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HomeMy WebLinkAboutAGMT - Data Ticket Inc (Online Permit Applications)Street, Suite TA N 26Irvine,ICalifornia 92614 0 949-428-71 TICKET 1I1C ww.ClientServic wes.com CITY OF SEAL BEACH ADDENDUM TO THE AGREEMENT DATED SEPTEMBER 27, 2016 ADDENDUM TO THE AGREEMENT BETWEEN THE CITY OF SEAL BEACH and DATA TICKET, INC. This addendum to the Agreement between The City of Seal Beach (AGENCY) and Data Ticket, Inc. (COMPANY) is to amend and include the addition of AB 503 ServiceslFees: Acceptance and Scanning of Indigent Payment Plan Requests (Approval/Denial by Data Ticket) $5.00 per request • This new process includes the acceptance of documentation via the web and US Mail, the review of this documentation and the scanning of all the documentation and attachment to the citation to which it applies. Based on each Agency's unique business rules, Data Ticket will either accept or deny each request and then proceed to setup the payment plan or issue a letter of denial with a reason for the denial. Indigent Payment Plan Letters $0.85 per letter All other terns and conditions of the Agreement remain as originally written. ACCEPTED: C Seal each 19 Signature VC -T00,14 L• A77� �/ Print Name and Title a1.25.2p1q Date Proprietary and Confidential to Data Ticket, Inc: ACCEPTED: Data Ticket Inc. rjAf1tx Signature *ar Kg , Goo Print Name and Title Date Phone: 949-428-7241 06/26/18 PROFESSIONAL SERVICES AGREEMENT Between City of Seal Beach 211 8th Street Seal Beach, CA 90740 E-3 Data Ticket, Inc. 4600 Campus Drive, Suite 200 Newport Beach, CA 92660 This Professional Service Agreement ("the Agreement") is made as of September 27, 2016 (the "Effective Date"), by and between Data Ticket, Inc. ("Professional Services Provider'), a California Corporation, and the City of Seal Beach ("City"), a California charter city, (collectively, "the Parties"). RECITALS A. City desires certain professional services. B. Professional Services Provider represents that it is qualified and able to provide City with such services. NOW THEREFORE, in consideration of the Parties' performance of the promises, covenants, and conditions stated herein, the Parties hereto agree as follows. AGREEMENT 1.0 Scope of Services 1.1. Professional Services Provider shall provide those services set forth in the attached Exhibit A ("Services"), which is hereby incorporated by this reference. To the extent that there is any conflict between Exhibit A and this Agreement, this Agreement shall control. 1.2. Professional Services Provider shall perform all Services under this Agreement in accordance with the standard of care generally exercised by like professionals under similar circumstances and in a manner reasonably satisfactory to City. 1.3. In performing this Agreement, Professional Services Provider shall comply with all applicable provisions of federal, state, and local law. 1.4. Professional Services Provider will not be compensated for any work performed not specified in Exhibit A unless the City authorizes such work in advance and in writing. The City Manger may authorize extra work to fund unforeseen conditions up to the amount approved at the time of award by the City Council. Payment for additional work in excess of this amount requires prior City Council authorization. 2.0 Term This term of this Agreement shall commence as of the Effective Date and shall continue for a term of one year, with one additional 1 year extension on the same terms possible at the City's sole discretion for a total of two (2) years unless previously terminated as provided by this Agreement. 2of11 July 2015 3.0 Professional Services Provider's Compensation City will pay Professional Services Provider in accordance with the rates shown on the fee schedule set forth in Exhibit B for Services. Any additional work authorized by the City pursuant to Section 1.4 will be compensated in accordance with the fee schedule set forth in Exhibit A. 4.0 Method of Payment 4.1. Professional Services Provider shall submit to City monthly invoices for all services rendered pursuant to this Agreement. Such invoices shall be submitted within 15 days of the end of the month during which the services were rendered and shall describe in detail the services rendered during the period, the days worked, number of hours worked, the hourly rates charged, and the services performed for each day in the period. City will pay Professional Services Provider within 30 days of receiving Professional Services Provider invoice. City will not withhold any applicable federal or state payroll and other required taxes, or other authorized deductions from payments made to Professional Services Provider. 4.2. Upon 24-hour notice from City, Professional Services Provider shall allow City or City's agents or representatives to inspect at Professional Service Provider's offices during reasonable business hours all records, invoices, time cards, cost control sheets and other records maintained by Professional Services Provider in connection with this Agreement. City's rights under this Section 4.2 shall survive for two years following the termination of this Agreement. 5.0 Termination 5.1. This Agreement may be terminated by City, without cause, or by Professional Services Provider based on reasonable cause, upon giving the other party written notice thereof not less than 60 days prior to the date of termination. 5.2. This Agreement may be terminated by City upon 10 days' notice to Professional Services Provider, if Professional Services Provider fails to provide satisfactory evidence of renewal or replacement of comprehensive general liability insurance as required by this Agreement at least 20 days before the expiration date of the previous policy. 6.0 Party Representatives 6.1. The City Manager is the City's representative for purposes of this Agreement. 3of11 July 2015 6.2. Data Ticket, Inc. is the Professional Services Provider primary representative for purposes of this Agreement. 7.0 Notices 7.1. All notices permitted or required under this Agreement shall be deemed made when personally delivered or when mailed 48 hours after deposit in the United States Mail, first class postage prepaid and addressed to the party at the following addresses: To City: City of Seal Beach 211 8th Street Seal Beach, California 90740-6379 Attn: City Manager To Vendor: Data Ticket, Inc. 4600 Campus Dr., Suite 200 Newport Beach, CA 92660 Attn: Chief Operating Officer 7.2. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. 8.0 Independent Contractor 8.1. Professional Services Provider is an independent contractor and not an employee of the City. All services provided pursuant to this Agreement shall be performed by Professional Services Provider or under its supervision. Professional Services Provider will determine the means, methods, and details of performing the services. Any additional personnel performing services under this Agreement on behalf of Professional Services Provider shall also not be employees of City and shall at all times be under Professional Service Provider's exclusive direction and control. Professional Services Provider shall pay all wages, salaries, and other amounts due such personnel in connection with their performance of services under this Agreement and as required by law. Professional Services Provider shall be responsible for all reports and obligations respecting such additional personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, disability insurance, and workers' compensation insurance. 8.2. Professional Services Provider shall indemnify and hold harmless City and its elected officials, officers, employees, servants, designated volunteers, and agents serving as independent contractors in the role of City officials, from any and all liability, damages, claims, costs and expenses of any nature to the extent arising from Professional Services Provider's personnel practices. City shall have the right to offset against the amount of any fees due 4of11 July 2015 to Professional Services Provider under this Agreement any amount due to City from Professional Services Provider as a result of Professional Services Provider's failure to promptly pay to City any reimbursement or indemnification arising under this Section. 9.0 Subcontractors No portion of this Agreement shall be subcontracted without the prior written approval of the City. Professional Services Provider is fully responsible to City for the performance of any and all subcontractors. 10.0 Assignment Professional Services Provider shall not assign or transfer any interest in this Agreement whether by assignment or novation, without the prior written consent of City. Any purported assignment without such consent shall be void and without effect. 11.0 Insurance 11.1. Professional Service Provider shall not commence work under this Agreement until it has provided evidence satisfactory to the City that Consultant has secured all insurance required under this Section. Professional Services Provider shall furnish City with original certificates of insurance and endorsements effecting coverage required by this Agreement on forms satisfactory to the City. The certificates and endorsements for each insurance policy shall be signed by a person authorized by that insurer to bind coverage on its behalf, and shall be on forms provided by the City if requested. All certificates and endorsements shall be received and approved by the City before work commences. The City reserves the right to require complete, certified copies of all required insurance policies, at any time. 11.2. Professional Services Provider shall, at its expense, procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damages to property that may arise from or in connection with the performance of this Agreement. Insurance is to be placed with insurers with a current A.M. Best's rating no less than A: VIII, licensed to do business in California, and satisfactory to the City. Coverage shall be at least as broad as the latest version of the following: (1) General Liability: Insurance Services Office Commercial General Liability coverage (occurrence form CG 0001); (2) Automobile Liability: Insurance Services Office Business Auto Coverage form number CA 0001, code 1 (any auto); and, if required by the City, (3) Professional Liability. Consultant shalt maintain limits no less than: (1)General Liability: $2,000,000 per occurrence for bodily injury, personal injury and property damage and if Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately 5of11 July 2015 to this Agreement/location or the general aggregate limit shall be twice the required occurrence limit; (2)Automobile Liability: $1,000,000 per accident for bodily injury and property damage; and (3) Professional Liability: $1,000,000 per claim/aggregate. 11.3. The insurance policies shall contain the following provisions, or Professional Services Provider shall provide endorsements on forms supplied or approved by the City to state: (1) coverage shall not be suspended, voided, reduced or canceled except after 30 days prior written notice by certified mail, return receipt requested, has been given to the City; (2) any failure to comply with reporting or other provisions of the policies, including breaches of warranties, shall not affect coverage provided to the City, its directors, officials, officers, (3) coverage shall be primary insurance as respects the City, its directors, officials, officers, employees, agents and volunteers, or if excess, shall stand in an unbroken chain of coverage excess of the Professional Service Provider's scheduled underlying coverage and that any insurance or self- insurance maintained by the City, its directors, officials, officers, employees, agents and volunteers shall be excess of the Professional Service Provider's insurance and shall not be called upon to contribute with it; (4) for general liability insurance, that the City, its directors, officials, officers, employees, agents and volunteers shall be covered as additional insureds with respect to the services or operations performed by or on behalf of the Consultant, including materials, parts or equipment furnished in connection with such work; and (5) for automobile liability, that the City, its directors, officials, officers, employees, agents and volunteers shall be covered as additional insureds with respect to the ownership, operation, maintenance, use, loading or unloading of any auto owned, leased, hired or borrowed by the Professional Services Provider or for which the Professional Services Provider is responsible. 11.4. All insurance required by this Section shall contain standard separation of insureds provisions and shall not contain any special limitations on the scope of protection afforded to the City, its directors, officials, officers, employees, agents, and volunteers. 11.5. Any deductibles or self-insured retentions shall be declared to and approved by the City. Professional Services Provider guarantees that, at the option of the City, either: (1) the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the City, its directors, officials, officers, employees, agents, and volunteers; or (2) the Professional Services Provider shall procure a bond guaranteeing payment of losses and related investigation costs, claims and administrative and defense expenses. 12.0 Indemnification, Hold Harmless, and Duty to Defend Professional Services Provider shall defend, indemnify, and hold the City, its officials, officers, employees, volunteers and agents serving as independent 6of11 July 2015 contractors in the role of city officials (collectively "Indemnitees") free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, in any manner arising out of or incident to any acts or omissions of Professional Services Provider its employees, or its agents in connection with the performance of this Agreement, including without limitation the payment of all consequential damages and attorneys' fees and other related costs and expenses, except for such loss or damage arising from the sole negligence or willful misconduct of the City. With respect to any and all such aforesaid suits, actions, or other legal proceedings of every kind that may be brought or instituted against Indemnitees, Professional Services Provider shall defend Indemnitees, at Professional Service Provider's own cost, expense, and risk, and shall pay and satisfy any judgment, award, or decree that may be rendered against Indemnitees. Professional Services Provider shall reimburse City and its directors, officials, officers, employees, agents and/or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Professional Service Provider's obligation to indemnify shall not be restricted to insurance proceeds, if any, received by Professional Services Provider, the City, its directors, officials, officers, employees, agents or volunteers. All duties of Consultant under this Section shall survive termination of this Agreement. 13.0 Equal Opportunity Professional Services Provider affirmatively represents that it is an equal opportunity employer. Professional Services Provider shall not discriminate against any subcontractor, employee, or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex, sexual orientation, or age. Such non-discrimination includes, but is not limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff, or termination. 14.0 Labor Certification By its signature hereunder, Professional Services Provider certifies that it is aware of the provisions of Section 3700 of the California Labor Code that require every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 15.0 Entire Agreement This Agreement contains the entire agreement of the parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings, or 7of11 July 2015 agreements. This Agreement may only be modified by a writing signed by both parties. 16.0 Severability The invalidity in whole or in part of any provisions of this Agreement shall not void or affect the validity of the other provisions of this Agreement. 17.0 Governing Law This Agreement shall be governed by and construed in accordance with the laws of the State of California. 18.0 No Third Party Rights No third party shall be deemed to have any rights hereunder against either party as a result of this Agreement. 19.0 Waiver No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a party shall give the other party any contractual rights by custom, estoppel, or otherwise. 20.0 Prohibited Interests; Conflict of Interest 20.1. Professional Services Provider covenants that it presently has no interest and shall not acquire any interest, direct or indirect, which may be affected by the Services, or which would conflict in any manner with the performance of the Services. Professional Services Provider further covenants that, in performance of this Agreement, no person having any such interest shall be employed by it. Furthermore, Professional Services Provider shall avoid the appearance of having any interest, which would conflict in any manner with the performance of the Services. Professional Services Provider shall not accept any employment or representation during the term of this Agreement which is or may likely make Professional Services Provider "financially interested" (as provided in California Government Code §§1090 and 87100) in any decision made by City on any matter in connection with which Professional Services Provider has been retained. 20.2. Professional Services Provider further warrants and maintains that it has not employed or retained any person or entity, other than a bona fide employee working exclusively for Professional Services Provider, to solicit or obtain this Agreement. Nor has Professional Services Provider paid or agreed to pay any person or entity, other than a bona fide employee working exclusively for 8of11 July 2015 Professional Services Provider, any fee, commission, gift, percentage, or any other consideration contingent upon the execution of this Agreement. Upon any breach or violation of this warranty, City shall have the right, at its sole and absolute discretion, to terminate this Agreement without further liability, or to deduct from any sums payable to Professional Services Provider hereunder the full amount or value of any such fee, commission, percentage or gift. 20.3. Professional Services Provider warrants and maintains that it has no knowledge that any officer or employee of City has any interest, whether contractual, non -contractual, financial, proprietary, or otherwise, in this transaction or in the business of Professional Services Provider, and that if any such interest comes to the knowledge of Consultant at any time during the term of this Agreement, Professional Services Provider shall immediately make a complete, written disclosure of such interest to City, even if such interest would not be deemed a prohibited "conflict of interest" under applicable laws as described in this subsection. 21.0 Attorneys' Fees If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Agreement, the prevailing party in such litigation shall be entitled to have and recover from the losing party all of its attorneys' fees and other costs incurred in connection therewith. 22.0 Exhibits All exhibits referenced in this Agreement are hereby incorporated into the Agreement as if set forth in full herein. In the event of any material discrepancy between the terms of any exhibit so incorporated and the terms of this Agreement, the terms of this Agreement shall control. 23.0 Corporate Authority The person executing this Agreement on behalf of Professional Services Provider warrants that he or she is duly authorized to execute this Agreement on behalf of said Party and that by his or her execution, the Professional Services Provider is formally bound to the provisions of this Agreement. IN WITNESS WHEREOF, the Parties hereto, through their respective authorized representatives have executed this Agreement as of the date and year first above written. 9of11 July 2015 CITY OF SEAL BEACH 0 Atte e ,wr� iohll6 Chief of Police July 2015 DATA TICKET. INC. ,f v Name: Brook Westcott Its: Chief Operating Officer M Name: Its: Exhibit A Scope of Services and Fees 11 of 11 July 2015 DATA TICKET h EXHIBIT A 4600 Campus Drive, Suite 200 Newport Beach CA 92660 0: 949-752-6937; F: 949-752-6033 www.DataTicket.com Description of Services Cost per Instance Online Permit Application: $5,000.00 per Year Online permit application to be used by the City's citizens to register for and obtain residential, vacation and guest parking permits. The online permit application will also be used by the City's Personnel to manage the permitting process. Finally, the City's handheld ticket writers (if the City chooses to Purchase/Lease) will have access to a daily file that includes all valid permits. When the issuing officer enters the license plate number, the handheld will indicate to the Officer whether the permit is valid or not. The solution will provide the City's Patrons with the following capabilities: • Ability to register online and apply for permits • Ability to verify resident address with DMV to ensure resident resides in permit area • Ability to submit up to 3 documents online via the web to prove residency (i.e. utility bill, mortgage, etc.) • Provide online temporary permit with expiration date to be printed directly from resident's computer • Ability to create a login name and password to the solution with which the user may manage all future permits • Ability to pre -purchase permits for upcoming years • Ability to re -use data previously entered to purchase new permits • Tracking of all permits purchased by residents • Storage of all permit data online • Acceptance of Visa, MasterCard, Discover and American Express • Live, bi-lingual customer service agents available M -F, 8-5pm who will process registration requests, answer specific and general permit questions and provide fulfillment assistance The Solution will provide the following capabilities to the City's personnel: • Ability to register residents for the permit solution online • Ability to verify resident address with DMV to ensure resident resides in permit area • Ability to accept documentation and scan into the solution for proof of residency • Ability to generate reports on permits issued • Ability to search for permits by Resident • Ability to modify permit holder information • Ability to track all permits purchased by residence & tracking of all permits purchased by residence • Online training of all City personnel 9/29/2016 4600 Campus Drive, Suite 200 Newport Beach CA 92660 0:949-752-6937; F:949-752-6033 EXHIBIT A - CONTINUED www.DataTicket.com Description of Services Cost per Instance Permit Fulfillment: $3.50 per permit Fulfilled Services for the above-mentioned item includes: • Assignment of each permit per successful registration And • Generating and mailing a custom notice to each successful registrant with an assigned permit $.75 per letter sent • Includes Postage — USPS first class rate Permits TBD • Cost of sticker permit — depending on size and quantity chosen Banking Fees: $3.50 per transaction Data Ticket expects all banking fees to be passed on to the City's citizens who wish to pay by credit or debit card Refunds: $5.00 per issued refund Issuance of all refunds to citizens who are due a refund via 15' class mail Credit Card Charge Backs: $30.00 per chargeback Processing of each char eback 9/29/2016 ACORU® CERTIFICATE OF LIABILITY INSURANCE DA 2 10/26/20166/2016 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 endorsement(s). PRODUCER PELLETT INSURANCE SERVICES INC 2985 Theatre Drive, Ste 5 Paso Robles, CA 93446 OH2721820 NAME: L nn Eye NcoE.(805)227-6760 1ac.Nn:(805)237-7350 AODREss:l nn@ ellettins.com INSURER(S) AFFORDMIG CDVEBAGE NAgF INSURERA:AMCO Insurance Company INSURED Data Ticket, Inc. DBA: Revenue Experts 4600 Campus Dr., Ste. 200 Newport Beach, CA 92660 INsuRER e: INSURER C: 1 INSURER D' INSURER E: INSURER F' UL1VLHAUtJ llmlut,IV IC 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. Y6p TYPE OF INSURANCE L GENERAL LIABILITY SMADE OCCUR me RIM POLICY NUMBER ACPBP03027427618 MW)DIYYYY 11/1/2016 P MMmD 11/1/2017 LIMITS EACH OCCURRENCE $ 2 ODO 000 PREMISES Ea occurrence $ 300 000 MEDExP(Anyaneperson) $ 5 000 PERSONALCEXCLUDED RY E EXCLUDEDATE jQEN*L GENERAL TE S 4 r 000, 000OPRO-OPRODUCTSP LIMIT APPLIES PER: JEDT LOC$$ AGG E 4,000,000 211 8th St. Seal Beach, CA 90740 1 000 000AUTOMOBLIABILITY Ea accidentI rANYAUTO BODILY INJUerson) $ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIDED AUTOS X AUTOS ACPBP03027427618 11/1/2016 11/1/2017 BODILY INJUadent) $A Per acciden$X $X UMBRELLA LV+B EXCESS LIAB OCCUR CLAIMS-MADEAGGREGAT$ ACPCAA3027427618 11/1/2016 11/1/2017 EACH OCCs 2, 000, 000A 2, 000, 000ED=D RETENTION E_WORKERS COMPENSATION STATUERAND EL EACH A $ EMPLOYERS' LIABILITY YINUS PROPRIET)BPARTNERIE%ECUnVE OFFICENMEMBER E%CLlAEO? ❑ nan.w.ry In Nat NIA E.L DISEASE - EA EMPLOYE 8 E.L DISEASE -POLICY LIMIT $ Il yes, des mlbo under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remains Schedule, maybe attached it more space is required) IT IS AGREED THAT THE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY As THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM, THIS INSURANCE IS PRIMARY S NON-CONTRIBUTORY. GERT1FICAlt HULUCH City of Seal Beach, it's SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED directors, officials, officers, ACCORDANCE WITH THE POLICY PROVISIONS, employees, agents and volunteers AUTH RIZED REPRESENTATNE 211 8th St. Seal Beach, CA 90740 ©1988-2014 ACORD Ci3APORATION. All rights reserved. AGORD25(2014/01) The ACORD name and logo are registered marks Of ACORD ACi CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 10/26/2016 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 INSURERS), 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 terns and condhions 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 endorsement(s). PRODUCER PELLETT INSURANCE SERVICES INC 2985 Theatre Drive, Ste 5 Paso Robles, CA 93446 OH2721820 CONTCT NAME: Lynn Eye NCON( 8 0 5 ) 2 2 .No(805)237-7350 Mynn@pellettins.com sEa IMUSERpo AFFORDING COVERAGE NAC, INSU13ERA'AMCO_In_s_u_range Com any INSURED Data Ticket, Inc. DBA: Revenue Experts 4600 Campus Dr., Ste. 200 Newport Beach, CA 92660 INSUR RB INSURER C: INSURER O: INSURER E: INSURER F' N MBER REVISION NUMBER: COVERAGES CERTIFICATE U 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. nLTR TYPE OF INSURANCE COMMERCW. GENERAL LPBRRY Me WYD POLICY NUMBER IMMIDDIYYYY WAPX MM1D LIMITS EACH OCCURRENCE $ 2,000,000 PREMISESU(E"d=dr.J $ 300,000 A CLAIMS -MADE O OCCUR X Y ACPBP03017427618 11/1/20 /1/2016 MED EXP(Anyone person) $ 5,000 PERSONAL BADV IWURY $ EXCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: POLICY O jEOT � L� GENERAL AGGREGATE $ 4,000,000 PRODUCTS - DGMP/OP AGG $ 4,000,000 OTHER:-COMETNEDSINGLEUNIT$ AUTOMOBILE LIABILITY Ea accident) 1,000,000 BODILY NJURY(Perperseni $ A ANYAUTO ALL OWNED SCHEDULED AUTOS AU OS NON -OWNED X HIRED AUTOS X AUTO$ ACPBP03017427618 11/1/2015 11/1/2016 BODILY INJURY(Paacoldent) $ PRCPE Were ccitlent)E E A X UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE ACPCAA3017427618 11/1/2015 11/1/2016 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DEC RETENIXJN $_ WORKERS COMPENSATION STATUTE ER E.L. EACH ACCIDENT E AND EMPLOYERSLIABILITY YIN ANY PROPRIMNPM1NEREXECUDVE E.L. DISEASE - EA EMPLOYE $ OFFICER'MEMBER EXCLUDED? ❑ fWMaron in ,� NIA EL.DISEASE - POLICY LIMB $ It yes. tlescribe untler DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Romads Schetlule, may be allachM if more space is required) IT IS AGREED THAT THE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS INSURANCE IS PRIMARY 6 NON—CONTRIBUTORY. Gtt111FIl.rHIC rtVLUCrI City of Seal Beach, it's directors, officials, officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. employees, agents and volunteers AUTHO QED REPRE�A 211 8th St. Seal Beach, CA 90740 'U 1988-2014 ACUHU L,URYUNA I IUNN. Ha ngnl5 r ulY . ACORD25(2014101) The ACORD name and logo are registered marks of ACORD ACORO® Ac� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOIYYYY) 10/31/2019 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER Ashbrook-Clevidence, Inc. 3000 W MacArthur Blvd, Suite 320 Santa Ana, CA 92704 CONTACT NAME: Mitch Clevidence_ PHONE (714)979-4023 ac No: (714)979-2809 E-MAIL ADORE: mitchc@acievidence.com INSURER(S) AFFORDING COVERAGE NAIC t License #: 0188788 INSURER A: Continental Casualty Company 20443 INSURED Data Ticket, Inc. INSURER B: Scottsdale Insurance Company 41297 RENTED PREMISESSEa occurrence) $ DBA Revenue Experts INSURER C: 2603 Main Street Suite 300 INSURER D: INSURER E: Irvine, CA 92614 INSURER F : PERSONAL & ADV INJURY $ COVERAGES CERTIFICATE NUMBER: 00012154-8649028 REVISION NUMBER: 18 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. INSR ----- - - ADDL SUBR POLICY EFF POLICY EXP _ -- LTR TYPE OF INSURANCE INSD POLICY NUMBER MMID MM/D LIMITS COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE Aa Ak Mxc EACH OCCURRENCE $ CLAIMS -MADE F-1OCCURDAMAGE( RENTED PREMISESSEa occurrence) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ] PEC$ � LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Etiaccident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ _ [Per accidentl__. _.. $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE _ $_ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F7 N / A STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Errors & Omm 287188360 11/01/2019 11/01/2020 Ded. $10K $2,000,000 B Cyber Liability EKS3310459 11/01/2019 11/01/2020 Deduct $25K $IMM12MM DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more apace is required) Certificate evidences Professional Liability (Errors & Omissions)& Includes Personal Injury, Cyber Liability and Crime (provided by Travelers Casualty & Surety Company of America NAIC #31194) CERTIFICATE HOLDER cONrFI I OTIAN ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by MXC on October 31, 2019 at 09:54AM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Data Ticket, Inc DBA: Revenue Experts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 AUTHORIZED REPRESENTATIVE Aa Ak Mxc ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by MXC on October 31, 2019 at 09:54AM