City of Culver City, California
City Council Agenda Item Report
RECOMMENDATION:
Staff recommends the City Council authorize the issuance of a Request for
Proposals for compliance inspection services for Culver City’s NPDES Program.
BACKGROUND:
The current National Pollutant Discharge Elimination System (NPDES) Municipal
Permit (Permit) requires that certain commercial/industrial sites be inspected for
compliance with storm water regulations. The purpose of the inspections is to verify
that site operators are implementing appropriate Best Management Practices
(BMPs) to minimize pollutant discharges to the storm drain system. The Permit
requires that these sites be inspected twice within the term of the Permit, or about
every 30 months. Restaurants, fueling stations, automotive repair facilities and
certain industrial sites are targeted for these inspections.
Approximately 500 sites require inspection in Culver City. Inspections were last
conducted in 2006 through a contract with John L. Hunter and Associates. Two
inspections were conducted at each site placing the City in compliance with the
inspection provisions of the Permit.
DISCUSSION:
Although inspections of all commercial sites were previously conducted, City staff
continues to observe violations and non-storm water discharges from commercial
sites. It is believed that these continuing offenses are attributable to commercial
staff turn-over with new hires not trained in proper storm water best management
Meeting Date: 8/11/2008 Item Number: C-8
AGENDA ITEM: Authorization to Issue a Request for Proposals for Compliance
Inspection Services for Culver City’s NPDES Program.
Contact Person/Dept.: Kaden Young Phone Number: (310) 253-6445
Fiscal Impact: Yes [X] No [] General Fund: Yes [X] No []
Public Hearing: [] Action Item: [] Attachments: [X]
Public Notification: Master E-Mail Notification List (08/06/08)
Department Approval:
Charles D. Herbertson (08/04/08)
City Attorney Approval:
Carol Schwab (by H. Baker) (08/06/08)
Chief Financial Officer Approval:
Jeff Muir (by N. Kimball) (08/06/08)
City Manager Approval:
Jerry B. Fulwood (08/06/08) City of Culver City, California
City Council Agenda Item Report
practices. It is important that more frequent inspections be conducted to inform new
staff members of storm water laws and to provide them with education to assist them
in reducing storm water pollution. It is recommended that commercial site
inspections be conducted on an annual basis in lieu of the 30 month interval
required by the NPDES Permit.
Request for Proposals (RFP)
Storm water regulatory compliance activities are conducted by the Environmental
Programs and Operations Division of the Public Works Department. Presently, the
Division lacks the inspection personnel to perform the inspections in-house. It is
recommended that City Council authorize Staff to issue the attached RFP to solicit
proposals from inspection firms to conduct storm water compliance inspection
services. Attached is a sample inspection checklist that the City currently uses
and may be revised or adopted by the consultant.
FISCAL ANALYSIS:
The term of the agreement would be for one (1) year with the option to extend the
contract for four (4) additional years upon mutual consent of the City and
consultant. It is estimated that the cost of a consultant contract issued in response
to this RFP will range from $40,000 to $45,000 per year, which will be funded by P-
497, NPDES – Storm Water Discharge Program (42000497).
ATTACHMENTS:
1) Request for Proposals – Compliance Inspection Services for NPDES/Stormwater
Program
2) Sample Inspection Checklist
MOTION:
That the City Council:
Authorize the issuance of a Request for Proposals for compliance inspection
services for Culver City’s NPDES Program.
MEETING DATE: 8/11/08
AGENDA ITEM: Authorization to issue a Request for Proposals for
Compliance Inspection Services for Culver City's N PDES
Program.
ATTACHMENTS
Pages|109| Request for Proposals — Compliance Inspection Services for 1-17
NPDES/Stormwater Program|109| Sample Inspection Checklist 18PUBLIC WORKS DEPARTMENT
REQUEST FOR PROPOSALS
COMPLIANCE INSPECTION SERVICES
for
NPDES/STORMWATER PROGRAM
August 2008
SUBMITTAL DEADLINE: 3:00 PM; WEDNESDAY, SEPTEMBER 10, 2008
PRINTED ON RECYCLED PAPERCompliance Inspection Services NPDES/Storm Water Program — RFP
August 2008
SECTION 1— GENERAL
The City of Culver City is seeking proposals from consulting firms with a proven track record in
providing professional services of environmental compliance inspections.
