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HomeMy WebLinkAboutVENTURA BUSINESS SYSTEMS, INC.City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM COTC office Use Only C2,03 Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Nate; If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. , SI- B A ANA C Tiy="LYE. K Is the agreement(s) a permanent record? Yes No -Lila Return form to the Clerk of the Council Office (M-30). E Call 647-1520 if you have any questions. The agreement with No N-2017-094-03 was completed on (List all amendments. Use space below if needed.) 02- --0j ctagreementsftrmsftrm - agreement termination form_goldenrod.doc Department: Phone/Ext.: Signature: Date: and final payment has been made. LA 6 S INSURANCE ON FILE 4RX,MAY PROCEED UNTIL INSURANCE ESP.IRES PnA LERK OF COUNCb TE;iJW 19 O: PRCS (/ L CONSULTANT AGREEMENT Silvia gff0AGREEMENT is made and entered into this L day of June, 2017 by and between .Ventura Business Systems, Inc., a California corporation (hereinafter "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 (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge to provide copy and printing services for the public at the Santa Ana Public Library which includes the Central -Library and its branches. Services will include time and print management systems using EnvisionWare software, as referenced in the attached proposal dated March 25, 2017 and listed as Exhibit A to this agreement. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in Exhibit A, and incorporated by reference 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 per the attached Quote #265682 identified as Exhibit B and incorporated by reference to this Agreement. The total sum to be expended under this Agreement shall not exceed $19,709;._87 (one-time payment of $12,276.87 installation and $1,858.25 for each year for the remaining term of the Agreement). b. City shall pay 50% of the installation amount upon fully execution of agreement and final installation payment for the remainder 50% shall be made within 10 days following completion of installation. Annual maintenance fee shall be paid 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 Page 1 of 10 the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on May 31, 2022 unless terminated earlier in accordance with Section 15, below. The term of this Agreement may be extended upon 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 manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 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, Page 2 of 10 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) name the CITY, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the CITY; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the California 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. 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 full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by consultant, without thirty (30) days prior written notice to the City. (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 Page 3 of 10 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 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. 7. INDEMNIFICATION Consultant agrees to defend, 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 Consultant or its Consultants, 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 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. 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 the Consultant. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. 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 Page 4 of 10 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. 10. 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 party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 11. 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. 12. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by 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: Executive Director — Gerardo Monet Page 5 of 10 an City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6515 To Consultant: Trevor Yates President Ventura Business Systems, Inc. 2582 Fig Street Simi Valley, CA 93063 Phone: (805) 583-3299 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. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant regarding the subject matter herein, 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 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. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Page 6 of 10 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. 15. 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, 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. 16. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, relation, 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. 17. 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. 18. 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. Page 7 of 10 19. MISCELLANEOUS PRO'ttISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreemem, and shall indemnify City fullyY including.reason8ble costs and attorney's fees, for any injuries or damages to City in the event that.guch authority or power is not, in fact, held by the signatory or is withdrawn: b. All Exhibits referenced, heroin and attached hereto shall be ineorporated.as if fully set forth in thebody of this Agreement: IN WITNESS: WHEREOF, the partia hereto.have executed this Agreement the date and year first above written.. ATTEST: 'MARIA:D: HU17AR Clerk of the Council APPROVED AS TO FORM: SOMA R. CARVALH:O City Attorney By: !� Lisa Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: CITY OF SANTAANA t1A J. City P GERARDO MOUET Executive Director Parks, Recreation and Community Services Page 8 of 10 I MS, INC. EXHIBIT A SCOPE OF SERVICES Page 9 of 10 Exhibit A - Ventura Business Systems Consulting Agreement with City of Santa Ana Ventura Business Systems, Inc. [West Coast Copy, Inc. 2582 Fig Street Simi Valley, CA 93063 Phone (805) 583-3299 March 25,2017 Santa Ana Public Library 26 Civic Center Plaza Santa Ana, CA 92701 Subject: Proposal for patron photocopiers and computer print management Dear Ms. Nguyen: Ventura Business Systems, Inc. /West Coast Copy, Inc. are pleased to submit our proposal to provide your Library with patron photocopiers and computer printing. Should you require additional information or clarification concerning our proposal, please give me a call at (805) 583-3299 ext. 101. Thank you for including Ventura Business Systems, Inc. /West Coast Copy, Inc. in your proposal process. Sincerely, Trevor Yates Ventura Business Systems, Inc. / West Coast Copy, Inc. 2582 Fig Street Simi Valley CA 93063 (805) 583-3299 West Coast Copy, Inc. was founded and incorporated in California in 1982. The company has been in continuous operation since its founding dealing with coin operated copiers, etc. for Libraries. In 1996 Ventura Business Systems, Inc. was developed for the computer software side of the company. We have been a Sharp dealer since 1982 and our technicians are all certified. In 1995 when the computer era started to evolve we began dealing with Hewlett Packard. Now as the next generation is upon us Ventura Business Systems, Inc. partnered with Envisionware that carries one of the top selling time and print management software, RED book automation, self -checks and 24 hour Library's and much more for Libraries. We are factory trained by Envisionware. We have been involved with Public, Private, College, University and Law Libraries since 1982. We feel confident that with our experience and technical staff, we shall be able to continue to provide the Santa Ana Public Library with efficient service, quality copies and all other services which may be required. Again, thank you for the opportunity to submit our proposal to the Santa Ana Public Library. 2 Santa Ana Public Library 26 Civic Center Plaza Santa Ana, CA 92701 March 25, 2017 TABLE OF CONTENTS Introduction/Cover Letter .............................I Section I: Executive Summary ..........................2 Table of Contents.....................................3 Section II: Qualifications Detail.....................4 Section III: Detailed Specifications ..................5-6 Section IV: References................................7 Section V: Scope of Install ...........................8 3 II. QUALIFICATIONS DETAIL A. Technical Capabilities .....Ventura Business Systems, Inc. /West Coast Copy, Inc. offers full Facility Management Programs designed and specified to meet the needs of the Library. Coin operated digital copier and computer printing as well as print que management program. B. Equipment Contracting Project Experience Ventura Business Systems, Inc. /West Coast Copy, Inc. has been in business since 1982. We have worked with many Public, Private, Law, University and College Libraries. Pasadena Public Library has coin and bill operated copiers, Printers and a print que management program. Anaheim Public Library has coin and bill operated copiers and print que management program. Cal State University Northridge has 17 copiers and a print lab with 200 terminals with a print que management program. C. Training Plan Ventura Business Systems, Inc. /West Coast Copy, Inc. will provide all necessary Key Operator training for your Library staff at the time of installation so that all staff members will be able to effectively operate all equipment provided. Additional training will be provided if needed by Library staff. D. Maintenance & Monitoring Maintenance and service scheduling will be according to the factory recommendations for preventative maintenance. A West Coast Copy technician will go to each machine, make a test copy and make sure that each machine is copying properly. At this time if any work is needed on the machine it will be done. E. Contract Billing and Invoicing The Library will be billed annually for the Envisonware LPTOne/PC Res maintenance for software. This is to be directiv to Ventura Business Svstems, Inc. F.Commission The Library will not receive any commission. F. Equipment Acquisition Ventura Business Systems, Inc. /West Coast Copy, Inc. works directly with the following vendors: Sharp Electronics, ITC Systems, Jamex, Envisionware. 4 5. DETAILED SPECIFICATIONS OF PROPOSED EQUIPMENT AND SERIVCES All items listed below are supplied by West Coast Copy with no charge to the Library. A. 2 Sharp black and white copier 1,000 sheet paper capacity, automatic document feeder for the main Library equipped with a coin/bill box. B. 8 ITC coin and bill boxes one with credit card for visa, MasterCard, American Express, Discover, apply pay and google pay. ?Y/ln C. Maintain all library owned printers that are on the print que system. E. West Coast Copy, Inc. will supply paper, toner, all parts, consumables and all repairs. West Coast Copy, Inc. provides service Mondays through Fridays from 8:00 a.m. to 5:00 p.m. Service calls are accepted seven days a week. 24 hours a day through our voice mail answering system during after hours, holidays and weekends. West Coast Copy, Inc. will respond to a telephone call for emergency repair service with six (6) working hours for a call received on a weekday between 8:00 a.m. and 5:00 p.m. No service is provided on weekends or holidays. F. Key Operator Responsibilities (Library Staff) include loading paper, clearing paper jams, replace toner cartridges when they run out. Notify West Coast Copy, Inc. of any challenges that require a West Coast Copy, Inc. technical intervention or supply replenishment. Key Operator Responsibilities for Print Que Library will provide Key Operators and Tech Staff to operate the Print Que System and hardware. The key operators will: Load Paper Clear Paper Jams Replace Toner Cartridges when they run out of toner Reset the Print Que Workstation if the station is not recognizing the print jobs Check and verify the Print Que Workstations are logged onto the server Manually print a Test Page to check that the printer is working and printing Notify Ventura Business Systems, Inc. after verification that the problem is not network related. f61 In the event the Key Operator or Library Technical staff or other authorized Library personnel Call Ventura Business Systems, Inc. for service and the problem is found to be NEWTORK related or a Key