HomeMy WebLinkAboutArt J. Alcaraz - 2006-05-02 SU e ity Contracts Submittal to
City Clerks Office R VE
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.1. Name of Contractor: ART J. ALCARAZ
2. Purpose of Contract: For Example:Audit Services or Water Quality Testing Huntington Lake—Huntington Central Park
Peform senior level human resources professional.
3. Amount of Contract: $10,000
Copy of contract distributed to: The ORIGINAL insurance certificate/waiver sent to Risk
Management
Initiating Dept._
City Treasurer_ ORIGINAL bonds sent to Treasurer
CITY CLERK'S OFFICE USE ONLY:
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Date: 5/24/2006
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PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
ARTURO J. ALCARAZ
FOR
SENIOR LEVEL HUMAN RESOURCES PROFESSIONAL
Table of Contents
IScope of Services.....................................................................................................1
2 City Staff Assistance ...................::..........................................................................2
3` Term;Time of Performance ........................._..........................._..............................2
.4 Compensation...........................................................................................................2
5 Extra Work ............................ ......2
6 Method of Payment
7 Disposition of Plans, Estimates and Other.Documents...........................................3
8 Hold Harmless....................................................................................._...................3
9 Professional Liability Insurance............................_................................................4
10 Certificate of Insurance ...........................................................................................5
11 Independent Contractor ...........................................................................................6
12 Termination of Agreement......................................................................................6
13 Assignment and Delegation..................................
14 Copyrights/Patents............................
15 City Employees and Officials............................................ .................... ....._..........7
16 Notices............. ...................... ..............7
17 Consent...._.. ............... ......._............_.................... .........8
18 Modification..........
..........................................................................:........................8
19 Section Headings.....................................................................................................8
20 Interpretation of this Agreement...................................... .......................................8
21 Duplicate Original .......... ...........................:.................._..........................................9 .
22 Immigration._......... ........................................ ...............................I.................:.......9
23 Legal Services Subcontracting Prohibited.................................................................9
24 Attorney's Fees ...............................................................:.............. ..........................10
25 Survival.................................................................... .................. 10
26' Governing Law .10
27 Entirety ........ ......... .................................._..........................................................._...10
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
ART J. ALCARAZ
FOR -d
SENIOR LEVEL.HUMAN RESOURCES PROFESSIONAL
THIS AGREEMENT ("Agreement") is made and entered into by and between the
City of Huntington Beach, a municipal corporation of the State of California, hereinafter
referred to. as "CITY, and Art J. Alcaraz, a individual hereinafter referred to as
"CONSULTANT."
WHEREAS, CITY desires'to engage the services of a consultant to perform as a
senior level human resources professional; and
Pursuant to documentation on file in the office of the City Clerk, the provisions of
the Huntington Beach Municipal Code, Chapter 3.03, relating to procurement of
professional service contracts have been complied with; and
= CONSULTANT has been selected to perform these services,
NOW, THEREFORE, it is agreed by CITY and CONSULTANT as follows: '
L SCOPE OF SERVICES
CONSULTANT shall provide all services as described in Exhibit "A,"'
which is attached hereto and incorporated into this Agreement by this reference. These
services shall sometimes hereinafter be referred to as the "PROJECT."
CONSULTANT hereby designates Art J. Alcaraz who shall represent it and
be its sole contact and agent in all consultations with CITY during the performance of this
Agreement.
agree/citywide/revisions/profservl0/15/01-A 1
2. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly with CONSULTANT
in,the performance of this Agreement.
3. _ TERM; TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of CONSULTANT
7 are to commence on May 8, 2006 (the "Commencement Date"). This Agreement shall
automatically terminate three (3) years from the Commencement Date, unless extended or
sooner terminated as provided herein. All tasks specified in Exhibit "A" shall be
completed no later-than July 14, 2006 from the Commencement Date. The time for
performance of the tasks identified in Exhibit "A" are generally to be shown in Exhibit
"A. This schedule may be amended to benefit the PROJECT if mutually agreed to in
writing by CITY and CONSULTANT.
4. COMPENSATION
In consideration of the performance of the services described herein, CITY
agrees to pay CONSULTANT on a time, and materials basis at the rates specified in
Exhibit "B," which is attached hereto and incorporated by reference into this Agreement,
a fee, including all costs and expenses, not to exceed Ten Thousand Dollars ($10,000).
5. EXTRA WORK
In the event CITY requires additional services not included in Exhibit "A"
or changes in the scope of services described in Exhibit "A," CONSULTANT will
undertake such work only after receiving written authorization from CITY. Additional
compensation for such extra work shall be allowed only if the prior written approval of
CITY is obtained:
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6. METHOD OF PAYMENT
CONSULTANT shall be paid pursuant to the terms of Exhibit "B."
7. DISPOSITION OF PLANS ESTIMATES AND OTHER DOCUMENTS
CONSULTANT agrees that title to all materials prepared hereunder,
including, without limitation, all original drawings, designs, reports, both field and office
notices, calculations, computer code, language, data or programs, maps, memoranda,
letters and other documents, shall belong to CITY; and CONSULTANT shall turn these
materials over to CITY upon expiration or termination of this Agreement or upon
PROJECT completion, whichever shall occur first. These materials may be used by CITY
as it sees'fit.
8. HOLD HARMLESS
CONSULTANT hereby agrees to protect, defend, indemnify and hold
harmless CITY, 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 CITY. "
CONSULTANT will conduct all defense at its sole cost and expense and CITY 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
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do not act as limitation upon the amount of indemnification to be provided by
CONSULTANT.
9. PROFESSIONAL LIABILITY INSURANCE
CONSULTANT shall obtain and furnish to CITY a professional liability
insurance policy covering the work performed by it hereunder. This policy shall provide
coverage for CONSULTANT's professional liability in an amount not less than One
Million Dollars ($15000,000.00) per occurrence and in the aggregate. The above-
mentioned insurance shall not contain a self-insured retention, "deductible" or any other
similar form of limitation on the required coverage except with the express written consent
of CITY. A claims-made policy shall be acceptable if the policy further provides that:
A.- The policy retroactive date coincides with or precedes the initiation
of the scope of work (including subsequent policies purchased as
renewals or replacements).
B. CONSULTANT shall notify CITY of circumstances or incidents
that might give rise to future claims.
CONSULTANT will make every effort to maintain similar insurance during
the required extended period of coverage following PROJECT completion. If insurance is
terminated for any reason, CONSULTANT 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.
10. CERTIFICATE OF INSURANCE
Prior to commencing performance of the work hereunder, CONSULTANT
shall furnish to CITY a.certificate of insurance subject to approval of the City Attorney
agree/citywide/revisions/profserv10/15/01-A 4
evidencing the foregoing insurance coverage as required by this Agreement; the certificate
shall:
A. provide the name and policy number of each carrier and policy;
B. state that the policy is currently in force; and
C. promise that such policy shall not be suspended, voided or canceled
by either party, reduced in coverage or in limits except after thirty
(30) days' prior written notice; however, ten (10) days' prior written
notice in the event of cancellation for nonpayment of premium.
CONSULTANT shall maintain the foregoing insurance coverage in force
until the work under this Agreement is fully completed and accepted by CITY.
The requirement for carrying the foregoing insurance coverage shall not
derogate from CONSULTANT's defense, hold harmless and indemnification obligations as
set forth in this Agreement. CITY or its representative shall at all times have the right to
demand Ahe original or a copy of the policy of insurance. CONSULTANT shall pay, in a
prompt and timely manner, the premiums on the insurance hereinabove required.
l 1. INDEPENDENT CONTRACTOR
CONSULTANT is, and shall be, acting at all times in the performance of
this Agreement as an independent contractor herein and not as an employee of CITY.
CONSULTANT shall secure at its own cost and expense, and be responsible for any and
all payment of all taxes, social security, state disability insurance compensation,
unemployment compensation and other payroll deductions for CONSULTANT and its
officers, agents and employees and all business licenses, if any, in connection with the
PROJECT and/or the services to be performed hereunder.
agree/citywide/revisions/profservl0/15/01-A 5
12. TERMINATION OF AGREEMENT
All work required hereunder shall be performed in a good and workmanlike
manner. CITY may terminate CONSULTANT's services hereunder at any time with or
without cause, and whether or not the PROJECT is fully complete. Any termination of this
Agreement by CITY shall be made 'in writing, notice of which shall be delivered to
CONSULTANT as provided herein. In the event of termination, all finished and
unfinished documents, exhibits, report, and evidence shall, at the option of CITY, become
its property and shall be promptly delivered to it by CONSULTANT.
