HomeMy WebLinkAbout1993-057
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1
RESOLUTION NO. 93-57
2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AUTHORIZING AND DIRECTING THE EXECUTION OF A
3 COMMUNITY DEVELOPMENT BLOCK GRANT FUNDING AGREEMENT BETWEEN THE
CITY OF SAN BERNARDINO, THE COUNTY OF SAN BERNARDINO, AND THE
4 AUTHORITY FOR THE HANDICAPPED
5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO AS FOLLOWS:
SECTION 1.
(a) The Mayor of the City of San Bernardino is hereby
authorized and directed to execute, on behalf of the City, an
agreement for Community Development Block Grant funding with
County of San Bernardino and the Authority for the Handicapped,
which agreement is attached hereto as Exhibit" l" , and is
incorporated herein by referenced as though fully set forth at
length.
The agreement provides for the granting of Community
Development Block Grant funds in the following amount of $l25,000.
SECTION 2.
(a) The Authorizations to execute the above referenced
agreement is rescinded if the parties to the agreement shall fail
to execute it wi thin sixty ( 60) days of the passage of this
Resolution.
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1
RES 93-57
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1 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE EXECUTION
OF A CDBG FUNDING AGREEMENT BETWEEN THE CITY, THE COUNTY OF SAN
2 BERNARDINO, AND THE AUTHORITY FOR THE HANDICAPPED
3
4
I HEREBY CERTIFY that the foregoing resolution was duly
5 adopted by the Mayor and Common Council of the City of San
Bernardino at a
TPqnl;:lT
meeting thereof, held on the Rn
day of
March
, 1993, by the following vote, to wit:
Council Members:
AYES
NAYS
ABSTAIN
ABSENT
ESTRADA
y
REILLY
y
HERNANDEZ
y
MAUDSLEY
v
MINOR
x
POPE-LUDLAM
x
MILLER
x
J2~~
City Clerk
~
day
The foregoing resolution is hereby approve
Of~~,,( ~ . 1993.
Approved as to
form and legal content:
JAMES F. PENMAN,
City Attorney
BY:~
./
0291e
2
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E New Vendor Code Dept. Contract Number
M Change SC A
X Cancel ECD
County Department Dept. Orgo. Contractor's License No.
Economic and Community Development ECD EGD
County Department Contract Representative Ph. Ext. Amount of Contract
TIl0MAS R LAURIN 4594 S 2SO,OOO
Fund I Dept'.1 Organization I Appr. I Obj/Rev Source Activity I GRC/P:S Number
SBA ECD PROJ 200 2005
Commodity Code Estimated Payment Total by Fiscal Year
FY Amount 110 FY Amount 110
Project Name DO NOT KNCUIlIlER - OFFICE OF SPECIAL DISTRICTS PROJECT
- - - -
North Norton" - - - -
C.I.D. Annex - -
(#218-17507) - -
FOR COUNTY USE ONL Y
County of San Bernardino
FAS
CONTRACT TRANSMITTAL
CONTRACTOR Authority for the Handicapped
Birth Date
N/A
Federal ID No. or Social Security No.
95-6303015
Contractor's Representative
Mr. Errol Mackzum, Chairman of the Board
Address
8088 Palm Lane. San Bernardino. CA 92410
Phone
909-384-5426
Nature of Contract: (Briefly describe the general terms of the contract)
This contract between the County of San Bernardino, the City of San Bernardino and
the Authority for the Handicapped, provides $ 250,000 for the design and construction
of an approximately 2,000 square foot annex at the existing Center for Individuals
with Disabilities (C.LD.) building. $ 125.000 will be from County Community
Development Block Grant (CDBG) funds and $ 125.000 from the City of San Bernardino.
The annex will include ten (10) offices, two (2) storage rooms, restrooms that meet
A.D.A. handicapped accessibility regulations, and a small meeting room.
The Authority for the Handicapped shall maintain and operate the annex. This
contract shall be effective for a period of twenty (20) years. The County of San
Bernardino Office of Special Districts will provide construction management services
for this project.
(Attach this transmittal to all contracts not prepared on the "Standard Contract" form.)
Reviewed as to Affirmative Action
Reviewed for Processing
~
County sel
Date DEG
~
~
Agency Administrator/CAD
Date
Date
02-12294-000 Rev. 11190
RES 93-57
DEPARTMENT OF ECONOMIC AND COMMUNITY DEVELOPMENT
MAINTENANCE AND OPERATION AGREEMENT
WITH AUTHORITY FOR THE HANDICAPPED AND
THE CITY OF SAN BERNARDINO
This Agreement is made and entered into this day of
19 by and between San Bernardino County, hereinafter referred to as COUNTY, the
City of San Bernardino, hereinafter referred to as "CITY", and the Authority for the
Handicapped, hereinafter referred to as AUTHORITY.
WHEREAS, COUNTY has entered into a contract with the United States of America
through its Department of Housing and Urban Development (HUD) to execute the COUNTY'S
Community Development Block Grant (CDBG) Program under the Housing and Community
Development Act of 1974, as amended, hereinafter referred to as the "ACT"; and,
WHEREAS, the San Bernardino County Department of Economic and Community
Development hereinafter referred to as "ECD" , is authorized to act on behalf of the
County in administering the County's CDBG program; and,
WHEREAS, COUNTY, AUTHORITY and CITY recognize the public benefit in providing
additional office space and counseling area for the existing Center for Individuals
with Disabilities facility, hereinafter referred to as "GID"; and,
WHEREAS, AUTHORITY is responsible for the maintenance and operation of CID;
and,
WHEREAS, the COUNTY has allocated one hundred twenty five thousand dollars
($l25,OOO) of CDBG funds for the design and construction of a 2,000 square feet
addition to CID, hereinafter referred to as "ADDITION"; and,
WHEREAS, CITY has authorized funding in the amount of one hundred twenty five
thousand dollars ($125,000), for the construction of ADDITION; and,
WHEREAS, COUNTY, AUTHORITY and CITY desire to have COUNTY manage and direct the
construction of ADDITION.
NOW, THEREFORE, in consideration of the mutual covenants herein set forth
and the mutual benefits to be derived therefrom, the pa!ties agree as follows:
1. PURPOSE OF AGREEMENT
This Agreement is made for the purpose of identifying the parties responsible
for the construction, maintenance and operation of ADDITION to CID, located at
8088 Palm Lane, San Bernardino, CA.
2. SCOPE OF PROJECT
COUNTY shall have the lead authority in the construction of ADDITION. a 2.000
square feet structure which includes ten offices at approximately 1,000 square
feet, two handicapped accessible bathrooms, a small meeting room and two six
foot by twelve foot storage rooms. ADDITION shall be used by AUTHORITY for
the purpose of providing training and counseling to handicapped persons.
1
RES 93-57 .
Unless as specified otherwise, ECD shall have the authority to represent
COUNTY regarding the terms and conditions of this Agreement.
3. TIME OF PERFORMANCE
This Agreement shall be effective beginning on the date COUNTY files a Notice
of Completion for ADDITION and shall continue for not less than twenty (20)
years following the date of completion of ADDITION. COUNTY shall notify
AUTHORITY in writing of said date of Notice of Completion of ADDITION.
4. FUNDING
COUNTY shall provide Community Development Block Grant (CDBG) funds in an
amount not to exceed one hundred twenty five thousand dollars ($125,000) for
the purpose of constructing ADDITION. CITY shall also provide Community
Development Block Grant (CDBG) funds in the amount of one hundred twenty five
thousand dollars ($125,000). AUTHORITY shall be responsible for any
additional funds required to complete the construction of FACILITY. Within
ten (10) working days upon written demand by COUNTY, CITY shall pay to COUNTY
one hundred percent (100%) of the project cost listed in said demand.
Appropriate invoiced documentation shall be included in the written demand.
5. CONSTRUCTION MANAGEMENT
COUNTY, CITY and AUTHORITY agree to utilize the COUNTY Office of Special
Districts, hereinafter referred to as "OSD" , to provide construction
management services necessary for the construction of ADDITION in a manner
convenient and acceptable to AUTHORITY. OSD construction management services
shall be included as part of ADDITION. CITY will receive original signature
certified payrolls and employee interviews during construction of ADDITION.
6. MAINTENANCE AND OPERATION
AUTHORITY shall have sole responsibility for the maintenance and operation of
ADDITION at the sole expense of AUTHORITY for the term of this agreement, a
period of not less than twenty (20) years. ADDITION shall be maintained and
operated at all times for the purpose of providing counseling and training to
handicapped persons as identified in Section 2, Scope of Project. and in
accordance with Federal, State and Local laws, regulations and safety
standards.
7. ON-SITE INSPECTION
COUNTY. its officers, agents, employees, persons under contract with COUNTY
and representatives of HUD, will have the privilege and right to on-site
inspection of the ADDITION for the duration of this Agreement. AUTHORITY will
ensure that its employees or agents furnish any information. that in the
judgement of COUNTY and HUD representatives, may be relevant to a question of
compliance with contractual conditions, HOD directives. or the effectiveness.
legality, and achievements of the program.
8. AFFIRMATIVE ACTION AND CONTRACT COMPLIANCE
AUTHORITY shall make every effort to ensure that all projects funded wholly or
in part by HUD CDBG funds shall provide equal employment and career
2
RES 93-57
advancement opportunities for minorities and women. In addition, AUTHORITY
shall make every effort to employ residents of the area and shall keep a
record of the positions that have been created directly as a result of this
Agreement.
San Bernardino County has a goal of l5 percent (15%) minority business
enterprise (MBE) and 5 percent (5%) women business enterprise (WBE)
participation for all Agreements. AUTHORITY agrees to comply with the
provisions of the Affirmative Action Compliance Program of the County of San
Bernardino and rules and regulations adopted pursuant thereto. AUTHORITY
shall comply with Executive Orders 11246, 11375, 11625, 12138, 12432, 12250,
Title VII of the Civil Rights Act of 1964, the California Fair Employment
Practice Act, California Public Agreements Code 2000 and the San Bernardino
County M/WBE Policy No. II-IS, and other applicable Federal, State and County
laws, regulations and policies relating to equal employment and contracting
opportunities, including laws and regulations hereafter enacted. Information
on these rules and regulations may be obtained from the Contract Compliance
Officer of the County of San Bernardino at (909) 387-2628.
9. COMPLIANCE WITH LAWS
All parties agree to be bound by applicable Federal, State and local laws,
ordinances, regulations and directives as they pertain to the performance of
this Agreement. This Agreement is subject to and incorporates the terms of
the ACT; 24 Code of Federal Regulations, Part 570, Chapter V and; U.S. Office
of Management and Budget Circular A-87.
10. HOLD HARMLESS
AUTHORITY shall indemnify and hold the COUNTY and CITY, their officers,
agents, volunteers and employees, harmless from and against any loss,
liability, claim, or damage that may arise or result from activities of
AUTHORITY, its officers, agents, volunteers and employees; and AUTHORITY
shall, at its own cost, expense and risk, defend any legal proceedings that
may be brought against COUNTY and CITY, their officers. agents, and employees,
on any liability, claim or demand and satisfy any judgement that may be
rendered against any of them arising or resulting from activities of
AUTHORITY, its officers, agents, and employees. AUTHORITY shall assume
liability for all and any direct expense incurred in providing services
pursuant to this Agreement and shall assume any And all responsibilities for
loss or damage resulting from negligence, injury. illness, or disease arising
out of the provision of services. AUTHORITY, however, is obligated to
promptly notify COUNTY and CITY in writing of the occurrence of any such loss
or damage.
AUTHORITY shall indemnify and hold harmless COUNTY and CITY against any
liability, claims. losses, demands, and actions incurred by COUNTY or CITY as
a result of a determination by the United States Department of Housing and
Urban Development or its successor or any other applicable agency of the
Federal government that activities undertaken by or under the direction and
control of AUTHORITY pursuant to AUTHORITY's request or on behalf of
AUTHORITY, under the program(s) fail to comply with any laws, regulations or
policies applicable thereto or that any funds billed by and disbursed to
AUTHORITY under this Agreement were improperly expended.
3
RES 93-57
11. INSURANCE REOUIREMENTS
In order to accomplish the indemnification provided in Section 10 (above), but
without limiting the indemnification, AUTHORITY shall secure and maintain
throughout the term of this Agreement the following types of insurance issued
by companies acceptable to the COUNTY Risk Manager with limits as shown:
Workers' CornDensation - A program of Worker's Compensation insurance or
a state-approved Self Insurance Program in an amount and form to meet
all applicable requirements of the Labor Code of the State of
California, including Employer's Liability with $250,000 limits,
covering all persons providing services on behalf of AUTHORITY and all
risks to such persons under this Agreement.
Comprehensive General and Automobile Liabilitv Insurance - This coverage
to include contractual coverage and automobile liability coverage for
owned, hired, and non-owned vehicles. The policy shall have combined
single limits for bodily injury and property damage of not less than one
million dollars ($1,000.000).
Errors and Omissions Liabilitv Insurance - Combined single limits of one
million dollars ($1,000,000) for bodily injury and property damage; or,
Professional Liabilitv - Professional liability insurance with limits of
at least one million dollars ($l,OOO,OOO) per claim and in the
aggregate.
Additional Named Insured - All policies, except for the Workers'
Compensation coverage and Errors and Omissions or Professional
Liability, shall contain additional endorsements naming COUNTY, CITY and
their employees, agents, volunteers. and officers as additional named
insured with respect to liabilities arising out of the performance of
services hereunder. For Professional Liability coverage COUNTY and CITY
shall be named as designated persons referencing this Agreement's Number
on the policy.
Waiver of Subro~ation Rights - AUTHORITY shall require the carriers of
the above required coverage to waive all rights of subrogation against
COUNTY, CITY their officers, volunteers, employees. contractors and
subcontractors.
Policies Primarv and Non-Contributorv - Al1..policies required above are
to be primary and non-contributory with any insurance or self-insurance
programs carried or administered by COUNTY or CITY.
Proof of Coverage - AUTHORITY shall immediately furnish certificates of
insurance to ECD and CITY evidencing the insurance coverage above
required prior to the commencement of performance of services hereunder.
These certificates shall provide that such insurance shall not be
terminated or expire without thirty (30) days written notice to COUNTY
and CITY. Within sixty (60) days of the commencement of this Agreement
AUTHORITY shall furnish certified copies of the policies and
endorsements. AUTHORITY shall complete and submit Agreement Exhibit 1
of I, Insurance Inventory, along with the above required insurance
documents.
4
RES 93-57
12. INSURANCE REVIEW
The above insurance requirements are subject to periodic review by COUNTY.
COUNTY's Risk Manager is authorized, but not required, to reduce or waive any
of the above insurance requirements whenever the Risk Manager determines that
any of the above insurance is not available, is unreasonably priced, or is not
needed to protect the interests of COUNTY or CITY. In addition, if the Risk
Manager determines that heretofore unreasonably priced or unavailable types of
insurance coverage or coverage limits become reasonably priced or available,
the Risk Manager is authorized, but not required, to change the above
insurance requirements to require additional types of insurance coverage or
higher coverage limits, provided that any such change is reasonable in light
of past claims against COUNTY or CITY, inflation, or any other item reasonably
related to COUNTY's or CITY's risk.
Any such reduction or waiver for the entire term of this Agreement and any
change requiring additional types of insurance coverage or higher coverage
limits must be made by amendment to this Agreement. AUTHORITY agrees to
execute any such amendment within thirty (30) days of receipt.
13. ADDITIONAL INSURANCE REOUIREMENTS
AUTHORITY shall, at its sole expense, obtain and deliver to COUNTY and CITY
for their approval, certification(s) or policy(s) of standard fire insurance
with extended coverage and vandalism and malicious mischief endorsements for
the full replacement value of FACILITY. In the event of any damage or
destruction to FACILITY covered by the insurance, AUTHORITY shall use the
entire insurance proceeds to restore FACILITY. The insurance required under
this section shall be maintained by AUTHORITY at its sole expense for the term
of this Agreement. Said insurance shall contain endorsements providing that
the insurance company issuing the insurance will not cancel or reduce the
insurance coverage without thirty (30) days prior written notice to COUNTY and
CITY. AUTHORITY shall inform COUNTY and CITY in writing of any change.
expiration or renewal of said insurance within thirty (30) days of the
effective date of change.
14. RELIGIOUS PROSELYTIZING OR POLITICAL ACTIVITIES
AUTHORITY agrees that it will not perform or permit any religious
proselytizing or political activities in connect~on with the performance of
this Agreement. Funds under this Agreement will be used exclusively for
performance of the work required under this Agreement and no funds made
available under this Agreement shall be used to promote any religious or
political activities.
FACILITY, however, may be used on an incidental basis to hold political
meetings. candidate forums, or voter registration campaigns, provided that all
parties and organizations have access to the facility on an equal basis, and
are assessed equal rent or use charges, if any.
15. DISCRIMINATION
No person shall, on the grounds of race. sex, creed, color, religion, or
national origin, be excluded from participating in. be refused the benefits
5
RES 9J,-57
of, or otherwise be subjected to discrimination in any activities, programs,
or employment by AUTHORITY.
l6. ASSIGNMENT AND SUBLETTING
AUTHORITY shall not assign, subordinate, or sue for financing, this Agreement
or any interest therein, unless COUNTY and CITY have previously given their
written consent. Provided, however, that any approved assignment shall be
subject to all the terms, covenants, and conditions of the Agreement. If
AUTHORITY attempts to effect any unauthorized assignment, or transfer occurs
by operation of law, or this Agreement or any interest therein is subjected to
garnishment or sale under any execution of any suit or proceeding brought
against or by AUTHORITY, or if AUTHORITY is adjudged bankrupt or insolvent by
any court or upon AUTHORITY's making an assignment for the benefit of
creditors, COUNTY and CITY may, at their option, forthwith terminate this
Agreement upon written notice thereof to AUTHORITY, and thereupon, no one but
COUNTY shall have any further rights hereunder.
17. HYPOTHECATION OF REAL PROPERTY
During the term of this Agreement, neither AUTHORITY, nor its successors,
shall cause to be placed or permit to be placed any encumbrance or lien on the
real property covered under this Agreement, or shall sell, transfer, mortgage
or hypothecate FACILITY without the written authorization of COUNTY and CITY.
Notwithstanding Section 18, Violation of Agreement, and any other provisions
herein, AUTHORITY shall reimburse COUNTY and CITY for the fair market value of
FACILITY less any portion thereof attributable to expenditures of non-CDBG
funds for FACILITY, should AUTHORITY sell, hypothecate, mortgage or encumber
FACILITY without the written authorization of COUNTY during the term of this
Agreement.
18. VIOLATION OF AGREEMENT
In the event that AUTHORITY violates any of the terms and conditions of this
Agreement, COUNTY or CITY shall give written notice of violation and demand
for correction. If, within thirty (30) days from receipt of written notice.
AUTHORITY has not corrected the violation or shown acceptable cause, COUNTY
and CITY has the right to terminate this Agreement. It is agreed that in the
event of a termination due to a violation of this Agreement by AUTHORITY,
AUTHORITY shall pay each to COUNTY and CITY within ten (10) days of receipt of
Notice of Termination, the sum of one hundred twenty five thousand dollars
($125,000). Said sum is agreed to represent a reasonable endeavor by both
parties hereto, to be a fair compensation for the foreseeable losses that
might result from such a breach or default. Penalties and damages covered
under separate agreements with COUNTY and CITY for ADDITION shall be in
addition to that contained herein. Such termination shall not excuse
AUTHORITY from reimbursement provisions in Section 17, Hypothecation of Real
Property.
6
RES 93-57
19. TERMINATION BY COUNTY OR CITY
Notwithstanding Section 18, Violation of Agreement, COUNTY may immediately
terminate this Agreement upon the termination, suspension, discontinuation or
substantial reduction in HUD Community Development Block Grant funding of the
Agreement activity or the reprogramming of said funds as deemed necessary by
COUNTY, or for the convenience of COUNTY. Prior to the award of any
construction contract as provided for in Section 5, Construction Management,
CITY may request COUNTY in writing to terminate this Agreement, however, CITY
shall be responsible for all costs associated with said construction contract.
20. REVERSION OF ASSETS
All real property acquired or improved in whole or in part with CDBG funds in
excess of $25,000 under this Agreement must continue in the use that provides
the service benefits and national objectives for which it was funded until
five years after expiration of this Agreement as set forth in 24 CFR 470, or
such longer period of time as determined by COUNTY and CITY; or it must be
disposed of in a manner resulting in a reimbursement to COUNTY and CITY in the
amount of the current fair market value of the property less any portion
thereof attributable to expenditures of non-CDBG funds for the acquisition of,
or improvement to, the property.
21. AMENDMENTS: VARIATIONS
This writing with attachments, embodies the whole of this Agreement of the
parties hereto. There are no oral agreements not contained herein. Except as
herein provided, addition or variation of the terms of this Agreement shall
not be valid unless made in the form of a written amendment to this Agreement
formally approved and executed by the parties.
22. INVALID CONDITIONS
If anyone or more of the terms, provisions, sections, promises, covenants or
conditions of this Agreement shall to any extent be judged invalid,
unenforceable, void or voidable for any reason whatsoever, by a court of
competent jurisdiction, each and all of the remaining terms, prov1s1ons,
sections, promises, covenants and conditions of the Agreement shall not be
affected thereby, and shall be valid and enforceable to the fullest extent
permitted bylaw.
23. BINDING INTEREST
This Agreement shall be binding on the parties. successors in interest, heirs
and assigns.
7
RES 93-57
24. NOTICES
All notices shall be served in writing.
certified mail to the following addresses:
The notices shall be sent by
COUNTY
AUTHORITY
County of San Bernardino
Department of Economic and
Community Development
474 West Fifth Street
San Bernardino, CA 92415-0040
Authority for the Handicapped
8088 Palm Lane
San Bernardino, CA 92410
CITY
City of San Bernardino
Development Department
201 N. "E" Street. 3rd Floor
San Bernardino, CA 92401-1507
25. EASEMENTS. TRUSTS AND WARRANTIES
A. It is expressly understood and agreed that this Agreement and all rights
and privileges hereunder granted are subject to all easements and
rights.of-way now existing in, to, under or over the said premises for
any purpose whatsoever.
B. In the event that this Agreement or any prov1s1on thereof shall be
declared null and void by a court of competent jurisdiction, COUNTY or
CITY or any of their respective officers. agents or employees. or
members of the San Bernardino County Board of Supervisors or the Mayor
and Common Council of the City of San Bernardino shall not be liable to
AUTHORITY or to any person holding under or through him for any losses
or damages of any nature whatsoever suffered or claimed to be suffered
by AUTHORITY or such person by reason of such determination.
C. AUTHORITY assumes all risks incident to the use and management of said
premises in its present condition or in any condition thereof which may
prevail during the term of this Agreement.
D. Any major changes required by a competent government jurisdiction to the
Agreement which are beyond the control of AUTHORITY will make the
Agreement terms subject to renegotiation.
E. It is expressly understood and agreed that COUNTY does not, in any way
nor for any purpose, become a partner of AUTHORITY, or a joint venturer
with AUTHORITY.
8
RES 93-57,
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed as
of the day and year first written above.
COUNTY OF SAN BERNARDINO
AUTHORITY FOR THE HANDICAPPED
By:
By:
Chairman, Board of Supervisors
Chairman, Authority for the
Handicapped
Date:
Date:
SIGNED AND CERTIFIED THAT A COPY OF
THIS DOCUMENT HAS BEEN DELIVERED TO
THE CHAIRMAN OF THE BOARD
EARLENE SPROAT
Clerk of the Board of Supervisors
of the County of San Bernardino
CITY OF SAN BERNARDINO
By:
Date:
Date:
APPROVED AS TO LEGAL FORM
ATTEST
ALAN K. MARKS
COUNTY COUNSEL
By: Q~ ~
~y Clerk
,y~~
puty oun Counsel
Date: DEe 1 1992
Date:
APPROVED AS TO FORM AND LEGAL CONTENT
JAMES F. PENMAN
CITY ATTORNEY
By: ~~.,
Da~ cfr/f3
AGMTS/CID.M&O
1l/16/92/BT/bjj
2/4/93/BT/bjj
9
RES 93-57
EXHIBIT ---L- of---L-
COUNTY OF SAN BERNARDINO DEPARTMENT OF ECONOMIC AND COMMUNITY DEVELOPMENT
proiect/Activitv Title:
Case Number:
Name/Address of Contractor A~encv:
Date of Issue:
Original:
Amendment 1,_
INSURANCE INVENTORY
PRIMARY INSURANCE POLICY
Name of Contractor's Insurance Company
Effective Dates of Policy
Claims Made Policy I I
Limits of Liability
Deductibles:
Per Occurrence Policy I I
Per Occurrence
Annual Aggregate
Additional Insured Endorsement Attached
Certified Copy of Policy Attached
Certificate of Insurance Attached
Yes
No
No
No
Yes
Yes
EXCESS/UMBRELLA POLICY
Name of Contractor's Insurance Company
Effective Dates
Limits of Liability
Underlying Coverage limits
Name of Underlying Company
Additional Insured Endorsement Attached
Certified Policy (copy of) Attached
Certificate of Insurance Attached
Yes
No
No
Yes
Yes
No
RES 93-57
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STATE OF CALIFORNIA
COUNTY OF SAN BERNARDINO
CITY OF SAN BERNARDINO
)
)
)
ss
I, City Clerk of the City of San
Bernardino, DO HEREBY CERTIFY that the foregoing and attached copy of
Mayor and Common Council of the City of San Bernardino Resolution
No. is a full, true and correct copy of that now on file in
this office.
IN WITNESS WHEREOF, I have hereunto set
official seal of the Mayor and Common Council
Bernardino this _____ day of
my hand and affixed
of the City of San
, 1993.
the
City Clerk
City of San Bernardino
By:
Deputy
AJH: 6044R