HomeMy WebLinkAboutRedevelopment Agency - 326 RESOLUTION NO. 326
A RESOLUTION OF THE REDEVELOPMENT AGENCY OF THE
CITY OF HUNTINGTON BEACH ESTABLISHING INSURANCE
AND INDEMNITY REQUIREMENTS
WHEREAS, there are persons and organizations who are engaged in various
activities in the City of Huntington Beach, thereby subjecting the Redevelopment Agency of
the City of Huntington Beach ("Agency") to substantial risk of liability for damage to property
and injury to persons;
The Agency desires to establish insurance and indemnification requirements; and, in
appropriate cases, a procedure for the waiver thereof, and
The.Agency desires to establish internal staff responsibility for the administration of
the insurance required by this Resolution and delineate the authority to make adjustments to
requirements based upon unique and unusual circumstances.
NOW, THEREFORE, BE IT RESOLVED by the Redevelopment Agency of the City of
Huntington Beach that the insurance coverage and indemnity requirements shall be as
follows:
SECTION I. DEFINITIONS AND FORMS REQUIRED
A. Definitions:
1. "Contractors" are any persons or entities who contract with the Agency and/or
provide services to the Agency which are readily available and efficiently
procured by competitive bidding.
2. "Design Professionals" are professional services contractors who contract with'
the Agency and/or provide architectural and/or engineering services to the
Agency.
3. "Licensees/Lessees" are any persons or entities who contract with the Agency
for the use of public property.
4. "Permittees" are any persons or entities who make application to.the Agency for
any use of or encroachment upon any public street, waterway, pier, or Agency
property.
5. "Professional Services" are as defined by Huntington Beach Municipal Code
section 3.03.
6. "Vendors" are any persons or entities who transfers property or goods to the
Agency which may or may not involve delivery and/or installation.
1
01 reso/ins-4agency/8/29/01
Res.No.326
B. Indemnity and Insurance Coverage Requirements Defined
1. General Liability: Combined single limit bodily injury and property damage:
Minimum limits of $1,000,000 per occurrence.
a. : Coverage must include completed operations Liability and blanket
contractual liability and, where products are furnished, products liability.
b. If coverage is provided under a form which includes a designated
general aggregate limit, the aggregate limit must be no less than
$1 ,000,000 and the policy holder shall submit written notice of any
known depletion of limits to Agency attached to the proof of insurance.
C. Claims made policies are not acceptable, except that claims made
insurance for pollution liability shall be acceptable.
d. All deductibles, self-insured retentions, or alternative forms of providing
coverage must be approved through the Waiver Procedure set forth in
Section III to this Resolution.
e. The Agency, its, officers, elected or appointed officials, employees,
agents and volunteers are to be covered as additional insureds by
separate attached endorsement(s) as respects liability arising out of
action performed by or on behalf of the contractor, products and
completed operations of the contractor, premises owned, occupied or
used by the contractor; or automobiles owned, leased or borrowed by
the contractor. The coverage shall contain no special limitations on the
scope of protection afforded to the Agency, its agents, officers and
employees.
f. For any claims related to the project, the contractor's insurance coverage
shall be primary insurance as respects the Agency, its agents, officers,
and employees. Any insurance or self-insurance maintained by the
Agency, its agents, officers, and employees shall be excess of the
contractor's insurance and shall not contribute with it.
g. Any failure to comply with reporting or other provisions of the policies
including breaches of warranties shall not affect coverage provided to
the Agency, its agents, officers and employees.
h. The contractor's insurance shall apply separately to each insured against
whom claim is made or suit is brought, except with respect to the limits of
the insurer's liability.
2. Workers Compensation and-Employers' Liability: In accordance with the
applicable state statutes with limits in the case of workers' compensation and
employers' liability in amounts not less than the State statutory limits.
2
01 reso/ins-4agency/8/29/01
Res.No.326
Alternatively, a signed declaration of non-employee status shall be filed. A
certificate or consent to self-insure issued by the California Director of Industrial
Relations is also acceptable.
3. Professional Liability Insurance: Coverage must be provided at a minimum of
$1,000,000 per occurrence and in the aggregate.
a.. Claims made policies are acceptable if the policy further provides that:
1. The policy retroactive date.coincides with or precedes the
professional services contractor's start of work (including
subsequent policies purchased as renewals or replacements).
