HomeMy WebLinkAboutCOMMUNITY SERVICE PROGRAMS, CSP - 2004-01-01f
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Su ity Contracts Checklist for Submittal to
City Clerk's Office
Hunt Brach•
(Please transmit this form when your contract is ready to be filed in the City Clerk's office)
To: Connie Brockway, City Clerk
x5404
1. Name of Contractor: Community Services Program Inc.
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2. Purpose of Contract: For Example: Audit Services or Water Quality Testing Huntington Lake — Huntington, Censl Park
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Victim/Witness Advocate =- >
3. Expiration Date: If no expiration date, please put a tentative expiration date so the City Clerk's office can inquire of your
department if the file is ready to inactivate.
September 30, 2004
4. Amount of Contract: $58,800
A. Is the attached contract RELATED to a PREVIOUSLY SUBMITTED contract (renewal/amendment/etc)? O YES E3 NO
B. Did you attach the LIST OF CONSULTANTS from whom proposals were requested — pursuant to HBMC 3.03.100? Pf YES O N/A
OR Is the attached contract a SOLE SOURCE? ❑ YES 17 N/A
C. Did you attach a COPY of the insurance certificate/waiver and send the ORIGINAL to Risk Management? YES
PLEASE I LUDE: CITY CLERK'S OFFICE USE ONLY:
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0
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
Cori M u• kcu - rC- Coj -�Rxz-,RA-r -To.rc- -
FOR
THIS AGREEMENT ("Agreement") is made and entered into this—+E-_--- day of
14 �tvq! 2004, by and between the City of Huntington Beach, a municipal
corporation of the State of California, hereinafter referred to as "CITY, and
6nr-?n u niTTY ,--Frx— . a
hereinafter referred to as "CONSULTANT."
WHEREAS, CITY desires to engage the services of a consultant to
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:
1. 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
represent it and he its sole contact and agent in all consultations with CITY during the
performance of this Agreement.
::greciiornrs'pro'scry I Oil 901 I
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 Aareement. The services of CONSULTANT
are to commence as soon as practicable after :he execution of this Agreement by CITY (the
"Commencement Date"). This Agreement shall expire on -1pr , a� T unless
sooner terminated as provided herein. All tasks specified in Exhibit "A" shall be
completed no later than Sepr. 30, ADY from the Commencement Date of this
Agreement. These times may be extended with the written permission of CITY. 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 mutuaily 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," a fee, includina all costs and expenses, not to exceed
45T t ' *100LA00, FSby r pu..30o;V Dollars (S 58t U u b D.
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
agreelformslprofsery 10115101 2
compensation for such extra work shall be allowed only if the prior written approval of
CITY is obtained.
6. METHOD OF PAYMENT
CONSULTANT shall be paid pursuant to the terms of Exhibit "B," which
is attached hereto and incorporated by reference into this Agreement.
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. CITY
agree formsrprofservIO!15 01 3
shall be reimbursed by CONSULTANT for all costs and attorney's fees incurred by CITY
in enforcing this obligation. 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 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 (S i .000,000) 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
agree.`forms profscrvtU.']5,01 4
provision of at least two (2) years to report claims arising from work performed in
connection with this Agreement.
10. CERTIFICATE OF INSUR-ANCE
Prior to commencing performance of the work hereunder, CONSULTANT
shall furnish to CITY a certificate of insurance subject to approval of the City Attorney
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. shall state that the policy is currently in force; and
C. shall 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, ter. (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 indemnification and defense obligations as set forth in
this Agreement. CITY or its representative shall at all times have the right to demand the
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.
agmc/i ormsiproiscry 10;15?01 5
11. 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 an&or the services to be performed hereunder.
12. TERMINATION OF AGREEMENT
All work required hereunder shall be performed in a good and workmanlike
manner. CITY may terminate COtiS1:LTAtiT'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.
agrer'forms'profsery 1O'1 Siff 1 6
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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.
16. NOTICES
Any notices, certificates, or other communications hereunder shall be given
either by personal delivery to CONSULTANT's agent (as designated in Section
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:
City of Huntington Beach
ATTN: C i .5d'qu-
2000 Main Street
Huntington Beach, CA 92648
agrcclformslprofserv10115[01 7
TO CONSULTANT:
` _l __. L •
0 •
17. CONSENT
When C1TY'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.
19. SECTION HEADINGS
The titles, captions. section, paragraph and subject headings, and descriptive
phrases at thew 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.
agreelformsl profscry 10! 1 SID 1 8
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.
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 Huntinsrton 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.
agrec/forms/profserv10115/pl 9
9 •
24. ATTORNEY'S FEES
Except as expressly set forth in Section 8 of this Agreement, 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 non -prevailing party.
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 parry'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
AgrC&farmslprnfscrV I DJJ 5f01 10
understandings and agreements whether oral or in writing between the parties respecting
the subject matter hereof.
fN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by and through their authorized offices the day, month and year first above
written.
CONSULTANT,
CITY HUi`1TINGTON BEACH,
a municcipal corporation of the State of California
�42L/ a
�2 �' �d.3
Director of CZ:;
(Pursuanr Tv HBMC �3. 03.100)
print na
ITS: (circle one) Chainnan/PresidenuVice President
AND
By:
)SA' 4 -:S-. au S.fi
print na
ITS: (circle one) Secrets Chief Financial Ofncer:' sst.
Secretary — Treasurer
ngreelformsiprufsery 10/15/01 11
APPROVED AS TO FORM:
City Attorney l 11qW1
REVIEWED AN APPRO ED.
+tJ(J�� r
City Ad inistrator
(only far contract- over 550, 000.00)
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTNGTON BEACH AND
MARTYNEC & DEERING, CPAs
FOR PENSION PLAN PAYMENT TAX FILNG AND TAX WITHHOLDNG SERVICES
Table of Contents
1
Scope of Services.....................................................................................................
I
2
City Staff Assistance................................................................................................2
3
Term; Time of Performance.....................................................................................2
4
Compensation..................................................................
5
Extra Work...............................................................................................................2
6
Method of Payment..................................................................................................3
7
Disposition of Plans, Estimates and Other Documents...........................................3
8
Hold Harmless.........................................................................................................3
9
Professional Liability Insurance.............................................................................4
10
Certificate of Insurance................................................................................I...........5
11
Independent Contractor............................................................................................6
12
Termination of Agreement.......................................................................................6
13
Assignment and Delegation......................................................................................6
14
Copyrights./Patents ...................................................................................................7
15
City Employees and Officials..............................................................
....... r
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...............................................................................................................9
23
Legal Services Subcontracting Prohibited................................................................9
24
Attorney's Fees..........................................................................................................10
25
Survival...........................................................................
..........10
26
Governing Law.................................................................
........10
27
Entirety......................................................................................................................10
EXHIBIT "A" 0
A. STATEMENT OF WORK: (Narrative of work to be performed)
In an effort to promote a proactive preventative approach in domestic violence,
the City of Huntington Beach has utilized the Crime Against Persons Unit to
investigated domestic violence cases. The City of Huntington Beach has
proposed a partnership with a domestic violence counseling program. The focus
of this program is to assist victims with culturally sensitive, no -traumatizing
service that will reflect issues related to powerlessness, violation, guilt prejudice
fear of reprisal and legal ramification.
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES
1. Specialist will respond to vicitm's immediate emotional/physical need
including food, clothing, lodging, transportation or financial assistance.
2. The specialist wiii provide phone and in person support counseling
services
3. The specialist will assist the victim to participate in the judicial process,
including court support and accompaniment.
4. The specialist will advocate on behalf of the victim, such as filing crime
victim compensation claims, intervention with employers or creditors, case
information and disposition, translation services.
5. The specialist will assist in the preparation of Temporary Restraining
Order, including custody orders.
6. The specialist will refer the victim to community resources appropriate to
the victim's needs.
7. The contractor will provide one full-time Victim Specialist on site at the
Police Department
8. The contractor will provide workers compensation insurance of not less as
set forth by City contract provisions.
C. CITY'S DUTIES AND RESPONSIBILITIES:
1. Pay contractor on a quarterly basis after an invoice is received from the
contractor.
2. Review statistical reports submitted by the program director.
jmplconvacts group'exAf 1 O'2Z`03
• EXHIBIT "A" 0
3 Negotiate rates and provided services with the contractor.
5 Provide overall review of the program.
D. WORK PROGRAM/PROJECT SCHEDULE:
These services will be conducted within the annual contract period. It is
understandable that some services will continue beyond the contract period if the
services are on going. These on -going services will not have any costs that will
be assessed beyond the contract period.
jmplcontracts grouptexAi 10/22/03
9 0
EXHIBIT "B"
Payment Schedule (Alternative #1)
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. CONSULTANT shall be entitled to progress payments toward the fixed fee set forth
herein in accordance with the following progress and payment schedules.
3. 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.
4. CONSULTANT shall submit to CITY an invoice for each progress payment due.
Such invoice shall:
1) Reference this Agreement;
2) Describe the services performed;
3) Show the total amount of the payment due;
4) Include a certification by a principal member of CO]`SULTANT's firm that
the work has been performed in accordance with the provisions of this
Agreement; and
5) 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
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.
5. 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.
imp/contracts grou1/ex13-I/I0!2Zi03 I
EXI-IIBIT B
Alternative #1
Su
PROFESSIONAL SERVICE CONTRACTS
Hun•iI PURCHASING CERTIFICATION
ti®.
1. Requested by: Shawna Krone -Schmidt
2. Date: November 20, 2003
3. Name of consultant: Community Service Program, Inc.
4. Description of work to be performed: Domestic Violence Counselling Service
5. Amount of the contract: $56-At34M s9 000.
6. Are sufficient funds available to fund this contract?' ® Yes, ❑ No
7. Company number and object code where funds are budgeted: 75770101.69365
8. Is this contract generally described on the list of professional service contracts
approved by the City Council'? ® 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?'
® Yes, ❑ No
10. Were (at least) informal written proposals requested of three consultants?
® 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.
t If the answer to any these questions is "No," the contract will require approval from the City Council.
Purchasing Certification CSP-Domestic Violence 03-04.dot 1 1/24/2003 6:43 PM
Informal Proposal Contacts -Domestic Violence Specialist
Orange County Victim Health Department ---online county therapists
California Licensed Therapists -online, individual therapists
F.A.C.E.S.-inappropriate service -online
CITY OF SINTINGTON BEACH
REQUEST FOR LEGAL SERVICES
Jennifer McGrath, City Attorney
RLS No.
Assn To
Date
Date:
Request made by:
Telephone:
Department:
11-24-03
Shawna Krone -Schmidt
X 5425
Police
INSTRUCTIONS: File request in the City Attorney's Office. Outline reasons for this request and state
facts necessary for City Attorney to respond. Please attach all pertinent information and exhibits.
TYPE OF LEGAL SERVICES REQUESTED:
❑ Ordinance/Resolution ❑ Opinion ® Contract/Agreement
(Allow 5-20 working days)* (Allow 20 working days)* (Allow 15-20 working days)*
❑ General Legal ❑ Document Review
Assistance (Ongoing) (Allow 2-10 working days)'
" All deadlines are based on the date the City Attorne 's Office receives the RLS.
This request was revie d and approved.
i
Ir
ignature of Department Head
COMMENTS
Please identify all attachments to this RLS.
Contract for Community Service Program -Domestic Violence Counselling and Insurance Form- Please review for contract
process only -not needed for Council.
Shaded areas'for. City Attorney's Office use only.
This: request for Legal Services has been assigned to Attorney
extension.:. , Hislher:secretary is extension
Notes: Date Completed:
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From: Steven Wright At: Cnepman & Associates, Inc, FEAD: Chaoman 626-405-0585 10: Joan Nalrfeth uBTe: lliwU4 I1 a75 AM.. rage: Dot
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PROCUCEIt THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Chapman k Associates ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE
License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P . 0. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pasadena CA 91117-0455
Phones 626-405-8031 Fax1626-405-0585 INSURERS AFFORDING COVERAGE NAICAI
INSURED INSURER A:
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INSURER B: Alps }forth America See I
Co=unity Servicq programs, Inc I tNBCRERC'
1821 B. Dyer Road Ste. 200 IINSURERD:
Santa Ana CA 92705 --
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ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DCCUMENT WITH RESPECT. TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAV PERTAIK --FIE INSURAkCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SJBJECT TO ALL TIE TERMS. EXCLJSIONS ANO CONDITIONS OF SUCH
POLICIES. AGGREGATE UMI75 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_
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1 AGGREGATE 1 1000000
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s
I
f
OEDUCTIOLE
I
S
RETENTION S
WORKERS COMPENSATION AND
iL I TCIC LIMITS 1 ER
`EUPLDYERS'LIA I.MV
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NC]D077�4
07/01/03 07/01/04 e.L.EACH ACCIOlNT
11000000
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OFFICE9IMEMSEREXCLUDEO?
E.L.DLSFAaE-EAEMPLOYfE
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SPSCIA, PROVISIONS Be17Lv
I EL- DISEASE • POLICY LIMIT
f 1000000
OTHER
A �Rmplovse Dishonest RP0004339
I
10/01/03I 10/01/04I limit 450,000
II
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED EY Ei4DORSEMLAT I SPECIAL PROVISIONS
City of xantington Beach, itIsjLgento, OLtieers 14 Baployees are named as
additional insured with respect to the
operations of the named insured except for workers' compensation.
RSFi Victim Aeeiatcmea Program
r Ctaris:VIATF lane nro r.ANCFLLeT1nN
H7yT:rN3
SHOULD ANY Or TINE ABOVE BEBCRIBiO POLICIil BE CANCCLLFD BEFORE THE &IP:RATION
DATE THEREOF, THE ISSULNG INSURER WILL 10I0EAVRo4O "L 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Huntington Beach
Police Department
2000 Main Street
AUT EDREPR A
Huntington Reach CA 92640
ACVRD 25 (2001108)
9AWR0 QQKPORATIVN Teas
.TAN-13-2024 12:03 Chapman 626-405-0565 P.06
From: Stever. Wright At: Chapman & Associates, Inc. FaxID: Chapman 626-405-0585 To: Joan Naideth pate: 1113914 11:bb AM rage: r of r
Riverport Insurance Company Commercial General liability
POLICY NUMBER: GL & AUTO #RP0004339
THIS ENDURStMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 201013 85
ADDITIONAL INSURED -OWNERS, LESSEES, OR CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the tollovgng:
COMMIERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL AUTO LIABILITY COVERAGE PART
SCHEDULE
DAME OF PERSON OR ORGANIZATION-.
City of Huntington Beach, It's Agents, Officers and Fmpinyees
Police Department
2000 Main Street
Humil%Loil Beach, CA 92648
Victim Assistance Program
(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 li) is airended to include as an insured the person or
organization shown in the Schedule as an insured but on]y with respect to liability
arising out of "your work"tor that insured by or for you.
[Named Insured:
Community Service Programs, Inc.
1821 E. Dyer Road, *200
Santa Ana, CA 92705
CG 20 10 1185
.TAN-13-2004 12:03 Chapmar 626-405-05E5 p-07