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HomeMy WebLinkAbout04537 - PHIL EVANS DOG PARK FENCE MINUTE ORDER NO. 7127 APPROVING THE AGREEMENT BETWEEN THE CITY OF PALM SPRINGS AND PHILL EVANS FOR RELOCATION OF FENCING AND INStALLATION OF ADDITIONAL FENCING !TO ENLARGE THE SMALL DOG AREA OF THE DOG PARK LOCATED BEHIND CITY HALL, IN THE AMOUNT OF $4,750, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY. A04537 I HEREBY CERTIFY that this Minute Order,,approving the agreement between the City of Palm Springs and Phill Evans for relocation of fencing and installation of additional fencing to enlarge the small dog area of the Dog Park located behind City Hall, in the amount of $4,750, in a form acceptable to the City Attorney, was adopted by the City Council of the City of Palm Springs, California, in a meeting thereof held on the 110 day of July, 2002. PATRICIA A. SANDERS City Clerk t if. Lk Phil Evans Dog Park Fencing Addition AGREEMENT #4537 M07127, 7-17-02 CITY OF PALM SPRINGS CONTRACT SERVICES AGREEMENT FOR changes and additions to dog park fencing THIS CONTRACT SERVICES AGREEMENT (herein "Agreement") is made and entered into this 17"' day of July, 2002, by and between the CITY OF PALM SPRINGS, a municipal corporation (herein "City") and Phill Evans (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 thF-f 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 FOUR THOUSAND SEVEN HUNDRED FIFTY AND 001100 Dollars ($4,750.00 ) ("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. -1- 3.0 COORDINATION OF WORK 3.1 Representative of Contractor. Phil[ Evans 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. 3.2 Contract Officer. Diane Morgan 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 Against Subcontracting orAssignment. 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. 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 forcontractual 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 endorsementform CG2010(1185)orequivalent language. -2- (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 B. All of the above policies of insurance shall be primary insurance. (Reference Section 4.3 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 Oe 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 -3- Agreement, whether or not there is concurrent passive or active 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) Contractorwill 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 party 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 Sufficiency of Insurer or Surety. Insurance 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, 2002. -4- 5.2 Termination Prior to Expiration of Term. Either party may terminate this Agreement at any time,with orwithout 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 priorto 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 Against 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 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 -5- 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 hereto 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 may be amended at any time 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 Attomeys' 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. 6.11 Ownership of Work Upon the acceptance of the Work and payment therefor by the City, the Artist shall convey and assign title to the Work and all rights thereto to the City by executing and delivering the Bill of Sale in the form attached hereto as Exhibit -6- "C" ("Bill of Sale"). The Artist bears the risk of damage to or loss of the Work until the title passes to the City. IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above. CITY OF PALM SPRINGS, /I a municipal corporation F� By City Clerk .-,/j By City Manager`-� APPROVED AS TO FORM: CONTRACTOR: By ' y Attorney By '0� Signature (Notarized) l�l�fl! Foaks oCWhe� Print Name&Title Corporations require two notarized signatures:one from each of BY Signature (Notarized) the following: A. Chairman of Board, President, or any Vice President; and B. Secretary, Assistant Secretary, Treasurer, Print Name&title Assistant Treasurer,or Chief Financial Officer Mailing Address AVC420VED lei' `? N r'5 ACKNOWLEDGMENT Capacity Claimed By Signer: F,� of California ❑ Individual(s) ty of Sacramento ® Other c n �.b before me,Nadine Williamson,Notar y Public,personally appeared ph i l 1t \I(\VAC Person ar Entity(ies)Represented: sonally known to me or ®proved to me on the basis of satisfactory evidence,to be the ,,nn ' ns)whose name(a)is/ere.subscribed to the within instrument and acknowledged to me Ph', `I Ev C e/sheftheY executed the same in his/ rJtlir signatvre(s}on the instrument the me eil authorized capadtyyes), and that byt3�TttY(]1 1\ (!}acted,executed the instrument. p Es)%or the entity upon behalf of which the j Title or Type of Document i ; .xt.d�,��,',�'6�'Ai�if�eF of Pages :^.,�;ti''i<'.�y;�.,' CO 7svS.{}7a�q4?B . '!Date r) e k (,)Nt)TARY PUr:P,.4` 4 Witness m hand and official seal. S,gner(s) Other Than Named Above: :ti-o s,'t> �. r tee: ' YSr £ My Comm,Expires Jl:C t7,2Cp3^y� -- Add approx 330 amall pickets to make fence mme as little dog fence. • • M 0 _~ LL m ` •. �� OJ = r •- .: .. lZetttove, rplooske and)iuildnev•fenae "on.. wLLI CL :i L to alose'in the little dog area.•(Appmx 50 ft)' CA Proposali Expansion of the Little DogAree Plall Evan Sculptural Design SCOPE OF WORK Scope of Contractor's Services. 1. Fabrication and Completion of Work of Art. The Contractor shall fabricate the Work or cause it to be fabricated, under the Contractor's personal supervision, in conformity with the Proposal incorporated herein. The Work shall not deviate in size, design or material from the Proposal and the specifications as attached, unless the change is approved in writing by motion of the Commission. The existing fence enclosing the northern side of the small dog area will be relocated. New fencing, constructed and painted to match all existing fencing, will be combined with the relocated fencing to create a new extended, eastem-most fence to the small dog area. This new fencing will delineate a much larger small dog area which will encompass the entire west end of the entire dog park, rather than the current small southwest corner. New small pickets will be added, as needed, to any fencing in the newly delineated small dog area to keep small dogs from escaping through the fence. The Contractor is responsible for relocation of existing fencing and for the transportation of the new fencing to, and the installation of the all fencing at the site, and for all expenses associated with the fabrication, transportation and installation of such Work. 2 Modifications. The City shall have the right, prior to the acceptance of the Work, to request modifications to the Work. Should such modifications result in an increase in cost to the Contractor, full documentation of such costs shall be submitted to the Commission in writing and any reasonable increase approved by the Commission. Upon approval, such increased costs shall be added to the fee to be paid to the Contractor pursuant to the "Schedule of Compensation " attached hereto as "Exhibit B". In the event the modifications result in a reduction of costs to the Contractor, the fees owed to the Contractor pursuant to `Exhibit B" shall be reduced by a like amount. Except as expressly provided in the Agreement, City shall not intentionally damage, alter, modify or change the Work without the prior written consent of the Contractor. 3. Commencement and Performance of Work. The Contractor shall commence the fabrication of the Work upon the receipt of a written "Notice to Proceed" from the Commission. The Work shall be completed in accordance with Section 5.1 of this Agreement. 4. Contractor's' Warranties/Waivers. s 4.1 Defects in Materials or Workmanship and Inherent Vice. The Contractor warrants that the Work will be free of defects in workmanship or materials, and that the Contractorwill, at the Contractor's own expense, remedy any defects due to faulty workmanship or materials appearing over the life of the Work. This warranty includes any workmanship or materials which cause the Work to deteriorate over time in a manner inconsistent with its design, the approved plans and specifications or as would otherwise be expected from products made of similar materials, orfrom any quality within the materials which comprise Work which, either alone or in combination, result in the tendency of the work to deteriorate. 4.2 Title, The Contractor warrants that the Work is the result of the artistic efforts of the Contractor and that it will be installed and transferred to the City free and clear of any liens, claims or other encumbrances of any type. 4.3 Unique. The Contractor warrants that the Work is unique and no other such Work shall exist and that the Contractor will not execute or authorize another to execute another work of the same or substantially the same design as the Work commissioned pursuant to this Agreement. This warranty and covenant shall be binding on the Contractor's heirs and assigns. 4.4 Waiver. Due to the nature of the Work and the Site on which it is to be placed and the public interest of the City, Contractor and his agents, heirs, successors and assigns hereby waive any and all rights they may have under the California Art Preservation Act, as set forth in California Civil Code Section 987,as it may be amended from time to time. Contractor, his agents, heirs, successors and assigns also agree not to attempt to defeat this waiver by cooperating with any other person or organization which seeks to bring an action under California Civil Code Section 989 or any other similar provision. 5. Repair and Restoration. It is the current policy of the City to consult with the Contractor regarding repairs and restoration of artwork which are undertaken during the Contractor's lifetime when that is practical. To facilitate consultation, Contractor will, to the extent feasible, notify the City of any change in his permanent address. -10- Exhibit B SCHEDULE OF COMPENSATION 1. Fee. The Contractor's total fee for fabrication and completion and installation of the Work, including all applicable taxes and all expenses relating thereto, whether or not identified in the itemization of expenses included in the Proposal shall be FOUR THOUSAND SEVEN HUNDRED FIFTYAND 00/100 DOLLARS($4,750.00). The complete Fee is due and payable by the City when the Work is accepted by Minute Order of the City Council. 2. Interim Payments. Subject to the Contractor's obligation to repay an installment payment in the event this Agreement is terminated by reason of Contractor's default, the City shall make payments to the Contractor against the Fee to assist the Contractor with financing the completion of the Work. The amount of the payments shall be made as follows: 2.1 Upon execution of the Agreement: ONE THOUSAND AND 00/100 DOLLARS ($1,000.00) 2.2 Following (a) submission of the Contractor's final report on fabrication, (b) review, approval and acceptance of the Work by the Commission, (c) request for final payment, and (d) final acceptance by the City Council: THREE THOUSAND SEVEN HUNDRED FIFTY AND 00/100 DOLLARS ($3,750.00) 2.3 All payments shall be made payable to Phill Evans. 2.4 City agrees to pay all amounts due within thirty (30) days of the satisfaction of the conditions therefor. -11- From KrI McBImger At Wraith Scarlett 8 Randolph FaxID To Diane Morgan Date:827102 11 29 AM Page:2 of acoRQ CERTIFICATE OF LIABILITY INSURANCEv CSR LK DA E(MMR7/0 ANs-1 06/27/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wraith, Scarlett S Randolph ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Services, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 283 W. Court Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Woodland CA 95695 Phone' 530-662-9181 Fax:530-662-6952 INSURERS AFFORDING COVERAGE _ INSURED INSURER Hartford Insurance Group INSURER B Phillip Evans INSURER 4212 Oak Knoll Drive INSURER Carmichael CA 95608 — I INSURER E " COVERAGES 4fr POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE IF I CATE MAY BE ISSUED OR MAY PEPTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT i0 ALL THE TERMS E%CL�ISIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDDM)) DATE(1411 GW) LIMITS GENERAL LIABILITY EACH OCCURRENCE s1,000,000 A MMERCIAL GENERAL UABwTY 57SEANJ9808 09/07i�- -_, ..i/02 FIRE DAMAGE(Ay ano ere) $300,000 LAMS MADE OCCUR MED EYE IAnyone 1a150n) S10,000 PERSONAL 2 ADV INJUR Y S1,000,000 GENERAL AGGREGATE s2,000,000 I TEN L AGGREGATE LIMIT APPL IES PER PRODUCTS-COMP/OP AGG i2,000,000 POLICY JECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO a (EA eccmonp ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Par person) 1-IRED AUTOS I—I BODILY INJURY $ NON-OWNED AUTOS (Par acotlenU HI PROPERTY DAMAGE -A(Rene '.q I GARAGE LIABILITY AUTOONLY-EAACCIDENT S ANY AUTO OTIERTHAN EA ACC q ALTO ONLY AGG $ EXCESS LABILFTY EACH OCCURRENCE S COUP CLAIMS MADE AGGREGATE S i _1 �"EDLYTISLF Ir i RETENTION S i WORKERS COMPENSATION AND EMPLOYERS'LIABILRV TORY LIMITS EP EL EACH ACCIDENT $ EL DISEASE-EA EMPLOYEE S EL DISEASE�POLICY LIMIT 3 OTHER DESCRIPTION OF OPERATIONS/OCATONSN HICLEBIEXCLUSIONS ADDED BY ENDORSEMENT/SPEOAL PROVISIONS Certificate holder is named additional insured with respegts to the operations of the named insured only. Job: Dogpark Sculpture I I I CERTIFICATE HOLDER y ADDmDNAL INSURED;INSURER LETTER _ CANCELLATION PAT14S12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City Of Palms Springs IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 3200 E. Tahquitz Canyon Wy. REPRESENTATIVES, Palm Springs CA 92262 AUTHORIZED REPRESENTATIVE Teresa Galart ACORD 25-S(7197) ©ACORD CORPORATION 1988 r SSTATE 1 A I E P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 COMPENSATION -INSURANCE -FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: 1536396 - 02 i ISSUE DATE: 08-28-02 CERTIFICATE EXPIRES: 08-28-03 CITY, OF PALM SPRINGS JOB: DOG PARK ATTN: OIANE MORGAN INCEPTION: 8-27-98 AT 3200 TAHQUITZ:CANYON 'WAY 6:,30PM i PALM SPRINGS CA'' 92262 : STATE FUND SACRAMENTO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the i - -California Insurance Commissioner to tho-employer named-below for thepolicy period indicated. ' This policy is not subject to cancellation by the Fund except upon 10days' advance written notice to the employer. I i j We will also give you.10 days' advance notice should this policy be cancelled prior to,its normal .expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein, Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance maybe issued or may pertain;the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. i I 1 I PRESIDENT I EMPLOYER'S; LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1•,000,000.00 PER OCCURRENCE. `.STANDARD EXCLUSIONi INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR,BENEFITS AS EMPLOYEES UNDERTHIS°•POLICY. a 1 Y 7 i i 1 EMPLOYER LEGAL NAME ` i ; I I PHILL CVANS'SCULPTURAL, DESIGNER EVANS•, PHILL.IP „ . 4212 OAK KNOLL OR CARMICHAEL CA R5608 - - 07-17-02 PRINTED: P040S ®e e, BACKGROUND .