2. The professional services contractor will make every effort to
maintain similar insurance during the required extended period of
coverage following project completion, including the requirement
of adding all additional insureds.
3. If insurance is terminated for•any reason, professional services
contractor agrees to purchase an extended reporting provision of
at least two (2) years to report claims arising from work performed
in connection with this agreement or permit.
4. The reporting of circumstances or incidents that might.give rise to
future claims.
4. Automobile Liability Coverage must be provided at a minimum of $1,000,000
per occurrence.
a. If coverage is provided under a form which includes adesignated general
aggregate limit, the aggregate limit must be no less than $1,000,000 and
the policy holder shall submit written notice of any known depletion of
limits to Agency attached to the proof of insurance.
b. All deductibles, self-insured retentions, or alternativeforms of providing
coverage must be approved through the Waiver Procedure set forth in
Section III to this Resolution.
c. The Agency, its officers, elected or appointed officials, employees,
agents and volunteers are to be covered as additional insureds by
separate attached endorsement(s). The coverage shall contain no
special limitations on the scope of protection afforded to the Agency, its
agents, officers and employees.
d. For any claims related to the project, the contractor's insurance coverage
shall be primary insurance as respects the Agency, its agents, officers,
and employees. Any insurance or self-insurance maintained by the
.Agency, its agents, officers, and employees shall be excess of the
contractor's insurance and shall not contribute with it.
3
01 reso/ins-4agency/8/29/01
Res.No.326
C. Certificate of Insurance Requirements Defined
1. Form. Evidence of insurance coverage and limits as required by the Agency
shall be furnished to the Agency as a certificate holder on the "Acord' or similar
form approved by the Agency Attorney. (See samples attached herein.as
Exhibit "A").
a. Cancellation Each insurance policy required by this Resolution shall be
endorsed to state that coverage shall not be suspended, voided or
canceled by either party, reduced in coverage or in limits except after
thirty days prior written notice; however, ten days prior written notice in
the event of cancellation for nonpayment of premium is acceptable for all
persons or organizations, except as required by the Standard
Specifications for Public Works Construction.
b. The description of work to be performed, the Agency department
involved in the performance, and the Agency staff contact person must
be clearly identified on the "Acord or similar form evidencing insurance
coverage.
C. All forms of insurance shall identify the Redevelopment Agency of the
City of Huntington Beach, its officers, elected or appointed officials,
employees, agents and volunteers as an additional insured by separate
attached endorsement with respect to general liability and automobile
liability coverages.
d. Contractors shall include all subcontractors as insureds under its policies
or shall furnish separate certificates and endorsements foreach
subcontractor. All coverages for subcontractors shall be subject to all of
the requirements stated herein.
2. Approval of Certificate Insurance certificates must be approved by the
Agency Attorney prior to commencement of any performance under a contract
or issuance of any permit, as authorized by the City Charter.
3. Acceptability of Insurers Insurance must be placed with insurer with a Best's
rating of no less than A: VII and insurer must be a California admitted carrier.
SECTION.II INSURANCE AND INDEMNIFICATION REQUIREMENTS
A. INSURANCE
1. Contractors and Permittees must meet the requirements as set forth in Exhibit
"B" incorporated by reference and attached herein.
2. Professional Services providers must meet the requirements as set forth in
Exhibit "C" incorporated by reference and attached hereto.
4
01 reso/ins-4agency/8/29/01
Res.No.326
3. Licensees/Lessees must meet the requirements as set forth in Exhibit "D"
incorporated by reference and-attached hereto.
4. Vendors
a. Vendors supplying goods including delivery, service and/or installation
must meet the requirements of Exhibit "B".
b. Vendors supplying goods only without delivery, service and/or installation
are required to provide products liability coverage only.
5. The insurance requirements of persons or organizations not identified herein
shall be as designated by the agreement. All certificates of insurance
designated must conform to the requirements of this Resolution.
6. Exceptions.
a. Public entities are exempt from the requirements of this resolution. Any
insurance and indemnity requirements of a public entity shall be
pursuant to Section II(A)(5).
b. Persons providing judicial or quasi-judicial services as independent
contractors, such as judges, arbitrators, hearing officers, expert
witnesses, and court reporters shall be exempt from all insurance
coverage requirements. Any insurance and indemnity requirements
shall be pursuant to Section II(A)(5).
C. Each person making application for a permit for private property
construction, alteration, improvement, demolition, or repair of any
building or structure shall sign a declaration under penalty of perjury
verifying workers' compensation coverage or exemption from coverage,
as required by Section 19825 of the Health and Safety Code and, at the
time of permit issuance, contractors shall show their valid workers'
compensation insurance certificate.
d. Persons contacting with the Agency under subdivision agreements are
exempt from providing evidence of workers' compensation.
e. Oil operators as regulated by Huntington Beach Municipal Code Section
15.16 and pipeline franchises as regulated by Huntington Beach
Municipal Code Section 3.44 are exempt from the requirements of this
resolution.
f. Taxicabs/Vehicles-for-hire as regulated by Huntington Beach Municipal
Code Section 5.50 are exempt from the requirements of this resolution.
g. Trucking companies, including those regulated under Huntington Beach
Municipal Code Section 10.32, are exempt from the minimum insurance
requirements of this resolution but must submit proof of workers'
5
01 reso/ins-4agency/8/29/01
Res.No.326
compensation insurance and general liability insurance in accordance
with the requirements of the Public Utilities Commission (PUC)
regulations which include: 1) the general liability insurance requirements
are $600,000 combined single limit or $250,000 bodily injury or death of
one person and $500,000 protection against total liability for bodily injury
or death of more than one person from any one accident. 2) this is
subject to the same $250,000 limitation for each person and $100,000
protection for accidental damage or destruction of property other than
property being transported. 3) the Redevelopment Agency of the City of
Huntington Beach must be named as certificate holder but does not
need to be named as additional insured.
4. Indemnity
a. Contractors and Permittees shall be required to indemnify Agency,
pursuant to the indemnity provision attached hereto and incorporated
herein by this reference as Exhibit "E".
b: All design professionals shall be required to indemnify'Agency pursuant
to the indemnity provision attached hereto and incorporated herein by
this reference as Exhibit "F".
C. All other persons or organizations, including but not limited to
professional services providers other than Design Professionals as
defined by this Resolution, shall be required to indemnify Agency,
pursuant to the indemnity provision attached hereto and incorporated by
reference as Exhibit "G".
SECTION III. WAIVER OR MODIFICATION PROCEDURE
A. Waivers or Modification Request Form.
A department Request for Waiver or Modification, Exhibit "H" attached, shall be completed
and forwarded to the Risk Manager for all requests for waiver or modifications of the
minimum indemnification and insurance requirements.
B. Waiver or Modification Authority.
The Risk Manager and the Agency Attorney may approve any waiver or modification of the
insurance and indemnification requirements, including requests for indemnification of third
parties. A denial may be appealed to the Executive Director.
C Waiver Criteria.
The criteria to evaluate any requests for waiver shall include the following:
a. The type of waiver or modification requested;
b. The reason for the waiver or modification;
C. The nature of the scope of work;
6
01 reso/ins-4agency/8/29/01
Res.No.326
d. The cost of the contract;
e. The liability exposure of the Agency;
f. The cost and availability of the coverage requested;
g. The claim history of the requesting party;
h. The past experience of the Agency with the requesting party, and
i. The past experience of the Agency with other contracting parties of a
similar nature.
PASSED AND ADOPTED by the Redevelopment Agency of the City of Huntington
Beach at a regular meeting held 1st day of October 2001.
Chairrron
ATTEST: APPROVED AS TO FORM:
SeCetOVY Agency 'Cle y Agency General Counsel
a6 ki
REVIEWED, CO-INITIATED AND APPROVED:
fP Agency General Counsel
w�G�ot I
REVIEWED, CO-INITIATED AND APPROVED:
Exeadve Director
7
01 reso/ins-4agency/8/29/01
EXHIBIT A
...ROOUCER
Paooucea »u THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORNIATI,
ONLY AND CONFERS NO RIGHTS UPO
des.T
}fib.3@19 R T I FI C A
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO
COMPANIES AFFORDING COVERAGE
COMPANY
( A
I.4SUREO I COMPANY
B
COMPANY
C
COMPANY
I. D
.COVERAGES ,:::,:::...:.,::.:. .,.wx ., ....,..M. ....:�.. .... ..... ..... ......:. ..,w,H..........� _:_..._., ...._...
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED*NAMED ABOVE FOR THE POLICY PE ,IC
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT-TO WHICH THI
CERTIFICATE MAY BE ISSUED OR MAY RERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEnM
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO 1 I POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
LTA ! GATE(M&VOD/YY) DATE(MAV00(YY)
:GENERAL LIABILITY GENERAL AGGP.EGATE I S
A ��COMMERCIAL GENERAL LIABILITY � I � PRO" -S•CO`AP,OP AGG I S
r
CLAIMS MAOE 1 OCCUR i i 4 AOV INJURY I S
1 ;
OWNER'S d CONTRACTOR'S PROT I I �J�CURRFNCE IS
I
.tE DAMAGE(A.:y or.e Gr2) I S
i t �IEO EXP(ArY one oe,,scn) I S
AUTOMOBILE LIABILITY !
I i COMBINED SINGLE U.'IT I S
ANY AUTO i
`.�ALL OVINE0 AUTOS I - SOOILY INJURY
I SCHEOUlEO AUTOS � � I I
(Per person) I S
j.HIRED ALTOS I1 I SOOICY INJURY i'
! (Per acciCent) S
NON-C.':NEO AUTOS
Y i PROPER TYO;`M.AGE S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT is
_)ANY AUTO I OTHER THAN AJTO CNLY:
S
EXCESS LIABILITY j EACH OCCJF•.=.E 4CE-` S
I
7 UMBRELLA FORM 'I ! AGGREGATE i S
OTHER THAN UMBRELLA F:'JH� i S
.WORKERS COMPENSATION A I 1 i TO Y LIMIT :O q•i `
EMPLOYERS'LIABILITY 1 ! EL EACH ACCIO=NT S
Ti—PROPRIETCRJ I INCL I • , EL DISEASE•POLICY U\!:T I S
PAATNERS;EXECUTIVE
OFFICERS AR°: I EXCL EL DISEASE•EA E!:PLOYcc, S
OTHER (I !
1 !
i
OESCRIPTICN OF OPERATIONS/LOCATIONS.VEHICLESISPECIAL ITEMS
CERTIFICATE:HOLDER CAh... 0 LLATEON`
..:..... ....... . .. ....
SHOULD ANY OF THE ABOVE OBSCRIBEO POLICIES BE CANCELLEO BEFOF
City of Huntington Beach EX?!RATIGN GATE THEREOF, THE ISSUING COMPANY Y/;LL
Risk Management Division 30 OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NASIEO TO TH
2000 Main Street atctti `� ' `
Huntington Beach,CA 926=S I_ c-fy-tytrt`cror---Z5't �c�^" •i �'�� �`'`s
AUTHORIZED REPRESENTATIVE -
1
nD_ b"AFOFL4,:
O.H�..
rCQR� O_..
POLICY NUMBER: COMMERCIAL GENERAL LIARIY 326
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-OWNERS, LESSEES OR
CONTRACTORS (Form S)
This endorsement modifies insurance provided under-the following:
COMMERCIAL GENERAL LIABILITY
REDEVELOPMENT AGENCY OF
Name of Person or organization; THE CITY OF HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
(If no entry appears above. information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization
shown in the Schedule, but only with respect to liability arising out of"your worn for that insured by
or for you
RE: ALL OPERATIONS OF THE NAMED INSURED FOR THE CERTIFICATE HOLDER.
City of Huntington Beach, its elected or appointed officials, agents, officers, employees and
volunteers
CG 20 10 11 85 Copyright. Insurance Serlices Cffice, Inc.. 19a4
EXHIBIT A pg20r 3
STATE P.O. BOX.420807,SAN FRANCISCO,CA 94142-0807 Res.No.326
COMPENSATION
N S U R A N C E
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
P LICY NUNIHER
CERTIFICATE EXPIRES
r
s
CITY OF HUNTINGTON BEACH
RISK MANAGEMENT.
2000 MPRN STREET
HUNTINGTON BEACH, CA 92648
L
This is to certify that we have issued a valid Workers'Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon t 31 Ways'advance written notice to the employer.
30
We will also give you TgN days'advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein., Notwithstanding any requirement,:term, or condition of any contract or other document with
respect to which .this certificate of jnsurance maybe issued ;or may pertajn;.the insurance afforded..by the policies.
described herein.is subject to all th.e terms;.exclusjons and conditions:of such policies.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY.:LIMIT INCLUDING,,DEFENSE COSTS: VI 000,0.0a F'ER .00CURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE
07/01/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
L EXHIBIT A pg 3 of 3
Res.No.326
T
r��sB
�q 3,'; �"'z a�'•�'�'a
Res.No.326
EXHIBIT B
INSURANCE REQUIREMENTS FOR CONTRACTORS,AND PERMITTEES
PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT
Minimum Limits of Insurance
Redevelopment Agency Resolution 3�)6 requires submittal of certificates of insurance evidencing the following
minimum limits with a California admitted carrier with a current A.M. Best's Rating of no less than A:VII:
1. General Liability: $1,000,000 per occurrence for bodily injury,personal injury and property damage. If
Commercial General Liability Insurance or other form with a general aggregate limit is used,either the general
aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the
required occurrence limit. "Claims made"designation is only acceptable for professional or pollution liability
insurance.
The Redevelopment Agency of the City of Huntington Beach, its officers, elected or appointed officials,
emplovees, agents and volunteers must be named as certificate holder and as additional insured by separate
attached endorsement. (This wording must be exact).
2. Workers' Compensation and Employer's Liability: State statutory limits of S250,000 bodily injury by disease,
policy limit,and$100,000 bodily injury each employee for accident or disease per occurrence. If you have no
_ employees,you must sign a Declaration of Non-employee Status form available from the Agency. In lieu of a
certificate of insurance, a certificate of consent to self-insure issued by the California Director of Industrial
Relations is also acceptable.
3. . Automobile liability of S 1,000,000 per occurrence for bodily injury,personal injury and property damages. The
Redevelopment Agency of the City of Huntington Beach its officers elected or appointed officials emplovees
agents and volunteers must be named as certificate holder and as additional insured by separate attached
endorsement. (This wording must be exact).
Deductibles, Self-Insured Retentions, or Similar Forms of Coverage Limitations or Modifications
Any deductibles,self-insured retentions or similar forms of coverage limitations or modifications, must be declared to and
approved by the Redevelopment Agency of the City of Huntington Beach. .
Subcontractors
Contractor shall include all subcontractors as insured under its policies or shall furnish separate certificates and
endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated
herein.
Description of Work to be Performed
The staff contact and purpose of the evidence of coverage must be identified.
Notice of cancellation requirements
The Agency requires 30-day notice of cancellation The words"endeavor to"and"failure to mail such notice shall impose
no obligation nor liability of any kind upon the company, its agents or representatives"must be removed or stricken out if
they appear on a certificate. An exception for notice of cancellation of 10 days for non-payment of premium or non-
reporting of payroll is acceptable, except in contracts subject to the Green Book'specifications.
AGAIN, PLEASE FORWARD THIS NOTICE TO YOUR INSURANCE AGENT.
FOR ASSIST,INCE, PLEASE CONTACT RISK.AVANAGEMENT
01reso/ins-4aeencvl8/29/01
It
Res.No.326
ZF
wbN c KEGS r -
r
.. erg..°: v;- ,uc11
.....
Res.No.326
EXHIBIT C
INSURANCE REQUIREMENTS PROFESSIONAL
SERVICE CONTRACTORS
PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT
Minimum Limits of Insurance
Redevelopment Agency Resolution No. 3,-,?� requires submittal of certificates of insurance
evidencing the following minimum limits with a California admitted carrier with a current A.M. Best's
Rating of no less than A:VII
Errors and Omissions liability: $1,000,000 per occurrence.
Deductibles, Self-Insured Retentions, or Similar Forms of Coverage Limitations or Modifications
Any deductibles, self-insured retentions or similar forms of coverage limitations or modifications, must
be declared to and approved by the Redevelopment Agency of the City of Huntington Beach.
Description of Work to be Performed
The staff contact and purpose of the evidence of coverage must be identified.
