HomeMy WebLinkAboutFresh Beginnings Ministry - 2015-10-14�CONTRACTS SUBMITTAL TO
CITY CLERK'S OFFICE
To: JOAN FLYNN, City Clerk
Name of Contractor: Fresh Beginnings Ministry
Purpose of Contract: For Example Audit Services or Water Quality Testing Huntington Lake — Huntington Central Park
Homeless Task Force
Amount of Contract: $5,500
Copy of contract distributed to The original insurance certificate/waiver distributed
to Risk Management
Initiating Dept
Finance Dept ❑ ORIGINAL bonds sent to Treasurer ❑
Sandie Frakes, ext 5249
Name/Extension
City Attorney's Office
Date: 11/3/15
w
'
o
tTj
0-<0
zom
-c,
<
w "t
>
o
G AttyMisc/Contract Forms/City Clerk Transmittal
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
FRESH BEGINNINGS MINISTRY
FOR
HOMELESS TASK FORCE SERVICES
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 Fresh Beginnings Ministry, a 501 (c) (3) Non -Profit Association hereinafter
referred to as "CONSULTANT "
WHEREAS, CITY desires to engage the services of a consultant to provide homeless
advisory services; 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:
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 Bill Nelson who shall represent it and be its
sole contact and agent in all consultations with CITY during the performance of this Agreement
2. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly with CONSULTANT in the
performance of this Agreement.
agree/swfnet/professional svcs to $49
10/12 1 of 11
3. TERM; TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of CONSULTANT are to
commence on Q C� , 20the "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 1, 2016 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.
In the event the Commencement Date precedes the Effective Date,
CONSULTANT shall be bound by all terms and conditions as provided herein.
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 fifty-five hundred Dollars ($5500.00).
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
6. METHOD OF PAYMENT
CONSULTANT shall be paid pursuant to the terms of Exhibit "B."
agree/surfnet/professional svcs to $49
10/12 2 of 11
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, I
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 (or alleged 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 do not act as limitation upon the amount of indemnification to be
provided by CONSULTANT.
agree/surfitet/professional sves to $49
10/12 3 of 11
9. PROFESSIONAL LIABILITY INSURANCE
CONSULTANT shall obtain and furmsh 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 ($1,000,000.00) per occurrence and in the aggregate. The above -mentioned insurance
shall not contain a self -insured retention without the express written consent of CITY; however
an insurance policy "deductible" of Ten Thousand Dollars ($10,000.00) or less is permitted. 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 ansing from work performed in connection with this
Agreement.
If CONSULTANT fails or refuses to produce or maintain the insurance required
by this section or fails or refuses to furnish the CITY with required proof that insurance has been
procured and is in force and paid for, the CITY shall have the right, at the CITY's election, to
forthwith terminate this Agreement. Such termination shall not affect Consultant's right to be
paid for its time and materials expended prior to notification of termination CONSULTANT
agree/surfnet/professional svcs to $49
10/12 4 of 11
waives the right to receive compensation and agrees to indemnify the CITY for any work
performed prior to approval of insurance by the CITY.
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 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. shall promise that such policy shall not be suspended, voided or canceled
by either parry, 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 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
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
agree/surfnet/professional Svcs to $49
10/12 5 of 11
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.
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.
agree/surfnet/professional svcs to $49
10/12 6 of 11
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 I 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• Kelle Fritzal, City Manager's
Office/OBD
2000 Main Street
Huntington Beach, CA 92648
17. CONSENT
TO CONSULTANT
Fresh Beginnings Ministry
ATTN: Bill Nelson, Executive Director
968 Presidio Drive
Costa Mesa, CA 92626
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
agree/surfnet/professional svcs to $49
10/12 7 of 11
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 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
agree/surfnet/professional sues to $49
10/12 8 of 11
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
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/surfnet/professional svcs to $49
10/12 9 of I I
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. SIGNATORIES
Each undersigned represents and warrants that its signature hereinbelow has the
power, authority and right to bind their respective parties to each of the terms of this Agreement,
and shall indemnify CITY fully for any injuries or damages to CITY in the event that such
authority or power is not, in fact, held by the signatory or is withdrawn.
28. 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.
agree/surfnet/professional svcs to $49
10/12 10 of 11
29. EFFECTIVE DATE
This Agreement shall be effective on the date of its approval by the City Attorney
This Agreement shall expire when terminated as provided herein.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed
by and through their authorized officers.
