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HomeMy WebLinkAboutJOHN TAYLOR CONSTRUCTION DBA JT PLANS-2014 a City of Santa A- 1 %y of the Council AGREEMENT TERMINATION FORM _.........................__.._...._......_..................... COTC Office Use Only 2020 FPg .. 1 Ply4: 23 Please complete this form when the attached agreement and all CITY or S amendments (if any) are no longer in effect. CLERK Cr AN Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with 4) (4, Li; ---/�cr,.al,1:c9-Y�, 2r, . CI b•0 ., -J �.� �r�r rj4 No. N-2014-102 was completed on 0 l and final payment has been made. (List all amendments. Use space below if needed.) Department: Phone/Ext.: 1- \c\ Signature: 14 ' � 1e✓ Date: \0 1,01‘a\ Revised 08-23-10 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COU 62014 OAiEr � .Pr; /C)SCI z4t aitUJf p PROFESSIONAL SERVICES AGREEMENT N -2014 -102 THIS AGREEMENT, made and-entered into this ?-.day of _ "t 2011, by and between JOHN TAYLOR CONSTRUCTION, WC, d.b.a. JT PLAN 9, a California corporation ( "Consultant'% and the City of Santa Ana, a charter city and municipal corporation. of the State of California ( "City "). RECITALS A, The City desires to retain a consultant having special skill and knowledge in the field of planning and designing state - approved modular buildings to assist the City in preparing a Request for Proposal, including necessary plans and specifications, for a Future modular trailer building to be used as a veterinary clinic and located at the Santa Ana Zoo. 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 consulthzg firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terns and conditions hereinafter sot forth, the parties agree as follows: SCOPE OF SERVICES Consultant shall assist the City in providing a'Request for Proposal for the purchase and installation of a. state - approved modular building, and provide plans for the 'installation of the state - approved modular veterinary clinic at the Santa. Ana Zoo. The scope of services and budget is attached 'hereto as Exhibit A and is incorporated by this reference to this Agreement. 2. DELIVERY OF WORI�PRODUCT Consultant shall deliver to City all work products that result five n the services provided. Said wozk product shall be submitted in hard copy and produced in a. form compatible with the City's computer system, as agreed between the Project Manager and Consultant. In regard to all copyri,ghtable material produced as a deliverable under this Agreement, including but not limited to books, reports, plans,, photographs, drawings, films,, recordings, videotapes, and computer programs, Consultant agrees, for itself and for its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material may not be copyrighted without prior review Born the City, and (b) the authors of all such material, whether copyrighted or not, award to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, a royalty -free, nonexolusive, irrevocable license throughout the world for governmental purposes to disclose, publish, translate, reproduce, and use such materials. C 3. COMPENSATION City agrees to pay, and Consultant agrees to accept as total payment for its services, the cumulative rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $5,680.00 during the tern of this Agreement. 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. 4. 'PERM This Agreement shall commence on the date first written above and terminate upon the completion of the Scope of Services or depletion of the maximum contract amount as stated in Section 3 above, unless terminated earlier in accordance with provisions below. The term of this Agreement may be extended upon a writing executed by both parties, including the City Manager and the City Attorney for the City. INDEPENDENT CONTRACTOR ConsultEUSt 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, 6. 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. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insureds) and 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 fi-om any act or occurrence arising out of Consultant'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 limit coverage applying to 'bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved, in form by the City Attorney. b. Worker's Compensation Insurance. In accordance with the provisions of Section 5300 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. e. Draftsman Policy insurance with it combined single limit of not less than $1,000,000 per claim. d. The following requirements apply to the insurance to be provided by Consultant pursuant to this section; (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 famished 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. a. If Consultant 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 affect Consult-ant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. INDEMNIFICATION Consultant 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 health, and claims for property damage, which may arise due to negligent acts, omissions or willful misconduct, 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; and (2) from any claim that personal injury, datuages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising fionr, and to the extent of Consultant's, negligent acts, omissions or willful misconduct in the performance of this Agreement. 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 patty 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 (c) is independently developed by the Consultant without reference to information disclosed by the City. 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. 10. NOTICE Any notice, tender, domand, 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 telefacsim.ile or other telegraphic cormunication in the manner provided in this Section, to the following persons: To City: City of Santa Ana C/o Clerk of the Council 20 Civic Center Plaza P.O. Box 1988 Santa Ana., CA 92702 -1988 telefacsimile (714) 647 -6956 With copy to: Executive Director of PRCSA City of Santa. Ana. 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 and City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.Q. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647 -6515 To Consultant:Jolm Taylor Construction., Inc. d.b.a. IT Plans 1335 Hedionda Avenue Vista, CA 92081 telephone (760) 275-5894 telefacsimile (760) 599 -1235 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, conurmnJ cation 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. 11. 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 patties agree that any terms or conditions of any proposal 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. 12. ASSIGNMENT hrasinuch 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. 13. TERMINATION This Agreement may be tenninated by the City upon thirty (30) days written notice of termination, In such event, Consultant shall be entitled- to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the 'property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. N'ON- DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex,, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined acrd prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant afFinus that it is an equal opportunity employer and shall comply with all applicabl e federal, state and local laws and regulations. 15. 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 cormcction with or by reason of this Agreement, 16. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits„ approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the Laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISION'S 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: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City At '/y , A By Ryan RECOMMENDED FOR APPROV Executive Director - CITY OF SANTA ANA DAVID CAVAZOS City Manager JOHN TAYLOR CONSTRUCTION, INC., d.b.a. JT PLANS 7 EHIBIT A SCOPE OF SERVICES (Attached) ,7"ohn Tayl ®r Construction, Inc. D.B.A. JTPLANS 1335 HEDIONDA A VE. VISTA, CA 92081 CALL: (760) 275 -5894 FAX: (760) 599 -1235 LIC 972815 (B) SANTA ANA ZOO 5127114 1801 E CHESTNUTAVE, SANTA ANA, CA 92701 PROPOSAL / PLANS / SANTA ANA ZOO / VET PROJECT ADDRESS: THE SANTA ANA ZOO 1801 E. CHESTNUTAVE. SANTA ANA, CA 92701 JURISDICTION: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA ROSS ANNEX M -20 SANTA ANA, CA 92701 CONSUL TANT A gREEMENT BETWEEN: JOHN TAYLOR CONSTRUCTION, INC. 1335 HEDIONDA A VE: VISTA, CA 92081 AND THE SANTA ANA ZOO .1801 E CHESTNUTAVE, SANTA ANA, CA 92701 CONTACT- 114R. ETHAN FISHER /REGISTRAR PH: (714) 448 -6019 SCOPE OF WORK ASSIST THE CITY OF SANTA ANA IN PROVIDING A "REQUEST FOR PROPOSAL "FOR THEPURCHASEAND INSTALLATIONOFA STATE - APPROVED MODULAR BUILDING. PROVIDE PLANS FOR THE INSTALLA TION OF THE FOLLOWING STATE - APPROVED MODULAR VETERINARY CLINIC, BUILDING SIZE: 12'X 42'X 12' HIGH. 1) SITE SURVEY: TRA VEL TO PROJECT SITE AND REVIEW PROPOSED BUILDING LOCATION, SITEELECTRICAL AVAILABILITY, SITE SANITARY SEWER LOCATION, SITEPOTABLE WATER SOURCE, A.D.A. COMPLIANCE SWEET 1 OF 3 SANTA ANA ZOO, A ZEEMENT, CONT'® 2SITEPLAN: PROVIDE SITE PLAN ILL U5TRATIN6 PROPOSED BUILDING LOCATION, SITE PLAN TOINCLUDEPROPERTYLINES, SETBACKS, ACCESSIBILITY, UTILITY POINTS OF CONNECTIONS, DETAILS AND SPECIFICA 7TON5 AS REQUIRED, INCLUDE EXIS TIN6 AND PROPOSED A,D.A. CONCRETE PATH5IWALKWAYSON -5ITE, A,D,A. PARKING, SIGNAGE A55UMETHEREISAN EXISTING 5ITEPLAN OF THEZOO AVAILABLE FOR OUR USE, WE WILL OVERLAY THE PROPOSED LOCATION OF THE NEW VET CLINIC FOR SUBMITTAL, 32 ELECTRICAL - PROVIDE SITE ELECTRICAL DESIGN PER EXISTING CONDITIONS, X'NCLUDE CONNECTED LOAD CALCULATIONS FOR NEW MODULAR BUILDING ASSUME THAT EXISTING SITE ELECTRICAL POWER WILL BE ADEQUATEFOR THEPROPOSED ELECTRICAL DEMAND, INCLUDE THEREQUIRED ELECTRICAL SERVICE DESIGN FOR THEPROPOSED OCELOT EXHIBIT (FUTURE). >POTABLE WATER- A55UMECOAINECTION WITHIN10ft OFBUILDIN6. Sf!OW MODULAR BUILDIN6 POINT OF CONNECTION,' SHUT OFF VALVE, >SANITARY SEWER- PROVIDEP.O.C. FOR MAIN SEWER, VERIFYINVERT ELEVATION, INCLUDE PIPE SIZING, DETAIL5AND SPECIFICATIONS, CLEAN OUTS AS REQUIRED. USE A. B, 5 WASTE PIPIN6, pNATURAL GAS - ASSUME NO NATURAL GAS TO THIS FACILITY. 9PHONEYDATAICABLE- PHONE DATA, CABLEPLANBYAUTLIORIZED VENDORS. 4� BUILDING FOUNbATION PLAN: PRO VIDE 5TATE- APPROVED FOUNDA71ON PLAN FOR PROPOSED MODULAR BUILDIN6 ON SITE, INCLUDIN6 STATE• - MANDA TE LETTERS, DETAILS AND SPECIFICATIONS, ATTACHMENTS; CONNECTIONS. USECP PIER STATE- APPROVED SYSTEM. INCLUDE SITESURVEY FOR ADDITION OF COMPACTED BASE MATERIAL TO ELEVATE THE BUILDING PAD FOR POSITIVE DRAINA6E AWAY FROM STRUCTURE; 5J MODULAR BUILDING PLANS: PROVIDE FLOOR PLAN, ELEVATION PLANS FOR PROPOSED FACILITY TO ACCOMMODATEMODULAR BUILDING REQUIREMENTSINCLUDINO MOD- L.ENERE5TRICTZ'ONS, FIRERATIN65, DESIGN THECOMMERCIAL VET CLINIC TO REIN COMPLIANCE WITH BUILD.1N6 AND SAFETY DEPT STATE- APPROVED MODULAR BUILDING PLANS 7-0 BE PROVIDED BY SELECTED DEALER /MANUFACTURER. INCLUDEDETAILED SPECIFICATIONSRE6ARE)IN6 FINISH FLOOR, DRAINS, WALL FINISHES, CEILIN6 FINISHES, PROPOSED 5INk'S, DISHWASHER AND DRYER APPLIANCES. INCLUDE (3) FULL SETS FOR SUBMITTAL TO CITY OF SANTA ANA. WE WILL INDEX MANUFACTURERS PLANS INTO FULL SUBMITTAL SET OF DRA 141IN65, SHEET 2 OF 3 SANTA ANA ZOO Ao9REEMENT CONT'D 6) A. D.A. RAMP. DECK. SrAIRS . RAZ5 PLAN: PROVIDE ENGINEERED ENTRY DECK, RAMP, ST AIRS HANDRAIL PLANS. UTILIZE T.M.P. MANUFACTURING OR EQUAL. J ENGINEER'S DRAWINGSlREVIEW, IF ENGINEER NEEDS TO REVIEW AND STAMP PLAN PLANS, HIS FEE WILL BE ADDITIONAL TO OUR AGREEMENT. FIRE SPRINKLER PLAN: NOT INCL UDED IN THIS PROPOSAL. 0 GREEN CODE COMPLIANCE: PROPOSED NEW MODULAR BUILDING WILL COMPLY WITH CURRENT GREEN CODE. EXCLUSIONS >ORADINO PLAN, TOPOGRAPHIC PLAN NOTE -WE WILL INCLUDE SITE SURVEY TO INVOL VEMINOR SITE GRADING TO ELEVATE THE BUILDING FOR POSITIVE DRAINAGE AWAYFROM BUILDINOPERIMETERS, ,,SOILS TESTING, SOILS REPORT >FIRE DEPT PLANS, FIRE SPRINKLER PLANS, ON SITE FIRE LINE, RISER, POSTINDICATOR, ETC, FIREALARM PLAN. >CITY PLAN CHECK FEES, SUBMITTAL FEES, PERMITFEE5, INSPECTION FEES, ANY FEES. >ENOINEERI'NG FEES IF NOT REFERENCED IN ABOVE SCOPE OF WORK >PHONE /DA TAICABL E PL ANS >WE ASSUME PERMITS /PROCUREMENT BY CHOSEN VENDOR ONCE PLANS ARE APPROVED BY CITY OF SANTA ANA, CA. >5TORMWATER PLAN PRICING: FOR ABOVE REFERENCED SCOPE OF WORK, INCL UDINO VISITS TO PROJECT SrTE FOR REQUIRED FIELD DATA, INCLUDING ALL BLUEPRINT /REPRODUCTION COSTS FOR SUBMITTAL PLAN5ETS AS REFERENCED --------- $5,680.00 (FORTY NINE HUNDRED EI6HTY DOLLARS) PAYMENT TERMS: PAYMENT #1: 15% UPON SIGNED CONTRACT --------- $ 85200 PAYMENT #2 85% UPON PLANS SUBMITTED TO CITY OF SANTA ANA ---------------- $4,828.00 REGARDS, JOHN TAYLOR CONSTRUCTION, INC. d. b. a. JTPLAN5 1335 HEDIONDA A VE VISTA, CA 92081 SHEET- 3 OF 3 A� °® CERTIFICATE OF LIABILITY INSURANCE 6/5/2014 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hatter, Williams & Purdy Insurance 2230 Faraday Ave Carlsbad CA 92008 CONTACT Lori Gallegos PHONE (760) 795-2002 FAX Not ADOaless :lgallegos @hwpinsurance.com INSURERS AFFORDING COVERAGE NAIC N INSURERA$'1aXum Specialty Insurance Grp 10784 INSURED John Taylor Construction, Inc. 1335 Hedionda Avenue Vista C.P. 92 081 INSURER B: email= lgallegosGhwpinsurance.com, c =US INSURER C: Lori Gallegos INSURER D: INSURER E : $ 1,000,000 1 INSURER F: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR COVERAGES CERTIFICATE NUMBER:14 -15 Master 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 R TYPE OF INSURANCE s R POLICY NUMBER POLICY EFF MMLOOVEXP LIMITS GENERAL LIABILITY email= lgallegosGhwpinsurance.com, c =US Lori Gallegos Date: 2014.07.1814:14:50 - 07'00' EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X DG0064038 4/22/2014 4/22/2015 DAMAGE TO PREMISES Ea occurrence) rr $ 50,000 MED EXP(Any one person) $ 1,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1,000,000 X POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO A. doff ■V FOR FOR: SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS �y UMBRELLA LIAB OCCUR R 'O. 1 IODGE EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE to CU3 Attolrney AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION TWO STATU S OTH. AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The City of Santa Ana, its officers, employees, agents and representative are named as additional insured. * 30 -Day notice of cancellation for non - payment. Form CG 2010. The draftsman classification applies to employed draftsmen whose duties are strictly limited to office work only. The draftsman classification applies to business establishments operated independently in providing engineering or architect drawing services to others based on specifications provided others only. It also applies to drafts employees by contractors for the purpose of drafting plans for specific jobs. Drafting employees engaged in drafting and confined to office work. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) I N S025 t9nlnm) n1 © 1988 -2010 ACORD CORPORATION. All rights reserved. Tho Ar.nPn nnma and Innn nra rorni,efarnd marls of ACr1Rn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Department AUTHORIZED REPRESENTATIVE Lori Gallegos Digitally signed by Lori Gallegos DN: cn =Lori Gallegos, o, ou, 20 Civic Center Plaza Santa Ana, CA 92701 email= lgallegosGhwpinsurance.com, c =US Lori Gallegos Date: 2014.07.1814:14:50 - 07'00' ACORD 25 (2010105) I N S025 t9nlnm) n1 © 1988 -2010 ACORD CORPORATION. All rights reserved. Tho Ar.nPn nnma and Innn nra rorni,efarnd marls of ACr1Rn EXHIBIT B ADDITIONAL I_NSURED ENDORSEMENT FOR COMMERCIAL GENERAL. LIABILITY POLICY Insurance Company MRXUM �3 a00-q '��,FdF Q This endorsement modifies such insurance as is afforded by the provisions of Policy #10"005 _ relating to the following; L The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701;' officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operatiot and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by behalf of the named insured, such insurance as is afforded by this policy is primary and is additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organizatior would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endoi effective.) Effective 01 � 4c _ this endorsement form as a part of Policy # EX7 t� Issued to 'TGNtrrv— OYU 3vuC$ztr''a Named Insured Countersigned by Authoriz presentative AS TO FORM Nttorney MMI iiM11110:tiIi7:YI P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 07-24 -2014 GROUP: POLICY NUMBER: 9036S97 -2014 CERTIFICATE ID: 18 CERTIFICATE EXPIRES, 01-01 -2015 01- 01- 2014/01-01 -2015 SANTA ANA ZOO SK ETHAN FISHER 1801 E CHESTNUT AVE SANTA ANA CA 92701 -5001 This is to certify that we have issued a valid Workers` Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE. COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - TAYLOR, JOHN MICHAEL P - EXCLUDED. ENDORSEMENT #1600 - TAYLOR, KAREN E S,T - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 06 -02 -2014 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER JOHN TAYLOR CONSTRUCTION, INC 1335 HEDIONDA AVE VISTA CA 92081 EV.I -2012) RECEIVE: NO.0399 SK 07/24 /2014 /THU 01:46PM TO FORM Attorney [SMA,CNI PRINTED : 07 -24 -2014 SK Santa Ana Zoo '..