HomeMy WebLinkAboutCC Resolution 9680 (Police Report Writing System)RESOLUTION NO. a6.8 Q
A RESOLUTION OF THE SAN RAFAEL CITY COUNCIL AUTHORIZING THE
SIGNING OF AN AGREEMENT FOR PROFESSIONAL SERVICES WITH IMPACT
SOLUTIONS, INC., FOR AN INTEGRATED POLICE REPORT WRIIING SYSTEM
FOR THE SAN RAFAEL POLICE DEPARTMENT
(ONE YEAR AGREEMENT COMMENCING AUGUST 20, 1996, AND ENDING ON
AUGUST 19, 1997 FOR $78,951.00)
WHEREAS, the San Rafael Police Department has been awarded a Federally funded
COPS MORE Grant in order to purchase computer software, notebook computers and other
necessary hardware and software for usage by patrol officers, investigators and supervisors to
increase the presence of existing sworn officers in community policing activities; and
WHEREAS, Impact Solutions, Inc., will conduct a detailed study of the San Rafael
Police Department's forms and the flow of forms and reports, will provide and deliver ten (10)
reports and report forms, will provide an approval and messaging module for our notebook
and workstation computers, train our trainers to use the system, provide an external data
transfer module which will allow us to directly upload data from our reports into our records
management system; and
WHEREAS, staff has attempted to locate field reporting software products consistent
with the processes and requirements specifically needed in San Rafael and to chose a
product that will allow us to be compatible with other Marin County law enforcement agencies
and has determined that the professional services of Impact Solutions, Inc., best fit the needs
of the San Rafael Police Department.
NOW, THEREFORE, BE IT RESOLVED that the San Rafael City Council hereby
authorizes the City Manager to execute, on behalf of the City of San Rafael, an agreement for
Professional Services with Impact Solutions, Inc. for an integrated police report writing system
for the San Rafael Police Department. A copy of said agreement is hereby attached and by
this reference made a part of this resolution.
I, Jeanne M. Leoncini, Clerk of the City of San Rafael, hereby certify that the foregoing
resolution was duly and regularly introduced and adopted at a regular meeting of the City
Council held on Monday, the 19th day of August, 1996, by the following vote, to wit:
AYES: Councilmembers: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: Councilmembers: None
ABSENT: Councilmembers: None
JEJISM. LEONCINI, City Clerk
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EXHIBIT A
AGREEMENT
FOR PROFESSIONAL SERVICES
This Agreement is made and entered into this 19th day of AUGUST
1996, by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and IMPACT
SOLUTIONS, INC. (hereinafter "CONTRACTOR").
RECITALS
WHEREAS, the CITY desires to retain a computer system integrator to skillfully
implement an integrated report writing system; and,
WHEREAS, the CONTRACTOR has represented they have extensive expertise in
public safety report writing systems;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY. The City Manager shall be the representative of the CITY for
all purposes under this Agreement. Bureau Commander Gene
Pennington is hereby designated the PROJECT MANAGER for the
CITY, and said PROJECT MANAGER shall supervise all aspects of
the progress and execution of this Agreement.
B. CONTRACTOR. CONTRACTOR shall assign a single PROJECT
MANAGER to have overall responsibility for the progress and
execution of this Agreement for CONTRACTOR. Mel Meinhardt is
hereby designated as the PROJECT MANAGER for
CONTRACTOR. Should circumstances or conditions subsequent
to the execution of this Agreement require a substitute PROJECT
MANAGER for any reason, the CONTRACTOR shall notify the
CITY within ten (10) business days of the substitution.
COPY
Agreement For Professional Services with Impact Solutions, Inc.
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as
described in Exhibit "B" attached and incorporated herein.
3. DUTIES OF CITY.
CITY shall perform the duties as described in Exhibit "C" attached and
incorporated herein.
4. COMPENSATION.
For the full performance of the services described herein by
CONTRACTOR, CITY shall pay CONTRACTOR as described in Exhibit
"D." Payment will be made upon receipt by CITY Project Manager of
itemized invoices submitted by CONTRACTOR.
5. TERM OF AGREEMENT.
The term of this Agreement shall be for one year commencing on August
20, 1996, and ending on August 19, 1997.
6. TERMINATION.
A. Discretionary. Either party may terminate this Agreement without
cause upon thirty (30) days written notice mailed or personally
delivered to the other party.
B. Cause. Either party may terminate this Agreement for cause upon
ten (10) days written notice mailed or personally delivered to the
other party, and the notified party's failure to cure or correct the
cause of the termination notice, to the reasonable satisfaction of
the party giving such notice, within thirty (30) days of the receipt of
said notice.
C. Effect of Termination. Upon receipt of notice of termination,
neither party shall incur additional obligations under any provision
of this Agreement without the prior written consent of the other.
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7. CONFIDENTIALITY
CITY specific data, documents, materials, discussions or other information
developed or received by or for CONTRACTOR in the performance of
this Agreement are confidential and shall not be disclosed by
CONTRACTOR , or CONTRACTOR's officers, agents, and employees
except as authorized by CITY, or as required by law.
8. INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY, or
its agent, for inspection and audit, all documents and materials maintained
by CONTRACTOR in connection with its performance of its duties under
this Agreement. CONTRACTOR shall fully cooperate with CITY or its
agent in any such audit or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this
Agreement nor the performance of any of their respective obligations
hereunder, without the prior written consent of the other party, and any
attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE.
A. During the term of this Agreement, CONTRACTOR shall maintain,
at no expense to CITY, the following insurance policies:
1. A comprehensive general liability insurance policy in the
minimum amount of one million ($1,000,000) dollars per
occurrence for death, bodily injury, personal injury, or
property damage;
2. An automobile liability (owned, non -owned, and hired
vehicles) insurance policy in the minimum amount of one
million ($1,000,000) dollars per occurrence;
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3. If any licensed professional performs any of the services
required to be performed under this Agreement, a
professional liability insurance policy in the minimum amount
of one million ($1,000,000) dollars to cover any claims
arising out of the CONTRACTOR's performance of services
under this Agreement.
B. The insurance coverage required of the CONTRACTOR by section
11, shall also meet the following requirements:
1. The insurance shall be primary with respect to any insurance
or coverage maintained by CITY and shall not call upon
CITY's insurance or coverage for any contribution;
2. Except for professional liability insurance, the insurance
policies shall be endorsed for contractual liability and
personal injury;
3. Except for professional liability insurance, the insurance
policies shall be specifically endorsed to include the CITY,
its officers, agents, and employees as additionally named
insureds under the policies;
4. CONTRACTOR shall provide to CITY Project Manager, (a)
Certificates of Insurance evidencing the insurance coverage
required herein, and (b) specific endorsements naming
CITY, its officers, agents and employees, as additional
insureds under the policies;
5. The insurance policies shall provide that the insurance
carrier shall not cancel, terminate or otherwise modify the
terms and conditions of said insurance policies except upon
thirty (30) days written notice to CITY's Project Manager;
6. If the insurance is written on a Claims Made Form, then,
following termination of this Agreement, said insurance
coverage shall survive for a period of not less than five
years;
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Agreement For Professional Services with Impact Solutions, Inc.
7. The insurance policies shall provide for a retroactive date
of placement coinciding with the effective date of this
Agreement;
8. The insurance shall be approved as to form and sufficiency
by CITY Project Manager and the City Attorney.
C. If it employs any person, CONTRACTOR shall maintain worker's
compensation and employer's liability insurance, as required by the
State Labor Code and other applicable laws and regulations, and
as necessary to protect both CONTRACTOR and CITY against all
liability for injuries to CONTRACTOR's officers and employees.
D. Any deductibles or self-insured retentions in CONTRACTOR's
insurance policies must be declared to and approved by the city
Project Manager and the City Attorney. At CITY's option, the
deductibles or self-insured retentions with respect to CITY shall be
reduced or eliminated to CITY's satisfaction, or CONTRACTOR
shall procure a bond guaranteeing payment of losses and related
investigations, claims administration, attorney's fees and defense
expenses.
11. INDEMNIFICATION.
CONTRACTOR shall indemnify, release, defend and hold harmless CITY,
its officers, and employees, against any claim, demand, suit, judgment,
loss, liability or expense of any kind, including attorney's fees, arising out
of or resulting in any way, in whole or in part, from any acts or omissions,
intentional or negligent, of CONTRACTOR or CONTRACTOR's officers,
agents and employees in the performance of their duties and obligations
under this Agreement.
12. NONDISCRIMINATION.
CONTRACTOR shall not discriminate, in any way, against any person on
the basis of age, sex, race, color, religion, ancestry, national origin or
disability in connection with or related to the performance of its duties and
obligations under this Agreement.
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13. COMPLIANCE WITH ALL LAWS.
CONTRACTOR shall observe and comply with all applicable federal, state
and local laws, ordinances, codes and regulations, in the performance of
its duties and obligations under this Agreement. CONTRACTOR shall
perform all services under this Agreement in accordance with these laws,
ordinances, codes and regulations. CONTRACTOR shall release,
defend, indemnify and hold harmless CITY, its officers, agents and
employees from any and all damages, liabilities, penalties, fines and all
other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
14. NO THIRD PARTY BENEFICIARIES.
CITY and CONTRACTOR do not intend, by any provision of this
Agreement, to create in any third party, any benefit or right owed by one
party, under the terms and conditions of this Agreement, to the other
party.
15. NOTICES.
All notices and other communications required or permitted to be given
under this Agreement, including any notice of change of address, shall be
in writing and given by personal delivery, or deposited with the United
States Postal Service, postage prepaid, addressed to the parties intended
to be notified. Notice shall be deemed given as of the date of personal
delivery, or if mailed, upon the date of deposit with the United States
Postal Service. Notice shall be given as follows:
TO CITY:
Gene Pennington,
Commander
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
Voice: (415) 485-3044 Fax: (415) 485-3043
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Agreement For Professional Services with Impact Solutions, Inc.
TO CONTRACTOR:
William D. Taper
Chairman & CEO
Impact Solutions, Inc.
3625 Ruffin Road, Suite 200
San Diego, CA 92123
Voice: (619) 974-9762 Fax: (619) 974-9870
16 INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Agreement,
CONTRACTOR, its officers, agents and employees shall act in the
capacity of an Independent Contractor, and not as employees of the
CITY. CONTRACTOR and CITY expressly intend and agree that the
status of CONTRACTOR, its officers, agents and employees be that of an
Independent Contractor and not that of an employee of CITY.
17. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached,
and all documents expressly incorporated by reference, represent
the entire Agreement of the parties with respect to the subject
matter of this Agreement.
B. This written Agreement shall supersede any and all prior
agreements, oral or written, regarding the subject matter between
the CONTRACTOR and the CITY.
C. No other agreement, promise or statement, written or oral, relating
to the subject matter of this Agreement, shall be valid or binding,
except by way of a written amendment to this Agreement.
D. The terms and conditions of this Agreement shall not be altered or
modified except by a written amendment to this Agreement signed
by the CONTRACTOR and the CITY.
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Agreement For Professional Services with Impact Solutions, Inc.
E. If any conflicts arise between the terms and conditions of this
Agreement, and the terms and conditions of the attached exhibits
or the documents expressly incorporated by reference, the terms
and conditions of this Agreement shall control.
18. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any moneys which
CONTRACTOR owes CITY under any ordinance, agreement, contract or
resolution for any unpaid taxes, fees, licenses, assessments, unpaid
checks or other amounts.
19. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant
or condition of this Agreement, or of any ordinance, law or regulation,
shall not be deemed to be a waiver of any other term, covenant, condition,
ordinance, law or regulation, or of any subsequent breach or violation of
the same or other term, covenant, condition, ordinance, law or regulation.
The subsequent acceptance by either party of any fee, performance, or
other consideration which may become due or owing under this
Agreement, shall not be deemed to be a waiver of any preceding breach
or violation by the other party of any term, condition, covenant of this
Agreement or any applicable law, ordinance or regulation.
20. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and
conditions of this Agreement, or arising out of the performance of this
Agreement, may recover its reasonable costs (including claims
administration) and attorney's fees expended in connection with such
action.
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21. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this
Agreement, a CITY business license as required by the San Rafael
Municipal Code. CONTRACTOR shall pay any and all state and federal
taxes and any other applicable taxes. CONTRACTOR's taxpayer
identification number is 33-0533472, and CONTRACTOR certifies under
penalty of perjury that said taxpayer identification number is correct.
22. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
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IN WITNESS WHEREOF, the parties have executed this Agreement as of the
day, month and year first above written.
CITY OF SAN RAFAEL
'j uld, City Manager
ATTEST:
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ty Attorney
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CONTRACTOR
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By: �' ! .
William D. Taper, President & CEO
Agreement For Professional Services with Impact Solutions, Inc.
EXHIBIT B
DUTIES OF CONTRACTOR
This section describes the tasks and deliverables that the CONTRACTOR will perform as
part of this project.
2.0 Purpose and Objectives
In conjunction with the CITY, the CONTRACTOR will implement an Integrated
Report Writing System (IRINS) by completing the tasks described in the remainder
of this section.
2.1 Analysis and Specification
The first step in the process of automating a paper-based field reporting system is
the detailed study of the San Rafael Police Department's forms and the flow of
forms and reports through the organization. This task allows the Department and
CONTRACTOR project members to gain a thorough understanding of the data
collection requirements. This analysis is critical to the success of the project.
This process also provides the San Rafael Police Department with the opportunity
to conduct a systematic review of their existing reporting requirements. The
Department accrues substantial benefit as forms can be updated to meet current
reporting requirements and unnecessary reporting practices can be deleted.
2.1.1 Reports and/or Report Forms
As part of this project, CONTRACTOR will provide, deliver and train on no more
than ten (10) mutually identified reports and/or report forms. These reports
and/or report forms will be developed as a result of the analysis and specification
identified in section 2.1 above. All of these reports and/or report forms will be
customized to print the name, address and other identifying information of the
San Rafael Police Department on them. These reports and/or report forms are
identified as:
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Three (3) San Rafael Police Department Specific report forms. customized to the
specific requirements of the Department. The forms designated for
customization are:
• Incident Report, page 1 (Identified as SRPD-F-210a)
• Incident Report, page 2 (Identified as SRPD-F-210b)
• Supplement/Continuation Report (Identified as SRPD-F-211)
In addition, CONTRACTOR will provide, deliver and train on the following
CONTRACTOR standard report forms:
• CHP 555 (pg. 1 and 2)
• CHP Injury/Witness
• CHP 202 (DUI face and back page)
• Missing Person (face and back page)
2.1.2 Communication and Interface Requirements
The first phase will be to install a LAN based Integrated Field Report Writing
System (IRWS) for notebook computers and workstations. This software will
allow for the transfer of data collected by field and office personnel to a LAN
shared data base on a file server. The LAN based file server will retain the data
for a period of time to be identified during the work on task 2.1. The module will
upload and download data by the notebook computers to the shared data base
on the LAN.
The second phase will be to install a LAN based Approval and Messaging
Module for notebook computers and workstations. This software will allow for
the preview and approval of the various reports at supervisory computers.
The third phase will be to install a LAN based External Data Transfer Module
for networks. This module allows for the creation of flat ASCII records of the
information in the Xpediter relational database. This file will be an ASCII file
with an associated fixed length record layout. Each field must be of a fixed size
as defined in the associated record layout. This file is then served to the LAN
where the Department's RMS server may read the records for import into other
applications. CONTRACTOR will review record layout issues for this data
transfer with the Department during the project analysis and specification phase
(task 2.1).
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2.1.3 Delivery and Approval of the Specification Document
The CONTRACTOR will present the results of the analysis and specification
process in a document deliverable called the Xpediter Specification Document.
This document will serve as the project control document for defining project
scope with respect to software and interface functional requirements.
After CONTRACTOR has delivered two (2) copies of the Xpediter Specification
Document, the CITY will have 20 days to review and approve the document.
The approved document will be used by the CONTRACTOR programming staff
for software customization and as the baseline for system acceptance testing.
2.2 Software Development
All software development (or product customization) will be performed at the
CONTRACTOR's facilities in San Diego, California. The CITY's Project
Manager will have on going access to, and communication with the designated
CONTRACTOR Project Manager to ensure project coordination and status
reporting.
2.3 Software Delivery and Installation
After CONTRACTOR software customization and testing is complete,
CONTRACTOR will deliver two (2) copies of the application software on 3.5"
diskettes within 20 days. One copy is to be used for software installation on the
LAN server and workstations and the second copy used for backup. Additional
copies of the software are available from the CONTRACTOR for a charge. The
CITY is authorized to make additional backup copies of the original diskettes.
The CONTRACTOR will work with the CITY Project Manager and CITY
technical staff to install the Xpediter software on the Department's Microsoft
Windows NT server based LAN.
The CONTRACTOR will install one(1) copy of the application software on one or
more workstation(s) and/or notebook computers to be used for the
CONTRACTOR training classes. All other installations of the software will be
performed by CITY after the initial training classes.
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2.4 Software License Delivery
In consideration of the CITY's demonstration site potential in northern California,
CONTRACTOR will deliver an agency site license for one (1) LAN server and for
30 workstations or notebook computers.
2.5 Documentation
As part of this project, CONTRACTOR will develop and deliver four (4) different
sets of documentation. The first document to be delivered is the Project
Management Plan (PMP) which describes the detail project tasks, task
responsibilities and task schedules. This document will be delivered within two
(2) weeks of contract signing and must be approved by CITY Project Manager
within 10 days of receipt of the plan.
The second document is the Specification Document described above in Section
2.1, Analysis and Specification. This document will be delivered within (2) weeks
of the conclusion of the Analysis and Specification (task 2.1).
The remaining two documents are User's Manuals designed to assist personnel
in the use of the Xpediter application. These two documents will be delivered
as part of the tasks identified in section 2.6, Training.
Twenty-three (23) copies of this manual will be delivered as part of this project.
Additional copies of the manual may be provided for a charge.
The Xpediter Watch Commanders and System Supervisor's Manual contains all
the information in the standard User's Manual with additional sections that
describe supervisor functions and forms. Five (5) copies of this manual will be
provided as part of this project.
Note: the User's Manuals contain CONTRACTOR proprietary information and
reproduction is unauthorized. Reproduction in whole or part of manual contents
for training purposes within the CITY is permitted.
2.6 Training
As part of this project, CONTRACTOR will provide on-site training in the
Xpediter application. Training for the basic report writing function of the
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Agreement For Professional Services with Impact Solutions, Inc.
Xpediter application will consist of two (2), four (4) hour sessions held over a
consecutive two day period.
CONTRACTOR will provide training for a minimum of 6 and a maximum of 10.
Training for the aoQroval and messaaina functions of the Xpediter application
will consist of one (1), six (6) hour session.. CONTRACTOR will provide training
for a minimum of 6 and a maximum of 10. After completion of these classes,
these individuals will become the trainers for the remaining Department
personnel. The individuals selected as trainers will have basic knowledge of
Microsoft WindowsTm, workstation and notebook computer operation.
2.7 Software Testing and Acceptance
CONTRACTOR will conduct initial software testing based on CITY provided test
data prior to delivering the software. After software delivery, distribution,
installation and training of all the department's trainers has been completed, the
30 day System Acceptance period begins.
During the 30 day System Acceptance period, the CITY has the option of
recording and reporting to CONTRACTOR perceived software errors. With the
approval of the CITY and CONTRACTOR Project Managers, at the end of the
System Acceptance period, no instances of application malfunction have been
reported to, and verified by, CONTRACTOR Customer Service, the project will
be deemed accepted by the CITY. All software errors reported during the
Acceptance Period will be corrected prior to payment for this phase of the
project. Software errors reported to Customer Service but discovered after the
Acceptance Period and before the contract expires will be corrected prior to the
final payment. Software errors discovered after the contract expires will be
addressed under the terms of the Warranty or the follow-on Software Support
agreement, whichever is in force.
2.8 Software Warranty and Maintenance
CONTRACTOR will correct application errors within its deliverables caused
through workmanship or deviations from the approved design for a period of 60
days after the acceptance of the software. CONTRACTOR will furnish system
maintenance and warranty coverage for a period of one (1) year after the initial
60 days has expired. The cost for this system maintenance and warranty is
specified in Exhibit "D", COMPENSATION.
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2.9 Project Schedule
The following dates are project milestones which signify specific progress on the
associated tasks. These dates will be used as reference points for payments for
the services and products covered in the contract.
Milestone #1: Contract Signing
Milestone #2: Delivery of Functional Specification Document (FSD)
Milestone #3: Acceptance of Field Report Writing System
Milestone #4: Acceptance of Approval and Message Module
Milestone #5: Completion of Project as Certified by CITY Project Manager
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Agreement For Professional Services with Impact Solutions, Inc.
EXHIBIT C
DUTIES OF CITY
This section describes areas of project participation that are the responsibility of the
CITY.
3.1 Project Management Support
The CITY agrees to review, respond and approve in writing each
CONTRACTOR document deliverable within 20 days of receipt of same.
3.2 Hardware/Software Requirements
This contract does not include any costs associated with procurement or
implementation of project related hardware, network or operating system
software. Once identified by CONTRACTOR and the CITY, the CITY will
assume responsibility for procuring and implementing any hardware, operating
system software, workstations, notebook and computers required for this
project. Additionally, the CITY will provide the communication handlers and
protocol software as required for network interfaces.
The following list describes the CONTRACTOR recommendations for an
Xpediter workstation:
• Minimum requirements: 486/66 or higher PC's with 8MB RAM, 15-20 MB
hard disk space, Microsoft WindowsTm 3.1, Microsoft WindowsTm 3.11 for
Workgroups or Microsoft WindowsTM 95.
• Recommended requirements: Pentium 75 or higher PC's with 8MB RAM 20-
25 MB hard disk space.
• Keyboard, pen or mouse. Pen version requires Pen Microsoft WindoWSTM.
• Prints forms on HP or compatible Laser Printers with HP PCL 3 or 4 and 2
MB RAM.
• Minimum lower memory requirements are 520 k of base memory. A memory
manager such as QEMM is also recommended for Microsoft WindowsTm 3.x
workstations.
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Agreement For Professional Services with Impact Solutions, Inc.
3.3 Agency Specific Information Requirements
During the Analysis and Specification phase of the project, the CITY will provide
CONTRACTOR with a data element description for all fields associated with the
forms identified by the CITY. CONTRACTOR will assist the CITY in the
refinement of these specifications.
The CITY is responsible for supplying, approving and testing any software
required to import data from the flat file to other applications.
3.4 Training Responsibilities
It is the responsibility of the CITY to schedule personnel to the CONTRACTOR
provided training. The CITY will also develop a training plan that will allow the
CITY trainers to train the remaining CITY personnel in the operation of the field
reporting system.
It is the responsibility of the CITY to provide adequate training facilities for the
CONTRACTOR Training classes. The actual requirements for these facilities will
be determined by the CITY and CONTRACTOR Project management team.
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Agreement For Professional Services with Impact Solutions, Inc.
EXHIBIT D
COMPENSATION
This section contains the project pricing and payment schedule for this agreement.
Item Payment
Nbr. Event or Deliverable
Milestone #1 Contract Signing $15,790
Milestone #2 Delivery of Functional Specification Document $15,790
Milestone #3 Acceptance of Field Report Writing System $15,790
Milestone #4 Acceptance of Approval and Message Module $15,790
Milestone #5 Completion of Project as Certified by CITY $15,791
Project Manager
$78,951
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SUITE 200
SAN DIEGO, CA 92123
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= EACH OCCURRENCE
:.............................
:# 1,.000-,.000
..................;-................
FIRE DAMAGE (Ary om tlrej
: S 100,000
:...............................................................:
:.......... . .... -........
..................... .................
MED. EXPENSE (Any orro paws s 5,000
................... .............. .......................
:..
f Aummoam LTABLRY
COMBINED SINGLE
LXuIIf
:S 1,000,000
A= ;ANY AUTO B1 21706255
:. . .
........................
ALL OWNED ALTOS
....
.05/17/96 0 5 / 17 / 97= BODILY INJURY
(131 Pel
s
SCHEDULED AUTOS
....................
.............. ..--.....
X HIRED AUTOS
:........................
: BODILY IMAM
X NON -OWNED AUTOS
ludd9flb
................•..............................
;s
GARAGE LIABILFrY
;.........�
PROPERTY DAMAGE
13
:....... ................ .... .............. .....:.................... ................".....................
PJO =
...................... ..I....................... "'"""."."."......
EACH OCCURRENCE
...............-----.............
S ..........................
:.........•LIAIITLTTY
E UMBRELLA FORM
: AGGREGATE
s
CITY OF SAN RAFAEL
ATTN: GENE PENNINGTON,COMMANDER
P.O. BOX 151560
SAN RAFAEL CA 94915-1560
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY IOND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
UTHORIZED REPRESENTATIVE �, i
POLICY NUMBER 21606074 COMMERCIAL GENERAL LIABILITY
IMPACT SOLUTIONS CORPORATION 5/17/96-97 VALLEY FORGE INSURANCE CO.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - FORM B
This endorsement modifies insurance coverages under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS & EMPLOYEES
P.O. Box 151560
San Rafael, CA 94915
RE: Operations of the insured
(If no entry appears above, information required to complete this endorsement will be shown in
the Declaration as applicable to this endorsement.)
WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization
shown in the Schedule, but only as respect to liability arising out of "your work" for that in-
sured by or for you.
CG 20 10 11 85 Copyright, Insurance Services Office, Inc. 1984
THIS ENDORSEMENT CHANGES YOUR POLICY
PLEASE READ IT CAREFULLY
AMENDATORY ENDORSEMENT - ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Part
It is agreed that the insurance afforded to the Additional In-
sured is primary insurance.
If, however, the Additional Insured has other insurance which is
applicable to the loss, the said other insurance is excess over
any other valid and collectible insurance providing coverage.
The Company's limits of liability under this policy shall not be
reduced by the existence of such other insurance.
Additional Insured: CITY OF SAN RAFAEL, -ITS OFFICERS, AGENTS & EMPLOYEES
Attaches to policy number: . 21606074 Valley'Forge Ins. Co.
Insured • IMPACT SOLUTIONS CORPORATION
Effective dates: 5/17/96-97
Date Typed: 5%29/96
WESTLAND INS.. BROKERS