HomeMy Public PortalAboutC-20-047 - Aon Corporation, Workers Compensation and GL Actuarial AnalysisDocuSign Envelope ID: 15E251 DD -401 D-4311-9B28-OFD4B3E94EFB
AGREEMENT FOR CONTRACT SERVICES
BETWEEN THE CITY OF CARSON AND
AON CORPORATION DBA AON RISK INSURANCE SERVICES WEST, INC.
THIS AGREEMENT FOR CONTRACT SERVICES (herein "Agreement") is made and
entered into this 1st day of May, 2020 by and between the CITY OF CARSON, a California
municipal corporation ("City") and AON CORPORATION DBA AON RISK INSURANCE
SERVICES WEST, INC., an Illinois corporation ("Consultant"). City and Consultant are
sometimes hereinafter individually referred to as "Party" and hereinafter collectively referred to
vas the "Parties."
NOW, THEREFORE, the parties hereto agree as follows:
1. SERVICES OF CONSULTANT
1.1 Scope of Services. In compliance with all of the terms and conditions of
this Agreement, the Consultant shall perform the work or services set forth in the "Scope of
Services" attached hereto as Exhibit "A" and incorporated herein by reference. Consultant
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 Compliance 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 -.Consultant 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,
Consultant 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 Fifteen Thousand Dollars ($15,000) ("Contract Sum").
2.2 Invoices. Each month Consultant 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,
Consultant is certifying compliance with all provisions of the Agreement. The invoice shall
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detail 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. Consultant shall not invoice City for any
duplicate services performed by more than one person.
City shall independently review each invoice submitted by the Consultant 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 Consultant
which are disputed by City, City will use its best efforts to cause Consultant to be paid within
forty five (45) days of receipt of Consultant's correct and undisputed invoice; however,
Consultant 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 Consultant for correction
and resubmission. Review and payment by the City of any invoice provided by the Consultant
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 Consultant, 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 Consultant. 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. Consultant 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 Consultant,
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 Majeure. 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 Consultant, 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 Consultant 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
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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 Consultant be entitled to recover damages against the City for
any delay in the performance of this Agreement, however caused, Consultant'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 Consultant. William Deeb, Director of Public Entities, is
hereby designated as being the representative of Consultant 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 Consultant and any authorized agents shall be under the exclusive direction of
the representative of Consultant. Consultant shall utilize only competent personnel to perform
services pursuant to this Agreement. Consultant shall make every reasonable effort to maintain
the stability and continuity of Consultant's staff and subcontractors, and shall keep City informed
of any changes.
4.2 Contract Officer. Roobik Galoosian, Senior Risk Management Analyst, 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. Consultant 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 Consultant. Neither the City nor any of its employees shall
have any control over the manner, mode or means by which Consultant, its agents or employees,
perform the services required herein, except as otherwise set forth. Consultant shall perform all
services required herein as an independent contractor of City with only such obligations as are
consistent with that role. Consultant 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 Consultant 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:
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(a) Commercial General Liability Insurance (Occurrence Form
CG0001 or equivalent). 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 Consultant 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 Consultant 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 or equivalent). 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 per person and $300,000 per
occurrence and property damage liability limits of $150,000 per occurrence or (ii) combined
single limit liability of $1,000,000. 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 Consultant'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 Consultant's services or the termination of this
Agreement. During this additional 5 -year period, Consultant 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. Consultant 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 Consultant'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
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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 Consultant shall, prior to the cancellation date, submit new evidence
of insurance in conformance with this Section 5.1 to the Contract Officer. No work or services
under this Agreement shall commence until the Consultant 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, Consultant 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 Consultant, its officers, employees, agents, subcontractors, invitees,
or any individual or entity for which Consultant is legally liable ("indemnitors"), or arising from
Consultant's or indemnitors' reckless or willful misconduct, or arising from Consultant'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 Consultant and shall survive termination of this Agreement.
6. RECORDS, REPORTS, AND RELEASE OF INFORMATION
6.1 Records. Consultant 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. Consultant 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.
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6.3 Confidentiality and Release of Information.
(a) All information gained or work product produced by Consultant in
performance of this Agreement shall be considered confidential, unless such information is in the
public domain or already known to Consultant. Consultant 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) Consultant 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 Consultant gives the City notice of such
court order or subpoena.
(c) If Consultant provides any information or work product in
violation of this Agreement, then the City shall have the right to reimbursement and indemnity
from Consultant for any damages, costs and fees, including attorney's fees, caused by or incurred
as a result of Consultant's conduct.
(d) Consultant shall promptly notify the City should Consultant 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 Consultant or be present at any deposition, hearing or
similar proceeding. Consultant agrees to cooperate fully with the City and to provide the City
with the opportunity to review any response to discovery requests provided by Consultant.
. 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 Consultant 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 Consultant 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, Consultant 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.
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7.2 Disputes; Default. In the event that Consultant is in default under the
terms of this Agreement, the City shall not have any obligation or duty to continue compensating
Consultant for any work performed after the date of default. Instead, the City may give notice to
Consultant of the default and the reasons for the default. The notice shall include the timeframe
in which Consultant may cure the default. This timeframe is presumptively thirty (30) days, but
may be extended, if circumstances warrant. During the period of time that Consultant is in
default, the City shall hold all invoices and shall, when the default is cured, proceed with
payment on the invoices. If Consultant 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, Consultant 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 Consultant, except that where termination
is due to the fault of the Consultant, the period of notice may be such shorter time as may be
determined by the Contract Officer. In addition, the Consultant reserves the right to terminate
this Contract at any time, with or without cause, upon sixty (60) 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 Consultant may determine. Upon receipt of any notice of termination,
Consultant shall immediately cease all services hereunder except such as may be specifically
approved by the Contract Officer. Except where the Consultant has initiated termination, the
Consultant 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 Consultant has initiated termination, the Consultant 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 Consultant. If termination is due to the failure
of the Consultant 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 Consultant shall be liable to the extent that the total cost for
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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 Consultant 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. Consultant 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. Consultant 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-liabilityof f City Officers and Employees. No officer or employee of
the City shall be personally liable to the Consultant, 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 Consultant 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
Consultant, 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 Severabilitv. 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
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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. Consultant 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. Consultant 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. Consultant 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 render this Agreement void and of no force or
effect: °S °S
Consultant's Authorized In>t>als
8.11 Corporate Authority. The persons executing this Agreement on behalf of
the parties hereto warrant that (i) such party is duly organized 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.
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IN WI'i NESS WHEREOF, the parties hereto have executed this Agreement on the date
and year ftp -above written.
v..
City Clerk
APPROVED AS TO FORM:
ALESHIRE & WYNDER, LLP
Sunny K. Soltani, City Attorney
[till
CONSULTANT:
AON CORPORATION DBA AON RISK
INSURANCE SERVICES WEST, INC., an Illinois
Corporation w
By: riz I..
Name: Janine Lum
Title. Senior V"=xz4A Wt
By:.
Name: Mary Moore nsoil
Title: Secretary
Address: 707 Wilshire Blvd., Suite 2500
Los Angeles, CA 9111117
Two corporate officer signatures required when Consehant is a corporation, With one signature
required from each of the following groups: I) Chairman of the Beard, President or any Vice President; and
2) Secretary, any Assistant Secretary, Chief Financial Ofrmrr or any Assistant Treasurer, CONSULTAN'i"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 CONSULTANT'S BUSINESS ENTITY.
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EXHIBIT "A"
SCOPE OF SERVICES
I. Consultant will perform the following Services:
A. Scope of Services. The broad scope of work is to develop estimated outstanding
liabilities and funding amounts for future fiscal years. This will provide important data
for financial audit statements (including Governmental Accounting Standards Board
[GASB] Statement No. 10 compliance) and strategic long-range planning.
1. Estimate Outstanding Losses. Estimate outstanding losses (including allocated
loss adjustment expenses [ALAE]) as of June 30, 2020.
The estimated outstanding losses are the cost of unpaid claims. The estimated
outstanding losses include case reserves, the development of known claims and
incurred but not reported (IBNR) claims. ALAE are the direct expenses for
settling specific claims. The amounts are limited to the self-insured retention.
2. Estimate Outstanding Unallocated Loss Adjustment Expenses. Estimate
outstanding unallocated loss adjustment expenses (ULAE) for each fiscal year as
of June 30, 2020, June 30, 2021, and June 30, 2022.
Estimated outstanding ULAE are the indirect expenses to settle unpaid claims.
3. Project Ultimate Limited Losses. Project ultimate limited losses (including
ALAE) for 2020/21, 2021/22 and 2022/2023.
4. Project Losses Paid. Project losses paid during 2020/21, 2021/22 and 2022/2023.
The projected losses paid are the claim disbursements during each fiscal year,
regardless of accident or report date. The amounts are limited to the self-insured
retention.
5. Size of Loss Distribution Analysis. Analyze the distribution of losses in various
layers.
6. Affirm GASB Statement No. 10. Provide a statement affirming the conclusions
of this report are consistent with Governmental Accounting Standards Board
(GASB) Statement No. 10.
B. Data Request. Consultant will request data from City, as follows:
Loss Data Information.
An electronic file of all claims, opened and closed, incurred since program
inception, separately for worker's compensation and general liability, showing at least the
following details:
01007.0001/641167.1 r 1 A-1
DocuSign Envelope ID: 15E251DD-401D-4311-9B28-OFD4B3E94EFB
i. Claim number
ii. Date of loss
iii. Paid losses
iv. Case reserves
v. Reported incurred losses (paid losses plus case reserves)
vi. Subrogation and other recoveries received
City to indicate if the losses are limited to the self-insured retention and/or reflect
subrogation or other recoveries. City to also indicate sexual molestation claims in the
liability data if possible in order to assess the impact of a recent law change relating to
such claims.
2. Exposure Data Information.
Actual payroll for 2010/11 through 2018/19 and projections for 2019/20 to
2021/22. If projections are not provided, Consultant will assume a 2% trend unless
instructed otherwise.
3. Program Information.
i. History of the self-insured retentions and any anticipated future changes
to the self-insured retention for workers compensation and liability.
ii. Has there been a change in the TPA and/or changes in payment (e.g.
accelerated closure of claims) or reserving levels (e.g. reserve strengthening)? If so,
please describe.
iii. Have there been any changes in loss control programs which may
impact claim frequency and/or average cost per claim? If so, please describe.
4. Financial Information.
Interest rate assumption — Consultant will use a 2.0% interest rate assumption for
discounting, unless instructed otherwise. -
Latest financial audit, if available.
As work progresses, Consultant may request additional information. Consultant will keep
requests to a minimum, consistent with performing a thorough analysis.
For optional renewal studies listed in the fee schedule, the key dates/fiscal years above
will roll forward one year for each of the optional renewal studies.
C. Project Approach.
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251DD-401D-4311-9828-OFD4B3E94EFB
Participate in a discussion with City to learn about any its self-insured
program.
2. Submit a written data request to City.
3. Gather and compile data provided by City. Consultant will review the data
for reasonableness. Anomalies (if any) will be identified. If requested, Consultant can
obtain data directly from the claims administration firm(s).
4. Discuss large individual claims with City. Large claims can have a
disproportionate impact upon the actuarial analysis. Consultant wants to be certain it fully
understands the large claims.
5. Develop estimates of claim costs for 2020/21, 2021/22 and 2022/2023.
The estimates will be based on City's own data to the extent it is a good predictor of
future activity. To the extent City's loss data is not a good predictor, Consultant
projections will reflect other similar programs with which Consultant is familiar.
Based on Consultant's experience, Consultant has found that insurance industry statistics
are often not applicable to public entities. This is because insurance industry statistics
reflect a wide range of diverse risks (public entities are much more homogeneous). Public
entities tend to manage claims very carefully. Therefore, reporting and payout patterns
differ from insurance industry statistics.
For the above reasons, Consultant will apply insurance industry statistics judiciously.
Consultant's estimates will be developed based on generally accepted actuarial practices
and will be consistent with GASB Statement No. 10. Consultant will consider at least the
following actuarial methodologies:
❑ Paid loss development
❑ Reported incurred loss development
❑ Case reserve analysis
❑ Reported claims development
❑ Frequency and severity analysis
❑ Loss rate analysis
❑ Bornhuetter-Ferguson analysis
❑ Increased limits analysis
6. Based on projected losses and expected claims disbursement patterns,
project investment income.
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251DD-401D-4311-9828-OFD4B3E94EFB
7. Prepare a draft report of Consultant's conclusions and recommendations.
The conclusions and recommendations will be clear, concise and easily understood by
non -actuaries. The report will include charts, graphs and other documentation sufficient
to support all conclusions and recommendations.
8. Discuss the draft report with City by telephone. Based on new facts
ascertained in those discussions, Consultant will revise the draft report and issue a final
report.
D. Deliverables.
City will receive a thorough, yet easy -to -understand report. The technical section will
include the following information to support all conclusions and facilitate future analysis.
❑ Background. Relevant details concerning the history, administration, claims
handling, retention levels and excess coverage will be provided.
❑ Data Sources. Descriptions of the loss and exposure data provided by City and its
administrators will be provided. Individual claims requiring special treatment in the
analysis will be cited, including an explanation of how Consultant treated the claims in
the analysis. If industry data is used to supplement the analysis, a description of the data
source will be provided; Consultant will explain how it incorporated the industry data
into the analysis.
❑ Methods Used. Descriptions of the various actuarial methods used in the analysis will
be provided. Consultant will also explain the considerations associated with selecting the
methods as well as the underlying assumptions.
II. ❑ Exhibits. The exhibits will show the details of Consultant's analysis and support all
conclusions stated in the Executive Summary. As part of the Services, Consultant will
prepare and deliver the following tangible work products to the City:
Comprehensive Actuarial Report of Self -Insured Workers Compensation
Reserves as of end of fiscal years 2019/2020; 2020/2021 and 2021/2022.
2. Comprehensive Actuarial Report of Self -Insured General Liability Reserves as of
end of fiscal years 2019/2020; 2020/2021 and 2021/2022.
III. In addition to the requirements of Section 6.2, during performance of the Services,
Consultant will keep the City updated of the status of performance by delivering the
following status reports:
1. Mid -year update of the Self -Insured Workers Compensation Reserves for each of
the fiscal years 2019/2020; 2020/2021 and 2021/2022.
2. Mid -year update of Self -Insured General Liability Reserves as of end of fiscal
years 2019/2020; 2020/2021 and 2021/2022.
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251 DD -401 D-4311-9B28-OFD4B3E94EFB
IV. All work product is subject to review and acceptance by the City, and must be
revised by the Consultant without additional charge to the City until found
satisfactory and accepted by City.
V. Consultant will utilize the following personnel to accomplish the Services:
A. Mujtaba Datoo will lead the actuarial work
B. Tracy Fleck will assist with the actuarial analysis
C. Ziruo Wang will assist with the actuarial analysis
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251DD-401D-4311-9828-OFD4B3E94EFB
EXHIBIT "B"
SPECIAL REQUIREMENTS
(Superseding Contract Boilerplate)
The Agreement is hereby amended as follows (additions are shown in bold italics and
deletions are shown as strikeetAs):
I. Section 1.1, "Scope of Services," is hereby amended to read as follows:
"1.1 Scope of Services. In compliance with all of the terms and conditions of this
Agreement, the Consultant shall perform the work or services set forth in the "Scope of
Services" attached hereto as Exhibit "A" and incorporated herein by reference. Consultant
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. The services to be provided by Consultant are not of a legal nature, and
Consultant shall in no event give, or be required to give, any legal opinion or provide any legal
representation to City."
II. Section 2.2, "Invoices," is hereby amended to read as follows:
"2.2 Invoices. Upon completion of the work for each fiscal year,�'a� Consultant
shall furnish to City an original invoice for all work performed and expenses incurred the
pr-eeeding fnafAh in a form approved by City's Director of Finance. By submitting an invoice for
payment under this Agreement, Consultant is certifying compliance with all provisions of the
Agreement. The invoice shall detail 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.
Consultant shall not invoice City for any duplicate services performed by more than one person."
III. Section 5.3, "Indemnification," is hereby amended to read as follows:
"5.3 Indemnification. To the full extent permitted by law, Consultant 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 third
party 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 third party
person, firm or entity arising out of or in connection with the negligent performance of the work,
operations or activities provided herein of Consultant, its officers, employees, agents,
subcontractors, invitees, or any individual or entity for which Consultant is legally liable
("indemnitors"), or arising from Consultant's or indemnitors' reckless or willful misconduct, or
arising from Consultant'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 Consultant and shall survive termination of this
Agreement."
01007.0001/641167.1 ril B-1
DocuSign Envelope ID: 15E251 DD -401 D-4311-9B28-OFD4B3E94EFB
IV. Section 6.1 "Records," is hereby amended to read as follows:
"6.1 Records. Consultant 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. Upon prior written
notice, 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."
V. Section 6.4 "Ownership of Documents," is hereby amended to read as follows:
"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 Consultant 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 Consultant 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, except that
Consultant owns or has rights to all products, processes, concepts, know-how, techniques,
software, and methodology used, and records created or maintained, (collectively "Prior
Works") for the production of the documents and materials, and the City shall gain no rights
in or to them. Moreover, Consultant 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. To the extent that any Prior Works are
contained in the documents and materials, Consultant hereby grants the City, upon full and
final payment to Consultant, a royaltyfree, fully paid-up, worldwide, non-exclusive license to
use such Prior Works in connection with the documents and materials. Services and
documents and materials are for the exclusive use of Client and are not to be relied upon by
third parties. The City acknowledges and agrees that Consultant is in the business of providing
consulting services to clients utilizing Consultant's Prior Works, and nothing contained
herein shall prohibit Consultant from using any of Consultant's general knowledge or
knowledge acquired under this proposal to perform similar services for others."
VI. A new Section 8.12 "City Obligations," is hereby added to read as follows:
"8.12 City's Obligations.
(a) Consultant and City acknowledge that the reliability of Consultant's
services depends upon the accuracy and completeness of the data supplied to Consultant. City
accepts sole responsibility for errors or delays in services solely resulting from inaccurate or
incomplete data supplied to Consultant, and acknowledges and agrees that any additional
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251 DD -401 D-4311-9B28-OFD4B3E94EFB
services thereby necessitated will result in additional fees payable by City to Consultant of an
amount based on a $300 hourly rate, as approved in writing by the Contract Officer; provided,
however, that if such additional fees should exceed the amount allowed under Section 2.3 for
additional services, then the Parties shall enter into a duly approved and executed amendment to
this Agreement. Consultant must receive promptly the information to deliver the services as
well as the City's prompt updates to any information where there has been a material change
which may affect the scope or delivery of the services, such as a change in the nature of the
City's products or equipment, systems, and/or processes that are the focus of Consultant's
service(s).
(b) City agrees to provide its project data in the form prescribed in the Scope
of Services. City understands and agrees that if data is submitted in a form other than agreed
upon, City shall pay Consultant, in addition to the fees set forth in the Agreement the reasonable
expenses incurred to merge/convert the data to the agreed upon form so long as Consultant has
informed the Contract Officer of such additional expenses and the Contract Officer has
consented in writing to those additional expenses prior to Consultant incurring such; provided,
however, that if such additional expenses should exceed the amount allowed under Section 2.3
for additional services, then the Parties shall enter into a duly approved and executed
amendment to this Agreement."
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251DD-401D-4311-9828-OFD4B3E94EFB
EXHIBIT "C"
SCHEDULE OF COMPENSATION
I. Consultant shall perform the following Services for the following rates:
RATE
Comprehensive Actuarial Report $2,500
of Wokers' Compensation
Reserves FY 2019/20
Comprehensive Actuarial Report $2,500
of General Liability Reserves FY
2019/20
Comprehensive Actuarial Report $2,500
of Wokers' Compensation
Reserves FY 2020/2021
Comprehensive Actuarial Report $2,500
of General Liability Reserves FY
2020/2021
Comprehensive Actuarial Report $2,500
of Wokers' Compensation
Reserves FY 2021/2022
Comprehensive Actuarial Report $2,500
of General Liability Reserves FY
2021/22
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 subbudget to another so long as the
Contract Sum is not exceeded per Section 2.1, unless Additional Services are
approved per Section 2.3.
IV. The City will compensate Consultant for the Services performed upon submission of
a valid invoice, in accordance with Section 2.2. Each invoice is to include:
C-1
01007.0001/641167.1 rjl
DocuSign Envelope ID: 15E251DD-401D-4311-9B28-OFD4B3E94EFB
A. Line items for all the work performed, the number of hours worked, and the
hourly rate.
B. Line items for all materials and equipment properly charged to the Services.
C. Line items for all other approved reimbursable expenses claimed, with supporting
documentation.
D. Line items for all approved subcontractor labor, supplies, equipment, materials,
and travel properly charged to the Services.
V. The total compensation for the Services shall not exceed $15,000, as provided in
Section 2.1 of this Agreement.
VI. Consultant's billing rates for all personnel are attached as Exhibit C-1.
[NOT APPLICABLE]
01007.0001/641167.1 rj I
DocuSign Envelope ID: 15E251DD-401D-4311-9B28-OFD4B3E94EFB
EXHIBIT "D"
SCHEDULE OF PERFORMANCE
I. Consultant shall perform all Services timely in accordance with the following
schedule each year:
Task
A. Project Kickoff
B. Submit Written Data
Request
C. AGRC Submits Draft
Report
D. Final Report
Deadline Date
Within 2 days of Notice
to Proceed
Within 2 days of Project
Kickoff
Within 4 weeks of
receipt of data
Within 2 days of City's
approval of draft
II. Consultant shall deliver the following tangible work products to the City by the
following dates.
A. Comprehensive Actuarial Report of Self -Insured Workers Compensation
Reserves as of end of fiscal years 2019/2020; 2020/2021 and 2021/2022.
B. Comprehensive Actuarial Report of Self -Insured General Liability Reserves as of
end of fiscal years 2019/2020; 2020/2021 and 2021/2022.
C. Mid -year update of the Self -Insured Workers Compensation Reserves for each of
the fiscal years 2019/2020; 2020/2021 and 2021/2022.
D. Mid -year update of Self -Insured General Liability Reserves as of end of fiscal
years 2019/2020; 2020/2021 and 2021/2022.
III. The Contract Officer may approve extensions for performance of the Services in
accordance with Section 3.2.
D-1
01007.0001/641167.1 rjl
Contract Between the City and AON RISK INSURANCE SERVICES WEST, INC
Effective Date: May 1, 2020 — May 1, 2023 (3 years)
Cost: $5,000 per year, $15,000 total.
Scope: Conduct 2 actuarial studies per year ($2,500 each): one for the work comp self-insured
program and one for the general liability self-insured program.
Background: Annual actuarial studies are needed (1) to establish adequate reserves to pay for
the self-insured claims and (2) as part of the insurance renewal process. City's excess insurance
carrier CSAC-EIA rebates $2,000 per line of coverage per year, for a total rebate of $4,000 for
the 2 reports. Therefore the net cost to City $1,000 per year.
Bids:
Bay Actuarial: $4000 for work comp and $4000 for general liability. Total cost $8,000.
Bickmore: $4,250 for work comp and $4250 for general liability. Total cost $8,500
Oliver Wyman: $7,500 for work comp and $7,500 for general liability. Total $15,000.
Aon: $2,500 per line of coverage or S5,000 for both lines of coverage combined This is the lowest
bid.
CERTIFICATE OF LIABILITY tNSURANGE =014117=0
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: It the cartificate holder Is an ADDITIONAL INSURED, the polkyjies) must have ADDITIONAL INSURED
SUBROGATION IS WAIVED, subject to the terms and conditions of the provisions or be endorsed. is
certificate does not confer tights to the certificate, holder In lieu of such enders.m.,,u�t Policy, certain polkias may require an endorsement A statement on this
PRODUCER
AOn Risk Services Central, Inc.
Chicago IL Office
200 East Randolph
Chicago IL 60601 USA
(866) 283-7122
(800) 363-0105
tMSURER(a) AFFORDING COVERAGE
HUK S
D
7A0norporation and its subsidiariesSubsidiary
IIIitNtNUT A: continental Casualty comp
20443
Information Below)
INSURER 3: Transportation Insurance Co,
20494
200 E. Randolph
Chicago IL 60601 USA
INSURER C: American casualty Co. of Reading PA
20427
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570081458569 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
WTH RESPECT TO
BY THE POLICIES DESCRIBED HEREIN
WHICH THIS
IS SUBJECT TO ALL
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
THE TERMS
Um TYPE OF INSURANCE 1110110 AODL mAR
POLICY NUMBER
CLAIMS.
POLICY EFF PW.ICY EXP Limits shown are as asts,
A X COSEeERCiALGENHGLLJAEN.lTY Y Y GL4014103affifilINIOMM
LIMITS
EACH OCCURRENCE
$1,000,001
CLAIMS -MADE X� OCCUR
DAMArA TTo RENTED
51,000'00'
00 , 001
MED EXP µmy ane pemm)
S 10 , 00(
PERSONAL l ADV INJI!<tY
S 1,000
GEN'LAGGREGATTEEUjMITAPPLIESPER
POLICY I 1 JE a ED LAC
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OTHER
A
AUTOMONLE UANUTY
Y
Y
SUA 4014103656
06/01/2019
06/01/2020
COMBINEDSINGLEUMT
51,400,00(
BODILY 04JLRY ( Per pinyon)
X ANYAUTO
OWNED SCHEDULED
BODILY YLIURY (Per -Wert)
AUTOS ONLY AUTOS
HIREDAUT05 NON-ONTED
PROPERTY DAMAr,E
ONLY AUTOS ONLY
er aaddeM
LNAMLLA LNB
OCCUR
EACH OCCURRENCE
EXCESS UAt
CLAIMS-MVAE
AGGREGATE
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0/01/2020
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ANY PROPRETDR I Efl l EXECUTIVE
wC4014100059
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X
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wC4014100014
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8yee,d"Noddawyinp
under
E.L.SEASE-EAEMPLOYEE
_
$1,000,
DESCF&ITION OF RATIONS
_. _ _
E.L. pSEASEPOL.ICY LIMB
ti _ ()(in nn
DascRwnow OF OPERATIONS I LOCATIONS, I VEHICLE; (ACORD 101. Addaianal am"s Schedule, -my M attacbed E rine epeee in rpWnA)
Aon Risk Services west, Inc., 707 wilshire Blvd., Suite 2600, Los An eles, CA 90017. City of Carson, its elected and appointed
officers, employees, volunteers and agents are included as Additional Insured in accordance with the policy provisions of the
General Liability and Automobile Liability policies. General Liability policy evidenced herein is Primary and Non -contributor
to other insurance available to Additional insured, but only in accordance with the policy's provisions. A Waiver of
Subrogation is granted in favor of City of Carson, its elected and appointed officers, employees! volunteers and agents in
accordance with the policy provisions of the General Liability, Automobile Liability and Workers Compensation policies.
CERTIFICATE HOLDER CANCELLATION 6154
t �..,�r. SHOULD ANY OF THE ABOVE DESCRIBED POUCWS BE CANCELLED BEFORE THE
EXPIMTNON DATE THEREOF. NOTICE WALL. BE DELIVERED IN ACCORDANCE PATH THE
f a�, POLICY PROVISIONS.
City of Carson • �'""" AUTHORRW REPRESENTATNE
Attn: Roobik Galoosian
701 E. Carson St.
Carson CA 94745 USA
01985-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (20103) The ACORD name and logo are registered marks of ACORD
(MMDCYYYYY)
CERTIFICATE OF LIABILITY INSURANCE DATE
THIS CERTIFICATE 1S 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 corti feate holder Is an ADDITIONAL INSURED, the polk:y(ks) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WANED, subject to the terms and conditions of the poky, certain policies may require an endorsement A statement on this
cartNkate does not confer rights to the Certificate holder In Neu of such endorsementfsi.
PRODUCER.._
Aon Risk services Central, Inc.
INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
CONTACT
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Chicago IL Offices
NNiR TYPE Of NSURANCE AOOL FUER POLICY EFF POLICY EXP
POLICI'NUMBER
PFIONf
:
(866} 283-7122 FAX 800-363-0105
200 East Randolph
EACH OCCURRENCE
CLAIMS -MADE ❑ OCCUR
Chicago IL 60601 USA
EaIAu
PERSONAL& ADV INJURY
GENLAGGREGATE LMYTAPPLIES PER:
PRO
ADDRESS:
POLICY JECT F1 LOC
PROOUCTS • COMPIOPAGG
OTHER:
e1SURER(S) AFFORDING COVERAGE MAIC S
INSURED
Aon Corporation
INSWERA:
XL Specialty Insurance Co 37885
(see subsidiary Information Below)
WSURERS:
200 E. Randolph
INSMIRe:
Chicago IL 60601 USA
BODILY Ii.AXR'I (Per Penan) --._--
ONMEO SCHEDULED
AUTOS
INSURER O:
I VVIR E:
AUTOS ONLY
HREOAUTOS NON-OVk1EO
INSURER F:
PROPERTY DAMAGE
--- ..... _... _ ...,.....�.. .., ..,.,, , tw�r KL VISION 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. NOTNTHSTANDING 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
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TERMS
NNiR TYPE Of NSURANCE AOOL FUER POLICY EFF POLICY EXP
POLICI'NUMBER
Limits shown are as requested
LBBTf
COURMCLAL GENITAL LIABILITY
EACH OCCURRENCE
CLAIMS -MADE ❑ OCCUR
DAMAGE TO RENTED
MED EXP (Any one pemw)
PERSONAL& ADV INJURY
GENLAGGREGATE LMYTAPPLIES PER:
PRO
GENERALAGGREGATE
POLICY JECT F1 LOC
PROOUCTS • COMPIOPAGG
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE L"T
ANY AUTO
BODILY Ii.AXR'I (Per Penan) --._--
ONMEO SCHEDULED
AUTOS
BODILY INJURY CP. eood-q
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ONLY AUTOS ONLY
UWRELLA WS
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DED RETENRON
WORM" COBYENSATIM AND
PER STATUTE 0TH
EMPLOYLW LUEM.ITY
ANY PROPRIETOR I PARTNER 1 EXECUTIVE
E.L EACH ACCIDENT
OFPICERAIEMBER EXCLUOE07
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E.L. OISEASEFA EMPLOYEE
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E.L. DISEASBFOUCY LMT
RPTM OF RATIONS
A
E&O-PL-Primary
US00087368EO19A
03/01/2019
03/01/2023
Each Claim $1,000,000
Errors & omissions
Aggregate $1,000,000
SIR applies per policy to
s & condi
ions
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Add0wal Remade eehednb, way be MtaeMp a Iaora epee is MWII410
Aon Risk services west, Inc., 707 Wilshire Blvd., Suite 2600, Los Angeles, CA 90017
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CERTIFICATE HOLDER CANCELLATION
3 WOULD ANY OF THE ABOVE DESCIUSSO POLICIES BE CANCELLED BEFORE THE
QPYGTION DATE THEREOF, NOTICE MILL BE DELIVERED W ACCORDANCE NRN THE
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City of Carson ( ''�_�+ AU HORQEO REPRESENTATIVE
Attn: Roobik Galoosian
701 E. Carson
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Carson CA90745USA
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01988-2015 ACORD CORPORATION. All rights morvot
ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD