HomeMy WebLinkAboutC-5322 - M/RSA for Harbor Related ServicesMAINTENANCE AND REPAIR SERVICES AGREEMENT
WITH SOUTH MOORING COMPANY
i
FOR HARBOR RELATED SERVICES
THIS MAINTENANCE AND REPAIR SE Aq EMENT ( "Agreement ") is
made and entered into as of this may of "Effective Date "} by and
between the CITY OF NEWPORT BEACH, a California municipal corporation and
charter city ( "City "), and NEWPORT DREDGING CO. INC, California corporation
DOING BUSINESS AS ( "DBA ") SOUTH MOORING COMPANY ( "Contractor "), whose
principal place of business is 177 Riverside Drive, Ste F, Newport Beach, CA 92663
and is made with reference to the following:
RECITALS
A. City is a municipal corporation duly organized and validly existing under the laws
of the State of California with the power to carry on its business as it is now being
conducted under the statutes of the State of California and the Charter of City.
B. City desires to engage Contractor to perform regularly scheduled maintenance
and repair services for service to City moorings and log boom, clean up harbor
debris, and other miscellaneous harbor related duties as requested. ( "Project").
C, Pursuant to the authority conferred to City as a charter city under California
Constitution, Article XI, Section 5, the City hereby exempts this Project from the
payment of prevailing wages because the funds used to finance this Project are
local funds and this Project is a matter of local concern.
D. Contractor has examined the location of all proposed work, carefully reviewed
and evaluated the specifications set forth by the City for the Project, and is
familiar with all conditions relevant to the performance of services and has
committed to perform all work required for the price specified in this Agreement.
NOW, THEREFORE, it is mutually agreed by and between the undersigned
parties as follows:
1. TERM
The term of this Agreement shall commence on the Effective Date, and shall
terminate on January 1, 2015, unless terminated earlier as set forth herein,
2. SCOPE OF WORK
2.1 City and Contractor acknowledge that the above Recitals are true and
correct and are hereby incorporated by reference into this Agreement. Contractor shall
perform all the work described in the Scope of Work and Schedule of Rates attached
hereto as Exhibit A and incorporated herein by this reference ( "Services" or "Work "). As
a material inducement to the City entering into this Agreement, Contractor represents
and warrants that Contractor is a provider of first class work and Contractor is
experienced in performing the Work contemplated herein and, in light of such status and
experience, Contractor covenants that it shall follow the highest industry standards in
performing the Work required hereunder and that all materials will be of good quality.
For purposes of this Agreement, the phrase "highest industry standards" shall mean
those standards of practice recognized by one or more first -class firms performing
similar work under similar circumstances.
2.2 Contractor shall perform all Work required to be performed, and shall
provide and furnish all the labor, materials, necessary tools, expendable equipment and
all utility and transportation services necessary for the Project.
3. TIME OF PERFORMANCE
3.1 Time is of the essence in the performance of Services under this
Agreement and Contractor shall perform the Services in accordance with the schedule
included in Exhibit A. The failure by Contractor to strictly adhere to the schedule may
result in termination of this Agreement by City.
3.1.1 Notwithstanding the foregoing, Contractor shall not be responsible
for delays due to causes beyond Contractor's reasonable control. However, in the case
of any such delay in the Services to be provided for the Project, each party hereby
agrees to provide notice to the other party within two (2) calendar days of the
occurrence of the delay so that all delays can be addressed.
12 Contractor shall submit all requests for extensions of time for performance
in writing to the Project Administrator (as defined in Section 6 below) not later than two
(2) calendar days after the start of the condition that purportedly causes a delay. The
Project Administrator shall review all such requests and may grant reasonable time
extensions for unforeseeable delays that are beyond Contractor's control.
3.3 For all time periods not specifically set forth herein, Contractor shall
respond in the most expedient and appropriate manner under the circumstances, by
fax, hand - delivery or mail.
4. COMPENSATION
4.1 City shall pay Contractor for the Services on a time and expense not -to-
exceed basis, in accordance with the provisions of this Section and the Scope of Work
and Schedule of Rates attached hereto as Exhibit A. No rate changes shall be made
during the term of this Agreement without the prior written approval of the City.
Contractor's total compensation for Services performed in accordance with this
Agreement, including all reimbursable items, shall not exceed Fifty Thousand Dollars
and no1100 ($50,000.00) without written amendment to the Agreement.
4.2 Contractor shall submit monthly invoices to City describing the Work
performed the preceding month. Contractor's bills shall include the name of the person
and /or classification of employee who performed the Work, a brief description of the
Services performed and /or the specific task from the Scope of Work and Schedule of
Rates attached hereto to which it relates, the date the Services were performed, the
number of hours spent on all Work billed on an hourly basis, and a description of any
SOUTH MOORING COMPANY Page 2
reimbursable expenditures. City shall pay Contractor no later than thirty (30) days after
approval of the monthly invoice by City staff.
4.3 City shall reimburse Contractor only for those costs or expenses
specifically approved in the Scope of Work and Schedule of Rates attached hereto.
Unless otherwise approved, such costs shall be limited and include nothing more than
the actual costs and /or other costs and /or payments specifically authorized in advance
in writing and incurred by Contractor in the performance of this Agreement.
4.4 Contractor shall not receive any compensation for Extra Work without the
prior written authorization of City. As used herein, "Extra Work" means any work that is
determined by the Project Administrator to be necessary for the proper completion of
the Project, but which is not included within the Scope of Work and Schedule of Rates
and which the City and Contractor did not reasonably anticipate would be necessary.
Compensation for any authorized Extra Work shall be paid in accordance with the
Schedule of Rates set forth in Exhibit A.
5. PROJECT MANAGER
5.1 Contractor shall designate a Project Manager, who shall coordinate all
phases of the Project. This Project Manager shall be available to City at all reasonable
times during the Agreement term. Contractor has designated Chuck South to be its
Project Manager. Contractor shall not remove or reassign the Project Manager or any
key personnel listed in Exhibit A or assign any new or replacement personnel to the
Project without the prior written consent of City. City's approval shall not be
unreasonably withheld with respect to the removal or assignment of non -key personnel.
