CONTRACT 7235 One Page Service AgreementAgreement No. 7235
(9 Services Agreement
CONTRACTOR: A06tar Fora E ui mgnt DATE: January2, 2025
Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of El
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 2010 1185 or
equivalent The amount of insurance set forth below will be a combined single limit per occurrence for bodily injury, personal injury, and
property damage for the policy coverage. Liability policies will be endorsed to name the City, its officials, and employees as
"additional Insured's" 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 "occurrence," 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.
® Comprehensive enarai Liabili 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.
❑ $100,000. 300,C00 per occurrence.
❑ As required by State Statutes. A copy of your current policy must be submitted naming yourself and or your company.
® Workers' Compensation Insurance: as required by State Statutes with Waiver of Subrogation, (Not needed if Self-employed with
no employees and CONTRACTOR signs statement to this effect.)
® Business License: The CONTRACTOR shall agree to have a current City of El 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.
❑ 0
LoploLyalid icture LQ, (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 PURCHASING AGENT, THUS AUTHORIZING COMMENCEMENT OF
WORK FOR THE CITY.
Submitted by from letoall blanks): COLOR CII'Y FI nL uARED &ACKI0 tPiE t'p.t-Y
OdginatcrlDepartment Contact:
Department Head Approval:
fr*UrarcqApttbva9:.... I �� 1
"rty AW ~ley
ES art Services Agreement with check boxes
City Manager
Rev 414/24
Date initlated: Januarl 2.2025
Date Approved:
Date A r wed: 5
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Agreement No. 7235
Agreement No. 7235
Agreement No. 7235
Agreement No. 7235