Los Angeles County Sheriff's Department, Lomita Station - FY2023-08001203.0001/893909.1
LICENSE AGREEMENT FOR USE OF CITY PROPERTY
FOR CATALYTIC CONVERTER THEFT PREVENTION EVENT
This License Agreement for Use of City Property for Catalytic Converter Theft Prevention
Event (“Agreement”) is entered into effective June 28, 2023 (the “Effective Date”), by and
between the City of Rancho Palos Verdes, a municipal corporation (“Licensor” or “City”), and the
Los Angeles County Sheriff’s Department, Lomita Station (“Licensee”). Licensor and Licensee may
be referred to, individually or collectively, as a “Party” or the “Parties.”
RECITALS
A. Licensee seeks to use the parking lot of Licensor’s City Hall located at 30940
Hawthorne Blvd., Rancho Palos Verdes 90275, California (“Property”), to conduct a drive-through
event on July 29, 2023, from 9:00 a.m. to 1:00 p.m., for the purpose of preventing catalytic
converter theft from vehicles by etching serialized numbers on the catalytic converters of
vehicles for the benefit of City’s community (“Event”).
B. Licensor is agreeable to granting Licensee a license to use the Property as
reasonably necessary to conduct the Event, with no charge for use of the Property, on the terms
and conditions set forth herein, and Licensee is also agreeable to such arrangement.
NOW, THEREFORE, the Parties agree as follows:
OPERATIVE PROVISIONS
1. Recitals. The foregoing recitals are true, and are incorporated herein by reference.
2. Grant of License. Licensor grants Licensee a license to use the Property to conduct the
Event.
3. License Fee. Licensor will not charge a license fee for the license granted pursuant to
Section 2. The Event will be free of charge to the Event registrants.
4. Term. This Agreement shall be effective from the Effective Date through the conclusion
of the Event, allowing for any time needed to remove from the Property all items such as
tables, chairs or other equipment that will be needed to conduct the Event (the “Term”).
5. Staffing of Event.
a. Registration Licensee will provide its staff to administer Event registration, to the
satisfaction of the Contract Officer. Registrants will: (1) be required to bring the
vehicle containing the catalytic converter on which they would like the serialized
number etched, a valid drivers’ license, and their registration showing the vehicle
is registered in their name. Event participants must reside, work, or operate a
business in the City of Rancho Palos Verdes, Rolling Hills Estates, or Rolling Hills.
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
b. Check-In. Licensee will provide its staff to handle check-in of Event registrants, to
the satisfaction of the Contract Officer.
c. Traffic Control. Licensee will provide its staff to provide traffic control for the
Event, to the satisfaction of the Contract Officer.
d. Lifting of Vehicles by Third Party Tow Company. Licensee will arrange for Van
Lingen Towing, Inc. (“Van Lingen”), a third-party towing company, to be present
at the Event, free of charge to Licensor, to mechanically raise or lift Event
participants’ vehicles as necessary to facilitate the etching of serialized numbers
on the catalytic converters of the Event registrants’ vehicles, subject to their prior
execution of a liability waiver and consent form in the form attached hereto as
Exhibit “A” (the “Waiver”). The licensor consents to Van Lingen entering onto the
Property for the foregoing purpose.
e. Etching of Serialized Numbers. Licensor will provide a contractor to etch the
serialized numbers on the catalytic converters of the Event registrants’ vehicles.
6. Publicity. Licensee will publicize the Event, including issuing a press release, preparing
flyers, and taking other reasonable measures to notify media outlets and the public of the
Event.
7. Event Size Limits. The number of Event participants present at the Property at any given
time shall not exceed the maximum occupancy of the Property
8. Set-Up and Take-Down. Licensee is solely responsible for set-up and take-down of the
Event and for returning the Property, upon completion of the Event, to the condition it
was in prior to the Event having been conducted.
9. Termination. Either Party may terminate this Agreement at any time, for any reason or
no reason, upon one (1) business day’s written notice of termination to the other Party
(Fridays are not business days for purposes of this section).
10. Representative of Licensee. _____________, __________________, is hereby
designated as being the representative of Licensee authorized to act on its behalf with
respect to this Agreement and all decisions in connection therewith. All employees or
agents of Licensee making use of the Property for the Event (“Personnel”) shall be under
the exclusive direction of the representative of Licensee. Licensee shall notify City of the
identities of all of its Personnel upon execution of this Agreement, and Licensee shall
provide advance notice to City of any changes to its Personnel.
