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Agenda Report - November 7, 2012 C-06
4 AGENDA ITEM C A� CITY OF LODI COUNCIL COMMUNICATION im AGENDA TITLE: Adopt Resolution Authorizing the City Managerto Execute a Professional Services Agreement with the Salvation Army to Verify Eligibilityfor the Lodi SHARE Rate Discount Program ($19,000) MEETING DATE: November 7,2012 PREPARED BY: Electric Utility Director RECOMMENDED ACTION: Adopt a resolution authorizing the City Manager to execute a professional services agreement with the Salvation Army to verify eligibility for the Lodi SHARE Rate Discount Program in an amount not to exceed $19,000. BACKGROUND INFORMATION: The City of Lodi offers a 30 -percent electric utility rate discount for eligible customers called the Lodi SHARE Rate Discount Program (Program). From time to time the City verifies eligibility for this discount. Lodi Electric Utility (LEU) staff recommends enlisting the services of the Salvation Army to verify Program eligibility. The Salvation Army will randomly select 750 current Program customers, and then verify and confirm that all 750 customers are still eligible to receive the aforementioned rate discount. The Salvation Army will notify LEU of their findings so that LEU staff can ensure customers receiving the rate discount are compliant with the requirementsof the Program. The Salvation Army will charge LEU $25 per customerfor this service. The Salvation Army was selected to serve as the screening agent for this program for three reasons: 1) its experience and expertise in providing services of a similar nature for other entities (PG&E, San Joaquin County); 2) it has conducted three previous SHARE verification program efforts for LEU; and 3) it has served successfully as the administrator of the "Lodi C.A.R.E. Package Program" since 2005 – a utility grant payment program also funded through Lodi's Public Benefits Program. As of September 15, 2012, 2,582 residential customers receive a discountfor participating in the Lodi SHARE Electric Rate. This 30 -percent discount is applied to the standard EA (residential) electric rate schedule. The actual utility rate discount is partiallyfunded through Lodi's Public Benefits Program, and is considered a qualifying expenditure of Public Benefitfunds. Verifying customer eligibility for this Program ensures that those customers most in need of rate relief are receiving the assistance. In order to qualify for the SHARE Rate Discount, the customer is required to certify income eligibility. The income levels for 1 to 4 persons in a household range from $24,867 to $47,822, and customers must show all proof of income for all members (when applicable) of the household. In addition, the customer must sign a statement upon application indicating that the City of Lodi may verify the customer's eligibility at any time. If it is determined during the verification process that a customer is not eligible to receive the discount, the customer will be removed from the program and the City of Lodi may render corrective billing. APPROVED: �e X A p–__— Konradt Bartlam, City Manager Adopt ResolutionAuthorizing City Manager to Execute a Professional Services Agreement with Salvation Army to Administer the Lodi SHARE Verification Program ($19,000) November 7,2012 Page 2 of 2 FISCAL IMPACT: Based upon past verification efforts, it is conceivable that the City of Lodi will save in excess of $50,000 as a result of ineligible customers being removed from this electric utility rate discount. FUNDING: Included in FY 2012/13 BudgetAccount No 164606. SA�Q eA.A Jordan Ayers Deputy City Manager/Internal Services Director Utility Director PREPARED BY: Rob Lechner, Customer Service& Programs Manager EAK/RSUIst AGREEMENT FOR PROFESSIONAL SERVICES ARTICLE 1 PARTIES AND PURPOSE Section 1.1 Parties THIS AGREEMENT is entered into on 2012, by and between the CITY OF LODI, a municipal corporation (hereinafter "CITY'), and The Salvation Army, a California corporation (hereinafter "CONTRACTOR"). Section 1.2 Purpose CITY selected the CONTRACTOR to provide the services required in accordance with attached Scope of Services, Exhibit A, attached and incorporated by this reference. CITY wishes to enter into an agreement with CONTRACTOR for SHARE Verification Program (hereinafter "Project") as set forth in the Scope of Services attached here as Exhibit A. CONTRACTOR acknowledges that it is qualified to provide such services to CITY. ARTICLE 2 SCOPE OF SERVICES Section 2.1 Scope of Services CONTRACTOR, for the benefit and at the direction of CITY, shall perform the Scope of Services as set forth in Exhibit A. Section 2.2 Time For Commencement and Completion of Work CONTRACTOR shall commence work pursuant to this Agreement, upon receipt of a written notice to proceed from CITY or on the date set forth in Section 2.6, whichever occurs first, and shall perform all services diligently and complete work under this Agreement based on a mutually agreed upon timeline or as otherwise designated in the Scope of Services. CONTRACTOR shall submit to CITY such reports, diagrams, drawings and other work products as may be designated in the Scope of Services. CONTRACTOR shall not be responsible for delays caused by the failure of CITY staff to provide required data or review documents within the appropriate time frames. The review time by CITY and any other agencies involved in the project shall not be 1 counted against CONTRACTOR's contract performance period. Also, any delays due to weather, vandalism, acts of God, etc., shall not be counted. CONTRACTOR shall remain in contact with reviewing agencies and make all efforts to review and return all comments. Section 2.3 Meetings CONTRACTOR shall attend meetings as may be set forth in the Scope of Services. Section 2.4 Staffing CONTRACTOR acknowledges that CITY has relied on CONTRACTOR's capabilities and on the qualifications of CONTRACTOR's principals and staff as identified in its proposal to CITY. The Scope of Services shall be performed by CONTRACTOR, unless agreed to otherwise by CITY in writing. CITY shall be notified by CONTRACTOR of any change of Project Manager and CITY is granted the right of approval of all original, additional and replacement personnel at CITY's sole discretion and shall be notified by CONTRACTOR of any changes of CONTRACTOR's project staff prior to any change. CONTRACTOR represents it is prepared to and can perform all services within the Scope of Services (Exhibit A) and is prepared to and can perform all services specified therein. CONTRACTOR represents that it has, or will have at the time this Agreement is executed, all licenses, permits, qualifications, insurance and approvals of whatsoever nature are legally required for CONTRACTOR to practice its profession, and that CONTRACTOR shall, at its own cost and expense, keep in effect during the life of this Agreement all such licenses, permits, qualifications, insurance and approvals, and shall indemnify, defend and hold harmless CITY against any costs associated with such licenses, permits, qualifications, insurance and approvals which may be imposed against CITY under this Agreement. Section 2.5 Subcontracts Unless prior written approval of CITY is obtained, CONTRACTOR shall not enter into any subcontract with any other party for purposes of providing any work or services covered by this Agreement. Section 2.6 Term The term of this Agreement commences on 2012 and terminates upon the completion of the Scope of Services or on June 30, 2013, whichever occurs first. ARTICLE 3 COMPENSATION Section 3.1 Compensation CONTRACTOR's compensation for all work under this Agreement shall conform to the provisions of the Fee Proposal, attached hereto as Exhibit B and incorporated by this reference. CONTRACTOR shall not undertake any work beyond the scope of this Agreement unless such additional work is approved in advance and in writing by CITY. Section 3.2 Method of Payment CONTRACTOR shall submit invoices for completed work on a monthly basis, or as otherwise agreed, providing, without limitation, details as to amount of hours, individual performing said work, hourly rate, and indicating to what aspect of the Scope of Services said work is attributable. CONTRACTOR's compensation for all work under this Agreement shall not exceed the amount of the Fee Proposal. Section 3.3 Costs The Fee Proposal shall include all reimbursable costs required for the performance of the Scope of Services. Payment of additional reimbursable costs considered to be over and above those inherent in the original Scope of Services shall be approved in advanced and in writing, by CITY. Section 3.4 Auditing CITY reserves the right to periodically audit all charges made by CONTRACTOR to CITY for services under this Agreement. Upon request, CONTRACTOR agrees to furnish CITY, or a designated representative, with necessary information and assistance needed to conduct such an audit. CONTRACTOR agrees that CITY or its delegate will have the right to review, obtain and copy all records pertaining to performance of this Agreement. CONTRACTOR agrees to provide CITY or its delegate with any relevant information requested and shall permit CITY or its delegate access to its premises, upon reasonable notice, during normal business hours for the purpose of interviewing employees and inspecting and copying such books, records, accounts, and other material that may be relevant to a matter under investigation for the purpose of determining compliance with this requirement. CONTRACTOR further agrees to maintain such records for a period of three (3) years after final payment under this Agreement. 3 ARTICLE 4 :Et US 0) ISIONS Section 4.1 Nondiscrimination In performing services under this Agreement, CONTRACTOR shall not discriminate in the employment of its employees or in the engagement of any sub CONTRACTOR on the basis of race, color, religion, sex, sexual orientation, marital status, national origin, ancestry, age, or any other criteria prohibited by law. Section 4.2 ADA Compliance In performing services under this Agreement, CONTRACTOR shall comply with the Americans with Disabilities Act (ADA) of 1990, and all amendments thereto, as well as all applicable regulations and guidelines issued pursuant to the ADA. Section 4.3 Indemnification and Responsibility for Damage CONTRACTOR to the fullest extent permitted by law, shall indemnify and hold harmless CITY, its elected and appointed officials, directors, officers, employees and volunteers from and against any claims, damages, losses, and expenses (including reasonable attorney's fees), arising out of performance of the services to be performed under this Agreement, provided that any such claim, damage, loss, or expense is caused by the negligent acts, errors or omissions of CONTRACTOR, any subcontractor employed directly by CONTRACTOR, anyone directly or indirectly employed by any of them, or anyone for whose acts they may be liable, except those injuries or damages arising out of the active negligence of the City of Lodi or its officers or agents. Section 4.4 No Personal Liability Neither the City Council, nor any other officer or authorized assistant or agent or City employee shall be personally responsible for any liability arising under this Agreement. Section 4.5 Responsibility of CITY CITY shall not be held responsible for the care or protection of any material or parts of the work described in the Scope of Services prior to final acceptance by CITY, except as expressly provided herein. Section 4.6 Insurance Reauirements for CONTRACTOR CONTRACTOR shall take out and maintain during the life of this Agreement, insurance coverage as set forth in Exhibit C attached hereto and incorporated by this reference. 4 Section 4.7 Successors and Assigns CITY and CONTRACTOR each bind themselves, their partners, successors, assigns, and legal representatives to this Agreement without the written consent of the others. CONTRACTOR shall not assign or transfer any interest in this Agreement without the prior written consent of CITY. Consent to any such transfer shall be at the sole discretion of CITY. Section 4.8 Notices Any notice required to be given by the terms of this Agreement shall be in writing signed by an authorized representative of the sender and shall be deemed to have been given when the same is personally served or upon receipt by express or overnight delivery, postage prepaid, or three (3) days from the time of mailing if sent by first class or certified mail, postage prepaid, addressed to the respective parties as follows: To CITY: City of Lodi 221 West Pine Street P.O. Box 3006 Lodi, CA 95241-1910 Attn: Rob Lechner To CONTRACTOR: The Salvation Army 525 W Lockeford Street PO Box 1388 Lodi CA 95241-1338 Section 4.9 Cooperation of CITY CITY shall cooperate fully and in a timely manner in providing relevant information it has at its disposal relevant to the Scope of Services. Section 4.10 CONTRACTOR is Not an Employee of CITY CONTRACTOR agrees that in undertaking the duties to be performed under this Agreement, it shall act as an independent contractor for and on behalf of CITY and not an employee of CITY. CITY shall not direct the work and means for accomplishment of the services and work to be performed hereunder. CITY, however, retains the right to require that work performed by CONTRACTOR meet specific standards without regard to the manner and means of accomplishment thereof. Section 4.11 Termination CITY may terminate this Agreement, with or without cause, by giving CONTRACTOR at least ten (10) days written notice. Where phases are anticipated within the Scope of Services, at which an intermediate decision is required concerning whether to proceed further, CITY may terminate at the conclusion of any such phase. 5 Upon termination, CONTRACTOR shall be entitled to payment as set forth in the attached Exhibit B to the extent that the work has been performed. Upon termination, CONTRACTOR shall immediately suspend all work on the Project and deliver any documents or work in progress to CITY. However, CITY shall assume no liability for costs, expenses or lost profits resulting from services not completed or for contracts entered into by CONTRACTOR with third parties in reliance upon this Agreement. Section 4.12 Confidentiality CONTRACTOR agrees to maintain confidentiality of all work and work products produced under this Agreement, except to the extent otherwise required by law or permitted in writing by CITY. CITY agrees to maintain confidentiality of any documents owned by CONTRACTOR and clearly marked by CONTRACTOR as "Confidential" or "Proprietary", except to the extent otherwise required by law or permitted in writing by CONTRACTOR. CONTRACTOR acknowledges that CITY is subject to the California Public Records Act. Section 4.13 Applicable Law, Jurisdiction, Severabilitv, and Attornev's Fees This Agreement shall be governed by the laws of the State of California. Jurisdiction of litigation arising from this Agreement shall be venued with the San Joaquin County Superior Court. If any part of this Agreement is found to conflict with applicable laws, such part shall be inoperative, null, and void insofar as it is in conflict with said laws, but the remainder of this Agreement shall be in force and effect. In the event any dispute between the parties arises under or regarding this Agreement, the prevailing party in any litigation of the dispute shall be entitled to reasonable attorney's fees from the party who does not prevail as determined by the San Joaquin County Superior Court. Section 4.14 City Business License Reauirement CONTRACTOR acknowledges that Lodi Municipal Code Section 3.01.020 requires CONTRACTOR to have a city business license and CONTRACTOR agrees to secure such license and pay the appropriate fees prior to performing any work hereunder. Section 4.15 Captions The captions of the sections and subsections of this Agreement are for convenience only and shall not be deemed to be relevant in resolving any question or interpretation or intent hereunder. 6 Section 4.16 Integration and Modification This Agreement represents the entire understanding of CITY and CONTRACTOR as to those matters contained herein. No prior oral or written understanding shall be of any force or effect with respect to those matters covered hereunder. This Agreement may not be modified or altered except in writing, signed by both parties. Section 4.17 Contract Terms Prevail All exhibits and this Agreement are intended to be construed as a single document. Should any inconsistency occur between the specific terms of this Agreement and the attached exhibits, the terms of this Agreement shall prevail. Section 4.18 Severabilitv The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement. Section 4.19 Ownership of Documents All documents, photographs, reports, analyses, audits, computer media, or other material documents or data, and working papers, whether or not in final form, which have been obtained or prepared under this Agreement, shall be deemed the property of CITY. Upon CITY's request, CONTRACTOR shall allow CITY to inspect all such documents during CONTRACTOR's regular business hours. Upon termination or completion of services under this Agreement, all information collected, work product and documents shall be delivered by CONTRACTOR to CITY within ten (10) calendar days. CITY agrees to indemnify, defend and hold CONTRACTOR harmless from any liability resulting from CITY's use of such documents for any purpose other than the purpose for which they were intended. Section 4.20 Authority The undersigned hereby represent and warrant that they are authorized by the parties to execute this Agreement. Section 4.21 Federal Transit Funding Conditions ❑ If the box at left is checked, the Federal Transit Funding conditions attached as Exhibit apply to this contract. In the event of a conflict between the terms of this contract or any of its other exhibits, and the Federal Transit Funding Conditions, the Federal Transit Funding Conditions will control. 7 X WITNESS WHEREOF, CITY and CONTRACTOR have executed this Agreement as of the date first above written. ATTEST: RANDIJOHL City Clerk APPROVED AS TO FORM: D. STEPHEN SCHWABAUER, City Attorney JANICE D. MAGDICH, Deputy City Attorney L-A CF& Attachments: Exh!bit A - Scope of Services Exhibit - Fee Proposal ExhibitC - Insurance Requirements FundingSource:�&0(0' 13013 (Business Unit & Account No.) Doc ID: CA-mv.01.2012 s CITY OF LODI, a municipal corporation KONRADT BARTLAM, City Manager CONTRACTOR: The SalvationAmiy, a California corporation By: Name: VICTOR R. DOUGHTY Title: Treasurer Attest: Michael J. WjodrA Sectary EXHIBIT "A" - Scope of Services for Lodi SHARE Verification Program The Salvation Army will administer the Lodi SHARE Verification Program, which includes the following: • Maintain and monitor a budget of $19,000, which concludes when this total dollar amount is exhausted, or by June 30, 2013, whichever comes first; • Provide all customer interface, which includes screening for customer eligibility*; • Notify the City of Lodi Electric Utility Department, through an existing and agreed upon procedure, of any/all customers approved for and/or removed from participation in this utility rate discount. *Customer Eligibility Reauirements: must meet income guidelines as provided by the City of Lodi Electric Utility Department; 9 customer must present (in person) appropriate documentation of the following in order to remain on the electric SHARE rate discount: current City of Lodi utility statement; ' ID/Social Security Cards for ALL members of the household, and driver's license or California ID card of the person listed on the utility account; proof of current income (i.e.: pay stub, grant letter, etc.)- handwritten notes are not acceptable; Verification • The Salvation Army will invoice for all administrative work performed at a rate of $25 per customer verification/certification, with a cap of $19,000 for administration of the program. Invoices will be submitted to Lodi the first of each month, payable within thirty (30) days of the invoice date. E�.1 ,)04 C-- Insurance Requirements for Contractor The Contractor shall takeout and maintain during the life of this contract, insurance coverage as listed below. These insurance policies shall protect the Contractor and any subcontractor performing work covered by this contract from claims for damages for personal injury, including accidental death, as well as from claims for property damages, which may arise from Contractor's operations underthis contract, whether such operations be by Contractor or by any subcontractor or by anyone directly or indirectly employed by either of them, and the amount of such insurance shall be as follows: COMPREHENSIVE GENERAL LIABILITY $1, 000, 000 Ea. Occurrence $2,000,000 Aggregate NOTE: Contractor agrees and stipulates that any insurance coverage provided to the City of Lodi shall provide for a claims period following termination of coverage which is at least consistent with the claims period or statutes of limitations found in the California Tort Claims Act (California GovemmentCode Section 810 et seq.). NOTE: (1) The street address of the CITY OF LODI must be shown along with (a) and (b) above: 221 West Pine Street, Lodi, California, 95241-1910; (2) The insurance certificate must state, on its face or as an endorsement, a description of the project that it is insuring. A copy of the certificate of insurancewith the following endorsements shall be fumished to the City: (a) Additional Named Insured Endorsement Such insuranceas is afforded by this policy shall also apply to the City of Lodi, its elected and appointed Boards, Commissions, Officers, Agents, Employees, and Volunteers as additional named insureds. (This endorsement shall be on a form fumished to the City and shall be includedwith Contractor's policies.) (b) Primary Insurance Endorsement Such insuranceas is afforded by the endorsement for the Additional Insureds shall apply as primary insurance. Any other insurance maintained by the City of Lodi or its officers and employees shall be excess only and not contributing with the insurance afforded by this endorsement. (c) Completed Operations Endorsement For three years after completion of project, a certificate of insurance with a Completed Operations Endorsement, CG 20 37 07 04, will be provided to the City of Lodi. (d) Severability of InterestClause The term "insured" is used severally and not collectively, but the inclusion herein of more than one insured shall not operateto increase the limit of the company's liability. (e) Noticeof Cancellation or Change in Coverage Endorsement This policy may not be canceled northe coverage reduced by the companywithout 30 days' priorwritten notice of such cancellation or reduction in coverage to the Risk Manager, City of Lodi, 221 W. Pine St., Lodi, CA 95240. NOTE: No contract agreementwill be signed norwill any work begin on a project untilthe proper insurance certificate is received bythe Ci . AC,R LI® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 09/Zi201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 'BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUT E 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 pollcy(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 rightsto the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAMr- Willis insurance Services of California, Inc. C/o 26 Century Blvd. P. 0. Box 305191 AP >ROVEDR Naehville, TN 37230-5 91 Risk Management _ ppl FAX • 877-945-7378 888-467-2378 -MAIL certificates@willia.com INSURER(S)AFFORDING COVERAGE NAIC# INSURE A: Lexington Insurance Company 19437-000 EEACHOCCURRENCE PR IMIS S EaEocccun ce $ 1, 000' 000 __ INSURED OCTLVj V The Salvation Army Dir�_ 180 Bast Ocean Blvd. I INSURE B: Greenwich Insurance Company22322-076 INSURER :Greenwich Insurance Company 22322-000 Long Beach, CA 90802 INSURER S By: INSURER F: rrntieoer.Gs fiCQTICIL'ATM IJIIMRI�RI T aai nano REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L1i#ED 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. INSR1. TYPEOFINSURANCE D' S0I POLICY NUMBER POLICY EFF POLKYEXP I LIMITS A GENERAL LIABILITY �X i COMMERCIAL GENERAL LIABILITY CLAIMS -MADS XJ OCCUR y y I 1027712409 I 10/1/2012 10/1/2013 I I $ 2 .0001000 EEACHOCCURRENCE PR IMIS S EaEocccun ce $ 1, 000' 000 __ MEDEXP(An,oneperson) $ PERSONAL& ADV INJURY $ 2,000,000 �GENERAL AGGREGATE $ 4,000.000 PRODUCTS-COMP/OPAGG $ 4 000z-¢00 FEN'LAGGREGATELIMITAPPLIESPER:I POLICY PRO• 1-11 LOC S B C t AUTOMOBILE LIABILITY X ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTSNON-OWNED HIRED AUTOS AUTOS AOS RAD500021902 CA RABS00021802 110/1/2012 10/1/2012 10/1/2013 10/1/2013 EaacBIMDSINGLE LIMIT $ 5,000,000 BODILY INJURY(Perperson) S BODILYINJURY(Peraccident) $ PROPERTYDAMA Per. dent S $ UMBRELLALtAS EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ HH AGGREGATE S DED I iRETENTIONS I S 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVEi OFFICERIMEMBEREXCLUDED? ipandatory,In NH es, desrnbe un�r DESCRIPTION OF OPERATIONS below NIA r ORYl.I E.LEACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ I i DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, If more space Is required) Division #04-120 - Lodi Share Program. CA - Auto is fully Self Insured per the attached State Certificate. Contract #5B55E3 Where required by written contract City of Lodi, Its Elected and Appointed Boards, Commissions, Officers Acrents. Emoloyees and Volunteers are named as Additional Insureds as res acts the Citv of Lodi, its elected & appointed Board, Commissioners, Officers, Agents, Employees a Volunteers 221 West Pine Street Lodi, CA 95240 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Coll:3871252 Tpl:1522386 Certti8618 09 ©4488.4010—ACORD CORPORATION. All rightsreserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 303702 LOC#: A ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED The Salvation 1 lso East OcAai Paga.._2_ of -2— XORD101(2008/01) Coll :3871252 Tpl:1522386 Cart :18618609©2008ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STM O1 ULft #BA41181 dZk TRW6-0$tTATXM AND NDMW MENCY - ., E0g$L7tD PLAR0VW JR, Fa"PW DeQARTMeNr of MOTOR VEHICLES P. a. aox 94nU 9ACRAMNTO. CA 01244854 (218) 857-0520 0 July 13,2012 3.1, # 202 The SalvationArmy 180 E. Ocean Blvd. Long Beach, CA 90802 Attention: William Harfoot Dear Mr. Harfoot, Your annual report/financial statements have been reviewed and the requirements for renewal ofyou self-insurance certificate have been met. Your self-insurance status is valid from August 19,2012, through August 18,2013. Vehicle Code Section 16020requires that every driver and every owner shall at all times be able to establish financial responsibility and shall at all times carry in the vehicle evidence of the form of financial responsibilityin effect for the vehicle. A copy of your Certificate of Self -Insurance or a copy of this letter constitutes written evidence of financial responsibility and should be placed in each of your affected vehicles. If you have any questions or need further information, please call the administrative staff at (916)657-6520. Sincerely, NADINE PIZZIMENTI, Support Manager Financial Responsibility Unit OL 125 00V 8/08) A Public ServiceAgency This is to certifythat: CERTIFICATE OF SELF-INSURANCE The Salvation Army+ 944 OF 5674waPMn 180 Sant Ocean Boulevard, Lang Beach, California 90802 has been approved as a Sof-hnsurer under !heCalffornla Compulsory Financial Responsibility Law and assigned Self-insurance tf 202 pursuant to Section 16083 cf the Caftmia Vehicle Code for the period August 19, 2012 through August 18, 2013 MANAGER Financial Responsibility Unit Departmentof MotorVehicles ailnimimW POLICY NUMBER: 027712409 ENDORSEMENT# Special COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Citycf Lodi, Its Elected and Appointed Boards, Commissions, Officers, Agents, Employees and Volunteers (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 2611 85 Copyright, Insurance Services Office, Inc., 1984 Pagel of 1 LX8184 ENDORSEMENT # 012 This endorsement, effective 12:01 AM 10/01/2012 Forms a part of policy no.: 027712409 Issued to: THE SALVATION ARMY BY: LEXINGTON INSURANCE COMPANY PRIMARY/NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided by the policy: Notwithstanding any other provision of the policy to the contrary, the insurance afforded by this policy for the benefit of the Additional Insured shall be primary insurance, but only with respect to any claim, loss or liability arising out of the Named Insured's operations; and any insurance maintained by the Additional Insured shall be non-contributing. All other terms and conditions of the policy remain the same. DI 1W o &4W141— Authorized Representative OR Countersignature (In states where applicable) LX9838 ( 08/05) RESOLUTION NO. 2012-173 A RESOLUTION OF THE LODI CITY COUNCIL AUTHORIZING THE CITY MANAGER TO EXECUTE A PROFESSIONAL SERVICES AGREEMENT WITH THE SALVATION ARMY TO VERIFY ELIGIBILITY FOR THE LODI SHARE RATE DISCOUNT PROGRAM WHEREAS, the City of Lodi offers a 30 percent electric utility rate discount for eligible customers called the Lodi SHARE Rate Discount Program (Program); and WHEREAS, from time to time the City verifies eligibility for this discount; and WHEREAS, Lodi Electric Utility staff recommends enlisting the services of the Salvation Army to verify Program eligibility; and WHEREAS, the Salvation Army will randomly select 750 current Program customers, verify and confirm that all 750 customers are still eligible to receive the aforementioned rate discount, and notify Lodi Electric Utility of its findings so that Lodi Electric Utility staff can ensure customers receiving the rate discount are compliant with the requirements of the Program; and WHEREAS, the Salvation Army will charge Lodi Electric Utility $25 per customer for this service. NOW, THEREFORE, BE IT RESOLVED that the Lodi City Council does hereby authorize the City Manager to execute a professional services agreement with the Salvation Army to verify eligibilityfor the Lodi SHARE Rate Discount Program. Dated: November 7, 2012 I hereby certify that Resolution No. 2012-173 was passed and adopted by the City Council of the City of Lodi in a regular meeting held November 7, 2012, by the following vote: AYES: COUNCIL MEMBERS — Hansen, Johnson, Katzakian, and Mayor Mounce NOES: COUNCIL MEMBERS — None ABSENT: COUNCIL MEMBERS — Nakanishi ABSTAIN: COUNCIL MEMBERS — None RANDI JOHL City Clerk 2012-173