HomeMy WebLinkAboutPhyllis E. Ehrlich - Professional Services Contract for Oral Presentation Skills of Planning Staff - Executed by City Administrator - Did not go to Council - 2000-11-03 EPAiar—
RTMENT�IL CHECKLIST
FOR F
� - TR�IIVSMI�TTING $20000 &UNDER aGREEMENTS �r
Ye No N/A
jt El ❑ Are all blanks filled in on agreement?
❑ Has contractor signed agreement?
Are all other signatures (e.g., City Attorney Approval As To Form) on
agreement.
Does agreement have Exhibits and/or Attachments?
If Yes,
Are Exhibits/Attachments marked?
Are Exhibits/Attachments attached?
Yes N9 N/A
Is Insurance required? G9n
If Yes,
❑ Is Insurance attached?
Is Insurance Approved As To Form by City Attorney
If waived, is Settlement Committee approval attached?
❑ If waived, has agreement been initialed by contractor or revised to remove
insurance requirement from text of agreement?
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computer so that it is retrievable by keyword search (termination date is required for Clerk's
computer program to flag for microfilming/destruction purposes).
Description of Agreement (Purpose) (such as Perform Soil Analysis Waterfront
Hilton/PCH/Atlanta):
Termination Date: 5 " OvZ
g;/forms/98forms/ag rmts.doc
'� TRANSMUTING $20,000 & UNDER AGREEMENTS
Yes No N/A
❑ ❑ Are all blanks filled in on agreement?
Has contractor signed agreement?
Are all other signatures (e.g., City Attorney Approval As To Form) on
agreement?
Does agreement have Exhibits and/or Attachments?
If Yes,
Are Exhibits/Attachments marked?
Are Exhibits/Attachments attached?
Yes Nq N/A
❑ Is Insurance required? W e-r Gfi�
If Yes,
Is Insurance attached?
[J Is Insurance Approved As To Form by City Attorney
El If waived, is Settlement Committee approval attached?
[] If waived, has agreement been initialed by contractor or revised to remove
insurance requirement from text of agreement?
Yes No N/A
If this agreement requires documentation to be on file regarding Requests
for RFPs, have you attached this documentation (see Page 1 of agreement
to determine if this requirement applies)?
Please complete the section below so the City Clerk's Office can enter your agreement on the
computer so that it is retrievable by keyword search (termination date is required for Clerk's
computer program to flag for microfilming/destruction purposes).
Description of Agreement (Purpose) (such as Perform Soil Analysis Waterfront
Hilton/PCH/Atlanta):
Termination Date: s "C
g lforms/98forms/agrmts.d oc
JJ CITY OF HUNTINGTON BEACH
INTER-DEPARTMENT COMMUNICATION
HUNTINGTON BEACH
TO: Connie Brockway, City Clerk �?,�
FROM: Duane Bankey, Planning Senior Department Analyst SUP/ �/
DATE: November 9, 2000
SUBJECT: DOCUMENTATION REGARDING THE CONTRACT BETWEEN THE CITY AND
MS. PHYLLIS EHRLICH FOR PUBLIC SPEAKING TRAINING
Pursuant to Huntington Beach Municipal Code 3.03.060(b), the Director or his designee shall
request informal written proposals from not less than three available Consultants prior to the City
making a selection for a Consultant for a particular project.
The individual selected to provide professional services in connection with Enhancement of Oral
Presentation Skills for the Planning Department is Ms. Phyllis E. Ehrlich. This selection was
based on criteria contained in the Proposal received from Ms. Ehrlich.
The Planning Department selected Ms. Ehrlich to provide Public Speaking Training to the
Planning Department staff because her unique qualifications, in the area of public speaking
teaching and training, lend themselves to an individual well suited to provide staff's required
training.
For the reasons stated above and the limited number of individuals available for public speaking
training, Ms. Phyllis Ehrlich was the only consultant requested to present a proposal.
The duration of this agreement is eighteen (18) months from the date of signature, November 3,
2000.
