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Resolution 2008-63 Revising and Restating the City's Insuran
\()al al ff Council/Agency Meeting Held: 6 Deferred/Continued to: App oved ❑ onditio all Lpro e ❑ Denied Cit Cle� 's Signa re Council Meeting Date: 10/6/2008 Department ID Number: HR 08-04 CITY OF HUNTINGTON BEACH REQUEST FOR CITY' COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Co it Members SUBMITTED BY: Fred Wilson, City OAdministr PREPARED BY: Michele Carr, Di r o r Patti Williams, Ris ageG� � SUBJECT: Adoption of R so tion No2008-63 A Resolution of the City Council of the City of H ngton Beach Revising and Restating the City's Insurance and Indemnity Requirements. [Statement of Issue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachment(s) Statement of Issue: Revise the City's insurance and indemnity requirements to allow "Permittees" to be exempt from providing automobile insurance coverage. Additionally, we propose changing the current requirement of a zero deductible for professional liability insurance to allow for a deductible up to $10,000.00 and allow up to a $1000.00 deductible when automobile insurance is required. Funding Source: No funds are required. Recommended Action: Motion to: Adopt Resolution No. 2008-63A Resolution of the City Council of the City of Huntington Beach Revising and Restating the City's Insurance and Indemnity Requirements. Alternative Action(s): Do not adopt Resolution No. 2008-63. REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 10/6/2008 DEPARTMENT ID NUMBER: HR 08-04 Analysis: We currently require certificates of insurance for anyone using any city facility and/or premises. There are times when the requirements of the existing resolution are not appropriate for the "Permittees." Permittees are defined as persons or groups who submit an application to the City for any use of, or encroachment upon any public street, waterway, pier, or City property. Section II of the resolution has been modified to allow "Permittees" who do not use vehicles or equipment in connection with the permit to be exempt from providing automobile insurance coverage upon execution of the declaration, (see Exhibit 1, attached to the resolution and incorporated by this reference). This revision will improve the process for obtaining approval to use a city facility in these instances where such insurance is not necessary, thereby improving our customer service. Additionally, the deductible for professional liability coverage is being proposed to be changed from zero to $10,000.00, and the deductable for automobile liability is being proposed to be changed from zero to $1,000.00. This modification puts our requirements more in line with the insurance community. The zero deductible requirements are extremely difficult to obtain and can create a hardship for contractors to provide. By revising and restating the city's insurance and indemnity requirements with these changes, we are more reasonable in gaining compliance, limiting the number of requested waivers, and still protecting the city's liability exposure. Strategic Plan Goal: Provide quality public services with the highest professional standards to meet community expectations and needs. Environmental Status: NA Attachment(s): . . idt! 1100ilpfflion 1. A Resolution of the City Council of the City of Huntington Beach Revising and Restating the City's Insurance and Indemnity Requirements -2- 9/15/2008 4:43 PM ATTACHMENT # 1 RESOLUTION NO. 2008-63 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF HUNTINGTON BEACH REVISING AND RESTATING THE CITY'S INSURANCE AND INDEMNITY REQUIREMENTS WHEREAS, there are persons and organizations who are engaged in various activities in the City, thereby subjecting the City to substantial risk of liability for damage to property and injury to persons; and, The City desires to establish insurance and indemnification requirements; and, in appropriate cases, a procedure for the waiver thereof; and, The City desires to establish internal staff responsibility for the administration of the insurance required by this Resolution and delineate the authority to make adjustments to requirements based upon unique and unusual circumstances. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Huntington Beach that effective on the date of adoption of this Resolution, the insurance coverage and indemnity requirements shall be as follows: SECTION I. DEFINITIONS AND FORMS REQUIRED A. Definitions: 1. "Contractors" are any persons or entities who contract with the City and/or provide services to the City which are readily available and efficiently procured by competitive bidding. 2. "Design Professionals" are professional services contractors who contract with the City and/or provide architectural and/or engineering services to the City. 3. "Licensees/Lessees" are any persons or entities who contract with the City for the use of public property. 4. "Permittees" are any persons or entities who make application to the City for any use of or encroachment upon any public street, waterway, pier, or City property. 5. "Professional Services" are as defined by Huntington Beach Municipal Code section 3.03. 0. "Vendors" are any persons or entities who transfers property or goods to the City which may or may not involve delivery and/or installation. B. Indemnity and Insurance Coverage Requirements Defined 1. General Liability: Combined single limit bodily injury, personal injury and property damage: Minimum limits of$1,000,000 per occurrence. 19723 1 Resolution No. 2008-63 a. Coverage must include completed operations liability and unlimited blanket contractual liability and, where products are furnished, products liability. b. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than $1,000,000 or an increased coverage as memorialized in the terms and conditions agreed to by the parties and the policy holder shall submit written notice of any known depletion of limits to City attached to the proof of insurance. C. Claims made policies are not acceptable, except that claims made insurance for pollution liability shall be acceptable. d. All deductibles in excess of $5,000, or alternative forms of providing coverage must be approved through the Waiver Procedure set forth in Section III to this Resolution. The requirement for self-insured retention remains at zero. e. The City, its, officers, elected or appointed officials, employees, agents and volunteers are to be covered as additional insureds by separate attached endorsement(s) approved by the City Attorney as respects liability arising out of action performed by or on behalf of the contractor, products and completed operations of the contractor, premises owned, occupied or used by the contractor; or automobiles owned, leased or borrowed by the contractor. The coverage shall contain no special limitations on the scope of protection afforded to the City, its agents, officers and employees. f. For any claims related to the project, the contractor's insurance coverage shall be primary insurance as respects the City, its agents, officers, and employees. Any insurance or self-insurance maintained by the City, its agents, officers, and employees shall be excess of the contractor's insurance and shall not contribute with it. g. Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, its agents, officers and employees. h. The contractor's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability. 2. Workers Compensation and-Employers' Liability: In accordance with the applicable state statutes with limits in the case of workers' compensation and employers' liability in amounts not less than the State statutory limits. Alternatively, a signed declaration of non-employee status shall be filed. A certificate or consent to self-insure issued by the California Director of Industrial Relations is also acceptable. 19723 2 Resolution No. 2008-63 3. Professional Liability Insurance: Coverage must be provided at a minimum of $1,000,000 per occurrence and in the aggregate. All deductibles in excess of $10,000, or alternative forms of providing coverage must be approved through the Waiver Procedure set forth in Section III to this Resolution. The requirement for self-insured retention remains at zero. a. Claims made policies are acceptable if the policy further provides that: 1. The policy retroactive date coincides with or precedes the professional services contractor's start of work (including subsequent policies purchased as renewals or replacements). 2. The professional services contractor will make every effort to maintain similar insurance during the required extended period of coverage following project completion, including the requirement of adding all additional insureds. 3. If insurance is terminated for any reason, professional services contractor 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 or permit. 4. The reporting of circumstances or incidents that might give rise to future claims. 4. Automobile Liability Coverage must be provided at a minimum of $1,000,000 per occurrence. a. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than $1,000,000 and the policy holder shall submit written notice of any known depletion of limits to City attached to the proof of insurance. b. All deductibles in excess of $1,000, or alternative forms of providing coverage must be approved through the Waiver Procedure set forth in Section III to this Resolution. The requirement for self-insured retention remains at zero. C. The City, its officers, elected or appointed officials, employees, agents and volunteers are to be covered as additional insureds by separate attached endorsement(s). The coverage shall contain no special limitations on the scope of protection afforded to the City, its agents, officers and employees. d. For any claims related to the project, the contractor's insurance coverage shall be primary insurance as respects the City, its agents, officers, and employees. Any insurance or self-insurance maintained by the City, its agents, officers, and employees shall be excess of the contractor's insurance and shall not contribute with it. 19723 Resolution No. 2008-63 C. Certificate of Insurance Requirements Defined 1. Form. Evidence of insurance coverage and limits as required by the City shall be furnished to the City as a certificate holder on the "Acord' or similar form approved by the City Attorney. (See samples attached herein as Exhibit "A"). a. The description of work to be performed, the City department involved in the performance, and the City staff contact person must be clearly identified on the "Acord" or similar form evidencing insurance coverage. b. All forms of insurance shall identify the City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers as an additional insured by separate attached endorsement with respect to general liability and automobile liability coverages. C. Contractors shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein. 2. Approval of Certificate Insurance certificates must be approved by the City Attorney prior to commencement of any performance under a contract or issuance of any permit, as authorized by the City Charter. 3. Acceptability of Insurers Insurance must be placed with insurer with a Best's rating of no less than A: VII and insurer must be a California admitted carrier. SECTION II INSURANCE AND INDEMNIFICATION REQUIREMENTS A. INSURANCE 1. Contractors and Permittees must meet the requirements as set forth in Exhibit "B" incorporated by reference and attached herein. Permittees who do not use vehicles or equipment in connection with the permit, shall not be required to provide auto insurance. To be exempt from this requirement, permittees must execute a declaration such as Exhibit I attached hereto and incorporated by this reference. 2. Professional Services providers must meet the requirements as set forth in Exhibit"C" incorporated by reference and attached hereto. 3. Licensees/Lessees must meet the requirements as set forth in Exhibit "D" incorporated by reference and attached hereto. 4. Vendors a. Vendors supplying goods including delivery, service and/or installation must meet the requirements of Exhibit"B". 19723 4 Resolution No. 2008-63 b. Vendors supplying goods only without delivery, service and/or installation are required to provide products liability coverage only. 5. The insurance requirements of persons or organizations not identified herein shall be as designated by the agreement. All certificates of insurance designated must conform to the requirements of this Resolution. 6. Exceptions. a. Public entities are exempt from the requirements of this resolution. Any insurance and indemnity requirements of a public entity shall be pursuant to Section ll(A)(5). b. Persons providing judicial or quasi-judicial services as independent contractors, such as judges, arbitrators, hearing officers, expert witnesses, and court reporters shall be exempt from all insurance coverage requirements. Any insurance and indemnity requirements shall be pursuant to Section II(A)(5). C. Each person making application for a permit for private property construction, alteration, improvement, demolition, or repair of any building or structure shall sign a declaration under penalty of perjury verifying workers' compensation coverage or exemption from coverage, as required by Section 19825 of the Health and Safety Code and, at the time of permit issuance, contractors shall show their valid workers' compensation insurance certificate. d. Persons contracting with the City under subdivision agreements are exempt from providing evidence of workers' compensation. e. Oil operators as regulated by Huntington Beach Municipal Code Section 15.16 and pipeline franchises as regulated by Huntington Beach Municipal Code Section 3.44 are exempt from the requirements of this resolution. f. Taxicabs/Vehicles-for-hire as regulated by Huntington Beach Municipal Code Section 5.50 are exempt from the requirements of this resolution. g. Trucking companies, including those regulated under Huntington Beach Municipal Code Section 10.32, are exempt from the minimum insurance requirements of this resolution but must submit proof of workers' compensation insurance and general liability insurance in accordance with the requirements of the Public Utilities Commission (PUC) regulations which include: 1) the general liability insurance requirements are $600,000 combined single limit or $250,000 bodily injury or death of one person and $500,000 protection against total liability for bodily injury or death of more than one person from any one accident. 2) this is subject to the same $250,000 limitation for each person and $100,000 protection for accidental damage or destruction of property other than property being transported. 3) the City of Huntington Beach must be 19723 5 Resolution No. 2008-63 named as certificate holder but does not need to be named as additional insured. 7. Indemnity a. Contractors and Permittees shall be required to indemnify City, pursuant to the indemnity provision attached hereto and incorporated herein by this reference as Exhibit "E". b. All design professionals shall be required to indemnify City pursuant to the indemnity provision attached hereto and incorporated herein by this reference as Exhibit"F". C. All other persons or organizations, including but not limited to professional service providers other than Design Professionals as defined by this Resolution, shall be required to indemnify City, pursuant to the indemnity provision attached hereto and incorporated by reference as Exhibit "G". SECTION III. WAIVER OR MODIFICATION PROCEDURE A. Waivers or Modification Request Form. A department Request for Waiver or Modification, Exhibit "H" attached, shall be completed and forwarded to the Risk Manager for all requests for waiver or modifications of the minimum indemnification and insurance requirements. Claim history, financial statements and scope of work must be submitted as attachments with any request for waiver. B. Waiver or Modification Authority. The Risk Manager and the City Attorney may approve any waiver or modification of the insurance and indemnification requirements, including requests for indemnification of third parties. A denial may be appealed to the City Administrator. C Waiver Criteria. The criteria to evaluate any requests for waiver shall include the following: a. The type of waiver or modification requested; b. The reason for the waiver or modification; C. The nature of the scope of work; d. The cost of the contract; e. The liability exposure of the City; f. The cost and availability of the coverage requested; g. The claim history of the requesting party; h. The past experience of the City with the requesting party; and i. The past experience of the City with other contracting parties of a similar nature. 19723 6 Resolution No. 2008-63 SECTION IV. Resolution 2007-03 and all other resolutions in conflict herewith are hereby repealed. PASSED AND ADOPTED by the City Council of the City of Huntington Beach at a regular meeting held 6th day of October 200 8 . I I ND A P irecto f Hu n Resources VIEW PPROVED: gwAfministrator APPROVED AS TO FORM: \<1-4v. 1�� M City Attorney Attachments o Exhibit A Exhibit B Exhibit C Exhibit D Exhibit E Exhibit F Exhibit G Exhibit H Exhibit I 19723 7 Resolution No.2008-63 ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDOmyY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A INSURER& INSURER C INSURER D: INSURER 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ INSR AP01 POLICY NUMBER POLICYFFFECTTVE POLICYEXPIRATION DATE fMAVDDfM UMR,S JJIL"S GENERALLIABILI Y EACH OCCURRENCE $ DAVLAGETOREWrEff— p MERCIAL GENERAL LIABILITY P MISES Ea owmenee S CLAIMS MADE OCCUR MEDE)(P(Anyonepersm) S PERSONAL 6 AOV VUURY S GENrRALAGGREGATE S GENIAGGREGATE LIMIT APPLIES PER: PRODUCTS-CDMPIOPAGG S POLICY EI PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acoKWA) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P-par—) S HIRED AUTOS BODILY INJURY NONOWNEOAUTOS __/, (Peracaden!) b PROPERTY DAMAGE S (Per aoddent) GARAGE LIABILITY f ` AUTO ONLY-EA ACCIDENT S ANY AUTO { OTHER THAN EA ACC $ f AUTOONLY. AGG S EXCESSAPABRELLA LIABILITY EACHOCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LWBIfri E.L.EACH ACCIDENT $ ANYPROPRIETORJPARTNERIEXECUTIV£ OFFICERMIEMBEREXCLUDEDT E.L.DISEASE-EA EMPLOYEE S !(yyeess..des=r- - - SPECULLPROVISIONSbelow L E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY WHO UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25(2001108) EXHIBIT A-1 Of 4 ©ACORD CORPORATION 1988 Resolution No.2008-63 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies 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 negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001108) EXHIBIT A-2 of 4 Resolution No. 2008-63 POLICY NUMBER: COMMERCIAL GENERAL(YAFf L'Yrr THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR . CONTRACTORS (Form B) This endorsement modifies insurance provided under the following: COMMERCIAL.GENERAL LIABILITY SCHEDULE Name of Person or Organization; THE CITY OF HUNTINGTON BEACH 2000 Main Street Huntington Beach, CA 92648 (if no entry:appears above,information required to completa uhis endorsement wiII be shown in the Declarations as applicable to this endorsement) WKO IS AN INSURED(Section Il)is amended to indude as an insured the person or organization shown in the Schedule,but only with respect to liability arising out of'your worK for that insured by or for you RE: ALL OPERATIONS OF THE NAMED INSURED FOR THE CERTIFICATE HOLDER. City of Huntington Beach, its elected or appointed officials, agents, officers, employees and volunteers w CG 20 10 11 85 Copyright,Insurance Services Office,Inc..198.4 EXHIBIT A-3 of 4 Resolution No. 2008-63 STATE P.O.BOX 420807,SAN FRANCISCO,CA 94142-0807 COMPENSATION DNSURANCE U N® xXERTIFICP E-OF WORKERS:COMPENSATION l :;NSURANCE �, }„` c='�• ;L.,- x_ w. t`. -;C-;t:>.�,.PUI.tCY LA9ER-x{��`_ !x ':. =•F..�''�. Y <.. :"r „ p^'+'e t._CEfiT1F'►r".ATE:E�PIF�E9:fis':+. ,,R..4.z�<y,,y� �'Y�3�`.� `� S.`c="`'� z�-'=�a�X �x+�a��s-.� � 3`K ,•�'' CITY OF HLIN- GTt3 RISK MANAt'EME �Yr=;�S'•, y, �a��=� �;��.� f; A .S+ �'�• '�'',x.• ^Ps Sep-.'ice,.,,'-,' h,.r-,<- _]d ,.,u.<: ,:s. MG iN HIJNTIN6TON BEACH;. CA 92648 x j L This Is to certify that we have issued a valid Workers'Compensation'insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period Indicated. 30 This policy is not suboct to cancellation by the Fund except upon t%Ways'advance wzitten notice to the employer. 30 we will also give you Tg"ays'advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance Is not an insurance policy and does not amend,extend or after the coverage afforded by the policies listed herein. Notwithstanding any requirement,-term, or condition of any contract or other document with respect to which this.certificate o :;iFistrr�nce maybe issued or may pectaiii, t13e inst{;sifcs' clextry the policies described herein is subject to all the�te"r__;i exclusions and ioniJiUoiis of such'policies '� >~17U ` 'to__ V, � .. yj a AUTHORIZD REPRESENTATiV� ^�� .� - �• .. _ a� EIS �rJ E ` Cw a t'3 5'a.�ry,i�lyy T EMPLOYER'S LIABIL'I3ll'tIMIT INCLUDING,DEFENSE`COSTS: S1;000;0��= ER. OWJRRENCE. .. '1 ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07/01/00 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER:,, ' rE. �.� 4- EXHIBIT A-4 of 4 L THIS;CfOCUMENTHASAas s Resolution No.2008-63 EXHIBIT B INSURANCE REQUIREMENTS FOR CONTRACTORS, AND PERMITTEES PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT Minimum Limits of Insurance ' City Council Resolution requires submittal of certificates of insurance evidencing the following minimum limits with a California admitted carrier with a current A.M. Best's Rating of no less than A:VII: 1. General Liability: $1,000,000 per occurrence for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. "Claims made" designation is only acceptable for professional or pollution liability insurance. The City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers must be named as certificate holder and as additional insured by separate attached endorsement. (This wording must be exact) 2. Workers' Compensation and Employer's Liability: State statutory limits of $250,000 bodily injury by disease, policy limit, and $100,000 bodily injury each employee for accident or disease per occurrence. If you have no employees, you must sign a Declaration of Non-employee Status form available from the City. In lieu of a certificate of insurance, a certificate of consent to self-insure issued by the California Director of Industrial Relations is also acceptable. 3. Automobile liability of $1,000,000 per occurrence for bodily injury, personal injury and property damages. The City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers must be named as certificate holder and as additional insured by separate attached endorsement. (This wording must be exact). Deductibles, Self-insured Retentions, or Similar Forms of Coverage Limitations or Modifications Any deductibles, self-insured retentions or similar forms of coverage limitations or modifications, must be declared to and approved by the City of Huntington Beach. Subcontractors Contractor shall include all subcontractors as insured under its policies or shall furnish separate certificates and -endorsements for each subcontractor. All coverages -for subcontractors shall be subject to -all of the requirements stated herein. Description of Work to be Performed The staff contact and purpose of the evidence of coverage must be identified. PLEASE FORWARD THIS NOTICE TO YOUR INSURANCE AGENT. FOR ASSISTANCE, PLEASE CONTACT RISK MANAGEMENT 06-399/5103 EXEMIT B Resolution No.2008-63 EXHIBIT C INSURANCE REQUIREMENTS PROFESSIONAL SERVICE CONTRACTORS PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT Minimum Limits of Insurance City Council Resolution No. requires submittal of certificates of insurance evidencing the following minimum limits with a California admitted carrier with a current A.M. Best's Rating of no less than A:VII Errors.and.Omissions liability: $1,000,000 per occurrence. Deductibles, Self-Insured Retentions, or Similar Forms of Coverage Limitations or Modifications Any deductibles, self-insured retentions or similar forms of coverage limitations or modifications, must be declared to and approved by the City of Huntington Beach. Description of Work to be Performed The staff contact and purpose of the evidence of coverage must be identified. 06-399/5104 EXHIBIT C Resolution No.2008-63 EXHIBIT D INSURANCE REQUIREMENTS FOR LESSEES/LICENSEES PLEASE GIVE THESE INSURANCE REQUIREMENTS TO YOUR INSURANCE AGENT Minimum Limits of Insurance City requires submittal of certificates of insurance pursuant to the form set forth in Resolution No. evidencing the following minimum limits with a California admitted carrier with a current A.M. Best's Rating of no less than A:VII: 1. General Liability: $1,000,000 per occurrence for bodily injury, personat injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. "Claims made" designation is only acceptable for professional or pollution liability insurance. For general liability certificate holder, the City of Huntington Beach, its elected or appointed officials, agents, officers, employees, and volunteers must be named as certificate holder and as additional insured by separate attached endorsement. (This wording must be exact). 2. Workers Compensation and Employer's Liability: State statutory limits of $250,000 bodily injury by disease, policy limit, and $100,000 bodily injury each employee for accident or disease per occurrence. If you have no employees, you must sign a Declaration of Non-employee Status form available from the City. In lieu of a certificate of insurance, a certificate of consent to self-insure issued by the California Director of Industrial Relations is also acceptable.. 3. Property Insurance: Full replacement cost with no coinsurance -penalty provision. Deductibles, Self-Insured Retentions, or Similar Forms of Coverage Limitations,or Modifications Any deductibles, self-insured retentions or similar forms of coverage limitations or modifications, must be declared to and approved by the City of Huntington Beach. Description of Work to be Performed The staff contact and purpose of the evidence of coverage must be identified. PLEASE FORWARD THIS NOTICE TO YOUR INSURANCE AGENT, FOR ASSISTANCE, PLEASE CONTACT RISK MANAGEMENT 06-399/5105 EXHIBIT D Resolution No.2008-63 EXHIBIT E TO RESOLUTION NO. CONTRACTOR'S INDEMNIFICATION DEFENSE HOLD HARMLESS Contractor 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 defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to Contractor's employees and damage to Contractor's property, arising directly or indirectly out of the obligations or operations herein undertaken by Contractor, caused in whole or in part by any negligent act or omission of the Contractor, any subcontractors, anyone directly or indirectly employed .by any of them or anyone for whose acts any of them may be liable, including but not timited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the City. Contractor will conduct all defense at its sole cost and expense and City shall approve selection of contractor's counsel. City shall be reimbursed for all costs and attorneys fees incurred by City in enforcing this obligation. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by Contractor. 06-399/5106 EXIMIT E Resolution No.2008-63 EXHIBIT F TO RESOLUTION NO. INDEMNIFICATION DEFENSE AND HOLD HARMLESS To the fullest extent permitted by law (including, without limitation, California Civil Code Sections 2782 and 2782.6), 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, 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) negligence, recklessness or willful misconduct related to performance of this Agreement or its failure to comply with any -of its obligations container! _in _this .Agreement by CONSULTANT, its officers, agents or employees. CITY shall be reimbursed by CONSULTANT for all costs and attorney's fees incurred by CITY in enforcing this obligation. CONSULTANT will conduct all defense at its sole cost and expense, and the CITY shall approve selection of CONSULTANT's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by the CONSULTANT. 06-399/5107 E'XI-IIBIT F Resolution No.2008-63 EXHIBIT G TO RESOLUTION NO. INDEMNIFICATION DEFENSE AND 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 CONSULTANTs (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. CITY shall be reimbursed by CONSULTANT for all costs and attorney's fees incurred by CITY in enforcing this obligation. CONSULTANT will conduct all defense at its sole cost and expense and the CITY shall approve selection of CONSULTANT's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as limitation upon the amount of indemnification to be provided by the CONSULTANT. 06-399/5108 EXHIBIT G Resolution No.2008-63 ' INSURANCE AND INDEMNIFICATION WAIVER 0 MODIFICATION REQUEST 1. Requested by: 2. Date. 3. Name of contractor/permittee: 4. Description of work to be performed: 5. Value and length of contract: 6. Waiver/modification request: 7. Reason for request and why it should be granted: 8. Identify the risks to the City in 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 Signature Date 2. City Attorney's mice ® Approved ® Denied Signature Date 3. City Administrator's ice ®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 EXHIBIT H Resolution No.2008-63 S ity CITY OF HLJNTINGTON BEACH Hunts 2000 Main Street Huntington Beach, CA 92648 DECLARATION OF PERMITTEE I certify that no vehicle(s) will be used or operated in the performance of the task(s) or event(s) for which this permit is granted. I authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit issued in connection with or in the performance of said task(s) or event(s) if any vehicle(s) is used. Signature of Permittee Print name Company name (if applicable) Date signed 16407 EXHIBIT I Res. No. 2008-63 STATE OF CALIFORNIA COUNTY OF ORANGE ) ss: CITY OF HUNTINGTON BEACH ) I, JOAN L. FLYNN the duly elected, qualified City Clerk of the City of Huntington Beach, and ex-officio Clerk of the City Council of said City, do hereby certify that the whole number of members of the City Council of the City of Huntington Beach is seven, that the foregoing resolution was passed and adopted by the affirmative vote of at least a majority of all the members of said City Council at a regular meeting thereof held on October 6, 2008 by the following vote: AYES: Hansen, Hardy, Bohr, Cook, Coerper, Carchio NOES: None ABSENT: Green ABSTAIN: None Cit Jerk and ex-officio Verk of the City Council of the City of Huntington Beach, California RCA ROUTING SHEET INITIATING DEPARTMENT: Human Resources SUBJECT: Adoption of Resolution Revising and Restating City and Indemnity Insurance Requirements COUNCIL MEETING DATE: October 6, 2008 RCA ATTAC'HME'9VTS STATUS „ Ordinance w/exhi yits & legislative draft if� r 4 k( b' applicable) Attached ❑ Not Applicable Resolution (w/exhibits & legislative draft if applicable) Attached Not Applicable ❑ Tract Map, Location Map and/or other Exhibits Attached ❑ Not Applicable Contract/Agreement (w/exhibits if applicable) Attached ❑ (Signed in full by the City Attorney) Not Applicable Subleases, Third Party Agreements, etc. Attached ❑ (Approved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Attached ❑ Not Applicable Fiscal Impact Statement (Unbudgeted, over $5,000) Attached ❑ Not Applicable Bonds (If applicable) Attached ❑ Not Applicable Staff Report (If applicable) Attached ❑ Not Applicable Commission, Board or Committee Report (If applicable) Attached ❑ Not Applicable Findings/Conditions for Approval and/or Denial Attached ❑ Not Applicable EXPLANATION FQl ".IVIISSING ATTACIHIVIENT9""'," REVIEVNED REl'URIVEDj` FOR A� DED»'. Administrative Staff ( ) ) Deputy City Administrator (initial) City Administrator(initial) ( „J City Clerk ( ) EXPLANATION FOR RETURN OF ITEM:-br City (Bel6w Spade P Clerk's,Use Only) RCA Author: Patti Williams