HomeMy WebLinkAbout25G - AGMT - IN CUSTODY TRANSPORTREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
APRIL 19, 2016
TITLE:
AGREEMENT WITH IN- CUSTODY
TRANSPORTATION SERVICES INC.
FOR PRISONER TRANSPORT
SERVICES
{STRATEGIC PLAN NO. 1,314
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
I'_11IN00 04�7
❑ As Recommended
❑ As Amended
❑ Ordinance on Ist Reading
❑ Ordinance on 21d Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
Authorize the City Manager and Clerk of the Council to execute an agreement with In- Custody
Transportation Service, Inc. to provide prisoner transportation services for Santa Ana Jail inmates
and arrestees, for a three year period beginning May 1, 2016 through April 20, 2019, in an amount
not to exceed $410,544, subject to non - substantive changes approved by the City Manager and City
Attorney.
DISCUSSION
Jail personnel and patrol officers must conduct hospital guard for Santa Ana arrestees who are
injured or require medical attention following their arrest. The police officers or Jail's transport
officers must guard the arrestee until the arrestee is stable enough to be booked at the County jail
facility. This may take several hours or possibly several days, depending on the arrestee's medical
condition. In many cases, Jail housing units are required to be locked down so on -duty Jail
personnel can be sent to guard the arrestee at the hospital. When Jail staffing levels are critically
low, patrol officers are taken from the field to guard arrestees at the hospital. This option takes the
patrol officer from their assigned patrol areas. Overtime is also often paid for this hospital guard
coverage when patrol and Jail operations are unable to send an on -duty officer because of low
staffing levels.
Under the current agreement with the United States Marshal's Office, the Jail is also required to
transport inmates to and from the Santa Ana Jail facility to the Edward R. Roybal Federal Courthouse
in Los Angeles and the Ronald Reagan Federal Courthouse in Santa Ana, approximately five days
per week. The US Marshal's office provides some reimbursement for this task, however the
transport duties are conducted on overtime and the reimbursement does not cover the full cost of
each transport.
Staff researched the option of having a contracted transport agency provide hospital guard services and
prisoner transport services as a cost savings alternative. A transport provider would not only allow the
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Agreement with In- Custody Services Inc. for Prisoner Transport Services
April 19, 2016
Page 3
Jail to save money, but also cause less impact to patrol and Jail operations. Operational and fiscal
benefits of this prisoner transport agreement include:
• Reduced overtime by not having to call in staff to transport or backfill while other staff transport
• Fewer lockdowns since staff will not have to transport
• Quicker relief of police officer /correctional staff from hospital guard duties. This will get officers
back to the field quicker and reduce the time inmates are on lockdown.
• Staff estimates that the Jail will save an estimated $101,000 in overtime, vehicle maintenance and
fuel expenses for the three year term of the contract.
On October 14, 2015 the Police Department issued a request for proposals (RFP #15 -111) for
prisoner transport services. On October 28, 2015 a pre - proposal conference was conducted and on
November 12, 2015 the City received a single proposal from In- Custody Transportation, Inc. The
proposal was evaluated by the current Jail Transport Supervisor and Jail Manager to ensure In-
Custody Transportation, Inc. was equipped to provide the services outlined in the RFP. The Jail
Transport Manager also made an on -site visit to the In- Custody Transportation's place of business to
ensure their equipment, training and staffing met or exceeded the minimum standards noted within
the RFP. The Manager and Supervisor were satisfied with In- Custody Transportation's business
operations and recommended approval of the agreement.
In- Custody Transportation will charge $25 per hour for hospital guard coverage, plus a $100 drop -off
fee. They will charge a $100 pick -up fee, plus $1.10 per mile for each court transport. The estimated
contract charges are projected to be $11,404 per month or $136,848 per year. Staff estimates that
the Jail will save an estimated $101,000 in overtime, vehicle maintenance and fuel expenses for the
three year term of the contract. The base agreement amount for the period of May 1, 2016 through
April 20, 2019 is $136,848 per year, for a three -year agreement, in the amount not to exceed of
$410,544.
STRATEGIC PLAN ALIGNMENT
Approval of this item allows the City to meet Goal #1 - Community Safety, Objective #3 (promote fiscal
accountability to ensure financial responsibility at all levels of the organization), Strategy A (continuously
evaluate and assess fiscal aspect of service delivery to ensure that the Police Department provides
programs and services efficiently and effectively).
