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HomeMy WebLinkAboutR.B. WELDING INC. 2 - 2012???? ? ? N-20'12-096 ?61?EI?Ic ®? P.?U?IP.??. ??= AUG1?2012 ?, ?w J??i\ AGREEMENT FOR PROVISION OF ON-CALL SERVICES hUa?? ) THIS AGREEMENT, made and entered into this 2"d day of July, 2012 by and between R. ?(?QS B. Welding, Inc., a California corporation (hereinafter "Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of welding and steel fabrication. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor 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: SCOPE OF SERVICES Contractor shall perform welding and steel fabrication services on an on-call basis for the City's Water Resources Agency. Contractor may be requested to provide Shielded Metal Arc, Gas Tungsten Arc, Gas Metal Arc and Oxygen and Arc Cutting. Materials to be welded are flat surfaces and pipeline. All welding and steel fabrication work shop and field services shall comply with American Welding Association (AWS) D1.1 Standards, inclusive. As services are required, Contractor shall submit a written proposal including services to be performed and estimated fee. The Executive Director shall provide a written approval prior to commencement of work. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services, a rate of $85.00 per hour per welder. Materials will be billed at cost plus 1 O%. The total sum to be expended under this Agreement shall not exceed $25,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City shall retain fifteen percent (15%) of the contract price for each project until the completed Project has been accepted by City. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2013, unless terminated earlier in accordance with Section 12, below. 4. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single ?imit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit ofnot less than $1,000,000 combined single limit. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Contractor, if Contractor 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, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor 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. e. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligence, recklessness or willful misconduct of the Contractor or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the negligence, recklessness or willful misconduct of Contractor arising from this Agreement. The Contractor 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 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 Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor 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 Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Contractor 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 facsimile 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 facsimile (714) 647-6956 With courtesy copy to: Santa Ana Public Works Agency -Water Division Nabil Saba 220 South Daisy Ave Santa Ana, California 92703 facsimile (714) 647-3342 To Contractor: R. B. Welding, Inc. Jimmy Abeskharon 155 E. Redondo Beach Blvd. Gardena, California 90248 Facsimile 310-324-3871 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 facsimile, 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 Contractor, 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 Contractor. 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 Contractor 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 Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Contractor 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. Contractor 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 and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. 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 Contractor 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. Contractor 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. Captions and headings in this Agreement, including the title of this Agreement, are for convenience only and are not to be considered in construing this Agreement. c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 'ef IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: By: MARIA D. HUIZAR Clerk of the Council CITY OF SANTA ANA PAUL M. WALTERS Interim City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney La ra Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: RAUL GODINEZ, II Executive Director Public Works Agency .:7EII 7 NG, NC. ESKHARON re ent A?O/2L7 CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YV•rv> 11l0812D12 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 ISSVING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER- IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(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 fiolder in lieu of such endorsement(s)- PRODUCER CONTACT k On ark AME- Theo Insurance Services, lnc- PHO?o• F?? .213.380.4040 _ ???o), 213-380-4020 3540 Wilshire Blvd. Ste 1210 E-MAIL k on ark theoins.com J.fOORESS:_-Y?_?Gd LOS Angeles, CA 90010 INSURERS AFFOROIN6 COVERAGE NAIC # __.__.______ wsu?g A- James River Insurance Company __,__ __ INSURED I su E s: State Com ensation Insurance Fund RB Welding, Inc- INSURER c: Mid Century Insurance Com?any__________ _ ? 155 E. Redondo Beach Blvd. su E o - _ Gardena,CA 90248 INSURER E: INSURER F VVVCKALstJ 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 TYPE OF INSURANCE ADOL SUBR I I POLICY NUMBER POLICY EFF POLICY EXP I LIMITS GENERAL LIABILITY I I -EACH OCCURRENCE $1DOOOO0 B COMMERCIAL GENERAL LIABILITY ? DAMAGE TO RENTED SE51Fsgccurradce $ 50000 CL41MS-MADE O OCCUR x 00044992-2 0912012012 0912012013 MEO EXP An ane arson s Excluded I PERSONAL 8 ASV INJURY $ 1000OOD x $2i5D0 Deductible GENERAL AGGREGATE _- g200000O GEN'L AGGREGATE LIMIT APPLIES PER' I PRODUCTS -COMP/OP AGG $ 2OD000O X POLICY PRO- LOC ? 15 AUT OMOBILE LW BILITY I COMBINEp SINGLE LIMIT Fe nr+-;den!) i DoD ooD C qNY AUTO BODILY INJURY (Per person) S X ALL OWNED ? SCH FOULED AUTOS AUTOS fiD5D8844r.1 0312712012 03!27!2013 BODILY INJURY (Per accident ) 5 X q?7pSWNED HIRED AUTOS X ; l PRDPERTY DAMAGE ?P_ar_accidenq_-____-? 5 I f VMB RELLA LIAR OCCUR II EACH OCGUF RENCE I $ l EXCESS LIAR CLAIMS-MADE I I AGGREGATE I $ I _ ___ DED RETENTION I g WORKERS COMPENSATION X WC STATU- OTH-I ANO EMPLOYERS' LIABILITY b Y / N ECUTIV? FF / N/A 238 013369 11 E. L. EACH ACCIDENT SiODOOOO O ICER/MEMBER EXCLUDED? (Mandatary In NH) - - 01!01!2012 01!0112013 E.L. DISEASE - EA EMPLOYEE $1 ODOOOO I! yes, describe antler DESC I O OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000000 DESCRIPTION OF OPERATONS /LOCATIONS /VEHICLES (Attack ACORD 101, Adtlitlonal Romarks Schedule, If mare epaca is requlretl) The City of Santa Ana, its officers, employees, agents, volunteers and representafives are named as Additional Insureds. Waiver of subrogation applies- -Cancellation clause reverts to 10 days for non-payment of premium- c City of Santa Ana ? Attn_ Purchasing Department 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE AHOVE DESCRIBED POLL CIES BE CANCELLED BEFORE 1})-E EXPIRATON DATE THEREOF, NOTICE WILL BE OEL]V EKED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Attorney AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserve ACORD 25 (201 DlOS) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered O erations The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section It -Who Is An Insured is amended to include as an additional insured the person(s) or add organization(s) shown in the Schedule, but only sio with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" " caused, in whole or in part, by: 1_ Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above- B. With respect to the insurance afforded to these itional insureds, the following additional exclu- ns apply: This insurance does not apply to "bodily injury" or property damage" occurring after 7. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations fora prin- cipal as a part of the same project- THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following; ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Or anlzation s The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 If no entry appears above, this endorsement applies to alt Additional Insureds covered under this oli Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract ar written agreement specfically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-? O Page ? of ? THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change NumhPr 1 POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE 00044992-2 10/24/2012 12:D1 AM JAMES RIVER INSURANCE COMPANY Standard Time at the address of the Named Insured NAMED INSURED AUTHORIZED REPRESENTATIVE RB Weldin Inc Richard J. Schmitzer COVERAGE PARTS AFFECTED ALL COVERAGE PARTS CHANGES ENDORSEMENT CHANGE For no change in premium, The following endorsement is added to this policy- CG2010-0704-Additional Insured-Owners, Lessees or Contractors-Scheduled Person or Organization CG2037-0704-Additional Insured-Owners, Lessees Or Contractors-Completed Operations AP5031 US-041 O-Primary and Non Contributory Endorsement ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. Authorized Representative Signature IL1201 EN 04-03 Page 1 of 1 t?o?® CERTIFICATE OF LIABILITY INSURANCE 41 DATE(MMIDDYYYY) 03/20/2013 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 CEI?p'? FICAT9 HO,IIR.. IMPORTANT: If the certificate holder r an ADOI 1ONAL,INSURED, Ihe!rO )PS) 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 t"-- - PRODUCER * CNaNTCT E Theo Insurance Services, Inc. 213 380-4040 FNot. 213 380-4020 3540 Wilshire Blvd., Suite 1210 E-MAIL sarah.lee@theoins.com ADDRESS- Los Angeles CA 90010 INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Compensation Insurance Fund INSURED SURER B: RB Welding, Inc. 7 (K^/ INSURER C: 155 E Redondo Beach INSURER D Gardena CA 90248 INSURER E, 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. NBR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMIRES (Ea.o CLAIMS-MADE ? OCCUR MED EXP An one person) PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO POLICY PRO- LOC Irr.T _] $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAS CLAIMS-MADE AGGREGATE DEO RETENTION WORKERS COMPENSATION AND EM LOYE S' LIABILITY X TWO STATU- OTH- FIR P R Y/N ECUTI PROPRIETORTARTNERJE ANY V?? I EL EACH ACCIDENT $1,000,000 A O FFICER/MEMBER EXC UDED? I (Mandatory in NH) N IA 013369-11 01/01/2013 01/0112014 E. L. DISEASE-EA EMPLOYE $1,000,000 faYs describe under DESCRIPTION OF OPERATIONS below J E.L. DISEASE-POLICY LIMIT $1,000,000 APP. VE AS TO NORM DESCRIPTION OF OPERATIONS I LOCATIONS / VE ' ORD 101, Additional Remarks Schedule, if more space is required) Laura Stitt Sheedy Assistant City Attorney -cancellation clause reverts to 10 days for non payment of premium. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-21 Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ? <MK> ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD