HomeMy WebLinkAboutMVR - 2017(:\.'• I-7vt: ON FILL
NSURANCr EXPIRES
—0K OF COUNCIL
CONSULTANT AGREEMENT
N-2017-025
O; p)(VA [)AI .., WR 17 20
CITE' OF SANTA ANA
6*c1c 1 •
THIS AGREEMENT is made and entered into this 14th day of March, 2017 by and between MVR
Consulting ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized
and existing under the Constitution and laws of the State of California ("City").
RECITALS
A. The City desires to retain a consultant to create a Timesheet Keeper Access Database for the
City's Public Works Agency and update the existing database for requests for service.
S. Consultant represents that it 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:
l.. SCOPE OF SERVICES
Consultant shall furnish the services that are described in E xhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the
rates and charges identified in Exhibit A, The total sum to be expended under this
Agreement shall not exceed $13,975.
b. Payment by City shall be made within forty-five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment
need not be made for work that fails to meet the standards of performance set forth in the
Recitals which may reasonably be expected by City.
3. TERM
This Agreement shall coixunence on the date stated above and continue through September 30,
2017, unless tenninated earlier in accordance with Section 14, below. The term of the Agreement may
be extended by a writing executed by the City Manager and the City Attorney.
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 maimer 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. Commercial General Liability Insurance. Consultant shall maintain commercial general
liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) 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 from 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, with $2,000,000 in the aggregate. Such insurance shall (a) naive 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. If driving or operating vehicles in connection with the services to be performed, business
automobile liability insurance, or equivalent form, with a combined single limit of not
less than $1,000,000 per occurrence. Such insurance shall include coverage for owned,
hired and non -owned automobiles.
Workers' Compensation Insurance. In accordance with the California Labor Code,
Consultant, if Consultant has any employees, 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 Agreement, Consultant agrees to obtain and maintain
any employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant 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 $1,000,000 per claim with $2,000,000 in the aggregate.
e. 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 Rill 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 by the City.
(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.
2
(iv) Consultant shall supply City with a fully executed additional insured
endorsement,
f. 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
terminate this Agreement. Such termination shall not affect Consultant'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.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify, defend, 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 or willful
misconduct of the Consultant 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. 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. Consultant's
indemnification obligations in this section shall survive expiration of this Agreement. Notwithstanding
the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782.8, the above
indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out
of, pertain to, or relate to the negligence, recklessness, or willful misconduct of Consultant.
7. RECORDS
Consultant shall keep records and invoices in connection with the work to be performed under
this Agreement. Consultant shall maintain complete and accurate records with respect to the costs
incurred under this Agreement and any services, expenditures, and disbursements charged to the City for
a minimum period of three (3) years, or for any longer period required by law, from the date of final
payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable.
Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of
such records and any other documents created pursuant to this Agreement during regular business hours.
Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this
Agreement for a period of three (3) years from the date of final payment to Consultant under this
Agreement.
8. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such infornnation 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 inforination 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 infonnation 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 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.
9. 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 the performance of services specified under this
Agreement.
10. 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 email, postage prepaid, or sent by fax 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
Fax 714- 647-6956
With courtesy copies to:
To Consultant:
Executive Director
Public Works Agency
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92702
MVR Consulting
P.O. Box 236
Calimesa, CA 92320
Attn: Viii m -it Van Rooijen
4
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
fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time
set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth
above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays
shall be excluded.
11. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant regarding the subject matter therein, and supersedes any and all other agreements, oral or
written, between the parties. In the event of a conflict between the terms of this Agreement and any
attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified
except by written instrument signed by the City and by an authorized representative of Consultant. The
parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City.
Each party to this Agreernent 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
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.
13. WAIVER
No waiver of a breach, failure of any condition, or any right or remedy contained in or granted
by the provisions of this Agreement shall be effective unless it is in writing and signed by the party
waiving the breach, failure, right, or remedy. No waiver of any breach, failure, right, or remedy shall be
deemed a waiver of any other breach, failure, right, or remedy, whether or not similar, nor shall any
waiver constitute a continuing waiver unless the writing so specifies.
14. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions;
a. As a condition of such payment, City 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.
5
b. Payment need not be made for work that fails to meet the standard of performance
specified in the Recitals of this Agreement.
15. NONDISCRIMINATION
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 or in connection with any activities under this Agreement. Consultant affirms that it is
an equal opportunity employer and shall comply with all applicable federal, state and local laws and
regulations.
16. 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.