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Agreement with In- Custody Services Inc. for Prisoner Transport Services
April 19, 2016
Page 3
FISCAL IMPACT
Funds for this agreement are available and will be appropriated in the Police Special Revenue -
General contract services account (no. 02414400 62300) for the following fiscal years:
FY 2015 -16
FY 2016 -17
FY 2017 -18
FY 2018 -19
Total
Carlos Rojas
Chief of Police
Santa Ana Police Department
Exhibit A
$22,808
$136,848
$136,848
$114,040
$410,544
APPROVED AS TO FUNDS AND ACCOUNT:
,-� K, 4 amSer�
Francisco Gutierrez
Executive Director
Finance and Management Services Agency
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INMATE TRANSPORTATION AND
HOSPITAL GUARD SERVICES
AGREEMENT
THIS AGREEMENT, made and entered into this 19th day of April, 2016 by and between
In- Custody Transportation, Inc. (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
1. The City desires to retain a Contractor having special skill and knowledge in the field of
inmate transportation and hospital guard services.
2. City posted a Request for Proposals for Inmate Transportation Services and Hospital
Guard Services (RFP #15 -111). All proposals submitted in response to the RFP
were evaluated by the City and Contractor was selected for the Agreement.
3. Contractor represents that Contractor is able and willing to provide such services to the
City and is licensed by the State of California to provide inmate transportation and
hospital guard services.
4. 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 inmate transportation and hospital guard service firm.
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:
TERMS AND CONDITIONS
A. TERM
The term of this contract shall commence on May 1, 2016 and terminate April 20,
2019, unless earlier terminated as set forth in Section H, below.
A copy of the Scope of Services is attached hereto as Exhibit A and incorporated
herein by reference.
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City agrees to pay and contractor agrees to accept as total payment for
its services, the rates and charges set forth in contractor's proposal,
attached hereto as Exhibit B and incorporated by reference. The amount
to be expended for services shall not exceed four hundred ten thousand
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five hundred and forty -four dollars ($410,644) during the three (3) year
term of this agreement.
2. Invoices
a. The contractor shall submit a monthly invoice by the fifteenth of the
month to the City for the services rendered in the prior month.
b. All invoices for work performed under this contract shall be submitted
in a format approved by the City. Invoices shall include the following
information at a minimum:
i. Contractor's invoice number
ii. Beginning and ending dates for services
3. Payment by City shall be made within thirty (30) days following receipt of
proper invoice, subject to City accounting procedures. Payment need not be
made for work which fails to meet the standards of performance of a
professional parking control enforcement services.
4. Extra Work
No new work of any kind shall be considered an extra unless a separate
estimate is given for said work and the estimate is approved by the City in
writing before the work is commenced. The contractor will be required to
provide detailed information of such extra work. Documentation of
contract compliance may be required on some occasions. Work
performed prior to obtaining written approval of the City shall not be
included within the Scope of Work and may not be paid.
Contractor shall during the entire term of this contract, be construed to be an
independent contractor and not an employee of the City. This contract 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 manner in which contractor performs the services required by this contract.
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.
E. INSURANCE
Prior to undertaking performance of work under this contract, contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain
insurance as described below:
Commercial General Liability Insurance. Contractor shall maintain
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commercial general liability insurance which shall include, but not be
limited to protection against claims arising from bodily and personal injury,
including death resulting there from 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 limit coverage applying to bodily and personal injury, including
death resulting therefrom, and property damage, in the total amount of
One Million Dollars ($1,000,000) per occurrence, Two Million Dollars
($2,000,000) in the aggregate. 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. A sample additional
insured endorsement is attached hereto as Exhibit C.
2. Business automobile liability insurance, or equivalent form, with a
combined single limit of not less than One Million Dollars ($1,000,000) per
occurrence. Such insurance shall include coverage for owned, hired and
non -owned automobiles.
3. Worker's Compensation Insurance. In accordance with the provisions of
Section 3700 of the Labor Code, contractor is required to be insured
against liability for Workers' Compensation or to undertake self- insurance.
Prior to commencing the performance of the work under this contract,
contractor agrees to obtain and maintain any employer's liability
insurance with limits not less than One Million Dollars ($1,000,000) per
accident.
4. If contractor is or employs a licensed professional such as an architect or
engineer: Professional liability (errors and omissions) insurance, with a
combined single limit of not less than One Million Dollars ($1,000,000) per
claim.
