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CD Professional Building Division ServicesAGREEMENT FOR PROFESSIONAL SERVICES WITH COASTLAND CIVIL ENGINEERING, INC. TO PROVIDE PROFESSIONAL PLAN REVIEW SERVICES, BUILDING INSPECTION SERVICES AND PERMIT TECHNICIAN SERVICES ON AN AS -NEEDED BASIS This Agreement is made and entered into this )51' day of OC i o t3 E 2014, by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and COASTLAND CIVIL ENGINEERING, INC. (hereinafter "CONSULTANT"). RECITALS WHEREAS, with increased building activity and continued staffing constraints (including a vacant Building Inspector H position), the CITY finds that there is a need to employ the services of a qualified consultant to assist in administering building permits and conducting building inspections; and WHEREAS, the CITY desires to employ the services of the CONSULTANT to: a) provide qualified plan checkers to staff a reinstated, commercial [expedited] plan review and permit service; b) provide specialized building inspection services for projects subject to review by the State of California Office of Statewide Health Planning and Development (OSHPD); c) assist staff in the popular, residential over-the-counter plan check and permit service; and d) provide field and building inspection services needed to maintain current service levels. In addition, in order to improve customer options, the CITY desires to hire an additional qualified consultant to supplement the list of available consultants for Building Division services; and WHEREAS, the CITY finds that the CONSULTANT services will be provided on an "as needed" basis and the cost for services will be off -set by permit fees and/or covered by salary savings from the currently -vacant Building Inspector H position; and WHEREAS, the CONSULTANT is a well-established, Bay Area -based engineering firm that provides similar contractual services for other governmental agencies in the region; AGREEMENT NOW, THEREFORE, the parties hereby agree as follows: 1. PROJECT COORDINATION. A. CITY'S Project Manager. The CHIEF BUILDING OFFICIAL 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. CONSULTANT'S Project Director. CONSULTANT shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this I � ., Ir 11/11/14 � 'U�l'•;, Agreement for CONSULTANT. SALVATORE LUCIDO is hereby designated as the PROJECT DIRECTOR for CONSULTANT. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONSULTANT shall notify the CITY within ten (10) business days of the substitution. 2. DUTIES OF CONSULTANT. CONSULTANT shall perform the duties and/or provide services as follows: Provide professional services for the review of proposed building plans for conformance to regulations contained in the state mandated building, energy, plumbing, mechanical and electrical codes, as these codes are adopted by the CITY. The CONSULTANT services for this review shall include the following scope: A. Arrange pick up and/or pay the cost of shipping one set of plans and documents to the CONSULTANT's office and shipment back to CITY offices of the final approved plans and documents; B. Perform traditional preliminary plan review consultations in CONSULTANT's main office by meetings or by telephone; C. Perform traditional initial plan review of submitted plans to determine compliance with CITY adopted California Building Code, Residential Code, Plumbing Code, Mechanical Code, Electrical Code, California energy code requirements, CalGreen, and SRMC Title 12; D. Provide the CITY with a typed list of items needing clarification or change to achieve conformance with the above regulations; E. Perform all necessary liaison with the applicant's designee by telephone, fax, mail or meeting in CONSULTANT's main office, and perform all necessary rechecks to achieve conformance to the regulations; F. Perform all necessary liaison with the Chief Building Official or his designee, by mail, telephone, fax or meeting in CONSULTANT's main office or at City offices, to insure compliance with compliance with local policy interpretations related to subject reviews; and G. Perform plan review on revisions to plans that have previously been approved for permit issuance. In addition, the CONSULTANT shall be available to provide the following services on an "as - needed" basis: H. Attend meetings at the CITY offices related to proposed building projects at the request of the Chief Building Official or at locations other than CONSULTANT's office; 11/11/14 2 I. Provide qualified, certified building inspector(s) capable of performing light commercial or residential inspections; J. Provide qualified, certified permit technicians capable of performing essential duties; K. Provide a qualified individual to perform detailed technical inspections of