Resolution No. 2013-033 (3)CONTRACT/AMENDMENT SIGNATURE ROUTING FORM
CONTRACTOR: MA i (x CTC \lS 1.1C' C-3 � r)Q-t'-'�Yoo t
CONTRACT PURPOSE: ti G b E ry t i� �1 Z<t rvt
CONTRACT IS: ❑ FEDERAL ❑ PREVAILING WAGE ❑ COMPETIVE SELECTION & NOTICED RFP
❑ COMPETITIVE BID & NOTICED INVITATION TO BID
o EXEMPT FROM COMPETITIVE PROCESS (APPROVAL ATTACHED)
❑ SERVICES O MATERIALS O BUDGETED O NOT BUDGETED
TOTAL CONTRACT VALUE: $ O Charge Acet. No(s)
Amendment Value $ _ ❑ Contract is an Amendment to Contract No. - (if Applicable)
RESPONSIBLE DEPARTMENT PERSON: PHONE: X 2-'-1-5
AUTHORIZATION: WApproved by Council on V l45
(Check One) Resolution NolOk$-i3 (if applicable)
❑ Approved by City Administrator on
Note: Attach supporting documentation
❑Amendment Approved by (if applicable)
ROUTING SEQUENCE: (Please Follow In Order - Do not use N/A) Initials Date
(1) Responsible Department Person
Checks substance of contract and assembles two (2) copies of
Contract, insurance & bond documents, certifies compliance
With Competitive Bidding and Purchasing Ordinance
5IA-0 �3
(2) Liability and Claims
Approves insurance and sureties, if bonds required
(3) Finance (Purchasing) V 9N 7
Checks compliance with Competitive Bidding & LivinP Wage Ordinances
And reflected in current budget N 0 "u Y'T � h 1PP PT
(4) City Attorney
Approves contract as to form, verifies bonds and insurance included 4 7
(5) City Signatory
\F'signs all copies on behalf of City
(6) City Clerk
Attests signatures, numbers, files contract, insurance and bonds, and
transmits duplicate original to contractor D �,
Rev. 425113
METAH-1 OP ID: SH
CERTIFICATE OF LIABILITY INSURANCE
OATo6iO3D/YYYY)
FOB/03/13
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the
certificate holder In lieu of such endomement(s).
PRODUCER 818-763-9365
CONTACT
NAME:
ISU Vansa Insurance Services
12155 Riverside Drive 818-762-2242
PHONE ac No:
E-MAIL
DSS:
Valley Village,CA 97607
LPUMYc.
INSURER(S) AFFORDING COVERAGE
NAIC%
INSURERA:AIIIed Insurance
42579
INSURED Meta Housing Corporation
INSURERB:Oak River Insurance
34630
1640 S. Sepulveda Blvd. #425
Los Angeles, CA 90025
INSURER C
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
MMIDDIYYYF
MMDDYEXP
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F-IOCCUR
X
ACPBP07811039750
03MS/13
03115114
EACH OCCURRENCE
$ 2,000,000
PREMISES Ea occurrence
$ 300,000
MED EXP(Any one person)
$ 5,000
PERSONAL &ADV INJURY
E 2,000,00
GENERALAGGREGATE
$ 4,000,000
GEML AGGREGATE
X POLICY
LIMIT APPLIES PER:
PR LOC
PRODUCTS-COMP/OP AGO
E 4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AU OS SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON-0WNED
AUTOS
..
CP PO]81103730
SURANCE
OF
03115/13
PP
03115/14
OV
COMBINED SINGLE LIMIT
Ea accident
E Included
BODILY INJURY (Per Person)
$
INJURY (Per accident)
EY
RTY DAMAGE
eraccident
$
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTIVEY�
Mandator, In BERNH) EXCLUDED?
(Myaendatary In NH)
DESCRIPTION OF OPERATIONS below
122110003185
DATE
0110
113
0 101/14
X WCSTATT OTH-
E.L. EACH ACCIDENTOFFICE
$ 1,000r000
"000"0
AUL
KIE
.L.DISEASE-EA EMPLOYE
$
..DISEASE -POLICY LIMIT
$ 1,000,00
•SK
PROPERTY 183,60
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks schedule, If more space Is required)
Certificate holder is named as additional insured as respects opearations of
the named insured. 30 days notice of cancellation except 10 days for non
payment of premium
City of Vernon, its officers,
agents and employees
4305 Santa Fe Avenue
Vernon, CA 90058
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: ACPBP07811039750
COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
4G75 52nd Drive
of Vernon, its officers, agents and
Vernon, CA. 90058
Santa Fe Avenue
CA. 90058
Information required to complete this Schedule if not shown above will be shown in the Declarations. I
A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional exclu-
organization(s) shown in the Schedule, but only sions apply:
with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or
damage" or "personal and advertising injury" "property damage" occurring after:
caused, in whole or in part, by:
1. All work, including materials, parts or equip-
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
INSURANCE APPROVED
CITY OF VERNON RISK MANAGEMENT
DA E PAUL
RISK MANAGER
ER L
ment furnished in connection with such work,
on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization oth-
er than another contractor or subcontractor
engaged in performing operations for a prin-
cipal as a part of the same project.
CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑
OFFICE OF THE CITY CLERK
4305 Santa Fe Avenue, Vernon, California 90058
Telephone (323) 583-8811
June 10, 2013
Christopher B. Maffris
Vice President
Meta Housing Corporation
1640 S. Sepulveda Blvd., Suite 425
Los Angeles, CA 90025
RE: Right of Entry Agreement
Dear Mr. Maffris:
The insurance requirements have been met. Please find enclosed a fully executed original
agreement as referenced above, approved by City Council on February 19, 2013, through
Resolution No. 2013-33.
If you have any questions, please contact Kevin Wilson at (323) 583-8811 extension 245.
Thank you.
Since! ly,
4eora 2R. ar
Records Management Assistant
Enclosure
c: S. Kevin Wilson
Purchasing Department
Resolution No. 2013-33
Agreement File No. 13-014
E�Y,cfusivefy Industrid
RIGHT OF ENTRY AGREEMENT
This Right of Entry Agreement ("Agreement') is entered into as of May 31
2013 by and between the City of Vernon, a California charter city and municipal corporation
("City"), and Meta Housing Corporation, a California corporation ("Licensee").
City and Licensee hereby agree as follows:
1. Grant of License. City hereby grants Licensee temporary permission to enter
upon that certain real property located at 4675 52"d Drive in the City of Vernon (the "Property")
from any public right-of-way for the purposes of performing the Permitted Activities, as
described in Section 3 hereof. The Property is depicted on Exhibit "A" which is attached hereto
and incorporated herein.
2. Terms of License. Subject to the conditions, stipulations and provisions stated in
this Agreement, City grants revocable, non-exclusive permission to Licensee to enter the
Property Monday through Friday during normal City business hours and perform Permitted
Activities as described in Section 3 of this Agreement. Licensee is prohibited from doing any
activity on the Property that is not expressly stated to be one of the Permitted Activities.
Licensee shall provide notice to City of any entry onto the Property at least 24 hours in advance
of entry. This Agreement shall expire on the earliest of (1) completion of the Permitted
Activities, or (2) September 1, 2013, whether or not the Permitted Activities are complete.
3. Permitted Activities. Licensee is permitted to undertake the following activities
(the "Permitted Activities") on the Property:
Geotechnical investigations
4. Permits Required. Licensee and its employees and agents shall comply with, and
shall assure the compliance of invitees with, all laws, statutes, ordinances and regulations that are
applicable to any of its activities upon the Property, whether or not Permitted Activities,
including and without limitation to, obtaining all approvals, permits and licenses required for
such activity.
5. Reservation of Rights. City reserves the right to use the Property so long as such
use does not unreasonably interfere with the use of the Property by Licensee.
6. Inspection of Property. Licensee and its employees and agents have inspected
the Property and represent to City that they are aware of or will make themselves aware of any
dangerous conditions on the Property, whether or not readily discoverable. Licensee accepts the
Property in its present condition, and agrees that it will make the Property safe for any activity
under its care and control on the Property, whether or not Permitted Activities, and that City is
not and shall not be obligated to make the Property safe or suitable for use by Licensee or for
anyone on the Property at the invitation or sufferance of Licensee, or otherwise to prepare the
Property or access to the Property in any manner whatsoever.
7. Repair and Restoration of Property. Upon the completion of the Permitted
Activities, Licensee shall leave the Property in the same condition as it existed when the
1018880.1 - 1
Agreement commenced. Licensee shall immediately repair, at its expense, any and all damage to
the Property caused by Licensee's use thereof pursuant to this Agreement.
Upon termination of this Agreement, Licensee shall remove all personal property from
the Property. Should anyone on the Property at the invitation or sufferance of Licensee leave
any personal property on the Property beyond the term provided in this Agreement, City shall
have the right without notice to sell, destroy, or otherwise dispose of such property or to remove
and store such property at Licensee's expense.
8. Liens. Licensee shall pay in full all persons who perform labor or provide
materials for the Permitted Activities, The licensee shall not permit or suffer any mechanic's
liens of any kind or nature to be enforced against any parcel of the City for any work performed
by Licensee pursuant to this Agreement. The Licensee shall indemnify and hold harmless the
City from and against any and all liens, claims, demands, costs or expenses whatsoever arising
out of or related to such labor performed or materials furnished. This indemnity shall survive the
expiration of this Agreement.
9. Limited Liability; Licensee Property. City does not assume, by this Agreement
or otherwise, any responsibility for, or to protect against, any loss, damage, theft or vandalism of
any property or material which Licensee may place upon the Property.
10. Indemnification; Limitation of Liability. Licensee agrees to and shall,
indemnify, defend and hold harmless City and its officers, employees and agents from all
demands, claims, losses, damages, including property damage, personal injury, including death,
costs (including attorney fees), arising out of or directly or indirectly connected in any way
whatsoever with the Permitted Activities or otherwise related to use of or entry onto the Property
by Licensee, its employees, agents, or invitees, except those matters caused by the sole
negligence of City. This indemnity shall survive the expiration of this Agreement.
11. Insurance. Licensee shall take out and maintain at all times covered by this
Agreement comprehensive general public liability insurance with liability limits of not less than
one million ($1,000,000) dollars per occurrence and two million ($2,000,000) annual aggregate,
insuring against claims for personal injury and property damage that may occur, upon or about
the Property, which insurance shall name the City, its officers, agents and employees as
additional insureds. Such insurance shall be primary insurance as to the City without
contribution by the City's other insurance policies or its self insured retention. No rights are
granted by this Agreement unless and until an endorsement of such insurance is provided to City,
in a form and by a carrier approved by the City's legal counsel. The endorsement shall provide
that such insurance may not be cancelled or materially amended without at least ten (10) days
prior written notice to the City. Additionally, proof of workers compensation shall be submitted
to the City and shall be maintained for the duration of the agreement.
12. Assignment. This Agreement shall not be assigned. Any purported assignment of
this Agreement or of any interest in this Agreement shall be void and of no effect.
13. Integration. This Agreement between the parties contains the entire agreement
between the parties relating to the rights herein granted and the obligations herein assumed. Any
oral representations or modifications concerning this Agreement shall be of no force and effect
except as to subsequent modifications in writing signed by both the parties.
1018880.1 2
IN WITNESS HEREOF, the parties hereto have executed this Agreement effective as of
May31 12013.
A gEST:
1
Dana Reed, Interim City Clerk
APPROVED AS TO FORM:
c /�//l
Nicholas George Rodriguez,
City Attorney
ICronick Moskovitz Tiedemann & Girard,
Special Counsel to City
CITY:
CITY OF VERNON, a California charter city and
municipal corporation
By:�i ,
Marl hitworth, City Administrator
LICENSEE:
META HOUSING CORPORATION, a
California corporation
By:
By:
1018880.1
IN WITNESS HEREOF, the patios hereto, have executed this Agreement effective as of
May 31 2013.
ATTEST:
City Clerk
APPROVED AS TO FOM
George Rodrigue4
& Girard,
Counsel
CITY*
CITY OF VERNON, a CalMwnia dmUr city, and
municipal corporation
By;
LICENSEE:
META HOUSING CORPORATION, a
Caffqmia corporation
BY:
Byo
1018890.1 3,
EXHIBIT A
EXHIBIT "A"
SITE MAP
1018880.1 4
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