5. The following requirements apply to the insurance to be provided by
contractor pursuant to this section:
a. Contractor shall maintain all insurance required above in full force
and effect for the entire period covered by this agreement.
b. Certificates of insurance shall be furnished to the City upon
execution of this contract and shall be approved in form by the
City Attorney,
C. 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. 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
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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
contract. Such termination shall not affect contractors 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.
HOLD HARMLESS/ 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 negligent operations of the
Contractor or its 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 terms
of or effects arising from this Agreement. This indemnity and hold harmless
agreement applies to all claims for damages, just compensation, restitution,
judicial or equitable relief suffered, or alleged to have been suffered, by reason of
the events referred to in this Section or by reason of the terms of, or effects,
arising from this Agreement. The 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 challenging the validity of this Agreement, or asserting that personal injury,
damages, just compensation, restitution, judicial or equitable relief due to
personal or property rights arises by reason of the terms of, or effects arising
from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding. Notwithstanding the foregoing, to the
extent Contractor's services are subject to Civil Code §2782.8, the above
indemnity shall be limited, to the extent required by Civil Code §2782.8, to claims
that arise of, pertain to, or relate to the negligence, recklessness, or willful
misconduct of the Contractor.
ItimmiLq[iYti
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, sent
by facsimile communication, or via e-mail to the following persons:
To City: Clerk of the Council
City of Santa Ana
20 Civic Center Plaza (M -30)
Santa Ana, CA 92701
Fax (714)647 -6956
With courtesy copy to: City Attorney
City of Santa Ana
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off
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
Fax: (714) 647 -6515
Chief of Police
City of Santa Ana
60 Civic Center Plaza (M -97)
P.O. Box 1988
Santa Ana, California 90702
Fax (714) 245 -8007
To Contractor: In- Custody Transportation, Inc.
Attn: Charles McIntyre
301 E. Arrow Highway, #110
San Dimas, CA 91773
H. TERMINATION
The City reserves the right to terminate the contract as follows:
This agreement may be terminated without cause by City upon thirty (30)
days written notice delivered to the contractor either personally or by mail.
Upon termination, City shall pay to contractor that portion of
compensation specified in the agreement that is earned and unpaid prior
to the effective date of termination.
CK�1�C�7iT�eF •' •t �: ..0 �e •�
In the event of nonpayment of undisputed sums by the City, contractor shall give
the City thirty (30) working days to cure the alleged breach. In the event that the
alleged breach is not cured, contractor shall give City sixty (60) days' notice of
termination.
J. EMPLOYMENT OPPORTUNITIES FOR SANTA ANA RESIDENTS
Contractor shall solicit and advertise employment opportunities to Santa Ana
residents. The City shall inform the contractor of areas to publicize recruitment
opportunities, such as work centers and community centers. Such effort and
procedure will be provided to the City for review.
K. COMPLIANCE WITH APPLICABLE LAWS,REGULATIONS, AND LICENSING
1. Contractor shall perform all requirements under this contract in strict
observance of and in compliance with all applicable environmental, traffic,
safety and any other laws, regulations, ordinances, codes and any other
legislative or statutory requirements.
2. Contractor shall maintain all required licenses during the term of this
25G -9
Agreement. Contractor will give notice immediately if any required license is
revoked or suspended. Failure to have or suspension of any required
license will be immediate grounds for termination of this Agreement.
L. ASSIGNMENT
Inasmuch as this contract 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 City and any such assignment,
transfer, delegation or subcontract without the City's prior written consent shall
be considered null and void.
M. JURISDICTION — VENUE
This contract has been executed and delivered in the State of California and the
validity, interpretation, performance and enforcement of any of the clauses of this
contract 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 contract.
P. FINES
The contractor shall be liable for all violation fines levied against the City by
federal, state, or local agencies with regulatory authority related to contractor
provided services.
The contractor shall keep records of transportation and hospital guard services
as outlined by the Santa Ana Jail Manager. These records will include the
inmate /detainee's name, date, times of arrival and departure, and any other
relevant information depending on the circumstances.
R. 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.
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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 CARVAHALO
City Attorney
By;
Kyle C. ellesen
Deput City Attorney
RECOMMENDED FOR APPROVAL:
Carlos Rojas
Chief of Police
Santa Ana Police Department
CITY OF BANTA ANA
DAVID CAVAZOS
City Manager
Xi7.YY Te[Ais7 7
Charles McIntyre
President
In- Custody Transportation, Inc.