Notice of cancellation requirements
The Agency requires 30-day notice of cancellation The words "endeavor to" and"failure to mail such
notice shall impose no obligation nor liability of any kind upon the company, its agents or
representatives" must be removed or stricken out if they appear on a certificate. An exception for
notice of cancellation of 10 days for non-payment of premium or non-reporting of payroll is acceptable,
except in contracts subject to the Green Book specifications.
01resoins-4agency/8/29/01
12 y
Res.No.326
gg
�M-0
A
Res.No.326
EXHIBIT D
INSURANCE REQUIREMENTS FOR LESSEES/LICENSEES
PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT
Minimum Limits of Insurance
Redevelopment Agency Resolution 97-20 requires submittal of certificates of insurance pursuant to the form set forth
in Resolution No. evidencing the following minimum limits with a California admitted carrier with a
current A.M. Best's Rating of no less than A:VII:
1. General Liability: S1,000,000 per occurrence for bodily injury,personal injury and property damage.
If Commercial General Liability Insurance or other form with a general aggregate limit is used, either
the general aggregate limit shall apply separately to this project/location or the general aggregate limit
shall be twice the required occurrence limit. "Claims made"designation is only acceptable for professional or
pollution liability insurance.
For general liability certificate holder, the Redevelopment Agency of the City of Huntington Beach, its elected or
- appointed officials,agents, officers,employees. and volunteers must be named as certificate holder and as
additional insured by separate attached endorsement. (This wording must be exact).
2. Workers Compensation and.Employer's Liability: State statutory limits of S250,000 bodily injury by disease,
policy limit, and$100,000 bodily injury each employee for accident or disease per occurrence. If you have no
employees, you must sign a Declaration of Non-employee Status form available from the Agency. In lieu of a
certificate of insurance, a certificate of consent to self-insure issued by the Cali fornia.Director of Industrial
Relations is also acceptable.
3. Property Insurance: Full replacement cost with no coinsurance penalty provision.
Deductibles Self-Insured Retentions or Similar Forms of Coveraee Limitations or Modifications
Any deductibles, self-insured retentions or similar forms of coverage limitations or modifications,-must be
declared to and approved by the Redevelopment Agency of the City of Huntington Beach.
Description of Work to be Performed
The staff contact and purpose of the evidence of coverage must be identified.
Notice of cancellation requirements
The Agency requires 30-day notice of cancellation The words"endeavor to"and "failure to mail such notice
shall impose no obligation nor liability of any kind upon the company, its agents or representatives" must be
removed or stricken out if they appear on a certificate. An exception for notice of cancellation of 10 days for
non-payment of premium or non-reporting of payroll is acceptable, except in contracts,subject to the Green
Book specifications.
AGAIN, PLEASE FORWARD THIS NOTICE TO YOUR INSURANCE AGENT,
FOR ASSISTANCE, PLEASE CONTACT RISK)TfANAGEMENT
EXHIBIT D
01 reso'ins-}asiencv/8/29/01
13
EXHIBIT -E::�: :;
I
Res.No.326
I
EXHIBIT E
TO RESOLUTION NO.
CONTRACTOR'S INDEMNIFICATION, DEFENSE, HOLD HARMLESS
Contractor hereby agrees to protect, defend, indemnify and hold harmless Agency, its officers, elected
or appointed officials, employees, agents, and volunteers from and against any and all, claims,
damages, losses, expenses,judgments, demands defense costs, and consequential damage or liability of
any kind or nature, however caused, including those resulting from death or injury to Contractor's
employees and damage to Contractor's property, arising directly or indirectly out of the obligations or
operations herein undertaken by Contractor, caused in whole or in part by any negligent act or omission
of the Contractor, any subcontractors, anyone directly or indirectly employed by any of them or anyone
for whose acts any of them may be liable, including but not limited to concurrent active or passive
negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the
Agency. Contractor will conduct all defense at its sole cost and expense and Agency shall approve
selection of contractor's counsel. Agency shall be reimbursed for all costs and attorney's fees incurred
by Agency in enforcing this obligation. This indemnity shall apply to all claims and liability regardless
of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the
amount of indemnification to be provided by Contractor.
Ol reso/ins-4agency/8/?9/01
8
EXH161T F
Res.No.326
EXHIBIT F
TO RESOLUTION NO.23_2
INDEMNIFICATION DEFENSE, AND HOLD HARMLESS
CONSULTANT hereby agrees to protect, defend, indemnify and hold harmless AGENCY, its
officers, elected or appointed officials, employees, agents and volunteers from and against any and all
claims, damages, losses, expenses, demands, and defense costs (including without limitation, costs and
fees of litigation of every nature or liability of any kind or nature) arising out of or in connection with
CONSULTANT's performance of this Agreement or its failure to comply with any of its obligations
contained in this Agreement by C0NSULTANT, its officers, agents or employees except such loss or
damage which was caused by the sole negligence or willful misconduct of AGENCY. AGENCY shall
be reimbursed by CONSULTANT for all costs and attorney's fees incurred by AGENCY in enforcing
this obligation. .CONSULTANT will conduct all defense at its :ole cost and expense, and the
AGENCY shall approve selection of CONSULTANT's counsel. This indemnity shall apply to all
claims and liability regardless of whether any insurance policies are applicable. The policy limits do
not act as a limitation upon the amount of indemnification to be provided by the CONSULTANT.
01 reswins 1agency.3 29'01
9
EXHIBIT G
Res.No.326
EXHIBIT G
TO RESOLUTION NO.4W6
INDEMNIFICATION, DEFENSE, AND HOLD HARMLESS
CONSULTANT hereby agrees to protect,defend, indemnify and hold harmless AGENCY, its
officers, elected or appointed officials, employees, agents and volunteers from and against any and all
claims, damages, losses, expenses,judgments, demands and defense costs (including, without
limitation, costs and fees of litigation of every nature or liability of any kind or nature) arising out of or
in connection with CONSULTANT's (or CONSULTANT's subcontractors, if any) negligent
performance of this Agreement or its failure to comply with any of its obligations contained in this
Agreement by CONSULTANT, its officers, agents or employees except such loss or damage which
was caused by the sole negligence or willful misconduct of AGENCY. AGENCY shall be reimbursed
by CONSULTANT for all costs and attorney's fees incurred by AGENCY in enforcing this obligation.
CONSULTANT will conduct all defense at its sole cost and expense and the AGENCY shall approve
selection of CONSULTANT's counsel. This indemnity shall apply to all claims and liability regardless
of whether any insurance policies are applicable. The policy limits do not act as limitation upon the
amount of indemnification to be provided by the CONSULTANT.
01resoiins-4asency/8/29/01
10
. EXH IBIT H ..........
Res.No..326
EXHIBIT H
REDEVELOPMENT AGENCY OF THE CITY OF HUNTINGTON BEACH
APPLICATION FOR INSURANCE REQUIREMENTS WAIVER OR MODIFICATION
1. Name/Title/Department of Requesting Staff Member
2. Date of Request
3. Name of Contractor/Permittee
4. Description of work to be performed
5. Value of Contract
6. Length of Contract
7. Type of Waiver or Modification Requested:
8. Reason for Request for Waiver or Reduction of Limits
9. Identify the risks to the Agency if this request for waiver or modifications granted
Department Head Signature
RECOMMENDATION
RISK MANAGER
Approve Deny Signature/Date
AGENCY ATTORNEY
Approve Deny Signature/Date
❑Executive Director approval is required for this waiver. (This form must be submitted to the Executive Director.)
EXECUTIVE DIRECTOR
Approve Deny Signature/Date
01 reso/ins-4aeency/8/29/01
14
Res. No. 326
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) ss
CITY OF HUNTINGTON BEACH )
I, CONNIE BROCKWAY, Clerk of the Redevelopment
Agency of the City of Huntington Beach, California, DO HEREBY
CERTIFY that the foregoing resolution was duly adopted by the
Redevelopment Agency of the City of Huntington Beach at a regular
meeting of said Redevelopment Agency held on the 1st day of October,
2001 and that it was so adopted by the following vote:
AYES: Green, Boardman, Cook, Julien Houchen, Dettloff, Bauer
NOES: None
ABSENT: Garofalo
ABSTAIN: None
Clerk of the Redevelopment Agency
of the City of Huntington Beach, CA