13. , ASSIGNMENT AND DELEGATION
This Agreement is a personal service contract and the work hereunder shall
not be assigned, delegated or subcontracted by CONSULTANT to any other person or"
entity without the prior express written consent of CITY. If an assignment, delegation or
subcontract is approved, all approved assignees, delegates and subconsultants must satisfy
the insurance requirements as set forth in Sections 9 and 10 hereinabove.
14. COPYRIGHTS/PATENTS
CITY shall own all rights to any patent or copyright on any work, item or
material produced as a result of this Agreement.
15. CITY EMPLOYEES AND OFFICIALS
CONSULTANT shall employ no CITY official nor any regular CITY
employee in the work performed pursuant to this Agreement. No officer or employee of
CITY shall have any financial interest in this Agreement in violation of the applicable
provisions of the California Government Code.
agree/citywide/revisions/profsery 10/1 510 1-A 6
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16. NOTICES
Any notices, certificates, or other communications hereunder shall be given
either by personal delivery to CONSULTANT's agent (as designated in Section 1
hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed
envelope, postage prepaid, and depositing the same in the United States Postal Service, to
the addresses specified below. CITY and CONSULTANT may designate different
addresses to which subsequent notices, certificates or other communications will be sent by
notifying the other party via personal delivery, a reputable overnight carrier or U. S.
certified mail-return receipt requested:
TO CITY: TO CONSULTANT:
City of Huntington Beach Arturo J. Alcaraz
ATTN: " Bob Hall, Deputy City
Administrator 20601 Thundersky.Circle
2000 Main Street Riverside, CA 92508
Huntington Beach, CA 92648
17. CONSENT
When CITY's consent/approval" is required under this Agreement, its
consent/approval for one transaction or event shall not be deemed to be a consent/approval
to any subsequent occurrence of the same or any other transaction or event.
18. MODIFICATION
No waiver or modification of any language in this Agreement shall be valid
unless in writing and duly executed by both parties.
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19. SECTION HEADINGS
The titles, captions, section, paragraph and subject headings, and descriptive
phrases at the beginning of the various sections in this Agreement are merely descriptive
and are included solely for convenience of reference only and are not representative of
matters included or excluded from such provisions, and do not interpret, define, limit or
describe, or construe the intent of the parties or affect the construction or interpretation of
any provision of this Agreement.
20. INTERPRETATION OF THIS AGREEMENT
The language of all parts of this Agreement shall in all cases be construed
as a whole, according to its fair meaning, and not strictly for or against any of the parties.
If any provision of this Agreement is held by an arbitrator or court of competent
jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate
or affect the remaining covenants and provisions of this Agreement. No covenant or
provision shall be deemed dependent upon any other unless so expressly provided here.
As.used in this Agreement, the masculine or neuter gender and singular or plural number
shall be deemed to include the other whenever the context so indicates or requires.
Nothing contained herein shall be construed so as to require the commission of any act
contrary to law, and wherever there is any conflict between any provision contained herein
and any present or future statute, law, ordinance or regulation contrary to which the parties
have no right to contract, then the latter shall prevail, and the provision of this Agreement
which is hereby affected shall be curtailed and limited only to the extent necessary to bring
it within the requirements of the law.
agree/citywide/revisions/profservl0/15/01-A 8
21. DUPLICATE ORIGINAL
The original of this Agreement and one or more copies hereto have been
prepared and signed in counterparts as duplicate originals, each of which so executed shall,
irrespective of the date of its execution and delivery, be deemed an original. Each
duplicate original shall be deemed an original instrument as against any party who has
signed it.
22. IMMIGRATION
CONSULTANT shall be responsible for full compliance with the
immigration and naturalization laws of the United States and shall, in particular, comply
with the provisions of the United States Code regarding employment verification.
23. LEGAL SERVICES SUBCONTRACTING PROHIBITED
CONSULTANT and CITY agree that CITY is not liable for payment of any
subcontractor work involving legal services, and that such legal services are expressly
outside the scope of services contemplated hereunder. CONSULTANT understands that
pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive
legal counsel for CITY; and CITY shall not be liable for payment of any legal services
expenses incurred by CONSULTANT.
24. ATTORNEY'S FEES
In the event suit is brought by either party to construe,. interpret and/or
enforce the terms and/or provisions of this Agreement or to secure the performance hereof,
each party shall bear its own attorney's fees, such that the prevailing party shall not be
entitled to recover its attorney's fees from the nonprevailing party.
agree/citywide/revisions/profservl0/15/01-A 9
25. SURVIVAL
Terms and conditions of this Agreement, which by their sense and context .
.survive the expiration or termination of this Agreement, shall so survive.
26. GOVERNING LAW
This Agreement shall be governed and construed in accordance with the
laws of the State of California:
27. ENTIRETY
The parties acknowledge and agree that they are entering into this
Agreement freely and voluntarily,following extensive arm's length negotiation, and that
each has had the opportunity to consult with legal counsel prior to executing this
Agreement. The parties also acknowledge and agree that no representations, inducements,
promises, agreements or warranties, oral or otherwise, have been made by that party or,
anyone acting on that party's behalf, which are not embodied in this Agreement, and that
that party has not executed this Agreement in reliance on any representation, inducement,
promise, agreement, warranty, fact or circumstance not expressly set forth in this
Agreement. This Agreement, and the attached exhibits, contain the entire agreement
between the parties respecting the subject matter of this Agreement, and supersede all prior,
understandings and agreements whether oral or in writing between the parties respecting
the subject matter hereof.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to/be
executed by and through their authorized officers on `M/,?ti '� _, 2040 h .
agree/citywide/revisions/profservl0/15/01-A 10
CONSULTANT,
CITY OF HUNTINGTON BEACH,
a munici a corporation of the State of California
By: (Pursuant To HB C§3.03.100) t
print name
ITS: (circle one)Chairman es ice President APPROVED AS TO FORM:
AND
COY Attor y
By: jjrr/
REVIEWED AND\APPROVED:
print name
ITS: (circle one) Secretary/Chief Financial Officer/Asst.
Secretary—Treasurer
City Administrator
(only for contracts\S50,000.00 and over)
agree/citywide/revisions/profservl0/15/01-A 11
EXHIBIT „A.,
A. ' STATEMENT OF WORK: (Narrative of work to be performed)
In an effort to increase the City of Huntington Beach Human Resources overall
performance on training, process & procedures, responsibilities, reports and to advise
on issues pertaining to Human Resources Functions.
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:
Task I: Develop a Comprehensive Training Program
A. Create a catalogue of classes offered
B. Classes will include many already offered by various departments .
C. Identify new training courses, e.g., Sexual Harassment, Customer Service and
Performance Evaluation training
Task II Update Process & Procedures
A. Personnel Rules
B. Administrative Regulations (AR's), as they relate to Personnel Rules
C.' . Applicable laws and guidelines.
D. Manuals
Task III: Assessment of Division Functions
A. High level assessment of staffing and organizational structure
B. Workload descriptions and work assignment responsibilities
C. Systems to measure accountability
D. Analyze internal communications between organizational layers and the public
Task IV: Forms and Reports
A. Update Performance Evaluation form
B. Recruitment Report
C. CITY'S DUTIES AND RESPONSIBILITIES:
1. Services to perform under the direction of the Deputy City Administrator
2. Cost of any printed materials associated with work provided for the City
shall be borne by the City. Should there be occasion(s) where it would be in the
best interest of the contractor to remain in Huntington Beach overnight to be
available for early morning meetings following a contract day, reasonable hotel
accommodations shall be covered by the City of Huntington Beach.
jmp/contracts group/exA/4/26/06
EXHIBIT "A"
D. WORK PROGRAM/PROJECT SCHEDULE:
jmp/contracts group/exA/4/26/06
EXHIBIT "B"
Payment Schedule (Hourly Payment)
A. Hourly Rate
CONSULTANT'S fees for such services shall be based upon the following hourly rate and
cost schedule:
Services will be provided for a fee on $55.00 per hour until July 14, 2006. If contract is
amended the hourly rate will increase to $80.00.
B. Travel
1. Charges for time during travel are normally not reimbursable and will only be paid
if such time is actually used in performing services for CITY or as otherwise
arranged with CITY.
2. As CITY sometimes uses consultants that are outside of the nearest metropolitan
area, CITY is very conscious of travel costs. Subject to agreement otherwise,
CONSULTANT will be held to charging no fees on travel time to or from .
Huntington Beach.
fi
3. 'Automobile expenses are limited to the IRS standard business mileage rate. All
other travel expenses must be approved in advance by CITY in writing. Requests
for approval shall be submitted at least fourteen (14) days in advance, to allow for
reduced transportation fares. Meals are not billable to CITY, without prior written
consent of CITY.
C. Billing
1. All billing shall be done monthly in one-tenth-hour (0.10) increments and matched
to an appropriate breakdown of the time that was taken to perform that work and
who performed it.
Minimum billing charges are unacceptable. CONSULTANT shall only charge for
. actual time spent. For example, minimum of 0.2 hours for phone calls or 0.4 hours
for letters is unreasonable unless that is an accurate measure of time spent.
2. Each month's bill should include a total to date. That total should provide, at a
glance, the total fees and costs incurred to date for the case or matter.
3. Telephone, cellular phone and postage charges are billable at actual cost. A copy of
all service bills/costs should accompany the billing for each single item that exceeds
Seventy-Five Dollars ($75.00). The fee for the sending or receiving of facsimiles
agree/forms/exB-hourly fee/4/26/06 EXHIBIT B 1
Hourly Payment
EXHIBIT "B"
Payment Schedule (Hourly Payment)
shall not exceed Twenty-five Cents ($0.25) per page. CITY will not pay a fee or
charge for telephone calls or facsimiles to CITY. Photocopier costs should be no
more than the actual cost of duplication, or Ten Cents ($0.10) per page, whichever
is less.
4. CITY will not pay for secretarial time or secretarial overtime. CITY will not pay
for secretarial tasks or tasks that should be subsumed into CONSULTANT's
overhead. For example, time spent for faxing, mailing, arranging for messengers
and calendaring are not acceptable charges.
5. CITY will not pay for word processing charges. This includes per page or hourly
charges.
6. CITY will not pay for billing or discussion of bills. If CITY has questions about
billing or needs additional information on bills, that is not a chargeable event;
CONSULTANT should respond without charging CITY for the time required.
7. CITY appreciates when CONSULTANT has researched an issue previously and
uses that research on the present case. CITY has retained CONSULTANT because
of its past experience. CONSULTANT shall not charge CITY for work it has done
and billed another client for in the past.
8. Delivery of work product: A copy of every memorandum, letter, report, calculation
and other documentation prepared by CONSULTANT shall be submitted to CITY to
demonstrate progress toward completion of tasks. In the event CITY rejects or has
comments on any such product, CITY shall identify specific requirements for
satisfactory completion.
9. CONSULTANT shall submit to CITY an invoice for each monthly payment due. Such
invoice shall: .
A) Reference this Agreement;
13) Describe the services performed;
C) Show the total amount of the payment due;
D) Include a certification by a principal member of CONSULTANT's firm that
the work has been performed in accordance*with the provisions of this
Agreement; and
E) For all payments include an estimate of the percentage of work completed.
Upon submission of any such invoice, if CITY is satisfied that CONSULTANT is
making satisfactory progress toward completion of tasks in accordance with this
Agreement, CITY shall approve the invoice, in which event payment shall be made
within thirty (30) days of receipt of the invoice by CITY. Such approval shall not be
unreasonably withheld. If CITY does not approve an invoice, CITY shall notify
CONSULTANT in writing of the reasons for non-approval and the schedule of
performance set forth in Exhibit "A" may at the option of CITY be suspended until the.
agree/forms/exB-hourly fee/4/26/06 EXHIBIT B 2
Hourly Payment
EXHIBIT "B"
Payment Schedule (Hourly Payment)
parties agree that past performance by CONSULTANT is in, or has been brought into
compliance, or until this Agreement has expired or is terminated as provided herein.
10. Any billings for extra work or additional services authorized in advance and in writing
by CITY shall be invoiced separately to CITY. Such invoice shall contain all of the
information required above, and in addition shall list the hours expended and hourly
rate charged for such time. Such invoices shall be approved by CITY if the work
performed is in accordance with the extra work or additional services requested, and if
;CITY is satisfied that the statement of hours worked and costs incurred is accurate.