Operator responsibility a minimum service charge of $100.00 per hour will be billed to the Library. G. The key operator will access the problem. If parts are needed they will be ordered and the equipment will be repaired when parts are received. If key operator or vendor can not fix a problem within 7 days the machine will be replaced with one of equal value. H. At the time money is collected copies are examined to see if any maintenance is needed on the machine. If so, maintenance is done at that time, unless parts need to be ordered for repair. The percentage of uptime is 95%. I. Contract with the Santa Ana Public Library will be for 5 years. 6 References Pasadena Public Library 285 East Walnut Street Pasadena CA 91101 Attn.: Derek Massengale dmassengale@cityofpasadena.net (626) 437-5107 Photocopiers, computer printing using the latest Envisionware print que technology and PC Reservation Began Service on August 18, 1989 -Current CSUN 18111 Nordhoff Street Northridge CA 91330-8321 Attn.: Sue C. Curzon, susan.curzon@csun.edu (818) 677-2271 Photocopiers, computer printing using the latest print que technology. Began Service 1987-Current Fullerton Public Library 353 West Commonwealth Ave Fullerton CA 92832 Attn: Carol Wright carolwr@ci.fullerton.ca.us (714)738-6395 Photocopiers, computer printing using the latest Envisionware print que technology, RFID, PC Reservation, Automated book sorting Began Service on February 1st 2010 -current Torrance Public Library 3301 Torrance Blvd Torrance CA 90503 Attn: Dana Vinke dvinke@torranceca.gov Photocopiers, computer printing using the latest Envisionware print que technology, PC Reservation Began Service on May 1st 2010 -current Arcadia Public Library 20 West Duarte Road Arcadia CA 91006 Attn: Darlene Bradley Photocopiers, computer print que technology, Scanner Began Service on June dbradley@ArcadiaCA.gov printing using the latest Envisionware PC Reservation and Library Document l't 2007 -current 7 Scope of Install West Coast Copy, Inc. will install three black and white copiers equipped with coin boxes. All copies and prints will be. 15 cents per black & white copy/print and .50 cents for all color prints. Item Description Location 2 Sharp Digital B &W copier Central Library and branches � � �n Coin boxes that will accept nickels, dimes, quarters and $1.00 bills Central Library and branches 6 Library owned printers Central Library and branches EXHIBIT B FEE SCHEDULE (OR) RATES AND CHARGES Page 10 of 10 VENTURA BUSINESS SYSTEMS INC. 2582 Fig Street Simi Valley, CA 93063 Phone (805) 583-3299 Fax (805) 522-0958 Federal Tax ID# 77-0508735 I Name / Address I Attn: Lynn Nguyen Santa Ana Public Library 20 Civic Center Plaza Santa Ana, CA 92701 Quote Date Quote # 3/24/2017 265682 Terms Rep Due on receipt TFY Description Qty Cost Total FLAT FEE FOR EXPENSES - First of Every Five 1 975.00 975.00 Days Onsite. No partial days. with city IT assistance. FLAT FEE FOR EXPENSES - Additional Days After 2 700.00 1,400.00 First. Maximum (4) additional days before an additional First day is required. with city IT assistance. ANNUAL MAINTENANCE AFTER FIRST YEAR (-$1858.25 ) Any questions please call (805) 583-3299 Cell (805) 501-8515 Price good for 60 days from date above. Subtotal $11,543.40 Sales Tax (8.0%) $733.47 Signature Total $12,276.87 Page 2 VENTURA BUSINESS SYSTEMS INC. 2582 Fig Street Simi Valley, CA 93063 Phone (805) 583-3299 Fax (805) 522-0958 Federal Tax ID# 77-0508735 Name / Address Attn: Lynn Nguyen Santa Ana Public Library 20 Civic Center Plaza Santa Ana, CA 92701 Exhibit B - Ventura Business Systems Consulting Agreement with City of Santa Ana Quote Date Quote # 3/24/2017 265682 Terms Rep Due on receipt TFY Description Qty Cost Total ENVISIONWARE SUITE FIRST BUILDING t 1,995.00 1,995.00T BUNDLE - Time and Print Management Suite - Incorporates PC Reservation and LPT:One Building Bundles for the first building in your system. ENVISIONWARE SUITE ADDITIONAL 2 695.00 1,390.00T BUILDING BUNDLE - Time and Print Management Suite - Incorporates PC Reservation and LPT:One Building Bundles for additional buildings in your system