HomeMy WebLinkAboutDigital Assurance Certification, LLC - 2014-07-11�,"le CONTRACTS SUBMITTAL TO
CITY CLERK'S OFFICE
To: JOAN FLYNN, City Clerk
Name of Contractor: Digital Assurance Certification, LLC
Purpose of Contract: For Example: Audit Services or Water Quality Testing Huntington Lake — Huntington Central Park
Risk Assessment/Compliance Review for SEC's Municipalities Continuing Disclosure
(MCDC) Initiative
Amount of Contract: $5,000
Copy of contract distributed to: The original insurance certificate/waiver distributed
to Risk Management
Initiating Dept.
Finance Dept. ❑ ORIGINAL bonds sent to Treasurer ❑
Date: 9/18/14
Name/Extension
City Attorney's Office
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G:AttyMisc/Contract Forms/City Clerk Transmittal
In response to the SEC's Municipalities Continuing Disclosure Cooperation ("MC DC;") Initiative
and to the .heightened scrutiny on compliance with prior continuing disclosure agreements
subject to the requirements of SEC Rule 15c2-12 (the " Rule"), DAC: will provide the following
-
Mo-part review:
1 A "Risk Assessment Review;" which will assist you and your counsel in.
determining whether you should consider "self -reporting" under the MCDC Initiative;
and
2. A "Compliance, Review," which will assist you and your counsel in remedying
any past compliance issues, andimproving your future compliance efforts.
I Risk Assess, ment.Review: For each series of bounds issued during the past five years and
for which you ("Requesting Party") request a Risk.Assessment Review, DAC (a) will extract
from the Official Statement ("OS"') for the bonds the summary language describing compliance
with prior continuino? disclosure agreement ("CDA") requirements; and (b) will show the filing
date requirements and actual filing dates for audited financial statements ("AFS'') and. Annual
Financial Information (as such term is defined in the Rule)("AFI") made on DisclosureUSA (for
the period from September 7, 2004 through June.1 1, 2007) or Bloomberg (if before July 1, 2009)
or on the INt1SRB's EMMA system (if on or after July 1, 2009) for the five-year period ,preceding
the OS date (such period is referred to hereinafter as the "MC;DC Review Period").. See "Exhibit
A" for the methodology used in a Risk Assessment Review:
2. ComplianceReview: DAC will provide you with online findings showing (a) all bond.
issues for which you were.an oblinted person and which have been outstanding during; the past
five years from the date of the review (such period is referred to hereinafter as the "CRS Review
Period"), (b). the continuing disclosure filing requirements for each of these bond issues, (c) your
five-year filing history reflecting all docLanents filed at EMMA during the CRS review Period.
(d) findings as to whether your filings have been timely and in conformity with your CDA
requirements; (e) an "exceptions" report summarizing late or missing flings, and (f) upon.
request, a narrative summary of the findings set forth in the exceptions report. See "Exhibit A."
for time methodology used in a Compliance Review,
1
ACKINO EDG E1 TS
By r accessing the SAC; System in order to review the findin.as � ��din-s") resulting, �.. Risk
Assessrnent"Compliance Revie, ski engagement ("Services"), you eeknowledge that:
1; .The on agement of DAC to provide access to youconstitutes a consulting
engagement.
'?) The infornxation, -resented online for the. Services, constitutes an independent .
accountant's report of the.results, which. report is dated the date such information is first
accessible online.
3) The purpose of each engagement is to assist you and your counsel in evaluating
(a) v�,hether there has been adequate disclosure in 0S .f'or bonds issued during the past
fire years regarding past compliance during the NICDC Review Period with prior
continuing disclosure undertakings, and (b) whether there has been past compliance with.
prior continuing disclosure undertakings within the C RS ReNiew Period.
4) You are the only party for whom the Services have,been rendered, but you mayj
allow access to the results to your counsel and oti-ier members of a working group,
provided that such other parties may; not rely on the results u-rithoui separately crigaging
DAC.
