HomeMy WebLinkAboutEMPLOYMENT SYSTEMS INC (ESI) - 1997-10-06� - (13 ) 10/06/97 Council/Agency Agenda - Page 13
E-17. (City Council) Approve Contract With Emplovment Svstems Incorporated For
Employment Systems Incorporated For Ambulance Operator/Fire Intern -
(EM 600.10) Approve and authorize the Mayor and City Clerk to execute the
Agreement between the City of Huntington Beach and Employment Systems, Inc. to
Supply Personnel to the City. Submitted by the Fire Chief
[Approved 7-0]
E-18. (City Council) Approve The Substitution Of Bonds And Subdivision Agreement For
Tract Nos. 14659 & 14978 (Sherwood) From PLC Land Company To Lyon Shores #116,
L.P. (Holly-Seacliff Development Agreement Area) - (14 420.60) 1. Release PLC Land
Company's Subdivision Agreement and Bond Nos. 3SM89012300, 3SM88988100 (Tract
No. 14659), the securities furnished for Faithful Performance, Labor & Material, and
Monuments respectively; 2. Release PLC Land Company's Subdivision Agreement and
Bond Nos. 3SM89012100, 3SM88987800 (Tract No. 14978), the securities furnished for
Faithful Performance, Labor & Material, and Monuments respectively; 3. Accept Lyon
Shores #116, L..P. subdivision Agreement and Bond Nos. 3SM90898800 and 3SM90898900
(American Motorists Insurance Company) (Tract No. 14659) the securities furnished for
Faithful Performance, Labor & Material, and Monuments respectively, and approve and
authorize execution by the Mayor and City Clerk of the Subdivision Agreement and file the
Bonds with the City Treasurer; and 4. Accept Lyon Shores #116, L.P. Subdivision
Agreement and Bond Nos. 3SM90899000 and 3SM90899100 (American Motorists
Insurance) (Tract 14978), the securities furnished for Faithful Performance, Labor & Material,
and Monuments respectively, and approve and authorize execution by the Mayor and City
Clerk of the Subdivision Agreement and file the Bonds with the City Treasurer; and,
5. Instruct the City Clerk to notify the previous developer, PLC Land Company of this action.
Submitted by the Public Works Director
[Approved 7-0]
E-19. (City Council) Authorize The Public Works Director To Sion Southern California
Edison Letter Of Approval - To Hang Banners On Beach Boulevard From Edinger
Avenue To Adams Avenue - (SO 600.10) Authorize the Public Works Director to sign
the Southern California Edison letter dated August 25, 1997 regarding the use of
Southern California Edison street light poles for decorative banners. Submitted by the
Public Works Director
[Approved 7-0]
E-20. (City Council) Accept Three Affordable Housing Units From Bridges America
Foundation Inc., For A Term Of 30 Years - Agreement Containinq Covenants
Affecting Real Property (CDBG Program) - 7611 Nichols Street - (BR 600.10)
1. Accept the Agreement Containing Covenants Affecting Real Property located at
7611 Nichols Street in Huntington Beach to restrict three units for lower (CDBG) income
(80% of Orange County median) families for a period of 30 years. 2. Approve and
direct the Mayor and City Clerk to execute this agreement and restrictive Covenants
when signed by Bridges America Foundation and notarized, then record with the
County Recorder. Submitted by the Economic Development Director
[Approved 7-0]
(13)
Council/Agency Meeting Held: / 0% L /9 7
Deferred/Continued to:
E
Approved ❑ Conditionally Approved ❑ Denied
4 _
7--a
City. Clerk's Signature
Council Meeting Date: 10/6/97
Department ID Number: FD 97-015
CITY OF HUNTINGTON BEACH
REQUEST FOR COUNCIL ACTION
SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS
SUBMITTED BY: MICHAEL T. UBERUAGA, City Administrat ram`---T-
PREPARED BY: . MICHAEL P. DOLDER, Fire Chief
SUBJECT: APPROVE CONTRACT WITH MPLOYMENT SYSTEMS
INCORPORATED FOR AMBULANCE OPERATOR/FIRE INTERN
Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s)
Statement of Issue: Should the City renew the agreement with Employment Systems
Incorporated (ESI), which expires October 31, 1997, to provide leased personnel to staff the
City's Ambulance Program?