OSHPD III facilities; L. Provide a qualified individual to perform residential (over-the-counter service) and light commercial plan review (commercial [expedited] plan review and permit service at the CITY offices; and M. Perform extra work when requested in writing by the CITY. Further, CONSULTANT agrees to provide adequate resources to achieve the following service delivery goals for timely performance of the work over which the CONSULTANT has decision authority: Project Type • New or remodeled, low-rise residential construction or additions • Light commercial new construction, additions and tenant improvements • Large commercial or residential multi- family new construction projects • Rechecks Service Goal Complete initial plan review within 10 working days Complete initial plan review within 10 working days Complete initial plan review within 15 working days Complete review within 7 working days For the purpose of measuring performance, working days exclude the day plans are received by CONSULTANT and include the day a plan review has been completed. Working days do not include weekends or CITY holidays. Service level goals are subject to modification upon mutual Agreement of the CONSULTANT and CITY. 3. DUTIES OF CITY. CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as follows: A. At the time of the project submittal, obtain from the applicant/customer the necessary items to allow plan review to be completed in the shortest overall time frame. Necessary items include, but are not limited to, complete plans, construction specifications, soils reports, Title 24 energy calculations, structural calculations, the name and address and telephone number of the applicant's designated contact person and similar items that may be unique to a particular project; 11/11/14 3 B. Notify the CONSULTANT that the plans are ready for pick-up, or transmittal by mail or courier as previously agreed to; C. Provide or confirm the valuation for the proposed construction to determine the appropriate building permit fees; D. Provide the CONSULTANT with copies of any CITY ordinances that modify the regulations listed in Section 2(C) above; E. Collect sufficient plan check fees from applicant/customer to ensure that there are adequate funds to cover all costs in the event that the applicant/customer decides to abandon the permit process after the CONSULTANT has completed the initial plan check. 4. COMPENSATION. For the full performance of the services described herein by CONSULTANT, CITY shall pay CONSULTANT as follows: A. Compensation for each plan reviewed under Sections 2(A) through 2(F) shall per the "Building Rate Schedule," as presented in the attached Exhibit A. B. Compensation for all other work performed under Section 2(G) through 2(M), above shall be at the rates as set forth in Exhibit A attached. The method of calculating compensation for each such plan reviewed shall be as agreed to by the Chief Building Official and CONSULTANT. C. Total compensation authorized under this Agreement shall not exceed $20,000.00. D. Payment to CONSULTANT shall be made on a monthly basis following receipt of an itemized invoice submitted by CONSULTANT. 5. TERM OF AGREEMENT. The term of this Agreement shall be for one (1) year commencing on October 1, 2014 and ending on October 1, 2015. An extension of this Agreement or the execution of a new Agreement with the CONSULTANT that is in excess of $20,000 shall require the approval of the City Council. 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 fifteen (15) days written notice mailed or personally delivered to the other party, and the notified party's failure to 11/11/14 4 cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such notice, within such fifteen (15) day time period. 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. D. Return of Documents. Upon termination, any and all CITY documents or materials provided to CONSULTANT and any and all of CONSULTANT's documents and materials prepared for or relating to the performance of its duties under this Agreement, shall be delivered to CITY as soon as possible, but not later than thirty (30) days after termination. 7. OWNERSHIP OF DOCUMENTS. The written documents and materials prepared by the CONSULTANT in connection with the performance of its duties under this Agreement shall be the sole property of CITY. CITY may use said property for any purpose, including projects not contemplated by this Agreement. 