Loading...
HomeMy WebLinkAbout2013 CON Essec Sound Reinforcement - Audio Recording Sweetwater High SchoolCITY OF NATIONAL CITY SHORT FORM SERVICES AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND ESSEX SOUND REINFORCEMENT THIS AGREEMENT is entered into this 1st day of May, 2013, by and between the CITY OF NATIONAL CITY, a municipal corporation (the "CITY"), and ESSEX SOUND REINFORCMENT, a sole proprietorship (the "CONTRACTOR"). WHEREAS, CITY has been awarded the Every 15 Minutes Grant through the Califomia Highway Patrol. WHEREAS, the Every 15 Minutes Grant funds a program designed to discourage teenagers from drinking and driving (the "Program"). WHEREAS, the Program includes a simulated pre -crash teen drinking, simulated drunk driving crash (including injuries, deaths, and parental notification), and simulated courtroom prosecution for selected student and parent participants from Sweetwater Union High School ("Simulation Activities"). WHEREAS, the Simulation Activities will be video and audio recorded. WHEREAS, CONTRACTOR is experienced in providing audio recording services for the Program. NOW, THEREFORE, CITY agrees to engage CONTRACTOR to perform the services set forth herein in accordance with the following terms and conditions: 1. Description of Services. CONTRACTOR shall provide the following audio services: a) May 15, 2013 — Audio recording for accident scene and court room scene. b) May 15, 2013 — Set up in the evening for assembly on May 16, 2013. Load in for next day assembly will need to be at 6:30 p.m. in the school's gym. c) May 16, 2013 — Provide audio and lighting for assembly. Load out. 2. Length of Agreement. The schedule is set forth below: a) Work to be started on May 4, 2013, and end on May 16, 2013. b) The duration of this Agreement is through May 16, 2013. 3. Compensation. The total compensation to CONTRACTOR for providing the services set forth herein shall not exceed a one-time cost of $2,300.00. The compensation for CONTRACTOR'S work shall be based upon and not exceed the rates given in Exhibit "A". Revised February 2009 4. Payment Schedule. Upon satisfactory completion of services as set forth herein, CITY will make payment on May 16, 2013, at the end of the assembly at Sweetwater High School. 5. Termination. CITY may terminate this Agreement at any time by providing a one (1) day written notice to CONTRACTOR. 6. Independent Contractor. It is agreed that CONTRACTOR is an independent Contractor, and all persons working for or under the direction of CONTRACTOR are CONTRACTOR'S agents, servants and employees, and said persons shall not be deemed agents, servants or employees of CITY. 7. Insurance. CONTRACTOR shall obtain: A. ❑ If checked, Professional Liability Insurance (errors and omissions) with minimum limits of $1,000,000 per occurrence. B. Automobile insurance covering all bodily injury and property damage incurred during the performance of this Agreement, with a minimum coverage of $1,000,000 combined single limit per accident. Such automobile insurance shall include owned, non -owned, and hired vehicles ("any auto"). C. Commercial general liability insurance, with minimum limits of $1,000,000 per occurrence/$2,000,000 aggregate, covering all bodily injury and property damage arising out of its operations under this Agreement. D. Workers' compensation insurance in an amount sufficient to meet statutory requirements covering all of CONTRACTOR'S employees and employers' liability insurance with limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed with a waiver of subrogation in favor of the City. Said endorsement shall be provided prior to commencement of work under this Agreement. E. The aforesaid policies shall constitute primary insurance as to the CITY, its officers, employees, and volunteers, so that any other policies held by the CITY shall not contribute to any loss under said insurance. Said policies shall provide for thirty (30) days prior written notice to the CITY of cancellation or material change. F. Said policies, except for the professional liability and workers' compensation policies, shall name the CITY and its officers, agents and employees as additional insureds, and separate additional insured endorsements shall be provided. G. If required insurance coverage is provided on a "claims made" rather than "occurrence" form, the CONTRACTOR shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Agreement. In addition, the "retro" date must be on or before the date of this Agreement. H. Insurance shall be written with only California admitted companies which hold a current policy holder's alphabetic and financial size category rating of not less than A VIII according to the current Best's Key Rating Guide, or a company equal financial stability that is approved by the City's Risk Manager. In the event coverage is provided by non -admitted "surplus lines" carriers, they must be included on the most recent California List of Eligible Surplus Lines