17. 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.
18. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signattue herein below has the power,
authority and right to bind their respective parties to each of the terms of this Agreement,
and shall indemnify City fully, including reasonable costs and 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`
-/--i Maria D. T:Gzar
6
CITY OF SAN'T'A ANA
Gerardo Mouet
APPROVED AS TO FORM:
SOMA It. CARVALHO
City Attomey
BY: .r-
3ohn . Funk - -
Assis ant City Attomey
ED
�,o-r—,s Agency
APPROVAL:
CONSULTANT:
Name:
Title: ewAalL j
SCOPE OF SERVICES
Description
Fee
Develop Timesheet Keeper Access Database
$9,925
Update existing Request for Service Database
$2,625
Additional Programming and Training, as needed
$1,425
Total $13,975
EXHIBIT A UTAT �l ConsuI t 1 n g
P. 0. Box 236
Calimesa, CA 92320
Gell: (626) 379-1404
Office: (951) 845-4391
Vincent@mvrconsuiting.com
DBEMC/58C
February 23, 2017
William E. Galvez, City Engineer
20 Civic Center Plaza
Santa Ana, CA 92701
Subject. Proposal for Timesheet Keeper Access Database Program
Dear Mr. Galvez,
We are pleased to submit the following proposal to create a Timesheet keeper ,Access Database program for
the Santa Ana Public Works Agency (PWA), Below is an outline of the services to be provided,
I. SCOPE OF SERVICES:
1. Develop ah Access database fortimesheet. keeplog which will. be used by PWA.
2. Different levels of access/perm 'isslons to the database will be established f.or employees, supervisors,
principals, City Engin.eer, and the Director of the public Works, as well as accounting clerks.
3. The database program will.allow reports to be created for a timesheet, showing hours and cost spent
on projects a nd activities, on a weekly, semi monthly, yearly, or user specified date range;
4. The program will provide for PWA to create summary repo is including,
Labor Billing Report (labor hours, hourly rate, total.expenses and overhead)
• Project Budget and Balance
Total labor Hours
5.. As.progress is made on the program, updated versionsof the database will be sent to PWA for
review to ensure the final product will be optimal.
6. Upon final delivery, training (for each level of access) will be given an how to use the database.
11. TIME OF COMPLETION: The above Scope of Services will be completed by May 15, 2017.
IIL FEES;
Programmer/Developer: Vincent van Rooijen
BEE
PWA Access Database Program Development for Timesheet Keeping, including Deslgn,
Security, and creation of'Fables, Queries, Forms and Reports
$6,1pp
Trai_nirig for Staff/Users)
$ 400
Katal Fee for' Basi Services
$6,soo.
■ Additional Reports to be defined by City (approximately 5 @ $.400 per repori:)
$2,000
H11g.h.1,evel Training for Supervlsars an.d .Report Customization. (approximately 15 hours)
Total
d' Addltiona.l Programming, Development, Updates and Services, as needed :ns�5
per Hour
Consulting
P, 0, Box 236
Calimesa, CA 92320
Phone: (951)845-4391
Celt: (626) 379»1404
Vincent@mvrconsulting, com
b8VWSE/SBE
February 23, 2017
William E. Galvez
City Engineer
i 20 Civic Center Plaza
Sanaa Ana, CA 92701
Subject: Proposal for Request for Service (RFS) Database Update
Dear Mr, Galvez,
We are pleased to submit the following proposal to update the RFS Database program for the Santa Ana
Public Works Agency (PWA). Below is an outllne of the services to be provided.
I. SCOPE OF SERVICES:
1. Update kFS by adding two combo boxes to the database to determine who will be responsible for
the RES,
2, Create interface that sends email to the respective employees for notification of the new RFS.
3. Add a button in Excel and have it export it Into RFS.
4, Add a combo box for parking permits by helghborhood,
5. Make search for RFS's. more user-friendly, F,g., utilize drop down menus -to search by District In the
City,. Department, or other search criteria to be determined with PWA staff.
6; Upon final delivery, training will be given haw to use the updated database.
11. TIME OF COMPLETION:
The above scope of services will be completed by May 15, 2017.
ill. FEES:
Peograrnrner/Developer: Vincent van Rooijen
FEE
° Update RFS Database for PWA
■ Training for StaffUsers (approximately 15 hours
$1,42!
