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2019-10-15 City Council Agenda Packet Page 1 of 7 California Public Records Act ("PRA"): In compliance with the PRA, the documents pertaining to agenda items, including attachments, which are presented to the City Council in open session are available for public inspection. They may be inspected during regular business hours in the Office of the City Clerk at Vernon City Hall, 4305 Santa Fe Avenue; Vernon, California 90058, no appointment necessary, and on the City’s website at www.cityofvernon.org. Americans with Disabilities Act (“ADA”): In compliance with the ADA, if you need special assistance to participate in the meeting, please contact the Office of the City Clerk at (323) 583-8811. Notification of at least 48 hours prior to the meeting or time when services are needed will assist the City staff in assuring that reasonable arrangements can be made to provide accessibility to the meeting or service. Agenda City of Vernon Regular City Council Meeting Tuesday, October 15, 2019, 09:00 AM City Hall, Council Chamber 4305 Santa Fe Avenue Vernon, California Melissa Ybarra, Mayor Leticia Lopez, Mayor Pro-Tem William Davis, Council Member Carol Menke, Council Member Vacant, Council Member CALL TO ORDER & FLAG SALUTE CHANGES TO THE AGENDA PUBLIC COMMENT At this time the public is encouraged to address the City Council on any matter that is within the subject matter jurisdiction of the City Council. The public will also be given a chance to comment on matters which are on the posted agenda during City Council deliberation on those specific matters. PUBLIC HEARING 1. Public Utilities A Resolution Establishing a Transmission Revenue Balancing Account Adjustment for 2020 in Accordance with Vernon's Transmission Owner Tariff and Providing for Tariff Sheet Changes to Implement the Adjustment Recommendation: A. Find that approval of this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Conduct a Public Hearing; and Regular City Council Meeting Agenda October 15, 2019 Page 2 of 7 C. Adopt a resolution establishing a Transmission Revenue Balancing Account Adjustment for 2020 in accordance with Vernon’s Transmission Owner Tariff and providing for Tariff Sheet changes to implement the adjustment. 1. Notice of Public Hearing to Establish TRBAA for 2020 2. Resolution Establishing TRBAA for 2020 2. Public Utilities A Resolution Adopting New Gross Load And New Transmission Revenue Requirement for 2020 in Accordance with Vernon’s Transmission Owner Tariff and Providing for Tariff Sheet Changes to Implement the Adjustment Recommendation: A. Find that approval of this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Conduct a Public Hearing; and C. Adopt a resolution adopting a new gross load and new transmission revenue requirement for 2020 in accordance with Vernon's Transmission Owner Tariff and providing for Tariff Sheet changes to implement the adjustment. 1. Notice of Public Hearing to Establish Gross Load and TRR 2. Resolution Establishing New Load and New TRR for 2020 PRESENTATION 3. Health and Environmental Control Department Department of Toxic Substances Control (DTSC) Update on Environmental Clean-Up Efforts for the Former Thermador Site Located at 5119-5309 District Blvd. Recommendation: A. Find that the actions recommended in this staff report do not constitute a "project" pursuant to Section 45378(b)(2) of the Guidelines to the California Environmental Quality Act ("CEQA") because such recommendations constitute an administrative activity; and even if the proposed actions do constitute a project, it would be exempt from CEQA in accordance with Section 15061(b)(3), the general rule that CEQA only applies to projects that may have an effect on the environment; and B. Receive and file a presentation updating the City Council on DTSC's environmental clean-up efforts for the former Thermador site. 1. DTSC Update on Former Thermador Site in Vernon 4. Human Resources Employee Service Pin Awards for September 2019 Recommendation: No action required by City Council. This is a presentation only. 1. Service Pin List for September 2019 Regular City Council Meeting Agenda October 15, 2019 Page 3 of 7 CONSENT CALENDAR All matters listed on the Consent Calendar are to be approved with one motion. Items may be removed from the Consent Calendar by any member of the Council. Those items removed will be considered immediately after the Consent Calendar. 5. City Administration Enterprise License Agreement (ELA) with Microsoft Recommendation: A. Find the approval of the proposed agreement with Microsoft is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute as a "project" as defined by CEQA Guidelines Section 15378; and B. Approve a new Enterprise License Agreement (ELA) with Microsoft, in substantially the same form as attached herewith, for a period of three years; and C. Authorize the City Administrator to execute the Enterprise License Agreement with Microsoft with an effective date of October 15, 2019; and D. Authorize the issuance of a Purchase Contract to Insight Public Sector in an amount not to exceed $173,532.87 over the three year term of the ELA with Microsoft. 1. Microsoft Enterprise License Agreement 2. Insight 3-Year Quote 3. Insight- Riverside Contract 6. City Administration Ratification of Mayor’s Appointment of Eligible Individuals to Serve on the Vernon Housing Commission Recommendation: A. Find that ratification of the Mayor’s appointment of eligible individuals to serve on the Vernon Housing Commission is exempt from California Environmental Quality Act (“CEQA”) review, because it is an administrative action that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; and B. Ratify the Mayor’s appointment of Jorge Nevarez Jr. to serve on the Vernon Housing Commission in the Business Representative Seat No. 1 with a term of July 1, 2019 to June 30, 2023; and C. Ratify the Mayor’s appointment of Ronit Edry to serve on the Vernon Housing Commission in the Business Representative Seat No. 3 with a term of July 1, 2019 to June 30, 2023; and D. Ratify the Mayor's appointment of Marlene Ybarra to serve on the Vernon Housing Commission in a Resident Representative Seat No. 2 with a term of July 1, 2019 to June 30, 2023. 1. VHC Recruitment Letter September 2019 2. VHC Applications Regular City Council Meeting Agenda October 15, 2019 Page 4 of 7 7. City Administration Council Conference Attendance Report Recommendation: A. Find that receiving this Council Conference Attendance Report is exempt from California Environmental Quality Act ("CEQA") review, because it is an administrative activity of government that will not result in direct or indirect physical changes in the environment and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Receive and file. 8. City Clerk Minutes of the Regular City Council Meeting Held on October 1, 2019 Recommendation: A. Receive and file. 1. 2019-10-01 City Council Minutes 9. Finance/ Treasury Approval of City Payroll Warrant Register No. 760 Covering the Period of September 1 through September 30, 2019 Recommendation: A. Approve City Payroll Account Warrant Register No. 760 which totals $2,821,475.18 and consists of the following: 1) Ratification of direct deposits, checks and taxes totaling $2,187,491.44 2) Ratification of checks and electronic fund transfers (EFT) paid through Operating bank account totaling $633,983.74 1. City Payroll Account Warrant Register No. 760 10. Finance/ Treasury Approval of Operating Account Warrant Register No. 32 Covering the Period of September 24 through October 7, 2019 Recommendation: A. Approve Operating Account Warrant Register No. 32 which totals $7,978,970.09 and consists of the following: 1) Ratification of electronic payments totaling $7,604,916.82. 2) Ratification of the issuance of early checks totaling $357,659.93. 3) Authorization to issue pending checks totaling $16,393.34. 1. Operating Account Warrant Register No. 32 11. Finance/ Treasury Special Event Insurance for Fiscal Year 2019-20 Recommendation: A. Find that approval of the purchase of special event casualty insurance for fiscal year 2019-20 is exempt from California Environmental Quality Act (CEQA) review because it is a continuing administrative and fiscal activity that will not result in direct or indirect physical changes in the environment and, therefore does not constitute a “project,” as defined in Section 15378 of the CEQA Guidelines; and Regular City Council Meeting Agenda October 15, 2019 Page 5 of 7 B. Approve the Proposal and Application for special events insurance coverage for four events the City will be having during fiscal year 2019-2020, in substantially the same form as submitted herewith, for a total amount not to exceed $937.00; and C. Authorize the City Administrator to execute the Proposal and Application for special events insurance coverage. 1. AON Vernon Special Event Proposal for FY 2019-20 2. AON Vernon Special Event Quote Disclosure Report for Proposal 3. CRC Insurance Documents - Coverage Certificate and Application 4. Halloween Spooktacular Event Endorsements 12. Fire Department Fire Department Activity Report for the Period of September 1 through September 15, 2019 Recommendation: A. Receive and file. 1. Fire Department Activity Report - 09/01/19 to 09/15/19 13. Police Department Vernon Police Department Activity Log and Statistical Summary for the period of September 1 through September 15, 2019 Recommendation: A. Receive and file. 1. Police Department Activity Report - 09/01/19 to 09/15/19 14. Public Utilities License Agreement with Crown Poly, Inc. for Temporary Use of a Portion of the Property Located at 2800 E. 50th St. in Vernon Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA), in accordance with CEQA Guidelines § 15061(b)(3), the general rule that CEQA only applies to activities that may have a significant effect on the environment; and B. Approve the License Agreement with Crown Poly, Inc., in substantially the same form as submitted herewith, for Temporary Use of a Portion of Property Located at 2800 E. 50th St., Vernon, CA 90058 for an amount not to exceed $1.00; and C. Authorize the City Administrator to execute the License Agreement with Crown Poly, Inc. to be effective October 14, 2019 through February 28, 2020. 1. License Agreement With Crown Poly, Inc. for Temporary Use of a Portion of Property Located at 2800 E. 50th St., Vernon CA 90058 Regular City Council Meeting Agenda October 15, 2019 Page 6 of 7 NEW BUSINESS 15. City Administration A Resolution Appointing Scott Williams to Serve as Director of Finance/City Treasurer and Approving and Authorizing the Execution of a Related At-Will Employment Agreement Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA) review, because they are administrative activities that will not result in direct or indirect physical changes in the environment, and therefore do not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Adopt the resolution appointing Scott Williams to serve as Director of Finance/City Treasurer of the City of Vernon effective November 4, 2019, and approving and authorizing the execution of a related at-will employment agreement. 1. Resolution - Appointment of Finance Director/City Treasurer 16. City Administration A Resolution Approving and Authorizing the Execution of a Memorandum of Understanding by and between the City of Vernon and the Consolidated Fire Protection District of the County of Los Angeles for Fire Battalion Chief Services Recommendation: A. Find that the approval of the proposed action is exempt from California Environmental Quality Act ("CEQA") review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the resolution approving and authorizing the execution of a Memorandum of Understanding by and between the City of Vernon and the Consolidated Fire Protection District of the County of Los Angeles for Fire Battalion Chief Services. 1. Resolution - Agreement for Fire Battalion Chief Services 17. Public Utilities A Resolution Approving and Adopting the Vernon Public Utilities Department Resource Adequacy Plan for 2020 Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (“CEQA”) review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; and B. Adopt a resolution approving and adopting the Public Utilities Department Resource Adequacy Plan for 2020, which includes the coincident peak Demand Forecast, the Planning Reserve Margin, the Qualifying Capacity Criteria and the Qualifying Capacity from such resources, City’s Resource Adequacy and Supply Data and approving the resources used to satisfy the California Independent System Operator’s (CAISO) tariff requirements; and Regular City Council Meeting Agenda October 15, 2019 Page 7 of 7 C. Authorize staff to submit the City of Vernon Public Utilities Department’s Resource Adequacy Plan for 2020 and the Monthly Resource Adequacy and Supply data to the CAISO. 1. Resolution - 2020 Annual Resource Adequacy Plan ORAL REPORTS City Administrator Reports – brief reports on activities and other brief announcements by the City Administrator. City Council Reports – brief AB1234 reports, or report on: activities, announcements, or directives to staff. CLOSED SESSION 18. CONFERENCE WITH LABOR NEGOTIATORS Government Code Section 54957.6 Agency Designated Representative: Carlos Fandino, City Administrator Employee Organizations: Vernon Professional Firefighters Association, and Vernon Fire Management Association 19. CONFERENCE WITH LEGAL COUNSEL – EXISTING LITIGATION (2) Government Code Section 54956.9(d)(1) Bicent (California) Malburg LLC et al. v. City of Vernon et al., Los Angeles Superior Court Case No. 19STCV08859 and JAMS Reference No. 1100107175 City of Vernon v. Bicent (California) Malburg LLC Los Angeles Superior Court Case No. 19STCP02411 and JAMS Reference No. 1220062657 ADJOURNMENT I hereby certify under penalty of perjury under the laws of the State of California, that the foregoing agenda was posted on the bulletin board at the main entrance of the City of Vernon City Hall, located at 4305 Santa Fe Avenue, Vernon, California, and on the City’s website, not less than 72 hours prior to the meeting set forth on this agenda. Dated this 10th day of October, 2019. By: __________________________________ Lisa Pope, City Clerk City Council Agenda Item Report Agenda Item No. COV-449-2019 Submitted by: Abraham Alemu Submitting Department: Public Utilities Meeting Date: October 15, 2019 SUBJECT A Resolution Establishing a Transmission Revenue Balancing Account Adjustment for 2020 in Accordance with Vernon's Transmission Owner Tariff and Providing for Tariff Sheet Changes to Implement the Adjustment Recommendation: A. Find that approval of this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Conduct a Public Hearing; and C. Adopt a resolution establishing a Transmission Revenue Balancing Account Adjustment for 2020 in accordance with Vernon’s Transmission Owner Tariff and providing for Tariff Sheet changes to implement the adjustment. Background: The City of Vernon is a Scheduling Coordinator and a Participating Transmission Owner (“PTO”) in the California Independent System Operator Corporation (“ISO”). To participate in the ISO, PTOs are required to turn over administrative control of their transmission facilities and entitlements to the ISO. In return, the ISO collects revenues for each PTO pursuant to calculations that reflect the expenses and capital costs incurred by each PTO to provide transmission services. The relationship between PTOs and the ISO is governed by a Transmission Control Agreement (“TCA”), which sets forth the specific duties and obligations of all PTOs. The TCA requires all PTOs to file a Transmission Owner Tariff (“TO Tariff”) with the Federal Energy Regulatory Commission (“FERC”). Pursuant to Section 5.2 of the TO Tariff, Vernon updates its Transmission Revenue Balancing Account Adjustment (“TRBAA”) annually. The TRBAA is a tariff mechanism designed to ensure that all Transmission Revenue Credits (“TRCs”) are flowed through to ISO open access transmission tariff (“ISO Tariff”) customers via annual update filings at the FERC by PTOs. Appendix F, Schedule 3, Section 6.1(b), of the ISO Tariff describes the annual TRBAA calculation as “a dollar amount based on the projected Transmission Revenue Credits as adjusted for the true up of the prior year’s difference between projected and actual credits.” The attached TRBAA Report supports the establishment of a new TRBAA for 2020, based on the requirements of the TO Tariff and the ISO Tariff. The Report accounts for the inadvertent error identified in the TRBAA filing for calendar year 2019 consistent with FERC’s order. Fiscal Impact: None. ATTACHMENTS 1. Notice of Public Hearing to Establish TRBAA for 2020 2. Resolution Establishing TRBAA for 2020 CALIFORNIA NEWSPAPER SERVICE BUREAU PRE# D A I L Y J O U R N A L C O R P O R A T I O N To the right is a copy of the notice you sent to us for publication in the HUNTINGTON PARK BULLETIN. Please read this notice carefully and call us with any corrections. The Proof of Publication will be filed with the County Clerk, if required, and mailed to you after the last date below. Publication date(s) for this notice is (are): Mailing Address : 915 E FIRST ST, LOS ANGELES, CA 90012 Telephone (800) 788-7840 / Fax (800) 464-2839 Visit us @ www.LegalAdstore.com Deborah Harrington CITY OF VERNON CITY CLERK 4305 SANTA FE AVE VERNON, CA 90058 GPN GOVT PUBLIC NOTICE Notice of Two Separate Public Hearings - The establishment of Vernon's New Transmission Revenue Balancing Account Adjustment and Adoption of a New 09/26/2019 Notice Type: Ad Description COPY OF NOTICE 3297924 !A000005225174! An invoice will be sent after the last date of publication. If you prepaid this order in full, you will not receive an invoice. NOTICE OF TWOSEPARATE PUBLIC HEARINGS REGARDINGTHE ESTABLISHMENTOF VERNON'SNEW TRANSMISSION REVENUE BALANCING ACCOUNT ADJUSTMENT AND ADOPTION OF ANEW GROSSLOAD AND NEW TRANSMISSION REVENUEREQUIREMENT The City ofVernonwill conduct a Public Hearing, which you may attend. PLACE:Vernon City Hall CityCouncil Chamber 4305Santa FeAvenue Vernon,CA 90058 DATE &TIME:Tuesday,October 15,2019,at 9:00 a.m.(or as soon thereafterasthematter can be heard) PURPOSE/SUBJECT:(1)To consider evidence to establish Vernon's new Transmission Revenue Balancing Account Adjustment for itshigh voltage (over 200 kV)transmission entitlements (all located outside the City)pursuant to Vernon's Transmission Owner Tariff,and (2)To consider evidence to establish new Gross Load and new Transmission Revenue Requirement for its high voltage (over 200 kV)transmission entitlements (all locatedoutside the City)pursuanttoVernon's Transmission Owner Tariff. DOCUMENTS FOR REVIEW: Copies of a Resolution Establishing a Transmission Revenue Balancing Account Adjustment for 2020 and a Resolution Adopting a New Gross Load and New Transmission Revenue Requirement will be available for public examination at Vernon City Hall,located at 4305 Santa Fe Avenue, Vernon,CA from October 4,2019 through October15,2019. Pleasesend yourcomments or questions to: AbrahamAlemu Cityof Vernon,Public Utilities 4305Santa FeAvenue,Vernon,CA 90058 (323)583-8811 Ext.250 AALemu@ci.vernon.ca.us PROPOSED CEQA FINDING:Find that approval of the proposed action is exempt from California Environmental Quality Act ("CEQA")review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment,and therefore does not constitute a "project"as defined by CEQA Guidelinessection 15378. If you challenge the adoption/approval of the establishment of Vernon's new Transmission Revenue Balancing Account Adjustment,or Vernon's new Gross Load and new Existing Transmission Contract Adjustment or any provision thereof in court,you may be limited to raising only those issues you or someone else raised atthe hearingdescribedin this notice or in written correspondence delivered to the City of Vernonat,or priorto,the meeting. Americans with Disabilities Act (ADA):In compliance with ADA,if you need special assistance to participate in the meeting,please contact the Office of the City Clerk at (323)583- 8811ext.546. The hearing may be continued or adjourned or cancelled and rescheduled to a stated time and placewithout further notice ofapublic hearing. Dated:9/23/19 /S/ Deborah Harrington,InterimCityClerk 9/26/19 PRE-3297924# HUNTINGTON PARK BULLETIN RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON ESTABLISHING A TRANSMISSION REVENUE BALANCING ACCOUNT ADJUSTMENT FOR 2020 IN ACCORDANCE WITH VERNON’S TRANSMISSION OWNER TARIFF AND PROVIDING FOR TARIFF SHEET CHANGES TO IMPLEMENT THE ADJUSTMENT WHEREAS, the City of Vernon (“City”) is a chartered municipal corporation of the State of California that owns and operates a system for the generation, purchase, transmission, distribution and sale of electric capacity and energy; and WHEREAS, the City is a Participating Transmission Owner (“PTO”) with the California Independent System Operator Corporation, a California nonprofit public benefit corporation (“CAISO”); and WHEREAS, the CAISO requires a PTO to turn over operational control of its transmission facilities and entitlements to the CAISO; and WHEREAS, in return, the CAISO collects revenues for each PTO pursuant to calculations that reflect the expenses and capital costs incurred by each PTO to provide transmission services; and WHEREAS, the relationship between PTOs and CAISO is governed by a Transmission Control Agreement (“TCA”) which sets forth the specific duties and obligations of all PTOs including the filing of a Transmission Owner Tariff (“TO Tariff”) with the Federal Energy Regulatory Commission (“FERC”); and WHEREAS, in order to ensure that all Transmission Revenue Credits are flowed through to CAISO’s open access transmission tariff (“CAISO Tariff”) customers, the City annually updates its Transmission Revenue Balancing Account Adjustment (“TRBAA”) by a dollar amount - 2 - reflecting the proposed Transmission Revenue Credits adjusted for difference between projected and actual credits from the prior year; and WHEREAS, in its November 15, 2018, filing before FERC, the City informed FERC of an inadvertent error in the TRBAA stated in its October 31, 2018, TRBAA filing for calendar year 2019 and proposed to correct for this error in its TRBAA filing for calendar year 2020, and FERC accepted the City’s proposal to correct and account for this inadvertent error in its TRBAA filing for calendar year 2020; and WHEREAS, a Notice of Public Hearing was published on September 26, 2019, notifying all interested parties that a hearing to consider evidence to establish the City’s new TRBAA for 2020 was scheduled for October 15, 2019, at approximately 9:00 a.m., subject to the hearing being continued or adjourned to a stated time and place without further notice of public hearing; and WHEREAS, a Public Hearing was held on October 15, 2019, in which the City Council took evidence from staff and those other persons in attendance who wished to be heard on the establishment of the City’s new TRBAA; and WHEREAS, the Public Utilities Department has prepared a Report, with exhibits, dated on or about October 15, 2019 (“Report”), which determines the new TRBAA for 2020, accounting for the error identified in the TRBAA filing for calendar year 2019 consistent with FERC’s order, to be consistent with the TO Tariff and supports the TRBAA and the changes to Appendix I of the TO Tariff to implement the new TRBAA effective January 1, 2020; and WHEREAS, the Public Utilities Department has recommended that the TRBAA and Appendix I to the TO Tariff implementing the new TRBAA be - 3 - approved; and WHEREAS, the City Council has heard and considered all evidence, both written and oral, presented in consideration of the establishment of the City’s new TRBAA and revised Appendix I to the TO Tariff implementing the new TRBAA. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: SECTION 1: The City Council of the City of Vernon hereby finds and determines that the above recitals are true and correct. SECTION 2: The City Council of the City of Vernon finds that this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378. SECTION 3: The City Council of the City of Vernon hereby further finds and determines that all persons have had the opportunity to be heard or to file written comments to the proposed establishment of the City’s new TRBAA and amended Appendix I to the TO Tariff implementing the new TRBAA, accounting for the error identified in the TRBAA filing for calendar year 2019 consistent with FERC’s order, and, after due consideration of any and all evidence submitted at the public hearing, determines that there are compelling reasons to justify the establishment of the City’s new TRBAA for 2020 and an amended Appendix I to the TO Tariff implementing the new TRBAA for 2020, a copy of which is attached hereto as Exhibit A and made a part hereof. SECTION 4: The City Council of the City of Vernon hereby approves, pursuant to the TO Tariff and to be effective on January 1, - 4 - 2020, the establishment of the City’s new TRBAA for 2020, and revised Appendix I to the TO Tariff implementing the new TRBAA for 2020, as described in the Report, a copy of which is attached hereto as Exhibit B and made a part hereof. SECTION 5: The City Council of the City of Vernon hereby authorizes outside counsel to submit the City’s new TRBAA for 2020, the revised Appendix I to the TO Tariff, and supporting documentation, such as the Report and this City Council Resolution, to FERC on behalf of the City of Vernon. SECTION 6: The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk of the City of Vernon shall cause this resolution and the City Clerk’s certification to be entered in the File of Resolutions of the Council of this City. APPROVED AND ADOPTED this 15th day of October, 2019. Name: Title: ATTEST: Lisa M. Pope, City Clerk APPROVED AS TO FORM: Katharine Mapes, Esq. Spiegel & McDiarmid, LLP Special Counsel to City - 5 - STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Lisa M. Pope, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. , was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on Tuesday, October 15, 2019, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. Executed this day of October, 2019, at Vernon, California. Lisa M. Pope, City Clerk (SEAL) EXHIBIT A APPENDIX I Transmission Revenue Requirement and TRBAA The Vernon Base Transmission Revenue Requirement is $2,446,8053,130,395 and is comprised of the following components: Base TRR costs not subject to ETC Adjustment Clause: $498,480 ETC Adjustment Clause: Forecast SCE ETC Costs: $2,388,7203001,440 Balance of Difference between prior year Forecast and Actual SCE ETC Costs: ($417,712343,270) Interest on Difference between prior year Forecast and Actual SCE ETC Costs: ($22,68326,255) The ETC Adjustment Clause is: The projected SCE ETC Cost for the next calendar year, plus the true-up (positive or negative) of the prior October through September SCE ETC Cost with interest calculated pursuant to 18 C.F.R. § 35.19a. The ETC Adjustment Clause will be recalculated annually and filed with the Commission with a proposed effective date of January 1 of each year. The TRBAA is a negativepositive $21,1768,634 for calendar year 201920. Vernon’s Gross Load, consistent with its TRR, used by the ISO to develop the Transmission Access Charge is 1,154,4921,119,215 MWhs. All of Vernon’s transmission facilities and Entitlements placed under the ISO’s Operational Control are High Voltage Facilities as defined by the ISO Tariff. The TRBAA will be recalculated annually consistent with the ISO Tariff approved by the Vernon City Council, and provided to the ISO. APPENDIX I Transmission Revenue Requirement and TRBAA The Vernon Base Transmission Revenue Requirement is $3,130,395 and is comprised of the following components: Base TRR costs not subject to ETC Adjustment Clause: $498,480 ETC Adjustment Clause: Forecast SCE ETC Costs: $3001,440 Balance of Difference between prior year Forecast and Actual SCE ETC Costs: ($343,270) Interest on Difference between prior year Forecast and Actual SCE ETC Costs: ($26,255) The ETC Adjustment Clause is: The projected SCE ETC Cost for the next calendar year, plus the true-up (positive or negative) of the prior October through September SCE ETC Cost with interest calculated pursuant to 18 C.F.R. § 35.19a. The ETC Adjustment Clause will be recalculated annually and filed with the Commission with a proposed effective date of January 1 of each year. The TRBAA is a positive $8,634 for calendar year 2020. Vernon’s Gross Load, consistent with its TRR, used by the ISO to develop the Transmission Access Charge is 1,119,215 MWhs. All of Vernon’s transmission facilities and Entitlements placed under the ISO’s Operational Control are High Voltage Facilities as defined by the ISO Tariff. The TRBAA will be recalculated annually consistent with the ISO Tariff approved by the Vernon City Council, and provided to the ISO. EXHIBIT B CITY OF VERNON PUBLIC UTILITIES DEPARTMENT REPORT REGARDING THE ESTABLSHMENT OF A NEW TRANSMISSION REVENUE BALANCING ACCOUNT ADJUSTMENT FOR CALENDAR YEAR 2020 October 15, 2019 The City of Vernon (“Vernon” or “City”) is a Scheduling Coordinator and a Participating Transmission Owner (“PTO”) in the California Independent System Operator Corporation (“ISO”). To participate in the ISO, PTOs are required to turn over administrative control of their transmission facilities and entitlements to the ISO. In return, the ISO collects revenues for each PTO pursuant to calculations that reflect the expenses and capital costs incurred by each PTO to provide transmission services. The relationship between PTOs and the ISO is governed by a Transmission Control Agreement (“TCA”), which sets forth the specific duties and obligations of all PTOs. The TCA requires all PTOs to file a Transmission Owner Tariff (“TO Tariff”) with the Federal Energy Regulatory Commission (“FERC”). Pursuant to Section 5.2 of the TO Tariff, Vernon updates its Transmission Revenue Balancing Account Adjustment (“TRBAA”) annually. The TRBAA is a tariff mechanism designed to ensure that all Transmission Revenue Credits (“TRCs”) are flowed through to ISO open access transmission tariff (“ISO Tariff”) customers via annual update filings at the FERC by PTOs. Appendix F, Schedule 3, Section 6.1(b), of the ISO Tariff describes the annual TRBAA calculation as “a dollar amount based on the projected Transmission Revenue Credits as adjusted for the true up of the prior year’s difference between projected and actual credits.” This Report supports the establishment of a new TRBAA based on the requirements of the TO Tariff and the ISO Tariff. SUMMARY Section 5.2 of the Vernon TO Tariff identifies the items to be reflected in the TRBAA TRBAA Report 2020 Page 2 of 6 and sets forth the procedure for revising the Transmission Revenue Balancing Account (“TRBA”) on an annual basis, as follows: 5.2 Transmission Revenue Balancing Account Adjustment The Participating TO shall maintain a TRBA that will ensure that all Transmission Revenue Credits and the refunds, specified in Sections 6 and 8 of Appendix F, Schedule 3 of the ISO Tariff, flow through to transmission customers. The TRBAA shall be equal to: TRBAA = TRCF + TRCT + I. TRCT = The balance representing the prior period difference between the projected Transmission Revenue Credits and the actual credits. TRCF = The forecast of Transmission Revenue Credits for the following calendar year. I = The interest balance for the TRBA, which shall be calculated using the interest rate pursuant to Section 35.19(a) of FERC’s regulations under the Federal Power Act (18 C.F.R. § 35.19(a)). Interest shall be calculated based on the average TRBA principal balance each month, compounded quarterly. Transmission Revenue Credits (“TRCs”) are defined in Section 3.12 of the current Vernon TO Tariff as follows: 3.12 Transmission Revenue Credit: The sum of all revenues received by the Participating TO from the ISO for Wheeling service. The TRBAA is based on the balance in the TRBA as of September 30 of the current year and a forecast of the TRCs expected to be received in the following year. A summary of the elements of the Vernon TRBAA proposed to be effective January 1, 2020 is shown in Exhibit 1. It shows that the balance in the Vernon TRBA as of TRBAA Report 2020 Page 3 of 6 September 30, 2019, which reflects services rendered through June 30, 2019, is positive $14,868, including interest. TRCs are projected to be negative $6,234. Taken together, these items sum up to a TRBAA to be effective for the twelve months starting January 1, 2020 of positive balance of $8,634. All of the Vernon transmission entitlements that are reflected in Vernon’s transmission rates and the TRBAA are high voltage facilities. Therefore, there is no need to allocate TRCs or other TRBAA components between high voltage and low voltage rates. CALCULATION OF THE NEW TRBAA The TRBAA is equal to the sum of: TRCF + TRCT + I. The balance in the TRBA of a positive $14,868 as of September 30, 2019 represents the sum of the TRCT and the I components. The TRCT Component of Vernon’s TRBAA TRCT represents a balance that reflects the difference for the prior period between the projected TRCs and the actual credits. The prior period in this case is the twelve-month period starting October 1, 2018and ending September 30, 2019. A summary of the determination of the September 30, 2019 balance in the Vernon TRBA is shown in Exhibit 2. The TRCT component reflects 1) the previously projected 2018 TRCs for Vernon of $38,427 or $3,202.25 per month, for the months October through December 2018, and 2) projected 2019 TRCs of $21,176 or $1,764.67 per month, for the months January through September 2019—both elements as reflected on Line No. 2 of Exhibit 2. Adjustments for actual payable TRCs reflecting high voltage wheeling revenues payable to the TO (i.e., Vernon) are reflected in Line 3 of Exhibit 2. Distribution of non-refundable interconnection amounts (further discussed below) are reflected in Line 4 of Exhibit 2. Prior year TRBAA Adjustment (further discussed below) is reflected in Line 5 of Exhibit 2 and produce the under (over) collection figures for the monthly payable TRC balances reflected in Line 6 of Exhibit 2. The monthly balances are carried forward from TRBAA Report 2020 Page 4 of 6 month to month in Line 7 of Exhibit 2. Interest is calculated monthly (the I component) on the average monthly balance and is compounded quarterly into the monthly payable TRC balances pursuant to Section 5.2 of the Vernon TO Tariff. The interest calculation for payable TRC balances is shown in Lines 8-10 of Exhibit 2. The TRBA balance on September 30, 2019 is shown in Line 14 of Exhibit 2. The I (Interest) Component of Vernon’s TRBAA As discussed above, the I component reflects interest on payable balances and on payments for prior year TRCs. As provided in Section 5.2 of Vernon’s TO Tariff, monthly interest carrying costs are calculated using the 18 C.F.R. § 35.19(a) interest rates and calculation method. These interest rates are published by FERC and reflect the prime rate values published in the Federal Reserve Bank’s “Selected Interest Rates.” The calculation of interest is reflected in Exhibit 2 and is included as an integral part of the calculation of the TRBA balance on September 30, 2019. It is not reflected as a separate line item in Exhibit 1. The TRCF Component of Vernon’s TRBAA The TRCF component of Vernon’s TRBAA stands for the forecast of TRCs for the following calendar year, in this case 2020. These forecast TRCs reflect projected wheeling revenues. Wheeling revenues, which correspond to ISO Charge Type 384, are projected to be a credit or negative $6,233.82, as shown in Exhibit 3. These projections are based on the accruals for services provided during the twelve- month period ending June 30, 2019, which are reflected in the ISO’s invoices to Vernon through September 30, 2019. A summary of the monthly accruals for the twelve months ending September 30, 2019 is shown in Exhibit 4. Distribution of Non-Refundable Interconnection Amounts TRBAA Report 2020 Page 5 of 6 Under Section 7.6 of Appendix DD of the ISO Tariff, “Application of Non-Refundable Amounts,” “[t]he CAISO shall calculate and disburse available non-refundable interconnection study deposits and interconnection financial security in conjunction with the annual reassessment performed during the year that the withdrawal period ends.” As a Participating Transmission Owner, Vernon received a share of the non- refundable interconnection financial security and study deposit amounts for projects withdrawn through December 31, 2018. In particular, Vernon received $79.33 in the month of April 2019 and $8,708.56 in the month of September 2019 for projects withdrawn through December 31, 2018. In order to distribute those funds to its ratepayers through its TRBAA mechanism in accordance with Section 7.6 (c) of Appendix DD, Vernon includes Line 4 in the spreadsheet it uses to calculate its TRBAA, Exhibit 2 to this report. That line is entitled “Distribution of Non-Refundable Interconnection Amounts” and tracks funds distributed by the ISO from month to month. Prior Period TRBAA Adjustment In the October 31, 2018 submittal, Vernon stated that the TRBAA for calendar year 2019 is negative $21,176. However, in the November 15, 2018 amended filing, Vernon explained that there was an inadvertent error in calculating the 2019 TRBAA and that the correct 2019 TRBAA should have been negative $10,361 rather than the negative $21,176 included in its October 31 filing. Vernon proposed to correct and account for this error in its TRBAA filing for calendar year 2020, and will do so with the applicable FERC interest rate. On January 31, 2019, the Commission accepted Vernon’s proposal to correct and account for the erroneous calculation of the 2019 TRBAA when it submits its annual TRBAA filing for 2020. Exhibit 5 to this report shows the calculation of the Transmission Revenue Balancing Account (TRBA) as filed on October 31, 2018 and the calculation of the TRBA with corrected October 2017 beginning balance. With the correction, the September 30, 2018 ending balance changed from negative $18,078 to negative $7,263, indicating TRBAA Report 2020 Page 6 of 6 the 2019 TRBA was overstated by $10,815. Accordingly, the 2019 TRBAA should have been negative $10,361 (negative $7,263 of September 30th TRBA balance plus negative $3,098 of Forecast Transmission Revenue Credit). As shown in line 5 of Exhibit 2, the TRBA calculation for 2020 accounts for the inadvertent error in the 2019 TRBA calculation. RECOMMENDATIONS 1. Approve the newly calculated TRBAA of a positive $8,634, 2. Approve replacing the existing TRBAA of negative $21,176 with the new TRBAA for 2019 of a positive $8,634. 3. Approve the attached revised Appendix I of Vernon’s TO Tariff reflecting the TRBAA of positive $8,634. 4. Authorize outside counsel to submit Vernon’s TRBAA and supporting documentation, such as this Report and the City Council Resolution approving the new TRBAA to FERC. TRBAA Report 2020 Exhibit 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 A B C D E F G H I CITY OF VERNON TRANSMISSION REVENUE BALANCING ACCOUNT ADJUSTMENT (TRBAA) CALENDAR YEAR 2020 DESCRIPTION TOTAL [1]Balance in TRBA on September 30, 2019 $14,868 including interest [2]Forecast Transmission Revenue Credits ($6,234) [3]TRBAA $8,634 Source: [4]Exhibit 2, Column O, Line No.14. [5]Exhibit 3, Column F, Line No.13. TRBAA Report 2020 Exhibit 2 Vernon_TRBAA_CY_2020 (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 A B C D E F G H I J K L M N O CITY OF VERNON TRANSMISSION REVENUE BALANCING ACCOUNT for Calendar Year 2020 TRBAA PRODUCT October November December January February March April May June July August September TYPE CODE 2018 2018 2018 2019 2019 2019 2019 2019 2019 2019 2019 2019 [1]BEGINNING BALANCE ($7,262.91)$6,701.40 $9,791.35 $12,808.63 $14,160.83 $15,831.80 $17,811.27 $19,265.27 $20,720.68 $22,780.27 $24,117.96 $23,038.47 [2]AUTHORIZED REVENUE/ TRBAA CREDITS $3,202.25 $3,202.25 $3,202.25 $1,764.67 $1,764.67 $1,764.67 $1,764.67 $1,764.67 $1,764.67 $1,764.67 $1,764.67 $1,764.67 [3]HIGH VOLTAGE WHEELING REVENUE DUE TO 384 ($52.62)($112.30)($264.44)($412.46)($93.70)$19.67 ($231.34)($309.25)$21.76 ($426.98)($2,844.15)($1,528.01) [4]Distribution of Non-Refundable Interconnection Amounts $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($79.33)$0.00 $0.00 $0.00 $0.00 ($8,708.56) [5]CY 2019 Under/(Over) Recovery $10,814.68 [6]Under(Over) Collection $13,964.31 $3,089.95 $2,937.81 $1,352.21 $1,670.97 $1,784.34 $1,454.00 $1,455.42 $1,786.43 $1,337.69 ($1,079.48)($8,471.90) [7]ENDING BALANCE $6,701.40 $9,791.35 $12,729.16 $14,160.83 $15,831.80 $17,616.14 $19,265.27 $20,720.68 $22,507.11 $24,117.96 $23,038.47 $14,566.57 [8]AVERAGE BEG/END BALANCE ($280.76)$8,246.37 $11,260.25 $13,484.73 $14,996.32 $16,723.97 $18,538.27 $19,992.98 $21,613.90 $23,449.11 $23,578.22 $18,802.52 [9]INTEREST RATE 4.96%4.96%4.96%5.18%5.18%5.18%5.45%5.45%5.45%5.50%5.50%5.50% [10]INTEREST ($1.16)$34.09 $46.54 $58.21 $64.73 $72.19 $84.19 $90.80 $98.16 $107.48 $108.07 $86.18 [11]ENDING BALANCE $6,700.24 $9,825.43 $12,775.70 $14,219.04 $15,896.53 $17,688.33 $19,349.46 $20,811.49 $22,605.27 $24,225.43 $23,146.54 $14,652.75 [12]INTERST FOR JULY $107.48 [13]INTERST FOR AUGUST $108.07 [14]ENDING BALANCE $14,868.29 TRBAA Report 2020 Exhibit 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2627 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 A B C D E F GCITY OF VERNON FORECAST TRANSMISSION CREDITS for Calendar Year 2020 TRBAA MONTH Wheeling Total [1]January-19 ($519.49)($519.49) [2]February-19 ($519.49)($519.49) [3]March-19 ($519.49)($519.49) [4]April-19 ($519.49)($519.49) [5]May-19 ($519.49)($519.49) [6]June-19 ($519.49)($519.49) [7]July-19 ($519.49)($519.49) [8]August-19 ($519.49)($519.49) [9]September-19 ($519.49)($519.49) [10]October-19 ($519.49)($519.49) [11]November-19 ($519.49)($519.49) [12]December-19 ($519.49)($519.49) [13]Total ($6,233.82)($6,233.82) TRBAA Report 2020 Exhibit 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 A B C D E F G H I Vernon Historical Transmission Credits for Calendar Year 2020 TRBAA Wheeling Revenues ISO INVOICE Month CT 384 Final Adjustments Total [1]July-18 ($52.62)($52.62) [2]August-18 ($112.30)($112.30) [3]September-18 ($264.44)($264.44) [4]October-18 ($412.46)($412.46) [5]November-18 ($93.70)($93.70) [6]December-18 $19.67 $19.67 [7]January-19 ($231.34)($231.34) [8]February-19 ($309.25)($309.25) [9]March-19 $21.76 $21.76 [10]April-19 ($426.98)($426.98) [11]May-19 ($2,844.15)($2,844.15) [12]June-19 ($1,528.01)($1,528.01) [13]($6,233.82) TRBAA 2020Exibit 5CITY OF VERNONTRANSMISSION REVENUE BALANCING ACCOUNTfor Calendar Year 2019 TRBAA (As Filed)PRODUCTOctober November December January February March April May June July August SeptemberTYPE CODE2017 2017 2017 2018 2018 2018 2018 2018 2018 2018 2018 2018[1] BEGINNING BALANCE ($45,887.68) ($43,399.84) ($40,140.23) ($36,856.99) ($33,726.56) ($30,587.58) ($27,797.23) ($24,741.04) ($21,653.24) ($18,777.86) ($15,648.95) ($12,554.40)[2]AUTHORIZED REVENUE/ TRBAA CREDITS$3,968.00 $3,968.00 $3,968.00 $3,202.25 $3,202.25 $3,202.25 $3,202.25$3,202.25 $3,202.25 $3,202.25 $3,202.25 $3,202.25[3]HIGH VOLTAGE WHEELING REVENUE DUE TO384 ($1,480.16) ($708.39) ($247.29) ($71.82) ($63.27) ($70.24) ($146.06) ($62.11) ($67.78) ($73.34) ($107.70) $0.00[4]Distribution of Non-Refundable Interconnection Amounts$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($52.34) $0.00 $0.00 $0.00 ($8,543.55)[5]Under(Over) Collection$2,487.84 $3,259.61 $3,720.71 $3,130.43 $3,138.98 $3,132.01 $3,056.19$3,087.80 $3,134.47 $3,128.91 $3,094.55 ($5,341.30)[6]ENDING BALANCE($43,399.84) ($40,140.23) ($36,419.52) ($33,726.56) ($30,587.58) ($27,455.57) ($24,741.04) ($21,653.24) ($18,518.77) ($15,648.95) ($12,554.40) ($17,895.70)[7]AVERAGE BEG/END BALANCE($44,643.76) ($41,770.04) ($38,279.88) ($35,291.77) ($32,157.07) ($29,021.57) ($26,269.14) ($23,197.14) ($20,086.01) ($17,213.40) ($14,101.67) ($15,225.05)[8]INTEREST RATE4.21% 4.21% 4.21% 4.25% 4.25% 4.25%4.47% 4.47% 4.47% 4.69% 4.69% 4.69%[9]INTEREST ($156.63) ($146.54) ($134.30) ($124.99) ($113.89) ($102.78) ($97.85) ($86.41) ($74.82) ($67.28) ($55.11) ($59.50)[10]ENDING BALANCE($43,556.47) ($40,286.77) ($36,553.82) ($33,851.55) ($30,701.47) ($27,558.35) ($24,838.90) ($21,739.65) ($18,593.59) ($15,716.22) ($12,609.51) ($17,955.20)[11]INTERST FOR JULY ($67.28)[12]INTERST FOR AUGUST ($55.11)[13]ENDING BALANCE ($18,077.59)CITY OF VERNONTRANSMISSION REVENUE BALANCING ACCOUNTfor Calendar Year 2019 TRBAA (Corrected)PRODUCTOctober November December January February March April May June July August SeptemberTYPE CODE2017 2017 2017 2018 2018 2018 2018 2018 2018 2018 2018 2018[1] BEGINNING BALANCE ($35,536.55) ($33,048.71) ($29,789.10) ($26,396.91) ($23,266.48) ($20,127.50) ($17,226.02) ($14,169.83) ($11,082.03) ($8,088.51) ($4,959.60) ($1,865.05)[2]AUTHORIZED REVENUE/ TRBAA CREDITS$3,968.00 $3,968.00 $3,968.00 $3,202.25 $3,202.25 $3,202.25 $3,202.25$3,202.25 $3,202.25 $3,202.25 $3,202.25 $3,202.25[3]HIGH VOLTAGE WHEELING REVENUE DUE TO384 ($1,480.16) ($708.39) ($247.29) ($71.82) ($63.27) ($70.24) ($146.06) ($62.11) ($67.78) ($73.34) ($107.70) $0.00[4]Distribution of Non-Refundable Interconnection Amounts$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($52.34) $0.00 $0.00 $0.00 ($8,543.55)[5]Under(Over) Collection$2,487.84 $3,259.61 $3,720.71 $3,130.43 $3,138.98 $3,132.01 $3,056.19$3,087.80 $3,134.47 $3,128.91 $3,094.55 ($5,341.30)[6]ENDING BALANCE($33,048.71) ($29,789.10) ($26,068.39) ($23,266.48) ($20,127.50) ($16,995.49) ($14,169.83) ($11,082.03) ($7,947.56) ($4,959.60) ($1,865.05) ($7,206.35)[7]AVERAGE BEG/END BALANCE($34,292.63) ($31,418.91) ($27,928.75) ($24,831.70) ($21,696.99) ($18,561.50) ($15,697.92) ($12,625.93) ($9,514.79) ($6,524.05) ($3,412.32) ($4,535.70)[8]INTEREST RATE4.21% 4.21% 4.21% 4.25% 4.25% 4.25%4.47% 4.47% 4.47% 4.69% 4.69% 4.69%[9]INTEREST ($120.31) ($110.23) ($97.98) ($87.95) ($76.84) ($65.74) ($58.47) ($47.03) ($35.44) ($25.50) ($13.34) ($17.73)[10]ENDING BALANCE($33,169.02) ($29,899.33) ($26,166.37) ($23,354.43) ($20,204.34) ($17,061.23) ($14,228.30) ($11,129.06) ($7,983.00) ($4,985.10) ($1,878.38) ($7,224.08)[11]INTERST FOR JULY ($25.50)[12]INTERST FOR AUGUST ($13.34)[13]ENDING BALANCE($7,262.91)[14] Under (Over) Collection$10,814.68 City Council Agenda Item Report Agenda Item No. COV-450-2019 Submitted by: Abraham Alemu Submitting Department: Public Utilities Meeting Date: October 15, 2019 SUBJECT A Resolution Adopting New Gross Load And New Transmission Revenue Requirement for 2020 in Accordance with Vernon’s Transmission Owner Tariff and Providing for Tariff Sheet Changes to Implement the Adjustment Recommendation: A. Find that approval of this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Conduct a Public Hearing; and C. Adopt a resolution adopting a new gross load and new transmission revenue requirement for 2020 in accordance with Vernon's Transmission Owner Tariff and providing for Tariff Sheet changes to implement the adjustment. Background: The City of Vernon (“Vernon” or “City”) is a Scheduling Coordinator and a Participating Transmission Owner (“PTO”) in the California Independent System Operator Corporation (“ISO”). To participate in the ISO, PTOs are required to turn over administrative control of their transmission facilities and entitlements to the ISO. In return, the ISO collects revenues for each PTO pursuant to calculations that reflect the expenses and capital costs incurred by each PTO to provide transmission services. These calculations are known as Transmission Revenue Requirements (“TRRs”). The relationship between PTOs and the ISO is governed by a Transmission Control Agreement (“TCA”), which sets forth specific duties and obligations of all PTOs. The TCA requires all PTOs to file a Transmission Owner Tariff (“TO Tariff”) and TRR with the Federal Energy Regulatory Commission (“FERC”). The TCA further requires all PTOs to file any changes in their TRRs with FERC. Each PTO must also include in its TO Tariff its Gross Load which the ISO uses to calculate its grid-wide Transmission Access Charge (“TAC”) rates, and which is related to the City’s ability to recover its full TRR. TRANSMISSION REVENUE REQUIREMENT At present, the City’s high voltage transmission assets consist of three long-term contracts (known as “existing transmission contracts” or “ETCs”) which provide the City with dedicated access to high voltage transmission facilities owned by other entities. Specifically, the City has contractual entitlements to utilize transmission assets pursuant to one long-term transmission contract with the Los Angeles Department of Water and Power (“LADWP”) and two long-term transmission contracts with Southern California Edison (“SCE”). The ETCs with SCE consist of one (the “SCE Victorville-Lugo ETC” described in SCE’s FERC Rate Schedule 360) providing 11 MW of transmission capacity along the path between the Victorville-Lugo midpoint and the point of interconnection with the City’s internal transmission system (the “City Gate”), and one (the “SCE Mead ETC” described in SCE’s FERC Rate Schedule 207) providing 26 MW of transmission capacity along the path between the Mead 230 substation and the City Gate. The costs of these ETCs make up the majority of the costs recovered through the City’s TRR. Until recently, for each of the ETCs, the City paid the owner of the transmission facilities a fixed rate which was specific to the transmission path provided under each ETC. The attached TRR Report supports the establishment of a new transmission revenue requirement associated with Vernon’s high voltage entitlements. Fiscal Impact: The cost of Existing Transmission Service Contracts (ETC) incurred by the City will be recovered. ATTACHMENTS 1. Notice of Public Hearing to Establish Gross Load and TRR 2. Resolution Establishing New Load and New TRR for 2020 CALIFORNIA NEWSPAPER SERVICE BUREAU PRE# D A I L Y J O U R N A L C O R P O R A T I O N To the right is a copy of the notice you sent to us for publication in the HUNTINGTON PARK BULLETIN. Please read this notice carefully and call us with any corrections. The Proof of Publication will be filed with the County Clerk, if required, and mailed to you after the last date below. Publication date(s) for this notice is (are): Mailing Address : 915 E FIRST ST, LOS ANGELES, CA 90012 Telephone (800) 788-7840 / Fax (800) 464-2839 Visit us @ www.LegalAdstore.com Deborah Harrington CITY OF VERNON CITY CLERK 4305 SANTA FE AVE VERNON, CA 90058 GPN GOVT PUBLIC NOTICE Notice of Two Separate Public Hearings - The establishment of Vernon's New Transmission Revenue Balancing Account Adjustment and Adoption of a New 09/26/2019 Notice Type: Ad Description COPY OF NOTICE 3297924 !A000005225174! An invoice will be sent after the last date of publication. If you prepaid this order in full, you will not receive an invoice. NOTICE OF TWOSEPARATE PUBLIC HEARINGS REGARDINGTHE ESTABLISHMENTOF VERNON'SNEW TRANSMISSION REVENUE BALANCING ACCOUNT ADJUSTMENT AND ADOPTION OF ANEW GROSSLOAD AND NEW TRANSMISSION REVENUEREQUIREMENT The City ofVernonwill conduct a Public Hearing, which you may attend. PLACE:Vernon City Hall CityCouncil Chamber 4305Santa FeAvenue Vernon,CA 90058 DATE &TIME:Tuesday,October 15,2019,at 9:00 a.m.(or as soon thereafterasthematter can be heard) PURPOSE/SUBJECT:(1)To consider evidence to establish Vernon's new Transmission Revenue Balancing Account Adjustment for itshigh voltage (over 200 kV)transmission entitlements (all located outside the City)pursuant to Vernon's Transmission Owner Tariff,and (2)To consider evidence to establish new Gross Load and new Transmission Revenue Requirement for its high voltage (over 200 kV)transmission entitlements (all locatedoutside the City)pursuanttoVernon's Transmission Owner Tariff. DOCUMENTS FOR REVIEW: Copies of a Resolution Establishing a Transmission Revenue Balancing Account Adjustment for 2020 and a Resolution Adopting a New Gross Load and New Transmission Revenue Requirement will be available for public examination at Vernon City Hall,located at 4305 Santa Fe Avenue, Vernon,CA from October 4,2019 through October15,2019. Pleasesend yourcomments or questions to: AbrahamAlemu Cityof Vernon,Public Utilities 4305Santa FeAvenue,Vernon,CA 90058 (323)583-8811 Ext.250 AALemu@ci.vernon.ca.us PROPOSED CEQA FINDING:Find that approval of the proposed action is exempt from California Environmental Quality Act ("CEQA")review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment,and therefore does not constitute a "project"as defined by CEQA Guidelinessection 15378. If you challenge the adoption/approval of the establishment of Vernon's new Transmission Revenue Balancing Account Adjustment,or Vernon's new Gross Load and new Existing Transmission Contract Adjustment or any provision thereof in court,you may be limited to raising only those issues you or someone else raised atthe hearingdescribedin this notice or in written correspondence delivered to the City of Vernonat,or priorto,the meeting. Americans with Disabilities Act (ADA):In compliance with ADA,if you need special assistance to participate in the meeting,please contact the Office of the City Clerk at (323)583- 8811ext.546. The hearing may be continued or adjourned or cancelled and rescheduled to a stated time and placewithout further notice ofapublic hearing. Dated:9/23/19 /S/ Deborah Harrington,InterimCityClerk 9/26/19 PRE-3297924# HUNTINGTON PARK BULLETIN RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON ADOPTING A NEW GROSS LOAD AND NEW TRANSMISSION REVENUE REQUIREMENT FOR 2020 IN ACCORDANCE WITH VERNON’S TRANSMISSION OWNER TARIFF AND PROVIDING FOR TARIFF SHEET CHANGES TO IMPLEMENT THE ADJUSTMENT WHEREAS, the City of Vernon (“City”) is a chartered municipal corporation of the State of California that owns and operates a system for the generation, purchase, transmission, distribution and sale of electric capacity and energy; and WHEREAS, the City is a Participating Transmission Owner (“PTO”) with the California Independent System Operator Corporation (“ISO”), and the Federal Energy Regulatory Commission (“FERC”) has approved its existing Transmission Owner Tariff (“TO Tariff”); and WHEREAS, the ISO reimburses the City according to the City’s current Transmission Revenue Requirement (“TRR”) in return for the City turning over to the ISO the operation and control of the City’s transmission entitlements; and WHEREAS, each PTO must include in its TO Tariff its Gross Load, which the ISO uses to calculate its grid-wide Transmission Access Charge (“TAC”) rates, and which is related to the City’s ability to recover its full TRR; and WHEREAS, the City’s transmission entitlements include rights under certain contracts (each an “ETC”) including (i) an agreement with the City of Los Angeles Department of Water and Power entitled “Los Angeles-Vernon Adelanto-Victorville-Lugo Firm Transmission Service Agreement” (the “LAWDP ETC”); (ii) an agreement with Southern California Edison Company (“SCE”) entitled “Amended and Restated - 2 - Edison-Vernon Victorville-Lugo Firm Transmission Service Agreement” (the “SCE Victorville-Lugo ETC”); and (iii) an agreement with SCE entitled “Amended and Restated Edison-Vernon Mead Firm Transmission Services Agreement” (the “SCE Mead ETC”); and WHEREAS, the City’s costs under the LADWP ETC, the SCE Victorville-Lugo ETC, and the SCE Mead ETC have traditionally been based upon a negotiated fixed “path-specific” rate charged by LADWP or SCE, based on the actual costs of the specific transmission lines made available under each ETC, multiplied by the amount of transmission capacity guaranteed to the City under each ETC; and WHEREAS, on August 1, 2008, SCE filed a petition with FERC seeking to amend the pricing structure under the SCE Victorville-Lugo ETC and the SCE Mead ETC to replace the negotiated path-specific rates set forth in those ETCs with a “postage-stamp” rate which reflects the blended rate SCE charges to the ISO for the actual usage of all of SCE’s transmission lines by customers of the ISO; and WHEREAS, the postage-stamp rate which SCE charges to the ISO is derived from SCE’s TRR and, therefore, will change each time SCE amends its TRR; and WHEREAS, on September 30, 2008, FERC accepted, subject to refund and hearing and settlement procedures, SCE’s proposed revisions under the SCE Victorville-Lugo ETC and the SCE Mead ETC to replace the negotiated path-specific rates set forth in those ETCs with a postage- stamp rate, and thus the City’s costs under the SCE Victorville-Lugo ETC and the SCE Mead ETC will vary proportionately with any changes in SCE’s TRR; and WHEREAS, the City reached a settlement agreement (the “SCE Settlement”) with SCE to amend the SCE Victorville-Lugo ETC and the SCE - 3 - Mead ETC to replace the path-specific rates set forth in those ETCs with SCE’s postage-stamp rate after a phase-in period that began on August 1, 2009, during which the City’s path-specific rates in those ETCs are gradually stepped-up over three years (the “Phase-In Rates”) until the path-specific rates are equal to SCE’s postage-stamp rate as of January 1, 2013; and WHEREAS, under the SCE Settlement, the City’s costs for the SCE Victorville-Lugo ETC and the SCE Mead ETC are equal to (i) from August 1, 2009, until December 31, 2012, the Phase-In Rates, and beginning on January 1, 2013, the SCE postage-stamp rate, in each case multiplied by (ii) the amount of transmission capacity guaranteed to the City under each ETC; and WHEREAS, FERC approved the SCE Settlement pursuant to an order issued September 11, 2009, 128 FERC ¶ 61,237 (2009), in FERC Docket Nos. ER08-1343-000, ER08-1353-000, ER09-187-000, ER09-187-001, EL09-19-000, and ER09-446-000 (“SCE Settlement Order”); and WHEREAS, on behalf of the City, the Brattle Group, an experienced utilities consulting firm, developed a tracking mechanism for the City’s TRR (“TRR Tracking Mechanism”) to allow the City’s TRR to be adjusted annually, effective January 1 of each year, to reflect changes in the City’s costs under the SCE Victorville-Lugo ETC and the SCE Mead ETC that change as a result of (i) the stepped-up rates implemented between August 1, 2009 and December 31, 2012; or (ii) any change in SCE’s TRR on or after January 1, 2013; and WHEREAS, on the basis of The Brattle Group’s analysis and evidence from City staff, which was considered during a public meeting of the City Council held on July 13, 2009, the City, on July 15, 2009 (“July 15 FERC Filing”), filed with FERC proposed revisions to its TO - 4 - Tariff proposing stated TRRs for each of the years 2010 to 2012, which dollar amounts were also included in the SCE Settlement (“TO Tariff Revisions”); and WHEREAS, the City also submitted in the July 15 FERC Filing a request to utilize an “ETC Adjustment Clause” to adjust automatically each year the costs the City incurs attributable to any changes in SCE’s TRR associated with SCE’s High Voltage Existing Contracts Access Charge (“HVECAC”) rate; and WHEREAS, FERC approved the City’s request to utilize an ETC Adjustment Clause to reflect annual projected changes to SCE’s TRR, in an order issued September 11, 2009, 128 FERC ¶ 61,235 (2009), in FERC Docket No. EL09-64-000 (“TO Tariff Order”); and WHEREAS, under the TO Tariff Order, the City’s TO Tariff revisions went into effect on August 1, 2009; and WHEREAS, on January 6, 2015, the City approved revisions to the template used to calculate the annual ETC Adjustment Clause; and WHEREAS, on April 8, 2015, FERC approved the City’s 2015 filing with FERC reflecting modifications to the base TRR as calculated using the revised ETC Adjustment Clause template; and WHEREAS, the City is required under the TO Tariff Order to submit annual filings with FERC reflecting modifications to the base TRR; and WHEREAS, the current Gross Load included in the City’s TO Tariff is based on 2016 load data and the Public Utilities Department calculates that the Gross Load in fiscal year 2018 was 1,119,215 MWh, substantially lower than in calendar year 2016; and WHEREAS, a Notice of Public Hearing was published on September 26, 2019, notifying all interested parties that a hearing to - 5 - consider evidence to establish the City’s new Gross Load and new TRR was scheduled for October 15, 2019, at approximately 9:00 a.m., subject to the hearing being continued or adjourned to a stated time and place without further notice of public hearing; and WHEREAS, on October 15, 2019, the City Council held a Public Hearing in which the City Council took evidence from staff and those other persons in attendance who wished to be heard on the calculation of the City’s new Gross Load and new TRR; and WHEREAS, the TRR for 2020 is shown in the amended Appendix I to the TO Tariff, a copy of which is attached hereto as Exhibit A and made a part hereof; and WHEREAS, the Public Utilities Department has prepared a Report, dated October 15, 2019, with exhibits, a copy of which is attached hereto as Exhibit B and made a part hereof, which reiterates its previous conclusions that the TRR and ETC Adjustment Clause mechanism developed by The Brattle Group, approved by FERC under the amended TO Tariff, and revised in 2015 are reasonable and which calculates the amount derived under the ETC Adjustment Clause for 2020; and WHEREAS, the Public Utilities Department has recommended the City adopt the new Gross Load and new TRR shown in the amended Appendix I to the TO Tariff, attached as Exhibit A, to be effective on January 1, 2020; and WHEREAS, the City Council has heard and considered all evidence, written and oral, presented in consideration of the establishment of the City’s new Gross Load and new TRR. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: - 6 - SECTION 1: The City Council of the City of Vernon hereby finds and determines that the above recitals are true and correct. SECTION 2: The City Council of the City of Vernon finds that this action is exempt from California Environmental Quality Act ("CEQA") review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378. SECTION 3: The City Council of the City of Vernon hereby further finds and determines that all persons have had the opportunity to be heard or to file written comments to the proposed adoption of the City’s new Gross Load and new TRR, and after due consideration of any and all evidence submitted at the Public Hearing, determines there are compelling reasons to justify the adoption of the City’s new Gross Load and new TRR, to be effective January 1, 2020. SECTION 4: The City Council of the City of Vernon hereby declares that: (a) any determination made pursuant to this Resolution regarding the validity or reasonableness of any portion of any Gross Load, TRR, or TO Tariff shall apply only prospectively from the date of this Resolution; and (b) in no way shall this Resolution affect the City Council’s adoption or determination of any previous Gross Load, TRR, or TO Tariff. SECTION 5: The City Council of the City of Vernon hereby approves, pursuant to the TO Tariff and to be effective on January 1, 2020, the establishment of the City’s new Gross Load and new TRR, and Appendix I to the TO Tariff implementing the new Gross Load and new - 7 - TRR, as described in the Public Utilities Department Report dated October 15, 2019. SECTION 6: The City Council of the City of Vernon hereby authorizes outside counsel to submit the City’s new Gross Load, new TRR, the amended Appendix I to the Vernon TO Tariff, and supporting documentation, such as the Report, and this City Council Resolution approving the new Gross Load and new TRR, to FERC on behalf of the City of Vernon. SECTION 7: The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk of the City of Vernon shall cause this resolution and the City Clerk’s certification to be entered in the File of resolutions of the Council of this City. APPROVED AND ADOPTED this 15th day of October, 2019. Name: Title: ATTEST: Lisa M. Pope, City Clerk APPROVED AS TO FORM: Katharine Mapes, Esq. Spiegel & McDiarmid, LLP Special Counsel to City - 8 - STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Lisa M. Pope, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. , was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on October 15, 2019, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. Executed this day of October, 2019, at Vernon, California. Lisa M. Pope, City Clerk (SEAL) EXHIBIT A APPENDIX I Transmission Revenue Requirement and TRBAA The Vernon Base Transmission Revenue Requirement is $2,446,8053,130,395 and is comprised of the following components: Base TRR costs not subject to ETC Adjustment Clause: $498,480 ETC Adjustment Clause: Forecast SCE ETC Costs: $2,388,7203001,440 Balance of Difference between prior year Forecast and Actual SCE ETC Costs: ($417,712343,270) Interest on Difference between prior year Forecast and Actual SCE ETC Costs: ($22,68326,255) The ETC Adjustment Clause is: The projected SCE ETC Cost for the next calendar year, plus the true-up (positive or negative) of the prior October through September SCE ETC Cost with interest calculated pursuant to 18 C.F.R. § 35.19a. The ETC Adjustment Clause will be recalculated annually and filed with the Commission with a proposed effective date of January 1 of each year. The TRBAA is a negativepositive $21,1768,634 for calendar year 201920. Vernon’s Gross Load, consistent with its TRR, used by the ISO to develop the Transmission Access Charge is 1,154,4921,119,215 MWhs. All of Vernon’s transmission facilities and Entitlements placed under the ISO’s Operational Control are High Voltage Facilities as defined by the ISO Tariff. The TRBAA will be recalculated annually consistent with the ISO Tariff approved by the Vernon City Council, and provided to the ISO. APPENDIX I Transmission Revenue Requirement and TRBAA The Vernon Base Transmission Revenue Requirement is $3,130,395 and is comprised of the following components: Base TRR costs not subject to ETC Adjustment Clause: $498,480 ETC Adjustment Clause: Forecast SCE ETC Costs: $3001,440 Balance of Difference between prior year Forecast and Actual SCE ETC Costs: ($343,270) Interest on Difference between prior year Forecast and Actual SCE ETC Costs: ($26,255) The ETC Adjustment Clause is: The projected SCE ETC Cost for the next calendar year, plus the true-up (positive or negative) of the prior October through September SCE ETC Cost with interest calculated pursuant to 18 C.F.R. § 35.19a. The ETC Adjustment Clause will be recalculated annually and filed with the Commission with a proposed effective date of January 1 of each year. The TRBAA is a positive $8,634 for calendar year 2020. Vernon’s Gross Load, consistent with its TRR, used by the ISO to develop the Transmission Access Charge is 1,119,215 MWhs. All of Vernon’s transmission facilities and Entitlements placed under the ISO’s Operational Control are High Voltage Facilities as defined by the ISO Tariff. The TRBAA will be recalculated annually consistent with the ISO Tariff approved by the Vernon City Council, and provided to the ISO. EXHIBIT B CITY OF VERNON PUBLIC UTILITIES DEPARTMENT REPORT REGARDING THE ESTABLISHMENT OF NEW GROSS LOAD AND A REVISED NEW TRANSMISSION REVENUE REQUIREMENT ASSOCIATED WITH VERNON’S HIGH VOLTAGE ENTITLEMENTS October 15, 2019 The City of Vernon (“Vernon” or “City”) is a Scheduling Coordinator and a Participating Transmission Owner (“PTO”) in the California Independent System Operator Corporation (“ISO”). To participate in the ISO, PTOs are required to turn over administrative control of their transmission facilities and entitlements to the ISO. In return, the ISO collects revenues for each PTO pursuant to calculations that reflect the expenses and capital costs incurred by each PTO to provide transmission services. These calculations are known as Transmission Revenue Requirements (“TRRs”). The relationship between PTOs and the ISO is governed by a Transmission Control Agreement (“TCA”), which sets forth specific duties and obligations of all PTOs. The TCA requires all PTOs to file a Transmission Owner Tariff (“TO Tariff”) and TRR with the Federal Energy Regulatory Commission (“FERC”). The TCA further requires all PTOs to file any changes in their TRRs with FERC. Each PTO must also include in its TO Tariff its Gross Load which the ISO uses to calculate its grid-wide Transmission Access Charge (“TAC”) rates, and which is related to the City’s ability to recover its full TRR. TRANSMISSION REVENUE REQUIREMENT At present, the City’s high voltage transmission assets consist of three long-term contracts (known as “existing transmission contracts” or “ETCs”) which provide the City with dedicated access to high voltage transmission facilities owned by other entities. Specifically, the City has contractual entitlements to utilize transmission assets pursuant to one long-term transmission contract with the Los Angeles Department of Water and Power (“LADWP”) and two long-term transmission contracts with Southern California Edison (“SCE”). The ETCs with SCE consist of one (the “SCE Victorville-Lugo ETC” described in SCE’s FERC Rate Schedule 360) TRR Report 2020 Page 2 of 6 providing 11 MW of transmission capacity along the path between the Victorville- Lugo midpoint and the point of interconnection with the City’s internal transmission system (the “City Gate”), and one (the “SCE Mead ETC” described in SCE’s FERC Rate Schedule 207) providing 26 MW of transmission capacity along the path between the Mead 230 substation and the City Gate. The costs of these ETCs make up the majority of the costs recovered through the City’s TRR. Until recently, for each of the ETCs, the City paid the owner of the transmission facilities a fixed rate which was specific to the transmission path provided under each ETC. On August 1, 2008, SCE proposed to increase its TRR and associated rates in FERC Docket No. ER08-1343-000. In a related filing submitted in FERC Docket No. ER08-1353-000, SCE proposed to transition both of its ETCs with Vernon from their current, fixed “path-specific” rates to a so-called “postage stamp” rate methodology which reflects the blended rate which SCE charges the ISO pursuant to its own TRRs for the actual usage of all of SCE’s transmission facilities by customers of the ISO (the “HVECAC Rate”). The HVECAC Rate that SCE proposed in its TO Tariff is derived from SCE’s TRR and, therefore, will change each time SCE amends its TRR. On September 30, 2008, FERC accepted, subject to refund and hearing and settlement procedures, SCE’s proposed revisions to its TO Tariff to transition the negotiated path-specific rates set forth in the SCE Victorville-Lugo ETC and the SCE Mead ETC to the uniform HVECAC Rate, and thus the City’s costs under those ETCs will vary proportionately with any changes in SCE’s TRR. The City reached a settlement agreement (the “SCE Settlement”) with SCE to amend the SCE Victorville-Lugo ETC and the SCE Mead ETC to fully transition the path-specific rates set forth in those ETCs to SCE’s HVECAC Rate after a phase-in period that began on August 1, 2009, during which the City’s path-specific rates in those ETCs have been gradually stepped-up under incrementally increasing fixed TRR Report 2020 Page 3 of 6 rates (the “Phase-In Rates”) until the path-specific rates are equal to the HVECAC Rate as of January 1, 2013. FERC approved the SCE Settlement pursuant to an order issued September 11, 2009, 128 FERC ¶ 61, 237 (2009), in FERC Docket Nos. ER08-1343-000, ER08-1353-000, ER09-187-000, ER09-187-001, EL09-19- 000, and ER09-446-000 (“SCE Settlement Order”). On behalf of the City, The Brattle Group, an experienced utilities consulting firm, developed a TRR tracking mechanism clause for the City’s TRR (“ETC Adjustment Clause”), which allows the City’s TRR to be adjusted annually, effective January 1 of each year, to reflect changes in the City’s transmission expenses associated with any changes implemented by SCE in the HVECAC Rate associated with the SCE Victorville-Lugo ETC and the SCE Mead ETC. On the basis of The Brattle Group’s analysis and evidence from City staff, which was considered during a public meeting of the City Council held on July 13, 2009, the City, on July 15, 2009 (“July 15 FERC Filing”), filed with FERC the proposed (i) revisions to its TO Tariff proposing the City’s stated TRRs for each of the years 2010 to 2012, which dollar amounts were also included in the SCE Settlement (“TO Tariff Revisions”) and (ii) the ETC Adjustment Clause tracking mechanism. The July 15 FERC Filing acknowledged that, to the extent that the SCE Settlement was accepted, because the stated Phase-In Rates would be fixed, the ETC Adjustment Clause for the term of the Phase-In Rates would be zero. FERC approved the City’s July 15 FERC Filing, including the TO Tariff Revisions, the City’s proposed calculations of the TRR for years 2010 to 2012, and the City’s request to utilize an ETC Adjustment Clause, in an order issued September 11, 2009, 128 FERC ¶ 61,235 (2009), in FERC Docket No. EL09-64-000 (“TO Tariff Order”). The City is required under the TO Tariff Order to submit annual filings each year with FERC reflecting annual modifications to the base TRR of the City. In January 2015, the City approved revisions to the template used to calculate the TRR Report 2020 Page 4 of 6 ETC Adjustment Clause and submitted these revisions to FERC. On April 8, 2015, FERC approved the City’s 2015 TRR filing as calculated using the revised ETC Adjustment Clause template; the City has prepared this year’s filing using that revised template. CALCULATION OF THE ETC ADJUSTMENT CLAUSE Section 5.3 of the Vernon TO Tariff identifies the items to be reflected in the ETC Adjustment. The ETC Adjustment Clause shall be calculated as: ETC Adjustment = ETCCF+ ETCCT+ I. ETCCF = The forecast of SCE ETC Cost for the following calendar year ETCCT = The balance representing the prior period difference between the projected cost of the SCE ETCs (“SCE ETC Cost”) and the actual cost. I = The interest balance for the ETC, which shall be calculated using the interest rate pursuant to Section 35.19(a) of FERC’s regulations under the Federal Power Act (18 C.F.R. 35.19(a)). Interest shall be calculated based on the average ETC true-up balance each month, compounded quarterly. A summary of the elements of the Vernon ETC Adjustment Clause proposed to be effective January 1, 2020 is shown in Exhibit 1. The ETC Adjustment Clause to be effective for the twelve months starting January 1, 2020 is $2,631,915. The ETCCF Component The ETCCF component stands for the forecast of SCE ETC costs for the following calendar year, in this case 2020. These forecast SCE ETC costs reflect 2020 rates from Southern California Edison Company’s draft FERC Filing, posted on its website pursuant to its formula rate protocols (approved in FERC Docket No. ER11-3697). That filing is scheduled to be made at FERC, in its final form, in November 2019; Vernon will true up any differences in its SCE ETC costs when it makes its 2021 TRR Report 2020 Page 5 of 6 TRR filing. The ETCCF for 2020 SCE ETC costs are projected to be $3,001,440 as shown in line 8 of Exhibit 1. The ETCCT Component ETCCT represents a balance that reflects the difference between prior year forecast and actual SCE ETC costs. The prior period in this case is the twelve-month period starting October 1, 2018 and ending September 30, 2019. A summary of the determination of the September 30, 2019 balance in the ETC Adjustment Clause is shown in Exhibit 1. The ETCCT component reflects 1) the previously projected 2018 SCE ETC costs of $230,510 per month, for the months October through December 2018 and projected 2019 SCE ETC costs of $199,060 per month, for the months January through September 2019, 2) actual 2018 SCE ETC costs of $ 227,920 per month, for the months October through December 2018 and $210,160 per month, for the months January through September 2019, and 3) refunds received by the City—all elements as reflected on Line No. 8, 15, and 16 of Exhibit 1. The net of these elements produce the under (or over) collection figures reflected in Line 17 of Exhibit 1. The ending balance is the sum of the beginning balance on October 1 and the (over)/under collection – both elements as reflected on Line 1 and 17 of Exhibit 1. The cumulative monthly balances are carried forward from month to month and the ETCCT component on September 30, 2019 of negative $343,270 is shown in line 19 of Exhibit 1. The I (Interest) Component The Interest component reflects interest on the difference between prior year forecast and actual SCE ETC costs. The monthly interest carrying costs are calculated using the 18 C.F.R. § 35.19(a) interest rates and calculation method. These interest rates are published by FERC and reflect the prime rate values published in the Federal Reserve Bank’s “Selected Interest Rates.” TRR Report 2020 Page 6 of 6 Interest is calculated monthly on the average cumulative monthly balance and is compounded quarterly. The interest component is negative $26,255, as shown in Lines 20-24 of Exhibit 1. GROSS LOAD Gross Load is the City's aggregate annual demand for electricity. The Public Utilities Department calculates and projects Gross Load as part of its normal operations. Since 2018, the Gross Load stated in the City’s TO Tariff has been 1,154,492 MWh, a figure based on the City’s 2016 actual load data. The City’s Gross Load has declined since 2016. In fiscal year 2019, the City’s Gross Load, as measured by ISO-certified revenue quality meters, was 1,119,215 MWh. This decline in Gross Load means that the City will not recover from the ISO the full amount of its TRR unless its stated TO Tariff Gross Load is revised to reflect the City’s actual load. Staff recommends submitting an amended version of the City’s Appendix I to its TO Tariff that states the City’s Gross Load for 2020 at 1,119,215 MWh, in accordance with a fiscal year 2019 test year (the data supporting the calculation of this figure is attached hereto as Exhibit 2). RECOMMENDATIONS 1. Approve the establishment of new Gross Load and the City’s revised new TRR for 2020 and revised Appendix I to the TO Tariff. 2. Authorize outside counsel to submit the City’s TRR, ETC Adjustment Clause amount, the revised Appendix I to the TO Tariff, and this City Council Resolution approving the TRR and ETC Adjustment Clause amount to FERC on behalf of the City of Vernon. EXHIBIT 12020 ETC Adjustment Clause Interest on True‐UP Only Projected20182019Total2020TotalMWOctober November December January February March April May June July August September October November December January February March April May June July August September October November December[1] Beginning Balance (435,400)[2]Projected Rates ($/kW‐month)Prior Year Projected / Amount in Base TRRProjected[3] SCE Mead‐Laguna Bell 6.23 6.23 6.23 5.38 5.38 5.38 5.38 5.38 5.38 5.385.38 5.38 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76[4] SCE Victorville‐Lugo 6.23 6.23 6.23 5.38 5.38 5.38 5.38 5.38 5.38 5.385.38 5.38 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76 6.76[5]Projected SCE ETC Expense ($)[6] SCE Mead‐Laguna Bell26161,980 161,980 161,980 139,880 139,880 139,880 139,880 139,880 139,880139,880 139,880 139,880 175,760 175,760 175,760 175,760 175,760 175,760175,760 175,760 175,760 175,760 175,760 175,760[7] SCE Victorville‐Lugo1168,53068,53068,53059,18059,18059,18059,18059,18059,18059,18059,18059,18074,36074,36074,36074,36074,36074,36074,36074,36074,36074,36074,36074,360[8] Total 230,510 230,510 230,510 199,060 199,060 199,060 199,060 199,060 199,060 199,060 199,060 199,060 250,120 250,120 250,120 250,120 250,120 250,120 250,120 250,120 250,120 250,120 250,120 250,1203,001,440[9]Actual Rates ($/kW‐month) Prior Year Actual[10] SCE Mead‐Laguna Bell 6.16 6.16 6.16 5.68 5.68 5.68 5.68 5.68 5.68 5.68 5.68 5.682020 ETC Adjustment Clause[11] SCE Victorville‐Lugo 6.16 6.16 6.16 5.68 5.68 5.68 5.68 5.68 5.68 5.68 5.68 5.68[26] Component I: 2020 Projected SCE ETC Costs3,001,440[12] Actual SCE ETC Expense ($)[27] Component II: Cumulative (over)/Under Collection ($) ‐343,270[13] SCE Mead‐Laguna Bell26160,160 160,160 160,160 147,680 147,680 147,680 147,680 147,680 147,680147,680 147,680 147,680[28] Component III: Interest on Cumulative (Over)/Under Collection w/ Quarterly Compounding ($) ‐26,255[14] SCE Victorville‐Lugo1167,76067,76067,76062,48062,48062,48062,48062,48062,48062,48062,48062,480[29] Total2,631,915[15] Total 227,920 227,920 227,920 210,160 210,160 210,160 210,160 210,160 210,160 210,160 210,160 210,160[16] Refund Received $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00[17]  Difference (Over)/Under Collection ($) (2,590) (2,590) (2,590) 11,100 11,100 11,100 11,100 11,100 11,100 11,100 11,100 11,100 0 0 0[18] Ending Balance ‐437,990 ‐2,590 ‐2,590 11,100 11,100 11,100 11,100 11,100 11,100 11,100 11,100 11,100[19]  Cumulative (Over)/Under Collection ($) (437,990) (440,580) (443,170) (432,070) (420,970) (409,870) (398,770) (387,670) (376,570) (365,470) (354,370) (343,270) (343,270) (343,270) (343,270)(343,270)[20] Annual Interest Rate (18 C.F.R. Section 35.19a)4.96% 4.96% 4.96% 5.18% 5.18% 5.18% 5.45% 5.45% 5.45% 5.50% 5.50% 5.50% 5.42% 5.42% 5.42%.[21] Monthly Interest Rate (18 C.F.R. Section 35.199a)0.42% 0.41% 0.42% 0.44% 0.40% 0.44% 0.45% 0.46% 0.45% 0.47% 0.47% 0.45% 0.46% 0.45% 0.46%[22] Average Monthly Interest Accrued on Cumulative (Over)/Under Collection ($)(1,845) (1,791) (1,861) (1,925) (1,695) (1,828) (1,811) (1,820) (1,712)(1,733) (1,681) (1,577) (1,580) (1,529) (1,580)[23] Quarterly Interest Balance ($) (5,497) (5,448) (5,343) (4,991) (4,690)[24]Total Monthly Interest on Cumulative Balance (Over)/Under Collection w/ Quarterly Compounding ($)(1,845) (1,791) (1,861) (1,949) (1,717) (1,852) (1,836) (1,845) (1,736)(1,758) (1,706) (1,601) (1,603) (1,551) (1,603)(26,255)[25] Ending Balance on September 30, 2019(364,768)Sources and Notes:[1] Prior year True‐up ending balance[2],[9]: 2018 rates from Souther California Edison Company FERC Filing, Docket No. ER11‐3697‐___ (TO12); 2019 rates from Souther California Edison Company FERC Filing, Docket No. ER18‐169‐___ (TO2019)  Draft Annual Update, 2020 rates from Southern California Edison Company FERC Filing, Docket No. ER19‐1553‐___ (TO2020)  Draft Annual Update.[6],[7]: Calculated as ETC Capacity x $/kW‐month rate x 1,000 kW/MW.[13],[14]: Calculated as ETC Capacity x $/kW‐month rate x 1,000 kW/MW.[16] Refund received[17]: [15] ‐ [8] + [16].[18] [1] + [17][19]: Cumulative of [18].[20]: Prime rate as listed on FERC website  available from: http://www.ferc.gov/enforcement/acct‐matts/interest‐rates.asp.[21]: [20]/365 days x number of days in month.[22]: (Average of cumulative balance in current and prior month) x [21].[23]: Sum of the interest in [22] per every three months.[24]: (Average of cumulative balance in current and prior month + cumulative quarterly interest in [23] from prior quarters) x [21].[25] September 30 balance of [19] + sum of [24] through September 30[26]: Projected 2020 SCE ETC costs from Total in [8].[27]: From [19].[28]: From [24], including interest accrued between October 1, 2019 and January 1, 2020.12 Month True‐Up Period  from October 1, 2018 ‐September 30, 2019 EXHIBIT 2 City of Vernon Fiscal Year 2019 Gross Load (as measured by ISO-certified revenue quality meters) Month Load (MWhs) Jul-19 101,265 Aug-19 104,978 Sep-19 94,898 Oct-19 97,942 Nov-19 90,071 Dec-19 85,519 Jan-20 90,455 Feb-20 83,417 Mar-20 91,852 Apr-20 91,282 May-20 94,989 Jun-19 92,546 Fiscal Year 2019 1,119,215 City Council Agenda Item Report Agenda Item No. COV-380-2019 Submitted by: Veronica Petrosyan Submitting Department: Health and Environmental Control Department Meeting Date: October 15, 2019 SUBJECT Department of Toxic Substances Control (DTSC) Update on Environmental Clean-Up Efforts for the Former Thermador Site Located at 5119-5309 District Blvd. Recommendation: A. Find that the actions recommended in this staff report do not constitute a "project" pursuant to Section 45378(b)(2) of the Guidelines to the California Environmental Quality Act ("CEQA") because such recommendations constitute an administrative activity; and even if the proposed actions do constitute a project, it would be exempt from CEQA in accordance with Section 15061(b)(3), the general rule that CEQA only applies to projects that may have an effect on the environment; and B. Receive and file a presentation updating the City Council on DTSC's environmental clean-up efforts for the former Thermador site. Background: On August 8, 2013, the Vernon City Council approved a Voluntary Cleanup Agreement (VCA) with the DTSC for the former Thermador site at 5119-5309 District Blvd. As a result, the City of Vernon initiated numerous activities to remove, treat on-site, and remediate all of the chemicals of concern at the direction of DTSC as per the VCA. All of the activities were completed and the site, with some restricted conditions from DTSC, was approved for redevelopment for industrial use. The Land Use Covenant was filed at the end of March 2015 prior to closing of escrow and the re-sale of the property to Pacific Industrial. The remaining obligations require that the City of Vernon abide by an approved Operations & Maintenance Plan; provide air sampling of air vents; inspection, maintenance, and replacement of vents. On September 29, 2015, the City of Vernon signed the Operation and Maintenance Agreement with DTSC to monitor and maintain the former Thermador site for a period of 30 years. It is anticipated that if favorable results are obtained in the first 5 years, the City will be able to request a modification of the 30-year plan. The Department of Health and Environmental Control is currently working with DTSC to outline the clean-up objectives for the next phase of the project and will return to Council at a later date to present an amended agreement for approval. Fiscal Impact: There is no fiscal impact associated to receiving a presentation provided by DTSC on the clean up efforts for the former Thermador site. ATTACHMENTS 1. DTSC Update on Former Thermador Site in Vernon Department ofToxic Substances Control Today’s Presentation To protect Californians and environment from harmful effects of toxic substances Department of Toxic Substances Control (DTSC) Site History August 2013: Voluntary Cleanup Agreement (VCA) November 2013: Amended VCA January 2014: No Further Action Determination OU1 (Residential) March 2015: Land Use Covenant for OU2 (Commercial) October 2015: Operation and Maintenance Agreement Investigation and Findings OU3 (Groundwater) April 2019: City of Vernon Submitted a Groundwater and Soil Investigation Based on the data in the Report DTSC determined that vapor intrusion into the homes on 52nd Drive in Maywood cannot be ruled out. DTSC General Recommendation- June 27, 2019 Installation of groundwater monitoring wells -to determine groundwater gradient and the extent of the downgradient impact to groundwater Additional soil vapor and groundwater sampling -to delineate the extent of the subsurface contamination and the impact to the residential properties to the south of the site Sub-slab and indoor air sampling in homes -to the south of the site to evaluate potential vapor intrusion risk Public Outreach Communication with PPS Access Agreement Work Notice Community Update EnviroStor Updates DTSC’s tailored outreach plan Next Steps City of Vernon to submit a Workplan: further investigation of groundwater, soil vapor and indoor air evaluation in the homes south of the Site DTSC Review of Workplan: DTSC will review and comment on the Workplan before implementation DTSC Review of Results: DTSC will review the results of the sampling results and evaluate any potential risk to human health to determine if any cleanup is warranted DTSC Obtains Access Agreements: consent to conduct sampling Patrick Movlay DTSC Project Manager Phone: 818.717.6542 Email: Patrick.Movlay@dtsc.ca.gov Amanda Dominguez DTSC Public Participation Specialist Phone: 818.717.6581 Email: Amanda.Dominguez@dtsc.ca.gov Questions & Contacts DTSC EnviroStor Link: https://www.envirostor.dtsc.ca.gov/public/profile_report?global_id=60001916 City Council Agenda Item Report Agenda Item No. COV-463-2019 Submitted by: Veronica Avendano Submitting Department: Human Resources Meeting Date: October 15, 2019 SUBJECT Employee Service Pin Awards for September 2019 Recommendation: No action required by City Council. This is a presentation only. Background: Submitted herewith is a list of employees who are eligible to receive their service pin based on the number of service years with the City of Vernon. Fiscal Impact: None. ATTACHMENTS 1. Service Pin List for September 2019 SEPTEMBER ANNIVERSARY EMPLOYEE'S NAME DEPARTMENT TITLE D.O.H YEARS William R. Foltz Jr.Fire Fire Captain 9/18/1989 30 Jeffrey S. Graves Fire Fire Captain 9/18/1989 30 Daniel A. Kimes Fire Fire Captain 9/18/1989 30 Dean A. Richens Fire Fire Captain 9/18/1989 30 Anthony R. Hinojos Public Utilities Senior Water Maintenance Worker 9/18/1994 25 Paul T. Johnson Fire Fire Engineer 9/12/1994 25 Michael S. Langer Fire Fire Captain 9/12/1994 25 Victor M. Modesto Public Works Fleet Supervisor 9/2/1994 25 Lawrence M. Muno Fire Firefighter 9/12/1994 25 Gabriel A. Martinez Police Police Sergeant 9/20/2004 15 Lilia Hernandez City Administration Executive Assistant to the City Administrator 9/15/2014 5 2019 SERVICE PIN LIST City Council Agenda Item Report Agenda Item No. COV-181-2019 Submitted by: Alexis Amado Submitting Department: City Administration Meeting Date: October 15, 2019 SUBJECT Enterprise License Agreement (ELA) with Microsoft Recommendation: A. Find the approval of the proposed agreement with Microsoft is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute as a "project" as defined by CEQA Guidelines Section 15378; and B. Approve a new Enterprise License Agreement (ELA) with Microsoft, in substantially the same form as attached herewith, for a period of three years; and C. Authorize the City Administrator to execute the Enterprise License Agreement with Microsoft with an effective date of October 15, 2019; and D. Authorize the issuance of a Purchase Contract to Insight Public Sector in an amount not to exceed $173,532.87 over the three year term of the ELA with Microsoft Background: The Information Technology Division is responsible for citywide information technology (IT) operations and support services in several key areas: applications, enterprise computing, Geographic Information Systems (GIS), network and wireless, program and project management, telecommunications, phone and field support. At the core of IT operations, is a host of applications and products that is used by every employee of the City. Many of those capabilities are provided by Microsoft. Microsoft products used by the City include: Exchange Server for all email services; Windows Server for all enterprise operating systems; and SQL Server for all application databases. Additionally, the Microsoft Windows desktop operating system is used by all employee desktops, and includes the full Microsoft Office Suite of products Outlook, Word, Excel, PowerPoint, Access, and Visio). On September 6, 2016 the City Council approved an Enterprise License Agreement (ELA) with Microsoft, for a coverage period of three years from October 1, 2016 thru September 30, 2019. With the upcoming expiration of the current agreement, staff is seeking approval to enter into a new Enterprise License Agreement (ELA) with Microsoft for a period of three years. The coverage period would be from October 15, 2019 through October 14, 2022. Microsoft software is provided by third party vendors and cannot be acquired through Microsoft directly. The County of Riverside issued a Request for Proposals (RFP) and selected Insight Public Sector as the company with the most competitive pricing and best- suited to provide Microsoft software licenses, software license upgrades, and license tracking services. Under the terms of the RFP and resulting contract, similar pricing is also offered to other government agencies in the State of California. Staff recommends that Vernon contract with Insight Public Sector based upon the terms and conditions offered to the County of Riverside (Contract ID RIVCO-20800-009-12/19). Pursuant to Section 2.17.12(A)(5) of the Vernon Municipal Code, the agreements with Microsoft requested herein are exempt from competitive bidding and competitive selection as the City's Finance Department is in agreement the Microsoft Contract is a piggyback on the County of Riverside' s agreement with Microsoft. Benefits to the City' s enrollment in an Enterprise License Agreement with Microsoft are noted below: -Upgrade rights to future versions of licensed software -Enhanced licensing rights ( SQL active-passive failover rights) -E- Learning Applications/ Servers/ Systems( free web-based training for all employees on Microsoft products) -Thirty (30) SA Training Vouchers ( about $ 10, 000 in vouchers for IT staff to attend onsite classroom training's at various learning centers for Microsoft technologies) -A paid deployment planning workshop (on particular Microsoft server products, such as Exchange or SQL server deployments) -Three-year price protection against price increases -Free web- based/ e- mail technical support on the Microsoft server products covered by EA -24/ 7 Problem Resolution Support - Phone Additionally, Section 2.17.02(A) of the Vernon Municipal Code requires City Council approval for all contracts with a total value over the lifetime of the contract exceeding $100,000. As outlined in the fiscal impact section below, the total value over the lifetime of the agreement with Microsoft exceeds said amount. The attached Enterprise License Agreement has been reviewed and approved as to form by the City Attorney's office. Fiscal Impact: The annual cost of the Enterprise License Agreement (ELA) with Microsoft requested herein is $57,844.29 for three years for a total amount not-to-exceed $173,532.87. Sufficient funds for this year's cost were allocated and are available in the fiscal year 2019/2020 IT budget. Sufficient funds will be budgeted accordingly in subsequent fiscal years. ATTACHMENTS 1. Microsoft Enterprise License Agreement 2. Insight 3-Year Quote 3. Insight- Riverside Contract ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(Aug2014) Page 1 of 2 Program Signature Form MBA/MBSA number Agreement number 01E73970 Note: Enter the applicable active numbers associated with the documents below. Microsoft requires the associated active number be indicated here, or listed below as new. For the purposes of this form, “Customer” can mean the signing entity, Enrolled Affiliate, Government Partner, Institution, or other party entering into a volume licensing program agreement. This signature form and all contract documents identified in the table below are entered into between the Customer and the Microsoft Affiliate signing, as of the effective date identified below. Contract Document Number or Code Enterprise Enrollment (Indirect) X20-10634 Discount Transparency Disclosure Form 0882402.002_DTDF Product Selection Form 0882402.002_PSF By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read and understand the above contract documents, including any websites or documents incorporated by reference and any amendments and (2) agree to be bound by the terms of all such documents. Customer Name of Entity (must be legal entity name)* City of Vernon Signature* Printed First and Last Name* Printed Title Signature Date* Tax ID * indicates required field Microsoft Affiliate Microsoft Corporation Signature Printed First and Last Name Printed Title Signature Date (date Microsoft Affiliate countersigns) Agreement Effective Date (may be different than Microsoft’s signature date) ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(Aug2014) Page 2 of 2 Optional 2nd Customer signature or Outsourcer signature (if applicable) Customer Name of Entity (must be legal entity name)* Signature* Printed First and Last Name* Printed Title Signature Date* * indicates required field Outsourcer Name of Entity (must be legal entity name)* Signature* Printed First and Last Name* Printed Title Signature Date* * indicates required field If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments, include the appropriate form(s) with this signature form. After this signature form is signed by the Customer, send it and the Contract Documents to Customer’s channel partner or Microsoft account manager, who must submit them to the following address. When the signature form is fully executed by Microsoft, Customer will receive a confirmation copy. Microsoft Corporation Dept. 551, Volume Licensing 6100 Neil Road, Suite 210 Reno, Nevada 89511-1137 USA EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 1 of 10 Document X20-10634 Enterprise Enrollment State and Local Enterprise Enrollment number (Microsoft to complete) 90464571 Framework ID (if applicable) Previous Enrollment number (Reseller to complete) 81501227 This Enrollment must be attached to a signature form to be valid. This Microsoft Enterprise Enrollment is entered into between the entities as identified in the signature form as of the effective date. Enrolled Affiliate represents and warrants it is the same Customer, or an Affiliate of the Customer, that entered into the Enterprise Agreement identified on the program signature form. This Enrollment consists of: (1) these terms and conditions, (2) the terms of the Enterprise Agreement identified on the signature form, (3) the Product Selection Form, (4) the Product Terms, (5) the Online Services Terms, (6) any Supplemental Contact Information Form, Previous Agreement/Enrollment form, and other forms that may be required, and (7) any order submitted under this Enrollment. This Enrollment may only be entered into under a 2011 or later Enterprise Agreement. By entering into this Enrollment, Enrolled Affiliate agrees to be bound by the terms and conditions of the Enterprise Agreement. All terms used but not defined are located at http://www.microsoft.com/licensing/contracts. In the event of any conflict the terms of this Agreement control. Effective date. If Enrolled Affiliate is renewing Software Assurance or Subscription Licenses from one or more previous Enrollments or agreements, then the effective date will be the day after the first prior Enrollment or agreement expires or terminates. If this Enrollment is renewed, the effective date of the renewal term will be the day after the Expiration Date of the initial term. Otherwise, the effective date will be the date this Enrollment is accepted by Microsoft. Any reference to “anniversary date” refers to the anniversary of the effective date of the applicable initial or renewal term for each year this Enrollment is in effect. Term. The initial term of this Enrollment will expire on the last day of the month, 36 full calendar months from the effective date of the initial term. The renewal term will expire 36 full calendar months after the effective date of the renewal term. Terms and Conditions 1. Definitions. Terms used but not defined in this Enrollment will have the definition in the Enterprise Agreement. The following definitions are used in this Enrollment: “Additional Product” means any Product identified as such in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. “Community” means the community consisting of one or more of the following: (1) a Government, (2) an Enrolled Affiliate using eligible Government Community Cloud Services to provide solutions to a Government or a qualified member of the Community, or (3) a Customer with Customer Data that is subject to Government regulations for which Customer determines and Microsoft agrees that the use of Government Community Cloud Services is appropriate to meet Customer’s regulatory requirements. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 2 of 10 Document X20-10634 Membership in the Community is ultimately at Microsoft’s discretion, which may vary by Government Community Cloud Service. “Enterprise Online Service” means any Online Service designated as an Enterprise Online Service in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. Enterprise Online Services are treated as Online Services, except as noted. “Enterprise Product” means any Desktop Platform Product that Microsoft designates as an Enterprise Product in the Product Terms and chosen by Enrolled Affiliate under this Enrollment. Enterprise Products must be licensed for all Qualified Devices and Qualified Users on an Enterprise-wide basis under this program. “Expiration Date” means the date upon which the Enrollment expires. “Federal Agency” means a bureau, office, agency, department or other entity of the United States Government. “Government” means a Federal Agency, State/Local Entity, or Tribal Entity acting in its governmental capacity. “Government Community Cloud Services” means Microsoft Online Services that are provisioned in Microsoft’s multi-tenant data centers for exclusive use by or for the Community and offered in accordance with the National Institute of Standards and Technology (NIST) Special Publication 800-145. Microsoft Online Services that are Government Community Cloud Services are designated as such in the Use Rights and Product Terms. “Industry Device” (also known as line of business device) means any device that: (1) is not useable in its deployed configuration as a general purpose personal computing device (such as a personal computer), a multi-function server, or a commercially viable substitute for one of these systems; and (2) only employs an industry or task-specific software program (e.g. a computer-aided design program used by an architect or a point of sale program) (“Industry Program”). The device may include features and functions derived from Microsoft software or third-party software. If the device performs desktop functions (such as email, word processing, spreadsheets, database, network or Internet browsing, or scheduling, or personal finance), then the desktop functions: (1) may only be used for the purpose of supporting the Industry Program functionality; and (2) must be technically integrated with the Industry Program or employ technically enforced policies or architecture to operate only when used with the Industry Program functionality. “Managed Device” means any device on which any Affiliate in the Enterprise directly or indirectly controls one or more operating system environments. Examples of Managed Devices can be found in the Product Terms. “Qualified Device” means any device that is used by or for the benefit of Enrolled Affiliate’s Enterprise and is: (1) a personal desktop computer, portable computer, workstation, or similar device capable of running Windows Pro locally (in a physical or virtual operating system environment), or (2) a device used to access a virtual desktop infrastructure (“VDI”). Qualified Devices do not include any device that is: (1) designated as a server and not used as a personal computer, (2) an Industry Device, or (3) not a Managed Device. At its option, the Enrolled Affiliate may designate any device excluded above (e.g., Industry Device) that is used by or for the benefit of the Enrolled Affiliate’s Enterprise as a Qualified Device for all or a subset of Enterprise Products or Online Services the Enrolled Affiliate has selected. “Qualified User” means a person (e.g., employee, consultant, contingent staff) who: (1) is a user of a Qualified Device, or (2) accesses any server software requiring an Enterprise Product Client Access License or any Enterprise Online Service. It does not include a person who accesses server software or an Online Service solely under a License identified in the Qualified User exemptions in the Product Terms. “Reseller” means an entity authorized by Microsoft to resell Licenses under this program and engaged by an Enrolled Affiliate to provide pre- and post-transaction assistance related to this agreement; “Reserved License” means for an Online Service identified as eligible for true-ups in the Product Terms, the License reserved by Enrolled Affiliate prior to use and for which Microsoft will make the Online Service available for activation. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 3 of 10 Document X20-10634 "State/Local Entity" means (1) any agency of a state or local government in the United States, or (2) any United States county, borough, commonwealth, city, municipality, town, township, special purpose district, or other similar type of governmental instrumentality established by the laws of Customer’s state and located within Customer’s state’s jurisdiction and geographic boundaries. “Tribal Entity” means a federally-recognized tribal entity performing tribal governmental functions and eligible for funding and services from the U.S. Department of Interior by virtue of its status as an Indian tribe. “Use Rights” means, with respect to any licensing program, the use rights or terms of service for each Product and version published for that licensing program at the Volume Licensing Site. The Use Rights supersede the terms of any end user license agreement (on-screen or otherwise) that accompanies a Product. The Use Rights for Software are published by Microsoft in the Product Terms. The Use Rights for Online Services are published in the Online Services Terms. “Volume Licensing Site” means http://www.microsoft.com/licensing/contracts or a successor site. 2. Order requirements. a. Minimum order requirements. Enrolled Affiliate’s Enterprise must have a minimum of 250 Qualified Users or Qualified Devices. The initial order must include at least 250 Licenses for Enterprise Products or Enterprise Online Services. (i) Enterprise commitment. Enrolled Affiliate must order enough Licenses to cover all Qualified Users or Qualified Devices, depending on the License Type, with one or more Enterprise Products or a mix of Enterprise Products and the corresponding Enterprise Online Services (as long as all Qualified Devices not covered by a License are only used by users covered with a user License). (ii) Enterprise Online Services only. If no Enterprise Product is ordered, then Enrolled Affiliate need only maintain at least 250 Subscription Licenses for Enterprise Online Services. b. Additional Products. Upon satisfying the minimum order requirements above, Enrolled Affiliate may order Additional Products. c. Use Rights for Enterprise Products. For Enterprise Products, if a new Product version has more restrictive use rights than the version that is current at the start of the applicable initial or renewal term of the Enrollment, those more restrictive use rights will not apply to Enrolled Affiliate’s use of that Product during that term. d. Country of usage. Enrolled Affiliate must specify the countries where Licenses will be used on its initial order and on any additional orders. e. Resellers. Enrolled Affiliate must choose and maintain a Reseller authorized in the United States. Enrolled Affiliate will acquire its Licenses through its chosen Reseller. Orders must be submitted to the Reseller who will transmit the order to Microsoft. The Reseller and Enrolled Affiliate determine pricing and payment terms as between them, and Microsoft will invoice the Reseller based on those terms. Throughout this Agreement the term “price” refers to reference price. Resellers and other third parties do not have authority to bind or impose any obligation or liability on Microsoft. f. Adding Products. (i) Adding new Products not previously ordered. New Enterprise Products or Enterprise Online Services may be added at any time by contacting a Microsoft Account Manager or Reseller. New Additional Products, other than Online Services, may be used if an order is placed in the month the Product is first used. For Additional Products that are Online Services, an initial order for the Online Service is required prior to use. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 4 of 10 Document X20-10634 (ii) Adding Licenses for previously ordered Products. Additional Licenses for previously ordered Products other than Online Services may be added at any time but must be included in the next true-up order. Additional Licenses for Online Services must be ordered prior to use, unless the Online Services are (1) identified as eligible for true-up in the Product Terms or (2) included as part of other Licenses. g. True-up requirements. Enrolled Affiliate must submit an annual true-up order that accounts for any changes since the initial order or last order. If there are no changes, then an update statement must be submitted instead of a true-up order. (i) Enterprise Products. For Enterprise Products, Enrolled Affiliate must determine the number of Qualified Devices and Qualified Users (if ordering user-based Licenses) at the time the true-up order is placed and must order additional Licenses for all Qualified Devices and Qualified Users that are not already covered by existing Licenses, including any Enterprise Online Services. (ii) Additional Products. For Additional Products that have been previously ordered under this Enrollment, Enrolled Affiliate must determine the maximum number of Additional Products used since the latter of the initial order, the last true-up order, or the prior anniversary date and submit a true-up order that accounts for any increase. (iii) Online Services. For Online Services identified as eligible for true-up in the Product Terms, Enrolled Affiliate may place a reservation order for the additional Licenses prior to use and payment may be deferred until the next true-up order. Microsoft will provide a report of Reserved Licenses ordered but not yet invoiced to Enrolled Affiliate and its Reseller. Reserved Licenses will be invoiced retroactively to the month in which they were ordered. (iv) Subscription License reductions. Enrolled Affiliate may reduce the quantity of Subscription Licenses at the Enrollment anniversary date on a prospective basis if permitted in the Product Terms, as follows: 1) For Subscription Licenses that are part of an Enterprise-wide purchase, Licenses may be reduced if the total quantity of Licenses and Software Assurance for an applicable group meets or exceeds the quantity of Qualified Devices and Qualified Users (if ordering user-based Licenses) identified on the Product Selection Form, and includes any additional Qualified Devices and Qualified Users added in any prior true-up orders. Step-up Licenses do not count towards this total count. 2) For Enterprise Online Services that are not a part of an Enterprise-wide purchase, Licenses can be reduced as long as the initial order minimum requirements are maintained. 3) For Additional Products available as Subscription Licenses, Enrolled Affiliate may reduce the Licenses. If the License count is reduced to zero, then Enrolled Affiliate’s use of the applicable Subscription License will be cancelled. Invoices will be adjusted to reflect any reductions in Subscription Licenses at the true-up order Enrollment anniversary date and effective as of such date. (v) Update statement. An update statement must be submitted instead of a true-up order if, since the initial order or last true-up order, Enrolled Affiliate’s Enterprise: (1) has not changed the number of Qualified Devices and Qualified Users licensed with Enterprise Products or Enterprise Online Services; and (2) has not increased its usage of Additional Products. This update statement must be signed by Enrolled Affiliate’s authorized representative. (vi) True-up order period. The true-up order or update statement must be received by Microsoft between 60 and 30 days prior to each Enrollment anniversary date. The third-year true-up order or update statement is due within 30 days prior to the Expiration Date, and any license reservations within this 30 day period will not be accepted. Enrolled Affiliate EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 5 of 10 Document X20-10634 may submit true-up orders more often to account for increases in Product usage, but an annual true-up order or update statement must still be submitted during the annual order period. (vii) Late true-up order. If the true-up order or update statement is not received when due, Microsoft will invoice Reseller for all Reserved Licenses not previously invoiced and Subscription License reductions cannot be reported until the following Enrollment anniversary date (or at Enrollment renewal, as applicable). h. Step-up Licenses. For Licenses eligible for a step-up under this Enrollment, Enrolled Affiliate may step-up to a higher edition or suite as follows: (i) For step-up Licenses included on an initial order, Enrolled Affiliate may order according to the true-up process. (ii) If step-up Licenses are not included on an initial order, Enrolled Affiliate may step-up initially by following the process described in the Section titled “Adding new Products not previously ordered,” then for additional step-up Licenses, by following the true-up order process. i. Clerical errors. Microsoft may correct clerical errors in this Enrollment, and any documents submitted with or under this Enrollment, by providing notice by email and a reasonable opportunity for Enrolled Affiliate to object to the correction. Clerical errors include minor mistakes, unintentional additions and omissions. This provision does not apply to material terms, such as the identity, quantity or price of a Product ordered. j. Verifying compliance. Microsoft may, in its discretion and at its expense, verify compliance with this Enrollment as set forth in the Enterprise Agreement. 3. Pricing. a. Price Levels. For both the initial and any renewal term Enrolled Affiliate’s Price Level for all Products ordered under this Enrollment will be Level “D” throughout the term of the Enrollment. b. Setting Prices. Enrolled Affiliate’s prices for each Product or Service will be established by its Reseller. Except for Online Services designated in the Product Terms as being exempt from fixed pricing, As long as Enrolled Affiliate continues to qualify for the same price level, Microsoft’s prices for Resellers for each Product or Service ordered will be fixed throughout the applicable initial or renewal Enrollment term. Microsoft’s prices to Resellers are reestablished at the beginning of the renewal term. 4. Payment terms. For the initial or renewal order, Enrolled Affiliate may pay upfront or elect to spread its payments over the applicable Enrollment term. If an upfront payment is elected, Microsoft will invoice Enrolled Affiliate’s Reseller in full upon acceptance of this Enrollment. If spread payments are elected, unless indicated otherwise, Microsoft will invoice Enrolled Affiliate’s Reseller in three equal annual installments. The first installment will be invoiced upon Microsoft’s acceptance of this Enrollment and remaining installments will be invoiced on each subsequent Enrollment anniversary date. Subsequent orders are invoiced upon acceptance of the order and Enrolled Affiliate may elect to pay annually or upfront for Online Services and upfront for all other Licenses. 5. End of Enrollment term and termination. a. General. At the Expiration Date, Enrolled Affiliate must immediately order and pay for Licenses for Products it has used but has not previously submitted an order, except as otherwise provided in this Enrollment. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 6 of 10 Document X20-10634 b. Renewal option. At the Expiration Date of the initial term, Enrolled Affiliate can renew Products by renewing this Enrollment for one additional 36-month term or by signing a new Enrollment. Microsoft must receive a Renewal Form, Product Selection Form, and renewal order prior to or at the Expiration Date. Microsoft will not unreasonably reject any renewal. Microsoft may make changes to this program that will make it necessary for Customer and its Enrolled Affiliates to enter into new agreements and Enrollments at renewal. c. If Enrolled Affiliate elects not to renew. (i) Software Assurance. If Enrolled Affiliate elects not to renew Software Assurance for any Product under its Enrollment, then Enrolled Affiliate will not be permitted to order Software Assurance later without first acquiring a new License with Software Assurance. (ii) Online Services eligible for an Extended Term. For Online Services identified as eligible for an Extended Term in the Product Terms, the following options are available at the end of the Enrollment initial or renewal term. 1) Extended Term. Licenses for Online Services will automatically expire in accordance with the terms of the Enrollment. An extended term feature that allows Online Services to continue month-to-month (“Extended Term”) for up to one year, unless designated in the Product Terms to continue until cancelled, is available. During the Extended Term, Online Services will be invoiced monthly at the then-current published price as of the Expiration Date plus a 3% administrative fee. If Enrolled Affiliate wants an Extended Term, Enrolled Affiliate must submit a request to Microsoft at least 30 days prior to the Expiration Date. 2) Cancellation during Extended Term. At any time during the first year of the Extended Term, Enrolled Affiliate may terminate the Extended Term by submitting a notice of cancellation to Microsoft for each Online Service. Thereafter, either party may terminate the Extended Term by providing the other with a notice of cancellation for each Online Service. Cancellation will be effective at the end of the month following 30 days after Microsoft has received or issued the notice. (iii) Subscription Licenses and Online Services not eligible for an Extended Term. If Enrolled Affiliate elects not to renew, the Licenses will be cancelled and will terminate as of the Expiration Date. Any associated media must be uninstalled and destroyed and Enrolled Affiliate’s Enterprise must discontinue use. Microsoft may request written certification to verify compliance. d. Termination for cause. Any termination for cause of this Enrollment will be subject to the “Termination for cause” section of the Agreement. In addition, it shall be a breach of this Enrollment if Enrolled Affiliate or any Affiliate in the Enterprise that uses Government Community Cloud Services fails to meet and maintain the conditions of membership in the definition of Community. e. Early termination. Any early termination of this Enrollment will be subject to the “Early Termination” Section of the Enterprise Agreement. For Subscription Licenses, in the event of a breach by Microsoft, or if Microsoft terminates an Online Service for regulatory reasons, Microsoft will issue Reseller a credit for any amount paid in advance for the period after termination. 6. Government Community Cloud. a. Community requirements. If Enrolled Affiliate purchases Government Community Cloud Services, Enrolled Affiliate certifies that it is a member of the Community and agrees to use Government Community Cloud Services solely in its capacity as a member of the Community and, for eligible Government Community Cloud Services, for the benefit of end users that are members of the Community. Use of Government Community Cloud Services by an entity that is not a member of the Community or to provide services to non-Community members is strictly EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 7 of 10 Document X20-10634 prohibited and could result in termination of Enrolled Affiliate’s license(s) for Government Community Cloud Services without notice. Enrolled Affiliate acknowledges that only Community members may use Government Community Cloud Services. b. All terms and conditions applicable to non-Government Community Cloud Services also apply to their corresponding Government Community Cloud Services, except as otherwise noted in the Use Rights, Product Terms, and this Enrollment. c. Enrolled Affiliate may not deploy or use Government Community Cloud Services and corresponding non-Government Community Cloud Services in the same domain. d. Use Rights for Government Community Cloud Services. For Government Community Cloud Services, notwithstanding anything to the contrary in the Use Rights: (i) Government Community Cloud Services will be offered only within the United States. (ii) Additional European Terms, as set forth in the Use Rights, will not apply. (iii) References to geographic areas in the Use Rights with respect to the location of Customer Data at rest, as set forth in the Use Rights, refer only to the United States. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 8 of 10 Document X20-10634 Enrollment Details 1. Enrolled Affiliate’s Enterprise. a. Identify which Agency Affiliates are included in the Enterprise. (Required) Enrolled Affiliate’s Enterprise must consist of entire offices, bureaus, agencies, departments or other entities of Enrolled Affiliate, not partial offices, bureaus, agencies, or departments, or other partial entities. Check only one box in this section. If no boxes are checked, Microsoft will deem the Enterprise to include the Enrolled Affiliate only. If more than one box is checked, Microsoft will deem the Enterprise to include the largest number of Affiliates:  Enrolled Affiliate only  Enrolled Affiliate and all Affiliates  Enrolled Affiliate and the following Affiliate(s) (Only identify specific affiliates to be included if fewer than all Affiliates are to be included in the Enterprise):  Enrolled Affiliate and all Affiliates, with following Affiliate(s) excluded: b. Please indicate whether the Enrolled Affiliate’s Enterprise will include all new Affiliates acquired after the start of this Enrollment: Include future Affiliates 2. Contact information. Each party will notify the other in writing if any of the information in the following contact information page(s) changes. The asterisks (*) indicate required fields. By providing contact information, Enrolled Affiliate consents to its use for purposes of administering this Enrollment by Microsoft, its Affiliates, and other parties that help administer this Enrollment. The personal information provided in connection with this Enrollment will be used and protected in accordance with the privacy statement available at https://www.microsoft.com/licensing/servicecenter. a. Primary contact. This contact is the primary contact for the Enrollment from within Enrolled Affiliate’s Enterprise. This contact is also an Online Administrator for the Volume Licensing Service Center and may grant online access to others. The primary contact will be the default contact for all purposes unless separate contacts are identified for specific purposes Name of entity (must be legal entity name)* City of Vernon Contact name* First Information Last Technology Contact email address* it@ci.vernon.ca.us Street address* 4305 S Santa Fe Ave City* Vernon State/Province* CA Postal code* 90058-1714- (For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) Country* United States Phone* 323-583-6611 Tax ID * indicates required fields b. Notices contact and Online Administrator. This contact (1) receives the contractual notices, (2) is the Online Administrator for the Volume Licensing Service Center and may grant online access to others, and (3) is authorized to order Reserved Licenses for eligible Online Servies, including adding or reassigning Licenses and stepping-up prior to a true-up order. EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 9 of 10 Document X20-10634  Same as primary contact (default if no information is provided below, even if the box is not checked). Contact name* First Information Last Technology Contact email address* it@ci.vernon.ca.us Street address* 4305 S Santa Fe Ave City* Vernon State/Province* CA Postal code* 90058-1714- (For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) Country* United States Phone* 323-583-6611 Language preference. Choose the language for notices. English  This contact is a third party (not the Enrolled Affiliate). Warning: This contact receives personally identifiable information of the Customer and its Affiliates. * indicates required fields c. Online Services Manager. This contact is authorized to manage the Online Services ordered under the Enrollment and (for applicable Online Services) to add or reassign Licenses and step-up prior to a true-up order. Same as notices contact and Online Administrator (default if no information is provided below, even if box is not checked) Contact name*: First Information Last Technology Contact email address* it@ci.vernon.ca.us Phone* 323-583-6611  This contact is from a third party organization (not the entity). Warning: This contact receives personally identifiable information of the entity. * indicates required fields d. Reseller information. Reseller contact for this Enrollment is: Reseller company name* Insight Direct USA, Inc. Street address (PO boxes will not be accepted)* 6820 South Harl Avenue City* Tempe State/Province* AZ Postal code* 85283 Country* United States Contact name* Software *Contracts Support Phone* (800) 624-0503 Contact email address* contractsupport@insight.com * indicates required fields By signing below, the Reseller identified above confirms that all information provided in this Enrollment is correct. Signature* Printed name* Printed title* Date* * indicates required fields Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business with each other, Enrolled Affiliate must choose a replacement Reseller. If Enrolled Affiliate or the Reseller intends to terminate their relationship, the initiating party must notify Microsoft and the EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 10 of 10 Document X20-10634 other party using a form provided by Microsoft at least 90 days prior to the date on which the change is to take effect. e. If Enrolled Affiliate requires a separate contact for any of the following, attach the Supplemental Contact Information form. Otherwise, the notices contact and Online Administrator remains the default. (i) Additional notices contact (ii) Software Assurance manager (iii) Subscriptions manager (iv) Customer Support Manager (CSM) contact 3. Financing elections. Is a purchase under this Enrollment being financed through MS Financing?  Yes,  No. If a purchase under this Enrollment is financed through MS Financing, and Enrolled Affiliate chooses not to finance any associated taxes, it must pay these taxes directly to Microsoft. Discount Transparency Disclosure Form Date: 9/18/2019 Program: Enterprise 6 Enrollment Number: Renewal Quote Number: 0882402.002 Partner Name: Insight Direct USA, Inc. Reseller Address: 6820 South Harl Avenue Tempe, AZ, United States, 85283 Discount Details For this enrollment, Microsoft provided the Customer’s Partner an additional discount off of the Partner’s Net Price. The Partner is required, by Microsoft, to pass on the additional discount to the Customer by reducing the Microsoft Product resale price by an amount equal to or greater then the discount. Listed in the table below is the maximum price the partner may charge for the Microsoft Products to be ordered under this enrollment. The Maximum Resale Price (MRP) is calculated by subtracting the additional discount provided to the Partner, from the total estimated resale price for the Microsoft Products. The requirement to pass through the additional discount, does not mean that Microsoft is setting the Customer’s actual price. Partners remain free to set the price charged for Microsoft Products at any point equal to or below MRP. The Customer’s actual price will be established by a separate agreement between Customer and its Partner. Ordered Products Currency Maximum Resale Price US Dollar 216,618 Note: The Maximum Resale Price listed in the table above only pertains to the Microsoft Products to be ordered under this Enrollment. The content of this form has no impact on the Customer’s price for Non-Microsoft products and services. In this form, the following definitions apply: “Customer” means the entity that may enter or has entered into a Contract with the Partner. “Contract” means a binding agreement between the Partner and Affiliate, under which Customer orders Products from Partner. “Microsoft” means (1) the entity that has entered into an agreement with Partner under which Partner may place orders for Microsoft Products for use by the Customer and (2) the affiliates of such entity, as appropriate. “Maximum Resale Price” means the sum of the Estimated Retail Price for all Microsoft Products ordered under the Customer Contract minus the aggregated discount off of the Partner’s Net Price provided by Microsoft listed in the currency in which the Partner or Partner’s reseller transacts with Microsoft. “Product” means all Microsoft Products identified in the Product Terms, such as all Software, Online Services, and other web- based services, including pre-release or beta version. Microsoft product availability may vary by region. Partner: Customer: Signature of Customer’s authorized representative: Printed name: Printed title: Date: 1/1 Enterprise Enrollment Product Selection Form Page 1 of 2 MS Quote EA-EASProdSelForm(WW)(ENG) Proposal ID Enrollment Number 0882402.002 Language: English (United States) Enrolled Affiliate's Enterprise Products and Enterprise Online Services summary for the initial order: Profile Qualified Devices Qualified Users Device / User Ratio Enterprise Product Platform CAL Licensing Model Enterprise 251 251 1.0 Yes User Licenses Products Enterprise Quantity Office Professional Plus Office Professional Plus 251 Client Access License (CAL) Core CAL Core CAL 251 Windows Desktop Windows Enterprise OS Upgrade 251 Enrolled Affiliate’s Product Quantities: Price Group 1 2 3 4 Enterprise Products Office Professional Plus + Client Access License + Client Access Win E3 + Win E5 + Office 365 ProPlus + Office Office 365 (Plans E1, E3 License + Windows Win VDA + 365 (Plans E3 and E5) + and E5) + Microsoft 365 Intune + EMS USL + Microsoft 365 Microsoft 365 Enterprise Enterprise Microsoft 365 Enterprise Enterprise Quantity 251 251 251 251 Enrolled Affiliate’s Price Level: Product Offering / Pool Price Level Enterprise Products and Enterprise Online Services USLs: Unless otherwise indicated in associated contract documents, Price level set using the highest quantity from Groups 1 through 4. D Additional Product Application Pool: Unless otherwise indicated in associated contract documents, Price level set using quantity from Group 1. D Additional Product Server Pool: Unless otherwise indicated in associated contract documents, Price level set using the highest quantity from Group 2 or 3. D Additional Product Systems Pool: Unless otherwise indicated in associated contract documents, Price level set using quantity from Group 4. D Enterprise Enrollment Product Selection Form Page 2 of 2 MS Quote EA-EASProdSelForm(WW)(ENG) NOTES Unless otherwise indicated in the associated contract documents, the price level for each Product offering / pool is set as described above, based upon the quantity to price level mapping below: Quantity of Licenses and Software Assurance Price Level 2,399 and below A 2,400 to 5,999 B 6,000 to 14,999 C 15,000 and above D Note 1: Enterprise Online Services may not be available in all locations. Please see the Product List for a list of locations where these may be purchased. Note 2: Unless otherwise indicated in associated Agreement documents, the CAL selection must be the same across the Enterprise for each Profile. Note 3: Enrolled Affiliate acknowledges that in order to use a third party to reimage the Windows Operating System Upgrade,Enrolled Affiliate must certify that it has acquired qualifying operating system licenses. The requirement applies to Windows Enterprise OS Upgrade.See Product Terms for details. Note 4: If Enrolled Affiliate does not order an Enterprise Product or Enterprise Online Service associated with an applicable Product pool, the price level for Additional Products in the same pool will be price level “A” throughout the term of the Enrollment. Refer to the Qualifying Government Entity Addendum pricing provision for more details on price leveling. PrevEnrAgrForm(WW)(ENG)(Apr2016) Page 1 of 1 Previous Enrollment(s)/Agreement(s) Form Entity Name: City of Vernon Contract that this form is attached to: State Local Government For the purposes of this form, “entity” can mean the signing entity, Customer, Enrolled Affiliate, Government Partner, Institution, or other party entering into a volume licensing program agreement. Please provide a description of the previous Enrollment(s), Agreement(s), Purchasing Account(s), and/or Affiliate Registration(s) being renewed or consolidated into the new contract identified above. a. Entity may select below any previous contract(s) from which to transfer MSDN subscribers to this new contract. Entity shall ensure that each MSDN subscriber transferred is either properly licensed under the new contract or is removed. b. Entity may select below only one previous contract from which to transfer the Software Assurance (SA) Benefit contact details, i.e., benefits contact (not the SA manager) and the program codes, to this new contract. c. An Open License cannot be used to transfer either the SA Benefit details or MSDN subscribers. d. The date of the earliest expiring Enrollment/Agreement that contains SA or Online Services will be the effective date of the new contract (or SA coverage period for Select Plus). e. Please insert the number of the earliest expiring Enrollment/Agreement with SA or Online Services in the appropriate fields of the new contract. Enrollment/Agreement/ Purchasing Account/Affiliate Registration Description Enrollment/Agreement/ Purchasing Account/Affiliate Registration Public Customer Number Transfer SA Benefit Contact Transfer MSDN Subscribers Standard Enrollment 81501227 X 9/25/2019 Page 1 of 1 Confidential.At Signing Thank you for the opportunity to quote. City of Vernon April 10, 2019 Microsoft Enterprise Agreement - Government (USD) Enrollment 81501227 RIVCO-20800-008-12/19 PRELIMINARY MFG Part Number Product Name Offering Level Purchase Period Pool Product Type Price Qty Extended Price Enterprise Products 1 Enterprise W06-01072 CoreCAL ALNG SA MVL Pltfrm UsrCAL Enterprise D Added at Signing Servers Software Assurance 41.04$ 251 10,301.04$ 269-12442 OfficeProPlus ALNG SA MVL Pltfrm Enterprise D Added at Signing Applications Software Assurance 86.50$ 251 21,711.50$ KV3-00353 WINENTperDVC ALNG SA MVL Pltfrm Enterprise D Added at Signing Systems Software Assurance 38.39$ 251 9,635.89$ Additional Products 312-02257 ExchgSvrStd ALNG SA MVL Additional Product D Added at Signing Servers Software Assurance 115.15$ 4 460.60$ 76N-02550 SharePointEntCAL ALNG SA MVL UsrCAL Additional Product D Added at Signing Servers Software Assurance 17.26$ 1 17.26$ H04-00268 SharePointSvr ALNG SA MVL Additional Product D Added at Signing Servers Software Assurance 1,106.44$ 1 1,106.44$ 359-00961 SQLCAL ALNG SA MVL UsrCAL Additional Product D Added at Signing Servers Software Assurance 31.08$ 251 7,801.08$ 228-04433 SQLSvrStd ALNG SA MVL Additional Product D Added at Signing Servers Software Assurance 133.62$ 4 534.48$ 9EA-00278 WinSvrDCCore ALNG SA MVL 2Lic CoreLic Additional Product D Added at Signing Servers Software Assurance 114.60$ 48 5,500.80$ 9EM-00270 WinSvrSTDCore ALNG SA MVL 2Lic CoreLic Additional Product D Added at Signing Servers Software Assurance 16.15$ 48 775.20$ Annual Total:57,844.29$ Three Year Total:173,532.87$ City Council Agenda Item Report Agenda Item No. COV-415-2019 Submitted by: Lilia Hernandez Submitting Department: City Administration Meeting Date: October 15, 2019 SUBJECT Ratification of Mayor’s Appointment of Eligible Individuals to Serve on the Vernon Housing Commission Recommendation: A. Find that ratification of the Mayor’s appointment of eligible individuals to serve on the Vernon Housing Commission is exempt from California Environmental Quality Act (“CEQA”) review, because it is an administrative action that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; and B. Ratify the Mayor’s appointment of Jorge Nevarez Jr. to serve on the Vernon Housing Commission in the Business Representative Seat No. 1 with a term of July 1, 2019 to June 30, 2023; and C. Ratify the Mayor’s appointment of Ronit Edry to serve on the Vernon Housing Commission in the Business Representative Seat No. 3 with a term of July 1, 2019 to June 30, 2023; and D. Ratify the Mayor's appointment of Marlene Ybarra to serve on the Vernon Housing Commission in a Resident Representative Seat No. 2 with a term of July 1, 2019 to June 30, 2023. Background: The Vernon Housing Commission ("VHC") was established in July 2011 to provide open and transparent administration of the City's housing units. The VHC makes decisions regarding leasing, market rental rates, repair and maintenance of City-owned housing, and makes recommendations to the City Council regarding potential divestment and development opportunities. The VHC also develops and implements procedures to effectuate policy objectives established by the City Council. The VHC, a seven-member panel comprising residents, business leaders and one council member, meets on a quarterly basis on the second Wednesday of each March, June, September, and December. Vernon Housing Commission meetings provide a public forum for residents and other members of the community to address housing related issues. The VHC is the fulfillment of a critical element of the City's good governance reforms. On or around May 29, 2019 City Staff commenced recruiting efforts to fill upcoming vacancies on the VHC for a Business Representative No. 1, Business Representative No. 3, Employee of a Business Representative and Resident No. 2. Announcements were publicized on the City's website, mailed directly to all Vernon businesses and residents, and advertised through the Vernon Chamber of Commerce. Appointments were not made as staff received an insufficient number of responses to fill the vacancies. On or around September 5, 2019, City staff conducted a second round of recruitment and subsequently extended the submission deadline in an effort to garner greater interest and allow for more applications to fill the vacancies. In addition to re-publicizing the announcement and interest form as done with the previous round, this time staff also hand delivered announcements to all Vernon residents. Staff received a total of nine completed interest forms from interested individuals in response to both recruitment efforts: Candidate Name Eligible Appointment Category Dora M. Douglas Resident (Non-City Council) Marlene Ybarra Resident (Non-City Council) Adriana Davila Resident (Non-City Council) Abdul Alkam Business Representative Ronit Edry Business Representative Jorge Nevarez Jr. Business Representative Duncan Sachdeva Business Representative Nathan Kim Business Representative Eric Freedman Business Representative After a careful review of the interest forms submitted for the business representative seats, the Mayor determined all applicants deserved an equal opportunity to serve on the VHC. By random selection, the Mayor has elected to appoint Jorge Nevarez Jr. to serve on the VHC in the Business Representative No. 1 seat with a term expiring on June 30, 2023, Ronit Edry to serve on the VHC in the Business Representative No. 3 seat with a term expiring on June 30, 2023, and finally, Marlene Ybarra to serve on the VHC in the Resident No. 2 seat with a term expiring on June 30, 2023. Staff has placed the matter on the October 15, 2019 City Council agenda accordingly. Upon City Council ratification of the Mayor’s appointments, the City Clerk will administer the Oath of Office as necessary, prior to their participation in a Vernon Housing Commission meeting. An appointment for an individual to serve in the Employee of a Business seat was not made as no interest forms were received for this category. Staff will conduct another round of recruitment for this position and an appointment will be made at a later time. Fiscal Impact: There is no fiscal impact associated with the appointment of an individual to serve on the Vernon Housing Commission. ATTACHMENTS 1. VHC Recruitment Letter September 2019 2. VHC Applications 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 Exclusively Industrial September 5, 2019 TO: Vernon Residents and Representatives or Employees of the Vernon Business Community SUBJECT: Seeking Interested Residents and Business Owners/Operators/Employees to Serve on the Vernon Housing Commission Background. The Vernon Housing Commission was established in July 2011 to provide open and transparent management of Vernon’s housing units. The Commission makes recommendations to the City Council regarding leasing, market rental rates, repair and maintenance, and potential divestment and development opportunities. The Commission also develops and implements procedures to effectuate policy objectives established by the City Council. The Commission provides a public forum for residents and other members of the community to address housing related issues and is the fulfillment of a critical element of the City’s good governance reforms. The Commission meets on a quarterly basis the second Wednesday of each March, June, September, and December. Composition and Terms. The Commission is comprised of seven members from the Vernon community: three residents, one of whom must be a member of the City Council; three business representatives, each of whom represents a person or entity owning or operating a business or non-residential property located in the City; and one employee of a business located in the City. Commission members serve four year terms beginning in July. No member may serve more than two full four year terms. Upcoming Vacancies and Invitation to Apply: The four seats listed below will be open for appointment. The City encourages all qualified individuals to apply. Those with an interest in good governance and experience or interest in housing management are especially needed to devote time to this important public body. The Commission is subject to state open meeting laws and regulations related to good government such as the Ralph M. Brown Act and the Political Reform Act. Appointees will be required to submit Statements of Economic Interests (Form 700s) annually.  Resident No. 2  Business Representative No. 1  Business Representative No. 3  Employee of a Business For more information on the Vernon Housing Commission and related responsibilities, please refer to Ordinance No. 1188 available on the City’s website (www.cityofvernon.org). To be considered for appointment to the Commission, please complete and submit the form on the reverse by Monday, September 23, 2019 at 5:30pm. 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 City of Vernon, 4305 Santa Fe Avenue, Vernon, California 90058 – Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 Appointing Category (please circle one): Resident Business Rep Business Employee Name: _____________________________ Business Name (if applicable): ___________________________ Title (if applicable): ____________________________________ Vernon Address: ___________________________ Email: _____________________________ Phone: _____________________________ Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ NOTE: By signing below, you affirm that you meet the requirements of the appointing category you have indicated. Signature: __________________________ NOTE: Please submit completed form by Monday, September 23, 2019, at 5:30 p.m. Mail form to: City Administrator’s Office, 4305 Santa Fe Avenue, Vernon, CA 90058 – Attn: Lilia Hernandez. Email form to: lhernandez@ci.vernon.ca.us i r ' ._r~ ~ ~' f ` ~ ~ ,~~- ~ ~ ~ 1 ~ --.1~ t / 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 -,. Appointing Category (please circle one Resident Business Rep Business Employee Name: ~~(~V~~, ~ ~J~ ~~ Business Narne (if applicable): Title (if applicable): Vernon Address: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary}: 5~4~ ~2t~~t have indicated. Signature: NOTE: Please submit completed form by Monday, September 23, 2019, at 5:30 p.m. Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 — Attn: Lilia Hernandez. Email form fio: lhernandez(a~ci.vernon.ca.us City of Vernon, 4305 Santa Fe Avenue, Vernon, California 90058 —Telephone (323) 583-8811 ~ / f ~ J~ . ~r 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 Appointing Category (please circle one): !Resident Business Rep Business Employee Name:~G~ ~ y ~C;'~~~L,~S --f Business Name (if applicable): Title (if applicable): Vernon Address: Email: Phone: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): ~xTi~w~c; ~~,, ~~.~ Qr.O..;~._~~c~. ~l: ~~ l !I~`~1t~~.1. Qil1JAJ.~t ~k~N : ~ c~Q.l~.a~\1:1n1J At~l~1 Se cvi i ►.1 aj :b~ ~. ~N,u„v ~i : ~ ~ ~ s.tJ 0 ~. ~N vJ~Lc.S t~ ~ D :'~~C? G~ p C ~09.~~, Qs~ N~ oF'~.V~~•S ~ ~G vJ'::~\ ~N cN'« ~RN~~~1G V AW ~ V~ ~co~tJ ~~~~1 ~V AuC-~ c~S ~~ QA ~-„ ~ v.~ . ~;o ~ ~~ v c c~.No N Nov:, ; ~s 5 .~►.,~•~ s5 ,~N . ~- fl '~~, vr~~~ ~w~ ~,v ~, y ~~~ ~i~~~J ~ v ~ ~s ~: ~s.W1a.~voi ~ ~ 5 0 1. ~s~s ~ = s ~ v~~ ~ N u..M.~ '~ A S F t~, ~j~ Qw x ~ 0 A~ a curt-A-~w~ ~ ~@c-~r+~'3, ~ eA1.~.~p ~x"~ N9 5 ~'~ ~~ ~ tW. j~~. ~~NovA-~o~S i,.~: p~'.~i 1-~.fl~ N~~A-~iG. ~ R~SFr"~vc~t~►~w G~~~c-cr~~ ~(ln'~v:~R~~ ~,~'t~S~No~ NOT : By signing below, you affirm th t yo meet the requirements of the appointing category you have i icated. /-~ Signature NOTE: Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 - Attn: Lilia Hernandez. Email form to: Ihernandez(c~ci.vernon.ca.us City of Vernon, 4305 Santa Fe Avenue, Vernon, California 90058 -Telephone (323) 583-8811 \ {h\--\U$Nxs\ S: s (ah'.;sxt \5 \--\1,5g1-N \rhNf\ Glv\S/ -\,,,-\\ \i\\, SNb O,$t\) !-N\ \\\\.^ NS Srr--.-sr.xr.x..-sr \ NS\N \ -\s \-.,N\ >\\N-\\\ S \ \ c=o-: .-o-,t".' s , S, r.:c rr.-,,- t)g SN SSS\- -i\ -\-\ i' ヽヽい―も｀｀｀ ■●い ヽ、ヽ、%、 ヽも0い ゛ ｀よやヽ °'うdヾ 、いゝ ヽきく \ll,Xl.sSf\. -\rrs* )os 、ミ象 爆DEADLiNE EXTENDED士 士 NEW DEADLiNEI MONDAY, SEPTEMBER 30,2019 AT 5:00PM燎 NOTE: By si have Signature: NOTE: Mailform to: Emailform to: いwS,■ 滉撤術,City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 -Attn: Lilia Hernandez. I hernandez@ci.vernon.ca. us 4305 Santa Fe Avenue′Vernon′California 90058 Telephone(323)583-8811 VERNON HOUS:NG COMM:SS:ON Prospective Conllnission Memberlnterest Forrn September 5,2019 Appointing Category (please circle one):Business Rep Business Employeer Business Name (if applicable): Title (if applicable): Vemon AddЮ ss叫レЧろι52M Dn曜 去|ロ le&nDA,cA qoD5e (na\\ cmtn sheet if necessary):u'S ln ―rnヽS the requirements of the Phonα 多23b°0多 多 Qualifications and Reasons for lnterest in Serving on the Vernon Housing Commission (attach City of Vemory 4305 Santa Fe Avenue, Vemon, California 90058 - Telephone (323) 583-8811 Email: / r ~° i _~ ~ ~ ~t76Ry ~ ~'. 3 V -yl (q,. , ~ i1 p~f - ~ 1 I ~ Y ~~ -~ '-:"sue tom.,... - 4305 Santa Fe Avenue, Ver•i1on, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 Appointing Category (please circle one): Resident Business Rep Business Employee Name: r~ < "'"" ~ ~~YL~_.- ~~ Business Name (if applicable): CJ~ ~~ t~ -T' i rv~ Title (if applicable): 1~Yz ~~ ~pE~+-~r°~" Vernon Address: ~~~`1 ~ j ~`~1~` Phone: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): ....a._. `1 ~ K (~ S7 ~ ~( ~ ~'~ i iv G S S ~-L~C~`f~- C 1 I`~) ~ ~ Y-LSD UI~-~ ~ t~v~_ ~,'v~-: YL_.. ~~ t ~~~~- ~ M. G z..~.~~~, ~. S ~ ~.x~ u—C" ~'1A ~- I N t~ ~`2a.-- ~ c~`~~ ~~ ~ r~~. S G ~ i ~~ ~ ~~~ i ~ ~c~ ~ tit t~-C^_`" ~:~c z~~~~~ ~ ~ti~ nr~, ~,.~, '~~t-= ~~t ~= l C~ C~~-!- ~~~ ~ t-~c_~~~ NOTE: By signing below, you affirm that you meet the requirements of the appointing category ybu have indicated. Signature: NOTE: Please submit completed form by Monday, September 23, 2019, at 5:30 p.m. Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 - Attn: Lilia Hernandez. Email form to: Ihernandez(a~ci.vernon.ca.us City of Vernon, X305 Santa Fe Avenue, Vernon, California 90058 -Telephone (323) 583-8811 ,, f~` ~ ~ '1 ~ .i ~~ <~ 1 ~ '< ~ { ~.~ -~< :rs .a Mss tse. rw w.+ .Mr+.' 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 Appointing Category (please circle one): Resident usiness Re Business Employee Name: ~~n ~ f a- l Business Name (if applicable): ~Q ~ ~ n ~ ~ q, ~ (~~" Title (if applicable): ~ ~ ..~ Vernon Address: - ~ ~ S~ Email: Phon Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): ~/~~~ , 1D~~, ~^^ '{ :- f7.__ 1 .n r. ~v~~f'D.t~~ 1 V~ :~Yl/1~~ fM\ ~y`~C VWI`~~ ~du~~ ~ ~ ~VY,►~~V 9 VS-Q~ -~~n~.1F- ~ ~~ Ct u ~ a1 ~ t.t c u C ~~ rrY~ U h ti i v+ a ' v~ ~ -~ ~v~n~a~ ~~~ ~ ~. cry ~S , .-- NOTE: By signing below, you affirm that you meet the requirements of the appointing category you have indicated. Signature: NOTE: Please sub it completed form by Monday, September 23, 2019, at 5:30 p.m. .~ ~~,_ Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 — Attn: Lilia Hernandez. Email form to: IhernandezCc~ci.vernon.ca.us City of Vemon, 4305 Santa Fe Avenue, Vemon, California 90058 —Telephone (323) 583-8811 ._ __ ~: Scanned with CamScanner J ~, ~ ~ ~ ~`,~`• 4305 Santa re Avenue, Vernon, California 90058 Telephone (323) 583-8811 Prospective Commission Member Interest Form May 29, 2019 Appointing Category (piease circle one): Resident Business R Business Employee Name: ~h t ~ rG~t-~ BusinessfVame(ifapplicable): ~G)x`S (~~K,~u~ 1 r ~~(pv~ ~'"~ LJ l f ~^'~i D-e;Lec Li~~ ~ v.c Title (if applicable): CQ „J~ I Vernon Address: ~~~_~. ~ ~ ~ ~ ~'rn~"1 ~ ~Q ~f(~ Email Phone: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): l CQr.~ (~cU GI,~ t~~~ u NOTE: By signing below, you affirm that you meet the requirements 4f the appointing category you have indicated. Signature. NOTE: Please submit completed form by Wednesday, June 19, 2019, at 5:30 p.m_. Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 — Attn: Lilia Hernandez. Email form to: Ihernandei(a~ci.vernon ca us City of Vernon, 4305 Santa Fe Avenue, Vernon, California 90058 -Telephone (323) 583-8811 Scanned with CamScanner .- ~ ~` ~ f ~ ~ ' ~' ~ ~ ~r ~~~~~~~ 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 2019 Appointing Category (please circle one): Resident Business Rep Business Employee Name: ~VN~jV ..~~'G~f ~~~~ Business Name (if applicable): _ ~ 1 N~l~ ~ ~K~7~~~ ~~ ~- Title (if applicable): ~ ~ ~ ~/~ ~S 1 ~,~/~! 7 Vernon Address: ~J ld 1~1 S ~~~LT ~LV~ Email: Phone: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach ad itiona sheet if ecessary): ~ ~ • l I ~ l ~~ ~ .....1.1 /% NOTE: By signing below, you affi m that you meet the requirements of the appointing category you have indicated. Signature: NOTE: Please submit completed form by Monday, September 23, 20.19, at 5:30 p.m. Mail form to: Email form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 -- Attn: Lilia Hernandez. lhernandez (a~.ci.vernon.C~'1.U5 Vernon, 4305 S~jrlta Fc Av~~nut~, V~~rnc~n, L .~li~~~~rnia ~?1~0~ti —T~~1rE~h~~~lc~ (3?3) 5S3-S~11 t ~ ~ ~ Mt SAM , ~ .J ,_/ , ~ t ~~ i41~ f DI Y 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 Prospective Commission Member Interest Form May 29, 2019 Appointing Category (please circle one): Resident Business Rep Business Employee Name: Abdui Alkam Business Name (if applicable): Alkam Home Fashions Title (if applicable): Manager Vernon Address: 5107 District Blvd, Vernon, CA 90058 Email: Phone: Qualifications and Reasons for Interest in Serving on the Vernon Housing Commission (attach additional sheet if necessary): After being part of the Alkam Home Fashions business for 12 years now, I have seen how great the city of Vernon is. I would like to serve on this commission to give back to the city that helped the family business grow to where it is not. NOTE: By signing below, you affirm that you meet the requirements of the appointing category you have indicated. Signature: NOTE: Please submit completed form by Wednesday, June 19, 2019, at 5:30 p.m. Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 - Attn: Lilia Hernandez. Email form to: Ihernandez(a~ci.vernon.ca.us City of Vernon, 4305 Santa Fe Avenue, Vernon, California 90058 —Telephone (323) 583-8811 'I ~ ~: 1 = ,. r ~ l -. ~ / ~ 4305 Santa Fe Avenue, Vernon, California 90058 Telephone (323) 583-8811 VERNON HOUSING COMMISSION Prospective Commission Member Interest Form September 5, 20'i9 Appointing Category (please circle one): Resident Business Rep Business Employee Name: /~a,~'~A.,r~ Business Name (if applicable): Title (if applicable): Vernon Address: 3/bo ~ Y ~ ~ t` ~~ Phone: Qualifications and Reasons for interest in Serving on the Vernon Housing Commission (attach additions! sheet if necessary): v~r- ~ V ~ ~r ; ~. i..c c, ~ ~~ ~ a G T ~b i t~ J v~ ~ ~3~r-~..St ~~~~.rt~~ L'~+~►-, ~D ~i.C~'~~~° f~CGf ~ C'~A ~-!~'tio`~S a,~s~.~ NOTE: By signing below, you affirm that you meet the requirements of the appointing category you have indicated. Signature: NOTE: Pi~as~ ~~bmit completed form by Monday, ~~pt~mber 23, 20'i9, at 5:30 p.m. Mail form to: City Administrator's Office, 4305 Santa Fe Avenue, Vernon, CA 90058 - Attn: Lilia Hernandez. Email form to: Ihernandez(a~ci.vernon.ca.us City of Vei~lon, 4305 Santa Fe Avenue, Vernon, California 9Q058 -Telephone (323) 583-8811 of4305SantaFeAvenue,Vernon,California90058Telephone(323)583-8811VERNONHOUSINGCOMMISSIONProspectiveCommissionMemberInterestFormSeptember5,2019AppointingCategory(pleasecircleone):Resident,.BusinessRepuBusinessEmployeeName:_P-3tEflP’4__BusinessName(ifapplicable):SOUJT3cJS,LLCTitle(ifapplicable):oLJ6P/CPDVernonAddress:1421Mc.rIrcgLv’OEmail:ThTeCOA7t,Ji(LCA.cwPhone:Jib.‘fl-L./CUDQualificationsandReasonsforInterestinServingontheVernonHousingCommission(attachadditionalsheetifnecessary):iY4Yw1P43Yt-0C4Th3JC)tvJDr.)5j1ftr&,frvOflbm’bV’4Th3&lJc-.JCU7ox)6itc-drC-tz--r&hz1.mc’TitcaCth‘g’2’Yn-M&Ji9o5n-JoPoflx/*ssp4n/rs-jçyv,ryvnLtJS4s-o,rk..-.Jow35AZwsc,%flI2sfTVNOTE:Bysigningbelow,youaffirmthatyoumeettherequirementsoftheappointingcategoryyouhaveindicated.Signature:e—6——NOTE:PleaseMailformto:submitcompletedformbyMonday,September23.2019,at5:30p.m.CityAdministrator’sOffice,4305SantaFeAvenue,Vernon,CA90058—Attn:LiliaHernandez.lhernandez(äci.vernon.ca.us*1Emailformto:CityofVernon,4305SantaFeAvenue,Vernon,Cailfornia90058—Telephone(323)583-8811 City Council Agenda Item Report Agenda Item No. COV-187-2018 Submitted by: Lilia Hernandez Submitting Department: City Administration Meeting Date: October 15, 2019 SUBJECT Council Conference Attendance Report Recommendation: A. Find that receiving this Council Conference Attendance Report is exempt from California Environmental Quality Act ("CEQA") review, because it is an administrative activity of government that will not result in direct or indirect physical changes in the environment and therefore does not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Receive and file. Background: Pursuant to Government Code Section 53232.3(d), members of legislative bodies are required to report on meetings attended at the expense of the agency or for which there has been expense reimbursement. The following report on a recent conference attended by members of the Vernon City Council is submitted in compliance with the aforementioned requirement. LAEDC 88 Cities Summit Council Member Carol Menke attended the 2019 88 Cities Summit held in at the California Market Center in Los Angeles on September 19, 2019. The 88 Cities Summit provides a forum for stakeholders of the 88 cities and unincorporated areas of Los Angeles County to discuss and develop potential solutions for the economic development challenges facing LA County cities. Session topics included: Results of County-wide survey of LA County City Services, A Perspective on Achieving a Balanced Energy Plan, Accessing Capital in the Absence of Redevelopment, Developing Transformative Spaces for A New Economy, and Best Practices in Economic Development. Fiscal Impact: The cost incurred by the City for City Council attendance of the conference noted above is approximately $61. This amount is in line with the amount included in the 2019-20 fiscal year City Council budget. ATTACHMENTS  MINUTES OF THE REGULAR CITY COUNCIL MEETING OF THE CITY OF VERNON HELD TUESDAY, OCTOBER 1, 2019, IN COUNCIL CHAMBER OF CITY HALL LOCATED AT 4305 SANTA FE AVENUE, VERNON, CALIFORNIA CALL TO ORDER & FLAG SALUTE The meeting was called to order at 9:00 a.m. by Mayor Ybarra. Interim Fire Chief Enriquez led the Flag Salute. Members Present:Mayor Melissa Ybarra, Mayor Pro Tempore Leticia Lopez, and Council Members William Davis and Carol MenkeMembers Absent:None CHANGES TO THE AGENDA Interim City Clerk Harrington announced that there were no changes to the agenda. CLOSED SESSION City Council entered Closed Session at 9:01 a.m. 1.CONFERENCE WITH LABOR NEGOTIATORS Government Code Section 54957.6Agency Designated Representative: Carlos Fandino, City Administrator Employee Organizations: Teamsters Local 911, Vernon Professional Firefighters Association, and Vernon Fire Management Association 2.CONFERENCE WITH LEGAL COUNSEL – EXISTING LITIGATION (2) Government Code Section 54956.9(d)(1) Bicent (California) Malburg LLC et al. v. City of Vernon et al., Los Angeles Superior Court Case No. 19STCV08859 City of Vernon v. Bicent (California) Malburg LLC Los Angeles Superior Court Case No. 19STCP02411 and JAMS Reference No. 1220062657 3.CONFERENCE WITH LEGAL COUNSEL – ANTICIPATED LITIGATIONPotential Initiation of Litigation. Government Code Section 54956.9(d)(2) Number of potential cases: 1 Regular City Council Minutes Page 2 of 9 October 1, 2019 At 9:35 a.m., the Council exited Closed Session. City Attorney Patel reported that all Closed Session items were discussed and the Council unanimously approved Amendment No. 2 to the Engagement Letter Agreement between the City of Vernon and Morgan Lewis. PUBLIC COMMENT None. PRESENTATION 4.Recognition of Retiring Employee - Todd R. Schoenig, Fire Battalion Chief Recommendation:A. Acknowledge and present a proclamation to retiring employee Todd R. Schoenig, Fire Battalion Chief, in recognition of his dedicated service to the City of Vernon. Interim City Clerk Harrington announced the Proclamation in recognition of retiring employee Todd R. Schoenig, Fire Battalion Chief, who was not in attendance. 5.A Proclamation Declaring the Month of October 2019 as "National Breast Cancer Awareness Month" in the City of VernonRecommendation:A. Acknowledge and announce a Proclamation declaring the Month of October 2019 as "National Breast Cancer Awareness Month" in the City of Vernon Interim City Clerk Harrington read the Proclamation declaring the Month of October 2019 as "National Breast Cancer Awareness Month" in the City of Vernon. 6.City of Vernon Water Rate Study and Water Rate Schedule Adoption Process (Proposition 218 Compliance)Presentation by: City staff and Dan Bergmann of Interstate Gas Services, Inc.Recommendation:This item is a presentation only. No action required by City Council. Interim General Manager of Public Utilities Alemu announced that Todd Dusenberry and City Consultant Dan Bergman would provide the PowerPoint Presentation. Interim City Clerk Harrington distributed a revised copy of the Public Hearing Notice relating to the Water Rate Study. Todd Dusenberry, Assistant General Manager of Public Utilities, provided a brief overview of the Vernon Capital Improvement Project Plan and Proposition 218 Compliance. He announced that Water Rate Increase notices would be mailed to customers and parcel owners, and a customer informational meeting would be conducted on October 22, 2019. Dan Bergman, Interstate Gas Service Consultant, presented a PowerPoint Presentation including a brief overview of the Rate Study Components and highlights. Regular City Council Minutes Page 3 of 9 October 1, 2019 CONSENT CALENDAR There were no public comments. MOTIONCouncil Member Davis moved and Mayor Pro Tempore Lopez seconded a motion to approve Consent Calendar Item Nos. 7 through No. 17. The motion carried unanimously. 7.Minutes of the Regular City Council Meeting Held on September 17, 2019Recommendation: A. Receive and File. 8.Minutes of the Regular City Council Meeting Held on September 3, 2019 Recommendation: A. Receive and File 9.Minutes of the Regular City Council Meeting Held on August 20, 2019Recommendation: A. Receive and File. 10.Approval of Federal Funds for Street Improvements Account Warrant Register No. 30 Covering the Period of September 10 through September 23, 2019Recommendation: A. Approve Federal Funds for Street Improvements Account Warrant Register No. 30 which totals $16,600.23 and consists of the following: 1) Ratification of electronic payments totaling $16,600.23. 11.Approval of Operating Account Warrant Register No. 31 Covering the Period of September 10 through September 23, 2019Recommendation: A. Approve Operating Account Warrant Register No. 31 which totals $7,627,184.82 and consists of the following: 1) Ratification of electronic payments totaling $7,333,554.71.2) Ratification of the issuance of early checks totaling $253,527.11.3) Authorization to issue pending checks totaling $40,103.00. 12.Fire Department Activity Report for the Period of August 16 through August 31, 2019Recommendation: A. Receive and file. 13.Amended Building and Planning Manager Job Description Recommendation: A. Find that approval of the attached job description revision in this staff report is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes inthe environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; andB. Approve amended Building and Planning Manager Job Description to more accurately reflect the duties, responsibilities and requirements of this position effective October 1, 2019. Regular City Council Minutes Page 4 of 9 October 1, 2019 14.Office of Traffic Safety Selective Traffic Enforcement Program (STEP) Grant Agreement Recommendation: A. Find that the approval of the proposed agreement is exempt from California Environmental Quality Act (“CEQA”) review, because it is a continuing administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; B. Approve an agreement between the City of Vernon and the Office of Traffic Safety, in substantially the same form as submitted herewith, for a one (1) year term; and C. Authorize the City Administrator, Police Chief, and Police Sergeant to execute an agreement between the City of Vernon and the Office of Traffic Safety for participation in the Selective Traffic Enforcement Program (STEP) with an effective date of October 1, 2019. 15.Vernon Police Department Activity Log and Statistical Summary for the period of August 16 through August 31, 2019Recommendation: A. Receive and file. 16.Ratification of the Submission to the California Energy Commission of the Attestation of the Veracity of the 2018 Power Source Disclosure Program Annual Report and Approval of the 2018 Power Content Label Recommendation: A. Find that approval of the proposed action is exempt under the California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; B. Ratify the submission to the California Energy Commission of the attestation, signed by Vernon Public Utilities’ Interim General Manager, of the veracity of the 2018 Power Source Disclosure Program Annual Report; and C. Approve the 2018 Power Content Label and authorize its submission to the California Energy Commission.17.Public Works Department August 2019 Monthly Building Report Recommendation: A. Receive and File. NEW BUSINESS 18.Resolution Appointing Lisa M. Pope to Serve as City Clerk and Approving and Authorizing the Execution of a Related At-Will Employment AgreementRecommendation: A. Find that approval of the proposed actions are exempt from California Environmental Quality Act (CEQA) review, because they are administrative activities that will not result in direct or indirect physical changes in the environment, and therefore do not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Adopt the resolution appointing Lisa M. Pope to serve as City Clerk of the City of Vernon effective October 7, 2019, and approving and authorizing the execution of a related at-will employment agreement. Regular City Council Minutes Page 5 of 9 October 1, 2019 Director of Human Resources Earl reported on the resolution appointing Lisa M. Pope to serve as City Clerk and approving and authorizing the execution of a related At-Will Employment Agreement. He provided a brief overview of Ms. Pope’s distinguished qualifications to be appointed as the City Clerk for the City of Vernon. There were no public comments. MOTIONCouncil Member Menke moved and Mayor Pro Tempore Lopez seconded a motion to: A. Find that approval of the proposed actions are exempt from California Environmental Quality Act (CEQA) review, because they are administrative activities that will not result in direct or indirect physical changes in the environment, and therefore do not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Adopt the resolution appointing Lisa M. Pope to serve as City Clerk of the City of Vernon effective October 7, 2019, and approving and authorizing the execution of a related at-will employment agreement. The motion carried unanimously. 19.Amendment No. 2 to the Services Agreement with Vasquez and Company LLP for Professional Auditing Services for Fiscal Years 2016-2018Recommendation: A. Find that approval of the proposed action is exempt from the California Environmental Quality Act (CEQA), because it is a continuing administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378. Even if such were a project, it would be exempt from CEQA review in accordance with Section 15061(b)(3), the general rule is that CEQA only applies to activities that may have a significant effect on the environment; B. Find that it is in the best interest of the City to approve a direct award of the contract and exempt this amendment from competitive selection based on this determination pursuant to City Code Article IV Section 2.17.12(B)(2); C. Approve Amendment No. 2 to the services agreement with Vasquez & Company LLP for professional auditing services for fiscal years 2016-2018, in substantially the sameform as submitted herewith, renewing the agreement through August 6, 2020 for a total not to exceed amount of $110,000 for the renewal term; D. Authorize the City Administrator to execute Amendment No. 2 to provide Audit Services for one additional Fiscal Year (Year Ended June 30, 2019) to audit the Annual Financial Report of the City and Epic Land Solution's Phase II Asset Valuation Report. City Administrator Fandino reported on Amendment No. 2 to the Services Agreement with Vasquez and Company LLP for Professional Auditing Services for Fiscal Years 2016-2018. Mayor Ybarra inquired as to the Request for Proposals for auditing services solicited by the City. Administrator Fandino responded accordingly. Regular City Council Minutes Page 6 of 9 October 1, 2019 Roger A. Martinez, CPA Partner – Audit Practice Leader, Vasquez and Company LLP, addressed the Council regarding concerns surrounding the Vasquez and Company LLP legal issues raised during the previous City Council meeting and civil litigation which had been resolved. In response to Council Member Menke, Mr. Martinez stated the firm was subject to a nondisclosure agreement in the settlement. A dialogue ensued between the Council and staff as to valuation of infrastructures, uncompletedvaluations, modified opinions relating to estimates, best practices as to the time frame to retain an auditing firm to provide auditing services, City assets, estimated time for Vasquez & Company to complete last year’s Annual Financial Report, and Requests for Proposals for auditing services for next fiscal year auditing. There were no public comments. MOTION Council Member Davis moved and Mayor Pro Tempore Lopez seconded a motion to: A. Find that approval of the proposed action is exempt from the California Environmental Quality Act (CEQA), because it is a continuing administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378. Even if such were a project, it would be exempt from CEQA review in accordance with Section 15061(b)(3), the general rule is that CEQA only applies to activities that may have a significant effect on the environment; B. Find that it is in the best interest of the City to approve a direct award of the contract and exempt this amendment from competitive selection based on this determination pursuant to City Code Article IV Section 2.17.12(B)(2); C. Approve Amendment No. 2 to the services agreement with Vasquez & Company LLP for professional auditing services for fiscal years 2016-2018, in substantially the same form as submitted, renewing the agreement through August 6, 2020 for a total not to exceed amount of $110,000 for the renewal term; and D. Authorize the City Administrator to execute Amendment No. 2 to provide Audit Services for one additional Fiscal Year (Year Ended June 30, 2019) to audit the Annual Financial Report of the City and Epic Land Solution's Phase II Asset Valuation Report. The motion carried, 3 – 1, Council Member Menke dissenting. 20.Agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch ServicesRecommendation: A. Find that the approval of the proposed actions are exempt from California Environmental Quality Act (“CEQA”) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; and B. Repeal the City Council's approval of the Agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch Services approved by minute order on September 3, 2019; and Regular City Council Minutes Page 7 of 9 October 1, 2019 C. Approve a revised Agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch Services, in substantially the same form as submitted herewith, to provide dispatch services at a rate of $40.13 per incident in addition to start-up costs (annual dispatch service cost estimated to be $73,438 and start-up transition costs estimated to be $521,609); and D. Authorize the Mayor to execute a Services Agreement with the Fire District, to provide dispatch services to the City of Vernon with a tentative effective date of October 21, 2019; and E. Authorize for the termination of the current dispatch services agreement with the City of Burbank, the City of Glendale and the City of Pasadena (hereinafter referred to collectively as the “Verdugo Cities”) effective the day after the dispatch service agreement with Fire District takes effect. Interim Fire Chief Enriquez reported on the agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch Services. Mayor Ybarra commented that she was under the impression that the dispatch services agreement with the City of Burbank, City of Glendale, and City of Pasadena was terminated when City Council approved the dispatch agreement with the Consolidated Fire Protection District of Los Angeles County. Interim Fire Chief Enriquez responded accordingly. There were no public comments. MOTION Council Member Menke moved and Mayor Pro Tempore Lopez seconded a motion to: A. Find that the approval of the proposed actions are exempt from California Environmental Quality Act (“CEQA”) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; B. Repeal the City Council's approval of the Agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch Services approved by minute order on September 3, 2019; C. Approve a revised Agreement with the Consolidated Fire Protection District of Los Angeles County for Dispatch Services, in substantially the same form as submitted herewith, to provide dispatch services at a rate of $40.13 per incident in addition to start-up costs (annual dispatch service cost estimated to be $73,438 and start-up transition costs estimated to be $521,609); D. Authorize the Mayor to execute a Services Agreement with the Fire District, to provide dispatch services to the City of Vernon with a tentative effective date of October 21, 2019; and E. Authorize for the termination of the current dispatch services agreement with the City of Burbank, the City of Glendale and the City of Pasadena (hereinafter referred to collectively as the “Verdugo Cities”) effective the day after the dispatch service agreement with Fire District takes effect. The motion carried unanimously. 21.A Resolution of the City Council of the City of Vernon Approving a Side Letter of Agreement by and between the City of Vernon and the Vernon Professional Firefighters Association, Local 2312 Regular City Council Minutes Page 8 of 9 October 1, 2019 Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the resolution approving the Side Letter of Agreement by and between the City of Vernon and the Vernon Professional Firefighters Association, Local 2312. Director of Human Resources Earl reported on the resolution approving a Side Letter of Agreement by and between the City of Vernon and the Vernon Professional Firefighters Association, Local 2312. There were no public comments. MOTIONCouncil Member Davis moved and Mayor Pro Tempore Lopez seconded a motion to: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the resolution approving the Side Letter of Agreement by and between the City of Vernon and the Vernon Professional Firefighters Association, Local 2312. The motion carried unanimously. 22.A Resolution of the City Council of the City of Vernon Approving a Side Letter of Agreement by and between the City of Vernon and the Vernon Fire Management AssociationRecommendation: A. Find that approval of the attached resolution in this staff report is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the resolution approving the Side Letter of Agreement by and between the City of Vernon and the Vernon Fire Management Association. Interim City Clerk Harrington distributed a revised copy of Exhibit B of the Side Letter which reflected current changes. Director of Human Resources Earl reported on the resolution approving a Side Letter of Agreement by and between the City of Vernon and the Vernon Fire Management Association. In response to Mayor Ybarra, Director of Human Resources Earl explained the changes to the Exhibit B of the Side Letter of Agreement. There were no public comments. Regular City Council Minutes Page 9 of 9 October 1, 2019 MOTION Council Member Menke moved and Council Member Davis seconded a motion to: A. Find that approval of the attached resolution in this staff report is exempt from California Environmental Quality Act (CEQA) review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the resolution approving the Side Letter of Agreement by and between the City of Vernon and the Vernon Fire Management Association. The motion carried unanimously. ORAL REPORTS City Administrator Fandino reported on recent events including: United States Attorney’s Office for the Central District of California Coffee for the Cops; Arbor Day Celebration and dedication for John Van De Kamp. He summarized activities of the Vernon Police Department, Fire Department and Public Utilities Water Division. He discussed the upcoming election, indicating 16 ballots had been received. He announced that he, City Attorney Patel, and Interim Fire Chief Enriquez would be attending a meeting with Los Angeles County Fire Chief Osby to discuss the Fire Department transition; Vernon Police Department Jail Haunted House at the upcoming Halloween Event; and authorization for staff to wear Dodger attire during the playoff games. ADJOURNMENT With no further business, at 10:49 a.m., Mayor Ybarra adjourned the meeting. ________________________Melissa YbarraMayor ATTEST: _________________________Lisa Pope City Clerk City Council Agenda Item Report Agenda Item No. COV-468-2019 Submitted by: John Lau Submitting Department: Finance/ Treasury Meeting Date: October 15, 2019 SUBJECT Approval of City Payroll Warrant Register No. 760 Covering the Period of September 1 through September 30, 2019 Recommendation: A. Approve City Payroll Account Warrant Register No. 760 which totals $2,821,475.18 and consists of the following: 1) Ratification of direct deposits, checks and taxes totaling $2,187,491.44 2) Ratification of checks and electronic fund transfers (EFT) paid through Operating bank account totaling $633,983.74 Background: Section 2.13 of the Vernon Municipal Code indicates the City Treasurer, or an authorized designee, shall prepare warrants covering claims or demands against the City which are to be presented to City Council for its audit and approval. Pursuant to the aforementioned code section, the City Treasurer has prepared City Payroll Account Warrant Register No. 760 covering claims and demands presented during the period of September 1 through September 30, 2019, drawn, or to be drawn, from East West Bank for City Council approval. Fiscal Impact: None. ATTACHMENTS 1. City Payroll Account Warrant Register No. 760 Raquel Franco I 10/9/20 19 8:24 AM PAYROLL WARRANT REGISTER City of Vernon No.760 Month of October 2019 I hereby Certify: that claims or demands covered by the above listed warrants have been audited as to accuracy and availability of funds for payments thereof; and that said claims or demands are accurate and that funds are available for payments thereof. Date: This is to certify that the claims or demands covered by the above listed warrants have been audited by the City Council of the City of Vernon and that all of said warrants are approved for pay- ments DATE DATE Joaquin Leon Page 1 of 1 Payroll Wananl Register Memo (00000003) : Warrant Pavrolls reoorted for the month of Seotember: 08/18/19 - 08/31/19, Paydate 09112119 08/18/19 - 08/31/19, Paydate 09112119 09/19/19 - 09/19/19, Paydate 09/19/19 09/01/19 - 09114119, Paydate 09126119 Payment Method Date Payment Description Amount CHECKS ACH ACH ACH CHECKS ACH ACH 09t12t19 09t12t19 09t12t19 09/1 9/1 I 09t26119 09t26t19 09t26t19 Net payroll, checks Net payroll, direct deposits Payrolltaxes Payrolltaxes Net payroll, checks Net payroll, direct deposits Payrolltaxes $ 20,560.80 800,107.98 237,887.27 9.81 14,587.32 u9,706.17 264,632.09 2,187,491.4 31,738.67 34,889.74 250,374.96 2,862.44 1,372.21 408.74 3,662.33 2,753.00 2,078.58 34,481.13 257,855.27 2,482.14 2,412.00 1,372.21 408.74 2,7s3.00 2,078.58 633,983.74 $ 2,821,475.18 Total net payrol! and payro!!taxes ACH ACH ACH ACH 603876 603886 ACH ACH ACH ACH ACH ACH ACH 603977 603998 ACH ACH 09t12t19 09t12t19 09t12t19 09t12t19 09t12t19 09t12t19 09112t19 09t12119 09t12t19 09t26t19 09t26119 09t26t19 09t26t19 09t26t19 09t26t19 09t26t19 09t26t19 ICMA ICMA CaIPERS California State Disbursement Unit Franchise Tax Board U.S. Dept of Education IBEW Dues Vernon Firemen's Association Vernon Police Officers' Benefit Association ICMA CaIPERS California State Disbursement Unit Teamsters Local 911 Franchise Tax Board U.S. Dept of Education Vernon Firemen's Association Vernon Police Officers' Benefit Association Payro!! related disbursements, paid through Operating bank account Totat net payroll, taxes, and related disbursements Page I ol 1 City Council Agenda Item Report Agenda Item No. COV-467-2019 Submitted by: John Lau Submitting Department: Finance/ Treasury Meeting Date: October 15, 2019 SUBJECT Approval of Operating Account Warrant Register No. 32 Covering the Period of September 24 through October 7, 2019 Recommendation: A. Approve Operating Account Warrant Register No. 32 which totals $7,978,970.09 and consists of the following: 1) Ratification of electronic payments totaling $7,604,916.82. 2) Ratification of the issuance of early checks totaling $357,659.93. 3) Authorization to issue pending checks totaling $16,393.34. Background: Section 2.13 of the Vernon Municipal Code indicates the City Treasurer, or an authorized designee, shall prepare warrants covering claims or demands against the City which are to be presented to City Council for its audit and approval. Pursuant to the aforementioned code section, the City Treasurer has prepared Operating Account Warrant Register No. 32 covering claims and demands presented during the period of September 24 through October 7, 2019, drawn, or to be drawn, from East West Bank for City Council approval. Fiscal Impact: None. ATTACHMENTS 1. Operating Account Warrant Register No. 32 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 I hereby certify that claims and/or demands included in above listed warrant register have been audited for accuracy and availability of funds for payments and that said claims and/or demands are accurate and that the funds are available for payments thereof. Joaquin Leon Deputy City ox", 1?r,/-z-z€ This is to certify that the claims or demands covered by the above listed warrants have been audited by the City Council of the City of Vernon and that all of said warrants are approved for payments except Warrant Numbers: I Printed: 10/8/2019 11:40:32AM CITY OF VERNON OPERATING ACCOUNT WARRANT REGTSTER NO.32 ocToBER 15,2019 002458 - DEPARTMENT OF WATER & POWER 055.9200.500170 0ss.9200.500260 s s 21,870.00 Electric Energy Transactions 575.00 Electric Energy Transactions GA194687 GA194687 09l24l2Or9 8812 s 22,445.O0 006262 - MERCURIA ENERGY AMERICA, INC 055.9200.500160 S 429,500.75 Natural Gas 08/19 2911953 0912412019 8813 s 429,500.76 002517. SO CAL PUBLIC POWER AUTHORITY 0ss.9200.s00180 s 0ss.9200.s001s0 s 05s.122100 s 256,109.00 Minimum Cost 09/19 61,490.00 Variable Cost 08/19 10,000.00 PSF Cost 09/19 PV0919 PV0919 PV0919 09/2412019 8814 s 327,599.00 005595 - COVELLO'S PACIFIC AIRCARE, tNc 011.1049.900000 s 9,476.25 Air Duct Cleaning tso327].27l2l 09l24l2Ot9 881s s 9,476.25 OO1206 - DELL MARKETING LP 011.9019.s20010 011.9019.520010 011.9019.520010 s S s 7,747.44 OptiPlex 7070 MT MLK- 2,075.88 Non-Taxable from above line item' 735.01 Sales Tax 9.5% 10333957511 10333957511 10333957511 011.0013987 011.0013987 09/24/2079 8815 s 10,559.33 002169 . KONECRANES, INC 705.00 Printed: 10/8/2019 11:40:32AM 055.8400.s90000 s 705.00 Quarterly lnspection L541644tO 09/24/20L9 8817 s Paee 1 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 ETECTRONIC . :.. PAYI|EIT PAYMET{T .. PAYMETT vEttDoR AME AIIO ttl,tltBER :', UMBTR .1 AMOU T DCSCnIPTIO :i':r ltn,olcE F.o.' '' oalE iluMEER aMou[I @3053- LEVEL 3 COMMUNICATION' 0s7.1057.500173 S 96773 Upttrcam lnternetAccess S€Nic€t A4277aAs LLC o9l24l2,a9 8818 s 967-73 000016 - MOTOROLASOLUTIONS 011.1031.850000 S 102,200.14 All-Band Portable Radios- CREDIT COMP 28r23 011.0013585 o9l24l21l9 8819 s LO2,2OO.L4 oo25t7 - so cAL puBLtc powER 055.9200.500154 s 115,255.04 Astoria 2 Solar Project AUTHORITY ATSP0919 o9l24l2}t9 8820 s 7L6,25s.04 OO2'L7 - SO CAL PUBLIC POWER 055.9200.500180 S 4,111.83 Resolution Billing AUTHORITY 055.9200.595700 s 2,753.95ResolutionBilling 055.9200.596200 S 35.50 Resolution Billing 055.9000.596200 S 1,576.58 Resolution Billing 055.7200.596702 S 5,583.31 Resolu6on Billing 919 919 919 919 919 09124/2079 8821 s t5,762.27 002227- US DEPARTMENT OF ENERGY 055.9200.500150 5 31,13093 Eoulder Canyon Projed ChaEEs 0E/19 GG1765W0819 055.9200.$0180 S 19,57E.95 Boulder canvon Proj€ct Charles 08/19 GG1755w0819 o9l24l20t9 8822 5 5q709.89 Printed: 10/8/2019 11:40:32AM 8L9816756421759006298 - C|MA ENERGY, LP 055.9200.500160 s 25,330.00 Natural Gas 08/19 09124/2019 8823 s 2s,33o.oo Pape 2 ot 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 ETECTRONIC @ qAYMEI{T PAYMEI|T PAYlrE r vEr,lDoiilaME axD xuMBEB ituMaER :::.i::i . ',, fiouni DEsctrlmolt ,.::i: llavolct :::i:i' P.o.L ' 'oen luuoin .$rou i 005388 - CONOCO PHILLIPS COMPANY 055.9200.500160 S 13,058.60 Natural Gas 08/19 126031 o9/24120t9 8824 s 13,0s8.50 006086 - MACQUARIE ENERGY, LLC 055.9200.500150 s 1,097,79r.75 Natural Gas 08/19 GASt00123452 0912412079 882s s t,097,797.75 OO587O - OCCIDENTAL ENERGY 055.9200.500160 S 12,150.00 Natural Gas 08/19 MARKETING, I 4L33326 0912412019 8825 s 12,1s0.00 OO59O8 - PACIFIC SUMMIT ENERGY, 055.9200.500150 S 20,445.00 Natural Gas 08/19 LLC 2258s1 o9l24l2}t9 8827 s 20,44s.00 OO2O5O - CALPINE ENERGY SERVICES, 055.9200.500160 S 3,500.00 Natural Gas 08/19 L.P. 533s0 o9l24l2}r9 8828 s 3,s00.00 005831- ARKADIN, INC 011.9019.560010 S 80.01 Conferencing Charges usrNV190855598 09/26/2079 8829 s 80.01 oo149o - ALL ClTy MANAGEMENT 011.1031.594200 s 795.96 School Crossing Guard services SERVICES 011.1031.594200 S 1,591.92 School Crossing Guard Services 62929 63264 09126/2019 8830 s 2,387.88 003037 - CAL AtR RESOURCES BOARD 056.5600.500230 S 47,044.00 AB32 Cost of lmplementation Fee lNVCO|19073 09/26/2019 8831 s 47,044.00 Printed: 10/8/2019 11:40:32AM Pase 3 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 001549 - PIC ENVIRONMENTAL SERVICE CORP 011.1050.s95200 s 1,125.00 Consulting Services osl26/20t9 8832 s 1,125.00 011.1003.596200 s 375.00 Storage Services 477696003584 - WILLIAMS DATA MANAGEMENT 0912612079 8833 s 375.00 011.1003.596200 s 1,331.59 Storage Services 478867003584. WILLIAMS DATA MANAGEMENT 09l2612Ot9 8834 s 1,331.59 Prinred: 10/8/2019 11:40:32AM PaRe 4 of 52 ETECTRONIC VENDOR NAME AND NUMBER CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 oo24t2 - CALIFORNIA lso 05s.9200.500150 s 05s.9200.500170 s 0s5.9200.500190 s 0s5.9200.500210 s 0s5.9200.s001s0 s 0ss.9200.s00170 s 0ss.9200.s00190 s 0ss.9200.s00240 s 0ss.9200.500210 s 0ss.9200.500180 s 0ss.9200.500150 s 0ss.9200.s00210 s 055.9200.s00170 s 0ss.9200.500190 s -25,365.92 Recalculation Charges 09/19 -4,7 47.14 Recalculation CharBes 09/19 387.83 Recalculation Charges 09/19 220.22 Recalculation Charges 09/19 -3,48O.7O Recalculation Charges 08/19 -1,691.81 Recalculation Charges 08/19 -250.58 Recalculation Charges 08/19 -8.55 Recalculation Charges 08/19 59.88 Recalculation Charges 08/19 2.00 Recalculation Charges 08/19 720,379.98 lnitial Charges 09/19 t6,072.47 lnitial Charges 09/19 -22,089.84 lnitial Charges 09/19 -1L,702.20 lnitial Charges 09/19 201909243243253 263 201909243243253 263 207909243243253 263 201909243243253 263 20]-9092432432s3 263 20t909243243253 263 20L909243243253 263 20t909243243253 263 20t909243243253 263 2079092432432s3 253 201909243243253 263 207909243243253 263 207909243243253 263 201909243243253 263 Printed: 10/8/2019 11:40:32AM Pase 5 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 reii(tircE IAYMIm PAYMEm P YM€rI VEIIIDOR IIIAME At{D I{T'M8ER IIUMBER AMOUI{T DE5CAIPII()I{ II{I'OICE P.O.I DAIE IIUMBER AMOI'i'I ETECTRONIC oo2472 - CALIFORNIA ISO 055.9200.450340 S SS.+0 Recalculation Charges 08/19 055.9200.500150 S 0.09 Recalculation Charges 08/19 055.9200.500150 S -0.02 Recalculation Charges 09/19 055.9200.500150 5 -24.64 lnitial charges 09/19 207909243243253 344 20t909243243253 344 207909243243253 344 207909243243253 344 o9l3o/2079 883s s 67,74s.47 oo5o57 - BIOFUEL GENERATION 055.9200.500162 s 31,42L.75 Biomethane SERVICES, L RP582019 tolou2otg 8835 s 3t,42t.7s 002426 - CH2M HILL ENGINEERS, INC 055.9000.596200 5 18,798.35 Env Support Services 697275CH0t2 7010t12o79 8837 s 18,798.3s 006289 - HARDY & HARPER, INC 011.1043.900000 5 237,445.28 Sierra Pine Ave lmprovements-45834 toloLl2oTg 8838 s 237,44s.28 004500 - lcE us oTc coMMoDtTy 055.9200.595200 s 1,250.00 oTC commission Adjustment MARKETS, 819001688088 ro/otl2o]-s 8839 s 1,2s0.00 @5034 - XRONOS TNCOiPORATEO 011.9019.86@m s 314-43 Softwale & Hadwarc UsaF Feet 11500034 011.9019.860000 S 31442 Software & Hard$,are U$ge Fees 11500034 toloal2oTg 8840 s 62a.a5 Printed: 10/8/2019 11:40:32AM PaRe 5 of 52 CITY OF VERNON OPERATTNG ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 005614 - NORTHWEST ELECTRICAL SERVICES, 020.1084.900000 020.1084.900000 0ss.8200.596200 s s s 1,512.05 Technical Design Services 19,344.58 Technical Design Services 23,563.37 Technical Design Services L748 t748 1748 tol01.l2or9 8841 s 44,520.00 005356. HEMA PATEL 011.1024.596500 011.1024.595500 011.1024.596500 011.1024.596500 S s s s 25.00 PPTA Dispute Status Conference 25.00 Hearing Observation 25.00 PPTA Meeting d Outside Counsel 20.00 Meeting w/ Mercury 091019 os101e(2) 0s1019(3) 09101e(4) tol0Ll2oL9 8842 s 9s.00 005558 - POWER SETTLEMENTS CONSULTING & 055.9200.s96200 s 5,250.00 Software Services Fee VERN47 1OlOtl2079 8843 s 5,250.00 002517. SO CAL PUBLIC POWER AUTHORITY 055.9200.500154 s 139,462.96 Antelope DSR l Solar Project DSR10919 to/o7l2ot9 8844 s L39,462.96 055.9200.500154 5 229,269.64 Puente Hills Landfill Gas Proiect PHLOg19002577 - SO CAL PUBLIC POWER AUTHORITY tolor/2019 8845 s 229,269.64 001581 - THE GAS COMPANY L63,493.79 Printed: 10/8/2019 11:40:32AM 055.9200.550022 s 163,493.79 Period:08/19 091319 to/01/20L9 8845 s PaRe 7 of 52 ETECTRONIC NUMBER AMOUNTNUMBERAMOUI{T DESCRIPTION CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 0000s9 - so cAL EDlsoN 055.9200.500170 055.9200.500170 055.9200.500170 s s s 62,480.00 Period: 09/19 24,669.O0 Period: 09/19 147,680.00 Period: 09/19 750t06774L 750t067742 7507067743 to/07l2ot9 8847 s 234,829.00 OOO574 - STANDARD & POOR.S FINANCIAL SE 055.9000.595200 s 10,000.00 Analytical Services-LL37602r 70l0L/20t9 8848 s 10,000.00 Printed: 10/8/2019 11:40:32AM Paee 8 of 52 ETECTRONIC CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 005594. US BANK CORPORATE 011.1001.520000 011.1031.s20000 011.1031.540000 055.9000.550000 05s.9000.s20010 055.9000.540000 011.1003.s20000 011.1003.520000 011.1031.s20000 011.1049.520000 011.1049.s90000 011.1043.520000 011.1021.550000 020.1084.520000 011.1002.596500 055.7100.520000 011.1031.s20000 011.1002.570000 011.1033.520000 011.1033.520000 011.1002.595500 011.1033.520000 011.1033.s70000 S s s s s s S s s S S s s s s s s s s S s S s 45.08 City Council Member Portraits 19.31 Supplies 287.96 Uniforms 10.94 Advertisement / Promotion 235.01 lT Supplies 541.67 Uniforms -50.00 Credit 81.11 Supplies 229.00 Supplies 394.01 Supplies 233.52 Maintenance & RePair 238.45 Supplies t,330.44 Community Outreach Event 43.79 Supplies / Water Project 1,250.58 Town Hall Meeting 78.82 Supplies 55.00 Business Cards 100.00 Vehicle Expense 74.00 Fingerprinting / Livescan 541.50 Supplies 118.61 Meals / Meeting 13.30 Supplies 93.02 Vehicle Expense 072279 0722L9(7Ol 072279lLOl 072219(171 o722t9lt1l 0722t9l7L) o722t9(t2l 0722L9lt2) 0722L91131 072219(t4l 0722L9ltsl 0722r9(t6l o722t9lt7l 072219.77l. 0722t9117l. 072279.L8l, 072219(19) 072219(21 0722L9l2Ol 072219(2Ol 0722t9121l. 0722L9(.22l. 072279(221 Printed: 10/8/2019 11:40:32AM Page 9 of 52 ETECTRONIC AMOUNT CIW OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 NAYMEI{T 'AYMENT PAI}lEf,T y.Expo-.f t{arrEAr{o uiiBEl. ,, uuBEn i a4rout[ DEsalPn'oli !!{volc ,, P.o, , oATE lluMlER alloultr ETECTRONIC 005594 - US BANK CORPORATE 011.1033.596200 s 011.1043.596550 s 011.1043.s95700 s 0s6.s600.s96700 s 011.1040.595700 s 011.1033.520000 s 011.1031.520000 s 011.1001.s95500 s 011.1023.s96600 s 0s5.s600.s20000 s oss.8400.s9o00o s 0ss.8000.s96700 s 011.9019.s90110 s 011.9019.520010 s 011.9019.520010 s 011.9019.520010 s 011.9019.520010 s 011.9019.s20010 s 011.9019.s20010 s 011.9019.520010 s 011.1024.596200 s 011.1060.595700 s 011.1060.596700 s 902.00 Updated Department Pictures 300.00 Membership Dues / C. Arellano 750.00 Training / C. Arellano 570.00 Training / ). Fraga 550.00 Training 219.40 Supplies 262.40 Supplies t,097.19 Hotels / C. Menke 33.52 LA Times Subscription 1,809.00 Moisture Tester 9.95 Maintenance & Repair 107.72 Training / C. Montoya 595.00 G Suite Business Subscription 36.00 GoToMeetinB Subscription 18.60 lT Supplies 328.36 lT Supplies 140.83 lT Supplies 115.00 OneDrive 14.22 Prime MembershiP Fee 30.00 SharePoint 51.54 FilinB Services 85.00 Exam Fee for ICC Certification 116.43 Exam Training Material 0722t9(231 o72219(241 0722L9(24l. 0722].9l2sl 072279126l. 0722t9(271 072219(28l. 072279129l. 072219(291 o722tel3l 07221s(30) 072219(30) o72279|i37l. 072219(31) o72279(.31l. 0722t9(3tl 072219(3rl o72219|t31l. 0722L9l3tl 072279(31l. 0722t9132l. 0722t9.33l. 0722L9(331 Printed: 10/8/2019 11:40:324M Pase 10 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 005594. US BANK CORPORATE 011.1060.596s50 011.1024.s20000 011.1024.596500 011.1046.520000 011.1004.s20000 011.1031.595500 011.1031.s20000 011.1031.595700 011.1031.596700 011.1031.595700 011.1031.596700 011.1031.595700 011.1031.540000 011.1048.520000 011.1049.520000 05s.9000.550000 011.s031.560000 011.1025.5s0000 011.1026.550000 011.1026.596905 055.8100.s20000 011.1031.520000 011.1049.520000 s s s s S s s s s s s s S s s s s s S s s s s 135.00 MembershiP Dues 25.85 Postage 10.00 Travel Expense 250.58 Supplies 45.74 Supplies 793.38 Hotels / l. Estrada 1,543.96 Supplies 80.00 Training / B. Gray 375.00 Training / C. Ourique 80.00 Training/ D. Robertson 135.00 Training / M. Velez 370.00 Training / Staff 1,370.58 Uniforms 124.18 Hardware SuPPlies 2,845.57 Hardware SuPPlies 44.56 Advertisement / Promotion 56.55 Cable SubscriPtion 200.00 Job Posting / City Clerk 275.00 Job Posbng / Director of Finance 75.00 Walking Program 106.88 Supplies -5.00 credit 358.81 Supplies 072219(33) 0722L91341 072279134l. 0722]^9|.3sl. a722L9(361 072219137l. o722t9.37l, 0722t9.37l 0722t9137l. 0722L9(.37l, 0722L9(371 072279137l, 07221s137l, 072219(38) 072219(38) 072279(.39l. 0722L9(41 072279140l. 072219t40l. 0722L9(4Ol 0722t9141l, 072219(42\ 072279(431 Printed: 10/8/2019 11:40:32AM Pase 11 of 52 ETECTRONIC NUMBER AMOUNT DESCRIPTION P.O.* DAIE NUMBER AMOUNT CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 005594. US BANK CORPORATE 011.1049.520000 011.1031.s20000 011.1049.520000 011.1049.520000 011.1049.s90000 055.9000.520010 05s.8000.s96700 020.1084.s95700 011.9019.520010 011.1024.520000 011.1060.595500 011.9019.590110 011.1024.596700 011.1031.596200 s s s S S s s s S S s s s s 220.36 Supplies 119.00 Supplies 362.40 Bottled Water 134.94 Supplies 21.96 Maintenance & RePair 329.95 Wi-Fi Range Extenders 337.50 Airline / C. Montoya 195.00 Training / J. Moreno 0.99 Application Software 54.78 Meals / Meeting 180.61 Airline 14.99 Adobe SubscriPtion 507.87 Training 245.00 Spy Spot GPS SubscriPton 0722t9(44], o722t9l4sl 072219((461 o72279{.46l. 0722t9(47l. 072279lr48l. 0722L9(491 o722191491 o722telsl 0722Ls16l o722te(71 o722t9l8l 0722L9l8l 0722t9(91 70lO:-/2079 8849 s 26,35t.37 OO34O7. VERNON POLICE OFFICERS BENEFIT 011.210250 2,078.58 Police Association Member Dues: Payment 8en219097 2,078.58 Printed: 10/8/2019 11:40:32AM 09l26l2OL9 88s0 s Paee 12 ot 52 ETECTRONIC AMOUNT CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 005392 - TEAMSTERS LOCAL 911 011.210250 020.210250 0s5.210250 057.210250 s s s s 1,835.00 Teamsters Local 911 Dues: Payment 396.00 Teamsters Local 911 Dues: Payment 172.80 Teamsters Local 911 Dues: Payment 7.20 Teamsters Local 911 Dues: Payment Ben219087 8en219087 8en219087 Ben219087 09126/2079 88s1 s 2,412.00 003141 . VERNON FIREMENS ASSOCIATION 011.210250 2,753.00 Fire House Fund: Payment Ben219099 i 09/2612019 88s2 s 2,753.O0 003168 - ICMA RETIREMENT TRUST 457 ott.2Lo220 020.2L0220 055.210220 056.210220 057.2L0220 01t.210220 S 55,915.43 Deferred Compensation: Payment S 1,524.99 Deferred Compensation: Payment S 7,409.20 Deferred Compensation: Payment S 1,350.18 Deferred Compensation: Payment S 20.00 Deferred Compensa6on: Payment S -31,738.67 Deferred Compensation: Payment- 8en219081 8en219081 8en219081 8en219081 Ben219081 8en219081 09l26l2OL9 88s3 s 34,481.73 003146 - CITY OF VERNON, FSA ACCOUNT 011.100013 011.100013 288.30 FSA - Dependent: Payment 253.47 FSA - Medical: Payment 8en219095 Ben219095 54L.77 P tintedt 70 / I / 2079 1 1 :40:32AM 09/26l2}re 88s4 s Pase 13 of 52 ETECTRONIC DESCRIPTION s s CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 ETECTRONIC OO4O75 - THE DEPARTMENT OFTHE TREASURY PAYI'EI{T PAYM€I|I EAYMEYTaccou r fivorcE VE ITOR lllAirE Al{D I{UMBER I{UMIER AMOUI{I DESCnIPfl)tt tiltlolcE :.. P.O, DAIE t{UilrSE-f, Arioulll s S s s s S s s s s s 011.210210 020.210210 055.210210 055.210210 057.210210 011.210210 020.210210 055.210210 056.210210 057.210210 011.210210 5,426.64 22,400.72 2,154.4L 59.10 28,433.08 L,582.92 5,765.49 623.44 15.54 319.96 8en219091 8en219091 8en219091 8en219091 Ben219091 8en219091 8en219091 8en219091 Ben219091 8en219091 Ben219091 13L,857.7 4 Federal Withholding: Payment Federal Withholding: Payment Federal Withholding: Payment Federal Withholding: Payment Federal Withholding: Payment Medicare: Payment Medicare: Payment Medicare: Payment Medicare: Payment Medicare: Payment Social Security Tax: Payment 09/27/2019 8855 s t98,649.14 001535. EMPLOYMENT DEVELOPMENT DEPT 011.210210 020.270270 055.210210 0s5.210210 057.210210 53,628.44 2,047.17 9,316.04 958.08 23.22 State WithholdinB: Payment State Withholding: Payment State Withholding: Payment state withholding: Payment State Withholding: Payment Ben219093 8en219093 Ben219093 Ben219093 8en219093 s s s s 55,982.95 Printed: 10/8/2019 11:40:32AM 09/27/2019 88s5 s Pape 14 ot 52 CIW OF VERNON OPERATING ACCOUNT WARMNT REGISTER NO.32 ocToBER 15,2019 .. ,] : PAY EIIT PAYMEI{I ] PAYu;III vcr{Doi xaME axo uiiiER ;;;;il' arrounr osc",pnot ' 'i' trvotct' P.o.r ' ' oaIE luuotn : mdnrr ETECTRONIC OOO7L4 - CALPERS 011.210240 5 205,277.77 PERS Contributions: Payment O2O.2LO24O S 9,575.06 PERS Contributions: Payment 055.210240 s 32,191.99 PERS Contributions: Payment 056.210240 S 3,674.51 PERS Contributions: Payment 057.210240 S 90.30 PERS Contributions: Payment ot1.2to241 s 4,381.18 PERS 1% Cost-Sharing: Payment 020.210240 S 351.92 PERS 1% Cost-Sharing: Payment 055.210240 S 1,575.63 PERS 1% Cost-Sharing: Payment 056.210240 S 205.72 PERS 1% Cost-Sharing: Payment OLt.ztOzAO S 171.12 PERS Survivor's Benefit: Payment 020.210240 S 14.30 PERS Survivor's Benefit: Payment 055.210240 S 32.02 PERsSurvivor's Benefit: Payment 055.210240 S 3.72 PERS Survivor's Benefit: Payment 057.210240 S 0.18 PERS Survivor's Benefit: Payment OlI.2tO240 S gOg.e5 PERS Buy-back: Payment 011.1004.530034 S -0.24 PERS Contributions: Payment- Ben219089 8en219089 Ben219089 Ben219089 Ben219089 8en219089 Ben219089 8en219089 8en219089 Ben219089 Ben219089 8en219089 Ben219089 8en219089 Ben219089 8en219089 09126/2Or9 8857 s 257,855.03 OO4O74 - STATE DISBURSEMENT UNIT 011.210260 011.210260 011.210250 011.210250 969.23 Child Support: Payment 7,402.15 Child Support: Payment 69.23 Child Support: Payment 41.53 Child Support: Payment s s s s 8en219101 Ben219101 8en219101 8en219101 2,482.t4 Printed: 10/8/2019 11:40:324M 09/27 l2OL9 88s8 s PaEe 15 of 52 CIW OFVERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocToBER 15,2019 ETECTRONIC: : AICOUI{T IIIVOICE PAYMEIfT ?AYMEI{T PAY.Iftiiii VEI{DOR I{AME AI{D i|UMAEN TUMBER AMOUIIT DESCi|PTIO NVOrcE P.O' DATE IIUMBER AMOUI{T 000059 - SO CAL EDISON 011.1042.560000 5 244.66 Period:08/19 0s041s(2) o9l24l2ots 88s9 s 244.66 Printed: 1.0/8/2019 11:40:32AM PaRe 15 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 000714 - CALPERS 011.1001.s02020 011.1002.502020 011.1003.502020 011.1004.502020 011.1024.502020 011.1026.s02020 011.1031.502020 011.1033.502020 011.1040.502020 011.1041.502020 011.1043.502020 011.1046.s02020 011.1047.s02020 011.1048.502020 011.1049.502020 057.1057.502020 011.1060.502020 020.1084.502020 055.s600.502020 055.7100.502020 055.7200.502020 055.8000.s02020 05s.8100.502020 Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- Monthly Expense of UAL- 100000015788495 10000001s788496 100000015788496 100000015788496 10000001s788495 100000015788495 10000001s788495 100000015788496 100000015788496 100000015788495 100000015788496 100000015788496 100000015788495 100000015788495 100000015788496 100000015788496 100000015788495 10000001s788496 100000015788496 100000015788496 100000015788496 100000015788496 10000001s788495 s s s S s s s s s s s s s s s s s s s S s s s 1,259.95 8,106.46 5,1 1 1.11 L8,542.63 tL,o54.26 8,534.35 L4,572.60 3,993.80 5,180.88 2,210.85 25,912.13 5,t82.43 2,139.53 2,472.35 5,134.88 927.t3 7,369.s7 79,945.21 7,393.28 3,494.57 523.00 7,976.28 2L,r87.39 P tintedi 70 I 8 I 20L9 11:40: 32AM Pase 17 ot 52 ELECTRONIC VENDOR NAME AND NUMBER NUMBER INVOTCE PAYMENI PAYMts'NI TAY'vlEn.I AMOUNT DESCRIPnON INVOICE P.O.# DAIE NUMBER luglll CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 - [{vorcE I'AyMErfT nAyMfl{T PAY EllT VEI{OIOA MiiE ATTD I{UMB€R I{UMBER AIiOI'I\]I OESC PT|O II$'OICE P.O.t OAIE I{UMBER AI'OUTT ETECTRONIC OOO714 - CALPERS 0ss.9000.s02020 s 011.9019.502020 s 055.9100.s02020 s 0ss.9200.502020 s 011.1031.502020 s 011.1033.s02020 s 74,t92.23 Monthly Expense of UAL- 7,731.78 Monthly Expense of UAL- 14,073.38 Monthly Expense of UAL- 73,170.02 Monthly Expense of UAL- 162,743.33 Monthly Expense of UAL- 278,534.67 Monthly Expense of UAL- 100000015788496 10000001s788495 100000015788496 100000015788496 10000001s788507 100000015788s07 09/27 /20L9 8860 s 579,004.00 000059 - so cAL EDlsoN 011.1043.560000 s 78.25 Period:09/19 091419 09/2712079 8851 s 78.25 000249 - FEDEX 011.1003.520000 s 011.1024.s10000 s 0s6.s500.s20000 s 67.53 Period: 09/19 128.41 Period:09/19 41.52 Period:09/19 673738467 673738467 673738457 09/3012079 8852 s 237.66 002190 - oFFrcE DEPOT 0s6.s600.s20000 s 020.1084.s20000 s 055.7100.520000 s 0s5.8000.s20000 s 0s5.9000.s20000 s 0ss.8100.520000 s 38.72 Supplies 52.41 Supplies 35.20 Supplies 118.79 Supplies 155.43 Supplies 103.44 Supplies 34554347700L 34654347700L 346543477001 346543477001 346543477007 34654662200r 513.99 Printed: 10/8/2019 11:40:32AM 09/30l2Ot9 8853 s Pase 18 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 001581- THEGASCOMPANY 011.1049.560000 011.1043.550000 020.1084.s60000 011.1049.560000 0s6.s600.560000 s s s s s 407.83 Period:OBi19 203.92 Period:08/19 203.91 Periodl.O8lL9 495.20 Period:08/19 22.13 Period:08/19 091219 091219 091219 091219(2) 091219(3) 09l30/2079 8854 s 1,333.99 001581- THEGASCOMPANY 011.1048.s60000 s 28.53 Period: 08/19 091119 09l3Ol2OL9 886s s 28.53 001481 - VERIZON WIRELESS 055.9000.550010 055.8000.560010 0ss.8200.560010 056.5500.550010 706.33 Period:07l19 2,233.26 Period:07119 2,018.32 Period:07119 202.88 Period 07119 s s s s 080719_MULTIPLE( 2l 080719_MULTIPLE( 2l 080719_MULTIPLE( 2l 080719_MULTIPLE( 2l 09/3012019 8855 s 5,150.79 001517 - UPS 011.1041.520000 011.1033.520000 86.74 Period:09/19 15.17 Period:09/19 S s 933312379 933312379 101.91 Printed: 10/8/2019 11:40:32AM LO/Otl2Or9 8867 s Pase 19 of 52 ETECTRONIC CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 ETECTRONIC .H!!!4Ein payrrEm ::::::?fES,,F iri,iilbi umr ruro lumeER ' ., xt riiEn AMOU.{r oEidiimo lillrol(E P.O.r _ ; ::: |'DIIE tluMoER .'AtloHlrl 001552 - HOME DEPOT CREDIT 011.1043.520000 S 1,590.18 Tools & Plumbing Hardware- SERVICES 011.1046.520000 S 12.09 Tools & Plumbing Hardware- 011.1048.520000 S 475.85 Tools & Plumbing Hardware- 011.1049.520000 S 1,812.07 Tools & Plumbing Hardware- 082919_MULTTPLE 011.0013892 082919_MULTTPLE 011.0013892 082919_MULTtPLE 011.0013892 082919_MULTtPLE 011.0013892 7O/OL/20L9 8858 s 3,890.20 005929 - ACCELA, INC 01 1.9019.595210 S 750.00 EnvisionConnect/EnvisionConnect Remote |NVACC48044 011.0014052 LO/0312019 8869 s 7s0.00 005506 - BEsT BEST & (RIEGER, LLP 011.1048.595200 S 877 50 Re:Vernon Housing Commlsslon 851511 011.1048.595200 S 1,355 00 Re: Wrnon HousinS Commlsslon E54351 011.1048.596200 S 422.50 Re: Vernon Housifl8 Commlssion 859264 aolo3l2079 8870 s 2,655.00 0@447 - cDw GoVERNMENT, lNc 011.9019.520010 S 1,745.03 HP color Las€ret EnteDrise M653dn _ TPDo595 011.o1/oo5 011.9019.520010 s 351.22 HP medh traylhed€r _ 550 sheeis TPD0595 011.00!1005 011.9019.520010 S 199.15 saLsfax 9.5r IPD0596 10l03lz9ag 8a71 5 4295.40 Printed: 10/8/2019 11:40:32AM PaRe 20 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocroBER 15,2019 004665. ELEMENT MARKETS RENEWABLE NATU 055.9200.s00162 0ss.9200.500162 055.9200.500152 055.9200.500152 05s.9200.500152 055.9200.500152 055.9200.500162 055.9200.500162 055.9200.500152 055.9200.500162 05s.9200.500162 0ss.9200.500162 055.9200.500152 055.9200.500162 Biomethane Gas 01/19 Biomethane Gas 01/19 Biomethane Gas 03/19 Biomethane Gas 03/19 Biomethane Gas 04/19 Biomethane Gas 04/19 Biomethane Gas 05/19 Biomethane Gas 05/19 Biomethane Gas 05/19 Biomethane Gas 05/19 Biomethane Gas 07/19 Biomethane Gas 07119 Biomethane Gas 08/19 Biomethane Gas 08/19 S s s s s s s s S s s s s 2L,423.05 47,509.39 114,507.54 L64,248.93 133,100.00 t93,2r2.37 148,091.49 214,825.62 157,s81.04 229,224.28 L67,775.87 243,543.89 149,443.38 2L6,767.57 RC2774 RC2175 RC2176 RC2177 RC2178 RC2179 RC2180 RC2181 RC2182 RC2183 RC2184 RC2185 RC2186 RC2187 70l03/2Ot9 8872 s 2,201,2s4.36 Printed: 10/8/2019 11:40:32AM Pase 21 of 52 ETECTRONIC VENDOR NAME AND NUMBER NUMBER AMOUNT DESCRIPNON NUMBER AMOUIiIT ClW OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 ETECTRONIC PAYMEI\II PAYMEI{T 'AYMEIfT ac@urfr ll{lrolcE vExDOR I{AME AllD iIUMBER I{UMBER AttOUilT DES,CalmO ||!VOICE P.O,l lralE I{UMBEn AMOUIiI 2193020 2793020 2193020 2193020 2193020 2193020 2193027 2t9302t 2t9302L 2193021 2193021 2793027 279302t OOO2O9. MERRIMAC ENERGY GROUP 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 011.120030 5,241.98 Diesel Fuel. 10.03 AB32 Fee 4.65 Federal Oil Spill Tax 783.36 State Diesel Tax 2.18 Lust Fee 801.97 Clear Diesel Sales Tax 7,772.76 Unleaded Fuel 11.41 CA Enviro/Fed Oil SpillTax 4.86 CA Childhood Lead Fee 12.57 AB32 Fee 1,532.52 State Gasoline Excise Tax 3.24 Lust Fee 420.17 Fuel Sales Tax 4.50% s s s s s s s s s s s s s 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 011.0014039 LO/03120L9 8873 s L6,60L.71 002476 - SCHWETTZER ENGTNEERTNG 055.9100.900000 s LABORAT 71,118.00 Relay Settings Update & Arc Flash 28591 70l03/2079 8874 s 71,118.00 001441- MORGAN, LEW|S & BOCKTUS, 055.9000.s95200 s LLP 231,505.89 Printed: 10/8/2019 11:40:32AM 231,505.89 Re: Bicent PPA Outage 4277085 ro/04/20t9 887s s Pase 22 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 002459. PORT CANAVERAL PWR CONSULTANTS 055.9000.596200 055.9000.595200 055.9000.595200 15,875.88 Consulting Services 8,250.00 Consulting Services 2,500.00 Consulting Services S s s VERNPVHAUGUST2 019 VERNPVHJULY2019 VERNPVHSEPTEMB ER2019 ]^Ol04l2OL9 8876 s 003336 - BICENT (CALIFORNIA) MALBURG, L 055.9200.500180 S 59,818.18 Return of Excess Withholdings- LOl04l2Ot9 8877 s Printed: 10/8/2019 11:40:32AM Pase 23 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 oo24t2 - CALIFORNIA lso 055.9200.5001s0 s 055.9200.500190 s 055.9200.s00210 s 05s.9200.s00170 s oss.92oo.s001so s 0ss.9200.s00210 s 0ss.9200.s00170 s 0ss.9200.s00190 s 0ss.9200.s001s0 s 055.9200.500190 s Recalculation CharBes 09/19 Recalculation Charges 09/19 Recalculation Charges 09/19 Recalculation Charges 09/19 lnitial Charges 09/19 lnitial Charges 09/19 lnitial Charges 09/19 lnitial Charges 09/19 Recalculation Charges 09/19 Recalculation Charges 09/19 201910013143312 530 201910013143312 530 201910013143312 s30 201910013143312 530 201910013143312 s30 201910013143312 530 201910013143312 s30 201910013143312 530 201910013143312 530 201910013143312 530 25,561.59 245.24 192.53 -491.30 208,t29.70 15,683.20 -27,772.36 -8,771.40 -187.58 -507.24 LOIOT/2019 8878 s 212,681.88 $ 7,604,916.82 P rinted: 10 / I /2019 11:40:32AM TOTAT ETECTRONlC PaEe 24 ot 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 EARTY CHECKS re .,i :: .::::.,: ' PArttEt{I-i' olls( ?AVMEt{r vEt{ooi ItaME axD tlUuBER r{uMBfR Altitiunr ogcrlgrlon - volcE P:b., oaTE iuMaER aMoul{T 000005 - ATHRoNE CO, INC 011.1043.520000 s 111.33 055.8100.s96200 s 84.9s 0ss.8100.596200 s 279.14 0ss.8100.s96200 s 88.95 Portable Restrooms Portable Restrooms Portable Restrooms Portable Restrooms 598195 598197 s98198 598199 09124/20]-9 603940 s 564.37 005106. AXON ENTERPRISE, INC 011.4031.s20000 s 13,008.60 Replacement Taser Devices st1607778 09/2412019 503941 s 13,008.60 001752 - BENNETT-BOWEN & LIGHTHOUSE 011.1046.520000 011.1046.520000 s s 155.00 H20SN12 halogen strobe bulbs 14.82 Sales Tax9.5o/o 3001109 3001109 011.0014010 09/2412019 603942 s t70.82 OOO255 . CALPORTLAND COMPANY 011.1043.520000 s 878.73 Concrete 94284720 0912412079 503943 s 878.73 001139 - JERRY CHAVEZJR 011.1031.s95s00 s 011.1031.596500 s 24.82 Driving / Force Option Simulator 4.54 Firearms / Tactical Rifle Training Adv 082819 091919 09124/20]-9 603944 s 29.46 000331- coMMERCIAL DOOR OF LOS ANGELES 011.1049.590000 s 011.1049.590000 s 011.1049.590000 s 482.00 Overhead Door Maintenance 977.79 Replaced Gate Battery 1,314.80 Replace Sliding Gate Wheels 17818 77978 77979 2,774.59 P tinted: 70 /8 l2ol9 11:40:324M 09/24120t9 60394s s PaRe 25 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 011.1031.596500 s 24.82 Driving / Force Option Simulator 082819006568 - JUSTIN CORTEZ 09124/2019 603e46 s 24.82 011.1031.594200 s 295.50 Parking Citations Processing Service 103645005191 - DATATICKET, INC o9124/2OLs 603947 s 295.50 002565 - DEWEY PEST CONTROT 011.1049.s90000 s 3,000.00 Pest Control Services 448075 09124/2019 503948 s 3,000.00 005355. EAN SERVICES, LLC 0s5.5600.s96700 s 109.19 Car Rental 22256692 09124/2019 603949 s 109.19 006664 . ENVIRONMENTAL AUDIT INC 011.199999 5,000.00 Security Dep Reimb E 2Ot9'L279 Ref000219001 09/2412019 5o39so s s,000.00 004438 . FLEMING ENVIRONMENTAL, tNc 011.1049.s90000 s 1,095.00 Annual Monitoring & Certification 15145 o9/24/20t9 5039s1 s 1,095.00 011.1031.596500 s 13.92 Basic Peer Support Training 082319OOO2O1 - GUSTAVO HERRERA 0912412079 6039s2 s 13.92 011.1031.596500 s 66.12 Basic Peer SuPPort Training 082319OO553O - JASON LUCAS 09124/20t9 603es3 s 66.L2 OO4O73. MARIA MADRIGAL 24.82 Printed: 10/8/2019 11:40:32AM 011.1031.s96s00 s 24.82 Driving / Force Option Simulator 082819 09/24120t9 503es4 s Pase 26 of 52 EARTY CHECKS AMOUNT DESCRIPTION CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 EARTY CHECKS EAYMEIIII CHECX PAIIT,IEiIT ooo51o - NtcK ALEXANDER 011.1046.590000 s 75.00 Labor only to replace drivers seat back 3707 RESTORATION 011.0014012 o9/24120L9 5039ss s ZS.OO 004831 - PACIFICAUTO REPAIR 011.1046.520000 S 195.00 brake booster hose 011.1045.520000 S 28.00 brakeboosterfluid 011.1046.520000 S 42.00 R-134freon 011.1046.590000 S 675.00 Labor to diagnose and repair 011.1046.520000 5 27.L6 Sales Tax 10.25 3197 3L97 3L97 3197 3L97 011.0014013 011.0014013 011.0014013 011.0014013 011.0014015 011.0014015 011.0014015 011.1045.520000 S 525.00 New ECM (Electronic Control Module) 3200 011.1046.590000 S 350.00 Laborto diagnose, replace ecm, repair 3200 011.1045.590000 S 225.00 Labortoprogramecm 3200 011.1046.520000 s SA.S1 Sales Tax 10.25 3200 0912412079 603956 5 2,120.97 000855 - PCr O11.1O43.9OOOOO 5 47,499.43 Citywide Striping & Markings 21498REV 09124/2079 5039s7 5 47,499.43 OOGO65 - pROMATE pRODUCE USA tNC 011.199999 S 9,530.00 Security Dep Reimb E-20L9-7257 Ref000219002 09/2412019 603es8 s 9,630.00 Printed: 1.0/8/2019 11:40:32AM Pase 27 ot s2 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15, 2019 EARTY CHECKS _ PAYIIEI{T 'CHECI( PAYUEiIT' ,o@ul{T ll{volcE vEt{DoR ramE aI{D ||uMlEi llut\raER .. alrouifl DEscRlmoN.. . ll\lvotcE P.o.l oaIE lluMEEn ai{ou-llJ 001457 - QUINN COMPANY 011.1046'520000 S 157.68 5153975 hydraulic oil - 011.1046.520000 s 14.98 SalesTax9.5% 011.1045.520000 S 15.53 461-9113 dieselexhaustfilter 011.1046.520000 s 155.76 346-6687 primaryairfilter 011.1046.520000 S Sr.Z4 346-5688 secondaryairfilter 011.1045.520000 S 29.76 479-4133 water separator 011.1046.520000 s 21.07 350-8960 fuel filter 011.1046.520000 S 65.23 362-1153 hydraulic filter 011.1046.520000 S ef.+l 2t]-2660 cabairfilter 011.1046.520000 S 22.82 7w-2326 oilfilter 011.1046.520000 S 41.83 339-1048 fumesfilter 011.1045.520000 S 39.51 SalesTaxg.s% PC810862160 011.0014011 PC810852160 PC810852151 011.0014011 PC810852161 011.0014011 PC810852161 011.0014011 PC810862161 011.0014011 PC810862161 011.0014011 PC810862161 011.0014011 PC810862161 011.0014011 PC810852161 011.0014011 PC810852161 011.0014011 PC810862151 I i 09124120L9 6039s9 s 527.98 000171 - SHoETERIA 011.1049.520000 S 158.39 SteelToeWorkBoots 144888tN 09/2412019 603950 s 1s8.39 000380 - STACY MEDICAL CENTER 011.1031.596200 S 400'00 Medical Services 527733279 09124/20L9 503961 s 400.00 000635 - JASON TOMLINSON 011.110021 S 1,298.40 Employee Computer Loan 090919 09/2412019 603962 5 r,298.40 000125 - FERNANDO VALENZUELA 011.1031.595500 S 24.82 Driving / Force Option Simulator 082819 o9l24l2ot9 503953 5 24.82 Printed; 10/8/2019 11:40:32AM Paee 28 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 011.1043.s90000 s 1O,25O.OO Street Sweeping Services 08/19 1B4864005699 - WEBCO LB, LLC 09/2412079 503964 s 10,2s0.00 011.9019.s90110 s 415.00 Disaster Recovery Services 97510005348 - AGILITY RECOVERY SOLUTIONS a9126/20t9 50396s s 415.00 006305. ASTRO PLUMBING SUPPLY co 011.1049.520000 s 131.29 Plumbing Supplies & Building Hardware-s1323567001 011.0013887 137.2909l26l2OL9503966 s OO43O3 . ATHENS INSURANCE SERVICES, INC 011.1026.594200 s 5,844.41 TPA Fees 09/19 rvc19235 09l2612Ot9 603957 s 5,844.41 004448 - BATTERY SYSTEMS, INC 011.120010 011.120010 011.120010 011.120010 011.120010 345.60 9V Batteries 575.00 AA Batteries 576.00 AAA Batteries 230.40 D cell Batteries 164.15 Sales Tax 9.5% s s s S s 5074969 5074969 5074959 5074959 s074969 011.0014045 011.0014045 011.0014045 011.0014045 09/2612019 503968 s 1,892.16 000395 - CAEHA 27,677.OL Printed: l0l8/2019 11:40:32AM 011.1060.s95200 s 2L,677.0L Temporary Staffing 1 1381 osl26/2ot9 503969 s Pase 29 of 52 EARTY CHECKS INVOICE P.O.# DATE PAYMENT AMOUNTVENDOR NAME AND NUMBER CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 OO549O - CINTAS CORPORATION 011.1043.540000 011.1046.540000 011.1047.540000 011.1049.540000 011.1043.540000 011.1046.s40000 011.1047.540000 011.1049.540000 011.1043.540000 011.1045.540000 011.1047.540000 011.1049.540000 011.1043.540000 011.1046.540000 011.1047.540000 011.1049.540000 011.1043.540000 011.1045.540000 011.1047.540000 011.1049.540000 90.11 Uniforms 43.54 Uniforms 42.23 Uniforms 53.98 Uniforms 93.55 Uniforms 43.64 Uniforms 42.23 Uniforms 53.98 Uniforms 82.23 Uniforms 43.01 Uniforms 41.59 Uniforms 53.35 Uniforms 92.58 Uniforms 43.01 Uniforms 41.59 Uniforms 53.35 Uniforms 98.43 Uniforms 44.51 Uniforms 43.83 Uniforms 59.64 Uniforms s s s s s s s 5 S s s s s s s s s s s s 4027067929 4027067929 4027067929 4027067929 402759t343 402759\343 4027591343 402759L343 4028040322 4028040322 4028040322 4028040322 4028522244 4028522244 4028522244 4028522244 4029042L38 4029042738 4029042138 4029042L38 1,150.49 Printed: 10/8/2019 11:40:32AM 09126/2Ot9 603970 s Paee 30 of 52 EARLY CHECKS DESCRIPTION DATE CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 004787 - CLEAR INVESTIGATIVE ADVANTAGE, 011.1048.596200 s 40.00 Background Check t2L9tL 0sl2612ot9 603971 s 40.00 OO3O88 - CLINICAL LAB OF SAN BERNARDINO 020.1084.s00140 s 884.00 Lab Services 970265 09/26120t9 603972 s 884.00 003855 - COMMERCIAL TIRE COMPANY 011.1046.s20000 011.1045.520000 011.1046.590000 011.1045.590000 011.1046.590000 011.1046.520000 s s s s S s 2,251.04 12R22.5 goodyear mta rsa tires and 32.95 Equal balance bag 7.00 State tire fee 78.00 Labor to dismount & mount tires 39.00 Disposal fee 215.98 Sales Tax9.5% 1GS154817 1GS154817 1GS154817 1GS154817 1GS154817 1GS154817 011.0014009 011.0014009 011.0014009 011.0014009 011.0014009 0912612019 603973 s 2,624.98 ooo31o - CRAIG WELDING SUPPLY, CO 055.8400.590000 s 64.75 Refill Various Cylinders-632379 055.0002739 09/25120t9 603974 s 64.76 005874. DOUBLETREE BY HILTON 011.1026.s95900 s 1,200.00 2nd Dep. EE Recognition Holiday Event 092419 os/26/21te 603s7s s 1,200.00 005355. EAN SERVICES, LLC 148.62 Printed: 10/8/2019 11:40:32AM 055.s600.s96700 s 148.52 Car Rental 222s66e212l. 09l26l2Ot9 603975 s Pase 31 of 52 EARLY CHECKS INVOICE CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,20L9 004181 . FRANCHISE TAX BOARD 011.210250 020.210260 055.210260 S s s 382.80 Garnishment: Payment 148.41 Garnishment: Payment 841.00 Garnishment: Payment Ben219079 8en219079 Ben219079 09l2612Ot9 603977 s L,372.2t 006130 - GREATER L.A. COUNTY VECTOR CON 011.1060.595200 s 74,259.6I Mosquito Control Services 2114 oel26l2019 603978 s L4,269.5t 003076 - HINDERLITER DELLAMAS & ASSOC 011.1004.596200 s 2,775.37 Contract & Audit Services 319441N 09l26l2OL9 603979 5 2,7L5.37 OOO829. IRON MOUNTAIN 011.9019.560010 5 279.37 Storage Services 20195t242 09l2612Or9 603980 s 279.37 OO534O - LA POOL GUYS 011.1049.590000 s 210.00 Pool Maintenance 299t 09l26l2Ot9 603981 s 210.00 OOO8O4 - LB JOHNSON HARDWARE CO #1 011.1049.520000 011.1043.520000 011.1049.520000 011.1049.520000 011.1049.520000 011.1048.s20000 s s s s s s 21.53 Plumbing & Building Hardware- 32.12 Plumbing & Building Hardware- 194.43 Plumbing & Building Hardware- 19.33 Plumbing & Building Hardware- 22.07 Plumbing & Building Hardware- 20.40 Plumbing & Building Hardware- 103253 103289 703297 103350 103633 103655 011.0013893 011.0013893 011.0013893 011.0013893 011.0013893 011.0013893 309.88 Printed: 10/8/2019 11:40:32AM 09126/2079 603982 s Pase 32 ot 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 OOO897. LEAGUE OF CALIFORNIA CITIES 011.1002.5965s0 s 1,023.75 LA County Division Dues- 09l26l2Ot9 603983 s L,O23.75 oo35o4 - LTEBERT CASSIDY WHITMORE 011.1026.s96700 s 3,640.00 ERC Membership 060419 osl26l2019 603984 s 3,540.00 006422- MARIPOSA LANDSCAPES, INC 011'1049.590000 s 3,582.00 Landscape Maintenance 8s983 09126/2079 50398s s 3,582.00 000561- MR. HOSE, INC 011.1046.520000 011.1045.520000 011.1045.520000 011.1046.520000 s s s s 266.86 h4}12d-120ft-98.00 hose assembly 238.97 8htbf8 couPler 139.45 ht8bf8 niPPle 54.53 Sales Tax 10.00 159973 1s9973 159973 159973 011.0014017 011.0014017 011.0014017 09l26l2Ot9 603986 s 709.81 011.1045.520000 s 950.83 Auto Parts & Accessories-082819 011.0013875 OOO3O9 - NAPA AUTO PARTS 0912612019 503987 s 950.83 oo547s - oNEPOINT HUMAN CAPITAL 011.9019.520010 s MGMT 215.00 Time Tracking System 43907 215.00 Printed: 10/8/2019 11:40:32AM 09126/20L9 603988 s Pase 33 of 52 EARTY CHECKS VENDOR ITAME AND NUMBER AMOUNT INVOICE P.O.# DATE CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 - t ltotcE PAYrrll{T OTECX PAY E I VE DON Mi'E A'{O iIUi'BIR I{UMIER AMOUI{T DESCruPT|OT ll{VOIG P.O.I OATE IIUi/!B€R AITIOUIgI EARTY CHECKS 005934 - O'REILLY AUTO PARTS 011.1046.520000 s 011.1046.520000 s 011.1046.s20000 s 011.1046.520000 s 011.1046.520000 s 011.1046.s20000 s 011.1046.520000 s 011.1045.s20000 s 011.1046.520000 s 011.1045.520000 s 011.1045.520000 s 011.1046.s20000 s 164.11 Auto Parts & Accessories" 25.25 Auto Parts & Accessories- 324.11 Auto Parts & Accessories- 45.99 Auto Parts & Accessories- 74.46 Auto Parts & Accessories- 194.88 Auto Parts & Accessories- 43.58 Auto Parts & Accessories- 23.68 Auto Parts & Accessories- 19.97 Auto Parts & Accessories- 514.35 Auto Parts & Accessories- 18.03 Auto Parts & Accessories- 10.95 Auto Parts & Accessories- 3049233747 3049233243 3049233318 3049233941 3049234259 304923437L 3049235076 3049235224 3049235274 304923557t 3049236426 3049236484 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 011.0013877 09l2612Ot9 603989 s 1,460.36 Printed: 10/8/2019 11:40:32AM Paae 34 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 EARTY CHECKS 001943. PLUMBING & INDUSTRIAL SUPPLY 011.1049.520000 011.1049.520000 011.1049.s20000 011.1049.520000 011.1049.520000 011.1049.520000 011.1049.520000 011.1049.520000 011.1049.520000 s s s s s s s s s 21.46 Plumbing Hardware & Supplies- 147.83 Plumbing Hardware & Supplies- 26.83 Plumbing Hardware & Supplies- 355.88 Plumbing Hardware & Supplies- 26.61 Plumbing Hardware & Supplies- 53.47 Plumbing Hardware & Supplies- 10.82 Plumbing Hardware & Supplies- 7.74 Plumbing Hardware & Supplies" 11.07 Plumbing Hardware & Supplies- s1223018001 s1223084001 s1223266001 s1223449001 s1223910001 sL22392700t s122393s001 s1223960001 sL22397400t 011.0013894 011.0013894 011.0013894 011.0013894 011.0013894 011.0013894 011.0013894 011.0013894 011.0013894 09/26120L9 603990 s 671.77 005416 - PRIORITY BUILDING SERVICES, LL 011.1049.s90000 s 9,005.38 Janitorial Services 09/19 65698 0912612019 603991 s 9,005.38 001457 - QUINN COMPANY 011.1046.s20000 011.1045.520000 011.1045.520000 155.96 417-8134 fresh air filters 94.41 211-2650 air fi lters 24.74 SalesTax95% S s s PC810852418 PC810862418 PC810852418 011.0014015 011.0014016 osl26l2019 503992 s 285.11 OO327L- ROBERTSON'S 020.1084.520000 011.1043.520000 1,497.69 Concrete 618.05 Concrete s s 5t3474 528515 2,LLs.75 Printed: 10/8/2019 11:40:32AM 09/26/2OL9 603993 s PaRe 35 of 52 - ACCOUNT NUMEER tNvolcE AMOUNT DESCRIPTION tNvorcE P.O.# PAYMENT CHECK PAYMINIDATE NUMBER AMOUNT CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 OOO171. SHOETERIA 0s5.9000.540000 05s.9000.s40000 055.9000.540000 055.8000.540000 150.00 Steel Toe Work Boots- 84.14 Steel Toe Work Boots- 128.69 Steel Toe Work Boots- 113.84 Steel Toe Work Boots- s S s s 1439711N 14477'tN 1448871N 144889rN 055.0002752 055.0002752 055.0002752 055.0002752 09/2612Ot9 603994 s 476.67 011.1004.s20000 011.1004.520000 s S 664.07 Payroll Envelopes - Custom Window (Peek 53.09 Sales Tax 9.5% 2700s 27005 011.0013954003775 - SILVA'S PRINTING NETWORK 09/26/20]-9 60399s s 727.16 oss.9oo0.9oo00o s 1,000.00 Meteorological Services 1908005790 - slMoN wlND, INC 09126/20]-e 603996 s 1,000.00 001017 - SPRINT 011.9019.550010 s 011.9019.560010 s 34.41 Period:07l19 34.41 Period:08/19 677975378213 6779753t82t4 09l26l21te 503997 s 68.82 004441 - U.S. DEPT OF EDUCATION 011.210250 408.74 Garnishment: Payment 8en219077 09126/20L9 503e98 s 408.74 006653 - U.S. SAWS, INC 011.1046.s20000 011.1046.520000 011.1046.520000 011.1046.590000 011.1045.520000 s s s s s 719.00 TC55VG 8500 rpm air motor with handle 50.00 US60270-13 clam shell Uh for belly saw 2O.OO US5O210-24 blade standoff for 8-24" 180.00 Labor to diagnose and repair 74.96 Sales Tax 9.5% t102851 t102861 r102861 r102851 r102861 011.0014007 011.0014007 011.0014007 011.0014007 1,043.96 Printed: 10/8/2019 11:40:32AM 0912612019 603999 s Pase 36 of 52 EARLY CHECKS AMOUNT DESCRIPTION AMOUNT s CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocroBER 15,2019 EARTY CHECKS .,.,, ..;r;i . .+.,, .i pryirql:, qry ,,!!_!!t.E!! wtrrid..fi lau: rti numun " uMittR '-i aMouE D€s(nlmoll ': 1:' ll{v{rlcE P;o.r DAIE lruMBtn Alvtourr 001481- VERIZON WIRELESS 011.9019.560010 S 826.30 Period: 08/19 9837779129 09/2612019 504000 s 826.30 001481 - VERTZON BUSINESS SERVICES 011.9019.550010 s 623.95 Period:07119 7t2L0225 o9l26l2lt9 604001 s 623.9s 005154. WETIP, INC 011.5031.595200 S 1,000.00 Annual City Membership 4273 o9l26l2oL9 604002 s 1,000.00 OO3L77 - WILMTNGTON TNSTRUMENT 056.5600.590000 S 441.58 Calibration Services- COMPANY, 109657tN 056.0000572 0912612019 604003 s 441.s8 OOO743 - XEROX FINANCIAL SERVICES, 011.9019.590110 S 3,219.30 Lease Payment LLC L779733 o9l26l2ot9 604004 s 3,219.30 ooooo5 - A THRoNE CO, INC 020.1084.520000 s 84.95 Portable Restrooms 599998 1010r/20t9 50400s s 84.9s 006658- JUANAYALA 011.1031.420510 S 105.50 Ref. Dismissed Parking Citation P84635V 092619 to/orl2org 504006 s 106.s0 OOO294 - BACIGLOW APPARATUs & 055.8400.590000 I 6000 Bacmow v.lve lnspectlon 92048s tolotlzoag 604007 s @.00 Printed: 10/8/2019 u:40:32AM Pase 37 ot 52 C]TY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15, 2019 OO5O78. BURKE, WILLIAMS & SORENSEN, LL 011.1024.593200 s 23,3L9.78 Professional Services 245t07 ro/0712019 604008 s 23,3L9.78 003845 - ClrY OF HUNTINGTON PARK 011.1031.594200 s 6,83L.78 Prisoner Booking Log L9672 toloL/2079 604009 s 6,831.78 000620 - DEPT OF TOXIC SUBSTANCES 011.1060.595200 s CTRL 11,599.15 Operations & Maintenance Agreement 195M0542 LOlOTl2OL9 604010 s 11,599.16 011.1031.596s00 s 209.20 Sherman Block SLI Class 437-5 091719001955 - IGNACIO ESTRADA lll LO/O7l2Ot9 604011 s 209.20 OOO147 - GENERAL PUMP COMPANY, tNc 020.1084.590000 s 42,627.71 Well & Booster Pump Repairs 27356 lOl01-l2OLs 604012 s 42,627.tr Printed: 10/8/2019 11:40:32AM Paee 38 of 52 EARTY CHECKS VENDOR NAME AND NUMBER AMOUNT DESCRIPTION CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 OO535O - HAUL AWAY RUBBISH SERVICE CO, 011.1048.s95200 011.1049.596200 011.1033.520000 011.1033.520000 011.1033.520000 0L1.1033.520000 0ss.8400.596200 055.8400.s95200 011.1043.595200 s s S s s s s s s 57.50 Disposal & Recycling Services 213.00 Disposal & Recycling Services 57.50 Disposal & Recycling Services 67.50 Disposal & Recycling Services 67.50 Disposal & Recycling Services 57.50 Disposal & Recycling Services 142.00 Disposal & Recycling Services 1,059.95 Disposal & Recycling Services 2,208.30 Disposal & Recycling Services 98X05789 98X05790 98X0s791 98X05792 98X0s793 98X05794 98X05795 98X05795 98X05797 1O10].12019 504013 s 3,970.75 OOO519 - LAC + USC MEDICAL CENTER 011'1031.s95200 S 1,043.46 Medical Services 900000 LOlOtl2OL9 604014 s L,O43.46 003272 - LANGUAGE LINE SERVICES, rNC 011.1031.594200 s 162.57 lnterpretation Services 4627472 to/o].l2oL9 60401s s 762.57 002351 - LITTLEJOHN REULAND CORP 020.1084.s90000 020.1084.s90000 1,550.00 Motor Repair Services 3,763.34 Motor Repair Services s s 55529 s5953 to/o1.l2oL9 604016 s 5,313.34 005630. JASON LUCAS 24.82 Printed: 10/8/2019 11:40:32AM 011.1031.595500 s 24.82 Driving / Force Option Simulator 082819 LO/Otl2Otg 604017 5 Paee 39 of 52 EARTY CHECKS VENDOR NAME AND NUMBER AMOUNT CIW OFVERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocToBER 15,2019 OO578O. MONTEBELLO GLASS & MIRROR CO. 011.1049.s90000 s 3,868.17 Furnish & lnstall Glass at FS#1 15406 LOlOu2O]-9 504018 s 3,858.17 006586 . OCCUPATIONAL HEALTH CENTERS OF 011.1025.597000 011.1025.597000 s 5 93.50 Medical Services 93.50 Medical Services 65325014 65381942 LOl07l2OL9 504019 s 187.00 006669. EDGAR PEREZ 011.1031.420s10 s 105.50 Ref. Dismissed Parking Citation P84637V 092519 70lOtl2O:-9 604020 s 106.50 006415 - PRIORITY BUILDING SERVICES, LL oss.830o.s4oooo s 055.8400.540000 s o55.s600.s4oooo s 595.63 Janitorial Services 09/19 718.90 Janitorial Services 09/19 821.45 Janitorial Services 09/19 65599 5s699 65599 TOlOt/2019 504021 s 2,135.98 0ss.9100.s96200 s 1,033.32 Operating ExPense 08/19 20387002079 - SO CALJOINT POLE COMMITTEE toloT/2ots 604022 s 1,033.32 OOO191. STATE STREET LAUNDRY 011.1031.520000 s 011.1031.s20000 s 011.1031.s20000 s 011.1031.520000 s 5.40 Laundry Services- 8.10 Laundry Services- 6.30 Laundry Services- 9.90 Laundry Services- 11655 11566 LT667 11558 011.0013958 011.0013958 011.0013958 011.0013958 29.70 Printed: 10/8/2019 11:40:32AM tolotl2oT9 604023 s PaRe 40 of 52 EARTY CHECKS DESCR!PTION CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 001515 - PHILLIP SWINFORD 011.1031.596s00 s 24.82 Driving / Force Option Simulator 082819 tolo]-l2ot9 604024 s 24.82 ooo141- THOMSON REUTERS - WEST 011.1024.596600 011.4031.596200 212.12 West lnformation Charges 1,578.55 West lnformation Charges s s 8408760581 840896167 TOIOL/20t9 60402s s 7,790.77 OOO449 - UNDERGROUND SERVICE ALERT 056.5500.595200 056.s500.595200 S s 72.58 CA State Fee for Regulatory Costs 209.65 NewTicket Charges 18DSBFE4839 820190781 1O/OLl2079 604026 s 282.33 OOO858 - RICHARD VILLEGAS 011.1031.595500 s 24.82 Driving / Force Option Simulator 082819 1O/O|/2O79 604027 5 24.82 OO57O8 - WILLDAN ENGINEERING 020.1084.900000 s 919.00 Code Enforcement Services 617961 TOlOLl2Ot9 504028 s 919.00 006573 . AIRCRAFT SPRUCE & SPECIALTY CO 0ss.8400.590000 055.8400.s90000 S s 3,151.53 08-15960 EXXON MOBILE JET ll 55 GAL 244.24 Sales Tax7.75% t8t772 781772 055.0002753 70/03/2019 504029 s 3,395.77 OO197O . AQUA-METRIC SALES COMPANY 020.1084.900000 020.1084.900000 020.1084.900000 s s S 37,575.00 6" OMNI T2 w/ |TRON Connector 2,335.00 4" OMNI T2 w/ ITRON Connector 3,791.46 Sales Tax 9.5% tNV0074910 1NV0074910 tNV0074910 011.0013955 011.0013955 43,707.46 P tinted: 70 / I I 2079 1 1:40:32AM 10/03l2Ot9 504030 s PaEe 41 of 52 EARTY CHECKS VENDOR NAMEAND NUMBER NUMBER P.O.f DATE CTTY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocroBER 15, 2019 EARTY CHECKS .'::I : PAYMEM OiECX PAIfiENI VEIIDOR XAI/IE AI{D I{UMAER IIUMIEN AMOI,IIT DISCflPTrII IIIIVOIC! P.O.X D^IE iUMBEI AMOt'tfT 006659 - ART SHEET METAL 020.1084.900000 S 750.00 83 x 147 Ll2xiw / 2" Liner, - 020.1084.900000 s 7L.25 sales rax9.5% 191689 011.0014047 191589 7O/O3/2Ots 504031 5 821.2s 000446 - BURRO CANYON SHOOTING 011.1031.594200 S 210.00 Shooting Range UsaBe" PARK 1956 011.0013949 tolo3/2019 604032 5 210.00 004153 - CENTRAL FORD 011.1046.520000 5 278.34 DB5Z-5G203-A tube assy 011.1045.520000 S 7.08 T|4Z-9450-M gasket 011.1046.520000 S 7.75 DA5Z-9450-A gasket 011.1046.590000 S 290.00 Labor to diagnose and repair 011.1045.520000 S 30.05 Sales Tax 10.25 c4982L 011.0014025 c4982L 011.0014025 c49827 011.0014025 c49827 011.0014025 c4982t r0lo3l2oL9 604033 5 673.22 Printed: 10/8/2019 11:40:32AM PaEe 42 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 005490 - cTNTAS CORPORATION 020.1084.540000 055.8000.540000 0s5.8100.540000 056.5500.540000 020.1084.s40000 055.8000.540000 055.8100.540000 056.s600.540000 020.1084.540000 055.8000.540000 055.8100.540000 055.5600.540000 020.1084.540000 055.8000.540000 055.8100.540000 056.s500.540000 137.48 Uniforms 27.89 Uniforms 150.77 Uniforms 52.03 Uniforms 137.48 Uniforms 38.82 Uniforms 139.85 Uniforms 52.02 Uniforms 137.48 Uniforms 53.37 Uniforms 125.30 Uniforms 52.02 Uniforms 138.49 Uniforms 38.87 Uniforms 139.85 Uniforms 51.96 Uniforms s s s s S s S s s s s s s s s s 402893287t 402893287r 402893287t 4028932871 4029430975 402943097s 4029430975 4029430975 4029955350 4029955350 4029955350 4029955350 4030486292 4030486292 4030486292 4030486292 t0l03/2079 604034 s 7,473.68 001335 - CURRENT WHOLESALE ELECTRIC SUP 055.8400.520000 055.8400.520000 055.8400.520000 6.50 Electrical Parts" 81.57 Electrical Parts- 372.30 Electrical Parts- s s 2s9338 259649 259650 055.0002740 055.0002740 055.0002740 460.47 Printed: 10/8/2019 11:40:32AM L0l03/201-9 60403s s Pase 43 of 52 EARLY CHECKS AMOUNT DESCRIPTION DA]E -, NUMBER CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 000970 - DANGELO CO 011.1047.520000 011.1047.520000 011.1047.520000 913.46 Water Parts- L,251.9L water Parts- 573.01 Water Parts- s1377957001 s1379330001 s1379721001 011.0013890 011.0013890 011.0013890 s S 5 70l03/20t9 604036 s 2,738.38 011.1049.s20000 s 30.03 Building Hardware-9263475692 011.0013900OOL7I2- GRAINGER, CO tol03l2079 504037 s 30.03 ooo584 - HOAG MEMORIAL HOSPITAL 011.1026.s02031 s 13.01 Medical Services / B. Malkenhorst 091219 t0/03l2or9 604038 s 13.01 011.1026.s02031 s 7.04 Medical Services / B. Malkenhorst 090919000584 - HOAG 70l03l20Ls 604039 s 7.04 004239 - HSA BANK 011.1002.502030 s 1,000.00 Employer Contribution - 09 I O].l L9-092319 LOl03l2019 504040 s 1,000.00 Printed: 10/8/2019 11:40:32AM PaEe 44 ot 52 EARTY CHECKS AMOUNT DESCRIPNON CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 EARTY CHECKS re PAYUEI{T CIIEC!( ?AYMEIYI VEI{DOR ITAIiE AITD ItU AEi IUiiAER AMOUI{I DESCRIPI|OII NVOrcT P.O.I DAIE I|UMAEi AMOIIYT OOO8O4. TBJOHNSON HARDWARE CO #t 055.8400.590000 s 020.1084.520000 s 055.8400.s90000 s 055.8400.590000 s 055.8400.590000 s 055.8400.590000 s 055.8400.s90000 s 0ss.8400.s90000 s 020.1084.520000 s 020.1084.s20000 s 020.1084.s20000 s o2o.1084.s2oooo s oss.8400.59oooo s o2o.1084.s2oooo s 020.1084.s20000 s 0ss.8400.s90000 s 055.8400.s90000 s 020.1084.s20000 s 055.8400.s90000 s 020.1084.520000 s 020.1084.520000 s 055.8400.590000 s 18.40 Plumbing & Building Hardware- 43.75 Plumbing & Building Hardware- 235.55 Plumbing & Building Hardware- 37.18 Plumbing & Building Hardware" 3.27 Plumbing & Building Hardware- 120.34 Plumbing & Building Hardware" 55.76 Plumbing & Building Hardware- 35.00 Plumbing & Building Hardware- 44.23 Plumbing & Building Hardware- -8.75 Plumbing & Building Hardware- 121.42 Plumbing & Building Hardware- 98.52 Plumbing & Building Hardware- 25.21 Plumbing & Building Hardware- 197.08 Plumbing & Building Hardware" 22.95 Plumbing & Building Hardware- 22.93 Plumbing & Building Hardware- 25.27 Plumbing & Building Hardware" 55.65 Plumbing & Building Hardware" -383.00 credir 108.49 Plumbing & Building Hardware- 220.35 Plumbing & Building Hardware- 425.14 Plumbing & Building Hardware- 102900 102984 103011 103039 to3237 103257 103312 103349 103392 103425 103438 L03476 103513 103525 103634 103680 103599 103739 t03773 103824 103879 434737 055.0002742 011.0013882 05s.0002742 o55.0002742 055.0002742 os'.ooo2742 055.0002742 055.0002742 011.0013882 011.0013882 011.0013882 011.0013882 055.0002742 011.0013882 011.0013882 055.0002742 05s.0002742 011.0013882 055.0002742 011.0013882 011.0013882 055.0002742 Printed: 10/8/2019 11:40:324M Pase 45 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO. 32 ocToBER 15,2019 ooo8o4 - LB JOHNSON HARDWARE CO 055.8400.590000 s #1 263.97 Plumbing & Building Hardware-796254 055.0002742 70l03/201-9 604041 s t,801.74 002361 - LITTLEJOHN REULAND CORP O2O.1084.52OOOO 020.1084.520000 351.75 Rexnord E-20 Coupling Element- 33.42 Sales Tax 9.5% s s 57398 57398 011.0014038 LOl03l2079 604042 s 385.17 005643. PACIFIC SHORES MEDICAL GROUP 011.1026.s02031 5 164.04 Medical Services / B. Malkenhorst 090519 70l03l2Ot9 604043 s 154.04 004451 . QUALITY JET ROOTER, INC 011.1049.590000 s 400.00 Plumbing Maintenance 25536 7010312019 504044 s 400.00 OOO958 . QUEST DIAGNOSTICS 011.1025.502031 011.1025.502031 s s 2.76 Medical Services / B. Malkenhorst 2.34 Medical Services / B. Malkenhorst 7009025942 7024943676 LOl03l2019 60404s s 5.10 003869 . RICHARD P GUESS MD, INC 011.1033.s96200 s 750.00 Medical Director Fees 090519 1Ol03l2079 604046 s 7s0.00 005671 . SCHEINES DENTAL CORPORATION 011.1026.s02031 s 150.00 Medical Services / V. Malkenhorst 060619 LO/03120t9 604047 s 150.00 004229 - SMARDAN SUPPLY CO 258.65 Printed: 10/8/2019 11:40:32AM 056.s600.520000 s 258.66 Pipe & Fittings-s3409647002 0s5.0000570 rol03/20t9 604048 s Paae 46 of 52 EARTY CHECKS llVMgEn dr.vvrt t CIW OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15, 2019 OOOO31 - SMITH-EMERY LABORATORIES, INC 011.1043.900000 s 600.00 QA/QC lnspection & Compaction Services 46280LL 70l03l20L9 504049 s 500.00 005587 - UCLA MEDICAL GROUP 011.r.025.502031 s 11.70 Medical Services / B. Malkenhorst 091219 LOl03l2079 5040s0 s tt.70 005296 . UNIFIRST CORPORATION 011.1001.s20000 011.1001.520000 35.28 Men's OGIO - Caliber 2.0)- 3.35 Sales Tax 9.5% s s 3052302419 3052302419 011.0014057 to/0312079 5040s1 s 38.53 011.1046.s90000 s 175.00 Labor to tow unit from city yard to L32019754147 011.0014020005710 - us row, lNc 10103/20L9 504052 s 175.00 002885 - WALTERS WHOLESALE ELECTRIC, CO 011.1049.520000 011.1049.520000 s s 12.40 Electrical & Building Hardware" 351.19 Electrical & Building Hardware- s113575919001 s113864971001 011.0013895 011.0013895 LOl03l2019 6040s3 s 353.59 001360 - WESCO DISTRIBUTION, INC 055.8000.900000 0ss.8000.900000 s s 3,864.7L 15.5 KV 500 AMP 110KV BIL Switch- 367.15 Sales Tax 9.5% 425L93 425793 055.0002724 to/03/2019 6040s4 s 4,23r.86 001153 - ZUMAR INDUSTRIES, INC 011.0013895 tol03l2079 5040ss s 128.03 Printed: 10/8/2019 11:40:324M 011.1043.s20000 5 128.03 Regulatory Signs & Mounting Hardware-85187 TOTAT EARTY CHECKS Paee 47 ot 52 s 3s7,6s9.93 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 WARRANTS PAYMEIIT CflEO( PAYI,EI{T vEl{DoR iIAME AIIo t{uirlEi l{UiraEf, A oui.I DEscRlmofl volcE P.O.x oAtE l{UMgER . ,:..,:Airouill 001717- aUL PIPETUBING & STEEL, 011.1045.520000 S 164.15 1/8" X 33'1/2' x 33_V2" .lu minu m plate 149485 011.0014018 tNc 011-1046.520000 S 15.59 salesIaxg.s% 749486 011.1046.520000 5 164.15 U8', X 33-12" X 36', aluminum plate L4957A 011.0014021 011.1046.520000 S 15.59 SalesTax9.5%149578 7O/Ls/2079 5040s6 s 3s9.48 004359 - AUTO ZONE 011.1045.520000 S 213.00 03050 crc chain & wire rope lubricant 2893988201 011.0014026 011.1046.520000 5 20.24 Sales Tax9.5%2893988201 LOlTslzOLg 6040s7 5 233.24 005529 - BRIAN BYUN 011.1024.595500 S 17.80 Hearing Re: Appointment ofArbitrator 091719 10/Lsl2O79 5040s8 s 17.80 001545 - EUGENTO CERDA 011.1031.540000 s 459.58 Reimb. Half Cost of Bulletproof Vest 100319 LOlLsl2OTg 5040s9 s 4s9.58 OOO947 - DAILY JOURNAL CORPORATION 011.1003.550000 S 294.00 Publication Services 83297924 7}ltsl2o79 504050 s 294.00 006191 - DATATICKET, INC 011.1031.594200 S 361.51 Parking Citations Processing Service 104474 tolLs/2079 604051 s 361.s1 Printed: 10/8/2019 11:40:32AM Pase 48 of 52 CIW OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 WARRANTS .:. . PAYUEI{T CHECX PAY[rEttI vEt{DoR rrtAME ii\tD i{UMBER nu BER 'li A|t,laxrrT DEit iimo r t ltolcE P:oir oAIE ' IlUi/tBER AMbUIIT 002566 - DEWEY PEST CONTROL 011.1033.590000 s 011.1033.s90000 s 011.1033.590000 s 011.1033.s90000 s 011.1033.s90000 s 011.1033.590000 s 011.1033.590000 s 011.1033.s90000 s 011.1033.s90000 s 011.1033.s90000 s 011.1033.s90000 s 011.1033.590000 s 27.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services 27.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services 27.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services 25.00 Pest Control Services L277t579 12771580 1277t581 12773495 12843673 t2843674 t2843675 12846064 12977350 7297735L t29L7352 12919305 10/75120L9 604062 s SO6.OO 005159 - LISETTE GRIZZELLE 011.1026.596500 s 25.44 WR|PACTraining 092619 LO/t5l2Ot9 504053 s 25.44 OO5O93 - JCLTRAFFIC SERVICES 011.1043.520000 s 011.1043.s20000 s 011.1043.520000 s 011.1043.520000 s 011.1043.520000 s 1,515.05 RED CURB PAINT 5 GAL. 158.30 GREEN CURB PAINT 5 GAL. 154.82 YELLOW CURB PAINT 5 GAL. 40.00 Freight 185.98 Sales Tax 9.5% LOL752 L01752 107752 70t752 tot752 011.0014049 011.0014049 011.0014049 011.0014049 2,155.15 Printed: 10/8/2019 U:40:32AM tolLs/20L9 604064 s PaRe 49 of 52 CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocroBER 15,2019 005586 . OCCUPATIONAL HEALTH CENTERS OF 011.1026.502095 011.1026.597000 152.97 Medical Services 187.00 Medical Services 092319 65449456 lOlrsl2Ot9 60405s s 339.97 003578 - PARTS BOYS 011.1046.s20000 011.1045.520000 011.1046.520000 40.00 K080537 belt 110.00 3978022 belttensioner 14.25 Sales Tax9.5% s s s 43970 43970 43970 011.0014023 011.0014023 10/tsl2079 604066 s t64.25 006512 . QUALIFIED MOBILE, INC 011.1045.590000 011.1046.590000 323.00 Car Wash Services 459.00 Car Wash Services s S 26t870 262730 tolTsl2or9 504067 s 782.00 001585 - S&A ENGINE, INC 011.1045.520000 011.1046.520000 011.1046.s20000 011.1046.520000 011.1046.s20000 011.1045.520000 011.1045.520000 011.1045.520000 011.1046.590000 011.1045.520000 s S s s s S s s S S 20.24 l61tt-zE0-005 carburetor needle 75.42 L6OL0-ZB9-005 carburetor gasket 6.95 0125 cleaner 50.92 15950-zs9-003 fuel tank valve 8.54 L7707-ZS9-T32 fuel line 5.72 172tt-zs9-A02 a.c. filter 4.00 W20EPR-0 sPark Plug 3.75 Shop material 147.50 Labor to diagnose and repair 10.92 Sales Tax95% 39185 39185 39185 39185 39185 3918s 3918s 39185 39185 39185 011.0014024 011.0014024 011.0014024 011.0014024 011.0014024 011.0014024 011.0014024 011.0014024 011.0014024 273.36 Printed: 10/8/2P19 11:40:32AM t0lls/2079 604058 s Pase 50 of 52 WARRANTS IDATEVENDOR NAME AND NUMBER CITY OF VERNON OPERAflNG ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 OOO171 - SHOETERIA 011.1043.590000 s 172.45 Steel Toe Work Boots 1458221N to/tsl2oL9 604069 s 772.45 005438 - STREAM KIM HICKS WRAGE 011.1024.593200 s 315.00 Re: Jerry Chavez v. City of Vernon 3807 70/Lsl2Or9 604070 s 315.00 005419 - SUPERIOR CT OF CAL OF LA 011.1031.594200 s 1,434.01 Parking Citations 08/19 093019 lOlL5l2OL9 604071 s 1,434.01 002358. TETRATECH, INC.05s.9000.595200 s 8,500.00 Greenhouse Gas Verification 51495213 lOlLsl2OL9 504072 s 8,s00.00 OO395O. GEORGE TOLMASOFF III 055.8100.595500 s 2O.OO APPA. WRMUCS"091119 lOlLsl2Ot9 604073 s 20.00 001628. WECK LABORATORIES, INC 020.1084.500140 s 180.00 Water Quality Testing & Reporting w9r1587COVERNO N ro/tsl2079 604074 s 180.00 TOTAL WARRANTS s 16,393.34 Printed: 10/8/2019 11:40:32AM Pase 51 of 52 WARRANTS VENDOR NAME AND NUMBER NUMBER CITY OF VERNON OPERATING ACCOUNT WARRANT REGISTER NO.32 ocToBER 15,2019 FUND RECAP BY FUND ETECTRONlC TOTAL EARLY CHECK TOTAT WARRANT TOTAL GRAND TOTALS 011 - GENERAL O2O - WATER 055-LIGHT&POWER 055 - NATURAL GAS 057 - FIBER OPTIC GRAND TOTAT TOTAL CHECKS TO BE PRINTED 19 t,449,928.32 s 62,31s.95 6,024,450.36 65,101.69 2,120.50 241,395.93 s 97,847.02 76,t46.12 2,269.86 0.00 7,693.34 s 180.00 8,520.00 0.00 0.00 1,599,018.59 760,342.97 6,O49,116.48 68,371.55 2,120.50 7,M,916.82 s 357,659.93 s 16,393.34 s 7,978,970.@ Printed: 10/8/2019 11:40:32AM Pase 52 ot 52 s City Council Agenda Item Report Agenda Item No. COV-433-2019 Submitted by: Joaquin Leon Submitting Department: Finance/ Treasury Meeting Date: October 15, 2019 SUBJECT Special Event Insurance for Fiscal Year 2019-20 Recommendation: A. Find that approval of the purchase of special event casualty insurance for fiscal year 2019-20 is exempt from California Environmental Quality Act (CEQA) review because it is a continuing administrative and fiscal activity that will not result in direct or indirect physical changes in the environment and, therefore does not constitute a “project,” as defined in Section 15378 of the CEQA Guidelines; and B. Approve the Proposal and Application for special events insurance coverage for four events the City will be having during fiscal year 2019-2020, in substantially the same form as submitted herewith, for a total amount not to exceed $937.00; and C. Authorize the City Administrator to execute the Proposal and Application for special events insurance coverage. Background: The City retained AON Insurance Services (AON) to conduct an analysis to determine appropriate insurance coverages and carriers. They were selected through a competitive Request for Proposal (RFP) in April 2018 to be the City's insurance broker of records. Since their selection, AON’s professional expertise has been relied upon to identify required insurance policy types, deductibles, and coverage amounts. For FY 2019-20, AON’s insurance negotiation and placement process was concluded on June 6, 2019. The final premium coverage was in the amount of $975,657 which was $19,006 less than the budgeted amount of $994,663. In July 2019, the City made a request to Aon for special event insurance coverage for four community outreach events the City was planning to have during fiscal year 2019-20. Aon provided a quote of $937.00 to cover the four events. Because the City has paid Aon more than $100,000 in the preceding 12 months, this additional insurance coverage must be approved by the City Council as per Vernon Municipal Code Chapter 2, Article IV, Sec. 2.17.02(B). If approved, Aon will provide special event insurance coverage for the Halloween Spooktacular event as well as other planned community events. As each event approaches, the insurance policy will be updated via necessary endorsements/riders that reflect the actual event date. Both the proposal and application for the City's special event insurance coverage have been reviewed and approved by the City Attorney's Office. Fiscal Impact: The total cost for the City's special event insurance coverage in FY 2019-20 (a total of four planned events) is $937.00. There are sufficient funds remaining in the fiscal year 2019-20 budget for insurance premiums. ATTACHMENTS 1. AON Vernon Special Event Proposal for FY 2019-20 2. AON Vernon Special Event Quote Disclosure Report for Proposal 3. CRC Insurance Documents - Coverage Certificate and Application 4. Halloween Spooktacular Event Endorsements City of Vernon Proposal Date: July 19, 2019 Special Events Coverage Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Table of Contents 2 Executive Summary Insured’s Instruction to Bind Premium Comparison All Lines Program Overview Special Events General Liability Special Events Spectator Accident Details of Payment Terms Aon Service Team Appendix QDR Copies of insurer quotes This insurance document is furnished to you as a matter of information for your convenience. It only summarizes the listed proposed policy(ies) and is not intended to reflect all the terms and conditions or exclusions of such proposed policy(ies). Moreover, the information contained in this document reflects proposed coverage as of the effective date(s) of the proposed policy(ies) and does not include subsequent changes. This document is not an insurance policy and does not amend, alter or extend the coverage afforded by the listed proposed policy(ies). The insurance afforded by the listed proposed policy(ies) is subject to all the terms, exclusions and conditions of such policy(ies). The services and placements outlined in this proposal will be provided in accordance with the terms of the notices and policies set forth in our Compensation Agreement or Engagement Letter. Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Executive Summary 3 As there are few markets willing to write participant accident coverage for municipalities, we utilized CRC as on the expiring placement. Grouping events into one policy allows for greater efficiency and lower premium. By placing one policy to coverage all special events planed during the policy term, we were able to place coverage for four events at a lower cost than last year’s policies that covered three events. Both carriers (GL and accident) have agreed to quote a policy term of August 6, 2019 to April 9, 2020, with an endorsement (at no charge) extending the policy term to July 1 to correspond with the balance of City of Vernon’s insurance program. We recommend placing coverage with the incumbent markets as outlined in the following pages. Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Insured’s Acknowledgement and Instruction to Bind 4 We hereby acknowledge receipt and review of the information presented in the Renewal Proposal (“Proposal”) dated 07/19/2019 for general liability and participant accident and provided in the attached Quote Disclosure Report (QDR) dated 07/19/2019. We hereby instruct Aon Risk Insurance Services West, Inc. (“Aon”; “Commercial Risk Solutions”) to bind the insurance program(s) selected by us and understand that our instruction to bind constitutes an acceptance of the terms and conditions and payments described in this Renewal Proposal. Date On Behalf of City of Vernon Line of Coverage / Exposure Basis Carrier 19-20 Net Premium Option to Bind General Liability U.S. Specialty Ins. Co. (Tokio Marine US PC Group); A. M. Best rated A++ XV 905.00$ Spectator Accident United States Fire Ins. Co. (Fairfax Financial (USA) Group); A. M. Best rated A 32.00$ Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Premium Comparison 5 Line of Coverage / Exposure Basis 18-19 Exposure 19-20 Exposure % Exposure Change 18-19 Premium 19-20 Premium % Premium Change 18-19 Rate 19-20 Rate % Rate Change General Liability Number of Spectators 550 650 18% 1,660.00$ 905.00$ -45.48% 1.7455$ 0.7769$ -55% Spectator Accident Number of spectators 550 650 18% 40.00$ 32.00$ -20.00% 0.073$ 0.049$ -32% TOTAL N/A N/A N/A $ 1,700.00 $ 937.00 -44.88% N/A N/A N/A Premium Change (763.00)$ Rate ComparisonPremium ComparisonExposure Comparison Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 General Liability 6 Details 2018 - 2019 (3 events, 2 policies) 2019 - 2020 Number of Spectators 550 650 Estimated Rate $ 1.75 $ 0.78 Premium (including terrorism) $ 960.00 $ 505.00 Broker Fee $ 700.00 $ 400.00 Total Premium $ 1,660.00 $ 905.00 General Liability Aggregate $2,000,000 $2,000,000 Products/Completed Operations $1,000,000 $1,000,000 Personal/Advertising Injury $1,000,000 $1,000,000 Each Occurrence $1,000,000 $1,000,000 Damages to Premises Rented to You $300,000 $300,000 Special Event Liability policy form X X Additional Insured - Managers or Lessors of Premises X X Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits XX Additional Insured - Designated Person or Organization X X Policy period will be extended to 7-1-20 by endorsement X X Premium and broker fees fully earned at inception.XX Medical Payment XX Abuse or Molestation X X Attendance Limitation XX Employment Related Practices XX Fungi or Bacteria XX Nuclear Energy, Total Lead, Asbestos and Silica XX Sports/Leisure/Entertainment Activities and Devises XX Field of Entertainment XX Assault and Battery XX Fireworks, Explosives, Pyrotechnic Devices, Or Incendiary Devise XX Professional Liability XX Securities and Financial Interest XX Stunt XX Family Game Night N/A 150 3rd Annual Halloween Spooktacular 150 150 2nd Annual Holiday Tree Lighting Ceremony 200 150 3rd Annual Spring Event 200 200 Limits of Insurance Notable Exclusions U.S. Specialty Ins. Co. (Tokio Marine US PC Group); A. M. Best rated A++ XV Notable Terms & Conditions Schedule of Insured Events/Spectators Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Spectator Accident 7 Details 2018 - 2019 (3 events, 2 policies) 2019 - 2020 Number of spectators 550 650 Estimated Rate per student $ 0.07 $ 0.05 Premium $ 40.00 $ 32.00 Total Premium $ 40.00 $ 32.00 Accidental Death & Dismemberment (AD&D) $ 5,000 $ 5,000 Accident Medical Expense Benefit $ 5,000 $ 5,000 Dental Maximum per tooth per accident $ 250 $ 250 Aggregate Limit per accident (applicable to AD&D only) $ 50,000 $ 50,000 Corridor Deductible per incident per person $ 100 $ 100 Benefit Period: Incepts within 30 days from date of Injury, payable for 52 weeks from date of Injury. X X Coinsurance: 100% of Usual, Reasonable & Customary up to policy maximum X X Class: All active spectators and/or ticketholders who are attending an Insured Group's sponsored, scheduled and supervised short-term event, for whom premium has been paid X X Full Excess Medical Expense X X Premium and broker fees fully earned at inception. X X Suicide or self-inflicted injury X X Flight in an aircraft, except as fare-paying passenger X X Flight in an ultra light, hang-gliding, parachuting or bungi-cord jumping X X Under the influence of intoxicants or narcotics X X Any Sickness, except infection which occurs directly from an Accidental cut or wound or diagnostic tests or treatment, or ingestion of contaminated food X X Eye examinations, glasses or contact lenses , hearing aids, braces, appliances, or examinations or prescriptions therefore X X See quote for additional terms, conditions, and exclusions. United States Fire Ins. Co. (Fairfax Financial (USA) Group); A. M. Best rated A XIII Benefits Deductible Notable Terms and Conditions Notable Exclusions Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Details of Payment Terms 8 Your insurance premium can be paid as invoiced and premium is due upon receipt. Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Listening to Your Feedback Aon Service Team Operational Billy Deeb Director – Public Entities P 213.630.3210 M 213.200.0080 E billy.deeb@aon.com Beth Cardall Sr. Account Specialist P 213.630.2059 M 626.437.4053 E beth.cardall@aon.com Terry Kaufman Account Specialist P 847.442.6457 E terry.kaufman@aon.com Brokerage Beth Cardall Sr. Account Specialist P 213.630.2059 M 626.437.4053 E beth.cardall@aon.com Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Appendix 10 QDR Copies of insurer quotes Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Appendix 11 QDR See attached file. Commercial Risk Solutions| Public Entities Practice Group Aon Risk Insurance Services West, Inc. | CA Corp. License Number 0363334 Edition Date: January 1, 2019 Appendix 12 Copy of Insurance Quotes See attached file. Trade ID Program Line Of Business CarrierCarrier ResponseCarrier Declination ReasonPremium 2Quoted ARS CommissionNational Additional Commission Rate 3Intermediary, if applicableIntermediary CommissionARS Fee 4Total ARS Income 1,5,7Total Cost to Client (Premium + Fee) 6Currency710000656446General Liability Coverage-American Intl Grp General Liability CoverageU.S. Specialty Insurance Co Quoted N/A$505.00 10.00% N/ASwett & Crawford5.00% N/A $50.50 $905.00USD710000656445Group Accident-Fairfax Financial Holdings Ltd. Group AccidentUnited States Fire Insurance Co. Quoted N/A$32.00 10.00% N/ASwett & Crawford5.00% N/A $3.20 $32.00USD7. Aon Producer offers Data and Analytics tools that provide You access to reports and analytics including those related to insurers’ capabilities, benchmarking and program design. To receive and access Aon Producer’ Data and Analytics tools and information, Aon Producer assesses a Dataand Analytics charge, separate from any premiums due and calculated based on an amount of up to $500 per policy, where legally permitted to do so, or as indicated in Your service fee agreement. This amount is fully earned upon invoicing. Aon Producer’ Data and Analytics tools contain norecommendations, suggestions or advice about the suitability of an insurer’s products or services for You or Your organization’s needs, and does not take intoaccount individual circumstances. Before acting on the information contained within these tools, You should evaluate Your individualneeds and/or those of Your organization and assess Your objectives and situation, and if necessary, seek appropriate advice, including from Your Aon Producer broker.4. When a carrier does not pay Aon Producer an amount sufficient to cover the brokerage and administrative services performed by Aon Producer on the carrier's behalf for the benefit of our clients, Aon Producer may charge such fees to the client as Aon Producer deems necessary and wherepermitted by applicable law.Quote Disclosure ReportDisclosures1. The Aon company listed in the Instructions to Bind of this Proposal is the licensed insurance producer in your state (hereinafter referred to as “AonProducer”). Insurance producers are authorized by their license to confer with insurance purchasers about the benefits, terms and conditions ofinsurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. The role of the producer in any particular transaction involves one or more of these activities. Compensation will be paid to theproducer, based on the insurance contract the producer sells. Depending on the insurer(s) and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s) selling the insurance contract or by another third party. Such compensation may vary depending on a number offactors, including the insurance contract(s) and the insurer(s) the purchaser selects. In placing, renewing, consulting on or servicing your insurance coverages, Aon Producer and its affiliates (“Aon”) may participate in contingent commission arrangements with insurance companies that provide foradditional contingent compensation, if, for example, certain underwriting, profitability, volume or retention goals are achieved.Such goals are typically based on the total amount of certain insurance coverages placed by Aon with the insurance company or the overall performance of the policies placed with that insurance company, not on an individual policy basis. As a result, Aon may be considered to have an incentiveto place your insurance coverages with a particular insurance company. The insurance purchaser may obtain information about compensation expectedto be received by the producer based in whole or in part on the sale of insurance to the purchaser, and (if applicable) compensation expected tobe received based in whole or in part on any alternativequotes presented to the purchaser by the producer, by contacting your Account Executive or emailing Aon Email Box. Where Aon participates in contingent commission arrangements with insurance companies, Aon may be entitled toadditional commission in the range of 0 to 6% depending upon whether and when specified thresholds are achieved.2. Aon Producer receives premiums Clients pay for remittance to carriers, as well as refunds insurance companies pay for remittance to Clients, and deposits these payments into fiduciaryaccounts inaccordance with applicable insurance laws until they are due to be remitted. Aon Producer willretain the interest or investment income earned while such funds are on deposit pursuant to those laws and carrier agreements.3. Notwithstanding whether any commission amounts are shown in the Quoted Aon Producer Commission column, Aon Producer has nationally-agreed commission rates with some carriers for certain lines of business and/or for outsourced administrative services performed on the carrier's behalf. Where there is a Nationally Agreed Commission Rate shown, Aon Producer expects to earn this commission rate on the premium amount quoted herein. Collecting this commission will not change in any way the Premium quoted above.City of VernonPolicy Term:08/06/2019 To 04/09/2020Presentation Date:Friday, July 19, 2019You acknowledge that the Data and Analytics charge is not a requirement of nor is it a condition to receiving Aon Producer’ brokerage services or to the purchase of insurance policies and is in addition to any other compensation earned by Aon Producer hereunder, andyouraccess to thesereports and analytics is available throughout the period of your appointment of Aon Producer as your broker.5. Total Aon Producer Income equals the sum of the commission Aon Producer will receive from the Carrier, includingquoted or nationally agreed commissions (as applicable), and the Aon Producer fee, if any. Commission is calculated by multiplying the Premium amount by applicablecommission rates.6. The Total Cost to Client is Premium (inclusive of all Aon Producer commission) plus Aon Producer Fee (if applicable). Total Cost to Client does not include applicable surplus lines taxes and fees and it does not include applicable state fees, surcharges, or taxes assessed on the policy.Page 1 of 1 CA Insurance Lic. 0532269 21550 Oxnard Street Suite 400 Woodland Hills, CA 91367 Phone: 818-593-2008 Fax: 818-593-2042 Jul 15, 2019 Aon Risk Insurance Services West, Inc - Los Angeles 707 Wilshire Blvd. Ste 2600 Los Angeles, CA 90017 Re: City of Vernon - Special Events, Ref# 7644876-A Proposed Effective 8/6/2019 to 4/9/2020 Dear : We are pleased to confirm the attached quotation for General Liability being offered with U.S. Specialty Insurance Company. This carrier is Admitted in the state of CA. Please note that this quotation is based on the coverage, terms and conditions as stated in the attached quotation, which may be different from those requested in your original submission. As you are the representative of the Insured, it is incumbent upon you to review the terms of this quotation carefully with your Insured, and reconcile any differences from the terms requested in the original submission. CRC Insurance Services, Inc. disclaims any responsibility for your failure to reconcile with the Insured any differences between the terms quoted as per the attached and those terms originally requested. The attached quotation may not be bound without a fully executed CRC brokerage agreement. NOTE: If insured is located outside your resident state, we must receive a copy of your non-resident license prior to binding. The Insurance Carrier indicated in this quotation reserves the right, at its sole discretion, to amend or withdraw this quotation if it becomes aware of any new, corrected or updated information that is believed to be a material change and consequently would change the original underwriting decision. Should coverage be elected as quoted per the attached, Premium and Commission are as follows: Premium:$505.00 Broker Fee $400.00 Total: $905.00 Option to ELECT Terrorism Coverage: TRIPRA Status:INCLUDED TRIPRA Additional Premium: TRIPRA Additional Taxes: Total Including TRIPRA (if elected) :$905.00 Tax Filings are the responsibility of: ( ) Your Agency (X) CRC ( ) Not Applicable Commission: 10% to AON; 15% Gross Broker Fees & Policy Fees are Fully Earned at Binding X Should City of Vernon - Special Events elect to bind coverage as per the attached, simply complete the Request to Bind box below and return to our office prior to the requested effective date of coverage. Should you have any questions, please feel free to contact our office. CRC is compensated in a variety of ways, including commissions and fees paid by insurance companies and fees paid by clients. Some insurance companies pay brokers supplemental commissions (sometimes referred to as “contingent commissions” or “incentive commissions”), which is compensation that is based on a broker's performance with that carrier. These supplemental commissions may be based on volume, profitability, retention, growth or other measures. Even if a contingent commission agreement exists with a carrier, we recognize that our responsibility is to promote the best interests of the policyholder in the selection of an insurance company. For more information on CRC's compensation, please contact your CRC broker. Financing Insurance Premiums Premium financing budgets insurance payments and improves liquidity for other business objectives: working capital, business growth, building expansion. If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO & Prime Rate Insurance Premium Finance Companies, which are affiliates of CRC. AFCO provides premium financing solutions for large and mid- size corporate accounts; Prime Rate offers solutions for smaller commercial and personal lines. Find out how premium financing works and how it can expand your relationship with your clients by e- mailing premiumfinance@afco.com; or call toll- free 866-669-0937 and press 81. Additional information is available at www.afco.com and www.primeratepfc.com. Sincerely, Celia Dangelo 818 598-6404 cdangelo@crcins.com 7644876 REQUEST TO BIND COVERAGE Complete and return to Celia Dangelo via email at cdangelo@crcins.com . Submission #: 7644876-A City of Vernon - Special Events Agency Response:[ ] Yes, please bind as quoted, effective: _____________ PREMIUM IS BEING FINANCED BY ___________________________ ACCOUNT #_______________ Name of Premium Finance Company Signed by: ________________________________ Date: _______________ Representative of Aon Risk Insurance Services West, Inc - Los Angeles CONFIDENTIAL CA Insurance Lic. 0532269 21550 Oxnard Street Suite 400 Woodland Hills, CA 91367 Phone: 818-593-2008 Fax: 818-593-2042 Jul 15, 2019 Aon Risk Insurance Services West, Inc - Los Angeles 707 Wilshire Blvd. Ste 2600 Los Angeles, CA 90017 Re: City of Vernon - Special Events, Ref# 7644883-A Proposed Effective 8/6/2019 to 4/9/2020 Dear : We are pleased to confirm the attached quotation for Spectator Excess Accident Medical being offered with United States Fire Insurance Company. This carrier is Admitted in the state of CA. Please note that this quotation is based on the coverage, terms and conditions as stated in the attached quotation, which may be different from those requested in your original submission. As you are the representative of the Insured, it is incumbent upon you to review the terms of this quotation carefully with your Insured, and reconcile any differences from the terms requested in the original submission. CRC Insurance Services, Inc. disclaims any responsibility for your failure to reconcile with the Insured any differences between the terms quoted as per the attached and those terms originally requested. The attached quotation may not be bound without a fully executed CRC brokerage agreement. NOTE: If insured is located outside your resident state, we must receive a copy of your non-resident license prior to binding. The Insurance Carrier indicated in this quotation reserves the right, at its sole discretion, to amend or withdraw this quotation if it becomes aware of any new, corrected or updated information that is believed to be a material change and consequently would change the original underwriting decision. Should coverage be elected as quoted per the attached, Premium and Commission are as follows: Premium:$32.00 Total: $32.00 Option to ELECT Terrorism Coverage: TRIPRA Status: TRIPRA Additional Premium: TRIPRA Additional Taxes: Total Including TRIPRA (if elected) :$32.00 Tax Filings are the responsibility of: ( ) Your Agency ( ) CRC (x) Not Applicable Commission: 10% to AON; 15% Gross Broker Fees & Policy Fees are Fully Earned at Binding Should City of Vernon - Special Events elect to bind coverage as per the attached, simply complete the Request to Bind box below and return to our office prior to the requested effective date of coverage. Should you have any questions, please feel free to contact our office. CRC is compensated in a variety of ways, including commissions and fees paid by insurance companies and fees paid by clients. Some insurance companies pay brokers supplemental commissions (sometimes referred to as “contingent commissions” or “incentive commissions”), which is compensation that is based on a broker's performance with that carrier. These supplemental commissions may be based on volume, profitability, retention, growth or other measures. Even if a contingent commission agreement exists with a carrier, we recognize that our responsibility is to promote the best interests of the policyholder in the selection of an insurance company. For more information on CRC's compensation, please contact your CRC broker. Financing Insurance Premiums Premium financing budgets insurance payments and improves liquidity for other business objectives: working capital, business growth, building expansion. If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO & Prime Rate Insurance Premium Finance Companies, which are affiliates of CRC. AFCO provides premium financing solutions for large and mid- size corporate accounts; Prime Rate offers solutions for smaller commercial and personal lines. Find out how premium financing works and how it can expand your relationship with your clients by e- mailing premiumfinance@afco.com; or call toll- free 866-669-0937 and press 81. Additional information is available at www.afco.com and www.primeratepfc.com. Sincerely, Celia Dangelo 818 598-6404 cdangelo@crcins.com 7644883 REQUEST TO BIND COVERAGE Complete and return to Celia Dangelo via email at cdangelo@crcins.com . Submission #: 7644883-A City of Vernon - Special Events Agency Response:[ ] Yes, please bind as quoted, effective: _____________ PREMIUM IS BEING FINANCED BY ___________________________ ACCOUNT #_______________ Name of Premium Finance Company Signed by: ________________________________ Date: _______________ Representative of Aon Risk Insurance Services West, Inc - Los Angeles CONFIDENTIAL Page 1 CRC Swett - Woodland Hills EVENT LIABILITY INSURANCE QUOTATION THIS QUOTATION IS SUBJECT TO CHANGE AND FULL MARKET SUPPORT PRIOR TO BINDING COVERAGE. QUOTE #:408523 NAMED INSURED:City of Vernon POLICY PERIOD:FROM: TBD (Date of Purchase) TO: 4/9/2020 12:01:00 AM LIMITS OF INSURANCE: General Liability Carrier: U.S. Specialty Insurance Company General Liability Aggregate $2,000,000 GL Products/Completed Operations $1,000,000 GL Personal/Advertising Injury $1,000,000 Each Occurrence $1,000,000 Damages to Premises Rented to You $300,000 Spectator Excess Accident Medical Carrier: United States Fire Insurance Company Accidental Death & Dismemberment (AD&D)$5,000 Accident Medical Expense Benefit $5,000 Corridor Deductible per incident per person $100 Dental Maximum per tooth per accident $250 Aggregate Limit of Indemnity per Accident $50,000 (Applicable to AD&D only) Primary GL Premium $400.00 Primary GL TRIA $5.00 Additional Insureds $100.00 Premium SubTotal $505.00 Spectator Excess Accident Medical Premium $32.00 TOTAL:$537.00 *Please note that premium is fully earned at time of binding SUBJECTIVITIES: None QUOTE EXPIRATION DATE:8/9/2019 12:01:00 AM Page 3 SCHEDULE OF INSURED EVENTS Name: Type: Start Date: End Date: Participant Option: Volunteer Option: Max Daily: Total Attend: Family Game Night Other 08/08/19 08/08/19 N/A* N/A* 150 150 3rd Annual Halloween Spooktacular Other 10/05/19 10/05/19 N/A* N/A* 150 150 2nd Annual Holiday Tree Lighting Ceremony Other 12/05/19 12/05/19 N/A* N/A* 150 150 3rd Annual Spring Event Other 04/06/20 04/06/20 N/A* N/A* 200 200 * PLEASE PROCEED TO PAGE #4 TO VIEW PARTICIPANT AND/OR VOLUNTEER COVERAGE LIMITS, IF APPLICABLE. SPECIMENSE PJ 01 (01 13 ) U.S. SPECIALTY INSURANCE COMPANY Houston, TX SPECIAL EVENT LIABILITY POLICY Administrative Office: 13403 Northwest Freeway, Houston, Texas 77040 In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative. Michael J. Schell Alexander Ludlow President Corporate Secretary SPECIMENSPECIMENPOLICY NUMBER: SE DS 05 02 10 SE DS 05 02 10 COMMON POLICY DECLARATIONS U.S. Specialty Insurance Company 13403 Northwest Freeway Houston, TX 77040 ph. (713) 462-1000 HCC Specialty Underwriters, Inc. 401 Edgewater Place, Suite 400 Wakefield, MA 01880 ph. (781) 994-6000 NAMED INSURED: MAILING ADDRESS: POLICY PERIOD: FROM TO AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM COMMERCIAL AUTOMOBILE COVERAGE PART $ COMMERCIAL GENERAL LIABILITY COVERAGE PART $ COMMERCIAL INLAND MARINE COVERAGE PART $ COMMERCIAL LIABILITY UMBRELLA $ COMMERCIAL PROPERTY COVERAGE PART $ CRIME AND FIDELITY COVERAGE PART $ EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART $ EQUIPMENT BREAKDOWN COVERAGE PART $ FARM COVERAGE PART $ LIQUOR LIABILITY COVERAGE PART $ MEDICAL PROFESSIONAL LIABILITY COVERAGE PART $ TOTAL: $ Premium shown is payable: $ at inception. $ TRIA $ POLLUTION LIABILITY COVERAGE PART $ City of Vernon 4305 Santa Fe Ave, Vernon, CA 90058 Aug 06, 2019 Apr 09, 2020 $500.00 $0.00 $0.00 $5.00 $505.00 $505.00 $0.00 As per Limited Event Coverage Endorsement attached herein N/A SPECIMENFORMS APPLICABLE TO ALL COVERAGE PARTS: SE PJ 01 01 13 - Special Event Liability Policy Jacket SE DS 05 02 10 - Common Policy Declarations SE DS 01 02 10 - Special Event Liability Declarations CG 00 01 04 13 - Commercial General Liability Coverage Form (Occurrence Version) IL 00 17 11 98 - Common Policy Conditions CG 21 35 10 01 - Exclusion - Coverage C - Medical Payments CG 21 46 07 98 - Abuse Or Molestation Exclusion SE 1010 02 10 - Attendance Limitation Exclusion Endorsement CG 21 47 12 07 - Employment Related Practices Exclusion CG 21 67 12 04 - Fungi or Bacteria Exclusion IL 00 21 09 08 - Nuclear Energy Liability Exclusion Endorsement (Broad Form) SE 1012 01 13 - Commercial General Liability Amendatory Endorsement SE 1019 02 10 - Exclusion - Sports/Leisure/Entertainment Activities And Devices SE 1075 06 11 - Field Of Entertainment Exclusion SE 1008 02 10 - Assault And Battery Exclusion SE 1022 02 10 - Fireworks, Explosives, Pyrotechnic Devices,Or Incendiary Device Exclusion SE 1032 02 10 - Professional Liability Exclusion SE 1077 06 11 - Securities and Financial Interest Exclusion SE 1076 06 11 - Stunt Exclusion Endorsement SE 1080 06 11 - Total Lead Exclusion SE 1079 06 11 - Asbestos And Silica Exclusion Endorsement IL 09 85 01 15 - DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT CG 21 70 01 15 - CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM (General Liability) SE 1024 02 10 - Limited Event Coverage SE 1024 ADD 02 10 - Limited Event Coverage Addendum CG 20 11 04 13 - Additional Insured - Managers Or Lessors Of Premises CG 20 12 04 13 - AI - State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits CG 20 26 04 13 - Additional Insured - Designated Person Or Organization SE 1070 06 10 - Amendment Of The Policy Period IL P 001 01 04 - U.S. Treasury Dept.'s Office of Foreign Assets Control ("OFAC") Advisory Notice CG 32 34 01 05 - California Changes IL 02 70 02 12 - California Changes - Cancellation and Nonrenewal SPECIMENSPECIMENSPECIMENPOLICY NUMBER: SE DS 01 02 10 SE DS 01 02 10 Page 1 of 2 SPECIAL EVENT LIABILITY DECLARATIONS U.S. Specialty Insurance Company 13403 Northwest Freeway Houston, TX 77040 ph. (713) 462-1000 HCC Specialty Underwriters, Inc. 401 Edgewater Place, Suite 400 Wakefield, MA 01880 ph. (781) 994-6000 NAMED INSURED: MAILING ADDRESS: POLICY PERIOD: FROM TO AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE EACH OCCURRENCE LIMIT $ DAMAGE TO PREMISES RENTED TO YOU LIMIT $ Any one premises MEDICAL EXPENSE LIMIT $ Any one person PERSONAL & ADVERTISING INJURY LIMIT $ Any one person or organization GENERAL AGGREGATE LIMIT $ PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $ DESCRIPTION OF BUSINESS FORM OF BUSINESS: o INDIVIDUAL o PARTNERSHIP o JOINT VENTURE o TRUST o LIMITED LIABILITY COMPANY o ORGANIZATION, INCLUDING A CORPORATION (BUT NOT INCLUDING A PARTNERSHIP, JOINT VENTURE OR LIMITED LIABILITY COMPANY) BUSINESS DESCRIPTION: City of Vernon 4305 Santa Fe Ave, Vernon, CA 90058 Aug 06, 2019 Apr 09, 2020 $1,000,000.00 $1,000,000.00 $1,000,000.00 $300,000.00 $2,000,000.00 As per Limited Event Coverage Endorsement attached herein $0.00 SPECIMENSPECIMENSPECIMENPage 2 of 2 SE DS 01 02 10 ALL PREMISES YOU OWN, RENT OR OCCUPY LOCATION NUMBER ADDRESS OF ALL PREMISES YOU OWN, RENT OR OCCUPY CLASSIFICATION AND PREMIUM LOCATION CLASSIFICATION CODE PREMIUM RATE ADVANCE PREMIUM NUMBER NO. BASE Prem/ Ops Prod/Comp Ops Prem/ Ops Prod/Comp Ops STATE TAX OR OTHER (if applicable) $ TOTAL PREMIUM (SUBJECT TO AUDIT) $ PREMIUM SHOWN IS PAYABLE: AT INCEPTION $ AT EACH ANNIVERSARY (IF POLICY PERIOD IS MORE THAN ONE YEAR AND PREMIUM IS PAID IN ANNUAL INSTALLMENTS) $ AUDIT PERIOD (IF APPLICABLE) o ANNUALLY o SEMI-ANNUALLY o QUARTERLY o MONTHLY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: THESE DECLARATIONS, TOGETHER WITH THE COVERAGE FORM(S) AND ANY ENDORSEMENT(S) SHOWN ABOVE, COMPLETE THE ABOVE NUMBERED POLICY. See attached Limited Event Coverage Endorsement As per Limited N/A $400.00 $505.00 $505.00 SPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 00 01 04 13 CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 16 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under Section II – Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V –Definitions. SECTION I – COVERAGES COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "bodily injury" or "property damage" to which this insurance does not apply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III – Limits Of Insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments – Coverages A and B. b. This insurance applies to "bodily injury" and "property damage" only if: (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the "coverage territory"; (2) The "bodily injury" or "property damage" occurs during the policy period; and (3) Prior to the policy period, no insured listed under Paragraph 1. of Section II – Who Is An Insured and no "employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the "bodily injury" or "property damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any continuation, change or resumption of such "bodily injury" or "property damage" during or after the policy period will be deemed to have been known prior to the policy period. c. "Bodily injury" or "property damage" which occurs during the policy period and was not, prior to the policy period, known to have occurred by any insured listed under Paragraph 1. of Section II – Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim, includes any continuation, change or resumption of that "bodily injury" or "property damage" after the end of the policy period. d. "Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section II – Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim: (1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other insurer; (2) Receives a written or verbal demand or claim for damages because of the "bodily injury" or "property damage"; or (3) Becomes aware by any other means that "bodily injury" or "property damage" has occurred or has begun to occur. e. Damages because of "bodily injury" include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". SPECIMENSPECIMENSPECIMENSPECIMEN Page 2 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" resulting from the use of reasonable force to protect persons or property. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of "bodily injury" or "property damage", provided: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract"; and (b) Such attorneys' fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in: (a) The supervision, hiring, employment, training or monitoring of others by that insured; or (b) Providing or failing to provide transportation with respect to any person that may be under the influence of alcohol; if the "occurrence" which caused the "bodily injury" or "property damage", involved that which is described in Paragraph (1), (2) or (3) above. However, this exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic beverages on your premises, for consumption on your premises, whether or not a fee is charged or a license is required for such activity, is not by itself considered the business of selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an "insured contract". SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 3 of 16 f. Pollution (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to, any insured. However, this subparagraph does not apply to: (i) "Bodily injury" if sustained within a building and caused by smoke, fumes, vapor or soot produced by or originating from equipment that is used to heat, cool or dehumidify the building, or equipment that is used to heat water for personal use, by the building's occupants or their guests; (ii) "Bodily injury" or "property damage" for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your policy as an additional insured with respect to your ongoing operations performed for that additional insured at that premises, site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any insured, other than that additional insured; or (iii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire"; (b) At or from any premises, site or location which is or was at any time used by or for any insured or others for the handling, storage, disposal, processing or treatment of waste; (c) Which are or were at any time transported, handled, stored, treated, disposed of, or processed as waste by or for: (i) Any insured; or (ii) Any person or organization for whom you may be legally responsible; or (d) At or from any premises, site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured's behalf are performing operations if the "pollutants" are brought on or to the premises, site or location in connection with such operations by such insured, contractor or subcontractor. However, this subparagraph does not apply to: (i) "Bodily injury" or "property damage" arising out of the escape of fuels, lubricants or other operating fluids which are needed to perform the normal electrical, hydraulic or mechanical functions necessary for the operation of "mobile equipment" or its parts, if such fuels, lubricants or other operating fluids escape from a vehicle part designed to hold, store or receive them. This exception does not apply if the "bodily injury" or "property damage" arises out of the intentional discharge, dispersal or release of the fuels, lubricants or other operating fluids, or if such fuels, lubricants or other operating fluids are brought on or to the premises, site or location with the intent that they be discharged, dispersed or released as part of the operations being performed by such insured, contractor or subcontractor; (ii) "Bodily injury" or "property damage" sustained within a building and caused by the release of gases, fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor; or (iii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire". (e) At or from any premises, site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured's behalf are performing operations if the operations are to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants". SPECIMENSPECIMENSPECIMENSPECIMEN Page 4 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (b) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". However, this paragraph does not apply to liability for damages because of "property damage" that the insured would have in the absence of such request, demand, order or statutory or regulatory requirement, or such claim or "suit" by or on behalf of a governmental authority. g. Aircraft, Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 26 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged; or (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. i. War "Bodily injury" or "property damage", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 5 of 16 (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III – Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products-completed operations hazard". k. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. l. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products-completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. m. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, inadequacy or dangerous condition in "your product" or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. n. Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. o. Personal And Advertising Injury "Bodily injury" arising out of "personal and advertising injury". p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. However, this exclusion does not apply to liability for damages because of "bodily injury". As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. q. Recording And Distribution Of Material Or Information In Violation Of Law "Bodily injury" or "property damage" arising directly or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law; (3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or SPECIMENSPECIMENSPECIMENSPECIMEN Page 6 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions, that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. Exclusions c. through n. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III – Limits Of Insurance. COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III – Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments – Coverages A and B. b. This insurance applies to "personal and advertising injury" caused by an offense arising out of your business but only if the offense was committed in the "coverage territory" during the policy period. 2. Exclusions This insurance does not apply to: a. Knowing Violation Of Rights Of Another "Personal and advertising injury" caused by or at the direction of the insured with the knowledge that the act would violate the rights of another and would inflict "personal and advertising injury". b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral or written publication, in any manner, of material, if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of oral or written publication, in any manner, of material whose first publication took place before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury" arising out of a criminal act committed by or at the direction of the insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract "Personal and advertising injury" arising out of a breach of contract, except an implied contract to use another's advertising idea in your "advertisement". g. Quality Or Performance Of Goods – Failure To Conform To Statements "Personal and advertising injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Personal and advertising injury" arising out of the wrong description of the price of goods, products or services stated in your "advertisement". SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 7 of 16 i. Infringement Of Copyright, Patent, Trademark Or Trade Secret "Personal and advertising injury" arising out of the infringement of copyright, patent, trademark, trade secret or other intellectual property rights. Under this exclusion, such other intellectual property rights do not include the use of another's advertising idea in your "advertisement". However, this exclusion does not apply to infringement, in your "advertisement", of copyright, trade dress or slogan. j. Insureds In Media And Internet Type Businesses "Personal and advertising injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; (2) Designing or determining content of web sites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs 14.a., b. and c. of "personal and advertising injury" under the Definitions section. For the purposes of this exclusion, the placing of frames, borders or links, or advertising, for you or others anywhere on the Internet, is not by itself, considered the business of advertising, broadcasting, publishing or telecasting. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts, owns, or over which the insured exercises control. l. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or product in your e-mail address, domain name or metatag, or any other similar tactics to mislead another's potential customers. m. Pollution "Personal and advertising injury" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" at any time. n. Pollution-related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". o. War "Personal and advertising injury", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. p. Recording And Distribution Of Material Or Information In Violation Of Law "Personal and advertising injury" arising directly or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law; (3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions, that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. SPECIMENSPECIMENSPECIMENSPECIMEN Page 8 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 COVERAGE C – MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily injury" caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you own or rent; or (3) Because of your operations; provided that: (a) The accident takes place in the "coverage territory" and during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, X-ray and dental services, including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers' Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products-Completed Operations Hazard Included within the "products-completed operations hazard". g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS – COVERAGES A AND B 1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: a. All expenses we incur. b. Up to $250 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $250 a day because of time off from work. e. All court costs taxed against the insured in the "suit". However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 9 of 16 g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. 2. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract"; b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured contract"; d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the investigation, settlement or defense of the "suit"; (b) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit"; (c) Notify any other insurer whose coverage is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit"; and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section I – Coverage A – Bodily Injury And Property Damage Liability, such payments will not be deemed to be damages for "bodily injury" and "property damage" and will not reduce the limits of insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments or settlements or the conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. SECTION II – WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. SPECIMENSPECIMENSPECIMENSPECIMEN Page 10 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 2. Each of the following is also an insured: a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee" or "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. (2) "Property damage" to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION III – LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard"; and c. Damages under Coverage B. SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 11 of 16 3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard". 4. Subject to Paragraph 2. above, the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. You and any other involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. SPECIMENSPECIMENSPECIMENSPECIMEN Page 12 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; or (iv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I – Coverage A – Bodily Injury And Property Damage Liability. (b) Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an additional insured. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self-insured amounts under all that other insurance. (4) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 13 of 16 b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V – DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding web sites, only that part of a web site that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. 2. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time. 4. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or c. All other parts of the world if the injury or damage arises out of: (1) Goods or products made or sold by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication; provided the insured's responsibility to pay damages is determined in a "suit" on the merits, in the territory described in Paragraph a. above or in a settlement we agree to. 5. "Employee" includes a "leased worker". "Employee" does not include a "temporary worker". 6. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. 7. "Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be. 8. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by the repair, replacement, adjustment or removal of "your product" or "your work" or your fulfilling the terms of the contract or agreement. SPECIMENSPECIMENSPECIMENSPECIMEN Page 14 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 9. "Insured contract" means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies a railroad for "bodily injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road-beds, tunnel, underpass or crossing; (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (2) above and supervisory, inspection, architectural or engineering activities. 10. "Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 11. "Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; b. While it is in or on an aircraft, watercraft or "auto"; or c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "loading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". 12. "Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in Paragraph a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: (1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. SPECIMENSPECIMENSPECIMENSPECIMEN CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 15 of 16 However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment. However, "mobile equipment" does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered "autos". 13. "Occurrence" means an accident, including continuous or repeated exposure to substantially the same general harmful conditions. 14. "Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral or written publication, in any manner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Oral or written publication, in any manner, of material that violates a person's right of privacy; f. The use of another's advertising idea in your "advertisement"; or g. Infringing upon another's copyright, trade dress or slogan in your "advertisement". 15. "Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. 16. "Products-completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. (c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. b. Does not include "bodily injury" or "property damage" arising out of: (1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or in a policy Schedule, states that products-completed operations are subject to the General Aggregate Limit. 17. "Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it. For the purposes of this insurance, electronic data is not tangible property. SPECIMENSPECIMENSPECIMENSPECIMEN Page 16 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 As used in this definition, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 18. "Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit" includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 19. "Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short-term workload conditions. 20. "Volunteer worker" means a person who is not your "employee", and who donates his or her work and acts at the direction of and within the scope of duties determined by you, and is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 21. "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product"; and (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 22. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and (2) The providing of or failure to provide warnings or instructions. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN IL 00 17 11 98 IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1  COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara-tions may cancel this policy by mailing or deliv-ering to us advance written notice of cancella-tion. 2. We may cancel this policy by mailing or deliver-ing to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel-lation if we cancel for nonpayment of premi-um; or b. 30 days before the effective date of cancel-lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be ef-fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suffi-cient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and rec-ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in-surability and the premiums to be charged. We do not make safety inspections. We do not un-dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes in-surance inspections, surveys, reports or rec-ommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom-mendations we may make relative to certifica-tion, under state or municipal statutes, ordi-nances or regulations, of boilers, pressure ves-sels or elevators. E. Premiums The first Named Insured shown in the Declara-tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representa-tive. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPOLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 21 35 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 21 35 10 01 © ISO Properties, Inc., 2000 Page 1 of 1  EXCLUSION – COVERAGE C – MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description And Location Of Premises Or Classification: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect to any premises or classification shown in the Schedule: 1. Section I – Coverage C – Medical Payments does not apply and none of the references to it in the Coverage Part apply: and 2. The following is added to Section I – Supple-mentary Payments: h. Expenses incurred by the insured for first aid administered to others at the time of an accident for "bodily injury" to which this in-surance applies. All activities, operations, and locations of the Named Insured. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 21 46 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 21 46 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1  ABUSE OR MOLESTATION EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2., Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability and Para-graph 2., Exclusions of Section I – Coverage B – Personal And Advertising Injury Liability: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of: 1. The actual or threatened abuse or molestation by anyone of any person while in the care, custody or control of any insured, or 2. The negligent: a. Employment; b. Investigation; c. Supervision; d. Reporting to the proper authorities, or failure to so report; or e. Retention; of a person for whom any insured is or ever was legally responsible and whose conduct would be excluded by Paragraph 1. above. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1010 02 10 Page 1of 1 ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By ATTENDANCE LIMITATION EXCLUSION ENDORSEMENT This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Number of Admissions The following exclusion is added to both Paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I – COVERAGES) and Paragraph 2. Exclusions of COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY (SECTION I – COVERAGES): This insurance does not apply to “bodily injury”, “property damage”, or “personal and advertising injury” arising out of any event in which the attendance or capacity of the designated venue for such event exceeds the Number of Admissions shown in the Schedule to this Attendance Limitation Exclusion Endorsement. However, this exclusion does not apply if the attendance or capacity of the designated venue for such event is otherwise approved by us in writing. All other terms, conditions and exclusions of the policy remain unchanged. ____________________________________ Authorized Representative City of Vernon Aug 06, 2019 200.00 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 21 47 12 07 © ISO Properties, Inc., 2006 Page 1 of 1  EMPLOYMENT-RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2., Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability: This insurance does not apply to: "Bodily injury" to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment-related practices, policies, acts or omissions, such as coercion, demo-tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis-crimination or malicious prosecution di-rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury" to that person at whom any of the employment-related practices described in Paragraphs (a), (b), or (c) above is directed. This exclusion applies: (1) Whether the injury-causing event described in Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em-ployment of that person; (2) Whether the insured may be liable as an em-ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2., Exclusions of Section I – Coverage B – Person-al And Advertising Injury Liability: This insurance does not apply to: "Personal and advertising injury" to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment-related practices, policies, acts or omissions, such as coercion, demo-tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis-crimination or malicious prosecution di-rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal and advertising injury" to that person at whom any of the employment-related practices described in Paragraphs (a), (b), or (c) above is directed. This exclusion applies: (1) Whether the injury-causing event described in Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em-ployment of that person; (2) Whether the insured may be liable as an em-ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 21 67 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 21 67 12 04 © ISO Properties, Inc., 2003 Page 1 of 1  FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability: 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. "Bodily injury" or "property damage" which would not have occurred, in whole or in part, but for the actual, alleged or threatened in-halation of, ingestion of, contact with, expo-sure to, existence of, or presence of, any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss, cost or expenses arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any insured or by any other person or entity. This exclusion does not apply to any "fungi" or bacteria that are, are on, or are contained in, a good or product intended for bodily consump-tion. B. The following exclusion is added to Paragraph 2. Exclusions of Section I – Coverage B – Person-al And Advertising Injury Liability: 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. "Personal and advertising injury" which would not have taken place, in whole or in part, but for the actual, alleged or threat-ened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed con-currently or in any sequence to such injury. b. Any loss, cost or expense arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any insured or by any other person or entity. C. The following definition is added to the Definitions Section: "Fungi" means any type or form of fungus, includ-ing mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fun-gi. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IL 00 21 09 08 © ISO Properties, Inc., 2007 Page 1 of 2  NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (Broad Form) This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply: A. Under any Liability Coverage, to "bodily injury" or "property damage": (1) With respect to which an "insured" under the policy is also an insured under a nucle-ar energy liability policy issued by Nuclear Energy Liability Insurance Association, Mu-tual Atomic Energy Liability Underwriters, Nuclear Insurance Association of Canada or any of their successors, or would be an insured under any such policy but for its termination upon exhaustion of its limit of li-ability; or (2) Resulting from the "hazardous properties" of "nuclear material" and with respect to which (a) any person or organization is re-quired to maintain financial protection pur-suant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (b) the "in-sured" is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organi-zation. B. Under any Medical Payments coverage, to expenses incurred with respect to "bodily inju-ry" resulting from the "hazardous properties" of "nuclear material" and arising out of the opera-tion of a "nuclear facility" by any person or or-ganization. C. Under any Liability Coverage, to "bodily injury" or "property damage" resulting from "hazard-ous properties" of "nuclear material", if: (1) The "nuclear material" (a) is at any "nuclear facility" owned by, or operated by or on be-half of, an "insured" or (b) has been dis-charged or dispersed therefrom; (2) The "nuclear material" is contained in "spent fuel" or "waste" at any time pos-sessed, handled, used, processed, stored, transported or disposed of, by or on behalf of an "insured"; or (3) The "bodily injury" or "property damage" arises out of the furnishing by an "insured" of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any "nu-clear facility", but if such facility is located within the United States of America, its terri-tories or possessions or Canada, this ex-clusion (3) applies only to "property dam-age" to such "nuclear facility" and any property thereat. 2. As used in this endorsement: "Hazardous properties" includes radioactive, toxic or explosive properties. "Nuclear material" means "source material", "spe-cial nuclear material" or "by-product material". SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPage 2 of 2 © ISO Properties, Inc., 2007 IL 00 21 09 08  "Source material", "special nuclear material", and "by-product material" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. "Spent fuel" means any fuel element or fuel com-ponent, solid or liquid, which has been used or ex-posed to radiation in a "nuclear reactor". "Waste" means any waste material (a) containing "by-product material" other than the tailings or wastes produced by the extraction or concentra-tion of uranium or thorium from any ore processed primarily for its "source material" content, and (b) resulting from the operation by any person or or-ganization of any "nuclear facility" included under the first two paragraphs of the definition of "nucle-ar facility". "Nuclear facility" means: (a) Any "nuclear reactor"; (b) Any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing "spent fuel", or (3) handling, processing or packag-ing "waste"; (c) Any equipment or device used for the pro-cessing, fabricating or alloying of "special nuclear material" if at any time the total amount of such material in the custody of the "insured" at the premises where such equipment or device is located consists of or contains more than 25 grams of plutoni-um or uranium 233 or any combination thereof, or more than 250 grams of uranium 235; (d) Any structure, basin, excavation, premises or place prepared or used for the storage or disposal of "waste"; and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations. "Nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material. "Property damage" includes all forms of radioac-tive contamination of property. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1012 01 13 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By COMMERCIAL GENERAL LIABILITY AMENDATORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Subparagraph (2) of Exclusion g. under Section I – Coverage A – 2. Exclusions is deleted and replaced by the following: This exclusion does not apply to: g. Aircraft, Auto or Watercraft A watercraft that you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. B. SUPPLEMENTARY PAYMENTS - COVERAGES A and B Paragraphs 1.b. and 1.d. of Supplementary Payments – Coverages A and B are deleted and replaced by the following: We will pay, with respect to any claim we investigate or settle, or any “suit” against an insured we defend: b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish thee bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or “suit”, including actual loss of earnings up to $350 a day because of time off from work. C. COMMERCIAL LIABILITY CONDITIONS Subparagraphs 2.e., 2.f and 2.g. are added to SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS as follows: e. Knowledge of the “occurrence”, offense, claim or “suit” by the agent, servant, or “employee” of an insured shall not in itself constitute your knowledge unless one of your officers, manager or partners has received notice of the “occurrence”, offense, claim or “suit”. f. Failure by the agent, servant or “employee” of an insured (other than an officer, manager or partner) to notify us of an “occurrence” shall not constitute a failure to comply with subparagraphs 2.a. and 2.b. of this Section. g. Failure to report an “occurrence” or offense which you inadvertently reported to another insurer shall not constitute a failure to comply with Subparagraphs 2.a. and 2.b. of this Section. However, you shall notify us of any such “occurrence” or offense as soon as you become aware of such error. Paragraphs 10. and 11. are added to SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS as follows: 10. Unintentional Error or Omission The unintentional failure by you or any insured to provide accurate and complete representations as of the inception of the policy will not prejudice the coverages afforded by this policy. However, you must report such error or omission to us as soon as practicable after its discovery. 11. Liberalization Clause If we revise or replace our standard policy form to provide more coverage without an additional premium charge, your policy will automatically provide the additional coverages as of the date the revision is effective in your state. All other terms, conditions, and exclusions of the policy remain unchanged. City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By SE 1019 02 10 Page 1 of 2 EXCLUSION -- SPORTS/LEISURE/ENTERTAINMENT ACTIVITIES AND DEVICES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following exclusions are added to Paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I – COVERAGES) and Paragraph 2. Exclusions of COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY (SECTION I – COVERAGES) if an X is indicated to the left of such exclusion. This insurance does not apply to “bodily injury”, “property damage”, “personal and advertising injury” Inverted Aerial Maneuver Arising out of the attempt to perform or performance of any inverted aerial maneuver by a skier from a jump: 1. Built by you or on your behalf; or 2. Built on your premises with your permission or knowledge. Amusement Device Arising out of the ownership, operation, maintenance or use of any “amusement device”. For purposes of this exclusion, “amusement device” means any device or equipment a person rides for enjoyment, including, but not limited to, any mechanical or non-mechanical ride, slide, water slide (including any ski or tow when used in connection with a water slide), moonwalk or moon bounce, bungee operation or equipment. “Amusement device” does not include any video arcade or computer game. Bungee Arising out of the ownership, operation, maintenance or use of any bungee operation or equipment whether owned, operated, maintained or used by you, any other insured or any other person or entity. Animals Arising out of injury or death to any animal. Object Propelled Arising out of any object propelled, whether intentionally or unintentionally, into the crowd by or at the direction of a “participant” or insured. “Participant” Arising out of the involvement of a participant in any activity, event or exhibition, including, but not limited to, any contest, physical training, sport, event, athletic activity, martial arts or stunt. Rodeo Arising out of any rodeo activity, including, but not limited to, bronco or bull riding, steer roping, team roping, barrel racing or horseback riding. City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN SE 1019 02 10 Page 2 of 2 Concert Arising out of a concert, show, or theatrical event. Performer Arising out of the involvement of any performer during any activity, event or exhibition, including, but not limited to any stunt, concert, show or theatrical event. DEFINITION OF PARTICIPANT For purposes of this endorsement, “participant” means any person while instructing, supervising, training or practicing for, participating in or while otherwise involved in any sports or athletic activity, contest, or exhibition. “Participant” does not include any spectator. All other terms, conditions and exclusions remain unchanged. __________________________________ Authorized Representative SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN THIS ENDORSEMENT EFFECTIVE: 12:01 A.M. FORMS A PART OF POLICY NO.: ISSUED TO: By: FIELD OF ENTERTAINMENT EXCLUSION This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART In consideration of the premium charged, it is hereby agreed that with respect to Coverage B. Personal and Advertising Injury Liability: 1. This policy does not apply to the following offenses arising out of the business of the Insured in the Field of Entertainment: A. Invasion of the right of privacy; B. Infringement of copyright, whether under statutory or common law; C. Libel, slander or other forms of defamation; D. Unauthorized uses of titles, formats, ideas, characters, plots or other program material; and E. Infringement of copyright or common law property rights, in literary or musical material, plagiarism, unfair competition or piracy. 2. "The Business of the Insured in the Field of Entertainment" means: A. The production, pre-production, post-production, distribution, exploitation and exhibition of motion pictures, television programs, commercial film, photograph records, electrical transcriptions, sheet music or other similar properties. B. The conduct of any players, entertainers or musicians in any show, theatrical performance or exhibition. C. The ownership, operation, maintenance or use of merchandising programs, advertising or publicity material, characters or ideas; whether or not on, premises of the Insured or in possession of the Insured at the time of the alleged offense. D. The ownership, operation, maintenance or use of theaters and similar exhibition media. All other terms, conditions and exclusions remain the same. ___________________________________ Authorized Representative SE 1075 (06 11) City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1008 02 10 ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By ASSAULT AND BATTERY EXCLUSION This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following exclusion is added to Paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I – COVERAGES) and Paragraph 2. Exclusions of COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY (SECTION I – COVERAGES): This Policy shall not apply to "bodily injury, property damage", or "personal injury and advertising injury", arising out of assault and/or battery or out of any act or omission in connection with the prevention or suppression of such assault and/or battery. All other terms, conditions and exclusions of the policy remain unchanged. ________________________________ Authorized Representative City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By SE 1022 02 10 Page 1 of 1 FIREWORKS, EXPLOSIVES, PYROTECHNIC DEVICES, OR INCENDIARY DEVICE EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following exclusion is added to Paragraph 2., Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (SECTION I – COVERAGES) and Paragraph 2., Exclusions of COVERAGE B. PERSONAL AND ADVERTISING INJURY LIABILITY (SECTION I – COVERAGES) as follows: This insurance does not apply to “bodily injury”, “property damage” and “personal and advertising injury” caused by, arising out of, or resulting directly or indirectly, in whole or in part from fireworks, explosives, pyrotechnic devices, or any incendiary device. However, this exclusion does not apply to “flashboxes”. As used in this endorsement, “flashbox(es)” means a device used to create a visual effect along with an explosive noise and is induced electronically in a cylinder with no projectile, wadding, or wrapping. All other terms, conditions and exclusions remain unchanged. __________________________________ Authorized Representative City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN SE 1032 02 10 Page 1 of 1 ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By PROFESSIONAL LIABILITY EXCLUSION This endorsement modifies coverage provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM It is agreed that this policy shall not apply to liability arising out of the rendering of or failure to render professional services, or any error or omission, malpractice or mistake of a professional nature committed by or on behalf of the “Insured” in the conduct of any of the “Insured’s” business activities. However, this exclusion shall not apply to an insured included under ADDITIONAL INSURED – MEDICAL PERSONNEL Endorsement #SE 1001 02 10 if applicable to this policy. All other terms, conditions and exclusions remain unchanged. AUTHORIZED Representative OR Countersignature (In states where applicable) City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN THIS ENDORSEMENT EFFECTIVE: 12:01 A.M. FORMS A PART OF POLICY NO.: ISSUED TO: BY: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY . SECURITIES AND FINANCIAL INTEREST EXCLUSION This endorsement modifies insurance under the following: COMMERCIAL LIABILITY COVERAGE PART It is agreed that this insurance does not apply to any “bodily injury” and "property damage” arising out of or by reason of: The purchase, or sale, or offer of sale, or solicitation of any security, debt, bank deposit of financial interest or instrument. Any representative made at any time in relation to the price or value of any security, debt, bank deposit or financial interest or instrument; or Any depreciation or decline in price or value of any security, debt, bank deposit or financial interest or instrument. It is furthermore agreed that we have no obligations to defend or pay for the defense of any claim that may allege any of the foregoing. All other terms and condition remain the same. ________________________________ Authorized Representative SE 1077 (06 11) City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN THIS ENDORSEMENT EFFECTIVE: 12:01 A.M. FORMS A PART OF POLICY NO.: ISSUED TO: BY: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. STUNT EXCLUSION ENDORSEMENT This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART In consideration of the premium charged, it is hereby agreed that all stunting activity or any practice or preparation of any such stunt is excluded from all coverage under this policy. “Stunting Activity”, means any feat or activity requiring special strength, skill, equipment, device or daring. All other terms and conditions remain the same. _______________________________ Authorized Representative SE 1076 (06 11) City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1080 (06 11) ENDORSEMENT This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ CAREFULLY TOTAL LEAD EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance does not apply to any “bodily injury”, “property damage”, “personal injury”, or “advertising injury”, or any other loss, cost or expense arising out of the presence, ingestion, inhalation, or absorption of or exposure to lead in any form or products containing lead. ______________________________ AUTHORIZED REPRESENTATIVE City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1079 (06 11) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission ENDORSEMENT This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ASBESTOS AND SILICA EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section I. − COVERAGES, COVERAGE A. − BODILY INJURY and PROPERTY DAMAGE LIABILITY, 2. − Exclusions, is amended to add the following exclusions: Asbestos "Bodily injury" or "property damage" arising out of the manufacture of, mining of, use of, sale of, installation of, removal of, distribution of, or exposure to asbestos products, asbestos fibers or asbestos dust, or to any obligation of the insured to indemnify any party because of "bodily injury" or "property damage" arising out of the manufacture of, mining of, use of, sale of, installation of, removal of, distribution of, or exposure to asbestos products, asbestos fibers or asbestos dust. Silica "Bodily injury" or "property damage" or any other loss, cost or expense arising out of the presence, ingestion, inhalation or absorption of or exposure to silica products, silica fibers, silica dust or silica in any form, or to any obligation of the insured to indemnify any party because of "bodily injury" or "property damage" arising out of the presence, ingestion, inhalation or absorption of or exposure to silica products, silica fibers, silica dust or silica in any form. Section I. − COVERAGES, COVERAGE B. − PERSONAL and ADVERTISING INJURY LIABILITY, 2. − Exclusions is amended to add the following exclusions: Asbestos "Personal and Advertising Injury" arising out of the manufacture of, mining of, use of, sale of, installation of, removal of, distribution of, or exposure to asbestos products, asbestos fibers or asbestos dust, or to any obligation of the insured to indemnify any party because of "personal and advertising injury" arising out of the manufacture of, mining of, use of, sale of, installation of, removal of, distribution of, or exposure to asbestos products, asbestos fibers or asbestos dust. Silica "Personal and Advertising Injury" or any other loss, cost or expense arising out of the presence, ingestion, inhalation or absorption of or exposure to silica products, silica fibers, silica dust or silica in any form, or to any obligation of the insured to indemnify any party because of "personal and advertising injury" arising out of the presence, ingestion, inhalation or absorption of or exposure to silica products, silica fibers, silica dust or silica in any form. All other terms, conditions and exclusions of the policy shall remain unchanged. _______________________________ Authorized Representative City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPOLICY NUMBER: IL 09 85 01 15 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. IL 09 85 01 15 © Insurance Services Office, Inc., 2015 Page 1 of 2 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE SCHEDULE – PART I Terrorism Premium (Certified Acts) $ This premium is the total Certified Acts premium attributable to the following Coverage Part(s), Coverage Form(s) and/or Policy(ies): Additional information, if any, concerning the terrorism premium: SCHEDULE – PART II Federal share of terrorism losses ____ % Year: 20 (Refer to Paragraph B. in this endorsement.) Federal share of terrorism losses ____ % Year: 20 (Refer to Paragraph B. in this endorsement.) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorist acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this endorsement or in the policy Declarations. $5.00 Commercial General Liability 85 19 SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPage 2 of 2 © Insurance Services Office, Inc., 2015 IL 09 85 01 15 B. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage (as shown in Part II of the Schedule of this endorsement or in the policy Declarations) of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 21 70 01 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 21 70 01 15 © Insurance Services Office, Inc., 2015 Page 1 of 1 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following: 1. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and 2. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion, or the inapplicability or omission of a terrorism exclusion, do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSE 1024 02 10 Page 1 of 1 ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By LIMITED EVENT COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE TYPE OF EVENT DATE OF EVENT LOCATION LIMITS PREMIUM Paragraph 1. Insuring Agreement of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Paragraph 1. Insuring Agreement of COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY are amended to include the following: This insurance applies only to “bodily injury”, “property damage” or “personal and advertising injury” arising out of an “occurrence” or offense which takes place during an event shown in the Schedule to this Limited Event Coverage Endorsement (hereinafter the “Schedule”). Notwithstanding the Date of Event shown in the Schedule, those activities that are part of the setup and teardown required for the event are considered part of the event. The following is added to SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: If any of the events shown in the Schedule are postponed by you, we may amend the Date(s) of Event in the Schedule to the date(s) you tell us. You must promptly notify us in writing of the postponement on or prior to the Date(s) of Event in the Schedule and prior to the revised Date(s) of Event. If any of the events in the Schedule are cancelled by you, we may refund to you the premium for the cancelled events if you cancel the event(s) prior to the scheduled start date(s). You must promptly notify us in writing of the cancellation prior to the scheduled start date(s). All other terms, conditions and exclusions shall remain unchanged. _____________________________ Authorized Signature City of Vernon Aug 06, 2019 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENThis Addendum forms a part of the LIMITED EVENT COVERAGE ENDORSEMENT SE 1024 02 10 part of the Policy No: Issued To: By: SCHEDULE * Limits & Premium as per Commercial General Liability Coverage Part Declarations SE 1024 02 10 City of Vernon U.S. Specialty Insurance Company Event Name: Family Game Night Event Dates: 08/08/2019 - 08/08/2019 Max Daily Attendance: 150 Venue Location: City of Vernon Vernon CA , 90058 Limits & Premium: * Classification: Other Premium Basis: 150 Advance Premium: 100 ---------------------------------------------------------------------- Event Name: 3rd Annual Halloween Spooktacular Event Dates: 10/05/2019 - 10/05/2019 Max Daily Attendance: 150 Venue Location: City of Vernon Vernon CA , 90058 Limits & Premium: * Classification: Other Premium Basis: 150 Advance Premium: 100 ---------------------------------------------------------------------- Event Name: 2nd Annual Holiday Tree Lighting Ceremony Event Dates: 12/05/2019 - 12/05/2019 Max Daily Attendance: 150 Venue Location: City of Vernon Vernon CA , 90058 Limits & Premium: * Classification: Other Premium Basis: 150 Advance Premium: 100 ---------------------------------------------------------------------- Event Name: 3rd Annual Spring Event Event Dates: 04/06/2020 - 04/06/2020 Max Daily Attendance: 200 Venue Location: City of Vernon Vernon CA , 90058 Limits & Premium: * Classification: Other Premium Basis: 200 Advance Premium: 100 ---------------------------------------------------------------------- SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPOLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 11 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. As submitted to company and required by written contract. As submitted to company and required by written contract. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPOLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 12 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION – PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products-completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. As submitted to company and required by written contract. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPOLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. As submitted to company and required by written contract. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 a.m. forms a part of Policy No. Issued to By AMENDMENT OF THE POLICY PERIOD This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is hereby agreed and understood that the Policy Period as shown on the Declarations Page of this policy is amended to read as follows: From To at 12:01 A.M. standard time at the mailing address of the Named Insured. It is further agreed and understood that coverage under this policy does not apply to any loss that occurred prior to the Policy Period as stated above. All other terms and conditions remain unchanged. Authorized Representative SE 1070 06 10 Page 1 of 1 Includes copyrighted information of the Insurance Services Offices, Inc., with its permission. All rights reserved City of Vernon Aug 06, 2019 Aug 06, 2019 Apr 09, 2020 U.S. Specialty Insurance Company SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN IL P 001 01 04 IL P 001 01 04 © ISO Properties, Inc., 2004 Page 1 of 1 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC. Please read this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential declarations of "national emergency". OFAC has identified and listed numerous:  Foreign agents;  Front organizations;  Terrorists;  Terrorist organizations; and  Narcotics traffickers; as "Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treas-ury's web site – http//www.treas.gov/ofac. In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC. When an insurance policy is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments also apply. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN COMMERCIAL GENERAL LIABILITY CG 32 34 01 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 32 34 01 05 © ISO Properties, Inc., 2004 Page 1 of 1 CALIFORNIA CHANGES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY The term "spouse" is replaced by the following: Spouse or registered domestic partner under Califor-nia law. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMEN IL 02 70 09 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 1 of 4 CALIFORNIA CHANGES – CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following: 2. All Policies In Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured, at the mailing address shown in the policy, and to the producer of record, advance written notice of cancellation, stating the reason for cancellation, at least: a. 10 days before the effective date of cancellation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. All Policies In Effect For More Than 60 Days a. If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, including payment due on a prior policy we issued and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepresentation by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPage 2 of 4 © Insurance Services Office, Inc., 2012 IL 02 70 09 12 (4) Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your representative, which materially increase any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were conditions precedent to our use of a particular rate or rating plan, if that failure materially increases any of the risks insured against. (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes in, our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would: (i) Place us in violation of California law or the laws of the state where we are domiciled; or (ii) Threaten our solvency. (7) A change by you or your representative in the activities or property of the commercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in the policy. b. We will mail or deliver advance written notice of cancellation, stating the reason for cancellation, to the first Named Insured, at the mailing address shown in the policy, and to the producer of record, at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium or discovery of fraud; or (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancellation Common Policy Condition: 7. Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household personal property in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part – Farm Property – Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. If such coverage has been in effect for 60 days or less, and is not a renewal of coverage we previously issued, we may cancel this coverage for any reason, except as provided in b. and c. below. b. We may not cancel this policy solely because the first Named Insured has: (1) Accepted an offer of earthquake coverage; or (2) Cancelled or did not renew a policy issued by the California Earthquake Authority (CEA) that included an earthquake policy premium surcharge. However, we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake policy premium surcharge authorized by the CEA. c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction (c.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part – Causes Of Loss – Special Form; or (2) Farm Coverage Part – Causes Of Loss Form – Farm Property, Paragraph D. Covered Causes Of Loss – Special. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENIL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 3 of 4 C. The following is added and supersedes any provisions to the contrary: Nonrenewal 1. Subject to the provisions of Paragraphs C.2. and C.3. below, if we elect not to renew this policy, we will mail or deliver written notice, stating the reason for nonrenewal, to the first Named Insured shown in the Declarations, and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household property contained in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part – Farm Property – Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b., c. and d. below. b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However, the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first Named Insured has accepted an offer of earthquake coverage, if one or more of the following reasons applies: (1) The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law; (2) The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous condition. A hazardous condition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the preceding two years and that required a reduction in policyholder surplus of at least 25% for payment of those claims; or (3) We have: (a) Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or (b) Experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy, issued by the California Earthquake Authority, that included an earthquake policy premium surcharge. d. We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction (d.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part – Causes Of Loss – Special Form; or (2) Farm Coverage Part – Causes Of Loss Form – Farm Property, Paragraph D. Covered Causes Of Loss – Special. 3. We are not required to send notice of nonrenewal in the following situations: a. If the transfer or renewal of a policy, without any changes in terms, conditions or rates, is between us and a member of our insurance group. SPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENSPECIMENPage 4 of 4 © Insurance Services Office, Inc., 2012 IL 02 70 09 12 b. If the policy has been extended for 90 days or less, provided that notice has been given in accordance with Paragraph C.1. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the timeframes shown in Paragraph C.1., to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. SPECIMEN GAC26932-CA 1 UNITED STATES FIRE INSURANCE COMPANY Administrative Offices: 5 Christopher Way • 3rd Floor • Eatontown, NJ 07724 BLANKET BENEFITS - ACCIDENTS ONLY CERTIFICATE This Certificate contains the terms under which the United States Fire Insurance Company agrees to insure certain persons and pay benefits. This Certificate is a part of, and is governed by, a Group Policy that has been issued in the state of CALIFORNIA and shall be governed by its laws. Coverage under this Certificate is provided in consideration of payment of the initial premium, continued payment of premiums when due, and completion of an Application. This Certificate is a part of, and is governed by, a Group Policy. The Group Policy has been issued to, and is the contract between, the Group Policyholder and The United States Fire Insurance Company. The Group Policy is held by the Group Policyholder and may be inspected upon request at any reasonable time. The name of the Group Policyholder is shown in the Schedule. This Certificate has been issued to you, the Certificateholder, as a Participant under the Group Policy, in accordance with the terms, conditions, and limitations of the Group Policy. 10 DAY RIGHT TO RETURN THIS CERTIFICATE: If for any reason, you are not satisfied with this Certificate, you may return it to us within 10-days after receiving it. Upon its return, we will refund any premium paid and this Certificate will be deemed void, just as though it had never been issued. NOTICE THIS NOTICE IS TO ADVISE YOU THAT SHOULD YOU HAVE ANY QUESTIONS OR COMPLAINTS REGARDING THIS CERTIFICATE, YOU MAY CONTACT UNITED STATES FIRE INSURANCE COMPANY AT 5 CHRISTOPHER WAY EATONTOWN, NEW JERSEY 07724 or CALL (732) 676-9800 ALSO AVAILABLE IS THE CONSUMER SERVICES DIVISION OF THE CALIFORNIA DEPARTMENT OF INSURANCE, WHICH MAY BE CONTACTED AS FOLLOWS: CALIFORNIA DEPARTMENT OF INSURANCE CONSUMER SERVICES DIVISION; 300 SPRING STREET, SOUTH TOWER LOS ANGELES, CALIFORNIA 90013 or call 1-800-927-HELP or 1-800-927-4357 THE DEPARTMENT OF INSURANCE SHOULD BE CONTACTED ONLY AFTER DISCUSSIONS WITH THE INSURANCE COMPANY OR ITS REPRESENTATIVES HAVE FAILED TO PRODUCE A SATISFACTORY RESOLUTION TO THE PROBLEM. Required Disclosure under California Insurance Code § 10270.3: Please note that all benefits payable under this Certificate may be subject to reduction, to the extent provided in this Certificate, to the extent that you are entitled to benefits, whether on an indemnity basis or on a provision-of-service basis, for hospital, medical, dental, or surgical expenses under any other valid and collectible individual, group, or blanket insurance policy or contract, hospital or medical service program, or group-practice prepayment plan, except for automobile medical payments insurance. THIS IS ACCIDENT ONLY COVERAGE. READ IT CAREFULLY. BENEFITS ARE NOT PAYABLE FOR LOSS DUE TO SICKNESS. THIS CERTIFICATE PAYS BENEFITS FOR SPECIFIC LOSSES FROM ACCIDENTS ONLY. THIS CERTIFICATE IS NOT RENEWABLE. Signed for The United States Fire Insurance Company By: Signature Signature 0DUF-$GHH-DPHV.UDXVChairman and CEO Secretary SPECIMEN GAC26932-CA 2 TABLE OF CONTENTS The following provisions appear within this Certificate in the following order: Schedule of Benefits Definitions Scope of Coverage Description of Hazards Description of Benefits Exclusions Additional Exclusions Limitations Premium Provisions General Provisions Claim Provisions SPECIMEN GAC26932-CA 3 SCHEDULE OF BENEFITS COVERAGE IS PROVIDED UNDER GROUP POLICY NUMBER: AH-GA26932-002 ISSUED TO GROUP POLICYHOLDER: The Group and Blanket Accident & Health Insurance Trust CERTIFICATEHOLDER: CERTIFICATE NUMBER: CERTIFICATE EFFECTIVE DATE: CERTIFICATE EXPIRATION DATE: CLASSES OF ELIGIBLE PERSONS: A person may be covered only under one Class of Eligible Persons even though He or She may be eligible under more than one class. See Application HAZARDS INSURED AGAINST: Class Hazard # Description of Hazard See Application Policyholder Functions BENEFIT PERIOD: Provided treatment begins within 30 days from the date of Injury, Benefits are payable for 52 weeks from the date of an Injury. The Injury must occur after the Effective Date and prior to the Expiration Date and care must be Medically Necessary. DEDUCTIBLE AMOUNT: See Below COINSURANCE PERCENTAGE: 100% URC (Usual, Reasonable & Customary) Up to the Policy Maximum MAXIMUM BENEFIT AMOUNT: 6HH%HORZ MEDICAL EXPENSE BENEFIT Hospital Room & Board Daily Maximum Benefit Amount: URC Intensive Care Room & Board Daily Maximum Benefit: URC Hospital Miscellaneous Maximum Benefit Amount: URC Outpatient Pre-Admission Testing Benefit Amount: URC Outpatient Hospital Emergency Room Treatment Maximum Benefit Amount: URC Surgical Benefits: Primary Surgeons Maximum Benefit Amount: URC Assistant Surgeon, Second Surgical Opinion, Consultation Maximum Benefit: URC Anesthesia Maximum Benefit: URC Surgical Facility Maximum Benefit per Operating Session: URC City of Vernon 0 Apr 09, 2020 SPECIMEN GAC26932-CA 4 Doctor’s Visits In-Hospital Maximum Benefit: URC Office Visits Maximum Benefit: URC Maximum for All In-Hospital and Office Doctor’s Visits: URC X-ray and Laboratory Maximum Benefit Amount: URC Nursing Maximum Benefit Amount: URC Physiotherapy Benefit Maximum Benefit Amount (Hospital Inpatient): URC Maximum Benefit Amount (Outpatient): URC Maximum for All Physiotherapy Combined (Inpatient & Outpatient): URC Ambulance Maximum Benefit Amount: URC Medical Equipment Rental Charges Maximum Benefit Amount: URC Medical Services and Supplies Maximum Benefit Amount (Blood, Blood Transfusions, Oxygen): URC Dental Treatment For Injury Only Maximum Benefit Amount: See Below Out-Patient Prescription Drug Benefit Maximum Benefit Amount: URC Accidental Death, Dismemberment, Loss of Sight, Speech, Hearing, Or Paralysis Principal Sum: See Below Aggregate Limit per Accident for AD&D only See Below Class I: Option 1 Limits: All active spectators and/or ticketholders who are attending an Insured Group's sponsored, scheduled and supervised short-term event, for whom premium has been paid. $5,000 Accidental Death & Accidental Dismemberment Benefit $5,000 Accident Medical Expense Benefit (Excess Basis) $100 Corridor Deductible (per incident per person) $250 Dental Maximum (per Tooth per Accident) $50,000 Aggregate Limit per Accident for AD&D only SPECIMEN GAC26932-CA 5 DEFINITIONS The terms shown below shall have the meaning given in this section whenever they appear in this Certificate. Additional terms may be defined within the provision to which they apply. "Accident" means a sudden, unforeseeable external event which causes Injury to one or more Covered Persons. "Benefit Period" means the period of time from the date of Injury, as shown in the Schedule of Benefits. "Covered Person" means an Insured Person eligible for coverage as identified in the Enrollment/Application][who is a U.S citizen residing in the United States, or if not a U.S. citizen, resides permanently in the United States],for whom proper premium payment has been made when due, and who is therefore insured under the Policy and this Certificate. "Deductible" means the amount of Eligible Expenses which must be paid by the Covered Person before benefits are payable under this Certificate. It applies separately to each Covered Person. "Eligible Expenses" means the Usual, Reasonable and Customary charges for services or supplies which are incurred by the Covered Person for the Medically Necessary treatment of an Injury. Eligible Expenses must be incurred while this Certificate is in force. "He", "his" and "him" includes "she", "her" and "hers." "Health Care Plan" means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under: (1) Group or blanket insurance, whether on an insured or self-funded basis; (2) Hospital or medical service organizations on a group basis; (3) Health Maintenance Organizations on a group basis. (4) Group labor management plans; (5) Employee benefit organization plan; (6) Professional association plans on a group basis; or (7) Any other group employee welfare benefit plan as defined in the Employee Retirement Income Security Act of 1974 as amended. "Hospital" means an institution which: (1) Is operated pursuant to law; (2) Is primarily and continuously engaged in providing medical care and treatment to sick and injured persons on an inpatient basis; (3) Is under the supervision of a staff of Physicians; (4) Provides 24-hour nursing service by or under the supervision of a graduate registered nurse, (R.N.); (5) Has medical, diagnostic and treatment facilities, with major surgical facilities; (a) On its premises; or (b) Available to it on a prearranged basis; and (6) Charges for its services. “Hospital” does not include: (1) A clinic or facility for: (a) Convalescent, custodial, educational or nursing care; (b) The aged, drug addicts or alcoholics; or (c) Rehabilitation; or (2) A military or veterans hospital or a hospital contracted for or operated by a national government or its agency unless: (a) The services are rendered on an emergency basis; and (b) A legal liability exists for the charges made to the individual for the services given in the absence of insurance. "Hospital Stay" means a Medically Necessary overnight confinement in a Hospital when room and board and general nursing care are provided for which a per diem charge is made by the Hospital. SPECIMEN GAC26932-CA 6 "Injury" means bodily harm of which an Accident is the proximate cause. All injuries to the same Covered Person sustained in one accident, including all related conditions and recurring symptoms of the Injuries will be considered one Injury. "Medically Necessary" or "Medical Necessity" means a treatment, service or supply that is: (1) required to treat an Injury; (2) prescribed or ordered by a Physician or furnished by a Hospital; (3) performed in a setting required by the condition; (4) consistent with the medical and surgical practices prevailing in the area for treatment of the condition at the time rendered. The purchasing or renting air conditioners; air purifiers, motorized transportation equipment, escalators or elevators in private homes, swimming pools or supplies for them; and general exercise equipment are not considered Medically Necessary. The fact that a Physician may prescribe, authorize, or direct a service does not of itself make it Medically Necessary or covered by the Group Policy. "Nurse" means either a professional, licensed, graduate registered nurse (R.N.) or a professional, licensed practical nurse (L.P.N.). “Physician” means a person who is a doctor of medicine, osteopathy, psychology or other legally qualified practitioner of a healing art that is required by law to be licensed and is acting within the scope of his/her license under the laws in the state in which he/she practices and providing only those medical services which are within the scope of his/her license or certificate. It does not include an Insured, an Insured’s Spouse, Domestic Partner, son, daughter, father, mother, brother or sister or other relative; "Supervised or Sponsored Activity" means a Certificateholder or School authorized function: (1) In which the Covered Person participates; (2) Which is organized by or under its auspices; which is within the scope of customary activities for such entity and is shown on the Schedule of Benefits. "Usual, Reasonable and Customary means the amount that is the normal payment range for a specific medical procedure performed within a given geographic area. If the charges submitted are higher than what is considered normal for the covered services, then We may not allow the full amount charged. SCOPE OF COVERAGE We will provide the benefits described in this Certificate to all Covered Persons who suffer a covered loss which: (1) Is within the scope of the DESCRIPTION OF BENEFITS PROVISIONS and is the proximate result of disease or bodily infirmity, from an Injury which is suffered in an Accident; (2) Occurs while the person is a Covered Person under this Certificate; and (3) Is within the scope of the risks set forth in the DESCRIPTION OF HAZARDS provisions. Full Excess Medical Expense: If an Injury to the Covered Person results in his incurring Eligible Expenses for any of the services in the SCHEDULE OF BENEFITS, we will pay the Eligible Expenses incurred, subject to the Deductible Amount and Coinsurance Percentage (if any), that are in excess of Expenses payable by any other Health Care Plan, regardless of any Coordination of Benefits provision contained in such Health Care Plan. The Covered Person must be under the care of a Physician when the Eligible Expenses are incurred. The Expense must be incurred solely for the treatment of a covered Injury: (1) While the person is insured under this Certificate; or (2) During the Benefit Period stated on the SCHEDULE OF BENEFITS. The first Expense must be incurred within the time frame shown on the SCHEDULE OF BENEFITS. SPECIMEN GAC26932-CA 7 The total of all medical benefits payable under this Certificate is shown on the SCHEDULE OF BENEFITS: and (1) Subject to the specific maximums shown on the SCHEDULE OF BENEFITS; and (2) Subject to compliance with the requirement, set forth in the Limitations section of this Certificate. PROVISIONS CONCERNING COVERED PERSONS Eligibility: Persons eligible to be insured under this Certificate are those persons described as an ELIGIBLE CLASS on the Application. This includes anyone who may become eligible while this Certificate is in force. Effective Dates: A Covered Person will become an insured under this Certificate, provided proper premium payment is made, on the latest of: (1) The Effective Date of this Certificate; or (2) The day he becomes eligible according to the referenced date shown in the Application. Termination: Insurance for a Covered Person will end on the earliest of: (1) The date he is no longer in an Eligible Class. (2) The date he reports for active duty in any Armed Forces, according to the referenced date shown in the Application. We will refund, upon receipt of proof of service, any premium paid, calculated from the date active duty begins until the earlier of: (a) The date the premium is fully earned; or (b) The Expiration Date of this Certificate. This does not include Reserve or National Guard duty for training; (3) The end of the period for which the last premium contribution is made; or (4) The date the Group Policy is terminated. DESCRIPTION OF HAZARDS HAZARD: POLICYHOLDER FUNCTIONS Subject to all other provisions of this Certificate, coverage is provided for a Covered Person while he is: (1) Attending or participating in a Supervised or Sponsored Activity; or (2) Attending a Policyholder function. The activity has to be an event or activity sponsored by and part of the operations of the policyholder. The Covered Person must be: (1) On the premises of the Policyholder: (a) During its normal hours; (b) During scheduled functions; or (c) During other periods if he is attending or participating in a Supervised or Sponsored Activity; (2) Not on Policyholder: premises and attending or participating in a Supervised or Sponsored Activity; (3) Traveling directly, without interruption: (a) Between his home and the Policyholder premises for participation in a Supervised or Sponsored Activity; (b) Between the site of the Supervised or Sponsored Activity and his home or the Policyholder: premises. (c) In a vehicle which is: (i) Designated or furnished by the Policyholder:; (ii) Operated by a properly licensed adult driver; and (iii) Under the direct supervision of the Policyholder; or (d) In a vehicle other than that described in (3)(c) when: (i) Operated by a properly licensed driver; and (ii) Travel time does not exceed an hour each way. SPECIMEN GAC26932-CA 8 Travel time includes the time: (i) To or from home, the Certificateholder's address and the Supervised or Sponsored Activity; (ii) Before the appointed time; and (iii) After the Supervised or Sponsored Activity is completed. Unless otherwise stated, we will pay benefits for a covered loss, only once, even if coverage was provided under more than one Description of Hazards. DESCRIPTION OF BENEFITS BENEFIT A: BENEFITS FOR ACCIDENTAL DEATH, DISMEMBERMENT, LOSS OF SIGHT, SPEECH AND HEARING; OR PARALYSIS If, within 1-year from the date of an Accident covered by this Certificate, Injury from such Accident, results in Loss listed below, we will pay the percentage of the Principal Sum set opposite the loss in the table below. If the Covered Person sustains more than one such Loss as the result of one Accident, we will pay only one amount, the largest to which he is entitled. This amount will not exceed the Principal Sum which applies for the Covered Person. Loss Percentage of Principal Sum Loss of Life 100% Loss of Both Hands 100% Loss of Both Feet 100% Loss of Entire Sight of Both Eyes 100% Loss of One Hand and One Foot 100% Loss of One Hand and Entire Sight of One Eye 100% Loss of One Foot and Entire Sight of One Eye 100% Loss of Speech and Hearing (both ears) 100% Quadriplegia (total Paralysis of both upper and lower limbs) 100% Paraplegia (total Paralysis of both lower limbs 50% Loss of One Hand 50% Loss of One Foot 50% Loss of Entire Sight of One Eye 50% Loss of Speech 50% Loss of Hearing (both ears) 50% Hemiplegia (total Paralysis of upper and lower limbs on one side of body) 50% Loss of Thumb and Index Finger of the Same Hand 25% Loss of a hand or foot means complete Severance through or above the wrist or ankle joint. Loss of sight means the total, permanent loss of sight of the eye. The loss of sight must be irrecoverable by natural, surgical or artificial means. Loss of speech means total, permanent and irrecoverable loss of audible communication. Loss of hearing means total and permanent loss of hearing in both ears which cannot be corrected by any means. Loss of a thumb and index finger means complete Severance through or above the metacarpophalangeal joints (the joints between the fingers and the hand). In California, loss of a thumb and index finger means loss by complete Severance of at least one whole phalanx of each. "Severance" means the complete separation and dismemberment of the part from the body. "Paralysis" means loss of use, without Severance, of a limb. This loss must be determined by a Physician to be complete and not reversible. SPECIMEN GAC26932-CA 9 BENEFIT - MEDICAL EXPENSE We will pay, Eligible Expenses for a Covered Person’s Injury, subject to the Deductible Amount and Coinsurance Percentage, if any, shown in the Schedule of Benefits. Eligible Expenses are those incurred for: (1) Hospital Room and Board – charges for a semi-private daily room rate for each day of the Hospital Stay, up to the Maximum Daily Benefit Amount shown in the Schedule of Benefits for Hospital Room and Board. (2) Intensive Care Room and Board - charges for each day of Intensive Care Unit confinement, up to the Daily Maximum Benefit Amount shown in the Schedule of Benefits for the Intensive Care Room and Board benefit. This payment is in lieu of payment for the Hospital Room and Board charges for those days. (3) Hospital Miscellaneous - charges during a Hospital Stay, up to the Maximum Daily Benefit Amount shown in the Schedule of Benefits for the Hospital Miscellaneous benefit. Miscellaneous charges do not include charges for telephone, radio or television, extra beds or cots, meals for guests, take home items, or other convenience items. (4) Outpatient Hospital Expenses - charges by a Hospital for: (a) Pre-admission testing (confinement must occur within 7 days of the testing); or (b) Emergency room treatment, up to the Maximum Benefit Amount per emergency shown in the Schedule of Benefits for the Outpatient Emergency Room Treatment benefit. (5) Surgical Benefits - charges for: (a) A Physician, for primary performance of a surgical procedure, up to the Maximum Benefit Amount shown in the Schedule of Benefits per procedure. Two or more surgical procedures through the same incision will be considered as one procedure. However, we will pay up to 1.57 times the surgical procedure charge when more than one surgical procedure through different operating fields are performed during the same surgical session. (b) A Physician, for: (i) assistant surgeon duties; (ii) a second surgical opinion; or (iii) consultation, up to the Maximum Benefit shown in the Schedule of Benefits for an Assistant Surgeon, Second Surgical Opinion, and Consultation. (c) Anesthesia and its administration, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Anesthesia benefit. (d) Use of surgical facilities, up to the Maximum Benefit Amount per operating session, as shown in the Schedule of Benefits for the Surgical Facility benefit. (6) Physician’s Visits - charges by a Physician for other than pre- or post-operative care: (a) For in-Hospital visits, up to the Maximum Benefit Amount shown in the Schedule of Benefits for Physician’s Visit – In-Hospital. (b) For office visits, up to the Maximum Benefit Amount shown in the Schedule of Benefits for Physician’s Office Visits. Total visits per Injury will not exceed the combined Maximum shown in the Schedule of Benefits for All In-Hospital and Office Physician’s Visits. (7) X-Ray and Laboratory - charges for X-ray and laboratory tests, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the X-ray & Laboratory benefit. (8) Nursing Services - Charges for nursing services (other than routine Hospital care) by or under the supervision of a licensed graduate registered nurse, up to the Maximum Benefit Amount shown on the Schedule of Benefits for the Nursing benefit. (9) Physiotherapy - Charges for physiotherapy: (a) While Hospital confined, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Hospital Inpatient Physiotherapy benefit; (b) As an outpatient, up to the Maximum Benefit Amount shown on the Schedule of Benefits for the Outpatient Physiotherapy benefit. Physiotherapy includes: SPECIMEN GAC26932-CA 10 (a) Heat treatment; (b) Diathermy; (c) Microtherm; (d) Ultrasonic; (e) Adjustment; (f) Manipulation; (g) Massage therapy and (h) Acupuncture. Total treatment per Injury will not exceed the Maximum Benefit Amounts for Physiotherapy shown in the Schedule of Benefits. (10) Ambulance - from the place where the Injury occurred to the Hospital, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Ambulance benefit. (11) Medical Equipment Rental - charges for medical equipment for: (a) A wheelchair; (b) An iron lung; or (c) Other medical equipment for which prior approval by us has been given; up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Medical Equipment Rental benefit. (12) Medical Services and Supplies - Charges for medical services and supplies for: (a) Oxygen and its administration; (b) Blood and blood transfusions; up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Medical Service & Supply benefit. (13) Dental Treatment - Charges for dental treatment for Injury to a tooth which was sound and natural at the time of Injury, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Dental Treatment benefit. The amounts payable under this Medical Expense benefit could be greatly reduced if the Covered Person does not comply with the requirements in the Limitations section of this Certificate. BENEFIT - OUT-PATIENT PRESCRIPTION DRUG BENEFIT We will pay the Eligible Expenses, subject to the Deductible Amount and Coinsurance Percentage shown in the Schedule of Benefits, if any; for a Prescription Drug or medication when prescribed by a Physician on an outpatient basis. Prescription Drug means a drug which: (1) Under Federal law may only be dispensed by written prescription; and (2) Is utilized for the specific purpose approved for general use by the Food and Drug Administration. The Prescription Drug must be dispensed for the out-patient use by the Covered Person: (1) On or after the Covered Person's Effective Date; and (2) By a licensed pharmacy provider. Benefits are payable up to the Maximum Benefit Amount shown on the Schedule of Benefits. The amount payable under this benefit could be greatly reduced if the Covered Person does not comply with the requirements in the Limitations section of this Certificate. SPECIMEN GAC26932-CA 11 EXCLUSIONS Benefits will not be paid for a Covered Person's loss which: (1) Is proximately caused by the Covered Person’s own: (a) Intentionally self-inflicted Injury, suicide or any attempt thereat. (In Missouri this applies only while sane.); (b) Voluntary self-administration of any drug or chemical substance not prescribed by, and taken according to the directions of, a doctor (Accidental ingestion of a poisonous substance is not excluded.); (c) Commission or attempt to commit a felony; (d) Participation in a riot or insurrection; (e) [Injury caused by, contributed to or resulting from the Covered Person’s use of alcohol, illegal drugs or medicines that are not taken in the dosage or for the purpose as prescribed by the Covered Person’s Physician. (2) Is proximately caused by: (a) Declared or undeclared war or act of war; (b) Aviation, except as specifically provided in this Certificate; (c) Sickness, disease, bodily or mental infirmity or medical or surgical treatment thereof, bacterial or viral infection, regardless of how contracted. This does not include bacterial infection that is the natural and foreseeable result of an accidental external bodily injury or accidental food poisoning. ADDITIONAL EXCLUSIONS Benefits will not be paid for: 1. Normal health checkups; 2. Dental care or treatment other than care of sound, natural teeth and gums required on account of Injury resulting from an Accident while the Covered Person is covered under this Certificate, and rendered within 6 months of the Accident; 3. Services or treatment rendered by a doctor, nurse or any other person who is: (a) Employed or retained by the Certificateholder; or (b) Who is the Covered Person or a member of his immediate family; 4. Charges which: (a) The Covered Person would not have to pay if he did not have insurance; or (b) Are in excess of Usual, Reasonable and Customary charges. 5. An Injury that is caused by flight in: (a) An aircraft, except as a fare-paying passenger; (b) A space craft or any craft designed for navigation above or beyond the earth's atmosphere; or (c) An ultra light, hang-gliding, parachuting or bungi-cord jumping; 6. Travel in or upon: (a) A snowmobile; (b) Any two or three wheeled motor vehicle; (c) Any off-road motorized vehicle not requiring licensing as a motor vehicle; 7. Any Accident where the Covered Person is the operator of a motor vehicle and does not possess a current and valid motor vehicle operator's license; 8. That part of medical expense arising out of a motor vehicle accident to the extent such benefits are payable by any automobile insurance Certificate without regard to fault. (Does not apply in any state where prohibited); 9. Injury that is: (a) The result of the Covered Person being Intoxicated. (“Intoxicated” will have the meaning determined by the laws in the jurisdiction of the geographical area where the loss occurs); or (b) Caused by any narcotic, drug, poison, gas or fumes voluntarily taken, administered, absorbed or inhaled, unless prescribed by a doctor; 10. Any Sickness, except infection which occurs directly from an Accidental cut or wound or diagnostic tests or treatment, or ingestion of contaminated food; 11. Blood or Blood plasma, except for charges by a Hospital for the processing or administration of blood; 12. Elective treatment or surgery, health treatment, or examination where no Injury is involved; 13. Injury sustained while in the service of the armed forces of any country. When the Covered Person enters the armed forces of any country, we will refund the unearned pro rata premium upon request; 14. Eyeglasses, contact lenses, hearing aids, braces, appliances, or examinations or prescriptions therefore; SPECIMEN GAC26932-CA 12 15. Treatment in any Veterans Administration or Federal Hospital, except if there is a legal obligation to pay; 16. Treatment of temporomandibular joint (TMJ) disorders involving the installation of crowns, pontics, bridges or abutments, or the installation, maintenance or removal of orthodontic or occlusal appliances or equilibration therapy; 17. Cosmetic surgery, except for reconstructive surgery on a diseased or injured part of the body; 18. Benefits will not be provided for services or injuries or diseases related to your job to the extent you are covered or are required to be covered by the Workers’ Compensation law. If you enter into a settlement giving up your right to recover future medical benefits under a Workers’ Compensation law, this policy will not pay those medical benefits that would have been payable in absence of that settlement; 19. The repair or replacement of existing artificial limbs, orthopedic braces, or orthotic devices; 20. Rest cures or custodial care; 21. The repair or replacement of existing dentures, partial dentures, braces or fixed or removable bridges; 22. Expenses incurred for an Accident after the Benefit Period shown in the Schedule of Benefits; 23. Orthopedic appliances which are used mainly to protect an Injury so that a covered student can take part in interscholastic or intercollegiate sports; 24. Hernia of any kind; or any bacterial infection that was not caused by an Accidental cut or wound; 25. Prescription medicines unless specifically provided for under this Certificate. 26. Injuries, which result over a period of time (such as blisters, tennis elbow, etc.) are not covered. LIMITATIONS Any benefits payable under this Certificate will be limited to the following: (1) The medical benefits otherwise payable under this Certificate will be reduced by 50% if: (a) Excess insurance is provided under this Certificate; and (b) The Covered Person has coverage under another plan providing medical expense benefits; and (c) The other plan is an HMO, PPO or similar arrangement ("PPO-Preferred Provider Organization" means an Organization offering health care services through designated health care providers who agree to perform these services at rates lower than nonpreferred providers.); and (d) The Covered Person does not use the facilities or services of the HMO, PPO or similar arrangement for the provision of benefits. The Covered Person’s limitation does not apply to emergency treatment required within 24 hours after an Accident which occurred outside the geographic area serviced by the HMO, PPO or similar arrangement. (2) Costs that exceed the Usual, Reasonable and Customary charges in the area where the services are furnished or supplies provided. Services, supplies and equipment must be: a) Medically necessary for the care or treatment of a covered Injury; b) Received while coverage is in force under this Certificate; and c) Rendered and/or prescribed by a licensed Physician other than the Covered Person (or a member of his household or immediate family) in accordance with current medical standards and practices. (3) The application of the Coordination of Benefits or Non-Duplication of Benefits provision. (4) If the Covered Person is admitted into the Hospital on a Friday or a Saturday on a non-emergency basis and the procedure for which he is admitted is not performed on the day of or the day after admission, we will not pay the Hospital charges for room and board or miscellaneous Hospital charges for the initial Friday or Saturday preceding the procedure. MEDICAL REVIEW REQUIREMENTS A Covered Person may request an independent medical review (“IMR”) of disputed health care services from the California Department of Insurance if he or she believes that we have improperly denied, modified, or delayed health care services. A disputed health care service is any health care service eligible for coverage and payment under the Covered Person’s coverage that has been denied, modified, or delayed by us, in whole or in part because the service is not Medically Necessary. SPECIMEN GAC26932-CA 13 The IMR process is in addition to any other procedures or remedies that may be available. There is no application or processing fee of any kind for an IMR. The Covered Person has the right to provide information in support of the request for an IMR. We must provide the Covered Person with an IMR application form together with any grievance disposition letter that denies, modifies, or delays health care services. A decision not to participate in the IMR process may cause a Covered Person to forfeit any California statutory right to pursue legal action against us regarding the disputed health care service. It should be noted that we do not believe any such California statutory right exists which is applicable to it. For more information regarding the IMR process, or to request an application form, please contact us. Eligibility. The California Department of Insurance will review the Covered Person’s application for an IMR to confirm that: 1. a. The provider has recommended a health care service as Medically Necessary. b. The Covered Person has received urgent care or emergency services that a provider determined was Medically Necessary; or c. The Covered Person has been seen by a provider for the diagnosis or treatment of the medical condition for which he or she seeks independent review. 2. The disputed health care service has been denied, modified, or delayed by us based in whole or in part on a decision that the health care service is not Medically Necessary; and 3. The Covered Person filed a grievance with us and the disputed decision is upheld or the grievance remains unresolved after 30 days. If the grievance requires expedited review, the Covered Person may bring it immediately to the attention of the California Department of Insurance. It may waive the requirement that the Covered Person follow the plan’s grievance process in extraordinary and compelling cases. If a case is eligible for an IMR, the dispute will be submitted to a medical specialist who will make an independent determination as to whether or not the care is Medically Necessary. The Covered Person will receive a copy of the assessment made. If the IMR determines the service is Medically Necessary, we will provide benefits for the health care service. For non-urgent cases, the IMR organization designated by the California Department of Insurance must provide its determination within 30 days of receipt of the Covered Person’s application and supporting documents. For urgent cases involving an imminent and serious threat to a Covered Person’s health, including, but not limited to, serious pain, the potential loss of life, limb, or major bodily function, or the immediate and serious deterioration of the Covered Person’s health, the IMR organization must provide its determination within three business days. PREMIUM PROVISIONS GRACE PERIOD: Unless not less than five days prior to the premium due date we have delivered to the Insured or have mailed to the Insured’s last address as shown by our records written notice of our intention not to renew this Policy beyond the period for which the premium has been accepted, a grace period of 31 days will be granted for the payment of each premium falling due after the first premium, during which grace period the policy shall continue in force (subject to the right of the insurer to cancel in accordance with the cancellation provision hereof). PREMIUMS: Premium due dates are the first of every month. Premium payment made in advance or for more than a one month period will not affect any provisions of this Certificate with regard to change. Failure by the Certificateholder to pay premiums within the grace period shall be deemed notice to us to terminate coverage at the end of the period for which premium was paid. CHANGES IN RATES: We have the right to change the premium rates on any premium due date: (1) After the first 12 months insurance is in effect; (2) Coinciding with a change in the coverage provided or classes eligible; or SPECIMEN GAC26932-CA 14 (3) Coinciding with a change in the risks we have assumed. We will give 31 days written notice of any change under (1) above. Notice will be sent to the Certificateholder's most recent address in our records. GENERAL PROVISIONS ENTIRE CONTRACT; CHANGES: This Certificate, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by one of our executive officers and unless such approval be endorsed hereon or attached hereto. No agent has authority to change this Certificate or to waive any of its provisions. All statements made by the Policyholder or by a Covered Person in the absence of fraud, be deemed a representation and not a warranty. No such statement shall (avoid the insurance or reduce the benefits under the Policy or) be used in defense to a claim hereunder unless it is contained in a written application, nor shall any such statement of the Policyholder or Covered Person, except a fraudulent misstatement, be used at all to void the Policy or this Certificate after it has been in force for three years from the date of its issue, nor shall any such statement of any person eligible for coverage under the Policy, except a fraudulent misstatement, be used at all in defense to a claim for loss incurred or disability (as defined in the policy) commencing after the insurance coverage with respect to which claim is made has been in effect for three years from the date it became effective. WORKERS' COMPENSATION INSURANCE: This Certificate is not in lieu of and does not affect any requirement for coverage under any Workers' Compensation Insurance. CONFORMITY WITH STATE STATUTES: Any provision of this Certificate in conflict, on the Effective Date of this Certificate, with the laws of the state where it is delivered, is amended to conform to the minimum requirements of such laws. CLAIM PROVISIONS NOTICE OF CLAIM: Written notice of claim must be given to us within 20 days after the occurrence or commencement of any loss covered by this Certificate policy, or as soon thereafter as is reasonably possible. Notice given by or on behalf of the Insured or Covered Person to us at our administrative office listed on the cover-page of this Certificate, or to our authorized agent, with information sufficient to identify the Insured or Covered Person, shall be deemed notice to us. CLAIM FORMS: Upon our receipt of a notice of claim, we will furnish to the claimant such forms as are usually furnished by us for filing proofs of loss. If such forms are not furnished within 15 days after the giving of such notice the claimant shall be deemed to have complied with the requirements of this Certificate as to proof of loss upon submitting, within the time fixed in this Certificate for filing proofs of loss, written proof covering the occurrence, the character and the extent of the loss for which claim is made. PROOF OF LOSS: Written proof of loss must be furnished to us in the case of a claim for loss for which this Certificate provides periodic payment contingent upon continuing loss within 90 days after the end of the period for which we are liable. Written proof that the loss continues must be furnished to us at intervals required by us. In case of claim for any other loss, proof must be furnished within 90 days after the date of such loss. If that is not reasonably possible, we will not deny or reduce any claim if proof is furnished as soon as reasonably possible. Proof must, in any case, be furnished not more than a year later, except for lack of legal capacity. SPECIMEN GAC26932-CA 15 TIME OF PAYMENT OF CLAIMS: Benefits payable under this Certificate for any loss other than loss for which this Certificate provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnities for loss for which this policy provides periodic payment will be paid Monthly and any balance remaining unpaid upon the termination of liability will be paid immediately upon receipt of due written proof. PAYMENT OF CLAIMS: Benefits for a Covered Person’s loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such benefit shall be payable to the estate of the Covered Person. Any other accrued benefits unpaid at the Covered Person’s death may, at our option, be paid either to such beneficiary or to such estate. All other Benefits will be payable to the Covered Person. If any benefits under this policy shall be payable to the estate of a Covered Person, or to a Cover Person or beneficiary who is a minor or otherwise not competent to give a valid release, we may pay such Benefit, up to an amount not exceeding $1,000, to any relative by blood or connection by marriage of the Covered Person or beneficiary who is deemed by us to be equitably entitled thereto. Any payment made by us in good faith pursuant to this provision shall fully discharge us to the extent of such payment. Subject to any written direction of a Covered Person in the application or otherwise all or a portion of any benefits provided by this certificate on account of hospital, nursing, medical, or surgical services may, at our option and unless the Covered Person requests otherwise in writing not later than the time of filing proofs of that loss, be paid directly to the person or persons having paid for the hospitalization or medical or surgical aid, or to the hospital or person rendering those services; but it is not required that the service be rendered by a particular hospital or person. PAYMENT OF CLAIMS: OTHER BENEFITS: All other benefits will be paid to the Covered Person, if he is living, if not, we will pay his beneficiary or his estate. PHYSICAL EXAMINATION: We, at our own expense, shall have the right and opportunity to examine the person of the Covered Person when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death where it is not forbidden by law. TIME LIMIT ON CERTAIN DEFENSES: After the Policy has been in force for a period of three years, no statements of the Policyholder contained in the application, and no statement relating to insurability made by any Covered Persons eligible for coverage under the Policy shall be used to deny a claim or in contesting the validity of the insurance with respect to which such statement was made after the insurance has been in force prior to the contest for a period of three years during the lifetime of the person with respect to whom any such statement was made. No claim for loss incurred after three years from the effective date of the insurance coverage with respect to which the claim is made shall be reduced or denied on the ground that a disease or physical condition, not excluded from coverage by name or specific description effective on the date of loss, had existed prior to the effective date of the coverage with respect to which the claim is made: LEGAL ACTIONS: No action at law or in equity shall be brought to recover benefits under this Certificate less than 60 days after written proof of loss has been furnished as required by this Certificate. No such action shall be brought more than 3 years after the time written proof of loss is required to be furnished. SPECIMEN Guaranty Notice (California) 07/2011 California Guaranty Notice NOTICE OF PROTECTION PROVIDED BY THE CALIFORNIA LIFE AND HEALTH INSURANCE GUARANTEE ASSOCIATION This notice provides a brief summary regarding the protection provided to policyholders by the California Life and Health Insurance Guarantee Association (“the Association). The purpose of this Association is to assure that policyholders will be protected, within limits, in the unlikely event that a member insurer becomes financially unable to meet its obligations. Insurance Companies licensed in California to sell life insurance, health insurance, annuities and structured settlement annuities are members of the Association. The valuable extra protection provided through the Association is not unlimited and is not a substitute for consumers’ care in selecting insurers. This protection was created under California law, which determines who and what is covered and he amounts of coverage. Below is a brief summary of the coverages, exclusions, and limit provided by the Association. This summary does not cover all provisions of the law; nor does it in any way change anyone’s rights or obligations under the Act or the rights or obligations of the Association. COVERAGE • Persons Covered Generally, an individual is covered by the California Life and Health Insurance Guarantee Association if the insurer was a member of the Association and the individual lives in California at the time the insurer is determined by a court to be insolvent. Coverage is also provided to policy beneficiaries, payees or assignees, whether or not they live in California. • Amounts of Coverage The basic coverage protections provided by the Association are as follows: Life Insurance, Annuities and Structured Settlement Annuity Benefits For life insurance policies, annuities and structured settlement annuities, the Association will provide the following: • Life Insurance 80% of death benefits but not to exceed $300,000 80% of cash surrender or withdrawal values but not to exceed $100,000 • Annuities and Structured Settlement Annuities 80% of the present value of annuity benefits, including net cash withdrawal and net cash surrender values but not to exceed $250,000. The maximum amount of protection provided by the Association to an individual, for all life insurance, annuities and structured settlement annuities is $300,000, regardless of the number of polices or contracts covering the individual. SPECIMEN Guaranty Notice (California) 07/2011 • Health Insurance The maximum amount of protection provided by the Association to an individual, as of April 1, 2011, is $470,125. This amount will increase or decrease based upon changes in the health care cost component of the consumer price index to the date on which an insurer becomes an insolvent insurer. COVERAGE LIMITATIONS AND EXCLUSIONS FROM COVERAGE The California Life and Health Insurance Guarantee Association may not provide coverage for this policy. Coverage by the Association generally requires residency in California. You should not rely on coverage by the Association in selecting an insurance company or in selecting an insurance policy. The following policies and persons are among those that are excluded from Association coverage: • A policy or contract issued by an insurer that was not authorized to do business in California when it issued the policy or contract; • A policy issued by a health care service plan (HMO), a hospital or medical service organization, a charitable organization, a fraternal benefit society, a mandatory state pooling plan, a mutual assessment company, an insurance exchange, or a grants and annuities society; • If the person is provided coverage by the guaranty association of another state; • Unallocated annuity contracts; that is, contracts which are not issued to and owned by an individual and which do not guaranty annuity benefits to an individual; • Employer and association plans, to the extent they are self-funded or uninsured; • A policy or contract providing any health care benefits under Medicare Part C or Part D; • An annuity issued by an organization that is only licensed to issue charitable gift annuities; • Any policy or portion of a policy which is not guaranteed by the insurer or for which the individual has assumed the risk, such as certain investment elements of a variable life insurance policy or a variable annuity contract; • Any policy of reinsurance unless an assumption certificate was issued; • Interest rate yields (including implied yields) that exceed limits that are specified in Insurance Code Section 1607.02(b) (C) NOTICES Insurance companies or their agents are required by law to give or send you this notice. Policyholders with additional questions should first contact their insurer or agent. To learn more about coverages provided by the Association please visit the Association’s website at www.califega.org, or contact either of the following: California Life and Health Insurance or Consumer Service Division Guarantee Association California Department of Insurance P.O. Box 16860 300 South Spring Street Beverly Hills, CA 90209-3319 Los Angeles, CA 90013 (323) 782-0182 (800) 927-4357 or (213) 897-8921 Insurance companies and their agents are not allowed by California law to use the existence of the Guarantee Association or its coverage to solicit, induce or encourage you to purchase any form of insurance policy. When selecting an insurance company, you should not rely on Association coverage. If there is an inconsistency between this notice and California law, then California law will control. SPECIMEN When used throughout this document “Company”, “Our”, “We”, or “Us” means: United States Fire Insurance Company The North River Insurance Company GRIEVANCE PROCEDURES When you submit a claim and that claim is denied, we will provide a written statement containing the reasons for the Adverse Determination. You have the right to request a review of any Company decision or action pertaining to our contractual relationship and to appeal any adverse claim determination we’ve made by filing a Grievance. These procedures have been developed to ensure a full investigation of a Grievance through a formal process. DEFINITIONS A “Grievance” is a written complaint requesting a change to a previous claim decision, claims payment, the handling or reimbursement of health care services, or other matters pertaining to your coverage and our contractual relationship. An “Adverse Determination” is a determination by the Company or its designated utilization review organization that (i) a service, treatment, drug, or device, is experimental, investigational, specifically limited or excluded by your coverage; or (ii) a facility admission, the availability of care, continued stay or other health care services proposed or furnished have been reviewed and, based upon the information provided, does not meet the contractual requirements for medical necessity, appropriateness, health care setting, level of care or effectiveness and therefore, the benefit coverage is denied, reduced or terminated in whole or in part. INFORMAL GRIEVANCE PROCEDURE You, your authorized representative, or a provider acting on your behalf may submit an oral complaint to us within 60-days after an event that causes a dispute. Telephoning allows you to discuss your complaint or concerns and gives us the opportunity to immediately resolve the problem. If we don’t have all the information necessary to review your complaint, we will request any additional information within 5 business days of receiving your complaint. After we receive all the necessary information, we will provide you, your authorized representative, or a provider acting on your behalf with our written decision within 30-days after receiving the complaint and all necessary information. If the problem cannot be resolved in this manner, you still have the right to submit a written request for the complaint to be reviewed through the Formal Grievance Procedure, as outlined below. FORMAL GRIEVANCE PROCEDURE A formal Grievance may be submitted by you, your authorized representative, or in the event of an Adverse Determination, by a provider acting on your behalf. If you file a formal Grievance, you will have the opportunity to submit written comments, documents, records and other information you feel are relevant to the Grievance, regardless of whether those materials were considered in the initial Adverse Determination. First Level Review Within 3 working business days after receiving the Grievance, we must acknowledge the Grievance and provide you, your authorized representative or a provider with the name, address, and telephone number of the coordinator handling the Grievance and information on how to submit written material. The person(s) who reviews the Grievance will not be the same person(s) who made the initial Adverse Determination. During the review, all information, documents, and other materials submitted relating to the claim will be considered, regardless of whether they were considered in making the previous claim decision. The Insured will not be allowed to attend, or have a representative attend, a First Level Review. The Insured may, however, submit written material for consideration by the reviewer(s). Grievance SPECIMEN When the Grievance is based in whole or in part on a medical judgment, the review will be conducted by, or in consultation with, a medical doctor with appropriate training and expertise to evaluate the matter. Following our review of your Grievance, we must issue a written decision to you and, if applicable, to your representative or provider, within 20-days after receiving the Grievance. The written decision must include: (1) The name(s), title(s) and professional qualifications of any person(s) participating in the First Level Review process. (2) A statement of the reviewer’s understanding of the Grievance. (3) The specific reason(s) for the reviewer’s decision in clear terms and the contractual basis or medical rationale used as the basis for the decision in sufficient detail for the Insured to respond further to our position. (4) A reference to the evidence or documentation used as the basis for the decision. (5) If the claim denial is based on medical necessity, experimental treatment or similar exclusion, instructions for requesting an explanation of the scientific or clinical rationale used to make the determination. (6) A statement advising you of your right to request a Second Level Review, if applicable, and a description of the procedure and timeframes for requesting a Second Level Review. Second Level Review The Second Level Review process is available if you are not satisfied with the outcome of the First level Review for an Adverse Determination. Within ten business days after receiving a request for a Second Level Review, we will advise you of the following: (1) the name, address, and telephone number of a person designated to coordinate the Grievance review for the Company; (2) a statement of your rights, including the right to: • attend the Second Level Review • present his/her case to the review panel; • submit supporting materials before and at the review meeting; • ask questions of any member of the review panel; • be assisted or represented by a person of his/her choice, including a provider, family member, employer representative, or attorney. • request and receive from us free of charge, copies of all relevant documents, records and other information that is not confidential or privileged that were considered in making the Adverse Determination. We must convene a review panel and hold a review meeting within 45-days after receiving a request for a Second Level Review. We will notify you in writing of the meeting date at least 15-days prior to the date. The review meeting will be held during regular business hours at a location reasonable accessible to you. In cases where a face-to-face meeting is not practical for geographic reasons, we will offer you the opportunity to communicate with the review panel at our expense by conference call or other appropriate technology. Your right to a full review may not be conditioned on whether or not you appear at the meeting. If you choose to be represented by an attorney, we may also be represented by an attorney. If we choose to have an attorney present to represent our interests, we will notify you at least 15 working days in advance of the review that an attorney will be present and that you may wish to obtain legal representation of your own. The panel must be comprised of persons who: (1) were not previously involved in any matter giving rise to the Second Level Review; (2) are not employees of the Company or Utilization Review Organization; and (3) do not have a financial interest in the outcome of the review. A person previously involved in the Grievance may appear before the panel to present information or answer questions. All persons reviewing a Second Level Grievance involving a Utilization Review non-certification or a clinical issue will be providers who have appropriate expertise, including at least one clinical peer. If we use a clinical peer on an appeal of a Utilization Review non-certification or on a First Level Review, we may use one of our employees on the Second Level Review panel if the panel is comprised of 3 or more persons. Grievance SPECIMEN We must issue a written decision to you and, if applicable, to your representative or provider, within 10 business days after completing the review meeting. The decision must include: (1) the name(s), title(s) and qualifying credentials of the members of the review panel; (2) a statement of the review panel’s understanding of the nature of the Grievance and all pertinent facts; (3) the review panel’s recommendation to the Company and the rationale behind the recommendation; (4) a description of, or reference to, the evidence or documentation considered by the review panel in making the recommendation; (5) in the review of a Utilization Review non-certification or other clinical matter, a written statement of the clinical rationale, including the clinical review criteria, that was used by the review panel to make the determination; (6) the rationale for the Company’s decision if it differs from the review panel’s recommendation; (7) a statement that the decision is the Company’s final determination in the matter; (8) notice of the availability of the Commissioner’s office for assistance, including the telephone number and address of the Commissioner’s office. EXPEDITED REVIEW You are eligible for an expedited review when the timeframes for an Informal, formal First Level review or Second Level review would reasonably appear to seriously jeopardize your life or health, or your ability to regain maximum function. An expedited review is also available for all Grievances concerning an admission, availability of care, continued stay or health care service for a person who has received emergency services, but who has not been discharged from a facility. A request for an expedited review may be submitted orally or in writing. An expedited review must be evaluated by an appropriate clinical peer in the same or similar specialty as would typically manage the case being reviewed. If we don’t have the information necessary to decide an appeal, we will send you notification of precisely what is required within 24-hours of our receipt of your Grievance. All necessary information, including our decision, will be transmitted by telephone, facsimile, or the most expeditious method available. Provided we have enough information to make a decision, you, your authorized representative, or a provider acting on your behalf will be notified of the determination as expeditiously as the medical condition requires, but in no event more than 72-hours after the review has commenced. Written confirmation of our decision will be provided within 2 working business days of the decision and will contain the same items described in the written decision requirements for First Level reviews. If the expedited review does not resolve the situation, you, your representative or a provider acting on your behalf may submit a written Grievance. We will not provide an expedited review for retrospective reviews of Adverse Determinations. Grievance SPECIMENUNITED STATES FIRE INSURANCE COMPANY Administrative Offices: 5 Christopher Way • Eatontown, NJ 07724 PARTICIPATING ORGANIZATION ENDORSEMENT This Endorsement is attached to and made part of the Certificate as of the Certificate Effective Date. It applies only to Accidents and losses of life that occur on or after that date. It is subject to all of the provisions, limitations and exclusions of the Certificate except as they are specifically modified by this Endorsement. 1. The following definition is added to the Definitions section of the Certificate: Participating Organization – means an organization: 1) Which elects to offer coverage under the Group Policy by completing a Participation Organization Application that has been accepted by the Company; 2) Which completes a participation agreement with the Company; 3) Which remits the required premium when due; if applicable, and 4) While coverage through the Participating Organization is available under the Certificate. 2. The following section is added to the Certificate: PARTICIPATING ORGANIZATION EFFECTIVE AND TERMINATION DATES Effective Date. A Participating Organization’s coverage under the Certificate begins on the later of: 1) Participating Organization Effective Date shown in the Participating Organization Application at 12:01AM Standard Time at the address of the Participating Organization shown in the Participating Organization Application; or 2) the Certificate Effective Date. Termination Date. We may terminate coverage on or after the anniversary of any premium due date. Written notice must be given at least 31 days prior to such premium due date. The Participating Organization may terminate the coverage on any premium due date. Failure by the Participating Organization to pay premium when due or within any applicable grace period shall be deemed notice to us to terminate coverage at the end of the period for which premium was paid. 3. The references in the Certificate to “Certificateholder,” where applicable, mean “Participating Organization,” respectively. 4. The following language applies to each Rider attached to the Certificate: Any Riders attached to the Certificate apply only with respect to Accidents and losses of life that occur on or after the later of: 1) The effective date of each Rider; or 2) The effective date of the Participating Organization’s coverage under each Rider. Each Rider applies with respect to a Participating Organization’s coverage under the Certificate only if the Participating Organization has elected the coverage described in each Rider, as indicated in the Participating Organization Application. Signed for United States Fire Insurance Company By: Signature Signature 0DUF-$GHH-DPHV.UDXVChairman and CEO Secretary SPECIMEN When used throughout this document “The Company”, “Our”, “We”, or “Us” means: United States Fire Insurance Company The North River Insurance Company Crum & Forster Indemnity Company PRIVACY POLICY AND PRACTICES The Company values your business and your trust. In order to administer insurance policies and provide you with effective customer service, we must collect certain information about our customers. We want you to know that we are committed to protecting your private information and we will comply with all federal and state privacy laws. Below is a Privacy Notice describing our policy regarding the collection and disclosure of personal information. Please review this Notice and keep a copy of it with your records. Your Privacy is Our Concern When you apply to The Company for insurance or make a claim against a policy written by The Company, you disclose information about yourself to us. There are legal requirements governing the collection, use, and disclosure of such information. The Company maintains physical, electronic, and procedural safeguards that comply with state and federal regulations to guard your personal information. We also limit employee access to personally identifiable information to those with a business reason for knowing such information. The Company instructs our employees as to the importance of the confidentiality of personal information, and takes measures to enforce employee privacy responsibilities. What kind of information do we collect about you and from whom? We obtain most of our information from you. The application or claim form you complete, as well as any additional information you provide, generally gives us most of the information we need to know. Sometimes we may contact you by phone or mail to obtain additional information. We may use information about you from other transactions with us, our affiliates, or others. Depending on the nature of your insurance transaction, we may need additional information about you or other individuals proposed for coverage. We may obtain the additional information we need from third parties, such as other insurance companies or agents, government agencies, medical personnel, the state motor vehicle department, information clearinghouses, credit reporting agencies, courts, or public records. A report from a consumer reporting agency may contain information as to creditworthiness, credit standing, credit capacity, character, general reputation, hobbies, occupation, personal characteristics, or mode of living. What do we do with the information collected about you? If coverage is declined or the charge for coverage is increased because of information contained in a consumer report we obtained, we will inform you, as required by state law or the federal Fair Credit Reporting Act. We will also give you the name and address of the consumer reporting agency making the report. We may retain information about our former customers and may disclose that information to affiliates and non-affiliates only as described in this notice. To whom do we disclose information about you? We may disclose all the information that we collect about you, as described above. We may disclose such information about you to our affiliated companies, such as: • Insurance companies; • Insurance agencies; • Third party administrators; • Medical bill review companies; and • Reinsurance companies. We may also disclose nonpublic personal information about you to affiliated and nonaffiliated third parties as permitted by law. You have a right to access and correct the personal information we collect, maintain, and disclose about you. How to contact Us You may obtain a more detailed description of the information practices prescribed by law by contacting us at the address below. Remember to include your name, address, policy number, and daytime phone number. Privacy Policy Coordinator Fairmont Speciality 5 Christopher Way, 3rd Floor Eatontown, New Jersey 07724 SPECIMENGA27037 APPLICATION is made to UNITED STATES FIRE INSURANCE COMPANY Administrative Office: 5 Christopher Way, Eatontown, NJ 07724 Policy Number: Policyholder: Address: The Policyholder hereby applies to United States Fire Insurance Company for the group special risk coverage provided by the Policy as described in the Attachment No. 1. The Policyholder approves and accepts the Policy by the signature shown below. The Policy takes effect on the date specified on the face page of the Policy. DATED AT: on: SIGNED FOR THE POLICYHOLDER: By: __On File_______________________________________________________________ (Signature and Title) Agent's Name: ______________________________________________________________ (Must be a Resident Licensed Agent where required by law) City of Vernon 0 City of Vernon 4305 Santa Fe Ave Vernon, CA 90058 Vernon, CA SPECIMENGA27037 Attachment ATTACHMENT # 1 Requested Effective Date: Event Name and Location: Event Date: Class and Option: Rate: Premium: Event Name and Location: Event Date: Class and Option: Rate: Premium: Event Name and Location: Event Date: Class and Option: Rate: Premium: Event Name and Location: Event Date: Class and Option: Rate: Premium: City of Vernon 1)Family Game Night City of Vernon 4305 Santa Fe Vernon, CA 90058 Aug 08, 2019 Class 1, Option 1 8.00 % of primary GL premium (no minimum premium) $8.00 2)3rd Annual Halloween Spooktacular City of Vernon 4305 Santa Fe Vernon, CA 90058 Oct 05, 2019 Class 1, Option 1 8.00 % of primary GL premium (no minimum premium) $8.00 3)2nd Annual Holiday Tree Lighting Ceremony City of Vernon 4305 Santa Fe Vernon, CA 90058 Dec 05, 2019 Class 1, Option 1 8.00 % of primary GL premium (no minimum premium) $8.00 4)3rd Annual Spring Event City of Vernon 4305 Santa Fe Vernon, CA 90058 Apr 06, 2020 Class 1, Option 1 8.00 % of primary GL premium (no minimum premium) $8.00 ENDORSEMENT # THIS ENDORSEMENT EFFECTIVE: 12:01 A.M., FORMS A PART OF POLICY NO. ISSUED TO: BY: All other terms and conditions remain the same. __________________________ AUTHORIZED SIGNATURE 333133826 U.S. SPECIALTY INSURANCE COMPANY September 20, 2019 City of Vernon 4 United States Fire Insurance Company 5 Christopher Way, Eatontown, NJ 07724 AMENDMENT RIDER This rider is attached to and made a part of Policy # and is subject to the provisions and conditions contained therein. The effective date of this rider is Except as stated herein, this Amendatory Endorsement does not change coverage in any other way and is subject to all provisions, terms, and conditions of the Policy/Certificate. If there is a conflict between the Policy/Certificate and this Amendatory Endorsement, the terms of this Amendatory Endorsement will govern. PRESIDENT September 20, 2019 US1282465 4 City Council Agenda Item Report Agenda Item No. COV-424-2019 Submitted by: Adriana Ramos Submitting Department: Fire Department Meeting Date: October 15, 2019 SUBJECT Fire Department Activity Report for the Period of September 1 through September 15, 2019 Recommendation: A. Receive and file. Background: Attached is a copy of the Vernon Fire Department Activity Report which covers the period of September 1, 2019 through September 15, 2019. This report covers hours for Fire Prevention, Training, Pre-Incident, Periodic Testing, Public Service Programs and Routine Maintenance. Fiscal Impact: None. ATTACHMENTS 1. Fire Department Activity Report - 09/01/19 to 09/15/19 ACTIVITY TYPE This Period Last Year This This Year FIRE PREVENTION:Last Year To Date Period To Date Regular Inspections (#):36 1012 59 1012 Re-Inspections (#):0 135 6 154 Spec. Haz. Inspections (#):0 30 4 27 Total Inspections: 36 1177 69 1193 Total Staff Hours:55 1621 83 1711 PRE-INCIDENT (HOURS): This Period Last Year This This Year Last Year To Date Period To Date Planning 67 1552 91 1578 District Familiarization 91 1636 99 1575 Total Hours:158 3188 190 3153 PERIODIC TEST (HOURS): This Period Last Year This This Year Last Year To Date Period To Date Hose Testing 0 9 0 4 Pump Testing 0 27 3 24 Total Hours: 0 36 3 28 VERNON FIRE DEPARTMENT COMPANY ACTIVITIES September 1, 2019 to September 15, 2019 *Reduction in activity due to transitioning to electronic inspection reporting system. 0 200 400 600 800 1000 1200 1400 Last Year To Date Period To Date This Period Last Year This This Year Annual Business Fire Inspections Page 1 TRAINING (HOURS): This Period Last Year This This Year Last Year To Date Period To Date Firefighting 152 1843 122 2050 Hazardous Materials 43 658 34 581 Safety 146 2217 106 2071 Apparatus Operations 152 2218 120 2159 Equipment Operations 161 2193 120 2147 CPR 0 63 1 73 First Aid 19 536 55 680 Total Hours:673 9728 558 9761 PUBLIC SERVICE PROGRAMS (HOURS): This Period Last Year This This Year Last Year To Date Period To Date School Programs 2 66 3 31 Fire Brigades 3 14 0 16 Emergency Preparedness 5 218 23 227 Total Hours:10 298 26 274 ROUTINE MAINTENANCE (HOURS): This Period Last Year This This Year Last Year To Date Period To Date Station 126 2016 124 2126 Apparatus 142 2057 127 2113 Equipment 145 2100 123 2145 Total Hours:413 6173 374 6384 Personnel Activity Total By Hours:1309 21044 1234 21311 122 34 106 120 120 1 55 558 Fire Training Hours Firefighting Hazardous Materials Safety Apparatus Operations Equipment Operations CPR First Aid Page 2 :Fireactivity MAJOR INCIDENT TYPE # INCIDENTS Fires 2 Rescue & Emergency Medical Service 25 Hazardous Condition (No Fire)2 Service Call 1 Good Intent Call 6 False Alarm & False Call 19 TOTAL 55 45.45% 3.64% 1.82% 10.91% 34.55% Emergency Activity: September 1, 2019 to September 15, 2019 % of TOTAL 3.64% 100.00% Page 3 MAJOR INCIDENT TYPE # INCIDENTS Fires 79 Overpressure rupture, explosion, overheat - no fire 6 Rescue & Emergency Medical Service 549 Hazardous Condition (No Fire)36 Service Call 45 Good Intent Call 117 False Alarm & False Call 375 Severe Weather & Natural Disaster 1 Special Incident Type 4 TOTAL 1212 100.00% 0.33% 2.97% 3.71% 9.65% 30.94% 0.08% % of TOTAL 6.52% 0.50% 45.30% Emergency Activity: January 1, 2019 to September 15, 2019 Page 4 City Council Agenda Item Report Agenda Item No. COV-439-2019 Submitted by: Danita Robertson Submitting Department: Police Department Meeting Date: October 15, 2019 SUBJECT Vernon Police Department Activity Log and Statistical Summary for the period of September 1 through September 15, 2019 Recommendation: A. Receive and file. Background: The Vernon Police Department's activity report consists of activity during the specified reporting period, including a summary of calls for service, and statistical information regarding arrests, traffic collisions, stored and impounded vehicles, recovered stolen vehicles, the number of citations issued, and the number of reports filed. Fiscal Impact: None. ATTACHMENTS 1. Police Department Activity Report - 09/01/19 to 09/15/19 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/01/201909/01/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909178292634 E 26TH, VERNON594RUNITED GROWER09:22:1909/01/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191403 CA0197300VPDREDONA,BRYAN*20E09:24:40 09:24:4009:49:4809:30:56VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO32W09:31:0210:40:5609:32:56201909178552501 S SANTA FE AV, VERNONPATCK15:09:0409/01/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191404 CA0197300VPDREDONA,BRYAN*20E16:26:0715:09:04VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO32W15:16:0516:25:0615:21:20VPDVILLEGAS,RICHARDXS15:13:56 15:13:5615:15:4620190917869S SANTA FE AV // 52ND, VERNONPEDCK19:26:1109/01/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191405 CA0197300VPDHERNANDEZ,MIGUEL,JR*31E21:18:2519:26:11VPDCAM,PATRICK25W19:26:1920:51:2719:34:44VPDGODOY,RAYMOND32W21:10:0221:09:59201909178853200 E SLAUSON AV, VERNON242POPCORNOPOLIS23:17:0409/01/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191406 CA0197300VPDCAM,PATRICK*25W23:19:39 23:19:40 23:24:49VPDCORTEZ,JUSTIN26E23:35:3423:49:3823:42:47VPDHERNANDEZ,MIGUEL,JR31E23:42:18 23:48:23VPDGODOY,RAYMOND32W23:42:32* Denotes Primary Unit1Page of 109/02/201900:10:18 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/02/201909/02/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909179037148 PACIFIC BL, VERNONDPTASTHPPD OPER CASILLAS03:07:3109/02/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191407 CA0197300VPDGODOY,RAYMOND*32W03:09:14 03:09:5204:28:5303:15:08VPDCORTEZ,JUSTIN26E03:09:15 03:09:5404:25:0803:15:05VPDHERNANDEZ,MIGUEL,JR31E04:21:3003:55:03VPDENCINAS,ANTHONYXS03:10:0903:49:0503:26:41201909179062550 S ALAMEDA, VERNON459AJERSEY MIKES04:39:5209/02/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191409 CA0197300VPDCAM,PATRICK*25W04:40:44 04:40:5007:30:5504:41:55VPDHERNANDEZ,MIGUEL,JR31E04:40:46 04:40:5104:48:1904:43:22VPDGODOY,RAYMOND32W05:15:0605:20:26VPDENCINAS,ANTHONYXS05:13:35 05:13:3606:03:0805:20:4520190917908S BONNIE BEACH PL // BANDINI BL, VERNONTRAFFIC STOP04:59:1109/02/20191015RPTVSDepartmentOCA NumberRMS JurisVPD CR20191408 CA0197300VPDCAM,PATRICK*25W05:37:0804:59:11VPDHERNANDEZ,MIGUEL,JR31E05:03:5606:23:0305:08:45VPDGODOY,RAYMOND32W05:20:2606:06:4805:27:40201909179275527 S DISTRICT BL, VERNONREC08:21:2009/02/2019VRECDepartmentOCA NumberRMS JurisVPD CR20191410 CA0197300VPDMADRIGAL,ALFONSO*4109:51:3108:21:20201909179431Page of 209/05/201900:12:06 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/02/201909/02/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190917943E 51ST // SANTA FE AV, VERNONTRAFFIC STOP11:23:4009/02/20191015VSRPTDepartmentOCA NumberRMS JurisVPD CR20191411 CA0197300VPDREDONA,BRYAN*20W12:56:3811:23:40VPDMADRIGAL,ALFONSO4111:31:01 11:31:0312:56:3911:38:07201909179656542 MILES, HUNTINGTON PARK515016:59:1909/02/2019VOIDDepartmentOCA NumberRMS JurisVPD CR20191412 CA0197300VPDVILLEGAS,RICHARD*32E17:02:27 17:02:2917:57:3017:06:10VPDMADRIGAL,ALFONSO4117:22:51 17:22:5219:19:5217:34:31201909179801916 E 51ST, VERNONGTARROBERT20:49:2609/02/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191413 CA0197300VPDCAM,PATRICK*2520:51:50 20:51:5021:41:15201909179854420 SEVILLE AV, VERNONTRAFFIC STOP23:27:0909/02/2019RPT1015VSDepartmentOCA NumberRMS JurisVPD CR20191414 CA0197300VPDENCINAS,ANTHONY*41W00:36:5023:27:13VPDHERNANDEZ,MIGUEL,JR26E23:27:15 23:27:2700:17:3123:37:55* Denotes Primary Unit2Page of 209/05/201900:12:06 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/03/201909/03/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190917991E 52D // ALAMEDA, VERNONVCK02:34:1209/03/2019VRECVPDCAM,PATRICK*2503:19:5402:34:12201909179985503 S BOYLE AV, VERNON594RREED ELECTRIC05:48:3009/03/2019NATASSTRPTDepartmentOCA NumberRMS JurisVPD CR20191419 CA0197300VPDHERNANDEZ,MIGUEL,JR*26E06:07:08 06:07:0906:32:0706:12:35VPDREDONA,BRYAN25E10:00:2610:50:0310:02:44201909180002034 E 48TH, VERNONGTARMIA TRADING05:59:2509/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191415 CA0197300VPDENCINAS,ANTHONY*41W06:01:10 06:01:1007:27:2106:07:37201909180082716 E VERNON AV, VERNON459RLATICE COMPANY07:32:0509/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191416 CA0197300VPDZOZAYA,OSCAR*26W07:33:32 07:33:3407:35:08VPD4107:34:5308:18:4107:39:3820190918016E 50TH // BOYLE AV, VERNON48408:15:4609/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191417 CA0197300VPDCHAVEZ,JERRY,JR*S108:16:2008:45:3908:17:07VPDREDONA,BRYAN25E08:16:2709:33:5708:21:13VPDZOZAYA,OSCAR26W08:16:3508:46:5308:23:11VPDMADRIGAL,ALFONSO4108:18:4409:57:5208:21:12201909180191Page of 409/04/201905:06:15 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/03/201909/03/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909180193737 S SOTO, VERNON415MCDONALDS09:19:5709/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191418 CA0197300VPDZOZAYA,OSCAR*26W09:21:50 09:21:5110:22:1309:24:48VPDOURIQUE,CARLOSMET109:22:1809:29:0709:29:06201909180222716 E VERNON AV, VERNONFU09:58:3509/03/2019RPTVPDMADRIGAL,ALFONSO*4109:58:3610:45:0510:05:12201909180254833 EVERETT AV, VERNON459RNY LA10:56:2309/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191420 CA0197300VPDMADRIGAL,ALFONSO*4110:59:21 10:59:2412:49:1111:16:35201909180314305 S SANTA FE AV, VERNONWARRANTVERNON POLICE DEPT11:35:0509/03/20191015RPTVPDDOCHERTY,MICHAEL*32W11:40:02 11:40:0313:01:2711:59:1020190918036PACIFIC BL // LEONIS BL, VERNONSRMET12:08:0409/03/2019METRPTDepartmentOCA NumberRMS JurisVPD CR20191421 CA0197300VPDOURIQUE,CARLOS*MET113:02:4412:08:04201909180385119 S DISTRICT BL, VERNON902TAT&T MOBILITY 800 635 6840 412:18:1409/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191422 CA0197300VPDZOZAYA,OSCAR*26W12:20:18 12:20:2012:21:16VPDREDONA,BRYAN25E12:21:1513:08:1312:29:24201909180442Page of 409/04/201905:06:15 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/03/201909/03/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909180444440 E DISTRICT BL, VERNON917A12:49:0909/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191423 CA0197300VPDMADRIGAL,ALFONSO*4114:29:3012:49:13VPDREDONA,BRYAN25E13:08:1814:29:2913:10:51201909180482419 E 28TH, VERNON484RARTICLES OF SOCIETY13:57:2709/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191424 CA0197300VPDMADRIGAL,ALFONSO*4114:34:56 14:34:5714:36:23VPDZOZAYA,OSCAR26W14:36:59 14:37:0015:43:0814:59:21201909180532520 S ALAMEDA, VERNON487R14:59:1809/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191426 CA0197300VPDMADRIGAL,ALFONSO*4115:59:5915:02:02 16:54:5115:01:4320190918057BANDINI BL // ATLANTIC BL, VERNON20002RLASO EAST LA15:48:3109/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191427 CA0197300VPDREDONA,BRYAN*25E16:10:39 16:10:4116:51:4816:22:04201909180582858 E 26TH, VERNON594RALBERT AND ALBERT16:00:5009/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191425 CA0197300VPDZOZAYA,OSCAR*26W16:11:5016:33:3916:18:5620190918064CUDAHY // DISTRICT, VERNON902TLASO #ELA20217:48:3509/03/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191428 CA0197300VPDREDONA,BRYAN*25E17:55:3620:08:4418:03:56VPDHERRERA,GUSTAVOS619:37:3920:08:45201909180693Page of 409/04/201905:06:15 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/03/201909/03/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909180694305 S SANTA FE AV, VERNON14018:52:1609/03/2019SUPVPDMADRIGAL,ALFONSO*4120:41:3318:52:16* Denotes Primary Unit4Page of 409/04/201905:06:15 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/04/201909/04/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909180914825 E DISTRICT BL, VERNONPATCKTORGOM VINTAGE01:48:5909/04/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191429 CA0197300VPDENCINAS,ANTHONY*26E02:36:1001:48:59VPDLUCAS,JASON41E02:36:1002:01:21VPDSANTOS,DANIELS202:36:1101:50:22201909181132319 E 37TH, VERNON487RMINKY TRADING09:00:5509/04/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191430 CA0197300VPDDOCHERTY,MICHAEL*41W09:05:03 09:05:2209:34:2709:11:07201909181142322 E VERNON AV, VERNON594RSPECIALTY UNIFORM09:03:3709/04/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191431 CA0197300VPDZOZAYA,OSCAR*32E09:06:2109:58:1909:34:33201909181275190 S SANTA FE AV, VERNON415OLD LA FIBER11:46:3709/04/2019RPT1015DepartmentOCA NumberRMS JurisVPD CR20191432 CA0197300VPDDOCHERTY,MICHAEL*41W11:47:05 11:47:2813:10:3111:49:07VPDREDONA,BRYAN26E12:39:1611:54:51VPDZOZAYA,OSCAR32E11:47:5912:22:5111:51:47VPDSWINFORD,PHILLIP4311:47:3712:39:2011:49:09VPDSOUSA,ROBERTOC212:00:3811:48:05VPDGRAY,BRANDONL112:00:3611:48:05VPDCERDA,EUGENIOMET112:54:3811:52:35201909181282042 E VERNON AV, VERNONREPOUNK12:22:5709/04/2019REPODepartmentOCA NumberRMS JurisVPD CR20191433 CA0197300VPDRECORDS BUREAU*RECD12:34:2412:23:20201909181521Page of 209/05/201900:15:21 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/04/201909/04/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909181523109 BANDINI BL, VERNON487RBECKY INTERNATIONAL19:10:0809/04/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191434 CA0197300VPD*43E19:13:21 19:13:5619:47:10* Denotes Primary Unit2Page of 209/05/201900:15:21 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/05/201909/05/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909181652727 E VERNON AV, VERNON422ROVERHILL FARMS01:38:4809/05/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191435 CA0197300VPDLUCAS,JASON*4001:42:22 01:42:4703:39:2501:45:38VPDNEWTON,TODD41W01:52:4702:39:08201909181675000 PACIFIC BL, VERNON166RWHOLE FOODS03:50:4109/05/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191436 CA0197300VPDNEWTON,TODD*41W03:56:29 03:57:1705:05:2204:05:21VPDHERRERA,GUSTAVOS604:05:2604:01:2420190918169PACIFIC BL // CHAMBERS, VERNONGTARVICTOR AVELAR05:21:1809/05/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191437 CA0197300VPDCERDA,PAUL,JR*43E05:42:05 05:42:2106:34:1820190918176FRUITLAND AV // BOYLE AV, VERNON902TJOSE ACOSTA07:15:4809/05/2019RPTCITEDepartmentOCA NumberRMS JurisVPD CR20191438 CA0197300VPDVASQUEZ,LUIS/FINO,MARCUS*40E07:17:10 07:17:1208:00:3907:24:39201909181773278 E SLAUSON AV, VERNON594JOSE MEJIA07:18:2709/05/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191439 CA0197300VPD*41E07:23:38 07:23:3908:21:1007:45:04VPDVALENZUELA,FERNANDO25W07:45:0708:13:1907:52:34201909181814201 FRUITLAND AV, VERNON140SOUTHLAND PAPER08:31:0309/05/2019ASSTSUPVPDVASQUEZ,LUIS/FINO,MARCUS*40E08:32:45 08:33:0609:15:5708:43:14201909181821Page of 309/06/201905:03:53 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/05/201909/05/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909181823301 FRUITLAND AV, VERNONGTARIRIS08:47:3609/05/2019RPTVRECDepartmentOCA NumberRMS JurisVPD CR20191440 CA0197300VPDVALENZUELA,FERNANDO*25W08:54:02 08:54:3209:06:15VPDDOCHERTY,MICHAEL41E08:54:5410:23:5009:10:5320190918190E 46TH // BOYLE AV, VERNONUNATTACHEDTR10:01:4809/05/2019VSCITEDepartmentOCA NumberRMS JurisVPD CR20191441 CA0197300VPDSWINFORD,PHILLIP*43W10:57:3010:01:48201909182014670 GAGE AVE, VERNONDET12:04:0609/05/20191015VPDESCOBEDO,ALEXY*5D3413:54:1512:04:06VPDGAYTAN,LORENZO5D3113:54:1412:04:54VPDHERNANDEZ,EDWARD5D3213:54:1512:04:12201909182323317 E 50TH, VERNON140IRIS16:47:3209/05/2019SUPVPDDOCHERTY,MICHAEL*41E17:09:4018:35:1817:22:2220190918236DOWNEY RD // WASHINGTON BL, VERNONLPR18:40:5109/05/2019RPTVRECDepartmentOCA NumberRMS JurisVPD CR20191442 CA0197300VPDVALENZUELA,FERNANDO*25W18:41:27 18:44:3918:54:5918:46:55VPDVASQUEZ,LUIS/FINO,MARCUS40E18:43:4719:38:0518:44:37VPDDOCHERTY,MICHAEL41E20:00:4418:47:06VPDSWINFORD,PHILLIP43W18:44:4219:38:5318:48:12VPDESTRADA,IGNACIOS319:04:4518:50:45201909182422Page of 309/06/201905:03:53 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/05/201909/05/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918242PACIFIC BL // LEONIS BL, VERNONTRAFFIC STOP19:25:2409/05/2019VSRPT1015DepartmentOCA NumberRMS JurisVPD CR20191443 CA0197300VPDESTRADA,IGNACIO*S320:53:4519:25:25VPDCERDA,PAUL,JR17W19:25:5120:18:03VPDNEWTON,TODD2019:26:2020:01:1219:27:50VPDOURIQUE,CARLOS2620:01:1419:27:48VPDCORTEZ,JUSTIN32W19:25:32 19:26:5621:12:0319:33:43* Denotes Primary Unit3Page of 309/06/201905:03:53 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/06/201909/06/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909182722800 S SOTO, VERNONTRAFFIC STOP00:09:2209/06/20191015DepartmentOCA NumberRMS JurisVPD CR20191444 CA0197300VPDCORTEZ,JUSTIN*32W02:39:4300:09:22VPDCERDA,PAUL,JR43W01:17:0600:19:15USTOWUS TOW00:44:22 00:49:2602:24:4001:08:5120190918293DOWNEY RD // DISTRICT BL, VERNON902TAT&T MOBILITY 800 635 6840 406:42:4209/06/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191445 CA0197300VPD*40W06:52:3107:23:05VPD38E06:58:2907:55:1407:03:59201909183154201 FRUITLAND AV, VERNON140SOUTHLAND PAPER BOX10:50:3409/06/2019SUPVPDVALENZUELA,FERNANDO*43E10:53:17 12:47:2712:47:03 13:03:5410:59:49201909183334201 FRUITLAND AV, VERNON140SOUTHLAND PAPER14:47:0709/06/2019SUPVPDVALENZUELA,FERNANDO*43E14:47:46 14:47:5914:58:1914:52:3020190918341E DISTRICT BL // DOWNEY RD, VERNON902T17:34:0309/06/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191446 CA0197300VPDVALENZUELA,FERNANDO*43E17:47:0517:34:03VPDVASQUEZ,LUIS/FINO,MARCUS40W17:34:13 17:34:1318:31:1217:39:21* Denotes Primary Unit1Page of 109/07/201900:05:48 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/07/201909/07/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918368E 49TH // SANTA FE AV, VERNONTRAFFIC STOP02:10:4509/07/20191015 40ERPT 40EVI 38WDepartmentOCA NumberRMS JurisVPD CR20191447 CA0197300VPDNEWTON,TODD*4103:02:1802:46:00VPDGODOY,RAYMOND38W03:02:2102:14:25VPDOURIQUE,CARLOS40E02:11:5703:53:5002:11:59MR C TOWMR C TO02:41:28 02:41:2803:02:2302:56:0320190918381BANDINI BL // SOTO, VERNONPEDCK07:33:0509/07/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191448 CA0197300VPDVASQUEZ,LUIS/FINO,MARCUS*40E07:34:14 09:12:0007:33:25VPDMANNINO,NICHOLAS41W09:12:0107:34:10VPDONOPA,DANIELS708:29:3307:56:51201909184232605 S SANTA FE AV, VERNONPEDCK23:02:1309/07/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191449 CA0197300VPDHERNANDEZ,MIGUEL,JR*25W00:05:0123:02:13VPDOURIQUE,CARLOS40W23:02:1623:23:3123:03:56* Denotes Primary Unit1Page of 109/08/201901:36:49 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/08/201909/08/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918471S SOTO // 26TH, VERNONREC07:50:5409/08/2019VRECDepartmentOCA NumberRMS JurisVPD CR20191450 CA0197300VPDREDONA,BRYAN*32E09:34:2807:53:12VPDMANNINO,NICHOLAS4109:34:2807:55:23VPDONOPA,DANIELS707:53:4809:34:2808:17:15USTOWUS TOW08:22:10 08:23:4109:34:2908:40:1120190918516E 50TH // CORONA AV, VERNONUNATTACHEDTR21:43:3609/08/2019VSRPTDepartmentOCA NumberRMS JurisVPD CR20191451 CA0197300VPDENCINAS,ANTHONY*26E22:17:1921:43:37VPDGODOY,RAYMOND38W21:43:49 21:43:5022:17:2121:48:12MR C TOWMR C TO21:50:01 21:50:0122:17:2121:56:52* Denotes Primary Unit1Page of 109/09/201900:01:48 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/09/201909/09/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918559S SOTO // BANDINI BL, VERNONTRAFFIC STOP05:23:4809/09/2019CITEVIDepartmentOCA NumberRMS JurisVPD CR20191452 CA0197300VPDCAM,PATRICK*17W06:07:2905:23:48VPDGODOY,RAYMOND38W06:07:3005:29:3920190918573S SANTA FE AV // 37TH, VERNON902TRICHARD MARTINEZ07:38:2509/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191453 CA0197300VPDVASQUEZ,LUIS*40E07:39:16 07:39:1708:04:3907:50:46VPDREDONA,BRYAN20W07:46:0008:04:3807:55:48VPDMADRIGAL,ALFONSO4107:45:5707:59:0507:53:49201909185743828 S SANTA FE AV, VERNON901TVFD ENGINE 7707:58:2409/09/2019RPTCITEDepartmentOCA NumberRMS JurisVPD CR20191455 CA0197300VPDMADRIGAL,ALFONSO*4108:54:15 09:16:1207:59:09201909185771945 S HILL ST, LOS ANGELESPRSTRAN08:28:5309/09/2019VOIDPRDDepartmentOCA NumberRMS JurisVPD CR20191454 CA0197300VPDGENERA,ELISEO*2W4508:28:5309:44:3909:00:37201909185823851 S SOTO, VERNONWELCKCONCENTRA09:34:1809/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191457 CA0197300VPD CR20191458 CA0197300VPDREDONA,BRYAN*20W09:35:09 09:35:2511:02:3309:37:54VPDMADRIGAL,ALFONSO4109:37:0013:08:1809:46:59VPDCHAVEZ,JERRY,JRS110:49:0909:41:14201909185854361 SOTO, VERNONFOUND10:02:5609/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191456 CA01973001Page of 209/10/201901:04:14 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/09/201909/09/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909185854361 SOTO, VERNONFOUND10:02:5609/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191456 CA0197300VPDREDONA,BRYAN*20W10:09:3010:02:56201909185954455 FRUITLAND AV, VERNON920PR12:26:5009/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191459 CA0197300VPDRECORDS BUREAU*RECD12:57:3412:27:1720190918600E 26TH // SOTO, VERNONTRAFFIC STOP13:20:4109/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191460 CA0197300VPDMADRIGAL,ALFONSO*4114:52:0613:20:53VPDREDONA,BRYAN20W13:27:2714:45:0313:33:48VPDVASQUEZ,LUIS40E13:31:0413:31:50201909186052716 E VERNON AV, VERNONPEDCK14:52:2109/09/20191015RPTVPDMADRIGAL,ALFONSO*4116:06:4214:52:21VPDREDONA,BRYAN20W14:52:2915:19:10VPDGENERA,ELISEO2W4515:02:5915:19:1215:14:12201909186324611 52D DR, VERNON S/A 122911AVERNON VILLAGE PARK22:25:3109/09/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191461 CA0197300VPDLANDA,RAFAEL*40E22:28:15 22:29:0723:44:4822:30:05VPDLUCAS,JASON32E22:28:17 22:29:0223:44:4722:32:41* Denotes Primary Unit2Page of 209/10/201901:04:14 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/10/201909/10/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909186393051 E 46TH, VERNON925PLATES AND BEYOND01:25:2709/10/2019RPTVIDepartmentOCA NumberRMS JurisVPD CR20191462 CA0197300VPDLUCAS,JASON*32E01:26:19 01:26:3604:00:2401:28:37VPDCAM,PATRICK17W01:28:5902:41:48VPDHERNANDEZ,MIGUEL,JR2601:26:20 01:26:3703:49:5801:30:33VPDHERRERA,GUSTAVOS602:22:1201:32:05201909186683155 BANDINI BL, VERNON902TUNK08:48:2809/10/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191463 CA0197300VPDREDONA,BRYAN*26E08:49:42 08:49:4308:54:01VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO41E08:53:5609:51:4008:55:4220190918685E 52D // ALAMEDA, VERNON415SHAYLEE10:29:0309/10/20191015VSRPTDepartmentOCA NumberRMS JurisVPD CR20191464 CA0197300VPDZOZAYA,OSCAR*32W10:29:52 10:30:2112:24:2510:33:51VPDREDONA,BRYAN26E10:30:5712:48:0010:37:45VPDVILLEGAS,RICHARD40W10:31:3512:50:2110:37:09VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO41E10:29:54 10:30:2412:23:0610:40:5420190918721S SANTA FE AV // FRUITLAND AV, VERNON902T15:46:4909/10/2019RPTVS 26EDepartmentOCA NumberRMS JurisVPD CR20191465 CA0197300VPDREDONA,BRYAN*26E15:53:17 15:53:3817:10:1016:00:41VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO41E16:07:0717:14:2416:18:18* Denotes Primary Unit1Page of 109/11/201900:01:51 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/11/201909/11/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909187472532 E 49TH, VERNONREPOSCOTT CAMPBELL00:40:4309/11/2019REPODepartmentOCA NumberRMS JurisVPD CR20191466 CA0197300VPDRECORDS BUREAU*RECD00:59:0700:45:4520190918748E SLAUSON AV // BOYLE AV, VERNON901TRHPPD00:43:1409/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191467 CA0197300VPDENCINAS,ANTHONY*4100:44:4701:25:4500:48:02VPDLANDA,RAFAEL40W00:47:4601:25:452019091875061ST // STATE, VERNONWARRANTHPPD01:58:1009/11/20191015VPDLANDA,RAFAEL*40W01:59:56 02:00:1202:53:5002:06:1920190918760LEONIS BL // BOYLE AV, VERNON901T-MOBILE (877) 653-791105:36:3609/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191468 CA0197300VPDZOZAYA,OSCAR*4105:37:07 05:38:1306:12:2205:41:10VPDLUCAS,JASON32E05:38:2706:55:3505:38:27VPDLANDA,RAFAEL40W05:37:4806:22:5705:39:0320190918763S ATLANTIC BL // BANDINI BL, VERNON20002RSTEVEN06:44:5209/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191469 CA0197300VPDLUCAS,JASON*32E07:19:2607:58:3307:27:3620190918777S SOTO // 37TH, VERNON417GERALDO MUNIZ09:04:4309/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191470 CA0197300VPDSWINFORD,PHILLIP*32E09:05:2509:31:2709:11:19VPDZOZAYA,OSCAR4109:12:1109:31:2709:12:31VPDCERDA,EUGENIOMET209:16:5209:12:501Page of 209/12/201901:49:40 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/11/201909/11/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918777S SOTO // 37TH, VERNON417GERALDO MUNIZ09:04:4309/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191470 CA0197300VPDMARTINEZ,GABRIELS509:07:1009:31:2709:12:1520190918822E 57TH // ALAMEDA, VERNON242EDGAR16:57:0709/11/2019RPT1015DepartmentOCA NumberRMS JurisVPD CR20191471 CA0197300VPDSWINFORD,PHILLIP*32E16:58:3217:56:5017:03:48VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO40W17:09:5619:49:3417:11:34VPDLUCAS,JASON4117:44:3717:17:43VPDMADRIGAL,MARIA/MADRIGAL,ALFONSO41E17:00:1117:17:4517:11:03VPDMARTINEZ,GABRIELS516:58:3418:44:5717:00:15VPDHERRERA,GUSTAVOS617:13:0517:45:14VPDVASQUEZ,LUIST817:13:1817:00:40201909188382503 E VERNON AV, VERNON911A20:07:5009/11/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191472 CA0197300VPDLUCAS,JASON*4120:08:04 20:08:0420:47:5220:09:00* Denotes Primary Unit2Page of 209/12/201901:49:40 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/12/201909/12/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909188482037 E 38TH, VERNON459VRPREMIER LAUDRY06:24:4609/12/2019RPT1015DepartmentOCA NumberRMS JurisVPD CR20191473 CA0197300VPDLANDA,RAFAEL*3206:27:11 06:27:3907:05:59VPDCERDA,PAUL,JR25E06:27:1307:06:1006:30:10VPD32W06:38:0410:02:4606:45:26VPDVALENZUELA,FERNANDO4109:06:0907:28:10VPDLUCAS,JASON41W06:27:2809:06:1706:28:56VPDMARTINEZ,GABRIELS507:47:4706:40:50201909188514355 FRUITLAND AV, VERNONRECWIPER CENTRAL07:21:3409/12/2019VRECDepartmentOCA NumberRMS JurisVPD CR20191474 CA0197300VPDVALENZUELA,FERNANDO*4107:25:2207:28:04VPDVASQUEZ,LUIS/FINO,MARCUS25E07:40:0208:43:5107:47:33201909188552322 E VERNON AV, VERNON594RSPECIALTY UNIFORM08:05:4009/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191475 CA0197300VPDVALENZUELA,FERNANDO*4109:28:1009:13:18201909188614462 PACIFIC BL, VERNON594RMETRO09:53:1909/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191476 CA0197300VPDVALENZUELA,FERNANDO*4110:11:09 10:11:1010:47:3010:23:21201909188652820 E 44TH, VERNON902TCOOSEMANS10:21:0009/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191477 CA0197300VPDCERDA,EUGENIO/MANNINO,NICHOLAS*32W10:30:3410:47:5410:38:39VPDVASQUEZ,LUIS/FINO,MARCUS25E10:40:5111:16:0910:42:37201909188681Page of 209/13/201905:01:55 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/12/201909/12/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918868S DISTRICT BL // ATLANTIC BL, VERNON902TJEROMY CORONA11:24:1909/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191478 CA0197300VPDVALENZUELA,FERNANDO*4111:26:17 11:26:2011:28:30VPDVASQUEZ,LUIS/FINO,MARCUS25E11:27:5012:16:2111:38:20201909188694350 E DISTRICT BL, VERNON487REHL TRADING11:38:3309/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191479 CA0197300VPDVALENZUELA,FERNANDO*4112:15:07 12:15:1112:16:34VPDVASQUEZ,LUIS/FINO,MARCUS25E12:16:3114:03:4312:17:3720190918875FOXBURY // LINDELL, PICO RIVERALOCATEHELMS HILL TOW15:17:2009/12/2019VRECVPDRECORDS BUREAU*RECD16:33:4215:18:26201909188815524 ALCOA AV, VERNON594RTHE WORKROOM18:01:2809/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191480 CA0197300VPDCERDA,EUGENIO*32W18:04:13 18:04:2918:05:29VPDVASQUEZ,LUIS/FINO,MARCUS25E18:05:2718:53:5418:15:5720190918882HAMPTON // FRUITLAND AV, VERNONPATCK19:04:5109/12/2019RPTADVDepartmentOCA NumberRMS JurisVPD CR20191481 CA0197300VPDOURIQUE,CARLOS*32W19:35:1619:04:5120190918897PACIFIC BL // FRUITLAND AV, VERNONWELCK21:31:2509/12/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191482 CA0197300VPDOURIQUE,CARLOS*32W21:31:40 22:58:5421:31:25* Denotes Primary Unit2Page of 209/13/201905:01:55 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/13/201909/13/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190918911E SLAUSON AV // SANTA FE AV, VERNONTRAFFIC STOP01:52:0409/13/20191015VIRPTDepartmentOCA NumberRMS JurisVPD CR20191483 CA0197300VPDOURIQUE,CARLOS*32W03:17:4001:52:04VPDCORTEZ,JUSTIN25E01:58:59 01:58:5902:51:3101:59:41MR C TOWMR C TO02:20:36 02:20:5503:17:4102:28:22201909189281822 104TH, LOS ANGELESDET08:19:0109/13/20191015RPTVPDGAYTAN,LORENZO*5D3113:20:4408:19:01VPDVASQUEZ,LUIS/FINO,MARCUS40E13:20:4411:17:01VPDRAMOS,JOSE5D3513:20:4508:19:07USTOWUS TOW09:04:34 09:05:1309:21:40201909189585525 S SOTO, VERNON902TALA14:34:1609/13/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191484 CA0197300VPDVALENZUELA,FERNANDO*25E14:35:45 14:35:4614:41:42VPDMANNINO,NICHOLAS32W14:37:0715:42:0014:51:33201909189632204 E 57TH, VERNONGTARRODRIGO RUIZ16:50:5009/13/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191486 CA0197300VPDVASQUEZ,LUIS/FINO,MARCUS*40E16:53:15 16:53:3217:44:1417:03:15201909189645201 S DISTRICT BL, VERNON487RGANDER AND WHITE17:00:4409/13/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191485 CA0197300VPDVALENZUELA,FERNANDO*25E17:03:29 17:03:3017:51:4717:12:36201909189821Page of 209/17/201909:30:02 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/13/201909/13/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909189825212 S SANTA FE AV, VERNON58622:11:0409/13/2019VSVMRPTDepartmentOCA NumberRMS JurisVPD CR20191487 CA0197300VPDGODOY,RAYMOND*26E22:13:31 22:13:5622:46:1522:16:44VPDOURIQUE,CARLOS32W22:46:1522:25:52MR C TOWMR C TO22:21:54 22:22:0322:46:1522:34:20* Denotes Primary Unit2Page of 209/17/201909:30:02 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/14/201909/14/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909190093506 E WASHINGTON BL, VERNON925UNION PACIFIC07:01:4809/14/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191488 CA0197300VPD*40E07:08:56 07:09:0008:33:2407:12:59VPD32W07:10:1607:45:4707:15:03VPD38E07:35:3207:15:08VPDONOPA,DANIELS708:32:3207:35:0220190919030E 49TH // SANTA FE AV, VERNONVCK13:00:2309/14/2019VSDepartmentOCA NumberRMS JurisVPD CR20191489 CA0197300VPDVASQUEZ,LUIS/FINO,MARCUS*40E13:37:0513:00:23201909190364215 E DISTRICT BL, VERNON917A16:41:1109/14/2019RPTVSDepartmentOCA NumberRMS JurisVPD CR20191490 CA0197300VPDVALENZUELA,FERNANDO*38E16:42:07 16:42:5218:17:0016:58:4720190919040FRUITLAND AV // PACIFIC BL, VERNONTRAFFIC STOP20:24:5109/14/2019RPT1015VIDepartmentOCA NumberRMS JurisVPD CR20191491 CA0197300VPDCORTEZ,JUSTIN*25E21:37:0720:24:51VPDGODOY,RAYMOND26W21:37:1020:36:45VPDSANTOS,DANIELS220:59:2120:28:2320190919053S SANTA FE AV // 58TH, VERNONTRAFFIC STOP22:11:5809/14/2019RPT1015VIDepartmentOCA NumberRMS JurisVPD CR20191492 CA0197300VPDOURIQUE,CARLOS*41W00:29:5922:11:58VPDHERNANDEZ,MIGUEL,JR32E22:14:52 22:17:1323:09:3422:20:16* Denotes Primary Unit1Page of 109/15/201905:20:30 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/15/201909/15/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene20190919074E 49TH // ALAMEDA, VERNONTRAFFIC STOP02:19:3309/15/2019RPT1015VIDepartmentOCA NumberRMS JurisVPD CR20191493 CA0197300VPDOURIQUE,CARLOS*41W05:00:1902:19:37VPDGODOY,RAYMOND26W02:19:3902:43:2702:22:26USTOWUS TOW02:50:58 02:51:5503:09:4803:01:0720190919076S ALAMEDA // 37TH ST, VERNON917AEMILY02:32:1809/15/2019RPTVSDepartmentOCA NumberRMS JurisVPD CR20191494 CA0197300VPDHERNANDEZ,MIGUEL,JR*32E02:38:00 02:37:5704:07:01MR C TOWMR C TO02:52:5503:53:0703:00:35201909190773278 E SLAUSON AV, VERNON925AMPM02:40:0809/15/2019RPTDepartmentOCA NumberRMS JurisVPD CR20191495 CA0197300VPDGODOY,RAYMOND*26W02:43:31 02:43:3303:51:4002:47:36VPDCORTEZ,JUSTIN25E03:51:4302:49:16VPDSANTOS,DANIELS202:43:4903:36:1802:48:12201909190944722 EVERETT AV, VERNONPEDCK10:04:0609/15/20191015RPTDepartmentOCA NumberRMS JurisVPD CR20191496 CA0197300VPDREDONA,BRYAN*38E11:10:1010:04:07VPDCERDA,EUGENIO3210:42:3610:04:58201909191315001 S SANTA FE AV, VERNONRECKLESS DRVJOHNATHAN21:16:0609/15/20191015RPTVIDepartmentOCA NumberRMS JurisVPD CR20191497 CA0197300VPDGODOY,RAYMOND*38W21:17:48 21:18:2621:18:36VPDOURIQUE,CARLOS2522:53:5721:19:11VPDHERNANDEZ,MIGUEL,JR26E22:29:3021:23:271Page of 209/16/201900:22:45 VERNON POLICE DEPARTMENTCall Log Report Type All Unit Times and Location with OCA'sJurisdiction:First Date:Last Date:09/15/201909/15/2019Call Number DispTenCodeCaller AddressOfficerUnitDepUnit Time DispatchEnrouteDepartArriveRemoveCompVERNONReceivedComplaint OnScene201909191315001 S SANTA FE AV, VERNONRECKLESS DRVJOHNATHAN21:16:0609/15/20191015RPTVIDepartmentOCA NumberRMS JurisVPD CR20191497 CA0197300VPDENCINAS,ANTHONY41W21:17:49 21:18:2822:08:4621:22:54USTOWUS TOW21:51:25 21:52:10 22:16:1920190919132E 48TH // SANTA FE AV, VERNONTRAFFIC STOP21:20:0609/15/2019CITERPTVIDepartmentOCA NumberRMS JurisVPD CR20191498 CA0197300VPDESTRADA,IGNACIO*S322:04:3621:20:06VPDGODOY,RAYMOND38W22:16:2622:13:45MR C TOWMR C TO21:47:47 21:47:4822:16:2621:57:2320190919133E 48TH // SANTA FE AV, VERNONVCK21:22:0009/15/2019VIRPTCITEDepartmentOCA NumberRMS JurisVPD CR20191499 CA0197300VPDCAM,PATRICK*17E22:16:0321:22:00VPDGODOY,RAYMOND38W22:13:4421:22:03USTOWUS TOW21:41:25 21:42:0722:16:0421:48:53* Denotes Primary Unit2Page of 209/16/201900:22:45 City Council Agenda Item Report Agenda Item No. COV-459-2019 Submitted by: Mark Aumentado Submitting Department: Public Utilities Meeting Date: October 15, 2019 SUBJECT License Agreement with Crown Poly, Inc. for Temporary Use of a Portion of the Property Located at 2800 E. 50th St. in Vernon Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA), in accordance with CEQA Guidelines § 15061(b)(3), the general rule that CEQA only applies to activities that may have a significant effect on the environment; and B. Approve the License Agreement with Crown Poly, Inc., in substantially the same form as submitted herewith, for Temporary Use of a Portion of Property Located at 2800 E. 50th St., Vernon, CA 90058 for an amount not to exceed $1.00; and C. Authorize the City Administrator to execute the License Agreement with Crown Poly, Inc. to be effective October 14, 2019 through February 28, 2020. Background: On September 23, 2019, the construction of the Well No. 22 Construction Project (“Project”) began. The Project location is an undeveloped City-owned property located near the southeast corner of Soto Street and 50th Street (Assessor’s Parcel Number: 6303-029-902) (“Site”). The adjacent property to the west of the Site—2800 E. 50th St., Vernon, CA 90058—is owned by Crown Poly, Inc. (“Crown Poly”) and is also currently undeveloped. Prior the start of the Project, staff and representatives from Crown Poly discussed the potential to grant the City of Vernon (“City”) and its contractor(s) temporary access to a portion of Crown Poly’s property directly adjacent to the Project Site (“Requested Site”). The Requested Site is to be used for approximately four and a half months for various construction activities related to the Project, primarily for the storage of baker tanks. The baker tanks will be used to treat discharged fluids consisting of groundwater and native soils. Treatment is fully contained within the baker tanks and fluids will ultimately be discharged into the City storm drain system after meeting the requirements of the City’s National Pollutant Discharge Elimination System (NPDES) permit. Soil will be hauled from the site for proper disposal by the contractor. The License Agreement has been approved as to form by the City Attorney’s office. Fiscal Impact: The License Fee associated with the License Agreement with Crown Poly, Inc. for Temporary Use of a Portion of the Property Located at 2800 E. 50th St., Vernon, CA 90058 is one dollar ($1.00). This item was not budgeted, however, there are sufficient funds in the Vernon Public Utilities Water Division Budget under account number 020.1084.900000. ATTACHMENTS 1. License Agreement With Crown Poly, Inc. for Temporary Use of a Portion of Property Located at 2800 E. 50th St., Vernon CA 90058 LICENSE AGREEMENT This License Agreement (the “License”) is by and between Crown Poly, Inc., a California corporation (“Licensor”) and the City of Vernon (“Licensee”) and is dated as of October 14, 2019 (the “Effective Date”). RECITALS A. Licensor owns or leases the property located at 2800 E. 50th St., Vernon, CA 90058 consisting of approximately 2.5 acres (the “Property”). B. Licensor desires to license to Licensee, and Licensee desires to license, an approximate 6,900 square foot portion of the Property (“License Area”) as such License Area is shown on the attached Exhibit A (labeled “Requested Temporary Usage”). AGREEMENT The parties therefore agree as follows: 1. License: License Term. Licensor hereby licenses to Licensee the right to enter upon the License Area over and across the Property as may be necessary to access the License Area and to exclusively use (except as provided in the last sentence of this Section 1) the License Area for the Permitted Use for the period commencing on October 14, 2019 and expiring on February 28, 2020 (the “License Term”). Notwithstanding the foregoing, at any time during the License Term, either Licensor or Licensee shall have the right to terminate the License, for any reason, by delivering written notice to the other party at least ten (10) days prior to the intended termination date. The License Term shall also be subject to earlier termination as hereinafter provided. Licensee shall have access to and from the License Area from a public road twenty-four (24) hours a day, seven (7) days a week. Notwithstanding the foregoing, Licensor, its agents, employees, contractors, licensees and invitees shall have the right to access and use the License Area, provided such use does not unreasonably interfere with the rights of Licensee under this License. 2. License Fee. In consideration for such License, Licensee shall pay Licensor the sum of One Dollar ($1.00) during the License Term (the “License Fee”), which License Fee shall be payable in advance of the License Term. 3. Use. Licensor permits Licensee to use the License Area for the uses described on the attached Exhibit B and all other legally permitted uses (the “Permitted Use”). Licensee shall, at Licensee's sole expense, fully and in a timely manner comply with all applicable laws applicable to Licensee’s use of the License Area. Notwithstanding anything to the contrary herein, prior (and as a condition) to Licensee using the License Area for the Permitted Use, Licensee shall, at Licensee’s sole expense, erect a temporary fence around the License Area. On or prior to the expiration of the License Term, Licensee shall, at Licensee’s sole expense, remove such temporary fence. 4. Maintenance. Licensee, at its sole cost and expense, shall keep the License Area, any access ways and driveways thereto in their substantially similar condition as at the commencement of the License Term. Licensor and Licensee acknowledge and agree that Licensor has no obligation, in any manner whatsoever, to (i) perform any improvements to the License Area including, but not limited to, installation of concrete or lighting, or (ii) repair or maintain the License Area. 5. Insurance. Licensee shall maintain general liability insurance during the License Term insuring against loss, damage or liability for personal injury, bodily injury or death of any person or loss or damage to property occurring in, upon or about the License Area. Such insurance shall be in an amount not less than two million dollars ($2,000,000.00) as to injury to person or persons and Five Hundred Thousand Dollars ($500,000.00) property damage and shall name Licensor as additional insured. 6. Hazardous Substances. The term "Hazardous Substance" as used in this License shall mean any product, substance, or waste whose presence, use, manufacture, disposal, transportation, or release, either by itself or in combination with other materials expected to be on the License Area, is now or at any time hereafter, either: (i) potentially injurious to the public health, safety or welfare, to the environment, or the License Area, (ii) regulated or monitored by any governmental authority, or (iii) a basis for potential liability of Licensor to any governmental agency or third party pursuant to any applicable statute or common law theory. Hazardous Substances shall include, but not be limited to, hydrocarbons, petroleum, gasoline, and/or crude oil or any products, by-products or fractions thereof. Licensee shall not cause or permit any Hazardous Substance to be stored, spilled or released in, on, under, or about the License Area and/or any part of the Property (other than gasoline, oil and other ordinary automotive fluids contained in an ordinary manner in motor vehicles visiting the License Area in the ordinary course of business) and shall promptly, at Licensee's expense, take all necessary or reasonably recommended investigatory and/or remedial action, whether or not formally ordered or required, for the cleanup of any contamination of the License Area, the Property or neighboring properties that was caused or materially contributed to by Licensee, or pertaining to or involving any Hazardous Substance brought onto the License Area, by or for Licensee, or with Licensee’s consent (including but not limited to, any gasoline, oil and other ordinary automotive fluids as permitted above). Licensee shall indemnify, protect, defend and hold Licensor, and its members, managers and lenders, if any, (collectively, the “Licensor Parties”) harmless from and against any and all damages, losses, liabilities, liens, judgments, claims, costs, injuries, expenses, penalties, attorneys' and consultants' fees, and expert witness fees arising out of or involving either directly or indirectly any Hazardous Substance brought, spilled or released in, on, under or about the License Area and/or any part of the Property by or for Licensee, or with Licensee’s consent. Licensee's obligations shall include, but not be limited to, the effects of any contamination or injury to person, property or the environment created or suffered by Licensee, and the cost of investigation, removal, remediation, restoration and/or abatement, and shall survive the expiration or termination of this License. 7. Termination Right. Notwithstanding anything to the contrary herein, each of Licensor and Licensee shall have the right to terminate this License upon ten (10) days’ prior written notice to the other party (“Termination Notice”) in the event (i) that the Permitted Use, as herein defined, is prohibited, burdened or impaired by any governmental body or agency in any manner; (ii) it should become unlawful or illegal for Licensee to use the License Area or any part thereof for the Permitted Use or otherwise; or (iii) the other party breaches the terms of this License. Licensee shall have the additional right to terminate this License by written notice to Licensor in the event that continuous access to or from the License Area from a public road shall be prevented or materially impaired. Upon the termination date set forth in any Termination Notice, all of the rights, obligations and liabilities between the parties shall be terminated and of no further force and effect, except for any indemnification obligations that expressly survive the termination of this License. 8. As-Is: Licensee Indemnity. Licensee accepts the License Area in its “As-Is” condition, and Licensor is not making any representations or warranties as to the physical condition of the License Area, or the suitability of the License Area generally or for any particular purpose (including, but not limited to, whether any of Licensee’s intended uses are legally permitted), and Licensee waives any right or remedy otherwise accruing to Licensee on account of the condition or suitability of the License Area. Except for any claims of injury, death or damage caused by Licensor, its agents, employees, invitees, or licensees, Licensee shall indemnify, defend, and hold Licensor and the Licensor Parties harmless from and against any and all damages, losses, liabilities, liens, judgments, claims, costs, injuries, expenses, penalties, attorneys' and consultants' fees, and expert witness fees caused by (i) claims of injury to and death of persons or damage occurring on the License Area arising from or relating to use of, or entry onto, the License Area by Licensee, its agents, employees, invitees, contractors or licensees or (ii) Licensee’s breach of the terms of this License, which indemnity shall survive the expiration or termination of this Agreement. 9. License. This License shall be construed as a license and does not convey any real estate interest to Licensee in the License Area whatsoever. This License is personal to Licensee and may not be assigned or transferred in any manner to any other party. Neither this License, nor any memorandum with respect thereto, shall be recorded by Licensee or by anyone acting through, under or on behalf of Licensee. 10. Notice. All notices, demands, consents and requests required or permitted hereunder shall be in writing and shall be deemed given when delivered by hand or deposited with the United States Postal Service and sent by prepaid certified mail, return receipt requested, or deposited with United Parcel Service and sent by prepaid UPS Next Day Air® delivery, and if by the United States Postal Service or United Parcel Service, properly addressed to the party to be notified at the address for such party as follows: Licensee: City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 ATTN: Abraham Alemu, Interim General Manager of Public Utilities Licensor: Crown Poly, Inc. 5700 Bickett Street Huntington Park, CA 90255 ATTN: Bob Gutterman If any notice mailed or sent by the United States Postal Service or by UPS Next Day Air® delivery service is properly addressed with appropriate charges prepaid but is returned because the intended recipient refuses delivery or can no longer be found at the current notice address, such notice shall be deemed effective notice and to be given on the date such delivery is refused or cannot be accomplished. 11. Counterparts Allowed. This Agreement may be executed in counterparts, each of which shall be deemed an original, and all of which taken together shall constitute one agreement. To facilitate execution of this Agreement by the parties, pdf signatures shall have the same validity and effect as original signatures. 12. Waiver of Jury Trial. To the extent that they may lawfully do so, the parties hereto waive trial by jury in any action or proceeding brought on, under or by virtue of this Agreement. 13. Authority. Licensor represents and warrants to Licensee that (i) it is has the full right and authority to execute this License, convey the license herein, and perform the obligations of Licensor herein; and (ii) this License will not violate any existing agreement, lease, agreement, law, or judicial order to which Licensor or the Property is subject. 14. Entire Agreement. This Agreement sets forth the entire agreement of the parties and may not be modified except by an instrument in writing duly executed by all of the parties hereto. The License shall be governed by the laws of the state in which the Property is located. 15. Attorney's Fees. If any legal action or proceeding arising out of or relating to this Agreement is brought by either party to this Agreement, the prevailing party shall be entitled to receive from the other party, in addition to any other relief that may be granted, the reasonable attorneys’ fees, costs and expenses incurred in the action or proceeding by the prevailing party. Each party is signing this Agreement as of the date first above written. LICENSEE: City of Vernon, a California charter City and California municipal corporation By: _________________________________ Name: Carlos Fandino Title: City Administrator Attest: Lisa M. Pope, City Clerk Approved as to Form: Brian Byun, Senior Deputy City Attorney LICENSOR: Crown Poly, Inc., a California corporation By: _________________________________ Name: ______________________________ Title: _______________________________ By: _________________________________ Name: ______________________________ Title: _______________________________ EXHIBIT A [Attached] EXHIBIT B [Attached] September 30, 2019 City of Vernon – Municipal Supply Water Well 22 Proposed Activities on Adjacent Property The following support activities for well drilling are proposed to take place on the property adjacent to the new well site for the City of Vernon:  Temporary security fencing around the perimeter of the work area.  Ingress/egress and parking of work vehicles.  Temporary loading & off-loading of equipment from trailers during mobilization and demobilization.  Forklift area to carefully handle and transport of drill cuttings from the mud pits to a staging area located off-site.  Treatment of discharge fluids consisting of potable water and deleterious, native soils fully contained in hosing and two Baker tanks for settlement of fine sand and silt prior to discharge to the nearby curb inlet (per the City’s NPDES permit).  Temporary storage of well casing, gravel pack, drill pipe, and tremie pipe.  Portable welder, gravel pumps and generator. City Council Agenda Item Report Agenda Item No. COV-464-2019 Submitted by: Michael Earl Submitting Department: City Administration Meeting Date: October 15, 2019 SUBJECT A Resolution Appointing Scott Williams to Serve as Director of Finance/City Treasurer and Approving and Authorizing the Execution of a Related At-Will Employment Agreement Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (CEQA) review, because they are administrative activities that will not result in direct or indirect physical changes in the environment, and therefore do not constitute a "project" as defined by CEQA Guidelines section 15378; and B. Adopt the attached resolution appointing Scott Williams to serve as Director of Finance/City Treasurer of the City of Vernon effective November 4, 2019, and approving and authorizing the execution of a related at-will employment agreement. Background: The Director of Finance/City Treasurer position became vacant effective July 23, 2019, upon the retirement of the previous Director/Treasurer. The recruitment period to find a permanent replacement began July 5, 2019 and ran through August 11, 2019. The City received applications and resumes from forty-one candidates who met the minimum qualifications for the position. From those forty-one candidates, nine were determined to be the most highly qualified and were invited to participate in the interview process which was conducted on September 23, 2019. Seven candidates appeared for the interviews and were evaluated by two interview panels; one consisting of outside raters with technical expertise in municipal finance and the other panel consisting of the Human Resources Director, City Attorney, and City Administrator. At the conclusion of the interviews both panels recommended two final candidates for further consideration. Additional interviews with the two final candidates were conducted on September 25 and September 26, 2019. The City Administrator is recommending the appointment of Scott Williams to the position of Director of Finance/City Treasurer for the City of Vernon. CANDIDATE BACKGROUND Scott Williams has more than eleven years of experience in the field of public finance working for a variety of City, County, and University organizations. He also has approximately six years of financial operations experience in the private sector including three years running his own business enterprise and financial consulting firm. Most recently, Mr. Williams has served as the Administrative Services Officer/Finance Director for the City of Signal Hill where he has overseen a full transformation of the Finance Department operations. Mr. Williams has been responsible for the deployment and implementation of a citywide Enterprise Resources Program system, a cost allocation user fee study, and updating of the City’s financial policies and procedures. Mr. Williams has a Bachelor’s degree in Business Administration from The Master’s University, A Masters’ Degree from Cal State University Monterrey Bay, and earlier this year obtained his Doctorate degree in Public Administration from California Baptist University. Mr. Williams is to be appointed at step 1 ($16,408) of the established salary range for the Director of Finance/City Treasurer position as listed on the City’s publicly available salary schedule and will receive benefits consistent with other executive management classifications as set forth in the City’s Fringe Benefits and Salary Resolution. Fiscal Impact: There is no additional fiscal impact resulting from the appointment of the Director of Finance/City Treasurer as this is a budgeted position in the Finance Department 2019/2020 fiscal year budget. ATTACHMENTS 1. Resolution - Appointment of Finance Director/City Treasurer RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON APPOINTING SCOTT WILLIAMS TO SERVE AS THE DIRECTOR OF FINANCE/CITY TREASURER OF THE CITY OF VERNON AND APPROVING AND AUTHORIZING THE EXECUTION OF A RELATED AT-WILL EMPLOYMENT AGREEMENT WHEREAS, on July 5, 2019, the Human Resources Department initiated the recruitment process to fill the vacancy of the Director of Finance/City Treasurer; and WHEREAS, the Human Resources Department created an executive recruitment brochure for the position (attached hereto as Exhibit A) and conducted a broad and extensive recruitment that included multiple screenings and interviews of numerous applicants by internal and external raters; and WHEREAS, on September 25 and 26, 2019, the City Administrator conducted final interviews of the highest ranking candidates; and WHEREAS, by memorandum dated October 15, 2019, the City Administrator has recommended Scott Williams (“Williams”) to the City Council of the City of Vernon as the most qualified candidate and initiated the pursuit of the employment of Williams as the Director of Finance/City Treasurer of the City of Vernon, subject to City Council’s approval and Williams’ successful completion of the pre-employment process; and WHEREAS, the City Council of the City of Vernon desires to appoint Williams to serve as the Director of Finance/City Treasurer, effective November 4, 2019. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: SECTION 1: The City Council of the City of Vernon hereby - 2 - finds and determines that the above recitals are true and correct. SECTION 2: The City Council of the City of Vernon finds that this action is exempt from California Environmental Quality Act (CEQA) review, because it is a general administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378. SECTION 3: The City Council of the City of Vernon hereby appoints Scott Williams to serve as the Director of Finance/City Treasurer of the City of Vernon, effective November 4, 2019. SECTION 4: The City Council of the City of Vernon hereby approves and authorizes the execution of the At-Will Employment Agreement with Williams to serve as Director of Finance/City Treasurer of the City of Vernon, in substantially the same form as the copy which is attached hereto as Exhibit B. SECTION 5: The City Clerk, or any authorized officer, shall administer the Oath of Office prescribed in the Constitution of the State of California to Williams and shall have him subscribe to it and file it with the Human Resources Department. SECTION 6: The City Council of the City of Vernon hereby directs the City Clerk, or the City Clerk’s designee, to give a fully executed Agreement to Williams. / / / / / / / / / / / / / / / / / / - 3 - SECTION 7: The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk of the City of Vernon shall cause this resolution and the City Clerk’s certification to be entered in the File of Resolutions of the Council of this City. APPROVED AND ADOPTED this 15th day of October, 2019. Name: Title: Mayor / Mayor Pro-Tem ATTEST: Lisa M. Pope, City Clerk APPROVED AS TO FORM: __ Zaynah Moussa, Senior Deputy City Attorney - 4 - STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Lisa M. Pope, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. , was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on Tuesday, October 15, 2019, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. Executed this day of October, 2019, at Vernon, California. Lisa M. Pope, City Clerk (SEAL) EXHIBIT A CITY OF VERNON Invites your interest for the position of DIRECTOR OF FINANCE/CITY TREASURER The City of Vernon Invites your interest for the position of DIRECTOR OF FINANCE/ CITY TREASURER TThe City of Vernon is currently accepting applications for the position of Director of Finance/City Treasurer. This is an exciting and challenging opportunity to join the Executive Leadership Team of a unique and exclusively industrial community. If you are interested in being considered for this opportunity, please apply online at www.cityofvernon.org by August 11, 2019. THE COMMUNITY The City of Vernon is an industrial city of 5.2 square miles located about five miles to the southeast of downtown Los Angeles. Founded in 1905 as the first exclusively industrial city in the Southwestern United States, Vernon remains largely industrial with an approximate residential population of 250. The City currently houses more than 1,800 businesses that employ approximately 50,000 people, serving as a vital economic engine for the Southern California region. Vernon offers an environment uniquely friendly to business and is home to many Fortune 500 companies in industries that include food and agriculture, apparel, steel, plastics, logistics and home furnishings. Vernon maintains strong philanthropic ties with the neighboring communities where much of its workforce lives, providing significant support for public services such as health care and education. THE ORGANIZATION The five members of the Vernon City Council are elected at large, on a non-partisan basis, for five year staggered terms and, as a result of 2011 Charter amendments, no person may serve more than two full terms of office. The Mayor is selected by the Council. The City’s total projected budget for FY 2019-20 is a little over $315 million (the General Fund budget is approximately $60 million) with a little over 280 employees. Vernon continues on the path towards creating greater accountability and transparency with the goal to create a model government. Since 2011, Vernon has undergone tremendous change. Through the City’s implementation of more than 150 good governance reforms, Vernon – the city that has characterized itself as “Exclusively Industrial” for over 114 years – has firmly established itself as a model city for good governance. The City is seeking an experienced finance manager committed to the furtherance of good governance practices and the highest standards. THE FINANCE/TREASURY DEPARTMENT The Finance/Treasury Department develops fiscal policies that ensures a financially strong and effective city government. It implements financial policies and procedures that are consistently monitored and reviewed to maintain the financial integrity of the City and its related agencies. It is responsible for the overall financial management of the City, and ensures that generally accepted accounting standards are followed and appropriate internal controls are in place to safeguard City assets. Some of the key responsibilities include: providing timely and relevant information to City leaders and executives to enhance decision-making and promote the long-term financial well-being of the City; obtaining or producing relevant operating revenue-performance and economic forecasts to support the decision-making process; administering record- keeping methodologies and reporting systems that will ensure compliance with GAAP, federal and state mandates, disclosure rules and contractual and legal requirements; and providing overall financial management of the City. The department oversees the treasury function, as well as: • Accounts Payable • Accounts Receivable / Collection • Annual Audited Financial Statements • Annual City Budgets • Capital Asset Management • Cash and Investment Management • General Ledger • Grant Accounting • Licenses & Permits • Purchasing • Risk Management • Payroll The Department is currently staffed with 12 full-time positions in the divisions of Treasury, Purchasing, Business License, and Risk Management. THE POSITION The Director of Finance/City Treasurer is responsible for performing complex management and technical duties, with responsibility for maintaining fiscal stability and safeguarding the assets of the City, providing financial advice to the City Administrator and City Council, and assuring that financial activities are in compliance with state and federal regulations, and City policies. The Director of Finance/City Treasurer provides leadership and direction over the activities of staff members of the Finance/Treasury Department and is considered a critical member of the Executive team that has been assembled to successfully address and respond to the myriad of issues that Vernon faces on a daily basis. The Director of Finance/City Treasurer supports the relationship between the City of Vernon and the general public by demonstrating courteous and cooperative behavior when interacting with the public and City staff. ESSENTIAL JOB FUNCTIONS • Manage the Finance Department through effective planning and fiscal management; provide leadership, direction and guidance in financial strategies and priorities; evaluate and analyze financial data, and recommend and implement solutions; assure the financial activities and procedures are in compliance with all laws, policies, regulations, and accounting standards. • Serve as principal financial advisor to the City Council and City Administrator; provide leadership, direction, and guidance to achieve the City goals of fiscal well-being and integrity; interpret concerns, define desired results, develop solutions, communicate status of financial issues, interpret and explain policies and regulations, and assure the efficient delivery of high quality financial services. • Monitor Finance Department operations and internal financial controls; assure the quality of the financial activities, services, and work products; prepare and review statistical analyses to evaluate trends and financial status; develop revenue and expenditure forecasts, and recommend budget adjustments. • Direct, lead, and motivate the Finance staff; plan, prioritize, and assign tasks and projects; monitor work, develop skills, and evaluate performance; meet with team to discuss and resolve workload, special projects, quality standards, customer services, and technical issues; review work, verify the accuracy of financial records, identify corrective actions, and assure required deadlines are met. • Analyze financial information on City operations, evaluate departments’ needs and goals, and recommend financial resources; review and monitor status reports, and recommend appropriate actions; prepare and present financial forecasts and status reports to City Council. • Analyze the City’s financial condition and develop plans to assure financial performance meets goals; coordinate development of City budget; monitor budget, revenue, and expenditure trends. • Direct financial reporting, preparation of financial statements, and development of the Comprehensive Annual Financial Report (CAFR); oversee the City’s banking, cash and debt management, bond rating, and investment activities; interpret laws, rules, regulations, and guidelines for financial procedures. • Monitor and evaluate the efficiency and effectiveness of service delivery methods and procedures; monitor and evaluate work load, technical support systems, internal reporting relationships, and inter-agency issues; identify opportunities for improvement, and develop recommendations. • Coordinate and resolve financial and technical issues with elected officials and outside agencies. THE IDEAL CANDIDATE The ideal candidate is someone who is well versed in all aspects of the field of municipal finance. The City seeks candidates who have broad municipal or similar public agency experience in budgeting, accounting, municipal bonds, debt management, and other public agency financing initiatives. The City’s next Director of Finance will also have a record of proven success in evaluating business processes and introducing innovative solutions through the use of technology and best practices. The City seeks an individual who brings new, fresh and innovative ideas, is motivated to create change, and is committed to a philosophy of ethical, transparent, and customer-centered service delivery. He/She should be a team player who is open and approachable; able to identify, select and motivate subordinate staff; and can actively manage Department operations. Furthermore, he/she should be responsive, in a timely manner, to requests from the City Council, City Administrator, Department Heads and the public. REQUIRED TRAINING, EDUCATION AND EXPERIENCE Bachelor’s Degree in Accounting, Finance, or Business Administration; AND seven years of experience managing public sector financial operations. Master’s Degree in Finance or Business Administration is desirable. LICENSE AND CERTIFICATION REQUIREMENTS Possession of a valid State of California driver’s license is required. Certified Public Accountant (CPA) or Certified Government Finance Officer (CGFO) designation is preferred. COMPENSATION The current monthly salary range for this position is approximately $15,931 - $19,364. Salary placement within the established salary range depends upon qualifications. In addition, benefits provided include: vacation, holiday, sick, and administrative leave; life insurance; and medical, dental, and vision insurance that are provided in an aggregate allowance of up to $1,853.68 per month for family coverage. This position also receives a $400 per month auto allowance. Pre-tax supplemental insurance plans are offered through AFLAC, Colonial Life, and Mutual of Omaha; there is an option to participate in a Section 125 IRS Plan for reimbursement of dependent care and medical costs; retirement offered through the California Public Employees Retirement System (CalPERS), with a 2.7% at 55 formula for classic members (classic employees currently pay an 8% contribution) and a 2% at 62 retirement formula for new members (currently new employees pay a 5.75% contribution); 457 deferred compensation plan available at employee cost; the City does not participate in Social Security; credit union membership also available. The City has a 4/10 work schedule. SELECTION PROCESS Completed application packets will be reviewed and those whose qualifications best meet, or exceed, the requirements of the position and appear to best meet the needs of the City will be invited to participate in the selection process. A complete application packet must include a cover letter, resume and completed City of Vernon online application. Resumes are not accepted in lieu of City applications. For a complete job description please visit our website at www.cityofvernon.org Tentative interview dates: Initial interviews are tentatively scheduled for August 29, 2019. HOW TO APPLY For an opportunity to work for an outstanding, dynamic, and progressive City committed to establishing itself as a model for good governance, please visit our website at www.cityofvernon.org and apply online. The City of Vernon is an Equal Opportunity Employer. Filing Deadline: Application materials must be submitted online no later than 11:59 p.m. August 11, 2019 If you have any questions or would like additional information about this exciting career opportunity, please contact Michael Earl, Director of Human Resources, at (323) 583-8811 ext. 239 or mearl@ci.vernon.ca.us. EXHIBIT B AT-WILL EMPLOYMENT AGREEMENT (NON-SAFETY) BETWEEN THE CITY OF VERNON AND SCOTT WILLIAMS This Agreement is between the City of Vernon (“City”) and Scott Williams (“Employee”). Recitals City desires to employ Employee as an at-will employee in the position of Director of Finance/City Treasurer. Employee desires to be the Director of Finance/City Treasurer and acknowledges that such employment is at-will. The City Administrator, pursuant to the authority granted by the City of Vernon Charter and City Council, agrees to hire Employee, as an at-will employee, subject to the terms and conditions identified below. AGREEMENT Section 1: TERM The effective date of this Agreement shall be November 4, 2019. Either party may terminate this Agreement pursuant to the provisions set forth below. Employee is an at-will employee and may be terminated, with or without cause, upon thirty (30) days written notice. Employee may resign with thirty (30) days advance notice as set forth in Section 8 below. Section 2: DUTIES A. City engages Employee as the Director of Finance/City Treasurer to perform the functions and duties specified in the job description for the position (Attachment “A”, incorporated herein by this reference), as the same may be modified by the City Administrator, from time to time, and to perform such other legally permissible and proper duties and functions as the City Administrator shall, from time to time, assign. B. Employee agrees that to the best of his ability and experience that he will at all times conscientiously perform the duties and obligations required, either express or implied, by the terms of this Agreement, the ordinances, resolutions and adopted policies of the City of Vernon and the laws and regulations of the State of California and the United States. C. As a public employee, Employee is required to work a full and complete work week pursuant to the established work schedule as determined by the City Administrator, and devote whatever time is necessary to fulfill the employment responsibilities and duties as identified in this Agreement. D. During the term of this Agreement, Employee is required to have and maintain a valid California Driver’s license. E. Employee acknowledges that in connection with the performance of his duties, he will obtain information from City employees and third parties that is of a confidential nature. Employee agrees that he will not disclose such confidential information other than to officers and employees of the City who have been authorized to have access to such information. - 2 - Employee further agrees that if he has a question as to the confidentiality of information obtained in the course of his employment, he will contact the City Attorney for advice. Section 3: EXCLUSIVE EMPLOYMENT Employee agrees to focus his professional time, ability and attention to City business during the term of this Agreement. Consequently, Employee agrees not to engage in any other business pursuits, whatsoever, directly or indirectly, render any services of a business, commercial, or professional nature to any other person or organization, for compensation, without the prior written consent of the City Administrator. This does not preclude Employee from volunteering his services to other entities or individuals as long as such volunteer services are not in conflict with the services to be provided by Employee under this Agreement. Section 4: COMPENSATION As compensation for the services to be rendered by Employee, City agrees to pay Employee a base starting salary of no less than $16,408, per month, payable in twenty-six (26) biweekly installments at the same time as other employees of the City are paid and subject to customary withholding. Salary adjustments (merit increases), if any, in Employee’s salary during the term of this Agreement shall be at the sole discretion of the City Administrator based upon the City Administrator’s evaluation of Employee’s job performance and within the base salary range established by the City Council or as otherwise approved by the City Council. Any and all adjustments shall be in accordance with City personnel policies and procedures. Employee’s salary shall be reflected in the City’s publicly available salary schedule. Section 5: BENEFITS A. Retirement As an employee of the City of Vernon, Employee will be enrolled in the California Public Employees Retirement System (PERS) retirement plan, as such plan may be amended by the City Council. As of the date of this employment agreement, such plan includes the 2.7% at 55 benefit formula for “classic” miscellaneous employees or the 2.0% at 62 benefit formula for “new” miscellaneous employees. The Employee pays for the employee contribution to PERS. B. Other Executive Management Benefits Employee shall receive all benefits specified by the then current Resolutions of the City Council of Vernon for Executive Management Staff, including, without limitation, those related to Vacation, Administrative Leave, Holidays, Sick Leave, Medical and Dental Insurance, Life Insurance, Flexible Benefits Plans, Vision Care, Other Leaves, and Deferred Compensation, and other types of leave in accordance with the Personnel Policies and Procedures Manual. Section 6: TERMINATION AND SEVERANCE PAY A. Employee is an at-will employee and serves at the will and pleasure of the City Administrator and may be terminated at any time, without cause, subject to the conditions of paragraphs B and C of this section. B. In the event that Employee is terminated by the City Administrator for reasons other than physical or mental incapacity, and other than those reasons noted in paragraph - 3 - E, below, the City agrees to pay the employee a severance amount equal to six (6) months of base salary. C. To be eligible for severance pay, as identified in paragraph B, of this section, Employee shall fulfill all of his obligations under this Agreement and shall sign a severance agreement and release of all claims against the City. D. All severance payments shall be paid within thirty (30) calendar days of the date Employee executes the severance agreement and release of claims against the City. E. Notwithstanding paragraphs A, B and C, above, if Employee resigns or retires, or is terminated due to insubordination, incapacity, dereliction of duty, violation of the City’s Alcohol and Drug-Free Workplace Policy III-1, conviction of a crime involving moral turpitude or involving personal gain to him or abuse of his office or position or any felony or for a breach of this Agreement, City shall have no obligation to pay any severance provided in this section. Furthermore, Employee agrees that any severance provided shall be fully reimbursed to the City if the Employee is convicted of a crime involving an abuse of his office or position. F. Upon termination, Employee shall be paid for all earned, but unused, vacation time. Section 7: ABUSE OF OFFICE OR POSITION If Employee is paid leave salary during a pending investigation, any salary provided for that purpose shall be fully reimbursed to the City if Employee is convicted of a crime involving an abuse of his office or position. If Employee is provided funds for any legal criminal defense during his employment with the City, any funds provided for that purpose shall be fully reimbursed to the City if the Employee is convicted of a crime involving an abuse of his office or position. If this Agreement is terminated, any cash settlement related to the termination that Employee may receive from the City shall be fully reimbursed to the City if Employee is convicted of a crime involving an abuse of his office or position. Section 8: RESIGNATION / RETIREMENT Employee may resign at any time. Employee may retire, provided he is eligible for retirement, at any time. Employee agrees to provide thirty (30) calendar days advance written notice of the effective date of his resignation or retirement. In the event Employee retires or resigns, Employee shall be entitled to payment for earned, but unused, vacation time, but not to severance pay as delineated in Section 6, paragraph B, above. Section 9: DISABILITY If Employee is permanently disabled or otherwise unable to perform his duties because of sickness, accident, injury, mental incapacity or health for a period of thirty (30) calendar days beyond any earned sick leave, City shall have the option to terminate this Agreement; however, the City’s option to terminate under this Section shall be limited by its obligation to engage in the interactive process for reasonable accommodations and to provide reasonable accommodations as required by law. Nothing in this Section shall be construed to limit or restrict Employee’s benefits or rights under workers’ compensation or the Public Employees Retirement System (“PERS”). - 4 - However, an employee terminated under this section is not eligible for severance pay, as delineated in Section 6 of this Agreement. In cases of disability, Employee shall be compensated for any earned, but unused, vacation leave. Section 10: GENERAL PROVISIONS A. Notice Any notices required by this Agreement shall be in writing and either delivered in person or by first class, certified, return receipt requested US Mail with postage prepaid. Such notice shall be addressed as follows: TO CITY: City Administrator City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 TO EMPLOYEE: Scott Williams [Deliver to last updated address in personnel file] B Entire Agreement The text of this Agreement shall constitute the entire and exclusive agreement between the parties. All prior oral or written communications understanding or agreements between the parties, not set forth herein, shall be superseded in total by this Agreement. No Amendment or modification to this Agreement may be made except by a written agreement signed by the Employee and the City Administrator and approved as to form by the City Attorney. C Assignment This Agreement is not assignable by either the City or Employee. D Severability In the event that any provision of this Agreement is finally held or determined to be illegal or void by a court having jurisdiction over the parties, the remainder of this Agreement shall remain in full force and effect unless the parts found to be void are wholly inseparable from the remaining portions of this Agreement. E. Effect of Waiver The failure of either party to insist on strict compliance with any of the terms, covenants, or conditions in this Agreement by the other party shall not be deemed a waiver of that term, covenant or condition, nor shall any waiver or relinquishment of any right or power at any one time or times be deemed a waiver or relinquishment of that right or power for all or any other time or times. F. Jurisdiction - 5 - Any action to interpret or enforce the terms of this Agreement shall be held exclusively in a state court in Los Angeles County, California. Employee expressly waives any right to remove any such action from Los Angeles County. G. Effective Date This Agreement shall take effect on November 4, 2019. [Signatures Begin on Next Page]. - 6 - IN WITNESS WHEREOF, the City of Vernon has caused this Agreement to be signed and executed on its behalf by its City Administrator, and executed by the Employee. City of Vernon, a California charter City and California municipal corporation Dated: By: Carlos R. Fandino Jr., City Administrator ATTEST: Lisa M. Pope, City Clerk Approved as to form: Hema Patel, City Attorney - 7 - In signing this Agreement, Employee understands and agrees that his employment status is that of an at-will employee and that his rights to employment with the City are governed by the terms and conditions of this Agreement rather than the ordinances, resolutions, and policies of the City of Vernon which might otherwise apply to employees of the City. Employee further acknowledges that he was given the opportunity to consult with an attorney prior to signing this Agreement. Signed: Dated: Employee - 8 - ATTACHMENT A Job Description Director of Finance/City Treasurer Vernon CA 1 of 2 JOB DESCRIPTION Director of Finance/City Treasurer Date Prepared: March 2014 Class Code: 1210 SUMMARY: Under limited supervision, performs complex management and technical duties as the Finance Director and City Treasurer, with responsibility for maintaining fiscal stability and safeguarding the assets of the City; provides financial advice to the City Administrator and City Council; manages assigned personnel, and assures that financial activities are in compliance with state and federal regulations, and City policies. ESSENTIAL FUNCTIONS: -- Essential functions, as defined under the Americans with Disabilities Act, may include any of the following representative duties, knowledge, and skills. This is not a comprehensive listing of all functions and duties performed by incumbents of this class; employees may be assigned duties which are not listed below; reasonable accommodations will be made as required. The job description does not constitute an employment agreement and is subject to change at any time by the employer. Essential duties and responsibilities may include, but are not limited to, the following:  Manages the Finance Department through effective planning and fiscal management; provides leadership, direction and guidance in financial strategies and priorities; evaluates and analyzes financial data, and recommends and implements solutions; assures the financial activities and procedures are in compliance with all laws, policies, regulations, and accounting standards.  Serves as principal financial advisor to the City Council and City Administrator; provides leadership, direction, and guidance to achieve the City goals of fiscal well-being and integrity; interprets concerns, defines desired results, develops solutions, communicates status of financial issues, interprets and explains policies and regulations, and assures the efficient delivery of high quality financial services.  Monitors Finance Department operations and internal financial controls; assures the quality of the financial activities, services, and work products; prepares and reviews statistical analyses to evaluate trends and financial status; develops revenue and expenditure forecasts, and recommends budget adjustments.  Directs, leads, and motivates the Finance staff; plans, prioritizes, and assigns tasks and projects; monitors work, develops skills, and evaluates performance; meets with team to discuss and resolve workload, special projects, quality standards, customer services, and technical issues; reviews work, verifies the accuracy of financial records, identifies corrective actions, and assures required deadlines are met.  Analyzes financial information on City operations, evaluates departments’ needs and goals, and recommends financial resources; reviews and monitors status reports, and recommends appropriate actions; prepares and presents financial forecasts and status reports to City Council.  Analyzes the City’s financial condition and develops plans to assure financial performance meets goals; coordinates development of City budget; monitors budget, revenue, and expenditure trends.  Directs financial reporting, preparation of financial statements, and development of the Comprehensive Annual Financial Report (CAFR); oversees the City’s banking, cash and debt management, bond rating, and investment activities; interprets laws, rules, regulations, and guidelines for financial procedures.  Monitors and evaluates the efficiency and effectiveness of service delivery methods and procedures; monitors and evaluates work load, technical support systems, internal reporting relationships, and inter- agency issues; identifies opportunities for improvement, and develops recommendations.  Coordinates and resolves financial and technical issues with elected officials and outside agencies.  Supports the relationship between the City of Vernon and the general public by demonstrating courteous and cooperative behavior when interacting with visitors and City staff; maintains confidentiality of work- related issues and City information; performs other duties as required or assigned. Director of Finance/City Treasurer Vernon CA 2 of 2 MINIMUM QUALIFICATIONS: Education, Training and Experience Guidelines: Bachelor’s Degree in Accounting, Finance, or Business Administration; AND seven years of experience managing public sector financial operations. Master’s Degree in Finance or Business Administration is desirable. Knowledge of:  City organization, operations, policies, and procedures.  Government Accounting Standards Board (GASB), Financial Accounting Standards Board (FASB), and Government Finance Officers Association (GFOA) standards, recommended practices and policies, rules and regulatory reporting requirements.  Generally Accepted Accounting Principles for Public Sector financial management, including payroll, treasury, grant funds, and public debt management.  Federal and state laws and statutes governing municipal operations, public records, and open meetings.  Legal, ethical, and professional rules of conduct for municipal finance officers.  Principles and practices of administrative management, including personnel rules, procurement, contract management, risk management, and employee supervision.  Record keeping and file maintenance principles and procedures.  General ledger and account reconciliation standards. Skill in:  Analyzing problems, defining complex issues, identifying alternative solutions, projecting consequences of proposed actions, and implementing recommendations to support goals and build the organization.  Effectively managing and leading staff, and delegating tasks and authority.  Assessing and prioritizing multiple tasks, projects and demands.  Reading, interpreting, understanding and applying accounting standards and procedures, applicable federal and state rules and regulations, and City policies and procedures.  Analyzing City needs and prioritizing and promoting financial strategies to meet future needs.  Monitoring and interpreting financial documents, and assuring compliance with all regulatory requirements governing municipal financial activities.  Analyzing financial issues, evaluating alternatives, and developing recommendations and strategies.  Using initiative and independent judgment within established procedural guidelines.  Reviewing interrelated financial and technical records, and identifying and reconciling errors.  Operating a personal computer utilizing standard and specialized software.  Establishing and maintaining cooperative working relationships with co-workers.  Communicating effectively verbally and in writing. LICENSE AND CERTIFICATION REQUIREMENTS: A valid California State Driver’s License is required. Certified Public Accountant (CPA) or Certified Government Finance Officer (CGFO) designation is preferred. PHYSICAL DEMANDS AND WORKING ENVIRONMENT: Work is performed in a standard office environment. City Council Agenda Item Report Agenda Item No. COV-456-2019 Submitted by: Michael Earl Submitting Department: City Administration Meeting Date: October 15, 2019 SUBJECT A Resolution Approving and Authorizing the Execution of a Memorandum of Understanding by and between the City of Vernon and the Consolidated Fire Protection District of the County of Los Angeles for Fire Battalion Chief Services Recommendation: A. Find that the approval of the proposed action is exempt from California Environmental Quality Act ("CEQA") review, because it is an administrative activity that will not result in direct or indirect physical changes in the environment and therefore does not constitute a “project” as defined by CEQA Guidelines Section 15378; and B. Adopt the attached resolution approving and authorizing the execution of a Memorandum of Understanding by and between the City of Vernon and the Consolidated Fire Protection District of the County of Los Angeles for Fire Battalion Chief Services. Background: Effective October 6, 2019, one of three Battalion Chief positions became vacant due to a retirement. With the vacancy, the Interim Fire Chief has explored alternative staffing models that could be implemented in an effort to reduce department expenditures and most efficiently and economically provide services to the community during the transitional period until the Fire Protection District of Los Angeles County assumes the provision of Fire protection services in the City of Vernon. Based on the low volume of calls requiring a response of a Battalion Chief and as the City of Vernon Fire Department ramps up to transition into the Los Angeles County Fire District operations, integrating a County/District Battalion Chief response is proposed through a services agreement/memorandum of understanding. Under the operational plan proposed by the Interim Fire Chief, the two current Fire Battalion Chiefs would be assigned to a forty (40) hour work week scheduled to be available to assist the Fire Chief in the variety of administrative assignments required including performing fire inspection and plan check services. A City of Vernon Battalion Chief and/or the Fire Chief himself would respond to calls requiring a Battalion Chief response during normal business hours. After hours and on weekends, a Los Angeles County Fire District Battalion Chief would provide the initial response to calls rising to the level requiring the command and control of a Battalion Chief. For ongoing calls/incidents, a City of Vernon Battalion Chief and/or the Fire Chief would then also respond. City of Vernon Battalion Chiefs would be provided a City vehicle to respond after hours should it be necessary. Fiscal Impact: Based on an annual call volume of between 150 and 175 calls requiring a Battalion Chief response, it is estimated that the cost services provided through this MOU will not exceed $30,000 for an estimated nine month period. This nominal expenditure will be significantly offset through salary savings attained by not filling the vacant Battalion Chief position. The cost to fill the vacant Battalion Chief position for nine months is estimated to be approximately $269,700. In addition there is estimated to be savings from not back-filling the vacancy in an amount of approximately $248,000. ATTACHMENTS 1. Resolution - Agreement for Fire Battalion Chief Services RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON APPROVING AND AUTHORIZING THE EXECUTION OF A MEMORANDUM OF UNDERSTANDING BY AND BETWEEN THE CITY OF VERNON AND THE CONSOLIDATED FIRE PROTECTION DISTRICT OF LOS ANGELES COUNTY FOR BATTALION CHIEF SERVICES WHEREAS, the City of Vernon (“City”) is a municipal corporation and a chartered city of the State of California organized and existing under its Charter and the Constitution of the State of California; and WHEREAS, with the recent retirement of one out of three incumbent Vernon Fire Department Battalion Chiefs, the Interim Fire Chief explored alternative staffing models that could be implemented in an effort to reduce department expenditures and most efficiently and economically provide services to the community during the transitional period until the Consolidated Fire Protection District of Los Angeles County (the “Fire District”) assumes the provision of fire protection and related services in the City; and WHEREAS, by memorandum dated October 15, 2019, the City Administrator has recommended the approval of a Memorandum of Understanding (“MOU”) with the Fire District, setting forth the terms and conditions under which the Fire District will provide battalion chief response services during non-City business hours for this transition period; and WHEREAS, the City Council of the City of Vernon desires to approve the MOU with the Fire District. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: - 2 - SECTION 1: The City Council of the City of Vernon hereby finds and determines that the above recitals are true and correct. SECTION 2: The City Council of the City of Vernon finds that this action is exempt from California Environmental Quality Act (“CEQA”) review, because it is an administrative action that will not result in direct or indirect physical changes in the environment and, therefore, does not constitute a “project” as defined by CEQA Guidelines section 15378. SECTION 3: The City Council of the City of Vernon hereby approves the Memorandum of Understanding with the Consolidated Fire Protection District of Los Angeles County, in substantially the same form as the copy attached hereto as Exhibit A. SECTION 4: The City Council of the City of Vernon hereby authorizes the City Administrator to execute said MOU for, and on behalf of, the City of Vernon and the City Clerk is hereby authorized to attest thereto. SECTION 5: The City Council of the City of Vernon hereby instructs the City Administrator, or his designee, to take whatever actions are deemed necessary or desirable for the purpose of implementing and carrying out the purposes of this Resolution and the transactions herein approved or authorized, including but not limited to, any non-substantive changes to the MOU attached herein. SECTION 6: The City Council of the City of Vernon hereby directs the City Clerk, or the City Clerk’s designee, to send a fully executed Agreement to the Fire District. / / / / / / / / / - 3 - SECTION 7: The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk, of the City of Vernon shall cause this resolution and the City Clerk’s certification to be entered in the File of Resolutions of the Council of this City. APPROVED AND ADOPTED this 15th day of October, 2019. Name: Title: Mayor / Mayor Pro-Tem ATTEST: Lisa M. Pope, City Clerk APPROVED AS TO FORM: Zaynah Moussa, Senior Deputy City Attorney - 4 - STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Lisa M. Pope, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. , was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on Tuesday, October 15, 2019, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. Executed this day of October, 2019, at Vernon, California. Lisa M. Pope, City Clerk (SEAL) EXHIBIT A 1 MEMORANDUM OF UNDERSTANDING BETWEEN THE CONSOLIDATED FIRE PROTECTION DISTRICT AND THE CITY OF VERNON FOR BATTALION CHIEF SERVICES This Memorandum of Understanding (MOU) is entered into this 21st day of October, 2019, between the Consolidated Fire Protection District of Los Angeles County (FIRE DISTRICT) and the City of Vernon (CITY). WHEREAS, The CITY plans to annex into the FIRE DISTRICT for the provision of fire protection, hazardous materials, emergency medical, and related services within 6-8 months; The FIRE DISTRICT has agreed to provide dispatch services for the CITY starting in October 2019, prior to the transition of full services by the FIRE DISTRICT in 2020; In the interim, the CITY has requested the FIRE DISTRICT begin providing battalion chief responses on all designated emergencies in the CITY, defined herein as any incident in the CITY that the FIRE DISTRICT’s response matrix would require a battalion chief response; The FIRE DISTRICT can provide such services to the CITY on a per-response basis through a purchase order issued by the CITY to the FIRE DISTRICT; and The purpose of this MOU is to set out the miscellaneous requirements of a FIRE DISTRICT battalion chief response into the CITY. I. PROVISION OF SERVICES A. The FIRE DISTRICT constantly staffs its Operations Bureau battalion chiefs to oversee station operations on a 24-hour basis. The FIRE DISTRICT agrees to provide a battalion chief response to any incident in the CITY that the FIRE DISTRICT’s response matrix requires a battalion chief(s) position be dispatched. The FIRE DISTRICT battalion chief that is available and geographically closest to the CITY incident will be dispatched to respond. B. The CITY may respond its own battalion chief during certain hours. The FIRE DISTRICT will work with the CITY fire chief to modify the response matrix for the CITY to the extent reasonable as requested by the CITY. C. The FIRE DISTRICT battalion chief shall be the incident commander when they arrive on scene, and shall provide continuous incident command and control, thus retaining command until relieved by a CITY battalion chief or the CITY fire chief. 2 D. Any operational details needed to implement this MOU not included in this MOU shall be developed by the fire chiefs of the FIRE DISTRICT and the CITY. Such details shall be recorded in an addendum to this MOU and signed by both fire chiefs of the FIRE DISTRICT and the CITY. The MOU may be amended from time-to-time as mutually agreed between the fire chiefs of the FIRE DISTRICT and the CITY. II. PERSONNEL All persons employed by the FIRE DISTRICT in the performance of the services provided pursuant to this MOU shall be FIRE DISTRICT employees, and no person employed hereunder by the FIRE DISTRICT shall have any CITY pension, Civil Service, or other status or right of the CITY. The CITY shall not be called upon to assume any liability for the payment of any salaries, wages or other compensation to any FIRE DISTRICT personnel performing any services hereunder for the CITY, nor shall the CITY assume any liability other than that specifically provided for in this MOU. The CITY shall not be liable for any compensation or indemnity to any FIRE DISTRICT employee for injury or sickness arising out of his or her employment. III. PAYMENT A. The FIRE DISTRICT shall be compensated for the battalion chief responses at a rate of $218.81 per response (per response rate). Such compensation shall be applicable whenever a FIRE DISTRICT battalion chief arrives on scene in the CITY. In large-scale events where multiple battalion chiefs are required, the CITY shall pay the per response rate for each battalion chief arriving on scene. B. For each dispatched call that is cancelled en-route prior to the battalion chief arriving on scene, there will be no charge to the CITY. C. The CITY shall issue a purchase order to the FIRE DISTRICT for an estimated number of responses that will require a battalion chief response through June 2020. The CITY and the FIRE DISTRICT will work together to modify the purchase order if the service needs to extend beyond June 30, 2020, or the number of responses needs to be increased. D. By or about the 20th of each month, the FIRE DISTRICT will bill the CITY for the number of responses a battalion chief arrived on scene for the preceding month as determined using the FIRE DISTRICT’s incident reporting system and confirmed by the FIRE DISTRICT’s Planning Division. If the calls are less than 5, the FIRE DISTRICT may elect to hold the billing until there is a cumulative number of responses that exceed 5 before billing the CITY. Payment of all invoices under this MOU shall be due and payable by CITY within thirty (30) days from the date of invoice. E. If this MOU is amended to be carried over to next fiscal year (after July 1, 2020), the per response rate shall be adjusted to reflect the current rate for a FIRE DISTRICT battalion chief. 3 IV. CORRESPONDENCE Invoices shall be sent to the CITY at: City of Vernon ATTN: Jim Enriquez, Interim Fire Chief 4305 Santa Fe Ave. Vernon, CA 90058 General notices shall be sent to the CITY at: City of Vernon ATTN: Carlos Fandino, City Administrator 4305 Santa Fe Ave. Vernon, CA 90058 Payments shall be sent to the FIRE DISTRICT at: Los Angeles County Fire Department PO Box 54740 Los Angeles, CA 90054-0740 General notices shall be sent to the FIRE DISTRICT at: Fire Chief Daryl L. Osby Los Angeles County Fire Department 1320 North Eastern Avenue Los Angeles, CA 90063-3294 Either party shall notify the other, in writing, of an address change. V. INDEMNIFICATION A. Neither party shall be liable for the negligent or wrongful acts of the other in the performance of this MOU. B. The CITY agrees to indemnify and hold harmless the FIRE DISTRICT and the County of Los Angeles, their agencies, officers, and employees from any and all demands, liabilities, expenses and claims for damages of any nature whatsoever including, but not limited to, bodily injury, death, personal injury or property damage, including reasonable attorney’s fees, arising from the CITY’s operations or its services in the performance of this MOU. C. The FIRE DISTRICT agrees to indemnify and hold harmless the CITY, its agents, officers, and employees from any and all demands, liabilities, expenses and claims for damages of any nature whatsoever including, but not limited to, bodily injury, death, personal injury or property damage, including reasonable attorney’s fees, 4 arising from the FIRE DISTRICT’s operations or its services in the performance of this MOU. D. Government Code §895.6 shall not apply here. VI. TERM This MOU shall be effective as of 8 a.m. on October 21, , 2019, and remain operative and effective through June 30, 2020, or until the purchase order from the CITY is terminated or out of allotted responses, whichever date is earliest. VII. LIMITATIONS A. Neither this MOU, nor any provisions herein contained, shall be construed or considered for any purpose to constitute a third-party beneficiary agreement or create any duty or duties in favor of any such third party. B. Any amendment to this MOU shall be in writing and signed by both parties hereto. CONSOLIDATED FIRE PROTECTION CITY OF VERNON DISTRICT OF LOS ANGELES COUNTY By ______________________________ By _____________________________ Daryl L. Osby, Fire Chief Carlos R. Fandino, Jr., City Administrator DATE ___________________________ DATE __________________________ City Council Agenda Item Report Agenda Item No. COV-428-2019 Submitted by: Efrain Sandoval Submitting Department: Public Utilities Meeting Date: October 15, 2019 SUBJECT A Resolution Approving and Adopting the Vernon Public Utilities Department Resource Adequacy Plan for 2020 Recommendation: A. Find that approval of the proposed action is exempt from California Environmental Quality Act (“CEQA”) review, because it is a fiscal and administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” as defined by CEQA Guidelines section 15378; and B. Adopt a resolution approving and adopting the Public Utilities Department Resource Adequacy Plan for 2020, which includes the coincident peak Demand Forecast, the Planning Reserve Margin, the Qualifying Capacity Criteria and the Qualifying Capacity from such resources, City’s Resource Adequacy and Supply Data and approving the resources used to satisfy the California Independent System Operator’s (CAISO) tariff requirements; and C. Authorize staff to submit the City of Vernon Public Utilities Department’s Resource Adequacy Plan for 2020 and the Monthly Resource Adequacy and Supply data to the CAISO. Background: The California Independent System Operator (CAISO), as the electric grid operator, is responsible for maintaining a reliable electric grid. One of the keys to maintaining a reliable grid is to ensure that the electric system has the adequate resources it needs to meet its electric demand. To do this, the CAISO has established provisions in its Tariff that are intended to ensure that Load Serving Entities (LSE), such as the City of Vernon (“City”), will secure sufficient resources to meet their customers’ energy demands. Pursuant to Section 40 of the CAISO Tariff, LSEs must annually provide to the CAISO a Resource Adequacy demonstration or plan. The Resource Adequacy demonstration must include: (1) a coincident peak Demand Forecast, (2) Reserve Margin, (3) Qualifying Capacity Criteria, (4) annual and monthly Resource Adequacy and Supply data, (5) a list of Resource Adequacy Resources that will be counted on to satisfy its Local Capacity Requirement and (6) Flexible Resource Adequacy Capacity Requirement. The above-mentioned Resource Adequacy demonstration categories are each defined and described in detail below. (1)Coincident peak Demand Forecast is defined as the amount of the City of Vernon’s load that contributes to the CAISO system peak. This is calculated by first establishing a monthly peak demand forecast for the upcoming year. A monthly peak demand is established by taking the latest highest metered energy demand for the month and applying the projected load growth rate. Based on staff analysis, a projected load reduction for 2020 is set at 2.0%. To establish the monthly peak demand for 2020, Staff has used the most recent 12-month highest monthly peak demand and applied a 2.0% reduction. Once the peak demand forecast is established, each monthly peak demand is multiplied by a coincident peak factor to establish the monthly coincident peak demand forecast. The coincident peak factor is calculated and provided to the City of Vernon annually by the California Energy Commission. It is the percentage of the City of Vernon’s energy demand at the time of the CAISO system’s peak demand. Mathematically, the coincident peak Demand Forecast for 2020 is equal to the peak demand forecast multiplied by the coincident peak demand factor. (2)Planning Reserve Margin is defined as the amount of Resource Adequacy Capacity that a LSE must maintain above its coincident peak Demand Forecast. Pursuant to the CAISO Tariff, a LSE must establish a Planning Reserve Margin of no less than 15%. Historically, the City of Vernon has established its Planning Reserve Margin at 15%. (3)Qualifying Capacity Criteria is defined as a description of the criteria that will be used to determine the type of resources that can be used to meet a LSE’s capacity obligation and the amount of capacity (Qualifying Capacity) from such resources. The City of Vernon has elected to use the following resources to meet its capacity needs and the qualifying capacity from each of them: a)Power supply contract(s) entered through Western Systems Power Pool (WSPP) Agreement Market Redesign and Technology Upgrade (MRTU) Amendment and defined as any Scheduling Coordinator (SC)-to-SC traded product for which an Inter-SC Trade (IST) can be submitted to the CAISO. b)Vernon Purchase Power Contract with the Southern California Public Power Authority (SCPPA) for the SCPPA’s share of the Palo Verde Generating Station. The qualified capacity shall be 4.9% of SCPPA’s share of the Palo Verde Generating Station. c)The contract between the United States Department of Energy Western Area Power Administration Boulder Canyon Project and the City of Vernon. The Qualifying Capacity will be based on the most current schedule for the available capacity from the Boulder Canyon Project. d)The generating units and system units within the City of Vernon’s electric system. The amount of Qualifying Capacity of such units shall not exceed the Net Qualifying Capacity (NQC) as determined and listed annually by the CAISO. e)Long term power purchase contracts of 5 years or longer. The Qualifying Capacity will be based on the City of Vernon’s percentage share of the contracted capacity quantity. f)Capacity from a Participating Generator, System Unit or System Resource as defined in the CAISO Tariff. g)Interruptible Service agreements between the City of Vernon and its electrical customers. The Qualifying Capacity will be based on the contracted amount the electrical customer has agreed to interrupt either by a request from CAISO or upon an unscheduled outage of the Malburg Generating Station or any other generating unit internal to the City’s electric system. (4) Local Capacity Requirement - On an annual basis, the CAISO publishes a technical study that determines the amount of capacity resources needed in the Los Angeles Basin area that must be available to the CAISO. Based on this study, the CAISO allocates the amount of local capacity the City of Vernon must make available each month. The resources that will meet the City of Vernon’s Local Capacity Requirement must then be included in the CAISO approved Resource Adequacy data templates. (5)Flexible Resource Adequacy Capacity Requirement - On an annual basis the CAISO conducts and publishes the results of a study that determines the Flexible Capacity Need for the CAISO Balancing Authority Area. The need for flexible capacity is a result of the CAISO managing a “greener” grid. The increase of variable energy resources and distributed generation has presented significant challenges to grid reliability. The CAISO determines for- and allocates to- each LSE their corresponding Flexible Resource Adequacy Capacity Requirement. The Tariff requires LSEs to have sufficient resources that can ramp up and down quickly and have the potential to start and shut down multiple times per day (i.e., flexible capacity). LSEs are required to include both an annual and monthly Flexible Resource Adequacy capacity showings in the Resource Adequacy data template. The City of Vernon must then include in its Resource Adequacy Plan the list of Flexible Resource Adequacy resources that will meet its requirement. These resources must be listed and submitted to the CAISO in the approved Resource Adequacy data template. (6)Annual and monthly Resource Adequacy and Supply data - each annual and monthly Resource Adequacy and Supply data must be submitted to the CAISO on the established templates and on the set schedule dates. The Resource Adequacy data templates shall identify all of the qualified resources committed to meet the City’s resource adequacy obligations and the adopted Reserve Margin. The Supply data templates list only those resources that the City owns or is responsible for scheduling with the CAISO. Annual Resource Adequacy Plans data must demonstrate that: 90% of the total system forecasted peak demand plus planning Reserve Margin and Flexible Resource Adequacy Capacity Requirement has been secured; and 100% of the total local resource adequacy requirement has been secured. Monthly Resource Adequacy and Supply data templates must demonstrate that 100% of total system forecasted peak demand plus planning Reserve Margin, Flexible Resource Adequacy Capacity Requirement and local resource adequacy requirement has been met. Monthly Resource Adequacy and Supply data may be adjusted for seasonal variations in the City’s load or changes in its contracted/owned resources. Consistent with the CAISO Tariff requirements, Staff has prepared the City of Vernon Public Utilities Department’s Resource Adequacy Plan for 2020. Fiscal Impact: There is no known fiscal impact. ATTACHMENTS 1. Resolution - 2020 Annual Resource Adequacy Plan RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON APPROVING AND ADOPTING THE VERNON PUBLIC UTILITIES DEPARTMENT RESOURCE ADEQUACY PLAN FOR 2020, WHICH INCLUDES THE COINCIDENT PEAK DEMAND FORECAST, THE PLANNING RESERVE MARGIN, THE QUALIFYING CAPACITY CRITERIA AND THE QUALIFYING CAPACITY FROM SUCH RESOURCES, CITY’S RESOURCE ADEQUACY AND SUPPLY DATA AND APPROVES THE RESOURCES USED TO SATISFY THE CALIFORNIA INDEPENDENT SYSTEM OPERATOR’S TARIFF REQUIREMENTS WHEREAS, the City of Vernon (the “City”) is a chartered municipal corporation of the State of California that owns and operates a system for the generation, purchase, transmission, distribution and sale of electric capacity and energy; and WHEREAS, the City has executed a Metered Subsystem Agreement (“MSS Agreement”) with the California Independent System Operator (“CAISO”); and WHEREAS, the City is considered a Load Serving Entity (“LSE”) under certain terms of the CAISO’s Tariff (“Tariff”); and WHEREAS, the Tariff requires each LSE to establish and submit to CAISO an annual Resource Adequacy Plan, which includes a coincident peak Demand Forecast, a Planning Reserve Margin, Qualifying Capacity Criteria, and a Supply Plan; and WHEREAS, the Tariff requires each LSE to submit monthly Resource Adequacy Plans and Supply Plans; and WHEREAS, the City has reviewed the historical and expected demand for and supplies of electricity within its distribution system, including the likely peak demand for electricity within the City’s distribution system throughout 2020, the available generation and other capacity to serve that demand, and constraints which might impact the -2 - availability of capacity to serve the City’s projected peak demand; and WHEREAS, based upon that review, the City finds that the peak demand for electricity within the City’s distribution system throughout 2020 is likely to experience load reduction of approximately 2.0% as compared to the same months of the prior year; and WHEREAS, based upon that review, the City finds that the default 15% Reserve Margin set forth in the Resource Adequacy provisions of the MRTU Tariff is sufficient for planning purposes; and WHEREAS, based upon that review, the City finds that the Projected Load forecast specified in the City of Vernon Demand Forecast for 2020, Planning Reserve Margin, Qualifying Capacity Criteria are sufficient and appropriate to be used in determining the amount of Qualifying Capacity needed to meet the Annual Resource Adequacy and Supply Plan requirement; and WHEREAS, staff requests City Council’s adoption of the following requirements for the annual and monthly submittals: (a) annual submittals must demonstrate that (i) 90% of the total system coincident peak Demand Forecast, plus a Planning Reserve Margin of 15% of such forecast, has been secured; (ii) 90% of the total flexible resource adequacy has been secured; and (iii) 100% of the total local resource adequacy requirement has been secured; and (b) monthly submittals must demonstrate that (i) 100% of the total system peak Demand Forecast, plus a Planning Reserve Margin of 15% of such forecast, has been secured; (ii) 100% of the total flexible resource adequacy requirement has been secured; and (iii) 100% of the total local resource adequacy requirement has been secured. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF VERNON AS FOLLOWS: -3 - SECTION 1:The City Council of the City of Vernon hereby finds and determines that the above recitals are true and correct. SECTION 2:The City Council of the City of Vernon finds that this action is exempt under the California Environmental Quality Act (CEQA), because it is an administrative activity that will not result in direct or indirect physical changes in the environment, and therefore does not constitute a “project” under CEQA Guidelines section 15378. SECTION 3:The City Council of the City of Vernon hereby approves and adopts the Public Utilities Department Resource Adequacy Plan for Calendar Year 2020 (the “Annual Resource Adequacy Plan”), which includes the coincident peak Demand Forecast, the Planning Reserve Margin, the Qualifying Capacity Criteria and the Qualifying Capacity from such resources, the annual Resource Adequacy and Supply data, and the Resource Adequacy resources that will be used to satisfy the City’s Local Capacity Requirement for 2020, which is attached hereto as Exhibit A. Furthermore, the City Council of the City of Vernon adopts the requirements for (a) annual resource adequacy submittals to demonstrate that (i) 90% of the total system peak Demand Forecast, plus a Planning Reserve Margin of 15% of such forecast, has been secured; (ii) 90% of the total flexible resource adequacy has been secured; and (iii) 100% of the total local resource adequacy requirement has been secured; and (b) monthly submittals to demonstrate that (i) 100% of the total system peak Demand Forecast, plus a Planning Reserve Margin of 15% of such forecast, has been secured; (ii) 100% of the total flexible resource adequacy requirement has been secured; and (iii) 100% of the total local resource adequacy requirement has been secured. / / / -4 - SECTION 4:The City Clerk of the City of Vernon shall certify to the passage, approval and adoption of this resolution, and the City Clerk of the City of Vernon shall cause this resolution and the City Clerk’s, certification to be entered in the File of Resolutions of the Council of this City. APPROVED AND ADOPTED this 15th day of October, 2019. Name: Title: Mayor / Mayor Pro-Tem ATTEST: Lisa M. Pope, City Clerk APPROVED AS TO FORM: Brian Byun, Senior Deputy City Attorney -5 - STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) I, Lisa M. Pope, City Clerk of the City of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. __, was duly passed, approved and adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held on Tuesday, October 15, 2019, and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the City of Vernon. Executed this day of October, 2019, at Vernon, California. Lisa M. Pope, City Clerk (SEAL) EXHIBIT A City of Vernon Public Utilities Department’s Resource Adequacy Plan Calendar Year 2020 Background: The Resource Adequacy provisions of the CAISO’s Tariff require the Scheduling Coordinator (“SC”) of a Load Serving Entity (“LSE”) such as the City of Vernon to establish and submit the following information upon approval from its Local Regulatory Authority. (1) a Coincident Peak Demand Forecast for its load, (2) a Planning Reserve Margin, (3) the Qualifying Capacity Criteria that will be used for determining qualifying resource types and the Qualifying Capacity from such resources, (4) an annual and monthly Resource Adequacy and Supply data, and (5) a list of the resource that will be used to satisfy the LSE’s Local Capacity Requirement and Flexible Resource Adequacy Capacity Requirement showing. Staff has prepared this “City of Vernon Public Utilities Department’s Resource Adequacy Plan for Calendar Year 2020 consistent with the CAISO Tariff requirements. The following is a discussion of each of the CAISO Tariff requirements and how the City will meet each requirement. Coincident Peak Demand Forecast: Vernon’s municipal load resides within the CAISO control area. The CAISO, as the balancing authority, has the responsibility for meeting reliability criteria established by the Western Electricity Coordinating Council (“WECC”). As such the CAISO has entered into agreements with various market participants including, but not limited to, Generators, Scheduling Coordinators, Participating Transmission Owners, Utility Distribution Companies, and Metered Subsystems (“MSS”), which impose certain responsibilities on parties to establish a reliable system. One of those responsibilities is to have operating reserves that meet the WECC minimum requirements. The CAISO’s goal in considering reserve requirements is to balance available capacity with demand across the entire CAISO control area and, therefore, CAISO’s primary concern is with the time and amount of peak demand on the CAISO-controlled transmission system (the “system peak”). In order to reduce demand during the period of the system peak (and, therefore, to lower the peak demand on the transmission system), utilities generally offer retail rate structures designed to encourage load shifting away from the on-peak period. Such efforts are intended to achieve on-peak demand reduction and lower the need to build new generation to meet peak demand. Vernon has adopted such a rate structure and has succeeded in shifting the peak demand period for Vernon’s system to a time that is generally earlier than the time of the CAISO system peak. Vernon’s share of needed capacity to meet CAISO control area capacity requirements may be established by determining the amount of Vernon’s load that contributes to the CAISO system peak. Vernon’s load that contributes to the CAISO system peak is the City of Vernon coincident peak Demand. The process to establish Vernon’s monthly coincident peak Demand Forecast consists of the following three steps: 1. Establish Monthly Vernon System Peak Demand Forecast for 2020 To establish Vernon’s System peak demand forecast, Staff performs an analysis on the year to year change in the City’s energy demand peaks during a five-year period. Based on the results of the analysis, staff forecasts a load growth rate for the coming calendar year (Exhibit 1). This year’s analysis shows that for the period between 2015 and 2019, the City of Vernon system peak demand has decreased 2%. Closer review of Exhibit 1 reveals that the decreases in system peak demand from 2018 to 2019 is 3.074%. Based on the 5 year load trend, Staff concluded that a 2% load decrease is an appropriate forecast for calendar year 2020. Exhibit 2 shows the determination of the projected system peak demand for 2020 that incorporates a 2% load decrease. The projected system peak demand for the City of Vernon is also shown below in Table 1. Table 1 Projected Load 2020 MW January 157.13 February 165.76 March 158.49 April 162.32 May 164.02 June 169.53 July 171.55 August 173.66 September 171.70 October 168.30 November 164.25 December 158.27 2. Establish Coincidental Peak Factor The coincidental peak factor is the percentage of the City of Vernon’s energy demand at the time of the CAISO system peak demand. As set forth in Section 40 of the CAISO Tariff, the coincidental peak factor for each month has been calculated and provided to the City annually by the California Energy Commission (CEC). The monthly coincidental peak factor is shown in column C of Exhibit 3. 3. Calculate Monthly Coincident Peak Demand Forecast The City of Vernon’s Coincident Peak Demand forecast is calculated as the mathematical product of the City of Vernon’s forecasted System peak demand and the coincidental peak factor. This reflects the City of Vernon’s projected demand at the time of the CAISO system peak demand for each month. The monthly coincident peak Demand Forecast is calculated and listed in column D of Exhibit 3 for the period of January through December 2020. It is also shown below in Table 2. Table 2 Demand Forecast 2020 MW January 124.2 February 125.0 March 123.7 April 121.3 May 139.0 June 142.4 July 142.9 August 148.6 September 151.1 October 139.7 November 135.1 December 128.9 Planning Reserve Margin The Planning Reserve Margin is the amount of Resource Adequacy Capacity that an LSE must maintain above its coincident peak Demand Forecast. Historically, the City of Vernon has established its Planning Reserve Margin at 15%. Staff recommends that the City Council maintain the Planning Reserve Margin at 15%. The 15% Planning Reserve Margin is used to establish the monthly Resource Adequacy obligation for the City of Vernon as listed in column E of Exhibit 3. Qualifying Capacity: A Load Serving Entity must provide the CAISO with a description of the criteria that will be used to determine the type of resources that can be used to meet its capacity obligation and the amount of capacity (Qualifying Capacity) from such resources. Historically Vernon has used the following criterion to determine whether a resource qualifies: It qualifies if Vernon has a contractual right to the power or has an interruptible service agreement with a customer. The seven following resources are among those that meet this criterion and provide Qualifying Capacity. The calculation for the amount of Qualifying Capacity the seven eligible resource types follows: 1. CAISO IST-enabled Product. Power supply contract/s entered through WSPP Agreement (MRTU Amendment) and defined as any SC-to-SC traded product for which an IST (Inter-SC Trades) can be submitted and for which CAISO will make payment or issue an invoice, including Energy, Tier I IFM Bid Cost Recovery Obligations and Ancillary Service Obligation trades, as each defined in the Tariff. 2. Palo Verde. Vernon Purchase Power Contract with SCPPA for 4.9% of SCPPA’s share of Palo Verde Nuclear Generating Station (Palo Verde) shall be eligible as Qualifying Capacity. The power is scheduled as an import generally at Westwing Substation through the CAISO’s entitlement of transmission from Westwing to SP-15. 3. Boulder Canyon. Contract NO 16-DSR-12650 between United States Department of Energy Western Area Power Administration Boulder Canyon Project and City of Vernon, California for Electric Service shall be eligible to count as Qualifying Capacity. The power is scheduled as an import at Mead Substation generally through the CAISO’s entitlement of transmission from Mead Substation to SP-15. The amount of Qualifying Capacity will be based on the most current schedule for the available capacity from the Boulder Canyon Project at the time of submittal of the Resource Adequacy Plan. 4. Vernon Units. Generating units and system units (but excluding Vernon diesel generating units) within Vernon’s MSS including the Malburg Generating Station and the City owned H. Gonzalez units, as reflected in Schedule 14 of Vernon’s MSS Agreement with CAISO shall be eligible to count as Qualifying Capacity. The amount of Qualifying Capacity of such units shall not exceed the Net Qualifying Capacity (NQC) as determined and listed annually by the CAISO. 5. Long Term Power Purchase Contracts. Long term power supply contracts (5 years or greater) entered through a power purchase agreement shall be eligible to count as Qualifying Capacity. The amount of Qualifying Capacity will be based on the City of Vernon’s percentage share of the contracted capacity quantity. For the upcoming year, the following contracts will count as Qualifying Capacity, Antelope DSR 1 Solar Project, Astoria 2 Solar Project and Puente Hills Landfill Gas-To-Energy Facility. 6. Other Units. All other capacity from a Participating Generator, a System Unit, or a System Resource, as defined in the CAISO Tariff, shall be eligible as Qualifying Capacity. System Resources, however, must have a firm transmission path from source to the CAISO control area. Such criteria for firm transmission facilities over the CAISO control area can be satisfied with the possession of a firm transmission right from the CAISO on the path associated with the System Resource. Firm transmission rights provide physical priority right to schedule over congested paths. 7. Interruptible Service Agreements. Interruptible Service Agreements with the City’s Electrical customers. Currently Vernon has an Interruptible Service Agreement where the customer agrees to interrupt 12.65 MW of load within a 30-minute notification. A period of interruption can occur upon notification from the Independent System Operator (ISO) requiring the City to shed load or upon the unscheduled outage of the Malburg Generating Station (“MGS”) or any other generating unit internal to the City’s system. Local Capacity Area Resources: In accordance with Section 40.3 of the CAISO Tariff, CAISO annually publishes a Local Capacity Technical Study that determines the amount of local capacity needed in the Los Angeles Basin area that must be available to the CAISO. Based on the Local Capacity Technical Study, the CAISO allocates responsibility for Local Capacity Area Resources to the Scheduling Coordinators of the LSEs. The CAISO validates that the Scheduling Coordinator list enough local resources in its Resource Adequacy data templates to satisfy its obligation. Staff has prepared the Resource Adequacy data templates (Exhibit 4) which lists the Resource Adequacy Resources including the Malburg Generating Station, Puente Hills Landfill Gas-To- Energy Facility and the City owned H. Gonzalez units that will be counted on to satisfy the Local Area Capacity requirement for the City of Vernon. Flexible Resource Adequacy Capacity: In accordance with Section 40.10 of the CAISO Tariff, CAISO annually conducts a study to determine the Flexible Capacity Need for the CAISO Balancing Authority Area for each month of the next calendar year and provides the results of the study to each Local Regulatory Authority in the CAISO Balancing Authority Area. Flexible resources are resources with the potential to ramp up and down quickly and have the capability to start and shut down multiple times per day. The need for flexible capacity is a result of the CAISO managing a greener grid. The increase of variable energy resources and distributed generation has presented significant challenges to grid reliability. These types of resources are projected to continue to increase in the future which will create an increase in supply and load variability and unpredictability within the CAISO system. In order for the CAISO to efficiently operate the grid, it needs measures to ensure that flexible resources are economically bid into the CAISO markets and as a result optimally dispatch them. The CAISO study calculates the total system amount of Flexible Capacity needed for each of the three Flexible Capacity Categories. The three categories are: (1) base ramping flexibility; (2) peak ramping flexibility; and (3) super-peak ramping flexibility. Section 40.10.3 of the CAISO Tariff sets the criteria needed by resources to qualify for each category. For the Calendar Year 2020, the CAISO has determined the system-wide Flexible Capacity needs and has notified each LSE their monthly requirement. Exhibit 6 lists the City’s Flexible Capacity requirement by month and category. Furthermore, the CAISO has established the Effective Flexible Capacity for each resource and the category of Flexible Capacity each resource will qualify for the upcoming compliance year. For Calendar Year 2020, the CAISO has established 78 MW of category 1 base ramping flexible resources adequacy capacity for Malburg Generating Station, and 5.75 MW category 1 base ramping flexible resource adequacy capacity for each H. Gonzales Unit (Exhibit 7). CAISO Tariff Section 40.10.5.1 requires the Scheduling Coordinators of LSEs to identify the resources it will rely on to satisfy its Flexible Resource Adequacy Capacity on both the annual and monthly Resource Adequacy data templates. Staff has prepared the Resource Adequacy data templates (Exhibit 4) which lists the Resource Adequacy Resources including the Malburg Generating Station and the City owned H. Gonzalez units that will be counted on to satisfy the Flexible Resource Adequacy Capacity requirement for the City of Vernon. Annual and Monthly Resource Adequacy and Supply data: The CAISO Tariff requires that the scheduling coordinator of a load serving entity provide an annual and a monthly Resource Adequacy Plan (Section 40.2.2.4) using the required templates and submitted on the set schedules. Furthermore, the scheduling coordinator of a resource providing resource adequacy must submit both an annual and monthly Supply Plan (Section 40.4.7.1) using the required templates and submitted on the set schedules. Staff asks that City Council adopt the following requirements for both the annual and monthly submittals: - Annual: submittals must demonstrate that 90% of the total system forecasted peak Demand plus planning reserves margin and flexible resource adequacy requirement has been secured; and 100% of the total local resource adequacy requirement has been secured. - Monthly: submittals must demonstrate 100% of the total system forecasted peak Demand plus planning reserves margin, flexible resource adequacy requirement and local resource adequacy requirement has been met. Data on the monthly plans may be adjusted for seasonal variations in the City’s load or changes in its contracted/owned resources. Therefore, as required by the CAISO, the City of Vernon as a load serving entity and a scheduling coordinator for resource adequacy resources must submit a Resource Adequacy and Supply Plan on the set schedules. Staff has prepared the Annual Resource Adequacy (Exhibit 4) and Supply data (Exhibit 5) for calendar year 2020. Staff will submit the monthly Resource Adequacy and Supply data to the CAISO as they become due. The data to be submitted on the monthly plans will demonstrate that 100% of all requirements have been met and may be adjusted from the annual Resource Adequacy and Supply Plan for seasonal variations as well as load and resource changes. The monthly plan is due to the CAISO 45 days prior to the beginning of the month. EXHIBIT 1 Exhibit 1 Year Peak % Inc./Dec. (A)(B)(C) 1 2015 192.3 2 2016 189.4 -1.523% 3 2017 184.1 -2.814% 4 2018 182.8 -0.674% 5 2019 177.2 -3.074% 6 Average 185.2 -2.0% A Year B Source: (City Historical Sytem Peak Load Data) C % Increase/Decrease from previous year. Note: The five year system peak demand average will be used in this year's RA Plan. 5 year Sytem Peak Demand Analysis EXHIBIT 2 Exhibit 2 Month 2018-2019 (Actual City System Peak Load) 2020 Projected System Peak Load (A)(B)(C) 1 January '19 160.34 157.13 2 February '19 169.14 165.76 3 March '19 161.73 158.49 4 April '19 165.63 162.32 5 May '19 167.37 164.02 6 June '19 172.99 169.53 7 July '19 175.06 171.55 8 August '19 177.21 173.66 9 September '18 175.20 171.70 10 October '18 171.73 168.3011November '18 167.60 164.25 12 December '18 161.81 158.57 A Month and Year B Source: (City Historical System Peak Load Data) C Projected Load for 2020 (2% load decrease is applied) January - December 2020 Projected Load EXHIBIT 3 Exhibit 3 Month Vernon System Peak Demand Coincidental Peak Factor Coincident Peak Demand Forecast RA Capacity Requirement (A)(B)(C)(D)(E)1 January 157.1 79.1%124.2 142.9 2 February 165.8 75.4%125.0 143.7 3 March 158.5 78.0%123.7 142.2 4 April 162.3 74.7%121.3 139.5 5 May 164.0 84.8%139.0 159.9 6 June 169.5 84.0%142.4 163.7 7 July 171.6 83.3%142.9 164.3 8 August 173.7 85.5%148.6 170.9 9 September 171.7 88.0%151.1 173.8 10 October 168.3 83.0%139.7 160.7 11 November 164.2 82.3%135.1 155.412December 158.6 81.3%128.9 148.2 A Month B Source: (Exhibit 2 Column E) C Source: CEC D Product of B and C E Product of D and 115% (115% reflects Planning Reserve Margin) January - December 2020 Resource Adequacy Requirement EXHIBIT 4 Confidential RA Data Report Type Annual (Monthly/ Annual)Report Date 1/1/2020 (MM/DD/YYYY)Name of Load Serving Entity (LSE):City of Vernon (Text Field)Scheduling Coordinator (SCID):VERN (AAAA) Person who prepared this RA Plan (Name):Efrain Sandoval (Text Field)Title:Principal Resource Scheduler/Trader (Text Field) Primary Contact Name:Efrain Sandoval (Text Field)Title:Principal Resource Scheduler/Trader (Text Field) Address:4305 Santa Fe Ave.(Text Field)Address 2:(Optional, Text Field)City:Vernon (Text Field)State:CA (Text Field) Zip:90058 (Numeric)Telephone:(323) 826-1424 (Numeric)Email esandoval@ci.vernon.ca.us (Text Field) Back-Up Contact Name:Abraham Alemu (Text Field)Title:Interim General Manager of Vernon Public Utilities (Text Field)Telephone:(323) 583-8811 (Numeric) Email:aalemu@ci.vernon.ca.us (Text Field) Confidential RA Data Resource ID (if applicable) RA Capacity (MW 00.00 No Rounding) RA Capacity Effective Start Date (mm/dd/yyyy) RA Capacity Effective End Date (mm/dd/yyyy) Capacity Designation (UC, LD, CM, RM, or DR) 12.65 1/1/2020 1/31/2020 DR 12.65 2/1/2020 2/29/2020 DR 12.65 3/1/2020 3/31/2020 DR 12.65 4/1/2020 4/30/2020 DR 12.65 5/1/2020 5/31/2020 DR 12.65 6/1/2020 6/30/2020 DR 12.65 7/1/2020 7/31/2020 DR 12.65 8/1/2020 8/31/2020 DR 12.65 9/1/2020 9/30/2020 DR 12.65 10/1/2020 10/31/2020 DR 12.65 11/1/2020 11/30/2020 DR 12.65 12/1/2020 12/31/2020 DR Resource ID in CAISO Master File Local RA Capacity (MW 00.00 No Rounding) System RA Capacity (MW 00.00 No Rounding) Flexible RA Capacity (MW 00.00 No Rounding) Flex Category RA Capacity Effective Start Date (mm/dd/yyyy) RA Capacity Effective End Date (mm/dd/yyyy) VERNON_6_MALBRG 68 31 39.12 1 1/1/2020 1/31/2020 VERNON_6_MALBRG 68 31 43.92 1 2/1/2020 2/29/2020 VERNON_6_MALBRG 68 31 43.77 1 3/1/2020 3/31/2020 VERNON_6_MALBRG 68 31 44.66 1 4/1/2020 4/30/2020 VERNON_6_MALBRG 68 31 43.39 1 5/1/2020 5/31/2020 VERNON_6_MALBRG 68 31 40.32 1 6/1/2020 6/30/2020 VERNON_6_MALBRG 68 31 40.25 1 7/1/2020 7/31/2020 VERNON_6_MALBRG 68 31 43.52 1 8/1/2020 8/31/2020 VERNON_6_MALBRG 68 31 42.49 1 9/1/2020 9/30/2020 VERNON_6_MALBRG 68 31 41.66 1 10/1/2020 10/31/2020 VERNON_6_MALBRG 68 31 37.86 1 11/1/2020 11/30/2020 VERNON_6_MALBRG 68 31 35.42 1 12/1/2020 12/31/2020 VERNON_6_GONZL1 5.75 1/1/2020 1/31/2020 VERNON_6_GONZL1 5.75 2/1/2020 2/29/2020 VERNON_6_GONZL1 5.75 3/1/2020 3/31/2020 VERNON_6_GONZL1 5.75 4/1/2020 4/30/2020 VERNON_6_GONZL1 5.75 5/1/2020 5/31/2020 VERNON_6_GONZL1 5.75 6/1/2020 6/30/2020 VERNON_6_GONZL1 5.75 7/1/2020 7/31/2020 VERNON_6_GONZL1 5.75 8/1/2020 8/31/2020 VERNON_6_GONZL1 5.75 9/1/2020 9/30/2020 VERNON_6_GONZL1 5.75 10/1/2020 10/31/2020 VERNON_6_GONZL1 5.75 11/1/2020 11/30/2020 VERNON_6_GONZL1 5.75 12/1/2020 12/31/2020 VERNON_6_GONZL2 5.75 1/1/2020 1/31/2020 VERNON_6_GONZL2 5.75 2/1/2020 2/29/2020 VERNON_6_GONZL2 5.75 3/1/2020 3/31/2020 VERNON_6_GONZL2 5.75 4/1/2020 4/30/2020 VERNON_6_GONZL2 5.75 5/1/2020 5/31/2020 VERNON_6_GONZL2 5.75 6/1/2020 6/30/2020 VERNON_6_GONZL2 5.75 7/1/2020 7/31/2020 VERNON_6_GONZL2 5.75 8/1/2020 8/31/2020 VERNON_6_GONZL2 5.75 9/1/2020 9/30/2020 VERNON_6_GONZL2 5.75 10/1/2020 10/31/2020 VERNON_6_GONZL2 5.75 11/1/2020 11/30/2020 VERNON_6_GONZL2 5.75 12/1/2020 12/31/2020 VERN_MEAD230_I_UC_IMS001 22 1/1/2020 1/31/2020 VERN_MEAD230_I_UC_IMS001 22 2/1/2020 2/29/2020 VERN_MEAD230_I_UC_IMS001 22 3/1/2020 3/31/2020 VERN_MEAD230_I_UC_IMS001 22 4/1/2020 4/30/2020 VERN_MEAD230_I_UC_IMS001 22 5/1/2020 5/31/2020 VERN_MEAD230_I_UC_IMS001 22 6/1/2020 6/30/2020 VERN_MEAD230_I_UC_IMS001 22 7/1/2020 7/31/2020 VERN_MEAD230_I_UC_IMS001 22 8/1/2020 8/31/2020 VERN_MEAD230_I_UC_IMS001 22 9/1/2020 9/30/2020 VERN_MEAD230_I_UC_IMS001 22 10/1/2020 10/31/2020 VERN_MEAD230_I_UC_IMS001 22 11/1/2020 11/30/2020 VERN_MEAD230_I_UC_IMS001 22 12/1/2020 12/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 1/1/2020 1/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 2/1/2020 2/29/2020 VERN_WESTWING500_I_UC_IMS001 11.59 3/1/2020 3/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 4/1/2020 4/30/2020 VERN_WESTWING500_I_UC_IMS001 11.59 5/1/2020 5/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 6/1/2020 6/30/2020 VERN_WESTWING500_I_UC_IMS001 11.59 7/1/2020 7/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 8/1/2020 8/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 9/1/2020 9/30/2020 VERN_WESTWING500_I_UC_IMS001 11.59 10/1/2020 10/31/2020 VERN_WESTWING500_I_UC_IMS001 11.59 11/1/2020 11/30/2020 VERN_WESTWING500_I_UC_IMS001 11.59 12/1/2020 12/31/2020 WALNUT_6_HILLGEN 5.52 1/1/2020 1/31/2020 WALNUT_6_HILLGEN 5.48 2/1/2020 2/29/2020 WALNUT_6_HILLGEN 5.44 3/1/2020 3/31/2020 WALNUT_6_HILLGEN 5.4 4/1/2020 4/30/2020 WALNUT_6_HILLGEN 5.36 5/1/2020 5/31/2020 WALNUT_6_HILLGEN 5.32 6/1/2020 6/30/2020 WALNUT_6_HILLGEN 5.28 7/1/2020 7/31/2020 WALNUT_6_HILLGEN 5.24 8/1/2020 8/31/2020 WALNUT_6_HILLGEN 5.2 9/1/2020 9/30/2020 WALNUT_6_HILLGEN 2.3 10/1/2020 10/31/2020 WALNUT_6_HILLGEN 5.12 11/1/2020 11/30/2020 WALNUT_6_HILLGEN 5.08 12/1/2020 12/31/2020 ASTORA_2_SOLAR2 0.69 1/1/2020 1/31/2020 ASTORA_2_SOLAR2 0.42 2/1/2020 2/29/2020 ASTORA_2_SOLAR2 1.8 3/1/2020 3/31/2020 ASTORA_2_SOLAR2 5.75 4/1/2020 4/30/2020 ASTORA_2_SOLAR2 5.28 5/1/2020 5/31/2020 ASTORA_2_SOLAR2 7.75 6/1/2020 6/30/2020 ASTORA_2_SOLAR2 7.22 7/1/2020 7/31/2020 ASTORA_2_SOLAR2 7.1 8/1/2020 8/31/2020 ASTORA_2_SOLAR2 5.78 9/1/2020 9/30/2020 ASTORA_2_SOLAR2 5.09 10/1/2020 10/31/2020 ASTORA_2_SOLAR2 0.71 11/1/2020 11/30/2020 BIGSKY_2_SOLAR7 1 1/1/2020 1/31/2020 BIGSKY_2_SOLAR7 0.75 2/1/2020 2/29/2020 BIGSKY_2_SOLAR7 4.5 3/1/2020 3/31/2020 BIGSKY_2_SOLAR7 3.75 4/1/2020 4/30/2020 BIGSKY_2_SOLAR7 4 5/1/2020 5/31/2020 BIGSKY_2_SOLAR7 7.75 6/1/2020 6/30/2020 BIGSKY_2_SOLAR7 9.75 7/1/2020 7/31/2020 BIGSKY_2_SOLAR7 6.75 8/1/2020 8/31/2020 BIGSKY_2_SOLAR7 3.5 9/1/2020 9/30/2020 BIGSKY_2_SOLAR7 0.5 10/1/2020 10/31/2020 BIGSKY_2_SOLAR7 0.5 11/1/2020 11/30/2020 Confidential RA Data EXHIBIT 5 Confidential Supply Data Report Type AnnualReport Date 1/1/2020Name of Supplier:City of VernonScheduling Coordinator:VERN Person who prepared this RA Plan (Name):Efrain Sandoval (Text Field)Title:Principal Resource Scheduler/Trader (Text Field) Primary ContactName:Efrain Sandoval (Text Field)Title:Principal Resource Scheduler/Trader (Text Field)Address:4305 Santa Fe Ave.(Text Field)Address 2:(Optional, Text Field)City:Vernon (Text Field)State:CA (Text Field) Zip:90058 (Numeric)Telephone:(323) 826-1424 (Numeric)Email esandoval@ci.vernon.ca.us (Text Field) Back-Up ContactName:Abraham Alemu (Text Field)Title:Electric Resources Planning and Developmnet Manager (Text Field) Telephone:(323) 583-8811 (Numeric)Email:aalemu@ci.vernon.ca.us (Text Field) Confidential Supply Data Resource ID in CAISO Master File Local RA Capacity (MW 00.00 No Rounding) System RA Capacity (MW 00.00 No Rounding) Flexible RA Capacity (MW 00.00 No Rounding) Flexible Category 1,2,3 RA Capacity Effective Start Date (mm/dd/yyyy) RA Capacity Effective End Date (mm/dd/yyyy) SCID of Load Serving Entity VERN_MEAD230_I_UC_IMS001 22 1/1/2020 1/31/2020 VERN VERN_MEAD230_I_UC_IMS001 22 2/1/2020 2/29/2020 VERN VERN_MEAD230_I_UC_IMS001 22 3/1/2020 3/31/2020 VERN VERN_MEAD230_I_UC_IMS001 22 4/1/2020 4/30/2020 VERN VERN_MEAD230_I_UC_IMS001 22 5/1/2020 5/31/2020 VERN VERN_MEAD230_I_UC_IMS001 22 6/1/2020 6/30/2020 VERNVERN_MEAD230_I_UC_IMS001 22 7/1/2020 7/31/2020 VERN VERN_MEAD230_I_UC_IMS001 22 8/1/2020 8/30/2020 VERN VERN_MEAD230_I_UC_IMS001 22 9/1/2020 9/30/2020 VERN VERN_MEAD230_I_UC_IMS001 22 10/1/2020 10/31/2020 VERN VERN_MEAD230_I_UC_IMS001 22 11/1/2020 11/30/2020 VERN VERN_MEAD230_I_UC_IMS001 22 12/1/2020 12/31/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 1/1/2020 1/31/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 2/1/2020 2/29/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 3/1/2020 3/31/2020 VERNVERN_WESTWING500_I_UC_IMS001 11.59 4/1/2020 4/30/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 5/1/2020 5/31/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 6/1/2020 6/30/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 7/1/2020 7/31/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 8/1/2020 8/30/2020 VERNVERN_WESTWING500_I_UC_IMS001 11.59 9/1/2020 9/30/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 10/1/2020 10/31/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 11/1/2020 11/30/2020 VERN VERN_WESTWING500_I_UC_IMS001 11.59 12/1/2020 12/31/2020 VERNVERNON_6_GONZL1 5.75 1/1/2020 1/31/2020 VERN VERNON_6_GONZL1 5.75 2/1/2020 2/29/2020 VERN VERNON_6_GONZL1 5.75 3/1/2020 3/31/2020 VERN VERNON_6_GONZL1 5.75 4/1/2020 4/30/2020 VERN VERNON_6_GONZL1 5.75 5/1/2020 5/31/2020 VERN VERNON_6_GONZL1 5.75 6/1/2020 6/30/2020 VERN VERNON_6_GONZL1 5.75 7/1/2020 7/31/2020 VERN VERNON_6_GONZL1 5.75 8/1/2020 8/30/2020 VERN VERNON_6_GONZL1 5.75 9/1/2020 9/30/2020 VERNVERNON_6_GONZL1 5.75 10/1/2020 10/31/2020 VERN VERNON_6_GONZL1 5.75 11/1/2020 11/30/2020 VERN VERNON_6_GONZL1 5.75 12/1/2020 12/31/2020 VERN VERNON_6_GONZL2 5.75 1/1/2020 1/31/2020 VERN VERNON_6_GONZL2 5.75 2/1/2020 2/29/2020 VERN VERNON_6_GONZL2 5.75 3/1/2020 3/31/2020 VERN VERNON_6_GONZL2 5.75 4/1/2020 4/30/2020 VERN VERNON_6_GONZL2 5.75 5/1/2020 5/31/2020 VERN VERNON_6_GONZL2 5.75 6/1/2020 6/30/2020 VERNVERNON_6_GONZL2 5.75 7/1/2020 7/31/2020 VERN VERNON_6_GONZL2 5.75 8/1/2020 8/30/2020 VERN VERNON_6_GONZL2 5.75 9/1/2020 9/30/2020 VERN VERNON_6_GONZL2 5.75 10/1/2020 10/31/2020 VERN VERNON_6_GONZL2 5.75 11/1/2020 11/30/2020 VERNVERNON_6_GONZL2 5.75 12/1/2020 12/31/2020 VERN VERNON_6_MALBRG 68 31 39.12 1 1/1/2020 1/31/2020 VERN VERNON_6_MALBRG 68 31 43.92 1 2/1/2020 2/29/2020 VERN VERNON_6_MALBRG 68 31 43.77 1 3/1/2020 3/31/2020 VERNVERNON_6_MALBRG 68 31 44.66 1 4/1/2020 4/30/2020 VERN VERNON_6_MALBRG 68 31 43.39 1 5/1/2020 5/31/2020 VERN VERNON_6_MALBRG 68 31 40.32 1 6/1/2020 6/30/2020 VERN VERNON_6_MALBRG 68 31 40.25 1 7/1/2020 7/31/2020 VERN VERNON_6_MALBRG 68 31 43.52 1 8/1/2020 8/30/2020 VERN VERNON_6_MALBRG 68 31 42.49 1 9/1/2020 9/30/2020 VERN VERNON_6_MALBRG 68 31 41.66 1 10/1/2020 10/31/2020 VERN VERNON_6_MALBRG 68 31 37.86 1 11/1/2020 11/30/2020 VERN VERNON_6_MALBRG 68 31 35.42 1 12/1/2020 12/31/2020 VERN EXHIBIT 6 Exhibit 6 Min. Base Flexibility Requirement Peak Flexibility Super Peak Flexibilty Total Flexible RA Requirement (A)(B)(C)(D)(E) 1 January 14.11 23.05 1.96 39.12 2 February 15.85 25.88 2.20 43.92 3 March 15.79 25.79 2.19 43.77 4 April 16.12 26.31 2.23 44.66 5 May 22.83 18.39 2.17 43.39 6 June 21.21 17.09 2.02 40.32 7 July 21.18 17.06 2.01 40.25 8 August 22.90 18.45 2.18 43.52 9 September 22.35 18.01 2.12 42.49 10 October 15.03 24.54 2.08 41.6611November13.65 22.29 1.89 37.83 12 December 12.78 20.87 1.77 35.42 A Month B Requirement for Category 1 - Base Ramping Resources C Maximum allowed use of Category 2 - Peak Flexibility D Maximum allowed use of Category 3 - Super Peak Flexibility E Total Flexible RA Requirement for City of Vernon January - December 2020 Flexible RA Requirement EXHIBIT 7 Exhibit 7 Effective Flexible Capacity Flexible Capacity Category (A)(B)(C) 1 Malburg Generating Station 78 1 2 H. Gonzalez 1 5.75 1 3 H. Gonzalez 2 5.75 1 A Designated flexible resource B Designated Effective Flexible Capacity (Qualified Flexible Capacity by each Resource) C Designated Flexible Capacity Category January - December 2020 Effective Flexible Capacity