HomeMy WebLinkAbout2003-008 CA Code Check Agmt CITY OF ATASCADERO
CONTRACT Q2=� '
Contract No.
CONSULTANT SERVICES AGREEMENT
This agreement is made upon the date of execution, as set forth below, by and between
California Code Check, Inc., hereinafter referred to as "Contractor", and the City of Atascadero,
California, a Municipal Corporation, hereinafter referred to as "City". The parties hereto, in
consideration of the mutual covenants contained herein, hereby agree to the following terms and
conditions:
1:00 GENERAL PROVISIONS
1.01 TERM: This agreement will become effective on the date of execution set
forth below, and will continue in effect until terminated as provided herein.
1.02 SERVICES TO BE PERFORMED BY CONTRACTOR: Contractor agrees to
perform or provide the services specified in "Description of Services" attached hereto as
"Exhibit A"hereby incorporated herein.
Contractor shall determine the method, details and means of performing the
above-referenced services.
Contractor may, at Contractor's own expense, employ such assistants, as
Contractor deems necessary to perform the services required of Contractor by this
agreement. City may not control, direct or supervise Contractor's assistants or employees
in the performance of those services.
1.03 COMPENSATION: In consideration for the services to be performed by
Contractor, City agrees to pay Contractor the consideration set forth in the amounts and
under the terms provided in"Exhibit B", hereby incorporated herein.
2:00 OBLIGATIONS OF CONTRACTOR
2.01 MINIMUM AMOUNT OF SERVICE BY CONTRACTOR: Contractor agrees
to devote the hours necessary to perform the services set forth in this agreement in an
efficient and effective manner. Contractor may represent, perform services for and be
employed by additional individuals or entities, in Contractor's sole discretion, as long as
the performance of these extra-contractual services does not interfere with or presents a
conflict with City's business.
2.02 TOOLS AND INSTRUMENTALITIES: Contractor shall provide all tools and
instrumentalities to perform the services under this agreement.
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Name
2.03 WORKER'S COMPENSATION AND OTHER EMPLOYEE BENEFITS:
City and Contractor intend and agree that Contractor is an independent contractor of City
and agrees that Contractor and Contractor's employees and agents have no right to
worker's compensation and other employee benefits. If any worker insurance protection
is desired, Contractor agrees to provide worker's compensation and other employee
benefits, where required by law, for Contractor's employees and agents. Contractor
agrees to hold harmless and indemnify City for any and all claims arising out of any
claim for injury, disability, or death of any of Contractor and Contractor's employees or
agents.
2.04 INDEMNIFICATION: Contractor hereby agrees to, and shall, hold City, its
elective and appointive boards, officers, agents and employees, harmless and shall defend
the same from any liability for damage or claims for damage, or suits or actions at law or
in equity which may allegedly arise from Contractor's or any of Contractor's employees'
agents' operations be by Contractor or by any one or more persons directly or indirectly
employed by, or acting as agent for, Contractor; provided as follows:
a. That the City does not, and shall not, waive any rights against Contractor which it
may have by reason of the aforesaid hold-harmless agreement, because of the
acceptance by City, or the deposit with City by Contractor, of any of the insurance
policies hereinafter described.
b. That the aforesaid hold-harmless agreement by Contractor shall apply to all
damages and claims for damages of every kind suffered, or alleged to have been
suffered, by reason of any of the aforesaid operations of Contractor or any agent
or employee of Contractor regardless of whether or not such insurance policies
shall have been determined to be applicable to any of such damages or claims for
damages.
2.05 INSURANCE: Consultant shall take out and maintain during the life of this
contract such public liability and property damage insurance as shall protect City, its
elective and appointive boards, officers, agents and employees, and Consultant and any
agents and employees performing work covered by this contract from claims for damages
for personal injury, including death, as well as from claims for property damage which
may arise from Consultant's or any subConsultant's operations under this contract,
whether such operations be by Consultant or by anyone directly or indirectly employed
by Consultant and the amounts of such insurance shall be as follows:
PROFESSIONAL LIABILITY,
In an amount not less than One Million Dollars ($1,000,000).
WORKER'S COMPENSATION INSURANCE.
In the amounts required by law as set forth in Section 2.03 above.
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a. DEDUCTIBLES AND SELF-INSURED RETENTIONS:
Any deductible or self-insured retention must be declared to, and approved by, the
City. The City may require that either the insurer reduce or eliminate such
deductibles or self-insured retentions as respects the City, its elected or appointed
officials, employees, agents, or volunteers; or the Consultant shall procure a bond
guaranteeing payment of all administration and legal expenses.
b. PROOF OF INSURANCE.
Consultant shall furnish City, concurrently with the execution hereof,with
satisfactory proof of carriage if the insurance required, and adequate legal
assurance that each carrier will give City at least thirty(30) days' prior notice of
the cancellation of any policy during the effective period of this contract. The
certificate or policy of liability of insurance shall name City as an additional
insured with the Consultant.
3:00 OBLIGATIONS OF CITY
3.01 COOPERATION: City agrees to comply with all reasonable requests of
Contractor necessary to the performance of Contractor's duties under this agreement.
3.02 PLACE OF WORK:City agrees to furnish space for use by the Contractor while
performing the services described in this agreement only as set forth in "Exhibit C",
hereby incorporated herein. Any work space requirements not set forth in "Exhibit C"
shall be the responsibility of Contractor, and Contractor may use alternate space for
performing described services.
4:00 TERMINATION OF AGREEMENT
4.01 TERMINATION ON NOTICE: Notwithstanding any other provision of this
agreement, at any time, without cause by giving at least (30) days prior written notice to
the other parties to this agreement.
4.02 TERMINATION ON OCCURRENCE OF STATED EVENTS: This
agreement shall terminate automatically on the occurrence of any of the following
events:
(1) Bankruptcy or insolvency of any party;
(2) Sale of the business of any party;
(3) Death of any party;
(4) The end of the (30) days as set forth in Section 4.01;
(5) End of the contract to which Contractor's services were necessary; or
(6) Assignment of this agreement by Contractor without the consent of the
City.
4.03 TERMINATION BY ANY PARTY FOR DEFAULT OF CONTRACTOR:
Should any party default in the performance of this agreement or materially
breach any of its provisions, a non-breaching party, at their option, may terminate this
agreement, immediately, by giving written notice of termination to the breaching party.
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4.04 TERMINATION: This Agreement shall terminate on 2/11/06, unless
extended as set forth in this Section. The City, with the agreement of the Contractor, is
authorized to extend the term of this Agreement beyond the termination date, as needed,
under the same terms and conditions set forth in this Agreement. Any such extension
shall be in writing and be an amendment to this Agreement.
5:00 SPECIAL PROVISIONS
(None)
6:00 MISCELLANEOUS
6.01 REMEDIES: The remedies set forth in this agreement shall not be
exclusive but shall be cumulative with, and in addition to , all remedies new or hereafter
allowed by law or equity.
6.02 NO WAIVER: The waiver of any breach by any party of any provision of
this agreement shall not constitute a continuing waiver or a waiver of any subsequent
breach of this agreement.
6.03 ASSIGNMENT: This agreement is specifically not assignable by Contractor
to any person or entity. Any assignment or attempt to assign by Contractor, whether it be
voluntary or involuntary, by operation of law or otherwise, is void and is a material
breach of this agreement giving rise to a right to terminate as set forth in Section 4.03.
6.04 ATTORNEY FEES: In the event of any controversy, claim or dispute between
the parties hereto, arising out of or relating to this agreement, or the breach thereof, the
prevailing party shall be entitled, in addition to other such relief as may be granted, to a
reasonable sum as and for attorney fees.
6.05 TIME FOR PERFORMANCE: Except as otherwise expressly provided for
in this agreement, should the performance of any act required by this agreement to be
performed by either party be prevented or delayed by reason by any act of God, strike,
lockout, labor trouble, inability to secure materials, or any other cause except financial
inability not the fault of the party required to perform the act, the time for performance of
the act will be extended for a period of time equivalent to the period of delay and
performance of the act during the period of delay will be excused; provided, however,
that nothing contained in this Section shall exclude the prompt payment by either party as
required by this agreement or the performance of any act rendered difficult or impossible
solely because of the financial condition of the party required to perform the act.
6.06 NOTICES: Except as otherwise expressly provided by law, any and all notices
or other communications required or permitted by this agreement or by law to be served
on or given to any party to this agreement shall be in writing and shall be deemed duly
served and given when personally delivered or in lieu of such personal service when
deposited in the United States mail, first-class postage prepaid to the following address
for each respective party:
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PARTY ADDRESS
A. CITY OF ATASCADERO 6500 Palma Avenue
Atascadero, CA 93422
B. CALIFORNIA CODE CHECK, INC. 1015 Nipomo St. Suite 200
BRYAN SPAIN, REPRESENTATIVE San Luis Obispo, CA 93401
6.07 GOVERNING LAW: This agreement and all matters relating to this
agreement shall be governed by the laws of the State of California in force at the time any
need for the interpretation of this agreement or any decision or holding concerning this
agreement arises.
6.08 BINDING EFFECT: This agreement shall be binding on and shall inure
to the benefit of the heirs, executors, administrators, successors and assigns of the parties
hereto, but nothing in this Section shall be construed as a consent by City to any
assignment of this agreement or any interest in this agreement.
6.09 SEVERABILITY: Should any provision of this agreement be held by a court
of competent jurisdiction or by a legislative or rulemaking act to be either invalid, void or
unenforceable, the remaining provisions of this agreement shall remain in full force and
effect, unimpaired by the holding, legislation or rule.
6.10 SOLE AND ENTIRE AGREEMENT: This agreement constitutes the sole
and entire agreement between the parties with respect to the subject matter hereof. This
agreement correctly sets forth the obligations of the parties hereto to each other as of the
sate of this agreement. All agreements or representations respecting the subject matter of
this agreement not expressly set forth or referred to in this agreement are null and void.
6.11 TIME: Time is expressly declared to be of the essence of this agreement.
6.12 DUE AUTHORITY:The parties hereby represent that the individuals executing
this agreement are expressly authorized to do so on and in behalf of the parties.
6.13 CONSTRUCTION: The parties agree that each has had an opportunity to have
their counsel review this agreement and that any rule of construction to the effect that
ambiguities are to be resolved against the drafting party shall not apply in the
interpretation of this agreement or any amendments of exhibits thereto. The captions of
the sections are for convenience and reference only, and are not intended to be construed
to define or limit the provisions to which they relate.
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6.14 AMENDMENTS: Amendments to this agreement shall be in writing and shall
be made only with the mutual written consent of all of the parties to this agreement.
Executed on .�6YuarU l 14 , 2003, at Atascadero
Attest: CITY OF ATASCADERO
Warren Frace CITY M NN RY
Community Development Director
Approved as to form:
"tTj rO
Rachelle Rickard Bryan pai
Director of Administrative Services Contractor
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EXHIBIT i°A"
Scope of work includes evaluation of Plans in the conformity with State and Local Regulations.
The work may involve both residential and commercial buildings of varying size and scale.
Levels of services include the following:
• Full Review (a review of all aspects of the project),
• Building Review (a review of the proposed structure only, exclusive of the site-related
aspects of the project), and
• Structural Engineering Review (a review of the structural design of the proposed project
only)
Review of public improvements or city-owned capital improvements are not to be considered as
part of this proposal.
The Contractor is expected to coordinate with the Permit Technician, Plans Examiner/Inspector,
and Building Official/Fire Marshal to prepare reviews consistent with those performed by City
personnel.
The Contractor is also expected to prepare monthly reports summarizing activity for that month.
List of services and response time.
PROJECT RESPONSE TIME
New Tracts/Apartments/Condominiums 12 Working Days
New Commercial (most large projects) 15 Working Days
Tenant Improvements (smaller projects) 7 Working Days
New Residence (most large projects) 7 Working Days
Residential Addition (smaller projects) 7 Working Days
Commercial: Electrical, Mechanical, and 10 Working Days
Plumbing
Most rechecks 5 Working Days or less
Special Note: Typically, California Code Check's turn around times are quicker.
However, in order to provide thorough plan check services Large/ Multi-Story/Use
projects may take longer. These response time periods can be established on a case
by case basis as approved by the Building Official. This does not include the time
necessary to transport plans.
California Code Check can deliver plans two days a week, especially if our staff has
counter hours. This process has worked very well in other cities.
In cities with low plan submittal volumes and where we provide "overflow" or
"expedited" plan checking, we are available to meet city staff and applicants by
appointment as needed. Where cities have high volumes, we have regular counter hours
two days a week. This service is provided at no extra cost to the City.
We believe this creative approach provides superior customer service, while controlling
costs to the city or applicant.
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EXHIBIT 1113"
California Code Check can provide complete plan review services for 70% of the plan check
fees charged by the city (Fee Basis- 1998 C.B.C.; Valuation Basis- 2001 Building Standard or
similar). There is no additional charge for our engineers to be available for telephone calls with
applicants or City Staff regarding specific projects. We are always available for teleconferences
with City Staff to keep open lines of communication or to consult (be a "sounding board") for
the progressive and ever changing building designs.
Special projects, assigned by the Building Official, can be performed for $95.00 per hour of plan
review time by a Licensed Engineer. (i.e.- deferred submittals, bridges, or other structures as
mutually agreed upon.)
Accelerated plan reviews: l.) Should the Building Official request an accelerated plan review,
California Code Check will strive to satisfy requests for no additional charge; 2.) On a case by
case basis, should Applicant's request accelerated plan review, with approval of the Building
Official, California Code Check will strive to satisfy reduced time constraints for a cost of
double our normal plan check fee.
Our normal business hours are Monday-Friday from 8:00 a.m. to 5:00 p.m. Including some City
holidays. (This is usually beneficial to many clients).
This proposal is valid for six months.
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EXHIBIT i°C"
Exhibit C - Work Space
None provided
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SENT BY: TOM HARRIS; 805 499 7303 ; MAR-331 ^I 8:58AM• PAGE 1
[§ECLIVVED
California Code Check MAR 3 1 2003
2393 Teller Road,Suite 108 * Newbury Park CA 91320 * (30a 499-4581
1015 Nipomo Street,Suite 200 * San Luis Obispo CA 93401 COMMUtdlTY DEVELOP ENT
www.californiacodecheck.com * e-mail: CACodeCheck@aol.com * (800) 803-3622
FACSIMILE TRANSMISSION COVER LETTER
DATE,
DELIVER TO:
SENT BY.
TOTAL NUMBER OF PA(0-:S rN THTS TRANSMISSION.
(Including this cover letter)
PLEASE CALL THE SFN DT-.t IF' ANY PAR] ().F THIS TF-AIN SMI SSION 1S NOT
COMPLETELY LEGIBLE AT(805)499-4584 OR(800) 803-3622 OR FAX(805)499-7303-
WF WILL ASSUME TIIAf THIS TRANSMISSION WAS RECEIVED WITIIOUT A
PROBLFM T INI.FSS WF IT;A.R.FROM YOU.
REMARKS-
9u c�u� C c �e r taxa- �4,,2 ....... ...... _ _—_-_---
SENT BY: TOM HARRIS; 805 499 7303 ; MAR-31 -1 8:58AM; PAGE 2/5
CERTIFICATE OF INSURANCE
t ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
IF
STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
STATE FARM KORIDA INSURANCE COMPANY,Winter Haven, Florida
❑ STATE FARM LLOYDS,Dallas,Texas
insures the following policyholder for the coverages indicated below.
Name of policyholder CALIr•OREIA CODE CHECK INC_
Address of policyholder >393 TELLER ROAD STE 108, NEWSURY PARK CA 91320
Location of operations
Description of operations r:Nv1NEEIQINc'
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and ccnditions of those policies. The limits of liability shown may have been reduced by any paid
claims.
POLICY PERIOD LIMITS OF LIABILITY
POLICY NUMBER TYPE OF INSURANCE EtIlk-ive Date ; Expirabw Dow (at beginning of policy period)
Comprehensive BODILY INJURY AND
92 92- - r - - - bili y 11/03/0.2_. __. 1.1_/_0.3_/_0.3 -- PROPERTY D10MAGE
This insurance ncludes. ❑$Products-Corn plated 0peations
❑Contractual Liability
❑Undergrounf.Hazard Coverage Each Occurrence $1,000,000.00
❑Personal Injury
❑Advertising Irijury General Aggregate $2,000,000-06
❑Explosion Hazard Coverage
❑Collapse Hazard Coverage Products-Completed $2,000,000.00
❑ Operations Aggregate
El
T POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY Fffective Date ; Expiration Date (Combined Single Limit)
❑ UmbrellaEac1 Occurrence $
❑ Otherate $
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-- -- -—T— - Part t STATUTORY
Part 2 BODILY INJURY
Workers'Compensation
and Employers Liability Each Accident $
Disease Each Employee $
Disease-Policy Limit $
POLICY PERIOD LIMITS or UA$IUTY
POLICY NUMBER TYPE OF INSURANCE Effective Date Expirsf on Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS,EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN-
as additional insured: If any of the described policies are canceled before
its expiration date, State Farm will try to mail a
written notice to the certificate holder 30 days before
Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice,
n ation or liab-- .will be imposed on State
CITY OF ATASCADERO Fe orS; atives.
ATTN: ERIC MGM, 1�1 oc; oh'h'it-1Ni,
BtrII.D1NG DIVISION
f,hOO PALMA AVF, RCIOM 104 SigntgureofAutlrtxizedRegesentative
ATA AGS . 1i/79i3:'.'
Title" Ddte
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SENT BY: TOM HARRIS; 805 499 7303 ; MAR-31 ^1 8:58AM; PAGE 3/5
'%*k William$ 805 **-2376 P. 2
09/201 002
HOLDER. TIO COUVICATE a= NOT ARM VffM OR
Vroman Insurance Agency ALTER THE COYNAGE AFFORDED By THE POUCIES WLOW.
PO Box 799 COMPANIEBAFFORIMCOVEMBE
Newbury Park, CA 91319-0799 CONPANr
805)375-5768 fax (805)376-2376 A FARMERS INSURANCE
flflRiAo _ — Cot~
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CALIF CODE CHECX Cagan
1000 BUSINESS CENTER CIRCLE #215 C
NEWBURY PARK,CA 91320 Cc~
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SENT BY: TOM HARRIS; 805 499 7303 ; MAR-31 13 8:59AM; PAGE 4/5
DATC
AGORD. CERTIFICATE OF LIABILITY INSURANCE1/
12/31 2aa2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hogan Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O- Box 7419 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Thousand Oaks CA 91359-
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IN5URE0
California Code Check, Inc. INSURER B.
2393 Teller Road, Suite 108 1NSUHERC:
INSURER D.
,Newbury Park CA 91320- 1 INSURER E:
COVERAGES ANY
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REQUIREMENT,TERM OR CONDIIIUN OF ANY CONTRACT OR O'Thr:R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY DG IS$UEb OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THC POLICIES DESCRIBED HEREIN IS SU9JF0T TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
HSR POLICY EPFECTTVE *Fk�
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TYPE OP INSURANCE POLICY NUMBER DATE MWP
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OINER
DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESIFXGLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS .
10 baly Nonce of Cancellation May Apply Eur NOn-Payment
CERTIFICATE HOLDER ADoDNAL INSURED:INsuRFp I.FYTFR CANCELLATION
rn
yHOUL13 ANY OF THE ABOVE DESCRIBFD POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER MBLL ENDEAVOR TO MAIL
030 DAYS WRITTEN NOn=YO TUE CCRnnrATE HOLDER NAMED TO YHE L11k.BUT
FAILURE TO Do SO SHALL wFOSE NO OBLIGATION OR IJARiuTY OF ANY VJND UPON THE
city Of Atascader0
Mr, Xric Hagar. - Bldg.Division INSURER.ITS A09KM OR REPRESENTATIVE5.
6500 'Palma Avenue, RM. 104 AUTHORIZED REPRESE
93422^ �... .. �p,�.... w
aBmdaro ®ACORDCORPORATIQN 1988
ACORD 25S(7/97) rape 1012
_-INS025S(9910)MELECTRONIC LASER FORMS,INC •(800)327 0545
SENT BY: TOM HARRIS; 805 499 7303 ; MAR-31 13 8:59AM; PAGE 5/5
CI n -, DATE(pi nDn'Y)
AMM CERTIFICATE OF LIABILITY INSUR NCE .� OF N�102
THIS CERTIFICATE IS ISSUED AS A IMA
PROOUDIR FICA`I E
ONLY AND CONFERS NO RIGHTS UPON THE
Dealey,Renton&Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
600 S.Lake Avenue,Suits 308 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pasadena,Ca 81106 INSURERS AFFORDING COVERAGE—
62a-844-3070 -
tINSURenl
ER A Great Arneriean Assurance Co.
INSURED
California Code Check 2393 Teller Road 9108 ER C —
Newbury Park,CA 91320 INSURER o
INSURER E:
COVERAGES _ ABOVE FOA
THE POUCI SOFINSU;AN USTEDOw
Or HAVENG
BEEN
CONITRACr OR OTWep sDOGUMENT WIT SPECT 710 ICH THIS CEIRTIFrIGATE MAY ATED BE 1 DIDR
ANY REQ EXCLU31QNS AND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCAMD HEREIN IS SUBJECT TO ALL THE TERMS,
POLICIES. AGGREGATE UWs SHOWN MAY HAVE BEEN FIEDuCED BY PAID CLAIMS. a AT1oN UNTTe
N �— POLICY NUMBER ATE DIY a
TYPE OF INSURANCE EACH OCCURRENCE S —
GENERAL LIABILITY FIRE DAMAGE(Any Ona 11,e) S
GOM MtRCIAL GENERAL LUIBILITY MED EXP( One pe,e In) $
CLAIMS MADE OCCUR pERSaNAL d ADV INJURY S
_ — GeFRALA[i(9REGATE —
J _ PRODUCTS •COMP/OP AGG S
GEN'L AGGREGA-M LIM IT APPLIES PER:
POLICY r LOC
COMBINED SINGLE I-My $
AUTDMOBRA(JABIUn (Ce accM°'n)
ANY AUTO
BODILY 1NJUFIY y
ALL OWNED AUTOG (Per peraOn) .
9OHEOULED AUTOS
HIRED AUT06 BODILY INJ RY 'g —
(Pis EQCiCe,rt�
NON-OWNED Mims
PROPEFIYY DAMAGE $
(per awdenO
— Au7a ONLY EA ACGDENT i.
GARAGE UAWLITY EA AOC 8
ANY AUTO OTHER THAN
AuTo ONLY: q(O $
EACH OC4fLftENCE S —
EXCM u AGGRCOATE 8
ODUUM F1 CLAIMS MADE $ —
S _
DEDUCTIBLE f
RETENTION 3 WC STATu OTH-
w0WjRs COMPENSATION AND t,L EACH ACCIDENT S
EMPLOYER LIAIMLTTY OYEE 5•
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SE!1Sl -L-AEh�l -
E.0 DISEASE•POLICY UMrT $
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A m" Professional EDN6760867 09104102 09104103 $2,000000 snnl aggr-
lability
DESCRIPTION OF CNBA
PERAMOOCATWHWVEHICLEffiE "IJSIOM ADDED 9Y ENDOR9EI�ENT/SPC�'1•AL PROV1910Ng
CERTIFICATE HOLDER ADD�IALINSURED'INSURERLETTER
CANCELLATION
!SHOULD ANVOFTH E ABOVE D ESCRIBED POUCIE88 E CA►ICELI ED 6EFORE TH E E70iRAT10N
City of Atascadero DATL THEREOF,THE 16�aG INSURER wlLt ENDEAVOR TOIWL30_. DAY6WRRTEN
NOi1Cfl TOTH E CERTFTCATE HOLD ER NAV ED rCTNE LEFT.BUT FAILURE TO DO SDSHALL
Eric Hagen,Bldg.Official
6500 Palma Avenue IM POSR NO 064rGAT1ON OR LIABILnY OF ANY aNP V +TTI E IN6URER,T�9 AGENTS OR
REppesENTATIVES.
Atascadero,CA 93422 �/r o a A
+ MAF m ACORD CORPORA►�#i4N 198E
ACORD 25 5(719711 of 1 SM77838
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