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HomeMy WebLinkAboutPS Purchase Parking Meter EquipmentAGREEMENT FOR PURCHASE OF PARKING METER EQUIPMENT
This Agreement is made and entered into this 25'7w day of 04 To,B'R , 2013,
by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and IPS Group, Inc., a
Pennsylvania corporation authorized to do and doing business in California (hereinafter
"CONTRACTOR").
RECITALS
WHEREAS, CITY wishes to upgrade existing parking meters within the CITY and issued
a Request for Proposals dated June 10, 2013 to obtain bids for credit card capable parking meters,
parking sensors, and an accompanying data management system; and
WHEREAS, CONTRACTOR submitted an acceptable bid for the desired products; and
WHEREAS, CITY desires to conduct an initial test program of sixty (60) of the parking
meters only, without the sensors and data management system;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY. The City Manager shall be the representative of the CITY for all purposes
under this Agreement. The Parking Services Manager is hereby designated the PROJECT
MANAGER for the CITY, and said PROJECT MANAGER shall supervise all aspects of the
progress and execution of this Agreement.
B. CONTRACTOR. CONTRACTOR shall assign a single PROJECT MANAGER
to have overall responsibility for the progress and implementation of this Agreement for
CONTRACTOR. Steven SmeenRe is hereby designated as the PROJECT MANAGER for
CONTRACTOR. Should circumstances or conditions subsequent to the execution of this
Agreement require a substitute PROJECT MANAGER for any reason, the CONTRACTOR shall
notify the CITY within ten (10) business days of the substitution.
2. DUTIES OF CONTRACTOR.
A. CONTRACTOR shall ship and install sixty (60) new, fully -tested Model M5
parking meters and related equipment as specified in the "Quote" dated 10/14/13 attached hereto as
Exhibit "A" and incorporated herein by reference.
B. Coordinated installation of all parking meter equipment will take place according
to a pre -defined deployment plan created by CITY and CONTRACTOR, during standard
business hours, and will be based on mutual agreement of staffing, dates, and locations. CITY
staff, in conjunction with CONTRACTOR staff, will inspect parking meter equipment
Version 2-15-11 1P Tr /N ; - + -
following installation to ensure proper installation and operation. Unless otherwise notified in
writing, system acceptance will take place at the time of installation of the parking meter
equipment, but no later than ten (10) business days following completed installation or thirty
(30) days following delivery, whichever occurs first.
C. CONTRACTOR shall provide all current manuals for the parking meter
equipment, and shall provide all manuals for any future upgraded or new services.
CONTRACTOR shall provide initial on-site training, and local on-site support during the
warranty period.
D. CONTRACTOR shall provide a full 12 -month warranty on all installed
equipment as described in Exhibit "B", IPS Limited Warranty, attached hereto and incorporated
herein by reference.
E. CONTRACTOR shall bear risk of loss of the parking meter equipment,
including any damage sustained during transportation to the delivery site. Transfer of title to
parking meter equipment, and otherwise risk of loss, shall pass to CITY upon delivery.
3. DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as
follows:
A. CITY, at its own cost and expense, shall keep the equipment in good repair,
condition and working order. CITY will also notify CONTRACTOR of any need for warranty
repair work and will coordinate the return process with CONTRACTOR.
B. CITY shall be solely responsible for meter posts and housings, including keeping
meter posts, keys locks and housings in good working order and in compliance with all
applicable laws.
C. CITY shall use the parking meter equipment in the proper manner and shall
comply with and conform to all national, state, and local laws and regulations in any way relating
to the possession, use or maintenance of the equipment.
4. COMPENSATION.
In full payment for the equipment and services described herein by CONTRACTOR,
CITY shall pay CONTRACTOR the sum of $31,065.00 as detailed in Exhibit "A," payable upon
acceptance of the parking meter equipment by CITY as described in Section 2.B. of this
Agreement.
5. DOCUMENTS PART OF AGREEMENT.
If needed in interpreting the terms of this Agreement, reference shall be made to the
following documents, incorporated herein by reference:
2
A. The RFP with Appendices issued by CITY dated June 10, 2013, and any addenda as
issued by CITY prior to the opening of proposals on July 12, 2013.
B. CONTRACTOR'S RFP Submission dated July 11, 2013 and CONTRACTOR'S
BAFO dated August 20, 2013.
6. TERMINATION.
A. If either CITY or CONTRACTOR violates any material term or condition of
this Agreement or fails to fulfill in a timely and proper manner its obligations under this
Agreement, then the aggrieved party will give the other party (the "responsible party") written
notice of such failure or violation. The responsible party will correct the violation or failure
within 30 calendar days or as otherwise mutually agreed. If the failure or violation is not
corrected, this Agreement may be terminated immediately by written notice from the aggrieved
party. The option to terminate will be at the sole discretion of the aggrieved party.
B. When it is in the best interest of CITY, CITY may terminate this Agreement, in
whole or in part, by providing 30 calendar days' written notice to CONTRACTOR prior to the
effective date of termination. Upon termination, CITY shall be liable for outstanding, undisputed
payments required by the terms of this Agreement for goods received by CITY.
"NEED
A. 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 ($1,000,000) dollars per occurrence for death, bodily injury, personal injury, or property
damage.
2. An automobile liability (owned, non -owned, and hired vehicles) insurance
policy in the minimum amount of one million ($1,000,000) dollars per occurrence.
