CONTRACT 5950 One Page Service Agreement CLOSEDAGREEMENT NO. 5950
(AHIMT, COVID-19)
Services Agreement
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(FOR COVID-19 EMERGENCY RESPONSE SERVICES)
CONTRACTOR: A -Throne Co., Inc DATE MAILED 07/01/2020
Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of EI Segundo.
Only those items checked -off are MANDATORY, however if your standard policies exceed the minimum requirements please include.
Commercial general liability insurance must meet or exceed the requirements of ISO -CGL Form No. CG 00 01 11 85 or 88. The
amount of insurance set forth below will be a combined single limit per occurrence for bodily injury, personal injury and properly damage for
the policy coverage. Liability policies will be endorsed to name the City, its officials, and employees as "additional insured'$" under
said insurance coverage and to state that such insurance will be deemed "primary" such that any other insurance that may be
carried by the City will be excess thereto. Such insurance must be on an 'Koccurrence," not a "claims made," basis and will not be
cancelable or subject to reduction except upon thirty (30) days prior written notice to the City. Please find additional Terms and
Conditions on the reverse side of this Services Agreement. This is not a purchase order or an authorization to begin work.
® trl rn h ru;, +,r. Ganerrtl LIaNit'r. including coverage for premises, products and completed operations independent contractors.
personal injury and contractual obligations with combined single limits of coverage of at least $1,000,000 per occurrence
® Auto Liability. including owned, non -owned and hired vehicles with at least:
® $1.000.000 per occurrence.
❑ 51;:Cl tsl.`,a -:',�) e. I:1;:1 per Occ_irrence,
❑ As required by State Statutes. A copy of your current policy must be Submitted naming yourself and or your company.
® ,'a O;ers r_orrtpensathun as required by State Statutes. (Not needed if Self-employed with no employees and
CONTRACTOR signs statement to this effect.)
® Buswiess Vra altse: The CONTRACTOR shall agree to have a Current City of EI Segundo license on file at City Hall or purchase said
license (at no cost to the City).
❑ Permits. Plans must be approved and permit(S) issued (no fee) by the Planning and Building Safety if appropriate. Call the Planning
Manager @ (310) 524-2340 if you have questions.
❑ Copy of valid picture LD, (Drivers license etc.)
PLEASE NOTE: ALL APPLICABLE INFORMATION LISTED ABOVE MUST BE OBTAINED AND ON FILE, PRIOR TO THE ISSUANCE OF A CITY PURCHASE
ORDER BEING SENT TO YOU (VIA FAX OR HARD COPY) BY THE RISK MANAGER/PURCHASING AGENT, THUS AUTHORIZING COMMENCEMENT OF
WORK FOR THE CITY.
,[till ed b, I coilt.dete 311 I.Itiv°;r,;s COIOR COU::°Y IRELtUMRII:::D BACK "t0 THE CIITY
Company Name:
.. By (Print &� tl Gl
A -Throne Co.,Inc.JYKrishnan
_............_ 7
Company Street Address. 1.a, ,
1850 E 3311 Street't.c(t;il
City State, Zip Date siti,r"u;9
Long Beach. CA 90807
Poon ..........................................................._.".'r)..tt....a..Y................................
FAX:
562-981-1197 562426-9896
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Mail original agreement and insurance to: City of EI Segundo — City Clerk 350 Main Street, Room 5, EI Segundo, CA 90245.3813
Org nator'Department Contact Rv,an Delnndn.,ate _ �
....... initiated 0�l01�2�020
..............................
Department eaoPP Approval ....,.. s am.n.va .,......., .. ... _ _Date Approved 07/01 2020
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Insurance
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Jrl for
City Attorney � P„ t," s, ,IU,; „ � � �
AGREEMENT NO. 5950
(AHIMT, COVID-19)
'S'op'vhdras tu III I, clllllukI 1, ,!iho ill i „„� I.,,y I N
AGREEMENT NO. 5950
(AHIMT, COVID-19)
1'r 23 Days Ming Total =$1233.32
Every 23 Thereafter Total =$1025.52
Price is based on regular deliveryand pickup dunirg normal business hours - P.ddits anal rhwges nta^t app'4Y to IN aekerd or timed
deliveries and pickups. Bid is preliminary based on details avai)able at time of b i l wraa, rab qa at to .Iuan„e: b as d on placement
requiremendslsite condition, increase or decrease in quantities orothner factors not known at time of proposal. By signing you
agree to A- Ihmnte Ierms & Conditions Ihis bid is valid 3D days from die date on thus proposal,
Proposal Acceptance Signature Date
Mchele Cbavez
Sales Ropresentative
A-:2172rone Company Inc.
Guice: Sf.2-991-1197
Cog: 310-877-030"
1850 E 33"S t Long BeachS CA M07
(5 _ o .1e, 'p,a°.S 'rec Visit @ �,araa�ao:rrtlsori,w .orrr
Fax: > �, - a-98.6 Email: i,l �u.. gym..... ._.._._......___-_-
Date
08A4f 0
Attn:
C arol Lyrm Urrier
Phcme:
310-5242235
Email:
Delivenj Date:
Pict: Up Date:
Address:
Miltiplalocations inE1Segmdo,CA
Ina-tructi ow:
A -Throne tis proud to o'er you the following Temporary Ser ces Propasab
Portable Ki"t)rAom
Rental IF'fcbjehn!',;n h"
Qty
Type Cost Each Subtotal
8
Hand Wash Station $128,19 $102552
8
Delivery &- Pic k U p C haige $3285 $3628.1
1'r 23 Days Ming Total =$1233.32
Every 23 Thereafter Total =$1025.52
Price is based on regular deliveryand pickup dunirg normal business hours - P.ddits anal rhwges nta^t app'4Y to IN aekerd or timed
deliveries and pickups. Bid is preliminary based on details avai)able at time of b i l wraa, rab qa at to .Iuan„e: b as d on placement
requiremendslsite condition, increase or decrease in quantities orothner factors not known at time of proposal. By signing you
agree to A- Ihmnte Ierms & Conditions Ihis bid is valid 3D days from die date on thus proposal,
Proposal Acceptance Signature Date
Mchele Cbavez
Sales Ropresentative
A-:2172rone Company Inc.
Guice: Sf.2-991-1197
Cog: 310-877-030"
1850 E 33"S t Long BeachS CA M07
(5 _ o .1e, 'p,a°.S 'rec Visit @ �,araa�ao:rrtlsori,w .orrr
Fax: > �, - a-98.6 Email: i,l �u.. gym..... ._.._._......___-_-