Services"):
(Services to be provided under agreementleontract)
During the course and scope of Company's agreement with the City of Santa Ana,Company will
not employ any person in any manner so as to become subject to the workers' compensation laws
of California,and agree that if Company should become subject to the workers' compensation
provisions of Section 3700 of the Labor Code,Company shall forthwith comply with the
provisions and provide proof of workers' compensation coverage immediately.
If at any time it is found that Company is not adhering to any and/or all of the statements in this
document and does not maintain the minimum professional liability insurance coverage as
required in the Agreement, it will be considered a breach of Agreement rendering the Agreement
null and void and Company will be fully liable for any and all damages.
2/24/2026
��£stipBal��§ti?4�f2�A7€4r 3T}
Signature Date
Cynthia Aurora Contreras-Leo
Print Name
Consultant
Title
Contact Information.i.e_Telephone Number and/or Email Address
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSANT DOLLARS($100,000).IN ADDITION TO THE COST OF
COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST,AND ATTORNEWS FEES.
Affidavit of Exemption for workers'Compensation insurance 11.12.2024