HomeMy WebLinkAboutSCOTT FAZEKAS & ASSOCIATES INC. - 2004-10-14 Su ity Contracts Submittal to-1-i"i,_D
City Clerk's Offic4"CI`T��OF
Hunt Brach- E!1UP;-f i1;G T 0tr1 BEACH, CA
1004 OCT 15 P 2: 5 u
To: City Clerk
1. Name of Contractor: Scott Fazekas & Associates, Inc.
2. Purpose of Contract: For Example:Audit Services or Mater Quality Testing Huntington Lake—Huntington Central Park
Building Counter and Inspection Services
3. Amount of Contract: $50,000
Copy of contract distributed to: The ORIGINAL insurance certificate/waiver sent to Risk
Management
Initiating Dept._
City Treasurer_ ORIGINAL bonds sent to Treasurer
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PROFESSIONAL SERVICES AGREEMENT BETWEEN
THE CITY OF HUNTINGTON BEACH AND SCOTT
FAZEKAS & ASSOCIATES,INC., FOR BUILDING
COUNTER AND INSPECTION SERVICES
THIS AGREEMENT ("Agreement") is made and entered into by and between the CITY
OF HUNTINGTON BEACH, a municipal corporation of the State of California, hereinafter
referred to as "CITY", and SCOTT FAZEKAS & ASSOCIATES, INC., A California
corporation, hereinafter referred to as "FAZEKAS".
WHEREAS, FAZEKAS is a California corporation which provides the services of its
employees to government agencies for the purpose of discharging the responsibilities of
government agencies; and
WHEREAS, economic reasons exist which make it in the best interests of CITY to
discharge certain of its responsibilities through the use of FAZEKAS employees;
NOW, THEREFORE,'in consideration-of the-promises, covenants, and warranties
hereinafter set forth, the parties hereto mutually agree as follows:
ARTICLE 1
DEFINITIONS
All terms used in this Agreement shall have the customary meaning afforded such terms unless
the same are used in a technical or business context, in which event such terms shall have the
technical and/or special meaning normally afforded such terms within the particular trade,
industry, or business to which they relate. The following-are the definitions of special terms used
herein:
1.1 "Current Payroll" means the Payroll schedule set forth on Exhibit "A", which is attached
hereto and incorporated herein by this reference.
1.2 "Employees" means those individual persons who are subject to the terms of this
Agreement and whose position is described on Exhibit "B", which is attached hereto and
incorporated herein by this reference.
1.3 "Employee Tax Forms" means all forms applicable to the Payroll which are required by
the United States, the State, and local governments to be provided by an employer to an
employee, including U.S. Department of the Treasury, Internal Revenue Service Form W-2
(Wage and Tax Statement) and Form W-4 (Employee's Withholding Allowable Certificate) and
Form 1099 (as and if applicable), as well as comparable and/or counterpart forms prescribed by
the State and/or local government in which Employees are performing services pursuant to this.
Agreement.
04agree/Fazekas/9/28/04 1
1.4 "Employer Tax Forms" means all forms required to fully and properly report the Payroll
to the United States, the State and/or local governments, including United States Department of
the Treasury, Internal Revenue Service Form 941 (Employer's Quarterly Federal Tax Return for
Federal Income Tax Withheld from Wages and for Federal Insurance Contributions Act Taxes),
Form 940 (Employer's Annual Federal Unemployment Tax Return), and comparable and/or
counterpart forms prescribed by the State and/or local government in which Employees are
performing services pursuant to this Agreement.
1.5 "Pay Period" means the interval between payments to Employees.
1.6 "Payroll" means the total payroll applicable to all Employees and includes the aggregate of
net compensation to Employees, Federal withholding taxes, State and local (if any) withholding
taxes, employer and employee costs pursuant to the Federal Insurance Contributions Act,
employer costs pursuant to the Federal Unemployment Tax Act, employer costs for State
unemployment taxes (if any), employer costs pursuant to the Voluntary Compensation Plan (if
any), and employer listed service fees (as applicable).
ARTICLE 2
IMPLEMENTATION
2.1 Relationship of Parties. Effective at the commencement of business on.the 1 st day of
October, 2004, FAZEKAS will provide to CITY those Employees for CITY to select from for
counter and inspection service positions in CITY's Building -& Safety Department, which
positions are described in Exhibit "B", and whose rate of pay are set forth on Exhibit "A", and
CITY hereby accepts such Employees on the terms and conditions provided in this Agreement.
2.2 Term of Agreement. This Agreement and the rights and obligations of CITY and
FAZEKAS shall commence on the_effective time and date specified in Paragraph 2.1 and shall
continue until,September 30, 2005,)-or as earlier-terminated as set forth herein. This Agreement
may be terminated by-.either party-,with or without cause..upon thirty.(30) days prior written.
notice. In.the event of termination by CITY, FAZEKAS shall be paid for all services performed
prior to the effective date of termination.
2.3 Specification of Services and Approval of Compensation. CITY may, by notice to
FAZEKAS, accept, modify, reject or terminate with or without cause the services and/or rate of
compensation of any and all Employees leased to CITY in accordance with this Agreement. In
the event of termination of services and/or rejection of the rate of compensation of any Employee
leased to CITY, the lease made by this Agreement shall terminate as to such Employee, effective
upon receipt by FAZEKAS of notice thereof. For purposes of business and financial accounting
between the parties, this Agreement shall be deemed several as to each Employee and shall be
deemed prorated on a daily or other periodic basis necessary to give effect to the manifest
intentions of the contracting parties.
2.4 Employer Duties of FAZEKAS. FAZEKAS shall (1) pay all wages and other
remuneration to its Employees who are subject to this Agreement; (2) notify CITY of the current
Payroll prior to each Pay Period; (3) prepare and file all Payroll tax returns and reports; (4) pay
04agree/Fazekas/9/28/04 2
all amounts due and owing pursuant to the payroll tax returns and reports which are prepared and
filed; (5) prepare, file, and furnish to Employees applicable Employee Tax Forms; and (6)
prepare and file, with a copy to CITY, applicable Employer Tax Forms. In the event of
termination of any Employee as provided by Paragraph 2.3, FAZEKAS shall provide placement
assistance to that Employee by listing that Employee at no charge to the Employee in
FAZEKAS's job listing service.
2.5 Duties of CITY. CITY shall (1) provide the workplace for all Employees subject to this
Agreement; (2) maintain the workplace in strict accordance with applicable health and working
standards and specifications; (3) comply with all safety engineering and governmental health and
safety rules,regulations, directives, orders or similar requirements; (4)provide all required safety
equipment; (5) for Employees located in California, take all actions necessary to establish and
implement an injury and illness prevention program as required by the Occupational Injury
Program Act, also known as Senate Bill 198, and codified at California Labor Code §6401.7; (6)
post or provide employee notices required by law; and (7) notify FAZEKAS immediately of all
Employee illnesses, accidents, injuries, and absences. However, the parties agree that CITY
shall provide no salary or benefits to the Employees under this Agreement.
2.6 Workers' Compensation, Health, and Other Benefits. Pursuant to California Labor Code
Section 1861, FAZEKAS acknowledges awareness of Section 3700 et seq. of this Code, which
requires every employer to be insured against liability for workers' compensation; FAZEKAS
covenants that it will comply with such provisions prior to commencing performance of the work
hereunder. FAZEKAS shall maintain workers' compensation and employer's liability insurance
in an amount of not less than the State statutory limits. FAZEKAS shall require all
subcontractors to provide such workers' compensation and employer's liability insurance for all
of the subcontractors' employees. FAZEKAS shall furnish to CITY a certificate of waiver of
subrogation under the terms of the workers' compensation and employer's liability insurance and
FAZEKAS shall similarly require all subcontractors to waive subrogation. FAZEKAS also shall
provide various health and other-benefits to Employees under a cafeteria plan which permits each
Employee to choose the type of benefits he or she will receive.
2.7 General Liability Insurance. In addition to the workers' compensation insurance and
employers' liability and FAZEKAS's covenant to indemnify CITY, FAZEKAS shall obtain and
furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage
covering the Agreement. The policy shall indemnify FAZEKAS, its officers, agents and
employees, while acting within the scope of their duties, against any and all claims arising out of
or in connection with the Agreement, and shall provide coverage in not less than the following
amount: combined single limit bodily injury and property damage, including products/completed
operations liability and blanket contractual liability, of One Million Dollars ($1,000,000.00) per
occurrence. If coverage is provided under a form which includes a designated general aggregate
limit, the aggregate limit must be no less than One Million Dollars ($1,000,000.00) for this
Agreement. The policy shall name CITY, its officers, elected or appointed officials, employees,
agents, and volunteers as Additional Insureds. Under no circumstances shall the above-
mentioned insurance contain a self-insured retention, a "deductible" or any other similar form of
limitation on the required coverage in excess of Ten Thousand Dollars ($10,000).
04agree/Fazekas/10/6/04 3
2.8 Certificates of Insurance. Prior to commencing performance of the work hereunder,
FAZEKAS shall furnish to CITY certificates of insurance subject to approval of the City
Attorney evidencing the foregoing insurance coverages as required by this Agreement; the
certificates shall:
A. provide the name and policy number of each carrier and policy;
B. shall state that the policy is currently in force; and
C. shall promise that such policies shall not be suspended, voided or canceled by
either party, reduced in coverage or in limits except after thirty (30) days' prior
written notice.
FAZEKAS.shall maintain the foregoing insurance coverages in force until the work under this
Agreement is fully completed and accepted by CITY. The requirement for carrying the
foregoing insurance coverages shall not derogate from the provisions for indemnification of
CITY by FAZEKAS under the Agreement. CITY or its representative shall at all times have the
right to demand the original or a copy of all said policies of insurance. FAZEKAS shall pay, in a
prompt and timely manner,the premiums on all insurance hereinabove required.
2.9 Disposition of Plans, Estimates and Other Documents. FAZEKAS 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 FAZEKAS shall turn
over these materials to CITY upon termination of each Employee (as applicable), or upon
expiration or termination of this Agreement, whichever shall occur first. These materials maybe
used by CITY as it sees fit.
ARTICLE 3
COMPENSATION
3.1 Fee. CITY agrees to pay the hourly rates established in Exhibit "A". This rate is based on
current FAZEKAS costs and is subject to change when costs change due to factors which are
beyond the control of FAZEKAS (such as insurance, payroll tax, etc.). Any adjustments made
will be commensurate with increased costs to FAZEKAS, and must be pre-approved in writing
by CITY. The total amount of fees paid to FAZEKAS under this Agreement, including all costs
and expenses, shall not exceed Fifty Thousand Dollars ($50,000.00).
3.2 Payment Address. All payments due FAZEKAS shall be paid to:
Scott Fazekas & Associates, Inc.
9 Corporate Park, Suite 200
Irvine, CA 92606-5132
3.3 Terms of Compensation. Invoices are due within thirty (30) days of receipt. Delinquent
payments will be subject to a late payment carrying charge computed at a periodic rate of one
04agree/Fazekas/9/28/04 4
• i
percent (1%) per month, which is an annual percentage rate of twelve percent (12%), which will
be applied to any unpaid balance owed commencing thirty (30) days after CITY's.receipt of an
invoice from FAZEKAS. Additionally, in the event CITY fails to pay any undisputed amounts
due FAZEKAS within forty-five (45) days after CITY's receipt of an invoice from FAZEKAS,
then CITY agrees that FAZEKAS shall have the right to consider said default a total breach of
this Agreement and the duties of FAZEKAS under this Agreement may be terminated by
FAZEKAS without liability to FAZEKAS upon ten(10) working days advance written notice.
3.4 Additional Services. CITY may request FAZEKAS to perform additional services not
covered by this Agreement, such as recruiting services, and FAZEKAS shall perform such
additional services and will be paid for such additional services when they are mutually agreed to
and made part of this Agreement by written amendment of the parties.
ARTICLE 4
SUPERVISION OF EMPLOYEES-
CITY shall supervise the daily activities of Employees. Employees shall discharge government
responsibilities and perform in accordance with the ordinances, resolutions, rules, regulations,
and procedures adopted by CITY. FAZEKAS shall have no control over such government
responsibilities and such ordinances, resolutions, rules; regulations,and procedures.
ARTICLE 5
INDEMNIFICATION
FAZEKAS shall indemnify, defend, and hold harmless CITY, its officers; elected or appointed
officials, employees,.agents or volunteers-for the purposes of all required payroll deductions and
withholdings, legally required workers' compensation-insurance, and health benefits of the
Employees. However, inasmuch as the CITY shall supervise the daily activities of the
Employees, and inasmuch as the Employees will discharge government responsibilities and
perform in accordance with .the ordinances, resolutions, rules, regulations,- and..procedures
adopted by CITY, (1) FAZEKAS and its Employees shall be entitled to all protection and
immunities of government employees, including without limitation, those provided in California
Government Code, Title 1, Division 3.6, Claims and Actions against Public Entities and Public
Employees; and (2) CITY does release and agree to indemnify, defend and hold harmless the
Employees, FAZEKAS, and FAZEKAS's agents, personnel, directors, and officers from any and
all actions, claims, damages or injuries to persons or property, penalties, obligations or liabilities
arising out of or related to the services performed under this Agreement to the extent they are not
covered by FAZEKAS's insurance, except such loss or damage caused by the negligence or
willful misconduct of FAZEKAS, or FAZEKAS's agents, personnel, directors or officers, or any
of them. Notwithstanding anything to the contrary including CITY's obligations under this
Article 5, FAZEKAS acknowledges and agrees that its insurance shall be the sole and primary
coverage up to the policy limits, and that City's obligations under this Article 5 shall not be
triggered until FAZEKAS's insurance coverage has been exhausted.
04agree/Fazekas/9/28/04 5
• 0
ARTICLE 6
GENERAL PROVISIONS
6.1 Representation. A CITY representative shall be designated by CITY and an FAZEKAS
representative shall be designated by FAZEKAS as the primary contact person for each party
regarding performance of this Agreement. The following are the designated representatives:
Scott Fazekas for FAZEKAS
Ross Cranmer for CITY
6.2 Independent Contractor. FAZEKAS acknowledges and agrees that FAZEKAS and the
Employees are, and shall be, acting at all times in the performance of this Agreement as
independent contractors herein and not as employees of CITY. FAZEKAS 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
FAZEKAS and all of its officers, agents and employees and all business licenses, if any, in
connection with this Agreement and/or the services to be performed hereunder.
The Employees shall not be eligible for benefits pursuant to CITY's membership in the Public
Employees' Retirement System ("PERS"). FAZEKAS shall indemnify, defend, and hold
harmless CITY, its officers, elected or appointed officials, employees, agents, or volunteers from
and against any claim for PERS benefits asserted by the Employees, or asserted by a third party
on behalf of the Employees.
6.3 No Assignment or Subcontracting. This Agreement shall not be assignable or
subcontracted by either party without the prior written consent of the other party. All CITY
approved subcontractors of FAZEKAS must.satisfy the insurance requirements set forth herein. .
6.4 Audit. CITY shall have the right to audit and inspect FAZEKAS records and accounts
covering.costs. under. this Agreement, for-.a.period of two,(2). years after termination of the,•.
Agreement.
6.5 City Employees and Officials. FAZEKAS 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.
6.6 Notices. Any notice or special instructions required to be given in writing under this
Agreement shall be given either by personal delivery to FAZEKAS or to CITY's Director of
Building and Safety or by enclosing the same in a sealed envelope, postage prepaid, and
depositing the same in the United States Postal Service, addressed as follows:
04agree/Fazekas/9/28/04 6
TO CITY: TO FAZEKAS:
Ross Crammer, Director Scott Fazekas
Building & Safety Department Scott Fazekas & Associates, Inc.
City of Huntington Beach 9 Corporate Park, Suite 200
2000 Main Street Irvine, CA 92606-5132
Huntington Beach, CA 92648
Notwithstanding the foregoing, FAZEKAS agrees that CITY has the ability to terminate any
specific Employees of FAZEKAS working pursuant to this Agreement by giving FAZEKAS
notice of termination of such Employees by e-mail or facsimile transmission, with a follow-up
notice sent via one of the methods set forth is this Paragraph. The effective date of such
termination shall be the date such e-mail or facsimile transmission is sent. Each party may
change the address and person to be notified by giving the other party notice of such change via
one of the methods set forth is this Paragraph.
6.7 Legal Services Subcontracting Prohibited. FAZEKAS 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. FAZEKAS
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 FAZEKAS.
6.8 Titles. The titles used in this Agreement are for general reference only and are not part of
the Agreement.
6.9 Interpretation of this Agreement. The language of all parts of this Agreement shall in all
cases be construed as a whole, according to its fair meaning, and not strictly for or against any of
the parties.. If any provision.of this Agreement is held.by an arbitrator or court of competent
jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or
affect the remaining covenants and provisions of this Agreement. No covenant or provision shall
be deemed dependent upon any other unless so expressly provided here. As used in this
Agreement, the masculine or neuter gender and singular or plural number shall be deemed to
include the other whenever the context so indicates or requires. Nothing contained herein shall
be construed so as to require the commission of any act contrary to law, and wherever there is
any conflict between any provision contained herein and any present or future statute, law,
ordinance or regulation contrary to which the parties have no right to contract, then the latter
shall prevail, and the 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.
6.10 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.
04agree/Fazekas/9/28/04 7
6.11 Immigration. FAZEKAS 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.
6.12 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.
6.13 Governing Law. This Agreement shall be governed and construed in accordance with the
laws of the State of California.
6.14 Extent of Agreement. This Agreement and the attached exhibits represent the entire and
integrated Agreement between CITY and FAZEKAS and supersedes all prior negotiations,
representations or agreements, either written or oral respecting the subject matter hereof. This
Agreement may be modified or amended only by a subsequent written agreement signed by both
parties.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement on
2004.
SCOTT FAZEKAS & ASSOCIATES, INC., CITY OF HUNTINGTON BEACH, a
a California corporation municipal corporation of the State of
California
By'
Director of Building& Safety
print name (pursuant to HBMC §3.03.100)
ITS: (circle one)Chairrnan.4residen ice President
AND APPROVED AS TO FORM:
r _
By:
o , r " City Att mey Q
print name 9.0 �� --�o 4164
ITS: (circle one) Secretary hief Financial Office Asst. REVIEWED ND ACiSPROVED. I
Secretary-Treasurer
City dministr for
04agree/Fazekas/9/28/04 8
• EXHIBIT "A" •
PAYROLLSCHEDULE
Counter and Inspection Services $20 - $100 per hour
EXHIBIT "B"
DESCRIPTION OF POSITIONS
A. Counter Services
With close supervision, receives, reviews and processes plans; captures, records and
maintains the information necessary to issue and receive payment for building and
construction permits; and performs other duties as required within the scope of the
classification.
B. Inspection Services
Under general supervision, inspects installations to ensure compliance with all building
and construction regulations; and performs other duties as required within the scope of
the classification.
jmp/contracts group/exA/10/6/04
4 • 0
Su it PROFESSIONAL SERVICE CONTRACTS
Hun' Beachm PURCHASING CERTIFICATION
1. Requested by: Jan Richards 4e
2. Date: October 6, 2004
3. Name of consultant: Scott Fazekas Associates, Inc.
4. Description of work to be performed: Counter& Inspections Services
5. Amount of the contract: $50,000.00
6. Are sufficient funds available to fund this contract?' ® Yes, ❑ No
7. Company number and object code where funds are budgeted: 10055201.69365
8. Is this contract generally described on the list of professional service contracts
approved by the City Council? ® Yes, ❑ No
9. Is this contract within $25,000 or 25% (whichever is less) of the amount stated on
the list of professional service contracts approved by the City Council?'
® Yes, ❑ No
10. Were (at least) informal written proposals requested of three consultants?
® Yes, ❑ No
Explanation:
11. Attach list of consultants from whom proposals were requested (including a
contact telephone number).
12. Attach proposed scope of work.
13. Attach proposed payment schedule.
RI ARD ADRIL, Manager
Purchasing/Central Services
' If the answer to any these questions is"No,"the contract will require approval from the City Council.
DocumenQ . 10/6/2004 2:04 PM
Proposals for Inspection Services
Rates as of 9/23/04
Inspection Services
SFA, Inc. $40 to $45 per hour
19 Corporate, Ste 200
Irvine, CA 92606-0000
949/475-2901
EsGil Corp None Available
9320 Chesepeke Drive, Ste. 208
San Diego, CA 92123
858/560-1468
CSG Enterprises, Inc. $55 to $65 per hour
151 Kalmas Drive, Ste. C-200
Costa Mesa, CA 92626
714/444-9592
q'.
s it INSURANCE AND INDEMNIFICATION WAIVER
MODIFICATION REQUEST
1. Requested by: Jan Richards
2. Date: September 23, 2004
3. Name of contractor/permittee: Scott Fazekas & Associates, Inc.
4. Description of work to be performed: Inspection Services
5. Value and length of contract: $50,000 for one year
6. Waiver/modification request: Test revisions on hold harmless and waive $10,000 deduct.
7. Reason for request and why it should be granted: This is for leased employee;
supervision comes from the City. Leased employee drives a City vehicle and acts as a
City employee
8. Identify the risks to the City in approving this waiver/modification: No more than hiring
another City employee
�L 0 9/24/04
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
�pproved ❑ Denied p y
V
Signature Date
2. City Attorney's Office
�4pproved ❑ Deni /O Co U
Si natur 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 the Risk Management Division of Administrative Services
Waiver for SFA-Inspection 912312004 11:28 AM
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ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE IRTIFICATE MAY BE ISSUED OR
NAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 8 SUBJECT TO ALL THE TERMS,E=USIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW.
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Liabili Dad. $10,000
DEMCMPTM OF OPE UTUM I LMATWM I VBWL98 I RULUSIDIIB ADM BY ENDORSEMENT I SPECIAL PROVMMI
Re: Building Safety Plan Check Services
Proof of Insurance
*10 day notice of cancellation applies for non-payment of premium. SS
CERTIFICATE MOLDER CANCELLATION
CITYRUN SHOULD ANY OF THE ABOVE DESCITIBED POLICES HE CANCELLED BEFORE TH9 RMRAYMN
DATE THENW.THE ISE(I8IGINWER EEWL 30t I]M1YBWRITTEN
City of Bunting ton Beach NOTICE TO THE CERTF AAT R MOLDER HAilEB TO THE LEFT;
Atnn: Mr. Rose Crammer
2000 Blain Street
Huntington Beach CA 92648
REP U1VE
ACORD 25(260108) 0 ACORD CORPORATION 1988
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ACORDL CERTIFIC E OF LIABILITY INSURANCE CSRrAZER_MJ �06 7 oa
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
G. S. Levine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR
3377 Carols) Mountain Road ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
'an Diego CA 92121
hona:958-481-8692 Fax:858-481-7953 INSURERS AFFORDING COVERAGE NAIC A
INSURED -. .. _ .._ INSURER A . ._
� pLdalitY and 6.aranly Lna, C.o.
INSURER S: St. Paul sire And Marina Ina. _
Scott Fatekas S Associates INSURER C: _
9 Corporate Sark S-200 INSURER D -'
Irvine CA 92 14 i_... _.;_.. ,.__..._ _•.-.----._.._—.. . ___...� ._.
__ ._
INSURER S
COVERAGES
THE POLICIES OF INSURANCE LISTED BELCW HAVE BEEN ISSUED T07HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTVVITHSTAN M
ANY REQUIREMENT,TEW OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR
MAY PERTAIN.THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERNS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICKS.AGGREGATE LIMTS SHONM MAY HAVE BEEN REDUCED BY PAID CLAIM%
LTR TYPE OF INSURANCE PQLICY NLRIBER CIA DA MD LIMITS
DENERALLMBLITY EACHOCCURRENICE II OOO 000
A X X coIMERGALGENERALLWBILNTY B901777291 06/05/04 06/05/05 PREMISES Ea 000,000
000
CLAWS MADE ®OCCUR MED EXP WW am person) 110 000
PERSONAL A AOV INJURY i 1 OOO 000
GENEPALAGGREGATE s2,000,000
GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/0PAG0 s2,000,000
ff POLICY 7 SE NOT F7Loc am Sen. 1 000 OOO
AIFrOMOGLE LIABILRY COMBINED BWGLE LWIr 41,000,000
A ANYAUTO DRD177729L 06/05/04 06/05/05 (EnawkIM)
ALL OWPGD AUTOS
BODILY INJURY =
SCHEDULED AUTOS (Per Pwaon)
X HIRED AUTOS
GODLY W,R1RV 8
X NOMOWNEO AUTOS (Per smdeM)
PROPERTYIDAMAGE 8
(Px eoclesnU
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT i
ANY AUTO OTHER THAN EA ACC A
AUTO ONLY: AGG S
E)=$S UMRELLA LIABIIJTY EACH OCCURRENCE S
OCCUR 17 CLAMS MADE AGGREGATE S
S
DEDUCTIBLE 8
RETENTION s Is
WWKERS OOUNNSATNON AND X TORY LMITS E
B 119111PI'OTERS'LIWr SW01811834 OER UTIVE
06/05/04 06/05/05 E L EACH ACcowT s 1000000
OF EFMMEIMBEXCLUDED? EL DISEASE•Fa EMPLOYEE / 1000000
dumbe urdwnCTALPROVISIONSbalow
&L DISEASE-POLICY LMR I 10 00 00 0
OTHER
DISCRPTION OF OPERATIONS I LOCATIONS/VE)I S I EXCLUSIGNS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Re: Building Safety Plan Check services
City of Huntington Beach, its agents, officers and employees are named as
Additional Insured per the attached endorsessent.
*10 day notice of cancellation applies for non-payment of premium. pax
CERTIFICATE BOLDER CANCELLATION
CITYHUN SHOULD ANY OF TINE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 9VIRATION
DATE TNEREDF.THE IABUNQ{N8mER WILL nmmw wm wjL 30* DAYS YRirIBN
City of Huntington Beach NOVW TO THE CERTIFICATE HOLDER MANED TO THE LEFT.
Attn: Mr. Foss C.ranmer
2000 Main Street
Huntington Beach CA 92648
REP nlle
ACORD 28(21101/08) 0 ACORD CORPORATION 1998
AP OVED AS TO FORM
JE IN-1 McGRATH,City Ai-toeo.e•,
Aug 23 2004 6: 21RM HP LRSERJEI FHx ►'"'
Policy Number: BKO1777291
`- Owners, Lessees Or Contractors (Form B)
ADDITIONAL INSURED
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
LIABILITY COVERAGE PART,
SCHEDULE
Name of Person or Organization:
Per the attached certificate
SECTION lI-WHO IS AN INSURED is amended to inc-hide Schedule, but only with respect to liability arising
as an insured the person or organization shown in out of"your work" for that Insured by or for you.
CL/BF 22 40 D3 95 Includes copyrighted material of Insurance Services Offices,Inc.,with its permission.
Copyright.Insurance Services Office,Inc., 1994
10/30/2003 22:40 8586791374
RESOLUTION
A board 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, NC. The status re%sins the same to date.
i
o A//0-
Scott R Faze , President fed
i
Corporate Seal:
i
I