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HomeMy WebLinkAboutAdopt A Storm Drain Water Pollution Prevention - 2002-05-20• CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK LETTER OF TRANSMITTAL OF ITEM APPROVED BY THE CITY COUNCIL/ REDEVELOPMENT AGENCY OF THE CITY OF HUNTINGTON BEACH DATE: May 23, 2002 TO: Adopt-A-Stormdrain ATTENTION: Name 919 Manhattan Avenue, Suite 100 DEPARTMENT: Street Manhattan Beach, CA 90266 REGARDING: Agreement City, State, Zip See Attached Action Agenda Item E-11 Date of Approval 5/20/02 Enclosed For Your Records Is An Executed Copy Of The Above Referenced Agenda Item. ��Vn'Jltl.Pi isZ��dCR�/ Remarks: Connie Brockway City Clerk Attachments: Action Agenda Page x Agreement x Bonds Insurance RCA Deed Other CC: R. Beardsley DPW x x x Name Department RCA Agreement Insurance Other G. Lucas DPW x x x Name Department RCA Agreement Insurance Other Name Department RCA Agreement Insurance Other Name Department RCA Agreement Insurance. Other C_ Manrin7a Name Riiak Mgmt Department .x— RCA x Insurance (Telephone: 714536-5227 ) Council/Agency Meeting Held: a 20-OZ Deferred/Continued to: �CA proved ❑ Conditionally Approved ❑ Denied Clerk' Signature Council Meeting Date: May 20, 2002 Department ID Nu ber: PW'W-cp 0 ti =, CITY OF HUNTINGTON BEACH REQUEST FOR ACTION ---+ SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: RAY SILVER, CITY ADMINISTRATORa4d C-') PREPARED BY: ROBERT F. BEARDSLEY, DIRECTOR OF PUBLIC WORKS SUBJECT: Approve an Agreement Between the City Of Huntington Beach and the Adopt-A-Stormdrain Organization Statement of Issue, -Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s) Statement of Issue: The Adopt-A-Stormdrain Program will provide the City funding to support the extensive impacts resulting from new, stringent municipal stormwater National Pollutant Discharge Elimination System Permit (NPDES) requirements and other urban runoff and storm water pollution prevention projects required by State and regional regulation agencies. Funding Source: No funds are required at this time. Recommended Action: Motion to: approve -and authorize the Mayor and City Clerk to execute an agreement that provides corporations as sponsors for the mitigation of urban runoff between the city of Huntington Beach and the Adopt-A-Stormdrain organization. Alternative Action(s): Do not approve the resolution and direct staff to take a different course of action. Analysis: Through the agreement, the Adopt-A-Stormdrain (AASD) organization will solicit private firms for funds to be used by the City to conduct stormwater pollution prevention activities. In exchange, the firms will be recognized for their contributions through visible displays of their corporate logo, along with a brief environmental awareness, public service message. These displays of high quality signs and banners will appear throughout the City in locations on major streets and highways. ill REQUEST FOR ACTION 0 MEETING DATE: May 20, 2002 DEPARTMENT ID NUMBER: PW 02-048 The City's responsibilities under the new, regionally -mandated NPDES permit requires the development of programs to control the discharge of contaminants from a variety of activities. Such activities include those conducted by public agencies, residents and businesses on streets, roads, parking lots and private property. The AASD program has the primary goal of reducing the amount of oil, pesticides, debris, trash and other contaminants that end up in City gutters, streets and parking lots since these pollutants eventually get washed into storm drains and the ocean. AASD seeks funds from private corporations to pay for efforts to reduce the amount of harmful runoff. The private corporations, in turn, receive advertising, signage and promotional recognition within the City. Displays of a corporation's logo are placed on signs and banners. Through the AASD Program, 80% of the advertising revenue raised would be committed to the City and 20% would be retained by AASD to cover the costs of operating the program. Through AASD, the private corporations would pay for the design, production and installation of the signs. The City would have no direct costs associated with the start up and implementation of the AASD program. Use of the funds is very flexible, with the only requirement being that the funds be used for urban runoff or storm water pollution prevention and mitigation. Funds raised through the AASD program can be directed in various ways, including but not limited to: • The installation of water quality structural devices along with their associated maintenance costs. • The development and implementation of several pollution -prevention, educational outreach programs (restaurant outreach, an educational video, brochures and pamphlets). • Hiring environmental