Such approval shall not be unreasonably withheld. Any dispute between the parties .
concerning payment of such an invoice shall be treated as separate and apart from the
ongoing performance of the remainder of this Agreement.
a
agree/forms/exB-hourly fee/4/26/06 EXHIBIT B 3
Hourly Payment
• v
INSURANCE AND INDEMNIFICATION WAIVER
MODIFICATION REQUEST �
J
1. Requested'by: Christi Mendoza, Risk Management
-,2 'Date May 16. 2006
Name of"contractor/permittee: Arturo Alcaraz (H.R. Consultant)
4:' Description of work to be performed: ' Human resources projects
5: Value'and-length of`contract: Not-to-exceed$10,000; 05/08/06 - 07/14/06 .
:6.. .,Waiver/modification request: Professional liability insurance and cancellation wording"
:'7. . Reason for request and why it should be granted:, Consultant does not carry professional
iabili!y insurance coverage and unable to. modify the general .liability cancellation clause
.-wording
8. Identify the risks to the City in approving this waiver/modification: No ascertainable risk to
the city involving this project k
De rtment Head Signature Date: .
_e J APPROVALS
Approvals must be obtained in the order listed on this form. Two approvals are required
for a,request to-be granted. Approval fro the City Administrator's Office is only required if.
Risk Management and 'e City Attomeys Office-disagree.
Management ;
1
"
z
Approved ❑.Denied - 4
` Signature Date
2. City Attorney's Office
t
Approved` ElDenie ►' Y r . 3�.1 10"
Signatur Date
3.'. City Administrator's Office
ED Approved ;°❑ Denied
Signature `Date`
If.approved,the completed waiver/modification request is to be submitted to the -
CityAttomey's Office along with the contract for approval. Once the contract has been approved;
this form is to be filed with the Risk Management Division of Administrative Services
:f CERTIFICATE OF INSURANCE
......... :This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY,Bloomington,'Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois,
❑ STATE FARM FIRE AND CASUALTY.COMPANY,ScaTborough;.Ontano,
STATE FARM FLORIDA INSURANCE COMPANY,:Winter Haven, Florida
❑ STATE FARM LLOYDS,.Dallas,Texas,
insures the following policyholder:for'the coverages indicated below:-:
Policyholder ARTURO ALCARAZ
Address-of policyholder 20601 THUNDERSKY CIR, RIVERSIDE CA. 92508-3125
,Location Of operations 2000 MAIN STREET, HUNTINGTON BEACH, :CA -92648
Description of operations
H.R'. ..CONSULTANT
'The policies listed below have been issued to the policyholder for the policy periods shown.The insurance described in these policies is
subject to all the terms,`exclusions, and,conditions of those policies.The limits of liability shown may have.been reduced by any paid claims.
POLICY PERIOD LIMITS OF LIABILITY ,,
POLICY NUMBER TYPE OF INSURANCE
Effective Date Expiration Date (at beginning of policy period)
Comprehensive BODILY INJURY AND
Business Liability PROPERTY DAMAGE;
- ---- ---- - - - -
This insurance includes: . El Products-Completed Operations
'« ❑ Contractual Liability Each'Occurrence $
Personal injury . AS ZO FQRIvp. ,_
El Advertising Injury General Aggregate $
❑ ER imltc'G
❑ T0RNE Products-Completed $
❑:. Operations Aggregate'
POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE '
EXCESS LIABILITY ;
Effective Date Expiration Date (Combined Single Limit)
t .❑ Umbrella Each Occurrence $
Other Aggregate $
Part - r Compensation
POLICY PERIOD P rt I Workers sat'on Statutory
Effective Date Expiration Date
Workers' Compensation Partill Employers Liability .
and Employers Liability Each Accident $ -
Disease Each Employee'$`
Disease-Policy Limit $ ,
-. . POLICY PERIOD LIMITS OF LIABILITY :.
• '"POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy.period):
92-D63095'-0 ` BUSINES LIABILIY 05/02/2006 05/02/2007` 1,0.00,0.00
.THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY. ,
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certificate Holder If any of the described policies are canceled before
THE CITY.'OF'HUNTINGTON BEACH, 2000, MAIN STREET, HUNTINGTON their expiration date, State Farm will try to-mail a"
BEACH; ;CA, 92648, ATTN: RISK MANAGEMENT, written notice t0 the Certificate holder 30 days before
cancellation.if however;we fail to mail such notice;
no obligation or liability will be imposed on State
THE CITY OF .HUNTINGTON BEACH, ITS AGENTS OFFICERS, AND Farm Or Its agents Or:representatives.
EMPLOYEES AS. ADDITIONALLY INSURED AND, WHEN APPLICABLE, THE
'REDEVELOPEMENT AGENCY OF .THE CITY OF HUNTINGTON BEACH`
Signature of Authorized Representative
AGENT . 05/10/2006
Title � . Date..
YOLANDA 'VASQUEZ-MEIER
„• ' ' Agent Name . ^
Telephone Number 909-370-4595
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' Agent's Code Stamp
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Agent,Code. 8 7 00
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AFO,Code F422
558-994 a.5 Rev.11'-08-2004 "Printed in U.S.A-
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HUNTINGTON BEACH, :
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2000 Main Street, 'Huntington Beach; CA :. 92648
Hunan each
Declaration of Non-Employer Status
In order to comply with the City Council Resolution No.'6277; you are required
to provide:proof of Workers' Compensation Insurance. If you have ' o :
"employees,'this form must be signed and returned to:
City of Huntington Beach
Risk Management Division
"
2000 Main Street
Hantington Beach, .CA 92648 7.
: 1- certify, that in the'.performance of the activity or work for which this permit is
issued; V shall not employ any person in any manner so as to become- subject to
California Workers'.Compensation insurance requirements. '
I:"authorize the City of Huntington Beach to immediately and ,retroactively
revoke the .1-icense or permit issued . under . this ` declaration if� ,1. hire ' any
empI9yee(s) or become subject to the provision of the laws 'requiring Workers'
'.Compensation:Insurance.
Applicant/Company Name: .4
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Address . > . G'/ v
' -Applicant's, Signature:
Title .
Location Signed � -
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Su ity PROFESSIONAL SERVICE CONTRACTS
Huntin 'Beach o
PURCHASING CERTIFICATION
1. Requested by: Bob Hall
2. Date: April 26, 2006
3. Name of consultant: Art J. Alcaraz
4. Attach the written statement of the specification, conditions and other
requirements for the requested services that was provided to solicted
consultatnts in your answer to 11 of this form.
5. Amount of the contract: $10,000.00
6. Are sufficient funds available to fund this contract?' ® Yes, ❑ No
7. Company number and object code where funds are budgeted: 10035301.
8. Is this contract generally described on the list of professional service contracts
approved by the City Council'? Z Yes, ❑ No
9. Is this contract within $25,000 or 25% (whichever is less) of the amount stated on
the list of professional service contracts approved by the City Council?'
Z Yes, ❑ No
10. Were (at least) informal written proposals requested of three consultants?
Z .Yes, ❑ No
11. Attach list of consultants from whom proposals were requested (including a
contact telephone number).
12. Attach proposed scope of work.
13. Attach proposed payment schedule.
ICHA D AMADRI , Manager
Purchasing/Central Services
' If the answer to any these questions is"No,"the contract will require approval from the City Council.
PSA certification 5/5/2006 11:38 AM
Company Address Cit stzip RFQ Attn'
Labor Management 15490 Weather Rock Corral de Tierra CA Renee Mayne ;
:' Services ,. Way 93908
Mills,-Group. 231.4 N Olive Ln Santa Ana 92706- Lisa Mills
1936
California City Group 1530 Arroyo Dr .Laguna Beach CA Jan Perkins
92651
Robert Olson &Assoc 100'E loll Cir Folsom CA 95630 Robert Olson
Alliance Resource One World Trade Long Beach CA Eric Middleton
,Consulting Center Suite 420 90831
Jim Hart 161 Via Vicini Rancho Santa
Margarita CA
92688
Public Skills Service 340 G Street Suite A Davis CA 95616 Clark Goecker
Gerald Lipson 6822 Auburn Dr 'Huntington Beach
CA 92647
CPS Human 241, Lathrop Way Sacramento CA Pam herby
'Resources Services 95815
.Customer HR;' 7822 Verague Dr Playa del Rey CA Cheryl-
Solutions 90405 Mahaffey
Organizational 2621 6 th St#2 Santa Monica CA Kenneth
Performance 90405 Nowack
Dimensions
Friedland Associates 4611 Maytime Ln Culver City CA David
90230-5070 Friedland
Personnel Consulting 22900 Ventura Blvd Woodland Hills CA Edward`Hane
Group #125 92364
Creative-Management 8205 E Somerset Anaheim CA Barry Newton:
Solutions 92868-2315
Mary Ellen Schubel
,