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2000 - Complete Paperless Solutions - Laserfiche and Digital Records Management
MAYOR: GARY TAYLOR MAYOR PRO TEM: STEVEN LY COUNCIL MEMBERS: SANDRA ARMENTA MARGARET CLARK POLLY LOW June 30, 2010 Laserfiche Attention: Dominic Grillo 3545 Long Beach Blvd Long Beach, CA 90807 f ific� osemcad 8838 E. VALLEY BOULEVARD • P.O. BOX 399 ROSEMEAD, CALIFORNIA 91770 TELEPHONE (626) 569 -2100 FAX (626) 307 -9218 Re: Authorization of Complete Paperless Solutions as VAR of Record Dear Mr. Grillo; Effective immediately, the City of Rosemead authorizes Complete Paperless Solutions located in Yorba Linda, CA to be officially noted as our VAR of record. Best regards, n"d- f� Matthew E. Hawkesworth Assistant City Manager so— WV solutions solutions CONTRACT AGREEMENT 4071 E. La Palma Avenue, Suite Anaheim, CA 928( Phone: (714) 630 -033 Far: (714) 630 -033 This SOFTWARE CONTRACT AGREEMENT is entered into this 17th day of September, 2008 (the "Effective Date ") by and between the City of Rosemead, a Municipal Corporation organized, under the laws of the state of California with its principal place of business at 8838 E. Valley Blvd., Rosemead, CA 91770 (the "City"), and Datanet Solutions, Inc., a Nevada Corporation with its principal place of business at 4071 E. La Palma Avenue, Suite B, Anaheim, CA 92807 ( "Consultant "). Consultant and the City are sometimes individually referred to as "Party" and collectively as "Parties" RECITALS A. Consultant desires to perform and assume responsibility for the provision of certain professional services required by the City on the terms and conditions set forth in this Agreement. Consultant represents that it is experienced in providing Installation and professional services to public entities, and is familiar with the scope of work of the City. B. The City desires to engage Consultant to render professional services as set forth in this Agreement. , NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth herein, Consultant and the City agree, as follows: Consultant's Services. a. Covered Software and Hardware. Consultant agrees to provide, and the City agrees to accept, Installation, Maintenance and Support Services with respect to the following Software and Hardware ( "Software "): CITY HALL LASERFICHE SINGLE. SERVER WEBLfNK STANDARD LICENSE FULL USER LICENSES ( 3 SNAPSHOT LICENSES ( 3 ) INCLUDED WITH FULL USER LIOFNsus E -MAIL LICENSES (28) INCLUDED WITH READ ONLY USER LICENSES READ ONLY USERS (25) IMPORT AGENT SCANCONNECT FUIITSU Fi -6770C VRS SCANNER b. Maintenance and Support Services. During the Term of this Agreement, Consultant agrees to provide the City Installation; Maintenance and Support Services ( "Services "), which shall consist of the following: Consultant will promptly notify the City of any material defects, malfunctions, or errors in the Software or documentation of which it learns from any source; ii. Consultant shall correct material defects, malfunctions, and errors within a reasonable time and with reasonable effort; Software Maintenance Agreement Page I of 6 iii. Consultant will provide the City with copies of the Software and documentation revised to reflect any and all updates and enhancements Consultant makes to the Software during the Term of this Agreement. Such enhancements will include all modifications to the Software which increase the speed, efficiency or ease of operation of the Software or add capabilities to or otherwise improve the functions of the Software; iv. Consultant is not obligated by this Agreement to correct errors caused by unauthorized modification made to the Software by the City, or to undertake updates made necessary by unauthorized modification of the Software by the City; V. Consultant shall provide Software and documentation for updates and enhancements to the City for installation on diskette, CD -ROM or DVD, for installation by the City. Consultant will install Software only if necessary and requested in writing by the City; vi. Consultant will provide telephone support on a reasonable and necessary basis between the hours of 8:00 a.m. and 5:00 p.m. Pacific Time, Monday through Friday, excluding bank holidays, unless another form of support is agreed to in writing by the City; vii. Subject to the foregoing, Consultant shall respond to the City's requests and problems within a time frame that reasonably reflects the urgency of the resolution of the request. Consultant will use reasonable efforts to give the most appropriate advice, but the responsibility for acting on or implementing such advice shall remain with the City. 2. Term. The Tenn of this Agreement shall be from September 17, 2008 thrrough September 17, 2009. Consultant hereby grants to the City an option to extend this Agreement on the same terms and conditions set forth herein. The City may exercise this option by notifying Consultant in writing of the City's intention to renew the Agreement at least 30 days prior to the expiration of the term. 3. Project Manager. Consultant's Project Manager for this Agreement will be Leonard P. Dominguez, who will have the overall responsibility and will supervise the Installation, Training and Services performed by Consultant. 4. Personnel. Consultant represents that it has, or will secure at its own expense, all personnel required to perform the Services under this Agreement. All of the Services required under this Agreement will be performed by Consultant or under its supervision, and all personnel engaged in the work shall be qualified to perform such Services. Consultant reserves the right to determine the assignment of its own employees to the performance of Consultant's Services wider this Agreement, but the City reserves the right, for good cause, to require Consultant to exclude any employee from performing Services on Agency's premises. 5. Licenses. Consultant will obtain all necessary licenses, permits and other approvals to perform the work specified in this Agreement and will pay all fees or taxes required for the issuance of the same. 6. Compensation. Consultant shall receive compensation for all Services rendered under this Agreement in the amount of $53,765.00, plus applicable sales tax. 7. Confidentiality. Employees of Consultant in the course of their duties under this Agreement may have access to financial, accounting, statistical, patron records, and other data maintained with the City's computer systems. Consultant covenants that all data, documents, discussions, or other information developed or received by Consultant or provided or exposed in the course of the performance of this Agreement are confidential and shall not be disclosed by Consultant without written authorization by the City. All City data shall be returned to the City Software Contruct Agreement Page 2 of 6 upon the termination of this Agreement. Consultant's covenant under this section shall survive the termination of this Agreement. S. Cooperation; Further Acts. The Parties shall fully cooperate with one another, and shall take any additional acts or sign any additional documents as may be necessary, appropriate or convenient to attain the purposes of this Agreement. 9. Rizht to License; No Infringement. Consultant represents that it has secured all necessary licenses, consents or approvals to use the components of the Software and to sell the Software under its name. Consultant covenants to defend, indemnify and hold the City harmless of any loss, claim or liability in any way related to a claim that the City is violating federal, state or local laws, or any contractual provisions, relating to trade names, licenses, franchises, patents or other means of protecting interests in products or inventions. Consultant shall bear all costs arising from the use of patented, copyrighted, trade secret or trademarked materials, equipment, devices or processes used on or incorporated in the Software. In case such materials, equipment, devices or processes are held to constitute an infringement and their use is enjoined, Consultant, at its expense shall: (a) secure for the City the right to continue using the Software by suspension of any injunction or by procuring a license or licenses for City; or (b) modify the Software so that it becomes non - infringing; or (c) remove the Software and refund all sums paid therefore without prejudice to any other rights of the City. These covenants shall survive the termination of this Agreement and are not subject to the limitations of Section 13 below. 10. Warranty Disclaimers. Except as otherwise provided in Sections 1, 11, and 12 above, Consultant makes no representation or warranties regarding the Services to be provided hereunder, including but not limited to representations or warranties of merchantability or fitness for a particular purpose. I L' ' Entire Agreement. This Agreement is an attachment (Exhibit D) to the main Agreement which is the City of Fontana Professional Services Agreement which, along with other attachments and exhibits, contains the entire Agreement of the parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings or agreements. Should any conflicts arise in language between the main agreement and any attachments or exhibits, the language in the main agreement (Professional Services Agreement) shall prevail. This Agreement may only be modified by a writing signed by both parties. 12. Governing Law. The laws of the State of California shall govern this Agreement. 13. Time of Essence. Time is of the essence for each and every provision of this Agreement 14. Successors and Assigns. This Agreement shall be binding on the successors and assigns of the parties, and shall not be assigned by Consultant without the prior written consent of the City. 15. Amendment: Modification. No supplement, modification, or amendment of this Agreement shall be binding unless executed in writing and signed by both Parties. 16. Waiver. No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenantor condition. No waiver; benefit, privilege, or service voluntarily given or performed by a Parry shall give the other Parry any contractual rights by custom, estoppel, or otherwise. 17. Independent Contractor. Consultant is an independent contractor and shall have no power to incur any debt, obligation or liability on behalf of the City. Consultant shall not, at any time or in any manner, represent that it or any of its agents or employees are in any manner agents or employees of the City. 18. No Thud Party Beneficiaries. There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 19. Invalidity; Severability. If any portion of this Agreement is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. 20. Captions. Section headings used in this Agreement are for convenience of reference only and shall not affect the construction of any provisions of this Agreement. Software Contract Agreement Page 3 of 6 21. Prohibited Interests. Consultant maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Consultant, to solicit or secure this Agreement. Further, Consultant warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Consultant, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty, the City shall have the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of the City, during the term of his or her service with the City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. 22. Authority to Enter Agreement. Consultant has all requisite power and authority to conduct its business and to execute, deliver, and perform the Agreement. Each Party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and bind each respective Party. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and attested by their proper officers thereunto: Dy: ,7E O�S INC. By: By: Title: C1 TT Mi%lUfKtL=R Title: �.u'aGLS�G V Date: Date: c � By: Attest:. Title: MA j - Date: /0— 2 2-009 t ( City Clerk (Two signatures required for corporations — California Corporations Code Section 313) Software Contract Agreement Page 4 of 6 EXHIBIT A [Itemized Quote] As datanet %®® solutions 4071 E. La Palma Avenue, Suite 8 Anaheim, CA 92807 Quote Date Quote 8129/2008 201978 Datatlet Solutions, Inc. 4071 E. La Palma Avenue, Suite B Anaheim, CA 92807 Phone# 714-6304337 Fax# 714-630 -0338 Signature of Approval My signature coi fmns appmral of order far all Items listed. I agree to all (he terms mid conditions listed above for this order. Page 1 E -mail mchung @datnneo-mlutions.com Web Site www.dmm�d- solulions.com Page 5 of 6 Software Contract Agreement Quote for. City of Rosemead Pat Platt 8838 E. Valley Blvd. Rosemead, CA 91770 Project Item Description Quantity Unit Price Total SOFTWARE, S30 Laserfiche United Server MS SQL 1 7,250.00 7,250.00T FX Laserfiche Full User United 3 750.00 2,250.007 RX Laserfiche Retrieval User United 25 300.00 7,500.007 PI 97830 Laserfiche Import Agent Laserfiche WeWink 1 1 1,495.00 7,995.00 1,495.001' 7,995.00T QF -1 Laserfiche Scanconneet 1 165.00 165.007 HARDWARE: fl-6770 VRS 70pp/1401mp. 200 Page ADF, 11x17 ADF Max Paper Size, Flatbad 1 7.995.00 7,995.00T D20 Var Discount 1 - 1,599.00 - 1,599.00 SUPPORT: S3P Laserfiche Software Assurance Plan (LSAP) Pdodty Support for United 1 2,175.00 2.175.007 Server MS SOL FXP Laserfiche Software Assurance Plan (LSAP) Pdorly Support for Full User 3 225.00 675.007 United RXP Laserfiche Software Assurance Plan (LSAP) Pdodty Support for Retrieval 25 90.00 2,250.007 User United PIP Laserfiche Software Assurance Plan (LSAP) Pdodty Support for Import 1 449.00 449.007 Agent 97830UP Laserfiche Software Assurance Plan (LSAP) Pdodty Support for Weblink 1 2.390.00 2,390.007 DNS -HWS Annual Hardware Maintenance Support for fl -6770 VRS (Optional) 1 1,595.00 1,595.007 Fed Tax ID No. 010388067 Subtotal Quote Valid for 30 days Sales Tax (8.25 %) Standard Shipping Rates Apply. Total Fed Tax 1D No. 03- 0388067 Datatlet Solutions, Inc. 4071 E. La Palma Avenue, Suite B Anaheim, CA 92807 Phone# 714-6304337 Fax# 714-630 -0338 Signature of Approval My signature coi fmns appmral of order far all Items listed. I agree to all (he terms mid conditions listed above for this order. Page 1 E -mail mchung @datnneo-mlutions.com Web Site www.dmm�d- solulions.com Page 5 of 6 Software Contract Agreement EXHIBIT A [Itemized Quote] a® datanet W® solutions 4071 E. Id Palma Avenue, Suite B Anaheim, CA 92807 Quote Date Quote 8!2972008 201978 Datanet Solutions, Inc. 4071 E. La Palma Avenue, Suite B Anaheim, CA 92907 Signature of Approval My signature con firms apprm -al of orderjor all items lisled. I agree m all the terms and conditions listed above for this onler. Paggee 2 Phone # 714- 630-0337 Fax # 714-630-0338 E -mail mchwg@datmtet- solutlurts.com Web Site s .dotanet-solutions.com Software Contract Agreement Page 6 of 6 Quote for. City ofRosemead Pal Piatt 8838 E. Valley Blvd. Rosemead CA 91770 Project Item Description Quantity Unit Price Total PROFESSIONAL SERVICES: PSG- MNIG... Project Management 1 8,092.00 8,092.00 - Site Analysis, - Implcmentation Consulting, - Instnllation(Cenftguration, - SyMcin Oeaign, - Ind User Training, - Systems Administrator Training PS-ONSITF.... Priority Plus On -Sitc Support (Optional) 3,088.00 3,088.00 Priority Plus On-site support is a guaranteed next business day on -site support. Standard support is via telephone ore -mail only, Ifyou do not have the Priori" Plus Ou sile support, 0n-slle visits arc calculated at $225.00 per (tour. Fed Tax N No. 03-0388067 Subtotal $53,765.00 Quote Valid for 30 days Standard Shipping Rates Apply. Sales Tax (8.26%) $3.645.18 Total $57.410.18 Fed Tax ID No. 03- 0388067 e.,.,, .... 1. u.,...t.t. Datanet Solutions, Inc. 4071 E. La Palma Avenue, Suite B Anaheim, CA 92907 Signature of Approval My signature con firms apprm -al of orderjor all items lisled. I agree m all the terms and conditions listed above for this onler. Paggee 2 Phone # 714- 630-0337 Fax # 714-630-0338 E -mail mchwg@datmtet- solutlurts.com Web Site s .dotanet-solutions.com Software Contract Agreement Page 6 of 6 '4� b® CERTIFICATE OF LIABILITY INSURANCE Y) F EXCLUSIONS AND CONDITIONS OF SUCH POl_ ES:- LIMITS..SHOWN M_A__Y HA E BEEN REDUCED BY PAID CLAIMS. v 5/23/2013 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 endorsemen (s):- ------ _-- ---- -- --- - - --_ - PRODUCER I CONTACT - NAME:.. Michelle Vandervoort Robert Harris Insurance Agencyl, plc. PNONE Fkd' (714) 619 -4480 FAC X, IAINo), (719) 619 -9981 Lic. #0216736 - I EoolIES .michelle @reharris.com INSURERS AFFORDING COVERAGE NAIC# 3150 Bristol St., $lllte 200 I Costa Mesa CA 92626 j ,' INSURERA:Travelers Cas Ins Co of America 19046 INSURED i INSUREREI:Hartford Ins CO Of the Midwest 37478 INSURER CAdmiral Ins. Co 4856 Complete Paperless Solutions #,L61 4025 E. La Palma Ave #201 I - INSURER D: PERSONAL 8 ADV INJURY INSURER E: INSURER F: Anaheim CA 92807 COVERAGES CERTIFIOATfi NUMBER: - REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF ijmSURANCE LISTED BWVV AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIgEMEYI7 TERM OR CQtyDITI OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER IN, THE INSURANCE FFO DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POl_ ES:- LIMITS..SHOWN M_A__Y HA E BEEN REDUCED BY PAID CLAIMS. v INSR LTR TYPE OF INSURANCE ADDL 1M.MD UBR POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP (NINUDDYYYYli LIMITS GENERALLIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 68OBB847614 -13 6/23/2013 6/23/2014 DAMAGE 10 REN TED PREMISES Eaoccunence $ 300,000 MED EXP(My one person) $ 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG $ 4,000,000 X POLICY PRO- LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 68OBB847614 -13 6/23/2013 6/23/2014 BODILY INJURY (Per accident) $ X PerOaccrJenIDAMAGE $ HIRED AUTOS X AUTOS FD UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMSWADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER /EXECUTIVE Mandatory in NH) EXCLUDED? (Mandatory ) N!A 2WECZX9262 6/23/2013 6/23/2014 X WC STATU- OTH- EL. EACH ACCIDENT $ 1,000,000 E. L. DISEASE -EA EMPLOYE $ 1 000,000 IF yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ 1:000,000 C Prof Liab; Claims Made 0000021609 -01 /11/2013 1/11/2014 Par Claim $1,000,000 Ded: $10,000 per claim Policy Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, rfmom space Is required) All Members /owners are excluded from Workers Compensation coverage. Policies are subject too 10 -days Notice of Cancellation in the event of non - payment of premium. (626)307 -9218 City of Rosemead City Clerk's Office Attn: Ericka Hernandez 8838 E. Valley Blvd Rosemead, CA 91770 25 10 "S AP La a qWa r Lae SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Vandervoort /MICHEL 1 , le ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201006).01 The ACORD name and logo are registered marks of ACORD AC� ® GATE (MMIDDmm Ill CERTIFICATE OF LIABILITY INSURANCE yq DA, /2D,, 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 endomement(s). PRODUCER NA E'p�' Michelle Vandervoort Robert Harris Insurance Agency, Inc. PFIFICNE . (714) 619 -4480 ___Fit,AC No: (]19) 619 -4481 Lic. #0216736 EA,%'L,,,.michelle@reharris.com 3150 Bristol St., Suite 200 INSURERS) AFFORDING COVERAGE NAICs Costa Mesa _ - RERA:Travelers Cas Ins CO of America 19046 INSURED 11 INS RERB:Hartford Ins. Co. of the Midwe 37478 Complete Paperless So.Luticios, ELC , a,u ;> INSURERC: 4025 E. La Palma Ave #201 I INCI RFRn ) ) I INS RERE: Anaheim C 92807 COVERAGES CERTI 1CAT:E.KUMBER_____._i I REVISION NUMBER: THIS IS TO CERTIFY THAT THE P LI 0 1 t likiNkONAW09, kISUWULWROL BVEN 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 PER1(A1K THE 1NSUBANPj AFFORDED B(Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS O #- SUEH-POLietEa -um T33HOWN'MAi`tfiAVEBeEN REDUCED BY PAID CLAIMS. INSR LM TYPE OF INSURANCE ADDL SUER POLICYNILMSER POLICYEFF MMIDDIYYYY POLICY EXP MMIDDIY LIMITS GENERALLMBIUTV EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrence) $ 300.000 X COMMERCIALGENERALLIABILITY A CLAIMSR ADE r OCCUR 6808B847612 -12 6/23/2012 /23/2013 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 4,000,000 $ X POLICY JECr 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 58OBB847612 -12 /23/2012 /23/2013 BODILY INJURY(Perewident) $ X PPOPPOEpdTtDAMAGE (P $ HIRED AUTOS X ALTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMSJv1PDE DED I I RETENTION $ WORKERSCOMPENSATION X WL STATU- OTH- TORY LIMITS FIR B AND EMPLOYERS' LIABILITY ANY PROPRIETORIPMTNERIEXEQ ITIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA kCZX9262 /23/2012 /23/2013 EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Peach ACORD 101, AOtlition it Remarks Schedule, if more space Is required) All Members /owners are excluded from Workers Compensation coverage. Policies are subject too 10 -days Notice of Cancellation in the event of non- payment of premium. CFRTIFICATF NOM OFR CANCELLATION (626)307-9218 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Rosemead City Clerk's office AUTHORIZED REPRESENTATIVE Attn: Ericka Hernandez 8838 E. Valley Blvd Rosemead, CA 91770 r // — t MVandervoort /MICHEL Y�- G+Tp�¢. (�E? .PnIJP) -Bi�- ACORD 25 (2010105) O 1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201005)01 The ACORD name and logo are registered marks of ACORD