Loading...
HomeMy Public PortalAboutC-18-078 - DABBAH HADDAD SULEIMAN AMENDMENT NO. 3 2023 FEB 8AMENDMENT NO.3 TO AGREEMENT FOR CONTRACT SERVICES THIS AMENDMENT TO THE AGREEMENT FOR CONTRACT SERVICES ("Amendment No. 3") by and between the CITY OF CARSON, a California municipal corporation ("City") and DABBAH HADDAD SULEIMAN, A PROFESSIONAL CORPORATION, a California corporation ("Consultant"), is effective as of the 2nd day of May, 2022. RECITALS A. City and Consultant entered into that certain Agreement for Contract Services dated May 2, 2018 ("Agreement"), whereby Consultant agreed to provide City with worker's compensation litigation defense services ("Litigation Services"), among other related ancillary legal services, for an initial three-year term, with City options to extend the term for up to two additional one-year periods. B. On March 18, 2020, City and Consultant entered into Amendment No. 1 to the Agreement ("Amendment No. 1") to increase the not -to -exceed contract sum from $360,000 to $760,000, due to the parties having severely underestimated, at the time they entered into the Agreement, the amount of Litigation Services that would be needed for Consultant to perform the agreed-upon services. C. On May 2, 2021, City and Consultant entered into Amendment No. 2 to the Agreement ("Amendment No. 2") that reflected City's exercise of the first of its two one-year options to extend the term of the Agreement pursuant to Section 3.4 thereof, thereby extending the term until May 2, 2022, with one City one-year extension option remaining. Additionally, Amendment No. 2 increased the not -to -exceed contract sum by $200,000, from $760,000 to $960,000, to fund Consultant's services for the one-year extension period authorized pursuant thereto. Finally, through Amendment No. 2 the City and Consultant formally recognized the name of Consultant's business entity was "Law Offices of Dabbah & Haddad, a Professional Law Corporation" from its founding in 2002 until approximately June 3, 2019, when it filed a name change amendment with the California Secretary of State, thereby changing its name to its current name, "Dabbah Haddad Suleiman, a Professional Corporation." The Agreement and Amendment No. 1 were both entered into in the name of "Law Offices of Dabbah, Haddad, & Suleiman, a Professional Law Corporation." Amendment No. 2 corrected the foregoing name discrepancies. D. Now, City and Consultant desire to do the following: (1) have City exercise the second of its two one-year options to extend the term of the Agreement pursuant to Section 3.4 thereof, thereby extending the term until May 2, 2023; (2) increase Consultant's hourly billing rates; and (3) increase the Contract Sum from $960,000 to $1,160,000 to fund Consultant's increased billing rates and services for the one-year extension period authorized pursuant hereto. TERMS 1. Recitals. The foregoing recitals are true and correct, and the same are incorporated herein by this reference. -1- 01007.000 U770891.1 2. Contract Changes. The Agreement is amended as provided herein (additions shown in bold italics, deletions shown in str-ikedffeugh format). a. Section 2.1, "Contract Sum," of the Agreement is hereby amended to read in its entirety as follows: '.Subject to any limitations set forth in this Agreement, City agrees to pay Consultant the amounts specified in the `Schedule of Compensation' attached hereto as Exhibit `C' and incorporated herein by this reference. The total compensation, including reimbursement for actual expenses, shall not exceed One Million One Ni*e Hundred Sixty Thousand Dollars ($1,160,000 $960000) (the 'Contract Sum'), unless additional compensation is approved pursuant to Section 1.8." b. Section 3.4, "Term," of the Agreement is hereby amended to read in its entirety as follows: "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 five (5) few -(4) years from the date hereof. City may, at its stile- and -absolute option, exteiid the Tefm by an addifierrrcl vaav `a) vii ' VN.L 111V1 Va11VS1 0 va ale,.+'vu rl ft '30' 1 « to Term ati " w�iuui�y' ��v)u C. Section V of Exhibit "C" of the Agreement, "Schedule of Compensation," is hereby amended to read as follows: "The total compensation for the Services shall not exceed $1,160,000 $968;989 as provided in Section 2.1 of this Agreement." d. Exhibit "C-1" of the Agreement, "Personnel Hourly Rates," is hereby amendment to read as follows: "Additional or On -Call services, as requested, will be billed at the following hourly rates (General overhead and administrative services are included in the hourly rates below): - Partner: $195 $IS8 per hour - Associate: $185"per hour - Paralegal: $90 $$8 per hour - Legal Assistant: $90" -2- 01007.0001/770891.1 3. Continuing Effect of Agreement. Except as amended by this Amendment No. 3, all provisions of the Agreement, Amendment No. 1, and Amendment No. 2 shall remain unchanged and in full force and effect. From and after the date of this Amendment No. 3, whenever the term "Agreement" appears in the Agreement, it shall mean the Agreement, as amended by this Amendment No. 3, Amendment No. 2, and Amendment No. 1. 4. Affirmation of Agreement; Warranty Re Absence of Defaults. City and Consultant each ratify and reaffirm each and every one of the respective rights and obligations arising under the Agreement, Amendment No. 1, and Amendment No. 2. Each party represents and warrants to the other that there have been no written or oral modifications to the Agreement other than as provided herein and Amendment No. 1 and Amendment No. 2. Each party represents and warrants to the other that the Agreement, as amended by Amendment No. 1, Amendment No. 2, and this Amendment No. 3, is currently an effective, valid, and binding obligation. Consultant represents and warrants to City that, as of the date of this Amendment No. 3, City is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. City represents and warrants to Consultant that, as of the date of this Amendment No. 3, Consultant is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. 5. Adequate Consideration. The parties hereto irrevocably stipulate and agree that they have each received adequate and independent consideration for the performance of the obligations they have undertaken pursuant to this Amendment No. 3. 6. Authority. The persons executing this Amendment No. 3 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 Amendment No. 3 on behalf of said party, (iii) by so executing this Amendment No. 3, such party is formally bound to the provisions of this Amendment No. 3, and (iv) the entering into this Amendment No. 3 does not violate any provision of any other agreement to which said party is bound. [SIGNATURES ON FOLLOWING PAGE] -3- 01007.0001/770891.1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment No. 3 on the date and year first -above written. ATTEST: :�-K - 6 - Dr. Khalea K. Bradshaw, City Clerk APPROVED AS TO FORM: ALESHIRE & WYNDER, LLP Sunny K. Soltani, City Attorney [rill CITY: CITY OF CARSON, a municipal corporation (eiw•a, Lu avis -Holmes, Mayor CONSULTANT: DABBAH HADDAD SULEIMAN A PROF S�IONAL CORPORATION, a California corp rat n Name: Gary Dean Dabbah Title: President By; Name: Munir Suleiman Title: CFO Address: 370 N. Verdugo Rd. Montrose, CA Two corporate officer signatures required when Consultant is a corporation, with one signature required from each of the following groups: 1) Chairman of the Board, President or any Vice 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. -4- 01007.00011770891.1 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)) 01007.0001/770891.1 DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNERS) 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 TITLES) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) 01007.0001/770891.1 DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT OTHER THAN NAMED ABOVE A� ©� CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD/YYYY) r02/07/2023 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 CONTACT Matt FlynnSt;3l NAME:Z,NNO eif3f Vit! Matt Flynn, Agent • Lic.#OB82245 ow. . 1931 W. Glenoaks Blvd. Ext): (818) 956-0111 FAX, No : (818) 240-3352 l E arRIEss. matt@agentmatfflynn.com INSURER(5) AFFORDING COVERAGE NAIC a► INSURER A: State Farm General Insurance Company 25151 Glendale, CA 91201 INSURED INSURER B: State Farm Mutual Automobile Insurance Company 25178 INSURER C : Dabbah, Haddad & Suleiman INSURER D: 3710 Verdugo Rd INSURER E: Montrose, CA 91020-1640 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 INSD WVD POLICYNUMBER POLICY MMIDD/YYYY) (MWDDrYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE 1 OCCUR - DAMAGE TO RENTED $ PREMISES Ea occurrence MED EXP (Any one penton) $ 10,000 PERSONAL & ADV INJURY $ A X Business Office Policy Y Y 92 -E3 -H426-2 09/23/2022 09/23/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ jEC LOG PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BOWNED Ix ANY AUTO SCHEDULED AUTOS ONLY AUTOS Y Y 591 3849 -D17 -75A 10/17/2022 10/17/2023 BODILY INJURY (Per accident) $ HIRED V NON -OWNED AUTOS ONLY /� AUTOS ONLY P r accident S 3 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ElNIA I PER OTH- - $----- E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be knv E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ' Business Office General Liability Policy for a Law Firm Auto Non -Owned Hired Auto Liability Policy Primary and Non-contributory endorsement Waiver of Subrogation endorsement in favor of City of Carson Additional Insured: City of Carson, its elected and appointed officers, employees, volunteers, and agents SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carson I NSU RANCE APPROVED ACCORDANCE WITH THE POLICY PROVISIONS. 701 E Carson St Ra AUTHORIZE EPRESENTATIVE Carson, CA 90745 2/7/2023 0 1988.JT5 ACOR9 CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of CORD 1001486 132844'8.14 04-13-2022 A`COR©® CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) r02/07/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Jeff Utz c/o Arthur J. Gallagher Risk Management Services 6967 South River Gate Drive; Suite 200 CONTACT NAME: PHONE FAX Ext): A/C No): IC ADDRESS: brittney_sheldon@ajg.com INSURER(S) AFFORDING COVERAGE NAIC If Salt Lake City, UT 84047 INSURER A: American Zurich Insurance Company 40142 INSURED INSURER B: Staff Pay, Inc. dba: Emplicity Labor Contractor, for co -employees of: LAW OFFICES OF DABBAH, HADDAD & SULEIMAN, APC INSURER C: INSURER D: 9851 Irvine Center Dr Suite 200 Irvine, CA 92618 INSURER E INSURER F: MED EXP (Any one person) $ COVERAGES CERTIFICATE NUMBER:22CA756945935 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 1:1 OCCUR DAMAR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO 1 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L PROPERTY DAMAGE $ Per accident $ 1 UMBRELLA LAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB DED I RETENTION$ $ WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER EACH ACCIDENT $ 1,000,000 A ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBEREXCLUDED? ❑ N/A X WC 58-97-166-06 12/01/2022 12/01/2023 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/01/2022 12/01/2023 Client# 10952 -CA DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) LAW OFFICES OF DABBAH, HADDAD & SULEIMAN, Waiver of Subrogation issued in favor of City of Carson, its elected and appointed Coverage iprovided for APC officers, employees, volunteers and agents. only those co -employees s of, but not subcontractors 3710 N Verdugo Rd RE: All Operations. to: Montrose, CA 91020 Endorsements: Waiver of Subrogation, 30 days written cancel notice (10 days for non payment of premium) 01 -1 6111.1 LIlGll -Me 01-19-4Gf CITY OF CARSON 701 E Carson St. Carson, CA 90745 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INSURANCE APPROVED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN n� ACCORDANCE WITH THE POLICY PROVISIONS. 2/7/2023 AUTHORIZED REPRESENTATIVE M4,t— ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DABBHAD-01 MGODO CERTIFICATE OF LIABILITY INSURANCE DAT213/2 OIYYYY) 2/3/2023 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 License # OL78680 S2NTACT Maria Godoy •osslight Insurance 300 Victory Blvd Ste 700 Dodland Hills. CA 91367 INSURED Dabbah, Haddad & Suleiman Gary Dabbah/Andrea Hill 3710 N. Verdugo Road Montrose, CA 91020 rA AFFORDING COVERAGFS CFRTIFICATF MIIMRFR• novrmnu urworo. 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. INT R TYPE OF INSURANCE �ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS 1 COMMERCIAL GENERAL LIABILITY (-H CLAIMS -MADE OCCUR I I EACH OCCURRENCE $ DAMAGE A MSES RENTED PREMISES( arren _ S MED EXP Amy oneperson) PERSONALS ADV INJURY $ ! GEWL AGGREGATE LIMIT APPLIES PER: R ��j POLICY ❑ JE C LOC GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG $ - — OTHER: AUTOMOBILE LIABILITY (Ee arB.aiNdEerDitSINGLE LIMIT BODILY INJURYIPar person, i ANY AUTO OWNEDDULED AUTOS AUUTOpSS I BODILY INJURY Per accident S �DONLY AUTOS ONLY AUTOS ONEY ! PerO�dent) AMAGE $ S UMBRELLA LIAB OCCUR I EACH OCCURRENCE FIEXCESS LIAR CLAIMS -MADE AGGREGATE 1$ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIIETBOERIPARTNERIEXECUTIVE YIN (MerWatory in NHR EXCLUDED? n yes, describe under OESCRIPTION OF OPERATIONS below I I N / A I PER DTH - E.L. EACH ACCIDENT - j E.L. DISEASE - EA EMPLOYE _ S E.L. DISEASE -POLICY LIMIT -- - A Profess. Liability A Profess. Liability LAW2034503 ! 8120/2022 LAW2034503 8/20/2022 1 8/20/2023 8/2012023 I !Per Claim :Aggregate 2,000,000 3,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carson INSURANCE APPROVED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 701 E Carson Street Carson, CA 90745 RIG AUTHORIZED REPRESENTATIVE 2/7/2023 P%'—%JrcU'ea tcv Iorvsl ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DABBHAD-01 MGODOY A� Rte- CERTIFICATE OF LIABILITY INSURANCE °ATE,M3/251120222022YY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 License # OL78680 CONTACT Maria Godoy NAME: Grossll ht Insurance PHONE - - - FAX 21300 Victory Blvd Ste 700 i (A1C, No, Ext). (A1C, No): .Woodland Hills, CA 91367 aoDREss: Mana_Godoy@grasslight,corn INSURED Dabbah, Haddad & Suleiman Gary Dabbah/Andrea Hill 3710 N. Verdugo Road Montrose, CA 91020 r nVFRAn PQ CFRTICICATI= killURGD• Oevrern Rr Ru rRAOCO. 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 _ INSURER(S)_APFORDING COVERAGE NAIC # _ INSURERA:QBE Insurance Corporation 39217 iINSURER B : - COMMERCIAL GENERAL LIABILITY i INSURER C : - I CLAIMS -MADE OCCUR INSURER D : INSURER E; _ i INSURER F : r nVFRAn PQ CFRTICICATI= killURGD• Oevrern Rr Ru rRAOCO. 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. .NSR ---- -_-----------__-ADDLSUBR- T TYPE OF INSURANCE POLICY NUMBER t POLICYEFF POLICY EXP ; LIMITS DfYYYY M DDtYYYY - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - I CLAIMS -MADE OCCUR ,._.._ ---_ DAMAGE TO RENTED PREMISES., Eaoccurrencel_$ , - .. - _ i MED EXP IAnj oneyersoni . $ _ PERSONAL & ADV INJURY $ LAGEGATE LIMIT APPLIES PER. GENERAL AGGREGATE S _ n PRO- POLICY J SECT �i LOC i i PRODUCTS - COMP/OP AGG 1 $ OTHER: I $ AUTOMOBILE LIABILITY !. COMBINED SINGLE LIMIT $ ANY AUTO __ -; MBODILY INJURY IPer person $ OWNED SCHEDULED - ' AUTOS ONLY AUTOS i BODILY INJURnPer accident) $_ HIRES I NO 60WNED � _ � PROPERTY DAMAGE ! ,. ....... AUTOS ONLY AUTOS ONLY ! IPer accident) $ -- UMBRELLA LIAB OCCUR ' EACH OCCURRENCE $ EXCESS LIAR ! CLAIMS -MADE AGGREGATE -. - $— DEO RETENTION $ WORKERS COMPENSATION j PER 0TH - AND EMPLOYERS' LIABILITY Y / N - _. �. STATUTE _ ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L._EACH ACCIDENT $ ER/MEMBER EXCLUDED? C N / A tIn NH) - (Mandatory (M DISEASE - EA EMPLOYEE $ E.L.If y.__ es, describe under - _ .. .- - - ----- DESCRIPTION OF OPERATIONS below j E.L. DISEASE -POLICY LIMIT $ A Profess. Liability LAW2034502 8/20/2021 8/20/2022 Per Claim 2,000,000 A Profess, Liability LAW2034502 8/20/2021 8/20/2022 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carson INSURANCE APPROVED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 701 E Carson Streetnnom�-- ACCORDANCE WITH THE POLICY PROVISIONS. Carson, CA 90745 /tom 3/29/2022 AUTHORIZED REPRESENTATIVE NUUrcv 40 tAVTorusl ©1988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD 0 ACORO CERTIFICATE OF LIABILITY INSURANCE �- DATE (MMIDD/YYYY) 0312512022 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 StateFWM Matt Flynn, Agent A Lic. #0882245 1931 W. Glenoaks Blvd. Glendale, CA 91201 NAME: Matt Flynn PHONE (818) 956-0111 . No3; (816) 240-3352 ADDRESS• matt@agentmattflynn.com INSURER($) AFFORDING COVERAGE ( NAIC tJ INSURER A.. State Farm General Insurance Company 25151 INSURED Dabbah, Haddad & Suleiman 3710 Verdugo Rd. Montrose, CA 91020-1640 INSURER B : State Farm Mutual Automobile Insurance Company 25178 INSURERC : INSURER D INSURER E INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 P IC EFF MMIODIYYYY PO ICY EXP MMIDDlYYYY. LIMITS X, COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I—XI OCCUR I PREMISES Ea occurrence) $ MED EXP (Any one person) $ 10,000 A Y Y 92 -E3 -H426-2 09/13/2021 09/13/2022 X Business Office Policy PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: . GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COM PIOPAGG $ 2,000,000 X POLICY ❑ JECOT- F7 LOC $ OTHER: LIABILITY Y Y 591 3849 -D17 -75A 10/17/2021 10/17/2022 COUNAUTOMOBILE Eaaccluent ED SINGLE I S 1,000,000 BODILY INJURY (Per person) S ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X'. AUTOS ONLY BODILY INJURY (Per accident) $ R �TY ��`E $ Per a 'dent $ UMBRELLA LIAB OCCUR ACH OCCURRENCE $ LAG�GREGATES EXCESS LIAB CLAIMS -MAGE DED RETENTION $ $ 44pRKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ZANY PROPRIETOR/PARTNER/EXECUTIVE ❑ iOFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA STATUTE ERPERI H. E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S .� E.L. DISEASE -. POLICY LIMIT S ' If yes, describe under DESCRIPTION OF OPERATIONS below k DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddltionalRemarks Schedule, may be attached If more space Is required) Business Office General Liability Policy for a Law Firm Auto Non -Owned Hired Auto Liability Policy Primary and Nan -contributory endorsement Waiver of Subrogation endorsement in favor of City of Carson Additional Insured: City of Carson, its elected and appointed officers, employees, volunteers, and agents CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN INSURANCE APPROVED ACCORDANCE WITH THE POLICY PROVISIONS. City of Carson 701 E. Carson St. AUTHORIZED REPRESENTATIVE Carson, CA 90745 3/29/2022 _ II I ©19 015 ACOOD, CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered mark ACORD 1001486 132849.13 04-22•2020 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1_ 03/25/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 CONTACT - -- NAME: Jeff Utz PHONE - ---- FAX _. c/o Arthur J. Gallagher Risk Management Services EACH OCCURRENCE $ 6967 South River Gate Drive; Suite 200 E-MAIL ADDRESS: _ brittney_sheldon@ajg.com Salt Lake City, UT 84047 INSURER(S)AFFORDING COVERAGE NAIC# -- - _ INSURER A: American Zurich Insurance Company 40142 INSURED INSURER 8: StaffFay, Inc. dba: Emplicity Labor Contractor, for co -employees of: LAW OFFICES OF :._.... DABBAH, HADDAD & SULEIMAN, APC INSURER C: 9851 Irvine Center Dr Suite 200 INSURER D: Irvine , CA 92618 c5KIMIRE15 MR= LIMIT $ 11 INSURER E: ANY AUTO INSURER F: COVERAGES CERTIFICATE NUMBER: 21CA756945935 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. INSIR LTR TYPE OF INSURANCE AODL]SU D POLICYNUMBER MMI POLICY EFFEXP MMIDDYIYYYY), LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE —1 OCCUR " INWIAGE TO RENTED — S PREMISES (Ea occurrencel ITS i - MED EXP (Any one person) $ • 3 __ ____._____.—__—.-.__ _-..- PERSONAL &ADV INJURY $ _ GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ .... PRO- � n C :._.... ,POLICY JECT LOC PRODUCTS - COMPIOPAGG $ _ OTHER: $ AUTOMOBILE LIABILITY c5KIMIRE15 MR= LIMIT $ 11 {Ea accident. ANY AUTO __, _.___ BODILY INJURY (Per person) $ OWNED ,_-_--SCHEDULED 1!(I(! AUTOS ONLY AUTOS --_ ,.._.._... ......... BODILY INJURY (Per accident) $ _' HIRED 'NON -OWNED PROPERTY DAMAGE - AUTOS ONLY AUTOS ONLY- IPer aecidentj $ 8 UMBRELLA LIAB OCCUR EA CH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE; _ 'AGGREGATE $ DED RETENTION $ _� $ WORKERS COMPENSATION 11 X i STATUTE AND EMPLOYERS' LIABILITY YIN ER _ i -- - ------------- iANYPROPRIETORiPARTNER/EXECUTIVE A OFFICERIMEMBEREXCLUDED? NIA X WC 58-97-166-05 E.L.EACH ACCIDENT $ 1,000,000 12/01/2021 12/01/2022 - (Mandatory in NH) i E.L.DISEASE E4 EMPLOYEE $ 1,000 000 If yes, describe under --- - - ---- - --- - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12101/2021 12/01/2022 Client# 10952 -CA i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) LAW OFFICES OF DABBAH, HADDAD & SULEIMAN, Waiver of Subrogation issued in favor of City of Carson, its elected and appointed Coverage is provided for APC officers, employees, volunteers and agents. only those co -employees of, but not subcontractors 3710 N Verdugo Rd RE: All Operations. to: Montrose, CA 91020 Endorsements: Waiver of Subrogation, 30 days written cancel notice (10 days for non payment of premium) %1u —rte nvw ;.ANLr_LLAIIVN CITY OF CARSON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 701 E Carson St. INSURANCE APPROVED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Carson, CA 90745 ACCORDANCE WITH THE POLICY PROVISIONS. RG AUTHORIZED REPRESENTAIVE 3/29/2022 M4-�_ tc) 19HH-2015 ACOR❑ CORPORATION. All riohts reserved. WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the schedule (This agreement applies only to the extent that you per- form work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be otherwise due on such remuneration. Person or Organization IN FAVOR OF: CITY OF CARSON 701 E Carson St. Carson, CA 90745 $0 of the California workers' compensation premium SCHEDULE Job Description Waiver of Subrogation issued in favor of City of Carson, its elected and appointed officers, employees, volunteers and agents. RE: All Operations. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 12/01/2021 Policy No: WC 58-97-166-05 Endorsement No: Insured: StaffPay, Inc. dba: Emplicity Labor Contractor, for co -employees of: LAW OFFICES OF DABBAH, HADDAD & SULEIMAN, APC Insurance Company: American Zurich Insurance Company Countersigned by WC 04 03 06 Copyright 1983 National Council on Compensation Insurance