13Y EXECUTING THIS ENGAGEMENT LETTER, YOU ACKNOWLEDGE THAT YOU
UNDERSTAND THAT' DAC"'S FINDINGS GS ARE INTENDED SOLF,LY FOR
EXCLUSIVE USE BY YOU AND YOUR COUNSEL IN EVALUATING BONDS
REVIEWED BY DACi. AT THE REQUEST ;OF THE REQUESTING PARTY ANTI)
.ITS COUNSEL), AND THAT AS SUCH THESE MATERIALS ARE ATTORNEY -
CLIENT T O PRODUCT SUB .JEC;T TO THE ATTORNEY -CLIENT PRIVILEGE
EGE
BETWEEN YOU AND YOUR C OUNSEL. TIESE MATERIALS MAY BE SHARED
WITH THIRD PARTIES ONLY WITH YOUR PERMISSION AND "I'LIE WRITTEN
CONSENT OF DAC, PROVIDED THAT SUCH OTHER. PERSONS MAY NOT RELY
UPON SUCH. MATERIALS WITHOUTSEPARATELY ENGAGING DAC".
TERMS OF USE
Use of the Findings is limited by, and subject to the additional Terms of Use, posted on the DACwebsite. You acknowledge and agree. that these Terms of Use form a part of this .'agreement and
agree to comply with the Terms of Use in your use. of the Findings. You further understand that
to access the DAC; vve'osite, each registered user must acimowledge acceptance of the Terms of
Use on your behalf; and represent that your users are authorized to :accept the Terms of Use on
your behalf. You may not access the DAC vifebsite with respect to any band issues of any third
party or for any bonds issued by you other than the bonds requested.
2
he DAC website and its various software programs (eoI'lectivel', the "SystetrC) is protected y
one or more pending anti/err issued patent applications, copyrights, trademarks, service marks,
intemational treaties, annioa other proprietary ,rights and laws of the U& and other countries..
The -System is also protected as a collective work or compilation wider U.S. copyright and other
laws andtreaties. All individual tiler eats making up the Systern are also copyrighted works,
You agree to abide by all applicable copyright and other laws, as well as any additional
copyright notices or restrictions contained in the System. DAB; grants you a limited license to
access and maize personal use of the System solely in accordance with this Agreement. Any
unauthorized use of the Systern shall terminate the permission or license granted to you by DAC
and rill make any further use of the Systern an infringement- of DAC�s intellectual_ property
rights. All rights not expressly granted under this Agreement are reserved by :DAC
PRICING
DAC will charge $5,000 for a Risk Assessment/Compliance Review, to be completed by July 31,
2014.
ACKNOWLEDGED
. (�� By-e
1A
Paula Stuart aloe: Low / j cL
CEO Title: X-tA.)A-,0
Digital Assurance Certification, L.L.C. City ofHuntington Beach
Lute: Late:
JEN IFER ty Aftomw
By
CaVAftmay
114E,TIIODOLOGY
L Risk Assessment Review:
a,, Spreadsheet: DAC will provide you with an Excel spreadsheet for each series of
bonds reviewed ("Bonds"), setting forth the following data columns:
1) CUSIP Numbers.
2) State (e.g., PA).
Issue Description (e.g., $10,000,000 City of X. General Obligation. Bonds,
Series X-) (as copied from OS cover).
4) OS Surninary Language (i.e., a copy of the language from the OS
describing compliance with prior continuing disclosure obligations).
The f6howing columns Arill be populated with data, from filings made either at
0
DisclosureUSA (for the period from September 7, 2004 through June I I � 2007) or
Bloomberg (prior to July 1, 2009) or EMMA (on or after July 1, 2009) during the
We preceding f year -period ending on the date of the OS:
Fiscal Year End (if changed. will be noted in the "Comments" column).
2) Audit Due Date (i.e., the date by which the CDA specifies that the AFS
will be filed).
3 Audit Filing Date (i.e- the date the AFS' were filed at EMMA or, prior to
July 1, 2000, Bloomberg).
4) Calculation of days late (i.e., the number of days by which the "Audit
Filing Date" follows the "Audit Due Date").
5) Operating Data Duei Date (i.e., the date by which the CDA specifies that
the non-AFS annual financial information and operating data will be filed).
6) Operating Data Filing Date. The operating information filing requirement
will be treated by DAC as ,having, been, met if, for example, DAC were to Find,
under any of the "tabs" under the "Financial Information & Documents"' sub -
header under the "CoritinuffiR, Disclosure" header in EMMA, documents which
consisted of or included (a) a section of the AFS entitled, "Operating
Informatiom." (b) a Comprehensive Annual Financial. Report (CAFR). or (c) a
separate.document which included "Financial Information" or "Operating Data."
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7) Calculation of days late (i.e., the number of days by which the "Operating
Data Him- Date" follows the "Operating,Data Due Date").
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8) Comments (will be used to indicate extraordinary events, such as if a
fiscal year end date changes', or there ,Lre inconsistent due dates).
b. Complianceffistoi-y: In order to create a. compliance history, DAC will review-
the EMMA and Bloomberg system for filings by enteiing the 6-digit "base" CUSIP
b .1 nuniber from each of theC
, 9-digit UP n STuiners provided by you. DAC (1) will show
the dates on which the. AYS and annual Financial infon-nation were filed (with
DisclosureUSA (for the period from September 7, 21004 through June 11, 2007) or
Bloomberg prior to July 1, 2009 andwith EMNIA. thereafter) within the MCDC Review
period, and (2) will review the CDA filing date requirements for ATS and annual
financial information for bonds which were issued within the MC DC Review Period, and
will show in "Comments" which CDA's filing date requirements are controlling.
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For example, for filings made in the EMMA system, under the "Cbritinuing Disclosure"
header for such 6-digit base CUSIP number, DAC Nvill then open the following "tabs"
under the .'Financial Information & Documents" sub -header for each fiscal ve&- filed
with EMMA:
1.) "Annual Financial Information and Operating Data" (to determine if
"fiiiancial.information ,and. operating data" other than .AFS have been filed).
21) "Audited Financial Statements or CAFR" (to determine if AFS have been
filed, and also to detennine, any instance in which there is no filing of "'financial
inforniation and operating data" for a particular fiscal year, if the CAFR should
also have been filed wider that tab).
Note: The following tabs appear under "Continuing Disclosure" sub -header only
if documents are filed under their.
hem. If available, these tabs will be reviewed as
shown below:
3) "Budget" (however, if there is not a current fiscal year budget or budget
summary requirement in the CDA, this sub -header will not be reviewed).
4) 'InterimAdditional Financial Infbrrnatlon/Operating Data" (however, if
the CDA requirements are found in any of,the. three above -mentioned tabs,, this
tab will not be reviewed).
5) "Other Financial/Operating Data" (however, if the CDA requirements ate
found in any of the four above -mentioned tabs, this tab will not be reviewed).
6) "Failare to Provide Annual FinanCial Information" (FTP). The filings
I I C
under this sub -header will be reviewed not for the purpose of determining the FTP
notice filing date, but to detennine -whether late or corrective filings of financial
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iriformation and operating data or AFS were inlulledas Dart of this F THP notice
filing.
Events Information. in additiori to the Excel spreadshe t described a, above,
le
DAC will .also;print out the information set forth trader dhe sub -header "Event Notices"
tab under the '*'Continuing Disclosure header" for the. 9-dlgoh CUSIP number. and crovide
this information as a p,df printout.
d. Limitations. In addition to, or in further explanation of-, the limitations set forth
above, DAC's scope of review will be lirriiied as follows:
1) DACkNiill review the for of CIA contained in an appendix or exhibit to
an OS (or, if no form of CDA. is available in the OS, the ``Continuing Disclosure"
heading in the OS) in order to determine the folloNNing:
i) The "due date" for the annual filing requirement-, for the bonds.
ii) Nklietlier there are "operating data" (including budgets, etc.) filing
requirements for the Bonds.
iii) The "obligated persons" (as defined in Rule, 1.5c2-12):specifically,
identified for the Bonds.
DAC assumes that the form of the CDA contained in an exhibit or appendix to an
OS (or if no form is available in the OS, then the suirim. ary of the CI A
requirements set forth in the OS) accurately describes the filing and. filing date
requirements for a series of Bonds.
2) Under the EMMA system, DAC will only open the "Financial Information
& Documents"" sub -header (under the "Continuing Disclosure" header) and the
associated tabs for an obligated person in the EMMA system. DAC will not open
the "Event Notices" or "Advance Refunding Documents" . cum, ents" sub -headers (also under
the "Continuing Disclosure" header), nor will it open. any of the tabs under such
sub -headers..
Only obligated persons specifically identified in CDAs for Bonds will be
shown on the Excel spreadsheets.
4) For conduit issues, DAC will revie�N, (1) if you are the conduit issuer and
also an obligated person,. the conduit issuer's filing requirements, and (2) if you
are an obligated person which is named,or designated in the CDA,, if' you do not
,otherwise have debt which, are Bonds, then DAC Will review compliance by you
with prior CDAs for bonds which DAC determines, based on a limited revie"A, of
EMMA's filings under your name, were shown as outstanding at the time of
issuance of the conduit issue.
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5) For pool issues k 1'e.g loan prograin with multiple borrowers, some of
6�� a
which may be obligated persons),, DAC will review (a) if you are an issuer and
also an obligated person, the issuer's
suer's filing requirements, and (b) if you are an
obligated person which is named or desip �iiated in the CDA, if you do not
other,xise have debt vvhich are Bonds, then DAC will review compliance by you
with prior CDAs for bonds which DAC determines, based on a limited review of
ElviNIA's filings -under your name, were shown as outstanding at the time of
issuance of the pool issue,
6) Ifthe bonds are conduit or' -pool" bonds, you are, a borrower mid the issuer
is not an obligated person for Rule 15c2-1.2 purposes, then the issuer will still be
shoikn on the Excel spreadsheet, only if you are specifically named as "obligated
persons" will you be reviewed by DAC.
7) If you are an issuer (such as a city) with multiple 6-digit base CUSIP
numbers, DAC will review and present each of your Bonds which have different
6-digit base CUSIP numbers as separate obligated persons.
THE PARTIES UNDERSTAND THAT DAC'S REVIEW IS LIMITED TO CDAS FOR
BONDS WHICH WERE OUTSTANDING DURING THE MCDC RE'VIEW PERIOD, AS
PROVIDED BY YOU ON THE ATTACHED EXHIBIT A.
THESE PROCEDURES ARE NOT INTENDED TO PROVIDE COMPREHENSIVE
FINDINGS SIMILAR TO.THOSE PROVIDED PURSUANT TO A DAC "COMPLIANCE
REVIEW; " BUT ARE INTENDED TO PROVIDE THE REQT i ESTING PART' ANTI ITS
COUNSEL WITH FINDINGS ALLOWING YOU TO ASSESS WHETHER FURTHER
REVIEW OF THE 0 FFICIAL I STATEMENTS FOR THE BONDS REVIEWED IS
WARRANTED.
2. Compliance Review
IN ORDER TO ENSURE THAT ALL MUNICIPAL SECURITIES WHICH YOU
EXPECT TO BE SUBJECT TO A SEC POST ISSUANCE COMPLIANCE REVIEW
SERN710E ARE REVIEWED, DAC PROVIDES A LIST OF ALL OF THE NINE -DIGIT
CUSIP NUMBERS WHICH IT HAS REVIEWED TO YOU, AND REQUESTS THAT
YOU AND YOUR ADVISORS REVIEW THIS LIST TO MAKE SURE THAT ALL OF
YOUR MUNICIPAL SECURITIES SUBJECT TO THE RULE, WHICH HAVE BEEN
OUTSTANDING DURING THE CRS REVIEW PERIOD, ARE INCLUDED ON THAT
LIST.
a. DAC will revieA,, all official statements. ("Prior, Official Statements'",) and the
CDA requirements described. thercin for each issue of municipal securities ("Issue")
which were or are outstanding within the CIS Review Period, for which financial
information. and operating data are provided for you or for which Notice Events are
required.
A-4
b. In determining the scope, of financial inforination and, operating data that are
required by CDAs, DAC vvill, rely upon, (a) the "Continuing Disclosure" section of the
Prior Official Statements. andjor (b) the forni of the. unexectited CDA if shown separately
as an exhibit or appendix to the Prior Official Statements (collectiv.0-11y,lbe "Os
Continuing Disclosure "). inorder to determine what financial it formation and operating
data. should be provided and the appropriate reporting date(s).
I-', however, upon review of a Prior Official Statement, DAC is unable to, deterinine the
scope of financial .information and operating data that are required in a CDA, DAC will
(a) request that you provide DAC -Arith an executed copy of the continuing disclosure
undertaking and/or (b) confeT with you or your representative to determine, jointly, what
assumptions should ,be made With respect.to the scope of financial information and
operating data that are required by such CDA.
C. DAC will prepare a list of the Annual Financial Information to be provided by
you, including audited or unaudited annual -financial reports, and the date by which such
Annual Financial Inforniation. is to be provided for each 4ssue that was outstanding within
the past five (5) years.
d. DAC will compare this list against the Annual Financial Information filed for you
with the NRIAS]Rs within the past five (5) years. It is, understood by the parties that
NRMSIRs means the 'MSRB's IEMMA system on and after I July 1, 2009 and for the
period prior. to July 1, 2009. Bloomberg.
e. DAC will then,present results of such comparison:
1.) Annual Filing Date. Is there a consistent Annual Filing Date identified? If
not. what are the dates identified for each issue?
2) Were Audited Financial Statements for prior fiscal years:
i) Filed on or before the Annual. Filing Date?
ii) Filed late, but -unaudited financial statements were filed on or
before the Annual ual Filing.Date?
iii) Filed late, and unaudited financial statements were not filed on or
before Annual Filing Date?
iv) Not filed at all?
3) Financial Information and Operating Data:
a) Is it specified in the OS Continuiria Disclosure? If not.. then DAC
will note that the information filed with Bloomberg or EMW, within the
past five (5) years needs to be compared to the Prior Official Statement(s).
A-5
b) If specified, does the AIin ual Financial Inforinatilon filed duril* the
past five years include all specified financial inforina:tion and operating
data?
C) If the Annual. Financial ffiforhr!wdon filet during the past five vem
fails to include all specified Pinancial information and operating data, has
corrective action since been taken?
4) Failure to File Event notices:
a) If all or a seg ent oan f Annual Fincial Information was not filed,
in,
or filed late, was a Failure to File Event notice, filed?
it If filed, was the Failure to File Event notice filed without
explanationor with explanation?
b) Failure to File Event notice was not filed.
5) Notice Event notices:
a) identify Notice Event notices filed.
b) If long -terra rating changes, have occurred,. but a Notice Event
notice of such rating change has not been filed, DAC will provide a copy
of such rating change.
C, Short-term rating changes are not reviewed..
6) Have You agreed to mak, c Quarterly Reports?
a) Have these been filed on or before the Quarterly Filing Date?
b) Is
s a Failure to File Event notice required and, if so, was a notice
filed?
f. Assumptions.
1) Where the CDA requires the presentation of financial information and
operatimy data "of the type" or "similar to" information found In certain general
section headings within an Official Statement, but the specific information to be
presented is not identified, the asstpuption is that the infori-nation to be updated is
limited to information presented in tabular formats under the general section
headings and excludes economic and demographic information (unless explicitly
required to be provided).
2) Where the CIA requires a description of any additional financial
information, operating data..or litigation which would be material, the assumption.
A-6
that a: lack of filinas indicates that no n.-,atertal inkxrlllation� or litigation should
be disclosed.
3 3) `ATJere the (MA rcquires -1 description of any additional indebtedness or
incitbtedness i p�.�,able from p'edged revenues. and. where the audited
statements are provided, the assumption is that debt shovai in. the "Long-Ternp
Debt"'note in the notes to the financial statements meet those reqtiirements.
4) Where the CDA requirerneias are silent on reportmig periods., the
assumption is only one period's information is required.
5) Unless explicitly 'required by a CDA, projected Financial statements are
assumed not to be a future. requirement, as audited financial statements preclude
projections.
6) Historical operating statements are assumed to be provided -,when audited
financial statements are filed.
7) No rating event notice is necessary if the "insured" rating for an issue of
municipal securities -which has bond insurance were to fall below the
".underlying." (also referred to as the "stand-alone") rating for the issue.
Caveats
ll DAC will not evaluate "materiality" of any events Listed -under -paragraph
(b)(5)(i)(C) of the Rule.
2) DAC will. perform only the procedures described above and report the
results of these procedures, and its obligations under this engagement are limited
to this engagement.
3) Unless you have been a DAC dissemination agent client during the period
reviewed, DAC cannot provide assurance that it. will be able to find all "rating
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change" events that may need to have been filed.
4) DAC will not review -bond call- event notices; as these would have been
filed by the trustee or escrow agent, DAC suggests that you inquire of the trustee
or escrow agent as to whether all bond call event notices were filed.