Insurers (LESLI list) and otherwise meet rating requirements. I. This Agreement shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with, are filed with and approved by the CITY's Risk Manager. If the CONTRACTOR does not keep all of such insurance policies in Revised August 2011 2 full force and effect at all times during the terms of this Agreement, the CITY may elect to treat the failure to maintain the requisite insurance as a breach of this Agreement and terminate the Agreement as provided herein. J. All deductibles and self -insured retentions in excess of $10,000 must be disclosed to and approved by the CITY. K. Insurance certificates must specify certificate holder as: City of National City ATTN: Risk Manager 1243 National City Blvd National City, CA 91950-4301 8. Hold Harmless. CONTRACTOR shall defend, indemnify and hold CITY, its Officers, employees and agents harmless from any liability for damage or claims of same, including but not limited to personal injury, property damage and death, which may arise from CONTRACTOR, or CONTRACTOR'S subcontractors, agents or employees' operations under this Agreement. CITY shall cooperate reasonably in the defense of any action, and CONTRACTOR shall employ competent counsel, reasonably acceptable to the City Attorney. 9. Acceptability of Work. The City shall, with reasonable diligence, determine the quality or acceptability of the work, the manner of performance and/or the compensation payable to the CONTRACTOR. 10. Business License. CONTRACTOR must possess or shall obtain business license from National City Finance Department before beginning work. 11. Miscellaneous Provisions. A. Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which, together, shall constitute but one and the same instrument. B. Captions. Any captions to, or headings of, the sections or subsections of this Agreement are solely for the convenience of the parties hereto, are not a part of this Agreement, and shall not be used for the interpretation or determination of the validity of this Agreement or any provision hereof. C. No Obligations to Third Parties. Except as otherwise expressly provided herein, the execution and delivery of this Agreement shall not be deemed to confer any rights upon, or obligate any of the parties hereto, to any person or entity other than the parties hereto. D. Exhibits and Schedules. The Exhibits and Schedules attached hereto are hereby incorporated herein by this reference for all purposes. E. Amendment to this Agreement. The terms of this Agreement may not be modified or amended except by an instrument in writing executed by each of the parties hereto. F. Waiver. The waiver or failure to enforce any provision of this Agreement shall not operate as a waiver of any future breach of any such provision or any other provision hereof. G. Applicable Law. This Agreement shall be governed by and construed in accordance with the laws of the State of California. The CON TRACTOR shall comply with all laws, including federal, state, and local laws, whether now in force or subsequently enacted. Revised August 2011 3 H. Entire Agreement. This Agreement supersedes any prior agreements, negotiations and communications, oral or written, and contains the entire agreement between the parties as to the subject matter hereof. No subsequent agreement, representation, or promise made by either party hereto, or by or to an employee, officer, agent or representative of any party hereto shall be of any effect unless it is in writing and executed by the party to be bound thereby. I. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the successors and assigns of the parties hereto. J. Construction. The parties acknowledge and agree that (i) each party is of equal bargaining strength, (ii) each party has actively participated in the drafting, preparation and negotiation of this Agreement, (iii) each such party has consulted with or has had the opportunity to consult with its own, independent counsel and such other professional advisors as such party has deemed appropriate, relative to any and all matters contemplated under this Agreement, (iv) any rule or construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement, or any portions hereof, or any amendments hereto. IN WITNESS WHEREOF, this Agreement is executed by CITY and by CONTRACTOR on the date and year first above written. CITY OF NATIONAL CITY By.�+- Leslie Deese, City Manager PROVED AS TO FORM: C udia Ga City Atto a Silva ESSEX SOUND REINFORCEMENT (Sole proprietorship — one signature) Revised August 2011 4 CONTACT INFORMATION CITY OF NATIONAL CITY POLICE DEPARTMENT 1200 National City Boulevard National City, CA 91950-4302 Phone: Fax: Contact: Title: Dep.: Email: (619) 336-4357 (619) 336-4525 Marcus Macias Police Officer Police mmacias@nationalcityca.gov ESSEX SOUND REINFORCEMENT 7711 Calle De la Fiesta Pine Valley, CA 91962 Phone: Fax: Contact: Title: Email: (888) 405-2508 (619) 473-8014 Larry D. McNamer Owner larry@e ssexsound.net Taxpayer I.D. No. 566-17-4498 Revised August 2011 5 )IIll/hl� 111'"t"" �III111;►►I�`I1111liliIi 1�fl 1EI I'!limm11II ll(hulirll11lnnuJIIF PO Box 1036 Pine Valley,CA. 91962-1036 www.essexsound.net Labor Labor Address Ronni Zengota National City Police 1200 National City Blvd National City, CA 91950 Item Description Estimate Date 04/22/2013 Estimate # 1133 Exp. Date 05/22/2013 Ship To Attn: Ronni Zengota National City Police 1200 National City Blvd National City, CA 91950 • May 15th -- Audio for crash scene & court room set up in the evening for next day assembly. Load in for next day assembly will need to be at 6:30pm in the GYM. • May 16th -- Audio & Lighting for assembly. Load out... Ronni, Here is your requested estimate for the upcoming services. Please feel free to call Larry should you have any questions or concerns. Thank you, Effie Fokas 760-859-6013 Accepted By Accepted Date Quantity 1 1,500.00 800.00 Ship Date 05/15/2013 Total 1,500.00 800.00 Total, $2,300.00 Essex Sound (619)933-9245 effie@essexsound.net • l ® """J""""""• 1VG1 Vl b4Z YVU vmc�''''". A o CERTIFICATE OF LIABILITY INSURANCE 3/19/2013 DATE(MMIDDIYYYY) 4/22/2013 HOLDER. THIS BY THE POLICIES AUTHORIZED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 Jacques L. Oyhancabal 65 Enterprise Aliso Viejo, CA 92656 CONTACT NAME: JASON OR JACK (AIC..No,Ext): (949)200-7171 (An(949)812-7677 ADDRESS: jack@contractors-insure. com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ASSOCIATED INDUSTRIES INS. COMPANY 23140 INSURED ESSEX SOUND LARRY D MCNAMER P 0 BOX 1036 PINE VALLEY, CA 91962 INSURER B INSURER C : INSURER D : INSURER E: INSURER F : ERTIFICATE NUMBER: • 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. L INSR TYPE OF INSURANCE ADDL INSR SIR VIM POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYYL LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X NC101642700 1/8/2013 1/8/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE I0 REN 1 ED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE OCCUR MEDEXP (Any one person) $5 000 PERSONAL &ADV INJURY $1,000,000 $2,000,000 $ 1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE XPOLICY LIMIT APPLIES PER: JECDT [' LOC PRODUCTS- COMP/OP AGG $ AUTOMOBILE _ LIABILITY ANY AUTO ALL AUTOS OWNED HIRED AUTOS _AUTOS _ SCHEDULED NON -OWNED AUTOS COMBINED LIMIT d $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) IfEdescribe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- ER E.L..EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS (LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF NATIONAL CITY IS HEREBY NAMED AS (AI) ADDITIONAL INSURED. CANCELLATION CITY OF NATIONAL CITY ATTN:CITY ATTORNEY'S OFFICE 1243 NATIONAL CITY BLVD. NATIONAL CITY,CA 91950-4301 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 JACK L. OYEANCABAL ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Producedusing Forms Boss Plus software.www.FormsBoss.comImpressivePublishing 800-208-1977 POLICY NUMBER: NC101642700 COMMERCIAL GENERAL LIABILITY NX GL 189 0511 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Policy Number: NC101642700 Endorsement Effective: 4/25/2013 12:01 AM Named Insured: LARRY DALE MCNAMER ESSEX SOUND Counter Signed By: • SCHEDULE Name of Person or Organization: Any person or organization that the named insured is obligated by virtue of a written contract or agreement to provide insurance such as is afforded by this policy. Location: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section It — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only to the extent that the person or organization shown in the Schedule is held liable for your acts or omissions arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than services, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed: or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The words "you" and "your" refer to the Named Insured shown in the Declarations. 41V f`I 400 fC 44 Pnno 1 of 9 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY NX GL 189 05 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. D. The following are added to SECTION V — DEFINITIONS: "Your work" means work or operations performed by you or on your behalf; and materials, parts or equipment furnished in connection with such work or operations. E. The following additional provisions apply to any entity that is an insured by the terms of this endorsement: 1. Primary Wording With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. 2. Waiver of Subrogation If required by written contract or agreement: We waive any right of recovery we may have against an entity that is an additional insured per the terms of this endorsement because of payments we make for injury or damage arising out of "you work" done under a contract with that person or organization. MY fa l RQ flF 11 Pana 9 of 9 CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois © STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or 0 STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below• NAMED INSURED: MCNANER, LARRY & DEBORAH ADDRESS OF NAMED INSURED: PO BOX 1036 PINE VALLEY CA 91962-1036 POLICY NUMBER 2 203 1247-A22-55B EFFECTIVE DATE OF POLICY 01/22/2013 DESCRIPTION OF VEHICLE (Including VIN) 2011 Ford F150 1FTFW1EF8BFC73568 LIABILITY COVERAGE ® YES • NO 0 YES ■ NO ■ YES ■ NO ■ YES 0 NO LIMITS OF LIABILITY a. Bodily Injury Each Person 1, ono, 0o0 Each Accident 1 1,coo, 000 b. Property Damage Each Accident 100,0o0 c. Bodily Injury & Property Damage Single Limn Each Accident PHYSICAL DAMAGE COVERAGES e. Comprehensive ►Z4 YES ■ NO ■ YES ■ NO ■ YES ■ NO ■ YES ■ NO $ 500 Deductible $ Deductible $ Deductible $ Deductible b. Collision ® YES ❑ NO $ 500 Deductible ❑ YES ❑ NO $ Deductible ❑ YES ■ NO ❑ YES ■ NO $ Deductible $ Deductible EMPLORS NON-OINNED CAR LIIABILITTYCOVERAGE IN YES ® NO ■ YES ❑ NO ■ YES w NO ■ YES ■ NO HIRED CAR LIABILITY COVERAGE 0 YES 0 NO ❑ YES E NO • YES ❑ NO ■ YES ■ NO FLEET- COVERAGE FOR ALL OWNEDAPD LICENSED MOTOR VEHICLES ❑ YES e NO ■ YES ❑ NO ■ YES ❑ NO • YES ■ NO Sig :atAuthorized Repres N and Address of Certificate Holder None Agent 8582 09/25/2013 T tie Agent's Cade Number Date Name and Address of Apent JOHN CRAWFORD 7061 CLAIREMONT MESA BLVD STE 217 SAN DIEGO CA 92111 INTERNAL STATE FARM USE ONLY: ❑ Request permanent Certificate of Insurance for liability coverage. 12242e.a R. 07.20.2005 ❑ Request Certfiate Holder to be added es an AddlUooal Insured. oeext+eNhdM DFCLARATlON NATIONAL cwy :+►i,isadarm City of National City av fa:petto WOi4*j' Connsonsiohoof UM TO All CONTRACTS AWARDED TO; ire City ad t$'Utsisal City, hi Whom 1 m s«d wtll bedlam, mclejmfy ard meld i ee. train any end all thins sop liaartty, brb' Ce rnpensake clams ere &ubh p that may w acsnrt iN estaai5Turd be any sty on the r rt d Mres an ltrrrp orm ra 1$at.Di 01 this if adaricium cr e a vd w+trre, of organization maws Cr aliz9es itsbAty a! the L7er, at tirGanal trey for WMsefs' Carryanaaeoret end it trig fume r City al'►iepanaCny,ai9 aereod ernakrimes.hrell oemapeaM,eCt..am but(lb tow eigGit#r lone shed mnsu do an &dand" to any Iricl rar nuotratt awstrdcd le Form W-9 (Rev. December2071) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific instructions on page 2. Name (as shown on your income tax return) LaYrti t.,MCNo. Business name/ isregarded entity name, if different from above .E,Se V SoXYCNC:1 heck appropriate Individual/sole NI limited liability ❑ Other (see instntctions) box for federal tax classification: Trust/estate ► Exempt e p �� proprietor C Corporation El S Corporation 1 Partnership 0 i company. Enter the tax classification (C-C corporation, S4 corporation, P=partnership) i ► ■ Address (number, street, and apt. or suite no.) 11 t i COA \ii De.. toy. T1SZS o,,J Requester's name and address (optional) City, state, and ZIP code Pkr\u V o-\ , CA citci 4,12- List account number(s) here (o onal) eA axpayer fdentitication Number Enter your TIN in the appropriate box. The TIN provided must match the name given on the `Name' line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3_ For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Social security number (D 9 Employer identification number Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. Sign Here t•1`I20t2 General Instructions Section references are to the internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information retum with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Note. If a requester gives you a form other than Fonn W-9 to request your TIN, you must use the requester's form if it Is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An Individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of Income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. Cat. No. 10231 X Form W-9 (Rev. 12-2011) Ronni Zengota From: Ed Garbo Sent: Tuesday, April 30, 2013 10:32 AM To: Ronni Zengota Subject: RE: Declaration and Addendum This looks fine, I think we are ok to go. Ed Garbo Risk Management Original Message From: Ronni Zengota Sent: Monday, April 29, 2013 8:48 AM To: Ed Garbo Subject: FW: Declaration and Addendum Importance: High Hi Ed, Attached is the Workman's Comp declaration for Essex Sound. They should have everything - so just let me know if they're good to go and I'II get the agreement signed. Ronni Zengota Police Operations Assistant/Explorer Advisor (619) 336-4516 FAX: (619) 336-4525 rzengotapnationalcityca.gov Original Message From: Effie [mailto:effie@essexsound.net] Sent: Friday, April 26, 2013 9:28 AM To: Ronni Zengota Cc: 'Larry' Subject: Declaration and Addendum Efstathia Fokas Essex Sound Effie@essexsound.net 1 CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950 619-336-4228 phone / 619-336-4229 fax Michael R. Dalla, CMC - City Clerk ESSEX SOUND REINFORCEMENT Audio Recording Services "Every Fifteen Minutes" Event Sweetwater High School May 15 - 16, 2013 Ronni Zengota (Police) Forwarded Copy of Agreement to Essex Sound Reinforcement