Tax ID#
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EXHIBIT A
CITY OF SANTA ANA
REQUEST FOR PROPOSALS FOR INMATE TRANSPORTATION AND HOSPITAL GUARD SERVICES
SCOPE OF SERVICES
DESCRIPTION AND SCOPE OF WORK
The City of Santa Ana is Issuing this Request for Proposals (RFP) for Prisoner Transportation and
Hospital Guard Services Historically, the City of Santa Ana Correctional Officers have completed
the transportation of prisoners from contract agencies that include Bureau of Prisom the United
States Marshal's Office, and Immigration and Custorns Enforcement. The majority of the
transports are related b/4mud appearances mt Ronald Reagan Federal Courthouse im Santa Ana,
California and Edward R. Rny#al Federal Building and United States Courthouse, i* Los Anga|ea,
California.
Required services may include the transportation cd arrest situations where multiple individuals are
taken into custody and transported from the arrest site to the jail facility for booking.
Contractor shall agree to the City's identified process for the facilitation of vital information
regarding background oYpd8nwmr(n) prior ip each transport
Services related (o the transport or guard coverage mf high-risk prisoners, such *n prison
based connections (Eme, AB, PENI, NLR), the Contractor shall have the ability to provide multiple
guard protection upon request nr demand, when the Department d*\*mo|n*s tile pr}uoum,(a>
warrants mn Increased level ofsecurity.
Hospital guard coverage is currently handled by Santa Ana Police Department personnel for
prisoners in Santa Ana Police Department custody, |lnstabx| guard coverage |m provided within
local medical facilities.
The service will require line Contractor of prisoners und provide interstate and In-
state transportation of prisoners from slid to location designated by the Santa Ana Police
Department.
Upon request, the Contractor shall provide prisoner transportation services for ale City of Santa
Ana; specifically die transportation of prisoners who are held at the Santa Ana Jail, in other
facilities or detained within the custody of Santa Ana contract agencies. The Contractor shall
assume oustrody of prisoners committed to the custody of the City of Santa Ana and provide
interstate and in-stato transportation of said prisoners to and from locations designated by the
Santa Ana Police Deparlment. Once the Contractor has accepted the prisoner, the Contractor shall
be responsible for the physical custody, property, and necessary paperwork of the Santa Ana
Police Department prisoner.
Ili the event that a prisoner, being transported by the Contractor, becornes ill or injured during the
transport, and requires professional medical examination and/or treatment, such fees for
examination and/or treatment shall be the responsibility o/dhaCiiyonsanioAna^ifsmid illness or
injury is pro-disposed and not Incurred okra to lack of reasonable care or willful misounduct by
City of Santa Ana Samoa RrP
Fade 9
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Contractor. Oo transports muQuauod from Santa Ana, the Santa Ana Jail will supply medications
and any like provisions that have been prescribed for the prisoner and required during transport.
All medical emergencies will ba reported tn the Santa Ana Jail facility in"n*d|a($|y� The Contractor
shall have the capability to transport medically challenged prisoners and rilay submit ameatm
invoice b` the City. In advance uf transport, the Contractor shall advise the City of any additional
billing amount tobw incurred for transporting medically challenged prisoners.
The Contractor shall Veresponsible resets
transport, The Contractor shall be responsible for the timely and punctual delivery of sold
prisoners, Should there bmmdelay; the Contractor shall notify the Santa Ann Jail Immediately.
|f transport time iu longer than $ hours, the Contractor shall provide prisoners with one (1)meal
that meals California Code of Regulations, Title 15 Standards. The Contractor shall provide
restroom breaks for the prisoners every three to four hours If vehicle is not equipped with suitable
restroom facilities,
The Contractor shall assume custody of prisoners from authorized agents of the City, at tile
location of incarceration determined by the parties to be suitable for such pu"nm.to transport
such prisoners io their destination or other specified location.
The Contractor should be able t* provide all types mf prisoner kannpa$altinn; routine prisoner
transport for both mile and female prisoners, special prisoner transportation, including medical
conditions for both male and female prisoners, court appearances, transfers, relatuies, and medical
moves, The Contractor shall $w able to handle h|Q|»mmcod{y. administrative segregation. and
mentally Ill prisoners.
Contractor must have all state required Uranoes/pnmmntm for staff assigned. The contracted hospital
guard personnel must be armed,
Training wf the hospital guard per sonnet must include the folfuwriwg� Weapons QwuoMcm$*nynd
Handling, Handcuffing and Restraint training, Tm*er training, OC Spray training, general Hospital
Guard Training �
Hospital gwwrd personnel must be able to respond within mh*n^hou/ period frm/n the time they are
requested and available for 244`wur coverage, ifheaded,
Hospital guard personnel are never to leave the arrestee unattended unless the madicall treatment
of the prisoner prohibits them from remaining im8df sight of thm|nr^miw�
Hospital guard personnel shall prohibit all visitors from seeing or speaking with the prisoner being
guarded without prior specific approvaf from Santa Ana Police Department Watch Commanders of
Santa Ana Jail Supervisor.
Hospital guard personnel shall remain in regular contort with Santa Ana Jail as it relates tmthe
pending hospital discharge, upgrade o, downgrade 4fprisoner's condition, prisoner phone cm||
requests, etc.
City of Santa Ana Samofe RFP
Page 10
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Hospital guard personnel may need to transport the prisoner tothe Orange County and nvthe
Santa Ana Jail for booking, after being discharged from the hospital. I[ [tic Contractor iw unable h»
provide transport, arrangements may be mado to have Jail or patrol staff responds to transport the
prisoner k/ Orange County Jail or the Santa Ana Jail,
A. PERFORMANCE SCHEDULE
Contracted transportation wem/i000 are required Cwrep|mnathomajo,itypf\hwtnauspnrta|io"d"tiwa
currently handled hy Jail Transportation Officers and Police Officers The City averages
approximately 20 one-way weekly transportations that routinely occur Monday - Friday, excluding
court holidays.
Hospital guard coverage inuneomw^nwwdmd basis and may nxour two |n three times per month
averaging 12^4W hours for each event, Contractor |w expected inro6p*wd(o relieve hospital guard
requests vi\h(n two (3) hours o(notification.
The performance uy such services and the control 4f personnel xo employed shall remain Win the
Contractor. The Contractor shall assume custody of prisoner as a 'transportation officer" pursuant
/o California Penal Code section x3 1A. subdivision (a). All agents f<haC$mtrmok»rm/|w,aeoun`e
custody oxa prisoner shall meet the training requirements vf California Panel Code sections 8318,
subdivision and 83%.|nuaywo)iog custody mf prisoners, the Contractor, and the Cnntnm*\nem
agents, shall perform their responsibilities for security and control of prisoners, whether it is ground
or air transport, in accordance vain all state and faidetal requirements and within the guidelines of
the City's written policies and procedures.
Anytime a prisoner from the City |s involved ineoincident during transport such msavehicle
breakdown, vehicle accident, medical problem, involved in a fight, anticipated late arrival to court,
or an unusual incident, the Santa Ana Jail will be notified by phone Immodately. An incident report
sent *xthe Santa Ana Jail may also be required explaining the circumstances of the incident,
depending on the nature o(1hoincident.
RFP
10
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CITY OF SANTA ANA
REOUPST FOR PROPOSALS FOR INMATE TRANSPORTATION AHD HOSPITAL GUARD SERVICES
PROPOSERS CERTIFICATION and PROPOSAL ITEM PRICING,
Certification • I cwtify that I lijyc+ real. undwstard andAnlrat, to l."G, terms And cons 141 m of this I'squni fol
I am tannillarvilh all 1:10 wisling corcftlon�s and limitation lhat may InApacl kjor?, fN Lja!ge. I
1.1-itristord and a,-
ckgrifirn"m prior to the SLbinis51ofl of nlyprsp-sal.
Proposal Item Price- Pr;r!nU shot ho brood cn ar hourly vw,, tim acrd see I�ar�a;ivr. for
Pee must b4fri,-:Itjsh,aofalf cans. Irl.4judintl hat not lll,,,Irekiro'li� -ta o
for labor. e. n
d, md IL01, Aryapmja 'rjatviab will b.
by the contractor only after dlUvirasdand at.0,orizeu by the Cily rimlectii m onager oi dG,,ijn4- in
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EXHIBIT C
ADDITIONAL INSURED ENDORSEMENT
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
9. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702;
its officers, employees, agents and volunteers are named as additional insureds
( "additional insureds ") with regard to liability and defense of suits arising from the
operations 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
or on behalf of the named insured, such insurance as is afforded by this policy is primary
and is not 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 organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be canceled,
or 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 92702.
(Completion of the following, including countersignature, is required to make this
endorsement effective.)
Effective _ , this endorsement form as a part of
Policy #
Issued to
Named Insured
Countersigned by
12
25G -16
Authorized Representative