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1991-701_OC CONSOLIDATED TRANS SERVICE_Agreement1 2 3 4 5 6 7 8 9 to 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 1 L El AGREEMENT M ORIGINAL THIS AGREEMENT, is entered effective July 1, 1991, by and between the City of San Juan Capistrano (PURCHASER), the Orange County Consolidated Transportation Service Agency, a California nonprofit benefit corporation, or any successor entity to the Orange County CTSA ("OCCTSA"), and the Orange County Transportation Authority, a public corporation of the State of California ('!AUTHORITY"). WHEREAS, OCCTSA is experienced in the transportation of seniors, and persons with disabilities, and WHEREAS, pursuant to 49 USC S1612 and California Government Code 14033, OCCTSA is a provider of mass transportation services to meet the special needs of elderly and handicapped persons; and WHEREAS, OCCTSA has entered into Agreement No. C-91-211 with the AUTHORITY which requires OCCTSA to provide transportation services for the elderly pursuant to the Older Americans Act of 1965, as amended; and WHEREAS, OCCTSA will receive payment from the Authority through Agreement No. C-91-211 funded with funds pursuant to Article 4.5 of the Transportation Development Act of 1972 among other funds to support transportation services in the county; and WHEREAS, PURCHASER is desirous of purchasing "Social Services" transportation service from OCCTSA as a consolidated transportation agency (OCCTSA) which pursuant to the OCCTSA mission statement, seeks to provide for the transportation needs of clients of social service agencies in an effective and efficient manner. NOW THEREFORE, in consideration of the respective and mutual covenants and promises hereinafter contained and made, and subject to all the terms and conditions hereof, the parties hereto agree as follows: 1. OCCTSA assumes all responsibility for the operation, scheduling, maintenance of any vehicles which are to be operated in the performance of Page 1 of 6 Page 2 of 6 AGREEMENT 1 this Agreement and cost thereof except to the extent this Agreement 2 provides otherwise. 3 2. OCCTSA shall obtain and maintain all licenses, registrations, and 4 accreditations from agencies governing its operation, which are necessary 5 for OCCTSA to perform its obligations under this Agreement. 6 3. OCCTSA shall obtain at its sole cost and file with PURCHASER, prior to 7 exercising any right or performing any obligation pursuant to this s Agreement and maintain for the period covered by this Agreement, a policy 9 or policies of general and auto liability insurance and a certificate of 10 such insurances, naming PURCHASER, its officers, agents, and employees, as 11 insured or additional insured. OCCTSA shall carry general liability 12 insurance of at least One Million Dollars ($1,000,000.00) per occurrence 13 and auto insurance of combined single limit bodily injury and property 14 damage in the amount of Three Million Dollars ($3,000,000.00) per 15 occurrence. Should any of the above described policies be canceled before 16 the expiration date thereof, the issuing company will endeavor to mail 17 30 days written notice to the certificate holder named. 18 4. Before OCCTSA shall employ any person or persons in the performance of 19 this Agreement, OCCTSA shall procure a policy of Workers' Compensation 20 Insurance as required by the provisions of Section 3700 of the California 21 Labor Code: and OCCTSA shall furnish to PURCHASER a Certificate of 22 Insurance showing that the aforesaid insurance is in full force and effect 23 during the entire term of this Agreement. 24 5. OCCTSA shall employ only qualified drivers to operate any vehicles in 25 performance of this Agreement. Prior to employment, OCCTSA shall review 26 the records maintained and available by Department of Motor Vehicles Page 2 of 6 AGREEMENT 1 record and regarding each of said drivers. Each of said drivers shall 2 possess and maintain any licenses or certificates required by law and 3 necessary for their individual performances on behalf of OCCTSA under this a Agreement. OCCTSA shall be solely responsible for the supervision of said 5 drivers in the performance of their duties. 6 6. Notwithstanding any other provision of this Agreement, OCCTSA, AUTHORITY 7 and PURCHASER agree to comply with all applicable federal, state and local 8 laws and regulations. 9 7. OCCTSA agrees to establish, maintain and preserve records which include 10 and substantiate costs of all labor and materials related to the 11 performance of this Agreement, and documentation which substantiates 12 OCCTSA performance of transportation services pursuant to this Agreement 13 OCCTSA shall make all of the above records available, upon reasonable 14 prior notice, to PURCHASER during regular business hours. 15 8. OCCTSA shall hold PURCHASER and AUTHORITY harmless from and against any 16 and all liability, loss, damage, claims, suits, costs and expenses, 17 including reasonable attorney's fees, regardless of the merit or outcome 18 of any such claim or suit, claimed or arising from any negligent or 19 wrongful act or omission of OCCTSA, its officers, employees, agents or 20 subcontractors in the performance of this Agreement. 21 9. PURCHASER and AUTHORITY shall hold OCCTSA harmless from and against any 22 and all liability, loss, damage, claims, suits, costs and expenses, 23 including reasonable attorney's fees, regardless of the merit or outcome 24 of any such claim or suit, claimed or arising from any negligent or 25 wrongful act or omission of PURCHASER, and/or AUTHORITY, their officers, 26 employees, agents or subcontractors in the performance of this Agreement. Page 3 of 6 AGREEMENT 1 10. OCCTSA shall pick up, transport and deliver such passengers at and to such 2 locations, and at such times as are described in EXHIBIT A - STATEMENT OF 3 SERVICES - attached hereto and by this reference incorporated herein. a 11. Cash payment in the total amount of $5,679.00 shall be paid in four equal 5 payments to OCCTSA by PURCHASER as part of the performance of this 6 agreement. OCCTSA shall submit quarterly invoices to PURCHASER for 7 payment pursuant to this Agreement at the close of each of the following 8 periods: for the period July 1, 1991 through September 30, 1991; or the 9 period October 1, 1991 through December 31, 1991; for the period 10 January 1, 1992 through March 31, 1992; and for the period April 1, 1992 11 through June 30, 1992. Failure of PURCHASER to pay OCCTSA amount due 12 under this contract within 60 days from date of invoice shall entitle 13 OCCTSA to, in addition to any other legal remedies available to OCCTSA, 14 suspend or diminish its performance under this Agreement if it so elects. 15 12. All notices pertaining to this Agreement, and any communications from the 16 parties may be made by delivery of said notices in person or by depositing 17 said notices in the U.S Mail, registered or certified mail, return, 18 receipt requested, postage prepaid and addressed as follows: 19 Orange County Consolidated Transportation Service Agency 20 1000 E. Santa Ana Blvd., Suite 300 21 Santa Ana, CA 92701 22 Attention: Executive Director 23 / 24 / 25 / 26 / Page 4 of 6 AGREEMENT 1 Orange County Transportation Authority 2 11222 Acacia Parkway 3 Garden Grove, CA 92642 4 Attention: Contracts Administrator 5 City Hall 6 City of San Juan Capistrano _ 7 32400 Paseo Adelanto 8 San Juan Capistrano, CA 92675 9 Any of the three parties may cancel this Agreement by giving thirty (30) 10 days written notice of said cancellation to the other two parties hereto. 11 In the event of termination or cancellation for any reason OCCTSA shall 12 return to PURCHASER any money or other property allocable to the post 13 termination/cancellation period. 14 The terms of this Agreement shall be one (1) year, or that portion of a 15 year commencing July 1, 1991 and expiring at the end of business or 16 5:00 p.m. whichever occurs last on June 30, 1992. 17 This document fully expresses all understandings of the parties concerning 18 all matters covered and shall constitute the total Agreement. No prior 19 written or oral provisions or understanding, between the parties shall 20 have any force or affect. No addition to or alteration of the terms of 21 this Agreement shall be valid unless made in writing and formally adopted 22 in the same manner as this Agreement. 23 / 24 / 25 / 26 / Page 5 of 6 1; 2 3f 41 Si i 61 7 6! 9I 10 I, i 12� 13! I 14 15 16 17� I 18 19 1 20 2t� 22I 2_1 2a 25 26 FROM OPkAGE C.T.S-.A. 700 4931053 P.07 AGREEMENT IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first above written; ORANGE COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY By � Carol Kawanamt Chairman //of the Board of Directors gy gory T. Winterbottom Executive Director CITY OF SAN JUAN CAPIS gy Ke neth E. Friess Mayor _ Attest: ✓J�i,. ` itr Clerk By TRANSPORTATION AUTHORITY rectors By Kennkrd R. Smart, Jr. General Counsel r5615.AGRi1 JP Page 6 of 6 Approved,.as to, fo;�.�7 City Artorney EXHIBIT A 1. Orange County Consolidated Transportation Service Agency (OCCTSA) shall schedule and operate a vehicle or vehicles Monday through Friday within the present hours of service provided to the identified site or sites in Item 4. Additional service within budgetary constraints may be available outside the regular service hours. - 2. OCCTSA may, at its discretion, utilize the assigned vehicle or vehicles for any purpose it deems necessary at any time when senior passengers are not being transported. 3. OCCTSA shall assign any equipment it feels appropriate for the needs of the client type and reserve the right to reassign both equipment and driver as needs change. 4. Service shall be provided to the following site or sites located at: San Juan Capistrano Nutrition 31421 La Mantanza, San Juan Capistrano, CA 92675 5. OCCTSA may, at its discretion, deny transportation to passengers who may pose a danger to themselves, other passengers or the CTSA drivers. 6. All rides provided by OCCTSA shall be on a space available basis. Geographic considerations may affect CTSA's ability to schedule riders. Further, site managers should be aware that the number of individuals assigned to a given route may affect service quality and route integrity. 7. OCCTSA policy requires that passengers be ready at the agreed pick up time. CTSA's policy is for drivers to wait only 5 minutes after the scheduled pick up time. Passengers who need to cancel scheduled rides, must do so at least one hour prior to scheduled pick up times. Additionally, CTSA's "No Show" policy provides for removal from the service of passengers who do not comply with this policy. 8. "Will Call" passengers must notify CTSA by 0730 of the morning they wish to ride. 8 0 • ORANGE COUNTY CTSA - SENIOR SERVICE CONTRACT with: CI TY OF SAN JUAN C A P I S I RAND FY 1990 - 1991 TOTAL TOTAL VEHICLE COST @ ANNUAL - R E V E N U E - PERCENT OF COST SITE HOURS 32.40 PASS CITY AAA TDA CITY AAA TDA ------------------------------------------------------- ------------------------------ .................. SAN JUAN CAPISTRANO 890 $28,836 5,556 $4,902 $7;516 $14,418 11$ 33% 50% REVENUE RECEIVED t Contracts with San Cleeente Seniors = FY 1981 - 1982 $3,700 * FY 1982 - 1983 12,203 i FY 1983 - 1984 15,519 = FY 1984 - 1985 6,000 $ FY 1985 - 1986 10,000 = FY 1986 - 1987 16,616 FY 1987 - 1988 5,481 FY 1988 - 1989 4,592 FY 1989 - 1990 4,387 FY 1990 - 1991 4,902 F'r 1991 - 1992 TOTAL TOTAL VEHICLE COST @ ANNUAL - R E V E N U E - PERCENT OF COST SITE HOURS 35.00 PASS CITY AAA TDA CITY AAA TDA ------------------------------------------------------- SAN JUAN CAPISTRANO 854 $29,890 5,294 ------------------------------ ----------------------- $5,679 $9,266 $14,945 19% 312 50% t Contracts with San Cleeente Seniors 1. Approval of Agreement: It was moved by Councilman Buchheim, seconded by Councilman Jones, and unanimously carried that the Agreement with the Orange County Consolidated Transportation Service Agency be approved in the amount of $5,679 for Dial -A -Van transporta- tion services for the City's senior citizen and handicapped population, for the period ending June 30, 1992. July k, 19Wf, from thik Ac ng Director )mmendiftq,,Xhat the curre. $50 Tree RgW -15- 7/2/91 Dave Lip , 27111 C de Estrel strano Beach, repres ing Secur' y Paci 'c Na nal Ba expressed appre ation or a City's c per on and con urrence with the aff r o endation. Ameldmenett m nt aApDrov 2 of Service A e I mo d by Councilman u eim, seconded by Councilman es, a unanimously car is that: ( ) se er service be ovid d to the pro erty located at 31 45 Peppertree end at a total cos of $12,626.13 to Se urity Pacif; Nationa Bank; (2) st ff be acted to proc d wamending t Settle- eement; and (3) staff directed to are a Service Agreement between the City a ulton Niguel Water District. DIRECTOR OF CONKUNITY SERVICES �1. AWARD OF CONTRACT FOR DIAL -A -VAN SERVICES (ORANGE COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY) (600.30) 41 Written Communication: Report dated July 2, 1991, from the Director of Community Services, recommending approval of the contract with the County Consolidated Transportation Agency to provide free transportation for senior citizens and the disabled of San Juan Capistrano to attend the Nutrition Program at the Old Fire Station Recreation Complex. 1. Approval of Agreement: It was moved by Councilman Buchheim, seconded by Councilman Jones, and unanimously carried that the Agreement with the Orange County Consolidated Transportation Service Agency be approved in the amount of $5,679 for Dial -A -Van transporta- tion services for the City's senior citizen and handicapped population, for the period ending June 30, 1992. July k, 19Wf, from thik Ac ng Director )mmendiftq,,Xhat the curre. $50 Tree RgW -15- 7/2/91 E AGENDA ITEM July 2, 1991 TO: Stephen B. Julian, City Manager FROM: Al King, Jr., Director of Community Services SUBJECT: Award of Contract for Dial -A -Van Services (Orange County Consolidated Transportation Service Agency) SITUATION: The City of San Juan Capistrano, working in a cooperative effort with the Orange County Area Agency on Aging (AAA), provide free transportation for seniors and the disabled to attend the Nutrition Program at the Old Fire Station Recreation Complex. The service is available Monday through Friday. Every Friday, seniors who have ridden the van to the Nutrition Program may also use the van to go grocery shopping in San Juan Capistrano. This transportation contract was administered by San Clemente Seniors from 1981 through 1987. At that time, the City of San Juan Capistrano decided to be more directly involved with this particular service and in 1987 the City began administering this transportation contract and have continued with this practice through the present. The transportation cost is divided between three entities: the City, the Orange County Area Agency on Aging, and the Transportation Development Act (TDA). San Juan Capistrano's annual billing is based on the previous year's number of passengers. For FY 1991-1992, it is calculated that we will use 854 total vehicle hours at $35 per hour, which totals $29,890. This accounts for 5,294 passenger trips during this time. For FY 1991-1992, the breakdown of payment of that $29,890 for San Juan Capistrano's Senior Citizens transportation service is: TTY AAA TDA Percent 19% 31% 50% Amount $5,679 $9,266 $14,945 Attached please find a copy of the contract with the Orange County Consolidated Transportation Service Agency (OCCTSA) to provide transportation for senior citizens and the disabled of San Juan Capistrano. Gregory Winterbottom, Executive Director Orange County Consolidated Transportation Service Agency Santa Ana Regional Transportation Center 1000 E. Santa Ana Blvd., 3rd Floor Santa Ana, CA 92701 COMMISSION/BOARD REVIEW. RECOMMENDATION: Not applicable. FINANCIAL CONSIDERATIONS: The contract with OCCTSA is for the amount of $5,679 and will be in effect through June 30, 1992. The OCCTSA will be responsible for the operation, scheduling and maintenance of the van, and the salary of the van FOR CITY COUNCIL AGEND/KJW.:."" \ • 0 Agenda Item -2- July 2, 1991 driver. The OCCTSA must maintain all licenses, registrations and accreditation from agencies governing its operation and maintain policies of liability insurance naming the City and its officers, agents and employees as additionally insured. ALTERNATE ACTIONS: 1. Approve attached agreement with Orange County Consolidated Transportation Service Agency (OCCTSA) for Dial -A -Van transportation service for the City's senior citizen and handicapped population for $5,679 for services to be provided through June 30, 1992. 2. Deny attached agreement with Orange County Consolidated Transportation Service Agency (OCCTSA) Dial -A -Van transportation service. 3. Request additional information from staff. RECOMMENDATION: By motion, approve attached agreement with Orange County Consolidated Transportation Service Agency (OCCTSA) for Dial -A -Van transportation service for the City's senior citizen and handicapped population for $5,679 for services to be provided through June 30, 1992. Respectfully submitted, Al King, Jr., Secretary to Commission AK:LE:de Attachment 0 a CITY CLERK'S DEPARTMENT - ACTION REMINDER TO. Linda Evans, Community Services Supervisor FROM: Dawn M. Schanderl, Deputy City Clerk DATE: May L5, 1992 SITUATION: At their meeting of July 2, 1991, the City Council approved the Agreement with the Orange County Consolidated Transportation Service Agency for Dial -A -Van transportation service for the City's senior citizen and handicapped population. ACTION REQUESTED: Said agreement expires on June 30, 1992. Please advise of status of the Agreement and whether or not the Agreement needs to be scheduled for the Agenda to extend the time period/new Agreement. ACTION TO BE TAKEN: DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: c olui SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 5/5/89 5/5/90 Deadline Date: 6/30/89 6/30/90 cc: City Attorney Assistant City Manager Department Head (600.30/diaIvan) 05/15/91 05/15/92 06/30/91 06/30/92 9our9 LLYI/c�ol aA ^ ERTIFICATE OF INSURANCE 07/22/91 This wertificate is issue(a metter of information Sly and confers no rights upon the certificate hold4r. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. PRODUCER C Letter A NON PROFIT INSURANCE ALLIANCE 0 OF CALIFORNIA GENERAL INSURANCE AGENCY M Letter B AMERICAN STATES P. O. BOX 6010 P MISSION VIEJO CA 92690,4010 A Letter C INSURED N I Letter D ORANGE COUNTY C.T.S.A. E 1000 E. SANTA ANA BLVD 3RD FLR S Letter E SANTA ANA CA 92701 This is to certify that 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 certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. �»-------- COVERAGES -------- ------- -------------------«« Co Type of Policy # Policy Policy Limits Ltr Insurance Effective Expiration ---« GENERAL LIABILITY --------------------- A --------------- .....«.A (X) Commercial GL N911556 07/01/91 07/01/92 Gen Aggreg $2,000,000 ( ) ( )Claims Made Prd-C/Op Ag$2,000,000 (X)Occurrence Pers/Adv In$1,000,000 ( ) Owners & Contr Each Occur $1,000,000 ( ) Fire Damag $ 50,000 Medical Ex $ 50 AUTOMOBILELIABILITY --- "----------- ---•..-«...«.««..- ««« ) Any Auto CSL $ ) All Owned B.I./Pers $ ) Scheduled B.I./Accid $ ) Hired P.D. $ Non -Owned Garage Liab EXCESS LIABILITY------------------------ Umbrella ------«-----«««-------- Umbrella Form O.T. Umbrella WORKERS COMPENSATION ---------«--- ---- W.C. Employers Liab. ««f) Q OTHER----------- - -- -------- -- CRIME COVERAGE0101962334------07/01/91 -"----------------------- Each Occur Aggregate S --------«STATUTORY ------«----- Each Accid $ Dis/Policy $ Dis/Employ $ 07/01/92-$40000- $250 ------"------"-----«-«----------------«------«------W,----"--•.�---«------"--- DESCRIPTION OF Operations/Locations/Vehicles/Special Items BUSINESS PERSONAL PROPERTY COVERAGE PROVIDED UNDER THE AMERICAN STATES POOCLIRCYii )01T-CC-962I334g. NLIMIT �$g1p733, 59r2. CANCELLTATION, IiOL Should anyDof ttie aboveL Idescribed policies be cancelled before the expiration date thereof, the issuing company will XXXXXXXX XX mail30 days written notice to the certificate holder named below XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx NAME and ADDRESS of CERTIFICATE HOLDER CITY OF SAN JUAN CAPISTRANO 31421 LA MATANZA SAN JUAN CAPISTRANO, CA 92675j%J�. 022 Authorized Representative Merritt Manual POLICY FORMS & ENDORSEMENTS General Liability Commercial Risks Page 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO 31421 LA MATANZA SAN JUAN CAPISTRANO, CA 92675 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. INSURED: ORANGE COUNT C.T.S.A. POLICY NO. N911556 CG 20 26 1185 Copyright, Insurance Services Office, Inc.. 1984 ❑ 0 0 ��.�#A��'�' rcsueDATE (MM/owvr IAL n 7/24/91 T HIS CERTIFICATE IS ISSUED AS AMAT TER OF INFORM AT ION ONLY AND CONFERS Curtis Day EI Company 50 Fremont St., Suite #300 NO RIGHTS UPON THE CERTIFICA TE HOLDER. THIS CERTIFICA TE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE San Francisco, CA 94105 415-543-3140 COD! SUB4*W COMPANY LETTER A Classic Fire 8 Marine COMPANY LETTER B INSURED Orange County Consolidated Transportation Service Agcy. COMPANY LETTER ri LANETTER D 1000 E. Santa Ana Blvd. 3rd FI Santa Ann COMPANY LETTER E CA 92701 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDIT ION OF ANY CONTRACT OR OTHER DOCUAENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS. 00 L TYPEOF INSURANCE POLIOV NUMBER INLICYEFFEOTNE DATE(MM/DD/YY) POLIOVEXPRATM DATE(MM/DD/YV) ALL LIMITS N THOUSANDS GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OPS AGGREGATE t CLAIMS MADE a OCCUR. PERSONAL L ADVERTISING IK"Y $ OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE (Any one lire) I MEDICAL EXPENSE (Any we pww) I AUTOMOBILE LIABILITY UUMIJIMU SINGLE I ANY AUTO LIMIT ALL OWNED AUTOS SCHEDULED AUTOS BODILY Per Person) ? NUJRY ± HIRED AUTOS j NON-OWIED AUTOS (Per aooi0ent PROPERTY DAMAGE I GARAGE LIABILITY EXOESSLIABILITY :: OCCURi¢NCE ! f OT/ER THAN UMBRELLA FORM WOMRWX COMPENSATION SiATUiGR'Y (EACH ACCIDENT)::::: AND I (DISEASE,POLICYLIMIT) lMPLOYlpS'LIABILttY S (DISEASE -EACH EMPLOYEE) Mae A Excess Auto CFM500709 7/01/91 7/01/92 $1,000,000 Excess of Underlying DESCRIPTION OF OPERATIONSILOOATNNSIYEHIOLESTSMOIAL ITEMS "CITY OF SAN JUAN CAPISTRANO", ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSUREDS. Ni.. '#€ SHOULD ANY OF THE ABO VE DE SCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYSWRIT T ENNOT ICE TOT HE CERTIFICATE HOLDERNAMEDT O THE City Of San Juan Capistrano: LEFT,BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NOOBLIGATIONOR 31421 La Materiza LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENT ATIVES. Sen Juan Capistrano, CA 92675 i'Y AUTHORIZED REPRESEMATNE Attn: Sheri Fortmueller154928205 „•,,.Communi,t Services Supervisor .,,Su. ACOIlC?25 it:3�i6 .:.:. r�lfi,,ILt',o ! .Q.cCs I�11t;leA1i41#:t:A1s A Dear Certificate Holder: We are pleased to provide the attached Certificate(s) of Insurance. You may find that this Certificate(s) does not comply with all of the terms and conditions of your contract due to the insurance carrier's restrictions under their policy form. If you should have any questions, please feel free to contact the and7%yt-, Curtis Day 5 Co.\c 30 Fremont St., #300 Mary S. Hatley, count Exec ve San Francisco, CA 94105 (415) 543-3140 CDC 005p 8/89 It • �0Nl!'14!!''�ii aiaKDATE (MM/OD/VV) I NO.. 6120191 THIS CERTIFIC ATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS Curtis Day It Company 50 Fremont St., Suite *300 NORIGHTSUPONT HE CERTIFICATE HOLDER, T HISCERTIFICATE DOES NOT AMEND, EXTEND ORAL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW COWPANIESAFFORDING COVERAGE San Francisco, CA 94105 415-543-3140 cox sue400d COMPANY LETTER A P.I.C. a risk sharing pool) COMPANY LETTER B Associated International Ins. WEIMER COMPANY C General Star Indemnity Co. Orange County Consolidated Transportation Service Agcy, COMPANY D LETTER 1000 E. Santa Ana Blvd. 3rd FI Santa Ana LCEOTMPAANY E TER CA 92701 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT W IT HST ANDUNG ANY REQUIREMENT, TERM OR CONDIT ION OF ANY CONTRACT OR OT HER DOCLMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS. 00 LTII TYPEOF INSURANCE POLICY NUMBER POLIOVEMOTME DATE(MM/DD/YY) POIIOYEXPNAT DAT!(MM/DD/YY) ALL LIMns N THOUSANDS GENERAL ADOREOATE i COMMERCIAL OENERAL LIABILITY PRODICTS-COLPIOPS AGOFEOATE 1 CLAIMS MADE F-1 OCCUR. PERSONAL L ADVERTISING INJURY i OWNER'S L CONTRACTOR'S PROT EACH OCCURRENCE 1 FIRE DAMAGE (Any one lira) 1 MEDICAL EXPENSE (Ary one person) 1 A AVTOMOOL! LIABLRY ANY AUTO 4 7/01/91 7/01/92 SINGLE LIMIT 1 100 X ALL OWNED AUTOS SCHEDULED AUTOS INJURY (Per paean) 1 X HIRED AUTOS 1 X NON -OWNED AUTOS (Pwer amidenl PROPERTY DAMAOE 1 OARAOE LIABILITY EXOMLIATLRY OC(]IfmENCE BRx 1 IT OTHER THAN UMBRELLA FORM A 4006 0 7/01/91 7/01/92 100 WORKER'$ COMPENSATION STATUTORY ::: f (EACK ACCIDENT) AND 1 (DISEASE-PMICYLIMIT) EMPLOVEWLIABLTTY ( (DISEASEEACHEMPLOYEE) OTHER C XS AUTO LIABILITY IGX070860A 7/01/91 7/01/92 $800 XS $200K C XS AUTO LIABILITY IGX070851A 7/01/91 7/01/92 $1000 XS S1000K A POOL PHYS. DAMAGE 4PD 1 7/01/91 7/01/92 500 DED COMP/COL DESORPTION OF OPERATION$ILOOATKN14YOIMEOWECIAL RIMS "CITY OF SAN JUAN CAPISTRANO-, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSUREDS, AYa`O x•..:xc%SCRI'sBED POLICIES THE 2NC THE zd; SHOULD ANY OF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE� EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL{NI0FA—@R i6 MAIL 30 DAYSWRIT TENNO TICE TO THE CERTIFICA T E HOLDER NAMED TOT HE City of San Juan Capistrano %a LEFT, 31421 L■ Motorize San Juan Capistrano, CA 92675 Attn: Sheri Fortmuellor AUTHORM:lD REPRESENTATIVE ' 154928205 Community., Services ..,:Supervisor ............... %:;> Dear Certificate Holder: We are pleased to provide the attached Certificate(s) of Insurance. You may find that this Certificate(s) does not comply with all of the terms and conditions of your contract due to the in§urance carrier's restrictions under their policy for-T.,If you should have any questions, please feel free to contact the undersigned. Curtis Day 6 Co. C 6 50 Fremont St., #300 Mary S. Hatley, ccount Exec ive Sat Francisco, CA 94105 (415) 543-3140 CDC 005p 8/89 •�1 ; r■�■■■ RfMI DOTE IMM/DD/W)AIINT ! :..T..,, ,PRODDOSR .:. ....�... ..:..... ........'. F1 7m/gi THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS Curtis Day & Company NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXTEND ORA LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 50 Fremont St., Suite #300 COMPANIES AFFORDING COVERAGE San, Francisco, CA 94105 415-543-3140 COD! a40111.000! COMPANY LETTER A Unicare Insurance Company COMPANY LETTER B INSURED Orange County Consolidated Transportation Service Agcy. COMPANY LETTER C COMPANYLETTER D 1000 E. Santa Ana Blvd. 3rd FI Santa Ana COMPANY LETTER E CA 92701 ITT THIS IS TO CERTIFY THAT 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 ORO T HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS. 00 L TYPl OP MSURANO! POLIOY NUMSOI POL10Y lrrlCTIV! DAM(MM/DD/W) POLIOVEXPIRATIO DAT!(MM/DD/W) ALL LIMITS W THOUSANDS GENERAL LIABILITY GENERAL AOOREOATE { COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE f CLAIMS MADE F� OCCUR. PERSONAL L ADVERTISING INJURY f OWNER'S L CONTRACTOR'S PROT EACH OCCURRENCE f FIRE DAMAGE (Arty one lire) f MEDICAL EXPENSE (Arty one pwsm) j AUTOMOBILE LIASLITY ANY AUTO SILE LIMMIITT f ALL OWNED AUTOS INJURY IT SCHEDULED AUTOS (Pw pwsm) 90:1117— INJURY (Pw accident j HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE _ GARAGE LIABILITY !%OlSSLIMLMV OCCUCRENCE ! j OTHER THAN UMBRELLA FORM WORKER'S OOMKNSATION STATUTORY f 1000 (EACH ACCIDENT) AND j 1000 (D ISEASE-POLICVLIMIT) A EMPLOVERWLIASLFTY LICB026001 7/01/91 7/01/92 j tOOO (DISEASE -EACH EMPLOYEE) OTHER DEMORPTION OF OPOIATIONSILOOATIONSMMHIOLnWECIAL RIMS "CITY OF SAN JUAN CAPISTRANO", ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSUREDS. we . ,..,�.. ,..... �e.:<.:' .,.:.. zz;.:.2:.e::2a'2„t?E.,e':3:,".:.' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE rs' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL iddiGWlpbobb '? MAIL 30 DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEOTOTHE City of San Juan Capistrano 31421 La Matanza LEFT San Juan Capistrano, CA 92675 ? AUTHOROMD RWRESMATIW Attn: Sheri Fortmueller '' 154928205 Communit Se vice Su a vi or r s r s A:. . 6:;:<::sx:::.<:::..ak:,>a:;,:�«.>:dxr:..:;.<::.::..>:x,::, kcpll�a x�.;;$. �8�1.1..:::. .. ......, : _. •..:.. {�:A�+d(i��N!�is�4"��1tt�a#:: Dear Certificate Holder: We are pleased to provide the attached Certif_.�ate(s) of Insurance. You may find that this Certificate(s) does not comply with all of the terms and conditions of your contract due to the insurance carrier's restrictions under their policy form. If you should have any questions, please feel free to contact the andr@ shgned. Curtis Day & Co. \—Avg 50 Fremont St., 11300 Mary S. Hatley, count Exec ve San Francisco, CA 94105 (415) 543-3140 CDC 005p 8/89 0 July 3, 1991 1 Mr. Gregory Winterbottom, Executive Director i Orange County CTSA Santa Ana Regional Transportation Center 1000 East Santa Ana Boulevard, Suite 300 Santa Ana, California 92701 Re: Dial -A -Van Services Dear Mr. Winterbottom: MEMBERS OF THE CITY COUNCIL LAWRENCE F. BUCHHEIM KENNETH E. FRIESS GARY L. HAU So ORFER GIL JONES JEFF VASQUEZ CITY MANAGER STEPHEN B JULIAN J B At their regular meeting held July 2, 1991, the City Council of the City of San Juan Capistrano approved the Agreement with the Orange County Consolidated Transportation Service Agency to provide transportation services which will allow seniors and disabled to attend the Nutrition Program at the Old Fire Station Recreation Complex. The Agreement will be in effect for the period ending June 30, 1992, in the amount of $5,679. Two copies of the Agreement signed by the City are enclosed. When they have been signed by the appropriate agencies, please return one fully -executed copy to this office. Thank you for your cooperation in this matter. ^^ Ver truly yours, Cheryl Johnson City Clerk Enclosure cc: Director of Community Services 32400 PASEO ADELANTO, SAN JUAN CAPISTRANO. CALIFORNIA 92675 0 (714) 493-1171 i