CONSULTANT,
Fresh Beginnings Ministry
COMPANY NAME
By ,
print name
ITS: (circle one) Chauman/President/Vice President
print name
ITS: (circle one) Secretary/Chief Financial Officer/Asst
Secretary — Treasurer
agree/surfnet/professional svcs to $49
10/12 11 of 11
CITY OF HUNTINGTON BEACH,
a municipal corporation of the State of
Califorma,
Director/Chief
To HBMC §3 03 100)
APPROVED AST RM:
C.
City Attorney�� �,
Date /EX / //5-'
EXHIBIT "A"
A STATEMENT OF WORK: (Narrative of work to be performed)
See Attachment A - Scope
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:
See Attachment A - Scope
C CITY'S DUTIES AND RESPONSIBILITIES.
See Attachment A - Scope
D WORK PROGRAM/PROJECT SCHEDULE.
See Attachment A - Scope
EXHIBIT A
ATTACHMENT A
v
Attachment "A"
fbi I I
966 Presidia Orw Casta Mesa ER 92626 • 114 4712 9634 ° wwu,, C'm
To Kellee Fritzal
Deputy Director of Business Development
City of Huntington Beach
June 25, 2015
Dear Ms. Fritzal
Thank you for the opportunity to present this proposal for homeless advisory services for the City of Huntington Beach
Scope of Work:
Fresh Beginnings along with Subcontractor OC Community Consulting shall provide homeless advisory services including•
• Attend Homeless Task Force Meetings and offer advisory services including participation in informal and formal
discussions and public presentations , advise on alternative homeless outreach, financing and programmatic
options, once per month for a maximum of 10 months for a maximum of 2 hours per meeting (20 hours)
• Meeting follow up for maximum of 2 hours per meeting for a maximum of 10 meetings
(20 hours)
• Meeting preparation including suggestions for speakers, topics, and field trips for a maximum of 2 hours per
meeting for a maximum of 10 meetings (20 hours)
• Accompany Homeless Task Force Members on field trips, should any be arranged (14 hours)
• Facilitation services at Homeless Task Force meetings for a maximum of 2 hours per meeting for a maximum of
10 meetings (20 hours)
• Report writing documenting recommendations of Homeless Task Force This report will be optional and will be
due approximately 60 days after Homeless Task Force has held its last meeting documenting goals and
recommendations, (24 hours)
0 Attend up to 2 optional field trips, (14 hours)
HB Contract Proposal pg 2
Staffing:
Bill Nelson, Executive Director will assist with facilitation at monthly Homeless Task Force Meetings while OC
Community Consulting will handle meeting preparation, follow-up and attendant advisory services
Timing
This work will commence prior to the third meeting of the Homeless Task Force and be concluded within the 60 days
after the Homeless Task Force has held its last meeting
Compensation:
The hourly billing rate schedule that will
apply to this engagement is as follows:
Fresh Beginnings Facilitation Services
OC Community Consulting Advisory
Services & Report Writing
$55 00/hr
$65 00/hr
Facilitation Services
20 hrs @ $55/hr
$1100
Meeting Attendance
20 hrs @ $65/hr
$1300
Field Trips
14 hrs @ $65/hr
$ 500
Meeting Preparation
20 hrs @ $65/hr
$1300
Meeting Follow-up
20 hrs @ $65/hr
$1300
Total Contract Amt $5500
This contract cannot be terminated after date of first meeting without written notice of 30 days by Fresh Beginnings
Ministries, OC Community Consulting or The City of Huntington Beach
968 Freddie Or COSid Mesd L6 Q626 - N C 414 ° �iuw 11 Ic,, rwR ,
HB Contract Proposal pg 3
Thank you for the opportunity to present this proposal If there are any modifications that will make the proposal more
responsive to your needs, or if you require additional information, please do not hesitate to call us
Sincerely,
FRESH BEGINNINGS MINISTRIES
Bill Nelson, Executive Director
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:
$55 for FBM Facilation Services and $65 per hour for Consulting/Advisory Services &
Report Writing
B Travel Charges for time during travel are not reimbursable.
C. Billing
1. All billing shall be done monthly in fifteen (15) minute increments and matched to
an appropriate breakdown of the time that was taken to perform that work and who
performed it.
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 project.
3 A copy of memoranda, letters, reports, calculations and other documentation
prepared by CONSULTANT may be required to 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 monthly payment due
Such invoice shall -
A) Reference this Agreement;
B) 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 parties agree that past performance by CONSULTANT is in, or has been
1
Exhibit B
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.
2
Exhibit B
suo * INSURANCE AND INDEMNIFICATION WAIVER
MODIFICATION REQUEST
1 Requested by Ten Baker
2 Date 10-13-15
3 Name of contractor/permittee Fresh Beginnings Ministry
4 Description of work to be performed Homeless Advisory Services to the City's Homeless
Task Force
5 Value and length of contract $5500 00 by July 1,2016
6 Waive r/modiflcatlon request Professional Liability Insurance
7 Reason for request and why it should be granted Not required for the type of service
being performed, consultant does not have PLI insurance and It would be cost prohibitive
given the contract amount
8 Identify the risks to the City in approving this waiver/modification None
Department Head Signature
&--s _S--
Date
APPROVALS
Approvals must be obtained in the order listed on this form Two approvals are required
for a request to be granted Approval fr a the City Administrator's Office is only required if
Risk Management-a—nd the City Attorney' Office disagree
1. is Management '
Approved ❑DeniedIdAl-5
SI nature Date
2. City Attorney's Office
Approved ❑ Denied
Signature bate
3. City Manager's Office
❑ Approved ❑ Denied
Signature Date
If approved, the completed waiver/modification request is to be submitted to the
City Attorney'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 Human Resources
FRM - Insurance Waiver Form
10/13/2015 8 46 00 AM
FRESH-1 OP ID- SM
'4� �r CERTIFICATE OF LIABILITY INSURANCE
D09115121Y5
09/1512015
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: 0 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 cedwwafe does not confer rights to the
certificate holder In lieu of such endorsements .
PRODUCER
Golden Empire insurance Agency
28720 Roadside Drve Ste. 378
Agoura Hills, CA 91301
Steven M. Heitman
CONTACT
PHONE PAX
c R No
wen
ADD
INSURERM AFFORDING COUBM tE
NNC it
INSURER A -Continental CaSUaItY C011111401TY
INSURED Fresh Beginnings Ministries
968 Presidio Dr.
Costa Mesa, CA 92626
INSURERS
INSURER
INSURER D
INSURER E
INSURER F •
COVERAGES CERTIFICATE NI IM13FR- RFVL41111N an IMRFR-
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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
ILTR
TYPE OF INSURANCE
ADDL
B
POLICY NUMBER
POLICYPOLICY
EXP
LINKS
OENERALLIABILITY
EACHOCCURRENCE
S 1,000,00
A
X COMMFRCIALGENERALLLABILITY
CLAILAS IAADE IX OCCUR
X
BSCIIS84990
12119/2014
12M912015
PRO S RENrhu
a„�
y 300,00
MED EXP (ftW am pemon)
S 10,0
PERSONALBADVINJURY
$ 1,000,00
GENERALAGGREGATE
$ 2,000,00
GEN9_AGGREGATE UAW APPLIES PER:
PRODUCTS-COMPIOP AGG
$ 2,000,00
X POLICY PRO- LOC
$
AUTOMOBILE
LIABIJIM
CO a�SINGLEUMIT
IESANYAUTD
BODILYRIJURY{Perpeison)
$
ALL OWNED SCHEDULED
AUFOS
BODILYINJURY(peraccident)
$
NON-OWNED
HIREDAUTOS A�►rTtED
T
PR Y MVMGE
fPER
S
S
UMBRELLA UAB
HCLQMS4P1)E
OCCUR
EACt1OCCURRENCE
$
AGGREGATE
S
EXCESS LAB
DEb J I RETENTIONS
S
WORKERS COMPENSATION
WC STATLI OTti
ER
AND EMPLOYERS, UABRAY YIN
ANY PROPRIETORIPARTNEREE(ECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
EL EACH ACCIDENT
S
EL DISEASE -EAEMPLOYEE
S
(Mandatory:"..)
Uses descM*under
DESCRIPTION OF OPERATIONS balos
EL DISEASE -POLICY LIMrr
S
APPROVED
AS TO FORM
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,AddtlionalRsm"imSeheduTe,Umorespace Isrequlmd)
C>_ty of Huntxng Beach are named as additional insured per the attached
blanket addtt3.onal censured endorsement SB-146932-E (Ed. 06/11).
By
A�lchaelates,
City Attorney
CERTIFICATE HOLDER CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Huntington .each
tY g
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N
ACCORDANCE WITH THE POLICY PROVISIONS.
2000 Main Street
Huntington Beach, CA 92648
AUTHORIZED REPRESENTATIVE
LPN-
01988-2010 ACORD CORPORATION. Ail rights reserved.
ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD