HomeMy Public PortalAboutC-20-002 - Mobile Detail Dr., Inc., Bus Washing ServicesN
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I AGREEMENT FOR VEHICLE CLEANING SERVICES
') BETWEEN THE CITY OF CARSON AND
N MOBILE DETAIL DR., INC.
0
THIS AGREEMENT FOR CONTRACT SERVICES (herein "Agreement") is made and
entered into this 1St day of January, 2020 by and between the CITY OF CARSON, a California
municipal corporation ("City") and MOBILE DETAIL DR., INC., a California corporation
("Contractor"). City and Contractor are sometimes hereinafter individually referred to as "Party"
and hereinafter collectively referred to as the "Parties."
NOW, THEREFORE, the parties hereto agree as follows:
1. SERVICES OF CONTRACTOR
1.1 Scope of Services. In compliance with all of the terms and conditions of
this Agreement, the Contractor shall perform the work or services set forth in the "Scope of
Services" attached hereto as Exhibit "A" and incorporated herein by reference. Contractor
warrants that it has the experience and ability to perform all work and services required
hereunder and that it shall diligently perform such work and services in a professional and
satisfactory manner.
1.2 Comtuliance With Law. All work and services rendered hereunder shall be
provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the
City and any Federal, State or local governmental agency of competent jurisdiction.
1.3 Licenses, Permits, Fees and Assessments. Contractor shall obtain at its
sole cost and expense such licenses, permits, and approvals as may be required by law for the
performance of the services required by the Agreement.
1.4 Special Requirements. Additional terms and conditions of this Agreement,
if any, which are made a part hereof are set forth in the "Special Requirements" attached hereto
as Exhibit "B" and incorporated herein by this reference. In the event of a conflict between the
provisions of Exhibit "B" and any other provisions of this Agreement, the provisions of Exhibit
"B" shall govern.
2. COMPENSATION
2.1 Contract Sum. For the services rendered pursuant to this Agreement,
Contractor shall be compensated in accordance with the "Schedule of Compensation" attached
hereto as Exhibit "C" and incorporated herein by this reference, but not exceeding the maximum
contract amount of Five Thousand Dollars$S( 00.00) ("Contract Sum").
2.2 Invoices. Each month Contractor shall furnish to City an original invoice
for all work performed and expenses incurred during the preceding month in a form approved by
City's Director of Finance. By submitting an invoice for payment under this Agreement,
Contractor is certifying compliance with all provisions of the Agreement. The invoice shall detail
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charges for all necessary and actual expenses by the following categories: labor (by sub-
category), travel, materials, equipment, supplies, and subcontractor contracts. Subcontractor
charges shall also be detailed by such categories. Contractor shall not invoice City for any
duplicate services performed by more than one person.
City shall independently review each invoice submitted by the Contractor to determine
whether the work performed and expenses incurred are in compliance with the provisions of this
Agreement. Except as to any charges for work performed or expenses incurred by Contractor
which are disputed by City, City will use its best efforts to cause Contractor to be paid within
forty five (45) days of receipt of Contractor's correct and undisputed invoice; however,
Contractor acknowledges and agrees that due to City warrant run procedures, the City cannot
guarantee that payment will occur within this time period. In the event any charges or expenses
are disputed by City, the original invoice shall be returned by City to Contractor for correction
and resubmission. Review and payment by the City of any invoice provided by the Contractor
shall not constitute a waiver of any rights or remedies provided herein or any applicable law.
2.3 Additional Services. City shall have the right at any time during the
performance of the services, without invalidating this Agreement, to order extra work beyond
that specified in the Scope of Services or make changes by altering, adding to or deducting from
said work. No such extra work may be undertaken unless a written order is first given by the
Contract Officer to the Contractor, incorporating therein any adjustment in (i) the Contract Sum
for the actual cost of the extra work, and/or (ii) the time to perform this Agreement, which said
adjustments are subject to the written approval of the Contractor. Any increase in compensation
of up to ten percent (10%) of the Contract Sum but not exceeding a total contract amount of Five
Thousand Dollars ($5,000) or in the time to perform of up to ninety (90) days may be approved
by the Contract Officer. Any greater increases, taken either separately or cumulatively, must be
approved by the City Council. No claim for an increase in the Contract Sum or time for
performance shall be valid unless the procedures established in this Section are followed.
3. PERFORMANCE SCHEDULE
3.1 Time of Essence. Time is of the essence in the performance of this
Agreement.
3.2 Schedule of Performance. Contractor shall commence the services
pursuant to this Agreement upon receipt of a written notice to proceed and shall perform all
services within the time period(s) established in the "Schedule of Performance" attached hereto
as Exhibit "D" and incorporated herein by this reference. When requested by the Contractor,
extensions to the time period(s) specified in the Schedule of Performance may be approved in
writing by the Contract Officer but not exceeding thirty (30) days cumulatively.
3.3 Force Maieure. The time period(s) specified in the Schedule of
Performance for performance of the services rendered pursuant to this Agreement shall be
extended because of any delays due to unforeseeable causes beyond the control and without the
fault or negligence of the Contractor, including, but not restricted to, acts of God or of the public
enemy, unusually severe weather, fires, earthquakes, floods, epidemics, quarantine restrictions,
riots, strikes, freight embargoes, wars, litigation, and/or acts of any governmental agency,
including the City, if the Contractor shall within ten (10) days of the commencement of such
delay notify the Contract Officer in writing of the causes of the delay. The Contract Officer shall
01007.00011549063.4 -2-
ascertain the facts and the extent of delay, and extend the time for performing the services for the
period of the enforced delay when and if in the judgment of the Contract Officer such delay is
justified. The Contract Officer's determination shall be final and conclusive upon the parties to
this Agreement. In no event shall Contractor be entitled to recover damages against the City for
any delay in the performance of this Agreement, however caused, Contractor's sole remedy
being extension of the Agreement pursuant to this Section.
3.4 Term. Unless earlier terminated in accordance with Article 7 of this
Agreement, this Agreement shall continue in full force and effect until completion of the services
but not exceeding one (1) year from the date hereof, except as otherwise provided in the
Schedule of Performance (Exhibit "D").
4. COORDINATION OF WORK
4.1 Representative of Contractor. Andre Johnson, Chief Financial Officer,
is hereby designated as being the representative of Contractor authorized to act on its behalf with
respect to the work and services specified herein and make all decisions in connection therewith.
All personnel of Contractor and any authorized agents shall be under the exclusive direction of
the representative of Contractor. Contractor shall utilize only competent personnel to perform
services pursuant to this Agreement. Contractor shall make every reasonable effort to maintain
the stability and continuity of Contractor's staff and subcontractors, and shall keep City informed
of any changes.
4.2 Contract Officer. Jason Jo, Transportation Services Supervisor, or such
person as may be designated by the City Manager, is hereby designated as being the
representative the City authorized to act in its behalf with respect to the work and services
specified herein and to make all decisions in connection therewith ("Contract Officer").
4.3 Prohibition Against Subcontracting or Assignment. Contractor shall not
contract with any entity to perform in whole or in part the work or services required hereunder
without the express written approval of the City. Neither this Agreement nor any interest herein
may be assigned or transferred, voluntarily or by operation of law, without the prior written
approval of City. Any such prohibited assignment or transfer shall be void.
4.4 Independent Contractor. Neither the City nor any of its employees shall
have any control over the manner, mode or means by which Contractor, its agents or employees,
perform the services required herein, except as otherwise set forth. Contractor shall perform all
services required herein as an independent contractor of City with only such obligations as are
consistent with that role. Contractor shall not at any time or in any manner represent that it or
any of its agents or employees are agents or employees of City, or that it is a member of a joint
enterprise with City.
5. INSURANCE AND INDEMNIFICATION
5.1 Insurance Coverages. The Contractor shall procure and maintain, at its
sole cost and expense, in a form and content satisfactory to City, during the entire term of this
Agreement including any extension thereof, the following policies of insurance which shall
cover all elected and appointed officers, employees and agents of City:
01007.0001!544063.4 -3-
(a) Commercial General Liability Insurance (Occurrence Form
CG0001 orequivalent). A policy of comprehensive general liability insurance written on a per
occurrence basis for bodily injury, personal injury and property damage. The policy of insurance
shall be in an amount not less than $1,000,000.00 per occurrence or if a general aggregate limit is
used, either the general aggregate limit shall apply separately to this contract/location, or the
general aggregate limit shall be twice the occurrence limit.
(b) Worker's Compensation Insurance. A policy of worker's
compensation insurance in such amount as will fully comply with the laws of the State of
California and which shall indemnify, insure and provide legal defense for the Contractor against
any loss, claim or damage arising from any injuries or occupational diseases occurring to any
worker employed by or any persons retained by the Contractor in the course of carrying out the
work or services contemplated in this Agreement.
(c) Automotive Insurance (Form CA 0001 (Ed 1/87) including `any
auto" and endorsement CA 0025 orequivalent). A policy of comprehensive automobile liability
insurance written on a per occurrence for bodily injury and property damage in an amount not
less than either (i) bodily injury liability limits of $100,000.00 per person and $300,000.00 per
occurrence and property damage liability limits of $150,000.00 per occurrence or (ii) combined
single limit liability of $1,000,000.00. Said policy shall include coverage for owned, non -owned,
leased, hired cars, and any other automobile.
(d) Professional Liability. Professional liability insurance appropriate
to the Contractor's profession. This coverage may be written on a "claims made" basis, and must
include coverage for contractual liability. The professional liability insurance required by this
Agreement must be endorsed to be applicable to claims based upon, arising out of or related to
services performed under this Agreement. The insurance must be maintained for at least 5
consecutive years following the completion of Contractor's services or the termination of this
Agreement. During this additional 5 -year period, Contractor shall annually and upon request of
the City submit written evidence of this continuous coverage.
(e) Additional Insurance. Policies of such other insurance, as may be
required in the Special Requirements in Exhibit "B".
(f) Subcontractors. Contractor shall include all subcontractors as
insureds under its policies or shall furnish separate certificates and certified endorsements for
each subcontractor. All coverages for subcontractors shall be subject to all of the requirements
stated herein.
5.2 General Insurance Requirements.
All of the above policies of insurance shall be primary insurance and shall name the City,
its elected and appointed officers, employees and agents as additional insureds and any insurance
maintained by City or its officers, employees or agents may apply in excess of, and not
contribute with Contractor's insurance. The insurer is deemed hereof to waive all rights of
subrogation and contribution it may have against the City, its officers, employees and agents and
their respective insurers. The insurance policy must specify that where the primary insured does
not satisfy the self-insured retention, any additional insured may satisfy the self-insured
retention. All of said policies of insurance shall provide that said insurance may not be amended
01007.00011549063.4 -4-
or cancelled by the insurer or any party hereto without providing thirty (30) days prior written
notice by certified mail return receipt requested to the City. In the event any of said policies of
insurance are cancelled, the Contractor shall, prior to the cancellation date, submit new evidence
of insurance in conformance with Section 5 to the Contract Officer. No work or services under
this Agreement shall commence until the Contractor has provided the City with Certificates of
Insurance, additional insured endorsement forms or appropriate insurance binders evidencing the
above insurance coverages and said Certificates of Insurance or binders are approved by the
City. City reserves the right to inspect complete, certified copies of and endorsement to all
required insurance policies at any time. Any failure to comply with the reporting or other
provisions of the policies including breaches or warranties shall not affect coverage provided to
City.
The insurance required by this Agreement shall be satisfactory only if issued by
companies qualified to do business in California, rated "A" or better in the most recent edition of
Best Rating Guide, The Key Rating Guide or in the Federal Register, and only if they are of a
financial category Class VII or better, unless such requirements are waived by the City's Risk
Manager or other designee of the City due to unique circumstances.
5.3 Indemnification. To the full extent permitted by law, Contractor agrees to
indemnify, defend and hold harmless the City, its officers, employees and agents ("Indemnified
Parties") against, and will hold and save them and each of them harmless from, any and all
actions, either judicial, administrative, arbitration or regulatory claims, damages to persons or
property, losses, costs, penalties, obligations, errors, omissions or liabilities whether actual or
threatened (herein "claims or liabilities") that may be asserted or claimed by any person, firm or
entity arising out of or in connection with the negligent performance of the work, operations or
activities provided herein of Contractor, its officers, employees, agents, subcontractors, invitees,
or any individual or entity for which Contractor is legally liable ("indemnitors"), or arising from
Contractor's or indemnitors' reckless or willful misconduct, or arising from Contractor's or
indemnitors' negligent performance of or failure to perform any term, provision, covenant or
condition of this Agreement, except claims or liabilities occurring as a result of City's sole
negligence or willful acts or omissions. The indemnity obligation shall be binding on successors
and assigns of Contractor and shall survive termination of this Agreement.
6. RECORDS, REPORTS, AND RELEASE OF INFORMATION
6.1 Records. Contractor shall keep, and require subcontractors to keep, such
ledgers, books of accounts, invoices, vouchers, canceled checks, reports, studies or other
documents relating to the disbursements charged to City and services performed hereunder (the
"books and records"), as shall be necessary to perform the services required by this Agreement
and enable the Contract Officer to evaluate the performance of such services and shall keep such
records for a period of three years following completion of the services hereunder. The Contract
Officer shall have full and free access to such books and records at all times during normal
business hours of City, including the right to inspect, copy, audit and make records and
transcripts from such records.
6.2 Reports. Contractor shall periodically prepare and submit to the Contract
Officer such reports concerning the performance of the services required by this Agreement or as
the Contract Officer shall require.
01007.00011549053.4 -5-
6.3 Confidentiality and Release of Information.
(a) All information gained or work product produced by Contractor in
performance of this Agreement shall be considered confidential, unless such information is in the
public domain or already known to Contractor. Contractor shall not release or disclose any such
information or work product to persons or entities other than the City without prior written
authorization from the Contract Officer.
(b) Contractor shall not, without prior written authorization from the
Contract Officer or unless requested by the City Attorney, voluntarily provide documents,
declarations, letters of support, testimony at depositions, response to interrogatories or other
information concerning the work performed under this Agreement. Response to a subpoena or
court order shall not be considered "voluntary" provided Contractor gives the City notice of such
court order or subpoena.
(c) If Contractor provides any information or work product in
violation of this Agreement, then the City shall have the right to reimbursement and indemnity
from Contractor for any damages, costs and fees, including attorney's fees, caused by or incurred
as a result of Contractor's conduct.
(d) Contractor shall promptly notify the City should Contractor be
served with any summons, complaint, subpoena, notice of deposition, request for documents,
interrogatories, request for admissions or other discovery request, court order or subpoena from
any party regarding this Agreement and the work performed thereunder. The City retains the
right, but has no obligation, to represent Contractor or be present at any deposition, hearing or
similar proceeding. Contractor agrees to cooperate fully with the City and to provide the City
with the opportunity to review any response to discovery requests provided by Contractor.
6.4 Ownership of Documents. All studies, surveys, data, notes, computer
files, reports, records, drawings, specifications, maps, designs, photographs, documents and other
materials (the "documents and materials") prepared by Contractor in the performance of this
Agreement shall be the property of the City and shall be delivered to the City upon request of the
Contract Officer or upon the termination of this Agreement, and Contractor shall have no claim
for further employment or additional compensation as a result of the exercise by the City of its
full rights of ownership use, reuse, or assignment of the documents and materials hereunder.
Moreover, Contractor with respect to any documents and materials that may qualify as "works
made for hire" as defined in 17 U.S.C. § 101, such documents and materials are hereby deemed
"works made for hire" for the City.
7. ENFORCEMENT OF AGREEMENT AND TERMINATION
7.1 California Law. This Agreement shall be interpreted, construed and
governed both as to validity and to performance of the parties in accordance with the laws of the
State of California. Legal actions concerning any dispute, claim or matter arising out of or in
relation to this Agreement shall be instituted in the Superior Court of the County of Los Angeles,
State of California. In the event of litigation in a U.S. District Court, venue shall lie exclusively
in the Central District of California, in the County of Los Angeles, State of California.
01007.0001!549063.4 -6-
7.2 Disputes, Default. In the event that Contractor is in default under the terms
of this Agreement, the City shall not have any obligation or duty to continue compensating
Contractor for any work performed atter the date of default. Instead, the City may give notice to
Contractor of the default and the reasons for the default. The notice shall include the timeframe
in which Contractor may cure the default. This timeframe is presumptively thirty (30) days, but
may be extended, if circumstances warrant. During the period of time that Contractor is in
default, the City shall hold all invoices and shall, when the default is cured, proceed with
payment on the invoices. If Contractor does not cure the default, the City may take necessary
steps to terminate this Agreement under this Article.
7.3 Legal Action. In addition to any other rights or remedies, either party may
take legal action, in law or in equity, to cure, correct or remedy any default, to recover damages
for any default, to compel specific performance of this Agreement, to obtain declaratory or
injunctive relief, or to obtain any other remedy consistent with the purposes of this Agreement.
Notwithstanding any contrary provision herein, Contractor shall file a statutory claim pursuant to
Government Code Sections 905 et. seq. and 910 et. seq., in order to pursue any legal action under
this Agreement.
Except with respect to rights and remedies expressly declared to be exclusive in this
Agreement, the rights and remedies of the parties are cumulative and the exercise by either party
of one or more of such rights or remedies shall not preclude the exercise by it, at the same or
different times, of any other rights or remedies for the same default or any other default by the
other party.
7.4 Termination Prior to Expiration of Term. This Section shall govern any
termination of this Contract except as specifically provided in the following Section for
termination for cause. The City reserves the right to terminate this Contract at any time, with or
without cause, upon thirty (30) days' written notice to Contractor, except that where termination
is due to the fault of the Contractor, the period of notice may be such shorter time as may be
determined by the Contract Officer. In addition, the Contractor reserves the right to terminate
this Contract at any time, with or without cause, upon sixty (50) days' written notice to City,
except that where termination is due to the fault of the City, the period of notice may be such
shorter time as the Contractor may determine. Upon receipt of any notice of termination,
Contractor shall immediately cease all services hereunder except such as may be specifically
approved by the Contract Officer. Except where the Contractor has initiated termination, the
Contractor shall be entitled to compensation for all services rendered prior to the effective date
of the notice of termination and for any services authorized by the Contract Officer thereafter in
accordance with the Schedule of Compensation or such as may be approved by the Contract
Officer. In the event the Contractor has initiated termination, the Contractor shall be entitled to
compensation only for the reasonable value of the work product actually produced hereunder, but
not exceeding the compensation provided therefore in the Schedule of Compensation Exhibit
"C". In the event of termination without cause pursuant to this Section, the terminating party
need not provide the non -terminating party with the opportunity to cure pursuant to Section 7.2.
7.5 Termination for Default of Contractor. If termination is due to the failure
of the Contractor to fulfill its obligations under this Agreement, City may, after compliance with
the provisions of Section 7.2, take over the work and prosecute the same to completion by
contract or otherwise, and the Contractor shall be liable to the extent that the total cost for
01007.00011549063.4 -7-
completion of the services required hereunder exceeds the compensation herein stipulated
(provided that the City shall use reasonable efforts to mitigate such damages), and City may
withhold any payments to the Contractor for the purpose of set-off or partial payment of the
amounts owed the City as previously stated.
8. MISCELLANEOUS
8.1 Covenant Against Discrimination. Contractor covenants that, by and for
itself, its heirs, executors, assigns and all persons claiming under or through them, that there shall
be no discrimination against or segregation of, any person or group of persons on account of
race, color, creed, religion, sex, gender, sexual orientation, marital status, national origin,
ancestry, or other protected class in the performance of this Agreement. Contractor shall take
affirmative action to ensure that applicants are employed and that employees are treated during
employment without regard to their race, color, creed, religion, sex, gender, sexual orientation,
marital status, national origin, ancestry, or other protected class
8.2 Non -liability of City Officers and Employees. No officer or employee of
the City shall be personally liable to the Contractor, or any successor in interest, in the event of
any default or breach by the City or for any amount, which may become due to the Contractor or
to its successor, or for breach of any obligation of the terms of this Agreement.
8.3 Notice. Any notice, demand, request, document, consent, approval, or
communication either party desires or is required to give to the other party or any other person
shall be in writing and either served personally or sent by prepaid, first-class mail, in the case of
the City, to the City Manager and to the attention of the Contract Officer (with her/his name and
City title), City of Carson, 701 East Carson, Carson, California 90745 and in the case of the
Contractor, to the person(s) at the address designated on the execution page of this Agreement.
Either party may change its address by notifying the other party of the change of address in
writing. Notice shall be deemed communicated at the time personally delivered or in seventy-two
(72) hours from the time of mailing if mailed as provided in this Section.
8.4 Integration; Amendment. It is understood that there are no oral agreements
between the parties hereto affecting this Agreement and this Agreement supersedes and cancels
any and all previous negotiations, arrangements, agreements and understandings, if any, between
the parties, and none shall be used to interpret this Agreement. This Agreement may be amended
at any time by the mutual consent of the parties by an instrument in writing.
8.5 Severability. In the event that part of this Agreement shall be declared
invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such
invalidity or unenforceability shall not affect any of the remaining portions of this Agreement
which are hereby declared as severable and shall be interpreted to carry out the intent of the
parties hereunder unless the invalid provision is so material that its invalidity deprives either
party of the basic benefit of their bargain or renders this Agreement meaningless.
8.6 Waiver. No delay or omission in the exercise of any right or remedy by
non -defaulting party on any default shall impair such right or remedy or be construed as a
waiver. A party's consent to or approval of any act by the other party requiring the party's
consent or approval shall not be deemed to waive or render unnecessary the other party's consent
to or approval of any subsequent act. Any waiver by either party of any default must be in
01047.0001/549063.4 -8-
writing and shall not be a waiver of any other default concerning the same or any other provision
of this Agreement.
8.7 Attorneys' Fees. If either party to this Agreement is required to initiate or
defend or made a party to any action or proceeding in any way connected with this Agreement,
the prevailing party in such action or proceeding, in addition to any other relief which any be
granted, whether legal or equitable, shall be entitled to reasonable attorney's fees, whether or not
the matter proceeds to judgment.
8.8 Interpretation.
The terms of this Agreement shall be construed in accordance with the meaning of the
language used and shall not be construed for or against either party by reason of the authorship
of this Agreement or any other rule of construction which might otherwise apply.
8.9 Counterparts.
This Agreement may be executed in counterparts, each of which shall be deemed to be an
original, and such counterparts shall constitute one and the same instrument.
8.10 Warranty & Representation of Non -Collusion. No official, officer, or
employee of City has any financial interest, direct or indirect, in this Agreement, nor shall any
official, officer, or employee of City participate in any decision relating to this Agreement which
may affect his/her financial interest or the financial interest of any corporation, partnership, or
association in which (s)he is directly or indirectly interested, or in violation of any corporation,
partnership, or association in which (s)he is directly or indirectly interested, or in violation of any
State or municipal statute or regulation. The determination of "financial interest" shall be
consistent with State law and shall not include interests found to be "remote" or "noninterests"
pursuant to Government Code Sections 1091 or 1091.5. Contractor warrants and represents that
it has not paid or given, and will not pay or give, to any third party including, but not limited to,
any City official, officer, or employee, any money, consideration, or other thing of value as a
result or consequence of obtaining or being awarded any agreement. Contractor further warrants
and represents that (s)he/it has not engaged in any act(s), omission(s), or other conduct or
collusion that would result in the payment of any money, consideration, or other thing of value to
any third party including, but not limited to, any City official, officer, or employee, as a result of
consequence of obtaining or being awarded any agreement. Contractor is aware of and
understands that any such act(s), omission(s) or other conduct resulting in such payment of
money, consideration, or other thing of value will rende his Agreement void and of no force or
effect.
Contractor's Authorized Initials
8.11 Corporate Authority. The person a cut
ing this 6eement on behalf of
the parties hereto warrant that (i) such party is duly o nized and existing, (ii) they are duly
authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing
this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the
entering into this Agreement does not violate any provision of any other Agreement to which
said party is bound. This Agreement shall be binding upon the heirs, executors, administrators,
successors and assigns of the parties.
01007.000V549063A -9-
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dale
and year-fvs, abQ-ve written.
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IV
RF ,
ATTES
Donesia 'ause-Aldana, City Cleric
APPROVED AS TO FORM:
CITY:
CITY ARSON municip corporation
Sharon Landers, City Manager
ALESHIRE & WYNDER, LLP
Far' Sunny K. Soltani, City Attorney
[tc]C�e,� ja �, n (L •�o�a s' k0- C try *i 10(
CONTRACTOR:
MOBILE DETAIL DR. INC., a California
corporation
B
NW
n
Titl Offs r
By:
Ne
ttle: President
Address: 19512 Fariman Dr.
Carson, CA 90746
Two corporate officer signatures required when Contractor is a corporation, with one signature
required from each of the following groups: 1) Chairman of the Board, President or any Vice President; and
Z) Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONTRACTOR'S
SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE
INCLUDED AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR
OTHER RULES OR REGULATIONS APPLICABLE TO CONTRACTOR'S BUSINESS ENTITY.
01007.001/549063A -10-
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document.
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
�fb�,Q,LaS�Utz�
On Nov 2� 2019 before me, ^�"'� personally appeared , r\� re- , proved to me on
the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and
acknowledged to me that helshelthey executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the- State of California that the foregoing paragraph is
true and correct.
ARTMWIY 9I1:11MW VELASQUEZ
WITNESS my hand and official seal. Commission # 213M00
NoUry Public - Cdllornis D
Signature: Son Diego CCU"
my -Comm. Ea fres Dec 31, 2019
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE(S)
PARTNER(S) ❑ LIMITED
❑ GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
0!007.00011549063A
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document.
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
On WV 2() 2019 before me, A�n�w`1 ����`G pe o ally appeared L w eA C -ha rt proved to me on
the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
ANTHONY RICHARD VELASOUEZ
WITNESS my hand and official sea GM Commission # 2138000
Notary Public - California n
Signature: San Oil" Cow+ty
M Comm. Ea fres Dee 31, 2019
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form
CAPACITY CLAIMED BY SIGNER
❑
01007.0001I549063A
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
INDIVIDUAL
❑
CORPORATE OFFICER
TITLE(S)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
❑
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
❑
GUARDIAN/CONSERVATOR
❑
OTHER
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
01007.0001I549063A
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
EXHIBIT "A"
SCOPE OF SERVICES
I. Contractor will perform cleaning services on the City's buses in the manner
described below:
A. The City's buses with vehicles numbers 1502, 1503, 1507, and 1032 shall be the
designated vehicles ("Designated Vehicles") for service under this contract. Upon
written notice to the Contractor, the Contract Officer may revise the buses determined
to be Designated Vehicles.
B. The Contractor shall perform a thorough and detailed cleaning of the interior and
exterior of all Designated Vehicles, utilizing industry -accepted equipment, supplies
and methods.
C. Interior vehicle cleaning includes, but is not limited to, the following:
1. Wiping down all surfaces, including the dashboard, windows, mirrors, chair
arms, and overhead compartments;
2. Sweeping and mopping the floors;
3. Vacuuming and removing all stains from the seats on an as -requested basis;
4. Washing and disinfecting any on -board bathrooms;
5. Removing any stains on the vehicle panels; and
6. Deodorizing the entire vehicle.
D. Exterior vehicle cleaning includes, but is not limited to, the following:
1. Washing the entire vehicle, while ensuring the integrity of the paint;
2. Wiping down all mirrors, headlights, windshield, windows, taillights;
3. Polishing the tire rims; and
4. Drying off the entire vehicle.
E. Cleaning Location -- The Contractor shall provide services at 2400 E. Dominguez St.,
Carson, CA 90810 ("Cleaning Location"). The Cleaning Location may be altered by
the Contract Officer through written notice provided to the Contractor.
01007.00011549063.a A -i
F. Cleaning of vehicles numbered 1502, 1503, and 1507 shall take place on the 1St and
3`d Thursday of each month, weather permitting. Cleaning of the vehicle numbered
1032 will take place on the I" Thursday of each month, weather permitting.
Contractor and the Contract Officer will determine a mutually acceptable time to
complete the service. Should there be inclement weather in the forecast for a
scheduled wash day, or should a major holiday fall on a normally scheduled wash
day, Contractor and the Contract Officer shall reschedule a date and time to perform
the cleaning services. The schedule described above may be altered by the Contract
Officer through written notice provided to the Contractor.
G. Upon arrival at the Cleaning Location, Contractor shall meet with a City of Carson
Transportation Services Department ("TSD") staff member to gain access into the
Cleaning Site, and to receive the vehicle keys. Prior to commencing any cleaning
services, the TSD staff member and Contractor shall first complete a visual inspection
of each vehicle being services that day. inspection shall include a walk-through of the
entire vehicle, documenting any dents, scratches, stains, damage, etc. to the interior
and/or exterior prior to commencing work. if damage is discovered during the
inspection, the TSD staff member will take photographs to record the initial condition
of the vehicle.
H. All employees of the Contractor are required to wear an official, Contractor -approved
uniform with the Contractor's name clearly printed/embroidered on his/her clothing.
II. As part of the Services, Contractor will prepare and deliver the following tangible
work products to the City:
Not Applicable
III. In addition to the requirements of Section 6.2, during performance of the Services,
Contractor will keep the City updated of the status of performance by delivering the
following status reports:
A. A monthly status report detailing:
1. The date of each service provided.
2. The vehicle numbers of each vehicle which Contractor serviced during the
month.
3. Name(s) of the person(s) who cleaned each vehicle.
4. Description of the conditions of each vehicle at the start of each cleaning.
5. Description of the conditions of each vehicle at the end of each cleaning.
6. Detailed summary of the work that was completed.
01007.0001/549063.4
7. Cost for each service provided, including cost per vehicle.
8. Any issues during the duration of the cleaning.
IV. All work product is subject to review and acceptance by the City, and must be
revised by the Contractor without additional charge to the City until found
satisfactory and accepted by City.
V. Contractor will utilize the following personnel to accomplish the Services:
A. Andre Johnson, Chief Financial Officer
B. Qualified Contractor employees
01007.00011549063.4
EXHIBIT "B"
SPECIAL REQUIREMENTS
(Superseding Contract Boilerplate)
01007.00011549043.4 B-1
EXHIBIT `°C"
SCHEDULE OF COMPENSATION
I. Contractor shall perform the Services at a rate of $45 per vehicle per day.
II. A retention of ten percent (10%) shall be held from each payment as a contract
retention to be paid as a part of the final payment upon satisfactory completion of
services.
Not Applicable.
III. Within the budgeted amounts for each Task, and with the approval of the Contract
Officer, funds may be shifted from one Task sub budget to another so long as the
Contract Sum is not exceeded per Section 2.1, unless Additional Services are
approved per Section 2.3.
N. The City will compensate Contractor for the Services performed upon submission of
a valid invoice, in accordance with Section 2.2. Contractor shall utilize the City -
approved invoice for all billing of this service. In addition to what is required under
Section 2, Compensation, Subsection 2.2, the following information must be clearly
stated on the invoice:
1. The date of the each service performed.
2. The vehicle number for each vehicle serviced.
3. Name(s) of the person(s) who cleaned each vehicle.
4. Detailed summary of the work that was completed.
5. Cost of each service performed, including cost per vehicle.
Monthly Invoices shall be transmitted to the Contract Officer on the first day of each
month.
VI. The total compensation for the Services shall not exceed $5,000.00, as provided in
Section 2.1 of this Agreement.
C-1
01007.00011549063.4
EXHIBIT "D"
SCHEDULE OF PERFORMANCE
1. Contractor shall perform all Services timely in accordance with the following
schedule:
Vehicle Number
Monthly Service Days
Deadline for Service Completion
1502
First and Third Thursday
End of business day
or 5:00 PM
1503
First and Third Thursday
End of business day
or 5:00 PM
1507
First and Third Thursday
End of business day
or 5:00 PM
1032
First Thursday
End of business day
or 5:00„PM
*Schedule subject to change by the Contract Officer through written notice provided to
Contractor, or by mutual consent due to weather conditions.
H. Contractor shall deliver the following tangible work products to the City by the
following dates.
Not Applicable,
M. The Contract Officer may approve extensions for performance of the Services in
accordance with Section 3.2.
D-1
01007.0001/549063.4
ACORLJDATE (MWDDfYYYYI
CERTIFICATE OF LIABILITY INSURANCE 11/01/2019
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 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms 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
Carl Winston Jr.4
StateFarm 1451 W. Artesia #10
Gardena, CA 91]248
NAME. Cad Winston _
.310.808-9142 F Ne,310-808-9142 _
cad.Winston.t8j6®stalefarm.c4m
INSURERS AFFORDING COVERAGE NAIC r
INSURER A :State Farm Fire and Casualty Company 25143
_
INSURED LOWELL CHARLES
DBA MOBILE DETAIL
DOCTOR
'19518 FARIMAN DR
CARSON, CA 90746
INSURER :State Farm Mutual Automobile Insurance Company 25178
INSURER C :Stake Farm Fire and Casually Company 25143
INSURER 0:
INSURER E : _
1 INSURER F:
COVERAGES CERTIFICATE NUMBER-, ra EYMInu MINUISCo.
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
iNSRTR 110E R POLICY EFF POLICY EXP
TYPE OF INSURANCE POLICY NUMBER M IM LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE El OCCUR
Y
Y
92 -EZ -8734-2
0912012019
0912012020
EACH OCCURRENCE S 1.000,040
_
DAMAGE TOR NTED
PR MI S a S 300,000
MED EXP LAM one person S 5,000
PERSONAL & ADV INJURY S 1.000.0 ()0
GENT_ AGGREGATE LIMIT APPLIES PER
PRO. LOC
POLICY a JECT
OTHER
GENERAL AGGREGATE S 2.000,040
PRODUCTS S 2,1X10,000
S
B
AUTOMOBILE
X
LIABILITY Y
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIR£DAUTOS UTNONOSldJED
Y
608-7744-A26-75
601-1417-E20-75
07126!2019
0512012019
07126/2020G4MBaNED
0512012020
I LE LIM1r S 1,000,400
a aon rl
BODILY INJURY (Per person} 5
BODILY INJURY er aoadenl $
(P }
Per ERTYDAMAGE 5
s
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS-MADE
EACH OCCURRENCE S
AGGREGATE 5
DEC) I I RETENTIONS
S
C
WORKERSCOMPEHSATION
AND EMPLOYERS' LIABILnY Y 7 N
ANY PROPMETOMPARTNERtEXECUT1vEE
OFFICERIMEMBER EXCLUDED? N r A
(Mandatory In NH) i
11�Ies, tPTIOe UOF
DESCRIPTION n( OPERATIONS below
Y
92 -EZ -B734-2
0912012019
0912012020
R OTH-
STAT E ER
L EACH ACCIDENT ; 1,00.000
E.L DISEASE - EA EMPLOYEE S 1,000,000
E L DISkASE POLICY LIMIT S 1 000,000
DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be altaehed if mare space is required)
CITY OF CARSON, ITS ELECTED AND APPOINTED OFFICERS, EMPLOYEES AND AGENTSARE ADDITIONAL INSURED
CHARLES LOWELL WILL NOT BE PERFORMING WORK_
CERTIFICATE HOLDER CANCELLATION
CITY OF CARSON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
701 E. CARSON ST.
ACCORDANCE WITH THE POLICY PROVISIONS.
CARSON, CA. 90745
AUTHORIZE'b REP flV@
C %�88-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849 9 02-04-2014
Policy No. 92 -EZ -B734-2 0805-EA75 CMP -4786 1
Page 1 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
CMP4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR
CONTRACTORS (Scheduled)
This endorsement modifies insurance provided under the following -
BUSINESS OWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92 -EZ -8734-2
Named insured:
CHARLES, LOWELL
DBA MOBILE DETAIL DOCTOR
19518 FARIMAN DR
CARSON, CA 90746
Name And Address Of Additional Insured Person Or Organization:
CITY OF CARSON
701 E CARSON ST
CARSON, CA 90745
SECTION II — WHO IS AN INSURED of
SECTION II — LIABILITY is amended to in-
clude, as an additional insured, any person or
organization shown in the Schedule, but only
with respect to liability for "bodily injury',
"property damage', or "personal and adverbs-ing
injury' caused, in whole or in part, by:
a. Ongoing Operations
(1) Your acts or omissions, or
(2) The acts or omissions of those acting
on your behalf;
b. Products–Completed Operations
-Your work' performed for that additional
insured and included in the "products -
completed operations hazard'
However, Paragraph 1. above Is subject to the
following:
a The Insurance afforded to the additional
insured only applies to the extent permit-
ted by law.
t; If coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance provided to the
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such addition•
al insured, and
c If the contract or agreement between you
and the additional insured is governed by
California Civil Code Section 2782 or
2782.05, the insurance provided to the
additional insured is the lesser of that
which:
11) Is allowed for the satisfaction of a de-
fense or indemnity obligation by Cali-
fornia Civil Code Section 2782 or
2782.05 for your sole liability, or
i 2) You are required by contract or
agreement to provide for such addi-
tional insured
We have no duty to defend or indemnify
the additional insured under this endorsement
un-lil a claim or"suit" is tendered to us
Copyright State Farm Mutual Automobile Insurance Company. 2013
Includes copynghted material of Insurance services Otriee Inc. with ds permission
CONTINUED
2. Any Insurance provided to the additional in-
sured shall only apply with respect to a claim
made or a 'suit" brought for damages for
which you are provided coverage.
3. With respect to the insurance afforded to the
additional Insured, the following is added to
SECTION If — LIMITS OF INSURANCE:
If coverage provided to the additional insured
is required by contract or agreement, the most
we will pay on behalf of the additional Insured
will be the Lesser of the amount of insurance.-
a.
nsurance:a. Required by the contract or agreement; or
b. Available under the applicable Limits Of
Insurance shown in the Declarations.
This endorsement shall not increase the ap-
plicable Limits Of Insurance shown in
the Declarations.
4 With respect to the insurance afforded to the
additional insured, the following is added to
Paragraph 3. Duties In The Event Of
Occur-rence, Offense, Claim Or Suit of
SECTION II — GENERAL CONDITIONS -
The additional insured must:
a. See to it that we are notified as soon as
practicable of an "occurrence' or an of-
fense which may result in a claim. To the
extent possible, notice should include:
CMP -47116 1
Page 2 of 2
(3) The nature and location of any injury
or damage arising out of the "occur-
rence" or offense,
b. Tender the defense and indemnity of any
claim or 'suit" to us and to all other insur-
ers who may have insurance potentially
available to the additional insured. and
c Agree to make available any other
incur -ante the additional insured has
for de -tense or damages for which we
would provide coverage under SECTION
If —LIABILITY.
S. With respect to the insurance afforded the ad-
ditional insured, the following replaces SEC"
TION II --LIABILITY of Paragraph 7. Other
Insurance of SECTION I AND SECTION II —
COMMON POLICY CONDITIONS -
a. This insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured, provided
that the additional insured is a named in-
sured under such other insurance.
b. Regardless of any agreement between
you and the additional insured, this insur-
ance is excess over any other insurance
whether primary, excess, contingent or on
any other basis for which the additional in-
sured has been added as an additional in-
sured on other policies
(1) How, when and where the There will be no refund of premium in the event
"occurrence" or offense look place; this endorsement is cancelled.
(2) The names and addresses of any
In-jured persons and witnesses'. and All other policy provisions apply
PMP -47861 1007033 148011 08.21-2014
9 Copyright, State Farm Mutual Automobile Insurance Company 2013
Includes copynghted material of Insurance Services OR ca. Inc. Math its permission
Polis No. 92 -EZ -8734-2 0805-FA75 CMP 4787
Policy Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST
OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS OWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92 -EZ -8734-2
Named Insured:
CHARLES, LOWELL
DBA MOBILE DETAIL DOCTOR
19518 FARIMAN DR
CARSON, CA 90746-24
Name And Address Of Person Or Organization:
CITY OF CARSON
701 E CARSON ST.
CARSON, CA 90745
The following is added to Paragraph 10.b. of SECTION I AND SECTION fl — COMMON POLICY
CONDITIONS -
We waive any right of recovery we may have against the person or organization shown in the Schedule
because of payments we make for Injury or damage arising out of
a. Your ongoing operations; or
b. "Your work" done under contract with that person or organization and included in the
"products -completed operations hazard"
This waiver applies only to the person or organization shown in the Schedule
All other policy provisions apply
CMP -4787 Copyright. Slate Farm Mutual Automobile Insurance Company 2008 1006225 177715111-19.2013
Includes copyrighted material of Insurance Services Office. Inc. Nnth its penmssia.'+
POLICY NUMBER: 806-7744A28.75 COMMERCIALAWO
CA 2048 10 13
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endarsemont modifies Insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
YNth rasped to coverage provided by this endorsement, the provisions of the Coverage Form apply
unless modffied by
this endorsement.
Thb endorsement ldan#ftn persons] or organi:sltion(sj who am 'insureds" of Covered Autos Liability Coverage
under the Who Is An Insured provision provision of the Coverage Form. This andonement does not alter coverage
provided In the Coverage Form.
This
below. ardonement changes the policy effective on the inception date of** policy unless another date Is indicated
Named Insured; CITY Of CARSON 701 E. CARSON ST.
I
Endorsement Effective Data: 0712812019 CARSON,CA90745 I
SCHEDULE
Nam* Of Parson(s) Or Organiratfon(y):
Any Entity whera shrron on a coeuncea of insurance or to crhom the naw4d insured r obtigaxt! ry a vn-ran
'insurad contract' at sgreetnent to provide lnauranee; Hanover, dth Cavarage choll only apply x�i1 rasp:;i to
liability ariling out of operations parfann&d by or on baW of the R`amod fnsu:ad. Furlhar, this covoriga C^aC
nat egpty to damages erlsing out of the negllgente of 1he Additional Insured Entity.
-each ,won or orgardzation shoran In d,o Schedule Ic
an'Srtsurad" for Covered Autos Liability Coverage, but
cnly to the extent that penton cc organization qu2WTes
as an 'insured" under Ma Who Is An Insured
P
rovision cgnrairted In Paragraph AA. of Section if -
Covered Autos Lla6Blry Coverage In Lha Business
Auto and Motor Carriar Covsrsge Fcnns and
Paragraph 0.2. of Sec4'on l - Covcmd Autos
Coverages of ors Aula ashlers Coverego Form.
POLICY NUMBER 801.1417-M75 COMMERCIALAUTO
CA 40 48 4013
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies Insurance provided under the fallowing:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identities person(s) or organizatlon(s) who are "insureds" for Covered Autos Liability
Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not after
coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date Is
indicated below.
Named Insured: CITYCFCARSON 701 E. CARSON ST.
Endorsement Effective Dale: 05/2012019 CARSON, CA 90745
SCHEDULE
Mmo Off' irson(s) Or Or03nlzatlan(a):
Any Entry whew shown on a cartificate of Insurance or to whom The narrad Insured ii abIT92:"_ j Ly a v,alca
'Insured cenBacP or rsprawnent to provide Insurance; Hox:aver, this coverage shail only apply vnth res, -x:l tc
W411ity arising out of operallorts perfonned by or on beha:l of the r ,meal insured. Funher, Ih s sovar.ga :pa5
not eppty to damages arising out of the negligence ai the Addidon3l Insured Enllly.
Each person or organtzalion shovm in Ike Schedule Is
an insured' for Covered Autos llabllity Coverage, but
erdy to the ex!enl that perccn or crgenlzation gve6lics
as an insured" undor the Who Is An Insured
provislon cuniained in Peragrapli A.1. cl 3scticrt If —
Cove+ed Autos lizblilry Coverage In the 8uslness
Auto and Moor Carrier Coverago Forms and
P4mgrp1i D.Z. of Sest!on I — Covered Aures
Coverages of tha Auto Da31era Coverage Form.
ISO I Commercial Auto Forms
POLICY NUMBER: COMMERCIAL AUTO
601 1417-E20-75
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
WAVIER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply
unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided In the Coverage
Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Endorsement Effective: 0512012019 Countersigned By:
STATE FARM INSURANCE COMPANY
Named Insured: CHARLES LOWELL
DBA MOBILE DETAIL DOCTOR Authorized Representative)
Name of persons) or
CITY OF CARSON
701 E. CARSON ST.
CARSON, CA 90745
(If no entryappears above, information required to complete this endorsement will be shown in the
Declarations as applicable to the endorsement)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to
the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision
contained in Section II of the Coverage Form.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY
INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER
FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We
will not enforce our right against the person or organization named in the schedule. (This agreement
applies only to the extent that you perform work under a written contract that requires you to obtain
this agreement from us)
This agreement shall not operate directly or indirectly to benefit anyone not named in the schedule.
Schedule
POLICY NUMBER: 92 -EZ -8734-2
NAMED INSURED:
CHARLES LOWELL DBA MOBILE DETAIL
DOCTOR
NAME AND ADDRESS OF THE PERSON OR
ORGANIZATION:
CITY OF CARSON
701 E CARSON ST.
CARSON, CA 90745
This endorsement changes the policy to which It is attached and is effective on the date issued unless
otherwise staled.
(The information below is required only when this endorsement is issued subsequent to preparation of
the policy)
Endorsement Effective Policy No. 92 -EZ -13734-2 Endorsement No.
Insured: 448
CHARLES LOWELL OBA Countersigned by; _
MOBILE DETAIL DOCTOR
Effective Dale: 0912012019
Insurance company:
STATE FARM INSURANCE