HomeMy WebLinkAboutCC Resolution 13357 (Business License Services)RESOLUTION NO. 13357
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL WAIVING COMPETITIVE BIDDING AND APPROVING
AND AUTHORIZING THE CITY MANAGER TO EXECUTE A NEW
AGREEMENT FOR BUSINESS LICENSE SERVICES WITH HDL
SOFTWARE, LLC, SUPERSEDING THE TWO PREVIOUS
AGREEMENTS.
The City Council of the City of San Rafael resolves as follows:
WHEREAS, the City previously entered into an Agreement with HdL Software, LLC,
dated July 19, 1999, whereby HdL agreed to provide HdL's Business License Software System
and related services; and
WHEREAS, the City entered into an Agreement with HdL Software, LLC, dated June
24, 2008, whereby HdL agreed to install HdL's Business License Web Renewal System; and
WHEREAS, the City and HdL now desire to enter into a new Agreement for Business
License Services to include HdL's new HdL Prime Business License and Web Renewal
Software System and related services, to add additional functionalities to the City's business
license system, and to supersede the previous two agreements; and
WHEREAS, the City Council finds that the waiver of competitive bidding pursuant to
San Rafael Municipal Code Section 2.55.070 (D) is appropriate in order to continue with current
efficiencies provided by the HdLSoftware, LLC business license software system.
NOW THEREFORE, THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
HEREBY approves and authorizes the City- 'Manager to execute the Agreement v ith Hdl,
Software, LLC, in the form attached to the staff report and on file with the City Clerk.
I, ESTHER BEIRNE, 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 of said City held on Monday, the 18th day of June, 2012, by the following vote, to wit:
AYES:
COUNCILMEMBERS:
Connolly, Heller, Levine, McCullough & Mayor Phillips
NOES:
COUNCILMEMBERS:
None
ABSENT:
COUNCILMEMBERS:
None
ESTHER BEIRNE, City Clerk
AGREEMENT FOR BUSINESS LICENSE SERVICES
This Agreement is made and entered into as of the a/5r day of 2012 (Agreement Date"),
by and between the City of San Rafael, a municipal corporation, hereinafter referred to as City, and HdL
Software, LLC, a California company, hereinafter referred to as HdL.
RECITALS
WHEREAS, HdL and City entered into that certain Agreement for Business License Services dated July 19,
1999, whereby HdL agreed to provide HdL's Business License Software System and related services; and
WHEREAS, HdL and City entered into an Agreement for Business License Services dated June 24, 2008,
whereby HdL agreed to install HdL's Business License Web Renewal System; and
WHEREAS, HdL and City now desire to enter into a new Agreement for Business License Services to
include HdL's new HdL Prime Business License and Web Renewal Software System and related services,
to add additional functionalities to City's business license system, and supersede the previous two
agreements;
AGREEMENT
THEREFORE, it is agreed by City and HdL that to the parties enter into a new Agreement for Business
License Services, which shall supersede all previous Agreements and provide as follows:
I. SCOPE OF SERVICES:
1. Summary
HdL will assist City in migrating from HdL Business License v4.x ("Classic Business License"),
including the Web Renewal System, to HdL's new enterprise system, HdL Prime Business License
("Prime"). HdL will provide expert guidance from start to finish as needed; including evaluation
of current system configuration, data, reports, and processes, technical support and training.
2. Data Migration
HdL will migrate City's existing data under City's project manager's guidance. As part of the data
migration, HdL will verify the integrity of all converted data. As such, HdL may recommend
certain data transformations in order to improve the integrity of the migrated data. HdL may
also recommend that certain records not be converted, due to age of the data, condition of the
data, or a combination of various factors. These recommendations will be submitted to City's
project manager for approval prior to final conversion.
3. Implementation
a. HdL's responsibilities
Project Manager - HdL will provide a project manager (PM) to guide the software
implementation process. The primary responsibility for the HdL PM is to ensure successful
and timely completion of each step of the software implementation schedule. The HdL PM
will work closely with City's designated project manager to define the software
implementation schedule, identify City needs and configure the software accordingly,
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111 A v 1 -1114
validate the data migration, provide user training, and generally shepherd City through the
software implementation process.
IT Support - HdL will provide a dedicated IT staff member to provide IT support during the
software implementation process. This individual will provide the necessary instruction and
assistance in order to install the software in City's computing environment, and will provide
any needed technical support.
Training - HdL will provide software training as defined in the agreed upon software
implementation schedule. One day of training is required. Additional training may be
scheduled upon request. The length and number of participants of each training session will
be determined by the HdL PM and City's designated PM.
Help System - HdL will provide access to a digital copy of the software user manual ("Help
System"). City may use the Help System as needed for internal use by City staff. The Help
System contains proprietary and confidential information, and as such is bound by the
confidentiality portion of this agreement. The Help System may not in any circumstances be
distributed to any 3rd party or any individual that is not a current City staff member
responsible for using or maintaining the software.
b. Citv's responsibilities
Project Manager - The City will designate a staff member to serve as City's project manager
(PM). This individual must be intimately involved in the daily business processes which the
software will automate, and be empowered to make, or quickly secure from management,
decisions required for the implementation of the software. The primary responsibility for
City PM is to ensure that all City responsibilities during the software implementation are
met according to the agreed upon software implementation schedule. City PM will be
instrumental in the successful implementation of the software; working closely with the HdL
PM to verify data migration, report migration, and configure all aspects of the software.
IT Support - City will designate an IT staff member to work with HdL staff throughout the
software implementation process. This individual must be knowledgeable about City's
computing environment and be authorized to manage the SQL Server database and install
and configure software on the network server and workstations. The primary responsibility
of City's IT designee is to provide data to HdL for conversion, install the SQL Server database,
and install the software in City's computing environment.
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SCHEDULE OF SERVICES:
1. The default timeline for complete implementation (including "Go Live") of the software is
approximately 45 days from the start of implementation. When the Agreement is signed by all
parties, HdL will immediately work with City to establish a specific implementation schedule.
The final timeline may range from 14 to 60 days. However, City understands that this timeline
will be conditional upon meeting the requirements of the implementation schedule. A sample
implementation schedule is shown below.
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11. COMPENSATION:
Included Includes in-depth best practices review of system
$8,572.20 Renews on December 1,2412
$1,649.13 Renews on December 1, 2012
2,500.00 Per Department
j 250.00 Per Hour
- 1,500.00 Per user license - $400 Software Use Fee
210.00 Per hour
1. Prime Migration. The Prime Migration fee covers all efforts involved for installation and
configuration of the software, and migration of existing data, reports, and system configuration.
This includes a best practices review of system configuration, data integrity check, and six (6)
hours of training.
2. Annual Software Use Fee. The annual software use fee provides for use of the software by the
specified number of named users, access to the Help System, all standard forms and reports,
and customer support as specified in Section IV. The annual software use fee for the HdL Prime
Business License application shall be $8,572.20. The annual software use fee for the HdL Web
Renewal Module is currently $1,609.13 and shall remain in effect until its annual renewal date.
The annual software use fees for both applications shall be adjusted at the beginning of each
anniversary year following the first year of service. The adjustment shall be the greater of 2% or
the increase in the Consumer Price Index (as published by the Bureau of Labor Statistics in
December of the prior year) for the surrounding statistical metropolitan area (San Francisco -
Oakland -San lose), all urban consumers. Each adjustment shall not be greater than 10/0.
3. Travel Expenses. Travel and lodging expenses are billed at cost and apply to all meetings;
including process, pre -installation, installation, training, and support. HdL is dedicated to
conserving public funds, and ensures any travel costs are indeed required and reasonable.
4. Additional Department (optional). The Additional Department Fee provides for the extra
migration work that is required when dealing with multiple departments.
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configuration.
Included
Includes integrity check of data and data
transformation as needed.
-
Included
All standard reports.
$656.00
Included
6hours.
$382.20
(Unknown)
Based on actual costs
$10,8$2.20
$8,572.20 Renews on December 1,2412
$1,649.13 Renews on December 1, 2012
2,500.00 Per Department
j 250.00 Per Hour
- 1,500.00 Per user license - $400 Software Use Fee
210.00 Per hour
1. Prime Migration. The Prime Migration fee covers all efforts involved for installation and
configuration of the software, and migration of existing data, reports, and system configuration.
This includes a best practices review of system configuration, data integrity check, and six (6)
hours of training.
2. Annual Software Use Fee. The annual software use fee provides for use of the software by the
specified number of named users, access to the Help System, all standard forms and reports,
and customer support as specified in Section IV. The annual software use fee for the HdL Prime
Business License application shall be $8,572.20. The annual software use fee for the HdL Web
Renewal Module is currently $1,609.13 and shall remain in effect until its annual renewal date.
The annual software use fees for both applications shall be adjusted at the beginning of each
anniversary year following the first year of service. The adjustment shall be the greater of 2% or
the increase in the Consumer Price Index (as published by the Bureau of Labor Statistics in
December of the prior year) for the surrounding statistical metropolitan area (San Francisco -
Oakland -San lose), all urban consumers. Each adjustment shall not be greater than 10/0.
3. Travel Expenses. Travel and lodging expenses are billed at cost and apply to all meetings;
including process, pre -installation, installation, training, and support. HdL is dedicated to
conserving public funds, and ensures any travel costs are indeed required and reasonable.
4. Additional Department (optional). The Additional Department Fee provides for the extra
migration work that is required when dealing with multiple departments.
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5. Training (optional). The cost for additional training is:
On-site at City - $250 per hour
Remote support, or at HdL's offices in Southern California - $210 per hour
6. Customizing Services
The software is a table-driven system and has been developed to meet almost all of the needs of
a City. However, should the need occur, HdL is available to provide custom enhancements to
the software on a pre -determined time and material basis. No work shall be performed without
prior written approval of City.
7. Payment Schedule —Compensation for the contract amount shall be as follows:
L Migration Fees. 100% of the migration fees shall be due and payable within 30 days of the
effective date of this Agreement.
Traveling Expenses. Travel and lodging expenses are billed at cost as they are incurred.
Travel expenses shall be due and payable within 30 days of the billing date.
ii. Annual Software Use Fee. The annual software use fee will continue to be invoiced each
year according to its established schedule, and shall be due and payable within 30 days of
the invoice date. The HdL Prime adjustment to the use fee is applied on the effective "go
live" date.
8. Pricing Adjustments
All pricing listed in this contract will be honored throughout implementation of the project. Any
additional/optional services needed after the "go -live" date will be provided using the pricing
currently established at the time the service is requested.
Ill. MAINTENANCE AND SUPPORT:
HdL will provide customer support by telephone, email and the web as needed by City as follows:
Customer Support
HdL will provide customer support by telephone, email and the web as needed by City during the
term of this Agreement. In the United States, no charge support from HdL Software is available as
follows:
For customer support between the hours of 8:00 am and 5:00 pm Pacific time, Monday through
Friday, email help@hdlcompanies.com or call HdL offices and ask for software application support.
For technical support before 8:00 am or after 5:00 pm Pacific Time, Monday through Friday (or
anytime Saturday), email 911@hdlcompanies.com and an HdL staff member will be paged. Please
only include your name, agency and contact # in emails to 911@hdlcompanies.com. You will be
contacted as soon as possible.
Support policy regarding reports
HdL provides a number of reports with the installation of the software. These reports are developed
using Crystal Reports and fall into one of two categories, standard or HdL custom developed. HdL
provides support on standard and HdL custom developed reports, provided that the reports have
not been modified by the client or other third party. As part of support, HdL will make minor
modifications to reports as needed by City. This includes change of logo, phone #, address,
signatures, and minor text edits. Other report edits and modifications requested by City are not
covered under the Annual Software Use Fee, and will be developed on a time and material basis at
the current rate.
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Software Upgrades
Except to the extent that upgrades of the software include new modules or features not previously
offered as part of the software as of the date hereof, City is entitled to upgrades of the software
within the terms of this Agreement. Though rare, additional costs may apply depending on the
extent of the upgrade. Potential additional costs include training, consulting, configuration, or other
requested services.
Outside Connections to HdL database
HdL programs rely on the integrity of the database to operate properly. As such, it is critical that any
outside connection to the database be implemented with HdL's full knowledge and participation.
* Only "read only" connections will be established to the HdL database.
No modifications will be made to the HdL database, including database/table design and data
content.
Any repair work necessary due to violations of the above items will not be covered by the
Annual Software Use Fee, and as such will be billable to the client on a time and material basis.
City shall contact HdL for instructions if any added functionality is required, including reading
additional data or writing to the HdL database.
IV. SYSTEM REQUIREMENTS:
The software and database will be installed on City's network on hardware supplied by City. Any
specifications provided below indicate minimum requirements. It is City's responsibility to ensure
that any hardware used to host the software/database or run the client application meets the
specifications dictated by the operating system and any software/services hosted by the hardware.
For example, minimum operating system specifications will not be sufficient if the file server is also
hosting City's email system.
Application Server Specifications: The application server will host the HdL Prime web service, which
serves as the HdL Prime business layer.
MS Windows Server 2003, 2003 R2, 2008, 2008 R2
IIS v6.0 or later
NET Framework 4.0
1 gigabyte disk space
Web Server Specifications: The web server will host the public accessible website.
MS Windows Server 2003, 2003 R2, 2008, 2008 R2
IIS v6.0 or later
NET Framework 4.0
1 gigabyte disk space
SSL certificate
Database Server Specifications: The database server will host all application data. The database
server should be dedicated to server related functions. Using a client's PC as the database server in
a multi-user environment is not supported.
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* MS SQL Server 2005, 2008, 2008 R2, 2012 (Express variants also supported)
15 gigabytes disk space to allow for initial database and growth
Any Windows Server version that supports the selected SQL Server version is supported;
provided it meets the hardware specifications indicated by both the operating system and the
version of SQL Server.
Workstation Specifications: The software will be run on the client workstation. The hardware
recommendations below are based on user feedback regarding performance levels.
CPU — Intel Pentium IV or higher rated
* Memory — 2 GB (4 GB recommended)
Video —1024x768, 16 bit color
r Operating System —Windows XP Pro, Vista, 7 or 8
Network Specifications: The software communicates via web services and is designed to operate
efficiently over the network. High-speed local area network connections will provide the best
system response, but Prime will also run over slower WAN connections such as T1 or mobile
broadband.
Printer Specifications: The software is designed to work with laser printers. A PCL compliant laser printer is
recommended. Each make and model of printer has different drivers and therefore has slightly
different results when printing. We design forms/reports using HP LaserJet printers.
V. TERM OF AGREEMENT:
The term of this Agreement shall commence on the above written date (the "Agreement Date") and
shall continue each year thereafter until terminated as provided in Section VII.
VI. GENERAL TERMS AND CONDITIONS:
A. OWNERSHIP OF MATERIALS, CONFIDENTIALITY.
1. Software License. HdL hereby provides a license to City to use HdL's Software. The
software shall only be used by City. City shall not sublet, duplicate, modify, decompile,
reverse engineer, disassemble, or attempt to derive the source code of said software. The
license granted hereunder shall not imply ownership by City of said software, rights of City
to sell said software, or rights to use said software for the benefits of others. This license is
not transferable. City shall not create any derivative work or product based on or derived
from the Software or documentation, or modify the Software or documentation without
the prior written consent of HdL. In the event of a breach of this provision (And without
limiting HdL's remedies), said modification, derivative work or product based on the
Software or documentation is hereby deemed assigned to HdL. Upon termination, the
software license shall expire, all copies of the software shall be removed from City's
computers and network and all digital copies deleted or otherwise destroyed.
2. Citv Data. HdL acknowledges that the account data generated by City during the course of
City operations is the property of City. At the termination of this Agreement City data will
be made available to City in a format acceptable to both City and HdL.
3. Proprietary Information. As used herein, the term "proprietary information" means any
information which relates to HdL's computer or data processing programs; data processing
7
applications, routines, subroutines, techniques or systems; or business processes. City shall
hold in confidence and shall not disclose to any other party any HdL proprietary
information in connection with this Agreement, or otherwise learned or obtained by City in
connection with this Agreement. The obligations imposed by this Paragraph shall survive
any expiration or termination of this Agreement. The terms of this section shall not apply
to any information that is public information.
B. CITY BUSINESS LICENSE/OTHER TAXES. HdL shall obtain and maintain during the duration of
this Agreement, a City business license as required by the San Rafael Municipal Code. HdL 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 HdL has provided City with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
C. INSURANCE REQUIREMENTS. HdL shall maintain the policies set out below, and in amounts of
coverage not less than those indicated herein. HdL shall provide City with a Certificate of
Insurance indicating the following coverages, and an endorsement naming City as an additional
insured on the Comprehensive General Liability and Comprehensive Automobile Liability
policies:
1. Worker's Compensation and Employer's liability. In accordance with applicable law.
2. Comprehensive General Liability. Bodily injury liability in the amount of $1,000,000 for
each person in any one accident, and $1,000,000 for injuries sustained by two or more
persons in any one accident. Property damage liability in the amount of $1,000,000 for
each accident, and $2,000,000 aggregate for each year of the policy period.
3. Comprehensive Automobile Liabilitv. Bodily injury liability coverage of $1,000,000 for each
accident.
4. Errors and Omissions. In addition to any other insurance required by this Agreement, HdL
shall provide and maintain, during the term of this Agreement, professional liability
insurance in the amount of $1,000,000 as evidenced by a Certificate of Insurance.
D. TERMINATION. This Agreement may terminate each year by either party upon written notice
90 days prior to the anniversary date of the Agreement. Upon termination, the software license
shall expire and City will immediately remove the software from City's server, thereby making
any software on individual computers unusable, and will confirm removal of the software from
City's server by signing and returning to HdL an "Affidavit" in the form attached hereto as Exhibit
A. Upon City's request, HdL will assist in extracting City data in a format acceptable to both City
and HdL.
E. INDEPENDENT CONTRACTOR. HdL shall perform the services hereunder as an independent
contractor. No agent, representative or employee of HdL shall be considered an employee of
City.
F. NON -ASSIGNMENT. This Agreement is not assignable either in whole or in part by HdL or City
without the written consent of the other party.
G. GOVERNING LAW. The laws of the State of California shall govern the rights, obligations, duties
and liabilities of the parties to this Agreement and shall also govern the interpretation of this
Agreement.
8
H. INDEMNIFICATION. HDL shall indemnify, release, defend and hold harmless City, its officers,
agents, employees, and volunteers, against any claim, demand, suit, judgment, loss, liability or
expense of any kind, including attorney's fees and administrative costs, arising out of or
resulting in any way, in whole or in part, from any acts or omissions, intentional or negligent, of
HdL or HdL's officers, agents and employees in the performance of their duties and obligations
under this Agreement, including any liability for infringement of any copyrights, trademarks or
other intellectual property rights due to City's use of the software licensed by HdL to City
hereunder.
I. COMPLIANCE WITH ALL LAWS. HdL 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. HdL shall perform all services under this Agreement in
accordance with these laws, ordinances, codes and regulations. HdL 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.
J. NO THIRD PARTY BENEFICIARIES. City and HdL 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.
K. ENTIRE AGREEMENT -- AMENDMENTS.
1. 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.
2. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between HdL and City.
3. 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.
4. The terms and conditions of this Agreement shall not be altered or modified except by a
written amendment to this Agreement signed by HdL and City.
5. 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.
L. 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.
M. 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.
M
N. 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:
City City of San Rafael
Attn: Finance Department
1400 Fifth Ave
San Rafael, CA 94901
HdL HdL SOFTWARE, LLC
1340 Valley Vista Drive, Suite 200
Diamond Bar, California 91765
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month and year first
above written.
CITY OF SAN RAFAEL HdL SOFTWARE,LLC
NANCY MACKLE,tity Manager ROBERT GRAY, r ent
ATTEST:
ESTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPTSTEIN, City Attorney
U1
EXHIBIT A
AFFIDAVIT OF DESTRUCTION
Upon termination of this Agreement, the software license shall expire. City hereby acknowledges and
certifies that it has removed the software from City's server, thereby making any software on individual
computers unusable.
HdL software system: Version:
Authorized signature: Date:
Print Name and Title: Title:
Mail: HdL Software LLC
1340 Valley Vista Drive, #200
Diamond Bar, CA 91765
..-�
HINDE-1 OP ID: DMZ
CERTIFICATE 4F LIABILITY INSURANCE(
DATE(MMtDDIYYYY)
06/21/12
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 626-966-1791 NAME: CONTACT
Partee Insurance Assoc.,lnc. 626331 8132 PHONE
-
FAX
I (A1C, Not:
License #0786033 IA(C. No. EMI:
584 S. Grand Avenue E-MAIL
ADDRESS:
Covina, CA 91724-3409
Wayne M. Partee CIC, CWCA INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Hartford Casualty Insurance Co
INSURED Hinderliter de Llamas & INSURER B:
Associates, HDL Properties
INSURER C:
& HDL Software
JeffreySchmehr INSURER D:
1340 Valley Vista Drive #200 INSURER E:
Diamond Bar, CA 91765 IVI IRFR 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 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 I LIMITS
LTR TYPE OF INSURANCE INCR mnm POLICY NUMBER IMM/DDIYYYYI (MMIDDIYYYYi
GENERAL LIABILITY
( EACH OCCURRENCE
$ 2,000,00
A X COMMERCIAL GENERAL LIABILITY X 72SBAZB3296 11/15/11 11115/12
' PREMI ETOREN7EU
PREMISES (Ea occurrence)
$ 500,00
CLAIMS MADE XI OCCUR
I MED EXP (Anyone person) Is 10,00
PERSONAL & ADV INJURY $ 2,000,00
GENERAL AGGREGATE $ 4,000,00
4,000,00
AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG $
'GGEEjN'L
FIPiR F LOC
$
(POLICY
AUTOMOBILE LIABILITY
A
COMBINED SINGLE LIMIT
1,000,00
(Ea accident} $
A X ANY AUTO X 72UECNK7886 11/15/11 11/15/12
I BODILY INJURY (Per person) I $
ALL OWNED
SCHEDULED
( BODILY INJURY (Per accident) $
_ AUTOS
X
X
AUTOS
NON -OWNED
I PROPERTY DAMAGE I $
I
HIRED AUTOS
AUTOS
(Per accident)
�$
X UMBRELLA LIAB
X
OCCUR
I EACH OCCURRENCE $ 1,000,00
A EXCESS LIAB
N
CLAIMS -MADE 72SBAZB3296 11/15/11 11/15/12
j AGGREGATE $ 1,000,00
LED I X I RETENTION $ 10,000
Is
WORKERS COMPENSATION
( X I WC SI M!TS I I° R I
AND EMPLOYERS' LIABILITY
A ANY PROPRIETOR/PARTNER/EXECUTIVE Y� 72WECPY9873 11/15/11 11/15/12
( E.L EACH ACCIDENT Is 1,000,00
OFFICER/MEMBER EXCLUDED' N 1 A
���J 1,000,00
(
(Mandatory in NH)
E L. DISEASE EA EMPLOYEE] $
It yes, describe uncer
1 000,00
DESCRIPTION OF OPERATIONS below
E. I. DISEASE - POLICY LIMIT $ >
A Professional Liab PG0246728 11/15/11 11/16/12
Each/Agg 1,000,00011
Claims Made RETRO 2/15/2003
Ded 25,000
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
30 day notice of cancellation except 10 day for non payment.
City of San Rafael, it's officers, agents, employees and volunteers area
named as additional insured.*This Certificate Supersedes Previous Issuance -
All Original Endorsements Remain Unchanged*
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: City Clerk
P.O. BOX 151650 AUTHORIZED REPRESENTATIVE
San Rafael, CA 94915' (D 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD