HomeMy WebLinkAboutVital Medical Services, Inc. - 2022-07-01 SERVICE AGREEMENT BETWEEN
THE CITY OF HUNTINGTON BEACH
AND
VITAL MEDICAL SERVICES,INC.
FOR
HEALTH AUTHORITY 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 called "City," and
Vital Medical Services, Inc.,hereinafter referred to as "Contractor."
Recitals
A. The City desires to retain a Contractor having special skill and knowledge in the field of
maintenance re health authority services.
B. Contractor represents that Contractor is able and willing to provide such services to the
City.
C. In 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 Huntington Beach
Municipal 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/Service."
Contractor hereby designates Robert Aragon 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
City shall assign a staff coordinator to work directly with Contractor in the performance of
this Agreement.
3. Compensation
a. City agrees to pay, and Contractor agrees to accept as total payment for its
services,the rates and charges identified in Exhibit"B." The total sum to be expended
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under this Agreement, shall not exceed Four Thousand Three Hundred Seventy-One
Dollars ($4,371.00) for the first year.
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. The amount due to Contractor for the services stated in this Agreement will be
increased at the beginning of each fiscal year to reflect cost-of-living adjustments,
beginning in the new fiscal year. Contractor may increase its rates at the start of each fiscal
year by a percentage equal to the higher 3%or the annual percentage change in the
Consumer Price Index(CPI)for the Los Angeles-Long Beach-Anaheim, CA area. If the
annual percentage change in the CPI is 3% or less,the rates shall increase by 3%.
d. Contractor shall be paid pursuant to the terms of Exhibit`B."
4. Term
Time is of the essence regarding the Project/Service and execution of this Agreement. The
services of Contractor are to commence _cJld /-"* ,.7ozz or as soon as practicable after the
execution of this Agreement by City (the "Co mencement Date") and terminate three (3) years
from the Commencement Date, unless terminated earlier in accordance with the provisions of this
Agreement. Contract may be extended for two (2) additional one year periods if mutually agreed to
in writing by both parties. All tasks specified in Exhibit "A" shall be completed at the frequency,
time and schedule indicated in Exhibit "A". The time for performance of the tasks identified in
Exhibit "A" are generally to be shown in Exhibit"A." This schedule and Term 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 if 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, data 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.
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7. 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 and 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 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.
8. Workers Compensation Insurance
Pursuant to California Labor Code Section 1861, Contractor acknowledges awareness of
Section 3700 et 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 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,the aggregate limit must
be no less than One Million Dollars ($1,000,000) 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.
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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. Automobile Liability Insurance
Contractor shall obtain and furnish to City an automotive liability insurance policy covering
the work performed by it hereunder. This policy shall provide coverage for Contractor's automotive
liability in an amount not less than One Million Dollars ($1,000,000.00) per occurrence and a
separate "Additional Insured Endorsement" page listing both the policy number and naming the
"City of Huntington Beach, its officers, elected and/or appointed officials, employees, agents and
volunteers" as additional insured on the endorsement. The above-mentioned insurance shall not
contain a self-insured retention, "deductible" or any other similar form of limitation on the required
coverage except with the express written consent of City.
11. 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 policy is currently in force; and
c. promise that such policy shall not be 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.
The 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.
12. 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.
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13. 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.
14. 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 to the City's use thereof for such
purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
15. Exclusivity and 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.
16. Assi2nment
Inasmuch as 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 City.
17. City 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
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interest in this Agreement in violation of the applicable provisions of the California Government
Code,
18. Notices
Any notices, certificates, or other communications hereunder shall be given either by
personal delivery to Contractor's agent (as designated in Section 1 hereinabove) or to City as the
situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and
depositing the same in the United States Postal Service,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 mail-return receipt requested:
To City, To Contractor:
City of Huntington Beach Vital Medical Services, LLC
Attn: Todd Florez Attn: Chief Operating Officer
Acting Detention Administrator 700 North Brand Blvd., Suite 220
2000 Main Street Glendale, CA 91203
Huntington Beach, CA 92648
19. 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.
20. Modification
No waiver or modification of any language in this Agreement shall be valid unless in writing
and duly executed by both parties.
21. 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.
22, 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.
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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.
23. 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.
24. 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.
25. 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 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 Contractor.
26. Confidentiality
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 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.
27. 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.
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28. Jurisdiction -Venue
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed 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 of 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.
29. Professional Licenses
Contractor shall, throughout 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
Huntington Beach and all other governmental agencies. Contractor shall notify the City
immediately and in writing of their inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
30. Attonney'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 attorney's fees
from the nonprevailing party.
31. Survival
Terms and conditions of this Agreement,which by their sense and context survive the
expiration or termination of this Agreement, shall so survive.
32, Governing Law
This Agreement shall be governed and construed in accordance with the laws of the State of
California.
33. 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
indemnify City fully 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.
34. 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,
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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.
35. Effective Date
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by
and through their authorized officers.
CONTRACTOR: CITY OF HUNTINGTON BEACH, a
VITAL MEDICAL SERVICES, LLC municipal corporation of the State of
California
INITIATED AND RO D:
By:
print name
ITS: (circle one)Chairman/President/Vice President ief of Police
AND
APPROVED AS FORM:
By:
ity Attorney
print name
ITS: (circle one) SecretaryNice-President/Chief
Financial Officer/Asst. Secretary-Treasurer
REVIEWED AND APPROVED:
City Manager
RECEIVED:
4�
City Clerk
COUNTERPART
20-9237/260270
oral or otherwise, have been made by that party or anyone acting on that parry'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.
35. Effective Date
IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by
and through their authorized officers.
CONTRACTOR: CITY OF HUNTINGTON BEACH,a
VITAL MEDICAL SERVICES, LLC municipal corporation of the State of
California
INITIATED AND APPROVED:
By:
print name
V&-�
ITS: (circle one)Chairma resider ice President Chief of Police
AND
0* APPROVED AS TO FORM:
By:
A U4L 61. 4#ity Attomey
print name
ITS:(ch-cle one)Secretary/Vice-President/Chief
Financial Officer/Asst.Secretary-Treasurer
CIS i g O'paeck-`+^OJ
REVIEWED AND APPROVED:
City Manager
RECEIVED:
City Clerk
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COUNTERPART
EXHIBIT"A"
A. STATEMENT OF WORK:(Narrative of work to be performed)
Perform Health Authority review and compliance requirements outlined in the Minimum Standards for
Local Detention Facilities Title 15-Crime Prevention and Corrections Division 1,Chapter 1,Subchapter
4.
B. CONSULTANT'S DUTIES AND RESPONSIBILITIES:
I. Conduct an annual health service audit
2. Review Nurse Detention Officers(LVN)Qualifications
3. Review medical/mental health records storage procedures
4. Review health care procedures contained in the jail manual
5. Review of Management of Communicable Diseases policy
6. Assess treatment procedures
7. Review Mental Health Services and Transfer to Treatment Facility procedures
8. Review sick call procedures
9. Review Informed Consent procedures
10. Assess pharmaceutical management
11. Assess and develop written plan for the Suicide Prevention Program
12. Inspect first aid kit(s)content and procedures for periodic inspection of kits
13. Review Facility Sanitation,Safety and Maintenance procedures
14. Evaluate protocols for intravenous blood withdrawal
15. Evaluate procedures for care of inmates confined in sobering cells,safety cell or in
restraints
16. Review food preparation,menu,and sanitation plans
Deliverables:
l. Annual report of findings with recommendations for improvement or discrepancies
2. Letter confirming compliance with Federal/State medical and health regulation
compliance,dates of review/audit of policies and physical walk-through of facility
3. Testify in court as medical expert representing the City and Policy Department in
litigation regarding health/medical policies and procedures.
C. CITY'S DUTIES AND RESPONSIBILITIES:
Allow access to policies and procedures,manuals,and plans specified in Section B of this exhibit.
D. WORK PROGRAM/PROJECT SCHEDULE:
To be determined at a later date.
EXHIBIT"B"
Payment Schedule(Hourly Payment)
A. CONSULTANT shall be entitled to a full payment towards the fixed fee set forth in accordance
with the following fee schedule:
Hourly Rate
All services performed shall be based upon a fee,including all costs and expenses,not to exceed Four
Hundred Twenty-Five and 00/100 Dollars($425.00)per hour.
Additional Expenses
Additional Expenses may include the following:Annual Title 15 Review of Medical Policies,manual and
related documents and inspection of the jails,first aid kits,medication storage,general inmate record
keeping and Four Thousand Three Hundred Seventy-One and 00/100 Dollars($4,371.00)for the first
year.
B. Travel.Charges for time during travel are not reimbursable
C. Billing.
1. All billing shall be done monthly in fifteen(15)minute increments and matched to an
appropriate breakdown of the time that was taken to perform that work and who
performed it.
2. Each month's bill should include a total to date.That total should provide,at a glance,the
total fees and costs incurred to date for the project.
3. A copy of memoranda,letters,reports,calculations and other documentation prepared by
CONSULTANT may be required to be submitted to CITY to demonstrate progress toward
completion of tasks.In the event CITY rejects or has comments on any such product,
CITY shall identify specific requirements for satisfactory completion.
4. CONSULTANT shall submit to CITY an invoice for each monthly payment due.Such
invoice shall:
A) Reference this Agreement;
B) Describe the services performed;
C) Show the total amount of the payment due;
D) Include a certification by a principal member of CONSULTANT's firm that the
work has been performed in accordance with the provisions of this Agreement;
and
E) For all payments include an estimate of the percentage of work completed.
Upon submission of any such invoice,if CITY is satisfied that CONSULTANT is making
satisfactory progress toward completion of tasks in accordance with this Agreement,CITY
shall approve the invoice,in which event payment shall be made within thirty(30)days of
receipt of the invoice by CITY. Such approval shall not be unreasonably withhold. If
CITY does not approve an invoice,CITY shall notify CONSULTANT in writing of the
reasons for non-approval and the schedule of performance set forth in Exhibit"A"may at
the option of CITY be suspended until the parties agree that past performance by
CONSULTANT is in,or has been brought into compliance,or until this Agreement has
expired or is terminated as provided herein.
5. Any billings for extra work or additional services authorized in advance and in writing by
CITY shall be invoiced separately to CITY. Such invoice shall contain all the information
required above,and in addition shall list the hours expended and hourly rate charged for
such time. Such invoices shall be approved by CITY if the work performed is in
accordance with the extra work or additional services requested,and if CITY is satisfied
that the statement of hours worked and costs incurred is accurate.Such approval shall not
be unreasonably withheld.Any dispute between the parties concerning payment of such an
invoice shall be treated as separate and apart from the ongoing performance of the
remainder of this Agreement.
A C E0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIPDJYYYY)
10/28/2022 6/22/2022
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 certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
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 endorsements,
ACT
PRODUCER Lockton Insurance Brokers,LLC NAME:
777 S,Figueroa Street,52nd Fl, PHONExti; ac Ho
CA License IIOF 15767 EMAIL
Los Angeles CA 90017 ADDRESS:
(213)689-0065 INSURERS)AFFORDING COVERAGE NAIC M
INSURER A:Endurance American Specialty Insurance Co. 41718
INSURED Vital Medical Services,LLC INSURERS:State Compensation Ins Fund of California 35076
1407912 701 North Brand Blvd.,Ste 850 INSURER C:
Glendale CA 91203 INSURER D
INSURER E:
INSURER F; L=
COVERAGES VITMEOI CERTIFICATE NUMBER: 18008877 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR TYPE OF INSURANCE L SUER POLICY NUMBER MMIDDY EFF MMfDDtYYri LIMITS —
A X COMMERCIAL GENERAL LIABILITY Y Y HLA10015296800 2/15/2022 2/15/2023 EACH OCCURRENCE $ 21000,000
DAGIfT6-RENTEU
CLAIMS-MADE O OCCUR PRE MI S Ea OCCU0811081 S 50,000
MED EXP(Any Oneperson) s 5,000
PERSONAL&ADV INJURY $ 2,000,000
GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
X POLICY❑jECT LOC PRO'-�UCTDS-COMP/OP AGG S 4 000 000
OTHER: _..-� $
Ma cciden
AUTOMOBILE LIABILITY NO'f APPLICA[3L8 COMBINED SINGLE LIMIT $ XXXXXXX
tl—_�—__
ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX
AUTOS ONLY AUTOS AP ROVE AS TO FO M -PROPERTY DAMAGE
HIRED NON-OWNED
$ XXXXXXX
AUTOS ONLY AUTOS ONLY ', _lPer ec�i�1
-,,,-=�..,. $ XXXXXXX
UMBRELLA LIAR NOT APPLICABL EACH OCCURRENCE _S XXXXXXX
occuR CH9 . E. GATrC
EXCESS LIAR CLAIMS-MADE C ATTORNEY AGGREGATE S XXXXXXX
DED RETENTION$ CITY OF HU TINGTON B%ACH 8 XXXXXXX
WORKERS COMPENSATION Y X STATUTE ER
AND B AND EMPLOYERS'LIABILITY YIN 91 16288-2021 10/28/2021 10/28/2022
ANY PROPRIETORIPARTNER/EXECUTIVE N(A E,L.EACH ACCIDENT $ 1,000A0
OFFICER/MEMBER EXCLUDED? � E.L.DISEASE-EA EMPLOYE $ 1,000,000
(Mandatory In NH)
If yes,describe under E.L DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
A Prof.Liab. N N HLA10015296800 2/15/2022 2/1512023 $2,000,000 Per Claim
Claims Made-Retro Date $4,000,000 Aggregate
12/31/2015
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe allached If more space Is required)
THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THS POLICY TERMS)REFERENCED,
The City of Huntington Beach,its officers,elected or appointed officials,employees,agents and volunteets are included as an Additional Insured to the extent provided by the
policy language or endorsement issued or approved by lire insurance carrier.NVaiver of Subrogation applies per attached endotsenrent(s)or policy language.Insurance provided
to Additional Insured(s)is primary and lion-contributory as per the attached endorsement or policy language.
CERTIFICATE HOLDER CANCELLATION See Attachments
18008877
of Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City
City Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2000 ACCORDANCE WITH THE POLICY PROVISIONS.
1Iuntington Beach CA 92648
AUTHORIZED REPRESEMTA
O 1688-20inCORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Attachment Code:D610696 Certificate ID: 18008877
ENDORSEMENT
Named Insured: Vital Medical Services, LLC Policy Number: HLA10015296800
Endorsement Endorsement
Effective Date: 2/15/2022 Number: 18
12:01 AMStandard Time at the address of the Named
Insured as shown In the Declarations.
AMENDMENT-ADDITIONAL INSURED DESIGNATED PERSON OR
ORGANIZATION-GENERAL LIABILITY
It is hereby understood and agreed that Endorsement No. 8 is deleted in its entirety and replaced
with:
Section II. DEFINITIONS,L.Insured in the General Terms and Conditions of the Policy is amended to
include as an additional Insured the person(s)or organization(s)shown in the Schedule,but only with
respect to liability for Bodily Injury, Property Damage or Personal or Advertising Injury caused, in
whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
Name of Additional Insured Person(s)or Organization(s)
Oceanview Capital Partners,Inc.
700 North Brand Blvd.#220 Glendale,CA 91203
S3 Capital,Inc.
City of Los Angeles and its Agencies,Boards and Depts.
200 North Main Street,City Hall East—Riu 1240,Los Angeles,CA 90012
County of Los Angeles
1100 North Eastern Avenue RM#G 115,Los Angeles,CA 90063
City of Manhattan Beach,and its officers,employees,elected officials,volunteers,and
members of boards and Commissions
City of Santa Monica,Its Officials,Employees and Volunteers
333 Olympic Blvd, Santa Monica,CA 90401
City of El Monte,its elected and appointed officials,officers,employees,agents and
volunteers
City of Pasadena,207 N Garfield Avenue,Pasadena,CA 91101
City of Bell Gardens Police Department
7100 Garfield Ave.,Bell Gardens,CA 90201
City of Monrovia Police Department
140 E. Lime Ave.,Monrovia,CA 91016
City of Vernon Police Department
4305 S. Santa Pe Ave.,Vernon,CA 9005
Beverly Hills Police Department
455 N Rexford Drive,Beverly Hills,CA 9021
Endurance American Specialty Insurance Company Page 1 of 2 Endorsement Form:HCP 0334 0316
Attachment Code: D610696 Certificate ID: 18008877
ENDORSEMENT
City of Huntington Beach, its officers,elected or appointed officals,employees,agents and volunteers
2000 Main Street,Huntington Beach,CA 92648
�,.s l=`' ��y__Nl�ll`-C.^rsiJ,;r-�t,'v�r+ \,,F/ti�JY S:�sd�:•'.>::>
Authorized Representative
This endorsement does not change any other provision of the Policy.The title and any headings in
this endorsement are solely for convenience and do not affect its meaning.
Endurance American Specialty Insurance Company Page 2 of 2 Endorsement Form:HCP 0334 0316
Attachment Code:D610222 Certificate ID: 14750012
ENDORSEMENT
Named Insured : Vital Medical Services, LLC Policy Number: HLA1001S296800
Endorsement Endorsement
Effective Date: February 15,2022 Number: 17
12:01 AM Standard Time at the address of the Named
Insured as shown in the Declarations.
PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT
It is agreed that:
Section IV.CONDITIONS, I.Other Insurance/Other Indemnification is amended to include the
following:
Notwithstanding anything in this Policy to the contrary,when required by written contract or
agreement,the insurance provided by this Policy is primary insurance and the Insurer will not seek
contribution from any other insurance available to the person or organization covered as an additional
Insured hereunder.
�I
Authorized Representative
This endorsement does not change any other provision of the Policy. The title and any headings in
this endorsement are solely for convenience and do not affect its meaning.
Endurance American Specialty Insurance Company Page 1 of 1 Endorsement Form:HCP 0329 0216
Attachtnent Code:D607947 Certificate ID: 14750012
ENDORSEMENT
Named Insured: Vital Medical Services,LLC Policy Number: HLA10015296800
Endorsement Endorsement
Effective Date: February 15,2022 Number: 7
12:01 AM Standard Time at the address of the Named
Insured as shown in the Declarations.
ADDITIONAL INSURED—AUTOMATIC STATUS WHEN REQUIRED IN
AGREEMENT WITH YOU—GENERAL LIABILITY ENDORSEMENT
It is agreed that:
Section II. DEFINITIONS, L. insured in the General Terms and Conditions of the Policy is amended to
include as an additional Insured any person or organization when such person or organization and you
have agreed in writing in a contract or agreement that such person or organization be added as an
additional Insured on your Policy. Such person or organization is an additional Insured only with
respect to liability for Bodily Injury, Property Damage or Personal or Advertising Injury caused, in
whole or in part,by your acts or omissions or the acts or omissions of those acting on your behalf:
1. in the performance of your ongoing operations;or
2. in connection with your premises owned by or rented to you.
Authorized Representative
This endorsement does not change any other provision of the Policy.The title and any headings in
this endorsement are solely for convenience and do not affect its meaning.
Policy Form:HCP 0206
Endurance American Specialty Insurance Company Page 1 of 1 Endorsement Form:HCP 0336 1116
[tcsoiution No.2009-63
S ity
CITY OF HUNTINGTON BEACH
Hun• 2000 Main Street
_ Huntington Beach, CA 92648
DECLARATION OF PERMITTEE
I certify that no vehicle(.) wit] be used or operated in the performance of the
task(s)or event(s) for which this permit is granted.
X 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 Pet mittee_ 0
* --7/Z--
Print dame_ A-U& 6-1.
Company name(if applicable) 1 _lU f t't'c ►'V t'ram,.L.L G
Date signed {'Zing t 2 z
W07 EXHIBIT I
Attachment Code: D607946 Certificate ID: 14750012
ENDORSEMENT
Named Insured : Vital Medical Services, LLC Policy Number: HLA10015296800
Endorsement Endorsement
Effective Date: February 15,2022 Number: 9
12:01 AM Standard Time at the address of the Named
Insured as shown in the Declarations.
WAIVER OF SUBROGATION
It is agreed that:
Solely with respects to the person(s)or organization(s)shown in the Schedule below, Section IV.
CONDITIONS, H. Subrogation is amended to include the following language:
However, with respects to the person(s)or organization(s)shown in the Schedule below, provided the
Insured has waived the right of recovery in a written contract established prior to a loss,the Insurer agrees
to waive any right of recovery the Insurer may have against such person(s)or organization(s) because of
payments the Insurer makes for any Claims covered by this Policy.This waiver shall not apply to any
written or oral agreement between the Insured and the person(s)or organization(s)shown in the Schedule
below that is established after a loss.
SCHEDULE
Where required by Contract
Y e
Authorized Representative
This endorsement does not change any other provision of the Policy.The title and any headings in
this endorsement are solely for convenience and do not affect its meaning.
Endurance American Specialty Insurance Company Page 1 of 1 Endorsement Form:HCP 0332 0216