Cities Index.
1.L AMENDMENT NO. 1 TO THE PROFESSIONAL SERVICES AGREEMENT WITH CALIFORNIA YELLOW CAB FOR SENIOR TRANSPORTATION SERVICES

Placentia City Council
June 17, 2025

Document
1.L AMENDMENT NO. 1 TO THE PROFESSIONAL SERVICES AGREEMENT WITH CALIFORNIA YELLOW CAB FOR SENIOR TRANSPORTATION SERVICES
Meeting
June 17, 2025
Body
Placentia City Council
Pages
2
Original file
25 KB
Text extracted from the city's file for reading and search. Open the original on portal.laserfiche.com. That file is the official record.

  


 


 
 

   
  


 




!

"


!#$%





 
& '!
(%%
 !#$% !
 ) & "(
! *
) "
(
!

! +!%
!  
 !#$%  (
!

!

 "&
,! "

*
)
"

! # $ -,"*".




%$ 
$

+
 /0%
12342
5(
#! % * 46
1247 * 46 5(
#! %
8! 
13327 9  $& :;!

,"+ 8!
,((%  :#
1 ,"+ %!  


 
$ !  & "

( '$  &% ! ! ) & & ,! "

+!%
!  

 &
!
-,"+.  "(
! *
) "

!
# %
! !%
!  
 %!#$% &!
&
& 
! 


'!
!
-'. +&% !
!

((!% !%
!  

 (!

&
'$  
! " ! 

&!
& !
 % ) %  
 !%
(# !6
 !
 %  
% ) & & "
 %!!
 !% +&% %  
% $

$
(($% !
$!
%
!% &!
$% 
&! %% 
%%%% & %
! &

%
( '$  $
% %($
!
$
 !$
! !(
!
$  "
!
# 

0$ 9
( &
!  $
 !$ 


( 1?  (( !$

%
0$  & (!%
6
! 0 %
 



   & 

 

0$
12342
 

 "(
! *
) "
&% 
( & "
&  (($ #    &
$


&% $&  % 

,! "

*
) "

! # $ -,"*".
!

"!
562

:$

$ 

 %!$

 & "
"
$ @ &(

)$ 
%

 !
#

 


 &'!
(%%
!#$%!
 ) &,!"


*
) "

! # $ (
! 
! +!%
!  
 !#$% (
! & (!% 
 -.
!
0 %
(!

 &  &  &!
 %(
0$ 
6 60$



(12342A
 !
#

 

) &,!"

*
)"

! #$-,"*".


$&
("
$
*
)$
"(
!*
)"
A
3  &
!B & "
 
% !
! C
! &! %
 0$   $%%!


$
 %(
!
!
#

 &"

!

# 
 

+&%  
 %
! %  ! $ ' 8
 4
 $!% "


 /
  +& 
!



'!
!
&$%

!  %(
!'$ <%%
!!% %
) & &
$




 !
# $$%%
 !%
!  

 & '$  
! " !
$


 % !
$!
 %
!% &!
$% 
&! %%  
$ 
% +&% %!#$
!

%%
$$
$ 
%
! %
%$%$
!%& &
$ #(%
%


 &"
<%%
!
 

$$$!
+&"

('$ ! !%&) & &,!"

+!%
!  
 &
!
-,"+.
(% 
! % & 
! 


 '!
!
 -'. )&$& !
#% %% 
!%
!  
%!#$%
%
!!% %
('$ $!"(
!*
)
"
&%%!#% &"
<% !%
!  
!
#!(
! &%!
!

((!
6$
% 

!6

6

!)&$&!6$$%%
!%
%
!%2
!

+&%!#$
! %

 &!
& !
%
#

)@%
!(!
&

% :! !% ! !
#
  (!

 & '$ 
! " ! ! &
(

)&
!%




 &!
& !
(!

7
3


3

+%
%+&!%
%0 
3
3


 

 & !
!
 $% !%
!  

 (# !6 !
 %  
% ) &
'$  &%!!
!%+&%%  
%$
$($ %!
$!

%
!%&!
$%
&!
$
%%%% & %
! %
!%=
%+&%%!#$

%# !
!




$;

(((
! &"
=%%
!

 



"(
!*
)"
(
!
 &"
 & 
!$ $&%"(
!
) &
)

!% !$ ! &!
%%%/(($ #"
$
*
)$

"(
! *
) "
 &%
(($
 !% 


!  ! & ) 
 ,!
"

*
)"

! #$-,"*".
$


 

 
+&!
 ) &,!"

*
)"

! #$-,"*".(
!

 

%
(
!
6 60$

 
(12342(
! &
6
!$
 !$ 0 %
D! &%
!
  ,"*" ) !
# #&$% !  ;( !#!% ( #&$

 $% $&%!#$%%!$

+&
!


'!
!
%!
!
( &!
&! !
 ) & &,!
563

"

+!%
!  
 &
!
-,"+.)&$&$
#!%79
( &!
!
<%
! 
$
% % %$*!46
(%)
0 % $  &  &!)

(
#!(%
1247
! %$*!E2 &"
)!$#1
,"+! (F & &!#
%
!%
$ 
)! 


(!

,"+ &
"
 ) &# 1347  ,"+ ( +& !;! 9  $
 $&

13327)
( &!
& &"

('$ <%8! (($ (%&#

$ & *E2
 
%
!  &%0%
%
$
'

 
!+!%
!  
,"*"(
/0&
 6,!*
)"
'!

%$

(F
!@(
"*"
,"*G5 !G'5(
,"*"%!$
$
 %(
564

Page 1 of 2 ends

AMENDMENT NO. 1 TO

PROFESSIONAL SERVICES AGREEMENT

PROVISION OF SENIOR TRANSPORTATION SERVICES WITH ORANGE COUNTY

YELLOW COOPERATIVE, INC (OCYC)

This Amendment No. 1 (“Amendment”) to Professional Services Agreement is made and entered into effective the 17 day of June, 2025, by and between the CITY OF PLACENTIA, a Charter City and Municipal Corporation (“CITY”), and Orange County Yellow Cooperative, a California corporation (hereinafter “CONSULTANT”). CITY and CONSULTANT are sometimes hereinafter individually referred to as “Party” and or collectively referred to as the “Parties.”

A. Recitals.

(i) CITY and CONSULTANT entered into a Professional Services Agreement (“Agreement”) effective April 3, 2023 through which CONSULTANT has been providing professional services as more fully explained in the Scope of Services attached to the Agreement as Exhibit “A”.
(ii) The Parties now seek to amend the Agreement to extend the term of the contract and set a new compensation not to exceed $165,340.60.

(iii) All legal prerequisites to the making of this Amendment have occurred.

NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the Parties agree as follows:

B. Amendment to Agreement.

1. Section 2.1 and 4.1, Paragraph 1 of the Agreement is hereby amended to read as follows:

2.1 Compensation. Consultant shall be paid in accordance with the fee schedule set forth in Exhibit “A”. Consultant’s total compensation shall not exceed $165,340.60 for the one-year extension.

4.1 Term. This Amendment No. 1 shall commence on the Effective Date and continue for a period of 12 months, ending on June 17, 2026.

2. Except as specifically modified herein, all of the terms, conditions and provisions of the Agreement shall remain in full force and effect.

3. The Agreement, all amendments together with this Amendment No. 1 and all Exhibits attached thereto, constitutes the entire Agreement between the Parties and supersedes all prior negotiations, arrangements, representations, and understandings, if any, made by or between the Parties with respect to the subject matter hereof. No amendment or other modification of the Agreement, as modified by this Amendment No. 1 shall be binding unless executed in writing by both Parties hereto, or their respective successors, assigns, or grantees.

4. Each of the undersigned represents and warrants that he or she is duly authorized to execute and deliver this Amendment No. 1 and that such execution is binding upon the entity for which he or she is executing this document.

565

Page 2 of 2 ends

IN WITNESS WHEREOF, the Parties have caused Amendment No. 1 to the Consulting Services Agreement are to be executed as of the day and year first above written.

CONSULTANT CITY OF PLACENTIA

By: ______________________________
Akbar Majid, President

By: _____________________________
Kevin Kirwin, Mayor

ATTEST:

By: _____________________________
Robert S. McKinnell, City Clerk

APPROVED AS TO FORM:

By: _____________________________
Christian L. Bettenhausen, City Attorney

566

567

568

569

570

571

572

573

574

575

576

577

578

579

580

581

582

583

584

585

586

587

588

589

590

591

592

593

594

595

596

597

598

599

600

OCY Management, LLC
"9 
 

)HOLSH=DPEUDQR
&LW\RI3ODFHQWLD
 (&KDSPDQ$YH
3ODFHQWLD&$

&"20U=DPEUDQR

&;2&72*4*.(4/*.'/2-9/5/'3/-&&8$*4*.($)".(&3$/-*.(4/"#$/&,,/7.$&$&.4 %&6&,/0-&.43*.",*'/2.*","7)"6&2&15*2&%534/2&6*3&/52#53*.&333425$452& 335$)
&''&$4*6&5.& 
"#$/&,,/7.$%#"",*'/2.*"&,,/7"#7*,,#&$,/3*.(4/-"+& 7"9'/22".(&/5.49&,,/7//0&2"4*6&.$*32".(&/5.49;3'*234 ".%/.,9
"8*$"#//0&2"4*6&02/5%,9/7.&%&.4*2&,9#9%2*6&23

)*,&"#$/&,,/7*3$,/3*.(*43%//234)&.&7/0)"3"(2&&%4/2&4"*.53"3 -"."(&-&.45.%&24)&#"..&2/'"."(&-&.4
)*37*,,&.352&3&"-,&33
$/.4*.5*49/'3&26*$&*.4)&%"93-/.4)3".%9&"23")&"% 5234"''$",,$&.4&2".%-"*./''*$&,/$"4*/.7*,,2&-"*.4)&3"-&.4)&50$/-*.(%"93 &,*33"/-&:2/(2"-"."(&27*,,3)"2&$/-0".9%&4"*,335$)"3".&7

50%"4&%
$&24*'*$"4&3/'*.352".$&".%7)"4&6&2&,3&*3.&$&33"294/&.352&/520"24.&23)*0$/.4*.5&3 ".%4)&2&*3./$/.42"$4*.4&22504*/.
)/5,%7&.&&%4/$2&"4&".&7$/.42"$4/272*4&",&44&2 /'"(2&&-&.40,&"3&,&453+./7"33//."30/33*#,& /2"$$/5.4*.(0520/3&30,&"3&2&-*4",,'5452&0"9-&.44/"."(&-&.4&''&$4*6& 5.& 


&,//+'/27"2%4//52$/.4*.5&%0"24.&23)*0,&"3&%/./4)&3*4"4&4/2&"$)/54 3)/5,%9/5)"6&".915&34*/.3
&34&("2%3
:*,,*"-/53&

"."(&-&.4
520 W. Dyer Road, Santa Ana, CA 92707
601

$1<35235,(7253$571(5(;(&87,9(2)),&(50(0%(5(;&/8'('" ,165 $''/ 68%5/75 ,16' :9'
352'8&(5 &217$&71$0(

)$;3+21(
$&1R

$&1R([W

(0$,/$''5(66

,1685(5$

,1685(',1685(5%

,1685(5&

,1685(5'

,1685(5(

,1685(5)

32/,&<180%(5 32/,&<()) 32/,&<(;37<3(2),1685$1&(/,0,76 00''<<<<

00''<<<<

$87202%,/(/,$%,/,7<
80%5(//$/,$%
(;&(66/,$%
:25.(56&203(16$7,21$1'(03/2<(56
/,$%,/,7<
'(6&5,37,212)23(5$7,216/2&$7,2169(+,&/(6
$&25'$GGLWLRQDO5HPDUNV6FKHGXOHPD\EHDWWDFKHGLIPRUHVSDFHLVUHTXLUHG

$87+25,=('5(35(6(17$7,9(
($&+2&&855(1&( 
'$0$*(725(17('&/$,060$'( 2&&85 35(0,6(6
(DRFFXUUHQFH

0('(;3
$Q\RQHSHUVRQ

3(5621$/ $'9,1-85< 
*(1
/$**5(*$7(/,0,7$33/,(63(5
*(1(5$/$**5(*$7( 
35232/,&< /2&352'8&76&20323$**-(&7
27+(5

&20%,1('6,1*/(/,0,7 
(DDFFLGHQW

$1<$872 %2',/<,1-85<
3HUSHUVRQ

2:1(' 6&+('8/('%2',/<,1-85<
3HUDFFLGHQW
$872621/< $8726
+,5(' 1212:1('
3523(57<'$0$*($872621/< $872621/<

3HUDFFLGHQW


2&&85 ($&+2&&855(1&(
&/$,060$'($**5(*$7( 
'(' 5(7(17,21 
3(5 27+67$787( (5
(/($&+$&&,'(17
(/',6($6(($(03/2<(( 
,I\HVGHVFULEHXQGHU
(/',6($6(32/,&</,0,7'(6&5,37,212)23(5$7,216EHORZ ,1685(5
6 $))25',1*&29(5$*( 1$,&
&200(5&,$/*(1(5$//,$%,/,7<
<1
1$