Total Fee for Base Services
$2,625
Total
$2,625
Additional Progia coming, Qeveloptent, Updates and Support Services, as needed
95 per Flour
MVRCONS-02 GFIETSCH
"
DATEYYYY)
.ft CERTIFICATE OF LIABILITY INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�
3/12/201212017
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(les) must have ADDITIONAL INSURED provisions or 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 License # 26480
CO TCT
HUB International Mountain States Limited
PHONE
(AIC, Ne, Ex1): (208) 433-1000 Arc, No :(866) 898-4905
2600 Rose Hill, Suite 101
E-MAIL
AD4REss
PO Box 5815
Boise, ID 83705
10,000
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A; Sentinel Insurance Company, Ltd. _ _ 111000
INSURED
INSURER B:
MVR Consulting
INSURER C: _
P.O. Box 236
IN ER D:
Callmesa, CA 92320
I
I
INSURER E ;
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMHER:
THIS IS TO CERTIFY THAT THE POLIC€ES 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.
1NSR ADDL SUER'. POLICY EFF 9 POLICY EXP '',
TYPE OF INSURANCE 1NSp I WVD POLICY NUMBER p LIMITS
A
X COMMERCIAL GENERAL LIABILITY
AUTHORIZED REPRESENTATIVE
Santa Ana, CA 92702
EACH OCCURRENCE 2,000,000
CLAIMS -MADE X OCCUR
X
348BMIJ6649 021221'2017
02/2212018 ' DAMAGE TO RENTED 1,ODD,OOD
X131 MIB.iEa.szucurrslcP)---� —.. 00
X li Hired Auto &
10,000
_MED EXP (Any one person) -_
X
Non -Owned Auto
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2,000,000
PERSONAL &ADV INJURY $
GEN'LAGGREGATELIMITAPPLIESPER;
- - —
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GENERALAGOREGATE - $ 4,DOD,ODO
X
POLICY PZO- LOC
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4,DOD,DDD
PRODUCTS-.COMPIOPAGG__. S-,_____--____
OTHER:
AUTOMOBILE
LIABILITY
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COMBINED SINGLE LIMIT
ANY AUTO
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BODILYINJURY(PeUersan) : $_---._.,,., ........._.
OWNED ;� SCHEDULED
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AUTOS ONLY _: AUTOS
BODILY INJURY {Per accident , $ ._.. ._-.
HIRED N�N-O NED
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AUTOS ONLY A TOS ONLY
-�Pe�acEcideAMAGE-- $
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UMBRELLA (-IAB
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CLAIMS -MADE]
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ANY PROPRIETORfPARTNERIEXECUTIVE
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E.L. DISEASE - EA EMPLOYEE -
If yes, describe under
DESCRIPTION OF OPERATIONS below'
E,L. DISEASE - POLICY LIMIT', S
DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
The City of Santa Ana, It's officers, employees, agents and representative are Additional Insureds with respects to General Liability when required by written
contract per form SS0008,
fVtEWCk BY: I UNiCE HE EPI (PG OF ) . .
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City
Cit of Santa Ana
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Finance & Management Services Agency
20 Civic Center Plaza M-16
AUTHORIZED REPRESENTATIVE
Santa Ana, CA 92702
ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
BUSINESS LIABILITY COVERAGE FORK!
P. OPTIONAL ADDITIONAL INSURED
COVERAGES
If listed or shown as applicable in the Declarations,
one or more of the following Optional Additional
Insured Coverages also apply. When any of these
Optional Additional Insured Coverages apply,
Paragraph 6. (Additional Insureds When Required
by Written Contract, Written Agreement or Permit)
of Section C., Who Is An Insured, does not apply
to the person or organization shown in the
Declarations. These coverages are subject to the
terms and conditions applicable to Business
Liability Coverage in this policy, except as
provided below:
1. Additional Insured - Designated Person Or
Organization
WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or organization(s) shown in the
Declarations, but only with respect to liability
for "bodily injury", "property damage" or
"personal and advertising injury" caused, in
whole or in part, by your acts or omissions or
the acts or omissions of those acting on your
behalf:
a. In the performance of your ongoing
operations; or
b. In connection with your premises owned
by or rented to you.
2. Additional Insured - Managers Or Lessors
Of Premises
a. WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or organization(s) shown in the
Declarations as an Additional Insured -
Designated Person Or Organization; but only
with respect to liability arising out of the
ownership, maintenance or use of that part of
the premises leased to you and shown in the
Declarations.
b. With respect to the insurance afforded to
these additional insureds, the following
additional exclusions apply:
This insurance does not apply to:
(1) Any "occurrence" which takes place
after you cease to be a tenant in that
premises; or
(2) Structural alterations, new
construction or demolition operations
performed by or on behalf of such
person or organization.