after the first. ENVISIONWARE SUITE CLIENT PACKAGE - 84 68.85 5,783.40T TIER 49-100 Time and Print Management client software for installation on for public computers. Any questions please call (805) 583-3299 Cell (805) 501-8515 Price good for 60 days from date above. Subtotal Sales Tax (8.0%) Signature Total Page 1 A� V® CERTIFICATE OF LIABILITY INSURANCE 0AM 0512012017m 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 certi lcate holder Is an ADDITIONAL INSURED, the policy(les) 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 DARRYL NINO INSURANCE AGENCY 4378 EILEEN ST SIMI VALLEY, CA 93063 Q ACT NAME: DARRYL NINO AGENT FNONE 8058 38373 NC No:faDS1823-8377 ADDRESS: dar l.nlnd.rebl statefann.com INSURERS AFFORDING COVERAGE NAIC6 INSURER A: State Fann General Insurance Company Sib INSURED VENTURA BUSINESS SYSTEMS INC C/O TREVOR YATES 2582 FIG ST SIMI VALLEY CA 93063-2416 INSURER 2: State Form Mutual Automobile Insurance Company 25170 INSURERC: INSURERD: INSURER IS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1LTR TYPE OF INSURANCE tN U POLICY NUMBER POLICY MMIDDO EXP LRMrs A GENERALDABUM X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 92-W4-0493-7 04/2812017 0_412612018 EACHOCCURRENCE E 1.000,000 PREMISES IEs occurrence E MEO EXP(Any one person) E 5,000 PERSONAL& AOV INJURY S 1.000,00o GENERALAGGREGATE E 2,DC0,000 GENLAGGREOATE X POLICY[71 LIMIT APPLIES PER: PER LOC PRODUCTS-COMP/OPAGG E 2.000.000 E B AUTOMOBR.ELIABILITY X ANY AUTO AOEO AUTOS AUTOS HIRED AUTOS AUT09 ED ❑ 0515512-A18-75L 051 6512-A18-75L 01/1812017 07/18/2017 07/1812017 01/1812018 Ee eulJdEentsl GLE LIMN E BODILY INJURY ((Perpenon) E 1,000.000 BODILY INJURY(Peraccidenl) BODILY E 1,000,000 PerraceldenIDAMAGE S 1,000,Co0 E UMBRELLA LIAB EXCESS OAS OCCUR CLAIMS -MADE Pl EACH OCCURRENCE E AGGREGATE E DED I I RETENTICNS E WORKERS COMPENSATION ANO EMPLOYERS LIABILnY ANYPROPRIETORIPARTNEP/EXCCUTNE YIN OFFlCFJMEMBER EXCLUDED? ❑ (NmdatMInNH) I(yaa, desull,e under NIA ❑ �e� 0 �1a G�QI V �'�•' YIC STATU- OTH- EL EACH ACCIDENT E E.L. DISEASE -EA EMPLG E E.L. DISEASE• POLICY LIMIT 1 E s AON,4t 5P DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (A ch ACORD1C1,Addldonal Remarks Schedule,amomspacelemquirod) There is no Workers Compensation policy for Ventura Business Systems as all employees are officers of the corporation. Officers of the Corporation are net required to have a Work Comp policy in the Slate of California. ADDITIONAL INSURED: CITY OF SANTA ANA, ITS OFFICERS, AGENTS, AND EMPLOYEES 20 CIVIC CENTER PLAZA. SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. J ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15.2010 ADDITIONAL INSURED ENDORSEMENT Insurance Company State Farm Insurance This endorsement modifies such insurance as is afforded by the provisions of Policy # 92-w4-0493.7 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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 the additional insureds, this insurance shall not be cancelled, 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 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 04/26/17 to 04/26/18 , this endorsement form as part of Policy # 92-W4-0493-7 Issued to Ventura Business Systems, Inc. Name Insured .C1Q' �,j�2, Countersigned by '� , -AN j CD Insurance Wtslsnatu WORKERS' COMPENSATION DECLARATION I Trevor Yates President hereby affirm under penalty ofperjury, the (N=erritle) following declaration: I certify on behalf of Ventura Business Systems Inc. that during the term of my (Consult anNCompany Name) contract for 5 Years services with the City of Santa Ana, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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 coverage. DATE: 5/30/2017 By: ��.. Name: Trevor Yates Title: President Telephone: (805) 583-3299 ext 101 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL, FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES. ea 5��\GSPP AR�`CC>® - �./ CERTIFICATE OF LIABILITY INSURANCE DATE iMNIDDIYYYYI 07/10n018 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 DARRYL NIND INSURANCE AGENCY 4378 EILEEN ST O SIMI VALLEY, CA 93063 CONTACT NAME: DARRYL NIND AGENT PHONN ExitE 80 8z 3 3 AC No: 805 823-8377 ADDRESS: da i.nind.rebi statefarm.com INSURERIS) AFFORDING COVERAGE NAIL q INSURER A: Stale Farm General Insurance Company 26161 INSURED VENTURA BUSINESS SYSTEMS INC INSURER 9: StateFarm Mutual Automobile Insurance Company 26178 INSURER0: C/O TREVOR YATES INSURER : N ,Q©v1_6ciq 2582 FIG ST SIMIVALLEY CA 93063-2416 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE POLICY NUMBER MM MDIYYYY MMIOOME'YY LIMITS A GENERALLIASILITY x COMMERCIAL GENERAL LIABILITY CIAIMSWAOE a OCCUR ❑ ❑ 92-W4.0493-7 04/2612018 - 04/2612019 EACH OCCURRENCE $ 1,000.000 PREMISES Eaottunence S MED EXP(Any arse person) - S 5.000 PERSONAL SADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY PRO - El LUC PRODUCTS-COMPIOPAGG' $- 2,000,000 - E g AUTOMOBILE LIABILITY ANY AUTO ALLOWNEA x SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS x AUTOSPer AUTOS � 0515512-A18.75N 0111812078 0711812018 0711812018 0111812019 IN SIN Eeeaaaem s BODILY INJURY IPerP) g 1,000,000 BODILY INJURY(Pera en) S 1,000,000 PROPERTY )$ DAMAGE accident) 1,000,000 $ UMBRELLA LIAB. EXCESS LIAR OCUR CLAIMS -MADE - - EACH OCCURRENCE s AGGREGATE $' - DED RETENTIONS - - $ - - WORNERSCOMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR(PARTNER/EXECUTNE OFFICEIMEMBER EXCLUDED? (Mandaloryin NH) It yes, tlesv3» under NIA ❑ WC STATU- OTH- EL EACH ACCIDENT s E.LDISEASE-EAEMPLO S EL DISEABE • POLICY LIMB $ w, DESCRIP NOFOPERANONSILOCAnONSIVEHICLES(AUaeh ACORD 101. Additional Remarks Schedule. If more space is required) •`� - - - - There is no Workers Compensation Policy for Ventura Business Systems as all employees are officers of the corpol' rL Offics Cor eeps4ln are not required to have a Work Comp Policy in the State of California. J .GSGAw,P CERTIFICATE HOLDER ADDITIONAL INSURED: CITY OF SANTA ANA, ITS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OFFICERS, AGENTS, AND EMPLOYEES ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE J �01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD - 100148E 732849.E 11-15-2010 f as ADDITIONAL INSURED ENDORSEMENT Insurance Company 4 1—n . -''r\ 1 , I n, (-,sr o This endorsement modifies such insurance as is offered by the provisions of Policy Number: QU -rJ,k ° (>4ci31relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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 the additional insureds, this insurance shall not be cancelled, 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 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective '--t aU - QI'S -4U 4-alp �l`Ithis endorsement form pan: of Policy-(:)(4q,--2>-7- Issued to (Name Insured) : )PSI t°c.trrx RuS Countersignedbvz4 /2 /2 dby �keJ��3 Navas P 11iORKERS' COMPENSATION DECLARATION I Trevor Yates President hereby affirm tinder peiniltv of perjiwy the Nam mile) following declaration I certify on behalf of Ventura Business Systems. Inc that during the terns Of my (cmm?"'ccogmyName) contract for 5 tears services ttith the City of Santa Ana, I Hill not employ any person in any manner so as to become subject to the workers' compensation latvs of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthxvith comply with those provisions and provide proof of workers' compensation coverage. DATE: 7/10/2018 j By Narrwe: Trevor Yates Title: President Telephone: 805-583-3299 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. eday'. Rev�e�,l� L��3 P�GgR ACCOMY CERTIFICATE OF LIABILITY INSURANCE DADv1D MY 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ios) 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 endorsemen s). PRODUCER StateFarm State Farm Insurance V Darryl Nind 4378 Eileen St Simi Valley, CA 93063 4378 Eileen St Simi Valley, CA 93D63 ONTACTNAME: Darryl N01d FKdNE (805) 823.8373 FAX (BOS) 522-5902 , xo: E-MaL INSURERJSIAFFOROINGCOVERAGE NAICs WgUPER A, Stata farm General Insurance Company 25151 INSUREO VENTURA BUSINESS SYSTEMS INC C/O TREVOR YATES 2582 FIG ST SIMIVALLEY CA 93063-2416 IN a : State Farm Mutual Automobile Insurance Company 25178 wsURFAC: INsuRERD: WSURER E INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. wont TYPE OF INSURANCE AOOI U POLICY NUMBER POLICY EFF POLICYeXPJaL UNITS COMMERCIAL GENERAL LIABILITY CIANAS44ADE ® OCCUR EACH OCCURRENCE S 1.000.000 2ftcw .qFS rEn ocP S MED EXP (" W* PN wl i 5,000 PERSONAL L ADV Nwm E 1,000.000 A 92-W4-OA93.7 041262018 D4/26/2020 OENLAOGREGATE Lear APPLIES PER POLICY ❑ PRLpT LOC GENERAL AGGREGATE S 2,000,ODO PAODUCTS • CCMPAIP AGO 3 2.000.000 S OTHER AUTOMOBILE LIABILITY 294 7361-D28.75E 102&2018 04282019 E, Ii=1EO E1NClE LUpi Ea MINED1 i BODILY INJURY (Par PPrsml S 1,0000.000--- S 1.000,000 8 ANY AUTO OVNCD ' SCHEDULED AUTOS ONLY AUTOS HIRED NON-0W = AUTOS ONLY AUTOS ONLY 04282019 1012MO19 BODILY INJURY iPm NKEAMI PROPCRTY DAIJAGC Per aavf ; S 1,000.000 S UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE E EXCESS LIMIT CLAAISJMOE — E DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPPJETORJPPRTNCR,TXCCLRNC OFFICER�MEMBEN EXCLUDED'r (MAndmoryln Nllf NIA ELEACHACCCENT S ELOISEASE-EAEMPLOYE S N yes Oewp`nw DESCRIPTION OF OPERATIONS bNo. FL DIFASF - POLICY LIMIT S DESCRWTON OF OPERATIDNgI LOCATN7tY81 VEHIGr ee (ACORO tSt, AddXHPrI RmMrM gcMalF, BAY M anasNeO N mGP rPAeA b nqulnd7 swI�. Them Is no workers Compensation policy for Ventura Business Systems as all Employees are officers of the Corporation. Offs rogthe Corporation are not required to have a Work Compensation policy in the state of California. Adddional Insured CITY OF SANTA ANA, ITS OFFICERS. AGENTS, AND EMPLOYEES 20 CMC CENTER PLAZA SANTA ANA. CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ITN RIPRE39HTATTVE O 1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD !CoIaBG 1D:649.12 0Y16Q915 ADDITIONAL INSURED ENDORSEMENT Insurance Company State Farm Insurance This endorsement modifies such insurance # 92- A-0493 relating to the following: as is afforded by the provisions of Policy The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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 the additional insureds, this insurance shall not be cancelled, 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 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 4/26/2018 - 4126=20 this endorsement form as part of f.. Polio # 92-w4-0493-7 ��e 6 y e, ` Issued to ��eJ Ventura Bisiness Systems la,5 Name Insured �10.\CI�J� Countersigned by i� /` C Imunnce Agent tiigpalurc WORKERS' COMPENSATION DECLARATION I Trevor -Yates; hereby affirm under penalty of perjury, the a:m--rule) follouing declaration: I certify on behalf of _ Ventura Business Systems that during the term of my (c01M1, VC0MPM • N=e) contract for 5 vears services with the City of Santa Ana, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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 coverage. DATE: 118.2019 By Name: Trevor Yates Title: President Telephone: 305-533-3299 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4INFUL ,AND SHALL SUBJECT AN EMPLOYER TO CREvE tAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. A�� �® CERTIFICATE OF LIABILITY INSURANCE °04/266/20 s' 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 endomement(s). PRODUCER DARRYL NIND INSURANCE AGENCY 940 Enchanted Way #101 NAME, DARRYL NIND AGENT - PFM HONE 2 - ya No): 5 522- s 2 as IE : dar I.nind.rebi G statefamncom Simi Valley, CA 93065 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Slate Farm General Insurance Company INSURED VENTURA BUSINESS SYSTEMS INC INSURER B: State Farm Mutual Automobile Insurance Company INSURERC: C/O TREVOR YATES / INSURER O: 2582 FIG ST SIMI VALLEY CA 93063-2416 INSURER E: IN URER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUSR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR 92-W4-0493-7 04/26/2020 04/26/2021 EACH OCCURRENCE $ 1,000,000 YG'1E PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMPIOP AGG S 2,000,000 $ B AUTOMOBILE LIABILITY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEDPROPERTYDAMAGE AUTOS AUTOS 051 5512-A18-75L 07/18/2020 01/18/2021 Eaa COMBINED SINGLE IN LE LIMIT $ BODILY INJURY(Per person) $ 1,000,000 MANY BODILY INJURY(Per accident) $ 1,000,000 Peraccni.rt 1,000,000HIRED $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y 1 N ANY PROPRIETOMPARTNEWEXECUTIVE OFFICEIMEMSER EXCLUDED? (Mandatory In NH) If yes, descd0e under NIA CTH- WCSTATUI. T- IE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, H more space Is required) jj��� ��r�// �F'p���q//r��� f�}iQr�,h P� $� E There is no Workers Compensation policy for Ventura Business Systems as all employees are officers of the corpor`rII�rL,Ii'Offkk AG MENTrp(5 SI a not required to have a Work Comp policy in the State of California. liy It SIC M �I tv� Vry Certificate of Insurance shah provide thirty (30) day prior written notice of cancellation .� 2 2 2020 CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED: CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT DIVISION / Z/ ✓✓✓ ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92701 Mk2UOR ZED RE EE T/ ✓nVE / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 CITY OF SANTA ANA RISK MANAGEMENT a 4w44na 4 HUMAN RESOURCES Managing Risk ovoogh Posldve Change ADDITIONAL INSURED ENDORSEMENT Insurance Company: `Mate Farm This endorsement modifies such insurance as is afforded by the provisions of Policy # 92-W4-0493-7 relating to the following 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; 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 92701. Completion of the following, including countersignature, is required to make this endorsement effective. Effective 4/26/2020 - 4/26/2021 Z , Policy # 92-W4-0493-7 Issued to Ventura Business Systems this endorsement form asWWWED & APPROVED By Risk MANAGEMENT DivisioN MAY 2020 Inc ANrIF ACEVEdo (Named Insured) Countersigned by ` P1V/l V,(/,,'••�/l/ Authorized Representative I:iRisk Mgmtilnsurance RequirementsiAdditional Insured Endorsement August1019 CITY OF SANTA ANA RISK MANAGEMENTa dtwacaa 4HUMAN RESOURCES Managing Rlsk mmag* Posttive Change WORKERS' COMPENSATION DECLARATION Trevor Yates (Nome/Title) following declaration: I certify on behalf of hereby affirm under penalty of perjury, the Ventura Business Systems, Inc that during the term (Consultant/Company Name) of my contract for Copier/Printing services with the City of Santa Ana, (Type of service provided) I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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 the provisions and provide proof of workers' compensation coverage immediately. Date:4/10/2020 Print Name: Trevor Yates Print Title: President Signature: �uuez Telephone: 805-58 -3299 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. REVIEWED & APPROVED By RISK MANAGEMENT DIVISION 15P 2020 ANgiE ACEVEdo kl Risk Mgmtllnsurance Requirements�WC Declaration 08151019 Ventura Business Systems, Inc. 2582 Fig Street Simi Valley, CA 93063 Phone (805) 583-3299 May 5, 2020 To Whom it May Concern: Ventura Business Systems, Inc. is a coin operated copier and printing company. We don't touch anything that is owned by the Library. Therefore, we do not carry Professional Liability insurance (errors and omissions requirement) required by the city. Ventura Business Systems is not and will NOT employ a licensed professional therefore we do not meet this requirement. Thank You Trevor Yates ✓ REVIEWED & APPROVED By Risk MANAGEMENT DivisioN MAY 2020 ANGiE ACEVECIO NOTICE OF COMPLIANCE CITY . "A ,AM I1111RI T I'III I IPi 1111AGE ,CCp INCLUDE Ck I 111 1AGREEMENTTOT111IE CLERK CSC 111I➢C COUNCIL Contractor Ventura Business Systems, Inc Name: Project N-2017-094-03 Number: Project Third Amendment To Consultant Agreement With Ventura Name: Business Systems, Inc. The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE NUMBER DATE COI DATE FILE NAME AUTOMOBILE LIABILITY 2947361D2875 10/28/2023 03/30/2023 Insurance Certificate , .............. 2023.pdf GENERAL LIABILITY 92KJX0429 01/26/2024 03/30/2023 Insurance Certificate , 2023.pdf Professional Liability PROFESSIONAL LIABILITY WAIVER 03/30/2024 04/03/2023 Insurance Release.pdf WORKERS COMPENSATION AND WAIVER 03/30/2024 04/10/2023 WC Declaration EMPLOYERS' LIABILITY Rev.2022.pdf .................... Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 4/20/2023 2:10 PM