SECTION 2— PROGRAM DESCRIPTION
The request is for a consulting firm to provide and perform approximately 500 National
Pollutant Discharge Elimination System (NPDES) mandated inspections of commercial sites.
Inspection program must include appropriate reports and enforcement records. Provide City
staff with full access to the hardcopy and electronic records and data related to the inspections
for annual reporting purposes.
In addition, the consulting firm may be required to perform other types of inspections such as
construction (GCASP), industrial (GIASP), illegal connection/illicit discharges (IC/ID), and other
NPDES mandated inspections.
SECTION 3 — SCOPE OF SERVICES
The scope of services for this program will include the following tasks:
1. Develop list of commercial sites to visit from City's business license database.
2. Setup timeline to complete all inspections by June 30, 2009.
3. In FY 2008-2009 (July 1, 2008 to June 30, 2009), inspect approximately 500 facilities
using the checklist attached as Exhibit No. 1 and provide to the City a weekly report of
sites visited along with noted violations and enforcement actions.
a. If violations are detected, provide a correction notice to the site operator(s) with
a copy to the property owner(s) and schedule follow-up inspection(s).
b. Perform follow-up inspection(s).
c. If the problems continue, enlist the City's Code Enforcement staff for
enforcement actions.
4. Create database system to track inspection list and status of each facility.
5. Provide City staff with full access to the hardcopy and electronic records and data.
Page 2
2Compliance Inspection Services - NPDES/Storm Water Program — RFP
August 2008
6. In FY 2009-2010, FY 2010-2011, FY 2011-2012 and FY 2012-2013 use the City's current
business license database to update the list of commercial sites. Perform approximately
500 site inspections in each year according to the procedures described in item 3 above.
SECTION 4- REQUIRED INFORMATION
Five (5) copies of the following information, one copy of which must be single-sided and
unbound, are requested as part of the submittal requirements. Please use the following
format:
1. Letter of Introduction — include the respondent's basic understanding of the proposal;
limited to two pages.
2. Project Management — the legal name, year of establishment, and structure (i.e. sole
proprietorship, partnership, corporation, etc.) of firm. The name, address, telephone
number, and e-mail of the person to whom correspondence should be directed and the
name of the person who has authority to negotiate on behalf of the firm.
3. Project Team — list the proposed project team members, by name and position, the
function each person will perform, and the percent of time each will spend on this
program. Provide resumes for each proposed team member, including past experience
of each team member related to this program.
4. A list of sub-consultants, if any, proposed to assist the prime consultant. This list shall
also include the sub-consultants' qualifications pertinent to this program.
5. The City must approve changes in key personnel subsequent to the award of the
contract.
6. Approach — describe the firm's approach to Section 3 — Scope of Services in this REP, as
well as the level of involvement and interaction with City staff anticipated. Also
describe what kind of information will be required from City staff.
7. Experience — provide a list of governmental agencies the firm and proposed team
currently assists or has assisted in the past five years, in the capacity similar to the scope
of services mentioned in this RFP. Include a brief description, including the length of
time, of services provided for each government agency.
8. Term the term of the contract entered into in response to this REP will be 1 (one) year.
The City and Consultant can choose to extend the term of the contract upon mutual
Page 3
3Compliance inspection Services - NPDES/Storm Water Program — RFP
August 2008
consent to do so. Rates and fees will be adjusted according to the Consumer Price
Index as indicated in Item 9.b. below.
9. Rates — provide a not-to-exceed contract amount for the project, cost by each task listed
in Section 3 — Scope of Services, and hourly rates for the personnel assigned to this
program.
a. Provide a fee proposal that includes, as a minimum:
i. The number of anticipated hours per month to perform each task by each
classification of personnel.
ii. When necessary, rates or fees per call-out to inspection site that is
unexpected (GCASP, GIASP, IC/ID, etc.).
b. Each subsequent year after FY 2008-2009 rates and fees will be adjusted
annually upon the anniversary date of the contract by the State of California
Consumer Price Index (CPI), as referenced at www.dir.ca.gov/dIsr for the month
in which the anniversary date occurs.
c. Any changes in the scope of work resulting in a contract increase or decrease in
fee shall be approved by the City in writing prior to commencement of actual
change in work. No fee adjustment will be allowed unless said prior approval is
authorized exclusively in writing by the City, without exception.
10. References — for each of the government agency listed as part of the firm's experience,
provide a reference name, position, address, telephone, fax and e-mail.
SECTION 5 — METHOD OF SELECTION
The City will evaluate the proposals taking the following into consideration:
a. Ability of the inspection team to perform the specific tasks required.
b. Qualifications of the inspection team members and the relevant experience of the
individuals involved.
c. Demonstrated record of success by the consultant team on similar programs for
governmental agencies.
d. Responsiveness to this RFP and the completeness of the information provided.
e. Thorough knowledge of State and Federal laws relating to M54 NPDES permit and storm
water regulations.
Page 4Compliance Inspection Services - NPDES/Storm Water Program — RFP
August 2008
The proposed fee is not intended to be the governing factor in the selection process but will be
considered. The proposed fee must be submitted in a sealed envelope, separate from the
proposal.
Interviews will be scheduled with the top candidates. The City in its sole discretion will
determine how many and which firms will be invited to interview.
SECTION 6 — SOLE AUTHORITY
Rights of Rejection
The City intends to award a contract to the respondent that demonstrates the highest level of
expertise and capabilities to provide the requested services. The City reserves the right to
reject any and all proposals or to re-issue the RFP when such action shall be considered in the
best interest of the City.
By submitting a response to this RFP, prospective consultants waive the right to protest or seek
legal remedies whatsoever regarding any aspect of this RFP. In addition, the City reserves the
right to issue written notice to all participants of any changes in the proposal submission
schedule or submission requirements, should the City determine in sole and absolute discretion
that such changes are necessary. The City also reserves the right to approve all individuals and
firms, if any, to be retained by the prime consultant. The City's policy is to screen consultants
based upon their proposal and project reference checks.
SECTION 7— RFP QUESTIONS
Questions regarding this Request for Proposals must be submitted no later than 5:00 P.M. PST
on Wednesday, August 27, 2008 by e-mail. Questions should be submitted to:
damian.skinner@culvercity.org
Responses to RFP questions will be e-mailed only to RFP holders who have provided an e-mail
contact.
Page 5Compliance Inspection Services - NPDES/Storm Water Program — REP
August 2008
SECTION 8— CONTRACT
The lead firm will be required to enter into an agreement with the City of Culver City prior to
commencing work. No selection will be final until an agreement has been properly executed
and signed by the consultant and the City. The terms of the agreement will include, among
other items, insurance requirements established by the City. A sample form professional
services contract is attached as Exhibit No. 2.
Errors and omissions insurance shall provide a minimum coverage limit per claim of not less
than $1,000,000 per claim/$1,000,000 in aggregate with an additional $1,000,000 in exclusive
coverage to the Program. Such policy may be written on a "claims made" basis provided it
commences as to each named insured upon execution of each covered contract, continues until
Final Completion and includes at least a one year discovery period after completion of the
program.
All firms are required to have Worker's Compensation coverage and General Liability and
Automobile Liability, each with a limit of $1,000,000, naming the as additional insured and
provide for a 30-day notice of cancellation. Additionally, the consultant is also required to have
the insurance company execute the City's Special Endorsement form. A copy of the Special
Endorsement form is attached as Exhibit No. 3. The firm and all sub-consultants must obtain a
City of Culver City business tax certificate.
Should the City's relationship with the firm /contractor end during any phase of the inspection
program, the City will retain possession of and exclusive rights to any inspection records and/or
documents produced by the consultant.
SECTION 9— PROPOSALS DUE
Five copies of the proposal and your proposed fee in a separate sealed envelope must be
submitted by 3:00 P RA September 10, 2008 to the address shown below. Postmarks will not
be accepted in lieu of delivery. Proposals are to be sent to:
Damian Skinner
Environmental Programs & Operations Division Manager
Culver City Public Works Department
9505 Jefferson Boulevard
Culver City, CA 90232-0507
All submittals must be clearly marked as "Proposal for Professional Compliance Inspection
Services for Culver City's NPDES Program."
Page 6Compliance Inspection Services - NPDES/Storm Water Program —RFP
August 2008
City Hall business hours are 7:30 am - 5:30 pm, Monday through Friday, City Hall is closed
alternate Fridays and will be closed on August 15, 2008.
SECTION 10— FURTHER INFORMATION/CONTACT
Kaden Young, Associate Engineer
kaden.youngPculvercity.org
(310) 253-6445
Damian Skinner, Environmental Programs & Operations Division Manager
dannian.skinner@culvercity.org
(310) 253-6421
EXHIBITS:
1. Sample Inspection Checklist
2. Sample Form Professional Services Contract
3. Special Endorsement Form
Page 7Compliance Inspection Services - NPDES/Storm Water Program — REP
August 2008
EXHIBIT 1
Sample Inspection ChecklistSite Contact:
Position/Title:
Phone:
Email:
Owner:
Owner's info:
Site Name:
Site Address:
SIC Number:
SIC Narrative:
WDID Number:
SWPPP on site:
CITY OF CULVER CITY
Department of Public Works
Environmental Programs 8L Operations Division
STORMWATER INSPECTION CHECKLIST
Date:
Time:
REASON FOR INSPECTION
El First Inspection I=1 Response to Complaint
LI Second Inspection
Follow Up
El New Facility
111 Other:
GENERAL
Is the site free of litter and debris?
Are discharge locations free of sediment and debris?
Are parking lots, sidewalks and streets free of sediment and debris?
Is pressure washing of parking lots or sidewalk conducted at the facility?
If so, is wash water captured?
YES- ftOMMENTV
Are roof downspouts directed away from areas of potential pollutants?
LANDSCAPING
Are irrigation systems programmed to minimize over-watering and
runoff?
Are stockpiles of soil or landscape waste equipped to prevent runoff?
MATERIALS & WASTES
Are adequate trash containers provided?
Are adequate recycling containers provided?
Is the trash/recycling area enclosed and free of litter and debris?
Is timely service and removal provided to prevent waste containers and
sanitary facilities from overflowing?
Are outdoor material storage areas adequate (covered areas with
secondary containment)?
Are outdoor storage containers properly labeled?
Is there an accessible spill response plan and kit?
Are loading and unloading areas free of spills and debris?
EQUIPMENT & VEHICLES
Are exposed parking areas free of significant spills and leaks?
Are heavy equipment and vehicles stored in garages or under canopies?
Are vehicle maintenance activities conducted within contained areas
(garage, canopy, work shop)?
Are vehicle-fueling areas covered and are storm drain inlets protected
from spills and leaks?
Is vehicle washing performed in a contained area where runoff does not
enter the M54?
Are biodegradable soaps used for cleaning activities?
. . . .
FOOD ESTABLISHMENTS
Does facility have a grease trap or interceptor?
Are copies of maintenance attached?
Does the restaurant hose off the site?
Are floor mats hosed off? If so, where?
Are storm drain inlets free of grease and other food debris?
NON:STORMWATER:MANAOENIENT:::
Is the site free of evidence of illicit connections and illegal discharge?
15 the site free of evidence of unauthorized releases to storm drains?
OTHER
Are there any other potential storm water pollution issues or concerns?
Are all applicable BMPs being implemented?
Were any educational materials distributed?
RECOMMENDEp CORRECTIVE ACTION:
ctCompliance Inspection Services - NPDES/Storm Water Program — RFP
August 2008
EXHIBIT 2
Sample Form Professional Services Contract
10Contract No. 2008-0
SAMPLE
CITY OF CULVER CITY
STANDARD FORM CONTRACT
WITH: (Consultant)
FOR: Professional Compliance Inspection Services for Culver City's NPDES Program
THIS AGREEMENT is made and entered into by and between THE CITY OF CULVER CITY, a
municipal corporation, hereinafter referred to as "City," and (Consultant), a corporation, hereinafter referred to as "Consultant."
1. CONSULTANT'S SERVICES. Consultant agrees to perform, during the term of this
Agreement, the tasks, obligations, and services set forth in the "Scope of
Service".
2. TERM OF AGREEMENT. The term of this Agreement shall be from the effective
date pursuant to Paragraph 27 of this Agreement and shall end upon satisfactory
completion of the work, as reasonably determined by City's Public Works
Director.
3. PAYMENT FOR SERVICES. City shall pay for the services performed by Consultant
pursuant to the terms of this Agreement.
4. TIME FOR PERFORMANCE. Consultant shall not perform any work under this
Agreement until (a) Consultant furnishes proof of insurance as required under
Paragraph 7 of this Agreement; and, (b) City gives Consultant a written and
signed Notice to Proceed.
5. DESIGNATED REPRESENTATIVE(S). . shall be the
designated Consultant Representative, and shall be responsible for job
performance, negotiations, contractual matters, and coordination with the City.
Consultant Representative shall actually perform, or provide immediate
supervision of Consultant's performance of, the Scope of Service.
6. HOLD HARMLESS. Consultant shall be responsible for any and all injuries to or
death of any person, and for any and all damage to any and all real or personal
property including City's or others, caused by or resulting from any acts, errors
or omissions of Consultant, its employees or its agents arising out of or
connected with rendition of services hereunder. Consultant shall defend, hold
harmless and indemnify City and its officers and employees from any and all
liability claims, including costs, for damages to real or personal property, or
Page 1
1 1personal injury or death, resulting from Consultant's, its employees or agent's
acts, errors or omissions arising out of or connected with rendition of services
hereunder.
7. INSURANCE. Without limiting its obligations pursuant to Paragraph 6 of this
Agreement, Consultant shall submit one or more duly executed certificates of
insurance for Comprehensive General Liability in the minimum amount of One
Million Dollars ($1,000,000) single limit coverage, City's Special Endorsement
Form naming City as additional insured, Professional Liability in the minimum
amount of One Million Dollars ($1,000,000), Automobile Liability in the minimum
amount of $1,000,000 and Workers Compensation insurance in statutorily
required amounts.
8. INDEPENDENT CONSULTANT STATUS. City and Consultant agree that Consultant,
in performing the services herein specified, shall act as an independent
Consultant and shall have control of all work and the manner in which it is
performed. Consultant shall be free to contract for similar service to be
performed for other employers while under contract with City. Consultant is not
an agent or employee of City, and is not entitled to participate in any pension
plan, insurance, bonus, worker's compensation or similar benefits City provides
for its employees. Consultant shall be responsible to pay and hold City harmless
from any and all payroll and other taxes and interest thereon and penalties
therefor which may become due as a result of services performed hereunder.
9. NON-APPROPRIATION OF FUNDS. Payment due and payable to Consultant for
current services is within the current budget and within an available,
unexhausted and unencumbered appropriation of City. In the event City has not
appropriated sufficient funds for payment of Consultant services beyond the
current fiscal year, this Agreement shall cover only those costs incurred up to the
conclusion of the current fiscal year.
10_ ASSIGNMENT. This Agreement is for the specific services with Consultant as set
forth herein. Any attempt by Consultant to assign the benefits or burdens of this
Agreement without written approval of City shall be prohibited and shall be null
and void; except that Consultant may assign payments due under this
Agreement to a financial institution.
11. RECORDS AND INSPECTIONS. Consultant shall maintain full and accurate records
with respect to all services and matters covered under this Agreement. City shall
have free access at all reasonable times to such records, and the right to
examine and audit the same and to make transcripts therefrom, and to inspect
all program data, documents, proceedings and activities. Consultant shall
maintain an up-to-date list of key personnel and telephone numbers for
emergency contact after normal business hours.
12
Page 212. OWNERSHIP OF CONSULTANT'S WORK PRODUCT. City shall be the owner of any
and all computations, plans, correspondence and/or other pertinent data,
information, documents and computer media, including disks and other
materials gathered or prepared by Consultant in performance of this Agreement,
or at any earlier or later time when the same may be requested by City. Such
work product shall be transmitted to City within ten (10) days after a written
request therefor. Consultant may retain copies of such products. All written
documents shall be provided to City in digital and in hard copy form.
13. NOTICES. All notices given or required to be given pursuant to this Agreement
shall be in writing and may be given by personal delivery or by mail. Notice sent
by mail shall be addressed as follows:
To City:
To Consultant:
City of Culver City
Attn: Charles D. Herbertson, Public Works Director
9770 Culver Boulevard
Culver City, CA 90232-0507
14. TAXPAYER IDENTIFICATION NUMBER. Consultant shall provide City with a
complete Request for Taxpayer Identification Number ("TIN") and Certification,
Form W-9, as issued by the Internal Revenue Service.
15. PERMITS AND LICENSES. Consultant, at its sole expense, shall obtain and
maintain during the term of this Agreement, all appropriate permits, licenses,
and certificates that may be required in connection with the performance of
services under this Agreement including, but not limited to, a Culver City
business tax certificate.
16. APPLICABLE LAWS, CODES AND REGULATIONS. Consultant shall perform all work
in accordance with all applicable laws, codes and regulations required by all
authorities having jurisdiction over such work. Consultant agrees to comply with
prevailing wage requirements as specified in the California Labor Code, Sections
1770, et seq.
17. PURCHASES OF SUPPLIES AND MATERIALS WITHIN CULVER CITY. For work
performed, Consultant agrees to seek bids for supplies and materials from
businesses located within the City of Culver City, with the intent to make
purchases from these businesses if such purchases can be made at competitive
prices.
18. RIGHT TO UTILIZE OTHERS. City reserves the right to utilize others to perform
work similar to the services provided hereunder.
Page 319. MODIFICATION OF AGREEMENT. This Agreement may not be modified, nor may
any of the terms, provisions or conditions be modified or waived or otherwise
affected, except by a written amendment signed by all parties hereto.
20. WAIVER. If at any time one party shall waive any term, provision or condition of
this Agreement, either before or after any breach thereof, no party shall
thereafter be deemed to have consented to any future failure of full
performance hereunder.
21. COVENANTS AND CONDITIONS. Each term and each provision of this Agreement
to be performed by Consultant shall be construed to be both a covenant and a
condition.
22. RIGHT TO TERMINATE. City may terminate this Agreement at any time, with or
without cause, in its sole discretion, with thirty-days' (30-days') written notice.
23. EFFECT OF TERMINATION. Upon termination as stated in Paragraph 22 of this
Agreement, City shall be liable to Consultant only for work satisfactorily
performed by Consultant up to and including the date of termination of this
Agreement, unless the termination is for cause, in which event Consultant need
be compensated only to the extent required by law. Consultant shall be entitled
to payment for work satisfactorily completed to date, based on a proration of
the monthly fees set forth in Exhibit "B" attached hereto. Such payment will be
subject to City's receipt of a close-out billing.
24. GOVERNING LAW. The terms of this Agreement shall be interpreted according
to the laws of the State of California. If litigation arises out of this Agreement,
then venue shall be in the Superior Court of Los Angeles County.
25. LITIGATION FEES. If litigation arises out of this Agreement for the performance
thereof, then the court shall award costs and expenses, including attorney's fees,
to the prevailing party. In awarding attorney's fees, the court shall not be bound
by any court fee schedule but shall award the full amount of costs, expenses and
attorney's fees paid or incurred in good faith.
26. INTEGRATED AGREEMENT. This Agreement represents the entire Agreement
between City and Consultant, and all preliminary negotiations and agreements
are deemed a part of this Agreement. No verbal agreement or implied covenant
shall be held to vary the provisions of this Agreement. This Agreement shall bind
and inure to the benefit of the parties to this Agreement, and any subsequent
successors and assigns.
27. EFFECTIVE DATE. The effective date of this Agreement is the date it is signed on
behalf of City, and shall remain in full force and effect until amended or
terminated; provided, that the indemnification and hold harmless provisions
shall survive the termination.
Page 4(CONSULTANTS)
Dated: By Its
Dated: By Its
CITY OF CULVER CITY, CALIFORNIA
Dated: By Jerry Fulwood
City Manager
APPROVED AS TO CONTENT: APPROVED AS TO FORM:
Charles D. Herbertson
Public Works Director
Carol A. Schwab
City Attorney
APPROVED AS TO FINANCING: APPROVED AS TO BUSINESS
TAX CERTIFICATE:
Marlee Chang
City Controller
Nagam Rao
Treasury Division Manager
Page 5
15Compliance Inspection Services - NPDES/Starrn Water Program — RFP
August 2008
EXHIBIT 3
SpeciaI Endorsement Form
16SPECIAL ENDORSEMENT
CITY OF CULVER CITY
Notwithstanding any inconsistent expression in the policy to which this endorsement is attached, or in any
other endorsement now or hereafter attached thereto, or made a part thereof, it is agreed that the policy shall
and does:
1. Include the City of Culver City and its officers and employees as additional insureds in the policies
described on the attached Certificate of Insurance as they may be held liable for injuries, death or
damage to property arising out of or in connection with the contract, executed by the named insured
and the City of Culver City. It is further agreed, this policy shall be primary and noncontributing with
any other insurance or self insurance program available to the City of Culver City, and includes a
severability of interest clause; and
2. Provide any general aggregate limit shall apply separately to the above subject contract; and
3. Provide the naming of the additional insureds as herein provided shall not affect any recovery to
which such additional insureds would be entitled under this policy if not named as such additional
insureds; and
4. Provide the additional insureds named herein shall not be held liable for any premium or expense of
any nature on this policy or any extension thereof; and
5. Provide the additional insureds named herein shall not by any reason of being so named be
considered a member of any mutual insurance company for any purpose whatsoever; and
6. Provide the provisions of the policy shall not be changed, canceled or otherwise terminated as to the
interest of the additional insureds named herein without first giving thirty (30) days written notice
thereof to the City Attorney and Public Works Director/City Engineer of the City of Culver City by
certified mail, return receipt requested, and addressed as follows:
City Attorney
City of Culver City
9770 Culver Boulevard
Culver City, CA 90232-0507
Public Works Director/City Engineer
City of Culver City
9770 Culver Boulevard
Culver City, CA 90232-0507
This endorsement if effective • 20 when signed below by an Authorized Representative of
and, when issued to City shall be valid and form part of Policy(ies) No.
insuring , expiring on and shall be
in the same amount for the same coverage as the Policy(ies) to which is attached.
Insurer: By: Name and Title:
OR NAME OF AGENT OR BROKER
CITY OF CULVER CITY
PROJECT NO.
PROJECT NAME:
Address:
By: (Signature of Authorized Representative)
Attachment: Certificate of Insurance
(If signed by other than insurer, proof of authority to bind insurer must accompany this form)
(-1nexcell,,k-,
.H
CITY OF CULVER CITY
Department of Public Works
Environmental Programs & Operations Division
STORMWATER INSPECTION CHECKLIST
Date:
Time:
REASON FOR INSPECTION
First Inspection
El Response to Complaint
El Second Inspection
0 Follow Up
LI New Facility
LI Other:
Site Name:
Site Contact:
Site Address:
Position/Title:
SIC Number:
Phone:
SIC Narrative:
WD1D Number:
Owner:
SWPPP on site:
Owner's info:
GENERAL:
Is the site free of litter and debris?
Are discharge locations free of sediment and debris?
Are parking lots, sidewalks and streets free of sediment and debris?
Is pressure washing of parking lots or sidewalk conducted at the facility?
If so, is wash water captured?
Are roof downspouts directed away from areas of potential pollutants?
LANDSCAPING
Are irrigation systems programmed to minimize over-watering and
runoff?
Are stockpiles of soil or landscape waste equipped to prevent runoff?
lMATE411.4.5:R:MMSTES:::
Are adequate trash containers provided?
Are adequate recycling containers provided?
Is the trash/recycling area enclosed and free of litter and debris?
Is timely service and removal provided to prevent waste containers and
sanitary facilities from overflowing?
Are outdoor material storage areas adequate (covered areas with
secondary containment)?
Are outdoor storage containers properly labeled?
Is there an accessible spill response plan and kit?
Are loading and unloading areas free of spills and debris?
EQUIPMENT & VEHICLES
Are exposed parking areas free of significant spills and leaks?
Are heavy equipment and vehicles stored in garages or under canopies?
Are vehicle maintenance activities conducted within contained areas
(garage, canopy, work shop)?
Are vehicle-fueling areas covered and are storm drain inlets protected
from spills and leaks?
Is vehicle washing performed in a contained area where runoff does not
enter the MS4?
Are biodegradable soaps used for cleaning activities?
FOOD ESTABLISHMENTS
Does facility have a grease trap or interceptor?
Are copies of maintenance attached?
Does the restaurant hose off the site?
Are floor mats hosed off? If so, where?
Are storm drain inlets free of grease and other food debris?
NON7STORMWATER MARAOFMMI:
Is the site free of evidence of illicit connections and illegal discharge?
Is the site free of evidence of unauthorized releases to storm drains?
".: YES. •
N/A:-
COMMENTS