A-7
iq ®py I .
CERTIFICATE OF LIABILITY INSURANCEF
DATE (MMIDDIYYYY)
0711112014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements).
PRODUCER
MacLeish Insurance Agency
CONTACTNAMELee Claris
PHONE FAX
Ezt : (407)647-8000 AIC No): (407)228-2897
634 Virginia Drive
mla Lo
Orlando, FL 32803
ADDRESS: leec@macins.us
i
License #: A161813
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A: St. Paul Fire and Marine Insurance Company
085306
INSURED
Digital Assurance Certification, LLC
INSURER B : The Travelers indemnityCompany of Connecticut
25682
INSURERC: The Phoenix Insurance Company
25623
390 North Orange Avenue
INSURERD.
Suite 1750
Orlando, FL 32801
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 00004222-242940 REVISION NUMBER: 19
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBRI
I
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
GENERAL LIABILITY
x COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE IF—Y-1 OCCUR
,
ZPP15N77741-14
-
0412412014
0412412015 I
EACH OCCURRENCE
$ 1 OOO OOO
DAMAGE TO PREM SES (Ea occu RENTEence
$ 250,000
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
I $ 1,000,000
GENERAL AGGREGATE
$ 21000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO- 17 LOC
X( POLICY FI JECT
PRODUCTS-COMP/OPAGG
$ 2000000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
x HIRED .AUTOS AUTOS
BA1 D346899-14
04/24/2014
0412412015
EOa.Bcld.D SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
0 RTY DAMAGE
$
$
A
X
UMBRELLALIAB
EXCESS L1A6
HOCCUR
CLAIMS -MADE
ZPP15N77741-14
0412412014
0412412015
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$
X
DED RETENTION $ 10.000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROP RIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
HNUB-1D346273-14
0412412014
04/2412015
X WC STATU- OTH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L DISEASE - EA EMPLOYEE
$.1 ,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
IVi:lJoisl 13C/
SAMPLE
SAMPLE
SAMPLE
SAMPLE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 1988-2010 AGUKU GUKFUKA I IUN. Ail rignis reserveu.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Printed by LMC on July 11, 2014 at 10:40AM
CITY OF HUNTINGTON BEACH
r
Professional Service Approval Form
PART e
Date: 6/6/2014 Project Manager Name: Dahle Bulosan
Requested by Name if different from Project Manager:
Department: Finance
RECEIVED
AUG 0 4 2014
PARTS I OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE COMPLETED
BY THE REQUESTING DEPARTMENT AND SIGNED BY THE CITY MANAGER, FOR APPROVAL,
BEFORE PROCEEDING WITH THE SOLICITATION OR CONTRACT PROCESS. PART / MUST BE FILED
WITH ALL APPROVED CONTRACTS.
1) Briefly provide the purpose for the agreement:
Risk Assessment/Compliance Review for SEC's Municipalities Continuing Disclosure (MCDC) Initiative
2) Estimated cost of the services being sought: $ 5,000
3) Are sufficient funds available to fund this contract? ® Yes ❑ No
If no, please explain:
4) Check below how the services will be obtained:
❑ A Bid solicitation process in accordance to the MC 3.03.060 procedures will be conducted.
❑ MC 3.03.08(b) — Other Interagency Agreement procedure will be utilized.
® MC 3.03.08 — Contract Limits of $30,000 or less exempt procedure will be utilized.
5) Is this contract generall�Y�i:s
cribed on the list of professional service contracts approved by the City
Council? If the,a�question is "No" the contract will require approval from the City Council.)
,lh Yes ❑ No
Fiscal
ager Signature (Purchasing Approval)
a eD
6) Amount, Business Unit (8 digits) and Object Code (5 digits) where funds are budgeted
(Please note that a budget check will occur at the object code level):
Account number
Contractual Dollar Amount
Business unit. object #
Year 1(estimate)
Year 2 (estimate)
Year 3(estimate)
see attached
$
$
$
$
$
$
Department Head Signature(s)
r of Finance's Signature
Assistant City Manager's Signature
APPROVED ❑ DENIED ❑
City Manager's Signature
WA a. Jiff
Dat
Date
�o L
Date
Date
Date
dac part i.doc /
REV: December /2013 Z �Y
MTEI^�JGt� CITY
— i BEACH
�r , .
