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CM Removal and Disposal ServicesAGREEMENT FOR REMOVAL AND DISPOSAL SERVICES This Agreement is made and entered into this 17-ro day of J v,JC , 2015, by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and THE AWAY STATION, INC., a corporation (hereinafter "CONTRACTOR"). RECITALS WHEREAS, the CITY wishes to repurpose tools, furniture, building materials, and other useful items from the building at 1309 5`" Avenue, San Rafael, California prior to demolition; and WHEREAS, the CONTRACTOR has a facility and offers services for repurposing items such as those found in the building at 1309 5h Avenue, San Rafael, California; AGREEMENT NOW, THEREFORE, the parties hereby agree as follows: 1. PROJECT COORDINATION. A. CITY'S Project Manager. The Sustainability and Volunteer Program Coordinator 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'S Project Director. CONTRACTOR shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONTRACTOR. The Executive Director is hereby designated as the PROJECT DIRECTOR for CONTRACTOR. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONTRACTOR shall notify the CITY within ten (10) business days of the substitution. 2. DUTIES OF CONTRACTOR. CONTRACTOR shall perform the duties and/or provide services as follows: CONTRACTOR shall sort through items in the garage and basement at 1309 5fl' Avenue, San Rafael, California and remove any items they deem able to be repurposed. CONTRACTOR shall provide all necessary means of sorting and removing the items. CONTRACTOR shall limit their work to one work day only to be scheduled with CITY's Project Manager. 3. DUTIES OF CITY. CITY shall provide access to the building and information to assist with CONTRACTOR'S duties. 4. COMPENSATION. For the full performance of the services described herein by CONTRACTOR, CONTRACTOR shall be compensated in a total contract amount not to exceed $550.00. It is understood and agreed by the parties that payment of compensation hereunder shall be made as follows: CONTRACTOR shall submit an itemized invoice with hourly rates and time spent to CITY, which shall remit payment within thirty (30) of receipt thereof. TERM OF AGREEMENT. The term of this Agreement shall be for a period commencing on the date first hereinabove written and ending on June 26, 2015. Upon mutual agreement of the parties, and subject to the approval of the City Manager the term of this Agreement may be extended for an additional period or periods of up to (2) weeks. 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 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 CONTRACTOR and any and all of CONTRACTOR'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. 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. CITY agrees to CONTRACTOR's assignment of all or a portion of its duties with respect to sorting and removal of the items from 1509 5 Street as described in Paragraph 2 to Marin City Community Development Corporation, provided that CONTRACTOR shall continue to be responsible for guaranteeing that such sorting and removal activities are performed in a manner that is reasonably satisfactory to CITY, that CONTRACTOR shall continue to have all the other obligations with respect to such activities under this Agreement. 8. INSURANCE. A. Scope of Coverage. During the term of this Agreement, CONTRACTOR 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 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. CONTRACTOR'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 CONTRACTOR in subparagraph A of this section above shall also meet the following requirements: 1. The commercial general liability insurance policy shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additionally named insureds under the policies. 2. The additional insured coverage under CONTRACTOR'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 CONTRACTOR'S policies shall be at least as broad as ISO form CG20 0104 13. 3. 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. 4. The insurance policies shall provide for a retroactive date of placement coinciding with the effective date of this Agreement. 5. 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. 6. 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 CONTRACTOR'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 CONTRACTOR shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. D. Proof of Insurance. CONTRACTOR shall provide to the PROJECT MANAGER or CITY'S City Attorney all of the following: (1) Certificates 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 CONTRACTOR. 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. 9. RELEASE AND INDEMNIFICATION. A. CONTRACTOR agrees, on behalf of CONTRACTOR, its officers and employees, and agents, and the legal successors and assigns of all such persons, to release, waive, and discharge the City of San Rafael, and its officers and employees, from any and all liability for any injury including death, or property damage, arising out of or connected with the performance of CONTRACTOR'S services hereunder. B. CONTRACTOR agrees to indemnify, release, defend with counsel approved by CITY, and hold harmless the City of San Rafael and its officers and employees volunteers (collectively, the "City Indemnitees"), against all claims and liability, including attorney's fees, arising out of the acts or omissions of CONTRACTOR, its employees, contractors and agents, in the performance of services under or arising from this Agreement. The CONTRACTOR'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, except that to the extent that liability is caused by the active negligence or willful misconduct of the City Indemnitees, the CONTRACTOR's indemnification obligation shall be reduced in proportion to the City Indemnitees' share of liability for the active negligence or willful misconduct. 4 C. The defense and indemnification 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. 10. 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. 11. 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. 12. 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. 13. 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. 14. 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. 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, 15. 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 tern, condition, covenant of this Agreement or any applicable law, ordinance or regulation. 16. 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. 17. 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 MACKLE, Itity Manager CONTRACTOR Name: Title: " d c '^fv_ Vwedi ATTEST: ESTHER C. BEIRNE, City Clerk APPROVED AS TO FORM: _ �,/' ig, ROBERT F. EPSTEIN, City AAomey ,-❑ NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II — WHO IS AN INSURED is amended to include any public entity as an additional insured for whom you are performing operations when you and such person or organization have agreed in a written contract or written agreement that such public entity be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of, in whole or in part, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity is an additional insured for liability arising out of the "products -completed operations hazard" or for liability arising out of the sole negligence of that public entity. B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The following is added to SECTION III — LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. D. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: NIAC E61 02 13 Page 1 of 2 (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) That is any other insurance available to an additional insured(s) under this Endorsement covering liability for damages arising out of the premises or operations, or products - completed operations, for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self-insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC E61 02 13 Page 2 of 2 AC40RDI 0 I DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE AC� 6/15/2015 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 CONTACT Nicole Klink NAME: Merriwether 6 Williams Insurance Services (ac N Ext); [A/C, FAX No): (213)258-3099 License No.: 0001378 E-MAIL ADDRESS: nicole@imwis.com 550 Montgomery St., Suite 550 INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:Philadelphia Indemnity Ins Co 18058 INSURED INSURERB:RSUI Indemnity Company 22314 Marin City Community Development Corp. INSURER C: 441 Drake Ave. INSURER D: INSURER E: Marin City CA 94965 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1561507212 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IA(, WVD POLICY NUMBER EMM/DDrf r"bYLJMMIDD/YYYYI, LIMITS X COMMERCIAL GENERAL LIABILITY1,000,000 EACH OCCURRENCE $ A CLAIMS -MADE X OCCUR DAMAGE PREMISES 100 000 PREMISESS (RENTED occurrence) 5 r X PHPK1336779 5/9/2015 5/9/2016 MED EXP (Any one person) 5 5,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,0001 X OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 000, 000 (Ea accidents A ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED PHPK1336779 5/9/2015 5/9/2016 BODILY INJURY (Per accident) S AUTOS AUTOS X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS LPer accident 5 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS MADE PHUB499685 5/9/2015 5/9/2016 AGGREGATE S 1,000,000 DED RETENTION $ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEN / A E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E L DISEASE - EA EMPLOYEE 5 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 B Directors & Officers NHP660490 11/30/2014 11/30/2015 Each Occurrence $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The Certificate Holder is hereby named Additional Insured, but only with respects to their interest as it may appear to the Named Insured's operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Away Station THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 109 Broadway Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Fairfax, CA 94930 AUTHORIZED REPRESENTATIVE i! P:: CI I. e R I. 1 Y'7 k r' N I V„ (.) (JE .✓ �s ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 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 Drofessional 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 agreement. 2 Contracting Department Forward final agreement to contractor for their signature. Obtain at least two signed originals from contractor. 3 Contracting Department Agendize contractor -signed agreement for Council approval, if Council approval NP t` necessary (as defined by City Attorney/City Ordinance*). 4 City Attorney Review and approve form of agreement;', .� bonds, and insurance certificates and endorsements. 5 City Manager / Mayor / or Agreement executed by Council authorized Department Head official. 6 City Clerk City Clerk attests signatures, retains original agreement and forwards copies to the r �� is contracting department. �(1 To be completed by Contracting Department: Project Manager: Cory Bvtof Project Name: Awav Station Salvage 1309 Stn 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. A� II CERTIFICATE OF LIABILITY INSURANCE 1DATE i E(MWDD�) 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAI NAME: Denise J. Billings Anixter & Oser, Inc. PHONE FHt (415) 898-1600 FAX I IANC. No): (415) 898-3922 License OE28888ADDRIESS:denise@properlyinsured.corn 205 San Marin Drive INSURERIS) AFFORDING COVERAGE NAIC # Novato CA 94945-1227 IINSURER ANonprofits Ins Alliance of CA NIAC INSURED Ij INSURER B The Away Station, Inc. I INSURER C : P.O. BOX 276 INSURER D: INSURER E: Fairfax CA 94978 IINSURERF: COVERAGES CERTIFICATE NLIMBER:CL1531111030 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MWDDIYYYY) IMMIDD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 REMIS I X COMMERCIAL GENERAL LIA131 TY PTO RENTED REMISES(Ea occurrence) $ 500,000 A I CLAIMS MADE FxI OCCUR 2015-27440 3/18/2015 3/18/2016 I MED EXP (Any one person) $ 20,000 X, Liquor Liability PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMN APPLIES PER I PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PF . F—]LOC $ AUTOMOBILE LIABILITY COMBINED tSINGLE LIMIT fEa accident) BId$ 11000,000 A X ANY AUTO I BODILY INJURY (Per person) $ ALL Or SCHEDULED 2015-27440 3/18/2015 3/18/2016 I BODILY INJURY (Per acddent) $ AUTOS AUTOS HIRED AUTOS NON-OWNED I PROPERTY DAMAGE $ AUTOS (Per accidentl Uninsured motorist combined $ 1.000,000 UMBRELLA LIARI I OCCUR EACH OCCURRENCE $ EXCESS LIAR IH CLAIMS-MADE I AGGREGATE IS DED I I RETENTION $ I I $ WORKERS COMPENSATION I, I WC LAATU- I I OFR I AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORFPARTNERIEXECUTIVEI E L EACH ACCIDENT I $ OFFICER+MEMBER EXCLUDED? � N/A (Mandatory In NH) I EL DISEASE - EA EMPLOYE $ Ifyes describeunder DESCRIPTION OF OPERATIONS below I EL DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) This certificate is provided as evidence of coverage for the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of San Rafael ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Cory AUTHORIZED REPRESENTATIVE D J. Billings/DENISE""`"rte ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS17125oninnst m Tho Arnpil noma onrl Innn ore ranietarorl morka of af`npn This is made and entered into this _& daof e f,# y :�-U/u — 2015, b Agreementy and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and THE AWAY STATION, INC., a corporation (hereinafter "CONTRACTOR"). 19 Ste 0 ".1i WFEEREAS, the CITY wishes to repurpose tools, furniture, building materials, and other useful items from the building at 1309 5h Avenue, San Rafael, California prior to demolition; and WHEREAS, the CONTRACTOR has a facility and offers services for repurposing items cuch as those found in the building at 1309 5h Avenue, San Rafael, California; A. CITY'S Project Manager. The Sustainability and Volunteer Program Coordinator 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'S Project Director. CONTRACTOR shall assign a singlv PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONTRACTOR. The Executive Director is hereby designated as the PROJECT DIRECTOR for CONTRACTOR.. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONTRACTOR shall notify the CITY within ten (10) business days of the substitution. P�Hlojv CONTRACTOR shall sort through items in the garage and basement at 1309 5th Avenue, San Rafael, California and remove any items they deem able to be repurposed. CONTRACTOR shall provide all necessary means of sorting and removing the items. CONTRACTOR shall limit their work to one work day only to be scheduled with CITY's Project Manager. CITY shall provide access to the building and information to assist with CONTRACTOR'S duties. 4. COMPENSATION. For the ftill perfon-nance of the services described herein by CONTRACTOR, CONTRACTOR shall be compensated in a total contract amount not to exceed $550.00. It is understood and agreed by the parties that payment of compensation hereunder shall be made as follows: CONTRACTOR shall submit an itemized invoice with hourly rates and time spent to CITY', which shall remit payment within thirty (30) of receipt thereof. 5. TERM OF AGREEMENT. The to of this Agreement shall be for a period commencing on the date first hereiriabove written and ending on June 26, 2015. Upon mutual agreement. of the parties, and subject to the approval of the City Manager the term of this Agreement may be extended for an additional period or periods of Lip to (2) weeks. C. TERM]NATION. 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 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 CONTRACTOR and any and all of CONTRACTOR'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. 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 atterript to so assign this Agreement or any rights, duties or obligations arising hereunder shall be void and of no effect. CITY agrees to CONTRACTOId's assi ent of all or a portion of its duties with respect to sorting and removal of the items from 1509 5 Street as described in Paragraph 2 to Marin City Community Development Corporation, provided that CONTRACTOR shall continue to be responsible for guaranteeing that such sorting and removal activities are perforined in a mariner that is reasonably satisfactory to CITY', that CONTRACTOR shall continue to have all the other obligations with respect to such activities under this Agreement. A. Scope of Coverage. During the term of this Agreement, CONTRACTOR shall maintain, at noexpense to CITY, the following insurance policies: I . A commercial general liability insurance policy in the minimum amount of one million dollars ($1,000,000) per f million dollars ($2,000,000) aggregate, for death, bodily injury, personal injury, or property damage. 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 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. CONTRACTOR'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 CONTRACTOR in subparagraph A of this section above shall also meet the following requirements: commercial general liability insurance policy shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additionally riamed insureds under the policies. 2. The additional insured coverage under CONTRACTOR'S insurance Rolicies shall be primary with respect to any insurance or coverage maintained by CITY and shaJI not call upon CITY's insurance or self-insurance coverage for any contribution. The "primary and noncontributory" coverage in CONTRACTOR'S policies shall be at least as broad as ISO form CG20 0104 13. 3. If the insurance is written on a Claims Made Form, then, following termination of this Agreement, said insurance coverage shall survive fora period of not less than five years. 4. The insurance policies shall provide for a retroactive date of placemen! coinciding with the effective date of this Agreement. 5. 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 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. I 6. 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 CONTRACTOR'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 CONTRACTOR shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. D. Proof of Insurance. CONTRACTOR shall provide to the PROJECT MANAGER or CITY'S City Attorney all of the following: (1) Certificates 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 CONTRACTOR. 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 Attomey. 9. RELEASE AND INDEMNIFICATION. A. CONTRACTOR agrees, on behalf of CONTRACTOR, its officers and employees, and agents, and the legal successors and assigns of all such persons, to release, waive, and discharge the City of San Rafael, and its officers and employees, from any and all liability for any injury including death, or property damage, arising out of or connected with the performance of CONI-RAcTOR'S services hereunder. B. CONTRACTOR agrees to indemnify, release, defend with counsel approved by CITY, and hold harmless the City of San Rafael and its officers and employees volunteers (collectively, the "City Indemnitees"), against all claims and liability, including attorney's fees, arising Out. of the acts or omissions of CONTRACTOR, its employees, contractors and agents, in the performance of services under or arising from this Agreement. The CONTRACTOR's obligations apply regardless of whether or not a liability is caused or contributed to by the active or passive negligence of the City Indenmitees, except that to the extent that liability is caused by the active negligence or willful misconduct of the City Indemnitees, the CONT RACTOR's indemnification obligation shall be reduced in proportion to the City Indemnitees' share of liability for the active negligence or willful misconduct. L, C. The defense and indemnification 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. 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. 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, liabties, penalties, fines and all other consequences from any noncompliance or violation of any laws, ordinances, codes or regulations. i�Mrfm CITT and CONTRACTOR do not intend, by any provision of this Agreement, to create mi any third party, any benefit or right owed by one party, under the terms and conditions of this Agreement, to the other party. 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. A. The terms and conditions of this Agreement, all exhibits attached, and all documents 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. 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, 15. 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. 16. COSTSAND 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. 17. 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 MACKLE, Xty Manager C� M CONTILACTO 13y: cqqv� . Ck( .............. � " Title: Ey'ec'fitl�.' ,f )We c E T HER C. BEIRNE, City Clerk Gall 19 mi -,- ROBERT F. EPSTEIN, City Adoey RIMS ALLIANCE OF CALIFORNIA ADDITIONAL INSURED FAIhMAY AK1'N1N-C1I`4TAIi5YT1AY EN lilt ASEM EN FOR PUBLIC ENTITIES A. . COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION 11 — WHO IS AN INSURED is amended to include any public entity as an additional insured for whom you are performing operations when you and such person or organization have agreed in a written contract or written agreement that such public entity be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury"property damage" or "personal and advertising injury" arising out of, in whole or in part, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity is an additional insured for liability arising out of the "prod ucts-com pleteiW operations hazard" or for liability arising out of the sole negligence of that public entity. B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. 1 . All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. T. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: a. Primary Insurance NIAC E61 02 13 Page 1 of 2 (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or (2) The coverage afforded by this insurance m primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional Insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over. 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Disk, Installation Disk or similar coverage for "your work"; (b) That is fire" lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) That is any other insurance available to an additional insured(s) under this Endorsement covering liability for damages arising out of the premises or operations, or products - completed operations, for which the additional insured(s) has been added as an additional insured by that other insurance.. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against aII those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self-insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Bart. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all Insurers. NIAC E61 02 13 (Page 2 of 2 ACCERTIFICATE OF C, . D. «D r ..+1 6/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES t OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE -POLICIES BELOW CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE f {i ,, , � OR PRODUCER, . . ,. HOLDER. IMPORTANT: If e certificate holderDD; r t be endorsed. subject , the terms and conditions of - policy,erequire an endorsement. certificate holder in lieu of such ,,. PRODUCER Merriwether & Williams Insurance Services PHONE (213)258-3083 3' • ' +f(213)258-3099 License No.: 0001378 E-MAIL DD 550 Montgomery St., Suite 550 INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 , IndemnityINSURER hiladelphia Indemnity Ins Co 18058 INSURED INSURERB:RSUI FIIp COVERAGESMarin City Community Development Corp. INSURER C: 441 Drake Ave. INSURER D: INSURER E: Marin City CA 94965 INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABBVE FOR THE POLICY PERIOD INDICATED. O + DANY Q OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT O WHICH THIS EXCLUSIONSCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ;i CONDITIONS O; SUCH POLICIES. LIMITS SHOWN MAYR ■ BY PAID CLAIMS. INSR xe POLICY , LTR TYPE OF INSURANCE INSD,y0 '4 DD(MMIDDNYYYI LIMITS, COMMERCIAL ; DAMAGE TO RENTED .. CLAIMS MADE, !M100,000 CERTIFICATE HL CANCELLATION ------- -- --- ------------ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Away Station THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 109 Broadway Blvd. ACCORDANCE WITH THE POLICY PROVISIONS, Fairfax, CA 9493 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I 25 (20/401> X PHPK1336779 5/9/2015 5/9/2016 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMP/OPAGG S 2,000,000 OTHER. S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) S 1,000,000 ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED PELPK1336779 AUTOS AUTOS 5/9/2015 5/9/2016 BODILY INJURY (Per accident) S X X NON -OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per accident) S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS -MADE PFI 499685 5/9/2015 5/9/2016 AGGREGATE S 1,000,000 DED RETENTION $ S WORKERS COMPENSATION PER OTH O EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) EL DISEASE EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S B Directors & Officers NHP660490 11./30/2014 11/30/2015 Each Oc,currervue $1,000,000 Liability AggrK,gAn $1,000,000 DESCRIPTION OF OPERATIONSI LOCATIONS R VEHICLES (ACORD 101„ Additional Remarks Schedule„ may be attached If more space Is required) ,The Certificate Holder is hereby named d °tional Insured, but only with respects to their interest as it imay appear to the Named Insured's operations. CERTIFICATE HL CANCELLATION ------- -- --- ------------ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Away Station THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 109 Broadway Blvd. ACCORDANCE WITH THE POLICY PROVISIONS, Fairfax, CA 9493 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I 25 (20/401> 1020, �1�1 , 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 p_r9fes �iqqA services a greements/co n tracts. (not just those requiring City Council approval). to Responsible Description Completion Department Date I City Attomey Review, revise, and comment on draft agreement. 2 Contracting Department Forward final agreement to contractor for their signature. Obtain at least two signed originals from contractor. 3 Contracting Department Agendize contractor -signed agreement for Council approval, if Council approval necessary (as defined by City Attorney/City Ordinance*). 4 City Attorney Review and approve form of agreement; bonds, and insurance certificates and endorsements. 5 City Manager / Mayor or Agreement executed by Council authorized Department Head official. 6 City Clerk City Clerk attests signatures, retains original agreement and forwards copies to the contracting department. Project Manager: Cory Bvtof Project c® Away Station SaNne 13Q9 to Agendized for City Council Meeting of (if necessary): __—NA lJlJlJlJJJ IJJJJJIJJJJ11I III liJJJJJ I J J JJIJI 111 Jill 11111111 1111 111 111 1111 11 J! III I I I . � 11 1