Contract - Ardurra Group, Inc. - 2023-11-06DocuSign Envelope ID: AE7481 EE-E64A-43F3-AF8F-14530BBOC28C
AGREEMENT FOR CONSULTANT SERVICES
This Agreement is made and effective as of November 6, 2023, between the
Costa Mesa Sanitary District, a sanitary district ("District"), and Ardurra Group, Inc., a
corporation ("Consultant"). In consideration of the mutual covenants and conditions set
forth herein, the parties agree as follows:
Recitals
Whereas, District has a vacancy in the position of Engineering Technician and
needs to immediately have a person performing those functions until a recruitment can
occur; and
Whereas, Consultant is a firm that provides temporary engineering services and
is willing to provide a person to perform the functions of an engineering technician,
including, but not limited to, conducting permitting activities such as issuing permits,
sewer and building plan reviews, coordinating inspections and property owner activities,
and related engineering services until a recruitment can be completed; and
Whereas, the parties hereto do hereby agree to have Consultant provide those
services on a temporary basis as provided in this Agreement.
Now, therefore, the parties agree as follows:
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This Agreement shall commence on November 6, 2023, and continue in effect for
no more than a four (4) month term unless the tasks described herein are completed
sooner. If the tasks are completed sooner, this Agreement will be terminated pursuant
to the provisions of this Agreement.
The Consultant shall provide a minimum of 40 hours of temporary labor over a 2-week
period, not to exceed 8 hours per day without approval by the District Engineer. It is
estimated that the temporary services will be required for a 6-to-8-week period.
2. SERVICES
Consultant shall perform all of the tasks described in Exhibit A, attached hereto
and incorporated herein as though set forth in full and other related tasks as directed by
the District Engineer.
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3. PERFORMANCE
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.
4. DISTRICT MANAGEMENT
District's General Manager shall represent District in all matters pertaining to the
administration of this Agreement. The General Manager shall be authorized to act on
District's behalf and to execute all necessary documents which enlarge the Tasks to be
Performed or change Consultant's compensation, subject to Section 5 hereof.
(a) The District agrees to pay Consultant in accordance with the tasks as set
forth in Exhibit A, attached, on a monthly basis. This amount shall not exceed one -
hundred, thirty, and no/100 Dollars ($130) per hour for the total term of this Agreement
unless additional payment is approved as provided in this Agreement. Said sum
includes travel between the District Offices and the Ardurra Offices and/or the
temporary engineering technician's residence. Mileage between the District
headquarters and a permit or project site is not included in the hourly rate. Except for
mileage as outlined herein, all other costs associated with the temporary services are
included in the hourly rate.
(b) The District agrees to pay Consultant for overtime, weekend work, and/or
other extra ordinary services requested by the District. These extra services must be
approved, in advance, by the District Engineer.
(c) The District will pay Consultant's temporary engineering technician's
mileage per IRS published rates for travel between the District Headquarters Building
and the Permit or Project Site. Travel to a job site must be approved in advance by the
District Engineer.
(d) Consultant shall not be compensated for any services rendered in
connection with its performance of this Agreement which are in addition to those set
forth herein, unless such additional services are authorized in advance and in writing by
the General Manager. Consultant shall be compensated for any additional services in
the amounts and in the manner as agreed to by General Manager and Consultant at the
time District's written authorized is given to Consultant for the performance of said
services.
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(e) Consultant will submit invoices on a monthly basis showing hours worked
and the hourly rates. Payment shall be made within thirty (30) days of receipt of each
invoice as to all non -disputed fees. If the District disputes any of Consultant's fees, it
shall give written notice to Consultant within thirty (30) days of receipt of an invoice of
any disputed fees set forth on the invoice.
6. SUSPENSION OR TERMINATION OF AGREEMENT WITHOUT CAUSE
(a) The District may, at any time, for any reasons, with or without cause,
suspend or terminate this Agreement, or any portion hereof, by serving upon the
Consultant at least ten (10) days prior 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 voice 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. Upon
termination of the Agreement pursuant to this Section, the Consultant will submit an
invoice to the District pursuant to Section 5.
7. 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) 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 shall cause to be served upon the Consultant a written notice of the default. The
Consultant shall have ten (10) days after service upon it of said notice in which 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.
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8. 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. Such work product shall be fully usable
by District. 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. Alternatively, all documents produced shall be maintained
and owned at District offices.
(b) Upon completion, termination or suspension of this Agreement, all work
produce 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.
9. INDEMNIFICATION
(a) Indemnification for Professional Liability. 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 ("Indemnified Parties") from and against any
and all losses, liabilities, damages, costs and expenses, including attorney's fees and
costs to the extent same are caused in whole or in part by any negligent or wrongful act,
error or omission 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 Liability. Other than in the
performance of professional services and to the full 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
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attorney's fees and costs, court costs, interest, defense costs and expert witness fees),
where the same arise out of, 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 part of this
Agreement. Such coverage shall provide automotive, commercial general liability and
professional error coverage, if appropriate. Existing coverage may suffice if coverage
limits are acceptable. District must be named an additional insured on the
endorsement.
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 whatever 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.
(c) With regard to A.B. 5 (Labor Code §2750.3) this Agreement sets forth a
"business to business" relationship and. Consultant is the employer of all persons
provided under this Agreement, and those persons are employees of Consultant.
Control of those persons shall be with the Consultant and District shall provide direction
to Consultant who shall direct its employees in accordance with that direction.
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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 Costa Mesa Sanitary 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 Costa Mesa Sanitary 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.
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 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 proceed 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 performance of this Agreement shall
be considered confidential and shall not be released by Consultant without District's
prior written authorization. Consultant, its officers, employees, agents or subconsultants,
shall not without written authorization from the District 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, its officers,
employees, agents or subconsultants be served with any summons, complaint,
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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 and 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 the right
by District to control, direct, or rewrite said response.
(c) Consultant covenants that neither he/she 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 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 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: Noelani Middenway, Clerk of the Board
Costa Mesa Sanitary District
290 Paularino Avenue
Costa Mesa, CA
To Consultant: Lisa Penna, Vice President
Ardurra, Inc.
3737 Birch Street, Suite 250
Newport Beach, CA 92660
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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
The 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 municipal, superior or federal district
court with jurisdiction over the Costa Mesa Sanitary District.
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 PROPOSAL
Consultant is bound by the contents of Exhibit A hereto and incorporated herein
by this reference.
22. MODIFICATION
No modification to this Agreement shall be effective unless it is in writing and
signed by authorized representatives of the parties hereto.
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23. AUTHORITY TO EXECUTE THIS AGREEMENT
The person or persons executing this Agreement on behalf of Consultant
warrants and represents that he/she has the authority to execute this Agreement on
behalf of the Consultant and has the authority to bind Consultant to the performance of
its obligations hereunder.
24. INTERPRETATION
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.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed this day and year first above written.
COSTA MESA SANITARY DISTRICT
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DocuSigned by:
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General Manager
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CONSULTANT
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Signature
Carmen Kasner
DocuSignedby: Typed Name
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District Clerk SW Operations Director
Title
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District Counsel
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COSTA MESA SANITARY DISTRICT
Exhibit A
ENGINEERING TECHNICIAN SOW
04_JI611 tre7-kT,
Under general supervision, performs technical/paraprofessional engineering and administrative
tasks related to the issuance and processing of sewer permits including plan checking and
calculating and collecting associated fees; reviews minor grading and site plans for elevational
relationships for sewer facilities; schedule and may perform private sewer inspections; assists in the
District's Fats, Oils, and Grease (FOG) program; explains ordinances, requirements, and District
codes and procedures to building contractors, architects, engineers, builders, and the general public;
assists with the District's GIS program, Sewer CCTV video program, DigAlert program, and Asset
Management program; and performs related work as required.
SUPERVISION RECEIVED AND EXERCISED
Receives general supervision from Ardurra supervisory or managerial staff. Exercises no
supervision of staff but coordinates with the District Engineer.
CLASS CHARACTERISTICS
This is a journey -level classification that is fully competent to perform a variety of responsible duties
to assist in the provision of District services to the public. Incumbents perform a broad range of
detailed, administrative, and technical support activities and are expected to know technical and
specialized rules, regulations, policies, procedures, and activities related to the District's permit
function, including plan review, inspection techniques and methods, processing permit applications
and issuing permits in accordance with established requirements, in coordination with the District
Engineer.
EXAMPLES OF TYPICAL FUNCTIONS (Illustrative Only)
CMSD reserves the right to add, modify, change, or rescind the work assignments of different
positions and to make reasonable accommodations where appropriate so that qualified employees
can perform the essential functions of the job.
➢ Works with the District Engineer in the plan check process; reviews development plans to
ascertain the amount of new plumbing fixtures and calculates and collects the appropriate fees.
➢ Performs technical plan checks of minor grading and site plans to ensure compliance with District
requirements.
➢ Conducts research and performs records retrieval; identifies District infrastructure and manhole
locations on District maps and conducts or assists with sewer marking requests.
➢ Assists the public at the front counter, processes forms, permit applications, and plans necessary
for the issuance of construction permits.
➢ Responds to requests and inquiries from developers, contractors, engineers and the general
public.
➢ Provides information regarding engineering projects and information related to permit policies
and procedures to the public.
➢ Reviews permit applications, plans and specifications for compliance with applicable codes and
standards.
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Engineering Technician
Page 2 of 3
➢ Issues permits for minor projects or for large construction projects requiring fees and bonds,
calculates fees in accordance with established fee schedules, inputs information into an
electronic database.
➢ Verifies required certificates of insurance and contractor's state license.
➢ Prepares and organizes monthly reports of permits issued, fees collected and types of projects
for use by District staff.
➢ Prepares environmental impact assessment, negative declaration, and notices of exemption
statements for District projects in compliance with the California Environmental Quality Act
(CEQA) in collaboration with the District Engineer.
➢ Monitors environmental regulations, prepares routine documents, reports, and maintain project
records.
➢ Reads and interprets the District's Sewer Atlas and applies sewer charges to properties, as
appropriate, taking into consideration sewer lines owned by other jurisdictions.
➢ Administers the District's Sewer Inspection Rebate Program (SIRP) including applicable fee
waivers; assists residents participating in the program.
➢ Coordinates final inspection clearances; determines that all fees have been paid prior to permit
issuance and/or occupancy and utility releases; coordinates the microfilming of plans and
blueprints.
➢ May periodically perform inspections.
➢ Applies appropriate policies and procedures in determining completeness of applications,
records, and reports; provides information and forms to the public; processes appropriate
information.
➢ Contacts the public and outside agencies in acquiring and providing information.
➢ Maintains permit files.
➢ Maintains accurate records and files; develops storage of records and retention schedules.
➢ Operates standard office equipment, including job -related computer hardware and software
applications, facsimile equipment, and multi -line telephones.
➢ Performs related duties as required.
QUALIFICATIONS
Knowledge of:
➢ Basic construction and traffic safety principles and practices.
➢ Basic civil engineering and construction principles and practices.
➢ Engineering plans, legal descriptions, right-of-way procedures, drawings, and blueprints.
➢ Engineering and inspection principles and concepts.
➢ Processes for calculating fees, reviewing plans and issuing permits.
➢ Inspection methods, techniques, principles and concepts.
➢ Organization, procedures, and operating details of various District programs.
➢ Applicable Federal, State, and local laws, rules, regulations, ordinances, and organizational policies and
procedures.
➢ Business letter writing and basic report preparation.
➢ Business arithmetic and basic statistical techniques.
➢ Principles of record keeping and correspondence/report preparation.
➢ Basic understanding and knowledge of GIS systems.
➢ Modern office practices, methods, and computer equipment and applications related to the work.
➢ English usage, grammar, spelling, vocabulary, and punctuation.
➢ Techniques for providing a high level of customer service by effectively dealing with the public, vendors,
contractors, and District staff.
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Engineering Technician
Page 3 of 3
Ability to:
➢ Perform engineering and mathematic calculations with speed and accuracy.
➢ Understand and explain District policies, procedures, fees, and codes and regulations to the general public,
permit applicants, and District staff.
➢ Interpret, apply, explain, and ensure compliance with applicable Federal, State, and local laws, rules,
regulations, policies, and procedures.
➢ Read and interpret plans, specifications, related construction documents, and maps.
➢ Calculate fees and/or penalties from plans.
➢ Perform detailed, technical, and specialized program and permit support work.
➢ Perform the full range of office and administrative support duties and tasks.
➢ Respond to and effectively prioritize multiple phone calls, walk-up traffic, and other requests and
interruptions.
➢ Compose correspondence and reports independently or from brief instructions.
➢ Maintain accurate logs, records, and basic written records of work performed.
➢ Enter and retrieve data from a computer with sufficient speed and accuracy to perform assigned work.
➢ Make accurate arithmetic, financial, and statistical computations.
➢ Operate office equipment and computer applications related to the work.
➢ Make sound, independent decisions within established policy and procedural guidelines.
➢ Organize own work, set priorities, and meet critical time deadlines.
➢ Use English effectively to communicate in person, over the telephone, and in writing.
➢ Use tact, initiative, prudence, and independent judgment within general policy, procedural, and legal
guidelines.
➢ Establish, maintain, and foster positive and effective working relationships with those contacted in the
course of work.
➢ Techniques used in dealing with the public and customer service.
PHYSICAL DEMANDS
Must possess mobility to work in a standard office setting and use standard office equipment,
including a computer; vision to read printed materials and a computer screen; and hearing and
speech to communicate in person and over the telephone. Standing and walking in work areas is
frequently required. Finger dexterity is needed to access, enter, and retrieve data using a computer
keyboard or calculator and to operate standard office equipment. Positions in this classification
occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed to retrieve and file
information. Employees must possess the ability to lift, carry, push, and pull materials and objects
weighing up to 25 pounds.
ENVIRONMENTAL ELEMENTS
Employees work in an office environment with moderate noise levels, controlled temperature
conditions, and no direct exposure to hazardous physical substances. Employees may work in the
field performing site visits, project meetings, and inspections where they are potentially exposed to
traffic, confined spaces, construction activities, loud noise levels, cold and hot temperatures and
inclement weather conditions. Employees may interact with upset staff and/or public and private
representatives in interpreting and enforcing District policies and procedures.
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,S SANITq\ I Exhibit B - Insurance Requirements
COSTA MESA SANITARY DISTRICT
r
290 Paularino Ave., Costa Mesa, California 92626
(949) 645-8400
To: Consultants/Contractors:
PLEASE GIVE THESE REQUIREMENTS TO YOUR INSURANCE AGENT
The Costa Mesa Sanitary District (CMSD) requires certificates of workers' compensation, general
liability, automobile, and if necessary, professional errors and omissions insurance before you can
begin work for CMSD. All certificates must contain the following:
❑ Workers' Compensation — Minimum policy limit requirements are $1,000,000 bodily injury by
disease; and $1,000,000 bodily injury each employee for accident or disease per occurrence. If
you have no employees, you must sign a Declaration of Non -employee Status form available
from the District. In lieu of a certificate of insurance, a certificate of Consent to Self -Insure issued
by the California Director of industrial Relations is also acceptable.
❑ General Liability — Minimum policy limit requirement is $1,000,000 combined single limit
coverage with insurance designated "per occurrence." Insurance must include coverage for
ongoing operations and completed operations. The insurance carrier providing the commercial
general liability policy must have an AM Best Rating of A- or better and be an admitted carrier in
the State of California or an approved Surplus Line Insurer from California Department of
Insurance.
❑ Automobile Liability — Minimum policy limit requirement is $1,000,000 combined single limit
coverage with insurance designated "per occurrence." The "Any Auto" box must be checked.
❑ Professional Errors and Omissions (if necessary) — Minimum policy limit that is appropriate
to the profession.
❑ Description of Operations — The following wording must be added to the policy: "All operations:
Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers,
and employees listed as Additional Insured — Pursuant to attached endorsement."
❑ Change in Coverages — The following wording must be added to the policy by endorsement:
"Said policy shall not terminate, nor shall it be canceled nor the coverage reduced, until thirty (30)
days after written notice is given to the District."
❑ Excess and Non-contributing — The following wording must be added to the policy by
endorsement: "Any other insurance maintained by the Costa Mesa Sanitary District shall be
excess and non-contributing with the insurance provided by this policy."
❑ Additional Insured Endorsement — (for General Liability, Automobile only). This must be a
separate attachment naming the District as additional insured. The endorsement must include
the policy number and the wording of the additional insured must be exact, stating: "The Costa
Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers and
employees are additional insureds." ISO Form CG 20 12 07 98, or a comparable equivalent must
be used.
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0
AC"REP OATE (NIMOD]YYYY',
IL CERTIFICATE OF LIABILITY INSURANCE
------------
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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
--cert-1-ficate holder in lieu of such endorsements).
PRODUCER .9.q1ACT
I PHONE FAX
(A"C' No, Ext): tAIC, No):
E-MAIL
-ADDRESS:
INSURER(S) AFFORDING COVERAGF NAiC#
INSURER A
INSURED
INSURER 13:
INSURER C
INSURER 0:
INSURER E
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COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
1i
THIS IS TO CFRTIF`,' THAT T;H POLICIES OF INSURANCE LISTED BELO'l! HAVE BEEN ISc)JED TO; TIE INSIURE-D INAMED APOVE IFOF I -f E P'�'_) IC PFk0D
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INDICATED. NOTIA11THSTANDING ANY REOUIREt'0ENT. TERId OR CONDITION OF ANY CON � RACI OR O'T�- Pi I DOC'UhIEINIT H. R�_sPp_'.'r I-", %%L i-[-1 -1- 111,
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CERTIFICA-i-r iVAY BF !SSUED OR MAY PERTAIN, THE INSURAW"In AFF-ORDED BY THE POLICIES DESCP41ED HEREIN IS SUB jECA' 10 ALL THE TERI'�46
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EXCLUSIONS AND CODI NTION-S OF SUCII POLIICIFS. wIItMTS SHOWN IMAY HAVE BEEN REDUCED BY POD C,LAItVS
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UMBRELLA LIAS OCCUR E ACI - oR 11-'F
EXCESS LIAS CLAIN!S-VADE AGGR:�GATE
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WORKERS COMPENSATION "ic STA-,
AP40 EMPLOYERS' LIABILITY N lop), LIM"is Erb
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ANY PROPRIETOR PARTNERIEXECL H AC ',IT
0FrICEJAF1,,1FiF,R Ex"-_-"JnFD-, N 1A
(Mandatoni in NH) E'! St A a E E A r 1,'.ESL' F
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Atlach ACORD Addibonal Remarks Schedule, if mo;e space is rcrloired,
Costa Mesa &-initary District, their ele0,d and api:mintedofficials, i'l(jerlzs- officers, volu"ite'ars, and empiny-er; as Addikon-al linsured -
Pursuant to attached endorservent
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR17
Costa Mesa Sanitary District THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
290 Paularino Avenue ACCORDANCE WITH THE POLICY PROVISIONS,
Costa Mesa, CA 92626
AUTI iOPIZED RUPRIESENTA-1 NE
,D 1988-2010 ACORD CORPORATION, All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered nnarks of ACORD