3. If any licensed professional performs any of the services required to be
performed under this Agreement, a professional liability insurance policy in the minimum amount
of one million $1,000,000) dollars to cover any claims arising out of the CONTRACTOR's
performance of services under this Agreement.
B. The insurance coverage required of the CONTRACTOR by section 7. A. shall also
meet the following requirements:
1. The insurance shall be primary with respect to any insurance or coverage
maintained by CITY and shall not call upon CITY's insurance or coverage for any contribution.
2. Except for professional liability insurance, the insurance policies shall be
3
endorsed for contractual liability and personal injury.
3. Except for professional liability insurance, the insurance policies shall be
specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as
additionally named insureds under the policies.
4. CONTRACTOR shall provide to City's Risk Manager, (a) Certificates of
Insurance evidencing the insurance coverage required herein, and (b) specific endorsements naming
CITY, its officers, agents, employees, and volunteers, as additional named insureds under the
policies.
5. The insurance policies shall provide that the insurance carrier shall not
cancel, terminate or otherwise modify the terms and conditions of said insurance policies except
upon ten (10) days written notice to City's Risk Manager.
6. If the insurance is written on a Claims Made Form, then, following
termination of this Agreement, said insurance coverage shall survive for a period of not less than
five years.
7. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
The insurance shall be approved as to form and sufficiency by PROJECT
MANAGER and the City Attorney.
C. If it employs any person, CONTRACTOR shall maintain worker's compensation
and employer's liability insurance, as required by the State Labor Code and other applicable laws
and regulations, and as necessary to protect both CONTRACTOR and CITY against all liability
for injuries to CONTRACTOR's officers and employees.
D. Any deductibles or self-insured retentions in CONTRACTOR's insurance policies
must be declared to and approved by the City's Risk Manager and the City Attorney. At CITY's
option, the deductibles or self-insured retentions with respect to CITY shall be reduced or
eliminated to CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment
of losses and related investigations, claims administration, attorney's fees and defense expenses.
INDEMNIFICATION.
CONTRACTOR shall indemnify, release, defend and hold harmless CITY, its officers,
and employees, against any claim, demand, suit, judgment, loss, liability or expense of any kind,
including attorney's fees, arising out of or resulting in any way, in whole or in part, from any acts
or omissions, intentional or negligent, of CONTRACTOR or CONTRACTOR's officers,
agents and employees in the performance of their duties and obligations under this Agreement.
9. 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.
10. 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.
11. 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.
12. 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: Jim Myhers, Parking Services Director
City of San Rafael
P.O. Box 151560
San Rafael, CA 94915-1560
TO CONTRACTOR: IPS Group, Inc.
5601 Oberlin Dr, Suite 100
San Diego, CA 92121
Attn: Chad Randall, COO
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.
5
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,
the terms and conditions of this Agreement shall control.
15. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under
any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments,
unpaid checks or other amounts.
16. 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.
17. SEVERABILITY
If any provision in this Agreement subsequently is determined to be invalid, illegal or
unenforceable, that determination shall not affect the validity, legality or enforceability of the
remaining provisions stated in any section or sub -section of this Agreement unless that effect is
made impossible by the absence of the omitted provision.
E
18. INTELLECTUAL PROPERTY AND CONFIDENTIALITY
A. All pre-existing and independently developed intellectual property, and any derivation
thereof, including but not limited to designs, models, inventions, processes, methodologies,
software, associated documentation, software upgrades, modifications and customizations,
copyrightable material and other tangible and intangible materials authored, and
combinations thereof, prepared, created, made, delivered, conceived or reduced to practice,
in whole or in part, by CONTRACTOR and provided to CITY ("Pre -Existing and
Independently Developed IP") will at all times remain the sole and exclusive property of
CONTRACTOR and/or its vendors. Nothing in this Section or elsewhere in this
Agreement shall be construed as assigning, selling, conveying, or otherwise transferring any
ownership rights or title in CONTRACTOR Pre -Existing and Independently Developed
IP.
B. CONTRACTOR hereby grants CITY, including its departments, commissioners, officials,
officers, employees, consultants, and agents (collectively, "CITY") all the rights and
licenses required to use CONTRACTOR'S Equipment and Software. Such rights and
licenses are non -assignable, non -transferable and non-exclusive, and specific only to use
within CITY.
C. CONTRACTOR understands the nature of public information and the requirement for
CITY to adhere to all rules and laws that apply to public information, such as the Freedom
of Information Act, Public Records Act, and the like. However, CITY also understands that
CONTRACTOR'S equipment and software contain intellectual property, copyrights, and
trade secrets that do not exist in the public domain. Therefore,CITY agrees that it shall not
knowingly agree, assist, or sell any equipment or allow any third party to gain access to
equipment, software, or documentation provided by CONTRACTOR for the purposes of
reverse engineering or evaluation without the prior written consent of CONTRACTOR, or
as mandated by applicable law.
19. COSTS AND ATTORNEY'S FEES; VENUE.
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. The
venue for any such action shall be Marin County, California.
20. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code. CONTRACTOR shall pay any
and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for
any work performed under this Agreement, until CONTRACTOR has provided CITY with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
21. 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
1A 4&WV4 L W
NANCY MACKLE, City Manager
I:MM1101.` 6
ESTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, ity A6 • ey
0
IPS GROUP, INC.
By:
CH P RANDALL, COO
Exhibit "A"
Quote" dated 10/14/13
1PS
r1ROVAP
Park ng & re%rommun cations
The Next Generation in Parking
IPS Group, Inc
5601 Oberlin Drive
San Diego, CA 92121
Phone 858.568.7649
Fax 858.408 3352
LauriAeller@ipsgroupinc com
Date 10/14/2013
Sales Quote k LK205
Expiration Date 11/14/2013
City of San Rafael
Attn: Jim Myhers
Due on
receipt
Model M5
60 795-008 795 Meter Mechanism with $475.00 $28,500.00
Dome
60 132-002 95 pleter Top Cover Model M5 $0.00
60 RFID tag for Model 795 $0.00
60 Shipping $0.00
Total Discount
Subtotal
$28,500.00
Sales Tax 9%
$2,565.00
Total
$31,065.00
Quotation prepared by. Lauri Keller
This is a quotation on the goods named. subject to the conditions noted below. (Describe
any conditions pertaining to these prices and any additional terms of the agreelnent. You
may want to include contingencies that will affect the quotation.)
To accept this quotation, sign here and return:
Thank you for your business!
Exhibit `B"
IPS Limited Warranty
10
lJ74IJ7
P.,Amg AT /erommam[efi
IPS LIMITED WARRANTY
IPS will provide a limited warranty for any new meter or sensor product manufactured and
supplied by IPS for 12 months against defects in materials and workmanship from the point of
installation or 15 months from the date of delivery, whichever is sooner, and 90 days from the
date of delivery received in the case of spare or repaired products.
Additional Provisions:
• IPS must have the opportunity to assist in the initial deployment and system installation
• Repair or replacement under warranty of any defective product (including any meter or
subcomponent) does not extend the warranty period for that product or subcomponent
• IPS will either repair or replace products or subcomponents, at our discretion, that are
found to be defective within the defined warranty period
• Returns for credit will only apply once IPS has received defective product (including any
meter or subcomponent) and confirmed that defects were within the warranty period
and are covered under the terms and conditions of the warranty provided.
Exclusions:
Warranty voided with use of imitation or non -genuine IPS replacement parts, un-
authorized alterations, abuse, vandalism, improper handling or general misuse to the
equipment (hardware or software), including attempted repairs that result in damage.
IPS does not cover defects caused by improper care or use, lack of preventative
maintenance, and does not warranty any defects due to vandalism or other factors
contained as a part of the Force Majeure clause below.
Force Majeure: IPS shall not be liable for any warranty provisions where such product
failure is as a result of Acts of Nature (including fire, flood, earthquake, storm, hurricane
or other natural disaster), war, invasion, act of foreign enemies, hostilities (whether war is
declared or not), civil war, rebellion, revolution, insurrection, military or usurped power or
confiscation, terrorist activities, nationalization, government sanction, blockage,
embargo, labor dispute, strike, lockout or interruption or failure of electricity [or cellular
telecommunication failures caused by any of the events or causes described above).
Preventative Maintenance (Meters):
• Preventative maintenance will be similar to current single-space parking
meters. However, the primary elements will be a working battery, card reader and coin
validator.
• Meters surfaces should be kept clean with mild soap and water
• The card reader heads should be cleaned with a cleaning card every 1-2 months to
ensure optimum performance. Cleaning cards may be purchased from IPS.
• At 9-12 month increments, the coin validator shall be visually inspected for any damage
or debris. Compressed air may be used to keep the card reader and coin acceptor
clear of debris, every 9-12 months.
• Additional preventative maintenance shall be administered by City Staff at such time as
it is apparent to be necessary, even if it should occur on a more frequent basis than
described herein.
• City, at its own cost and expense, shall keep the equipment in good repair, condition
and working order after warranty expiration.
431City of San Rafael
OP ID: J5
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(M3/20
10/23/20 3
I 13
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 Phone: 858-259-58001 CONTACT
Leavitt Ins Agency San Diego PHONE FAX
CA License #OB72756 Fax: 858-259-6069
AIC No. Ext): (A/C, No):
3636 Nobel Drive, Suite 100 MAIL
San Diego, CA 92122 I ADDRESS:
Andrew James I PRODUCER IPSGR-1
CUSTOMER ID #:
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Re: Purchase of Parking Meter Equipment
See page 2 for additional information.
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: Jim Myhers,
Parking Services Director AUTHORIZED REPRESENTATIVE
P.O. Box 15160��
ASan Rafael, CA 94915-1560
©1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED IPS Group, Inc.
INSURER A: National Fire Ins of Hartford
20478
5601 Oberlin Drive, Suite 100
INSURERB:American Casualty Company
20427
San Diego, CA 92121
INSURER c:Continental Casualty Co
20443
INSURERD:Valley Forge Insurance Co
20508
INSURER E:
I 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 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
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER
POLICY EFF POLICY EXP
(MM/DD/YYYYI (MM/DD/YYYYI LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
1,000,000
A X COMMERCIAL GENERAL LIABILITY X 4034371571
10/19/2013 10/19/2014 I UAMAUL IURENTEU
PREMISES (Ea occurrence) $
500 000
,
CLAIMS -MADE FXI OCCUR
I MED EXP (Any one person) $
15,000
PERSONAL & ADV INJURY $
1,000,000
GENERAL AGGREGATE $
2,000,000
_
GEN'L AGGREGATE LIMIT APPLIES PER
I PRODUCTS - COMP/OP AGG $
2,000,000
Jl
POLICYFX 71
$
I JECOT LOC
AUTOMOBILE LIABILITY X
COMBINED SINGLE LIMIT $
1,000,000
B ANY AUTO 4034371554
—
10/19/2013 10/19/2014 (Ea accident)
I BODILY INJURY (Per person) $
— ALL OWNED AUTOS NO OWNED AUTOS
I BODILY INJURY (Per accident) $
SCHEDULED AUTOS
—
PROPERTY DAMAGE
X HIRED AUTOS
(Per accident) $
X NON -OWNED AUTOS
I $
$
X UMBRELLA LIAB I x I OCCUR
EACH OCCURRENCE $
5,000,000
EXCESS LIAB I�--jl CLAIMS -MADE
I AGGREGATE $
5,000,000
C 4034371568
10/19/2013 10/19/2014
_ DEDUCTIBLE
I $
X RETENTION $ 10,000
$
WORKERS COMPENSATION
X I WC �p
I I T
LIMITS
AND EMPLOYERS' LIABILITYER
D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 5084046939 CALIFORNIA 03/19/2013 03/19/2014 I E.L. EACH ACCIDENT $OFFI
N / A
1,000,000
D (Mande tCERory In NH) MEMBER EXCLUDED?
5094046997 OTHER STATES
03/19/2013 03/19/2014 E.L. DISEASE - EA EMPLOYEE $
1,000,000
If yes, describe under
SlF OPE�TIONS below
E.L. DISEASE -POLICY LIMIT $
1,000,000
fESkRI(;T(ON
A ec E etwor 4034371571
10/19/2013 10/19/2014 Ea Occ
5,000,000
Privacy/Media DEDUCTIBLE: $50,000
Aggregate
5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Re: Purchase of Parking Meter Equipment
See page 2 for additional information.
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: Jim Myhers,
Parking Services Director AUTHORIZED REPRESENTATIVE
P.O. Box 15160��
ASan Rafael, CA 94915-1560
©1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
NOTEPAD. HOLDER CODE IPSGRA PAGE 2
INSURED'S NAME IPS Group, Inc. OP ID: A DATE 10/23/13
City of San Rafael its officers, agents, employees, and volunteers are
named as additional insureds as respects General Liability and Auto
Liability per attached.
Primary/Non-Contributory wording applies as respects General Liability per
attached and Auto Liability perpolicy form.
30 Day Notice of cancellation (lp days for non-payment) applies per
attached.
CNA
G -144294-C99
(Ed. 12/06)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TECHNOLOGY GENERAL LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered
as an additional insured on any other endorsement now or hereafter attached to this Coverage Part.
1. ADDITIONAL INSURED —BLANKET VENDORS
WHO IS AN INSURED (Section II) is amended to
include as an additional insured any person or
organization (referred to below as vendor) with whom
you agreed, because of a written contract or
agreement to provide insurance, but only with respect
to "bodily injury" or "property damage" arising out of
..your products" which are distributed or sold in the
regular course of the vendor's business, subject to the
following additional exclusions:
1. The insurance afforded the vendor does not
apply to:
a. "Bodily injury" or "property damage" for
which the vendor is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in
the absence of the contract or agreement;
b. Any express warranty unauthorized by
you;
c. Any physical or chemical change in the
product made intentionally by the vendor;
d. Repackaging, except when unpacked
solely for the purpose of inspection,
demonstration, testing, or the substitution
of parts under instructions from the
manufacturer, and then repackaged in the
original container;
e. Any failure to make such inspections,
adjustments, tests or servicing as the
vendor has agreed to make or normally
undertakes to make in the usual course of
business, in connection with the
distribution or sale of the products;
If. Demonstration, installation, servicing or
repair operations, except such operations
performed at the vendor's premises in
connection with the sale of the product;
g. Products which, after distribution or sale
by you, have been labeled or relabeled or
used as a container, part or ingredient of
any other thing or substance by or for the
vendor; or
G -144294-C99
(Ed. 12/06)
h. "Bodily injury" or "property damage"
arising out of the sole negligence of the
vendor for its own acts or omissions or
those of its employees or anyone else
acting on its behalf. However, this
exclusion does not apply to:
(1) The exceptions contained in
Subparagraphs d. or f.; or
(2) Such inspections, adjustments, tests
or servicing as the vendor has agreed
to make or normally undertakes to
make in the usual course of
business, in connection with the
distribution or sale of the products.
2. This insurance does not apply to any insured
person or organization, from whom you have
acquired such products, or any ingredient,
part or container, entering into, accompanying
or containing such products.
3. This provision 1. does not apply to any vendor
included as an insured by an endorsement
issued by us and made a part of this
Coverage Part.
4. This provision 1. does not apply if "bodily
injury" or "property damage" included within
the "products -completed operations hazard" is
excluded either by the provisions of the
Coverage Part or by endorsement.
2. MISCELLANEOUS ADDITIONAL INSUREDS
WHO IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(called additional insured) described in paragraphs
2.a. through 2.h. below whom you are required to add
as an additional insured on this policy under a written
contract or agreement but the written contract or
agreement must be:
1. Currently in effect or becoming effective
during the term of this policy; and
2. Executed prior to the "bodily injury," "property
damage" or "personal injury and advertising
injury," but only the following persons or
organizations are additional insureds under
this endorsement and coverage provided to
Page 1 of 6
G -144294-C99
(Ed. 12/06)
such additional insureds is limited as provided
(a) The existence, maintenance,
herein:
repair, construction, erection, or
a. Additional Insured — "Your Work"
removal of advertising signs,
awnings, canopies, cellar
That person or organization for whom you
entrances, coal holes, driveways,
do work is an additional insured solely for
manholes, marquees, hoistaway
liability due to your negligence specifically
openings, sidewalk vaults, street
resulting from "your work" for the
banners, or decorations and
additional insured which is the subject of
similar exposures; or
the written contract or written agreement.
(b) The construction, erection, or
No coverage applies to liability resulting
removal of elevators; or
from the sole negligence of the additional
insured.
(2) This insurance applies only with
The insurance provided to the additional
respect to operations performed by
insured is limited as follows:
you or on your behalf for which the
state or political subdivision has
(1) The Limits of Insurance applicable to
issued a permit.
the additional insured are those
This insurance does not apply to "bodily
specified in the written contract or
injury," "property damage" or "personal
written agreement or in the
and advertising injury„ arising out of
Declarations of this policy, whichever
operations performed for the state or
is less. These Limits of Insurance are
municipality.
inclusive of, and not in addition to,
the Limits of Insurance shown in the
c. Controlling Interest
Declarations.
Any persons or organizations with a
(2) The coverage provided to the
controlling interest in you but only with
additional insured by this paragraph.
respect to their liability arising out of:
2.a., does not apply to "bodily injury"
"property
(1) Their financial control of you; or
or damage" arising out of
the "products -completed operations
(2) Premises they own, maintain or
hazard" unless:
control while you lease or occupy
(a) It is required by the written
these premises.
contract or written agreement;
This insurance does not apply to
and
structural alterations, new construction
(b) "Bodily injury" or "property
and demolition operations performed by
damage" included within the
or for such additional insured.
"products -completed operations
d. Managers or Lessors of Premises
hazard" is not excluded either by
the provisions of the Coverage
A manager or lessor of premises but only
Part or by endorsement.
with respect to liability arising out of the
ownership, maintenance or use of that
(3) The insurance provided to the
specific part of the premises leased to
additional insured does not apply to
you and subject to the following additional
"bodily injury," "property damage," or
exclusions:
personal and advertising injury
arising out of the rendering or failure
This insurance does not apply to:
to render any professional services.
(1) Any "occurrence" which takes place
b. State or Political Subdivisions
after you cease to be a tenant in that
premises; or
A state or political subdivision subject to
the following provisions:
(2) Structural alterations, new
construction or demolition operations
(1) This insurance applies only with
performed by or on behalf of such
respect to the following hazards for
additional insured.
which the state or political subdivision
has issued a permit in connection
e. Mortgagee, Assignee or Receiver
with premises you own, rent, or
A mortgagee, assignee or receiver but
control and to which this insurance
only with respect to their liability as
applies:
G -144294-C99 Page 2 of 6
(Ed. 12/06)
mortgagee, assignee, or receiver and
arising out of the ownership,
maintenance, or use of a premises by
you.
This insurance does not apply to
structural alterations, new construction or
demolition operations performed by or for
such additional insured.
f. Owners/Other Interests — Land is
Leased
An owner or other interest from whom
land has been leased by you but only with
respect to liability arising out of the
ownership, maintenance or use of that
specific part of the land leased to you and
subject to the following additional
exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place
after you cease to lease that land; or
(2) Structural alterations, new
construction or demolition operations
performed by or on behalf of such
additional insured.
g. Co-owner of Insured Premises
A co-owner of a premises co -owned by
you and covered under this insurance but
only with respect to the co-owners liability
as co-owner of such premises.
h. Lessor of Equipment
Any person or organization from whom
you lease equipment. Such person or
organization are insureds only with
respect to their liability arising out of the
maintenance, operation or use by you of
equipment leased to you by such person
or organization. A person's or
organization's status as an insured under
this endorsement ends when their written
contract or agreement with you for such
leased equipment ends.
With respect to the insurance afforded
these additional insureds, the following
additional exclusions apply:
This insurance does not apply:
(1) To any "occurrence" which takes
place after the equipment lease
expires; or
(2) To "bodily injury," "property damage,"
or "personal and advertising injury"
arising out of the sole negligence of
such additional insured.
G -144294-C99
(Ed. 12/06)
G -144294-C99
(Ed. 12/06)
Any insurance provided to an additional insured
designated under paragraphs b. through h. above
does not apply to "bodily injury" or "property
damage" included within the "products -completed
operations hazard."
As respects the coverage provided under this
endorsement, Paragraph 4.b. SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS is deleted and replaced with the
following:
4. Other Insurance
b. Excess Insurance
This insurance is excess over:
Any other insurance naming the
additional insured as an insured whether
primary, excess, contingent or on any
other basis unless a written contract or
agreement specifically requires that this
insurance be either primary or primary
and noncontributing. Where required by
written contract or agreement, we will
consider any other insurance maintained
by the additional insured for injury or
damage covered by this endorsement to
be excess and noncontributing with this
insurance.
3. NEWLY FORMED OR ACQUIRED
ORGANIZATIONS
Paragraph 3.a. of Section II — Who Is An Insured is
deleted and replaced by the following:
Coverage under this provision is afforded only until the
end of the policy period or the next anniversary of this
policy's effective date after you acquire or form the
organization, whichever is earlier.
4. JOINT VENTURES / PARTNERSHIP / LIMITED
LIABILITY COMPANY COVERAGE
A. The following is added to Section II — Who Is An
Insured:
4. You are an insured when you had an interest
in a joint venture, partnership or limited
liability company which terminated or ended
prior to or during this policy period but only to
the extent of your interest in such joint
venture, partnership or limited liability
company. This coverage does not apply:
a. Prior to the termination date of any joint
venture, partnership or limited liability
company; or
b. If there is other valid and collectible
insurance purchased specifically to insure
the partnership, joint venture or limited
liability company.
Page 3 of 6
B. The last paragraph of Section II — Who Is An
Insured is deleted and replaced by the following:
Except as provided in 4. above, no person or
organization is an insured with respect to the
conduct of any current or past partnership, joint
venture or limited liability company that is not
shown as a Named Insured in the Declarations.
5. PARTNERSHIP OR JOINT VENTURES
Paragraph 1.b. of Section II — Who Is An Insured is
deleted and replaced by the following:
b. A partnership (including a limited liability
partnership) or joint venture, you are an
insured. Your members, your partners,
and their spouses are also insureds, but
only with respect to the conduct of your
business.
6. EMPLOYEES AS INSUREDS — HEALTH CARE
SERVICES
For other than a physician, paragraph 2.a.(1)(d) of
Section II — Who Is An Insured does not apply with
respect to professional health care services provided
in the course of employment by you.
7. PROPERTY DAMAGE — PATTERNS, MOLDS AND
DIES
Paragraphs (3) and (4) of Exclusion j. Damage to
Property of SECTION I — EXCLUSIONS do not apply
to patterns, molds or dies in the care, custody or
control of the insured if the patterns, molds or dies are
not being used to perform operations at the time of
loss. A limit of insurance of $25,000 per policy period
applies to PROPERTY DAMAGE — PATTERNS,
MOLDS AND DIES and is included within the General
Aggregate Limit as described in SECTION III — LIMITS
OF INSURANCE.
The insurance afforded by this provision 7. is excess
over any valid and collectible property insurance
(including any deductible) available to the insured, and
the Other Insurance Condition is changed accordingly.
8. BODILY INJURY
Section V — Definitions, the definition of "bodily
injury" is changed to read:
"Bodily injury" means bodily injury, sickness or disease
sustained by a person, including death, humiliation.
shock, mental anguish or mental injury by that person
at any time which results as a consequence of the
bodily injury, sickness or disease.
9. EXPANDED PERSONAL AND ADVERTISING
INJURY
A. The following is added to Section V — Definitions,
the definition of "personal and advertising injury":
G -144294-C99
(Ed. 12/06)
G -144294-C99
(Ed. 12/06)
h. Discrimination or humiliation that results
in injury to the feelings or reputation of a
natural person, but only if such
discrimination or humiliation is:
(1) Not done intentionally by or at the
direction of:
(a) The insured; or
(b) Any "executive officer," director,
stockholder, partner, member or
manager (if you are a limited
liability company) of the insured;
and
(2) Not directly or indirectly related to the
employment, prospective
employment, past employment or
termination of employment of any
person or persons by any insured.
B. Exclusions of Section I — Coverage B — Personal
and Advertising Injury Liability is amended to
include the following:
p. Discrimination Relating To Room,
Dwelling or Premises
Caused by discrimination directly or
indirectly related to the sale, rental, lease
or sub -lease or prospective sale, rental,
lease or sub -lease of any room, dwelling
or premises by or at the direction of any
insured.
q. Fines Or Penalties
Fines or penalties levied or imposed by a
governmental entity because of
discrimination.
C. This provision 9. (EXPANDED PERSONAL AND
ADVERTISING INJURY COVERAGE) does not
apply to discrimination or humiliation committed in
the states of New York or Ohio. Also, EXPANDED
PERSONAL AND ADVERTISING INJURY
COVERAGE does not apply to policies issued in
the states of New York or Ohio.
D. This provision 9. (EXPANDED PERSONAL AND
ADVERTISING INJURY COVERAGE) does not
apply if Section I — Coverage B — Personal And
Advertising Injury Liability is excluded either by
the provisions of the Coverage Part or by
endorsement.
10. MEDICAL PAYMENTS
A. Paragraph 7. Medical Expense Limit, of Section
III — Limits of Insurance is deleted and replaced
by the following:
7. Subject to 5. above (the Each Occurrence
Limit), the Medical Expense Limit is the most
we will pay under Section — I — Coverage C
Page 4 of 6
for all medical expenses because of "bodily
injury" sustained by any one person. The
Medical Expense Limit is the greater of:
(1) $15,000; or
(2) The amount shown in the
Declarations for Medical Expense
Limit.
B. This provision 10. (Medical Payments) does
not apply if Section I — Coverage C Medical
Payments is excluded either by the
provisions of the Coverage Part or by
endorsement.
C. Paragraph 1.a.(3)(2) of Section I — Coverage
C — Medical Payments, is replaced by the
following:
The expenses are incurred and reported to us
within three years of the date of the accident.
and
11. SUPPLEMENTARY PAYMENTS
A. Under Section I — Supplementary Payments —
Coverages A and B, Paragraph 1.b., the limit of
$250 shown for the cost of bail bonds is replaced
by $2,500:
B. In Paragraph 1.d., the limit of $250 shown for daily
loss of earnings is replaced by $1,000.
12. PROPERTY DAMAGE —ELEVATORS
With respect to Exclusions of Section I — Coverage A,
paragraphs (3), (4) and (6) of Exclusion j. and
Exclusion k. do not apply to the use of elevators.
The insurance afforded by this provision 12. is excess
over any valid and collectible property insurance
(including any deductible) available to the insured, and
the Other Insurance Condition is changed accordingly.
13. LEGAL LIABILITY — DAMAGE TO PREMISES
A. Under Section I — Coverage A — Bodily Injury
and Property Damage 2. Exclusions, Exclusion
j. is replaced by the following.
"Property damage" to.
(1) Property you own, rent, or occupy,
including any costs or expenses
incurred by you, or any other person,
organization or entity, for repair,
replacement, enhancement,
restoration or maintenance of such
property for any reason, including
prevention of injury to a person or
damage to another's property;
(2) Premises you sell, give away or
abandon, if the "property damage"
arises out of any part of those
premises;
G -144294-C99
(Ed. 12/06)
G -144294-C99
(Ed. 12/06)
(3) Property loaned to you;
(4) Personal property in the care,
custody or control of the insured;
(5) That particular part of real property
on which you or any contractors or
subcontractors working directly or
indirectly on your behalf are
performing operations, if the "property
damage" arises out of those
operations; or
(6) That particular part of any property
that must be restored, repaired or
replaced because "your work" was
incorrectly performed on it.
Paragraph (2) of this exclusion does not
apply if the premises are "your work" and
were never occupied, rented or held for
rental by you.
Paragraphs (1), (3) and (4) of this
exclusion do not apply to "property
damage" (other than damage by fire,
lightning, explosion, smoke, or leakage
from automatic fire protective systems) to
premises including the contents of such
premises, rented to you for a period of 7
or fewer consecutive days.
A separate limit of insurance applies to
Damage To Premises Rented To You as
described in Section III — Limits Of
Insurance.
Paragraphs (3), (4), (5) and (6) of this
exclusion do not apply to liability
assumed under a sidetrack agreement.
Paragraph (6) of this exclusion does not
apply to "property damage" included in
the "products -completed operations
hazard."
B. Under Section I — Coverage A — Bodily Injury
and Property Damage the last paragraph of 2.
Exclusions is deleted and replaced by the
following.
Exclusions c. through n. do not apply to damage
by fire, lightning, explosion, smoke, or leakage
from automatic fire protective systems to premises
while rented to you or temporarily occupied by you
with permission of the owner.
A separate limit of insurance applies to this
coverage as described in Section III — Limits Of
Insurance.
C. Paragraph 6. Damage To Premises Rented To
You Limit of Section III — Limits Of Insurance is
replaced by the following:
Page 5 of 6
6. Subject to 5. above, the Damage To Premises
Rented To You Limit is the most we will pay
under Coverage A for damages because of
"property damage" to any one premises while
rented to you or in the case of damage by fire,
lightning, explosion, smoke, or leakage from
automatic fire protective systems, while
rented to you or temporarily occupied by you
with the permission of the owner. The
Damage To Premises Rented To You Limit is
the greater of:
a. $500,000; or
b. The Damage To Premises Rented To
You Limit shown in the Declarations.
D. Paragraph 4.b.(1)(b) of Section IV — Commercial
General Liability Conditions is deleted and
replaced by the following:
(b) That is property insurance for
premises rented to you or
temporarily occupied by you with
the permission of the owner; or
E. This provision 13. (LEGAL LIABILITY —
DAMAGE TO PREMISES) does not apply if
Damage To Premises Rented To You Liability
under Section I — Coverage A is excluded either
by the provisions of the Coverage Part or by
endorsement.
14. NON -OWNED WATERCRAFT
Under Section I — Coverage A — Bodily Injury and
Property Damage, Exclusion 2.g., subparagraph (2) is
deleted and replaced by the following.
(2) A watercraft you do not own that is:
(a) Less than 55 feet long; and
(b) Not being used to carry persons
or property for a charge.
15. NON -OWNED AIRCRAFT
Exclusion 2.g. of Section I — Coverage A — Bodily
Injury and Property Damage, does not apply to an
aircraft you do not own, provided that:
1. The pilot in command holds a currently
effective certificate issued by the duly
constituted authority of the United States of
America or Canada, designating that person
as a commercial or airline transport pilot;
2. It is rented with a trained, paid crew; and
3. It does not transport persons or cargo for a
charge.
G -144294-C99
(Ed. 12/06)
G -144294-C99
(Ed. 12/06)
16. BROAD KNOWLEDGE OF OCCURRENCE
You must give us or our authorized representative
notice of an "occurrence," offense, claim, or "suit" only
when the "occurrence," offense, claim or "suit" is
known to :
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) An executive officer or the employee
designated by you to give such
notice, if you are a corporation; or
(4) A manager, if you are a limited
liability company.
17. NOTICE OF OCCURRENCE
The following is added to paragraph 2. of Section IV —
Commercial General Liability Conditions — Duties
in The Event of Occurrence, Offense Claim or Suit:
Your rights under this Coverage Part will not be
prejudiced if you fail to give us notice of an
"occurrence," offense, claim or "suit" and that failure is
solely due to your reasonable belief that the "bodily
injury" or "property damage" is not covered under this
Coverage Part. However, you shall give written notice
of this "occurrence," offense, claim or "suit" to us as
soon as you are aware that this insurance may apply
to such "occurrence," offense claim or "suit."
18. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
Based on our reliance on your representations as to
existing hazards, if unintentionally you should fail to
disclose all such hazards at the inception date of your
policy, we will not deny coverage under this Coverage
Part because of such failure.
19. EXPECTED OR INTENDED INJURY
Exclusion a. of Section I — Coverage A — Bodily
Injury and Property Damage Liability is replaced by
the following:
a. "Bodily injury" or "property damage"
expected or intended from the standpoint
of the insured. This exclusion does not
apply to "bodily injury" or "property
damage" resulting from the use of
reasonable force to protect persons or
property.
20. LIBERALIZATION CLAUSE
If we adopt a change in our forms or rules which would
broaden coverage provided under this endorsement
without an additional premium charge, your policy will
automatically provide the additional coverages as of
the date the revision is effective in your state.
Page 6 of 6
POLICY NUMBER
C 4034371554
POLICY CHANGES
CA 204B DESIGNATED INSURED
INSURED NAME AND ADDRESS
IPS GROUP, INC
5601 OBERLIN DRIVE
SUITE 100
SAN DIEGO, CA 92121
This Change Endorsement changes the Policy. Please read it carefully.
This Change Endorsement is a part of your Policy and takes effect on the
effective date of your Policy, unless another effective date is shown.
The following Form has been added:
Form #: C.A2048 Title: Designated Insured
Any person or organization you have agreed in a written contract or
written agreement to add as an additional insured on this Coverage
Part, provided the written contract or written agreement was executed
prior to:
a. The "bodily injury" or "property damage"; or
b. The offense that caused the "personal and advertising injury
for which the additional insured seeks coverage under this Coverage
Part. The written contract or written agreement must pertain to your
ongoing operations for the additional insured, and must specifically
require additional insured status according to the provisions of CG
20 48.
But notwithstanding the above, no person or organization is an
additional insured for professional architectural or engineering
services provided at or for the Location(s) of Covered Operations.
C
C
Chairman of the Board
G -56015-B (ED. 11/91)
��S..'etary
POLICY NUMBER INSURED NAME AND ADDRESS
C 4034371571 IPS GROUP, INC
5601 OBERLIN DRIVE
SUITE 100
SAN DIEGO, CA 92121
POLICY CHANGES
ENDORSEMENT EFFECTIVE 10/19/13
This Change Endorsement changes the Policy. Please read it carefully.
This Change Endorsement is a part of your Policy and takes effect on the
effective date of your Policy, unless another effective date is shown.
G -15115-A
(Ed. 10/89)
This form has been added to the policy:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CILANGES - NOTICE OF CANCELLATION
OR MATERIAL COVERAGE CHANGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
In the event of cancellation or material change that reduces or
restricts the insurance afforded by this Coverage Part (other than
the reduction of aggregate limits through payment of claims), we
agree to mail prior written notice of cancellation or material
change to:
SCHEDULE
1. Number of days advance notice: 30
10 Days for Non -Payment of
Premium
PER LIST ON FILE WITH BROKER/LEAVITT
Chairman of the Board
G -56015-B (ED. 11/91)
PL_
Secretary
CNA
G -300660-A
(Ed. 06/08)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGES - NOTICE OF CANCELLATION OR MATERIAL CHANGE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Endorsement Effective Policy Number 4034371554
Named Insured IPS Group, Inc. Countersigned by
(Authorized Representative)
In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part, we
agree to mail prior written notice of cancellation or material change to:
SCHEDULE
1. Number of days advance notice:
30
10 Days for non-payment
2. Name:
City of San Rafael
Attn: City Risk Manager
3. Address:
P.O. Box 151560
San Rafael, CA 94915-1560
G -300660-A Page 1 of 1
(Ed. 06/08)
CNA G -20472-A
(Ed. 10/93)
WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY
NOTICE OF CANCELLATION OR MATERIAL CHANGE ENDORSEMENT
In the event of cancellation or other material change of the policy, we will mail advance notice to the person or
organization named in the Schedule. The number of days advance notice is shown in the Schedule.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
1. Number of days advance notice: 30
2. Notice will be mailed to: Per list on file with Broker/Leavitt
G -20472-A
(Ed. 10/93)
Page 1 of 1
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 vrofessional
services aereements/contracts (not just those requiring City Council approval).
This process should occur in the order presented below.
Step
Responsible
Description
Completion
Department
A n , Date
1
City Attorney
Review, revise, and comment on draft
df�t4yj�
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
I
I
necessary (as defined by City Attorney/City
V
Ordinance*).
n
4
City Attorney
Review and approve form of agreement;
bonds, and insurance certificates and
//o
endorsements.
v�v
5
City Manager / Mayor / or
Department Head
Agreement executed by Council authorized
official.
Irl
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to they
contracting department.
To be completed by Contracting Department:
Project Manager: Jim Mvhers, Parking Services Director
Project Name: Credit Card Parking Meter purchase
Agendized for City Council Meeting of (if necessary): N/A
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.