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02-1117_NOBEL SYSTEMS_Action Reminder0 0 CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager FROM: Christy Swanson, Administrative Secretary SITUATION: I t iz ;F NCn cE SECOND DATE: On December 17, 2002, the City of San Juan Capistrano entered into Agreement with Nobel Systems to provide. GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. REQUEST � ��C)2) May 15, 2008 �t 41t2D�t_ Personal Services -eLLr+ I -kb quegst On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. On December 7, 2004, agreement extended {180) days or by June 18, 2005. On May 16, 2005, agreement extended (365 days or by June 18, 2006. On May 18, 2006, agreement extended (365 days) On May 18, 2007, agreement extended (365 days) Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKE DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: O��• Z � 'FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06110103 12101103 Deadline Date: 06130103 12127103 05115106 05115107 06118106 06 18107 CC.' Department Head 06101104 12101104 05/16/05 06124104 12121104 06118105 05115108 06118108 4l2lC9 (600.301nobel) / V fitzsr Na�c� CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager FROM: Christy Swanson, Administrative Secretary DATE: May 15, 2008 SITUATION: On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. On December 7, 2004, agreement extended (180) days or by June 18, 2005. On May 16, 2005, agreement extended (365 days or by June 18, 2006. On May 18, 2006, agreement extended (365 days) On May 18, 2007, agreement extended (365 days) Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: 6�. 02-. 2L69 ***FOR CITY CLERK'S DEPARTMENT USE ONLY`** Tickler Date: 06/10/03 12/01/03 Deadline Date: 06/30/03 12/27/03 05/15/06 05/15/07 06/18/06 06/18/07 cc: Department Head (600.30/nobel) 06/01/04 12/01/04 05/16/05 06/24/04 12/21/04 06/18/05 05/15/08 06/18/08 0 • CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager FROM: Christy Swanson, Administrative Secretary DATE: SITUATION: May 15, 2007 On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. On December 7, 2004, agreement extended (180) days or by June 18, 2005. On May 16, 2005, agreement extended (365 days or by June 18, 2006. On May 18, 2006, agreement extended (365 days) Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: O�Vg017 - Tickler Date: 06/10/03 Deadline Date: 06/30/03 05/15/06 06/18/06 • cc: Department Head (600.30/nobel) ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** 12/01/03 06/01/04 12127/03 06/24/04 05/15/07 06/18/06 12101/04 05/16/05 12/21/04 06/18/05 0 40 CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager FROM: DATE: May 15, 2006 SITUATION: On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. On December 7, 2004, agreement extended (180) days or by June 18, 2005. On May 16, 2005, agreement extended (365 days or by June 18, 2006. Please notify our office if agreement has been completed or will be extended. /TgL*7Li%77=&jF1:/4:A DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: / DATE SIGNED: ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06/10/03 12/01/03 06/01/04 12/01/04 05/16/05 Deadline Date: 06/30/03 12/27/03 06/24/04 12/21/04 06/18/05 05/15/06 06/18/06 cc: Department Head (600.30/nobel) n CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager DATE: May 16, 2005 SITUATION: On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. On December 7, 2004, agreement extended (180) days or by June 18, 2005. Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: F– MAY 1 6 2005 DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: i -— PUB� c&Y:$ SIGNATURE OF OFFICIAL TAKING ACTION DATE SIGNED: Vj r �o� Tickler Date: 06/10/03 Deadline Date: 06/30/03 cc: Department Head (600.30/nobel) ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** 12/01/03 06/01/04 12/01/04 05116/05 12/27/03 06/24/04 12/21/04 06/18/05 0 0 PERSONAL SERVICES AGREEMENT THIS AGREEMENT is made and entered into this d day of D E�002, by and between the City of San Juan Capistrano (hereinafter referred to as the "City") and Nobel Systems, (hereinafter referred to as "Consultant"). RECITALS: WHEREAS, City desires to retain the services of Consultant to provide GIS system support; and WHEREAS, Consultant is qualified by virtue of experience, training, education and expertise to accomplish such services. NOW, THEREFORE, City 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, 2003. Section 3. Compensation. 3.1 Amount. Total compensation for the scope of services for this Project shall not exceed three thousand five hundred dollars ($3,500), as set forth in Exhibit "A," attached and incorporated herein by reference. 1 0 0 3.2 Rate Schedule. The services shall be billed to the City at the hourly rate set forth in Exhibit 'A," attached and incorporated herein by reference. 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 City representatives and incidental costs to perform the stipulated services. Submittals shall be in accordance with Consultant's proposal. 3.3 Method of Payment. Consultant shall submit monthly invoices based on total services, which have been satisfactorily completed and specifying a percentage of projected completion for approval by the City. The City will pay monthly progress payments based on approved invoices in accordance with this Section. For extra work not part of this Agreement, a written authorization from City 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 City. Section 4. Independent Contractor. It is agreed that Consultant shall act and be an independent contractor and not an agent or employee of City, and shall obtain no rights to any benefits which accrue to City's employees. Section 5. Limitations Upon Subcontracting and Assignment. The experience, knowledge, capability and reputation of Consultant, its principals and employees were a substantial inducement for City to enter into this Agreement. Consultant shall not contract with any other entity to perform the services required without written approval of the City. This Agreement may not be assigned, voluntarily or by operation of law, without the prior written approval of the City. If Consultant is permitted to subcontract any part of this Agreement by City, Consultant shall be responsible to City 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 City. All persons engaged in the work will be considered employees of Consultant. City will deal directly with and will make all FA payments to Consultant. 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 City, 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 City, it shall immediately inform City of this and shall not proceed with further work under this Agreement until written instructions are received from the City. 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. Copies of Work Product. At the completion of the contract period, Consultant shall have delivered to City at least one (1) copy of any final reports and architectural drawings containing 3 0 0 Consultant's findings, conclusions, and recommendations with any support documentation. All reports submitted to the City shall be in reproducible format. All services to be rendered hereunder shall be subject to the direction and approval of the City. Section 12. Ownership of Documents. All reports, information, data and exhibits prepared or assembled by Consultant in connection with the performance of its services pursuant to this Agreement are confidential to the extent permitted by law, and Consultant agrees that they shall not be made available to any individual or organization without prior written consent of the City. All such reports, information, data, and exhibits shall be the property of the City and shall be delivered to the City upon demand without additional costs or expense to the City. The City acknowledges such documents are instruments of Consultant's professional services. Section 13. Indemnity. Consultant agrees to protect, defend and hold harmless City, 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. Section 14. 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. 14.1 Not Applicable 14.2 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; 0 0 0 $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 14.3 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. 14.4 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 additional insured endorsement to the Consultant's general liability and umbrella liability policies to the City Clerk's office for certification that the insurance requirements of this Agreement have been satisfied. 14.5 Not Applicable 14.6 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 City, except that ten (10) days' notice shall be given if there is a cancellation due to failure to pay a premium. 14.7 Terms of Compensation. Consultant shall not receive any compensation until all insurance provisions have been satisfied. 14.8 Notice to Proceed. Consultant shall not proceed with any work under this Agreement until the City has issued a written "Notice to Proceed" verifying that Consultant has complied with all insurance requirements of this Agreement. Section 15. Termination. City 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. Section 16. 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 City: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Attn: Public Works Director To Consultant: Nobel Systems 194 S. Del Rosa Dr., Ste. G San Bernardino, CA 92408 Attn: Michael Samuel, President Section 17. 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 18. 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"). A 0 0 Section 19. 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. IN WITNESS WHEREOF, the parties hereto have executed this Agreement. ATTEST: M r ret R. Monahan, City Clerk APPROVED AS TO FORM: John R. Saw, City Attorney CITY OFj�AN JUALI CAPISTRANO j �y /) / A CONSULTANT 7 Nobel Systems h, City Manager 6 N ' BEL SYSTEMS October 11, 2002 Mr. Eric P. Bauman Public Works Department City of San Juan Capistrano 34000 Paseo Adelanto San Juan Capistrano, CA 92675 Subject: Proposal for consulting services Dear Mr. Bauman, •194 S. Del Rosa Dr., Ste. G San Bernardino, CA 92408 Phone: 909382-0160 Fax: 909382-0163 msamueloiobel eystems.com www.nobel systems.com Please find below our proposal to provide the City of San Juan Capistrano for consulting services per your request Consulting Services — Nobel Systems proposes to provide Srinivas Suryanarayanaiah to support the City's GIS efforts on-site for about 3 visits of about 8 hours during this fiscal year. Srinivas will visit the City at City's request, and it is requested that a week's advance notice be given. Cost: We will bill Srinivas' services at $120 per hour plus travel costs of $50 per day. Budget: $3,500. Best n '•� Michael Samuel President EXHIBIT "A" ' CER1r1w Ire OF LIABILITY IN NCE ACC?RL7® DATE IMM/DD YYYY) PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 07/15/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Farnan and Associates 1695 Mesa Verde Ave., Suite #130 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ventura, CA 93003 IUN ATE (MM/DD Y) (805)644-4546 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A'. Truck Insurance Exchange Nobel Systems, Inc. 1845 Business Dr., Suite #130 San Bernardino, CA 92408 (909)382-0160 INSURER B Farmers Insurance Exchange INSURER C. Mid -Century Insurance Exchange INSURERD: United States Liability Insurance 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NARLTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/ I IUN ATE (MM/DD Y) LIMITS A GENERAL LIABILITY 601708560 01/29/2005 01/29/2006 EACH OCCURRENCE $ 1,007050 COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR _ffA N O 100,000 PREMISES Ea ocwurence $ MED EXP (Any one person) $ 2,000,000 PERSONAL B ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 1,000,000 GENIE AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ POLICY PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO 141784295 11/10/2004 11/10/2005 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident) �/ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Par accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY N/A AUTO ONLY - EA ACCIDENT $ OTHER EA ACC $ ANY AUTO AUTO ONLVN AGG $ D EXCESSIUMBRELLA LIABILITY Proffesional Liability 11/10/2004 11/10/2005 EACH OCCURRENCE $ 1,000,000 ✓ OCCUR CLAIMS MADE CE001003538 AGGREGATE $ 1,000,000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS• LIABILITY A09228014 04/26/2005 04/26/2006 7/ TWO LIMITS ER E L EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NO If yes, describe under EL DISEASEEAEMPLOYEE $ 000,000 EL.DISEASE - POLICY LIMIT $ 1,000,000 SPECIALLPROVISIONS below B OTHER Special form including theft. Bpp limits @ Business Personal Property $100,600. $250 We applies.... Policy # 60170-85-60, 1 deducta Certificate holder is named as additional insured. TE City of San Juan Capistrano Attn: Maria Guevara 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TN!E)ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN I HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 FAX www.sanjuancapistrano.org April 5, 2005 RIO AAOAATEI ' EST AILISAEA 1961 1776 Nobel Systems Attn: Michael Samuel, President 194 S. Del Rosa Drive, Ste G San Bernardino, CA 92408 • MEMBERS OF THE CITY COUNCIL SAM ALLEVATO DIANE BATHGATE MATT HART JOE SOTO DAVIO M. SWERDUN RE: Compliance with Insurance Requirements — GIS System Support The following insurance document is due to expire: ✓ Workers Compensation Certificate 0426/2005 Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expirqop date. I tyogflave any questions, please contact me at (949) 443-6309. Secretary cc: Michelle Perea, Administrative Assistant Eric Bauman, Water Engineer Manager San Juan Capistrano: Preserving the Past to Enhance the Future CO pnntod on reo, Uee pacer 4 lot CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Water Engineering Manager FROM: Mitzi Ortiz, Deputy City Clerk DATE: December 1, 2004 SITUATION: On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. On June 8, 2004, agreement extended (180) days or by December 21, 2004. Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: "'FOR CITY CLERK'S DEPARTMENT USE ONLY"' Tickler Date: 06/10/03 12/01/03 06/01/04 12/01/04 Deadline Date: 06/30/03 12/27/03 06124/04 12121/04 cc: Department Head (600.30/nobel) %011 I %'L=rNr% J M=r,^r% I IYIGIY I - N l' I IVIY RCIYI/IY TO: Eric Bauman, Water Engineering Manager FROM: Mitzi Ortiz, Deputy City Clerk DATE: June 1, 2004 SITUATION: Cca JUN II - 20042004 Jf P1 'JG VAiRHs On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. On June 16, 2003, agreement extended (180) days or by December 27, 2003. On December 4, 2004, agreement extended (180) days or by June 24, 2004. Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: Cx -le /7c/ l�U q�jl DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: c� DATE SIGNED: O/f�pg�G Y Tickler Date: 06/10/03 Deadline Date: 06/30/03 cc: Department Head (600.30/nobel) ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** 12/01/03 06/01/04 12/27/03 06/24/04 J'Y DATE IMM 00 YY) (�y���,�rr��yi�y'GAYR�A�NEA���� AC YrME,R�� 11/12/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546 A Truck Insurance Exchange INSURED COMPANY Nobel Systems, Inc. B Farmers Insurance Exchange COMPANY 1845 Business Center Dr.,Ste. 130 C Mid-Century Insurance Exchange San Bernadino, CA 92408 COMPANY 909-382-0160 D United States Liabilit Insurance 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 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. LTR TYPE OF INSURANCE FOLICY NUMBER POIJCY IrFFECTIVE DATEDAMIDDNIT POLICYE%MMTM DATE PAM XVM MIIITS 431INERAL LMBLSTY BODILY BNJURY DOC $1000000 COMPREHENSIVE FORM X BODILY INJURY AGG 5 2 0 0 0 0 0 0 X PREMSES/OPERATIONS PROPERTY DAMAGE OCC $1000000 UNDERGROUND EXPLOSION& COLLAPSE HAZARD PROPERTY DAMAGE AGO $ 2 0 0 0 0 0 0 BI 6 PD COMBINED OCC $ A X PRODUCT$AWMPLETED OPER CONTRACTUAL 601108560 01/29/04 01/29/05 a&PDcGMSNEDAGG s PERSONAL INJURY AGG $ WDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE Med Pay 5,000 PERSONAL IWURY AUTOMONLE UABILNY BODLYNJURY $ X ANY AUTO (P°'PAen) IURY X ALL OWNED AUTOS qn ePae) X. ALLOWNEDAUTOS (P.ODILY ) $ (Other than Pnwte Paee w) B X HIREDAUTOS 141784295 11/10/04 11/10/05 PROPERTY DAMAGE $ X NONAWNEDAUTOS BODILY R11URY A GARAGE LIABILITY PROPERTY COMBINED DAMAGE $1,000,000 EACEM LIABILITY EACH OCCURRENCE $1,000,000 D UMBRELLA FORM Professional Liab. 11/10/04 11/10/05 AGGREGATE $1,000,000 X OTHER THANUMBRELLAFORM CE001003538 $ Y'OCONPBIBATIOtI AND TOTYTLMTS ER EL EACH ACCAeNr $1000000 EMP !PROPRIETOR/ B THE TOR/TNE �. A09228014 04/26/04 04/26/05 EL DISEASE -POLICY LIMIT $1000000 PARTNE OFFICERS ARE: X EXCL EL DISEASE - EA EMPLOYEE $1000000 CHER Business Personal Property Policy #60170-85-60, Special form including theft. BPP Limit @ $100,600. $250 deductable applies. B DESCRIPTION OF OPEIAAONBILOCATNLIWENICLGBISPEOAL ITEMS Certificate holder is named as additional insured. �E)4p ryiN� l�fl 114!'$ F�dlYl Y#k II 4'V !_U? p ?I., 1 k F LiRle'Pd R''>l'ylA. ly 1 i 3�',As4{ fffi `j, 'L�IfV A�S�FIi IIQII .I�{I 154 Nrrl tgl€ vww,lrw i�l i`fi i1+< _ BNOULD ANY OF TME ABOVE DEBCRIE 1O 115 BE CANCELLED BEFOIIE TNG EXPIRATM DATE THEREOF, TIIE ISSUIM OpAPANY ANLL ENDEAVOR TO MAIL City of San Juan Capistrano 30DAYS wRrtTBI NDITLTe TO THE CERTNRJITE NOLoe1 NAMm TO TIE LEFT. Attn: City Clerk's Office BUT FALUM TO MAL tNNil NOTICE SHALL UPDOE ND pMJOA71011 W U AIIN ITY 32400 Paseo Adelanto OF ANY N UPC, TIIE COMINIY, Irs AOBITB ON MMLMTA SanJuanCapistrano, CA 92675 AREDR�M T n�^, r I,Te! ' x j4n .. M.,.., 1 4%% • 32400 PASEO ADtLANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493.1171 (949) 493-1053 FAx m4wsanyuancapivrano. olg November 4, 2004 Nobel Systems Attn: Michael Samuel, President 194 S. Del Rosa Drive, Ste G San Bernardino, CA 92408 �VAN* • F (r/J,py 10(FFPoFRfF [f1ABlIf9E0 1' 1161 1776 MEMBERS OF THE CITY COUNCIL RE: Compliance with Insurance Requirements — GIS System Support The following insurance document is due to expire: J Automobile Liability Certificate 11/10/2004 SAM ALLEVATO DIANE L. BATHDATE WYATT HART JOE SOTO DAVID M. SWERDLIN Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 3400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration date. you have any questions, please contact me at (949) 443-6309. Secretary cc: Michelle Perea, Administrative Assistant San Juan Capistrano: Preserving the Past to Enhance the Future 0 a CITY CLERK'S DEPARTMENT - ACTION REMINDER TO: Eric Bauman, Senior Engineer FROM: Maria Guevara, Secretary DATE: June 10, 2003 SITUATION: On December 17, 2002, the City of San Juan Capistrano entered into a Personal Services Agreement with Nobel Systems to provide GIS system support. ACTION REQUESTED: Said Agreement states services shall be completed by June 30, 2003. Please notify our office if agreement has been completed or will be extended. ACTION TO BE TAKEN: DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN: SIGNATURE OF OFFICIAL TAKING ACTION: DATE SIGNED: ***FOR CITY CLERK'S DEPARTMENT USE ONLY*** Tickler Date: 06/10/03 Deadline Date: 06/30/03 cc: Department Head (6oa 30,1nobel) PPnM ' TNqI IPi:INCF*C;PPUICFS ANIL FAX NO. :8056449433 M41MW2 2004 04:52PM P2 "Su TM CERTIFICATE IS ISBUEP AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4CEICA'C1 "OLDER. TM CERTIFICATE DOES NOT AMEND, EXTEND OR COVERAGE Farnan & Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.C. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 cooANY 805-614-4546 Truck Insurance Exchange NBUINED Nobel Systems, Tric. Farmers Insurance Evchanqe 1845 Business Center Dr., #130 C Mid -Century Insurance Evchange San Bernadino, CA 92408 COWANY 2-0160 United States LiabilW 7-� ,,,kn %h, THIS 13 TO CERTIFY THAT THE POLICIES 01: INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERM INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE SS1JEI.) 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 "ITpummm I Mrs P"Mm" U1111ITS SOOPLYINAW= 11000000 X COMPREHENSIVE FORM EDGILY IKIURY AGO 12000000 -X PREWwsT FnAnoIqs EXPLOSION A COLLAPSE HAZARD �AIDWAOEC;C %3.000000 PROPERTY PAWkG0 AGO %2000000 A x PPooucTSE:vwPLEYEnoPE,;t SIAPOCO~OOCC % CONTRACTUAL 601708560 01/29/04 01/29/05 w&PDcoI 8 NOISIMM)FkY CONTRACTMi; MRSONALINARYAGO I BROAD FORM PROPERTY WoOf Med Pay 5"000 PFRAONAL AIJURY AUTOMOBILE X LIABILITY ANY AUTO NOMY *UUNY LPW Xx X AIL OWNED ADIOS (Pl�N—) ALL OWNED AUTOS (Orw (M P'� BODILY *4JUPY (PW ... W") S B X HIRIIDAU7� 141'Y@4295 11110/03 11110104 X X VDN9WWEO AUTOS PROPERTY DAMAGE 5 GARAGE UAKITY SOGILY I"" A PROPERTY DAMAGE COMBINED OXGUS L INLITY —1,000,000 fACHOCCURRENCE 000 000 D UMMELLAFORM Professional Liab. 11/10/03 11/10/04 AGGREGATE -Li-, 11-10-00,-000 X OTHER THM LOWELI.AFORA CE001003538 3 WOMI1111111100T06IAATMAW 1IMPLIN10101V LIMI&M --UORV LMT% P FLSK"ACLIOIENT 92 $1000000 F3 j THE PROPPwTO0v RLL OFFICERS ARE X IXCL A09228014 04/26/03 04/26/05 EL DRSEASE POLICY LIMIT $1000000 EL OISEA&E EA EMPLOYEE 91000000 OTHER Certificate holdor is named as additional insured. �11 EN 777-Ti14:: TT -77 _7 MORD UM A10 THE A111OVII! IMSCIVINIS) MULES W CAIKIILLED BEFORE TIM A"'O' City of San Juan Capistrano 231nurldl . TTM IYMIIO cOMEANT WK.I. 1101011AMOR Tb MNL attention City Cli-rck's office 30 NOIEi TO TTM cawnFrATI NOlDB11 "ARM TO THE UwT. 32400 Paseo AdelantO, VEIT MIAMWI!= NWA -L wo" NO OIRLINIATIO111 OR LIMINLITY San Juan Capistrano, CA 92675 OF ITS AaNNVB CIE 11011'"10110MATIMINI. (949)443-6:109 I. "Vlj ".1w, yyIll 10'soppawwwwN FROM :INSURANCE*SERVICES • FAX NO. :8056449433 1695 Mesa Verde Ave., Sults 130, Ventura, California 93003 6054444546 FAX 805-644 9433 farnan@,pacbell.net F0 -TAIA, To fyi�tif j�"- 0 12 2004 04:51PM PS Few ejc Fnu i Y� `�/3l 53 .asm a - F1sNu o.d, 3 -/d ox/ ai J11, r2z( cc' a commomre 01k'6fAlc- it4 32400 PASEO AOELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493.1053 FAX www.sanjuancapistrano.org March 2, 2004 Nobel Systems Attn: Michael Samuel, President 194 S. Del Rosa Drive, Ste G San Bernardino, CA 92408 \0 6� I] MEMBERS OF THE CITY COUNCIL CITY MANAGER RE: Compliance with Insurance Requirements — GIS System Support The following insurance document is due to expire: ✓ Workers Compensation Certificate 0426/2004 DIANE L. BATHGATE JOHN S. GELFF MATT HART JOE SOTO DAVID M. SWERDLIN DAVEADAMS Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 324,09 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above e"tio lat,pj.You have any questions, please contact me at (949) 443-6309. cc: Michelle Perea, Administrative Assistant Eric Bauman, Water Engineer Manager San Juan Capistrano: Preserving the Past to Enhance the Future ti R BEL SYSTEMS October 24, 2003 Meg Monahan City Clerk City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 184'6 BUSINESS CENTER DR., STE, 130 SAN BERNARDINO, CA 92408 PHONE: 9096904611 FAX: 9096905612 MSAMUELBNOBEL 4STSTEMS.COM WW W.NOBEL9TSTEMS.COM I am attaching the updated certificate of insurance as requested. Sincerely, Michael Samuel President DATE IM ) AS./O DTM � TY" if W bi 10/21/20/2003 PRODUCER THIS CERTIFICATE SUED AS A MATTER OF INFORMATION ' ONLY AND CONFE S NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 3935 RECEIVE COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546 A Truck Insurance Exchange IMIIM 1003 OCT 21 P 4: F2B""Y Nobel Systems, Inc. Farmers Insurance Evchan e COMPANY C Mid-Centur Insurance Evchan e p ?� Ci L "r�>„p 1845 Business Centeg4�88AA�iiP�Sft(, NO COMPANY San Bernadino, CA 924(j 909-382-0160 D United States Liabilit Insurance 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 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. ro LTR TE OPSU YP MRNCAE POLICY NUMBER POl SIFWEGTIYE DATE IMMMDIYYI POLIDYEXPMATIDN DATEIMMODIM LIMITS BIDIERA. LIAMLm BODILY INJURY OCC $1000000 X COMPREHENSIVE FORM BODILY INJURY AGO $2000000 X PREMISES/OPERATIONS PROPERTY DAMAGE OCC $1000000 UNDERGROUND EXPLOSION E COLLAPSE HAZARD PROPERTY DAMAGE AGG $ 2 0 0 0 O O O SIAPOCOMBINEDOOC $ A X PRODUCT comm.ETEo OPER CONTRACTUAL 601708560 01/29/03 01/29/04 BISPDCOMBINED AGG $ PERSONAL INJURY AGG $ INDEPENDENT COWRACTORS BROAD FORM PROPERTY DAMAGE Med Pa PERSONAL INJURY AUTOMOBILE UASIL" "LY INJURY $ X ANY AUTO (Par Osrsan) X ALL OWNED AUTOS Tr're Pass) BODILY INJURY BODILYINJU X ALL OWNED AUTOS (OIMr tMn Prim. Pas "r) $ B X HIRED AUTOS 141784295 11/10/03 11/10/04 X NON-0WNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY BODILY NLURY A PROPERTY COMBINED $1,000,000 EXCE88 LIAMIm EACH OCCURRENCE $1,000,000 D UMBRELLA FORM Professional Liab. 11/10/03 11/10/04 AGGREGATE $1, 000 000 X OTHER THAN UMBRELLA FORM CE001003536 $ Mgpl�AS WRpEN311TNN1 AND TORSdR�° 57 LIA&IJTY El EACH AOCIpENT $1000000 B THE PROPRIETOR/ INDL A09228014 09/26/03 04/26/04 ELgSEASE- POIX.WLIMrt $1000000 PARTNERSIEXECUTNE OFFICERS ARE X EXCL EL DISEASE - EA EMPLOYEE 1$1000000 DTHE" Business Personal Property Policy #6017 -85-60, Special form including theft. BPP Limit @ $100,600. $250 deductabi applies B DESCRIPTION OF OPEMTMN&LOCATIONSfflEH CLEWSPECUIL ITEMS Certificate holder is named as additional insured. '_Ir.r.I.Ph+ I w.VT��'Ikl�u�Ft4x:.,,., vwl.«�a�lrex+�I�.�f�;Il�uaellu.I='�`.�.�'�'+,�,�Exl�'�'�'I�'II �•.� _..,r.. _... ..vrurlr�a�lul4,',.�'�'�cn . .,..�. SHOULD ANY OF THE ABOVE DESCRIBED POLIOIES SE CANCELLED BFPDIIE THE EXPIRAT DATE THEREOF, THE ISSUIND COMPANY WILL ERMWIR TO AWL City of San Juan Capistrano 30 QAYBwm,TENNDTMTNECEIMN TENDLD NANWTOT UI!FT. 32400 Paseo Adelanto BUT FAtLIp1E TO M1AL atJal NoncE aNAu IMPOSE NO aauDATlax aR MABE.ITT' San Juan Capistrano, CA 92675 of ARr IOND UPON THE COMPANY, ITS AGENTS M REPRSSBfTAT . Attn: City Clerk's Office "�D(�p� U"SMAMIE u,",r.IPll.. ,. .. ..�.i,W4:G' I+�n n, i �y�--s-r'-rr r I �if !o Ii 17� Ir I M �n'� hrn ,.,,:I:r+- it A(.xORD"„ "T - �!1� II�i�'I I. III 'I'l 10/21/ 0031f 1,1:1.1 .' L,''.i N' ,, ,Gil..:. I�.,.v,.,f�,.�4TdTf MODUCRA lCATIE IS E ) AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTWIWLT'-c DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER THE COVERAGE AF;ORDED BM' THE: POLICIES BELOW. P.U. BOX 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546A Truck InsuraTlce Exchancle — - COMPANY Nobel. Systems, Inc,. B Farmers InsuT ance Evchan e , COMPANY 1845 Business Center Dr.,Ste. 130 C Mid-Century ',nsuram.e Evchanqe San Bernadino, CA 92408 COMPANY 909-3B2-0160 United State Liabzr-it i Insurance United _..D ,.'�'', i, ii-I IIT, WI THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA AED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RE'3PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HeI FIN 18 SUBJECT To ALL THE TERM$, EXCLUSIONS AND CONDITIONS Or SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "mmIMMIAANCe y POLICY MUIwM1 DAMEQ" m E-n IJNPTB QUISRAL LLABNTY I ODILY INJURY 011C 110 00 0 00 IDOILYMLIURYAIO 12000000 X L'OMPREHENBIVE FORM X PR ENSESIOPERATIONB PROPERTY OAMAQE ME: *1000000 IADPERTYDAMAGE AGO *2000000 UNDERGROUND EXPLOSION A COUAPDE HAZARD IIAPDCOMNNEDOCC,,. * A x PRODUCISIOPMWETE00PER ,_. II&POCOMBINEDAep_ 4 CONTRACTUAL 601708560 01/29/03 01/29/09 IeNSONN.wuf:r App S INDEPENDENT CONTRACTORS MROAD rorm PROPeRTY DMMOE `led Pay_ _5 000 _ PERSONAL INJURY ALRV*gMLM WNUTY "DOILY INJURY ANYAWO X ALLOWNEDAUTOSJRWWF.. IODA.Y INJURY X AL AUTOS per*¢IMM) B X'HIREDApr03 (Ol xMAS Pfl O PH,~) 141784295 11/10/03 11/10/04 �IROPexrroAMlmE 1 X NOlu.owNEG wTO1 — _ _ GARAGE UMNLITY I OdLY NJURY A INrnApE 110,0901000 TPcew6lMwXITY !ACNffiGINREfICE S1,000,000 DUMBHE"PORM Professional Liab. 11/10/03 11/10/04 %oo ATE �� *1,000 000 HX OTHERTHANUMBREUJIFORM CE001003538 Wowl"10~111EIATIGNANO I',Ij p�xaarwLwum ����II'T 14DE.gElrr 1000000 B =NREQPNIPraw INCL A09228014 04/26/03 04/26/04 L PGI LIM 100_0000 PANTNERSA'XEDUTIVE OFFCV"ARE' X EXCL [L -EAI!MPLOTEE 1.000000 DTR■N Business P raonal Property Policy #6017 -85-60,DeiE�1, _ �Drm eluding theft_ NPP Limit 0 $100,600_ 5250 eductabl applies_ 1;9 m z IV 0 DBBCIOPrIpN Or wlMTIDxBAODATxNW VN11CliNNM:MI ITNMw Certificate holder is named as additional insured_ ........ MIOWM ANY w Tl6 AmD Dew xMED POW:INN BB CANCwum BBIOAN TNN NXPNMTION MT1 TMLI . THU MIGIM COMPANY MALL MUkAMOR TO /MIL City Of San Juan Capistrano 3.1)_DAor.T,.IND,IOem xacwT.�TIIxmMNAImTDTN.L.sT, 32400 Paseo Adelanto NR ARLU E TO MAIL BI*ul KORO NYAL IMIGmc No 0BLN3 nm OR Lkw m San Juan Capistrano, CA 92675 M ANY NNID MAON TRP eor ABY, " A wr* .w NePNcraTAlrNEs- Attn City Clerk's office ;�'],•TP� 4141��1fiV4�1'lllC<l khhhll l'11+!9t'1611:Ih rR11!I'hl .a:;.. 1, .`::.;.`'�►j ;' "I .' 1;,41Ktw`4d'luMart�p��o�puill Ed Wd80:b0 E00E TE '100 22b6bb9S08: 'ON XUd SADInNAS*3DNHanSNI: WONA 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) Avtvtv.sanjuancapis(rano. org 1�1 October, 2003 IAIIAI111111 • BunnlB 1 1961 1776 Nobel Systems Attn: Michael Samuel, President 194 S. Del Rosa Drive, Ste G San Bernardino, CA 92408 MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF MATT HART JOESOTO DAVID M. SWERDLIN INTERIM CITY MANAGER RE: Compliance with Insurance Requirements — GIS System Support The following insurance document is due to expire: ✓ Automobile Liability Certificate 11/10/03 \�� (� `X' o\v PAMELAGIBSON Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration date. If you have any questions, please contact me at (949) 443-6308. Sincerely, Uric Bauman, Water Engineer Manager Kathleen Springer, Management Analyst 1 San Juan Capistrano: Preserving the Past to Enhance the Future DATE(MMIDDIM ACORD CERTIFICATE$' LIABILITY INaUR/#W TM 04/28/2003. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546 A Truck Insurance Exchange INSURED /4 COMPANY Nobel Systems, Inc. v(15 �y/ B Farmers Insurance Evchan e COMPANY d'u�� U 1845 Business Dr. Suite 130 C Mid -Century Insurance Evchan e San Bernadino, CA 92408 COMPANY 909-382-0160 D United States Liabilit Insurance ii::7 .. 3:« -.: a� 5y "OK 1 nk 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 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. LTR TYPE M INSURANCE POLICY NUMBER LIMna GENERAL LAMLITY BODILY INJURY OCC $1000000 X COMPREHENSIVE FORM BODILY INJURY AGG $ 2 0 0 0 0 0 0 X PREMISES O ERATIONS PROPERTY DAMAGE OCC $1000000 UNDERGROUND EXPLOSION a COLLAPSE HPZARD PROPERTY DAI"E AGG $2000000 MaPDCOLBINEDOCC $ A X PRODUCTSCOMPLEfED OPER CCN7ACTUAL 601708560 01/29/03 01/29/04 Ma PDcoMMNEOAGG S PERSONAL INJURY AGO $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE Med Pay 5,000 PERSONAL INJURY AUTOMOBLE LABILITY BODILY WJlB2V $ X ANY Aero (Per PN,;aA) X ALL OWNED AUTOS(PrwIte Pass) BODILY INJURY X ALL OWNED AUTOS (Other than Pr a PiI.N.r) (Per ecc t) $ B X HIRED AUTOS 141784295 11/10/02 11/10/03 PROPERTY DAMAGE $ X NON -OWNED AUTOS GARAGE LUIBAITY BODILY INJURY a PROPERTY COMBINED DAMAGE 1,000,000 EXCESS LABILITY EACH OCCURRENCE $1,000,000 D UMBREUAFORM Professional Liab. 11/10/02 11/10/03 AGGREGATE $1,000,000 x OTHER THAN UMBRELLA FORM CE001003538 $ WORAERS COMPENSATION AND T LMTS ER $' 1:m'� l..!�>`;; EMPWYERI` LIAMJ7Y EL EACH ACCB Ni $1000000 B THE IETORJ INCL A09228019 09/26/02 09/26/09 EL DISEASE - POLICY LMT $1000000 NR PARTNERSIEXECUTIVE OFFICERS ARE: X EXCL EL DIS E -EA EM$B,pYEE $1000000 OTHER Business Personal Property Pol'cy #601.7 -85-61, pe 1 f r eluding theft. BPP Limit 0 $100,600. $250 eductabl applies ` s m B ncc) n� L rn DESCRIPTION OF ITEMS r- NZ Certificate holder is named as additional insured. A M n � v Z N O 33, vv I SHOULD ANY M THE ABOVE DESCRIBED POLICIEA BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IBWILL ENDEAVOR COMPANY WENDEAVOR TO /MIL City of San Juan Capistrano .30 OA"WMTT Wn=Mro C�TEHOLOMILUM MTNEL . 32400 Paseo Adelanto BUT FABlRIE M MAIL MICA NOTICE BALL HPOIE NO OBUOATION OR LIABILITY San Juan Capistrano, CA 92675 M ANY IGND UPON THE COMPANY, ITS AGENTS OR REPREBMTTATIVEB. Attn: City Clerk's Office AUT RED REPR rAr Fax. (949)993 1053,�h�_ 12✓r`,3"`ii','�,I rtik'A.."..s#2'sschF;s`I§.s,R,l ACORDCERTI■ ICA OF LIA 11NISUR AW, DATE (M YY) iLI 1 10/21// 2003 PRODUCER THIS CERTIFICATE XSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan 6 Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 RECEIVED COMPANY 805-644-4546 A Truck Insurance Exchange NauRED Nobel Systems, Z(�IXT 24 P 12- L,. O COMPANY B Farmers Insurance Evchan e COMPANY C Mid-CenturyInsurance Evchan e 1845 Business Cen&J>{rl'Da)e..'�1 30 '�§�"II �AN D United States Liab*l Insurance San Pernadino,SAa%j SS II 909-382-0160 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OP INSURANCE FOI.NY NUMBER POLICYEFFECTNE DNTE(MMIODIYYI POLICY EJIPIRATINI DATE (Mumoff ) LR$ITS OEMIRIIL UI UTY BCDEY NJURY OCC $1000000 X COMPREHENSNE FORM BODILY INJURY ADD $2000000 X PREMISESMPERATIONS PROPERTY DAMAGE OCC $1000000 UNDERGROUND COLLAPSE HAZARD PROPERTY DAMAGE AGO $2000000 BI d PD COMBINED COC $ A X PRODUCTSrDmPFTED OPER CONTRACTUAL 601708560 01/29/03 01/29/09 1 BIa PDoOMENED AGG $ INJURY AGO $ NDEPmDENT CONTRACTORSPERSONAL Med Pay 5,000 BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUrOMDBY.Eu X LJT+ MY AUTO BODILY NJURY OWPOB°"> $ , X X ALL OWNED AUTOS (Pr Pass) ALL OWNED AUTOS (Other Men Private Pesaenper) DDDILYINJURY (Per ecNCerS) $ PROPERTY DAMAGE $ B X X HIRED AUTOS NON -OWNED AUTOS 141784295 11/10/03 11/10/04 BODILY NJU2Y a GARAGE LNBRJTY PROPERTY COMBINED DAMAGE $1,000,000 EXCESSLMBILTY EACH OCCURRENCE $1,000,000 DUMBRELLA FORM Professional Liab. 11/10/03 11/10/04 AGGREGATE $1, 000, 000 X OTHER THANUMBREUAFORM CE001003538 $ WORKM COMRlMTM AND EL EACH ACCIDENT $1000000 STAFLOYEHY UABRJTY B THE PROPRIETOR/ NCL PARTNERS/EXECUTNE OFFICERS ARE: X E(CL A09228014 04/26/03 04/26/04 EL DISEASE - POU UNIT $1000000 I EL DISEASE - EA EMPLOYEE $1000000 OTHER Business Personal Property Pol'cy #6017)-85-e60, pecial form including theft. BPP Limit @ $100,600. $250 eductabl applis B DESCRIPTWII OF OFEMTIONaILOCATMNSAMH ala IAL R0I$ Certificate holder is named as additional insured. yN�rl {' Tq Ai 'I{M e 441F14QFl Ilei 11 fl4W^1 1 fl I Il $ YIYI� �N R TY�I ry1i a" Ilu i� ($ 1k 9R ,t cd5 i�.uT t' I11-1 {b" II�, ri SHOULD AMY OF THE ABOVE OERGtlSm FOLIC" BE CANCFl1m BEFORE THE EXPIRATION DATE THEREOF, THE ISIKMG DOMFANY WILL ENDEAVOR TO MRM. City of San Juan Capistrano 30 MY*WWn*N NDn=To TIE CMTPN;ATE HOLDER NAMED To THE LEFT. 32400 Paseo Adelanto BUT FA{AIE TO MAB. SUCH NOT WE S WOSE W DBLEATNIN OR LJABEITY San Juan Capistrano, CA 92675 OF ANY NND o THE OOMMNY, " AGEUTS oR REFRESWAWAM Attn: City Clerk's office AATR� �— i•a,ar"Y�u�i��'1:�?C��xa''��`I,t`7ri,L�liti 0 NOBEL SYSTEM S December 10, 2002 Michelle Perea City of San Ju pistrano 34000 P Adelanto S an Capistrano, CA 92675 �f j n 194 S. DEL ROSA DR., STE. G SAN BERNARDINO, CA 92408 PHONE: 909.382-0160 FAx: 909.382-0163 MSAMUEL@NOBEL-SYSTEMS.COM W W W.NOBELSYSTEMS.COM I am enclosing the original Insurance Certificate Sincerely n ' Michael Samuel President �-- ACIORD,„ CSPPRTi INSU DATE IMMNOW ICAlWP LIABILF .12/06/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546 A Truck Insurance Exchange IxwREO COMPANY Nobel Systems, Inc. B Farmers Insurance Evchan e COMPANY 194 S. Del Rosa Dr., Suite G C Mid -Century Insurance Evchan e San Bernadine, CA 92408 COMPANY 909-382-0160 D United States Liabilit Insurance THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTTHSTANDING 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. CO LTR TYPE of NISIARANCE POLICY NIRMFR POLICY EFFBDTNE DATEIMBMOOVVY) PO "PtRATION DAiE(1MVDDIYYI LIMITS LNBIEIAL LIABILITY BODILY INJURY DCC $1000000 COMPREHENSIVE FORM X BODILY INJURY AGO $ 2 0 0 0 0 0 0 X PREMISESIOPERATIONS PROPERTY DAMADE OCC $1000000 UNDERGROUND EXPLOSION a COLLAPSE HAZARD PROPERTYDAM&GEAGG 12000000 BISPD COMSBIED OCC 1 A x PRODwYs/COMPL.ETED OPER CONTRACTUAL 601708560 01/29/02 01/29/03 BI&MOOMBmPDAGG IS PERSONAL INJURY AGO S INDEPENDENT OONTRACTORS BROAD FORM PROPERTY DAMAGE ✓ Med Pay 5,000 PERSONAL INJURY AUTOMOBILE UM AU y ANYAUTO BODILY INJURY 1 @br Paraon) X X ALL OWNED AUTOS(PrtvAle Paas) ALL OWNED AUTOS (Other then PrivNe PosaenSAo BO ) 1 (Per,xcidam) X PROPERTY DAMAGE i B X X HIRED AUTOS NON-0WNED AUTOS 141784295 11/10/01 11/10/03 BODILY INJURY a PROPERTY CODAMAGE 11, 000 000 GARAGE LIABILITY ` / v EXCESS UABILRY EACH OCCURRENCE $1,000,000 DUMBRELLA FORM Professional Liab. 11/10/01 11/10/03 AGGREGATE $1,000,000 X OTHER THAN UMBRELLA FORM CE001003538 i 1 YIDANERS COMPENSATIDf1 AND BAPI.WERB' LUBILNTY S A - OTH- sI ;t t TORYLMTS ER _ EL EACH ACCIDENT 11000000 B THE PROPRIETOR/ ECL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL A09228014 04/26/02 04/26/03 EL DISEASE -POLICY LSAT 11000000 EL DISEASE - EA EMPLOYEE $1000000 --[Xl OTHER Business Personal Property Policy #6017)-85-60, Special form including theft. BPP Limit @ $100,600. $250 eductabl applies B I I I I i DESCRIPTION OF OPERATONSM1OCATONSNEHICLESASPECULL ITEMS Certificate holder is named as additional insured. SHOULD ANY OF THE ABOVE OESCRWED POLICIEi BE CANCELLED BEFORE THE City of San Juan Capistrano EXPIRATION DATE THEREOF, THE ISSUING AUL COMPANY WILL ENDEAVOR TO M 32400 Paseo Adelanto 3— GAYS WRITTEI NOTICE TO THE CE TVIICATE HOLDER NAMED TO THE LEFT. San Juan Capistrano, CA 92675 BUT FAILURE TO MAIL SUCII NOTICE SIMLL NMGBE NO GnJOATKN OR IJABILNY Attn: Michelle Perea OF ANY ICIPID UPON THE COMPANY, ITS AGENTS GR RATRBlETTATIVES. Fax #949-493-3955 "DTHOFF." REr'"ESE"F"" Coo . s.....s ... FASIERS INSURANCE GR(& Truck Insurance Exchange POLICY NUMBER: 60170-85-60 INSURED; Nobel Systems, Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A SCHEDULE Name of Person or Organization: City of San Juan Capistrano and its officials, agents and employees. (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, but only with respect to liability arising out of your work for that insured by or for you. PRIMARY INSURANCE: It is agreed that such insurance as is afforded by this policy for the benefit of the persons or organizations as listed above shall be primary Insurance as respects any claim, loss or liability arising directly or indirectly from the insured's operations, and any other insurance or self insurance maintained by such persons or organizations shall be non-contributory with the insurance provided hereunder. CG 20 10 11/85 Copyright, Insurance Services Offices, Inc. 1984 FROM INSURANCE*SERV I CES FAX NO. ++ 805644943�3L �y j� JIr�r r 28 2003 10: 27AM P1 aDNaTnTrrv..,� ..1 1 Ai,hd1 .'1-IW.'T�wfL1"t,�W,,,� I,�lll�i,.l MATTER ^m:<r,!.;rt�nmvz^�znrr' i 1. 1 ' I �ATE(MMIOdY1'1 ACOR671 ,'II 11 04/26/2003 xoo'F3SUI-D ASA OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE + - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan & Associates ALTER_ THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3935 COMPANIESAFFORDINGCOVERAGE Ventura, CA 93006 cawiwr 805-644-4546 A Truck Insurance Exchange MwR® Quenu Nobel, Systems, Inc. B Farmers Insurance Cvchan� � � T LvvANr 1845 Business Dr, Suite 130 San Bernadino, CA 92408 �_c Mid -Century Insurance Evchange._ CO1PA`1Y 909-382-0160 D United States Lia Insurance I u l THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BFI -N ISSUED " ,'t rp 1 n �� .. ..I TO THE INSURI'O NAMED h u 1 1i171 -:r.�1 p11 ��, ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY RCOUIREMENT, TERM OR CONOTTION OF ANY CONTRACT OR OTHER COCUMENT 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 CONDITION: OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED roucr vFecTIIRra MiE RArmvrl BY PAID CLAIMS cY rnFMenON DALE RIMANWO LIMD'e CO LTR TYPiSINRIRMMOE PDLICYIRIYEII 91000000 III MJURY AGO 12000000 X COMPREHENSIVE FORM X PREMISVWI RATIDN6 PROPERTY C M r DCC S1.000000 UNDERGROUND UNUR ION b COLLAPSE HIVIWO PROPERTY DAMAGE AOO i Z 0 D 0 U OO _ NbPD caAMm ED ace s A X PROpiCTBICOMPLETED OPE(, CONTRACTUAL 601708560 01/29/03 01/29/04 EMAPO coPe1RED ADD $ PERSONAL INJURY n[',a S- ---_ INOPPMWNT CONTRACTOR'S kiHOAO FORM PROPERTY [MMAOE Med Payr '-- `5♦ OOO ' PERSONAL INJURY IWTOPPCNL6 UARIUTT MYAUTO ._. DDDDY wImr G X X X ALL NPOAUTOG(Nr Pow) AIJI (OILIIeOr IM�n PMmin Pner^n0^�1 HODILY INJURY (Ps acclJem) S B X�HIREOAUTOF 191784295 11/10/02 11/10/03 X NON- ENURED eIlTOG fROPEAT pAMAaE $ OIVIAOE UPDRRY eOPR.Y MJURYb —_ .'a ro aE EACH OCCURRENCE _ 1,000,000 S1-, 000,000 ESCPJM LMRRRY ._` n UipRELLAFORM Pl.ofeSsla] Liab. 11/10/02 11/10/(13 _ MJ,JREoATE _ 31,000rOOO_ X OTHlRTHMlUMDREUAPEWA CF;00100353On8 y WO COMPDNMTMKMDTpRYTLNNTS nwLarRRr Luarrr _ - — r_LEJNaIACLTOENT 'f IfCfI J I_, f('. 4 - x1000000 13 THE PR IETOIV Incl PARTNeRS'ExECUTNE A09220014 04/26/02 04/26/G4 El. EASE-PDUCYLIMIT $1000000 _ -II NSEAGE-EA EMPLOYEE S1-000000 pedal form including OFPIOERD ARE. X r_XcL _ #6017 -BS -60, OTHOR Business Personal Property Pol'cy BPP Limit @ .5100,600. $2-1)0 eductabl applies_ ,,(theft_ Certificate holder is named as additional insured. City of Sari Juan Capistrano 32400 Paseo Ade-lanto San Juan Capistrano, CA 92615 Attn: City Clerk's Office ,Fax: t949)45i3-1053 ' """�uI�;PNovla ' I 1.^'''la ;6lillir.Pryl'Ih'+SII`I,I'h4�'k111;1119IDIII'Il'IiH9VhhVd9V.�1#!IIIIGN" ANOULD ANY OF TNF AAI GMUNED POUT Ni GANCELLRO BEFORE TNN MPIIDITMI MTi THIEREOP. 'INE INWWO COMPANY WILL 6N"AVOR TO AMIE, JUL— DAYR WIRnfl1 NOTrA To TN! OER iricli 6 NOLDet NAMEO TO TNe LSF, N RMUMI TO ATAR 1KI NOTICIE IMLL N VI NO OINURATION OR LAMILITV DE ANY KIND UPM( TTIR COMPANY. OR ASSME11 OM Rs*IMacNYATI eft 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) tviviv sanjuancapistrano, org April 18, 2003 Nobel Systems Attention: Mr. Michael Samuel 194 S. EI Rosa Drive, Suite G San Bernardino, CA 92408 0 MEMBERS OF THE CITY COUNCIL DIANE L BATHGATE JOHN S. GELFF MATT HART JOESOTO DAVID M. SWERDLIN CITY MANAGER GEORGE SCARBOROUGH RE: Compliance with Insurance Requirements - GIS System Support The following insurance documents are due to expire: V Workers Compensation Certificate 4/26/2003 Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration dates. If you have any questions, please contact me at (949) 443-6310. Sincerely, Daw�chand�� Deputy City Clerk cc: Kathleen Springer Eric Bauman OR- -30 n San Juan Capistrano: Preserving the Past to Enhance the Future •1���61RD.H CER"1`���+^'?F L#AiA�'i��EE�i� 1z"io6/ ooz PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farnan Sr Associates ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.D. Box 3935 COMPANIES AFFORDING COVERAGE Ventura, CA 93006 COMPANY 805-644-4546 A Truck Insurance Exchange INSURED COMPANY Nobel Systems, Inc. B Farmers Insurance Evchan e COWANY 194 S. Del Rosa Dr., Suite G C Mid -Century Insurance Evchan e San Bernadino, CA 92408 COMPANY 909-382-0160 D United States Liabi Insurance v -Lei=,- ., {., viz i xLTHIS 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 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. COTYPEWINICIRMCE LTR POLICY NUYEER POLICYEFFECTNE DATE (Namo YY) POLICYEXPIMTKKi DATE PULMOMY) UMRS GNNEIAL LIABBIrr BODILY INJURY OCC $1000000 N COMPREHENSIVE FORM BODILY INJURY AGG S 2 0 0 0 0 O O X PREMISES/OPERATIONS PROPERTY DAMAGE OCC $1000000 ND EXPPLLOSION 8 COLLAPSE R12ARD PROPERTY DAMAGE AGG f 2 0 0 0 D O O 818 PD COMBINED OCC $ A X PRODUCTS2CMALEfED OPER CONTRAOTUU 601708560 01/29/02 01/29/03 BIaPDCOMBINEDAGO $ PERSONALBNJURYAGG $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE Med Pay 5,000 PERSONAL INJURY AUTOMOBILE X LIABILITY ANY AUTO BODILY INJURY $ T. �) X X ALL OWNED AUTOS (Privet. Pass) ALL OWNED AUTOS (011ier than PrrvOe Pass q BODILY INJURY $ (Per accitlerrt) PROPERTY DAMAGE $ B X X HIRED AUTOS NON-OWNEDAUTOS 141784295 11/10/01 11/10/03 GARAGE LABILITY BODILY INJURY 8 PROPERTY COMBINED AGE $1,000,000 EXCEBB ANILITY EACH OCCURRENCE $1,000,000 DRUMBRELLA FORM Professional Liab. 11/10/01 11/10/03 AGGREGATE $l, 000, 000 OTHER THAN UMBRELLA FORM CEO01003538 $ wmam COMP��TNN NIU W STATU- O TORYLMTB ER EL EACH ACCIDENT $10000004 EMPLOYERS' LABILITY B THE PROPRIETOR/ INCL PARTNERSAEXECUTNE OFFICERS ARE: X EXCL A09228014 04/26/02 04/26/03 ELIISEASE-POLICYLIIT $1000000 ELDI E -EA ENFUOYEE $1000000 OTHER Business Personal Property Pot cy #6017 -85-60, pedral jpcluding B theft. BPP Limit @ $100,600. $250 eductabl applies C- m iTl c� n rn_ DESCNYTIOH OF OPRiuTloxsA.ocArlGNSevEIxcLEamPIB;uL+TeNBS - - O < (11 Certificate holder is named as additional insured. = N z - � .-A,' Lni u, �'��t J 5 tn5n v5 itLs �» f {1+' i �i {{. 'vl y ....... J .wl... , 3l.'•"i 8'Ni CiFk�'t�a' 3 'F 4w$�.xiu ��. — SHOULD ANY W THE ABOVE DESCRIEED POLIGHS BE CANCELLED BEFORE THE City of San Juan Capistrano EXINRATICIL DATE THEREOF, THE ISSUING COMPNNY WILL ENDFMVOR TO MNL 32400 Paseo Ade T a n t o 30 DwYS wmmTPn NoncE ro THE ceRTwrwTE NaLDeL NAM® To TNB LEFT, San Juan Capistrano, CA 92675 BUT FAILURE TO MNL BUNCH NONCE MAU SIPOSE NO wLB1ATIDN OR LIABILITY Attn: Michelle Perea OF AMY HND UPON THE COININANY, ITS AGENTS oR RI3RESENTwTNES. Fax 949-4 93 3955 AUTHORREP,RESETTNE ACG?RW:► , ,. ...:.., :;JR At hs�;,t19B14 .4 FAVIERS INSURANCE GRA Truck Insurance Exchange POLICY NUMBER: 60170-85-60 INSURED: Nobel Systems, Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A SCHEDULE Name of Person or Organization: City of San Juan Capistrano and its officials, agents and employees. (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, but only with respect to liability arising out of your work for that insured by or for you. PRIMARY INSURANCE: It is agreed that such insurance as is afforded by this policy for the benefit of the persons or organizations as listed above shall be primary Insurance as respects any claim, loss or liability arising directly or indirectly from the insured's operations, and any other insurance or self insurance maintained by such persons or organizations shall be non-contributory with the insurance provided hereunder. CG 20 10 11/85 Copyright, Insurance Services Offices, Inc. 1984 i 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949) 493-1171 (949) 493-1053 (FAX) lviv Iv. sanjuancapistrano. org December 17, 2002 /�� , IIIf1A111�0 uuuum 1961 1776 Nobel Systems 194 S. Del Rosa Drive, Ste G San Bernardino, CA 92408 Attention: Michael Samuel, President Dear Mr. Samuel: MEMBERS THE CITYCOUNCIL DIANE l BATHGATE GOL NE CAMPBELL JOHNS. GEUT WYAlT HART DAVID M. SWERDUN CITY MANAGER GEORGESCARBOROUGH Please find enclosed an original, fully executed, Personal Services Agreement related to providing GIS system support. We have on file current evidence of insurance and bonding as required by the agreement. Please keep in mind that this documentation must be maintained current with our office, or all work under this agreement must stop and all payments for services rendered will be withheld, until these documents are brought current. You may proceed with work under this agreement in coordination with the Project Manager, Eric Bauman, Water Engineer Manager (949) 487-4312, who can also assist you with any questions regarding the agreement. Yours truly, MegM an, CMC City erk cc: Eric Bauman, Water Engineer Manager Amy Amirani, Public Works Director San Juan Capistrano: Preserving the Past to Enhance the Future