0DQGDWRU\LQ1+

6+28/'$1<2)7+($%29('(6&5,%('32/,&,(6%(&$1&(//('%()25( 7+((;3,5$7,21'$7(7+(5(2)127,&(:,//%('(/,9(5(',1 $&&25'$1&(:,7+7+(32/,&<3529,6,216
7+,6,672&(57,)<7+$77+(32/,&,(62),1685$1&(/,67('%(/2:+$9(%((1,668('727+(,1685('1$0('$%29()257+(32/,&<3(5,2' ,1',&$7('127:,7+67$1',1*$1<5(48,5(0(177(5025&21',7,212)$1<&2175$&72527+(5'2&80(17:,7+5(63(&772:+,&+7+,6 &(57,),&$7(0$<%(,668('250$<3(57$,17+(,1685$1&($))25'('%<7+(32/,&,(6'(6&5,%('+(5(,1,668%-(&772$//7+(7(506 (;&/86,216$1'&21',7,2162)68&+32/,&,(6/,0,766+2:10$<+$9(%((15('8&('%<3$,'&/$,06 7+,6&(57,),&$7(,6,668('$6$0$77(52),1)250$7,2121/<$1'&21)(56125,*+7683217+(&(57,),&$7(+2/'(57+,6 &(57,),&$7('2(6127$)),50$7,9(/<251(*$7,9(/<$0(1'(;7(1'25$/7(57+(&29(5$*($))25'('%<7+(32/,&,(6 %(/2:7+,6&(57,),&$7(2),1685$1&('2(6127&2167,787($&2175$&7%(7:((17+(,668,1*,1685(5 6 $87+25,=('
5(35(6(17$7,9(25352'8&(5$1'7+(&(57,),&$7(+2/'(5 ,03257$17
,IWKHFHUWLILFDWHKROGHULVDQ$'',7,21$/,1685('WKHSROLF\ LHV
PXVWKDYH$'',7,21$/,1685('SURYLVLRQVRUEHHQGRUVHG ,I68%52*$7,21,6:$,9('VXEMHFWWRWKHWHUPVDQGFRQGLWLRQVRIWKHSROLF\FHUWDLQSROLFLHVPD\UHTXLUHDQHQGRUVHPHQW$VWDWHPHQWRQ WKLVFHUWLILFDWHGRHVQRWFRQIHUULJKWVWRWKHFHUWLILFDWHKROGHULQOLHXRIVXFKHQGRUVHPHQW V

&29(5$*(6 &(57,),&$7(180%(5
5(9,6,21180%(5

&(57,),&$7(+2/'(5 &$1&(//$7,21
‹
$&25'&25325$7,21$OOULJKWVUHVHUYHG$&25' 

&(57,),&$7(2)/,$%,/,7<,1685$1&('$7(
00''<<<<






7KH$&25'QDPHDQGORJRDUHUHJLVWHUHGPDUNVRI$&25'

/LFHQVH&






2&<0DQDJHPHQW//&
:'\HU5RDG
6DQWD$QD&$

$
;*%/  




,QFOXGHG
$66$8/7%$77(5< 
&HUWLILFDWHLVVXEMHFWWRSROLF\OLPLWVFRQGLWLRQVDQGH[FOXVLRQV 'D\1RWLFHRI&DQFHOODWLRQ'D\VIRU1RQ3D\PHQW $GGLWLRQDO,QVXUHGV
7KH&LW\RI3ODFHQWLDDQGLWVHOHFWHGDQGDSSRLQWHGERDUGVRIILFHUVRIILFLDOVDJHQWVHPSOR\HHVDQGYROXQWHHUVDUHDGGLWLRQDOLQVXUHGV ZLWKUHVSHFWWR
OLDELOLW\DULVLQJRXWRIDFWLYLWLHVSHUIRUPHGE\RURQEHKDOIRIWKH&RQVXOWDQWSXUVXDQWWRLWVFRQWUDFWZLWKWKH&LW\ SURGXFWVDQGFRPSOHWHG
RSHUDWLRQVRIWKH&RQVXOWDQW
SUHPLVHVRZQHGRFFXSLHGRUXVHGE\WKH&RQVXOWDQW
DXWRPRELOHVRZQHGOHDVHGKLUHGRUERUURZHGE\WKH&RQVXOWDQW &LW\RI3ODFHQWLD
(&KDSPDQ$YHQXH
3ODFHQWLD&$

$*$9+2/ 1,&.
6DQ'LHJR$OOLDQW,QVXUDQFH6HUYLFHV,QF%6WWK)O6DQ'LHJR&$ 
1LFROH,FN
QLFROHLFN#DOOLDQWFRP
*ROGHQ%HDU,QVXUDQFH&RPSDQ\
;
;
;
602

32/,&<180%(5
&200(5&,$/*(1(5$//,$%,/,7<
&*
7+,6(1'256(0(17&+$1*(67+(32/,&< 3/($6(5($',7&$5()8//< &*‹,623URSHUWLHV,QF 3DJH  RI 
$'',7,21$/,1685(' ± '(6,*1$7('
3(56212525*$1,=$7,21
7KLVHQGRUVHPHQWPRGLILHVLQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ

&200(5&,$/*(1(5$//,$%,/,7<&29(5$*(3$57
6&+('8/(
1DPH2I$GGLWLRQDO,QVXUHG3HUVRQ
V
2U2UJDQL]DWLRQ
V

,QIRUPDWLRQUHTXLUHGWRFRPSOHWHWKLV6FKHGXOHLIQRWVKRZQDERYHZLOOEHVKRZQLQWKH'HFODUDWLRQV 6HFWLRQ,, ± :KR,V$Q,QVXUHG LVDPHQGHGWRLQFOXGH
DV DQ DGGLWLRQDO LQVXUHG WKH SHUVRQ
V
 RU RUJDQL]D
WLRQ
V
VKRZQLQWKH6FKHGXOHEXWRQO\ZLWKUHVSHFWWR
OLDELOLW\ IRU ERGLO\ LQMXU\ SURSHUW\ GDPDJH RU SHU VRQDODQGDGYHUWLVLQJLQMXU\FDXVHGLQZKROHRULQSDUW E\\RXUDFWVRURPLVVLRQVRUWKHDFWVRURPLVVLRQVRI
WKRVHDFWLQJRQ\RXUEHKDOI

$,QWKHSHUIRUPDQFHRI\RXURQJRLQJRSHUDWLRQV
RU
%,QFRQQHFWLRQZLWK\RXUSUHPLVHVRZQHGE\RUUHQW
HGWR\RX
$OOHQWLWLHVDVUHTXLUHGE\ZULWWHQFRQWUDFW
*%/
2WKHU,QVXUDQFHVXEMHFWWRDOOWHUPVDQGSURYLVLRQVRIWKHSROLF\LQVXUDQFHDVSURYLGHGE\WKLVHQGRUVHPHQWVKDOOEHGHHPHGSULPDU\ DQGQRQFRQWULEXWRU\EXWRQO\ZLWKUHVSHFWWRZRUNSHUIRUPHGE\RURQEHKDOIRIWKHQDPHGLQVXUHGLQFRQQHFWLRQZLWKWKHGHVFULEHG

SURMHFW
603










 








  





 

  
 


 
 




 
 


 


 


 


 

 

 

 









 







 
!"

 


  






 







#"$%&%'"(#(&)"%$*+%'(,)-
  
"$%.*(&/(%,01,"$)2%
  
.'2(,(-,'3%%-+',%+
#
 
,134%&"""$%"%'0,)-+&-+("(-,#"$%.*(&/&%'")(-.*(&(%,0)/'%51('%)-%-+',%0%-",")"%0%-"- "$(,&%'"(#(&)"%+%,-"&-#%''(6$",""$%&%'"(#(&)"%$*+%'(-*(%1#,1&$%-+',%0%-",














  
 

 
 














 
 
 





 



 




 



 

 


 


 


 
 




 
   
 
 
  



  

 





    
 
7








 











 


 







 













 










!


 







"


#

$
!%
!










!






!






!
%

















&



!%
'








"
!

!
 









!"





!#



&



 



&



(
)*
!


#
!






+
















8




 



9

,!!

'


-

)-+)"'/(- 




. /*0
1
2 )%
 )
.
3


,,'
 



""


+

!
""


+

!
""



+

















 





  

 


 


 

 


:;:++("(-)*%0)' =;:?
;@
A:BCC =;:>
 **'(6$",'%,%'2%+








$%-)0%)-+*6)'%'%6(,"%'%+0)' 6

#/ *
?)

*3/ 8:6@
*
/ 
"
**

A8A+A9=+6B8: B86+B68+B9A6
/*
C)3) .)"
*D


*

*
/
)3



*D(
2 9:@>7

!

E D %

:96
)

2 *





%


>9=6=
869:6=B=67,68,969: 67,68,9697
8%666%666
8%666%666
8%666%666

 9A=6

604

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?

INSR ADDL SUBRLTR INSD WVD
PRODUCER CONTACTNAME:

FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER:$
COMBINED SINGLE LIMIT $(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED
PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY
(Per accident)
$

OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $

PER OTH-STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
5/28/2025
License # 0C36861
(619) 541-4832
44130
OCY Management, LLC
520 W Dyer Road
Santa Ana, CA 92707
A
PG124224 10/1/2024 10/1/2025
100,000
300,000
100,000
10 Day notice of cancellation in the event of non-payment of premium.

City of Placentia
401 E Chapman Avenue
Placentia, CA 92870
CABCYEL-01 NICK
San Diego-Alliant Insurance Services, Inc.701 B St 6th Fl San Diego, CA 92101
Nicole Ick
[email protected]
Paratransit Insurance Company a Mutual Risk Retention Group X
605

:25.(56&203(16$7,21$1'(03/2<(56/,$%,/,7<,1685$1&(32/,&<:&

(G



:$,9(52)2855,*+7725(&29(5)52027+(56(1'256(0(17²&$/,)251,$ 
:HKDYHWKHULJKWWRUHFRYHURXUSD\PHQWVIURPDQ\RQHOLDEOHIRUDQLQMXU\FRYHUHGE\WKLVSROLF\:HZLOOQRWHQIRUFHRXU ULJKWDJDLQVWWKHSHUVRQRURUJDQL]DWLRQQDPHGLQWKH6FKHGXOH 7KLVDJUHHPHQWDSSOLHVRQO\WRWKHH[WHQWWKDW\RX
SHUIRUPZRUNXQGHUDZULWWHQFRQWUDFWWKDWUHTXLUHV\RXWRREWDLQWKLVDJUHHPHQWIURP86 

<RXPXVWPDLQWDLQSD\UROOUHFRUGVDFFXUDWHO\VHJUHJDWLQJWKHUHPXQHUDWLRQRI\RXUHPSOR\HHVZKLOHHQJDJHGLQWKHZRUN GHVFULEHGLQWKH6FKHGXOH

7KHDGGLWLRQDOSUHPLXPIRUWKLVHQGRUVHPHQWVKDOOEHRIWKH&DOLIRUQLDZRUNHUV¶FRPSHQVDWLRQSUHPLXPRWKHUZLVHGXH RQVXFKUHPXQHUDWLRQ

6FKHGXOH

3HUVRQRU2UJDQL]DWLRQ

-RE'HVFULSWLRQ
&LW\RI3ODFHQWLD
(&KDSPDQ$YH
3ODFHQWLD&$

:DLYHURI6XEURJDWLRQLQIDYRURIWKH&LW\RI3ODFHQWLD LWVHOHFWHGRUDSSRLQWHG
RIILFLDOVRIILFHUVHPSOR\HHVDQGYROXQWHHUV


















7KHDGGLWLRQDOFKDUJHVKDOOEHQROHVVWKDQSROLF\PLQLPXPSUHPLXP 



7KLVHQGRUVHPHQWFKDQJHVWKHSROLF\WRZKLFKLWLVDWWDFKHGDQGLVHIIHFWLYHRQWKHGDWHLVVXHGXQOHVVRWKHUZLVHVWDWHG 
7KHLQIRUPDWLRQEHORZLVUHTXLUHGRQO\ZKHQWKLVHQGRUVHPHQWLVLVVXHGVXEVHTXHQWWRSUHSDUDWLRQRIWKHSROLF\ 

(QGRUVHPHQW(IIHFWLYH  3ROLF\1R 7 (QGRUVHPHQW1R  ,QVXUHG 2&<0DQDJHPHQW//& 3ROLF\(IIHFWLYH'DWH  ,QVXUDQFH&RPSDQ\ 6WDU6WRQH1DWLRQDO,QVXUDQFH&RPSDQ\ 

&RXQWHUVLJQHG%\BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB :&

(G


‹

E\WKH:RUNHUV¶&RPSHQVDWLRQ,QVXUDQFH5DWLQJ%XUHDXRI&DOLIRUQLD$OOULJKWVUHVHUYHG 606

← All documents from this meeting