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HomeMy WebLinkAboutTOWNSEND PUBLIC AFFAIRS (2012) - EXPIREDA-2011-275 {? - ?>C% - 1 CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this 19`h day of December, 2011 by and between Townsend Public Affairs, Inc., a California corporation (hereinafter "Consultant"), and the City of Santa L% Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of government lobbying. B. Consultant represents that Consultant 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 lobbying services on behalf of the City, as set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, $4,166 per month, including expenses. The total sum to be expended under this Agreement shall not exceed $25,000 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on January 1, 2012 and terminate on June 30, 2012, unless terminated earlier in accordance with Section 12, below. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create 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. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. b. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. this section: The following requirements apply to the insurance to be provided by Consultant pursuant to (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability 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 direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential 2 information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile 714-647-6956 With courtesy copy to: City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile 714-647-6515 To Consultant: Townsend Public Affairs, Inc. 2699 White Road, Suite 251 Irvine, CA 92614 Telefacsimile 949-476-8215 Attn: Christopher Townsend A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by either party 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. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by 4 the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: C? yam:- ? ? ,.-- MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: By: t f"t9 /,/ Laura'Sheedy Assistant City Attorney CITY OF SANTA ANA PAUL M. WALTERS Interim City Manager AFFAIRS, INC. President Tax ID# D-192-9266- 5 EXHIBIT A OBLIGATIONS OF TOWNSEND PUBLIC AFFAIRS INC. A. Townsend Public Affairs will represent the City of Santa Ana in Sacramento. B. The Consultant will confer with the City Manager and such other City personnel as the City Manager may designate at times and places mutually agreed to by the City Manager and Sacramento Representative on all organizational planning and program activity which has a bearing on the ability of the City to make the best use of state programs. C. Consultant will review state proposals, legislation under consideration, proposed and adopted administrative rules and regulations and other Sacramento developments for the purpose of advising the City of those items which may have a bearing on City policy or programs. D. Consultant will secure and furnish such detailed information as may be available on state issues in which the City indicates an interest. E. Consultant will review and comment on legislative proposals and grant applications of the City which are being prepared for submission to state agencies when requested to do so by the City. F. Consultant will maintain liaison with the City's state legislative delegation and other appropriate state legislators, including the Governor and legislative leadership, and will assist the delegation in any matter which the City determines to be in its best interest in the same manner as any other member of the City's administrative staff might render assistance. G. Consultant will counsel with the City regarding appearance by City personnel before legislative committees and administrative agencies and will arrange for appointments and accommodations for City personnel as necessary. H. Consultant will contact state agencies on the City's behalf when City applications are under consideration by such agencies, facilitate provision of additional information from the City, resolve potential concerns, provide guidance to the City, and otherwise take whatever steps appear to be necessary to obtain the most favorable consideration of such applications. 1. Consultant will support City efforts related to federal appropriations and other initiatives requiring outreach to local and regional agencies. 6 AC Rn CERTIFICATE OF LIABILITY INSURANCE DATE JMM/D DNYYY) 08/30/1 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 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 Michelle Henricks NAME: Unique Risk Mgmt Ins. Svrs, LLC PHONE (949) 305-5577 aC No : (949) 305-5077 2 South Pointe Drive, #135 LE S S: michelle@uniquerisk.com Lake Forest, CA 92630 INSURER(S) AFFORDING COVERAGE NAIC # Phone (949) 305-5577 Fax (949) 305-5077 INSURERA: Zurich INSURED INSURER B : Townsend Public Affairs Inc INSURER C : 2699 White Road #251 INSURER D : INSURER E : Irvine, CA 92614 949 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADD INSRI UBR WVD I POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000.00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 2,000,000.00 $ CLAIMS-MADE Li OCCUR PAS04896041 MED EXP (Any one person $ 10,000.00 A 08131!2011 08131!2012 PERSONAL & ADV INJURY $ 0.00 GENERAL AGGREGATE $ 4,000,000.00 GEEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000.00 I U POLICY ',_'' PRO 'J LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 000000.00 ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED - SCHEDULED AUTOS _ AUTOS PAS04896041 08/31/2011 08/31/2012 BODILY INJURY (Per accident $ NON-OWNED HIRED AUTOS d, AUTOS PROPERTY DAMAGE Per accident $ ? $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ J DIED a RETENTION $ ( $ WORKERS COMPENSATION RS U OH AND EMPLOYERS' LIABILITY Y I N TORY ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Employment Practices Insurance PAS04896041 08/31/2011 08/31/2012 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1988 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92707 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD ACORDm CERTIFICATE OF LIABILITY INSURANCE 7/31/2011Y' PRODUCER (714)536-6086 FAX: (714)536-4054 Bannister & Associates Insurance Agency Inc. License #0691071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 305 17th Street Huntington Beach CA 92648-4209 INSURERS AFFORDING COVERAGE NAIC4 INSURED INSUPEP A Axis S lus Insurance Townsend Public Affairs, Inc. INSUPEPB 2699 White Road, Suite 251 INSLRER C INShPER D Irvine CA 92614 NSUPEPE rnVFR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I NSR ADD'L POLICY E POLICY LTR I SR TYPE OF INSURANCE POLICY NUMBER MWDDIYY DATE MMIODNY) LIMITS GENERAL LIABILITY EACH OC?UPPENCE '-'A' GETS:) REfJTED LOtv1 P4 EPCIA,L :-ENEAL LIABILITY PREMISES fEa ?CSU rreneel 5 - CL.? IMS VADE F 1 00=IJP MED EAP !Ana one person) PEP.SON,AL a AC,! IN,AJF"( SENEPAL AGGREGATE -- ;: E6.N'E LIMIIT ,PPLIES PER PP.GDL CTS - C L1 IP Or' A:,T ' 7 [7 P CT POLIC." L:D .? JT AUT OMOBILE LIABILITY .:O NIBIM1JED SIruSLE! MIT ?E.3 3,::A nti AN.- A, IT., "LL P %1' LL ?I- TI-, E,DIL-r' II' jLP, SCHEDULE zUTS Per person; H I PE- ,41T: BODIL'' IPd.KIR = Per acad?rt N-? r;-r, ?PdGEG ALT' r - 11 PROPERT, DAP;1AFE GARAGE LIABILITY =.UTC ONL'r'-E,°.. A.CC1C?6`dr AN AUT- srH_P rHAr, eAAa- j ; a ' AUT._ oraLr . L ll -.c a _ EXCESS/UMBRELLA LIABILITY , EACH L _!,IPREPJi?? s _ ?_? L:a.I ?,I' NIAEE V I ? r"y - :A iC y f{ .l DEC! '=TI ELE f - RETEfdTb;I! . WORKERS COMPENSATION AND ' ZT'J ; ??E TGR"" LIMIIT n EMPLOYERS LIABILITY 4,? '10PRIET=F -SFT'.IE E`-?'TN- E L A,-H 4CCIDEr1T OFFh EF I`?IEMtEEP .,-LHEEL- E L TSETSE-E.PEMPL'S`rEE s If've5, de-CYlbe Ln Jar SPEC TL 'PL a -1 eland E L DISEASE- P . LPC'r _I',IIT B OTHER Professional ECN000036191101 7/31/2011 7/31/2012 Limit (wrongful act) : $1,000,000 Liability Limit (total limit) : $1,000,000 Retention: $5,000/act DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 10-day notice of cancellation for non-payment/this notice will be sent in the event of company election. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attention : Alma Flores 30 PO Box 1988 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Santa Ana , CA 927 07 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE P.lchar _I Hiq Jiri5 ' RIC H ACORD 25 (2001108) INS025 r,Ioa o- ,tl ACORD CORPORATION 1988 Page 1,,f - IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INS025 ;o ups ora Page ? )r 2 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/19/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CFRTIFICATF HOI r)FR 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 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 CompuPay Insurance Services, Inc. P ONE FAX 800-807-0598x306 30 A/C No 5-675-8141, E?N°E>a: 1601 Belvedere Road, Suite 105S ADDRESS: WC@ compupay. com West Palm Beach, FL 33406 INSURER(S) AFFORDING COVERAGE NAICa INSURER A : TRAVELERS INSURED Townsend Public Affairs, Inc. INSURER B: INSURER C : 2699 White Rd. #251 INSURER D: Irvine, CA 92614 INSURER E: (949) 399-9050 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR ViVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ER cOMMERCIAL GE 7 N AL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE CI OCCUR ? - MED EXP (Any one person) $ PERSONAL & ADV INJURY $ I GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER - PRODUCTS - COMP/OP AGG $ PRO- F POLICY JE ? C LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) 1 $ ANYAUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED I AUTOS BODILY INJURY (Per accident) ) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ f I UMBRELLA LiAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- X AND EMPLOYERS' LIABILITY TORY LIMITS ER A ANY PROPRIETORIPARTNER/EXECUTIVE YIN I? OFFICER/MEMBER EXCLUDED? I N/A UB113 6X53 9 1/l/12 1/l/13 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) II-- ib If d d E.L. DISEASE - EA EMPLOYE $ 1,000,000 escr yes, e un er DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 00 0 , 0 0 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional A ul i ore 9t4re is required) WAIVER OF SUBROGATION IS ATTACHED I CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 1988 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92707 ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED R SENTA ACORD 25 (2010/05) v ©1988-2010 ACOkP-160RPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TRAVELERS/?? WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: (IJUB-1136X53-9-12) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be .02 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED IN A WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS TO PROVIDE THIS WAIVER. 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 Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 11-17-11 ST ASSIGN: Page 1 of 1