HomeMy Public PortalAboutC-23-014 - A & M FIRST AID, INC 2023 JAN 11AGREEMENT FOR CONTRACT SERVICES
BETWEEN THE CITY OF CARSON AND
A&M FIRST AID, INC.
T 41S AGREEMENT FOR CONTRACT SERVICES (herein "Agreement") is made and
entered into this 15th day of December, 2022 by and between the CITY OF CARSON, a
California municipal corporation ("City") and A&M FIRST AID, INC., a California corporation
("Consultant"). City and Consultant 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 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 Twenty -Four Thousand Nine Hundred Ninety -Nine Dollars and No Cents
($24,999.00) ("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 detail
01007.000M20172.3
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. Tina Allen, Vice President, 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, Risk Manager, 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:
01007.00011820172.3 -3-
(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 $1,000,000. Said policy shall include coverage for owned, non -owned, leased, hired
cars and any 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.
(g) Broader Coverages and Higher Limits. Notwithstanding anything
else herein to the contrary, if Consultant maintains broader coverages and/or higher limits than
the minimums shown above, the City requires and shall be entitled to the broader coverages
and/or higher limits maintained by Consultant.
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
01007.00011820172.3 -4-
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
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.
01007.00011820172.3 -5-
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.
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,
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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.
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.
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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 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 -liability of 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 parry 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 parry 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.
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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 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 any number of counterparts and each of such
counterparts shall for all purposes be deemed to be an original, whether the signatures are
originals, electronic, facsimiles or digital. All such counterparts shall together constitute but one
and the same Agreement.
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.
Consultant's Authorized Initials
01007.0001/820172.3 -9-
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 parry, (iii) by so executing this
Agreement, such parry 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
parry is bound. This Agreement shall be binding upon the heirs, executors, administrators,
successors and assigns of the parties.
[Signatures on the following page.]
01007.00011820172.3 -10-
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
and year first -above written.
CITY:
CITY OF CARSON, a municipal corporation
_Oz tc �'� - e - L:: _
David C. Roberts, Jr. "ity Manager
ATTE T: "
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Dr. Khaleah K. Bradshaw, City Clerk
APPROVED AS TO FORM:
ALESHIRE & WYNDER. LLP
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Sunny K. Soltani, City Attorney
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CONSULTANT:
A&M FIRST AID, INC„ a{{C'alifornia corporation
G O
ane: Tina Allen
Title: Vice President
By: w/71
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Name: 1 e t Pn2ra �kj1 co
Title: S,c c. V-e'rlrl A
Address: 5932 Bolsa Ave.dSuite 105
Huntington Beach, CA 92(49
Two corporate officer signatures required when Consultant is a corporation, with one signature required
from each of the following groups: t) Chairman of the Board, President or any Vice President; and 1)
Secretary, any ;assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONSULTANT'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.
010071W1,81-0172.3 -11-
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
and year first -above written.
ATTEST:
Dr. Khaleah K. Bradshaw, City Clerk
APPROVED AS TO FORM:
ALESHIRE & WYNDER, LLP
Sunny K. Soltani, City Attorney
[brjj
CITY:
CITY OF CARSON, a municipal corporation
Oz� L
David C. Roberts, Jr. ity Manager
CONSULTANT:
A&M FIRST AID, IN/C., a California corporation
Name: Tina Allen
Title: Vice Presiders
By: Y
Name: 1 e c c r Ct-a iPtAk,
Title: Sc r\
Address: 5932 Bolsa Ave.,lSuite 105
Huntington Beach, CA 92649
Two corporate officer signatures required when Consultant is a corporation, with one signature required
from each of the following groups: i) Chairman of the Board, President or any Nice President; and 2)
Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONSULTANT'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.
01007.0001/8.20172.3 -11-
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 , 2022 before me, , personally appeared , 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.
WITNESS my hand and official seal.
Signature:
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
❑
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))
01007.00011820172.3
DESCRIPTION OF ATTACHED DOCUMENT
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 , 2022 before me, , personally appeared , 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.
WITNESS my hand and official seal.
Signature:
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
❑ INDIVIDUAL
❑ CORPORATE OFFICER
01007.0001/820172.3
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
TITLES)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
❑
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
❑
GUARDIAN/CONSERVATOR
❑
OTHER
SIGNER
IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
01007.0001/820172.3
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. Consultant will perform the following Services:
A. At least once per calendar quarter, or more frequently based on City's need as
determined and requested by the Contract Officer, Consultant shall inspect, clean,
maintain, refill, restock and replenish each and every First -Aid cabinet and First -Aid bag
at the City's City Hall, Community Center, Corporate Yard, and all of the City's parks
and aquatic facilities, for a total of 56 First -Aid locations (each, a "First -Aid Location"),
with the First -Aid materials listed in Section V of this Exhibit "A," and as necessary to
comply with applicable CalOSHA requirements.
II. As part of the Services, Consultant will prepare and deliver the following tangible
work products to the City:
A. First -Aid materials, as set forth in Sections I and V of this Exhibit "A."
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:
A. Quarterly invoices itemizing and quantifying First -Aid materials added to each
First -Aid Location at the time of each inspection, by location and cabinet.
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 shall provide the following First -Aid materials for each First -Aid
Location (depending on whether the First -Aid Location is a First -Aid bag or a First -
Aid cabinet, as applicable):
First Aid Cabinet
3"` COTTONTIP SWABS VIAL 100
ALCOHOL SWABS 50/BX
ALCOHOL SWABS 200/BX
TRIPLE OINTMENT 25/BX
ANTISEPTIC WIPES 20/BX
BLOOD CLOTTING SPRAY
BURN SPRAY 2 OZ
WATER JEL 4X4"
BURN JEL 25/BX
01007.0001/820172.3 A-1
WOVEN STRIPS 50/BX
EYE DRESSING PACKET 4/BX
EYE WASH 1 OZ
FINGER TIP BANDAGE 40/BX
FIRST AID ANTISEPTIC SPRAY 20Z
FIRST AID GUIDE
GAUZE PADS 3X3" 10/BX
HYDROCORTIZONE 25/BX
ICE PACK -INSTANT MEDIUM
WOVEN KNUCKLE 40/BX
PATCH WOVEN 25/BX
NITRILE GLOVES 100/BX
LENS TOWELETTES- 100/BOX
REFRESH PLUS 30/BX
REFRESH PLUS 4/PK
NITRILE EXAM GLOVES- 4/BOX
PLASTIC STRIPS 100/BX
ROLLER GAUZE 3"
LISTER SCISSOR
FLEX WRAP 2"
MINI WOVEN 50/BX
SPLINTER OUTS 10/PK
TRIANGULAR BANDAGE EA
TRI CUT TAPE
TWEEZERS STEEL
WOUND SEAL OR_ 2/BOX
FINGER TIP BANDAGE 25/BX
X LONG BANDAGE 25/BX
First Aid Bag
ANTISEPTIC WIPES 20/BX
ALCOHOL SWABS 50/BX
GAUZE PADS 2X2" I 0113
GAUZE PADS 3X3" 10/BX
TRAUMA PAD 5X9"
THERMOMETER DISPOSABLE
EYE WASH 1 OZ
TRIANGULAR BANDAGE EA
01007.0001/820172.3
PLASTIC STRIPS 100/BX
PLASTIC STRIPS 3/4X3"
BUTTERFLY BANDS
WOVEN KNUCKLE 40/BX
FINGER TIP BANDAGE 40/BX
WOVEN STRIPS 50/13X
ELASTIC BANDAGE 2X5
LISTER SCISSOR
PLASTIC FLASHLIGHT
PENLIGHT
TWEEZERS STEEL
INFANT BVM
CHILD BVM
ADULT BVM
SPLIT 4" X 24"
SPACE BLANKET
CPR MASK
NITRILE GLOVES 2PR Size: S
NITRILE GLOVES 2PR Size: M
NITRILE GLOVES 2PR Size: L
NITRILE GLOVES 2PR Size: XL
NITRILE GLOVES 2PR Size: 2XL
CREWS CLEAR
HEAT PACK
ICE PACK -INSTANT MEDIUM
KERLIX
CPR MASK COMBO (ADULT AND
INFANT)
Other (stocked separately at or near First Aid Locations as determined by the
Contract Officer):
ICE PACK BOX
TOURNIQUET
VI. Consultant will utilize the following personnel to accomplish the Services:
A. Jim Romero (main)
B. Gilbert Deras
01007.0001/820172.3
EXHIBIT `B"
SPECIAL REQUIREMENTS
(Superseding Contract Boilerplate)
(new text shown in bold italics, deleted text in strikethfoagh)
I. Section 2.2 (Invoices) of the Agreement is hereby amended to read in its entirety as
follows:
"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 detail charges as provided in Section fY of Exhibit "C," Schedule of
Compensation for all neees :�jan aet,W e��,i b the f iavwznfat laber-
(by
> > .
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."
II. Section 3.4 (Term) of the Agreement is hereby amended to read in its entirety as
follows:
"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
twenty (20) months one (1) yew from the date hereof, except as otherwise provided in the
Schedule of Performance (Exhibit "D")."
01007.00011820172.3 B-1
EXHIBIT "C"
SCHEDULE OF COMPENSATION
I. Consultant shall perform the following Services at the following rates, which will
include any and all expenses:
RATE TIME SUB -BUDGET
Task A — Inspect, Per price table set By end of each $15,000 per
clean and replenish forth in Section It calendar quarter contract year
First -Aid Locations of this Exhibit "C"
as set forth in
Exhibit "A"
H. Consultant shall provide the First -Aid materials at the following prices:
First Aid Cabinet
3"' COTTONTIP SWABS VIAL 100
$4.25
ALCOHOL SWABS 50/BX
$4.55
ALCOHOL SWABS 200/BX
$8.00
TRIPLE OINTMENT 25/BX
$6.20
ANTISEPTIC WIPES 20/BX
$4.55
BLOOD CLOTTING SPRAY
$11.75
BURN SPRAY 2 OZ
$5.45
WATER JEL 4X4"
$8.95
BURN JEL 25/BX
$5.45
WOVEN STRIPS 5.0/BX
$6.25
EYE DRESSING PACKET 4/BX
$3.35
EYE WASH 1 OZ
$4.25
FINGER TIP BANDAGE 40/BX
$6.55
FIRST AID ANTISEPTIC SPRAY 20Z
$5.45
FIRST AID GUIDE
$2.45
GAUZE PADS 3X3" 10/BX
$3.45
HYDROCORTIZONE 25/BX
$6.20
ICE PACK -INSTANT MEDIUM
$2.65
WOVEN KNUCKLE 40/BX
$6.25
PATCH WOVEN 25/BX
$6.25
NITRILE GLOVES 100/BX
$13.00
LENS TOWELETTES- 100/BOX
$13.95
REFRESH PLUS 30/BX
$18.25
C-1
01007.0001/820172.3
REFRESH PLUS 4/PK
$6.25
NITRILE EXAM GLOVES- 4/BOX
$2.45
PLASTIC STRIPS 100/BX
$6.05
ROLLER GAUZE 3"
$2.65
LISTER SCISSOR
$4.55
FLEX WRAP 2"
$4.85
MINI WOVEN 50/BX
$6.05
SPLINTER OUTS 10/PK
$4.65
TRIANGULAR BANDAGE EA
$1.75
TRI CUT TAPE
$4.45
TWEEZERS STEEL
$1.25
WOUND SEAL QR. 2/BOX
$13.05
FINGER TIP BANDAGE 25/BX
$6.25
X LONG BANDAGE 25/BX
$6.55
First Aid Bag
ANTISEPTIC WIPES 20/BX
$4.55
ALCOHOL SWABS 50/BX
$4.55
GAUZE PADS 2X2" 10/BX
$3.40
GAUZE PADS 3X3" 10/BX
$3.45
TRAUMA PAD 5X9"
$1.65
THERMOMETER DISPOSABLE
$4.25
EYE WASH 1 OZ
$4.25
TRIANGULAR BANDAGE EA
$1.75
PLASTIC STRIPS 100/BX
$6.05
PLASTIC STRIPS 3/4X3"
$6.05
BUTTERFLY BANDS
$4.25
WOVEN KNUCKLE 40/BX
$6.25
FINGER TIP BANDAGE 40/BX
$6.55
WOVEN STRIPS 50/BX
$6.25
ELASTIC BANDAGE 2X5
$2.65
LISTER SCISSOR
$4.55
PLASTIC FLASHLIGHT
$4.25
PENLIGHT
$4.10
TWEEZERS STEEL
$1.25
INFANT BVM
$23.79
CHILD BVM
$30.45
ADULT BVM
$24.65
SPLIT 4" X 24"
$8.25
01007.0001/820172.3
SPACE BLANKET
$3.20
CPR MASK
$8.95
NITRILE GLOVES 2PR Size: S
$2.45
NITRILE GLOVES 2PR Size: M
$2.45
NITRILE GLOVES 2PR Size: L
$2.45
NITRILE GLOVES 2PR Size: XL
$2.45
NITRILE GLOVES 2PR Size: 2XL
$2.45
CREWS CLEAR
$2.75
HEAT PACK
$4.25
ICE PACK -INSTANT MEDIUM
$2.65
KERLIX
$7.54
CPR MASK COMBO (ADULT AND
INFANT)
$18.49
Other:
ICE PACK BOX LARGE
$3.40
TOURNIQUET, CAT STYLE
$19.50
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, to the
extent applicable:
A. Line items for all the work performed, including the quantities and rates of First -
Aid materials provided, identified by date, location and First -Aid location.
B. Line items for all materials and equipment properly charged to the Services.
C. Line items for any approved subcontractor labor, supplies, equipment, materials,
and travel properly charged to the Services.
V. The total compensation for the Services shall not exceed $24,999, as provided in
Section 2.1 of this Agreement.
01007.0001/820172.3
EXHIBIT "D"
SCHEDULE OF PERFORMANCE
I. Consultant shall perform all Services timely in accordance with the following
schedule:
Days to Perform Deadline Date
Task A — —91 (Frequency End of each
Inspect, clean of at least one per calendar quarter
and replenish calendar quarter
First -Aid and on as needed
Locations as set basis)
forth in Exhibit
"A"
II. Consultant shall deliver the following tangible work products to the City by the
following dates.
A. Inspection and replenishment of First -Aid Locations as set forth in Exhibit "A" -
by the end of each calendar quarter.
III. The Contract Officer may approve extensions for performance of the Services in
accordance with Section 3.2.
D-1
01007.0001/820172.3
A "Rbr CERTIFICATE OF LIABILITY INSURANCE
DATE
A 22o2zm
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(les) must have ADDITIONAL INSURED provisions or 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
$jr7tC'Fdll)T Sarah Atkinson Insurance Agency, Inc.
�! 15061 Springdale Street, Suite 101Apo
CONTACT Gina Madas
Arc No Exti: 714-892-3351 FAC Ne ; 714-373-5519
E 'Lssm serviGe@atkinsonagency.com
Huntington Beach, CA 92649
INSURER(S)AFFORDING COVERAGE MAIC*
INSURERA: State Fart General Insurance Company 25151
INSURED
INSURER B: State Farm Mutual Automobile Insurance Company 25178
A&M First Aid, Inc.
INSURER C:
DBA First Aid 2000
INSURER D :
5932 Boise Ave Ste 105
INSURER E :
Huntington Beach, CA 92649
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMRER-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
tNSD WVD
POLICY NUMBER
(MMIDWYYYYIMMrppryyyy
LIMITS
COMMERCIAL GENERAL LIABILITY
X CLAIMS -MADE I^ OCCUR
EACH OCCURRENCE b 1,000,000
DAMAGE TO RENTEDSES IE, $ 300,000
Y Y
92 -ET -A941-7
12/28/2022
12/28/2023
MED EXP (Any one person) $ 5,000
PERSONAL &ADV INJURY $ 1,000,000
AGGREGATE LIMIT APjPLIE�S PER:
� GENERAL AGGREGATE � s 2,000,000
nGEN'L
PECT RO- u LOC
71OTHER:
iPRODUCTS-COMPlOPAGG
S 2,000,000POLICY
; §
AUTOMOBILE
LIABILITY
546 0434 -C30 -75K
12/28/2022
106/2812023
(Ea accident)LI $
X
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLYn
j Y ! Y
!
546 0424 -E06 -75H
605 8727 -F19 -75D
� 595 7996 -F15 -75D
12/28/2022
(
12!28/2022
� 12!15/2022
I
06/28/2023
f 106/28/2023
� 06/15/2023
BODILY INJURY (Per pe son} j 500,0_00_
;—
j BODILY INJURY (Per acddent) $ 500,000
S 100,000
5
X
�/
UMBRELLA LUIS X
OCCUR
EACH( $ 1,000,000
EXCESS LIAB
CLAIMS -MADE
Y
I Y
92 -ET -8205-8
08/02/2022
08/02/2023
AGGREGATE $,-.--
DED RETENTIONS
$
WORKERS COMP
ANENSATION
D EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N
OFFICERIMEMBER EXCLUDED? ❑
N / A
-
PER OTH-
- $
_
E.L. EACH ACCIDENT S__
E.L. DISEASE - EA EMPLOYEE S
(Mandatory In NH)
It describe under
DESCRIPTION OF OPERATIONS below
I
E.L. DISEASE -POLICY LIMIT S
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached if more apacs is rsqulrsd)
City of Carson, its elected and appointed officers, employees, volunteers and agents are additional insureds on GL and Auto policies
GL policy is Primary and Non-contributory
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Carson Insurance Approved ACCORDANCE WITH THE POLICY PROVISIONS.
701 E Carson St DJ AUTHORIZED REPRESENTATIVE
Carson, CA 90745 12/28/22
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
1001486 132849.14 04-13-2022
A� Oy CERTIFICATE OF LIABILITY INSURANCE
DATE
A or25/21"'Do2�)
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(les) must have ADDITIONAL INSURED provisions or 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
Automatic Data Processing Insurance Agency, Inc.
1 Adp Boulevard
Roseland NJ 07068
CONTACTNAME: Automatic Data Processing Insurance Agency, Inc.
PHONE Erd ; 1800-5247024 1 Alc No
ADDRESS:
INSURERS AFFORDING COVERAGE MAIC 0
INSURERA: Employers Assurance Company 25402
INSURED A & M First Aid Inc
DBA: FIRST AID 2000 INC
5932 Boise Ave
Huntington Beach CA 92649
INSURER 5:
INSURER C:
INSURER 0:
INSURER E;
INSURER F:
COVERAGES CERTIFICATE NUMBER: 21i6/1U9 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 WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1-1 OCCUR
EACH OCCURRENCE S
PREMISES(Eaocarrence) S
MED EXP (Any one parson) $
PERSONAL& ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT F—]LOCPRODUCTS-
OTHER:
GENERAL AGGREGATE $
COMP/OP AGG $
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDNON-OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident)_ $
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
Per accident $
_
S
UMBRELLAtJAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
I
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS` LIABILITY N
YIN
ANY PROPWETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
If yet describe under
DESCRIPTION OF OPERATIONS below
N/A
Y
EIG129342411
01/24/2022
01/24/2023
STATIiTE ER_
E.L. EACH ACCIDENT $ 1,000.000
E.L. DISEASE- EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1011, Additions! Remarks Schedule, may be attached If San space Is required)
This certificate of insurance includes a Waiver of Subrogation in favor Of the certificate holder.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Insurance Approved THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Carson DJ ACCORDANCE WITH THE POLICY PROVISIONS.
701 E. Carson St
12/28/22 AUT 1HORra=D REPRESENTATIVE
Carson CA 90745 �l• �K1L
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Policy No: 546 0434-030-75
SECTION 11 ADDITIONAL INSURED ENDORSEMENT
Policy No: 92 -ET -A941-7
546 0434 -C30 -75K
605 8727419-751)
595 7996 -F15 -75D
546 0424 -E06 -75H
Named Insured: A&M FIRST AID INC
Additional Insured (include address):
City of Carson
701 E Carson St
Carson, CA 90745
FE -6609
WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an
insured the Additional insured shown above, but only to the extent that liability is imposed on
that additional Insured solely because of your work performed for that Additional Insured
shown above.
Any insurance provided to the Additional Insured shall only apply with respect to a claim made
or a suit brought for damages for which you are provided coverage.
The Primary Insurance coverage below applied only when there is an "X" in the box.
FX] Primary Insurance. The insurance provided to the Additional Insured shown above
shall be primary insurance. Any insurance carried by the Additional Insured shall be
noncontributory with respect to coverage provided to you.
Waiver of Subrogation
30 Day Written Notice of Cancellation
All other policy provisions apply.
FE -6609
6196A.1 WAIVER OF OUR RIGHT TO RECOVER OUR PAYMENTS
This endorsement is part of your policy. Except for the changes it makes, all other terms of the
policy remain the same and apply to this endorsement. It is effective at the same time as your
policy unless a different effective date is specified by us in writing.
In consideration of the premium charged for your policy we agree that under Condition 3 — Our
Right to Recover Our Payments we will not exercise the right to recover our payments as respects
Coverage A only in favor of City of Carson
701 E Carson St
Carson, CA 90745
Page 1 of 1 6196A.1