3. Additional Insured - Grantor Of Franchise
WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or organization(s) shown in the
Declarations as an Additional Insured -
Grantor Of Franchise, but only with respect to
their liability as grantor of franchise to you.
4. Additional Insured - Lessor Of teased
Equipment
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the person(s) or organization(s)
shown in the Declarations as an Additional
Insured — Lessor of Leased Equipment,
but only with respect to liability for "bodily
injury", "property damage" or "personal
and advertising injury" caused, in whole or
in part, by your maintenance, operation or
use of equipment leased to you by such
person(s) or organization(s).
b. With respect to the insurance afforded to
these additional Insureds, this insurance
does not apply to any 'occurrence" which
takes place after you cease to lease that
equipment.
5. Additional Insured - Owners Or Other
Interests From Whom Land Has Been
Leased
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the person(s) or organization(s)
shown in the Declarations as an Additional
Insured — Owners Or Other Interests From
Whom Land Has Been Leased, but only
with respect to liability arising out of the
ownership, maintenance or use of that part
of the land leased to you and shown in the
Declarations.
b. With respect to the insurance afforded to
these additional insureds, the following
additional exclusions apply:
This insurance does not apply to:
(1) Any 'occurrence" that takes place
after you cease to lease that land; or
(2) Structural alterations, new
construction or demolition operations
performed by or on behalf of such
person or organization.
6. Additional Insured - State Or Political
Subdivision -- Permits
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the state or political subdivision
shown in the Declarations as an Additional
Page 18 of 24 REV[EwEC3 BY_ EUNIC . Ew)m (P4 oF5) .. Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
Insured — State Or Political Subdivision -
(e) Any failure to make such
Permits, but only with respect to
inspections, adjustments, tests or
operations performed by you or on your
servicing as the vendor has agreed
behalf for which the state or political
to make or normally undertakes to
subdivision has issued a permit,
make in the usual course of
b. With respect to the insurance afforded to
business, in connection with the
these additional insureds, the following
distribution or sale of the products;
additional exclusions apply:
(f) Demonstration, installation,
This insurance does not apply to:
servicing or repair operations,
except such operations performed
„ ""
(1) "Bodily injury", property damage or
at the vendor's premises in
"personal and advertising injury"
connection with the sale of the
arising out of operations performed for
product;
the state or municipality; or
(g) Products which, after distribution
(2) "Bodily injury" or "property damage"
or sale by you, have been labeled
included in the "product -completed
or relabeled or used as a
operations" hazard.
container, part or ingredient of any
7. Additional Insured —Vendors
other thing or substance by or for
a. WHO IS AN INSURED under Section C. is
the vendor; or
amended to include as an additional
(h) "Bodily injury" or "property
insured the person(s) or organization(s)
damage" arising out of the sole
(referred to below as vendor) shown in the
negligence of the vendor for its
Declarations as an Additional Insured -
own acts or omissions or those of
Vendor, but only with respect to "bodily
its employees or anyone else
injury," or "property damage" arising out of
acting on its behalf. However, this
"your products" which are distributed or
exclusion does not apply to:
sold in the regular course of the vendor's
(i) The exceptions contained in
business and only if this Coverage Part
Subparagraphs (d) or (f); or
provides coverage for "bodily injury'" or
"property damage" included within the
(ii) Such inspections,
"products -completed operations hazard".
adjustments, tests or servicing
as the vendor has agreed to
b. The insurance afforded to the vendor is
make or normally undertakesto
subject to the fallowing additional eXClU51an5:
make In the Usual course of
(1) This insurance does not apply to:
business, in connection with
(a) "Bodily injury" or "property
the distribution or sale of the
damage" for which the vendor is
products.
obligated to pay damages by
(2) This insurance does not apply to any
reason of the assumption of
insured person or organization from
liability in a contract or agreement.
whom you have acquired such
This exclusion does not apply to
products, or any ingredient, part or
liability for damages that the
container, entering into,
vendor would have in the absence
accompanying or containing such
of the contract or agreement;
products.
(b) Any express warranty
S. Additional Insured —Controlling Interest
unauthorized by you;
WHO IS AN INSURED under Section C. is
(o) Any physical or chemical change
amended to include as an additional insured
in the product made intentionally
the person(s) or organization(s) shown in the
by the vendor;
Declarations as an Additional Insured --
(d) Repackaging, unless unpacked
Controlling Interest, but only with respect to
solely for the purpose of inspection,
their liability arising out of:
demonstration, testing, or the
a. Their financial control of you; or
substitution of parts under
b. Premises they own, maintain or control
instructions from the manufacturer,
while you lease or occupy these premises.
and then repackaged in the original
container;
lit
Farm S5 00 08 04 05 ` I ( . � Page 19 of 24
RETIE d D 8Y: EUi�iBCE HEf. .. . P� p . )
BUSINESS LIABILITY COVERAGE FORM
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
9. Additional Insured — Owners, Lessees Or
Contractors — Scheduled Person Or
Organization
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the person(s) or organization(s)
shown in the Declarations as an Additional
Insured — Owner, Lessees Or Contractors,
but only with respect to liability for "bodily
injury", "property damage" or "personal
and advertising injury" caused, in whole or
in part, by your acts or omissions or the
acts or omissions of those acting on your
behalf:
(1) In the performance of your ongoing
operations for the additional
insured(s); or
(2) In connection with "your work"
performed for that additional insured
and included within the "products -
completed operations hazard", but
only if this Coverage Part provides
coverage for "bodily injury" or
„property damage" included within the
"products -completed operations
hazard".
b. With respect to the insurance afforded to
these additional insureds, this insurance
does not apply to "bodily injury" "property
damage" or "personal an advertising
injury" arising out of the rendering of, or
the failure to render, any professional
architectural, engineering or surveying
services, including:
(1) The preparing, approving, or failure to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders, designs or
drawings and specifications; or
(2) Supervisory, inspection, architectural
or engineering activities.
10. Additional Insured — Co -Owner Of Insured
Promises
WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or Organization(s) shown in the
Declarations as an Additional Insured — Co -
Owner Of Insured Premises, but only with
respect to their liability as co-owner of the
premises shown in the Declarations.
The limits of insurance that apply to additional
insureds are described in Section D. — Limits Of
Insurance.
Wow this insurance applies when other insurance
is available to an additional insured is described in
the Other Insurance Condition in Section E. —
Liability And Medical Expenses General
Conditions.
G. LIABILITY AND MEDICAL EXPENSES
DEFINITIONS
1 "Advertisement" means the widespread public
dissemination of information or images that
has the purpose of inducing the sale of goods,
products or services through:
a. (1) Radio;
(2) Television;
(3) Billboard;
(4) Magazine;
(5) Newspaper;
b. The Internet, but only that part of a web
site that is about goods, products or
services for the purposes of inducing the
sale of goods, products or services; or
c. Any other publication that is given
widespread public distribution.
However, "advertisement" does not include:
a. The design, printed material, information
or images contained in, on or upon the
packaging or labeling of any goods or
products; or
b. An interactive conversation between or
among persons through a computer network,
2. "Advertising idea" means any idea for an
"advertisement".
3. "Asbestos hazard" means an exposure or
threat of exposure to the actual or alleged
properties of asbestos and includes the mere
presence of asbestos in any form.
4. "Auto" means a land motor vehicle, trailer or
semi -trailer designed for travel on public
roads, including any attached machinery or
equipment. But "auto" does not include
"mobile equipment".
5. "Bodily injury" means physical:
a. Injury;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the
above, mental anguish or death at any time.
6. "Coverage territory" means:
Wage 20 of 24 Form SS 00 06 04 05
FtEVIEFdtaECl BY: EUNICE HE X .(GOF
WORKER.S'CONIPENSATION DECLARATION
d A 1/6 jt�ereby affirm under penalty of perjury, the
(Naaierrftle)
following dedlaration:
��_42z2j4LZII
I cortify on behalf of.. / -tant/ c)mr 24that during the term of my
(Conw] Any Name
contract for_. services wig the City of Santa Ana,l will
not employ any person in any manner so as to become subject to the workers-
competisation laws of Califoraia, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions and provide proof of workers' compensation covcrage,
DATE: 17
By.
zz-
Name-
Title:
Telephone:
WARNING: FAILUR13 TO SEGURE WORKERS' COMPENSATTON COVEMACTE, IS
UNLAWFUL, A NiD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PFNAIXIES
AND CIVIL FINES UP TO ONE T-WND1.M THOUSAND DOLLARS ($100,000). M
ADDITION TO THE COST tali COMPENSKFION, DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR, CODE, INTEREST, AND ATTORNEY'S FEES.
A A
REVIEWED BY- E.U.NICEHER EDIA (p959F.5)