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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.
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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.
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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
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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.
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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.
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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.
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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,
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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,
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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.
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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
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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
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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
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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