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HomeMy WebLinkAbout06295 - DANIEL'S DKI EMERGENCY REPAIRS DUE TO FIRE DAMAGE ON 10/21/2012 ��d Daniel's DKI klv?q DAN I E L'S Job#: /L 73950 Dinah Shore Drive,Suite 302 Palm Desert,CA 92211 Tel:760-320-2128 ADIG Date: 2 License#581149 n ++ TERMS AND CONDITIONS - COMMERCIAL / ! ' i hu o �Lc!in �t7/7g5 7�)1� E -7i/- 6?e yy c 6t/CLy Customer(s): —� �� Property Address: / �a I�I Ytfn 5" 1. Release for Third Party Professionals: Indemnity: If the property has sustained significant water damage, Customer is advised to retain the services of independent environmental consultant to inspect, and if appropriate, prepare remedial protocols. Customer shall indemnify and hold Contractor harmless for injury or damage arising from or related to: (a) Customer's failure to hire environmental consultants or design professionals;or(b)the errors or omissions of any such third party professional. 2. Personal Liability: Payment to Contractor is not contingent upon Contractor's invoice being fully or partially approved by Customer's insurance company. All charges shall be invoiced directly to Customer. Contractor will submit a copy of the invoice to Customer's insurance carrier(s) as a courtesy only. Customer has been informed of, and agrees: a) Customer is personally responsible for any and all deductible(s), depreciation, and charges not paid by insurance; and b) Invoices not paid by insurance are due within fifteen(15)days of the invoice date. 3. Down Payment and Schedule of Proeress Payments: The schedule of progress payments must specifically describe each phase of work, including the type and amount of work or services scheduled to be supplied in each phase, along with the amount of each proposed progress payment. Description of Phase Amount Description of Phase Amount Payable Payable q-gU'/knIGG $ — $ EAAFn.. i.� � v/.ItS.E $ 25jD0'D $ j-ZE COr�LS�2J G77DN $ZS O06 $ DTA-L �I� 4. Payment: Contractor will invoice Customer, describing the work performed and the charges. Payment is due fifteen (15) days of the invoice date, unless the table of Progress Payments above is completed, in which case payment will be due as set forth in the table. Contractor has the right, in Contractor's sole discretion, to suspend Work until past due invoices are paid. In addition to the Finance Charges set forth below, Customer agrees to pay Administration Fees of one and one-half percent(1.5%)per month on any unpaid balance after thirty(30)days of the invoice date,plus all actual collection costs, collection agency commissions, actual attorneys' fees,expert fees,and court costs. 5. Finance Charges: Customer will pay interest at the rate often percent(10%)per year on any unpaid balance after thirty (30)days of the date of invoice(interest is separate from,and in addition to the Administration Fees set forth above). 6. Partial Lien Releases: Upon satisfactory payment being made for any portion of the work performed, Contractor shall, prior to any further payment being made, furnish to Customer a full and unconditional release from any claim or mechanic's lien for that portion of the work for which payment has been made. 7. Extra Work and Change Orders: Extra Work and Change Orders become part of the contract once the order is prepared in writing and signed by the parties prior to commencement of work covered by the new Change Order. A Change Order is not enforceable against the Customer unless it describes the scope of the extra work or change,the cost to be added or subtracted from the contract, and the effect the order will have on the schedule of progress payments and completion date. However, by California law, the contractor's failure to comply with these requirements does not prevent the contractor from the recovery of compensation for the reasonable value of change order work in the absence of a written change order. Customer agrees to execute Change Orders to increase the price to address conditions not reasonably anticipated by Contractor. 8. Limit of Liability and Indemnity: Contractor is not liable for claims arising from acts of Customer or Customer's agents. Contractor's liability is limited to an amount equal to two times the Contract Price. All claims in excess of this amount are waived. Customer shall pay for the defense and indemnify Contractor for all third party claims against Contractor that are not the result of the sole negligence of Contractor. Contractor will select counsel of its choice and control the litigation. Commercial General Liability Insurance (CGL): Contractor carries commercial general liability insurance written by Westchester Surplus Lines Insurance Company. Tel. 760-360-4700. You may call to check the contractor's insurance coverage. 9.Workers Compensation Insurance: Contractor carves workers' compensation insurance for all employees. APPROVED BYryC`ii1YMANAGER N TRACTOR INITIALS7V*)C;CUSTOMER INITIALS:" � �_ Daniel's Dki DAN 1 E L°S 73950 Dinah Shore Drive,Suite 302 Job#: Palm Desert,CA 92211 Tel: 760-3 20-2128 License#581149 AM Date: /0 1 .29 1Z WORK AUTHORIZATION - COMMERCIAL V4 6 etl CUstOmer(S): Date of Loss: /0 Property Address: 3ZVO L . J—g h l% ao �vr ytla.y City/State/Zip: t94/177 .S40r/?S3S Cq 9 22&3 s Customer hereby engage Daniel's DKI ("Contractor') to perform the work set forth below: to address damage caused by ❑Wind,,KFire/Smoke; Water; ❑Mold; ❑Accident; []Other: which occurred on the date of loss stated above("the Event")or; ❑Remodel/Renovation; 1. Contract Documents: The list of documents attached and hereby incorporated into the contract iserTerms and Conditions; ❑Estimate; ❑National Rate Schedule; and Customer acknowledges receipt of the following disclosures: Notice to Owner of Mechanics Lien Rights; ❑Mold Notice; ❑EPA Renovate Right Lead Notice; and Other:_ 2. Scope of Work: A description of the project and description of the significant materials to be used and equipment to be installed its as follows: Customer hereby authorizes and directs Contractor to furnish all labor,equipment and material to perform work at the Property as generalscribed below(the"Work"),or in the attached Estimate dated:_/ / ❑Emergency Services A Reconstruction ❑Restoration and Cleaning of Contents❑Packing and Storage of Contents ❑Remodel/Renovation and❑Other // Affected areas G,1 (rf bt///Gi/iL4' Contract Price: Customer hereby agrees to pay Contractor the cost of the Work (the "Contract Price"): ❑On a time and materials basis, according to the attached National Rate Schedule; 5lnsurance Replacement Cost Value`Ar .est�-M 70 Lle#lafs visas!-ebs prop antis ' Tints -719e 4+,oymrr of � 3. Approximate Start Date: Io / ZI / (2 ;Approximate Completion Date: 4. Substantial Commencement of Work Shall Consist of: Move on of personnel,equipment or material 5. Personal Liabilitv: Cu er understands that Contractor is hired by Customer and NOT Customer's insurance company. Customer Initials: 6. NOTICE TO INSUItANCE COMPANY—ASSIGNMENT OF CLAIM—DIRECTION TO PAY: Customer hereby transfers and assigns to Contractor all legal right and title to the proceeds of all insurance policies which cover the damage to the property that Contractor is to repair pursuant to this contract. Customer hereby authorizes and instructs all insurance carriers who may be liable to Customer for this loss in whole or in part to pay directly to Contractor the amounts due or to become due in connection with the Work hereby authorized or, in the alternative, to include the name of Contractor as an additional payee on all drafts issued in payment of this loss. Customer Signature: "Customer(s)"(I have read this WiliXact and understand it) Contractor Signature. Check one: ❑Cus1 mer; Customer's Age r Signature t.rnt.P. Print Name and Title L' f-r'/ pF:PA -x4 Qi Print Name,Title and Registration# APPROVED BY CRY MANAGER ib 2�' 11� Y1YQ,�GVYltl,tn� �I G\'`� Daniel'sDki DANIEL'S Job#: �Z -� 90/—�T/z 73950 Dinah Shore Drive,Suite 302 Palm Desert,Ca 92211ADIG Tel: 760-320-2128 Lic.#581149 Date: I Z CA MECHANIC'S LIEN LAW AND CSLB INFORMATION SHEET The �State of California requires us to provide you with this information in the interest of your protection. / Customer(s): l a / / y p 1 YCJix ��risr9S Property Address: 3700 E, 1 aV<d1�Z�aa(JutiV3yt Wuy CA MECHANIC'S LIEN WARNING Anyone who helps improve your property, but who is not paid, may record what is called a mechanics lien on your property. A mechanics lien is a claim, like a mortgage or home equity loan, made against your property and recorded with the county recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who helped to improve your property may record mechanics liens and sue you in court to foreclose the lien. If a court fords the lien is valid,you could be forced to pay twice or have a court officer sell your home to pay the lien. Liens can also affect your credit. To preserve their right to record a lien, each subcontractor and material supplier must provide you with a document called a" Preliminary Notice." This notice is not a lien. The purpose of the notice is to let you know that the person who sends you the notice has the right to record a lien on your property if he or she is not paid. BE CAREFUL. The Preliminary Notice can be sent up to 20 days after the subcontractor starts work or the supplier provides material. This can be a big problem if you pay your contractor before you have received the Preliminary Notices. You will not get Preliminary Notices from your prime contractor or from laborers who work on your project. The law assumes that you already know they are improving your property. PROTECT YOURSELF FROM LIENS. You can protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers that work on your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials.Then wait 20 days,paying attention to the Preliminary Notices you receive. PAY WITH JOINT CHECKS. One way to protect yourself is to pay with a joint check. When your contractor tells you it is time to pay for the work of a subcontractor or supplier who has provided you with a Preliminary Notice, write a joint check payable to both the contractor and the subcontractor or material supplier. For other ways to prevent liens,visit CSLB's Web site at www.cslb.ca.gov or call CSLB at 800-321-CSLB(2752). REMEMBER, IF YOU DO NOTHING,YOU RISK HAVING A LIEN PLACED ON YOUR HOME. This can mean that you may have to pay twice,or face the forced sale of your hgme to pay what you owe. INFORMATION ABOUT THE CONTRACTOR'S STATE LICENSE BOARD (CSLB) CSLB is the state consumer protection agency that licenses and regulates construction contractors. Contact CSLB for information about the licensed contractor you are considering, including information about disclosable complaints, disciplinary actions and civil judgments that are reported to CSLB. Use only licensed contractors. If you file a complaint against a licensed contractor within the legal deadline (usually four years), CSLB has authority to investigate the complaint. If you use an unlicensed contractor, CSLB may not be able to help you resolve your complaint. Your only remedy may be in civil court, and you may be liable for damages arising out of any injuries to the unlicensed contractor or the unlicensed contractor's employees. For more information: Visit CSLB's Internet Web site at http://www.esib.ca.gov, call CSLB at 800-321- CSLB (2752) or write CSLB at P.O. Box 26000, Sacramento, CA 95826. I acknowledge receipt of a copy of this form on the date set forth above. Customer initials: .. _L J'( 011 s MA,V`LiLR yt c� c 1 Daniel's Dki DANIELS 73950 Dinah Shore Drive,Suite 302 JOb #: "z Palrri Desert,CA 92211 Tel: 7,60-320-2128 License#581149 AM Date: 1 / WORK AUTHORIZATION - COMMERCIAL Customer(s): y Date of Loss: /0 1 -2-1 117 Property Address: TZt C Tu g?4v� 2 ��„��c a �ti City/State/Zip: Customer,h eby engage Damel's DKI ("Contractor") to perform the work set forth below: to address damage caused by [-]WindFire/Smoke;XWater; ❑Mold; ❑Accident ❑Other: which occurred on the date of loss stated above("the Event")or;❑Remodel/Renovation; y� 1. Contract Documents: The list of documents attached and hereby incorporated into the contract isyh�Terms and Conditions; stimate; ❑National Rate Schedule; and Customer acknowledges receipt of the following disclosures: Notice to Owner of Mechanics Lien Rights; ❑Mold Notice; ❑EPA Renovate Right Lead Notice; and Other: 2. Scope of Work: A description of the project and description of the significant materials to be used and equipment to be installed is as follows: Customer hereby authorizes and directs Contractor to furnish all labor,equipment and material to perform work at the Property as generascribed below(the"Work"),or in the attached Estimate dated: ❑Emergency Services Reconstruction❑Restoration and Cleaning of Contents❑ Packing and Storage of Contents ❑Remodel/Renovation and❑OthFFer Affected areasrt-t"rQ Contract Price: Customer hereby agrees to pay Contractor the cost of the Work (the "Contract Price"): ❑On a time and materials basis, according to the attached National Rate Schedule; Rinsurance Replacement Cost Value`/or �r t—.te-pt..e-preseatly es at AvO titr 7cKcEEr7n/4 � AtZa5;-E/1 ;;,0 o Cin/rs� Cam'' Tr SNJ cE LA KeE 4�ell�s �. ?,Ln 5 /-"E c X R6Wi ,GRflGc- U r PjL )E/_ 3. Approximate Start Date: 10 124 / I Z ;Approximate Completion Date: 4. Substantial Commencement of Work Shall Consist of: Move on of personnel,equipment or material 5. Personal Liability: C er understands that Contractor is hired by Customer and NOT Customer's insurance company. Customer Initials: i 6. NOTICE TO INSU NCE COMPANY—ASSIGNMENT OF CLAIM—DIRECTION TO PAY: Customer hereby transfers and assigns to Contractor all legal right and title to the proceeds of all insurance policies which cover the damage to the property that Contractor is to repair pursuant to this contract. Customer hereby authorizes and instructs all insurance carriers who may be liable to Customer for this loss in whole or in part to pay directly to Contractor the amounts due or to become due in connection with the Work hereby authorized or, in the alternative, to include the name of Contractor as an additional payee on all drafts issued in payment of this loss. Customer Signature: "Customer(s)"(I have read this act and understand it) Contractor f Signature. Check one: ❑Cu omer; Customer's Age `J� 17F.1X; Signature Print Name and Title.' i" , '.� ;-G(.tid "4 to e ;i� Print Name,Title and Registration# APPROVED BY CITY MANAGER Aopl�011 ►`�CQY10�� �-�- Daniel's Dki 73950 Dinah Shore Drive,Suite 302 ���� Job#: /2 (/ 90l - ✓�/� Palm Desert, Ca 92211A= Tel: 760-320-2128 Lic.#581149 Date: ' // f Ij/L a CA MECHANIC'S LIEN LAW AND CSLB INFORMATION SHEET The State of California requires us to provide you with this information in the interest of your protection. Customer(s): e Property Address: 'Z L>C MECHANIC'S LIEN WARNING Anyone who helps improve your property, but who is not paid, may record what is called a mechanics lien on your property. A mechanics lien is a claim, like a mortgage or home equity loan, made against your property and recorded with the county recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who helped to improve your property may record mechanics liens and sue you in court to foreclose the lien. If a court finds the lien is valid,you could be forced to pay twice or have a court officer sell your home to pay the lien. Liens can also affect your credit. To preserve their right to record a lien, each subcontractor and material supplier must,provide you with a document called a"Preliminary Notice." This notice is not a lien. The purpose of the notice is to let you know that the person wh6 sends you the notice has the right to record a lien on your property if he or she is not paid. BE CAREFUL. The Preliminary Notice can be sent up to 20 days after the subcontractor starts work or the supplier provides material. This can be a big problem if you pay your contractor before'you have receiGed'hePreliminary Notices. You will not get Preliminary Notices from your prime contractor or from laborers who work on your project. The law assumes that you already know they are improving your property. a PROTECT YOURSELF FROM LIENS. You can protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers that work on your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials. Then wait 20 days,paying attention to the Preliminary Notices you receive. PAY WITH JOINT CHECKS. One way to protect yourself is to pay with a joint check. When your contractor tells you it is time to pay for the work of a subcontractor or supplier who has provided you with a Preliminary Notice,write a joint check payable to both the contractor and the subcontractor or material supplier. For other ways to prevent liens,visit CSLB's Web site at www.cslb.ca.gov or call CSLB at 800-321-CSLB(2752). REMEMBER, IF YOU DO NOTHING, YOU RISK HAVING A LIEN PLACED ON YOUR HOME. This can mean that you may have to pay twice,or face the forced sale of your home to pay what you owe. INFORMATION ABOUT THE CONTRACTOR'S STATE LICENSE BOARD (CSLB) CSLB is the state consumer protection agency that licenses and regulates construction contractors. Contact CSLB for information about the licensed contractor you are considering, including information about disclosable complaints, disciplinary actions and civil judgments that are reported to CSLB. Use only licensed contractors. If you file a complaint against a licensed contractor within the legal deadline (usually four years), CSLB has authority to investigate the complaint. If you use an unlicensed contractor, CSLB may not be able to help you resolve your complaint. Your only remedy may be in civil court, and you may be liable for damages arising out of any injuries to the unlicensed contractor or the unlicensed contractor's employees. For more information: Visit CSLB's Internet Web site at http://www.cslb.ca.gov, call CSLB-at 800-321- CSLB (2752) or write CSLB at P.O. Box 26000, Sacramento, CA 95826. I acknowledge receipt of a copy of this form on the date set forth above. Customer initials: APPROVED BY CITY MANAGER tola��@ wq� Daniel'sDxl DANIELS Job#: lL fo9 /� ice' 73950 Dinah Shore Drive,Suite 302 s, Palm Desert,CA 92211AM Tel:760-320-2128 Date: L2 ,02 License#581149 TERMS AND CONDITIONS - COMMERCIAL Customers : i 4+d o d EiCt I r �Ji frl 3S 2�iC7 F. G 4f t' Z ��1�i itt AV(Z O T Property Address: �� �u I VLt �-�C t ii%.;� �7T ";>Z-G.3 1. Release for Third Party Professionals; Indemnity: If the property has sustained significant water damage, Customer is advised to retain the services of independent environmental consultant to inspect, and if appropriate, prepare remedial protocols. Customer shall indemnify and hold Contractor harmless for injury or damage arising from or related to: (a) Customer's failure to hire environmental consultants or design professionals;or(b)the errors or omissions of any such third party professional. 2. Personal Liability: Payment to Contractor is not contingent upon Contractor's invoice being fully or partially approved by Customer's insurance company. All charges shall be invoiced directly to Customer. Contractor will submit a copy of the invoice to Customer's insurance carrier(s) as a courtesy only. Customer has been informed of, and agrees: a) Customer is personally responsible for any and all deductible(s), depreciation, and charges not paid by insurance; and b) Invoices not paid by insurance are due within fifteen(15)days of the invoice date. 3. Down Payment and Schedule of Progress Payments: The schedule of progress payments must specifically describe each phase of work, including the type and amount of work or services scheduled to be supplied in each phase, along with the amount of each proposed progress payment. Description of Phase Amount t Description of Phase Amount a ab el t rSrT g ,f F'.N'�G T' ,'-i.�*Z : $ - $ En.+E-t-c-E.NG7E=.�r'rti .1 $ Z5� UO"[; $ k-. C--(7C1�4 $Z-,5,C0IJ $ �. T6TAL /C 4. Payment: Contractor will invoice Customer, describing the work performed and the charges. Payment is due fifteen (15) days of the invoice date, unless the table of Progress Payments above is completed, in which case payment will be due as set forth in the table. Contractor has the right, in Contractor's sole discretion, to suspend Work until past due invoices are paid. In addition to the Finance Charges set forth below, Customer agrees to pay Administration Fees of one and one-half percent(1.5%)per month on any unpaid balance after thirty(30)days of the invoice date,plus all actual collection costs, collection agency commissions, actual attorneys' fees,expert fees, and court costs. - 5. Finance Charges: Customer will pay interest at the rate often percent(10%)per year on any unpaid balance after thirty (30)days of the date of invoice(interest is separate from,and in addition to the Administration Fees set forth above). 6. Partial Lien Releases: Upon satisfactory payment being made for any portion of the work performed, Contractor shall, prior to any further payment being made, famish to Customer a full and unconditional release from any claim or mechanic's lien for that portion of the work for which payment has been made. 7. Extra Work and Change Orders: Extra Work and Change Orders become part of the contract once the order is prepared in writing and signed by the parties prior to commencement of work covered by the new Change Order. A Change Order is not enforceable against the Customer unless it describes the scope of the extra work or change,the cost to be added or subtracted from the contract, and the effect the order will have on the schedule of progress payments and completion date. However, by California law,the contractor's failure to comply with these requirements does not prevent the contractor from the recovery of compensation for the reasonable value of change order work in the absence of a written change order. Customer agrees to execute Change Orders to increase the price to address conditions not reasonably anticipated by Contractor. 8. Limit of Liability and Indemnity: Contractor is not liable for claims arising from acts of Customer or Customer's agents. Contractor's liability is limited to an amount equal to two times the Contract Price. All claims in excess of this amount are waived. Customer shall pay for the defense and indemnify Contractor for all third party claims against Contractor that are not the result of the sole negligence of Contractor. Contractor will select counsel of its choice and control the litigation. Commercial General Liability Insurance (CGL): Contractor carries commercial general liability insurance written by Westchester Surplus Lines Insurance Company. Tel. 760-360-4700. You may call to check the contractor's insurance coverage. 9.Workers Compensation Insurance: Contractor carries workers'compensation insurance for all employees. APPROVED By CITY MANAGER" /,y, Y 9 �� "r`Ik� ��" CANTRACTOR IXITIALS:_�)ti"�;CUSTOMER INITIALS: i . �, ! r gyp'.y { ♦ � *.s }! { 9 Y L 9M e R e k : MTis f e - tit .fv ' • t i i r 3 eel"x C9�� Ai5rd, �x;t,§t6 fy` iJa"src+Saise TD2 3ti� —.- T0, , t1 _1211 Lie,0 5dl l:�a9 CA MECHANIC'S LIEN LAW AND CSLB INFORMAMN SKEET The Staaa of C-Wilruaivr res us to irk-yost woh tloi to et i3thelater ofy MAEUMICS LIM W.Agwii Anyaw who helps trupeave yw proporty but who is not food, cor all�tl > tnechanks; a like a mougW or tt v t - rvvn if you M yaw catenicow to Pull. unpaid. at , lkvra : . who lacipiol 40 hopowe your property.vaty l' to hireclow die fica,if a cover fieths tk hen is valid,„ f6mood in pay twice at have a smart 00ka W4 yearn home 10 pay she ham, tam cam also aftcet votor 0ftl€: To prca arvc ter ti c to r a s s a of ier tt provide a t calleda 4 hoary x :a i orituce is not fien. The Puryk of is so to you k, the you the the ri ha to reenod a fivit M yew pniperty irbe W xire is WA raid, HE C fsf'a lL Preliminary he seas up to V1 days dia s stunts work or dic supplier pruvri th s t a for problem if iray your con e nectived dw Proloomary Nootm Van wig am pet Prefivorany V01c loom YOW prime orniftnum or Prom leborcm who work on year rvjmL The tow a.ssuneas goo you Aready know they ot PROTECT YOURSELF F LTEN& You con proted yourself Arom tions by genutir a fist r conoactor of aP the <ulrt at, W4 motrw supplantwork on rew PVIWL Firut out tram rev orsaiscat vv h actorsstarted work and when horn diebtithad gootis to ouninish.Jhm wa€t 20 days.Paying aftsumn to the Prolooketry x4tioces yost receive, PA Y WITIJ JOINT t'itP'a I r:t'3r%c way to protect yn a f'ia,:to pays with a jobw thaek.. When yraff veseraceir tells you it ea tip ins rev for the west or it subootorkaw or toppuct who has provitiod you wehh Nooce,wrk a john.check y the kvivamor and the saloccoU cior at nutteral su alew, For oduar ways to jorvern bents.vim CILft"dr'et sta at wwwxsW.m v or =all C$L8 at S 341 M, 0 071a i, RIEMPUBM. W YOU DO NOTHING.YOAJ RISK A 1, P. UElrl PLA-CW ON YOUR ffC flour . sysae to M Era .or f4ce the haved SAk*of your room to pay what you owe, MEMUMANAWLI THE QVaRACWH:a CSLB Ef the Istate consumer protection agency that O regulates str i ors. Contact CSLB far laformottion about the licensed contractor yeto are considering, Including Wormarkin about disclasable vomplitinits, disciplinary actlaus and cif is that aft reported to CSC-B. L'ae only ICODbVX$OM if YOU the a 000plidut figWAst a lieffted contractor the line (usually four y tai,CKIR hati authority tomievoigate-the comphibit lf?ou Use an Unlicensed contractor, CSLB may not be able to kelp you resolive Your Complialat Your remedy AW, be is civil co and you may be liable for damages arbing out of any Injuries to the unlicensedcontructor or the unkound coutractmos employeft For na : VISA C 'a Internet Web dW at bttpz/*WWx%1b.t*.gwt call C'SLH at l- CSLB( )or write CSLB sit P.O.8" 26OW Satraua CA l acknowledge of a cupy,of this form as the date set forth Cuad lilt' OKI Job 73450 DWA Mom Dr€m Suite 302 patea DQWti,C°A92'l.t t r 3tt`tZd is Limiceo#5MW CONDMONS - COMMERCIAL c rt �tltiQk the 1 l 11 d ptrt €p aatstait" rw wares damn,cuakttner is advised Ives of intlapaidemAmilmimanital emisohmit to iftepom,And it Cindemnify And hold ferimurry or jamillocarkift thim or r btm t fioluro to her eav" #cart p fb} errcwa ret asuch third p 2 m.paymard,to cteatmemir 4 WA coma t`s arWaiciv lar os Partially 4pprow,ed by C '*economic company, All clemlina WW,be WiAnced(firoody to 00kamot Co a copy of dit invoke ret ('rmoraws feimmove c r4st ate ti , Cuwwxr has tommi, fAmmed of; And agrow to Odometer is anally any and Ad dothuailtic(c). ijod cluejo not paid h? owmexxv, and b1 Invokes amitapid by tomwarice Are due within Mom(t5)days of the invoke 3 am Ira . y k bnnw The ale of Wovituh llo9imentr most be each pbaw of w It amount of work or sarviolat schedaW is be% to a of t ttrrk S a PWMM Camrunor will hetonet Coalxmbar, daneribsttg the work parficrntc l and the con A,tao Pajonow it due fifteen i151 days cat' ice datc, uailue ftyromrs Above is ousmimoti, in whath,mmelpabound will be due use C in f eta has s d ter . 1 pa1d. to addition to the Vismake ChArtfcs set forth trufne,Clatimmer airrock to pay Athermimmusit rots or am mid per month on Any named hilmove after thirty t my bites all Normal Mimiumey omnaoimmoi, 5� OUNIS 0jim".^ Catttotner at the rate o t1 `1 Per yixt 00 Alry WOW bahmoc,ANT diary 1-161 dg5s ofifir ever of hivoictC In bow Wit Ammi n C p hispayment bast W Any portion cif the Wirtk (34mravuerAtith, boor m any yttt*being made, to CuPtimer a lull and ntramadfronal release from oay or it'v lease for disc pnft' F�'t �,�. which payment I;A 7. Yt" Uj =st°e C#tdastt€ EWa Work and k3haimlic, Cary brae kart of dto Axamad once On: ergs N pivitascal in Writing And grimed by the parttea to seat of+arty Ativoriat by rite now 4 t A Change e(War as, not ofthnixtank opinewdixCustom"air it s:i asciiiar of the ei *A or change,this ovaruts Wan the comism and#WWw the tioletwill hmni ow to ethinfitto ottoolmm paymems end cawmirkrion been Rowovm by cAlitenuct law„she ommrjctwsbelow to comply art drink rietuntmormi doft twit reeving kfiv cumeactur ty of vompowerrom no the of aorder work in or a wrsttim clevistoola- memaw the prim n cooduw by Con r is ata mado yiir ink from or f"taxtt s alctta t o 't lea iltCt u:liaaitcd to to two"tts#ic Citterom Hato. All €hIs arruaaot +atai . Cussiamir " pay Sor site m ids Contragior fire at third Perw ctomo,otimost C401mgw. that are snot the atilt of of Contra", o . will toles" a. l awl`bri chowe Eke 440 am, CtMjlLq0M Gtb x, l li�ar"t'ft �5""M(Q r Curti" 1 "rail 110tift losmasw WrUtta by Wtsti011iftulle lolippW U#ft JuminalUiti C60mikkill. Tet, You may tO t0 r'a ittatur Imaraggo Ciammir comio l 'c immairm Aw oil inopioyom , To: Finance Department Date: 09-21-1 1 From: Office of the City Clerk Pay to: Daniel's DKI Vendor#: Address: 73950 Dinah Shore Drive, Suite 302 Palm Desert, CA 92211 In payment of: Fire Damage Emergency Services, Reconstruction, and Restoration (Invoice 12-6901 ) Account No. Amount 540-5904-43094 $50,000.00 TOTAL THIS CLAIM VOUCHER: $50,000.00 Goods and/or services were received. Payment is authorized. By O Approved: artment Head Director of Finance nAN1EL"$ ADIG 73950 Dinah Share Drive Suite 302, Palm Desert CA 92211 (760) 320-2128 (760) 324-1714 Fax Invoice 12-6901 Monday,October 29,2012 Bill to: City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs, CA 92260 Job Location: 3200 East Tahquitz Canyon Way Palm Springs, CA 92260 Deposit on fire damaged building department. Charges: Total: Deposit-Emergency Services $25,000.00 Deposit-Reconstruction&Restoration $25,000.00 Total Charges: $50,000.00 Thank You! �pY j511t ;�� CITY OF PALM SPRINGS REQUEST FOR OFFSETTING BUDGET ADJUSTMENT FROM: Finance TO: FINANCE TOTAL ADJUSTMENT $ 520,000.00 OFFSETTING REVENUE SOURCE: Fund/Account# Account Name: Amount$ 540-39412 Fire/Water Oct 2012 Insur Recovery 520,000.00 TOTAL $520,000.00 EXPENDITURE ACCOUNT INCREASE: Fund/Dept/Account# Account Name: Amount $ 540-5904-43092 Fire/Water Oct 2012 EMR 10,000.00 540-5904-43093 Fire/Water Oct 2012 PTO 10,000.00 540-5904-43094 Fire/Water Oct 2012 Contracts 500,000.00 TOTAL $ 520,000.00 Explain the new or increased revenue: Anticipated Insurance proceeds for Oct 2012 fire and water damages Describe the need for the increased expenditure: Repair and restoration due to fire and water damages Oct 2012 Submitted by: / Date: !O 13C 2- Date: Department Head Date: ssistant City Man'ag�er Approved by: 2 Q ` � Date: I e —7o,-zed z Finance Date: Ci This form should only be used when an expenditure increase request is being justified by a related increase in revenue. Daniel's Dki DAN 1 E L'S 73950 Dinah Shore Drive,Suite 302 ADM Job#: Palm Desert,CA 92211 q p Tel: 760-320-2128 License#581149 Date: f0 1 .2 WORK AUTHORIZATION - COMMERCIAL �t � Customer(s): �rlj-'S Date of Loss: /L? Property /� ��jj Address: 3W0 E �/V114% any Wat/ City/State/Zip: Y4�jfrl;ioTs Cq 922(03 Customer hereby engagel Daniel's DKI ("Contractor") to the work set forth below: to address damage caused by ❑Wind;NFire/Smoke; Water; ❑Mold; ❑Accident; ❑Other: which occurred on the date of loss stated above("the Event")or;❑Remodel/Renovation; 1. Contract Documents: The list of documents attached and hereby incorporated into the contract isxTerms and Conditions; ❑Estimate; ❑National Rate Schedule; and Customer acknowledges receipt of .the following disclosures: Notice to Owner of Mechanics Lien Rights; ❑Mold Notice; ❑EPA Renovate Right Lead Notice; and Other: 2. Scone of Work: A description of the project and description of the significant materials to be used and equipment to be installed is as follows: Customer hereby authorizes and directs Contractor to furnish all labor,equipment and material to perform work at the Property as generally Ascribed below(the"Work"),or in the attached Estimate dated: / / : ❑Emergency Services t*B-Z�'T Reconstruction ❑Restoration and Cleaning of Contents❑Packing and Storage of Contents ❑Remodel/Renovation and❑Other Affected areas C.y1(irf al" Contract Price: Customer hereby agrees to pay Contractor the cost of the Work (the "Contract Price"): ❑On a time and materials basis, according to the attached National Rate Schedule; ,Insurance Replacement Cost ValueVr <gtn " /3 DeilaW ffiletbie naaress- 12-05 oy�+r aF gf�r�cg(;c� ' +vii8[E>/: 3. Approximate Start Date: 10 /�/ �2 ;Approximate Completion Date: / L4 / /Z 4. Substantial Commencement of Work Shall Consist of. Move on of personnel.equipment or material 5. Personal Liability: Cu er understands that Contractor is hired by Customer and NOT Customer's insurance company. Customer Initials: 6. NOTICE TO INSUk'ANCE COMPANY—ASSIGNMENT OF CLAIM—DIRECTION TO PAY: Customer hereby transfers and assigns to Contractor all legal right and title to the proceeds of all insurance policies which cover the damage to the property that Contractor is to repair pursuant to this contract. Customer hereby authorizes and instructs all insurance carriers who may be liable to Customer for this loss in whole or in part to pay directly to Contractor the amounts due or to become due in connection with the Work hereby authorized or, in the alternative, to include the name of Contractor as an additional payee on all drafts issued in payment of this loss. Customer Signature: "Customer(s)"(I have read this act and understand it) Contractor Signature. Check one: ❑Cus4 mer; ❑Customer's Age Signature � i� µ• 2 �{, Ci-r`fntcnl {�? Print Name and Title L' (T i pY:PAL-..( Print Name,Title and Registration# APPROVED BY CITY MANAGER � to VI DANRCOR-01 DNIELSEN DATE (MMIDDIYYYY) 11/29/2022 ACO CERTIFICATE OF LIABILITY INSURANCE 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(les) 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 . pRooucER License # 0757776 c cT Diane Nielsen HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 p Na, E,ep (760 360-47g0 4742 FAX 760 200-9706 ) (A/C. No):( ) diane.niolsen@hubintemational.com INSURERS AFFORDING COVERAGE NAICe Palm Desert, CA 92211 INSGRERA:Nautilus Insurance Company 17370 INSURED INSURER B: RLI Insurance Company 13056 INSURER c:EverestNational Insurance Company 10120 Danroy Corp DBA: Daniel's DKI 34801 Spyder Circle INSURER D: INSURER E: Palm Desert, CA 92211 __ INSURER F: rnVFRAGFS rFRTIFICATF MIIMRFR- RFVIStnN NIIMRER- 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 CONTRACTOR 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 IN-M SUER POLICY NUMBER POLICY EFF POLICY E%P LIMITS A X COMMERCIALGENERALIJARILnY EACH OCCURRENCE E 1,000,000 CLAIMS -MADE OCCUR X ECP2013742-17 211/2022 2/112023 DAMAGE TO RENTED PREMISES (Fa $ 100,000 MED EXP (Any onePerson) 6,000 PERSONALS ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY �X PER& LOC GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OPAGG 2,000,000 ICPL 111 1,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT kiamt,X E 1,000,000 BODILY INJURY Per E ANY AUTO CAP9609741 11/29/2022 11129/2023 BODILY INJURY (Per accident) E 0OWNED SCHEDULED AUrO�S ONLY AUu�TNNOSyy�aN��pp �ROa E�R,inIAMAGE E X AUTOS ONLY X Zvol IJLV E A UMBRELLA LIAR X OCCUR EACH OCCURRENCE E 1,000,000 EXCESS LIAR CLAIMSd1ADE FFX2013743.17 - 211I2022 211/2023 X AGGREGATE 1,000,000 DED I RETENTIONS C WORKERS COMPENSATION AND EMPLOYERS' LIJUNLIT' A�NFY PROPRIETOR/PARTNERIEXECUTIVE YIN (Handal ryEn BER EXCLUDEDY NIA 7600020629221 7/1/2022 7/1/2023 X PER OTH- E.L. EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOYE 1,000,00O E.L. DISEASE - POLICY UMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS be. A Professional Liab ECP2013742-17 21112022 211/2023 Each Claim 1,000,000 A Bailee's Coverage ECP2013742-17 211/2022 211/2023 Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES 1ACORD 101, Addeional Remarks Schedule, may be aNachetl re N mom la"Wrod) RECEIVED Operations by the Insured for the Certificate Holder. 10 days notice of cancellation for non-payment of premium DEC 052022 Hall Recepp0on Desk CERTIFICATE Mnl naR CAIUCFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Palm Springs Attn: CityACCORDANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. Business License Dept. P.O. Box 2743 Palm Springs, CA 92263 AUTHOR�I�ZED/REPRESENTATIVE 4 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD