Contract - Avalanche 3D Entertainment - 2014-12-23AGREEMENT FOR CONSULTANT SERVICES
This Agreement ( "AGREEMENT') is made and effective as of December 23't
2014, between the Costa Mesa Sanitary District, a sanitary district ( "DISTRICT "), and
Avalanche 3D Entertainment ( "CONSULTANT'). In consideration of the mutual
covenants and conditions set forth herein, the parties agree as follows:
Recitals
WHEREAS, the DISTRICT has determined that it is in the best interest of the
DISTRICT to contract for the production of an Organics Recycling Program Video; and
WHEREAS, the DISTRICT desires to utilize the services of CONSULTANT to
perform the work, and
WHEREAS, the DISTRICT has determined that the CONSULTANT possesses
the professional skills and ability to provide said services for the DISTRICT;
NOW, THEREFORE, the parties hereto agree as follows:
TERM
This AGREEMENT shall commence on December 11, 2014, and shall remain
and continue in effect until tasks described herein are completed as stated in the
proposal dated December 10, 2014, unless sooner terminated pursuant to the
provisions of this AGREEMENT.
2. SERVICES
CONSULTANT shall perform the tasks described and set forth in Exhibit A,
attached hereto and incorporated herein as though set forth in full. CONSULTANT shall
complete the tasks according to the production elements which is also set forth in
"Exhibit A ".
3.
CONSULTANT shall, at all times, faithfully, competently, and to the best of
his /her /its ability, experience, and talent perform all tasks described herein.
CONSULTANT shall employ, at a minimum, generally accepted standards and
practices utilized by persons engaged in providing similar services as are required of
CONSULTANT hereunder in meeting its obligations under this AGREEMENT.
asA 12 07
4.
The General Manager shall represent DISTRICT in all matters pertaining to the
administration of this AGREEMENT, including review and approval of all products
submitted by CONSULTANT. Notwithstanding the foregoing, the General Managers
authority to enlarge the tasks to be performed or change CONSULTANT's
compensation is subject to Section 5 hereof.
5. PAYMENT
(a) DISTRICT agrees to pay CONSULTANT an amount not to exceed Seven
Thousand Eight Hundred Dollars ($7,800) for the total term of this AGREEMENT unless
additional payment is approved as provided in this AGREEMENT. Said sum includes
voice over, travel and other costs.
(b) CONSULTANT shall not be compensated for any services rendered in
connection with its performance of this AGREEMENT that are in addition to those set
forth herein, unless such additional services are requested in a written change order
and are approved in advance and in writing by DISTRICT. The written change order
requirement cannot be waived. The General Manager may approve change orders for
additional work not to exceed the cumulative value of ten percent (10 %) of the total
contract sum. Any additional work in excess of this cumulative amount shall be
approved by the Board of Directors.
(c) CONSULTANT will submit invoices upon task completion unless
otherwise agreed. Payment shall be made within thirty (30) days of receipt of each
invoice as to all non - disputed fees. If DISTRICT disputes any of CONSULTANT's fees,
DISTRICT shall give written notice to CONSULTANT within thirty (30) days of receipt of
an invoice of any disputed fees contained in the invoice.
6. SUSPENSION OR TERMINATION OF AGREEMENT WITHOUT CAUSE
(a) The DISTRICT may, at any time, for any reason, with or without cause,
suspend or terminate this AGREEMENT, or any portion hereof, by serving upon the
CONSULTANT written notice. Upon receipt of said notice, the CONSULTANT shall
immediately cease all work under this AGREEMENT, unless the notice provides
otherwise. If the DISTRICT suspends or terminates a portion of this AGREEMENT,
such suspension or termination shall not make void or invalidate the remainder of this
AGREEMENT.
(b) In the event this AGREEMENT is terminated pursuant to this Section, the
DISTRICT shall pay to CONSULTANT the actual value of the work performed up to the
time of termination, provided that the work performed is of value to the DISTRICT.
CONSULTANT shall immediately turn over all work - product to DISTRICT in a readily
PSA 12 07
usable form. Upon termination of the AGREEMENT pursuant to this Section, the
CONSULTANT will submit an invoice to the DISTRICT pursuant to Section 5.
DEFAULT OF CONSULTANT
(a) The CONSULTANT's failure to comply with the provisions of this
AGREEMENT shall constitute a default. In the event that CONSULTANT is in default
for cause under the terms of this AGREEMENT, DISTRICT shall have no obligation or
duty to continue compensating CONSULTANT for any work performed after the date of
default and can terminate this AGREEMENT immediately by written notice to the
CONSULTANT. If such failure by the CONSULTANT to make progress in the
performance of work hereunder arises out of causes beyond the CONSULTANT's
control, and without fault of negligence of the CONSULTANT, it shall not be considered
a default.
(b) As an alternative to the procedure for immediate termination for default set
forth in subparagraph (a), if the District Manager or his /her delegate determines that the
CONSULTANT is in default in the performance of any of the terms or conditions of this
AGREEMENT, he /she may in his /her discretion cause to be served upon the
CONSULTANT a written notice of the default and demand to cure. The CONSULTANT
shall have ten (10) days after service upon it of said notice to cure the default by
rendering a satisfactory performance. In the event that the CONSULTANT fails to cure
its default within such period of time, the DISTRICT shall have the right, notwithstanding
any other provision of this AGREEMENT, to terminate this AGREEMENT without further
notice and without prejudice to any other remedy to which it may be entitled at law, in
equity or under this AGREEMENT.
B. OWNERSHIP OF DOCUMENTS
(a) CONSULTANT shall maintain complete and accurate records with respect
to the professional services required by this AGREEMENT and will produce the work
product specified in Exhibit A and other such information required by DISTRICT that
relate to the performance of services under this AGREEMENT. CONSULTANT shall
maintain adequate records of services provided in sufficient detail to permit an
evaluation of services. All such records shall be maintained in accordance with
generally accepted accounting principles and shall be clearly identified and readily
accessible. CONSULTANT shall provide free access to the representatives of
DISTRICT or its designees at reasonable times to such books and records; shall give
DISTRICT the right to examine and audit said books and records; shall permit
DISTRICT to make transcripts therefrom as necessary; and shall allow inspection of all
work, data, documents, proceedings, and activities related to this AGREEMENT. Such
records, together with supporting documents, shall be maintained for a period of three
(3) years after receipt of final payment.
PSA 12 0]
(b) Upon completion, termination, or suspension of this AGREEMENT, all
work product reduced to any medium and other documents prepared in the course of
providing the services to be performed pursuant to this AGREEMENT shall become the
sole property of the DISTRICT and may be used, reused, or otherwise disposed of by
the DISTRICT without the permission of the CONSULTANT. With respect to computer
files, CONSULTANT shall make available to the DISTRICT, at the CONSULTANT's
office and upon reasonable written request by the DISTRICT, the necessary computer
software and hardware for purposes of accessing, compiling, transferring, and printing
computer files. Said software and hardware shall be made available to DISTRICT at
CONSULTANT's cost.
9. INDEMNIFICATION
(a) Indemnification for Professional Liabilitv. When the law establishes a
professional standard of care for CONSULTANT's services, to the fullest extent
permitted by law, CONSULTANT shall indemnify, protect, defend, and hold harmless
DISTRICT and any and all of its officials, employees, and agents from and against any
and all losses, liabilities, damages, costs, and expenses, including attorney's fees and
costs to the extent the same arise out of, pertain to, or relate to the negligence,
recklessness, or willful misconduct of CONSULTANT, its officers, agents, employees, or
subconsultants (or any entity or individual that CONSULTANT shall bear the legal
liability thereof) in the performance of professional services under this AGREEMENT.
(b) Indemnification for Other than Professional Liabilitv. Other than in the
performance of professional services and to the fullest extent permitted by law,
CONSULTANT shall indemnify, defend, and hold harmless DISTRICT and any and all
of its employees, officials, and agents from and against any liability (including liability for
claims, suits, actions, arbitration proceedings, administrative proceedings, regulatory
proceedings, losses, expenses, or costs of any kind, whether actual, alleged, or
threatened, including attorneys fees and costs, court costs, interest, defense costs, and
expert witness fees), where the same arise out of, pertain to, relate to, are a
consequence of, or are in any way attributable to, in whole or in part, the performance of
this AGREEMENT by CONSULTANT or by any individual or entity for which
CONSULTANT is legally liable, including, but not limited to, officers, agent, employees,
or subconsultants of CONSULTANT.
10. INSURANCE
CONSULTANT shall maintain prior to the beginning of and for the duration of this
AGREEMENT insurance coverage as specified in Exhibit B attached to and made part
of this AGREEMENT.
PSA 12 07
11. INDEPENDENT CONSULTANT
(a) CONSULTANT is and shall at all times remain as to the DISTRICT a
wholly independent consultant. The personnel performing the services under this
AGREEMENT on behalf of CONSULTANT shall at all times be under CONSULTANT's
exclusive direction and control. Neither DISTRICT nor any of its officers, employees, or
agents shall have control over the conduct of CONSULTANT or any of CONSULTANT's
officers, employees, or agents, except as set forth in this AGREEMENT.
CONSULTANT shall not at any time or in any manner represent that it or any of its
officers, employees, or agents are in any manner officers, employees, or agents of the
DISTRICT. CONSULTANT shall not incur or have the power to incur any debt,
obligation, or liability whatsoever against DISTRICT or bind DISTRICT in any manner.
(b) No employee benefits shall be available to CONSULTANT in connection
with the performance of this AGREEMENT. Except for the fees paid to CONSULTANT
as provided in the AGREEMENT, DISTRICT shall not pay salaries, wages, or other
compensation to CONSULTANT for performing services hereunder for DISTRICT.
DISTRICT shall not be liable for compensation or indemnification to CONSULTANT for
injury or sickness arising out of performing services hereunder.
12. LEGAL RESPONSIBILITIES
The CONSULTANT shall keep itself informed of State and Federal laws and
regulations which in any manner affect those employed by it or in any way affect the
performance of its service pursuant to this AGREEMENT. The CONSULTANT shall at
all times observe and comply with all such laws and regulations. The DISTRICT and its
officers and employees shall not be liable at law or in equity occasioned by failure of the
CONSULTANT to comply with this Section.
13. UNDUE INFLUENCE
CONSULTANT declares and warrants that no undue influence or pressure has
been used against or in concert with any officer or employee of the DISTRICT in
connection with the award, terms, or implementation of this AGREEMENT, including
any method of coercion, confidential financial arrangement, or financial inducement. No
officer or employee of the DISTRICT will receive compensation, directly or indirectly,
from CONSULTANT or from any officer, employee, or agent of CONSULTANT in
connection with the award of this AGREEMENT or any work to be conducted as a result
of this AGREEMENT. Violation of this Section shall be a material breach of this
AGREEMENT entitling the DISTRICT to any and all remedies at law or in equity.
PSA 12 07
14. NO BENEFIT TO ARISE TO LOCAL EMPLOYEES
No member, officer, or employee of DISTRICT, or their designees or agents, and
no public official who exercises authority over or has responsibilities with respect to the
project during his /her tenure or for one year thereafter shall have any interest, direct or
indirect, in any agreement or sub - agreement, or the proceeds thereof, for work to be
performed in connection with the project performed under this AGREEMENT.
15. RELEASE OF INFORMATION /CONFLICTS OF INTEREST
(a) All information gained by CONSULTANT in the performance of this
AGREEMENT shall be considered confidential and shall not be released by
CONSULTANT without DISTRICT's prior written authorization. CONSULTANT and its
officers, employees, agents, or subconsultants shall not, without written authorization
from the General Manager or unless requested by the District Counsel, voluntarily
provide declarations, letters of support, testimony at depositions, response to
interrogatories, or other information concerning the work performed under this
AGREEMENT or relating to any project or property located within the DISTRICT.
Response to a subpoena or court order shall not be considered "voluntary" provided
CONSULTANT gives DISTRICT notice of such court order or subpoena.
(b) CONSULTANT shall promptly notify DISTRICT should CONSULTANT or its
officers, employees, agents, or subconsultants be served with any summons, complaint,
subpoena, notice of deposition, request for documents, interrogatories, requests for
admissions, or other discovery request, court order, or subpoena from any person or
party regarding this AGREEMENT or the work performed thereunder or with respect to
any project or property located within the DISTRICT. DISTRICT retains the right, but
has no obligation, to represent CONSULTANT and /or be present at any deposition,
hearing, or similar proceeding. CONSULTANT agrees to cooperate fully with DISTRICT
and to provide the opportunity to review any response to discovery requests provided by
CONSULTANT. However, DISTRICT's right to review any such response does not
imply or mean that DISTRICT has a right to control, direct, or rewrite said response.
(c) CONSULTANT covenants that neither he /she /it nor any officer or principal
of their firm have any interest in, or shall acquire any interest, directly or indirectly, which
will conflict in any manner or degree with the performance of their services hereunder.
CONSULTANT further covenants that in the performance of this AGREEMENT, no
person having such interest shall be employed by it/them as an officer, employee,
agent, or subconsultant. CONSULTANT further covenants that CONSULTANT has not
contracted with nor is performing any services, directly or indirectly, with any
developer(s) and /or property owner(s) and /or firm(s) and /or partnership(s) owning
property in the DISTRICT or the study area and further covenants and agrees that
CONSULTANT and /or its subconsultants shall provide no service or enter into any
agreement or agreements with a /any developer(s) and /or property owner(s) and /or
PSA 12 07
firm(s) and /or partnership(s) owning property in the DISTRICT or the study area prior to
the completion of the work under this AGREEMENT.
16. NOTICES
Any notices'which either party may desire to give to the other party under this
AGREEMENT must be in writing and may be given by: (i) personal service, (ii) delivery
by a reputable document delivery service, such as, but not limited to, Federal Express,
which provides a receipt showing date and time of delivery, or (iii) mailing in the United
States Mail, certified mail, postage prepaid, return receipt requested, addressed to the
address of the party as set forth below or at any other address as that party may later
designate by notice:
To DISTRICT: Costa Mesa Sanitary District
628 West 19th Street
Costa Mesa, California 92627
Attn: District Clerk
To CONSULTANT: Avalanche 3D Entertainment
1900 East Warner Ave. Suite E
Santa Ana, CA 92705
Attn: Bruce Strain, Executive Producer
(949) 208 -7512
17. ASSIGNMENT
The CONSULTANT shall not assign the performance of this AGREEMENT, nor
any part thereof, nor any monies due hereunder, without prior written consent of the
DISTRICT.
18. LICENSES
At all times during the term of this AGREEMENT, CONSULTANT shall have in
full force and effect all licenses required of it by law for the performance of the services
described in this AGREEMENT.
19. GOVERNING LAW
DISTRICT and CONSULTANT understand and agree that the laws of the State
of California shall govern the rights, obligations, duties, and liabilities of the parties to
this AGREEMENT and also govern the interpretation of this AGREEMENT. Any
litigation concerning this AGREEMENT shall take place in the superior or federal district
court with jurisdiction over the DISTRICT.
PSA 12 07
20. ENTIRE AGREEMENT
This AGREEMENT contains the entire understanding between the parties
relating to the obligations of the parties described in this AGREEMENT. All prior or
contemporaneous agreements, understandings, representations, and statements, oral
or written, are merged into this AGREEMENT and shall be of no further force or effect.
Each party is entering into this AGREEMENT based solely upon the representations set
forth herein and upon each party's own independent investigation of any and all facts
such party deems material.
21. CONTENTS OF REQUEST FOR PROPOSAL AND PROPOSAL
CONSULTANT is bound by the contents of Exhibit A, hereto and incorporated
herein by this reference. In the event of conflict, the requirements of DISTRICT's
Request for Proposals and this AGREEMENT shall take precedence over those
contained in the CONSULTANT's proposals.
22. MODIFICATION
No modification to this AGREEMENT shall be effective unless it is in writing and
signed by authorized representatives of the parties hereto. This written modification
requirement cannot be waived.
23. AUTHORITY TO EXECUTE THIS AGREEMENT
The person or persons executing this AGREEMENT on behalf of CONSULTANT
warrant(s) and represent(s) that he /she /they has /have the authority to execute this
AGREEMENT on behalf of the CONSULTANT and has /have the authority to bind
CONSULTANT to the performance of its obligations hereunder.
24.
In the event of conflict or inconsistency between this AGREEMENT and any
other document, including any proposal or Exhibit hereto, this AGREEMENT shall
control unless a contrary intent is clearly stated.
25. BUSINESS LICENSE
CONSULTANT shall obtain a business license from the City of Costa Mesa
unless legally exempt.
PSA 12 07
IN WITNESS WHEREOF, the parties hereto have caused this AGREEMENT to
be executed this day and year first above written.
COSTA MESA SANITARY DISTRICT
General Manager
i� % F
APPROVED AS TO FORM:
Colin Burns, Associate District Counsel
PSA 12 07
AVALANCHE 3D ENTERTAI MENT
Consultant
O
S`Ig➢a; re
ruc-e r
Typed Name
Title
Exhibit A
--x"44
i
Production Proposal for CMSD Organics Recycling Program
Scoff Carroll SDA
Costa Mesa Sanitary District
628 W. 19s Street
Costa Mesa, CA 92626
December 10, 2014
Dear Scott,
Pursuant to our conversations, we are pleased to provide the following proposal regarding the CMSO Organics
Recycling Program video. We envision a video that will educate and instruct the residents of Costa Mesa on the why
and the how regarding the implementation of the Organics Recycling Program.
The final production will be delivered in both 2D and 3D formats in order to be showcased on a myriad of platforms.
The following information details the key content and essential elements needed for a successful production.
Production Elements
Based on the required elements we estimate a one to one and a half day shoot will be sufficient to capture the
required scenes as scdpled. Approximately 5 -6 professionals will be utilized on location.
Included Services
- Location preview
- Script review with creative input
- Camera equipment, lighting, sound recording, staging, and setup
- Professional voice over talent, stock music bed and graphics
- Insert of client provided photos and video
- Post shoot editing and delivery
Optional Services not included
- Travel beyond 50 miles of Avalanche 3D
- Additional filming locations
- Interviewees and talent extras
Production Timetable
Barring any unforeseen chcumstances the completed project time frame is 30 days from receipt of signed agreement
to delivery of a fully produced 5 -5:30 minute (as currently scripted) video presentation. After initial delivery, CMSD will
receive two edit sessions without additional charge.
Production Costs
Total costs $7,800.00 Net US.
Conclusion
Everyone at Avalanche 3D Entertainment is very excited by the opportunity of being involved with CMS D. We
appreciate your consideration of this proposal.
Sincerely,
Bruce Strain
Executive Producer
Avalanche 3D Entertainment
C R E A T I N G I M M E R S I V E V 1 S 0 A L E X P E R I E N C E S
1900 East Warner Ave. Suite E Phone: 949 - 208 -7512
Santa Ana, CA 92706 fax: 949- 468 -2122
Exhibit A
l+ rvf AIM
References
Labeltronix
Dan Blair, President (714) 925 -7009
Dblair@tabeItronix.com
City of Anaheim
Natalie Meeks, Director of Public Works (714) 765 -4530
nmeeks @anaheim.net
3QC Enlightened Buildings
James Becker, Managing Partner (916) 496 -8400
ii j cLbeckerd3acinc.comn .com
C R E A T I N G I M M E R S I V E V I S U A L E X P E R I E N C E S
1900 East Warner Ave. Suite E Phone: 949- 208 -7512
Santa Ana, CA 92706 Fax: 949 -468 -2122
Exhibit B
+�SPSANItggPO
o ee y
' O4POflAt��AS~ COSTA .MESA Sk ART DISTRICT
... an In4en&nt Specia[DUtrict
Memorandum
To:
Contractors
From:
Denise Martinez, Interim Administrative Service Manager
Date:
December 11, 2014
Subject:
District Insurance Requirements
Minimum Scope of Insurance
Coverage shall be at least as broad as the latest version of the following: (1) General
Liability: Insurance Services Office Commercial General Liability coverage (occurrence
form CG 0001): (2) Automobile Liability: Insurance Services Office Business Auto
Coverage form number CA 0001, code 1 (any auto); and (3) Workers' Compensation
and Employer's Liability: Workers' Compensation insurance as required by the State of
California and Employer's Liability Insurance.
Minimum Limits of Insurance
Contractor shall maintain limits no less than:
General Liabilitv
$1,000,000 per occurrence for bodily injury, personal injury and property damage. If
Commercial General Liability Insurance or other form with general aggregate limit is
used, either the general aggregate limit shall apply separately to this
Agreementllocation or the general aggregate limit shall be twice the required
occurrence limit.
Automobile Liabilitv
$1,000,000 per accident for bodily injury and property damage
Workers' Compensation and Employer's Liabilitv
Workers' Compensation limits as required by the Labor Code of the State of California
Employer's Liability limits of $1,000,000 per accident for bodily injury or disease.
Insurance Endorsements
Exhibit B
The insurance policies shall contain the following provisions, or Consultant shall provide
endorsements on forms supplied or approved by the Costa Mesa Sanitary District to
add the following provisions to the insurance policies:
(A) General Liabilitv. The general liability policy shall be endorsed to state that:
(1) the Costa Mesa Sanitary District, its directors, officials, officers, employees, agents
and volunteers shall be covered as additional Insured with respect to the Work or
operations performed by or on behalf of the Consultant, including materials, parts or
equipment furnished in connection with such work; and (2) the insurance coverage shall
be primary insurance as respects the Costa Mesa Sanitary District, its directors,
officials, officers, employees, agents and volunteers, or if excess, shall stand in an
unbroken chain of coverage excess of the Consultant's scheduled underlying coverage.
Any insurance or self- insurance maintained by the Costa Mesa Sanitary District, its
directors, officials, officers, employees, agents and volunteers shall be excess of the
Consultant's insurance and shall not be called upon to contribute with it in any way.
(B) Workers' Compensation and Employers Liability Coverage. The insurer
shall agree to waive all rights of subrogation against the Costa Mesa Sanitary District,
its directors, officials, officers, employees, agents and volunteers for losses paid under
the terms of the insurance policy which arise from work performed by the Consultant.
(C) All Coverage. Each insurance policy required by this Agreement shall be
endorsed to state that: (A) coverage shall not be suspended, voided, reduced or
canceled except after thirty (30) days prior written notice by certified mail, return receipt
requested, has been given to the Costa Mesa Sanitary District; and (B) any failure to
comply with reporting or other provisions of the policies, including breaches or
warranties, shall not affect coverage provided to the Costa Mesa Sanitary District, its
directors, official, officers, employees, agents and volunteers.
Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best's rating no less than A-
:VIII, licensed to do business in California, and satisfactory to the Costa Mesa Sanitary
District.
All insurance documents must be submitted and approved by the District's Risk
Manager prior to execution of any Agreement with the Costa Mesa Sanitary District.
Client#: 743360 AVAL3DENT
ACORD.. CERTIFICATE OF LIABILITY INSURANCE Ui2iis IDnIYY Y)
,2ns2n14
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(ies) must be endorsed. If SUBROGATION IS WANED, 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(el.
FRUOUCEfl
ME: Karen Dempsey
Hub International
F ,2Nxn am, 562 -674 -2527
: ac x,:562.392 -9018
HUB Int'I Insurance Services, Inc
E
ADDRESS, Karen.Dompsey@HublMernational.com
6 Centerpointe Drive, Suite 350
8/30/2014
08/30=15
La Palma, CA 90823
INSURE S AFFDROIN°CUVERAUE
me,
INSURERA: Atlami° Specialty Insurance Co
27154
$1000
INSURED
INSURER e: Golden Eagle Insurance Corporat
10836
Avalanche 3D tain ment,LLC
GENauLAGGREGATE
s2000000
1048 Irvine Ave Unit 43S
IxsuRER c:
PRODUCTS- COMPIOPAGG
$1,000,000
Newport Beach, CA 92660
INSURERD:
AUTOMOBILELUBOIY
ANY AUFO
ALL OWtEG SOIEGULFo
ALUgS AffqS
NONDNTE➢
HIREDAIROS X AUmS
INSURER E:
D711612014
INSURER F:
COMBIE N 'SING 11
BoosYWJURYIPer"
1,000,000
DUVERAGE5 CERTIFICATE NUMBER: REVISION NUMBER-
THIS IS D. LOTiI' THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE HERDED NAMED ABOVE FOR THE POLICY PERIOD
A OR
INDICATED. NOTWITHSTANDING BE ISSUED R M REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT .L WHEN THIS
CER71FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSLRANCE
SHOW AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S, SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN BY PAID CLAIMS.
IX9�R
TYPE OF INSURANCE
om
wVD
POLICY NUMBER
pRpEI�DUCED
MILD Ere
MWp
L1MRS
A
G°reRA,_MAEIUry
X COMMERCUe GENERPLLIAHILIry
LIAIMS -HOOF OOCCUR
GL0236103
8/30/2014
08/30=15
EACH OCCURRENCE
$1000000
pyEylSEyT RomiU.
$too 900
WE CUP Any weresor,
$1000
PERSONALEAOVINJURV
$1009000
GENauLAGGREGATE
s2000000
GEN'LAGGREGATELMITAPIESPER:
POLICY
% PRO Lac
PRODUCTS- COMPIOPAGG
$1,000,000
F
B
AUTOMOBILELUBOIY
ANY AUFO
ALL OWtEG SOIEGULFo
ALUgS AffqS
NONDNTE➢
HIREDAIROS X AUmS
BA3923891
D711612014
07/16201
COMBIE N 'SING 11
BoosYWJURYIPer"
1,000,000
X
i
BODILY MJURY p+ere¢beNl
E
X
PROPER O9MAGE
PNatleml
E
5
IIMBREW IIAB
EXCE95 LUB
OCCUR
CLAIMS IMOE
EACH OCCURRENCE
s
AGGREGATE
5
OEU RETEMIONE
$
A
W D,M,LLOMPENSAn
ANYM RHICT S'WBERY
OOFFILEWM MBEREXAC UDEDI O
(manna" In NN)
xy¢ ea.. nm nnn¢
DESCRIPTION 60FEPATIONS Eebw
NIA
4060358710003
8/30/2014
0813=111.1
wC nATU. OTH-
°
EL EACHACCIOENi
$1009,000
ELDISEASE- EAEMPLOVEE
$1000 ODD
EL DISEASE FOLICYLIMIT
51009000
DESCRI WON CF OPEM MS ILMAMNS I VEH6 LES (NIach ACORD IDt, Ae,ILlonal Rem.M. ShceeuN, Y mnrt epem M,vyuFeel
City of Costa Mesa Costa Mesa
Scott Carroll SDA
Costa Mesa Sanitary District
629 W. 19th St.
Costa Mesa, CA 92626
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
@) 1988-2010 ACORD
ACORD 25 (2010105) 1 off The ACORD name and logo are registered marks of ACORD
#S3231857/M3083256 KD43