HomeMy WebLinkAboutA6374 - MARYANOV, MADSEN, GORDON, CAMPBELLCONTRACT ABSTRACT
Contract
Company Name: Maryanov, Madsen, Gordon & Campbell
Company Contact: Steven Erickson
Summary of Services: Measure J Agreed Upon Procedures
Contract Price: NTE $2,500
Funding Source: 260-1396-42302
Contract Term: FY 2018/2019 Reporting
Contract Administration
Lead Department: Finance Department
Contract Administrator: Ariana Muniz
Contract Approvals
Council/ Community Redevelopment
Agency Approval Date: 12/10/2019 by Nancy Pauley, Finance Director
Item No,/ Resolution Number:
Agreement No: A6374
Contract Compliance
Exhibits:
Signatures:
Insurance:
Bonds
Contract prepared by:
Submitted on: 12/10/2019 By: Ariana Muniz
G. R_ JDOb N,` AM,,Fb tMAJ_ YA` 'OJV KADSEN, 101 JbL
Certified Public Accountants A p r 0 f e.S s is o n a I C-o r p o r a I i a n
December 10,2019
Wrng4 am
Steven T.Erickson.dl! Nancy Pauley
Director of Finance
MAN AGING PARTNER City of Palm,Springs
Don Kiesft'CPA UWE Tahquitz Canyon Way
PARTNER Palm Springis,'CAV=-6969
StephenDawson,CPA
PARTNER-ELECT Dear Ms. 0auley:
We are pleased to confirm our understanding of th6 terms of.our engagement and the nature and
Lyle Ez Piermcill,CPA limit6ti , ofons,,' the services we are"to provide for the City of Palmy springs,
OF-COMEL
David S.Suss,CPA We will;apply the following,agreed-upon procedures for the period Irqm Jully'l, 2014 through.
OF COUNSEL June ld,-201tl,which you have,spe6ified:
Howard Gordon,CPA a Verify all Measure J sales tax receipts from the State- of California' by reviewing:
remittance documentation,bank records,,andjaccounting recordsllM.20071
Lloyd Maryonov,CPA
1933,2007) Verify a selection.of individual disbursements of funds'totaling,approximately 5006 of theA
Etta E.Coare6ell.CPA total gross disbursements to ensure athatthe:funds rp being.spent,6n-,Opprd'Ved,M66sure
J projects, The fbIlowing-proc.edures Will be pkrf9mfed:
c, Review selected disbursements
Agree the amount of each disbursernent.with approvedvendoir documentation
Review the.approval of each,expenditure
Review the timing of each expenditure.
0 Review and report on project budget-variances
Provide an annual rep ort to the Mayor, City; Council, mid: the Measure J qversight
Committee. Such,riaport will conslst:of the following:
o A written descrIption.of the procedures that we performed.
o Awriften description,of the revenues and ex end turesCovperqa by-ou(OPM
o A written description of any errors..or irregularities no te di reg#r4l6ss.oi`nature'or
801 E.Ted quh Cqnyob Way amount
Our. engagement to apply agrebd-upon procedures,wriill be. conducted in accordance with
CA 9226Za7a3
attestation standards estd1bllShe,d0,y the Americ*Institute of Certified-ed Public Accountants, The,
A0.86%1826 sufficiency of:the procedures performed or tobep6rf6rmed1s solely the responsibility of those,
Pohrn SpilnOs parties, specified in "the report. Consequently,'we make! no jjprjs6fitdtid6 regarding',*the;
CA9226,30826 sufficiency of the, procedures described above either for the purpose for-whichAthis (qpqq has
beearequ6ste&or for any other purpose.
760).320!6642
760)327-6854,FAX
City of Palm Springs
December 10,2019
Page 2
Because the agreed-upon procedures listed above do not constitute an examination, we will not
express an opinion or conclusion on the selection of criteria appropriate for your purposes. In
addition,we have no obligation to perform any procedures beyond those listed above.
We will issue a written report upon completion of our engagement that lists the procedures
performed and our findings. Our report will be addressed to the City of Palm Springs,the Mayor,
City Council, and the Measure J Oversight Committee. If, for any reason, we are unable to
complete any of the procedures, we will describe in our report any restrictions on the
performance of the procedures, or not issue a report and withdraw from this engagement. You
understand that the report is intended solely for the information and use of the City of Palm
Springs, the Mayor, City Council, and the Measure J Oversight Committee, and should not be
used by anyone other than these specified parties. Our report will contain a paragraph indicating
that had we performed additional procedures,other matters might have come to our attention that
would have been reported to you.
An agreed-upon procedures engagement is not designed to detect instances of fraud or
noncompliance with laws or regulations; however, we will communicate to you any known and
suspected fraud and noncompliance with laws or regulations affecting the selection of criteria that
comes to our attention. In addition, if, in connection with this engagement, matters come to our
attention that contradicts selecting the criteria, we will disclose those matters in our report.
You are responsible for selecting the criteria and determining that such criteria and procedures
are appropriate for your purposes.You are also responsible for, and agree to provide us with, a
written assertion about selecting the criteria. In addition,you are responsible for providing us with
1) access to all information of which you are aware that is relevant to the performance of the
agreed-upon procedures on the subject matter, (2) additional information that we may request for
the Purpose of performing the agreed-upon procedures, and (3) unrestricted access to personswithintheentityfromwhomwedetermineitnecessarytoobtainevidencerelatingtoperforming
those procedures.
At the conclusion of our engagement,we will require certain written representations in the form of
a representation letter from management that, among other things, will confirm management's
responsibility for selecting criteria appropriate for your purposes.
Steven T. Erickson, CPA, is the engagement partner and is responsible for supervising the
engagement and signing the reports or authorizing another individual to sign it
Our fees for these services will not exceed $2,500 including any out-of-pocket costs such as
report production, word processing, postage, etc. The fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be
encountered during the engagement. If significant additional time is necessary, we will discuss it
with you and arrive at a new fee estimate before we incur the additional costs. Our invoices for
these fees will be rendered each month as work progresses and are payable on presentation. In
accordance with our firm policies,work may be suspended if your account becomes thirty days or
more overdue and will not be resumed until your account is paid in full. If we elect to terminate
our services for nonpayment, our engagement will be deemed to have been completed upon
written notification of termination even if we have not completed our report. You will be obligated
to compensate us for all time expended and to reimburse us for all out-or-pocket expenditures
through the date of termination.
City"of Palm Springs
December`10;2019
Page"3
In theevent of a dispute;over fees for,our engagement, we-mutually agree to try in good.faith to
resolve the dispute. If we are,unable to resolve the fee,dispute,:the:City of Palm;Springs,and
Maryanov Madsen Gordon&,Campbell, CPAs'agree 1d be,heard. and adjudicated by a retired
Federel District Judge, a retired.United States Courtof
be,
Judge, a retired Justice of the
California Supreme Court; or a retired Justice of the California Court of Appeals. Such
adjudication shall be binding and final, In agreeing#o this, we both acknowiedge.that in theevent
of a dispute over fees, each of us is giving up the right to have the dispufe.tlecidedin a court
law before a;iudge or jury and instead are'accephng thisuse of resolution':
We appreciate the.opportunity'to assist you and believe this letter accurately summarizes the
significant terms of-_our engagement. If you have any questions, please lei us know. If you agree
with the terms of our engagement as described in.this letter; please sign the enclosed copy and
return into_us If the need-for addiGonal;procedures arises;our agreementwith you.will need to
beFrevised., It is:customary for us"to enumerate these,revisions in an addendum to this letter, If
additional specified parties of the report are,,added, we;will require-that they.'acknowledge in
wrifing fheirresponsibility forthe sufficiency of procedures:
Very truly yours,
Steven T. Erickson,;CPA
STE(ml
Enclosures
RESPONSE:
This letter correctly sets forth the,understanding of City of Palm Springs.
UU jj
uen.,
APPROVED BY CRY MANAGER rf
Title; Cyl J.
AWZILk
APPROVED AS TO FORM
f YK1 ST.
By:
Title: yew
Cler
MARYMAD-01 GABRIELLEFONTAINE
D
CERTIFICATE OF LIABILITY INSURANCE 12/19/20 9 )
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 have ADDITIONAL INSURED provisions or 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 endorsements).
PRODUCER CONTArIACT Sherry Parlan
NFP Prope y&Casualty Services,Inc.
400 S FarrellDnve lac°.No,E:t:(858)869.8331 juc,Nef(858)869-8301
Suite B-170 nou,E E.Sherry.Parian@nfp.com
Palm Springs,CA 92262
INSURERS AFFORDING COVERAGE NAICk
INSURER A:Sentinel Insurance Company Ltd 11000
INSURED INSURER B:Hartford Accident and IndemnityCo. 22357
Maryanov Madsen Gordon&Campbell,CPAs,A PC
INSURER c:AS en American Insurance Company 43460
PO Box 1826
Suite 200 INSURER D:
Palm Springs,CA 92263 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDL SUBR
POLICY NUMBER
POLICY EFF POLICY EXP
LIMITS
A X COMMERCIAL GENERAL ABILITY EACH OCCURRENCE 5
2,000,000
CLAIMS-MADE X OCCUR X 72SBAZX6664 2/612019 216/2020 DAMAGE TO RENTED
5
1,000,000
PREMISES(Fa occumerce)
MED EXP(Any oneperson) S 10,000
PERSONAL&AOV INJURY S
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 43000,000
X POLICY j LOC PRODUCTS-COMP/OP AGG 5 4,000,000
OTHER S
A AUTOMOBILE LIABILITY COeBINEDI SINGLE LIMIT
S
2,000,000
EaANYAUTO72SBAZX66642/612019 2/6/2020 BODI LV INJURY Per persom S
OVMED SCHEDULED
AUTOS ONLYN AUTOSVWyryryEEpp BODILY INJURY Per accident 5IxAUTOSONLVAUTOONLYPeeiGtlentDAMAGES
S
A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5
4,000,000
EXCESS LIAR CLAIMS-MADE 72SBAZX6664 2/612019 21612020 AGGREGATE S
4,000,000
DED I X I RETENTIONS 10,000 S
B WORKERS COMPENSATION X
PER OTRH-
AND EMPLOYERS'LIABILITY ISTATUTE
A(N.11NV PROPREIETOERp/PARTNER/EXECUTNE
YIN 72WECGE1073 411/2019 41112020
E.L.EACH ACCIDENT S 13000,000
MenEatoM in NH EXCLUOED4 O NIA
1,000,000rYIE.L.DISEASE-EA EMPLOYE 5
IT yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5
C E&OlProfessional Lia ACCTI00024-00 111/2019 111/2020 Each Claim 1,000,000
C E&O/Professional Lia ACCTI00024-00 1/112019 111/2020 Aggregate 13000,000
DESCRIPTION OF OPERATIONS I LOCATONS I VEHICLES (ACORD 101,Additional Remarks Schedule,ma,beattached it more space is required)
City of Palm Springs is named Additional Insured as respects to General Liability.This insurance is primary and non-contributory with any other insurance of
the additional insured,so long as a written contractor agreement to such exists prior to a loss.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CI Of Springs
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City PalmACCORDANCE WITH THE POLICY PROVISIONS.
3200 E.Tahquitz Canyon Way
P.0.Box 2743
Palm Springs,CA 92263 AUTHORIZED REPRESENTATIVE
00-_ told
ACORD 25(2016103) 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
BUSINESS LIABILITY COVERAGE FORM
6) When You; Are Added As' An When this insurance is excess over other,
Additional' Insured To Other insurance, we will pay only our share of
Insurance the amount of the loss, if any, 'that
That is other insurance available to exceeds the sum of:
you covering liability for damages 1) The total amount that all such other
arising out of the premises or' insurance would pay for the loss in the
operations, or products and completed absence of this insurance;and
operations, for which you have been 2) The total of all deductible and self-
added as an additional insured by that insured amounts under all that other
insurance;or insurance.
7) When You Add Others As An We will share the remaining loss; if any,,with
Additional , Insured To This ' any other insurance that is not described inInsurancethisExcessInsuranceprovisionandwasnot
That is other insurance available to an bought specifically to apply in excess of the
additional insured. Limits of Insurance shown in the
However, ,the following provisions Declarations of this Coverage Part.
apply to other insurance available'to c.' Method Of Sharing
any person or organization who is an If all the. other insurance permitsadditionalinsuredunderthisCoveragecontributionbyequalshares,we will follow
Part: this method also. Under this approach,
a) Primary Insurance When each insurer contributes equal amounts
Requlred,By Contract until it has paid its applicable limit of
This insurance is primary if.you" insurance or none of the loss remains,
have agreed in a written contract, whichever comes first.
written agreement or permit that If any of the other insurance does not permit
this insurance be primary. If other contribution by equal shares, we will
Insurance is also primary, we will contribute by limits. Under this method;each
share with all that other insurance insurers share is based on the ratio of its
by the method described !in C.applicable limit of insurance to the total
below.applicable limits of insurance of all insurers.
b) Primary And Non-Contributory 8: Transfer Of Rights Of Recovery Against
To Other Insurance When Others To Us
Required By Contract a. Transfer Of Rights Of Recovery
If you have agreed in a written If the insured has rights to recover all or
contract, written agreement or part of ,any payment, including
permit that this insurance is Supplementary Payments, we have made
primary and non-contributory with under this Coverage Part, those rights are
the additional insured's own transferred to us. The insured must do
insurance, this insurance. is nothing after loss to impair them. At our
primary and we will not seek request, the insured will bring "suit" or
contribution from that other transfer those rights to us and help us
insurance. enforce them. This condition does not.
Paragraphs(a)and (b)do not apply to apply to Medical Expenses Coverage.
other insurance.to which the additional b. Waiver Of Rights Of Recovery (Waiver
insured has been added as an Of Subrogation)
additional insured.If the insured has waived any rights of
When this insurance 'is excess, we will recovery' against any person or
have no duty under this Coverage Part to organization for all or part of any payment,
defend the Insured against any"suit'if any including Supplementary Payments, we
other insurer has a duty to defend the have made under this Coverage Part, we
insured against that "suit". If no other also waive that right, provided the insured
insurer defends, we will undertake to do waived their rights of recovery against
so, but we will be entitled to the insured's such person or organization in a contract,
rights against all those other insurers. agreement or permit that was executed
prior to the injury or damage.
Form SS 00 08 04 05 Page 17 of 24
THE HARTFORD
BUSINESS SERVICE CENTER
THE 3600 WISEMAN BLVD
HARTFORD SAN ANTONIO TX 78251 December 18, 2019
NFP PROPERTY&CASUALTY SVCS INC/72186686
400 S FARRELL DR SUITE B170
PALM SPRINGS CA 92262
Policy Information:
Policy Holder Details: MARYANOV, MADSEN, GORDON &
CAMPBEL
PO BOX 1826
PALM SPRINGS CA 92263
Policy Number: 72 WEC GE1073
Enclosed please find information pertaining to your policy. Please contact us if you have any questions or concerns.
Thank you for selecting The Hartford for your business insurance needs.
Sincerely,
Your Hartford Service Team
WLTRO04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGE IN INFORMATION PAGE
INSURER: Hartford Accident and Indemnity Company
NCCI Company Number: 10448 Audit Period: ANNUAL
Policy Effective Date: 04/01/19 Policy Expiration Date: 04/01/20
Policy Number: 72 WEC GE1073 Endorsement Number: 1
Effective Date: 12/18/19 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: MARYANOV, MADSEN, GORDON & CAMPBELL, CPAS,A PC
PO BOX 1826
PALM SPRINGS CA 92263
FEIN Number: 95-3178278
Producer Name: NFP PROPERTY& CASUALTY SVCS INC Producer Code: 72186686
It is agreed that the policy is amended as follows:
This is NOT a bill. However, any changes in your premium will be reflected in your next billing statement. You will receive
a separate bill from The Hartford. If you are enrolled in repetitive EFT draws from your bank account, changes in premium
will change future draw amounts.
In consideration of an additional premium of$242, it is agreed that:
Policy is amended to add the following condition(s):
Waiver of Our Right to Recover from Others Endorsement
Policy is amended to add the following Endorsement Forms reflecting the changes made to your policy.
WC040306
PN049901 G
WC990006A(.2)
WC990006A(.1 P)
Policy is amended to delete the following Endorsement Forms reflecting the changes made to your policy.
PN049901F
Countersigned by
Authorized Representative
Form WC 99 00 06 A (1) Printed in U.S.A. Page 1
Process Date: 12/18/19 Policy Expiration Date: 04/01/20
CHANGE IN INFORMATION PAGE (Continued)
Policy Number: 72 WEC GE1073
SCHEDULE
IT IS AGREED THAT THE POLICY IS AMENDED AS FOLLOWS:
CLASS CODE NUMBER AND DESCRIPTION ESTIMATED RATES PER 100 ESTIMATED
TOTALANNUAL OF ANNUAL
REMUNERATION REMUNERATION PREMIUMS
CA
Total State Summary
Waiver charge 0.00 250
Small Policy Credit 0.00 6 15
CA User Fund 0.00 1.447900 3
CA Fraud 0.00 0.287800 1
CA Subsequent Injuries Benefit Trust Fund Assessments 0.00 0.273700 1
CA Occupational Safety& Health Fund 0.00 0.376500 1
CA Labor Enforcement& Compliance Fund 0.00 0.343100 1
California Total Cost 242
Form WC 99 00 06 A (1) Printed in U.S.A. Page 2
Process Date: 12/18/19 Policy Expiration Date: 04/01/20
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 72 WEC GE1073 Endorsement Number: 1
Effective Date: 12/18/19 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: MARYANOV, MADSEN, GORDON &CAMPBELL, CPAS,A PC
PO BOX 1826
PALM SPRINGS CA 92263
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This'agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration'of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 5% of the California workers'compensation premium otherwise due
on such remuneration.
SCHEDULE
Person or Organization Job Description
The City of Palm Springs, Its Officialsm Employees and 01
agents, Department of Finance and Treasury, 3200 E
Tahquitz Canyon Way, P.O Box 2743 Palm Springs, CA
922963
Countersigned by
Authorized Representative
Form WC 04 03 06 1) Printed in U.S.A.
Process Date: 12/18/19 Policy Expiration Date: 04/01/20
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 72 WEC GE1073 Endorsement Number: 1
Effective Date: 12/18/19 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: MARYANOV, MADSEN, GORDON & CAMPBELL, CPAS,A PC
PO BOX 1826
PALM SPRINGS CA 92263
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due
on such remuneration.
Countersigned by
Authorized Representative
Form WC 04 03 06 1) Printed in U.S.A.
Process Date: 12/18/19 Policy Expiration Date: 04/01/20
POLICYHOLDER NOTICE
YOUR RIGHT TO RATING AND DIVIDEND INFORMATION
I. Information Available to You
A. Information Available from Us- Hartford Accident and Indemnity Company
1) General questions regarding your policy should be directed to your Hartford Agent or
Hartford Accident and Indemnity Company
3600 WISEMAN BLVD
SAN ANTONIO TX 78251
Telephone: (877) 853-2582
www.thehartford.com
2) Dividend Calculation. If this is a participating policy (a policy on which a dividend may be paid), upon
payment or non-payment of a dividend, we shall provide a written explanation to you that sets forth the
basis of the dividend calculation. The explanation will be in clear, understandable language and will
express the dividend as a dollar amount and as a percentage of the earned premium for the policy year
on which the dividend is calculated.
3) Claims Information. Pursuant to Sections 3761 and 3762 of the California Labor Code, you are entitled
to receive information in our claim files that affects your premium. Copies of documents will be supplied at
your expense during reasonable business hours.
For claims covered under this policy, we will estimate the ultimate cost of unsettled claims for statistical
purposes eighteen months after the policy becomes effective and will report those estimates to the
Workers' Compensation Insurance Rating Bureau of California (WCIRB) no later than twenty months after
the policy becomes effective. The cost of any settled claims will also be reported at that time. At twelve-
month intervals thereafter, we will update and report to the WCIRB the estimated cost of any unsettled
claims and the actual final cost of any claims settled in the interim.The amounts we report will be used by
the WCIRB to compute your experience modification if you are eligible for experience rating.
B. Information Available from the Workers' Compensation Insurance Rating Bureau of California
1) The WCIRB is a licensed rating organization and the California Insurance Commissioner's designated
statistical agent. As such, the WCIRB is responsible for administering the California Workers'
Compensation Uniform Statistical Reporting Plan-1995 (USRP) and the California Workers'
Compensation Experience Rating Plan-1995 (ERP). WCIRB contact information is: WCIRB, 1221
Broadway, Suite 900, Oakland, CA 94612, Attn: Customer Service; 888.229.2472 (phone); 415.778.7272
fax); and customerservice(")awcirb.com (email). The regulations contained in the USRP and ERP are
available for public viewing through the WCIRB's website at wcirb.com.
2) Policyholder Information. Pursuant to California Insurance Code (CIC) Section 11752.6, upon written
request, you are entitled to information relating to loss experience, claims, classification assignments, and
policy contracts as well as rating plans, rating systems, manual rules, or other information impacting your
premium that is maintained in the records of the WCIRB. Complaints and Requests for Action requesting
policyholder information should be forwarded to: WCIRB, 1221 Broadway, Suite 900, Oakland, CA 94612,
Attn: Custodian of Records. The Custodian of Records can be reached at 415.777.0777 (phone) and
415.778.7272 (fax).
Form PN 04 99 01 G (03/19) Printed in U.S.A. Page 1 of 3
Process Date: 12/18/19 Policy Expiration Date: 04/01/20
3) Experience Rating Form. Each experience rated risk may receive a single copy of its current Experience
Rating Form/Worksheet free of charge by completing a Policyholder Experience Rating Worksheet
Request Form on the WCIRB's website at wcirb.com/ratesheet. The Experience Rating Form/Worksheet
will include a Loss-Free Rating, which is the experience modification that would have been calculated if
0 (zero) actual losses were incurred during the experience period. This hypothetical rating calculation is
provided for informational purposes only.
II. Dispute Process
You may dispute our actions or the actions of the WCIRB pursuant to.CIC Sections 11737 and 11753.1.
A. Our Dispute Resolution Process.
You may send us a written Complaint and Request for Action requesting that we reconsider a change in a
classification assignment that results in an increased premium and/or requesting that we review the manner in
which our rating system has been applied in connection with the insurance afforded or offered you. Written
Complaints and Requests for Action should be forwarded to:
Hartford Accident and Indemnity Company
One Hartford Plaza, T.4.175, Hartford, CT 06155; Telephone (800)451-6944; Fax(860)723-4289.
After you send your Complaint and Request for Action, we have 30 days to send you a written notice
indicating whether or not your written request will be reviewed. If we agree to review your request, we must
conduct the review and issue a decision granting or rejecting your request within 60 days after sending you
the written notice granting review. If we decline to review your request, if you are dissatisfied with the decision
upon review, or if we fail to grant or reject your request or issue a decision upon review, you may appeal to
the Insurance Commissioner as described in paragraph II.C., below.
B. Disputing the Actions of the WCIRB. If you have been aggrieved by any decision, action, or omission to act
of the WCIRB, you may request, in writing, that the WCIRB reconsider its decision, action, or omission to act.
You may also request, in writing, that the WCIRB review the manner in which its rating system has been
applied in connection with the insurance afforded or offered you. For requests related to classification
disputes, the reporting of experience, or coverage issues, your initial request for review must be received by
the WCIRB within 12 months after the expiration date of the policy to which the request for review pertains,
except if the request involves the application of the Revision of Losses rule. For requests related to your
experience modification, your initial request for review must be received by the WCIRB within 6 months after
the issuance, or 12 months after the expiration date, of the experience modification to which the request for
review pertains, whichever is later, except if the request for review involves the application of the Revision of
Losses rule. If the request involves the Revision of Losses rule, the time to state your appeal may be longer.
See Section VI, Rule 7 of the ERP).
You may commence the review process by sending the WCIRB a written Inquiry. Written Inquiries should be
sent to: WCIRB, 1221 Broadway, Suite 900, Oakland, CA 94612, Attn: Customer Service. Customer Service
can be reached at 888.229.2472 (phone), 415.778.7272 (fax) and customerservice(a)wcirb.com (email).
If you are dissatisfied with the WCIRB's decision upon an Inquiry, or if the WCIRB fails to respond within 90
days after receipt of the Inquiry, you may pursue the subject of the Inquiry by sending the WCIRB a written
Complaint and Request for Action.After you send your Complaint and Request for Action, the WCIRB has 30
days to send you written notice indicating whether or not your written request will be reviewed. If the WCIRB
agrees to review your request, it must conduct the review and issue a decision granting or rejecting your
request within 60 days after sending you the written notice granting review. If the WCIRB declines to review
your request, if you are dissatisfied with the decision upon review, or if the WCIRB fails to grant or reject your
request or issue a decision upon review, you may appeal to the Insurance Commissioner as described in
paragraph II.C., below. Written Complaints and Requests for Action should be forwarded to: WCIRB, 1221
Broadway, Suite 900, Oakland, CA 94612, Attn: Complaints and Reconsideration. The WCIRB's contact
information is 888.229.2472 (phone), 415.371.5204 (fax)and customerservice(o).wcirb.com (email).
Form PN 04 99 01 G (03/19) Printed in U.S.A. Page 2 of 3
C. California Department of Insurance — Appeals to the Insurance Commissioner. After you follow the
appropriate dispute resolution process described above, if (1) we or the WCIRB decline to review your
request, (2) you are dissatisfied with the decision upon review, or (3) we or the WCIRB fail to grant or reject
your request or issue a decision upon review, you may appeal to the Insurance Commissioner pursuant to
CIC Sections 11737, 11752.6. 11753.1 and Title 10, California Code of Regulations, Section 2509.40 et seq.
You must file your appeal within 30 days after we or the WCIRB send you the notice rejecting review of your
Complaint and Request for Action or the decision upon your Complaint and Request for Action. If no written
decision regarding your Complaint and Request for Action is sent, your appeal must be filed within 120 days
after you sent your Complaint and Request for Action to us or to the WCIRB.The filing address for all appeals
to the Insurance Commissioner is:
Administrative Hearing Bureau
California Department of Insurance
45 Fremont Street, 22nd Floor
San Francisco, CA 94105
415.538.4102
You have the right to a hearing before the Insurance Commissioner, and our action, or the action of the
WCIRB, may be affirmed, modified or reversed.
Ill. Resources Available to You in Obtaining Information and Pursuing Disputes
A. Policyholder Ombudsman. Pursuant to California Insurance Code Section 11752.6, a policyholder
ombudsman is available at the WCIRB to assist you in obtaining and evaluating the rating, policy, and claims
information referenced in I.A. and I.B., above. The ombudsman may advise you on any dispute with us, the
WCIRB, or on an appeal to the Insurance Commissioner pursuant to Section 11737 of the Insurance Code.
The address of the policyholder ombudsman is WCIRB, 1221 Broadway, Suite 900, Oakland, CA 94612, Attn:
Policyholder Ombudsman. The policyholder ombudsman can be reached at 415.778.7159 (phone),
415.371.5288 (fax) and ombudsmanawcirb.com (email).
B. California Department of Insurance - Information and Assistance. Information and assistance on policy
questions can be obtained from the Department of Insurance Consumer HOTLINE, 800.927.HELP (4357) or
insurance.ca.gov. For questions and correspondence regarding appeals to the Administrative Hearing
Bureau, see the contact information in paragraph II.C.
This notice does not change the policy to which it is attached.
Form PN 04 99 01 G (03119) Printed in U.S.A. Page 3 of 3
IVIVI MARYANOV MADSEN GORDON & CAMPBELL
C e r t i f i e d P u b I i c A c c o u n t a n t s A P r o f e s s i o n a I C o r p o r a t i o n
r. r- RECEIVEDNovember13, 2017
NOV 2 0 2017
MmgCCPA.com
Geoffrey S. Kiehl FINANCE DEPARTMENT
Steven T.Erickson,CPA Director of Finance and Treasurer CITY OF PALM SPRINGS
MANAGING PARTNER City of Palm Springs
Lyle E.Pierceoll,CPA 3200 E Tahquitz Canyon Way
P A P T N E a Palm Springs, CA 92262-6959
Don Keesling,CPA
APTNEa Dear Mr. Kiehl:
We are pleased to confirm our understanding of the nature and limitations of the services we are
David S.Suss,CPA to provide the City of Palm Springs.
OF COUNSEL
We will apply the following agreed-upon procedures for the period from July 1, 2016 through
June 30, 2017 and July 1, 2017 through June 30, 2018, which you have specified:
Howard Gordon,CPA
I1933-20(J7) Verify all Measure J sales tax receipts from the State of California by reviewing
Lloyd Maryonov,CPA remittance documentation, bank records, and accounting records
I1933-2007)
Etta E.Campbell,CPA Verify a selection of 50-75 individual disbursements of funds to ensure that the funds are
I1914-2012)
being spent on approved Measure J projects. The following procedures will be
performed:
o Review selected disbursements
o Agree the amount of each disbursement with approved vendor documentation
o Review the approval of each expenditure
o Review the timing of each expenditure
o Review and report on project budget variances
1 Provide an annual report to the Mayor, City Council, and the Measure J Oversight
Committee. Such report will consist of the following:
o A written description of the procedures that we performed
o A written description of the revenues and expenditures covered by our report
o A written description of any errors or irregularities noted, regardless of nature or
801 E.Tahquitz Canyon Way amount
Suite 200
Poem springs Our engagement to apply agreed-upon procedures will be conducted in accordance with
CA 92262-6763 attestation standards established by the American Institute of Certified Public Accountants. The
sufficiency of the procedures is solely the responsibility of those parties specified in the report.
Po.aox,826 Consequently, we make no representation regarding the sufficiency of the procedures described
Palm Springs above either for the purpose for which this report has been requested or for any other purpose. If,
CA 92263-1826 for any reason, we are unable to complete the procedures, we will describe any restrictions on
the performance of the procedures in our report, or will not issue a report as a result of this
760)320.6642 engagement.
760)327-6854 FAX
ORIGINAL BID
AND/OR AGREEMENT
City of Palm Springs
November 13, 2017
Page 2
Because the agreed-upon procedures listed above do not constitute an examination, we will not
express an opinion. In addition, we have no obligation to perform any procedures beyond those
listed above.
We will submit a report listing the procedures performed and our findings. This report is intended
solely for the use of the City of Palm Springs, the Mayor, City Council, and the Measure J
Oversight Committee, and should not be used by anyone other than these specified parties. Our
report will contain a paragraph indicating that had we performed additional procedures, other
matters might have come to our attention that would have been reported to you.
You are responsible for selecting the criteria and determining that such criteria are appropriate for
your purposes. You are also responsible for making all management decisions and performing
all management functions; for designating an individual with suitable skill, knowledge, and/or
experience to oversee any other non-attest services we provide; and for evaluating the adequacy
and results of those services and accepting responsibility for them.
Steven T. Erickson, CPA, is the engagement partner and is responsible for supervising the
engagement and signing the reports or authorizing another individual to sign it.
Our fees for these services will not exceed $5,000 including any out-of-pocket costs such as
report production, word processing, postage, etc. The fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be
encountered during the engagement. If significant additional time is necessary, we will discuss it
with you and arrive at a new fee estimate before we incur the additional costs. Our invoices for
these fees will be rendered each month as work progresses and are payable on presentation. In
accordance with our firm policies, work may be suspended if your account becomes thirty days or
more overdue and will not be resumed until your account is paid in full. If we elect to terminate
our services for nonpayment, our engagement will be deemed to have been completed upon
written notification of termination even if we have not completed our report. You will be obligated
to compensate us for all time expended and to reimburse us for all out-or-pocket expenditures
through the date of termination.
In the event of a dispute over fees for our engagement, we mutually agree to try in good faith to
resolve the dispute. If we are unable to resolve the fee dispute, the City of Palm Springs and
Maryanov Madsen Gordon & Campbell, CPAs agree to be heard and adjudicated by a retired
Federal District Judge, a retired United States Court of Appeals Judge, a retired Justice of the
California Supreme Court, or a retired Justice of the California Court of Appeals. Such
adjudication shall be binding and final. In agreeing to this, we both acknowledge that in the event
of a dispute over fees, each of us is giving up the right to have the dispute decided in a court of
law before a judge or jury and instead are accepting this use of resolution.
City of Palm Springs
November 13, 2017
Page 3
We appreciate the opportunity to assist you and believe this letter accurately summarizes the
significant terms of our engagement. If you have any questions, please let us know. If you agree
with the terms of our engagement as described in this letter, please sign the enclosed copy and
return it to us. If the need for additional procedures arises, our agreement with you will need to
be revised. It is customary for us to enumerate these revisions in an addendum to this letter. If
additional specified parties of the report are added, we will require that they acknowledge in
writing their responsibility for the sufficiency of procedures.
Very truly yours,
Steven T. Erickson, CPA
STEIml
Enclosures
RESPONSE:
This letter correctly sets forth the understanding of the City of Palm Springs.
By:
D/t G>oG o f
Title:A IV 7-,t c rrU4 ra
AP OtIE AS RM
CITY ATTORNEY
APPROVED BY DEPARMENT HEAD
n `fS,00 oo
A ST:
w
City Clerk
MARYANOV MADSEN GORDON & CAMPBELL
Certified Public A c c o u n t a n l s A P r o f e s s i a n n l C o r p o r a t i o n
G C October 14, 2016
MmgcCPA.com
Geoffrey S. Kiehl
Steven I Erickson,CPA Director of Finance and Treasurer
V A IN AG 1P.3 'A P i IJ E a City of Palm Springs
Lyle E. Pierceall,CPA 3200 E Tahquitz Canyon Way
R'"`P Palm Springs, CA 92262-6959
Don Keesling,CPA
a ni Dear Mr. Kiehl,
We are pleased to confirm our understanding of the nature and limitations of the services we are
David S.Suss,CPA to provide the City of Palm Springs.
CE COJ14SE_
We will apply the following agreed-upon procedures for the period from July 1, 2015 through
June 30, 2016, which you have specified:
Howard Gordon,CPA
119118-2 OC17a Verify all Measure J sales tax receipts from the State of California by reviewing
Lloyd Maryanov,CPA
l 933 20c7; remittance documentation, bank records, and accounting records
Etta E.Campbell,CPA
Q - :r,i:-; Verify a selection of 50-75 individual disbursements of funds to ensure that the funds are
being spent on approved Measure J projects. The following procedures will be
performed:
o Review selected disbursements
o Agree the amount of each disbursement with approved vendor documentation
o Review the approval of each expenditure
o Review the timing of each expenditure
o Review and report on project budget variances
Provide an annual report to the Mayor, City Council, and the Measure J Oversight
Committee. Such report will consist of the following:
o A written description of the procedures that we performed
o A written description of the revenues and expenditures covered by our report
o A written description of any errors or irregularities noted, regardless of nature or
801 E.ianquitz Canyon Way amount
Suite 200
oi
cn s22626763 Our engagement to apply agreed-upon Procedures will be conducted in accordance with
attestation standards established by the American Institute of Certified Public Accountants. The
PO Box 1826 sufficiency of the procedures is solely the responsibility of those parties specified in the report.
Palm springs Consequently, we make no representation regarding the sufficiency of the procedures described
CA 92263 1826 above either for the purpose for which this report has been requested or for any other purpose. If,
for any reason, we are unable to complete the procedures, we will describe any restrictions on
760)320-6642 the performance of the procedures in our report, or will not issue a report as a result of this
760)327-6854 FAX engagement.
ORIGINAL BID
AND/OR AGREEMENT
City of Palm Springs
October 14, 2016
Page 2
Because the agreed-upon procedures listed above do not constitute an examination, we will not
express an opinion. In addition, we have no obligation to perform any procedures beyond those
listed above.
We will submit a report listing the procedures performed and our findings. This report is intended
solely for the use of the City of Palm Springs, the Mayor, City Council, and the Measure J
Oversight Committee, and should not be used by anyone other than these specified parties. Our
report will contain a paragraph indicating that had we performed additional procedures, other
matters might have come to our attention that would have been reported to you.
You are responsible for selecting the criteria and determining that such criteria are appropriate for
your purposes. You are also responsible for making all management decisions and performing
all management functions; for designating an individual with suitable skill, knowledge, and/or
experience to oversee any other non-attest services we provide; and for evaluating the adequacy
and results of those services and accepting responsibility for them.
Steven T. Erickson, CPA, is the engagement partner and is responsible for supervising the
engagement and signing the reports or authorizing another individual to sign it.
Our fees for these services will not exceed $5,000 including any out-of-pocket costs such as
report production, word processing, postage, etc. The fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be
encountered during the engagement. If significant additional time is necessary, we will discuss it
with you and arrive at a new fee estimate before we incur the additional costs. Our invoices for
these fees will be rendered each month as work progresses and are payable on presentation. In
accordance with our firm policies, work may be suspended if your account becomes thirty days or
more overdue and will not be resumed until your account is paid in full. If we elect to terminate
our services for nonpayment, our engagement will be deemed to have been completed upon
written notification of termination even if we have not completed our report. You will be obligated
to compensate us for all time expended and to reimburse us for all out-or-pocket expenditures
through the date of termination.
In the event of a dispute over fees for our engagement, we mutually agree to try in good faith to
resolve the dispute. If we are unable to resolve the fee dispute, the City of Palm Springs and
Maryanov Madsen Gordon & Campbell, CPAs agree to be heard and adjudicated by a retired
Federal District Judge, a retired United States Court of Appeals Judge, a retired Justice of the
California Supreme Court, or a retired Justice of the California Court of Appeals. Such
adjudication shall be binding and final. In agreeing to this, we both acknowledge that in the event
of a dispute over fees, each of us is giving up the right to have the dispute decided in a court of
law before a judge or jury and instead are accepting this use of resolution.
City of Palm Springs
October 14, 2016
Page 3
We appreciate the opportunity to assist you and believe this letter accurately summarizes the
significant terms of our engagement. If you have any questions, please let us know. If you agree
with the terms of our engagement as described in this letter, please sign the enclosed copy and
return it to us. If the need for additional procedures arises, our agreement with you will need to
be revised. It is customary for us to enumerate these revisions in an addendum to this letter. If
additional specified parties of the report are added, we will require that they acknowledge in
writing their responsibility for the sufficiency of procedures.
Very truly yours,
Steven T. Erickson, CPA
STE/ml
Enclosures
RESPONSE:
This letter correctly sets forth the understanding of the City of Palm Springs.
By: 21 <
APPROVED BY DEPARMENT HEAD
Title: N cr&'roA sr F/rnrc E
ArD TR E.4JaRFC hkQ' i0000
AS TO
LZFO
ITY ATTORNEY
r-)ATE l• 'fO.Z9
ATTEST.
h\VVI City Clerk
r
MARYANOV MADSEN GORDON & CAMPBELL
Certified Public Accountants A P r o ( e s s i o n a 1 C o r p o r a t , o n
Grm July 22, 2015
mmgcCPA.com
Geoffrey S. Kiehl
Steven T.Erickson,CPA Director of Finance and Treasurer
M A N A G I N E F A R r N E a City of Palm Springs
Lyle E.Pierceall,CPA 3200 E. Tahquitz Canyon Way
P A,T N E, Palm Springs, CA 92262-6959
Don Keesling,CPA
PA E, Dear Mr. Kiehl,
We are pleased to confirm our understanding of the nature and limitations of the services we are
David S.Suss,CPA to provide the City of Palm Springs.
OF COUNSEL
We will apply the following agreed-upon procedures for the period from July 1, 2014 through
June 30, 2015, which you have specified:
Howard Gordon,CPA
r1938 20011 0 Verify all Measure J sales tax receipts from the State of California by reviewing
Lloyd Maryanov,CPA remittance documentation, bank records, and accounting records
11933-20071
Etta E.Campbell,CPA
Verify a selection of 50-75 individual disbursements of funds to ensure that the funds are
1191q.20121
being spent on approved Measure J projects. The following procedures will be
performed:
o Review selected disbursements
o Agree the amount of each disbursement with approved vendor documentation
o Review the approval of each expenditure
o Review the timing of each expenditure
o Review and report on project budget variances
Provide an annual report to the Mayor, City Council, and the Measure J Oversight
Committee. Such report will consist of the following:
o A written description of the procedures that we performed
o A written description of the revenues and expenditures covered by our report
o A written description of any errors or irregularities noted, regardless of nature or
amount
801 E.Tanqui z Canyon Way Our engagement to apply agreed-upon procedures will be conducted in accordance with
Suite 200 attestation standards established by the American Institute of Certified Public Accountants. The
Palm springs sufficiency of the procedures is solely the responsibility of those parties specified in the report.
CA 92262-6763 Consequently, we make no representation regarding the sufficiency of the procedures described
above either for the purpose for which this report has been requested or for any other purpose. If,
P.O.Box 1826 for any reason, we are unable to complete the procedures, we will describe any restrictions on
Palm springs the performance of the procedures in our report, or will not issue a report as a result of this
CA92263-1826 engagement.
760)320-6642
760)327-6854 FAX
ORIGINAL BID
AND/OR AGREEMENT
City of Palm Springs
July 22, 2015
Page 2
Because the agreed-upon procedures listed above do not constitute an examination, we will not
express an opinion. In addition, we have no obligation to perform any procedures beyond those
listed above.
We will submit a report listing the procedures performed and our findings. This report is intended
solely for the use of the City of Palm Springs, the Mayor, City Council, and the Measure J
Oversight Committee, and should not be used by anyone other than these specified parties. Our
report will contain a paragraph indicating that had we performed additional procedures, other
matters might have come to our attention that would have been reported to you.
You are responsible for selecting the criteria and determining that such criteria are appropriate for
your purposes. You are also responsible for making all management decisions and performing
all management functions; for designating an individual with suitable skill, knowledge, and/or
experience to oversee any other non-attest services we provide; and for evaluating the adequacy
and results of those services and accepting responsibility for them.
Steven T. Erickson, CPA, is the engagement partner and is responsible for supervising the
engagement and signing the reports or authorizing another individual to sign it.
Our fees for these services will not exceed $5,000 including any out-of-pocket costs such as
report production, word processing, postage, etc. The fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be
encountered during the engagement. If significant additional time is necessary, we will discuss it
with you and arrive at a new fee estimate before we incur the additional costs. Our invoices for
these fees will be rendered each month as work progresses and are payable on presentation. In
accordance with our firm policies, work may be suspended if your account becomes thirty days or
more overdue and will not be resumed until your account is paid in full. If we elect to terminate
our services for nonpayment, our engagement will be deemed to have been completed upon
written notification of termination even if we have not completed our report. You will be obligated
to compensate us for all time expended and to reimburse us for all out-or-pocket expenditures
through the date of termination.
In the event of a dispute over fees for our engagement, we mutually agree to try in good faith to
resolve the dispute. If we are unable to resolve the fee dispute, the City of Palm Springs and
Maryanov Madsen Gordon & Campbell, CPAs agree to be heard and adjudicated by a retired
Federal District Judge, a retired United States Court of Appeals Judge, a retired Justice of the
California Supreme Court, or a retired Justice of the California Court of Appeals. Such
adjudication shall be binding and final. In agreeing to this, we both acknowledge that in the event
of a dispute over fees, each of us is giving up the right to have the dispute decided in a court of
law before a judge or jury and instead are accepting this use of resolution.
r
r
City of Palm Springs
July 22, 2015
Page 3
We appreciate the opportunity to assist you and believe this letter accurately summarizes the
significant terms of our engagement. If you have any questions, please let us know. If you agree
with the terms of our engagement as described in this letter, please sign the enclosed copy and
return it to us. If the need for additional procedures arises, our agreement with you will need to
be revised. It is customary for us to enumerate these revisions in an addendum to this letter. If
additional specified parties of the report are added, we will require that they acknowledge in
writing their responsibility for the sufficiency of procedures.
Very truly yours,
Steven T. Erickson, CPA
STEIml
Enclosures
RESPONSE:
This I ter correctly sets forth the understanding of the City of Palm Springs.
By:7 Q
Title P/4rcrck of F1N'9i-cr
Rrl TRCA a,tra
ATTEST: APPROVED BY DEPARtw'I1v i r,c_,-
y\kL 60or L&k
City Clerk
AS M
dWATrORNEY
nA /`:
MARYANOV MADSEN GORDON & CAMPBELL
Certified Public Accountants A P r o f e s s i o n o I Corporation
GC May 9, 2013
mmgcCPA.com
Geoffrey S. Kiehl
David S.Suss,CPA Director of Finance and Treasurer
Lyle E.Pierceall,CPA City of Palm Springs
Steven T.Erickson,CPA 3200 E. Tahquitz Canyon Way
Don Keesling,CPA Palm Springs, CA 92262-6959
Dear Mr. Kiehl,
Howard Gordon,CPA We are pleased to confirm our understanding of the nature and limitations of the services we are1938-2007( to provide the City of Palm Springs.
Lloyd Moryanov,CPA
1933-20e7)
We will apply the following agreed-upon procedures for the period from July 1, 2013 throughEttaE.Campbell,CPA June 30, 2014, which you have specified:
RETIRED
Verify all Measure J sales tax receipts from the State of California by reviewing
remittance documentation, bank records, and accounting records
Verify a selection of 50-75 individual disbursements of funds to ensure that the funds are
being spent on approved Measure J projects. The following procedures will be
performed:
o Review selected disbursements
o Agree the amount of each disbursement with approved vendor documentation
o Review the approval of each expenditure
o Review the timing of each expenditure
o Review and report on project budget variances
Provide an annual report to the Mayor, City Council, and the Measure J Oversight
Committee. Such report will consist of the following:
o A written description of the procedures that we performed
o A written description of the revenues and expenditures covered by our report
o A written description of any errors or irregularities noted, regardless of nature or
amount
eol E TahgWtz Canyon Way Our engagement to apply agreed-upon procedures will be conducted in accordance withSuiteZoo
attestation standards established by the American Institute of Certified Public Accountants. ThePalmsprings
sufficiency of the procedures is solely the responsibility of those parties specified in the report.CA 92262-6763
Consequently, we make no representation regarding the sufficiency of the procedures described
P.C.Box 1826 above either for the purpose for which this report has been requested or for any other purpose. If,
Polm springs for any reason, we are unable to complete the procedures, we will describe any restrictions on
CA92263-1826 the performance of the procedures in our report, or will not issue a report as a result of this
engagement.
760)320-6642
760)327-6854 FAX
City of Palm Springs
May 9, 2013
Page 2
Because the agreed-upon procedures listed above do not constitute an examination, we will not
express an opinion. In addition, we have no obligation to perform any procedures beyond thoselistedabove.
We will submit a report listing the procedures performed and our findings. This report is intended
solely for the use of the City of Palm Springs, the Mayor, City Council, and the Measure JOversightCommittee, and should not be used by anyone other than these specified parties. Ourreportwillcontainaparagraphindicatingthathadweperformedadditionalprocedures, other
matters might have come to our attention that would have been reported to you.
You are responsible for selecting the criteria and determining that such criteria are appropriate for
your purposes. You are also responsible for making all management decisions and performingallmanagementfunctions; for designating an individual with suitable skill, knowledge, and/or
experience to oversee any other non-attest services we provide; and for evaluating the adequacyandresultsofthoseservicesandacceptingresponsibilityforthem.
Steven T. Erickson, CPA, is the engagement partner and is responsible for supervising theengagementandsigningthereportsorauthorizinganotherindividualtosignit.
Our fees for these services will not exceed $5,000 including any out-of-pocket costs such as
report production, word processing, postage, etc. The fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be
encountered during the engagement. If significant additional time is necessary, we will discuss itwithyouandarriveatanewfeeestimatebeforeweincurtheadditionalcosts. Our invoices forthesefeeswillberenderedeachmonthasworkprogressesandarepayableonpresentation. Inaccordancewithourfirmpolicies, work may be suspended if your account becomes thirty days ormoreoverdueandwillnotberesumeduntilyouraccountispaidinfull. If we elect to terminate
our services for nonpayment, our engagement will be deemed to have been completed upon
written notification of termination even if we have not completed our report. You will be obligated
to compensate us for all time expended and to reimburse us for all out-or-pocket expendituresthroughthedateoftermination.
In the event of a dispute over fees for our engagement, we mutually agree to try in good faith toresolvethedispute. If we are unable to resolve the fee dispute, the City of Palm Springs andMaryanovMadsenGordon & Campbell, CPAs agree to be heard and adjudicated by a retiredFederalDistrictJudge, a retired United States Court of Appeals Judge, a retired Justice of theCaliforniaSupremeCourt, or a retired Justice of the California Court of Appeals. Such
adjudication shall be binding and final. In agreeing to this, we both acknowledge that in the eventofadisputeoverfees, each of us is giving up the right to have the dispute decided in a court oflawbeforeajudgeorjuryandinsteadareacceptingthisuseofresolution.
City of Palm Springs
May 9, 2013
Page 3
We appreciate the opportunity to assist you and believe this letter accurately summarizes the
significant terms of our engagement. If you have any questions, please let us know. If you agree
with the terms of our engagement as described in this letter, please sign the enclosed copy and
return it to us. If the need for additional procedures arises, our agreement with you will need to
be revised. It is customary for us to enumerate these revisions in an addendum to this letter. If
additional specified parties of the report are added, we will require that they acknowledge in
writing their responsibility for the sufficiency of procedures.
Very truly yours,
Steven T. Erickson, CPA
STEW
Enclosures
RESPONSE:
This letter correctly sets forth the understanding of the City of Palm Springs.
By: j(
Title: D /Ae cTe,< n F f1/"n1-ce
Are r,c trfui(d q
APPROVED BY DEPARMEM•HEAD
ATTEST
ity Clerk
ACORD.D CERTIFICATE OF LIABILITY INSURANCE A `M °
s1/11/18
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO NATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
TAB Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1343 Morning View Dr., Suite 435 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW-
Escondido, Ca. 92026
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA
Msryanov, Madsen, Gmipn & CffTbell, CPA's, APC INSURER&
801 E. Tahquit2 Canyon Way; Suite 200 INSURER c
Palm Springs, Ca. 92262 INSURER D.
I INSURER a
C OV ERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LWITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSft DO' POLICY EFFECTIVE POLICY EXPIRATION
POLICY HUMBQ2 ppT MIIMONY LIMITS
GENERAL LIABILITY EACH OCCURRENCE S
A X COMMERCIAL GENERAL LIABILITY 12SBAZX66648B 02/06/18 02/06/19
PRE"SE' ° M s
C AILIS MADE ®OCCUR MED EXP( one Pnlson) 5
PERSONAL 6 ADV INJURY s
GENERAL AGGREGATE s 4,000,000
GLTTL AGGREGATE LIMIT APPLIES PER PRODDcrs-cmavcPAGG s 4,000.000
POLICY DPRO-jear LOC
AUTOMOBILE LIABILITY
ANY AUTO EnCOMBINEDacill)
E LIMIT
s 2,000,000
ALL OWNED AUTOS
BODILY DifURY S
EDUL£O AUTOS IP-P—n)
A IDX HIRED AUTOS
BODILY MJURRY S
NON-OWNED AURAS F4lr 202dEld)
12SBAZX6664SE 02/06/18 02/06/19
PROPERTYUA6wGE SPe=ddm9)
GARAGELIA&LRY AUTO OWY-Ell ACCIDENT S
ANY AUTO EAACC SOTHERTHAN
AUTO ONLY: AGG S
ExcESSJUMBRELLADABILRY EACH l ICE I S 4,000,000
A OCCUR C AIms'AAOF 12SBAZX6664SB n/06/lB 02/06/19
AGGREGATE s4,000,000
s
DEDUCTIBLE S 10,000
RETENTION S S
WORKERS COMPENSATION AND ORY LIMIY QIH-
EUPLOYERS•LIABILITY
ANY PROPMETORIPARTNEWEXECUNVE
E.L.EACH ACCIDENT S
OFFICERAABABER EXCLUDED? PAL DISEASE-EA HNtPLOYE S
I yyes,dosrnbo Imdur
SPECIAL PROVISIONS helm Fi DISEM1g-POLICY LIiIT S
A
OTHER Bus. Pers. Prop: $204,300
Business Pers. Prop. 12SEAZX6664SB 02/06/18 02/16/19 EDP Equip. : 100,000
Special Form incl th t
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL MR OMS$OT1S
Certificate Holder is named asAr3diticnal Insured
CERTIFICATE HOLDER CANCELLATION
Q[
SHOULD ANY OF THEABOVE DESCRIBED POLICIESBECANCLI I ED BEFORE THE EXPIRATION
V V 9 Wd Z! v THEREOF,THE ISSUING INSURER WILL ENBEIWOR TO MAIL_DAYS V TTEN
City of Palm Springs TO THE CERTIFICATE HOLDER NARIEDTOTHE LEFT,BUT FAILURE TO OO SO SHALL
P. 0. BOX 2743 I 1 N l y d 30 IMPOSE NO OBLIGATION OR LIABUITY OF ANY RW ITSEIRDUPONTHEINSURER, S AGS OR
Palm Springs, Ca_ 92263-2743 A13038 REPRESENTATIVES.
AUTHORIZED REPRESEiTATWE
ACORD 25(2001JOR) 0 ACORD CORPORATION 1988