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HomeMy WebLinkAboutScott Fazekas Associates, Inc. - 2010-07-15 �. CONTRACTS SUBMITTAL TO CITY CLERK'S OFFICE a To JOAN FLYNN, City Clerk 3 C:) w Name of Contractor Scott Fazekas Associates, Inc cil Purpose of Contract For Example Audit Services or Water Quality Testing Huntington Lake—Huntington Central Park Plan Review Services Amount of Contract $25,000 00 Copy of contract distributed to The onclinal insurance certificate/waiver distributed El Dept ❑ to Risk Management Finance Dept ❑ ORIGINAL bonds sent to Treasurer ❑ Date �� bg Name/Extedsion City Attorney's Office -7llrl�fi G AttyMtsc/Contract Forms/City Clerk Transmittal PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND ScOH FGtltll-uS 1-Z55U�i«fl� � G FOR l'w t//- S Table of Contents 1 Scope of Services 1 2 City Staff Assistance 2 3 Term Time of Performance 2 4 Compensation 2 5 Extra Work 2 6 Method of Payment 3 7 Disposition of Plans, Estimates and Other Documents 3 8 Hold Harmless 3 9 Professional Liability Insurance 4 10 Certificate of Insurance 5 11 Independent Contractor 6 12 Termination of Agreement 6 13 Assignment and Delegation 6 14 Copyrights/Patents 7 15 City Employees and Officials 7 16 Notices 7 17 Consent 8 18 Modification 8 19 Section Headings 8 20 Interpretation of this Agreement 8 21 Duplicate Original 9 22 Immigration 9 23 Legal Services Subcontracting Prohibited 9 24 Attorney's Fees 10 25 Survival 10 26 Governing Law 10 27 Signatories 10 28 Entirety 10 29 Effective Date 11 PROFESSIONAL SERVICES CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACZH D S ., ®e CSC FOR 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 .SC 6-6t ICGL S xs�ales j �� j' hereinafter referred to as "CONSULTANT " WHEREAS CITY desires to engage the services of a consultant to dv, #?1&44 re yi cul ,LV C CrS , 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 sC o& who shall represent it and be its sole contact and agent in all consultations with CITY during the performance of this Agreement agree/surfnet/professional sves to$49 12 07 1 of 11 2 CITY STAFF ASSISTANCE CITY shall assign a staff coordinator to work directly with CONSULTANT in the performance of this Agreement 3 TERM, TIME OF PERFORMANCE Time is of the essence of this Agreement The services of CONSULTANT are to commence on �yl`] �� , 20 l i� (the "Commencement Date") This Agreement shall automatically terminate three (3) years from the Commencement Date, unless extended or sooner terminated as provided herein All tasks specified in Exhibit "A" shall be completed no later than �, 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 L �'y{ D�/� Dollars 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 agree/surfnet/professionalsvcs to$49 1207 2of11 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 "1B " 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 (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 agree(surfnet/professional sves to$49 12 07 3 of 11 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 ($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 arising 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 agree/surfnet/professional svcs to$49 1207 4 of 11 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 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 party reduced in coverage or in limits except after thirty (30) days prior written notice, however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium CONSULTANT shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by CITY The requirement for carrying the foregoing insurance coverage shall not derogate from CONSULTANT's defense hold harmless and indemnification obligations as set forth in this Agreement CITY or its representative shall at all times have the right to demand the original or a copy of the policy of insurance CONSULTANT shall pay in a prompt and timely manner,the premiums on the insurance heremabove required agree/surfnet/professional svcs to$49 1207 5of11 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 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 heremabove agree/surfnebprofessional svcs to$49 1207 6 of I I 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 I heremabove) 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 parry via personal delivery, a reputable overnight carrier or U S certified mail-return receipt requested TO CITY