HomeMy WebLinkAbout04270 - MICHAEL BUCCINO ASSOCIATES AIRPORT LANDSCAPE pAL,H S City of Palm Springs
Office of the City Clerk
(760) 323-8204
u En
MEMORANDUM
+r r
Date: March 31, 2003
To: Airport
From: City Clerk
AGREEMENT#4270 — Michael Buccino
Please let us know the status of the above agreement, and if it may be closed.
Termination Date of Agreement: 6-1-01
STATUS: t
COMPLETED:
REMAIN OPEN UNTIL:
Date & Initials
r\ ✓�� //° �= Al
CLOSE AGR
Signature
C/
PLEASE RETURN TO THE OFFICE OF THE CITY CLERK
c-clk\fomis.std\agr-case.mem
• Michael Buccino Associates
Landscape Architectural Svc
AGREEMENT #4270
CITY OF PALM SPRINGS M06698, 9-6-00
CONTRACT SERVICES AGREEMENT FOR
LANDSCAPE ARCHITECTURAL SERVICES
(SHORT FORM)
HIS CONTRACT SERVICES AGREEMENT (herein "Agreement") is made and entered into
this441 a o�p y y.e�rQ 2000, by and between the CITY OF PALM SPRINGS, a municipal corporation
(herein "City") and MICHAEL BUCCINO ASSOCIATES (herein "Contractor"). (The term Contractor
includes professionals performing in a consulting capacity).
NOW, THEREFORE, the parties hereto agree as follows:
1.0 SERVICES OF CONTRACTOR
1.1 Scone 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 Thirty
Thousand Dollars ("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 Buccino 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. Assistant City Manager-Special Projects is hereby designated
as being the representative the City authorized to act in its behalf with respect to the work and services
specified
FS2\276\099999-3000\2022693.2 .08/22/95
Revised 09/01/98
4-
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 or Assignment. 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 AND INDEMNIFICATION
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) Comprehensive General Liability Insurance. A policy of comprehensive
general liability insurance written on a per occurrence basis in an amount not less than either (i)
a combined single limit of$1,000,000.00 or (ii) bodily injury limits of$500,000.00 per person,
$1,000,000.00 per occurrence and$1,000,000.00 products and completed operations and property
damage limits of$500,000.00 per occurrence. If the Contract Sum is greater than $500,000.00,
the policy of insurance shall be in an amount not less than$5,000,000.00 combined single limit.
(b) Worker's Compensation Insurance. A policy of worker's compensation
insurance in such amount as will fully comply with the laws of the State of California and which
shall indemnify, insure and provide legal defense for both the Contractor and the City against any
loss, claim or damage arising from any injuries or occupational diseases occurring to any worker
employed by or any persons retained by the Contractor in the course of carrying out the work or
services contemplated in this Agreement.
(c) Automotive Insurance. A policy of comprehensive automobile liability
insurance written on a per occurrence basis in an amount not less than either (i) bodily injury
liability limits of$500,000.00 per person and$1,000,000.00 per occurrence and property damage
liability limits of$250,000.00 per occurrence and $500,000.00 in the aggregate or (ii) combined
single limit liability of$1,000,000.00. Said policy shall include coverage for owned, non-owned,
leased and hired cars.
(d) Additional Insurance: Policies of such other insurance, including Professional
Liability Insurance, as may be required in the Scope of Services, Exhibit "A".
All of the above policies of insurance shall be primary insurance and shall name the City, its
officers, employees and agents as additional insureds, except that the City shall not be named as an
additional insured for the Worker's Compensation Insurance nor the Professional Liability Insurance. The
FS2\276\099999-3000\2022693.2 m08/22/95
R.AsW 09/01/98
-2-
insurer shall waive all rights of subrogation and contribution it may have against the City, its officers,
employees and agents and their respective insurers. All of said policies of insurance shall provide that said
insurance may not be amended or canceled without providing thirty (30) days prior written notice by
registered mail to the City. 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 or appropriate insurance binders evidencing
the above insurance coverages and said Certificates of Insurance 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.
The 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 Rating Guide,
The Key Rating Guide or in the Federal Register, and only if they are of a financial category Class VII or
better, unless such requirements are waived by the City Manager or designee of the City due to unique
circumstances.
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,
including paying any legal costs,attorneys fees, or paying any judgment(herein "claims or liabilities")that
may be asserted or claimed by any person, firm or entity arising out of or in coimection with the negligent
performance of the work or services 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, but excluding such claims or liabilities to the extent caused by the negligence
or willful misconduct of the City.
5.0 TERM
5.1 Term. Unless earlier terminated in accordance with Section 5.2 below, this
Agreement shall continue in full force until June 2001.
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 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
FS2\276\099999-3000\2022693.2 .08/22/95
Revised 09/01/99
-3-
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 terns 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 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 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
FS2\276\099999-3000\2022693.2 .09/22/95
Revised 09/01/98
-4-
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.
IN WITNESS WHEREOF,the parties have executed and entered into this Agreement as of the date
first written above.
ATTEST: CITY OF PALM SPRINGS
n a municip corporation
' 9_c
City Clerk City Manager
APPROVED AS TO FORM:
Clit)LAttorne§
CONTRA TOR:
JV1_r_ rz�c I
(Check one: individual,
_partnership, corporation)
(NOTARIZED) y:
signam e
Print Name and-Title
(NOTARIZED) By: _
Signature
Print Name and Title
MailingAddressM — 3�( �i�ttl �S �u�
(Corporations require two signatures: One from each of the Following: A. Chairman of Board,President,
any Vice President: AND B. Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, or Chief
Financial Officer).
End of Signatures
Alb , 8 �rpI �f ���.
LFS2MR09999,9-30=2022693.2 .08/22/958
-5- �
1 State Of �/'/�a���/,ti RIGHT THUMBPRINT(Optional)
County ofli/%��S,rCc
On 2 /�y ,, 1z ° before me, rliP,rirt�i/ncs
(DATE) fNAME/TITLE OF OFFICER-i.e.-JANE DOE,NO'�ARy PI/BLIC'I C
i 1 / 71 o
g personally appeared /'1/G,�1YR �
!I[ (NAME(SI OF SIGNER(SII
CAPACITY CLAIMED BY SIGNEgIS)
❑INDIVIDUAL(S)
❑CORPORATE_
OFFICERS)
❑ personally known to me -OR- 1� In=roved to me on the ITITLESI
roved
Of satisfactory ❑RARTNEMS) ❑LIMITED 0r
evidence jo be the ❑GENERAL
p rsonSs whose name(sy' []ATTORNEY IN FACT
�Is� subscribed to the ❑TRUSTEE(S)
'Athin instrument and ❑GUARDIAN/CONSERVATOR
hcknowledged to me that ❑OTHER:
e)/ he/threy e uted the
same in hiI NirTthelr R
authorized C acity(le's''�" SIGNER IS REPRESENTING:
and that by�is1he'r/4'he1T (Name of Personlsl or Entity(ieU
signatures on the
instrumentthe perso -"s-);
_ or the entity upon behalf
sx— E MAXINEFLORESOROZCO of which the persorlEs'�
( m acted, executed the
;y "C''% COMA 4k124HE09 r RIGHT THUMBPRINT(Optional)
rP s- n instrument.
I,' r NOTARYPUBUC CAUFORNIA �a tl
s 'a,.J
Z-*"'. � RIVERSIDE COOIV7V CVd
0 T.',i_�nf h9y Comm.ExplresJanuary9,2064
Witness my hand and official seal.
J �4
f (SEAL)
fff 7✓�l� ,
/ ISI'GNATURE OF NOTARY j( �ppFF
r�/.✓/ CAPACITY CLAIMED BY SIGNER(S) 3
❑INDIVIDUALIS)
❑CORPORATE p
ATTENTION NOTARY E
OFFICER(S) Q
The information requested below and in the column to the right is OPTIONAL. (T1TLES) Pp
Recording of this document is not required by law and is also optional.
I It could, however, prevent fraudulent attachment of this certificate to any ❑PARTNER(S) ❑LIMITED
unauthorized document. 13GENERAL
y { ❑ATTORNEY IN FACT �I
THIS CERTIFICATE Title or Type of Document ,�/'i, rc-'(:, •arc/i C"_ OTRUSTEE(SI ry�
MUST BE ATTACHED F '"tr� ❑GUARDIAN/CONSERVATOR y�
TO THE DOCUMENT Number of Pages Data of Document ❑OTHER:
DESCRIBED AT RIGHT: QN
Signer(sl Other Than Named Above i
SIGNER IS REPRESENTING:
blame of Person(s)or Entity0es) k�
11�
WOLCOTTS FORM 63240 Rev.3.94(price class B-2A) (D1994 WOLCOTTS FORMS.INC
ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATIONRWO FINGERPRINTS
7 fll 67775 II63240
I 8
EXHIBIT "A"
SCOPE OF SERVICES
Contractor shall perform the following services all related to the Airport Ramon Road frontage landscape
project:
1. To update the working drawings for the Landscape construction and Installation along Ramon Road
Airport frontage and prepare bid package with City provided"front-end" specification documents.
Contractor to review the existing working drawings from the project and rework the drawings as
necessary to enable construction of the landscape design with the elimination of the reflecting pool
west of the Airport entry road. This work will consist of the following plan updating: layout plans,
construction detail plans, lighting plans, irrigation plans, planting plans and specifications.
2. To provide construction oversight of the landscape installation. During construction phase,
contractor to perform architectural construction administration related to submittals, materials
selection, contractor billing review and change order development and evaluation. Also,
contractor will make periodic site visits of at least three tunes weekly during construction to see
that work is being carried out in accordance with the plans & specifications.
The plan preparation will be completed within five (5) weeks of the Notice to Proceed. The construction
oversight will correspond to the actual construction contract which will not begin until the Ramon/Gene
Autry intersection reconstruction project is complete.
FS2M6\099999-3000\2022693.2 .08/22/95
Revised 09/01/98
-6-
r
EXHIBIT "B"
SCHEDULE OF COMPENSATION
Contractor shall be compensated on a monthly basis based on the percentage of work completed in the
following areas:
1. Plan & Specifications Update $ 8,000 Lump Sum
2. Construction Oversight $20,000 Lump Sum
3. Reimbursables @ cost plus 10% 2,000 Maximum
Total Maximum Compensation $30,000
Travel authorized by owner outside of the desert area shall be reimbursable @ 31e/mile.
Should it be necessary to perform services outside this Scope of Service, the services will be rendered
following City's approval, in accordance with the following rates:
Landscape Architect Principle's Time $115.00
Landscape Architect Assistant's Time $ 65.00
F52\276\099999-3000\2022693.2 .09/22/95
Revised 09/01/98
-7-
STATE P.O. BOX 420807,SAN FRANCISCO, CA 94142-0807
I COMPENSATION
INS U RAN C E
FUND :CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
,c,P1Ei_1�L, lu is 2000 - 1 c_UC L.'
• POLICY NUMBER:
CERTIFICATE EXPIRES'
CITY O.F PAT111 �51^t 17If S iTITB&NArzT1P �L AT. PORT
ATTP PAn S'1'RR
P 0 EO.7 27h�
PAi 1-I SPR I NIGS CA 92263-2743
L
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Commissioner to the-employer-named-below for the-policy period indicated:- - - --- --- --- - -_- - _
This policy is not subject to cancellation by the Fund except upon ten days'advance written notice to the employer.
We will also give you TEN 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 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.
AUTHORIZED REPRESENTATIVE PRESIDENT
21PLWER-S LTMIILTTY ''LIMIT TadCLUOIRG DEFEN92 COSTS. cnJ_.0U4;0(}0 PER OCCUPRL%10E.
EMPLOYER ,
r-
NICHALL BUCCTN0 >3S130C INC
77734. COUirlTR.Y CT M DR A
RUM, DESERT Cam. 92211
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND
TERFH 619 345 6597 P. 02
CERTIFICATE OF INSURANCE
This certifies that ❑STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
1 Insures the foflowing policyholder for the coverages Indicated below:
Name of policyholder _13UCCINOr MICHAEL DBA MICHAEL BUCCINO ASSOC INC
Address of policyholder — 77734 COUNTRY CLUB DR STE A3 —
PALM DESERT CA 92211 -0454
Location of operations
Description of operations
The policies listed below have been Issued to the policy holder for the policy perlods shown. The Insurance described in these policies Is Subject to all the terms,
exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims.
POLICY NUMBER .OF INSURANC E POLICY PERIOD LIMITS OF"ABILITY
B TYPE
ER Effective Date ! Expiration Date (at beginning of policy period)
Comprehensive icy/� BODILY'INJURY AND
90—NH-4455-0 G BusinessLiabilit 04/17/00 iO4tf/1 0 PROPERTY DAMAGE
This insurance Includes: ❑ Products-Completed Operations
❑ Contractual Liability
❑ Underground Hazard Coverage Each Occurrence $_191)O 0 0 0
❑ Personal Injury
11 Advertising Injury General Aggregate $2n o 0 0 0 0
❑ Explosion Hazard Coverage Products-Completed
❑ Collapse Hazard coverage Operations Aggregate $
❑ General Aggregate Limit applies to each project
EXCESS LIABILITY POLIO V PERIOD BODILY INJURY AND PROPERTY DAMAGE
Effective Date ; Expiration Date (Combined Single Llmlf)
U Umbrella Each Occurrence $
n Other — Aggregate $—
_--_.�..___ Part t STATUTORY
Part 2 BODILY INJURY
Workers' Canapensatign
Each Accident $--.
and Employers Liability
Disease Each Employee $---
Disease-Policy Llmlt
POLICY NUMBER 7YPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY
Effective Date Expiration Date (at be fnnin of policyariod
If any of the described policies are canceled before its
expiration date, State Farm will try to mail a written notice to
the certificate holder D() _ days before cancellation. If.,
however,we fall to mail such notice, no obligation or liability
Name and Address of Certificate Holder
wvvvil�l ssb��e Imposed on State Farm or its agents or represeni&
tlqq ,
CITY OF PALM SPRINGS , `_„•-
1 P.O_ BOX 2743
sp�ow.o a A�muvm a acm.r.e
f PALM SPRINGS CA 92263-2743 AGENT
t Tme ne.
1
n9anre coca slamo
65E-0M k2 Ppr.12-91 %Inlm In U.S A
09/13/2000 08:51 FAX 700 318 3815 PSP INT'L ARPT
, N 61W45 6597 di��\ Pv,W
IN Sb RArvKf
S$PTEMBE32 32, 2000
i ITire Policy Statu6
8 Ph. (760) 772-7J.66
BUCCINO, MICHAEL GENL Policy: 90-NH-4455-0 G Yr isad: 1994
DBA MICHAEL BUCCTNO ASSOC 119C Xref :
i77734 COUpTJ;' Y CLUB DR STE A3
iPALM DESERT CA 92211-0454 Location: 77734 COUNTRY CLUB DR STE A3
PALM DESERT CA 92211-0454
Term: CONT
Type: BUSINESS-OFFICE Renew date: APR-17-01
Coverage ,information, Premium: 675 .00
�B-BUSN PROP 42900
F-LOSS INC ACT LOSS
iL-BUSN LTAS 1000000 Amount paid: 675 .00
fGEN AGGREGT 2000000 Date paid: FEB-29-00
Bill- to: INSD
M-MED/PERSN 10000
prey prem: 698
Piev risk: 42, 000
Deductibles applied: 500 AL'L PER OTHER DED MAY APPLY
1
Messages :
Yeax built: 1992 Constr: FRAME
Zone: 29
' Prot Class : 3
I
atAr pAF}A RITA'fESRAN
�AOEMP
77570 Sprina ?ld Lane,Sot;i
INSYIANK palm 0eserL CA 52211
` INt:(,1*)148-4060
( 760
[
i
09/13/2000 08:51 FAX 760 318 3815 PSP INT'L ARPT 12004
' ry 61�45 6597 P. 03
' 6fATf %IqH
IN3URAN CE
i Fire Policy Status SEP'I'EMHE12 ?.2, 2000
I
CERTIFICATE HOLDER
LEIITZOW & ASSOCIATES
247 BRYANT AVE
GLEN ELLYN IL 601:�7-5547
AODL INSURED - SECTION TI
CITY Oki PALM SPRINGS
PO BOA 2743
PALM SPRINGS CA 92263-2743 Prem adj : YRSUS $ 31 /REND $ 59
CHR C 20 , 0%,
Move-in: W
Entry; MAY-06-99
PMP sect: 09
I�
4
f
I
OM0911F�
®< INTERINSURANCE EXGQNGE of the Automobile Club �7 `
s
MAILING ADDRESS:P.O.BOX 25001,SANTA ANA,CALIFORNIA 92799-5001
NOTICE OF CANCELLATION ENDORSEMENT
Forming a part of Policy No. G 5297998 issued by the INTERINSURANCE EXCHANGE OF THE AUTOMOBILE CLUB
to BUCCINO, MICHAEL J AND LORI A
Effective 9-21-00 12:01 A.M. Pacific Standard Time
PR I
CITY CLERK
CITY OF PALM SPRINGS11 ��C� a 9-20-00
P o Box 2743
PALM SPRINGS CA 92263-2743 \ ;"
I�`i DESIGNATED AUTOMOBILE:
ADDITIONAL INSURED 93 VOLVO YV1 LS5512P2o61770
It is agreed that in the event of: _ —_-
• material change to this policy affecting the designated automobile;or
• suspension or nonrenewal of this policy;or
• cancellation of this policy at the request of other than the Interinsurance Exchange;or
• cancellation of this policy at the request of the Interinsurance Exchange for nonpayment of premium;
10 days'written notice thereof will be given by regular mail to the additional insured named above.
In the event of cancellation of this policy by the Interinsurance Exchange for other than nonpayment of premium,20 days'written notice
thereof will be given by regular mail to the additional insured named above.
All provisions of your policy not affected by this endorsement remain unchanged.
ACSC Management Services, Inc.
ATTORNEY-IN-FACT
CERTIFICATE OF INSURANCE
This is t0 certify to the additional Insured named above that the Interinsurance Exchange of the Automobile Clubhas issued the above listed
Member's Automobile Policy to the policyholder named above.Subject to its terms and provisions,this policy, including any applicable
endorsement, provides the following coverages and limits of liability for the designated automobile:
BODILY INJURY PROPERTY DAMAGE -
LIABILITY LIABILITY
THOUSAND THOUSAND THOUSAND
DOLLARS DOLLARS DOLLARS
EACH EACH EACH
PERSON OCCURRENCE OCCURRENCE
500 1000 500
This Certificate of Insurance is not an insurance policy and does not amend,extend or alter the coverages afforded by and the terms and
conditions applicable to the policy to which it pertains.
ACSC Management Services, Inc.
ATTORNEY-IN-FACT
ITS0122A
E0896 2059
E 1-96
RENEWAL CERTIFICATE
1 90-,NH-4455-0
Ste Fainn General Insurance Conn- POIL� EPAM -
Ball'9 Old River Rd lip BUSINESS-OFFIW -
kersfield,CA 93311-6000 APR 17 2002 to Ar-R 17 2003
M-8771-F424 FU 3 - .131LEAEiEPAY THIS AMOUNT
SPECIFIED PARTY
CITY OF PALM SPRINGS PAID BY
PO BOX 2743
PALM SPRINGS CA 92263-2743 Coverages and Limits
Section I
A Buildings Excluded
B Business Personal Property 45 600 L
C Loss of Income Actual Loss
Deductibles -Section I
3 Basic 500
Other deductibles may
N- apply -refer to policy
Insured: MICHAEL BUCCINO ASSOC INC
Location: 77734 COUNTRY CLUB DR STE A3
PALM DESERT CA
Section 11
L Business Liability $1,000,000
M Medical Payments 10,000
Gen Aggregate (Other than PCO) 2,000,000
Products-Completed Operations Excluded
(POO Aggregate)
Add Ins-IL CITY OF PALM SPRINGS
Forms, Options, and Endorsements
Special Form 3 FP-6143
Amendatory Endorsement FE-6205 Annual Premium $559.00
Tree Debris Removal FE-6451 Bus Liability -Cov L 27.00
Policy Endorsement FE-6506.1 Total Amount $586.00
Business Policy Endorsement FE-6464
Glass Deductible - Sect I FE-6538. 1
I Protective Safeguard FE-6303 Premium Reductions
Products/Operations Liab Exol FE-6312 Your premium has already been reduced
Additional Insured FE-6320 by the following:
Renewal Year Discount
Yrs in Business Discount
Claim Record Discount
Sprinkler Discount
Cov. A- Inflation Index: N/A
Cov. B - Consumer Price: 178,3
47 3023 1979 11
See reverse side for important information.
Please keep this part for your record.
Tefoplioi)e (760)779-5558 Prepared MAR 29 2002
IF YOU HAVE MOVED,PLEASE CONTACT YOUR AGENT. 8771-F424 F NOTE: 00 NOT PAY. THE PRE S
------I - I— BEING PAID BY THE SPECIFIED PARTY.
IN MICHAEL BUCCINO ASSOC INC SURED DATE DUE PLEASE PAY THIS AMOUNT
... ...............
POLICY NUMBER 90-NH-44550 BUSINESS-OFFICE - THIS IS FOR INFORMATION ONLY
------------ - L ......
Please Contact Your State Farm
Agent to make any policy
changes.
1209000008
State Farm Insurance Companies
138-3076 f.5 Rev 02-2001 Printed U S.A. (olfO0811)
FOR 6i:F'j UFU§-E ON U7" 7466 -in----- 401 --- I--- ---
Prepared MAR292002 RES 000
N
0000
JRN-17-2002 12:02 AAA LA QUINITA 760 771 0045 P,01
01`1 !iV t Grill V17U1-1 L 1.../�41 I/'11 Y�../L 41 1,119 I"IN4W IIV�VINu - "
MAILING ADOA--- P. X 25001,SANTA ANA,CALIFORNIA 92799-5001
U
BINDER OF INSURANCE
Policy Number G 5297998
Name and Address of Lienholder or Additional Insured Control Number
,n
CITY CLERK OF PALM SPRINGS NOTICE TO LIENHOLDER "
P.O. BOX 2743 IN THE EVENT OF CANCELLATION OF THIS BINDER,
THE EXCHANGE WILL GIVE THE LIENHOLDER 10 DAY
PALM SPRINGS,CA.92236 WRITTEN NOTICE OF CANCELLATION,
Loan Number N/A
Policy Effective Dates: 12-29.01 TO 12-29-02_
The interinsurance Exchange of the Automobile Club hereby acknowledges itself bound to the named insured for the coverages
specifted1n'the schedule subject to all the provisions,of the Exchange's applicable policy form.The issuance of a policy to the named
inaumd or,,A a policy is In force,the isouiii of amendorsement covering the automobile,boat or trailer described herein shall void this
binder.A pro rata�premium charge computed for the term of coverage In accordance with the current rates of the> xchange in effect at
the inception of the binder Mil be made unless such a policy or policy endoraement is issued.This binder shall not be construed to
afford cumulative insurance with any existing policy,
Name of,lnsured BUCCINO, MICHAEL J.AND LORI A.
DESCRIPTION10FAUTOM061149, 0A ,0 TRAILER
Cares Year I Trade Name TypeofBody or Boat I Identification Number
1 1ge3 VOLVO PP 1770
2 1998 CHEV PP 2299
3 2001 VOLKS PP 7062
erage
AUTOMOBILE. INSURANCE LIMITS OF LIABILITY °xn and and afforded
bound and afforded
94SIi1V Injury Lipbll))y 660 thousand dollars,earh r>arsnn ,Pr#1 r'ar#p .A, #R
01,000 Ih..tuand ddlue,eeeh n�aunm*e X X X
Prn, .e ; M min P Rr)n ihrrueana dollats�cad+omurrence X X X
Medical'Pa
eons X5 thousand dollars;aach person X X X
Eu Undeifnre Uninsur todat Not lose 797916,W0 each'pan;mA 0,000.asoh accident
Comprehensive include Fire and (a)Actual Cash:Valualaca 5eee deductible X X X
Theft (b)Limit of L10111ty or lees deducible
Collision (e)Aolusl,Cash Value less 1500 deductible X X X
(b)Limit Of Liability of leas daduotiblo
Un nsuredlDeductlble0aiver
Uninsured'Collle)on -
LIMITS OF LIABILITY 'x•Indicates Coverage
(13080 bound and afforded
Bodily InJUlyLlabll'rty,and'Property thousand dollars,each occurrencgde&�tble
Damage Liability
Physical Damage Actual Cash VaILe not to exceed Limit of Liability
Of lass
Effective Date of Binder January 17,2002 12:01 AM
This,binder shall expire 80 days from the effeotiva date or may be oanaelad by the named insured at any time dunng such 50 day perlod,The Exchange may
cancel this binder by malling to the named Insured at the address shown above writtsn notics stating when, not lass than 19 days thereafter, such
dancelladonshaA ba affootiva.Tha malling of suoh notice shall be sutadent proof of notica.
District'OHics LA QUINTA , CA.
ACSC Management Services, Inc
BY _ M. VAQUERO ATTORNEY-IN FACT
(ANhari2ad Rapnesentaave) -
NOIccsir
SRN-17-2002 12:02 APA LA OUINTA 760 771 0045 P.02
Invalid on the policy expiration Orm!nation date. They may not be uses proof of Insurance for
a driver or vehicle not covered under your policy,
- ------------------------------ -------- --- - ---- -------------------------------------------------------
InterinsUrahos Exchange of the VEHICLES DESCRIBED ON POLICY:
is Automobile Club Year Make Vehlde ldamlrica[Ion No.(VIN)
EVIDENCE OF LIABILITY INSURANCE 1993 VOLVO 1770
1098 CHEV 2200
NAMED INSURED 2001 VOLKS 7062
SUCCINO,MICHAEL J.
DRIVERS NAMED ON POLICY:
SUCCINO,MICHAEL J.
POLICY NUMBER Q 5297998 BUCCINO,LORI A.
EFFECTIVE DATE December 29,2001
EXPIRATION DATE December 20,9002
This polloy provides at least the minimum amounts of liability
Insurance required by the CA VEH CODE SECTION 16505 for the Immediately report any claim io us at 1-600.6M-5246
'specified vehicles and named insured end may provide coverage for (1.800fi7'CLAIM),24 hours a day,7 days a weak.
od]�JL§!§42:grxj,glhgrv_eJn�glgg,g¢grQvidsd theincur�ngggalicy_____________________ FojpollnyehanAes�call1A00-9246141-__--________
Interinsurence Exchange of the VEHICLES DESCRIBED ON POLICY:
0 Automobile Club Year Make Vehicle Identification No.(VIN)
EVIDENCE OF LIABILITY INSURANCE 1993 VOLVO 1770
Igoe CHEV 2229
NAMEDINSURED 2001 VOLKS 7062
BUCCINO,MICHAEL J.
DRIVERS NAMED ON POLICY:
BUCCINO,MICHAEL J.
POLICY NUMBER Q 5297996 BUCCINO,LORI A.
EFFECTIVE DATE December 29,2001
EXPIRATION DATE December 29,2002
Tfis policy provides at I#iM the minimum anoints of Ilablllty
IrUurdnCe.required by the CA VEH CODE SECTION 10605 for the Immediately report any Balm to us at i410W2.5246
specified vehicles and named Insured end may provide Coverage for (1-80WCLAIMh 24 hour*s day,7 days a wwlr.
orha_r persons an�,pjtygl�9blFl.§L�i0j9Y19F43ylhEL�pJltttFSaAJ1g1G---------------------pg!EdLYp�Win,-800•a2A-s14t---------___,
Interineurance Exchariga of the VEHICLES DESCRIBED ON POLICY:
A AmaWM,Club Year Make Vehicle Identification No.(VIN)
EVIDENCE OF LIABILITY INSURANCE 1993 VOLVO 1770
199E CHEV 2299
NAMEDIINSURED 2001 VOLKS 7062
SUCCINO, MICHAEL J.
DRIVERS NAMED ON POLICY:
BUOCINO,MICHAEL J.
POLICY NUMBER 0 5207998 BUCCINO,LORI A.
EFFECTIVE DATE Dladember 29,2001
EXPIRATION DATE December 29,2002
This policy provldu,st least the minimum amounts of liability
Insuranrce;requlred.by the CA VEH CODE SECTION 16505 fortha Immediately report any claim to us at 14100•BM-8246
specifiadvahldas and named insured and may provide cov"ga for (I-50067CLAIM).24 hours 6 day,7 days a week
other persons and other vehlclaa as provided by the insurance policy. for policy changes,call1-000-924-014Y
hMatinsurance,Exchange of the VEHICLES DESCRIBED ON POLICY:
Automobile Club Year Make Vehlde Idana5caton No.(VIN)
EVIDENCE OF LIASILTY INSURANCE 1993 VOLVO i7T0
1See CHEV 2299
NAMEDJNSURED 2001 VOLKS 7062
BUCCINO,MICHAEL J.
DRIVERS NAMED ON POLICY:
BUCCINO,MICHAEL J.
POLICYNUMSER Q 3297908 SUCCINO, LORI A.
EFFECTIVE DATE December 2g,2001
EXPIRATION DATE December 29,2002
This policy provides at least the minimum amounts of yablity
Insurance,required by the CA VEH CODE,SECTION 1650E for the Immediately report any claim to us at 1.800-672.5246
specified vehicles and named Insured and may provide coverage for (1-80WCLAIM),24 hours a day,7 days a weak.
other persons and other vehldes as provided by the Insurance policy. Par policy change*,oall 140e-024-6141
___-------------------------------------___________________________________________________..__.-____________.
TOTAL P.02
SK,, I.'
S� �" ' , PO ,,BOX $OZ SAN-F.RANCIS�O,CA 94101 0807 �
Y v rr COMP NSATIO;N,rc,
N D CERTIFICATE OFF; WORKERS COMPENSATION INSURANCE
� .
POLICY NUMBER 1509100 02
ISSUE'll t s171 �01 0 J� t n CERTIFICATE,EXPIRES: 0.1.-01 03
iI d r i
TYOF'�PALM,�SP,RINGS
YBUI'I,DI`N�
R.0.1
,PALM SPRINGS
CAL,IFOQNIA 92Z63
wz ' r " ,��2f
t This is,to certify,that we haveissued a valid Workers' Compensation insurance policy in a form approved by the �,•„
v,Callforrne;,Ip�Suranc"e Commissioner to the employer named,below for the policyperiod,indicated. I
I „� Thisrvpclicy i; nqt su6tect to cancellation�'by'the Fund'P except'upon 10 days' advance written notice to the employer
� ;, We wdl also give.,you 10 days,advance notice should this policy be cancelled prior to its normab;expiration
This cerfiflcate of insurance is';not an Insurance.policy and does not amend, extend'or altar the-coverage-Afford,ed
' byithe,pohcies IiSted herelh`:Notwithstanding°any requirement, term, or cpnditwn of any contractor other, document
I, with raspect towhlch,thlsr certificate ofinsurance'maybe.,issued, or,may.pertains the,insurance 'afforded, by;the -� I
policies,.described:herem'Is,sutffect to all`,the terms
;"exclusions and conditions of. such policies.,,
1� A\r rvr i '
;, ,r n a i1 t i,, j PRESIDENT 'I
;74( EMPLOYERS LIABILITY LIMIT INCLUDING DEFENSE CDSTS: $1 000;000 00 PER DCCURRENCE
,.
6
j frA �� ( .� , { rvn• J y 2i i 'l,
plr
M4 Trt , t y -a., .
1 .1 t LSD yv ine �lA k a 4 yUS y��d 'r, i
i
'd
14,ti � !' / ' h 2 tr p � �, 'r o 'i, ' 'i� i � A,• 4 ;2 S � „�`
A 1�
F . �° t I LEGAL NAME Y t i;
,EMjLOYERI i�, tl�_ , t ` ,'j1
illat $ I ( ! "y4fV /i pt J Ivf 1j1 Alin YZ, f� n',h� d r ! ,tn '1
y kV i t
b� fn v I g
'' 1 e
vFvA tni'triiq �r'n fYI 'Y� '�, Ary 11�t�1 �' � i r { rv�i � i e
MICH�Et', BUCCIMQ ASSOC hNC � ' MICHAEL EUCCZjNO ASSOC INC
Al 1
T7�34 CUUNTRY,'GLUB
PALA, pESERT ,CA 912
P �j't' ,� ' " , L rs • . i ,> I �2a
� )rl 1,u y I PRINTED 12-18 01 P 1.
0409.
Y