FG •' •1 i• �' q a
Professional Service Approval Form
PART 11
Date: 6/6/2014 Project Manager: Dahle Bulosan
Requested by Name if different from Project Manager:
Department: Finance
AUG 0 4 2014
Finance Depailment
PARTS I & II OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE
COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED FOR APPROVAL. PART l & 11 MUST
BE FILED WITH ALL APPROVED CONTRACTS.
1) Name of consultant: Digital Assurance Certification, LLC
2) Contract Number: FIN
(Contract numbers are obtained through Finance Administration x 5630)
3) Amount of this contract: $5,000
Account number
Contractual Dollar Amount
Business unit. object #
Year 1(estimate)
Year 2 (estimate)
Year 3(estimate)
see attached
$
$
$
4) Is this contract less than $50,000? ® Yes ❑ No
5) Does this contract fall within $50,000 and $100,000? ❑ Yes ® No
6) Is this contract over $100,000? ❑ Yes ® No
(Note: Contracts requiring City Council Approval need to be signed by the Mayor and City Clerk. Make
sure the appropriate signature page is attached to the contract.)
7) Were formal written proposals requested from at least three available qualified consultants?
❑ Yes ® No
8) Attach a list of consultants from whom proposals were requested (including a contact telephone
number.)
9). Attach Exhibit A, which describes the proposed scope of work.
10) Attach
Fiscal
B, vyf.Lrh descros the payment terms of the contract.
rchasi
Budget Manager Approval Signatur6
Director of Finance (or designee) Signature
p
a-ad4-
Date
(o/ 12,,1201
Date
dac part ii.doc
REV: December /2013
Risk Assessment/Compliance Review for SEC's Municipalities Continuin¢ Disclosure (MCDC) Initiative
Contractual Dollar Amount (Estimate)
Account Number
FY 13/14
FY 14/15
FY 15/16
Business unit. Object #
Year 1
Year 2
Year 3
Total
40140105.69365
$
714.29
$ -
$ -
$
714.29
2010A Lease Revenue Bond
40140106.69365
$
714.29
$
$
$
714.29
2011A Lease Revenue Bond
40540105.69365
$
714.29
$
$
$
714.29
CFD 2000-1 Refund 2013
40640101.69365
$
714.29
$
$
$
714.29
CFD 1990-1
40840101.69365
$
714.28
$
$
$
714.28
CFD 2002-1
41040101.69365
$
714.28
$
$
$
714.28
CFD 2003-1 Refund 2013
70740101.69365
$
714.28
$
$
$
714.28
Judgment Obligation Bonds
$
5,000.00
$
$
$
5,000.00
Proposals Received from the Following Consultants:
Consultant
Contact Name Phone Amount
Willdan Financial Services Dave Davies (951)587-3500 $ 14,000
Digital Assurance Certification, LLC Lisa Olsen (407)515-1100 $ 5,000
Han, Sunny
From: William Hirata <whirata@DACBond.com>
Sent: Thursday, June 05, 2014 2:06 PM
To: Han, Sunny
Cc: Lisa Olsen
Subject: REVISED - MCDC-CRS TERM SHEET - HUNTINGTON BEACH
Attachments: MCDC-CRS TERM SHEET - HUNTINGTON BEACH - v3.docx
Ms. Han
It was a pleasure talking with you earlier today.
I have received the ACS list of bonds, and propose that we delete the following language on page A-4:
"THE PARTIES UNDERSTAND THAT DAC IS NOT REVIEWING CDAS FOR BONDS WHICH MATURED OR WERE DEFEASED
DURING THE MCDC REVIEW PERIOD"
and replace it with the following language:
"THE PARTIES UNDERSTAND THAT DAC'S REVIEW IS LIMITED TO CDA'S FOR BONDS WHICH WERE OUTSTANDING
DURING THE MCDC REVIEW PERIOD, AS PROVIDED BY YOU ON THE ATTACHED EXHIBIT A."
The ACS list will be attached as Exhibit A.
If this is acceptable to you, please execute the attached and send back to us, and we will then execute a counterpart and
return to you.
Thanks, and please feel free to call me if you have any questions.