TO CONSULTANT City of Huntington Beac S&OH r 1".S ATTN Se-o-bi Ise- `f t r--ie--, 2000 Main Street e,deV t � � twit( VO Huntington Beach, CA 92648 Z agree/surfnet/protessional sves to$49 12 07 7 of 11 17 CONSENT When CITY's consent/approval is required under this Agreement its consent/approval for one transaction or event shall not be deemed to be a consent/approval to any subsequent occurrence of the same or any other transaction or event 18 MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties 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 agree/surfnet/professional svcs to$49 1207 8 of I I 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 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 agreelsurfnet/professional sves to$49 12 07 9 of I I 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 nonprevailmg 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 SIGNATORIES Each undersigned represents and warrants that its signature herembelow 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 CONSU LTANI''s initials 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 agree/surfnet/professionai sues to$49 1207 10 of I I 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 29 EFFECTIVE DATE IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers This Agreement shall be effective on the date of its approval by the City Attorney This Agreement shall expire when terminated as provided herein CONSULTANT, CITY OF HUNTINGTON BEACH, ^ a municipal corporation of the State of t1S5 D 3vtc, California COMPANY NAME 1 irecto Chief By (Pur ant To HBMC§3 print name ITS (circle one)Chatrm restden ice President APPROVED AS TO FORM AND g5 By City Attorney t'_ l,f Date U/ /6/U it) print name ITS (circle one)Secre Chief Financial Office Asst Secretary—Treasurer agree/surfnet/professional sves to$49 1207 11 of 11 EXHIBIT "A" A STATEMENT OF WORK (Narrative of work to be performed) Perform traditional plan review of submitted plans to determine compliance with construction codes as adopted and amended by the City of Huntington Beach including Building Code Plumbing Code Mechanical Code National Electric Code California State Title 24 Noise Attenuation and local requirements Federal Flood Plan Regulations (FEMA) B CONSULTANT'S DUTIES AND RESPONSIBILITIES 1 SFA shall pay all wages to its plan reviewers who are subject to this agreement C CITY'S DUTIES AND RESPONSIBILITIES 1 City shall quality control calculations returned by SFA D WORK PROGRAM/PROJECT SCHEDULE, 1 City to provide plans for plan review on an as need basis jmp/contracts group/exA/6/23/10 EXXHIBIT "B" Payment Schedule 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 a full payment towards the fixed fee set forth herein in accordance with the following Seventy percent of the building permit fee calculated per Table 3A of the 1991 Uniform Administrative Code for each building plan checked The construction valuation shall be based on the most recent valuation multiplier published by the International Code Council in Building Standards as adopted by the City or on the architect's estimated construction cost, or on the Building Official's cost estimate The value shall include a proposed construction as defined in Uniform Administrative Code, Section 304 Plan Check fee for repetitive identical buildings shall be 70% of the building permit fee as noted above for the first, or basic building, and 15% of the building permit fee for each additional building The single fee includes all rechecks, plan check conferences at Consultant's office, reviewing plans that are initially found to be incomplete and for the transmitting of plans back to the jurisdiction The minimum Consultant fee for any proposed project plan review shall be one hundred and fifty dollars ($150 00) Compensation for plan reviews of reviews to plans that have previously been approved for permit issuance shall be $85 00 per hour �- 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 CONSULTANT'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 jmp/contracts group/exB 1/6/23/10 1 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 lmp/contracts group/exB 1/6/23/10 2 1785049 NUUHbE-D FILED 1'l ! iC- Of Me Sefretaty Of State fh(' -1 ^ �f ( -wlffnrns-1 I UN 4 1996 ARTICLES OF INCORPORATION OF SCOTT FAZEKAS & ASSOCIATES, INC MES So ry nt state I The name of this corporation is SCOTT FAZEKAS & A OCIATES, INC TT The purpose of this corporation is to engage in any wful act or activity for which a corporation may be organized ider the General Corporation Law of California other than t_h banking business, the trust company business or the pract e of a profession permitted to be incorporated by the c Lifornia Corporations Code TIT The name and address in the State of California of U initial agent for service of process for the corporation is A Lliam A Woodyard, 1948 Port Cardigan, Newport Beach, California )660 Tv This corporation is authorized to issue only one lass of shares of stock, and the total number of shares w) ch this corporation is authorized to issue is One Hundred Chousand (100, 000) IN WITNESS WIIEREOF, the undersigned, who 3s the inc porator of this corporation, has executed these Articles of In( (- )oration on June 3 , 1996 'SCOTT FAZE , Tncorpol for RESOLUTION Aboard meeting was held on December 8, 1997 to confirm that SCOTT R FAZEKAS, President, has signature authority to bind the Corporation of SCOTT FAZEKAS & ASSOCIATES, INC The status remains the same to date Scott R Fazekds, President ated Corporate Seal I S049 Jilt j S A fifi 1 f tit SECRETARY OF STATE CORPORATION DIVISION I, BILL JONES, Secretary of State of the State of C dornia, hereby certify That the annexed transcript has been compa) d with the corporate record on file in this office, of i iich it purports to be a copy, and that same is full, i to and correct IN WITNESS WHERE 11 execute this certificate and aff i� ie Great Seal of the State of Cciali nia this JUN 1 6 i _ i 4 r9 0 ' t Secretary of 14) yl See/State Form CE 107(rev 9/95) M 07/13/2004 02 51 btbb/JiJ/4 'DrH livl h4L cc State of California o Bill Jones PO rm to CA Sacramento CA p424e.900 1® Secretary of State Phone(9161&S7 3S37 STATEMENT BY DOMESTIC STOCK CORPORATION THIS STATEMENT MUST SE FILED WITH CAUFORNIA SECRETARY OF STATE(SEC 1502 CORPORATIONS CODE) � L v10 FILING FEE MUST ACCOItdPANY THIS STATEMENT } °ta,�1 41,4" 'N P16hstr tnake check payable to Secretary of Slasb 4 x ' C r�f� WHEN COMPLETING FORM PLEASE USE BL.ACKTYPEWRITER RIBBON OR PRINT IN BLACK INK IMPORTANT Please Read Instructions On Back of Form, T DO NOTALTER PREPRINTED NAME IF ITEM 1 IS BLANK PLEASE ENTER CORPORATE NAME AND NUMBER C1785049 DUE DATE 06-30-97 22047S SCOTT FAZEKAS & ASSOCIATES, INC 5 CORPORATE PARK STE 160 IRVINE, CA 92714 If There Has Been No Change In Any Of The Information On File Complete Item to Only Please Indicate on return envelope If no change statement is enclosed DO NOT MARK IN THIS SPACE _ 'WTHE CALIFORNIA CORPORATION NAMED HEREIN, MAKES THE FOLLOWING48'TAT'IUIENT �I 1A I DECLARE THERE HAS BEEN NO CHANGE IN THE INFORMATION CONTAINED IN THE LAST STATEMEN`OF THE CORPORATION WHICH IS ON FILE IN THE SECRETARY OF STATES OFFICE PCIJ Y ON INITIAL FILINS 7 I04ECK HERO TYPE OR PRI14T NAME OF SIGNING OFFICER OR AGENT SIGNATURE TITLE DATE 2 SIBEE AOOR=SS OF PRINCIPAL EXECUTIVE OFFICE ROOM NO 2A C17Y AND STATE 2B ZIP CODE 3 STAF_ETAOORFSS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA ROOM NO 3A CITY 38 ZIP CODE (IF ANY) CA --'MAILING ADDRESS ROOM NO AA CITYANDSTATE 48 ZIP CODE THE TH of OLLOWING OFFICERS ARE (Must have those three officers(�¢a�? { tYibtations Cods;))An bffi� M2j old more than one oftji e.Do Not Alter 0� Obht9rate Pre noted Tales However You May Add Attle AppmEiale For Y6ujC6T2rat1 t' S CHIEF EXECUTIVE OFFICER/ SA. STREETADDRESS(DO NOT USE PO BCX) 58 CITY AND STATE SC ZIP CODE SCOTT FAZEKAS 15583 HARRON LN POWAY, CA 92064 6 SECRETARY/ sA. STREET ADDRESS(DO NOT USE P 0 BOX) 6B CITY AND STATE 6C ZIP CODE JOY FAZEKAS 15583 HARRON LN POWAY, CA 92064 7 CHIEF FINANCIAL OFFICER/ 7A STREET ADDRESS(DO NOT USE PO BOX) 78 CITY AND STATE 7C,ZIP CODE SCOTT FAZEKAS 15583 HARRON LN POWAY, CA 92064 DIRECTORS, INCLUDING DIRECTORS WHO ARE ALSO OFFICERS (AttachWipplementary`list if friary)", 0 Must have one or more directors(Chap 3 tdc 301A Corporations Code) Stalement5 not listing dlrbttots w.11 be rejected � � " � � 40 n NAME 6A STREET ADDRESS(DO NOT USE PO BOX) 66 CITY AND STATE 8C ZIP CODE OTT FAZEKAS R _ON LN. POWAX. CA , 92064 9 NAME 9A STREET ADDRESS(DO NOT USE P 0 BOX) 08 CI'Y AND STATE 9C ZIP CODE JOY FAZEKAS 15583 HARRON LN POWAY,_ CA 92064 10 NAME 104 STREET ADDRESS(DO NOT USE PO BOX) 106 CITY AND STATE lor.175P CODE 11 THE NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS IF ANY —0— DESIGNATED AGENT FOR SERVICE OF PROCESS Agent for service of process must be a person who,is a residentty�f CaGfornfat or the agent may another corporation which has filed a certificate pursu&ni to Section 1505 'C41rIDrnla f✓oI'poration5 Lode r 1I 12. NAME SCOTT FAZEKAS 13 CALIFORNIA STREET IF AGENT 15 AN INDIVIDUAL(do Musa PO box)Do not Wv3uoe Atldrm If agenl Is a oorporallan dl9t hag Ned a 00AAC01e pureuent to section IWS CorpotBtlans Coot COR S CA, 9Z714 CR1I31`TYPE OF BUSINESS OF THE CORPORATION NAMED IN iYENI i �Ic j` �°�$(`w r� ,3� E 4 TYPE OF BUSINrss EE CONSULTANTS TO GOVERNMENT AGENCIES iS r DECLARE TH�AT�I HAVE EXAMINED THIS STATEMENT AND TO THE BEST OF MY OWLEDG AND B LIEF IT IS TRUE CORR�ECTAND COMPLETE TYPE OR PRINT NAME OF SIGNING OFFICER OR AGENT ORIGIN A NATVRE TITLE TE SO 200 wC(REV 71W) TI 11 —1 d—a171174 14 4R 85e5791374 98/ P 02 ACORD CERTIFICATE OF LIABILITY INSURANCE 06/02/2o PRODUCER (619)574 6220 FAX (619)574 6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DBA IOA Insurance Services HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 1 1775 Hancock Street Ste 180 San Diego CA 92110 INSURERS AFFORDING COVERAGE I NAIC# WSURED Scott Fazekas & Associates Inc A Travelers Prop Cas Co of Amer 25674 9 Corporate Park Drive SURER E) OneBeacon America Ins Co 20621 Irvine CA 92606 1 rERC Beazley Ins Co 37540 I UcEN D I URER E COVERAGES 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 RESPECTTO 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS WSR 0 P EFFECTNE C TON TR N DATE TY EOF S RANCE PO C NUMBER _DATE CA IMM MM 0 LYA S GENERAL IABILnY 68022521­18A 06/05/2010 06/05/2011 EACH OCCURRENCE S 1,000,000 X CON ERCW. ENE LIAR LIT DAMAGE TO RENTED S 300 000 PRF&IM,S.Fa ar C✓+ 5 MADE OCCUR LMEO EXP(AA o 1 S 5 000 A PERSONAL B Ar UR 5 1 000 000 _ _ _ — _ LGCNIEFA GGREGATE _ 2 000 000 -EN L AG R' TE L M T S ET PRODUCTS COMPIOP AGG 2 000 0O C X RRC LOC UTOMOB LE L AB LRY 6802252L18A 06/05/2010 06/05/2011 C"' SWGLEL MI s AN AUTO (E a"`} Included ALL OWNED UTOs P� rw)R S A �CHEDU.ED AFTOS _ X DAU AP VED AS O FO 60D L AJR X NONO )ALTOS (P d N) PROPERTY DANAGE S J CG % oMey (Par 1) GARAGE LIABLFTY AL DON_ EA CC DENT IN+ Al,O OTHER THAN EA ACC S .AUTO OHL GC $ EXCESSAJMBRELLALUIBI m CUP6527Y301 06/05/2010 06/05/2011 1 EACH OCCURRE CE s 1 000 000 OCCUR AM5+wDE I AGGRF. TE S 1 000 000 A L s DEDLc B E I $ X RETILWO 1 s O s WORKERS CO PEN A 10 NO 406017268 06/OS/2010 06/OS/2011 X we STATu oTw EMPLOYERS LIABILITY E L EAC CC DENT S 1 O OF OO�OOO B ROAR E OR/PARThERIEXECUI E L L,SEAS LA MPLOYE $ 1 000 000 OFF ERR.EMBE E CLUDEO SPEC AL PRO SS Ohs W ov. E L O SEASE ROL C L M $ 1 000 000 DTH V15THZ100201 06/05/2010 06/05/2011 $1 000 000 Each Claim C Professional Liability $1 000 000 Aggregate $0 Deductible DESCRI TIC OFO ERATONSILOCATION VE C ESIEXCLUSO S ODED ENOORS ENT SPECIA ROVISIONS e Inspection Services ity of Huntinton Beach its agents officers and employees are additional insured per the attached endorsement 10 day notice of cancellation applies for non payment of premium CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL K O(OW&MAIL City of Huntington Beach 30 DAYS WRITTEN NOT CE TO THE CERTRF C TE O DER NAMED O THE L FT Mr Ross Cranmer K06)EXlK X 2000 Main Street 31K"XIIDMXKKX)8tvoo*wmx (XI(i MXOCMXA4I<gxxxXXXXXXX Huntington Beach CA 92648 UTHCRIZED REPRESENTATIVE --r A& ��11 Kell Howell ENUTE �1 ACORD 25(2001I08) OACORD CORPORATION 1989 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A The following Is added to WHO IS AN INSURED INSURANCE (Section ill) for this Coverage (Section II) Part Any person or organization that you agree in a B The following is added to Paragraph a of 4 "contract or agreement requiring Insurance to in Other insurance in COMMERCIAL GENERAL clude as an additional insured on this Coverage LIABILITY CONDITIONS (Section IV) Part but only with respect to liability for bodily in However if you specifically agree in a contract or jury property damage or 'personal injury agreement requiring insurance' that the insurance caused in whole or in part, by your acts or orris provided to an additional insured under this Cov sions or the acts or omissions of those acting on erage Part must apply on a primary basis or a your behalf primary and non contributory basis this insurance a In the performance of your ongoing opera is primary to other insurance that is available to tions such additional insured which covers such adds b In connection with premises owned by or tional Insured as a named insured and we will not rented to you or share with the other insurance provided that c In connection with your work and included (1) The bodily injury or "property damage for within the products completed operations which coverage is sought occurs and hazard (2) The "personal injury" for which coverage is Such person or organization does not qualify as sought arises out of an offense committed an additional insured for bodily injury property after you have entered into that contract or damage or 'personal injury for which that per- agreement requiring insurance But this incur son or organization has assumed liability in a con ance still is excess over valid and collectible other tract or agreement insurance, whether primary excess, contingent or The insurance provided to such additional insured on any other basis that is available to the insured is limited as follows when the insured is an additional insured under d This insurance does not apply on any basis to any other insurance any person or organization for which cover C The following is added to Paragraph 8 Transfer age as an additional insured specifically is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON age Part DITIONS (Section IV) e This insurance does not apply to the render We waive any rights of recovery we may have ing of or failure to render any professional against any person or organization because of services payments we make for bodily injury property f The limits of insurance afforded to the addi- damage or `personal injury arising out of your tional insured shall be the limits which you work performed by you or on your behalf under agreed in that contract or agreement requir a 'contractor agreement requiring insurance with ing insurance to provide for that additional that person or organization We waive these insured or the limits shown in the Declara- rights only where you have agreed to do so as tions for this Coverage Part whichever are part of the contract or agreement requiring insur less This endorsement does not increase the ance with such person or organization entered limits of insurance stated in the LIMITS OF into by you before and in effect when the bodily CG D3 8109 07 ©2007 The Travelers Companies Inc Page 1 of 2 includes the copyrighted material of Insurance Services Office Inc with its permission - CITY OF HUNTINGTON BEACH Professional Service Approval Form RECEIVED PART I JUN :!2 2010 Date 5/17/2010 Project Manager Name Gerald Caraig Dept of Planning Requested by Name if different from Project Manager Jan Richards &E30dmg Department Building and Planning PARTS I OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED BY THE CITY ADMINISTRATOR, FOR APPROVAL, BEFORE PROCEEDING WITH THE SOLICITATION OR CONTRACT PROCESS PART I MUST BE FILED WITH ALL APPROVED CONTRACTS 1) Briefly provide the purpose for the agreement Provide professional review of building plans by outside consultant 2) Estimated cost of the services being sought $ 25 000 3) Are sufficient funds available to fund this contract? ® Yes ❑ No 4) Is this contract generally described on the list of professional service contracts approved by the City Council? If the answer to this question is No the contract will require approval from the City Council ) ❑ Yes® No 5) Business Unit (8 digits) and Object Code (5 digits) where funds are budgeted 10055301 69365 6) 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 � D Department Head Signature Yate APPROVED.® DENIED ❑ S-Zs -1a C14AdInistrator s Signature Date Director of Finances initials Deputy City Administrators Initials J �� Date Date CITY OF HUNTINGTON BEACH Professional Service Approval Form PART II Date 7/19/2010 Project Manager Gerald Caraig Requested by Name if different from Project Manager Debra Gilbert Department Building and Planning PARTS I & II OF THE PROFESSIONAL SERVICES CONTRACTS APPROVAL FORM MUST BE COMPLETED BY THE REQUESTING DEPARTMENT AND SIGNED FOR APPROVAL PART I & H MUST BE FILED WITH ALL APPROVED CONTRACTS 1) Name of consultant Scott Fazekas &Associates Inc 2) Contract Number PLN 010 048 00 (Contract numbers are obtained through Finance Administration) 3) Amount of the contract $ 25 000 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 Exhibit B which describes the payment terms of the contract 7/,2 erector of Finance (or designee) Signature Date