5.2 Contractor, at the sole discretion of City, shall remove from the Project any
of its personnel assigned to the performance of Services upon written request of City.
Contractor warrants this it will continuously furnish the necessary personnel to complete
the Project on a timely basis as contemplated by this Agreement.
S. ADMINISTRATION
This Agreement will be administered by the Harbor Resources Division. The
Harbor Resources Supervisor shall be the Project Administrator and shall have the
authority to act for City under this Agreement, The Project Administrator or his /her
designee shall represent City in all matters pertaining to the Services to be rendered
pursuant to this Agreement.
7. TYPE AND INSTALLATION OF MATERIALS /STANDARD OF CARE
7.1 Contractor shall use only the standard materials described in Exhibit A in
performing Services under this Agreement. Any deviation from the materials described
in Exhibit A shall not be installed or utilized unless approved in advance and in writing
by the Project Administrator.
7.2 All of the Services shall be performed by Contractor or under Contractor's
supervision. Contractor represents that it possesses the personnel required to perform
the Services required by this Agreement, and that it will perform all Services in a
SOUTH MOORING COMPANY Page 3
manner commensurate with highest industry standards. All Services shall be performed
by qualified and experienced personnel who are not employed by City. By delivery of
completed Work, Contractor certifies that the Work conforms to the requirements of this
Agreement and all applicable federal, state and local laws and the industry standard.
7.3 Contractor represents and warrants to City that it has, shall obtain and
shall keep in full force and effect during the term hereof, at its sole cost and expense, all
licenses, permits, qualifications, insurance and approvals of whatsoever nature that is
legally required of Contractor to practice its profession. Contractor shall maintain a City
of Newport Beach business license during the term of this Agreement.
7.4 Contractor shall not be responsible for delay, nor shall Contractor be
responsible for damages or be in default or deemed to be in default by reason of strikes,
lockouts, accidents, or acts of God, or the failure of City to furnish timely information or
to approve or disapprove Contractor's Work promptly, or delay or faulty performance by
City, contractors, or governmental agencies.
8. RESPONSIBILITY FOR DAMAGES OR INJURY
8.1 City and all officers, employees and representatives thereof shall not be
responsible in any manner for any loss or damage to any of the materials or other things
used or employed in performing the Project or for injury to or death of any person as a
result of Contractor's performance of the Services required hereunder, or for damage to
property from any cause arising from the performance of the Project by Contractor, or
its subcontractors, or its workers, or anyone employed by either of them.
8.2 Contractor shall be responsible for any liability imposed by law and for
injuries to or death of any person or damage to property resulting from defects,
obstructions or from any cause arising from Contractor's Work on the Project, or the
Work of any subcontractor or supplier selected by the Contractor.
8.3 To the fullest extent permitted by law, Contractor shall indemnify, defend
and hold harmless City, its City Council, boards and commissions, officers, agents,
volunteers, and employees (collectively, the "Indemnified Parties ") from and against any
and all claims (including, without limitation, claims for bodily injury, death or damage to
property), demands, obligations, damages, actions, causes of action, suits, losses,
judgments, fines, penalties, liabilities, costs and expenses (including, without limitation,
attorney's fees, disbursements and court costs) of every kind and nature whatsoever
(individually, a Claim; collectively, "Claims "), which may arise from or in any manner
relate (directly or indirectly) to any breach of the terms and conditions of this
Agreement, any Work performed or Services provided under this Agreement including,
without limitation, defects in workmanship or materials or Contractor's presence or
activities conducted on the Project (including the negligent and/or willful acts, errors
and/or omissions of Contractor, its principals, officers, agents, employees, vendors,
suppliers, consultants, subcontractors, anyone employed directly or indirectly by any of
them or for whose acts they may be liable or any or all of them).
8.4 Notwithstanding the foregoing, nothing herein shall be construed to
require Contractor to indemnify the indemnified Parties from any Claim arising from the
SOUTH MOORING COMPANY Page 4
sole negligence or willful misconduct of the Indemnified Parties. Nothing in this
indemnity shall be construed as authorizing any award of attorney's fees in any action
on or to enforce the terms of this Agreement. This indemnity shall apply to all claims
and liability regardless of whether any insurance policies are applicable. The policy
limits do not act as a limitation upon the amount of indemnification to be provided by the
Contractor.
8.5 Contractor shall perform all Work in a manner to minimize public
inconvenience and possible hazard, to restore other work areas to their original
condition and former usefulness as soon as possible, and to protect public and private
property. Contractor shall be liable for any private or public property damaged during
the performance of the Work by Contractor or its agents.
8.8 To the extent authorized by law, as much of the money due Contractor
under and by virtue of the Agreement as shall be considered necessary by City may be
retained by it until disposition has been made of such suits or claims for damages as
aforesaid.
8.7 The rights and obligations set forth in this Section shall survive the
termination of this Agreement.
9. INDEPENDENT CONTRACTOR
It is understood that City has retained Contractor as an independent contractor
and neither Contractor nor its employees are to be considered employees or agents of
the City. The manner and means of conducting the Work are under the control of
Contractor, except to the extent they are limited by statute, rule or regulation and the
express terms of this Agreement. No civil service status or other right of employment
shall accrue to Contractor or its employees. Nothing in this Agreement shall be deemed
to constitute approval for Contractor or any of Contractor's employees or agents, to be
the agents or employees of the City. Contractor shall have the responsibility for and
control over the means of performing the Work, provided that Contractor is in
compliance with the terms of this Agreement. Anything in this Agreement that may
appear to give City the right to direct Contractor as to the details of the performance of
the Work or to exercise a measure of control over Contractor shall mean only that
Contractor shall follow the desires of City with respect to the results of the Services.
10. COOPERATION
Contractor agrees to work closely and cooperate fully with City's designated
Project Administrator and any other agencies that may have jurisdiction or interest in the
Work to be performed. City agrees to cooperate with the Contractor on the Project.
11. CITY POLICY
Contractor shall discuss and review all matters relating to policy and Project
direction with the Project Administrator in advance of all critical decision points in order
to ensure the Project proceeds in a manner consistent with City goals and policies.
SOUTH MOORING COMPANY Page 5
12, PROGRESS
Contractor is responsible for keeping the Project Administrator and/or his/her
duly authorized designee informed on a regular basis regarding the status and progress
of the Project, activities performed and planned, and any meetings that have been
scheduled or are desired.
13. INSURANCE
Without limiting Contractor's indemnification of City, and prior to commencement
of Work, Contractor shall obtain, provide and maintain at its own expense during the
term of this Agreement or for other periods as specified in this Agreement, policies of
insurance of the type, amounts, terms and conditions described in the Insurance
Requirements attached hereto as Exhibit B, and incorporated herein by reference.
14. PROHIBITION AGAINST ASSIGNMENTS AND TRANSFERS
Except as specifically authorized under this Agreement, the Services to be
provided under this Agreement shall not be assigned, transferred contracted or
subcontracted out without the prior written approval of City. Any of the following shall
be construed as an assignment: The sale, assignment, transfer or other disposition of
any of the issued and outstanding capital stock of Contractor, or of the interest of any
general partner or joint venturer or syndicate member or cotenant if Contractor is a
partnership or joint - venture or syndicate or cotenancy, which shall result in changing the
control of Contractor. Control means fifty percent (50 %) or more of the voting power, or
twenty -five percent (25 %) or more of the assets of the corporation, partnership or joint -
venture.
15. SUBCONTRACTING
The subcontractors authorized by City, if any, to perform Work on this Project are
identified in Exhibit A. Contractor shall be fully responsible to City for all acts and
omissions of any subcontractors. Nothing in this Agreement shall create any
contractual relationship between City and any subcontractor nor shall it create any
obligation on the part of City to pay or to see to the payment of any monies due to any
such subcontractor other than as otherwise required by law. The City is an intended
beneficiary of any Work performed by the subcontractor for purposes of establishing a
duty of care between the subcontractor and the City. Except as specifically authorized
herein, the Services to be provided under this Agreement shall not be otherwise
assigned, transferred, contracted or subcontracted out without the prior written approval
of City.
16, OWNERSHIP OF DOCUMENTS
Each and every report, draft, record, plan, document and other writing produced
(hereinafter "Documents "), prepared or caused to be prepared by Contractor, its
officers, employees, agents and subcontractors, in the course of implementing this
Agreement, shall become the exclusive property of City, and City shall have the sole
right to use such materials in its discretion without further compensation to Contractor or
SOUTH MOORING COMPANY Page 6
any other party. Contractor shall, at Contractor's expense, provide such Documents to
City upon prior written request.
17. CONFIDENTIALITY
All Documents, including drafts, notes and communications that result from the
Services in this Agreement, shall be kept confidential unless City expressly authorizes
in writing the release of information.
18. RECORDS
Contractor shall keep records and invoices in connection with the Services to be
performed under this Agreement. Contractor shall maintain complete and accurate
records with respect to the costs incurred under this Agreement and any Services,
expenditures and disbursements charged to City, for a minimum period of three (3)
years, or for any longer period required by law, from the date of final payment to
Contractor under this Agreement. All such records and invoices shall be clearly
identifiable. Contractor shall allow a representative of City to examine, audit and make
transcripts or copies of such records and invoices during regular business hours.
Contractor shall allow inspection of all Work, data, Documents, proceedings and
activities related to the Agreement for a period of three (3) years from the date of final
payment to Contractor under this Agreement.
19. WITHHOLDINGS
City may withhold payment to Contractor of any disputed sums until satisfaction
of the dispute with respect to such payment. Such withholding shall not be deemed to
constitute a failure to pay according to the terms of this Agreement. Contractor shall not
discontinue Work as a result of such withholding. Contractor shall have an immediate
right to appeal to the City Manager or his/her designee with respect to such disputed
sums. Contractor shall be entitled to receive interest on any withheld sums at the rate of
return that City earned on its investments during the time period, from the date of
withholding of any amounts found to have been improperly withheld.
20. CITY'S RIGHT TO EMPLOY OTHER CONTRACTORS
City reserves the right to employ other Contractors in connection with the Project.
21. CONFLICTS OF INTEREST
21.1 The Contractor or its employees may be subject to the provisions of the
California Political Reform Act of 1974 (the "Act "), which (1) requires such persons to
disclose any financial interest that may foreseeably be materially affected by the Work
performed under this Agreement, and (2) prohibits such persons from making, or
participating in making, decisions that will foreseeably financially affect such interest.
21.2 if subject to the Act, Contractor shall conform to all requirements of the
Act. Failure to do so constitutes a material breach and is grounds for immediate
termination of this Agreement by City. Contractor shall indemnify and hold harmless
SOUTH MOORING COMPANY Page 7
City for any and all claims for damages resulting from Contractor's violation of this
Section.
22. NOTICES
22.1 All notices, demands, requests or approvals, including any change in
mailing address, to be given under the terms of this Agreement shall be given in writing,
to City by Contractor and conclusively shall be deemed served when delivered
personally, or on the third business day after the deposit thereof in the United States
mail, postage prepaid, first -class mail, addressed as hereinafter provided. All notices,
demands, requests or approvals from Contractor to City shall be addressed to City at:
Attn: Shannon Levin, Harbor Resources Supervisor
Harbor Resources Division /Public Works Department
City of Newport Beach
3300 Newport Blvd.
PO Box 1768
Newport Beach, CA 92658
Phone: 949 - 644 -3041
Fax: 949 - 723 -0581
222 All notices, demands, requests or approvals from City to Contractor shall
be addressed to Contractor at:
Attn: Chuck South
SOUTH MOORING COMPANY
P.O. Box 528
Newport Beach, CA 92661 -0528
Phone: 949 - 645 -0334
Fax: 949 -645 -1041
23. NOTICE OF CLAIMS
Unless a shorter time is specified elsewhere in this Agreement, before making its
final request for payment under the Agreement, Contractor shall submit to City, in
writing, all claims for compensation under or arising out of this Agreement. Contractor's
acceptance of the final payment shall constitute a waiver of all claims for compensation
under or arising out of this Agreement except those previously made in writing and
identified by Contractor in writing as unsettled at the time of its final request for
payment. The Contractor and the City expressly agree that in addition to all claims filing
requirements set forth in the Agreement, the Contractor shall be required to file any
claim the Contractor may have against the City in strict conformance with the Tort
Claims Act (Govt. Code §§ 900 et seq.).
24. TERMINATION
24.1 In the event that either party fails or refuses to perform any of the
provisions of this Agreement at the time and in the manner required, that party shall be
deemed in default in the performance of this Agreement. If such default is not cured
SOUTH MOORING COMPANY Page 8
within a period of two (2) calendar days, or if more than two (2) calendar days are
reasonably required to cure the default and the defaulting party fails to give adequate
assurance of due performance within two (2) calendar days after receipt of written
notice of default, specifying the nature of such default and the steps necessary to cure
such default, the non - defaulting party may terminate the Agreement forthwith by giving
to the defaulting party written notice thereof.
24.2 Notwithstanding the above provisions, City shall have the right, at its sole
and absolute discretion and without cause, of terminating this Agreement at any time by
giving no less than thirty (30) calendar days prior written notice to Contractor. In the
event of termination under this Section, City shall pay Contractor for Services
satisfactorily performed and costs incurred up to the effective date of termination for
which Contractor has not been previously paid. On the effective date of termination,
Contractor shall deliver to City all materials purchased and Documents created in
performance of this Agreement.
25. LABOR
25.1 Contractor shall conform with all applicable provisions of State and
Federal law including, but not limited to, applicable provisions of the Federal Fair Labor
Standards Act ( "FLSA ") (29 USCA § 201, of seq.).
25.2 Whenever Contractor has knowledge that any actual or potential labor
dispute is delaying or threatens to delay the timely performance of this Agreement,
Contractor shall immediately give written notice to City, and provide all relevant
information.
25.3 Contractor represents that all persons working under this Agreement are
verified to be U.S. citizens or persons legally authorized to work in the United States.
25.4 To the fullest extent permitted by law, the Contractor shall indemnify,
defend, and hold harmless the City, its City Council, boards and commissions, officers,
agents, volunteers, and employees from loss or damage, including but not limited to
attorney's fees, and other costs of defense by reason of actual or alleged violations of
any applicable Federal, State and local labor laws or law, rules, and/or regulations. This
obligation shall survive the expiration and /or termination of the Agreement.
26. STANDARD PROVISIONS
26.1 Compliance with all Laws. Contractor shall at its own cost and expense
comply with all statutes, ordinances, regulations and requirements of all governmental
entities, including federal, state, county or municipal, whether now in force or hereinafter
enacted.
26.2 Waiver. A waiver by City of any term, covenant, or condition in the
Agreement shall not be deemed to be a waiver of any subsequent breach of the same
or any other term, covenant or condition.
26.3 Integrated Contract. This Agreement represents the full and complete
understanding of every kind or nature whatsoever between the parties hereto, and all
SOUTH MOORING COMPANY Page 9
preliminary negotiations and Agreements of whatsoever kind or nature are merged
herein. No verbal Contract or implied covenant shall be held to vary the provisions
herein.
26.4 Conflicts or Inconsistencies. In the event there are any conflicts or
inconsistencies between this Agreement and the Exhibits attached hereto, the terms of
this Agreement shall govern.
26.5 Amendments. This Agreement may be modified or amended only by a
written document executed by both Contractor and City and approved as to form by the
City Attorney.
26.6 Effect of Contractor's Execution. Execution of this Agreement by
Contractor is a representation that Contractor has visited the Project Site, has become
familiar with the local conditions under which the Work is to be performed, and has
taken into consideration these factors in submitting its Project proposal and Scope of
Work.
26.7 Controlling Law and Venue. The laws of the State of California shall
govern this Agreement and all matters relating to it and any action brought relating to
this Agreement shall be adjudicated in a court of competent jurisdiction in the County of
Orange, State of California.
26.8 Equal Opportunity Employment. Contractor represents that it is an equal
opportunity employer and it shall not discriminate against any subcontractor, employee
or applicant for employment because of race, religion, color, national origin, handicap,
ancestry, sex, age or any other impermissible basis under law.
26.9 Interpretation. The terms of this Agreement shall be construed in
accordance with the meaning of the language used and shall not be construed for or
against either party by reason of the authorship of the Agreement or any other rule of
construction which might otherwise apply.
26.10 Severability. If any term or portion of this Agreement is held to be invalid,
illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining
provisions of this Agreement shall continue in full force and effect.
26.11 No Attorney's Fees. In the event of any dispute or legal action arising
under this Agreement, the prevailing party shall not be entitled to attorney's fees.
26.12 Counterparts. This Agreement may be executed in two (2) or more
counterparts, each of which shall be deemed an original and all of which together shall
constitute one (1) and the same instrument.
[SIGNATURES ON NEXT PAGE]
SOUTH •O' ING COMPANY Page
IN WITNESS WHEREOF, the parties have caused this Agreement to be
executed on the dates written below.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date: v iz
By:
Aaron arp
City Attorney
CITY OF NEWPORT BEACH,
A California my�niipal corporation
Date: /� -1 " 2 -
By:
By: I JZ
David A. ebb
Public Works Director
ATTEST: _ CONTRACTOR: SOUTH MOORING
Date: COMPANY, a Calif9mia corporation
Date: !' /
By:
Leilani I. Brown Chuck South
City Clerk President
Date:--/ 3 —/2
By:
)7
T m s ree
Tom- TZM b
[END OF SIGNATURES]
Attachments: Exhibit A - Scope of Work and Schedule of Rates
Exhibit B - Insurance Requirements
f:\apps\shared\templates\repair maintenance services\maintenance and repair services
agreement prevailing wage no bond.dotx
SOUTH MOORING COMPANY Page 11
South mooring Co
A dba ofNewport Dredging
P -0. Box 528
Newport Brach CA 92661 -0529
949,645-0:S4
Harbor Resources
Alta. Shan naa Lavin
$29 Huber island drive
1Vewpore Beach, CA 92669
November 6, 2012
Aflcmany years of working with the city on dif mt pmfacls, comMunicarloa and vWPmnun
has Been established,
The City is, at this time, an addationat insured on ow liability iwomuea.
You recently requested pricing informatioo fmm u9.
Below is a list ofsec -does we havc demo in the past
hloorliq service;
Includes inspection, testing, painting, and numbering of the rwring Buoy,
Inspection of mooting weight, and te04ortnout of wom chain as ncedodl
SSi$n Ways and lavwt moorings
off $Bore mtwnngs
Mooring realignment
Log Loom*
Ikploynte al and retrieval
UiveriPneedcd
(31,600.0o to $1750.04 in the past)
Log boom adjustmont
$ 166.66 phtg Percy at cost pim 15%
$ 334.60 plus parts at costphrs I$%
$ 50.00
S 250.40 hr plus pants at cost plus 15%
$ 100.00 hr
$ 250.06 hr
$en llon r1k9tevanot bast $ 50.09 hr
harbor am up bast: S 70 »00 hr
Salvage work: $ 250.00 hr
Dock repair and vefttrbiahmant, piling work, bosh &m% rzmnp lifting ew can be bid on per job.
South Making has all City boenmes, Suet: bcensea, Workers Comp. and Harbor Workers
lnsttrWvAll work is managed and supervised by Chuck South
SOUTH MOORING COMPANY Page A -1
EXHIBIT A
SCOPE OF
WORK AND SCHEDULE OF RATES
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t!4}_Bax 529
wawEauahMOarinq, ram
Newport eesch. CA 93661
LkeoR a 959414
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Moo! 94P.045.0334
Matf<
949.645.3641
Staum mocrylaq Company
a drd8bn O Ntuoa +t Mhed&inq Sa.lm
South mooring Co
A dba ofNewport Dredging
P -0. Box 528
Newport Brach CA 92661 -0529
949,645-0:S4
Harbor Resources
Alta. Shan naa Lavin
$29 Huber island drive
1Vewpore Beach, CA 92669
November 6, 2012
Aflcmany years of working with the city on dif mt pmfacls, comMunicarloa and vWPmnun
has Been established,
The City is, at this time, an addationat insured on ow liability iwomuea.
You recently requested pricing informatioo fmm u9.
Below is a list ofsec -does we havc demo in the past
hloorliq service;
Includes inspection, testing, painting, and numbering of the rwring Buoy,
Inspection of mooting weight, and te04ortnout of wom chain as ncedodl
SSi$n Ways and lavwt moorings
off $Bore mtwnngs
Mooring realignment
Log Loom*
Ikploynte al and retrieval
UiveriPneedcd
(31,600.0o to $1750.04 in the past)
Log boom adjustmont
$ 166.66 phtg Percy at cost pim 15%
$ 334.60 plus parts at costphrs I$%
$ 50.00
S 250.40 hr plus pants at cost plus 15%
$ 100.00 hr
$ 250.06 hr
$en llon r1k9tevanot bast $ 50.09 hr
harbor am up bast: S 70 »00 hr
Salvage work: $ 250.00 hr
Dock repair and vefttrbiahmant, piling work, bosh &m% rzmnp lifting ew can be bid on per job.
South Making has all City boenmes, Suet: bcensea, Workers Comp. and Harbor Workers
lnsttrWvAll work is managed and supervised by Chuck South
SOUTH MOORING COMPANY Page A -1
1. INSURANCE REQUIREMENTS — MAINTENANCE AND REPAIR
1.1 Provision of Insurance. Without limiting Contractor's indemnification of
City, and prior to commencement of Work, Contractor shall obtain, provide and maintain
at its own expense during the term of this Agreement, policies of insurance of the type
and amounts described below and in a form satisfactory to City. Contractor agrees to
provide insurance in accordance with requirements set forth here. if Contractor uses
existing coverage to comply and that coverage does not meet these requirements,
Contractor agrees to amend, supplement or endorse the existing coverage.
1.2 Acceptable Insurers. All insurance policies shall be issued by an
insurance company currently authorized by the Insurance Commissioner to transact
business of insurance in the State of California, with an assigned policyholders' Rating
of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the
latest edition of Best's Key Rating Guide, unless otherwise approved by the City's Risk
Manager.
1.3 Coverage Requirements.
1.3.1 Workers' Compensation Insurance. Contractor shall maintain
Workers' Compensation Insurance, statutory limits, and Employers Liability Insurance
with limits of at least one million dollars ($1,000,000) each accident for bodily injury by
accident and each employee for bodily injury by disease in accordance with the laws of
the State of California, Section 3700 of the Labor Code.
1.3.1.1 Contractor shall submit to City, along with the
certificate of insurance, a Waiver of Subrogation endorsement in favor of City, its
officers, officials, employees and agents.
1.3.2 General Liability Insurance. Contractor shall maintain commercial
general liability insurance, and if necessary umbrella liability insurance, with coverage at
least as broad as provided by Insurance Services Office form CG 00 01, in an amount
not less than one million dollars ($1,000,000) per occurrence, two million dollars
($2,000,000) general aggregate and two million dollars ($2,000,000) completed
operations aggregate. The policy shall cover liability arising from premises, operations,
products - completed operations, personal and advertising injury, and liability assumed
under an insured contract (including the tort liability of another assumed in a business
contract) with no endorsement or modification limiting the scope of coverage for liability
assumed under a contract.
1.3.3 Automobile Liability Insurance. Contractor shall maintain
automobile insurance at least as broad as Insurance Services Office form CA 00 01
covering bodily injury and property damage for all activities of the Contractor arising out
of or in connection with Work to be performed under this Agreement, including coverage
for any owned, hired, non -owned or rented vehicles, in an amount not less than one
million dollars ($1,000,000) combined single limit for each accident.
1A Other Insurance Requirements. The policies are to contain, or be
endorsed to contain, the following provisions:
SOUTH MOORING COMPANY Page B -1
1.4.1 Waiver of Subrogation. All insurance coverage maintained or
procured pursuant to this agreement shall be endorsed to waive subrogation against
City, its elected or appointed officers, agents, officials, employees and volunteers or
shall specifically allow Contractor or others providing insurance evidence in compliance
with these requirements to waive their right of recovery prior to a loss. Contractor
hereby waives its own right of recovery against City, and shall require similar written
express waivers from each of its subcontractors.
1.4.2 Additional Insured Status. All liability policies including general
liability, excess liability, pollution liability, and automobile liability, but not including
professional liability (if required), shall provide or be endorsed to provide that City and
its officers, officials, employees, and agents shall be included as insureds under such
policies.
1.4.3 Primary and Non Contributory. All liability coverage shall apply on
a primary basis and shall not require contribution from any insurance or self- insurance
maintained by City.
1.4.4 Notice of Cancellation. All policies shall provide City with thirty (30)
days notice of cancellation (except for nonpayment for which ten (10) days notice is
required) or nonrenewal of coverage for each required coverage.
1.5 Additional Agreements Between the Parties. The parties hereby agree to
the following:
1.5.1 Evidence of Insurance. Contractor shall provide certificates of
insurance to City as evidence of the insurance coverage required herein, along with a
waiver of subrogation endorsement for workers' compensation and other endorsements
as specified herein for each coverage. Insurance certificates and endorsement must be
approved by City's Risk Manager prior to commencement of performance. Current
certification of insurance shall be kept on file with City at all times during the term of this
contract. City reserves the right to require complete, certified copies of all required
insurance policies, at any time.
1.5.2 Citv's Right to Revise Requirements. The City reserves the right at
any time during the term of this Agreement to change the amounts and types of
insurance required by giving the Contractor ninety (90) days advance written notice of
such change. If such change results in substantial additional cost to the Contractor, the
City and Contractor may renegotiate Contractor's compensation.
1.5.3 Right to Review Subcontracts. Contractor agrees that upon
request, all contracts with subcontractors or others with whom Contractor enters into
contracts with on behalf of City will be submitted to City for review. Failure of City to
request copies of such contracts will not impose any liability on City, or its employees.
1.5.4 Enforcement of Contract Provisions. Contractor acknowledges and
agrees that any actual or alleged failure on the part of the City to inform Contractor of
non - compliance with any requirement imposes no additional obligations on the City nor
does it waive any rights hereunder.
1.5.5 Requirements not Limiting. Requirements of specific coverage
features or limits contained in this Section are not intended as a limitation on coverage,
SOUTH MOORING COMPANY Page B -2
limits or other requirements, or a waiver of any coverage normally provided by any
insurance. Specific reference to a given coverage feature is for purposes of clarification
only as it pertains to a given issue and is not intended by any party or insured to be all
inclusive, or to the exclusion of other coverage, or a waiver of any type.
1.5.6 Self- insured Retentions. Any self - insured retentions must be
declared to and approved by City. City reserves the right to require that self - insured
retentions be eliminated, lowered, or replaced by a deductible. Self - insurance will not be
considered to comply with these requirements unless approved by City.
1.5.7 City Remedies for Non Compliance If Contractor or any
subcontractor fails to provide and maintain insurance as required herein, then City shall
have the right but not the obligation, to purchase such insurance, to terminate this
agreement, or to suspend Contractor's right to proceed until proper evidence of
insurance is provided. Any amounts paid by City shall, at City's sole option, be
deducted from amounts payable to Contractor or reimbursed by Contractor upon
demand.
1.5.8 Timely Notice of Claims. Contractor shall give City prompt and
timely notice of claims made or suits instituted that arise out of or result from
Contractor's performance under this Agreement, and that involve or may involve
coverage under any of the required liability policies. City assumes no obligation or
liability by such notice, but has the right (but not the duty) to monitor the handling of any
such claim or claims if they are likely to involve City.
1.5.9 Contractor's Insurance. Contractor shall also procure and
maintain, at its own cost and expense, any additional kinds of insurance, which in its
own judgment may be necessary for its proper protection and prosecution of the Work.
SOUTH MOORING COMPANY Page B -3
+` RI
ATTACHMENT E: CERTIFICATE OF INSURANCE CHECKLIST
CERTIFICATE OF INSURANCE
CHECKLIST
City of Newport Beach .
This checklist is comprised of requirements as outlined by the City of Newport Beach,
Date Received:
Date Completed:
DeptdContact Received From:
Sent to:
Company/Person required to have certificate:
L GENERAL LIABILITY
A. INSURANCE COMPANY:
H
EFFECTIVE DATES:
AM BEST RATING (A -: VII or greater):
CHUCK SOUTH
M
ADMITTED Company (Must be California Admitted):
is Company admitted in California?
Q Yes ❑ No
LIMITS (Must be $1M orgreater): What is limit provided?
PRODUCTS AND COMPLETED OPERATIONS (Must Include):
Is it included? (completed Operations status does not apply to
Waste Haulers)
❑ Yes Q No
ADDITIONAL INSURED WORDING TO INCLUDE (The City its
officers, officials, employees and volunteers): is it included?
❑ Yes ❑ No
PRIMARY & NON - CONTRIBUTORY WORDING (Must be
included): Is it Included?
0 Yes 0 No
CAUTION? (Confirm that loss or liability of the named Insured is
not limited solely by their negligence) Does endorsement include
"solely by negligence" wording?
❑ Yes ❑ No
NOTIFICATION OF CANCELLATION: Although there is a provision that requires
notification of cancellation by certified mail, per Lauren Farley, the City
will accept the
endeavor wording.
It��U[�I��LsIll»�L•TIQ�t'1
A. INSURANCE COMPANY: STATE FARM
B. EFFECTIVE DATES: 1 n n /9ni 7
C. AM BEST RATING (A -: VII or greater) A+
D. ADMITTED COMPANY (Must be California Admitted):
Is Company admitted in Callfomia? ® Yes ❑ No
E. LIMITS (Must be $1M min. BI & PD and $500,000 UM, $2M min
for Waste Haulers):
What is limits provided? 250 / S 0 0/ 1 n 0
F. PRIMARY & NON - CONTRIBUTORY WORDING (For Waste
Haulers only):
Is it included? n/a F1 Yes ❑ No
G. NOTIFICATION OF CANCELLATION: Although there is a provision that requires
notification of cancellation by certified mail; per Lauren Farley, the City will accept the
endeavor wording,
6/14/2411 F -14 Administrative Procedures P age (A -18
III, WORKERS' COMPENSATION
A. INSURANCE COMPANY:,-'5'a-t-'-:-) 00m>e�jsc�VH
B. EFFECTIVE DATES: I a, "&D I I —
C. AM BEST RATING (A-: V11 or greater): —JAL-k+-
D. LIMITS: Statutory
E. WAIVER OF SUBROGATION (To include): )sitincluded?
HAVE ALL ABOVE REQUIREMENTS BEEN MET?
IF NO WHICH ITEMS NEED TO BE COMPLETED?
Approved:
Agent of Brown & Brown
Broker of record for the City of Newport Beach
R/ye's ❑ No
❑ Requires approval/exception/waiver by Risk Management B&B initials
Comments:
Approved:
Risk Management Date
❑ Yes ❑ No
6/10/2011 F-14 Administrative Procedures Page IA-19
SG
P.O. BOX 420807, SAN FRANCiSCO,CA 94142 -0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 06 -28 -2012
CITY OF NEWPORT BEACH SG
ATTN SHANNON LEVIN
829 HARBOR ISLAND DR
NEWPORT BEACH CA 92660 -7235
GROUP:
POLICY NUMBER: 0804781 - 2011 -2
CERTIFICATE ID: 8
CERTIFICATE EXPIRES: 12 -20 -2012
12 -20- 2011/12 - 20-2012
THIS CERTIFICATE SUPERSEDES AND CORRECTS
CERTIFICATE # 7 DATED 05 -14 -2012
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated,
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer,
VVe will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the Insurance
afforded by the policy described herein is subieot to all the terms,, exclusions, and conditions, of such policy.
trized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE
ENDORSEMENT H2O65 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01- 20-2012 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
.�- ,._,....ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2012 -06 -28 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY, THIRD PARTY NAME:
CITY OF NEWPORT BEACH
EMPLOYER
NEWPORT DREDGING COMPANY INC DBA: SOUTH SG
MOORING CO
PC BOX 528
NEWPORT BEACH CA 92651
PRINTED : 06- 28-2012
trtev.a -2e 1o1
ENDORSEMENT AGREEMENT
WAIVER OF SUBROGATION
809781 -11 -2
RENEWAL
SG
PAGE 1
HOME OFFICE
SAN FRANCISCO EFFECTIVE JUNE 28, 2012 AT 12.01 A.M.
ALL EFFECTIVE DATES ARE AND EXPIRING DECEMBER 20, 2012 AT 12.01 A.M.
AT 12:01 AM PACIFIC
STANDARD TIME OR THE
TIME INDICATED AT
PACIFIC STANDARD TIME
SOUTH MOORING CO
PO BOX 528
NEWPORT BEACH, CA 92661
ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING,
IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND
WAIVES ANY RIGHT OF SUBROGATION AGAINST
CITY OF' NEWPORT BEACH
WHICH MIGHT ARISE BY REASON OF' ANY PAYMENT UNDER THIS
POLICY IN CONNECTION WITH WORK PERFORMED BY,
SOUTH MOORING CO
IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN
PAYROLL RECORDS ACCURATELY SEGREGA'T'ING THE REMUNERATION
OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE
EMPLOYER.
IT IS FURTHER AGREED THAT PREMIUM ON SHE EARNINGS OF SUCH
EMPLOYEES SHALT, BE INCREASED BY 03i.
NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE
OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS
POLICY OTHER THAN AS STATED, NOTHING ELSEWHERE IN THIS POLICY SHALL BE
HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR
LIMITATIONS OF THIS ENDORSEMENT,
COUNTERSIGNED AND ISSUED AT SAN fFRANCISCO:
:
AUTHORIZED REPRESENTA IVE
SOlB FORM 10217 {HEV.1-20227
JULY 2, 20012 2570
i "Hn,,. G
PRESIDENT AND CEO
OLD DR 217
'°� °`p® CERTIFICATE OF LIABILITY INSURANCE
8/3o�201122
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 WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s),
PRODUCER
CO ACT HOnse ACCOnnt
Mariners General Insurance Group
206 Riverside Avenue, Ste. A
PHONE (949)642-5174 uC . (9x9)642 -0252
EiZ& :
INSURERC$ AFFORDING COVERAGE
NAIC#
License #: OD36887
Newport Beach CA 92663
INSURERAAtlantic Specialty Insurance
EACH OCCURRENCE
INSURED
INSU ERB:
COMMERCIAL GENERAL LIABILITY
INSURER C:
.Able South, LLC & Newport Dedging Company,
INSURER D:
South Mooring Company
INSURER E:
PO BOX 5528
INSURER F:
Newport Beach CA 92661
COVERAGES CERTIFICATE NUMBER:CL1253004621 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INFR
TYPE OF INSURANCE
ADOL
SIR
B
W�
pOLtCY NUMBER
p Y EFF
MPOLICY EXP
LIMITS
r^^ !�
Craig Chamberlain /E:RS C.._'�- t'C9'.iw
GENERAL LIABILITY
EACH OCCURRENCE
S
COMMERCIAL GENERAL LIABILITY
•RISES N Erne ce
_
5
CLAIMS -MADE 0OCCUR
MEO EXP (An Ane Rerson
$
PERSONAL& ADV INJURY
_
S
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP /OP AGO
$
_
$
POLICY PR0. LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
citlern
_
BODILY INJURY (Per Person)
$
ANY AUTO
ALLOVMEU SCHEDULED
AUTOS
BODILY INJURY(Pw acc:dern)
$
PROPERitl Y DAMAGE
$ ..
i REDSAUTOS NONIO ED
UMBRELLA Like
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESSLIAB
r1A1MS -MADE
DED I I RETENTION$
m^ _
$
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRETORJPARMERtES=IVE❑
I wc STATU I JOTH'
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED?
N/A
(Mandatory In NMI
EL ,DISEASE - EA EMPLOYE
$
If yyes describe under
DESCRIPTION OFOPERATIONS below
EL DISEASE - POLICY LIMIT
S
A
P &I Liability
X
BSXH71259
/5/2012
15/2013
$1,060,000
SRLL
X
S5ZFH7126O
/5/2012
/5/2013
$1,000,000
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 101, Addittonai Remarks Schedule, L more space Is required)
As respects the 1978 231 Barge Hull ID #CrZS80100270K
The certificate holder is named as an additional insured.
CERTIFICATE HOLDER CANCELLATION
ACORD 26 (2610106)
INS025 f7ownss m
{t} 1988 -2010 ACORD CORPORATION. All rights reserved,
Thu ArnRn Hama arIH Inns ar> ranitrurnei mar4<nf ArnRn
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Newport Beach, It's Officers,
ACCORDANCE WITH THE POLICY PROVISIONS,
officals, employees and volunteers
AUTHORIZED REPRESENTATIVE
3300 Newport Blvd
Newport Beach, CA 92663
r^^ !�
Craig Chamberlain /E:RS C.._'�- t'C9'.iw
ACORD 26 (2610106)
INS025 f7ownss m
{t} 1988 -2010 ACORD CORPORATION. All rights reserved,
Thu ArnRn Hama arIH Inns ar> ranitrurnei mar4<nf ArnRn
CERTIFICATE OF INSURANCE
CHECKLIST
City of Newport Beach
This checklist is comprised of requirements as outlined by the City of Newport Beach. *
Date Received:
6 -15 -12 Dept. /Contact Received From: "1"ania
Date Completed:
11/30/12 Sentto: Tana By:
Renee
Company /Person required to have certificate: South Mooring
Type of contract:
_. All Other
1, PROTECTION AND INDEMNITY
EFFECTIVE /EXPIRATION DATE: 515/12 to 515/13
A.
INSURANCE COMPANY: Atlantic Specialty Insurance Company
B.
AM BEST RATING (A-: VII or greater): A XII
C.
ADMITTED Company (Must be California Admitted):
Is Company admitted in California?
0 Yes ❑ No
D.
LIMITS (Must be $1M or greater): What is limit provided? $1,000,000
E.
ADDITIONAL INSURED ENDORSEMENT — please attach
® Yes ❑ No
N/A F.
PRODUCTS AND COMPLETED OPERATIONS (Must
include): Is it included? (completed Operations status does
not apply to Waste Haulers or Recreation)
❑ Yes ❑ No
N/A G.
ADDITIONAL INSURED FOR PRODUCTS AND
COMPLETED OPERATIONS ENDORSEMENT (completed
Operations status does not apply to Waste Haulers)
❑ Yes ❑ No
N.
ADDITIONAL INSURED WORDING TO INCLUDE (The City
its officers, officials, employees and volunteers): Is it
included?
® Yes ❑ No
N/A I.
PRIMARY & NON - CONTRIBUTORY WORDING (Must be
included): Is it included?
❑ Yes ❑ No
J.
CAUTION! (Confirm that loss or liability of the named insured
is not limited solely by their negligence) Does endorsement
include "solely by negligence' wording?
❑ Yes 0 No
K.
ELECTED SCMAF COVERAGE (RECREATION ONLY): ® N/A
❑ Yes ❑ No
L,
NOTICE OF CANCELLATION: ❑ N/A
� Yes ❑ No
IL AUTOMOBILE
LIABILITY
EFFECTIVEtEXPIRATION DATE: Doesn't own vehicles per Tania 11/30112
_
A.
INSURANCE COMPANY: State Farm General Insurance Company
B.
AM BEST RATING (A-: Vil or greater) A: XV
._
C.
ADMITTED COMPANY (Must be California Admitted):
Is Company admitted in California?
ER Yes ❑ No
D.
LIMITS - If Employees (Must be $1 M min. BI & PD and $500,000
UM, $2M min for Waste Haulers): What is limits provided? $1,000,000
E
LIMITS Waiver of Auto insurance / Proof of coverage (if individual)
(What is limits provided ?) N/A
F.
PRIMARY & NON - CONTRIBUTORY WORDING (For Waste
Haulers only): Z N/A
❑ Yes ❑ No
G.
HIRED AND NON -OWNED AUTO ONLY: ❑ N/A
❑ Yes ® No
H.
NOTICE OF CANCELLATION: ❑ N/A
® Yes ❑ No
0. YV0RKERS`C0NPENG8TON
EFFECTIVE[E}(PIR8T|{}NQATE: 12-20-11 to 12-20-12
A I
INSURANCE COMPANY: State Fund
B. 8
8NY BEST RATING (8-:V||nrgn*eter): NotRated
C, A
ADMITTED Company (Must bo California Adonitted): 0
0 Yes F7Nu
D� V
VVDRKER8`O0/NPENQAT|ONUM|T: Statutory N
NYea Fl0o
E� E
EMPLOYERS' LIABILITY LIMIT (Must he%1&Yorgreater)
ADDITIONAL COVERAGE'S THAT MAYBE REQUIRED
/V, PROFESSIONAL LIABILITY
\/ POLLUTION LIABILITY
`/ BUILDERS RISK
N/A Yes 0 No
21 NIA El Yes 0 No
Agent cfAmant Insurance Services
Broker of record for the City of Newport Beach
Date
RISK MANAGEMENT APPROVAL REQUIRED Non'admdtod carrier rated less than ;
Self Insured Retention or Deductible greater than $__) El NIA El Yes El No
Reason for Risk Management ap
Risk Management
* Subject to the terms of the contract.
