Resolution No. 7621F
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RESOLUTION NO. 7621
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
VERNON APPROVING AND RATIFYING THE EXECUTION OF A
POLLUTION LEGAL LIABILITY APPLICATION AND APPROVING
A POLLUTION LEGAL LIABILITY POLICY WITH AMERICAN
INTERNATIONAL SPECIALTY LINES INSURANCE CO. FOR
EXCESS INSURANCE COVERAGE RELATING TO VRRNON'S
STANDARD NON-EXCLUSIVE FRANCHISE AGREEMENT FOR
SOLID WASTE MANAGEMENT SERVICES
WHEREAS, the City Council of the City of Vernon adopted
Ordinance No. 1067 on December 8, 1998, which added Article VI to
Chapter 12 of the Vernon City Code, establishing a non-exclusive
franchise system for solid waste collection in the City; and
WHEREAS, the City of Vernon developed a Standard Non -
Exclusive Franchise Agreement for Solid Waste Management Services
("Franchise Agreement") for solid waste collection businesses operating
in the City of Vernon; and
WHEREAS, the City of Vernon has evaluated its liability
insurance policies in light of the City's limited role in the placement
of waste in solid waste landfills; and
WHEREAS, pollution liability is not presently included in
Vernon's general liability insurance policy; and
WHEREAS, on February 22, 2000, Joan Francone, Risk Manager,
executed and submitted a Pollution Legal Liability Application for the
City of Vernon, subject to ratification by the City Council; and
WHEREAS, the American International Specialty Lines Insurance
Co. has issued a Pollution Legal Liability Select Policy, Policy No.
PLS 4761886, ("Pollution Policy") for the period March 23, 2000 to
March 23, 2001 for insurance in excess of insurance coverage required
in the Franchise Agreement.
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WHEREAS, the City Council desires to approve and ratify the
Application as executed by the Risk Manager and approve the Pollution
Policy.
,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 recitals contained hereinabove are true
and correct.
SECTION 2: The City Council of the City of Vernon hereby
ratifies the execution of the Application by the Risk Manager on behalf
of the City of Vernon, a copy of which is attached hereto as Exhibit
"A" and made a part hereof.
SECTION 3: The City Council of the City of Vernon hereby
authorizes the City Administrator to execute any and all documents
necessary for the purpose of securing the Pollution Policy for, and on
behalf of, the City of Vernon.
SECTION 4: The City Council of the City of Vernon hereby
directs the City Administrator, or his designee, to send a copy of this
resolution to:
Aon Risk Services
Attn. Robb Hubbard, Vice President
One Market, Spear Tower, Suite.2100
San Francisco, California 94105
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SECTION 5: The City Clerk of the City of Vernon shall
certify to the passage of this resolution, and thereupon and thereafter
the same shall be in full force and effect.
APPROVED AND ADOPTED this 19th day of September, 2000.
ATTEST:
BRUCE V. MALKENHORST, City Clerk
�Y LEONIS C. MALBt4G, Mayoil
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STATE OF CALIFORNIA )
)ss
COUNTY OF LOS ANGELES )
I, BRUCE V. MALKENHORST, City Clerk of the City of Vernon, do
hereby certify that the foregoing Resolution, being Resolution No.
7621, was duly adopted by the City Council of the City of Vernon at a
regular meeting of the City Council duly held on Tuesday, September 19.
2000, and thereafter was duly signed by the Mayor of the City of
Vernon.
(SEAL)
BRUCE V. MALKENHORST, City Clerk
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EXHIBIT A
American International Companies®
Name of Insurance Company to which Application is made (herein called the Company)
POLLUTION LEGAL LIABILITY APPLICATION
THIS IS AN APPLICATION FOR A CLAIMS -MADE POLICY
(A) This application requires that contact persons be provided for each location. The applicant is responsible for obtaining
and reviewing whatever records are available, whether in their possession or in the public domain, which are necessary
in order to answer any of the questions in this application.
(B) Provide the following documents and materials along with the completed original signed and dated application:
r.
* Audited financials and/or 1 OK for the latest three (3) years.
0 enclosed D information to follow 0 Do not exist
* Schedule of EIL and GL insurance policies for the past three (3) years.
(policy #, policy term, type of policy, and exclusions)
0 enclosed M information to follow ❑ Do not exist
Any Environmental Surveys/Audits conducted at the location within the past three (3) years.
0 enclosed 0 information to follow 10 Do not exist
(C) Once this application is.recelved, a member of our staff will call the contact person(s) you provide in Table A (attached
to this application) in order to continue the application process. The attached Telephone Survey outline summarizes
persons) in preparation for our staff caul.
(D) if necessary, use additional sheets in order to provide the requested information.
1. NAMED INSURED:
City of Vernon
LIST SUBSIDIARY COMPANIES REQUESTING COVERAGE:
None
POST OFFICE ADDRESS:
None
2. NAME INSURED IS A:
O partnership O corporation O joint venture 0 other Municipality
61668 t1/95j 1
1197
3. DESCRIBE SPECIFICALLY THE OPERATIONS OF THE INSURED:
(include a diagram of the company structure)
All operations relative to the running of a municipality.
4. SITE CONTACTS (See Table A attached to this Application)
The individuals the applicant lists in the attached Telephone Survey Outline (Table A) should be qualified to provide
information for alf site activities at the referenced locations, and should be prepared to respond to the items in the
Survey. If necessary, copy Table A in order to provide additional location information.
NOTE: For the purposes of Ouestion 5. "YOU" includes the Corporation, Entity, or Partnership of the applicant and any
Director, Officer or Partner thereof.
5. A. HAVE YOU DURING THE PAST FIVE (5) YEARS HAD ANY REPORTABLE RELEASES OR SPILLS OF
HAZARDOUS SUBSTANCES, HAZARDOUS WASTE OR ANY OTHER POLLUTANTS, AS DEFINED BYAPPUCABLE
ENVIRONMENTAL STATUTES OR REGULATIONS? 0 YES 12 NO
IF YES, DESCRIBE IN DETAIL:
S. HAVE YOU *DURING THE LAST FIVE (5)'YEARS _BEEN PROSECUTED, OR ARE YOU CURRENTLY BEING
PROSECUTED, FOR CONTRAVENTION OF ANY STANDARD OR LAW RELATING TO THE RELEASE OR
THREATENED RELEASE FROM THE LOCATION OF A HAZARDOUS SUBSTANCE, HAZARDOUS WASTE OR
ANY OTHER POLLUTANT? 0 YES El- NO
IF YES, DESCRIBE IN DETAIL:
C. LIST ALL CLAIMS MADE AGAINST YOU DURING THE PAST FIVE (5) YEARS FOR CLEANUP Old RESPONSE
ACTION, "TOXIC TORT" OR OTHER BODILY INJURY, OR PROPERTY DAMAGE, RESULTING FROM THE
RELEASE OF HAZARDOUS SUBSTANCES, HAZARDOUS WASTE, OR OTHER POLLUTANTS, FROM THIS
LOCATION OR OTHER LOCATIONS OWNED OR OPERATED BY YOU, INTO THE ENVIRONMENT. PROVIDE
A BRIEF DESCRIPTION OF THE CLAIM(S) AND ITS DISPOSITION. IF •NONE, SO STATE:
Casmalia site Santa Maria, California No liability.
Carson site, Carson, California. No liability. No evidence of waste deposited.
61am (1/95) 2 1i97
S OR CIRCUMSTANCES
D. AT(THE TIME OF SIGNING OF THIS APPLICATION, DO YOU KNOW pR CtAAN1MS BEING ASSERTED AGAINST
WHICH MAY REASONABLY BE EXPECTED TO RESULT IN A CLAIM
YOUR COMPANY FOR ENVIRONMENTAL CLEANUP OR LURESPONSE. OOTHE ENVIRONMENT? INJURY OR
PROPERTY DAMAGE ARISING FROM THE RELEASE OF POLLU
Ci YES i3 NO
IF YES, DESCRIBE IN DETAIL:
nts and facts are true and that no material facts .have been
The applicant represents that the above stateme
suppressed or misstated.
*N�T10E TO NEW YORK APPi ICANTS
ANY PERSON WHO KN
OWINGLY AND WITH INTENT TO DEFRAUD ANY AIM CONTAINING
O TACOMPANY NY MATERIALLY
PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT
SE MISLEADING, INFORMATION CONCERNING
FALSE INFORMATION, OR CONCEALS FOR TH
ME AND SHALL
AN
Y FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH RS AND THE STATED
ALSO BE SUBJECT TO A CIVIL PENALTY NOT TO EXCEED FIVE TH
VALUE OF THE CLAIM FOR EACH SUCH VIOLATION."
NOTirG `rn NFVV JERc�Y aPPi ICANTS
ANY
PERSON WHO INCLUDES ANY FALSE OR MISLEADING INFORMATION ON AN APPLICATION FOR AN
INSURANCE POLICY IS SUBJECT TO CRIMINAL AND CIVIL PENALTIES.
NOTICE TO FLORIDe eRP1 ICANTS
ECEIVE ANY INSURER FILES
"ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE, DEFRAUOSE R�C
ANOMPLETE OR MISLEAD NG
A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY FALSE,
INFORMATION IS GUILTY OF A FELONY IN THE THIRD DEGREE."
PlI
*NOTITO OHIO AP AN
CE TS
AFRAUD
"ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILI OAIN NG AFALSE OR DECEPTIVE
AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM C
STATEMENT IS GUILTY OF INSURANCE FRAUD."
.-..Trw naP) Ic:ANTS
*dOT10E Tv K� ��ER
"ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUDMATERIALLY FALSEURANCE MNFORMAT ONHOR
PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY
CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATIOCCONCERNING ANY FACT MATERIAL
THERETO COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS AR
*NOTICE TO PEN"'w'vAtiIA APPLICANSS
NCE COMPAN'� OR OTHER
RA
" PERSON WHO, KNOWINGLY AND WITH INTENT TO DEFRAUD ANY M CONTAINING ANY MATERIALLY
PERSON FILES AN APPLICATION FOR INSURANCE OR STAT
ANY
EMENT OF
FAL
SE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFO AMATIOCRIMAND CONCERNING
ANY FACT MATERIAL THERETO ANDMCIViL PENALTIES." � INSURANCE ,
SUCH PERSON TO CRIMINAL
*NOTICE TO MINNESOTA APPLI AN
"A PERSON WHO SUBMITS AN AP PLICATION OR FILES A CLAIM WITH INTENT TO DEFRAUD OR HELPS COMMIT
A FRAUD AGAINST AN INSURER IS GUILTY OF A CRIME."
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61wa (1/95) 3
*NOTICE TO COLORADQ APPLICANTS
"IT IS UNLAWFUL TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS 08 INFORMATION TO
AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE COMPANY.
PENALTIES MAY INCLUDE IMPRISONMENT, FINES, DENIAL OF INSURANCE, AND CIVIL DAMAGES. ANY INSURANCE
COMPANY OR AGENT DEAN INSURANCE COMPANY -WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE, OR
MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER OR CLAIMANT FOR THE PURPOSE OF DEFRAUDING
OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR CLAIMANT WITH REGARD TO A SETTLEMENT OR AWARD
PAYABLE FROM INSURANCE PROCEEDS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE
WITHIN THE DEPARTMENT OF REGULATORY AGENCIES."
if an order is received, the application is attached to the policy, so it is necessary that all questions be answered'in detail
APPLICANT
of owner or officer)
APPLICANT Joan Francone, Risk Manager
(print name & title)
BROKER
(print name of firm)
(address of brokerage firm)
(contact person & telephone #)
DATE a- 1,7- --0 0
DATE -
61868 (1/95) 4 1/97
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1(1) Location Name and Address:
Azusa Landfill
1211 West Gladstone
Azusa, California 91702
Description of O;.)erations:
Refuse disposal and recycling.
Contact Name & Title:
John Burns
Contact Address:
9081 Tujunga Avenue, 2nd Floor
Sun Valley, California 91352
Contact Phone & Fax Nos.-
(818) 252-3122
(818) 252-3239
1 (3) Location Name and Address:
Sunshine Canyon
14797 San Fernando Road
Sylmar, California _ 91342
Description of Operations:
Refuse disposal
Contact Name & Title:
Contact Address:
14747 San Fernando Road
Sylmar, California 91342
Contact Phone & Fax Nos.:
Phone (818) 362-1567
Fax (818) 362-5484
(2) Location Name and Address:
Bradley Landfill
9227 Tujunga Avenue
Sun Valley, California 91352
Description of Operations:
Refuse disposal and recycling
Contact Name & Title:
John Burns
Contact Address:
9081 Tujunga Avenue 2nd Floor
Sun Valley. California 91352
Contact Phone & Fax Nos.:
(818) 252-3122
(818) 252-3239
(4) Location Name and Address:
Peck Road Gravel Kit
128 East Live Oak Avenue
Monrovia California 91917
Description of Operations:
Rock and sand sales and inert
landfille
Contact Name & Title:
Contact Address:
128 East Live Oak Avenue
Monrovia California 91017
Contact Phone & Fax Nos.:
61868 (IM)
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TABLE A• LOCATION CONTACTS
(1) Location Name and Address:
Sidra Landfill
4125 West Valley Boulevard
Pomona California 91789
Description of Operations:
Provides waste disposal of non—
hazardous solid and inert waste
from cities and ureic. areas of I.
Contact Name & Title:
ti L. Cole, Project Engineer
Contact Address:
1955 Workman Mill Road
Whittier, California 90601-1400
Contact Phone &. Fax Nos.:
Phone (562) 699-7411
Fax (562) 699-5422
(3) Location Name and Address:
Olinda Alpha Landfill
942 North Valencia Avenue
Brga, California 92621
Description of Operations:
Accepts only non —hazardous municipal
lid waste
Contact Name & Title:
nave T•owry
Contact Address:
Contact Phone & Fax Nos.:
_ th6ne ('714> ` 986-2391
Fax (714) 993-7142
(2) Location Name and Address:
Puente Hills Landfill
2800 South Workman Mill Road
Whittier, California 90601
Description of Operations:
Provides waste disposal of non—
hazardous solid and inert waste
from cities and unic. areas of LA C
Contact Name & Title:
Keri L. Cole, Project Engineer
Contact Address:
1955 Workman Mill'Road
Whittier California 90601-1400
Contact Phone& Fax Nos.:
rhoi3� (562) 699-7411
Fax (562) 699-5422.
(4) Location Name and Address:
Description of Operations:
Contact Name & Title:
Contact Address:
Contact Phone & Fax Nos.:
THI PAGE
TENTI NALLY
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k. ':. _� a. -:_ .. �k } � • • �.r.i�� .ref
• S
1. Description of principal operations.
2. EPA Identification Number(s)
3. Have any Environmental Surveys/Audits been conducted at the location within the past three (3) years?
0 YES Q NO If yes, please forward a copy.
4. RAW MATERIALSIWASTE MANAGEMENT (include on -site disposal such as closed landfills, surface impoundments,
deep well injection, etc.)
• Type
• Materials or raw waste?
• Amount on -site
• Hazardous class/regulatory status
• Method of storage
• Environmental controls
S. STORAGE AREAS
(A) Description of container/drum storage areas
• How many?/How much?
• What type of secondary containment is provided?
(B) Description of above -ground storage tanks
• How many?/How much?
Age?
' What type of secondary containment is provided?
(C) Description of underground storage tanks
• How many?/How much?
Age?
• Type of leak detection?
6. Age of facility
7. Site History: Description of past occupancies & land use:
S. Surrounding Environment and Land Use (Including population, residences, geographic features/sensitive habitats,
industries, waterways, etc.)
�1
PERMITS AND GROUNDWATER MONITORING (number of ...and number of exceedences)
(A) Permits
' POTW
• NPDES
• AIR
• Stormwater
(B) On -site groundwater monitoring wells
How many
• Forward groundwater monitoring results from past four (4) sampling events and map showing the location of
wells and groundwater flow direction.
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10. ENVIRONMENTAL MANAGEMENT AND COMPLIANCE
(A) Emergency response plan in place?
• SPCC Plan in place?
• Fire Protection Plan in place?
(a) Environmental Personnel Training Program in place?
On -Site Environmental Professional?
(C) Documented inspection Program in Place?
(D) Previous pollution events?
(E) On -going remediation projects?
(F) Existing contamination?
(G) Public complaints, law suits?
(H) Regulatory issues
NOV's
• Consent Orders
Corrective Actions
Other
11. Information on waste sent off -site (such as type, quantity, mode of transport, and name, address and description of
disposal and/or transfer facilities).
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