HomeMy WebLinkAboutHowroyd Wright Employment Agency Inc dba Apple One; 2019-03-28;AGREEMENT FOR TEMPORARY STAFFING SERVICES
HOWROYD WRIGHT EMPLOYMENT AGENCY, INC., DBAAPPLE ONE
~ THIS ~REEMENT is made and entered into as of the ~ day of
~t-,Az~ , 2019, by and between the CITY OF CARLSBAD, a municipal
corporation, ("City''), and Howroyd Wright Employment Agency, Inc., dba Apple One
("Contractor").
RECITALS
A City requires the professional services of a temporary employment agency that is
experienced in temporary staffing.
8. Contractor has the necessary experience in providing professional services and
advice related to temporary staffing.
C. Contractor has submitted a proposal to City and has affirmed its willingness and
ability to perform such work.
NOW, THEREFORE, in consideration of these recitals and the mutual covenants
contained herein, City and Contractor agree as follows:
1. SCOPE OF WORK
City retains Contractor to perform, and Contractor agrees to render, those services (the
"Services") that are defined in attached Exhibit "A", which is incorporated by this reference in
accordance with this Agreement's terms and conditions.
2. STANDARD OF PERFORMANCE
While performing the Services, Contractor will exercise the reasonable professional care and skill
customarily exercised by reputable members of Contractor's profession practicing in the
Metropolitan Southern California Area, and will use reasonable diligence and best judgment while
exercising its professional skill and expertise.
3. ~
The term of this Agreement will be effective for a period of five (5) years from the date first above
written. The parties will prepare a written amendment indicating the effective date and length of
the extended Agreement.
4. TIME IS OF THE ESSENCE
Time is of the essence for each and every provision of this Agreement.
s. COMPENSATION
The total fee payable for the Services to be performed during the initial Agreement term will be in
an amount not to exceed ninety-five thousand dollars ($95,000) per Agreement year. No other
compensation for the Services will be allowed except for items covered by subsequent
amendments to this Agreement.
Incremental payments, if applicable, should be made as outlined in attached Exhibit "A".
6. STATUS OF CONTRACTOR
Contractor will perform the Services in Contractor's own way as an independent contractor and
in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be
under control of City only as to the result to be accomplished, but will consult with City as
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necessary. The persons used by Contractor to provide services under this Agreement will not be
considered employees of City for any purposes.
The payment made to Contractor pursuant to the Agreement will be the full and complete
compensation to which Contractor is entitled. City will not make any federal or state tax
withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be
required to pay any workers' compensation insurance or unemployment contributions on behalf
of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty
(30) days for any tax, retirement contribution, social security, overtime payment, unemployment
payment or workers' compensation payment which City may be required to make on behalf of
Contractor or any agent, employee, or subcontractor of Contractor for work done under this
Agreement. At the City's election, City may deduct the indemnification amount from any balance
owing to Contractor.
7. SUBCONTRACTING
Contractor will not subcontract any portion of the Services without prior written approval of City.
If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the
acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly
employed by the subcontractor, as Contractor is for the acts and omissions of persons directly
employed by Contractor. Nothing contained in this Agreement will create any contractual
relationship between any subcontractor of Contractor and City. Contractor will be responsible for
payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of
a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically
noted to the contrary in the subcontract and approved in writing by City.
8. OTHER CONTRACTORS
The City reserves the right to employ other Contractors in connection with the Services.
9. INPEMNIEICATION
Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees
and volunteers from and against all claims, damages, losses and expenses including attorneys'
fees arising out of the performance of the work described herein caused by any negligence,
recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or
indirectly employed by any of them or anyone for whose acts any of them may be liable.
The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or
makes to or on behalf of an injured employee under the City's self-administered workers'
compensation is included as a loss, expense or cost for the purposes of this section, and that this
section will survive the expiration or early termination of this Agreement.
10. INSURANCE
Contractor will obtain and maintain for the duration of the Agreement and any and all
amendments, insurance against claims for injuries to persons or damage to property which may
arise out of or in connection with performance of the services by Contractor or Contractor's
agents, representatives, employees or subcontractors. The insurance will be obtained from an
insurance carrier admitted and authorized to do business in the State of California. The insurance
carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus
line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating
in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by
the National Association of Insurance Commissioners (NAIC) latest quarterly listings report.
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10.1 Coverage and Limits.
Contractor will maintain the types of coverage and minimum limits indicated below, unless the
Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage
will not constitute any limitations or cap on Contractor's indemnification obligations under this
Agreement. City, its officers, agents and employees make no representation that the limits of the
insurance specified to be carried by Contractor pursuant to this Agreement are adequate to
protect Contractor. If Contractor believes that any required insurance coverage is inadequate,
Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at
Contractor's sole expense. The full limits available to the named insured shall also be available
and applicable to the City as an additional insured.
10.1.1 Commercial General Liability {CGL) Insurance. Insurance written on an
"occurrence" basis, including personal & advertising injury, with limits no less than $2,000,000 per
occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply
separately to this project/location or the general aggregate limit shall be twice the required
occurrence limit.
10.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work
for City). $2,000,000 combined single-limit per accident for bodily injury and property damage.
10.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as
required by the California Labor Code. Workers' Compensation will not be required if Contractor
has no employees and provides, to City's satisfaction, a declaration stating this.
10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor's
profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a
period of five years following the date of completion of the work.
10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under
this Agreement contain, or are endorsed to contain, the following provisions:
10.2.1 The City will be named as an additional insured on Commercial General Liability
which shall provide primary coverage to the City.
10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which
will be written as claims-made coverage.
10.2.3 This insurance will be in force during the life of the Agreement and any extensions
of it and will not be canceled without thirty (30) days prior written notice to City sent by certified
mail pursuant to the Notice provisions of this Agreement.
10.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this
Agreement, Contractor will furnish certificates of insurance and endorsements to City.
10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance
coverages, then City will have the option to declare Contractor in breach, or may purchase
replacement insurance or pay the premiums that are due on existing policies in order to maintain
the required coverages. Contractor is responsible for any payments made by City to obtain or
maintain insurance and City may collect these payments from Contractor or deduct the amount
paid from any sums due Contractor under this Agreement.
10.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete
and certified copies of any or all required insurance policies and endorsements.
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11. BUSINESS UCENSE
Contractor will obtain and maintain a City of Carlsbad Business License for the term of the
Agreement, as may be amended from time-to-time.
12. ACCOUNTING RECORDS
Contractor will maintain complete and accurate records with respect to costs incurred under this
Agreement. All records will be clearly identifiable. Contractor will allow a representative of City
during normal business hours to examine, audit, and make transcripts or copies of records and
any other documents created pursuant to this Agreement. Contractor will allow inspection of all
work, data, documents, proceedings, and activities related to the Agreement for a period of three
(3) years from the date of final payment under this Agreement.
13. OWNERSHIP OF OOCUMENTS
All work product produced by Contractor or its agents, employees, and subcontractors pursuant
to this Agreement is the property of City. In the event this Agreement is terminated, all work
product produced by Contractor or its agents, employees and subcontractors pursuant to this
Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy
of the work product for Contractor's records.
14. COpYRIGHTS
Contractor agrees that all copyrights that arise from the services will be vested in City and
Contractor relinquishes all claims to the copyrights in favor of City.
15. NOTICES
The name of the persons who are authorized to give written notice or to receive written notice on
behalf of City and on behalf of Contractor under this Agreement.
For City
Name Paul Ho
Title Senior Program Manager
Department Human Resources
City of Carlsbad
Address 1635 Faraday Avenue
Carlsbad, CA 92008
Phone No. 760-602-2442
For Contractor
Name Rick H. Hagmann
Title Vice President-Operations & Client Services
Address 16371 Beach Blvd. Suite 240
Huntington Beach, CA 92647
Phone No. 714-596-7780
Email govservices@appleone.com
Each party will notify the other immediately of any changes of address that would require any
notice or delivery to be directed to another address.
16. CONFUCT OF INTEREST
Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the
requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report
investments or interests in all categories.
YesD No ■
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17. GENERAL COMPLIANCE WITH LAWS
Contractor will keep fully informed of federal, state and local laws and ordinances and regulations
which in any manner affect those employed by Contractor, or in any way affect the performance
of the Services by Contractor. Contractor will at all times observe and comply with these laws,
ordinances, and regulations and will be responsible for the compliance of Contractor's services
with all applicable laws, ordinances and regulations.
Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986
and will comply with those requirements, including, but not limited to, verifying the eligibility for
employment of all agents, employees, subcontractors and consultants whose services are
required by this Agreement.
18. DISCRIMINATION AND HARASSMENT PROHIBITED
Contractor will comply with all applicable local, state and federal laws and regulations prohibiting
discrimination and harassment.
19. DISPUTE RESOLUTION
If a dispute should arise regarding the performance of the Services the following procedure will
be used to resolve any questions of fact or interpretation not otherwise settled by agreement
between the parties. Representatives of Contractor or City will reduce such questions, and their
respective views, to writing. A copy of such documented dispute will be forwarded to both parties
involved along with recommended methods of resolution, which would be of benefit to both
parties. The representative receiving the letter will reply to the letter along with a recommended
method of resolution within ten ( 10) business days. If the resolution thus obtained is unsatisfactory
to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The
City Manager will consider the facts and solutions recommended by each party and may then opt
to direct a solution to the problem. In such cases, the action of the City Manager will be binding
upon the parties involved, although nothing in this procedure will prohibit the parties from seeking
remedies available to them at law.
20. TERMINATION
In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may
terminate this Agreement for nonperformance by notifying Contractor by certified mail of the
termination. If City decides to abandon or indefinitely postpone the work or services contemplated
by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon
notification of termination, Contractor has five (5) business days to deliver any documents owned
by City and all work in progress to City address contained in this Agreement. City will make a
determination of fact based upon the work product delivered to City and of the percentage of work
that Contractor has performed which is usable and of worth to City in having the Agreement
completed. Based upon that finding City will determine the final payment of the Agreement.
Either party upon tendering thirty (30) days written notice to the other party may terminate this
Agreement. In this event and upon request of City, Contractor will assemble the work product and
put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work
performed to the termination date; however, the total will not exceed the lump sum fee payable
under this Agreement. City will make the final determination as to the portions of tasks completed
and the compensation to be made.
21. coyENANTS AGAINST CONTINGENT FEES
Contractor warrants that Contractor has not employed or retained any company or person, other
than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that
Contractor has not paid or agreed to pay any company or person, other than a bona fide
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employee, any fee, commIssIon, percentage, brokerage fee, gift, or any other consideration
contingent upon, or resulting from, the award or making of this Agreement. For breach or violation
of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion,
to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the
fee, commission, percentage, brokerage fees, gift, or contingent fee.
22. CLAIMS AND LAWSUITS
By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must
be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation
of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is
submitted to City, it may be considered fraud and Contractor may be subject to criminal
prosecution. Contractor acknowledges that California Government Code sections 12650 et seq.,
the False Claims Act applies to this Agreement and, provides for civil penalties where a person
knowingly submits a false claim to a public entity. These provisions include false claims made
with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of
information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to
recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a
false claim may subject Contractor to an administrative debarment proceeding as the result of
which Contractor may be prevented to act as a Contractor on any public work or improvement for
a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is
grounds for City to terminate this Agreement.
23. JURISDICTION AND VENUE
Any action at law or in equity brought by either of the parties for the purpose of enforcing a right
or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the
County of San Diego, State of California, and the parties waive all provisions of law providing for
a change of venue in these proceedings to any other county.
24. SUCCESSORS AND ASSIGNS
It is mutually understood and agreed that this Agreement will be binding upon City and Contractor
and their respective successors. Neither this Agreement nor any part of it nor any monies due or
to become due under it may be assigned by Contractor without the prior consent of City, which
shall not be unreasonably withheld.
25. ENTIRE AGREEMENT
This Agreement, together with any other written document referred to or contemplated by it, along
with the purchase order for this Agreement and its provisions, embody the entire Agreement and
understanding between the parties relating to the subject matter of it. In case of conflict, the terms
of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions
may be amended, modified, waived or discharged except in a writing signed by both parties.
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26. AUTHORITY
The individuals executing this Agreement and the instruments referenced in it on behalf of
Contractor each represent and warrant that they have the legal power, right and actual authority
to bind Contractor to the terms and conditions of this Agreement.
CONTRACTOR
By:
Michael Hoyal, Chief Financial Officer
By:
(sign here)
(print name/title)
CITY OF CARLSBAD, a municipal
corporation of the State of California
By:
ATTEST:
Jl .t-D~, ~ rA✓
BARBARA ENGLESON
City Clerk
If required by City, proper notarial acknowledgment of execution by contractor must be attached.
If a corporation, Agreement must be signed by one corporate officer from each of the following
two groups.
GroypA
Chairman,
President, or
Vice-President
Group a
Secretary,
Assistant Secretary,
CFO or Assistant Treasurer
Otherwise, the corporation must attach a resolution certified by the secretary or assistant
secretary under corporate seal empowering the officer(s) signing to bind the corporation.
APPROVED AS TO FORM:
CELIA A;;:;_R,?,,l'f Attorney
BY: _____ (!__, _____ _
Assistant City Attorney
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EXHIBIJ "A"
scopE PE SERVICES
Contractor will provide qualified Contract Workers on an "as needed basis." Contractor shall
respond to City's request for Contract Workers in a timely manner. City will specify the services
required, the shift hours, and the expected duration of the assignment. City will comply with
State and Federal Wage and Hour Law.
Contractor will provide City with the resume and social security number of qualified Contract
Worker prior to City agreeing to start the assignment. City will verify that Contract Worker is
not a CalPERS member prior to approving Contract Worker's assignment.
Contractor will notify City within 2 business days of the date that a Contract Worker reaches a
total of 900 hours (regular and overtime) worked for City in a fiscal year (July 1 -June 30). City
and Contractor will then determine the assignment end date so that a Contract Worker does
not work more than 1,000 hours while assigned to City in a fiscal year.
Contractor shall provide Contract Workers capable, experienced and able to work with limited
direct supervision. Contract Workers shall follow all City rules, including:
• No smoking in work area.
• Presenting positive identification on first day of assignment when reporting for duty.
• Interacting cordially with City personnel.
• Responding professionally to City supervisory personnel and customers.
• Parking in assigned locations.
• Following other City rules, policies and procedures as required.
Contractor agrees that City may enroll Contract Workers into the DOJ Livescan database so
that City is notified of any criminal or driving infractions that occur while Contract Workers are
assigned to City. City will unenroll Contract Workers from this database after Contract Workers
are no longer assigned to City.
Should the City decide the Contract Worker is not going to work out within the first four (4)
hours of their first shift, the City may call Contractor and Contractor will end the Contract
Worker's assignment and waive any billing for up to four hours.
Contractor shall not provide non-contracted temporary personnel without the proper approval
and changes from the City. The only services authorized are those services specifically
requested by City, and agreed to by the Parties. By providing the services, Contractor is
certifying the services provided are in accordance with this Agreement's terms and conditions.
City reserves the right to deny payment of any temporary personnel services not authorized
under this agreement.
For City staffing needs that require a temporary worker to drive either the temporary worker's
own vehicle or a City vehicle in the performance of the temporary worker's duties at the City,
Contractor shall ensure that these temporary worker( s) who are assigned to the City will have
and possess a valid California Driver's License. Additionally, Contractor agrees to enroll these
temporary workers in the State of California, Department of Motor Vehicles (OMV) Driver
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License Pull Notice ("Pull Notice") program that allows an employer to obtain the driving record
("Driving Record") in printout form of its temporary workers. At a minimum, Contractor shall
request the following information from the OMV Pull Notice for each temporary worker assigned
to the City: Status and Record (Processed by DU1 D number and subject's full name); Status
and Record (Processed by subject's full name and date of birth); Order of
Suspension/Revocation; and Certified Record.
Contractor shall provide City with Driving Record printout of each temporary worker assigned
to the City within 7 days of placement of said temporary worker at the City. Contractor shall
also provide to the City, within 3 business days of receipt, all OMV notices received by
Contractor related to any temporary worker assigned to the City.
The Contractor's insurance shall be primary with respect to the City, its officials, employees
and volunteers. Any insurance or self-insurance maintained by the City, its officials, employees
or volunteers shall be in excess of the Contractor's insurance and shall not contribute with it.
The Contractor's automobile insurance will be excess when a City vehicle is driven by
Contractor.
The resulting product of this solicitation shall be considered work made for hire. City, pursuant
to this Agreement will own all products/copyrights produced/made under this Agreement. In the
event that a deliverable does not automatically vest in the City, Contractor and Contract Worker
shall, without any additional compensation or payment due, execute any and all appropriate
documents to assign or otherwise transfer the copyright or other intellectual property rights to
City.
Contractor shall be responsible for notifying the City of fitness for duty status of Contract
Workers and for any other Department of Health notification requirements.
During the course of this Agreement, the City shall provide adequate work space for Contract
Worker and such other related facilities as may be required by Contract Worker to carry out its
obligation enumerated herein.
Invoices and Reports
Payment for services require a time card approved by City authorized personnel and must be
submitted in an all-inclusive hourly basis; invoice will specify number of hours actually worked
multiplied by agreed upon bill rate. City shall not be liable or responsible for any federal, state
or local taxes or withholdings for any Contract Worker used under this Agreement.
Contractor shall submit invoices no more frequently than weekly directly to designated
department. The City shall process the claim for prompt payment.
Contractor shall furnish the City (Human Resources Department) a monthly usage report ( due
by the fifteenth of the subsequent month) detailing ordering information for all Contract Workers
assigned to City that includes but is not limited to: Contract Workers' names, start dates, end
dates, departments, job titles, billing rates, pay rates and total number of hours (regular and
overtime) each Contract Worker worked within the current fiscal year (July 1 -June 30).
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Fees
Contract Worker's hourly pay rate will be negotiated on an individual basis prior to the start of
assignment; and will be based upon the Contract Worker's category hourly rate range and will
be dependent upon skill level and job requirements.
The following table depicts the pay rate and bill rate ranges by job category and the mark-up
percentages:
JOB CATEGORY
Administrative
e. . Finance, HR
Professional
(e.g. Engineering,
Plannin Le al
Technical
(e.g. Information
Technolo
Clerical
Direct Hire
PAY RATE
RANGE
15-$60
~. ', I I
BILL RATE
RANGE
',: I I
$31.90-$145.00
$20.30-$50. 75
MARK-UP%
45%
45%
45%
45%
OTHER
COSTS
.54 cent/hr. ACA
.54 cent/hr. ACA
.54 cent/hr. ACA
.54 cent/hr. ACA
City will pay a direct hire fee to Contractor as shown below:
Professionalrr echnical positions 20% of the candidate's full time annual salary
Administrative/Clerical positions 15% of the candidate's full time annual salary
Maintenance/Custodial positions 15% of the candidate's full time annual salary
5-50 Investment Guarantee:
o 30-Day Guarantee-Should the position be vacated due to termination or resignation
within 30 days, AppleOne will refill the position at no additional cost or provide a full
refund of the fee paid.
o 90-Day Guarantee-Should the position be vacated due to termination or resignation
between 31 and 90 days, AppleOne will refill the position at no additional cost or
provide a prorated refund (of the calendar days not employed).
o 5-Year Guarantee-Typically an additional $500 fee, AppleOne will refill the vacated
position and reduce the replacement fee by 50%. The 50% replacement fee
reduction on turnover/resignation is on the original investment, and promotion is on
the current position.
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TemporaryfTemp to Hire
The following Temp to Hire fee schedule will apply to staff working in a ProfessionalfTechnical
position.
/ BIiied
1 -240 Hours
241 -480 Hours
481 -719 Hours
720 + Hours
n---~/c.w..JanFN
20% of Full Time Annual Salary
15% of Full Time Annual Salary
10% of Full Time Annual Salary
no conversion fee
The following Temp to Hire fee schedule will apply to staff working in Administrative/Clerical
positions.
HouraC-. _. I BIiied D.--·/Convwslonfee
1 -240 Hours 15% of Full Time Annual Salary
241 -480 Hours 10% of Full Time Annual Salary
481 -719 Hours 5% of Full Time Annual Salary
720 + Hours no conversion fee
In a Temp-to-Hire Conversion situation, when determining the time spent working for City prior
to City hiring the Contract Worker, all time worked for City, including work in multiple job titles
and/or multiple City departments and including a break in work of less than 6 months counts
towards the total hours worked for City.
Payroll Accommodation -When an employee is referred by the City, Contractor will process
them the same way as any other candidate, however they are not subject a minimum hour
requirement and the conversion fee is waived regardless of number of hours worked.
Sick Pay
Contractor will comply with California State law regarding accruing paid sick days for all
qualifying assigned Contract Workers.
As Contract Workers assigned to City actually take accrued sick time off, Contractor will bill
City for the accrued sick time taken. Only accrued sick time earned at City will be billed (not
all sick time taken).
ACA
ACA Obligations. For purposes of the Affordable Care Act ("ACA"), Contractor will treat all
employees assigned to provide services for City as common-law employees of Contractor.
Contractor will comply with its obligations as the employer under the ACA, including without
limitation the obligation to make employer shared responsibility payments as required
thereunder (the "ACA Obligations").
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HOWRGEN-01 FDESK
AC~RD~ CERTIFICATE OF LIABILITY INSURANCE I DA TE (MIIIDD/YYYVI
'----' 3/21/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the <=&rtlflcate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the tenns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT NAME:
MG Skinner & Associates ritl8~tfo, Ext!: (310) 478-5041 FAX
11030 Santa Monica Blvd., Suite 207 (A/C, No):(310) 479-8707
Los Angeles, CA 90025 ~bs:
INSURER(S) AFFORDING COVERAGE NAIC#
. INSURER A :Zurich American Insurance Com~flY_ 16535
INSURED INSURER B : American Guarantee And Llablllty Insurance Company 26247 ___ ,
Howroyd Wright Employment Agency Inc., dba Apple One INSURER c ,Ac~American Ins Co 22667
P.O. Box 29048 INSURER 0:
Glendale, CA 91209 INSURERE:
, INSURERF:
COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOlWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VIIITH 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.
INSR TYPE OF INSURANCE ~-~~ POLICY NUMBER POLICYEFF POUCYEXP LIMITS ....
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000
CLAIMS-MADE [Kl OCCUR X PRA 9698691-06 4/1/2018 4/112019 DAMAGE TO RENTED 1,000,000 PREMISES (Ea ~l $
X General Liability MEO EXP [Any one penon) $ 10,000
PERSONAL & ADV INJURY $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE '$ 3,000,000
X POLICY □ ~AA DLoc
·--·r 3,000,000 PRODUCTS -COMP/OP AG!;tJ $
OTHER: s
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 [Ea ai;cident) ---,, __ s
X ANY AUTO PRA 9698691-06 4/1/2018 4/1/2019 BOOIL y INJURY {Per penonJ . s
0\1\NED SC~DULED AUTOS ONLY AUT S BODILY INJURY (Per accident). $
X ~IWWsoNLv X --~ar~~i~ Ft.?~~~~GE s
$
B X UM!IRl!LLA UAB X OCCUR EACH OCCURRENCE $ 10,000,000
EXCESSLIAB CLAIMS~E UMB 9467218-06 4/1/2018 4/1/2019 ...
AGGREGATE $ 10,000,000
X 0 -~ -...
DED RETENTION$ $
C WORKERS COMPENSATION X PER OTH-
AND EMPLOYl!RS-LIABILITY Y/N 4/1/2019 ~TATUTE • ER
ANY PROPRIETOR/PARTNER/EXECUTIVE [YJ WLRC64781212 4/1/2018 E.L. EACH ACCIDENT $ 1,000,000 ·!if~=~:wm EXCLUDED? y NIA
E.L. DISEASE • EA EMPLOYEE S 1,000,000
~rs"c~~ '<W~PERATIONS below E.l. DISEASE • POLICY LIMIT s 1,000,000
A Crime (3rd Party) PRA 9698691-06 4/1/2018 4/1/2019 Occurrence/Aggregate 3,000,000
A Prof. Llability/E&O PRA 9698691..06 4/1/2018 4/112019 Occurrence/Aggregate 3,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarlla Schad1Jle, may be attach ad If mON apace la required)
Job ID: 00950127
The City its officials, agent, & employees are named as additional Insured under General Liability. Additional limits required under Automobile Llablllty ($2MII)
will be covered under the Umbrella Policy. Notice of Cancellation under appllcable policies: 30 days/ 1 o days for non-payment of premium.
CERTIFICATE HOLDER
City of Carlsbad
Paul Ho-Sr Program Manager
1635 Faraday Avenue
Carlsbad, CA 92008
ACORD 25 (2016/03)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE TH THE POLICYJ'ROVISIONS.
POLICY NUMBER: PRA 9-6.986 91-06 COMMERCIAL GENERAL LIABILITY
CG20260704
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -DESIGN-ATED
PERSON OR ORGANIZATION
Thfs endorlemenl modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
··-----___ ,_, •· ~----·--·-
;~ _0f Additional 1"8U.'" PensonJ!l_Qr_O~am,~C!_~ _ "------;----____ _______ _ 1 ,·An.y person or mganizatlon who you are 19quired to add as an additional inaured on the policy under a
' written contract and such contract is exacutlld prior 1D 1088, shafl be an insured.
Section U -Who le An lneured is amended to in-
clude at an additional lnaured the peraon(a) or organ-
ization(■) shoWn In the Schedule, but only with re-
spect to HablDty for •bodily injury", "property damage"
or 'tperaonal and adveltialng injury" caused, in whole
or In part. by your acla or omissions or the ads. or
omissions of thoee acting o'n your behalf:
A. In the performance of your ongoing operations; or
a. In connaction with your pramlsaa owned by or
rented to you.
CG20260704 Cl ISO Properljes, Inc., 2004 Paae1ot1 a