8. INSPECTION AND AUDIT. Upon reasonable notice, CONSULTANT shall make available to CITY, or its agent, for inspection and audit, all documents and materials maintained by CONSULTANT in connection with its performance of its duties under this Agreement. CONSULTANT 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. Scope of Coverage. During the term of this Agreement, CONSULTANT shall maintain, at no expense to CITY, the following insurance policies: 1. A commercial general liability insurance policy in the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, 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 dollars ($1,000,000) dollars per occurrence. 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 11/11/14 7 of one million dollars ($1,000,000) per claim/two million dollars ($2,000,000) aggregate, to cover any claims arising out of the CONSULTANT's performance of services under this Agreement. Where CONSULTANT is a professional not required to have a professional license, CITY reserves the right to require CONSULTANT to provide professional liability insurance pursuant to this section. 4. If it employs any person, CONSULTANT 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 CONSULTANT against all liability for injuries to CONSULTANT's officers and employees. CONSULTANT'S worker's compensation insurance shall be specifically endorsed to waive any right of subrogation against CITY. B. Other Insurance Requirements. The insurance coverage required of the CONSULTANT in subparagraph A of this section above shall also meet the following requirements: 1. Except for professional liability and workers compensation insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additionally insureds under the policies. 2. The additional insured coverage under CONSULTANT'S insurance policies shall be primary with respect to any insurance or coverage maintained by CITY and shall not call upon CITY's insurance or self-insurance coverage for any contribution. The "primary and noncontributory" coverage in CONSULTANT'S policies shall be at least as broad as ISO form CG20 0104 13. 3. Except for professional liability insurance, the insurance policies shall include, in their text or by endorsement, coverage for contractual liability and personal injury. 4. The insurance policies shall be specifically endorsed to provide that the insurance carrier shall not cancel, terminate or otherwise modify the terms and conditions of said insurance policies except upon ten (10) days written notice to the PROJECT MANAGER. 5. 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. 6. The insurance policies shall provide for a retroactive date of placement coinciding with the effective date of this Agreement. 7. The limits of insurance required in this Agreement may be satisfied by a combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement) before CITY'S own insurance or self-insurance shall be called upon to protect it as a named insured. 11/11/14 6 8. It shall be a requirement under this Agreement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be available to CITY or any other additional insured party. Furthermore, the requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy or proceeds available to the named insured; whichever is greater. C. Deductibles and SIR'S. Any deductibles or self-insured retentions in CONSULTANT's insurance policies must be declared to and approved by the PROJECT MANAGER and City Attorney, and shall not reduce the limits of liability. Policies containing any self-insured retention (SIR) provision shall provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY or other additional insured party. At CITY's option, the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to CITY's satisfaction, or CONSULTANT shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. D. Proof of Insurance. CONSULTANT shall provide to the CITY the following: (1) Certificate(s) of Insurance evidencing the insurance coverage required in this Agreement; (2) a copy of the policy declaration page and/or endorsement page listing all policy endorsements for the commercial general liability policy, and (3) excerpts of policy language or specific endorsements evidencing the other insurance requirements set forth in this Agreement. CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements from CONSULTANT. Failure to exercise this right shall not constitute a waiver of the right to exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT MANAGER and the City Attorney. 11. INDEMNIFICATION. A. Except as otherwise provided in Paragraph B., CONSULTANT shall, to the fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of litigation, (collectively "CLAIMS"), arising out of CONSULTANT'S performance of its obligations or conduct of its operations under this Agreement. The CONSULTANT's obligations apply regardless of whether or not a liability is caused or contributed to by the active or passive negligence of the City Indemnitees. However, to the extent that liability is caused by the active negligence or willful misconduct of the City Indemnitees, the CONSULTANT's indemnification obligation shall be reduced in proportion to the City Indemnitees' share of liability for the active negligence or willful misconduct. In addition, the acceptance or approval of the CONSULTANT's work or work product by the CITY or any of its directors, officers or employees shall not relieve or reduce the CONSULTANT's indemnification obligations. In the event the City Indemnitees are made a party to any action, lawsuit, or other adversarial proceeding arising from CONSULTANT'S performance of or operations under this Agreement, CONSULTANT shall provide a defense to the City Indemnitees or at CITY'S option 11/11/14 7 reimburse the City Indemnitees their costs of defense, including reasonable attorneys' fees, incurred in defense of such claims. B. The obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by the insurance obligations contained in this Agreement, and shall survive the termination or completion of this Agreement for the full period of time allowed by law. 12. NONDISCRIMINATION. CONSULTANT 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. 13. COMPLIANCE WITH ALL LAWS. CONSULTANT shall exercise due professional care to 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. CONSULTANT shall exercise due professional care perform all services under this Agreement in accordance with these laws, ordinances, codes and regulations. CONSULTANT shall release, defend, indemnify and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities, penalties, fines and other consequences from any noncompliance or violation or any laws, ordinances, codes or regulations. 14. NO THIRD PARTY BENEFICIARIES. CITY and CONSULTANT 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's Project Manager: TO CONSULTANT's Project Director: 1 l/1 l/14 8 Thomas Ahrens City of San Rafael 1400 Fifth Avenue P.O. Box 151560 San Rafael, CA 94915-1560 Salvatore Lucido Coastland Civil Engineering Inc. 1400 Neotomas Avenue Santa Rosa, CA 95405 16. INDEPENDENT CONTRACTOR. For the purposes, and for the duration, of this Agreement, CONSULTANT, its officers, agents and employees shall act in the capacity of an Independent Contractor, and not as employees of the CITY. CONSULTANT and CITY expressly intend and agree that the status of CONSULTANT, 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 CONSULTANT 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 CONSULTANT and the CITY. 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. CONSULTANT agrees that CITY may deduct from any payment due to CONSULTANT under this Agreement, any monies which CONSULTANT 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 11/11/14 9 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. 21. CITY BUSINESS LICENSE / OTHER TAXES. CONSULTANT shall obtain and maintain during the duration of this Agreement, a CITY business license as required by the San Rafael Municipal Code CONSULTANT shall pay any and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for any work performed under this Agreement, until CONSULTANT has provided CITY with a completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and Certification). 22. APPLICABLE LAW. The laws of the State of California shall govern this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month and year first above written. CITY OF SAN RAFAEL NANCY MAC E, City Manager ATTEST: ESTHER C. BEIRNE, City Clerk APPROVED AS TO FORM: 11/11/14 CONSULTANT By: w Name: �l0 Vt L• Gi,lZ 2 % Title: C� By: Name: /?"( w. Title: C �c ROBERT F. EPSTEIN, City Attornety Attachments: EXHIBIT A: Billing Rate Schedule; September 2014 Coastland.PSAbldg final 11 11 14 11/11/14 EXHIBIT A *t3;"1LL1-NG RATE SC-HEDULE September 2014 FIXED FEE PLAN CHECK SCHEDULE 90% of the City's plan check fee for projects with a valuation less than $2,000,000 O 80% of the City's plan check fee for projects with a valuation greater than $2,000,000 Structural Only reviews at 75% of the fee calculated above for full reviews MEP only reviews at 50% of the fee calculated above for full reviews MEP & Structural Only reviews at 90% of the fee calculated above for full reviews Note: Our minimum fee for a given plan check -is $1,000. Our fixed fee includes an initial plan review and one re -check for approval. Any reviews beyond the re -check would be provided on a time -and -materials basis in accordance with our hourly rates. We will not exceed the established maximum amount without prior approval from the City. For expedited plan reviews, we will negotiate a separate fee structure commensurate with the timelines desired by both the applicant and the City. SCHEDULE OF HOURLY RATES (partial schedule, effective through June 2015) Supervising Plan Check Engineer Building Plan Check Engineer Building Plans Examiner Building Official Senior Building Inspector . Building Inspector Building Technician Vehicle/Mileage $150-170/hour $140-160/hour $105-130/hour $140-160/hour $105-130/hour $90-105/hour $75-851hour $12-15/hour or $0.65/mile KEY PERSONNEL.SPECIFIC HOURLY RATES (effective through June 2015) William (Bill) Tally $110/hour (includes vehiclelmileage) Thomas Thompson $110/hour (includes vehicle/mileage) Matthew Stockton $130/hour (includes vehicle/mileage) CliPntit- 1635 r9i7Af;�YaEt/l ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM.'DD'YYYY) 9/09/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604-2675 510 465-3090 Stefanie NardelliINSURER(S) ; NAStefanie Nardelli PHONE _510 465-3090 Fax 510 452-2193 �(A/C, No): EAMAI E-MAIL ADDRESS: AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED INSURER a: Hartford Accident & Indemnity 22357 Coastland Civil Engineering, Inc. INSURER C: XL Specialty Insurance Co. 37885 1400 Neotomas Avenue Santa Rosa, CA 95405 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE _ ADDL SUBR' _ POLICY EFF POLICY EXP LIMITS LTR _ INSR WVD I POLICY NUMBER MM/DD/YYYY I MM/DD/YYY A GENERAL LIABILITY X X 57SBWBG9489 1910112014 09/01/2015 EACH OCCURRENCE $110000 _ X COMMERCIAL GENERAL LIABILITY OAV6GFETO RENTED _ FREMIS S(Eaoccurrence)_ $1,000,000 CLAIMS -MADE OX OCCUR MED EXP (Any one person) _$10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG I $2,000,000 POLICY X EO�1LOC _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X X 57UEGVJ9650 9/01/2014 09/01/2015 Eaeccident X1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) I $ X HIRED AUTOS FX NON -OWNED PROPERTY DAMAGE $ AUTOS Per accident $ A X UMBRELLA LIAB X OCCUR X X 57SBWBG9489 9/01/2014 09/01/2015 EACH OCCURRENCE $4000,000 t EXCESS LIAB CLAIMS -MADE AGGREGATE s4,000000 + I DED RETENTION $ $ B WORKERS COMPENSATION X 57WEGGG8117 09/01/2014 09/01/2015, X WC S LIM j I ETH - AND EMPLOYERS' LIABILITY ANY PROPRIETOR:PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $1,000,000 OFFICEi.'MEMBER EXCLUDED? � N / A (Mandatory In NHI I E.L. DISEASE - EA EMPLOYEEI 51.000.000 DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT I $1 ,UIJ C Professional DPR9717618 9/01/2014.09/01/2015 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS. LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. GENERAL LIABILITY/AUTOMOBILE LIABILITY ADDITIONAL INSURED: City of San Rafael CERTIFICATE HOLDER CANCELLATION City of San Rafael SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Leslie Blomquist ACCORDANCE WITH THE POLICY PROVISIONS. 111 Morphew Street AUTHORIZED REPRESENTATIVE San Rafael, CA 94901-0000 , ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1099397/M1088727 DAC Insured: Coastland Civil Engineering, Inc. Policy Number: 57WEGGG8117 Effective Date: 0901 2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization City of San Rafael Attn: Leslie Blomquist 111 Morphew Street San Rafael, CA 94901-0000 SCHEDULE Job Description SCHEDULE CONTINUATION: City of San Rafael Countersigned by A44-" C -17e. Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: Policy Expiration Date: PROFESSIONAL SERVICES AGREEMENT/CONTRACT COMPLETION CHECKLIST AND ROUTING SLIP Below is the process for getting your professional services agreements/contracts finalized and executed. Please attach this "Completion Checklist and Routing Slip" to the front of your contract as you circulate it for review and signatures. Please use this form for all professional services agreements/contracts (not just those requiring City Council approval). This process should occur in the order presented below. Step Responsible Description Completion Department Date 1 City Attorney Review, revise, and comment on draft P 0i I `� agreement. 2 Contracting Department Forward final agreement to contractor for their signature. Obtain at least two signed (e ' / ql i � f `t originals from contractor. 1 3 Contracting Department Agendize contractor -signed agreement for Niq Council approval, if Council approval WL it necessary (as defined by City Attorney/City / Ordinance*). 4 City Attorney Review and approve form of agreement; bonds, and insurance certificates and endorsements. 1 Za 5 City Manager / Mayor / or Agreement executed by Council authorized U l I f { Department Head official. 6 City Clerk City Clerk attests signatures, retains original agreement and forwards copies to the contracting department. To be completed by Contracting Department: 6PIAyi l a►�a! Cir i� Project Manager: ProjectName:Fpultc�s.!�o21J LGcs Agendized for City Council Meeting of (if necessary): NA If you have questions on this process, please contact the City Attorney's Office at 485-3080. * Council approval is required if contract is over $20,000 on a cumulative basis.