consulting firms to advise the City on structural and non-structural solutions to storm water problems. • Funding expenses associated with "dry flow diversion" projects. • Funding expenses associated with stormwater infrastructure maintenance and operation activities. Staff is recommending that an approximate revenue target of $250,000 per year be the goal of the AASD program. Of this total revenue, the City would receive $200,000 for stormwater pollution prevention activities, and the AASD organization would receive $50,000 for administrative and overhead costs. The proposed three-year agreement calls for the placement of signs and banners within the City. The City has complete authority to approve the private corporation -advertising sponsors. The City also has complete authority over all aspects of the design, size, wording, and placement of signage. Staff is recommending a phased implementation approach, where signs will be installed on a gradual basis, working up to a fully -implemented program. AASD is responsible for working with the private corporations to design, produce and install acceptable signage. AASD is also responsible for removing signs in the event of a sponsor change or program termination. The attached proposed agreement between AASD and the City provides the complete terms of the agreement. GAR C A\2002\02-048 may 20 lucas (adoptastormdrain).doc -2- 5/9/2002 4:02 PM REQUEST FOR ACTION MEETING DATE: May 20, 2002 DEPARTMENT ID NUMBER: PW 02-048 The program is unique because it benefits municipalities, corporations and, most importantly, the environment. AASD is currently implementing programs in the cities of Redondo Beach and Hermosa Beach, and has already received City Council approval to move forward in the cities of Manhattan Beach, Burbank and Long Beach, as well as Sacramento County. In addition, AASD has begun the process of working with the other cities and counties throughout California. Environmental Status: Not Applicable Attachment(s): RCA Author: G. Lucas:jm G:\R C A\2002\02-048 may 20 lucas (adoptastormdrain).doc -3- 5/9/2002 11:22 AM C] • ATTACHMENT #1 AGREEMENT TO PROVIDE CORPORATIONS TO SPONSOR THE MITIGATION OF URBAN RUNOFF BETWEEN THE CITY OF HUNTINGTON BEACH AND ADOPT-A-STORMDRAIN THIS AGREEMENT TO PROVIDE CORPORATIONS TO SPONSOR THE MITIGATION OF URBAN RUNOFF is entered into between the City of Huntington Beach, a chartered municipal corporation (hereinafter . "City"), and ADOPT-A- STORMDRAIN, (hereinafter "AASD"), with reference to the following. RECITALS A. City is desirous of obtaining funds to improve the quality of the water flowing through stormdrains within the City, which water drains into the ocean; B. AASD has developed the ADOPT-A-STORMDRAINTM Program .whereby corporate environmental partners ("CEPs"), which will include corporate and various other types of business entities and individuals, will pay for signs bearing the CEP's logo and an environmental message to be installed in City in high traffic areas. WHEREFORE, the parties agree as follows: 1. This agreement shall commence on the date set forth above and shall terminate three (3) years from said date unless City exercises the option to renew, as set forth in Section 7. 2. AASD agrees that it will obtain CEPs for the ADOPT=A-STORMDRAIN Program in City. Said Program will be implemented and administered by.AASD. CEPs will, in return for monies paid to AASD, be permitted to display signs, after approval by City of the specific CEPs, and the design, size and specifications for signs, to be placed at various sites within City as approved by City. The signs will contain artwork identifying the CEP along with a brief environmental message. and/or ADOPT=A-STORMDRAIN logo. AASD's duties will include providing the signs after approval of the City and installation of approved signs at sites as approved by City. AASD will also be responsible for collection of all payments due by CEPs prior to installation .of signs and shall pay all funds due City from each CEP within 30 days following installation of the signs. Upon termination of this agreement or any agreement between an individual CEP and AASD, AASD will remove signs or the individual name plate of a CEP, as the case may be, within 30 days of the date of termination. 3. City, in return for allowing placement of the signs, shall receive 80% of all funds paid by CEPs to AASD, which funds shall be used by City to improve urban run-off and storm water conditions. The remaining 20% of proceeds paid by CEPs shall be retained by AASD as compensation for implementation and administration of the ADOPT-A- STORMDRAIN Program within City. The City further authorizes the City Administrator, or designated delegate to approve or disapprove each CEP, sign location, design, specifications and proposed size of a sign within 45 days of submittal to the City by AASD. AASD will repair or replace signs that are damaged or destroyed at their cost. The City reserves the right to request the re -location of . a sign or banner. The new location shall be approved by the CEP prior to re -installation within 45 days of the City's request to AASD. 4. City shall have the right, within 30 days of submitting a written request to AASD, to review all contracts between AASD and any CEP for signs installed in City. City shall also have the right, within 30 days of submitting a written request to AASD, to audit AASD's books and records semi-annually to the extent necessary to confirm payments made by CEPs to AASD for the Adopt-A-Stormdrain Program in City and AASD's remittance of City's share (80%) of said payments. AASD shall have the right, within 30 days of submitting a written request to the City, to review use of sponsorship funds to insure the were used for the purpose of storm water / urban runoff pollution prevention programs. 5. In the event of a material breach of this agreement, the non -breaching party shall give written notice of the breach to the other party, which party shall then have 30 days from receipt of said written notice to cure the breach. If the breach is not cured within said 30 days, the non -breaching party may terminate this agreement by giving written notice 30 days prior to the termination date to the other party. If the event of the early termination of this Agreement as a result of the default by either party hereto, the breaching party shall, without limitation, pay for the cost of sign removal from all sites where signs are installed within City. 6. In addition to the foregoing and not in lieu thereof, City shall have the right to terminate this agreement for any reason, such termination to be effective 90 days following AASD's receipt of written notice of termination from City. . In the event of termination of this agreement pursuant to this paragraph 6, City shall, on or before the conclusion of such 90-day period, pay the following expenses, fees and other costs: (i) City shall return to any CEP whose payments are for periods beyond the effective date of termination the unearned portion of such payments; (ii) City shall pay to AASD any commissions that AASD must return to any CEP that have been collected by AASD for periods beyond the effective date of termination; and (iii) City shall pay to AASD all of its out-of-pocket costs and expenses associated with early termination including, without limitation, production costs of signs (including design fees) and the cost of sign removal from various sites within City. 7. City shall have the option to renew this agreement for two additional three-year periods, provided that City gives written notice to.AASD of its intent to exercise such option at least-180 days before the termination date. 2 8. Insurance Requirements. 8.1 Commencement of Work. AASD shall not commence work under this agreement until,it has obtained City -approved insurance. Before beginning work hereunder, during the entire period of this agreement, or any extensions thereto and for periods after the end of this agreement as indicated below, AASD must have and maintain in place, all of the insurance coverage required in this Section 8. AASD's insurance shall comply with all items. specified by this agreement. Any subcontractors shall be subject to all of the requirements of this Section 8 and AASD shall be responsible to obtain evidence of insurance from each subcontractor and provide it to City before the subcontractor commences work. All insurance policies used to satisfy the requirements imposed hereunder shall be issued by insurers authorized to do business in the State of California. Insurers shall have a current A.M. Best's rating of not less than A-:VII unless otherwise approved by City. 8.2.1 Coverages, Limits and Policy Requirements. AASD shall maintain the types of coverages and limits indicated below: (1) COMMERCIAL GENERAL LIABILITY .INSURANCE — a policy for occurrence coverage, including all coverages provided by and to the extent afforded by Insurance Services Office From CG 0001 ed. 1.1/88 or-1 1/85, with no special limitations affecting City. The limit for all coverages under this policy shall be no less than one million dollars ($1,000,000.00) per occurrence. City, its employees, .officials and agents, shall be added as additional insured by endorsement to the policy. The insurer shall agree to provide the City with thirty (30) days prior written notice of any cancellation, non -renewal or material change in coverage. The policy shall contain no provision that would make this policy excess over, or contributory with, insurance, self-insurance or other risk financing program maintained by City. In the event the policy contains such an "other insurance" clause, the policy shall be modified by endorsement to show that it is primary for any claim arising out of the work performed under this agreement. The City Insurance Endorsement Form No. 1 (General Liability) must be executed by the applicable insurance underwriters. (2) COMMERCIAL AUTO LIABILITY INSURANCE — a policy including all coverages provided by and to the extent afforded Insurance Services Office Form CA 0001, ed. 12/93, including Symbol 1 (any auto) with' no special limitations affecting the City. The limit for bodily injury and property damage liability shall be no less than one million dollars ($1,000,000.00) per accident. City, its employees, officials and agents, shall be added as additional insured by endorsement to the policy, The insurer shall agree to provide the City with thirty (30) days prior written notice of any cancellation, non -renewal or material change in coverage. Thepolicy shall contain no provision that would make this policy excess over, or contributory with, or invalidated by the existence of any insurance, self-insurance or other risk financing program maintained by City. In 3 the event the. policy contains such an "other insurance" clause, the policy shall be modified by endorsement to show that it is primary for any claim arising out of the work performed under this agreement. The City Insurance Endorsement Form No. 2 (Auto) must be executed by the applicable insurance underwriters. (3) WORKER'S COMPENSATION INSURANCE — a policy which meets all statutory benefit requirements of the Labor Code, or other applicable law, of the State of California. Employers Liability Insurance with a minimum limit of no less than one million dollars ($1,000,000.00) per claim. The policy shall contain, or be endorsed to include, a waiver of subrogation in favor of City. (4) PROFESSIONAL ' ERRORS AND OMISSIONS — a policy with minimum limits of one million dollars ($1,000,000.00) per claim and in the aggregate. This policy shall be issued by an insurance company which is qualified to do business in the State of California and contain a clause that the policy may not be cancelled until thirty (30) days written notice of the cancellation is mailed to City. 8.3 Additional Requirements. The procuring of such required policies of insurance shall not be construed to limit AASD's liability hereunder, nor to fulfill the indemnification provisions and requirements of this agreement. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. City shall notify AASD in writing of changes in the insurance requirements. If AASD does not deposit copies of acceptable insurance policies with City incorporating such changes within sixty (60) days of receipt of such notice, AASD shall be deemed in default hereunder. Any deductibles or self -insured retentions must be declared to and approved by City. Any deductible exceeding an amount acceptable to City shall be subject to the following changes: (1) Either the.- insurer shall eliminate, or reduce, such deductibles or self - insured retentions with respect to City and its officials, employees and agents (with additional premium, if any, to be paid by AASD); or (2) AASD shall provide satisfactory financial guarantee for payment of losses and related investigations, claim administrator, and defense expenses. 9. Non -Liability of Officials and Employees of the City. No official or employee of City shall be personally liable for any default or liability under this agreement. 10. Non -Discrimination. AASD covenants there shall be no discrimination based upon race, color, creed, religion, sex, marital status, age, handicap, national origin, or ancestry, in any activity pursuant to this agreement. 11. Independent Contractor. It is agreed that AASD shall act and be an independent contractor and not an agent or employee of City, and shall obtain no rights to any benefits which accrue to City's employees. 4 12. Compliance with Law. AASD shall comply with all applicable laws, ordinances, codes, and regulations of the federal, state, and local government. 13. _Ownership of Work Product. All documents or other information created or developed by AASD, shall for all purposes be deemed the sole property of AASD. 14. Conflict of Interest and Reporting. AASD shall at all times avoid conflicts of interest, in performance of this agreement. 15. Notices. All notices shall be personally delivered or mailed to the below listed addresses. These addresses shall be used for delivery of service of process. a. Address of AASD is as follows: 919 Manhattan Avenue, Suite 100 Manhattan Beach, CA 90266 b. Address.of City is as follows: Robert Beardsley, Director Public Works Department 2000 Main Street Huntington Beach, CA 92648 16. Licenses, Permits and Fees. AASD shall obtain a Huntington Beach Business License, all permits, and licenses as may be required by this agreement. 17.. Time of Essence. Time is of the essence in the performance of this agreement. 18. Limitations Upon Subcontracting and Assignment. Neither this agreement, or any portion, shall be assigned by AASD without prior written consent of City, except to an entity controlled by or under common control with AASD. 19. Authority. The parties signing below warrant and represent that they are duly authorized to enter into and execute this agreement on behalf of their respective principals. 20. Indemnification. AASD agrees to indemnify, defend, and hold harmless City and its elective or appointive boards, officers, agents, attorneys and employees from any and all claims, liabilities, expenses, or damages of any nature, including reasonable attorneys' fees, arising out of AASD's negligence, willful misconduct or fraud in the performance of the agreement by AASD, AASD's agents, officers,. employees, subcontractors; or independent contractor(s) hired by AASD. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. y • • The. policy limits do not act as a limitation upon the amount of indemnification to be provided by AASD. City agrees to indemnify, defend, and hold harmless AASD and its officers, agents, and attorneys and employees from any and all claims, liabilities, expenses, or damages of any nature, including reasonable attorneys' fees, arising out of City's negligence, willful misconduct or fraud in the performance of the agreement by City, City's agents, officers, appointed boards, agents, subcontractors or independent contractors hired by City. 21. Modification. This agreement may be modified only by a written agreement executed by City and AASD. 22. California Law. This agreement shall be construed in accordance with the laws of the State of California. 23. Interpretation. This agreement shall be interpreted as though prepared by both parties. 24. Preservation of Agreement. Should any provision of this agreement be found invalid or unenforceable, the decision shall affect only the provision interpreted, and all remaining provisions shall remain enforceable. 25. Entire Agreement. This agreement supersedes any and all other agreements, either oral or in writing, between the parties with respect to the subject matter herein. Each party to this agreement, acknowledges that representations by any party not embodied herein, and any other agreements, statements, or promises concerning the subject matter of this agreement, not contained in this agreement, shall not be valid or binding. Any modification of this agreement will be effective only if it is in writing signed by the parties. Any issue with respect to the interpretation or construction of this agreement are to be resolved without resorting to the presumption that ambiguities should be construed against the drafter. 26. Attorneys' Fees. In the event of litigation arising out of this Agreement (i) the prevailing party shall be entitled to its reasonable attorney's fees and costs, including expert witness fees and (ii) venue shall lie exclusively in the Los Angeles County Superior Court, Southwest Division. 27. Claims. All claims against City hereunder shall be subject to Government Code Sections 800 et seg. 28. Jury Trial. The parties hereby waive their federal and state constitutional right to a jury trial for any matter arising under, in connection with, or as a result of, this agreement. n • • IN WITNESS, WHEREOF, the parties hereto have executed this Agreement as of this — day of , 2002. AD -A- MD" IN B: 1 Zc7 print name ITS: (circle one) Chairma /Presiders ice President I_\`IIri By: o'oE LI a r-A2y1s print name ITS: (circle one) Secretaryhief Financi Officer sst. Secretary - Treasurer REVIEWED AND APPROVED CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor ATTEST~' City Clerk APPROVED AS TO FORM: © r 6City Attorney P'\a I AND APPRO ED: City dministrator % Director Public Works INSURANCE & INDEMNIFICATION WAIVER/MODIFICATION REQUEST AA 6114 1. Requested by:�t-4"� 2. Date: 5110/02 3. Name of contractor/permittee: A &2t - A - 5 tmnndxainlVl('. 4. Description of work to be performed: kW k&hyl $ &F /l.Gt c.a.� �rtt�►�.et� 5. Value & length of contract: 4Z070 e�� me t,.to 6. Waiver/modification requested IA_)rl,utre., A.1Q al_ ` 25D0— an E D 7. Reason for request & why it should be granteCP9, 4 0 i j_1 t .Ct-, 1"1,414&t ,4 8. Identify the risks to the city of approving this waiver/modification: Department Head Signature: Date: APPROVALS (Approvals must be obtained in the order listed on this form. Two approvals are required -for a request to be granted. Approval from the City Administrator's office is only required if Risk Management and the City Attorney's office disagree.) 1. Risk Management /��� Approved ❑ Denied " '" / �y Signature Date 2. City Attorney's Office �pproved ❑Denied e Signature Date 3. City Administrator'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 RISK MANAGEMENT. Attym i sc\forms`inswaiver 05/13/2002 MON 09:09 FAX 310 756 0877 J GREGORY BROWN COMPANY Z 002/003 CERTIFICAM OF LIABILITY INSURJMCF.OP ID DATE(LIMIDDArn OPT-2 05/09/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE J. Gragory Brown 6 Co . , Inc. \I.I .� F� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 970 West 190th Street Ste. 890 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Torrance CA 90502 00.10 Phone: 310-756-0844 Fax: 310-756-0677 INSURERS AFFORDING COVERAGE INSURED INWRERA: Hartford Insurance Company INSURERS: State Compensation Xn9 Fund INSURERG RLI Insurance Co. Adopt-A-Stormdrain, In 919-F Manhattan Ave. h00 Manhattan Beach CA 96266 INSUREnD. WSURER I - COVERAGES THE POLICIES OF INSURANCE LISTED OCLOW HAVE BEEN =UED YO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WhUCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIE& AGGREGATE LIMITS SHOWN MAY WIVE BEEN REDUCED BY PAID CLAIMS. 1YPE OF INSURANCE POLICY NUMBER TE M IFE D D LIMITS A OWERAL LIABILITY X coMMERcIALmNERALLIAmurf CLAMS MADE FX OCCUR -72SBAAA1733 12/05/01 12/05/02 EACHOCCURRENCI: $ 1 0001000 FIREDAMAGE(Anyonofim) $ 300 000 MED EXP (My one pe w) 310,000 PERSONAL 6 AOV INUURY s 1,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMB APPLIES PER: POLICY j LOC PRODUCTS - commoP AGG $ 2 , O OO 1000 A AUTOMOBILE LIABILITY AWAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON4WMEOAUT09 728BAAA1733 12/05/01 12/05/02 COMBINED Eea=kl n1I I LIMIT :1, 000, 000 ILY IKI RY BODILY 3 X BODILY RY (Per mild $ X (PROPEM DAMAGE : 6ARAOELIABILITY HANY AUTO Aynovw TU GAIL BUTTON,, uty C i 1� Ot�iO271 -Y gtt � AUTO ONLY -EA ACCIDENT OTf1ERTHAN EA ACC AUTO ONLY. AGG s s $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION i n ter wAl ! EACH OCCURRENCE $ AGGREGATE a s 6 3 B 1IIARKMCOMPENSATIONAM EMPLOYERS' 1683290-02 02/29/02 02/29/03 x TORYUMIT9 ER E.L.EACHACODENT $1,000 000 E.L. DISEASE. EA EMPLOYE s 1, 000 000 EL.DIsEAsE.PoucYuurr s 1 000, 000 C OTHER Professional Liability EPG0002027 02/20/02 02/20/03 Limit: $1,000,000 SIR: $2,500 DESCRIPTION OF OPERAMORMOCATIONSNEHICLECXXCWGCM ADDEO BYP.N)DILMMEFEPECUU. PROVISIONS *10 days noticc Of cancellation if cancelled for non-payment of premium or non -reporting of payroll. The City of Huntington Beach, its employees, officials and agents are named as additional insureds as respects the General Liability policy (Sadorsement to follow). CERTIFICATE HOLDER IN I ADDITIONAL INSURED:INS MEt LHTTau _ CANCELLATION C-HUNTI IMOULD ANY OF THE ABOVE DESCAMED POLICIES BE CANCELLED BEFORE THE EXP1IRATI0I4 DATE THEREOF, THE ISSUING INSURER VALL WIMSMMM MAIL _3D-* DAYS WRTITT:N City of Huntington Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT Public Works Department Attn: Geraldine Lucas 2000 Main Street, 1st Floor Huntington Beach CA 92648 AUTNOPANDREPRESENTATIVE --- - _ .. _ / ACORD 25S (7/97) Aor `J CACORD CORPORATION 1988 05/13/2002 MON 09:09 FAX 310 756 0877 J GREGORY BROWN COMPANY Z 003/003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). It SUBROGATION IS WAIVED, subject to the terms and eondltlons of the policy, certain pollees may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the Issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negafively amend, extend or alter the coverage afforded by the policies listed thereon. RCA ROUTING SHEET INITIATING DEPARTMENT: Public Works SUBJECT: Execute an Agreement to Provide Corporations To Sponsor The Mitigation Of Urban Runoff Between the City Of Huntington Beach and Ado t-A-Stormdrain COUNCIL MEETING DATE: I May 20, 2002 RCA ATTACHMENTS STATUS Ordinance (w/exhibits & legislative draft if applicable) Not Applicable Resolution (w/exhibits & legislative draft if applicable) Attached Tract Map, Location Map and/or other Exhibits Attached Contract/Agreement (w/exhibits if applicable) (Signed in full by the City Attorne) Not Applicable Subleases, Third Party Agreements, etc. Approved as to form by City Attorne) Not Applicable Certificates of Insurance (Approved by the City Attorney) Not Applicable Financial Impact Statement (Unbudget, over $5,000) Not Applicable Bonds (If applicable) Not Applicable Staff Report (If applicable) Not Applicable Commission, Board or Committee Report (If applicable) Not Applicable Findings/Conditions for Approval and/or Denial Not Applicable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FORWARDED Administrative Staff ( ) ( ) Assistant City Administrator (Initial) ( ) ( ) Administrator Initial ( ) -City LCity Clerk ( ) RCA Author: