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CONTRACT 4967 One Page Service Agreement CLOSEDAgreement No. 4967 Services Agreement FIE'lERS(A4 INK N)AIE t,'IAILED 12 300'W.) 60o%., you %aA fired a'l gohlinij to hsw""Inc and roquiromiofits that afu roquon�,d 1,ar (Wig busw'ess' vathql(.' "0 'El Sc""�Iun"'Ju Only 010 ear Items lwwcmr 0 yoot slavf,,hud pofic1u excood 011"� malimum WC'hdo Conlillerciall gelloral filbility insurance most 1,11100t or exceed the requirmimits of ISO-GG1. Form No, CG 01001 it 85 Of W 1k" �'mwunl c0 Yasuo nce So forlh bojm'l vMl ve a (%')rmbmnd sim ' #u ihnw i4,,ir lw budily jniwy, porsana I inpay 'wd (j)'Irat;e fof qlc� unity rovefa(, o Liability policies will be endorsed to name the City, its officials, andi employees as "additioul insurod's" under said hisurance coverage and to state that such Insurance swill be, deemed "primiry" such that any other insurance that may be cmHod by the City will be excess thereto, Such Insurance triust be on an "occurrence," net a "cliiins mado," basis and will not be cancelable or subject to reduction, except uplan thirty (30) clays prior vmitten notice to the City, lmd addihon'fl anO ("ondilm"s on 01c", rmf""'ric, sf(fi,t 'A This sewjlcf',n, Tills is not a purchaso orderm In aritho6zatiorl to begin work. 9iLA 1 I0111'1 '1 4N III '%"weage �l)r pw4lovls and mate poodc"W peasp"xlal wtwy "Ind c- 'bj "Ifions '.nfh aAw k"f t110F, (A cwp,raq(" ol M, koast o 9 tmhldulg ov.'i (ed, ahAl ')rTq1 buo'd "kfh ;it le, S rar As by ""a me GI+Iaaos A "M 1;0ur d "ollr y f14ISt be S41m0ltr.'d ruavnn(l 'af% Of VTA (No� 9m'ded al flo"I V'3 BunOw:�ss Licon,,,'o, The shflI k) ft"'avt� .:wn""nt C4y """)f Et Vic n ont fik" "ir "-i'0 ""10 4c("'.'rlso tat no t"osl to Ihe Cdyl 714,"s ":8' m"M G1da aiq'?rovf�o ,it'd pe'mnoi�5k 0i Plarnin, 'tlwt 6�'Wdlnr: 3'00� if acp'01"VV� J 11`l;WcaWg Manaqot % ("HO) 524-23401 if havc pw"ilfOnt' PLEASE NOTE-. ALL APPLWABLE INFORMAWN LlSTED ABOVE MUST BE 106TAINE-D AND ON FILE, PRIOR TO THE ISSUANCE OF A CG71," PURCHASE ORDER BEING SENT TO YOU (VIA FAX OR HARD COPYl BY THE RISK MAMA GERMURCHAS ING AGENT. THUS AUTHORIZING COMMENCEM04T OF WORK FOR THE CMY i r, i y,1 v T ! V, t I I b j . ............ . Dul ' amy 11"Iarn� PpTERSON HYDRAULICS, RIC, SA9 UAOAS Ccapi"v Addfess a SUMe Zip: -:Vy , Gwderm CA a &ap p FAX 310-3"1-3155 Sts 323-606 ���endN s En� address %(E�ndur s lffi:�Ih Me cann Mail original agreement and insurance to: City of El Segundo - City Clerk 350 Main Street, Room 5, El Segundo, CA 90245-3813 �,,.:.;.. _, _ �.... .....� . ......... 11- 17 P t e—' t'n k ni 1", u J, cs 4 �' Agreement No. 4967 u,u a nvlrrr,' dill VdWll d'ydSII.V_y ylhuro naro,Vro 17 rok surog�l�Vou ^,, „ y,y IrlVwl 0s`a�vGlr I a Pa'Gu d +,u Pa, NI0 employees. 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Ahl: asnW 010 Sa!aulrtlr 4 axµ r+ rua" ,° IV as ., in a aos'rt;. a w I M 1,a ME 1Pa nV °ova motl;;u 6,w;u M'a s-r1_,u wn� x Qs mien sinu'.d =M m:Vdaa" &'nvd,v ,IlQllwwavrylV'::,pw, "y VI? 0, xA tlmw or i &w ." `N” V�:�:'��. %. dtl tlV��,am, ^9a o-r yylld�n':.M d "n ','n'g� IIVn '0.'V 0 R � "m s.w � ' 4 ," New ro a s ws I d . w• =,. u' I„bw; P a rsn „vov taws amwaWua:raa rsTyvn«wa!olr ela TO 3D 20B Agreement No. 4967 Peterson Hydraulics, Inc. 0653 W El Seg undo 111KA, Cantens. CA, ®I (3w 323-31.4.9 phome - (3101323-3606 fm `FF OU11,11raq Service 7q) The Vehicle Ser-ii,pice Industr.y" A ?III u ue a Ise I lice 1DRI kill-F I Ild 1AI S, PIG 1-1 It Me i Sef.111 i % "uu !d` Ef SewI 12 11 1 1511) Miniavi !Imveel I Seirusido, C u% 02.1 8:5 I 10 524 21 p.p, Ama Gan,Mulhims Peiiersoull%ximabcs, Inic SI!ape Annual Insptctions im j iiiii zu:mud fifis R FostiWe Wh, e s,2all a new 113hoick- vivalve 2 posu' lift & hicads semo%ah ou B,v,- :u -A fnchAktes (� Ou2plve in ­rCund servu!e Checklis? 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