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HomeMy WebLinkAbout05057 - INFOTOX ASBESTOS LEAD SURVEY 1889 CERRITOS DRIVE DOCUMENT TRACKING Page: 2 meNort: Sa..n to Explm Do,,,., onts I IsOng November 1,2005 Condition: Expire Within 90 days,ALL Groups,ALL Services,ALL XREFs Document# Company Group Service Aprvi Date Expire Date Close Date A5030 Munl Financial -ENGINEERING In File 01/26/2005 12/01/2005 oq Ila 105 A5031 Dateland Construction Co' ENGINEERING COOS in File 01112/2005 01/01/2006 d`t/Qel DS A5034 Hilton,Farnkopt&Hobson LLC CITY MANAGER In File 02/0212005 12/31/2005 A5037 P S Gun Club POLICE DEPARTMENT In File 02/07/2005 12/01/2005 A5039 Datelan3Construction Co ENGINEERING-,C\092A In File 01/12/2005 01/01/2006 t>'Ah.bro5 A5050 Stumbaugh&Associates Inc. PROCUREMENT NOC 01/05/2005 01/01/2006 A5057 Infotox Inc-, - ENGINEERING -005"'` m , In File 03/25/2005 12/31/2005 07108 f 05 A5061 Richter Group FIRE DEPARTMENT In File 04/05/2005 12/30/2005 A5091 Hanson House Foundation PARKS&RECREATION In File 05/04/2005 12/31/2005 A5092 - Tri Star I Contracting - -ENGINEERING C)OseA In File 05/04/2005 12131/2005 05 105 CO5 A5109 Desert Sun PIO t 1 in File 12120/2004 11/28/2005 A5114 JR-Planning,&-Design ENGINEERING k�u None 06/08/2005 12/31/2005 971d�^,`'�°S A5122 TO Star ENGINEERING GkGed In File 06120/2005 12/31/2005 0811W5105 A5125 Lynoo Associates COMMUNITY& In File 07/06/2005 11/1712005 A5144 JR Planning&Design AIRPORT In File 07/21/2005 12/31/2005 A5146 Linda Tette POLICE DEPARTMENT O���� In Fie 03/19/2005 12/3012005 �;�+^�"-`A5149 InfotXlnc - ,-,_ENGINEERING In File 08/19I2005 12/3112005 C`.)�1310I0.c- A5169 Alms-Underground— - 'ENGINEERING-669A In File 10/06/2005 12/31/2005 It A5174 NXTCYCLE RECYCLING In File 10/14/2005 12/31/2005 END OF REPORT*** * ** �H Infotox, Inc. Asbestos & Lead Survey AGREEMENT#5057 CITY OF PALM SPRINGS Dept Head Signed, 3-25-05 CONTRACT SERVICES AGREEMENT FOR ASBESTOS AND LEAD SURVEY at 1889 N. CERRITOS DRIVE IN PALM SPRINGS, CALIFORNIA. THIS CONTRACT SERVICES AGREEMENT(herein"Agreement")is made and entered into this 2a1h day of W1 (a1ak, , 2005, by and between the CITY OF PALM SPRINGS, a municipal corporation (herein "City") and INFOTOX, INC. (herein "Contractor"). NOW, THEREFORE, the parties hereto agree as follows: 1.0 SERVICES OF CONTRACTOR 1.1 Scope of Services. In compliance with all of the terms and conditions of this Agreement:, the Contractor shall perform the work or services set forth in the "Scope of Services"attached hereto as Exhibit"A"and incorporated herein by reference Contractor warrants that all work and services set forth in the Scope of Services will be performed in a competent, professional and satisfactory manner. 1.2 Compliance With Law. All work and services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State or local governmental agency of competent jurisdiction. 1.3 Licenses, Permits, Fees and Assessments. Contractor shall obtain at its sole cost and expense such licenses, permits and approvals as may be required by law for the performance of the services required by this Agreement. 2.0 COMPENSATION 2.1 Contract Sum. For the services rendered pursuant to this Agreement, Contractor shall be compensated in accordance with the "Schedule of Compensation" attached hereto as Exhibit"B" and incorporated herein by this reference, but not exceeding the maximum contract amount of Two Thousand Nine Hundred Seventy Five Dollars ($2,975.00) ("Contract Sum"). 2.2 Method of Payment. Provided that Contractor is not in default under the terms of this Agreement, Contractor shall be paid as outlined in "Exhibit B" Schedule of Compensation. 3.0 COORDINATION OF WORK 3.1 Representative of Contractor. Michael A.Nieuwlandt is hereby designated as being the principal and representative of Contractor authorized to act in its behalf with respect to the work and services specified herein and make all decisions in connection therewith. 32 Contract Officer. George F.Farago is hereby designated as being the representative the City authorized to act in its behalf with respect to the work and services specified herein and make all decisions in connection therewith ("Contract Officer") The City Manager of City shall have the right to designate another Contract Officer by providing written notice to Contractor. 3.3 Prohibition AgainstSubcontractingorAssignment. Contractor shall not contract with any entity to perform in whole or in part the work or services required hereunder without the express written approval of the City. Neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law,without the prior written approval of City. Any such prohibited assignment or transfer shall be void. Page 1 of 7 OM`t/�)hNALm 0D, H:\USERS\ENO\CORRESPONDENCE\CP05-061889 CEMTOS DEMOL\CONTRACT SERV.AGR.(SURVEY)WITH INROTOX.DOC AND/OR AGREF-ME VT 3.4 Independent Contractor. Neither the City nor any of its employees shall have any control over the manner, mode or means by which Contractor, its agents or employees, perform the services required herein, except as otherwise set forth. Contractor shall perform all services required herein as an independent contractor of City and shall remain under only such obligations as are consistent with that role. Contractor shall not at any time or in any manner represent that it, or any of its agents or employees, are agents or employees of City. 4.0 INSURANCE, INDEMNIFICATION AND BONDS 4.1 Insurance. The Contractor shall procure and maintain, at its sole cost and expense, in a form and content satisfactory to City, during the entire term of this Agreement including any extension thereof, the following policies of insurance: (a) Commercial General Liability Insurance. A policy of commercial general liability insurance written on a per occurrence basis with a combined single limit of at least$1,000,000 bodily injury and property damage including coverages for contractual liability, personal injury, independent contractors, broad form property damage, products and completed operations. The Commercial General Liability Policy shall name the City of Palm Springs as an additional insured in accordance' with standard ISO additional insured endorsement form CG2010(1185) or equivalent language. (b) Worker's Compensation Insurance. A policy of worker's compensation insurance in an amount which fully complies with the statutory requirements of the State of California and which includes $1,000,000 employer=s liability (c) Business Automobile Insurance. A policy of business automobile liability insurance written on a per occurrence basis with a single limit liability in the amount of$1,000,000 bodily injury and property damage. Said policy shall include coverage for owned, non-owned, leased and hired cars. (d) Additional Insurance. Additional limits and coverages, which may include professional liability insurance, will be specified in "Exhibit A". All of the above policies of insurance shall be primary insurance. (Reference Section 4.4 regarding sufficiency.) The insurer shall waive all rights of subrogation and contribution it may have against the City, its officers, employees and agents, and their respective insurers In the event any of said policies of insurance are canceled, the Contractor shall, prior to the cancellation date, submit new evidence of insurance in conformance with this Section 4.1 to the Contract Officer No work or services under this Agreement shall commence until the Contractor has provided the City with Certificates of Insurance, endorsements or appropriate insurance binders evidencing the above insurance coverages and said Certificates of Insurance, endorsements, or binders are approved by the City. The contractor agrees that the provisions of this Section 4.1 shall not be construed as limiting in any way the extent to which the Contractor may be held responsible for the payment of damages to any persons or property resulting from the Contractor=s activities or the activities of any person or persons for which the Contractor is otherwise responsible. In the event the Contractor subcontracts any portion of the work in compliance with Section 3.3 of this Agreement the contract between the Contractor and such subcontractor shall require the subcontractor to maintain the same polices of insurance that the Contractor is required to maintain pursuant to this Section. 4.2 Indemnification. Contractor agrees to indemnify the City, its officers, agents and employees against, and will hold and save them and each of them harmless from, any and all actions, suits, claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions or liabilities, (herein"claims or liabilities")that may be asserted or claimed by any person, firm or entity arising out of or in connection with the negligent performance of the work, operations or activities of Contractor, its agents, employees, subcontractors, or invitees, provided for herein, or arising from the negligent acts or omissions of Contractor hereunder, or arising from Contractor's negligent performance of or failure to perform any term, provision, covenant or condition of this Agreement, whether or not there is concurrent passive or active Page 2 of 7 H:\USERS\ENG\CORRESPONDENCE\CP05-06 1889 CERRITOS DEMOL\CONTRACT SERV.AGR,(SURVEY)WITH INFOTOX DOC negligence on the part of the City, its officers, agents or employees but excluding such claims or liabilities arising from the sole negligence or willful misconduct of the City, its officers, agents or employees, who are directly responsible to the City, and in connection therewith: (a) Contractor will defend any action or actions filed in connection with any of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys'fees incurred in connection therewith; (b) Contractor will promptly pay any judgment rendered against the City, its officers, agents or employees for any such claims or liabilities arising out of or in connection with the negligent performance of or failure to perform such work, operations or activities of Contractor hereunder; and Contractor agrees to save and hold the City, its officers, agents, and employees harmless therefrom; (c) In the event the City, its officers, agents or employees is made a parry to any action or proceeding filed or prosecuted against Contractor for such damages or other claims arising out of or in connection with the negligent performance of or failure to perform the work, operation or activities of Contractor hereunder, Contractor agrees to pay to the City, its officers,agents or employees,any and all costs and expenses incurred by the City, its officers, agents or employees in such action or proceeding, including but not limited to, legal costs and attorneys'fees. 4.3 Performance Bond. Concurrently with execution of this Agreement, Contractor shall deliver to City a performance bond in the sum of the amount of this Agreement, in the form provided by the City, which secures the faithful performance of this Agreement, unless such requirement is waived by the Contract Officer. The bond shall contain the original notarized signature of an authorized officer of the surety and affixed thereto shall be a certified and current copy of his power of attorney. The bond shall be unconditional and remain in force during the entire term of the Agreement and shall be null and void only if the Contractor promptly and faithfully performs all terms and conditions of this Agreement. 4.4 Sufficiency of Insurer or Surety. Insurance or bonds required by this Agreement shall be satisfactory only if issued by companies qualified to do business in California, rated"A"or better in the most recent edition of Best=s Key Rating Guide or in the Federal Register, unless such requirements are waived by the City Manager or designee of the City Manager due to unique circumstances. In the event the City Manager determines that the work or services to be performed under this Agreement creates an increased or decreased risk of loss to the City, the Contractor agrees that the minimum limits of the insurance policies and the performance bond required by this Section 4 may be changed accordingly upon receipt of written notice from the City Manager or designee, provided that the Contractor shall have the right to appeal a determination of increased coverage by the City Manager to the City Council of City within ten (10)days of receipt of notice from the City Manager. 5.0 TERM 5.1 Term. Unless earlier terminated in accordance with Section 5.2 below, this Agreement shall continue in full force until December 31, 2005. 5.2 Termination Prior to Expiration of Term. Either party may terminate this Agreement at any time, with or without cause, upon thirty (30) days written notice to the other party. Upon receipt of the notice of termination, the Contractor shall immediately cease all work or services hereunder except as may be specifically approved by the Contract Officer. In the event of termination by the City, Contractor shall be entitled to compensation for all services rendered prior to the effectiveness of the notice of termination and for such additional services specifically authorized by the Contract Officer and City shall be entitled to reimbursement for any compensation paid in excess of the services rendered. 6.0 MISCELLANEOUS 6.1 Covenant Aqainst Discrimination. Contractor covenants that, by and for itself, its heirs, executors, assigns and all persons claiming under or through them,that there shall be no discrimination against or segregation of, any person or group of persons on account of race, color, creed, religion, sex, marital status, national origin, or ancestry in the performance of this Agreement. Contractor shall take Page 3 of 7 I-I\USERS\ENO\CORRESPONDENCE\CP05-06 1889 CERRITOS DEMOL\CONTRACT SERV.AOR.(SURVEY)W Im-I INEOTOX.DOC affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, marital status, national origin or ancestry. 6.2 Non-liability of City Officers and Employees. No officer or employee of the City shall be personally liable to the Contractor, or any successor in interest, in the event of any default or breach by the City or for any amount which may become due to the Contractor or to its successor, or for breach of any obligation of the terms of this Agreement. 6.3 Conflict of Interest. No officer or employee of the City shall have any financial interest,direct or indirect, in this Agreement nor shall any such officer or employee participate in any decision relating to the Agreement which effects his financial interest or the financial interest of any corporation, partnership or association in which he is, directly or indirectly interested, in violation of any State statute or regulation. The Contractor warrants that it has not paid or given and will not pay or give any third party any money or other consideration for obtaining this Agreement 6.4 Notice. Any notice, demand, request, document, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and either served personally or sent by prepaid, first-class mail, in the case of the City, to the City Manager and to the attention of the Contract Officer, CITY OF PALM SPRINGS, P.O. Box 2743. Palm Springs, California 92263. and in the case of the Contractor, to the person at the address designated on the execution page of this Agreement. 6.5 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of this Agreement or any other rule of construction which might otherwise apply. 6.6 Integration;Amendment. It is understood that there are no oral agreements between the parties thereto affecting this Agreement and this Agreement supersedes and cancels any and all previous negotiations, arrangements, agreements and understandings, if any, between the parties, and none shall be used to interpret this Agreement. This Agreement maybe amended at anytime by the mutual consent of the parties by an instrument in writing. 6.7 Severability. In the event that part of this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining portions of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder unless the invalid provision is so material that its invalidity deprives either party of the basic benefit of their bargain or renders this Agreement meaningless. 6.8 Waiver. No delay or omission in the exercise of any right or remedy by a nondefaulting party on any default shall impair such right or remedy or be construed as a waiver. A party's consent to or approval of any act by the other party requiring the party's consent or approval shall not be deemed to waive or render unnecessary the other party's consent to or approval of any subsequent act. Any waiver by either party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 6.9 Attorneys' Fees. If either party to this Agreement is required to initiate or defend or made a party to any action or proceeding in any way connected with this Agreement, the prevailing party in such action or proceeding, in addition to any other relief which may be granted, whether legal or equitable, shall be entitled to reasonable attorney's fees, whether or not the matter proceeds to judgment. 6.10 Corporate Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound. SIGNATURES ON NEXT PAGE Page 4 of 7 H:\USERS\ENG\CORRESPONDENCE\CP05.06 1889 CERRITOS DEMOL\CONTRACT SERV.AGR.(SURVEY)WITH INFOTOX.DOC Agreement o (under $25,000 Reviewed and approved by Procurement & Contracting IN WITNESS WHEREOF, the parties have executed and entered into thiEllsqWgientl s r't�lelDgtpefirs� �� a written.above Umber �/., CITY OF PALM s�Pr INU ATTEST: p p a municipal corporation By. CJ City Clerk Director of Public Works/City Engineer rporaticns require two notarized signatures: One signature must be from the Chairman of Board, President, or any Vice -' �Rrresident. The second signature must be from the Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, or Chief (; Financial Officer. 1 CONTRACTOR: INFOTOX, INC. Check One:_Individual_Partnership w°Corporation ' 9251 Orco Parkway,Suite J Riverside,C �92509 Loll �`7r7 By: ,a''�%f�;r°"y -_'.':x, �� >-=".%,�• By: Signature(notarized) USignature(notarized) J Narne:i`/IIGIde4rL /k 1.I1GUllv tlrJr Nernc: �kfrFL.r4 f ,v7EzlLt7t-AWer,! ;err Title:_ Title: (This Agreement must be signed in the above space by one of (This Agreement must be signed in the above space by one the following:Chairman of the Board,President or an Vice of the following:Secretary,Assistant Secretary,Treasurer, O' Y n8� rY, r'1', President) Assistant Treasurer or Chief Financial Officer) 5,.�_„ State of �n ��,('c�-L.ay...r�_� State of C/r4; �'.�.•+diru n.�Y County of/l2:�—, r -t)ssr County of ss On- -4,0-k < aZ(7 0 On_ I�1 C z C �� I o�L�0 5 O9 before me,�*,C,,� (•Z � ((e.F'�,, f J�,r etlr Q,e,�. before me, te,u. O•r� Z 'n (✓ PSt-( _ personally a cared 1, q�c� ,`} P Y PPGrJ' -y:ff Personalty appeared I ca,a7n�J cam 4l .-r-u�-�ct ay-u� personall-}Lknown-to-ma(or proved to me on the basis of personally-known-to-me (or proved to me on the basis of satisfactory evidence)to be the persons)whose names)is/are satisfactory evidence)to be the person(s)whose name(s}is/are subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized he/,sheAhey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(4 on the capacity(ies), and that by Ids/her/their signaturc(s} on the instrument the person(s),or the entity upon behalf of which the instrument the person(s-)-or the entity upon behalf of which the person(s)acted, executed the instrument person(s),acted, executed the instrument. WITNESS my hand and official seal. WITNESS my hand and official seal. Notary Signature: /��A✓7yi1�u LC,si-�'-'/ Notary Signature:"j)(,L,, �nJ � -"�C�➢ Notary Seal: Notary Seal. I� I(APEN ROOP� j v - I(AI'CN ROOP �I p a` Commission Y 1385884 L! (� p z II > Com ARENn # 1385884 $ rr � Notary Public Caldoinla n z = �" Nolory Public - California > Son 13eino,dlno County Z r �(k.L San Gelnoidino County MN Comm.E.nlres No,30,2CC!',i� v30,2Wb%r 4 u s- My Comm.Expires NO I _ Page 5 of 7 I-l:\USERS\ENO\CORRE$PONDBNCE\CP05-06 1589 CERRITOS DEMOL\CONTRACTSERV.ACR(SURVEY)WITH INROTOX.DCC EXHIBIT"A" SCOPE OF SERVICES Contractor will collect bulk samples of suspect asbestos and lead-containing building materials from the structure at 1889 Cerritos Drive, Palm Springs, using non-destructive representative sampling protocols. The asbestos survey will be performed by a state certified asbestos consultant, in accordance with CAL/OSHA and South Coast Air Quality Management District regulations, within 10 working days from the Notice to Proceed. Collected samples will be submitted to a NVLAP approved laboratory for analysis by Polarized Light Microscopy (PLM). The lead survey will be performed by a state certified lead inspector/risk assessor in compliance with 1997 HUD guidelines and Title 17, California Code of Regulations, Division 1, Chapter 8, effective March 30, 1998, within 10 working days from the Notice to Proceed. Inspector will test the interior and exterior surfaces of the structure for the presence of lead based paint(LBP), using non-destructive XRF technology.Any test results within the uncertainty range of interpretation will require testing by Atomic Absorption (AA) conducted by an independent state approved NVLAP lab using USEPA method 7420. Upon receipt of the laboratory analysis reports, Contractor will prepare a confidential inspection report and submit one copy to the City of Palm Springs. The report shall include specific recommendations for the abatement of asbestos and lead found, and shall be submitted within 7 working days following the completion of the asbestos and lead survey. The requirements of Section 4.3"Performance Bond"and Section 3 3" Prohibition Against Subcontracting or Assignment' of this Agreement are waived. Page 6 of 7 H:\USERS\ENO\CORRPSPONDENCE\CP05-06 1889 CERRITOS DEMOL\CONITACT SERV.ACR.(SURVEY)WITI-I INPOTOX DOC EXHIBIT"B" SCHEDULE OF COMPENSATION Contractor's compensation for work described on attached Exhibit "A" will not exceed $2,975.00 paid upon satisfactory, completion of work,within 30 days from delivery of the inspection report.The work will be provided for the following fees: 1)Asbestos Survey: -Inspection services, supplies, and report preparation: $650 lump sum -Laboratory analysis of bulk material samples: 50 samples x$20.00 each, less$2.50/sample (Quantity Discount) _ $875 -Project job-walk site visit: $250 lump sum Subtotal 1) _ $1,775.00 2) Lead Survey: -LPB Inspection services,supplies, bulk sample collection and analysis, and report preparation: $1,080 lump sum -Confirming Paint Chip Sample Analysis: 6 samples x$20.00 = $120 Subtotal2) = $1,200 TOTAL NOT TO EXCEED: $2,975. This fee is(based on the information thatthe site includes a twelve-unittwo-story apartment building.The costwill be adjusted to reflectthe number of samples collected and analyzed,notto exceed the total contract amount of $2,975.00. Page 7 of 7 H:\USERS\ENG\CORRESPONDENCE\CP05-06 1889 CERRITOS DEMOL\CONTRACT SERV AM(SURVEY)WITH INFOTOX.DOC ,R ' ACORDrM CERTIFICATE OF LIABILITY INSURANCE 3i1/200'5 ' PRODVCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Frenkel & Co, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Environmental Risk Services - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 725 S. Figueroa St. , Ste. 2200 AL ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ Los Angeles CA 90017 / 'Dell i" INSURERS AFFORDING COVERAGE NAIC# INSURED .. INSURERA: American Safety'Casualty Insu 39969 Infotox, Inc. INSURERS: State Compensation ins Fund 35076 92SI Orco Parkway, Ste. J Riverside CA 92509-09OG INSURERS:�JI NSURER 0: NSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE➢ 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7NSR POLICYEFFECTIVE POLICYEXPIRATION TYPE OF INSURANCE POLICY NUMBER DATEIMMIODfM DATEfMMIDDrfY1 LIMITS NERAL LIABILITY PCL 05-1422-004 1/23/2005 1/23/2007 EACH OCCURRENCE $ 2,000, 000 PREMISES Ea occcurence) S COMMERCIAL GENERAL LIABILITY 50,000 CLgIM3 MADE a OCCUR MEDEXP(Anyone Rerson) $ 5,000 yi Contr.Poll.Liab. PERSONAL SADVINJURV $ 2,000, 000 GENERALAGGREGATE $ 2,000, 000 GENIAGGREGATELIMITAPPPLIIIEIS PER: PRODUCTS-COMP/OPAGG $ 2,000, 000 POLICY n JET too A AUTOMOBILE LIABILITY PCL 05-1422-004 � 1/23/2005 l/23/2007 COMBINED SINGLE LIMIT $ 1,000, 000 ANVAUTD (Ea acddenl) ALLOWNEDAUTOS BODILYINJURV _ SCHEOULEDAUTOS (Perperson) § X HIREDAUTOS X BODILYINJURY NON-OWNED AUTOS (Peroocraxiden) $ PROPERTYDAMAGE $ (Peracadenf) GARAGEMASILITY AUTO ONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE § OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS GOMPENSATIONAND 1424268-05 3/1/2005 3/1/2006 R I WCSTATU- OTH- EMPLOYERS'LIASILITY TORV LIMITS ER ANY CERMEMS RIPARTNDED? CUTIVE E.L.EACH ACCIDENT $ 11 000,O OFFICERMIEMBER EXCLUpEp4 E.L.DISEASE-EA EMPLOYEE § 1,000,000 Ilyes,describe order SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER A Claims Made PCL OS-1422-004 1/23/2005 1/23/2007 Each Claim $2, ,000 Aggregate $2,000 000,000 000 Professional Liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Palm Springs, its officers and employees are added as Additional Insured, Waiver of Subrogation applies to the General Liability but only as respects all covered operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Palm Springs BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLS MAIL 30 DAYS WRITTEN NOTICE TO THE Attn: City Cleric-Patricia Sanders CERTIFICATE HOLDER NAMED TO THE LEFT (10-DAYS FOR P.O. Box 2743 NON-PAYMENT OF PREMIUM) , Palm Springs CA 92263-2743 AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 CONTRACT ABSTRACT Contract Company Name: Infotox, Inc. Company Contact: Michael A. Nieuwlandt Summary of Services: CP#05-06, 1889 North Cerritos Demolition Contract Price: $2,975 Funding Source: 001-4161-43260 Contract Term: December 31, 2005 Contract Administration Lead Department: Public Works & Engineering Contract Administrator: David Barakian/ George Farago Contract Approvals Council/Conmmiuty Redevelopment Ageney Approval Date: n/a Minute Order/Resolution Number: n/a Agreement Number: To Be Assigned A# 1 Contract Compliance Exhibits: Signatures: Insurance: L�✓ /E_ Bonds: /t'/,, Contract prepared by: Submitted on: %/ I 'J By.