11. Contract Officer. _______________, _________________, or such other person as may
be designated by the City Manager, shall be City’s “Contract Officer,” the representative
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
Tina McCoy Sergeant
Ara Mihranian City Manager
01203.0001/893909.1
authorized to act on Licensor’s behalf with respect to this Agreement and all decisions in
connection therewith.
12. Independent Status.
a. Licensor and its agents and employees are, for all purposes, an independent party
from Licensee and shall not be deemed employees or agents of Licensee. Licensor and
its agents and employees, in the performance of this Agreement, shall act in an
independent capacity and not as officers, employees or agents of Licensee. Although
Licensee may be required by this Agreement to carry Worker's Compensation
Insurance, in no event shall Licensor or its employees be entitled to unemployment
or workers' compensation benefits from Licensee.
b. Licensee is for all purposes an independent party from Licensor, and neither Licensee
nor any officer, employee or agent of Licensee, shall be deemed an officer, employee
or agent of Licensor. Licensee and its employees and agents shall at all times act in an
independent capacity and not as officers, employees or agents of Licensor. Although
Licensor may be required by this Agreement to carry Worker's Compensation
Insurance, in no event shall Licensee or its employees or agents be entitled to
unemployment or workers' compensation benefits from Licensor.
13. Furnishings; Waste; Nuisance. All cones, stands, tables, chairs, trash cans and/or other
items needed for the Event shall be furnished by Licensee as reasonably necessary for
Licensee to conduct the Event, and Licensee shall be responsible for setting up the same.
Licensee shall not commit, suffer, or permit any waste or nuisance by Licensee or the
Event participants in or about the Property in connection with Licensee’s use thereof
pursuant to this Agreement.
14. Compliance with Laws, Rules and Regulations. Licensee agrees to comply with all
applicable federal, state and local law and regulations and all applicable City policies, rules
and regulations in connection with its use of the Property. Licensee represents and
acknowledges that it has received, read and understands Licensor’s Community Center
rules and regulations, and agrees that it will comply with said rules and regulations in
connection with its use of the Property.
15. Release. Licensee hereby waives, releases and discharges Licensor, including its offic ers
(elected and appointed), agents and employees, from and against any and all claims or
liabilities to Licensee or any other person or entit y, including but not limited to claims or
liabilities for bodily injury, illness, death (including illness or death arising from or in
connection with bodily injury), or property damage, arising from or related in any way to
Licensee’s use of the Property or Licensee’s participation in the Event, including those
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
involving negligence of Licensor or Event participant(s), and Licensee, on behalf of itself
and its officers, employees, agents and volunteers, agrees to waive its rights to make any
such claims through any action or proceeding against Licensor
16. Civil Code Section 1542 Waiver. In giving the release and waiver set forth in Section 16,
Licensee expressly waives any and all rights conferred upon it by the provisions of
California Civil Code Section 1542, which Licensee understands reads as follows:
“A general release does not extend to claims that the creditor or releasing party does not
know or suspect to exist in his or her favor at the time of executing the release and that,
if known by him or her, would have materially affected his or her settlement with the
debtor or released party.”
This waiver shall be effective as a bar to any and all actions, fees, damages, losses, claims,
liabilities and demands of whatsoever character, nature and kind, that a re known or
unknown, or suspected or unsuspected, that may arise from or relate in any way to
Licensee’s operation of, presence at, or participation in the Event.
______________
Licensee’s Initials
17. Indemnification. Neither Licensor nor any official (elected or appointed), employee, or
agent of Licensor shall be responsible for any damage or liability occurring by reason of
any acts or omissions on the part of Licensee or any of its officers, directors, employees,
agents, representatives, volunteers or invitees under or in connection with this
Agreement. Licensee shall fully indemnify, defend, and hold harmless Licensor and its
officers (elected and appointed), employees and agents from any claim, action,
proceeding, damage, injury, loss, cost, expense, fee (including litigation expenses and
attorneys’ fees), penalty, obligation, forfeiture or liability, of every nature (including but
not limited to property damage, bodily injury, illness, death, or failure to prevent theft of
property) arising out of or resulting from any act or omission of Licensee or any of its
officers, directors, employees, agents, or representatives, or any act or omission of those
who attend or participate in the Event, including Van Lingen and any of its officers
employees, agents or volunteers, under or in connection with this Agreement.
18. Insurance. Licensee, at its sole cost and expense, shall secure and maintain, throughout
the Term of this Agreement, the following policies of insurance (or self-insurance): (1)
commercial general liability and property damage insurance with a limit of no less than
One Million Dollars ($1,000,000) per occurrence and Two Million Dollars ($2,000,000) in
the aggregate; (2) automobile liability insurance at least as broad as Insurance Services
Office form CA 00 01 covering bodily injury and property damage for all activities of
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
Licensee arising out of or in connection this Agreement, including coverage for any
owned, hired, non-owned or rented vehicles, in an amount not less than $1,000,000
combined single limit for each accident; and (3) worker’s compensation insurance in such
amount as will fully comply with the laws of the State of California and which shall
indemnify, insure and provide legal defense for Licensee against any loss, claim or damage
arising from any injuries or occupational diseases occurring to any worker employed by
or any persons retained by Licensee in the course of conducting the Event.
Licensee’s insurance shall: (1) name the City of Rancho Palos Verdes as an additional
insured ; (2) contain a severability of interest clause and a provision that such policy shall
be primary and non-contributing with respect to any policy carried by Licensor and that
any coverage carried by Licensor shall be in excess of and non-contributing unless the
policy limit of Licensee’s insurance is exceeded; and (3) be written by companies rated
“A” or better in the most recent edition of Best’s Insurance Guide and authorized to do
business in California, and only if they are of a financial category Class VII or better, unless
such requirements are waived by the Risk Manager of the City (“Risk Manager”) due to
unique circumstances. The insurer is deemed hereof to waive all rights of subrogation and
contribution it may have against Licensor, its officers (elected and appointed), employees
and agents and their respective insurers. A Certificate of Insurance and endorsements
documenting the above insurance coverage of Licensee, as well as a Certificate of
Insurance and endorsements documenting insurance coverage of Van Lingen meeting the
foregoing requirements, must be supplied to Licensor by Licensee PRIOR to Licensee’s use
of the Property pursuant to this Agreement.
19. Condition of Property. Licensee represents it has inspected the Property and has found
the same to be satisfactory and agrees to make use of the Property in its present
condition.
20. Transfer; Assignment. Neither Party may transfer or assign its interest in this Agreement,
or any part thereof, without the prior written approval of the other Party. Any transfer or
assignment without such approval shall be void and unenforceable.
21. Prevailing Party Attorneys’ Fees. The prevailing party in action or proceeding initiated by
either Party pursuant to this Agreement, in addition to any other relief which may be
granted, shall be entitled to recovery of reasonable attorney’s fees.
22. Notice. Any notice, demand, request, document, consent, approval, or communication
either Party desires or is required to give pursuant to this Agreement shall be in writing
and either served personally or sent by prepaid, first-class mail, addressed as follows:
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
To Licensor: City of Rancho Palos Verdes
Attn.: Ara Mihranian, AICP
City Manager
30940 Hawthorne Blvd
Rancho Palos Verdes, CA 90275
(310) 830-7600
Email: aram@rpvca.gov
To Licensee: Los Angeles County Sheriff’s Department, Lomita Station
Attn.: Sgt. Tina McCoy, Lt. Michael White
26123 Narbonne Ave.
Lomita, CA 90717
Tel.: (310) 539-1661
Email: tmmccoy@lasd.org; mawhite@lasd.org
Either Party may change its address by notifying the other Party of the change of address
in writing. Notice shall be deemed communicated at the time personally delivered , in
seventy-two (72) hours from the time of mailing if mailed as provided in this Section, or
in one business day from the time of emailing if emailed as provided in this Section.
23. Legal Action. In addition to any other rights or remedies, and except as otherwise
provided in this Agreement, either Party may take legal action, in law or in equity, to cure,
correct or remedy any default, to recover damages for any default, to compel specific
performance of this Agreement, to obtain declaratory or injunctive relief, or to obtain any
other remedy consistent with the purposes of this Agreement.
24. Covenant Against Discrimination. Licensee covenants that, by and for itself, its heirs,
executors, assigns, and all persons claiming under or through them, that there shall be no
discrimination against or segregation of, any person or group of persons on account of
race, color, creed, religion, sex, gender, sexual orientation, marital status, national origin,
ancestry or other protected class in the performance of this Agreement.
