HomeMy WebLinkAbout2007/06/05 Item 12
CITY COUNCIL
AGENDA STATEMENT
ITEM TITLE:
SUBMITTED BY:
REVIEWED BY:
RESOLUTION APPROVING AN AGREEMENT
BETWEEN THE CITY OF CHULA VISTA AND THE SAN
DIEGO UNIFIED PORT DISTRICT FOR CITY POLICE,
FIRE, AND EMERGENCY MEDICAL SERVICES TO BE
PROVIDED ON PORT DISTRICT LANDS WITH
PAYMENT FOR THE SERVICES TO THE CITY, AND
AUTHORIZING THE MAYOR TO EXECUTE THE
AGREEMEN~N BEHALF OF THE CITY
CHIEF OF P 71'RE CHIEFl)y\f
CITY MANAG R if1
4/5THS VOTE: YES D NO 0
BACKGROUND
The City of Chula Vista has provided police, fire and emergency medical services to
the San Diego Unified Port District (Port District) since 1994. These services are
provided on Port District lands which do not generate ad valorem tax revenues. The
City and the Port District reached an agreement to continue providing these
services until Fiscal Year 2008-09.
ENVIRONMENTAL REVIEW
This proposed activity has been reviewed for compliance with the California
Environmental Quality Act (CEQA) and it has been determined that the activity is
not a "Project" as defined under Section 15378 of the State CEQA Guidelines
because it will not result in a physical change in the environment; therefore,
pursuant to Section 15060{c){3) of the State CEQA Guidelines, the activity is not
subject to CEQA. Thus, no environmental review is necessary.
RECOMMENDATION
That the City Council adopt the resolution approving the agreement between the City of Chula
Vista and the San Diego Unified Port District for police, fire and emergency medical services and
authorizing the Mayor to execute the agreement on behalf of the City.
BOARDS/COMMISSION RECOMMENDATION
N/A
12-1
JUNE 4,2007, Item l..l-
Page 2 of 3
DISCUSSION
The City of Chula Vista has been providing police, fire and emergency medical
services to the San Diego Unified Port District since 1994. This agreement covers the
reimbursement of the cost to provide the police, fire and emergency medical services
to the Port Districts filled tidelands and property within the City's limits, which do not
generate ad valorem tax revenues. Those properties include non-dedicated streets,
parks and other open space; unleased developed properties; leased properties
wherein the lessee is not subject to ad valorem taxes; and unleased land (See Exhibit
"A" included in attached agreement).
The City and the Port District reached consensus on the cost calculation methodology,
which in effect sets a rate for the upcoming and succeeding fiscal years. Any deviation
of the set amounts due to significant costs increases would have to be pre-approved
by the Port.
This agreement will be effective from July 1, 2006 through June 30, 2009.
DECISION MAKER CONFLICT
Staff has reviewed the property holdings of the City of Chula Vista City Council and
has found a conflict exists, in that Council Member Rudy Ramirez has property
holdings within 500 feet of the boundaries of the property which is the subject of this
action.
FISCAL IMPACT
Adopting this resolution will set reimbursement amounts owed by the Port District to
the City for provisions of police, fire and emergency medical services to the non-ad
valorem properties on the tidelands during fiscal years 2006-07, 2007-08 and 2008-
09. The agreed upon reimbursement rates for each year are as follows:
i
FY 2006 . 07 FY 2007 . 08 i FY 2008 . 09 .
.....-- $504,782" $528,411! $552,124
.__..~------_._-~--_._----~_._-- ---~~-------
-- ;
$139,969 $146,967 $154,315
;SEl.!Y! c~ _ ......
Police Services
-------------------------
iFire and Emergency
iMedical Services
1__., _.____..".___ .
iTOTAL, All Services
Total
FY 07..()9
$1,585,317
$441,251
$644,751 ·
$675,378
$706,439 $2,026,568
ATTACHMENTS
Agreement for services.
Prepared by: Edward Chew, Administrative Services Manager, Police Department
12-2
JUNE 4, 2007, Item I).
Page 3 of 3
RESOLUTION NO.
RESOLUTION APPROVING AN AGREEMENT BETWEEN THE
CITY OF CHULA VISTA AND THE SAN DIEGO UNIFIED PORT
DISTRICT FOR CITY POLICE, FIRE, AND EMERGENCY
MEDICAL SERVICES TO BE PROVIDED ON PORT DISTRICT
LANDS WITH PAYMENT FOR THE SERVICES TO THE CITY,
AND AUTHORIZING THE MAYOR TO EXECUTE THE
AGREEMENT ON BEHALF OF THE CITY
WHEREAS, the City of Chula Vista and the San Diego Unified Port District
(Port District) desire to execute an agreement regarding police, fire and emergency
medical services to be provided by the City on non-ad valorem tideland trust property,
owned by the Port District, but located within the City of Chula Vista; and
WHEREAS, the City has the capacity to provide police, fire and emergency
medical services to said Port District property; and
WHEREAS, the Port District will reimburse the City as set forth in the
Agreement for Services.
NOW, THEREFORE, BE IT RESOLVED the City Council of the City of Chula
Vista does hereby approve the Agreement between the City of Chula Vista and the
San Diego Unified Port District for City police, fire and emergency medical services to
be provided on Port District Lands with payment for services to the City, and
authorizing the Mayor to execute the Agreement on behalf of the City.
Presented by:
{JJ~ PL
Richard P. Emerson
~))~
DOUglasderry
Fire Chief
Approved as to form by:
~;fr;
City Attorney
12-3
THE ATTACHED AGREEMENT HAS BEEN REVIEWED
AND APPROVED AS TO FORM BY THE CITY
ATTORNEY'S OFFICE AND WILL BE
FORMALLY SIGNED UPON APPROVAL BY
THE CITY COUNCIL
~c~~
Ann Moore
City Attorney
Dated: S - j/ - 2-007
Agreement between San Diego Unified Port District
and
City of Chula Vista for
Police, Fire, and Emergency Medical Services
Agreement No. 26-2007
12-4
AGREEMENT BETWEEN
SAN DIEGO UNIFIED PORT DISTRICT
and
CITY OF CHULA VISTA
for
POLICE, FIRE AND EMERGENCY MEDICAL SERVICES
AGREEMENT NO. 26-2007
The parties to this Agreement are the SAN DIEGO UNIFIED PORT DISTRICT, a public
corporation, herein called "District" and the CITY OF CHULA VISTA; a municipal
corporation, herein called "City."
RECITALS:
WHEREAS, the San Diego Unified Port District Act allows the District to contract with
the Municipalities whose territorial limits are adjacent to or contiguous to those of the
District for police, fire and other services, and;
WHEREAS, the District and the City desire to execute an Agreement for police, fire and
emergency medical services on non-ad valorem tideland trust property located in the
City ("Agreement"), and;
WHEREAS, the City has the capacity to provide police, fire and emergency medical
services to said District property;
NOW, THEREFORE, it is mutually understood and agreed by and between the parties
as follows:
1. SCOPE OF SERVICES
A. This Agreement covers reimbursement of the cost of police, fire and
emergency medical (EMS) services to be provided by the City upon the
District's tidelands and property within the City's limits, which do not
generate ad valorem tax revenues, as depicted in Exhibit A, Non Tax
Paying Tidelands in the City of Chula Vista, incorporated by reference as
Page 1 of 12
Agreement No.: 26~2007
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
12-5
though fully set forth herein. Those properties include, but are not limited
to, non-dedicated streets, parks and other open space, unleased
developed properties, leased properties wherein the lessee is not subject
to ad valorem taxes (with the exception of properties leased to the City),
and unleased vacant land. Nothing herein contained shall give the City
the right to use or occupy any District real or personal property, or to
otherwise use the services of the District or its employees.
City shall provide police, fire and emergency medical services as
contained in the Statement of Reimbursable Expenses of this agreement,
Attached hereto as Exhibit B and incorporated by reference as though fully
set forth herein. Only expenditures authorized herein shall be eligible for
reimbursement, unless approved in writing by District.
A.1. For Police Services, City shall provide services to the same extent
and in the same manner as such member city actually provides or
may be required by law to provide to an ad valorem tax-generating
property. District and City shall, to the extent practicable, meet and
confer as needed to discuss deployment of resources cooperatively
in an effort to avoid duplication of services.
A.2. For Fire and Emeraencv Medical Services, City shall provide, to the
same extent and in the same manner as such member city actually
provides or may be required by law to provide to an ad valorem tax-
generating property, responses to all calls for fire suppression
services by the fire department; and responses to all calls for
emergency medical services, to such extent as the county, state, or
federal government requires City to provide.
B. The activities and services authorized for reimbursement shall only be
those which have occurred, and been rendered on or after July 1, 2006,
Page 2 of 12
Agreement No.: 26-2007
Party to Agreement: City of ChuJa Vista
Board Date: May 8. 2007
Requesting Department: Harbor Police
12-6
and which are in furtherance of the San Diego Bay tideland trust for the
accommodation of commerce, navigation, fisheries, and recreation on said
trust tidelands for the benefit of all of the people of the State of California.
2. TERM OF AGREEMENT: This Agreement covers services rendered for fiscal
years July 1, 2006 through June 30, 2009. If both parties desire to renew the
Agreement and the cost of services for the new Agreement is not finalized before
the current Agreement expires, the current Agreement may be extended by
amendment for up to one year at an annual compensation equal to the most
recent year's cost of services. After negotiations are completed, contract amount
will be adjusted based on final negotiated cost retroactive to July 1, 2009 or as
otherwise agreed.
3. COMPENSATION:
A. In consideration of the foregoing performances by City, District shall pay
City an amount not to exceed $644,751.00 for Fiscal Year 2007,
$675,378.00 for Fiscal Year 2008, and $706,439.00 for Fiscal Year 2009,
for a total amount under this Agreement not to exceed $2,026,568.00. A
summary of the not to exceed amounts by fiscal year and service provided
is shown in figure 1, below:
, Total
!
Service FY 06-07 ' FY 07-08 ! FY 08-09 FY 06-09
Police Services $504,782' $528,411 i $552,124 $1,585,317
Fire and Emergency Medical $139,969 $146,967 $154,315 $441,251
Services
TOTAL, All Services $644,751 $675,378 : $706,439 i $2,026,568
figure 1 - Summary of Expenses
Applicable reimbursable expenses are listed in Exhibit B, Statement of
Reimbursable Expenses, and incorporated by reference herein.
Page 3 of 12
Agreement No.: 26~2007
Party to Agreement: City of Chula Vista
Board Date: May 8. 2007
Requesting Department: Harbor Police
12-7
The estimate in consideration for fiscal year 07/08 and 08/09 is recognized
as the approximate cost of police, fire and emergency medical services with
the City. If during the contract period, City's negotiated costs for police
andlor fire services or salaries and benefits change, City shall give District
written notice and furnish documentation satisfactory to District to
substantiate the changes. Such changes shall be recognized as a basis for
increasing or decreasing the remaining consideration due after such
changes are approved by the City, and shall be reflected in the next
quarterly payment to the City.
City shall submit written requests for reimbursement to District for payment
under this Agreement. Written requests may be submitted on a quarterly
basis. District agrees to make reimbursement payments to the City within
thirty (30) days of receipt of a properly prepared request for reimbursement.
B. Payments made pursuant to this Agreement shall include without limitation
all sums, charges, reimbursements, costs and expenses provided for
herein. City shall not be required to perform further services after
compensation has been expended. In the event that City anticipates the
need for services in excess of the compensation, District shall be notified in
writing as immediately as reasonable and practicable. District must approve
an amendment to this Agreement before additional fees and costs are
incurred.
4. RECORDS: In accordance with generally accepted accounting principles, City
shall maintain full and complete documentation of the cost of services performed
under this Agreement. Such documentation, if reasonably available and
prepared and maintained in the regular course of business, may include time
cards, contracts, receipts, original invoices, canceled checks, payroll
documentation, calls for service records, dispatch records, police and fire budget
data, other budget data used to calculate citywide overhead factors, and periodic
Page 4 of 12
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Dale: May 8, 2007
Requesting Department: Harbor Police
12-8
logs maintained by police and fire staff. Such records shall be open to inspection
of District at all reasonable times in the City of Chula Vista and such records shall
be maintained in accordance with applicable laws and policies of the State of
California and City of Chula Vista related to records retention. Generally, all
records set forth herein shall be maintained for at least three (3) years from the
date of termination of this Agreement.
If City is notified by District of a dispute, claim, litigation, or appeal arising from
this Agreement, City shall maintain applicable and material records for a period
of three (3) years after notification of the dispute, claim, litigation, or appeal, or
until the dispute, appeal, litigation or claim has been finally resolved or
adjudicated, whichever is later.
City understands and agrees that District, at all times under this Agreement, has
the right to audit financial or other records, which City has prepared or which
relate to the work which City is performing for District pursuant to this Agreement
regardless of whether such records have previously been provided to District.
City shall provide District at City's expense a copy of all such records within ten
(10) working days of a written request by. District, unless the requested records
are voluminous in nature. In that case, City may extend the time to respond to a
request for records, as provided by the California Public Records Act, set forth in
the California Government Code, and incorporated herein as controlling authority
related to records disclosure. District's right to records shall also include
inspection at reasonable times at the City's office or facilities, which are engaged
in the performance of services pursuant to this Agreement. City shall, at no cost
to District furnish reasonable facilities and assistance for such review and audit.
5. COMPLIANCE: In performance of this Agreement, City shall comply with the
California Fair Employment and Housing Act, the American with Disabilities Act,
and all other applicable federal, state, and local laws prohibiting discrimination,
including without limitation, laws prohibiting discrimination because of age,
Agreement No.: 26-2007
Party to Agreement: City of Chuta Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
Page 5 of 12
12-9
ancestry, color, creed, denial of family and medical care leave, disability, marital
status, medical condition, national origin, race, religion, sex, or sexual orientation.
City shall comply with the prevailing wage provisions of the Labor Code, and the
Political Reform Act provisions of the Government Code, as applicable. City
shall comply with all applicable federal, state and local law, as well as any
applicable District codes and policies in effect now or as may be adopted as
those District codes and/or policies relate to the subject matter of this Agreement.
6. INDEPENDENT ANALYSIS: City shall provide the services required by this
Agreement, independent of the control and direction of District, other than normal
contract monitoring provided, however, City shall possess no authority with
respect to any District decision beyond rendition of such information, advice, or
recommendations.
7. ASSIGNMENT: City shall not assign this Agreement or any right or interest
hereunder without express prior written consent of District, nor shall District
assign this Agreement or any right or interest hereunder without express prior
written consent of City.
8. MUTUAL INDEMNIFICATION
A. City agrees to defend, indemnify and hold the District harmless against
and from any and all damages to property or injuries to or death of any
person or persons, including employees or agents of the District, and shall
defend, indemnify and hold harmless the District, its officers, agents and
employees, from any and all claims, demands, suits, actions or
proceedings of any kind or nature, of or by anyone whomsoever, in any
way resulting from or arising out of the negligent or intentional acts, errors
or omissions of the City or any of its officers, agents or employees, unless
otherwise agreed to in writing by City and District.
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Date: Maya, 2007
Requesting Department: Harbor Police
Page 6 of 12
12-10
B. District agrees to defend, indemnify and hold the City harmless against
and from any and all damages to property or injuries to or death of any
person or persons, including employees or agents of the City, and shall
defend, indemnify and hold harmless the City, its officers, agents and
employees, from any and all claims, demands, suits, actions or
proceedings of any kind or nature, of or by anyone whomsoever, in any
way resulting from or arising out of the negligent or intentional acts, errors,
or omissions of the District or any of its officers, agents or employees,
unless otherwise agreed to in writing by District and City.
9. INSURANCE REQUIREMENTS: City and District shall at all times during the
term of this Agreement maintain, at its expense, the following minimum levels
and types of insurance or evidence of a self-insured program:
A. Commercial General Liability (including, without limitation, Contractual
Liability, Personal and Advertising Injury, and Products! Completed
Operations) coverages, with coverage at least as broad as Insurance
Services Office Commercial General Liability Coverage (occurrence Form
CG 0001 with limits no less than two million dollars ($2,000,000) per
occurrence for bodily injury, personal injury and property damage.
1) The Commercial General Liability policy shall be endorsed to
include the other party, it's agents, officers, and employees as
additional insured.
2) The coverage provided to the other party, as an additional insured,
shall be primary.
B. Commercial Automobile Liability (Owned, Scheduled, Non-Owned, or
Hired Automobiles written at least as broad as Insurance Services Office
Page 7 of 12
Agreement No.: 26-2007
Party to Agreement City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
12-11
Form Number CA 0001 with limits of no less than two million dollars
($2,000,000) per accident for bodily injury and property damage.
C. Worker's Compensation in statutory required limits and Employer's
Liability in an amount of not less than one million dollars ($1,000,000) per
accident for bodily injury or disease. This policy shall be endorsed to
include a waiver of subrogation endorsement.
Certificates of insurance for all the policies described above upon execution of
this Agreement and upon renewal of any of these policies shall be provided by
City and District to the other party. Except in the event of cancellation for non-
payment of premium, in which case notice shall be 10 days, all such certificates
shall indicate that the insurer must notify District in writing at least 30 days in
advance of any change in, or cancellation of, coverage. Service Provider shall
also provide notice to District prior to cancellation of, or any change in, the stated
coverage of insurance. Each party reserves the right to request certified copies
of any required insurance policies with reasonable notice. A sample certificate of
insurance is shown in Exhibit C, incorporated by reference as though fully set
forth herein.
10. INDEPENDENT CONTRACTOR: City and any agent or employee of City shall
act in an independent capacity and not as officers or employees of District. The
District assumes no responsibility for taxes, bonds, payments or other
commitments, implied or explicit by or for the City. City shall not have authority
to act as an agent on behalf of the District unless specifically authorized to do so
in writing. City acknowledges that it is aware that because it is an independent
contractor, District is making no deductions from its fee and is not contributing to
any fund on its behalf. City disclaims the right to any fee or benefits except as
expressly provided for in this Agreement.
Page 8 of 12
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Date: May 8. 2007
Requesting Department: Harbor Police
12-12
11. ADVICE OF COUNSEL: The parties agree that they are aware that they have
the right to be advised by counsel with respect to the negotiations, terms and
conditions of this Agreement, and that the decision of whether or not to seek the
advice of counsel with respect to this Agreement is a decision which is the sole
responsibility of each of the parties hereto. This Agreement shall not be
construed in favor of or against either party by reason of the extent to which each
party participated in the drafting of the Agreement. The formation, interpretation
and performance of this Agreement shall be governed by the laws of the State of
California.
12. INDEPENDENT REVIEW: Each party hereto declares and represents that in
entering into this Agreement it has relied and is relying solely upon its own
judgment, belief and knowledge of the nature, extent, effect and consequence
relating thereto. Each party further declares and represents that this Agreement
is being made without reliance upon any statement or representation not
contained herein of any other party, or any representative, agent or attorney of
any other party.
13. INTEGRATION AND MODIFICATION: This Agreement contains the entire
Agreement between the parties and supersedes all prior negotiations,
discussion, obligations and rights of the parties in respect of each other regarding
the subject matter of this Agreement. There is no other written or oral
understanding between the parties. No modifications, amendment or alteration
of this Agreement shall be valid unless it is in writing and signed by the parties
hereto.
14. TERMINATION: In addition to any other rights and remedies allowed by law,
either party may terminate this Agreement at the end of a service year with or
without cause by giving at least six (6) months written notice prior to the start of
the next year of service to the other parties of such termination and specifying
the effective date thereof.
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
Page 9 of 12
12-13
In that event, all finished or unfinished documents and other materials, in
possession of City that are the property of District, at the option of District, shall
be delivered by City to the Don L. Nay Port Administration Building (located at
3165 Pacific Highway, San Diego, California 92101). Termination of this
Agreement by Executive Director (President/CEO) as provided in this paragraph
shall release District from any further fee hereunder by City other than the fees
earned for services which were performed prior to termination but not yet paid.
Said fee shall be calculated and based on the schedule as provided in this
Agreement.
15. DISPUTE RESOLUTION: If a dispute arises out of or relates to this Agreement,
or the alleged breach thereof, and is not settled by direct negotiation or such
other procedures as may be agreed, and if such dispute is not otherwise time
barred, the parties agree to first try in good faith to settle the dispute amicably by
mediation administered at San Diego, California, by the American Arbitration
Association, or by such other provider as the parties may mutually select, prior to
initiating any litigation or arbitration. Notice of any such dispute must be filed in
writing with the other party within a reasonable time after the dispute has arisen.
Any resultant Agreements shall be documented and may be used as the basis
for an amendment or directive as appropriate.
If mediation is unsuccessful in settling all disputes that are not otherwise time
barred, and if both parties agree, any still unresolved disputes may be resolved
by arbitration administered at San Diego, California, by the American Arbitration
Association, or by such other provider as the parties may mutually select,
provided, however, that the ArbitratiOn Award shall be non-binding and advisory
only. Any resultant Agreements shall be documented and may be used as the
basis for an amendment or directive as appropriate. On demand of the arbitrator
or any party to this Agreement, subcontractor and all parties bound by this
Page 10 of 12
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Date: May 8. 2007
Requesting Department: Harbor Police
12-14
arbitration provision agree to join in and become parties to the arbitration
proceeding.
16. PAYMENT BY DISTRICT: Payment by the District pursuant to this Agreement
does not represent that the District has made a detailed examination, audit, or
arithmetic verification of the documentation submitted for payment by the City,
made an exhaustive inspection to check the quality or quantity of the services
performed by the City, made an examination to ascertain how or for what
purpose the City has used money previously paid on account by the District, or
constitute a waiver of claims against the City by the District.
17. CAPTIONS: The captions by which the paragraphs of this Agreement are
identified are for convenience only and shall have no effect upon its
interpretation.
18. SIGNATURE: It is an express condition of this Agreement that said Agreement
shall not be complete nor effective until signed by the Executive Director
(President/CEO) or Authorized Designee on behalf of the District and by the City
Mayor or Authorized Designee of the City.
18.1 City shall submit all correspondence regarding this Agreement to the
following District representative:
Jeffrey B. McEntee, CFOlTreasurer
Executive Offices
San Diego Unified Port District
P.O. Box 120488
San Diego, CA 92112-0488
(619) 686-6423
(619) 686-6547 fax
Email: jmcentee@portofsandiego.org
18.2 District shall submit all correspondence regarding this Agreement to the
following City representative:
Page 11 of 12
Agreement No.: 26-2007
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
12-15
Nadine Mandery, Treasury Manager
City of Chula Vista
Finance Department
276 Fourth Avenue
Chula Vista, CA 91910
(619) 691-5250 ext. 3116 - direct line
(619) 585-5685 fax
Email: nmandery@cLchula-vista.ca.us
18.3 Written notification to the other party shall be provided, in advance, of
changes in the name or address of the designated representative.
SAN DIEGO UNIFIED PORT DISTRICT
CITY OF CHULA VISTA
Jeffrey B. McEntee
CFO/Treasurer
Cheryl Cox
Mayor
PORT ATTORNEY
Attest:
City Clerk
Approved as to Form:
City Attorney
Page 12 of 12
Agreement No.: 26-2007
Party to Agreement: City of ehula Vista
Board Date: May 8. 2007
Requesting Department: Harbor Police
12-16
EXHIBIT A
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Agreement No.: 26-2007; Exhibit A
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
12-17
Page 1 of 1
Agreement No.: 26-2007; Exhibit B
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
12:"18
Page 1 of 1
EXHIBIT C
CERTIFICATE OF INSURANCE
San Diego Unified Port District
By signing this form, the authorized agent or broker certifies the following:
(1) The Policy or Policies described below have been issued by the noted Insurer(s) [Insurance Company(ies)] to the Insured and
is (are) in force at this time.
(2) As required in the Insured's Agreement(s) with the District, the policies include, or have been endorsed to include, the
coverages or conditions of coverage noted on page 2 of this certificate.
(3) Signed copies of all endorsements issued to effect require coverages or conditions of coverage are attached to this
certificate.
Return this fonn to: San Diego Unified Port District
Attn: Linda Wilkstrom, Audit, Risk Management & Safety
P. O. Box 120488, San Diego, CA 92112-0488
FAX: 866-875-1993
Name and Address of Insured (Contractor or Vendor) SDUPD Agreement Number
This certificate applies to all operations of named insureds property in
connection with all Agreements between the District and Insured.
CO LTR TYPE OF INSURANCE POLICY NO. DATES LIMITS
Commercial General Liabilitv Commencement Date: Each Occurrence:
0 Occurrence Fonn
0 Claims-made Form $
Retro Date Expiration Date: General Aggregate:
C Liquor Liability
Deductible/SIR: $ $
Commercial Automobile Liability Commencement Date: Each Occurrence:
0 All Autos Expiration Date: $
0 Owned Autos
0 Non-Owned & Hired Autos
Workers Compensation - Statutory Commencement Date: E.L. Each Accident $
Employer's Liability Expiration Date: E.L. Disease Each Employee $
E.L. Disease Policy Limit $
Professional Liabillty Commencement Date: Each Claim
0 Claims Made Expiration Date: $
Retro-Active Date
Excess/Umbrella Liability Commencement Date:
Each Occurrence: $
Expiration Date:
General Aggregate:$
CO LTR COMPANIES AFFORDING COVERAGE BEST'S RATING
A
B
C
D
A. M. Best Financial Ratings of Insurance Companies Affording Coverage Must be A- VII or Better unless Approved in Writing by the District.
Name and Address of Authorized Agent(s) or Broker(s) E-Mail Address:
Phone: Fax Number:
Signature of Authorized Agent(s) or Broker(s)
Date:
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Agreement No.: 26-2007; Exhibit C
Party to Agreement City of Chula Vista
Board Date: May 8. 2007
Requesting Department Harbor Police
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ENDORSEMENT NO. EFFECTIVE DATE POLICY NO.
NAMED INSURED:
GENERAL DESCRIPTION OF AGREEMENT(S) AND/OR ACTIVITY(IES):
All written Agreements, contracts and leases with the San Diego Unified Port District and/or any
and all activities or work performed on district premises
SAN DIEGO UNIFIED PORT DISTRICT
REQUIRED INSURANCE ENDORSEMENT
All written Agreements, contracts, and leases with the San Diego Unified Port District
and/or any and all activities or work performed on District owned premises.
Notwithstanding any inconsistent statement in the policy to which this endorsement is
attached or in any endorsement now or hereafter attached thereto, it is agreed as follows:
1. The San Diego Unified Port District, its officers, agents, and employees are additional
insureds in relation to those operations, uses, occupations, acts, and activities described
generally above, including activities of the named insured, its officers, agents, employees or
invitees, or activities performed on behalf of the named insured.
2. Insurance under the policy(ies) listed on this endorsement is primary and no other insurance
or self-insured retention carried by the San Diego Unified Port District will be called upon to
contribute to a loss covered by insurance for the named insured.
3. The policy(ies) listed on this endorsement will apply separately to each insured against whom
claim is made or suit is brought except with respect to the limits of the insurer's liability.
4. As respects the policy(ies) listed on this endorsement, with the exception of cancellation due
to nonpayment of premium, thirty (30) days written notice by certified mail, return receipt
requested, will be given to the San Diego Unified Port District prior to the effective date of
cancellation, change in coverage, reduction of limits or non-renewal. In the event of cancellation
due to nonpayment of premium, ten (10) days written notice shall be given.
Except as stated above, and not in conflict with this endorsement, nothing contained herein shall
be held to waive, alter or extend any of the limits, Agreements or exclusions of the policy(ies) to
which this endorsement applies.
(NAME OF INSURANCE COMPANY)
(SIGNATURE OF INSURANCE COMPANY AUTHORIZED REPRESENTATIVE)
MAIL THIS ENDORSEMENT AND NOTICES OF CANCELLATION,
LIMIT REDUCTIONS, AND CHANGES IN COVERAGE TO:
Return this form to: San Diego Unified Port District
Attn: Linda Wilkstrom, Audit, Risk Management & Safety
P. O. Box 120488, San Diego, CA 92112-0488
FAX: 866-875-1993
Agreement No.: 26-2007; Exhibit C
Party to Agreement: City of Chula Vista
Board Date: May 8, 2007
Requesting Department: Harbor Police
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