Funding Source: The. Fire Department's FY 1997/98 Ambulance Program Budget Account
(E-AA-FR-315) identifies a contractual services amount of $622,313 for funding salary and
benefits. This budget amount is totally offset by transfers from the FireMed fund for
ambulance transport costs.
Recommended Action: Motion to approve and authorize the Mayor and City Clerk to
execute the Agreement with Employment Systems Incorporated in the amount not to exceed
$622,313 to provide leased ambulance operator/fire intern personnel to the City.
Alternative Action(s):. 1) Do not sign this Agreement, which would prevent staffing of the
City's Ambulance Program. Negotiations with a private ambulance provider would need to
be initiated for ambulance transport to continue; 2) Staff ambulances with City employees
with a commiserate overall cost increase.
Analysis: In November 1996, the City entered into its fourth, one-year contract with ESI to
provide eighteen limited term (three years) ambulance operator/fire interns. Based on our
past success with ESI's leased employees, staff recommends the approval of a new one-
year contract (Attachment 1) for the period beginning November 1, 1997.
This Agreement, as in the past, covers ALL personnel salary and benefit costs for the leased
positions. This Agreement also reflects the September 1, 1997 and March 1, 1998 federal
and state mandated minimum wage increases.
*QUEST FOR COUNCIL ACT•N
MEETING DATE: 10/6/97
DEPARTMENT ID NUMBER: FD 97-015
Analysis (continued)
The eighteen ambulance operator/fire interns provided by ESI will staff three ambulances,
24-hours per day, seven days per week. The City's ambulances provided approximately
5,350 emergency transports during the period October 1, 1996 through September 30, 1997.
During the contract period, ESI met all of its obligations in a professional and timely manner.
The ambulance operator/fire intern program, with its maximum three-year tenure for
employees, have met all expectations. High caliber personnel with a fire service career goal
continue to be attracted through ESI. A fourth ESI hiring list was established in early 1997
with over, 80 qualified personnel. During the last three years, thirty-four ambulance
operator/.fire interns have been hired by various fire departments, including two in Huntington
Beach. Seventeen other ambulance operator/fire interns have been selected to attend
paramedic school for future career opportunities.
The success of this program warrants continuation of the ESI Agreement.
Environmental Status: None.
Attachment(s):
1. Agreement Between the City of Huntington Beach and Employment
Systems, Inc. to Supply Personnel to the City.
2. Copy of current Certificate of Insurance for Liability and Workers'
Compensation. 9u- ,K". ,Q,, P.,, B„(AA:�
RCA Author: Parker, ext. 5979
FD97-015 -2- 09/24/97 4:00 PM
•
U
ATTACHMENT 1
- I - V 0 0 A-5-3
AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH
AND EMPLOYMENT SYSTEMS, INC. TO SUPPLY
PERSONNEL TO THE CITY
THIS AGREEMENT is made and entered into this 1" day of November , 1997, by and
between the City of Huntington Beach a municipal corporation of the State of California,
hereinafter referred to as "CITY," and EMPLOYMENT SYSTEMS, INC., a California
corporation, hereinafter referred to as "ESI."
WHEREAS, ESI is a California corporation which provides the services of its employees
to government agencies for the purpose of discharging the responsibilities of government
agencies; and
CITY authorized the implementation of a City Ambulance Program and requires the
personal services of certain persons to perform the duties of ambulance operators/fire interns;
and
Program continuity and economic reasons exist which make it in the best interest of the
CITY to discharge certain of its responsibilities through the use of ESI employees; and
NOW, THEREFORE, in consideration of the promises, covenants, and warranties
hereinafter set forth, the parties hereto mutually agree as follows:
1. DEFINITIONS
All terms used in this Agreement shall have the customary meaning afforded such terms
unless the same are used in a technical or business context, in which event such terms shall have
the technical and/or special meaning normally afforded such terms within the particular trade,
industry, or business to which they relate. The following are the definitions of special terms
used herein:
1.1 "Current payroll" means the payroll set forth in attached Exhibit A and incorporated
by this reference due on a bi-weekly basis.
1.2 "Employees" means those individual persons who are subject to the terms of this
Agreement and whose job type is identified in attached Exhibit B incorporated in this reference.
1.3 "Employee tax forms" means all forms applicable to the payroll which are required
by United States, state, and local governments to be provided by an employer to an employee,
including US Department of the Treasury, Internal Revenue Service Form W-2 (Wage and Tax
Statement) and Form W-4 (Employee's Withholding Allowable Certificate) and Form 1099 (as
and if applicable), as well as comparable and/or counterpart forms prescribed by the state and/or
local government in which employees are performing services pursuant to this Agreement.
1.4 "Employer tax forms" means all forms required to fully and properly report the
payroll to the United States, state and/or local governments, including United States Department
1
of the Treasury, Internal Revenue Service Form 941 (Employer's Quarterly Federal Tax Return
for Federal Income Tax Withheld from Wages and for Federal Insurance Contributions Act
Taxes), Form 940 (Employer's Annual Federal Unemployment Tax Return), and comparable
and/or counterpart forms prescribed by the state and/or local government in which employees
are performing services pursuant to this Agreement.
1.5 "Payment due date" means any date on or before the last day of each payroll period.
1.6 "Pay period" means the interval between payments to employees specified in
attached Exhibit A.
1.7 "Payroll" means the total payroll applicable to all employees and includes the
aggregate of net compensation to employees, federal withholding taxes, state and local (if any)
withholding taxes, employer and employee costs pursuant to the Federal Insurance Contributions
Act, employer costs pursuant to the Federal Unemployment Tax. Act, employer costs for state
unemployment taxes (if any), employer costs pursuant to. the Voluntary Compensation Plan (if
any), employer listed service fees (as applicable), employer cost of Workers Compensation
insurance , and employer cost of benefit programs listed on Exhibit A (or the cost of employer
payments to employees paid in lieu of employee participation these benefit programs).
2. IMPLEMENTATION
2. L Relationship of Parties. Effective at the commencement of business on the lst day
of November, 1997, ESI will provide to CITY those of its employees who are identified in
attached Exhibit B to CITY and CITY hereby accepts such employees on the terms and
conditions provided in this Agreement.
2.2 Term of Agreement. This Agreement and the rights and obligations of CITY and
ESI shall commence on the effective time and date specified in paragraph 2.1 and shall expire
and terminate at the same time on the corresponding date one year later. CITY may terminate
this Agreement by giving thirty (30) days written notice to ESI.
2.3 Employment .n by CITY of ESI Leased Employees. ESI is aware and has no objection
to the CITY at a future date employing directly the leased employees of ESI leased to the CITY.
Upon any of these leased employees becoming CITY employees, ESI shall terminate them from
their employment and have no further right of compensation from the CITY for that leased
employee.
2.4 Specification of Services and Approval of Compensation. CITY shall specify, and
by notice to ESI may accept, modify, or reject the services and/or rate of compensation of any
and all employees leased to CITY in accordance with this Agreement. In the event of rejection
of services and/or rejection of the rate of compensation of any employee leased to CITY, the
lease made by this Agreement shall terminate as to such employee, effective upon receipt by ESI
of notice thereof.
For purposes of business and financial accounting between the parties, this Agreement shall be
deemed several as to each employee and shall be deemed prorated on a daily or other periodic
basis necessary to give effect to the manifest intentions of the contracting parties.
2
2.5 Changes and A 'ustments of Payroll. CITY and ESI acknowledge the payroll will
vary from pay period to pay period by reason of additions, terminations, and changes in
compensation rates of employees. It is further acknowledged that the payroll also may vary
from pay period to pay period by reason of changes in the rate and/or amount of employee
withholding and/or employer payroll contributions and/or costs of employee benefit plans and
programs. It is specifically agreed that the amount of all payments coming due and owing from
CITY to ESI shall be adjusted (by increase or decrease, as applicable) to the extent necessary to
directly reflect such changes on a current basis., All such changes and adjustments in payroll are
hereby expressly approved by the parties.
2.6 Employer Duties of ESI. ESI shall: 1) pay all wages and other remuneration to -its
employees who are subject to this Agreement; 2) prepare and file all payroll tax returns and
reports; 3) pay all amounts due and owing pursuant to the payroll tax returns and reports which
are prepared and filed; 4) prepare, file, and furnish to employees applicable employee tax forms;
and 5) prepare and file, with a copy to CITY, applicable employer tax forms.
