HomeMy WebLinkAboutPerry's Truck and Equipment Repair LLC - 2021-09-14 SERVICE AGREEMENT BETWEEN
THE CITY OF HUNTINGTON BEACH AND
PERRY'S -TRUCK AND EQUIPMENT REPAIR LLC
FOR
AS-NEEDED MARINE VESSEL SALVAGE AND ASSOCIATED
HAZARDOUS WASTE DISPOSAL SERVICES
THIS AGREE\9EN'f ("A(7reement") is made and entered into by and between the
City of Fluntington Beach. a municipal corporation of the State of California. hereinafter
called "City." and Perry's -1-ruck and Equipment Repair L.LC, hereinafter referred to as
"Contractor."
Recitals
A. The City desires to retain a Contractor having special skill and knowledge in roof
replacement
B. Contractor represents that Contractor is able and willing to provide such services
to the Citv.
C. hi undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under
this Agreement will be performed in compliance with such standards as may
reasonably be expected from a comparable company or firm in the field.
Contractor has been selected to perform these services pursuant to 1-luntington
Beach i\4unicipal Code Chapter 3.02.
NOW, THEREFORE it is agreed by City and Contractor as follows:
1. Scope of Services
Contractor shall provide all services as described in Exhibit "A," which is
attached hereto and incorporated into this Agreement by this reference. These services
shall sometimes hereinafter be referred to as the "Project."
Contractor hereby designates Edward Perry, who shall represent it and be its sole
contact and agent in all consultations with City during the performance of this
Agreement.
2. City Staff Assistance
Citv shall assign a staff coordinator to work directly with Contractor in the
performance of this Agreement.
21-10064/263170 1
3. Compensation
a. Cite agrees to pay, and Contractor agrees to accept as total payment for its
services, the rates and charges identified in Exhibit `B.'
b. Payment by City shall be made within thirty (30) days following receipt of'
proper invoice evidencing work performed, subject to City accounting procedures.
Payment need not be made for work which fails to meet the standards of performance set
forth in the Recitals which may reasonably be expected by City.
C. Contractor shall be paid pursuant to the terms of Exhibit `B."
4. Term
Time is ol'the essence of this Agreement. The services of Contractor are to
commence Sept. 14. 2021 . or as soon as practicable after the execution ol'this
Agreement by City (the "Commencement Date") and terminate one (I) year after
commencement date, unless terminated earlier in accordance with the provisions of this
Agreement. The time for performance of the tasks identified in Exhibit "A" are generally
to be shown in Exhibit "A." This schedule and Tcrm may be amended to benefit the
Project if mutually agreed to in writing by City and Contractor.
In the event the Commencement Date precedes the Effective Date, Contractor
shall be bound by all terms and conditions as provided herein.
5. Extra Work
In the event City requires additional services not included in Exhibit "A" or
changes in the scope of services described in Exhibit "A." Contractor will undertake such
work only after receiving written authorization from City. Additional compensation for
such extra work shall be allowed only i1-the prior written approval of City is obtained.
6. Disposition of Plans, Estimates and Other Documents
Contractor 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, date or programs, maps, memoranda, letters and
other documents, shall belong to City, and Contractor shall turn these materials over to
City upon expiration or termination of this Agreement or upon Project completion,
whichever shall occur first. These materials may be used by City as it sees fit.
21-10064/263170 2
7. Hold Harmless
Contractor hereby agrees to protect, defend, indemnify and hold harmless City, its
offcers. elected or appointed officials, employees, agents, and volunteers from and
against any and all claims, damages, losses, expenses,judgments, demands and defense
costs, and consequential damage or liability of any hind 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 pan 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
limited 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. 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.
S. Workers Compensation Insurance
Pursuant to California Labor Code Section 1861. Contractor acknowledges
awareness of Section 3700 er seq. of this Code, which requires every employer to be
insured against liability for workers' compensation: Contractor covenants that it will
comply with such provisions prior to commencing performance of the work hereunder.
Contractor shall obtain and furnish to City workers' compensation and employer's
liability insurance in an amount of'not less than the State statutory limits.
Contractor shall require all subcontractors to provide such workers' compensation
and employer's liability insurance for all of the subcontractors' employees. Contractor
shall furnish to City a certificate of waiver of subrogation under the terms of the workers'
compensation and employer's liability insurance and Contractor shall similarly require all
subcontractors to waive subrogation.
9. General Liability Insurance
In addition to the workers' compensation and employer's liability insurance and
Contractor's covenant to defend, hold harmless and indemnify City. Contractor shall
obtain and furnish to City, a policy of general public liability insurance, including motor
vehicle coverage covering the Project/Service. This policy shall indemnify Contractor,
its officers, employees and agents while acting within the scope of their duties, against
any and all claims arising out of or in connection with the Project/Service, 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) per occurrence. If
coverage is provided under a form which includes a designated general aggregate limit,
2 1-10064/263 170 3
the aggregate limit must be no less than One Million Dollars ($1.000,000) 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
(S1,00Q000) for this Project/Service. This policy shall name City, its officers, elected or
appointed officials, employees, agents, and volunteers as Additional Insureds, and shall
specifically provide that any other insurance coverage which may be applicable to the
Project/Service shall be deemed excess coverage and that Contractor's insurance shall be
primary.
Under no circumstances shall said above-mentioned insurance contain a self'
insured retention, or a "deductible" or any other similar form of limitation on the required
coverage.
10. Certificate of Insurance
Prior to commencing performance of the work hereunder, Contractor shall furnish
to City a certificate of insurance subject to approval of the City Attorney evidencing the
foregoing insurance coverage as required by this Agreement; the certificate shall:
a. provide the name and policy number of each carrier and policy;
b. state that the police' is currently in force; and
c. promise that such policy shall not he suspended, voided or canceled by
either party, reduced in coverage or in limits except after thirty (30) days'
prior written notice; however, ten (10) days' prior written notice in the
event of cancellation for nonpayment of premium.
Contractor shall maintain the foregoing insurance coverage in force until the work
under this Agreement is fully completed and accepted by City.
This requirement for carrying the foregoing insurance coverage shall not derogate
from Contractor's defense, hold harmless and indemnification obligations as set forth in
this Agreement. City or its representative shall at all times have the right to demand the
original or a copy of the policy of insurance. Contractor shall pay, in a prompt and
timely manner, the premiums on the insurance hereinabove required.
11. Independent Contractor
Contractor is, and shall be, acting at all times in the performance of this
Agreement as an independent contractor herein and not as an employee of City.
Contractor shall secure at its own cost and expense, and be responsible for any and all
payment of all taxes, social security, state disability insurance compensation,
unemployment compensation and other payroll deductions for Contractor and its officers,
agents and employees and all business licenses, if any, in connection with the Project
and/or the services to be performed hereunder.
21-10064/263170 4
12. Conflict of Interest
Contractor covenants that it presently has no interests and shall not have interests,
direct or indirect, which would conflict in any manner with performance of'services
specified under this Agreement.
13. Termination
This Agreement may be terminated by the City upon thirty (30) days written
notice of termination. In such event. Contractor shall be entitled to receive and the City
shall pay Contractor compensation for all services performed by Contractor prior to
receipt of such notice of termination, subject to the following conditions:
a. As a condition of such payment, the Director may require Contractor to
deliver to the City all work product completed as of such date, and in such case such
work product shall be the property of the City unless prohibited by law. and Contractor
consents the City's use thereof for such purposes as the City deems appropriate.
b. Pavment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
14. Exclusivity anti Amendment
This Agreement represents the complete and exclusive statement between the City
and Contractor, and supersedes any and all other agreements, oral or written, between the
parties. In the event of a conflict between the terms of this Agreement and any
attachments hereto, the terms of this Agreement shall prevail. This Agreement may not
be modified except by written instrument signed by the City and by an authorized
representative of Contractor. The parties agree that any terms or conditions of any
purchase order or other instrument that are inconsistent with. or in addition to, the terms
and conditions hereof. shall not bind or obligate Contractor or the City. Each party to this
Agreement acknowledges that no representations, inducements, promises or agreements.
orally or otherwise, have been made by any party, or anyone acting on behalf of any
party, which are not embodied herein.
15. Assignment
Inasmuch as to this Agreement is intended to secure the specialized services of
Contractor. Contractor may not assign, transfer, delegate, or subcontract any interest
herein without the prior written consent of the City and any such assignment. transfer.
delegation or subcontract without the City's prior written consent shall be considered null
and void. Nothing in this Agreement shall be construed to limit the City's ability to have
any of the services which are the subject to this Agreement performed by City personnel
or by other Contractors retained by Cite.
21-10064/263170 5
16. Cite Employees and Officials
Contractor 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.
17. Notices
Any notices, certificates, or other communications hereunder shall be given either
by personal delivery to Contractor's agent (as designated in Section I hereinabove) or to
City as the situation shall warrant, or by enclosing the same in a sealed cnvelope, postage
prepaid, and depositing the same in the United States Postal Service, to the addresses
below. City and Contractor may designate different addresses to which subsequent
notices, certificates or other communications will be sent by notifying the other party via
personal delivery, a reputable overnight carrier or U.S. certified U.S. certified mail-return
receipt requested:
To Citv: Contractor:
City of Huntington Beach Perry's Truck and Equipment Repair
Attn: Fire Chief Attn: Edward Peery
2000 Main Street P.O. Box 400466
Huntington Beach, CA 92648 Hesperia, CA 92340
18. Consent
When City's consent/approval is required under this Agreement, its
consent/approval for one transaction or event shall not be deemed to be a consent/approval
to any subsequent occurrence of the same or any other transactions or event.
19. Modification
No waiver or modification of any language in this Agreement shall be valid unless
n writing and duly executed by both parties.
20. Section headings
The titles, captions, section, paragraph and subject headings, and descriptive
phrases at the beginning of the various sections in this .Agreement are merely descriptive
and are included solely for convenience of reference only and are not representative of
matters included or excluded from such provisions, and do not interpret, define, limit or
describe, or construe the intent of the parties or affect the construction or interpretation of
any provision of this Agreement.
21-100641263170 6
21. 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.
22. 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.
23. Immigration
Contractor 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.
24. Legal Services Subcontracting Prohibited
Contractor 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. Contractor understands that pursuant to Huntington
Beach Cio, 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
Contractor.
25. Confidentialitv
Contractor recognizes that in the performance of its duties under this Agreement, it
must conduct its activities in a manner designed to protect information of a sensitive
nature from improper use or disclosure. Contractor warrants that it will use reasonable
21-10064/263170 7
efforts consistent with practices customary in the facilities management industry in
recruiting, training and supervising employees and in otherwise performing its duties
hereunder in order to achieve this result. In the furtherance of this, Contractor agrees, at
the request of the City. to require its employees to execute written undertakings to comply
with the foregoing confidentiality provision.
26. Discrimination
Contractor shall not discriminate because of race. color, creed, religion, sex.
marital status, sexual orientation, age, national origin, ancestry, or disability, as defined
and prohibited by applicable law, in the recruitment, selection, training, utilization,
promotion, termination or other employment related activities. Contractor affirms that it
is an equal opportunity employer and shall comply with all applicable federal, state and
local laws and regulations.
27. Jurisdiction — Venue
This Agreement and all questions relating to its validity, interpretation,
performance, and enforcement shall be government and construed in accordance with the
laws of the State of California. This Agreement has been executed and delivered in the
State of California and the validity, interpretation, performance, and enforcement ol'any of
the clauses of this Agreement shall be determined and governed by the laws of the State of'
California. Both parties further agree that Orange County, California, shall be the venue
for any action or proceeding that may be brought or arise out of, in connection with or by
reason of this Agreement.
28. Professional Licenses
Contractor shall, through the term of this Agreement. maintain all necessary
licenses, permits, approvals, waivers. and exemptions necessary for the provision of the
services hereunder and required by the laws and regulations of the United States, the State
of California, the City of Fluntington Beach and all other governmental agencies.
Contractor shall notify the City immediately and in writing of her inability to obtain or
maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall
be cause for termination of this Agreement.
29. Attornev's Fees
In the event suit is brought by either party to construe, interpret and/or enforce the
terms and/or provisions of this Agreement or to secure the performance hereof, each party
shall bear its own attorney's fees, such that the prevailing party shall not be entitled to
recover its attorneys fees from the non-prevailing party.
21-10064/263 no 8
30. Sunival
Terms and conditions of this Agreement, which by their sense and contest survive
the expiration or termination of this Agreement, shall so survive.
31. Cuverninp Law
This Agreement shall be governed and construed in accordance with the laws of
the State of California.
32. Signatories
Each undersigned represents and warrants that its signature hereinbelow has the
power, authority and right to bind their respective parties to each of the terms of this
Agreement, and shall indemnity City filly for any injuries or damages to City in the event
that such authority or power is not, in fact, held by the signatory or is withdrawn.
33. Entirety
(a) The parties acknowledge and agree that they are entering into this
Agreement freely and voluntarily following extensive arm's length negotiation, and that
each has had the opportunity to consult with legal counsel prior to executing this
Agreement. The parties also acknowledge and agree that no representations, inducements,
promises, agreements or warranties, oral or otherwise, have been made by that party or
anyone acting on that party's behalf, which are not embodied in this Agreement, and that
that party has not executed this Agreement in reliance on any representation, inducement,
promise, agreement warranty, fact or circumstance not expressly set forth in this
Agreement.
(b) All Exhibits referenced herein and attached hereto shall be
incorporated as if fully set forth in the body of this Agreement.
2 1-10064/263 170 9
34. Effective Date
IN WITNESS WI IFREOF,the parties hereto have caused this Agreement to be
executed by and through their authorized officers. This Agreement shall be effective on
the date of its approval by the City Attorney. This Agreement shall expire when
tenninlated as provided herein.
CONSULTANT, CITY OF HUNTINGTON 11LACI1.
PEiRRY'S TRUCK R EQUIPMENT REPAIR a municipal corywralion of the State of
C 'forma
Ily:.0
l y Manager
P,, �<
ITS: h R vk<1INSKI M
INITIATED AND APPROVED:
AND
Piro Chief
Ily: )vss�i-uf
APPROVED AS TO FORM:
1 ;/ kfFYr eiM CMberMst
s""wY- I T J City Attorney jU
Date
RECEIVE AND FILE:
City Clerk —
Date
21-10064t263170 to
EXHIBIT "A"
A. STATEMENT OP WORK: (Narrative of work to be performed)
Vessel removal and disposal of liquids and hazardous waste in tanks
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:
1. Remove vessels and dispose of liquids and hazardous waste on an as-needed basis
C. CITY'S DUTIES AND RESPONSIBILITIES:
I.
D. WORK PROGRA;\1/13RO.IEC'I' SCHEDULE:
2 M 006-263I S5
Exhibit B
Perry's Truck and Equipment Repair LLC
MUMS ffop yessm Remawa�
Liability Insured
Personal watercraft up to 8' @ $50.00/Ft
Vessels 10'-25' @ $75.00/Ft
Vessels 26'-34 ' @ $100.00/Ft
Vessels 35' plus @ $150.00/Ft
Vessels Wood @ $150.00/Ft
Vessels of Concrete @ $200.00/Ft
Vessels Steel @ $200.00/Ft
Vessels of excessive size, weight and/or height will be evaluated and may incur extra
charges
Vessels over 18,000lbs. will generate an extra charge per ft.
Vessels over 12' wide will generate an extra charge per ft.
Vessels over 14' in height will generate an extra charge per ft.
Sailboats in the water will be towed to the lift facility and lifted by the customer. Any vessel without a trailer
and/or dry docked will be lifted by the customer. Provisions can be made for Perry's Truck to arrange removal
payment at time of service and be added to the final invoice. Power boats in the water up to 32' can be towed to
a launch ramp by the customer without a lift fee. Customer is responsible for transporting vessel to ramp or lift
facility unless otherwise stipulated.
Bilges will be free of liquids and/or fluids prior to removal.
Perry's Truck will be responsible for any removal and disposal of liquids or hazardous waste in tanks.
Bids are provided on a best endeavor basis only and are contingent upon a visual assessment. Unless a fixed price quotation
has been provided, work will be charged based upon the pricing scale provided by The LLC and is subject to change. Labor
and/or fees may include time taken to research, source and purchase any materials or services provided. We reserve the
right to salvage, demo, scrap, restore or resell any vessel removed unless otherwise noted in the bid.
Payment is due within 15 days of vessel removal and/or last vessel removed.
AEA
CERTIFICATE OF LIABILITY INSURANCE GATE(Iu',ItODIYYYY)
09/1 BM21
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the tent Media holder Is an ADDITIONAL INSURED,the polley(les)must havo ADDITIONAL INSURED provisions or be endorsed.
If SUBROOATION IS WAIVED,subject to the terms and concillloms of the policy,certain policies may require on endorsement, A statement on
this certificate does not confer rights to the oertllfeate holder In ileu of such endorsement($)•
PRODUCER O Al Ham
At Han Agency P oN 60 24 -
Po Sox 1209 o_Ert1: l7 1 1 7375 p c Ne• (760)241-0478
DDR ess• alhom06®tntrnal.com
Vlctorvilfe,CA 92393 INSURERS AFFORDING COVERAGE NXC a _
Phone 060241-7375 Fox (760)241-0476 INSURER A: Scottsdale insurance Company
INSURED
INSURER B:
PerrJs Truck B Equipment Repalr,LLC R c.
P.O.Box 400466 INSURER 0:
HCS Cdd INSURER E
F CA 92340
SURE F: _
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCIMENT WITH RESPECT POLICY
WHICH THUS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY.THE POLICIES DESCRIBED HEREIN E T WITH R TO ALLESPECT
THE WHICH
TERMS,
EXCLUSIONS ANO.CONDITIONS OF SVCH POLICIES.LLURS SHOWN MAY ftAVEBEEN REDUCED BY PAID CLAMS.
WSR TYPE OF �m POLICY EFF POLICY EAP
1. OLtOY NUMBER _ (M1,11gJ1YrY1 (MrIIW LIMITS
W COV-NERCMLGENERA�:L1LIAOLIIY EACHOLCURNEWE 6 10000W.W
❑.CIAWM lJ
SAOE OCCUR OA REccMEDPREMISES iEa S 100,000,00
A ❑ --- Y Y CPS7292690 01/11/2021 01/11f2O22 MEG ExP IAry ooe parson S 5,000.00
PERSCRAL$AOV INJURY $ 1,000,000.00
GEFSL AGGREGATE LNIIT APPLIES PM , GENERAL AGGREGATE S 2,000,000.00
PCUCY ❑ JFRLo-T ❑ LOC PRODIXTS-COMPICPAOG S 1,000,000.00
❑OTHER S
AUfO WLSLIA8ILSTY COMBI O SINGLE UWT S
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❑ ANY AlfTO WMY NJURY For Forcer) S
SUMOS D
❑ ED ONLY ❑ NON CIANNED
eO01LY NJURY(Pc accMary S
❑ HIRED ❑ NQOSONLY Y AGE S
AlIr090NLY AUT060NLY
❑ s
❑ UMBRELLA LIAS QOCCUR Ae OVEO-AST EACH OG:IRRENCF S
6XCESSUAB CLAIMSVADE AGGREGATE S
El D Nr1ON By: S
YlORRERa CONDENSATION MICHA TE9--
Arm EMPLOYERS'LIABLRY YIN CITY ATTORIN EY P AME ❑EH _
ANY PROPRIETORMARTNIFIVEMCus�v� CITY OF HUNTINGT N BEACH EL EACH ACCAENT s
OFFOMME,Y•BER EXCLUDED? I INIA -_
(Mandatory In NH) ELOI6EASE-EA EMPLOYE S
Oyes,RIFTIOM OF O
DESCRIPi10N OF OPERATICN9 oelav E,L DISEASE-POLICY L1MR S
DESCRIPTION OF OPERATIONS I LOOATMNS I VEHICLES temich ACORO 101.Additional Remark.Scneaus.It more.Pau I.mq.v.dl
Certificate Holder Is Named Be Additional Insured/Included Is City of Hundng'.w Beach,Its OfBcers,Elecied or Appointed OlFlcals,Employees,&Agents
(30)Days Prior Notice of Cancellation I(10)Days Notice for Non Payment
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED SSFORE
City of Huntington Beach THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
2000 Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Huntington Beach,CA.92640 AUTNORIZEDR ENT E
®1BBB-2015 ACORD CORPORATION. All rights reserved.
ACORD 26(2018103)OF The ACORD name and logo are registered marks of ACORO
L'OAfAf£RC.7AC
09116/2021
Polley Number: 007296122
Undarwrittan by: 38-UrJlod Financial Casualty Ca. Ed
Certificate of Insurance
Certificate Holder Insured Agent
City Of HuntlVon Beach,Its Officers,Elected or PERRY'S TRUCK AND KEY CITY INS AGENCY
Appointed Officials,Employees,Agents,and EQUIPMENT REPAIR I.l- PO BOX 1628
Volunteers PO BOX 400466 VICTORVILLE CAS2393
2000 Main St HESPERIA CA 92340
Humhgton Beach,CA 92646
This document certifies that insurance policies Identified below have been Issued bythe designated insurer to the Insured named above for the
period(s)Indicated.This certificate Is bsued for Information purposes only.h confers no rights upon the certificate holder and does not change,
alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject
to all the terms,exclusions,limitations,endorsements,and conditions of these policies.
Policy Effective Date: Policy Expiration Date:
05/2012021 0512012022
Insurance Coverege(s) Umhs
BI-PD 1.000.000 CSL
UM-UPA 700,000 CSL
COMPREHENSIVE 600 DED
COLLISION 500 WAIVER-500 DED W1 WAIVER
Description of Location/Vehicles/Special Items
Scheduled autos only
1992 INTL 1HTSONSN3NH403848 BFPO 1,000,000 CSL
1998 FORD E3601FOWE37F6WH810094 UM-UIM 760,000CSL
2004 FORD F260 1 FTNF20P74ED84901
2020 FORD F650 1FTNF20P74ED64001 BI-PD 1,000,000 GSL
UM-UIM 750,D00 CSL
COMP 500 DED
COLL 500 WAIVER-600 DED WI WAIVER
CertMicate Number
26921YCZ122
Please be advised we will not notify cartlficate holders In the want of mid-term cancallatlon.
!r: t
f
Fam 5241110r92I
POLICY NUMBER: CPS7292590 COMMERCIAL GENERAL LIABILITY
CG 20 26 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)Or Organization(s):
CITY OF HUNTINGTON BEACH, ITS OFFICERS, ELECTED OP. APPOINTED OFFICIALS, EMPLOYEES
AND AGENTS 2000 MAIN ST HUNTINGTON BEACH CA 92648-2702
Information required to complete this Schedule If not shown above,will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to . B. With respect to the Insurance afforded to these
Include as an additional insured the person(s) or additional Insureds, the following Is added to
organization(s) shown in the Schedule, but only Section III-Limits Of Insurance:
with respect to liability for "bodlly injury", "property If coverage provided to the additional Insured is
damage" or "personal and advertising Injury" required by a contract or agreement, the most we
caused, in whole or in part, by your acts or will pay on behalf of the additional Insured Is the
omissions or the acts or omissions of those acting amount of insurance:
on your behalf:
1. Required by the contract or agreement; or
1. ,In the performance of your ongoing operations;
or 2. Available under the applicable Limits of
2. In connection with your premises owned by or Insurance shown in the Declarations;
rented to you, whichever is less.
However: This endorsement shall not Increase the
applicable Llmfls of Insurance shown In the
1. The insurance afforded to such additional Deciaratlbns,
Insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional Insured Is
required by a contract or agreement, the
insurance afforded to such additional Insured
will not be broader than that which you are
required .by the contract or agreement to
provide for such additional Insured.
CG 20 26 0413 B Insurance Services Office, Inc., 2012 Page 1 of 1
Poicy Nu aber: CPS7292590 COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance (2) You have agreed in writing In a contract or
Condition and supersedes any provision to the agreement that this insurance would be
contrary: primary and would not seek contribution
Primary And Noncontributory Insurance from any other insurance available to the
This Insurance is primary to and will not seek additional insured.
c ontrlbution from any other insurance available .
to an additional Insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance, and
CG 20 01 0413 G Insurance Services Office, Inc., 2012 - Page 1 of 1
Su it
CITY OF HUNTINGTON BEACH
2000 Main Street, Huntington Beach, CA 92648
Huntin 'Beacho
Declaration of Non-Employer Status
The State of California requires every enterprise or business to provide workers
compensation insurance coverage. If you have no employees, you may make a
declaration to that effect by completing and signing this form and returning to:
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 926d8
I 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 provision of the laws requiring Workers'
Compensation Insurance.
Company Name: Perry's Truck and Equipment Repair LLC
Address: PO Box 400466, Hesperia, CA 92340
Applicant Edward Allen Perry
Applicant's Signature:
Title: Owner/CEO
Date Signed: 9/22/21
Telephone Number: 760-559-0526
' City of Huntington Beach
2000 Main Street ♦ Huntington Beach, CA 92648
(714) 536-5227 ♦ wti�,Nv.huntingtonbeachca.gov
Office of the City Clerk
Robin Estanislau, City Clerk
September 28, 2021
Perry's Truck and Equipment Repair
ATTN: Edward Perry
P.O. Box 400466
Hesperia, CA 92340
Dear Mr. Perry:
Enclosed is a copy of the fully executed "Service Agreement between the City of Huntington
Beach and Perry's Truck and Equipment Repair LLC for As-Needed Marine Vessel Salvage
and Associated Hazardous Waste Disposal Services."
Sincerely,
�&�an4Jit4d
Robin Estanislau, CMC
City Clerk
RE:ds
Enclosure
Sister Cities: Anjo, Japan • Waitakere, New Zealand