25. Conflict of Interest. No official, officer or employee of Licensor has or shall have any
financial interest, direct or indirect, in this Agreement , nor shall any such official, officer
or employee participate in any decision relating to this Agreement which affects his
financial interest or the financial interest of any corporation, partnership or association
in which he is, directly or indirectly, interested, in violation of any State statute or
regulation. The determination of “financial interest” shall be consistent with Stat e law
and shall not include interests found to be “remote” or “noninterests” pursuant to
Government Code Sections 1091 or 1091.5.
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
26. Representation and Warranty of Non-Collusion. Licensee represents and warrants that
it has not paid or given and will not pay or give any third party any money or other
consideration for obtaining this Agreement. Licensee further warrants and represents
that it has not engaged in any act(s), omission(s), or other conduct or collusion that would
result in the payment of any money, consideration, or other thing of value to any third
party including, but not limited to, any City official, officer, or employee, as a result or
consequence of obtaining any agreement. Licensee is aware of and understands that any
such act(s), omission(s) or other conduct resulting in such payment of money,
consideration, or other thing of value will render this Agreement void and of no force or
effect.
Licensee’s Authorized Initials _______
27. Interpretation. The terms of this Agreement shall be construed in accordance with the
meaning of the language used and shall not be construed for or against either party by
reason of the authorship of this Agreement or any other rule of construction which might
otherwise apply.
28. Integration; Amendment. This Agreement is the entire, complete and exclusive
expression of the understanding of the Parties related to the subject matter of this
Agreement. It is understood that there are no oral agreements between the Pa rties
affecting this Agreement and this Agreement supersedes and cancels any and all previous
negotiations, arrangements, agreements and understandings, if any, between the Parties
pertaining to the subject matter of this Agreement , and no such previous negotiations,
arrangements, agreements and understandings shall be used to interpret this Agreement.
No amendment to or modification of this Agreement shall be valid unless made in writing
and approved by the Parties. The Parties agree that this requirement for written
modifications cannot be waived and that any attempted waiver shall be void.
29. Waiver. Waiver by any Party of any term, condition, or covenant of this Agreement shall
not constitute a waiver of any other term, condition, or covenant. Waiver by any Party of
any breach of the provisions of this Agreement shall not constitute a waiver of any other
provision or a waiver of any subsequent breach or violation of any provision of this
Agreement. No delay or omission in the exercise of any right or remedy by a non-
defaulting Party on any default shall impair such right or remedy or be construed as a
waiver. Any waiver by either Party of any default must be in writing and shall not be a
waiver of any other default concerning the same or any other provision of this Agreement.
30. Severability. Any term or condition of this Agreement that is deemed invalid or
unenforceable by a court of competent jurisdiction shall be severed from the remainder
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
of this Agreement, and the remaining terms and conditions hereof shall nevertheless
remain in full force and effect, and shall be construed so as to effectuate the intent of the
Parties.
31. Governing Law. This Agreement shall be interpreted, construed and governed both as to
validity and to performance of the parties in accor dance with the laws of the State of
California. Legal actions concerning any dispute, claim or matter arising out of or in
relation to this Agreement shall be instituted in the Superior Court of the County of Los
Angeles, State of California.
32. Headings. The headings contained in this Agreement are for reference purposes only and
shall not affect in any way the meaning or interpretation of this Agreement.
33. Counterparts; Electronic Signature. This Agreement may be executed in counterparts,
each of which shall be deemed to be an original, whether the signatures are originals,
facsimiles or electronic. All such counterparts shall constitute one and the same
instrument.
34. Authority. The persons executing this Agreement on behalf of the Parties warrant that (i)
such Party is duly organized and existing, (ii) they are duly authorized to execute and
deliver this Agreement on behalf of said Party, (iii) by so executing this Agreement, such
Party is formally bound to the provisions of this Agreement, and (iv) the entering into this
Agreement does not violate any provision of any other agreement to which said Party is
bound.
[signatures on the following page]
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement on the date
and year first above written.
LICENSEE LICENSOR
LOS ANGELES SHERIFF’S DEPARTMENT,
Lomita Station
CITY OF RANCHO PALOS VERDES, a municipal
corporation
________________________________
Sgt. Tina McCoy
__________________________________
Ara Mihranian, AICP
City Manager
ATTEST
________________________________
Teresa Takaoka, City Clerk
APPROVED AS TO FORM
Aleshire & Wynder, LLP
________________________________
William W. Wynder, City Attorney
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
EXHIBIT “A”
WAIVER, RELEASE, INDEMNIFICATION AND HOLD HARMLESS
AGREEMENT
Name of Event: Catalytic Converter Theft Prevention Event
Date and Time of Event: July 29, 2023, 9:00 a.m. to 1:00 p.m.
Location of Event: City Hall Parking Lot
I, ______________________________, certify that I am 18 years of age or over. I request and consent to
participate in the City of Rancho Palos Verdes’ (“City”) catalytic converter theft prevention event
(“Event”). I am aware of no medical condition or physical or mental impediment that I have that would
endanger me when participating in the Event. I understand that the Event involves the risk of accident and
bodily injury, death, or property damage to me and my property, and I agree to assume such risks. I
understand that my participation in the Event involves the etching, by City and/or its designee, of a
serialized number determined by the Los Angeles Sheriff’s Department (“LASD”) on the catalytic
converter of my vehicle for the purpose of helping prevent theft of the catalytic converter, and that my
vehicle will need to be mechanically raised or lifted to facilitate such etching. I am the owner of the vehicle
I bring to the Event, and I consent to the etching of the serialized number by on such vehicle, including the
mechanical raising or lifting of my vehicle by Van Lingen Towing, Inc. (“Van Lingen”) for such purpose.
I understand that notwithstanding any such etching, my participation in the Event does not guarantee that
my vehicle or the catalytic converter will not be stolen, nor does it guarantee that my vehicle or catalytic
converter will be recovered if stolen.
In consideration for my participation in the Event, I hereby waive, release and discharge the City, LASD
and Van Lingen, including but not limited to their employees, subcontractors, representatives, officials, and
agents (collectively, the “Event Providers”), from and against any and all claims or liabilities to me or any
other person, including but not limited to claims or liabilities for bodily injury, illness, death, property
damage, or failure to prevent theft of property, arising from or related in any way to my participation in the
Event, including the negligence of the City, LASD, Van Lingen or any other participants in the Event, and
I agree to waive my rights to make any such claims through any action or proceeding against the Event
Providers. However, I understand that this paragraph is not intended to release any Event Provider from
any act or omission of gross negligence.
I hereby expressly waive any and all rights conferred upon me by the provisions of California Civil Code
Section 1542, which I understand reads as follows:
“A general release does not extend to claims that the creditor or releasing party does not know or suspect
to exist in his or her favor at the time of executing the release and that, if known by him or her, would have
materially affected his or her settlement with the debtor or released party.”
This waiver shall be effective as a bar to any and all actions, fees, damages, losses, claims, liabilities and
demands of whatsoever character, nature and kind, that are known or unknown, or suspected or
unsuspected, that may arise from or relate in any way to my participation in the Event.
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
01203.0001/893909.1
To the full extent permitted by law, I agree to hold and save harmless the Event Providers from any and all
actions, claims, proceedings, damages to persons or property, losses, costs, fees, expenses, forfeitures,
penalties, obligations, errors, omissions or liabilities, whether actual or threatened, that may be asserted or
claimed by any person, firm or entity (“Claims”) arising out of or in connection with my participation in
the Event, and to defend and indemnify the Event Providers from and against all Claims arising from my
negligence or intentional misconduct in connection with my participation in the Event. This obligation shall
be binding on my heirs, successors, and assigns and shall not expire.
I hereby grant the City and LASD the right to photograph or video-record me or my vehicle during or in
connection with the Event, and to use my photographed or video-recorded likeness, and any image,
silhouette, or reproduction of me, my voice or appearance, or my vehicle taken during or in connection with
the Event (“Likeness”), for any purpose, including publicity and promotion of the City or LASD or their
respective events, and creation or production of materials in any form for such purpose, with no claim of
entitlement to any license fee or royalty of any kind from the City, LASD or Van Lingen. I hereby waive
any right to the intellectual property of my Likeness. The rights granted by me hereunder shall not expire.
No oral representations, statements, or inducements, apart from this written form, have been made with
regard to the subject matter of this form. If any portion of this form is declared invalid by a court of
competent jurisdiction, the remainder shall continue in full force and effect.
By signing below, I acknowledge and represent that I have read and understand the above, and that
I voluntarily agree to its terms.
Signature of Participant: ____________________________________ Date: ______________________
Print Name: _______________________________
DocuSign Envelope ID: 304F3CF2-D2E2-43BD-81D4-AC95B47A6E03
Certificate Of Completion
Envelope Id: 304F3CF2D2E243BD81D4AC95B47A6E03 Status: Completed
Subject: Complete with DocuSign: RPV - Catalytic Converter Event License Agreement (LASD).docx
Source Envelope:
Document Pages: 11 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 2 Shaunna Hunter
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
30940 Hawthorne Blvd.
Rancho Palos Verdes, CA 90275
shunter@rpvca.gov
IP Address: 72.34.97.146
Record Tracking
Status: Original
6/28/2023 2:22:40 PM
Holder: Shaunna Hunter
shunter@rpvca.gov
Location: DocuSign
Signer Events Signature Timestamp
Tina McCoy
tmmccoy@lasd.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 136.226.64.111
Sent: 6/28/2023 2:27:15 PM
Viewed: 6/28/2023 2:35:08 PM
Signed: 6/28/2023 2:42:09 PM
Electronic Record and Signature Disclosure:
Accepted: 6/28/2023 2:35:08 PM
ID: f8d77089-09cd-495a-be6d-3fb564476e9a
Ara Mihranian
aram@rpvca.gov
City Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Uploaded Signature Image
Using IP Address: 72.34.97.146
Sent: 6/28/2023 2:42:11 PM
Viewed: 6/28/2023 2:58:21 PM
Signed: 6/28/2023 2:59:29 PM
Electronic Record and Signature Disclosure:
Accepted: 6/28/2023 2:58:21 PM
ID: 83c2339b-f8ba-44ac-9b97-29a213e32ed5
William Wynder
wwynder@awattorneys.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.112.162.3
Sent: 6/28/2023 2:59:30 PM
Viewed: 6/28/2023 3:00:02 PM
Signed: 6/28/2023 3:00:20 PM
Electronic Record and Signature Disclosure:
Accepted: 6/28/2023 3:00:02 PM
ID: adeddb18-f485-46c1-87f7-fd397c0542a1
Teresa Takaoka
terit@rpvca.gov
City of Rancho Palos Verdes
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 75.83.180.163
Signed using mobile
Sent: 6/28/2023 3:00:21 PM
Viewed: 6/28/2023 5:59:30 PM
Signed: 6/28/2023 5:59:45 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
City Clerk
cityclerk@rpvca.gov
Security Level: Email, Account Authentication
(None)
Sent: 6/28/2023 5:59:47 PM
Viewed: 6/29/2023 12:39:54 PM
Electronic Record and Signature Disclosure:
Accepted: 2/1/2023 3:10:58 PM
ID: 505eed45-7ed0-4db8-aae6-ef6eedfef03d
Michael White
mawhite@lasd.org
Security Level: Email, Account Authentication
(None)
Sent: 6/28/2023 5:59:48 PM
Viewed: 6/29/2023 1:35:25 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/28/2023 2:27:15 PM
Certified Delivered Security Checked 6/28/2023 5:59:30 PM
Signing Complete Security Checked 6/28/2023 5:59:45 PM
Completed Security Checked 6/28/2023 5:59:48 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Rancho Palos Verdes (we, us or Company) may be required by law to
provide to you certain written notices or disclosures. Described below are the terms and
conditions for providing to you such notices and disclosures electronicall y through the DocuSign
system. Please read the information below carefully and thoroughly, and if you can access this
information electronically to your satisfaction and agree to this Electronic Record and Signature
Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to
use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign
system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made av ailable
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 6/15/2021 5:55:39 PM
Parties agreed to: Tina McCoy, Ara Mihranian, William Wynder, City Clerk
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact City of Rancho Palos Verdes:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: terit@rpvca.gov
To advise City of Rancho Palos Verdes of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at terit@rpvca.gov and in the body
of such request you must state: your previous email address, your new email address. We do not
require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from City of Rancho Palos Verdes
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to terit@rpvca.gov and in the body of
such request you must state your email address, full name, mailing address, and telephone
number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Rancho Palos Verdes
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to terit@rpvca.gov and in the body of such request you must state your
email, full name, mailing address, and telephone number. We do not need any other information
from you to withdraw consent.. The consequences of your withdrawing consent for online
documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify City of Rancho Palos Verdes as described above, you consent
to receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by City of Rancho Palos Verdes during the course of your relationship
with City of Rancho Palos Verdes.