2.7 Duties of CITY. CITY shall: 1) provide the workplace for all employees subject to
this Agreement; 2) maintain the work place in strict accordance with applicable health and
working standards and specifications; 3) comply with all safety engineering and governmental
health and safety rules, regulations, directives, orders or similar requirements; 4) provide all
required safety equipment; 5) for employees located in California, take all actions necessary to
establish and implement an injury and illness prevention program as required by the
Occupational Injury Program Act, also known as Senate Bill 198, and codified at California
Labor Code Section 6401.7; 6) post or provide employee notices required by law; and 7) notify
ESI immediately of all employee illnesses, accidents, injuries, and absences; 8) review, approve
and forward employee time sheets to ESI; and, 9) provide adequate dormitory and kitchen
facilities..
2.8 Workers' Compensation. Pursuant to California Labor Code Section 1861, ESI
acknowledges awareness of Section 3700, et seq. of said code, which requires every employer to
be insured against liability for workers compensation; ESI covenants that it will comply with
such provisions prior to commencing performance of the work hereunder.
ESI shall maintain such workers compensation insurance in an amount of not less than
One Hundred Thousand Dollars ($100,000) bodily injury by accident, each occurrence; One
Hundred Thousand Dollars ($100,000) bodily injury by disease, each employee, and Two
Hundred Fifty Thousand Dollars ($250,000) bodily injury by disease, policy limit, at all times
incident hereto, in forms and underwritten by insurance companies satisfactory to CITY.
2.9 Health and Other Benefits ESI maintains various health and other benefits which are
available to employees under a cafeteria plan permitting each employee to choose the type of
benefits he or she will receive.
3
3. COMPENSATION
3.1 E=. CITY agrees to pay a flat rate of One Hundred Fifteen Dollars and Thirty-eight
cents ($115.38) per employee plus the current payroll, on or before each payment due date.
3.2 Fee Plus Payroll. The total Agreement for Fee Plus Payroll shall not exceed Six
Hundred and Twenty Two Thousand Three Hundred and Thirteen Dollars ($622,313) for a
period not to exceed one (1) year.
3.3 Payment Address. All payments due ESI shall be paid to:
EMPLOYMENT SYSTEMS, INC.
11590 West Bernardo Court, Suite 211
San Diego, CA 92127
3.4 Terms of Compensation. Payment is due fifteen (15) days from date of invoice. ESI
will invoice CITY every two (2) weeks, approximately seven (7) days following payroll.
Delinquent payments will be subject to a late payment carrying charge computed at a periodic
rate of one percent (1%) per month, which is an annual percentage rate of twelve percent (12%),
which will be applied to any unpaid balance owed commencing seven (7) days after the payment
due date. Additionally, in the event CITY fails to pay any undisputed amounts due ESI within
forty-five (45) days after payment due date, then CITY agrees that ESI shall have the right to
consider said default a total breach of this Agreement and the duties of ESI under. this
Agreement . may be terminated by ESI without liability to ESI upon ten (10) working days
advance written notice.
3.5 Additional Services. CITY may request ESI to perform additional services not
covered by this Agreement, such as recruiting services, and ESI shall perform such additional
services and will be paid for such additional services when they are mutually agreed to and made
part of this Agreement by written amendment.
4. SUPERVISION OF EMPLOYEES
ESI shall supervise the daily activities of employees, but employees shall discharge
government responsibilities and perform in accordance with the ordinances, resolutions, rules,
regulations, and procedures adopted by CITY in its governmental capacity. ESI shall have no
control over such government responsibilities and such ordinances, resolutions, rules,
regulations, and procedures.
5. INDEMNIFICATION
ESI shall indemnify, defend, and hold harmless CITY for the purpose of all required
payroll deductions and withholdings, legally required workers' compensation insurance, and
health benefits of the employees. However, inasmuch as the employees will discharge
governmental responsibilities and perform in accordance with the ordinances, resolutions, rules,
4
regulations, and procedures adopted by CITY in its governmental capacity 1) ESI and its
employees to the degree the law will allow shall be entitled to all protection and immunities of
government employees, including without limitation, those provided in California Government
Code, Title 1, Division 3.6, Claims and Actions against Public Entities and Public Employees;
and 2)FCITY does release and agree to indemnify, defend and hold harmless the employees, ESI,
and ESI's agents, personnel, directors, and officers from, any and all actions, claims, damages or
injuries to persons or property, penalties, obligations or liabilities arising out of or related to the
services performed by the employees of ESI assigned and working under the control of CITY
under this Agreement.
In addition, the employees, ESI, and ESI's agents, personnel, directors, and officers shall
be additional named insured on CITY's insurance policies or on any self-insurance agreement. If
CITY is a member of a Risk Management Agreement (RMA) or similar agreement, CITY will
notify the organization responsible for RMA or similar agreement in writing that the employees,
ESI, and ESI's agents, personnel, directors, and officers do not have any applicable insurance
coverage.
6. GENERAL PROVISIONS
. 6.1 Representation. A CITY representative shall be designated by the CITY and an ESI
representative shall be designated by ESI as the primary contact person for each party regarding
performance of this Agreement. The following are the designated representatives:
EMPLOYMENT SYSTEMS, INC.
Michelle Friery, Vice President
11590 West Bernardo Court, Suite 211
San Diego, CA 92127
CITY OF HUNTINGTON BEACH
Michael P. Dolder, Fire Chief
2000 Main Street
Huntington Beach, CA 92648
6.2 Assignment. This Agreement shall not be assignable by either party without the
prior written consent of the.other party.
6.3 Audil. CITY shall have the right to audit and inspect ESI's records and accounts
covering costs under this Agreement for a period of two (2) years after termination of the
Agreement.
6.4 JiIJU. The titles used in this Agreement are for general reference only and are not
part of the Agreement.
6.5 Severability. Should any provision of this Agreement be determined to be
unenforceable, such determination shall not affect the remaining provisions.
6.6 Extent of Agreement. This Agreement represents the entire and integrated
Agreement between CITY and ESI and supersedes all prior negotiations, representations or
agreements, either written or oral. This Agreement may be modified or amended only by a
subsequent written agreement signed by both parties.
5
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the
date and year first above written.
EMPLOYMENT SYSTEMS, INC., a CITY OF HUNTINGTON BEACH, A
California corporation municipal corporation of the State of California
By:
R man, Pr dent
By:
Mary J. Be an, Secretary
-ATTEST.
City Clerk
APPROVED AS TO FORM.
City Attorney
of--�3 g -7 �Z
INITIAT'EpD AND APPROVED:
REVIEWED AND APPROVED: Fire Chief
1ty X fministrator
2
0
U
Employment Systems, Inc.,
Proposal to the City of Huntington Beach
for contract staffing of 18 Ambulance Operator
Exhibit A
Annual Annual
Hourly pay rate ** $5 90maur to $6 5Q%hour Hours Worked Compensation 8c Costs
Regular hours 1,865 11,750
Overtime hours at time and a half 1,058 9,998
Overtime hours at Double-time 0 0
Total Hours 2,923 21,748
Number of Employees 18
Total Base Compensation All Employees 211,491
Total Overtime Compensation All Employees 179,966
Total Annual Compensatton 391,457
Payroll Taxes and Workers Compensati(
Rate
Subject Wages
FICA (wages up to 65,400 per employee)
6.20%
419,807
Medicare
1.45%
419,807
SUI (wages up to 7,000 per employee)
5.10%
126,000
FUTA (wages up to 7,000 per employee)
0.80%
126,000
Workers Compensation (excluding oT premium)
5.54%
263,070
Classification Code (7706)
Group Insurance
Longterm disability (standard.sl%of wages)
Employee Medical Insurance (prudential FINto)
Employee Dental Insurance (Prudential DMo)
Life and AD&D (Guarantee Life .18 per 1000/month)
Other Benefits
Non Deferred SickNacation/Holiday Pay
ESI Administrative charges
0.51% 419,807
123.76 Per mo./per empl
23.80 'er mo./per empl
0.18 12
250 Hrs/Year per empl
$250.00 Per mo./per empl
26,028
6,087
6,426
1,008
14,561
2,141
26,732
5,141
846
28,350
54,000
Estimated Annual Cost To Agency 562,777
* Non deferred vacation/sick/holiday pay accrual will be all salary cost inclusive with no
additional liability to the City, to be chargid over 26 biweekly periods of $1,090.39
** Contract cost reflects mandated wage increase effective 3/l/98.
Exhibit B
Position
Under direct supervision of the Company Commander, respond to both routine and emergency
medical aid requests; participate in routine maintenance of apparatus and equipment; attend
training sessions; and, do related work as required
Examples of Duties
Will be regularly dispatched to emergency scenes to assist in rendering aid to injured parties;
will perform appropriate field procedures including EMT-1 level skills such as performing vital
signs, bandaging, splinting, and assisting paramedics as needed; will drive ambulances and other
vehicles as needed; will participate in station and. equipment. clean-up, training drills, hospital in -
services; and, other duties as required. Employee will be required to participate in training
deemed appropriate by City.
Qualifications
Training and Experience: Any combination of experience and education that would likely
provide the required knowledge and abilities for the position of ambulance operator. A typical
combination would be as follows: graduation from high school; experience in medical
emergencies; and, other related knowledge which would indicate success in the position.
Knowledge and Abilities: General knowledge of ambulance transportation procedures including
first aid, resuscitator and gurney operations. Applicant should be in good physical condition
suitable to performing the lifts and carries as required for the position.
Special Requirements
• Must possess and maintain certification as an Emergency Medical Technician (EMT -I) as
defined by the State of California with current CPR card.
• Possess an ambulance attendant license from Orange County EMS prior to driving an
ambulance.
• Must maintain physical fitness requirements as prescribed by the Fire Department.
• Possess a valid State of California driver's license, Class C.
Desirable Experience
• Presently attending or have graduated from a 240 hour fire academy which meets State
of California requirements.
• Fire Science course work at the college level.
n.
•
•
ATTACHMENT 2
NAMED INSURED: EMP YMENT SYSTEMS, ING. (BSI)
'POLICY NUMBER: C140126
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE, READ IT.CAREFULLY.
CG 20 10 1185
ADDITIONAL INSURED --OWNERS, LESSEES OR CONTRACTORS
(FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL, LIABILITY COVERAGE PART. p
SCHEDULE
Name of Person or Organization:
THE CITY OF HUNTINGTON BEACH, ITS AGENTS, OFFICIALS & EMPLOYEES
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
WHO 1S AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of 'your work' for that insured by or for you.
CG 20 10 It 85 Copyright, Insurance Services Office. Inc.
City of Huntington Beach
Workers Compensation
' . 2000 Main Street
ea- Huntington Beach, CA 92648
HUNTINGTON BEACH (714) 536-5290
City of Huntington Beach
/i Workers Compensation
.2000 Main Street
• Huntington Beach, CA 92648
7
HUNTINGTON BEACH (14) 536-5290
•
•
CITY OF HUNTINGTON BEACH
2000 MAIN STREET
OFFICE OF THE CITY CLERK
CONNIE BROCKWAY
CITY CLERK
CALIFORNIA 92648
CITY CLERK LETTER OF TRANSMITTAL REGARDING ITEM APPROVED BY THE
CITY COUNCIL/REDEVELOPMENT AGENCY APPROVED ITEM
TO: •SycSZZ-1A5 , .rAle—
Name
//.-S9d . C ,eiu,4Rao �'oy.P 7' n �a, r� A//
S et
M /�"
bue o, e�� . 1a 7
City, State, Zj
ATTENTION: V,- elleJ
DEPARTMENT: y@e 1 QS/De 17-
REGARDING:
See Attached Action Agenda Item _ Date of Approval b 7
Enclosed For Your Records Is An Executed Copy Of The Above Referenced Item For Your Records.
6-4� tu ckt','�
Comae Brockway
City Clerk
Attachments: Action Agenda Page ✓ Agreement ✓ Bonds Insurance ✓
RCA Deed Other
Remarks:
e i �o/✓
r'
CC: VJ le F �DLD e� �i
/
✓
_�
f3QZVI
Name Department
05 V'ES�s A,M0NNE4
RCA
✓
Agreement
✓
Insurance
✓
Other
—,�
Name Department
RCA
Agreement
Insurance
Other
Name Department /RCA Agreement Insurance Other
Risk Management Department Insurance Copy ✓
G: Fol lowvp/agrmts/transltr
1 Telephone: 714-536.5227 )