For you reference, I have also attached copies of Ms. Ehrlich's proposal and teaching and
training experiences.
cc: Scott Hess, Principal Planner
g Abankey\memos\M00-82CB
PROFESSIONAL SERVICES CONTRACT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
PHYLLIS E. EHRLICH FOR THE ENHANCEMENT OF
THE ORAL PRESENTATION SKILLS OF PLANNING STAFF
THIS Agreement is made and entered into this day of 2000,
by and between the City of Huntington Beach, a municipal corporation of the State of California,
hereinafter referred to as "CITY," and PHYLLIS E. EHRLICH a sole proprietor, hereinafter
referred to as "CONSULTANT."
WHEREAS, CITY desires to engage the services of a consultant to enhance the oral
presentation skills of the Planning Department staff, and public speaking training; 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 said services,
NOW, THEREFORE, it is agreed by CITY and CONSULTANT as follows:
1. SCOPE OF SERVICES
CONSULTANT shall provide all services as described in the Request for Proposal
.("RFP"), and CONSULTANT's Proposal dated July 22, 2000 (both of which are hereinafter referred
to as Exhibit "A"), which are attached hereto and incorporated into this Agreement by this
reference. These services shall sometimes hereinafter be referred to as the "PROJECT."
2. CITY STAFF ASSISTANCE
CITY shall assign a staff coordinator to work directly with CONSULTANT in the
performance of this Agreement.
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3. TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of CONSULTANT are to
commence as soon as practicable after the execution of this Agreement and all tasks specified in
Exhibit "A" shall be completed no later than 18 months from the date of this Agreement. These
times may be extended with the written permission of CITY. The time for performance of the tasks
identified in Exhibit "A" are generally to be shown in the Scope of Services on the Work
Program/Project Schedule. This schedule may be amended to benefit the PROJECT if mutually
agreed by CITY and CONSULTANT.
4. COMPENSATION
In consideration of the performance of the services described herein, CITY agrees to
pay CONSULTANT One Hundred Twenty Five Dollars ($125) per hour with a total contract
amount not to exceed Ten Thousand Dollars ($10,000).
5. PRIORITIES
In the event there are any conflicts or inconsistencies between this Agreement, the
CITY's RFP, or the CONSULTANT's Proposal, the following order of precedence shall govern:
(1) Agreement, (2) the CONSULTANT's Proposal, and (3)the CITY's RFP.
6. 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.
7. METHOD OF PAYMENT
A. CONSULTANT shall be entitled to progress payments toward the fixed fee
set forth herein in accordance with the progress and payment schedules set forth in Exhibit "A."
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B. 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. Any such
product which has not been formally accepted or rejected by CITY shall be deemed accepted.
C. 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.
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 promptly 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 within seven (7) calendar days of receipt of the invoice, and the schedule of performance
set forth in Exhibit "A" shall be suspended until the parties agree that past performance by
CONSULTANT is in, or has been brought into compliance, or until this Agreement is terminated as
provided herein.
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D. Any billings for extra work or additional services authorized 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.
8. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS
CONSULTANT agrees that all materials prepared hereunder, including all original
drawings, designs, reports,both field and office notices, calculations, maps, memoranda, letters and
other documents, shall be turned over to CITY upon termination of this Agreement or upon
PROJECT completion, whichever shall occur first. In the event this Agreement is terminated, said
materials may be used by CITY in the completion of the PROJECT or as it otherwise sees fit. Title
to said materials shall pass to CITY upon payment of fees determined to be earned by
CONSULTANT to the point of termination or completion of the PROJECT, whichever is
applicable. CONSULTANT shall be entitled to retain copies of all data prepared hereunder.
9. HOLD HARMLESS
CONSULTANT shall protect, defend, indemnify and save hold harmless CITY, its
officers, officials, employees, and agents from and against any and all liability, loss, damage,
expenses, costs (including without limitation, costs and fees of litigation of every nature) arising out
of or in connection with CONSULTANT's 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
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misconduct of CITY. CITY shall be reimbursed by CONSULTANT for all costs and attorneys fees
incurred by CITY in enforcing this obligation.
10. WORKERS' COMPENSATION INSURANCE
Waived by SC 10/17/00.
11. GENERAL LIABILITY INSURANCE
Waived by SC 10/17/06
12. PROFESSIONAL LIABILITY INSURANCE
Waived by SC 10/17/00.
13. CERTIFICATES OF INSURANCE
Waived by SC 10/17/00.
14. 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 the CITY.
CONSULTANT shall secure at its 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 services to be performed hereunder.
15. . 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 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 the CITY, become its property and shall be delivered to it by CONSULTANT.
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16. ASSIGNMENT AND SUBCONTRACTING
This Agreement is a personal service contract and the supervisory work hereunder
shall not be delegated by CONSULTANT to any other person or entity without the express written
consent of CITY.
17. 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.
18. 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.
19. NOTICES
Any notice or special instructions required to be given in writing under this
Agreement shall be given either by personal delivery to CONSULTANT's agent (as designated in
Section 1 hereinabove) or to CITY's Director of Planning 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, addressed as follows:
TO CITY: TO CONSULTANT:
Director of Planning Phyllis E. Ehrlich
City of Huntington Beach 4181 Trumbull Drive
2000 Main Street Huntington Beach, CA 92649
Huntington Beach, CA 92648
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20. MODIFICATION
No waiver or modification of any language in this Agreement shall be valid unless in
writing and duly executed by both parties.
21. CAPTIONS
Captions of the sections of this Agreement are for convenience and reference only,
and the words contained therein shall in no way be held to explain, modify, amplify or aid in the
interpretation, construction or meaning of the provisions of this Agreement
22. SECTION HEADINGS.
The titles, captions, section, paragraph, 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 maters 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.
23. 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 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,
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• •
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.
24. 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 of the parties hereto shall retain an
originally signed copy hereof. Each duplicate original shall be deemed an original instrument as
against any party who has signed it.
25. 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.
26. 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.
27. ATTORNEY'S FEES
In the event suit is brought by either party to enforce the terms and provisions of this
Agreement or to secure the performance hereof, each party shall bear its own attorney's fees.
REST OF PAGE NOT USED
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28. ENTIRETY
The Agreement contains the entire agreement between the parties respecting the
subject matter of this Agreement and supercedes all prior understanding and agreements whether
oral or in writing. The foregoing, and Exhibit "A" attached hereto, set forth the entire Agreement
between the parties.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by
and through their authorized offices the day, month and year first above written.
CON NT CITY OF HUNTINGTON BEACH, a
q municipal corporation of the State of California
By:
Phyllis E. , sole proprietor
Cit dministrator
APPROVED AS TO FO
c
rCity Attorneyit
—�O-qc
INITIATED, REVIEWED AND APPROVED:
Direct6r1fPlanning
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Gateway Title Company
Type of Document:
Date of Document:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State of California
County of S.S.
On �� '-- U before me, a Notary Public
in and for the State of California, personally appeared
personally known to me(or proved to me on the basis of satisfactory evidence)to be the person(s)whose name(s)is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf
of which the person(s) acted, executed the instrument.
FOR NOTARY STAMP
WITNE S my hand and official seal.
MARILYN ROCERS
Commission#1230737 Z
Signature z ,� Notary Public-California �
z Orange County
My Comm. Aug 27,2003
EXHIBIT A
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213-747-7141 •800-421-8703•Fax 213-747-3035
Effective
Speech scars to sAa)(2a you -(-Pzofr-ssionac_qma9e
Phyllis E. Ehrlich • 16835 Algonquin,Suite 236 • Huntington Beach, CA 92649 • (714) 840-2296
July 22,2000 R E C E I V E D
Mr.Duane R.Bankey,Department Analyst Sr. �l
Department of Planning JUL2 2��0
City of Huntington Beach .
2000 Main Street
P.O.Box 190 Department of Planning
Huntington Beach,California 92648
SUBJECT:Proposal to expand the oral presentational skills of members of the planning
department
Dear Duane:
As we discussed,I am proposing to perform the following in phase one:
♦ Evaluate the oral capabilities of the various participants
♦ Expose them to the skills and techniques necessary to become effective presenters
♦ Provide them with the opportunities to practice using these tools in a controlled workshop
environment
These workshops will teach your professionals to communicate naturally and enthusiastically
with confidence. With the use of videotapes,they will be able to observe the unage they project.
Eventually they should be able to modify their image to meet their own communication goals.
The end result should be much improved presentations.
SKILLS EMPHASIZED
♦ Knowing your listeners
♦ Analyzing their interests
♦ Getting and holding your audience's attention
♦ Discovering and perfecting your own style
♦ Improving your vocal and your visual impact
♦ Controlling nervousness
♦ Using visual aids effectively
♦ Rehearsing efficiently
EMPLEMENTATION
Phase one-there will be three sections of two-hour group workshops,three or four sessions
depending on the needs of the participants. The workshops will consist of lectures and exercises
to practice the mastery of the above skills.
In between,the group workshops I will hold a private fifteen-minute confidential session with
each participant to analyze the previous videotape presentation(s). The intent is to discuss what
works and what doesn't. Each person will keep his/her own videotape to be able to compare the
progress of the presentations and to know which changes to strive for in the future.
Cost Estimate-$125 per hour -30—40 hours
As we discussed in our conversation,I am looking forward to phase one of this program
beginning in September. At the end of phase one,we can evaluate if phase two is needed
ly,
Phyllis E. Ehrlich
F� 1S EHRLICH
4181 Trumbull Drive
.Huntington Beach,California 92649
Phone(714) 840-2296, Fax(714) 846 8184, e-mail pehrl80389@AOL.com
TEACHING AND TRAINING EXPERIENCE
1990- Instructor:-Business Communications,Marshall School,University of
Southern California
Teach oral and written presentations on the undergraduate level.
April 2000 Presenter:-Later Learning Institute,UC Irvine
Lecturer on the background of Eugene O'Neill and the character relationships
within certain of his plays
1997—1999 Consultant:-Prepared clients for various business interviews
Summer 1995 Teacher:-Heritage Point,Mission Viejo, CA.
Taught senior citizens improvisational drama
April 1995 Consultant:-Quinn Emanuel Urquhart&Oliver,Attorneys at Law
Analyzed and assisted John B. Quinn in preparing opening statements for an
important trial
1990 - 1995 Trainer: -Newport Harbor Museum
Instructed the"in-training docents"-in oral techniques for museums
August, 1993 Speaker: "Acting Techniques To Use In The Classroom," The Centerfor
Teaching Excellence, University of Southern California
1982 - 1993 Owner of Effective Speech,Los Angeles and Orange County,California
Presented workshops for business and political individuals to develop and
sharpen their oral communication skills
1987- 1990 Consultant: -the Business Communication Department and Facilitator at the
Experiential Laboratory Center, U.S.C. Critiqued oral presentations,
conducted workshops for job interviews,and supervised exercises for the
Business Department on both the graduate and undergraduate levels
August, 1989 Speaker and Seminar Leader-"Malang A Good First Impression," for
The Conference for Women 189, Cost Mesa,California
1968- 1978 Drama and Speech Teacher- The Holton Arms School,Bethesda,Maryland
Directed the plays for the Middle and Upper Schools
Taught Speech,Acting,and History of Drama
PROFESSIONAL ACTING:.
1984-2000-Featured and Guest Starred in over twenty motion pictures and national television shows
TRAINING:
Tony Barr,Michael Shurtlef,Viola Spolin-Acting Techniques for Stage and Camera,LA
The Catholic University,(Graduate Drama)Washington,DC.
The Johns Hopkins University BS,(Writing, Speech and Drama)Baltimore,Md.
The Richmond Professional Institute,AA(Drama)Richmond,VA
AWARDS:
OUTSTANDING PERFORMANCE Leading Woman- 1979, 1981, 1982,
Long Beach Playhouse,Long Beach,CA
Effective
Speech <Ski f l to cSfia#e_ youz J zo fEsslona[Jr►na9E
Phyllis E. Ehrlich • 16835 Algonquin,Suite 236 • Huntington Beach, CA 92649 • (714) 840-2296
As a teacher of Business Communications 302 at USC for ten years, Phyllis
Ehrlich, hones the communication skills of individuals and groups, which is a
necessity in this competitive market. As a result of her 30 year background, as
professional actress, director, acting and speech teacher, she is an all around
communications specialist.
Her experience includes the presidency of Effective Speech, Los Angeles and
Orange County, which has presented workshops for lawyers, business
professionals, art docents, and political candidates. During the same period, she
has been featured or guest starred in over twenty-five national television shows
and films.
In her various capacities, she coaches a wide variety of students and clients.
They have ranged from award-winning actress, Julia Louis Dreyfus to NYSE
insurance brokerage firm, Frank B. Hail &Co. Her successes have been with
those initially petrified at the thought of speaking before others, as well as with
capable speakers who wish to polish presentations for special occasions.
She helps develop skills to shape professional images by providing specific up-to-
date techniques and tools In both speech preparation and presentation.
Phyllis Ehrlich consistently uses videotapes with her students and clients to
enhance learning and to develop self-awareness. Her objective is for speakers
to see themselves as their audiences see them. Additionally, she provides her
students with suggestions on what is effective and what to avoid. Ultimately,
her students and her clients become confident, competent speakers.
Workshops emphasize many skills Inc/udin4 the foi/owina;
♦ Knowing your listeners ♦ Using visual aids effectively
♦ Analyzing their interests ♦ Discovering &perfecting your own style
♦ Establishing &setting an objective ♦ Conquering nervousness
♦ Tailoring the format ♦ Improving your voice &your visual impact
♦ Getting &holding your audiences attention ♦ Rehearsing efficiently
If you want to improve your professional skills, make better verbal presentations
or overcome speaking problems, a workshop with Phyllis Ehrlich is a small but
important investment in your future.
Phone (714) 840-2296 ix. (714) 846-8184 e-mail pehrl80389@aol.com
Building & Safety 71�74-1647 p. 2
AT0 City of Huntington Beach
►+uNTON eFAcH 2000 Wain Street California 92648
DECLARATION of NON-EMPLOYER STATUS
in order to comply with City Council Resolution No. 6277, you are required to provide proof of
Workers' Compensation insurance. If you have no employees, this form must be signed and returned
to:
City of Huntington Beach
Risk Management Division
2000 Main Street
Huntington Beach,CA 92648
1 certify that in the performance of the activity or work for which this permit is issued, I shall not employ
any person in any manner so as to become subject to California Workers' Compensation insurance
requirements.
I authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit
issued under this declaration if I hire any employee(s) or become subject to the provisions of the laws
requiring Workers'Compensation Insurance.
Applicant/Company Name:
Address /6
Applicant's Signatu Date:
Title:
Location Signed:
Telephone Number: . /�-��7� oZ y�
G:\RiskMgmt\Cert-Ins\WC-Wvr.Doc (Rev. 9/13/00)
CITY OF HLNTTINGTON BEACH
APPLICATION FOR INSURANCE REQUIREMENTS WAIVER OR MODIFICATION
1. NamwTitle/Department of Requesting Staff Ivfember.--.?�AfJA)I )L--A J 13A,Ji4t5,g
2. Date of Request �0
3. Name of Contractor/Perminee
4. Description of work to be performed f w'3416 SPLA iz-114 G T1zA ),'1"I Z-
S. Length of Contract /JaT To /f x G6i.5 b 1`�d M vJTid S
6. T.pe of Insurane Vaive or Modification Requested: u/A a /L,4 L Ai,4 a rZ- 77
(a)Limits: (b) Coverage
7. Reason for Request for Waiver or Redu tion of Limits /!'y �++.'�C.w+-� G�r,�•�.c.�
8. Idendffi?the risks to the City if this request for "ver or modifications granted
V
Department Head Signature
(This section to be completed by the R' kManager)
Recomme��y
A rove Risk Mann er's Si ature/DPP g . �
(This section to be completed by the Ciro Attorne))
Recommendation:
Approve Demo City Attorney's Signature/Bate
Settlement Co:rL;,itt-re appr not uir a fcr L}iis waiver. If Settlement Committee appr al is required,
submit form to City Attorney' laced on the agenda. Recommendation: Approve Deny
City Council approval [isattlement
required for this waiver. If City Council approval is required, attach this form to the
RCA after consideration Committer-M This insurance Waiver [is] [is not] on City Council agenda.
jmp/k/resoWonlnsreg19/11/97
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