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C & A CESSPOOL & SEPTIC TANKPERSONAL SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 9th day of June, 2005, by and between the San Juan Capistrano Community Redevelopment Agency (hereinafter referred to as the "Agency") and "C & A Cesspool & Septic Tank Service" (hereinafter referred to as "Consultant"). RECITALS: WHEREAS, Agency desires to retain the services of Consultant regarding the Agency's proposal to Pump and backfill three (3) cesspools and pump and remove and backfill one (1) septic tank; located at 31771 Paseo Adelanto in the former RV Storage Lot. WHEREAS, Consultant is qualified by virtue of experience, training, education and expertise to accomplish such services. NOW, THEREFORE, Agency and Consultant mutually agree as follows: Section 1. Scope of Work. The scope of work to be performed by Consultant shall consist of those tasks as set forth in Exhibit 'A" attached and incorporated herein by reference. Consultant warrants that all of its services shall be performed in a competent, professional and satisfactory manner and in accordance with the prevalent standards of its profession. Section 2. Term. This Agreement shall commence on the effective date of this Agreement and services required hereunder shall be completed by no later than June 30, 2005. Section 3. Compensation. 3.1 Amount. Total compensation for the scope of services for this Project shall not exceed Fourteen thousand dollars ($14,000.00), as set forth in Exhibit "A," attached and incorporated herein by reference. c:\myfiles\agree\pemonalsvcs.wpd 01/25/00 p:\City Manager\cmgr shared\personalsvcs.wpd SD 0 0 3.2 Rate Schedule. The services shall be billed to the Agency at the lump sum set forth in Exhibit "A." Included within the compensation are all the Consultant's ordinary office and overhead expenses incurred by it, its agents and employees, including meetings with the Agency representatives and incidental costs to perform the stipulated services. 3.3 Method of Payment. Consultant shall submit one final invoice, based on total services which have been satisfactorily completed for approval by the Agency. The Agency will pay the approved invoice in accordance with this Section. For extra work not part of this Agreement, a written authorization from Agency is required prior to Consultant undertaking any extra work. 3.4 Records of Expenses. Consultant shall keep complete and accurate records of all costs and expenses incidental to services covered by this Agreement. These records will be made available at reasonable times to Agency. Section 4. Independent Contractor. It is agreed that Consultant shall act and be an independent contractor and not an agent or employee of Agency, and shall obtain no rights to any benefits which accrue to Agency's employees. Section S. Limitations Upon Subcontracting and Assignment. The experience, knowledge, capability and reputation of Consultant, its principals and employees were a substantial inducement for Agency to enter into this Agreement. Consultant shall not contract with any other entity to perform the services required without written approval of the Agency. This Agreement may not be assigned, voluntarily or by operation of law, without the prior written approval of the Agency. If Consultant is permitted to subcontract any part of this Agreement by Agency, Consultant shall be responsible to Agency for the acts and omissions of its subcontractor as it is for persons directly employed. Nothing contained in this Agreement shall create any contractual relationships between any subcontractor and Agency. All persons engaged in the work will be considered employees of Consultant. Agency will deal directly with and will make all payments to Consultant. c:\myfiles\agree\pemonalsvcs.wpd 01/25/00 p:\City Manager\cmgr shared\personalsvcs.wpd 2 0 0 Section 6. Changes to Scope of Work. In the event of a change in the Scope of Work provided for in the contract documents as requested by the Agency, the Parties hereto shall execute an addendum to this Agreement setting forth with particularity all terms of the new agreement, including but not limited to any additional Consultant's fees. Section 7. Familiarity with Work and Construction Site. By executing this Agreement, Consultant warrants that: (1) it has investigated the work to be performed; (2) it has investigated the proposed construction site, including the location of all utilities, and is aware of all conditions there; and (3) it understands the facilities, difficulties and restrictions of the work under this Agreement. Should Consultant discover any latent or unknown conditions materially differing from those inherent in the work or as represented by Agency, it shall immediately inform Agency of this and shall not proceed with further work under this Agreement until written instructions are received from the Agency. Section 8. Time of Essence. Time is of the essence in the performance of this Agreement. Section 9. Compliance with Law. Consultant shall comply with all applicable laws, ordinances, codes and regulations of federal, state and local government. Section 10. Conflicts of Interest. Consultant covenants that it presently has no interest and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of the services contemplated by this Agreement. No person having such interest shall be employed by or associated with Consultant. Section 11. Indemnity. Consultant agrees to protect, defend and hold harmless Agency, its elected and appointed officials and employees from any and all claims, liabilities, expenses or damages of any nature, including attorneys' fees, for injury or death of any person or damage to property or interference with use of property and for errors and omissions committed by Consultant arising out of or in connection with the work, operation or activities of Consultant, its agents, employees and subcontractors in carrying out its obligations under this Agreement. cAmyfiles\agree\pmonalsvcs.wpd 01/25/00 pACity Manager\cmgr shared\personalsvcs.wpd '� 0 0 Section 12. Insurance. Insurance required herein shall be provided by Admitted Insurers in good standing with the State of California and having a minimum Best's Guide Rating of A- Class VII or better. 12.1 Comprehensive General Liability. Throughout the term of this Agreement, Consultant shall maintain in full force and effect Comprehensive General Liability coverage in the following minimum amounts: $500,000 property damage; $500,000 injury to one person/any one occurrence/not limited to contractual period; $1,000,000 injury to more than one person/any one occurrence/not limited to contractual period. 12.2 Comprehensive Automobile Liability. Throughout the term of this Agreement, Consultant shall maintain in full force and effect Comprehensive Automobile Liability coverage, including owned, hired and non - owned vehicles in the following minimum amounts: $500,000 property damage; $500,000 injury to one person/any one occurrence/not limited to contractual period; $1,000,000 injury to more than one person/any one occurrence/not limited to contractual period 12.3 Worker's Compensation. If Consultant intends to employ employees to perform services under this Agreement, Consultant shall obtain and maintain, during the term of this Agreement, Worker's Compensation Employer's Liability Insurance in the statutory amount as required by state law. 12.4 Proof of Insurance Requirements/Endorsement. Prior to beginning any work under this Agreement, Consultant shall submit the insurance certificates, including the deductible or self -retention amount, and an cAmyfiles\agree\pemonalsvcs.wpd 0125/00 pACity Manager\omgr shared\pemnalsvcs.wpd 4 9 9 additional insured endorsement to the Consultant's general liability and umbrella liability policies using ISO form CG 20 10 11 85 (in no event with an edition date later than 1990) to the Agency's General Counsel for certification that the insurance requirements of this Agreement have been satisfied. 12.5 Notice of Cancellation/Termination of Insurance. The above policy/policies shall not terminate, nor shall they be cancelled, nor the coverages reduced, until after thirty (30) days' written notice is given to Agency, except that ten (10) days' notice shall be given if there is a cancellation due to failure to pay a premium. 12.6 Terms of Compensation. Consultant shall not receive any compensation until all insurance provisions have been satisfied. 12.7 Notice to Proceed. Consultant shall not proceed with any work under this Agreement until the Agency has issued a written "Notice to Proceed" verifying that Consultant has complied with all insurance requirements of this Agreement. Section 13. Termination. Agency and Consultant shall have the right to terminate this Agreement without cause by giving thirty (30) days' advance written notice of termination to the other party In addition, this Agreement may be terminated for cause by providing ten (10) days' notice to the other party of a material breach of contract. If the other party does not cure the breach of contract, then the agreement may be terminated subsequent to the ten (10) day cure period. c:VnyMes\agme\pemonalsvcs.wpd 01/25/00 p:\City Manager\cmgr shared\personalsvcs.wpd 5 0 0 Section 14. Notice. All notices shall be personally delivered or mailed to the below listed addresses, or to such other addresses as may be designated by written notice. These addresses shall be used for delivery of service of process: To Agency: Agency of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Attn: Economic Development Manager To Consultant: C&A Cesspool & Septic Tank Service 306 N. Mountain View Santa Ana, CA 92703 Section 15. Attorneys' Fees. If any action at law or in equity is necessary to enforce or interpret the terms of this Agreement, the prevailing party shall be entitled to reasonable attorneys' fees, costs and necessary disbursements in addition to any other relief to which he may be entitled. Section 16. Dispute Resolution. In the event of a dispute arising between the parties regarding performance or interpretation of this Agreement, the dispute shall be resolved by binding arbitration under the auspices of the Judicial Arbitration and Mediation Service ("JAMS"). Section 17. Entire Agreement. This Agreement constitutes the entire understanding and agreement between the parties and supersedes all previous negotiations between them pertaining to the subject matter thereof. cAinyfiles\agree\personalsvcs.wpd 0125/00 piCity Manager\=gr shared\personalsvcs.wpd F 0 0 IN WITNESS WHEREOF, the parties hereto have executed this Agreement. SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY 0110_ Dave Adams, Executive Director CONSULTANT Conrad O Cordova, President ATTEST: C"6^11�' R. Monahan, Agency Clerk APPROVED AS TO FORM: John R. ghaw, Agency Attorney c:\myfiles\agree\personalsvcs.wpd 0125/00 pACity Manager\cmgr shared\pemnalsvcs.wpd '� MAY -19-2005 01:02P FROM:C&A CESSPOOL & SEPTI 7145548939 Proposal Submitted To: Address T0:19494883874 C & A CESSPOOL & SEPTIC WPIA/ WNW 306 N. MOUNTAIN VIEW, SANTA AWA, CA 82703 (744) BW682 ,L:uAAa D ;tF 37f.RJ4I - C a Job Location n , .. , , ,4 n of Phone It I — qJJ 0 — 140 q Jn�I4 II" ) ) i A Yn r/'� 1) 0 OA 4a 1 4—N—t5! P.1 We propose hereby to furnish material and labor — complete in accordance with the above specifications for the sum of: c with payments to be made as Any alteration or deviation from above specifications involving extra costs will be executed only upon within order, and will become an extra charge over and above the eshmsta. All agreememe contageni upon strikes, acoldenls, or delays beyond our control. Respectfully submitted Note — this proposal may be withdrawn by us it not accepted within acceptance of Vropolgai The above Piece, specifications and conditions are satisfactory and are Signature hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature & NC3819 NAM nJUSA EXHIBIT A Dollars days. ACORD,u CERTIFICATE OF LIABILITY INSMANCE DME 1 6/27/2005/2005 PRODUCER Leeds Insurance Services THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION 2555 E. Chapman, Suite 604 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR Fullerton CA 92831 r (714) 526-9393 INSURERS AFFORDING COVERAGE n+BURED � ! INsuRERw _Western HerTtAge Insurance Company C e A Cesspool s Septic Tank Service INSURERS _ MSUREK C 306 Mountain v;Pw INSUNtRD Santa AAa CA 92703 NSURERE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS; CFRTIFICAYE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS --- �OLICVERFrMTI NEW— — -- -- --�- -- TYPE OF I POLICY NUMBER I'-SLIL7F�EZeTIVE INSURANCE OLR UR OgTE MMIODP(Y OATE MMIDDPTY LIMIT] GENERAL LIABILITY EACH OCCURRENCE S I, 010OOO X 'COMMERCIAL GENERAL LIABILITY i T FIRE DAMAGE (MY onv uAl S 50, UUU r CLAIMS MADE %C OCCUR I MEO E%P (Any one PwE007 S 5, 000 _ A 04 SCPU633567 9/13/2009 8/13/2005 _ PERSONAL B ADV INJURY IS 1,000,000 GENERAL AGGREGATE S 1. 000, 000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAOG S 1. 000, 000 �X POUCYF PRO ',- '1 ^i LOC __ —..—. .._. .__ AV70MOBILE LIABILITY COMBINED SINGLE LIMIT S _ ANY AUTO IEA EUtlem) —_ ` ALL OWNED AUTOS BODILY INJURY li f - SCHEDULED AUTOS I (Pw pMFon) — HIRED AUTOS I i 409 OWNED AUTOS BODILY INJURY S (PA, 410ddn11 PROPERTY DAMAGE (Pe, APvd.nt) 3 GBI -_ARAGE LIABILITY AUTO ONLY EA ACCIDENT ANY AUTO WHERTHAN EA ACC S AUTO ONLY AIG S EXCESS LMBILITY EACH OCCURRENCE S OCCUR CLAIMS MAOF AGGREGATE t ' _DEDUCTIBLE - �3 REILNIION S WORKERS COMPENSATION AND L� SI_IOER EMPLOYERS'LIABILITY IEL _-TORY -- FACH ACCIDENTEL -- DISEASE - EA EMPLOYEE' S rEL DISEASE POLICY LIMIT I S _ ` OTHER I I DESCRIPTION OF OPERATIONLLOCATN)NSNEHICLE&E%CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS San Juan Capistrano Community Redevelopment Agency is named as additional )nSured. CC 20 10 07 04 Addrtiolial insured Endorsement to follow in the mail within 2-3 weeks. San Juan Cdplstrano Community Redevelopment Agency 32400 Paseo Adelanto San Juan Capis Lcano ACORD 25-S (71871 CA 92615 SHOULDANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER MILL ENDEAVOR TO MAIL 30 DAYS WROTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SNAIL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR LMLPW 0.8 B pn 6127105 - 12 10 6y UMNNAm LP LPW N P B m 0/2110 5 -12 n by UNINSMO ZO/Z0 39Vd 3CNvdnsNI S0337 06E69ZSDTL 0 ACORD CORPORATION 1999 PFA01 60:ZT 900Z/LZ/90 0 POLICY NUMBER: 048CP0633367 0 COMMERCIAL OEN REDID as !ua I a THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This andorsemsnt modtles Vmrsnca provided under the following: COMMERCIAL' GENERAL. LIABILITY COVERAGE PAM' IJCHED" parsar(s) SAN JUAN CApisntmO COMMUNITY REDEVELOPMENT AGENCY 12400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 A. Sestlan N — Who in An Msuwd Is amendrid to bxhx o as an edddord Indeed the PNson(s) or Wm wspod b bbw w 4)0* InJ . Orly donage h or lwsmW b or bd r4 MW cwjmW1. Your sols or omisswo; or I. The ac"Ar ambsiorm or hose eedao on your be)Isif: in Lha psrkrinancs of your ongoirtp operetlans for Or addAbnol insured(s) at ow Ioes"s) desig- nated above.' 31771 LOS RIOS SAN JUAN CAPISTRANO CA 92675 S. Woh respect to Or kmvamo artordvo to ow" sddltisral ko eds. sr fd1o%* g add mmi "do- slorm apply: Thh kawertoe doss not spply b "bodly iriuw.or I. AI work, kmkxrwV mdadNs. Parts or equ1P- msnt Nmwad in conroMon wm1 such work. Cm the p *ed (Ww 1w s ACO, MokNertortee of repats) to be performed by or on WIWI of ato addUwdd kow**) M the 10"d n of 60 covered aPa AAM Ire been oomplaled:. or 2 That paft of 'tau► low out or whirl► Yr IMuy or damage vim has been put to Its b- laded Ime by say pom or nen atter twea en ow oortaclor at a* gaged In I�erramkw OpMatloM for a prkvmw as a pert of neatens pmoct. 06 71) 10 0701 OIBO Prolrert(es. ho .2004 PW lei! p FA IZn MW,4 3JNVWGNT 50331 2scssL50TL BE:£T SBOZ/90/L0 lit kw C41 C v,'k • • CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 06-27-2005 GROUP: POLICY NUMBER: 1079143-2005 CERTIFICATE ID: 101 CERTIFICATE EXPIRES: 05-01-2008 05-01-2005/05-01-2008 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 100 DATED 06-17-2005 SAN JUAN CAPISTRANO COMMUNITY SP REDEVELOPMENT AGENCY 32400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92875 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 30 days advance written notice to the employer. We will also give you 30 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 policy 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 to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. �5V rl l AUTHORIZED REPRESENTATIVE PRESIDENT STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2055 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-1994 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER CORDOVA, CONRADO 0. AND CORDOVA, ANITA DBA: C & A CESSPOOL & SEPTIC TANK SERVICE 308 N MOUNTAIN VIEW ST SANTA ANA CA 92703 [PAV,CS] IREV.2-051 PRINTED : 06-27-2005 SP 9 0 IDCERTIFICATE OF INSURANCE RANGE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that N STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois „ate „ fn,ro fn, rha fminwinn Nomad Insured as shown below: San Juan Capistrano Community Redevelopment Agency 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Actn: City Clerk Staff 75-8857 06/27/2005 Marcie Jordan Gaye, Agent 12425 Levis Street - Suite 103 Garden Grove, CA 92840 STATE FARM USE ONLY: ❑ Request oermanenl Certificate of Insurance for liability coverage. TO 39Vd adCV1dM91d ELEL5d8L64 T6:CT SOOL/LZ/90 NAMED INSURED: Cordova, Conrado & Anita // DBA C & A Cesspools ADDRESS OF NAMED INSURED' 306 N. Mountain view St // Santa Ana, CA 92703-3202 POLICY NUMBER P47 3717 -D20 -75J 400 9229 -E22 -75G EFFECTIVE DATE OF POLICY April 20, 2005 May 22, 2005 1988 International 1992 Ford L9000 DESCRIPTION OF Truck Dump VEHICLE (including VIN) IHTLDTV08JH615537 1FDYR90LXNVA16087 LIABILITY COVERAGE ® YES ❑ NO N YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage Each Accident c Bodily Injury8 Property Damage Single Limit Each Accident 1 MILLION 1 MILLION PHYSICAL DAMAGE N YES ❑ NO ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO COVERAGES a Comprehensive $ 50 Deductible $ S00 Deductible $ Deductible $ Deductible N YES ❑ NO N YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO b. Collision $ 100 Deductible $ 50o Deductible $ Deductible $ Deductible EMPLOYERS N ❑ YES ElNO ❑ YES ElNO ❑ YES ❑ NO ❑ YES ❑ NO COVERAGE CAR LIABILITY COVERA HIRED CAR LIABILITY ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO El YES ❑ NO COVERAGE FLEET -COVERAGE FOR ALL OWNED AND LICENSEDYES ❑ ❑ NO ❑YES ❑ NO ❑YES ❑ NO [:1YES ❑ NO MOTOR VEHICLES San Juan Capistrano Community Redevelopment Agency 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Actn: City Clerk Staff 75-8857 06/27/2005 Marcie Jordan Gaye, Agent 12425 Levis Street - Suite 103 Garden Grove, CA 92840 STATE FARM USE ONLY: ❑ Request oermanenl Certificate of Insurance for liability coverage. TO 39Vd adCV1dM91d ELEL5d8L64 T6:CT SOOL/LZ/90 iblt\ rw•Iw .,� MATTIE JORDAN GAYE AGENCY STATE FARM INSURANCE OFFICE 714.750.1541 FAX 714.750.2209 FACSIMILE TRANSMITTAL SHEET To: Anita Cordova FROM' MILLICENT COMPANY: DATE 06/27/05 FAX NUMBER: 12:25 p.m. 714-554-8939 PHONE NUMBER: TOTAL NO, OF PAGES 714-554-6582 INCLUDING COVER: 2 Re: Location: 12425 LEWIS STREET, SUITE 103 GARDEN GROVE, CALIFORNIA 92840 TO 39Vd adrvidM9id ELELSZGL6D LS:Zl 500Z/LZ/90 i 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX www.sanjiiancapistrano.org C&A Cesspool & Septic Tank Service 306 N. Mountain View Santa Ana, CA 92703 Dear Sir or Madam: i June 23, 200 MEMBERS OF THE CITY COUNCIL A Personal Services Agreement related pumping and backfilling three cesspools and removing and backfilling one septic tank at 31771 Paseo Adelanto (former RV Storage lot), is in the process of being approved. It will be issued upon receipt of require documentation related to contract terms under Section 12. Insurance. 1 Specifically, a certificate of insurance is required for workers compensa ' insurance and an additional insured endorsement is requ re , naming the Capistrano Redevelopment Agency as additional insured related to both general liability insurance and umbrella liability. Insurance evidence may be faxed to (949) 493-1053 — ATTENTION CITY CLERK -- followed by original signed documents. I have enclosed a copy of the agreement terms for your reference in supplying this documentation. If you have questions specific to the contact, please contact the project manager, Douglas Dumhart, Economic Development Manager (949) 443-6316. Please call Maria Guevara, Secretary, (949) 443-6310 if you have questions regarding the forms of insurance needed. Thank you, Clerk T(wY 6rSz CMC S C& ca' 1Ca UJ iv� C F'- lq AA cc: Douglas Dumhart, Economic Development Manager UctD I ic, 1 4�4 San Juan Capistrano. Preserving the Past to Enhance the Futur6 0 Printed on recycled! pacer SAMALLEVATO DIANE BATHOATE WYATT HART JOE SOTO DAVID M. SWERDLIN A Personal Services Agreement related pumping and backfilling three cesspools and removing and backfilling one septic tank at 31771 Paseo Adelanto (former RV Storage lot), is in the process of being approved. It will be issued upon receipt of require documentation related to contract terms under Section 12. Insurance. 1 Specifically, a certificate of insurance is required for workers compensa ' insurance and an additional insured endorsement is requ re , naming the Capistrano Redevelopment Agency as additional insured related to both general liability insurance and umbrella liability. Insurance evidence may be faxed to (949) 493-1053 — ATTENTION CITY CLERK -- followed by original signed documents. I have enclosed a copy of the agreement terms for your reference in supplying this documentation. If you have questions specific to the contact, please contact the project manager, Douglas Dumhart, Economic Development Manager (949) 443-6316. Please call Maria Guevara, Secretary, (949) 443-6310 if you have questions regarding the forms of insurance needed. Thank you, Clerk T(wY 6rSz CMC S C& ca' 1Ca UJ iv� C F'- lq AA cc: Douglas Dumhart, Economic Development Manager UctD I ic, 1 4�4 San Juan Capistrano. Preserving the Past to Enhance the Futur6 0 Printed on recycled! pacer CPTY UP SAN TITAN a3 i i—R o U Cr or SAN mnry CAPISTRANO. San Juan Capistrano Community Redevelopment Agency C&A Cesspool & Septic Tank Service 306 N. Mountain View Santa Ana, CA 92703 Dear Sir or Madam: July 5, 2005 A fully executed, original Personal Services Agreement related to pumping and backfilling (3) cesspools and pumping and removing and backfilling (1) septic tank at 31771 Paseo Adelanto, at the former RV Storage lot is enclosed for your records. Thank you for forwarding documentation confirming current compliance with the terms of insurance under your agreement with the city. Please keep in mind that should this documentation lapse, all work under this agreement must stop and all payments will be withheld until we receive proper evidence of insurance. You may proceed with work under this agreement in coordination with the project manager, Douglas Dumhart, Economic Development Manager (949) 443-6316. Thank you, Meg MXaNn, CMC cc: -Douglas Dumhart, Economic Development Manager 32400 Pasco Adelanto San Juan Capistrano California 92675 949-493-1171