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HomeMy WebLinkAboutC-1991G 1�i4 / —Z AMENDMENT NO. 2 TO PROFESSIONAL SERVICES AGREEMENT This Amendment No. 2 ( "Amendment No. 2 ") to that certain Professional Services Agreement, dated as of July 28, 2003, as amended by Amendment No. 1 dated as of June 15, 2005 (the "Agreement "), by and between the City of Arcadia, a California municipal corporation (the "City"), and Jordan Good, a sole proprietorship, ( "Contractor ") is dated this ZS +n day of 5ophember- , 2005. City and Contractor may be referred to individually as "Party" or collectively as "Parties ", as the context may require. This Amendment No. 2 is entered by and between the Parties with reference to the following recited facts (each, a "Recital "): RECITALS A. The City and Contractor have entered into the Agreement pursuant to which Contractor agreed to provide to City certain housing rehabilitation services as part of the City's Housing Rehabilitation Program. B. The Parties desire and intend to enter into this Amendment No. 2 to clarify requirements for retention of books, documents, papers and records and to require adherence by Contractor to certain anti- discrimination covenants mandated by the federal government, all as required by the Community Development Commission of the County of Los Angeles. NOW, THEREFORE, THE CITY AND CONTRACTOR AGREE AS FOLLOWS: 1. INCORPORATION OF RECITALS. The Recitals set forth above are true and correct and are incorporated into this Amendment No. 2. 2. EFFECT OF AMENDMENT. Except as to provisions expressly amended by this Amendment No. 2, the Agreement is ratified and confirmed and all of the terms and provisions of the Agreement, as amended by this Amendment No. 2, shall be and remain in full force and effect. 3. AMENDMENT TO AGREEMENT. The Parties mutually agree to amend the Agreement by adding the following at the end of Section 3.4.1: 1 "Consultant shall retain and provide access to City to any and all books, documents, papers and records of Consultant for purposes of auditing and/or examination for a period of four (4) years after final payments are made by City to Consultant and all other pending matters pertaining to this Agreement are completed and closed, as required by 24 CFR 85.42 of the `Common Rule'". " The Parties further mutually agree to amend the Agreement by adding Section 3.7 thereto, to read as follows: "At all times during the term of this Agreement, Consultant agrees to comply with all of the terms and provisions, and covenants, pertaining to discrimination, as set forth in Community Development Block Grant Bulletin No. 94 -0024, the pertinent provisions of which are fully set forth in Attachment No. 1 to this Amendment No. 2." 4. COUNTERPART ORIGINALS. This Amendment No. 2 may be executed by the Parties in multiple counterparts, all of which together shall constitute a single agreement. 5. EFFECTIVE DATE. The Effective date of this Amendment No. 2 is the date it is fully executed by both Parties. IN WITNESS WHEREOF, the Parties execute this Amendment No. 2, by and through the signatures of their duly authorized representatives below, as follows: CITY OF ARCADIA By KnA City Manager tt , 2005 City APPROVED AS TO FORM: gP.1 , City Attorney 'r: CONSULTANT Dated: September 7-4 , 2005 CONCUR: Department Head AMENDMENT NO. 1 TO PROFESSIONAL SERVICES AGREEMENT This Amendment No. 1 ( "Amendment ") to that certain PROFESSIONAL SERVICES AGREEMENT, dated as of July 28,, 2003 (the "Agreement "), by and between the City of Arcadia, a California muni.cc�i-p�al corporation (the "City "), and Jordan Good (a sole proprietorship) ( "Contractor") is dated ✓UpC /S , 2005. City and Contractor may be referred to individually as "Party" or collectively as "Parties", as the context may require. This Amendment is entered into by and between the Parties with reference to the following recited facts (each, a "Recital "): RECITALS A. On or about July 28, 2003, City and Contractor entered into that certain Agreement wherein Contractor agreed to provide to City certain housing rehabilitation services as part of City's Housing Rehabilitation Program. B. The Parties desire to enter into this Amendment to clarify that the source of City's funding for Contractor's services is Community Development Block Grant ( "CDBG") funds administered by the County of Los Angeles. NOW, THEREFORE, THE CITY AND CONTRACTOR AGREE AS FOLLOWS: 1. Incorporation of Recitals. The Recitals set forth above are true and correct and are incorporated into this Amendment. 2. Effect of Amendment. Except as to provisions expressly amended by this Amendment, the Agreement is ratified and confirmed and all of the terms and provisions of the Agreement, as amended by this Amendment, shall be and remain in full force and effect. 3. Amendment to Agreement. The Parties mutually agree to amend the Agreement by adding a new Section 3.3.5 to read as follows: "33.5 Source of Funding. City and Consultant recognize and agree that the source of the City's funding to pay for Contractor's services performed under this Agreement is Community Development Block Grant ( "CDBG ") funds administered by the County of Los Angeles." 4. Counterpart Originals. This Amendment may be executed by the Parties in multiple counterparts, all of which together shall constitute a single agreement. 5. Effective Date. The Effective Date of this Amendment is the date it is fully executed by both Parties. /A Yr • IN WITNESS WHEREOF, the Parties execute this Amendment No. 1, by and through the signatures of their duly authorized representatives below, as follows: CITY OF ARCADIA William R. Kelly, City Manager Dated: 12005 ST: City Cleik APPROVED AS TO FORM:, Stephen P. Deitsch City Attorney ORANGDAJM117680.1 2 JORDAN GOOD, a sole proprietorship CONCUR: Department Head �S30-YO CITY OF ARCADIA PROFESSIONAL SERVICES AGREEMENT 1. Parties and Date. �h DD This Agreement is made and entered into this � � day of O k l ni 2 3 by and between the City of Arcadia, a municipal orgazation organized udder the laws of the State of California with its principal place of business at 240 West Huntington Drive, Arcadia, CA 91007 ( "City ") and Jordan Good, (a sole proprietorship), with his principal place of business at 862 Camino La Maida, Thousand Oaks, CA 91360 ( "Consultant'). City and Consultant are sometimes individually referred to as "Party" and collectively as "Parties." 2. Recitals. 2.1 Consultant. 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 housing rehabilitation management services to public clients, is licensed in the State of California, and is familiar with the plans of City. 2.2 Project. City desires to engage Consultant to render such housing rehabilitation management services as part of the City's Housing Rehabilitation Program team and as set forth in this Agreement. 3. Terms. 3.1 Scope of Services and Term. 3.1.1 General Scope of Services. Consultant promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional consulting services necessary for the Project ( "Services "). The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Agreement, the exhibits attached hereto and incorporated herein by reference, and all applicable local, state and federal laws, rules and regulations. Good Page 1 • 0 3.1.2 Term. The term of this Agreement shall be from July 1, 2003 to June 30, 2006 unless earlier terminated as provided herein. Consultant shall meet all established schedules and deadlines per the City's housing rehabilitation guidelines. 3.2 Responsibilities of Consultant. 3.2.1 Control and Payment of Subordinates; Independent Contractor. [ITENTIONALLY OMITTED] 3.2.2 Schedule of Services. Consultant shall perform the Services expeditiously, within the term of this Agreement. Consultant represents that it has the professional and technical personnel required to perform the Services in conformance with such conditions. 3.2.3 Conformance to Applicable Requirements. All work prepared by Consultant shall be subject to the approval of City. 3.2.4 Substitution of Key Personnel. [ITENTIONALLY OMITTED] 3.2.5 City's Representative. The City hereby designates Don Penman, Assistant City Manager/ Development Services Director, or his designee, to act as his representative for the performance of this Agreement ( "City's Representative "). City's Representative shall have the power to act on behalf of the City for all purposes under this Contract. Consultant shall not accept direction or orders from any person other than the City's Representative or his or her designee. 3.2.6 Consultant's Representative. Consultant is sole proprietor and shall be responsible for all means, methods, techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this Agreement. 3.2.7 Coordination of Services. Consultant agrees to work closely with City staff in the performance of Services and shall be available to City's staff and consultants at all reasonable times. 3.2.8 Standard of Care. Consultant shall perform all Services under this Agreement in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Consultant represents and maintains that he is skilled in the professional calling necessary to perform the Services. Finally, Consultant represents that he has all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, and that such licenses and approvals shall be maintained throughout the term of this Agreement. Good Page 2 0 0 3.2.9 Laws and Regulations. Consultant shall keep himself fully informed of and in compliance with all local, state and federal laws, rules and regulations in any manner affecting the performance of the Services, including all Cal /OSHA requirements, and shall give all notices required by law. Consultant shall be liable for all violations of such laws and regulations in connection with Services. If the Consultant performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Consultant shall be solely responsible for all costs arising therefrom. Consultant shall defend, indemnify and hold City, its officials, directors, officers, employees and agents free and harmless, pursuant to the indemnification provisions of this Agreement, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.10 Insurance 3.2.10.1 Time for Compliance. Consultant shall not commence Work under this Agreement until it has provided evidence satisfactory to the City that it has secured all insurance required under this section. 3.2.10.2 Minimum Requirements. Consultant shall, at its expense, procure and maintain for the duration of the Agreement insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the Agreement by the Consultant, its agents, representatives or employees. Such insurance shall meet at least the following minimum levels of coverage: (A) Minimum Scope of Insurance. Coverage shall be at least as broad as the latest version of the following: (A) General Liability: Insurance Services Office Commercial General Liability coverage (occurrence form CG 0001); (B) Automobile Liability: Insurance Services Office Business Auto Coverage form number CA 0001, code 1 (any auto); and (C) Workers' Compensation and Employers' Liability: Workers' Compensation insurance as required by the State of California and Employer's Liability Insurance. (B) Minimum Limits of Insurance. Consultant shall maintain limits no less than: (A) General Liability: $1,000,000 per occurrence for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with general aggregate limit is used, either the general aggregate limit shall apply separately to this Agreement/ location or the general aggregate limit shall be twice the required occurrence limit; and (B) Automobile Liability: $1,000,000 per accident for bodily injury and property damage. 3.2.10.3. Professional Liability. [INTENTIONALLY OMITTED] 3.2.10.4 Insurance Endorsements. The insurance policies shall contain the following provisions, or Consultant shall provide endorsements on Good Page 3 • • forms supplied or approved by the City to add the following provisions to the insurance policies: (A) General Liabilitv. [INTENTIONALLY OMITTED] (B) Automobile Liability. The automobile liability policy shall be endorsed to state that: (A) the City, its directors, officials, officers, employees, agents and volunteers shall be covered as additional insureds with respect to the ownership, operation, maintenance, use, loading or unloading of any auto owned, leased, hired or borrowed by the Consultant or for which the Consultant is responsible; and (B) the insurance coverage shall be primary insurance as respects the City, its directors, officials, officers, employees, agents and volunteers, or if excess, shall stand in an unbroken chain of coverage excess of the Consultant's scheduled underlying coverage. Any insurance or self- insurance maintained by the City, its directors, officials, officers, employees, agents and volunteers shall be excess of the Consultant's insurance and shall not be called upon to contribute with it. (C) Workers' Compensation and Employers Liability Coverage. [INTENTIONALLY OMITTED] (D) All Coverages. Each insurance policy required by this Agreement shall be endorsed to state that: (A) coverage shall not be suspended, voided, reduced or canceled except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City; and (B) any failure to comply with reporting or other provisions of the policies, including breaches of warranties, shall not affect coverage provided to the City, its directors, officials, officers, employees, agents and volunteers. 3.2.10.5 Separation of Insureds; No Special Limitations. All insurance required by this Section shall contain standard separation of insureds provisions. In addition, such insurance shall not contain any special limitations on the scope of protection afforded to the City, its directors, officials, officers, employees, agents and volunteers. 3.2.10.6 Deductibles and Self- Insurance Retentions. Any deductibles or self- insured retentions must be declared to and approved by the City. Consultant shall guarantee that, at the option of the City, either: (A) the insurer shall reduce or eliminate such deductibles or self- insured retentions as respects the City, its directors, officials, officers, employees, agents and volunteers; or (B) the Consultant shall procure a bond guaranteeing payment of losses and related investigation costs, claims and administrative and defense expenses. 3.2.10.7 Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best's rating no less than A:VIII, licensed to do business in California, and satisfactory to the City. Good Page 4 3.2.10.8 Verification of Coverage. Consultant shall furnish City with original certificates of insurance and endorsements effecting coverage required by this Agreement on forms satisfactory to the City. The certificates and endorsements for each insurance policy shall be signed by a person authorized by that insurer to bind coverage on its behalf, and shall be on forms provided by the City if requested. All certificates and endorsements must be received and approved by the City before work commences. The City reserves the rights to require complete, certified copies of all required insurance policies, at any time. 3.2.11. Safety. [INTENTIONALLY OMITTED] 3.3 Fees and Payments. 3.3.1 Compensation. Consultant shall receive compensation, including authorized reimbursements, for all Services rendered under this Agreement at the rates set forth in Exhibit "C" attached hereto and incorporated herein by reference. Extra Work may be authorized, as described below, and if authorized, will be compensated at the rates and manner set forth in this Agreement. 3.3.2 Payment of Compensation. Consultant shall submit to City an itemized statement that indicates work completed by Consultant on each specific project. 3.3.3 Reimbursement for Expenses. Consultant shall not be reimbursed for any expenses unless authorized in writing by City. 3.3.4 Extra Work. At any time during the term of this Agreement, City may request that Consultant perform Extra Work. As used herein, "Extra Work" means any work which is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the execution of this Agreement. Consultant shall not perform, nor be compensated for, Extra Work without written authorization from City's Representative. 3.4 Accounting Records. 3.4.1 Maintenance and Inspection. Consultant shall maintain complete and accurate records with respect to all costs and expenses incurred under this Agreement. All such records shall be clearly identifiable. Consultant shall allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement. Consultant 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 under this Agreement. 3.5 General Provisions. Good Page 5 9 0 3.51 Termination of Agreement. 3.5.1.1 Grounds for Termination. City may, by written notice to Consultant, terminate the whole or any part of this Agreement at any time and without cause by giving written notice to Consultant of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Consultant shall be compensated only for those services that have been adequately rendered to City, and Consultant shall be entitled to no further compensation. Consultant may not terminate this Agreement except for cause. 3.5.1.2 Effect of Termination. If this Agreement is terminated as provided herein, City may require Consultant to provide all finished or unfinished Documents and Data and other information of any kind prepared by Consultant in connection with the performance of Services under this Agreement. Consultant shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services. In the event this Agreement is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3.5.2 Delivery of Notices. All notices permitted or required under this Agreement shall be given to the respective parties at the following address, or at such other address as the respective parties may provide in writing for this purpose: CONSULTANT: CITY: Jordan Good 862 Camino La Maida Thousand Oaks, CA 91360 City of Arcadia 240 West Huntington Drive Post Office Box 60021 Arcadia, CA 91066 -6021 Attn: Donna Butler, Community Development Administrator Such notice shall be deemed made when personally delivered or when mailed, forty - eight (48) hours after deposit in the U.S. Mail, first class postage prepaid and addressed to the party at its applicable address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. Good Page 6 3.5.3. Ownership of Materials and Confidentiality. 3..5.3.1. Documents & Data: Licensing of Intellectual Propert y. [INTENTIONALLY OMITTED] 3.5.3.2 Confidentiality. [INTENTIONALLY OMITTED] 3.5.4 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. 3.5.5 Attorney's Fees. If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Agreement, the prevailing party in such litigation shall be entitled to have and recover from the losing party reasonable attorney's fees and all other costs of such action. 3.5.6 Indemnification. Consultant shall pay for the cost of defense, indemnify and hold the City, its officials, officers, employees, volunteers and agents free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, arising out of any negligent acts, omissions or willful misconduct of Consultant, its officials, officers, employees, agents, consultants arising out of or in connection with the negligent acts of error or omission in performance of the Services, the Project or this Agreement, including without limitation the payment of all consequential damages and attorneys fees and other related costs and reasonable expenses. 3.5.7 Entire Agreement. This Agreement contains the entire Agreement of the parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings or agreements. This Agreement may only be modified by a writing signed by both parties. 3.5.8 Governing Law. This Agreement shall be governed by the laws of the State of California. Venue shall be in Los Angeles County. 3.5.9 Time of Essence. [INTENTIONALLY OMITTED] 3.5.10 City's Right to Employ Other Consultants. City reserves right to employ other consultants in connection with this Project. 3.5.11 Successors and Assigns. This agreement shall be binding on the successors and assigns of the Parties. 3.5.12 Assignment or Transfer or transfer, either directly or by operation of without the prior written consent of the City. Consultant shall not assign, hypothecates, law, this Agreement or any interest herein Any attempt to do so shall be null and void, Good Page 7 and any assignees, hypothecates or transferees shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 3.5.13. Construction: References: Captions. Since the Parties or their agents have participated fully in the preparation of this Agreement, the language of this Agreement shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not workdays. All references to Consultant include all personnel, employees, agents, and subcontractors of Consultant, except as otherwise specified in this Agreement. All references to City include its elected officials, officers, employees, agents, and volunteers except as otherwise specified in this Agreement. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Agreement. 3.5.14 Amendment: Modification. No supplement, modification, or amendment of this Agreement shall be binding unless executed in writing and signed by both Parties. 3.5.15 Waiver. No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a Party shall give the other Party any contractual rights by custom, estoppels, or otherwise. 3.5.16 No Third Party Beneficiaries. There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 3.5.17 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. 3.5.18 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, City shall have the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. 3.5.19 Equal Opportunity Employment. Consultant 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, Good Page 8 0 handicap, ancestry, sex or age. Such non - discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. Consultant shall also comply with all relevant provisions of City's Minority Business Enterprise program, Affirmative Action Plan or other related programs or guidelines currently in effect or hereinafter enacted. 3.5.20 Labor Certification. By its signature hereunder, Consultant certifies that it is aware of the provisions of Section 3700 of the California Labor Code which require every employer to be insured against liability for Worker's Compensation or to undertake self- insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 3.5.21 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. 3.5.22 Counterparts. This Agreement may be signed in counterparts, each of which shall constitute an original. 3.6 Subcontracting. [INTENTIONALLY OMITTED] 3.6.1. Prior Approval Required. Consultantshall not subcontract any portion of the work required by this Agreement, except as expressly stated herein, without prior written approval of City. Subcontracts, if any, shall contain a provisions making them subject to all provisions stipulated in this Agreement. Good Page 9 CITY OF ARCADIA By: 0 William R. Kelly, City Manager Dated: �0 2003 ATTEST: (� J6Ke Alford City Clerk APPROVED AS TO FORM: C� P. 46" Stephen P. Deitsch City Attorney 0 JORDAN GOOD, a sole proprietorship 1 J an Good CONCUR: Don Penman, Assistant City Manager/ Development Services Director Good Page 10 0 • EXHIBIT "A" SCOPE OF SERVICES To assist the City of Arcadia in administering the Housing Rehabilitation Program the consultant should: ➢ Initial property inspection —Conduct comprehensive on -site rehabilitation inspections of the applicant's dwelling unit and property. ➢ Take necessary photos for submittal to State Historic Preservation Office. ➢ Provide the City with a detailed "work write -up" and itemized cost estimate of the completed property inspection, listing: health and safety related problems, building code and property maintenance violations and /or deficiencies, and eligible property improvements requested by the program applicants. ➢ Review of general building contractor proposals and bids delivered to City staff to determine that the contractor's proposal includes and corrects all violations and deficiencies as identified in the inspection report/work write -up. ➢ Review of bid to determine the cost reasonableness of the proposal. ➢ Progress inspections of work completed and approval of payments to contractors. ➢ Monitor lead based paint risk assessment inspection and clearance. ➢ Conduct initial interview of applicants to review the application and financial information. ➢ Verify the applicant's income. ➢ Verify the applicant's ownership of the property. ➢ Evaluate the application, income and title report to determine if the applicant is eligible for the program. ➢ Prepare grant documents and process grant closing. ➢ Ensure that all necessary documentation and paperwork has been completed. ➢ Responsible for all record keeping and files and available forthe audit(s) conducted by the Community Development Commission. ➢ Responsible for completing any reports required by Community Development Commission. EXHIBIT "B" SCHEDULE OF SERVICES 0 The consultant will be utilized on continual basis for the City's Housing Rehabilitation program. 0 EXHIBIT "C' COMPENSATION RATE SCHEDULE PER CASE: 2003 -2004 $950 2004 -2005 $975 2005 -2006 $1,000 u FROM FAX NO. : Jul. 28 2003 09:27AM P1 %fL;ntn morl1e. VI It shlVtar�, rtvr SUCK INSURANCE AS RESPECTS T�NTEREST OF THIS CERTIFICATE NOLDE LL NOT RE CANCELED OR OTNFRWISI! TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT DOES NOT CHANGE THE COVERAGE PROVIDED ANY POLICY DESCRIBED BELOW. KITTEN. THIS CERTIFICATE OF INSURANCE H This otertllies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of ftW11l ton. ItI will, or 0 STATE FARM FIRE AND CASUALTY COMPANY OI gbomington. IftindA has coverage in force for the following Named Insured as shown below: Named Insured JOrdau--Gced [^ Address of Named Insured R6 2 Ca ' m n a T a Ma d a . That nn d Qak� T' a ; f 91't 6_0 �_ ' Representative 6M�atilve EL s of Cenme a. t e HoWar dditio 1- City Of Arcadia 240 W. Huntington Dr. Arcadia, CA 91007 _A_sEnt _- 1458 7 23 03 Title Agont's Code Number Date Name and Address of Agent I L It llil ' r CERTIFICATE HOLDER COPY A7 PoucYNtlMaEn C85 8921 6 F2375 FFE� YDATE OF 6115/Q3- 2/15/0j -12 23 0 W9CRFTtON OF s' Non- 2000 20xr000 Ho *illty ownership Liability LABILITY COVERAGE „Colt YES S 0 NO O YES 0 NO 0 YES 0 NO LIMITS OF LIABILITY e. s oft k4urY ,p,- b. Properly Denepe I Each McpeM rn A Q O - � ' ... .... C. hflRy & R'OfERY e Eudt Amidenl PHYSICAL DAMAGE YES O No YES G NO n YO NO YES NO d COVEFIA063 a. Comprer o"We S 5 0 0 ,= Oeduotlde S —.._- Oe�uelible S DeduAANe S Derh6libe _ YES I' .D NO 0 YES NO 0 YES NO OYES O No d OdFwn S. Oetluctlble S Deductible S Deductible It Deductible EMPLOYER'S NON-0WNERSHIP 0 YES 0 NO YES n NO 0 YES 0 NO 0 YES NO COVERAGE VIREO CAR COVFAAGE Q YES O NO YES O 0 YES 0 NO YES CI NO �_ ' Representative 6M�atilve EL s of Cenme a. t e HoWar dditio 1- City Of Arcadia 240 W. Huntington Dr. Arcadia, CA 91007 _A_sEnt _- 1458 7 23 03 Title Agont's Code Number Date Name and Address of Agent I L It llil ' r CERTIFICATE HOLDER COPY June 30, 2003 i JORDAN A. GOOD Housing Rehabilitation Management 862 Camino La Maida Thousand Oaks, CA 91360 818- 400 -5166 Lisa Mussenden, Legal Coordinator Office of the City Attorney City of Arcadia 240 West Huntington Drive Arcadia, CA 91066 RE: 2003 -6 CONTRACT Dear Ms. Mussenden; Regarding the requirement in the new contract that I provide proof of Workers Compensation insurance, I want to inform you that I am a small business owner and a sole proprietor. As such, I have no employees and never engage the services of anyone else in the execution of my contract with the City. I trust this is satisfactory. If you need further information please contact me at 818 - 400 -5166. Thank you. Sincerely, ordan A. Good Cc: Donna Butler