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HomeMy WebLinkAboutDS Automated Backup & Recovery ServicesAGREEMENT FOR PROFESSIONAL SERVICES
FOR AUTOMATEI] BACKUP AND RECOVERY ANALYSIS
This Agreement is made and entered into this.22od day of July, 2015, by and between the
CITY OF SAN RAFAEL (hereinafter "CITY"), and Vology, Inc., (hereinafter
"CONTRACTOR").
RECITALS
WHEREAS, the CITY wishes to conduct an analysis of its automated backup and recovery
processes and develop a comprehensive plan to improve its related systems and methods; and
WHEREAS, CONTRACTOR focuses on selecting best of breed data storage and backup
solutions to provide technology analysis and planning services for commercial and government
customers;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. PROJECT COORDINATION.
A. CITY'S Project Manager. The Information Technology 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'S Project Director. CONTRACTOR shall assign a single
PROJECT DIRECTOR to have overall responsibility for the progress and execution of this
Agreement for CONTRACTOR. Jeff Smith 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 as described in the Proposal, dated April 21,
2015, attached as Exhibit A hereto.
3. DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as
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follows:
- Assist CONTRACTOR in gathering current information on CITY systems and processes.
- Provide CONTRACTOR access to CITY facitilites for conducting onsite reviews.
- Participate in meetings with CONTRACTOR to review findings and recommendations.
4. COMPENSATION.
For the full performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR as specified in Exhibit A, provided that the total amount paid to
CONTRACTOR for its services and expenses will not exceed $15,000.00.
Payment will be made monthly upon receipt by PROJECT MANAGER of itemized
invoices submitted by CONTRACTOR.
5. TERM OF AGREEMENT.
The term of this Agreement shall be for 3 months commencing on July 22, 2015, and ending
on October 21, 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 of 3 months.
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. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may
use said property for any purpose, including projects not contemplated by this Agreement.
INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for
inspection and audit, all documents and materials maintained by CONTRACTOR in connection
with its perfonnance of its duties under this Agreement. CONTRACTOR shall fully cooperate
with CITY or its agent in any such audit or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
performance of any of their respective obligations hereunder, without the prior written consent of
the other party, and any attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE.
A. 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 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 two million dollars ($2,000,000) per occurrence/four million dollars ($4,000,000) aggregate, to
cover any claims arising out of the CONTRACTOR's performance of services under this
Agreement. Where CONTRACTOR is a professional not required to have a professional license,
CITY reserves the right to require CONTRACTOR to provide professional liability insurance
pursuant to this section.
4. 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:
I . 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.
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 01 04 13.
3. Except for professional liability insurance, the insurance policies shall
include, in their text or by endorsement, coverage for contractual liability and personal injury.
4. The insurance policies shall be specifically endorsed to provide that the
insurance carrier shall not cancel, terminate or otherwise modify the terms and conditions of said
insurance policies except upon ten (10) days written notice to the PROJECT MANAGER.
5. If the insurance is written on a Claims Made Form, then, following
tennination of this Agreement, said insurance coverage shall survive for a period of not less than
five years.
6. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
7. The limits of insurance required in this Agreement may be satisfied by a
combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall
contain or be endorsed to contain a provision that such coverage shall also apply on a primary and
noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement)
before CITY'S own insurance or self-insurance shall be called upon to protect it as a named
insured.
8. It shall be a requirement under this Agreement that any available insurance
proceeds broader than or in excess of the specified minimum insurance coverage requirements
and/or limits shall be available to CITY or any other additional insured party. Furthermore, the
requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this
Agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy or
proceeds available to the named insured; whichever is greater.
C. Deductibles and SIR'S. Any deductibles or self-insured retentions in
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.
a
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.
11. INDEMNIFICATION.
A. Except as otherwise provided in Paragraph B., CONTRACTOR shall, to the
fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and
hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City
Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of
any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of
litigation, (collectively "CLAIMS"), arising out of CONTRACTOR'S performance of its
obligations or conduct of its operations under 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. However, 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. In addition, the acceptance or approval
of the CONTRACTOR's work or work product by the CITY or any of its directors, officers or
employees shall not relieve or reduce the CONTRACTOR's indemnification obligations. In the
event the City Indemnitees are made a party to any action, lawsuit, or other adversarial
proceeding arising from CONTRACTOR'S performance of or operations under this
Agreement, CONTRACTOR shall provide a defense to the City Indemnitees or at CITY'S
option reimburse the City Indemnitees their costs of defense, including reasonable attorneys'
fees, incurred in defense of such claims.
B. Where the services to be provided by CONTRACTOR under this Agreement are
design professional services to be performed by a design professional as that term is defined
under Civil Code Section 2782.8, CONTRACTOR shall, to the fullest extent permitted by law,
indemnify, release, defend and hold harmless the City Indemnitees from and against any
CLAIMS that arise out of, pertain to, or relate to the negligence, recklessness, or willful
misconduct of CONTRACTOR in the performance of its duties and obligations under this
Agreement or its failure to comply with any of its obligations contained in this Agreement,
except such CLAIM which is caused by the sole negligence or willful misconduct of CITY.
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.
12. NONDISCRIMINATION.
CONTRACTOR shall not discriminate, in any way, against any person on the basis of age,
sex, race, color, religion, ancestry, national origin or disability in connection with or related to the
performance of its duties and obligations under this Agreement.
13. COMPLIANCE WITH ALL LAWS.
CONTRACTOR shall observe and comply with all applicable federal, state and local laws,
ordinances, codes and regulations, in the performance of its duties and obligations under this
Agreement. CONTRACTOR shall perforin all services under this Agreement in accordance with
these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify
and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities,
penalties, fines and all other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
14. NO THIRD PARTY BENEFICIARIES.
CITY and CONTRACTOR do not intend, by any provision of this Agreement, to create in
any third party, any benefit or right owed by one party, under the terms and conditions of this
Agreement, to the other party.
15. NOTICES.
All notices and other communications required or permitted to be given under this
Agreement, including any notice of change of address, shall be in writing and given by personal
delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the
parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or
if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as
follows:
TO CITY's Project Manager:
TO CONTRACTOR's Project Director:
Gus Bush
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
Jeff Smith
300 Spectrum Center Drive
Irvine, CA 92618
16. INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as employees
of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of
CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not
that of an employee of CITY.
17. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
expressly incorporated by reference, represent the entire Agreement of the parties with respect to the
subject matter of this Agreement.
B. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between the CONTRACTOR and the CITY.
C. No other agreement, promise or statement, written or oral, relating to the subject
matter of this Agreement, shall be valid or binding, except by way of a written amendment to this
Agreement.
D. The terms and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONTRACTOR and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the documents expressly incorporated by reference,
the terms and conditions of this Agreement shall control.
18. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under
any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments,
unpaid checks or other amounts.
19. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant or condition of
this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any
other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or
violation of the same or other term, covenant, condition, ordinance, law or regulation. The
subsequent acceptance by either party of any fee, performance, or other consideration which may
become due or owing under this Agreement, shall not be deemed to be a waiver of any preceding
breach or violation by the other party of any term, condition, covenant of this Agreement or any
applicable law, ordinance or regulation.
20. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and conditions of this
Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs
(including claims administration) and attorney's fees expended in connection with such action.
21. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code CONTRACTOR shall pay any and
all state and federal taxes and any other applicable taxes. 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).
22. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month
and year first above written.
CITY OF SAN RAFAEL
ATTEST:
ESTHER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, City Attorney
CONTRACTOR
B
me: John O'Shea
Title: President
By:
Name: Doug Pray
Title: VP of Accounting, Finance & Operations, Executive
VUL.Ocy
Backup and Disaster Recovery Analysis
Professional Services
Statement of Work
Firm Fixed Price Project
04-21-2015
Gus Bush
City of San Rafael
1400 Fifth Avenue
San Rafael , California 94901
Vology • 11ttp::'www.vo1ogy.com CX , b�
300 Irvine Center Drive • Suite 1070 • Irvine, CA • Telephone 949.297.4000 • Fax 949.297.4004
VULOCY
Dear Gus Bush,
Thank you for your interest in Vology and our service offerings. We are pleased
to present this statement of work to City of San Rafael for your review, approval
and signature. For your convenience, we have provided a checklist of the items
we require in order to execute your services request.
Statement of Work/Signature Page (to be signed and returned)
Customer Purchase Order (customer provided)
Please complete and return the above identified documents to your Vology
Account Representative, or forward to:
Attn: Jeff Smith
Vology
300 Irvine Center Drive, Suite 1070
Irvine, CA 92618
Phone: 949.297.4000
Fax: 949.297.4004
Vology appreciates the opportunity to submit this proposal and looks forward to
helping City of San Rafael with any future business computing needs. If there
are any questions, please call me at 949.297.4000. Again, thank you for your
continued consideration.
Sincerely,
Jeff Smith
Vology
VULOCY
PROPRIETARY NOTICE
Restriction on Use and Disclosure of Presentation and Quotation
Information Data
The information (data) contained in all sheets of this proposal or Statement of
Work constitutes a trade secret and/or information that are commercial or
financial and confidential or privileged. It is furnished to City of San Rafael in
confidence with the understanding that it will not, without the permission of
Vology, be used or disclosed for other than evaluation purposes. In the event a
contract is awarded on the basis of this proposal or Statement of Work, City of
San Rafael shall have the right to use and disclose this information (data) to the
extent provided in the contract. This restriction does not limit City of San Rafael's
right to use or disclose this information (data) if obtained from another source
without restriction.
VULOCY
TABLE OF CONTENTS
1.0 STATEMENT OF WORK............................................................................... 2
1.1 OVERVIEW ......................................................................................................................... 2
1.2 VOLOGY VALUE............................................................................................................... 2
1.3 PROJECT MANAGEMENT................................................................................................ 3
1.4 PROJECT MANAGEMENT APPROACH.......................................................................... 3
2.0. SCOPE OF WORK........................................................................................ 6
3.0 CLIENT RESPONSIBILITIES......................................................................
10
4.0 GENERAL PROJECT ASSUMPTIONS.......................................................
11
5.0 FIRM FIXED PRICING.................................................................................
12
6.0 STATEMENT OF WORK ACCEPTANCE ...................................................
13
APPENDIXA....................................................................................................
14
APPENDIXB.....................................................................................................
15
APPENDIXC....................................................................................................
17
Backup and Disaster Recovery Analysis
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Vology Order# 510406
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1.0 STATEMENT OF WORK
Order Number:
510406
Date:
04-21-2015
Service Provider:
Vology
Client Name:
City of San Rafael
Project Name:
Backup and Disaster Recovery Analysis
Account Manager:
Jeff Smith
1.1 OVERVIEW
City of San Rafael has identified a need for assistance to provide product and/or
services for the Backup and Disaster Recovery Analysis.
1.2VOLOGY VALUE J
Vology is an Enterprise IT Integrator specializing in data center infrastructure,
consolidation, virtualization, optimization and data application solutions. Vology
integrates effective datacenter computing and application solutions through
alignment with agency Enterprise Architectures and established computing
platform standards as well as proven implementation and management
methodologies. Vology has been working exclusively with public sector agencies
for the last 15 years and has been recognized in State, Local, Educational,
Medical and Federal organizations as business that delivers results. We
leverage technical expertise, a proven delivery methodology and a partner eco-
system to provide our clients solutions that solve mission needs. All Vology
projects are managed according to our Solution Development and Deployment
Methodology that provides customers with predictable results, technical
compatibility and alignment with strategic goals while avoiding unnecessary risks,
costs and delays.
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1.3PROJECT MANAGEMENT
The following sections will outline the key elements of the Vology Project
Management Plan to providing a unified approach and a teaming structure. This
plan ensures a successful delivery on the requirements of the Project. Vology
leverages a proven project management methodology modeled in the ITIL
framework to ensure efficient and effective achievement of project goals and
objectives. Furthermore, Vology has established a team of industry leaders and
structured the project management office and division of responsibilities to
leverage the core areas of expertise of each team member. These key aspects
of the Vology approach to project management significantly increase the
likelihood of a successful, cost effective and efficient execution of the City of San
Rafael 'Backup and Disaster Recovery Analysis' solution.
1.4PROJECT MANAGEMENT APPROACH
Effective IT project management is a fundamental management responsibility
and vital to achieving the overall mission and objectives of the Backup and
Disaster Recovery Analysis. City of San Rafael must understand the status of
and risks associated with the implementation of the solution in order to make
informed decisions. Risks must be appropriately mitigated with sufficient controls
in place such as to ensure that the solution is implemented on-time, within
budget, and with minimal disruption to ongoing daily operations.
The Vology approach to project management aligns with the Project
Management Institute (PMI) Project Management Lifecycle. The Project
Lifecycle consists of phases associated with Initiation, Planning, Execution/
Control and Project Close out. The approach outlines an effective, consistent
management methodology that provides City of San Rafael with useful, accurate
and timely project information for achieving the successful delivery of project
initiatives. The following sections outline the phases of the Vology Project
Management Methodology as a subset of the Solution Development and
Deployment approach to delivering IT Solutions.
Initiation
Initiating outlines the processes that will get the project started. The initiation
segment of this project will take the form of the project kickoff meeting that will
occur within 5 days following contract award. This phase will allow City of San
Rafael and Vology to establish success criteria and reach an agreement on the
project's envisioned end -state. The early elements of the project planning phase
Backup and Disaster Recovery Analysis
Vology Order# 510406
04-21-2015
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are also engaged during the kickoff. Initiation and planning comprise the
preparatory stages of the project management methodology that serve to reduce
risk and ensure alignment between the goals and objectives of the Vology
Project Team and City of San Rafael.
Planning
The planning phase is another critical component in the project lifecycle.
Leveraging the Vology planning framework to structure, organize and manage a
project saves time, reduces risk and provides consistent delivery results. Careful
planning will eliminate countless hours of confusion and rework during the
execution and control phases of the project.
During project planning Vology outlines project activities that will be performed,
and describes how these activities will be accomplished and managed. Project
planning provides the framework in which assumptions are validated, constraints
are identified, alternatives are reviewed, and success metrics around each major
task are confirmed. During the planning phase, project scope, time estimates and
resource requirements are verified. The planning phase also finalizes the
structure for management review and control.
Execution
During the execution phase, project deliverables are produced and objectives are
met. This phase entails the completion of the work activities, the expenditure of
resources, and the application of the quality assurance processes to ensure that
the results meet City of San Rafael requirements.
During execution, Vology will provide weekly status reports outlining progress
relative to timeline and objectives. These reports will include updates on all
activities, identification of problems encountered with recommended solutions,
anticipated activities for the next reporting period, and an updated list of the
milestones scheduled. This phase requires the Project Manager and project
team to:
• Conduct, coordinate and manage the ongoing work activities
• Perform continuous Quality Assurance to ensure project objectives are being
achieved
• Monitor identified risks for trigger events and implement mitigation strategies
• Manage change
Monitoring and Controlling
Project control involves the regular review of metrics and report status to identify
variances from the planned baseline. The variances are determined by
comparing the actual performance metrics from the execution phase against the
baseline metrics assigned during the planning phase. If significant variances are
observed, adjustments to the plan are made by repeating and adjusting the
appropriate project planning processes.
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A significant variance from the plan does not explicitly require a change, but
should be reviewed to determine whether preventive action is warranted.
Controlling also includes taking preventive action in anticipation of possible
problems. As discussed in the planning phase section, the project plan will
include the initially agreed upon baseline project schedule and budget. These
become the primary tools for evaluating project performance.
Project Close Out
The last major phase of a project's life cycle is the project closeout phase.
Project closeout is performed after all defined project objectives have been met
and City of San Rafael has formally accepted the project's deliverables and end
product. Some of the key elements to project closeout are:
• Formalizing customer acceptance
• Closeout of any financial matters
• Preparation of the project's completion report
• Conducting a project review
• Documenting lessons learned
• Handoff to System Operations
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2.0. SCOPE OF WORK
2.0.0 - Examine the existing/implemented recovery strategies.
2.0.1 Identify the cost of downtime to your business, this is required to
understand the Recovery Point Objective (RPO) and the Recovery Time
Objective (RTO).
2.0.2 - Identify the most critical assets and dependencies (Servers, Applications
& Data).
2.0.3 - Prioritize applications and data that are critical to running your business.
2.0.4 - Determine how much downtime your business can afford per
server/application.
2.0.5 - Define the sources of the backup (Virtual Machines, Physical Systems,
Applications, Files).
2.0.6 - Document Consistency and Integrity, Files (Open file dilemma),
Application data (Applications that are VSS-aware), (Application specific
solutions), Systems (Problem with system state), Virtual Machines (Specific
hypervisor functions are recommended).
2.0.7 - Build Infrastructure Topology from data gathered.
2.0.8 - Write and deliver Disaster Recovery Analysis Report.
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3.0 CLIENT RESPONSIBILITIES
• Finalize all contract negotiations with third party suppliers for hardware,
software, additional LAN wiring, and/or additional network equipment.
• Procure additional required software, hardware, LAN wiring, and/or additional
network equipment in a timeframe that allows work to be completed to meet
project specific milestones.
• Ensure City of San Rafael supporting infrastructure is under good working
condition and under manufacturer support contract. To include but not limited
to; latest patches and firmware applied, proper rackspace, power, cooling,
network connectivity, IP addressing, and DNS functionality.
• City of San Rafael is responsible for providing adequate and secure on site
storage for all deliveries as well as transport of equipment to final installation
endpoints.
• City of San Rafael will verify and warrant compatibility of all components of
project not designed by Vology. Vology does not guarantee functionally of
customer or third party designed solutions. Incompatibilities, dislikes, or
functionally shortcomings will be resolved between City of San Rafael,
manufacturer, and or third party solution architect.
• Ensure City of San Rafael staff availability during knowledge transfer steps of
the project. Knowledge transfer sessions repeated, or moved outside timeline
of project require change order.
• Provide adequate office working conditions with a telephone, desk, and dial
up/LAN connection for remote communications.
• Provide the Project Manager with a list of all third party contacts, as well as,
internal City of San Rafael Project Manager and all contacts necessary to
facilitate tasks contained within this Statement of Work.
• Communicate any issues or changes to the original project plan or scope of
work to the Project Manager in a timely manner.
• Ensure the work environment is free of hazardous materials and free from
asbestos. City of San Rafael is responsible for supplying to any information
concerning safety issues and/or hazardous material for the disclosure to all
Vology and Third Party employees working on the project.
• Ensure that Vology is given required access to all necessary facilities, as well
as passwords, equipment, etc. required to successfully complete this project.
• Inform City of San Rafael employees of Vology activities and direct them to
provide necessary access and cooperation.
• City of San Rafael is responsible for the backup and/or data migration of
existing data unless otherwise agreed to by Vology.
• City of San Rafael is responsible for obtaining all permits, licenses and right
of ways necessary for the completion of this project.
Backup and Disaster Recovery Analysis
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• City of San Rafael is responsible for computer system and network designs
and component selection as it relates to the performance of the computer
system and/or the network.
4.0 GENERAL PROJECT ASSUMPTIONS
Effort has been made to develop a list of Project assumptions. Undocumented
assumptions can have a dramatic effect on the project plan. In order to set the
bounds of this project, you, the Customer, agree and acknowledge the following
assumptions.
• All communications, which affect the technical aspects of the project, must be
directed through the Project Manager. Any communications, which are not
directed through the Project Manager, will not materially affect the project.
• Any additional labor or materials requested by City of San Rafael, not
included in the scope of this Statement of Work will constitute a Change
Request.
• Each and every change made to the project plan once started will have to be
approved by both parties via the Change Control Process as described in
Appendix A.
• Adequate staffing and project management is included in this response. If
City of San Rafael unexpectedly accelerates the stated time line in their
request, a Change Order may be generated to cover additional staffing or
overtime to meet the new deadlines.
• Any work beyond that stated in this Statement of Work must be mutually
agreed to by City of San Rafael and Vology.
• Any on-site skill transfer supplements, but does not replace, the
manufacturer's formal system implementation and administration classes.
• Unless otherwise stated, no end user training is included in this SOW. End
user training is available for an additional cost.
• All personnel will comply with all OSHA safety requirements while on City of
San Rafael project site.
• All on site work must be scheduled 15 business days prior to the expected
date of arrival.
• Schedule changes made by customer will be accommodated in a best effort
basis. Typical engineer lead-times may be influenced.
• The project work to be performed will be completed during normally
scheduled working hours (8:00 a.m. to 5:00 p.m. local time Monday through
Friday), excluding Vology' observed holidays. Any work performed outside of
these normal business hours not already in scope will be a change order.
Backup and Disaster Recovery Analysis
Vology Order# 510406
04-21-2015
VULOCY
• All tasks included in this Statement of Work shall be performed over a
consecutive time frame unless otherwise specified in the Statement of Work
or agreed to by both parties in writing.
• Services in this Statement of Work are contiguous days unless otherwise
stated.
• Post Installation support will be performed by the hardware or software
vendor upon which installation services were rendered.
Backup and Disaster Recovery Analysis 9
Vology Order# 510406
04-21-2015
VULOCY
5.0 FIRM FIXED PRICING
The following is a listing of prices for the tasks outlined in this Statement of Work.
Any service requested outside of the scope of this Statement of Work will require
a change order.
Backup and Disaster Recovery Analysis $15,000
PAYMENT TERMS:
Payment shall be rendered according to the following schedule:
1) This Statement of Work is Firm Fixed Price (FFP). Please refer to
associated Vology Order# 510406 for pricing detail.
2) If product is associated with this project, City of San Rafael will be
invoiced for delivered product prior to the completion of the services
in the Statement of Work.
Backup and Disaster Recovery Analysis 10
Vology Order# 510406
04-21-2015
VULOCY
6.0 STATEMENT OF WORK ACCEPTANCE
Date:
6/12/2015
Service Provider:
Vology
Client Name:
City of San Rafael
Project Name:
Backup and Disaster Recovery Analysis
Order Number:
510406
Terms and Conditions
• Travel and Living expenses for Vology personnel are included in the Vology
Statement of Work for City of San Rafael.
• Services in this Statement of Work are contiguous days unless otherwise
stated.
• Prices are valid for 30 days from the date of this Statement of Work.
• Vology shall bill City of San Rafael at the end of each milestone for services
completed or at the completion of all work stated in the Statement of Work.
• Vology shall perform this Statement of Work for City of San Rafael under the
Vology' Terms and Conditions.
• The Vology Service Provider Agreement shall apply to this Statement of
Work. City of San Rafael must sign a Vology Service Provider Agreement
before or at the time City of San Rafael places an order. City of San Rafael
does not have to sign another Vology Service Provider Agreement if they
have previously signed one and the Agreement is still in force.
• City of San Rafael by signing below agrees that the terms of this Statement of
Work shall apply to orders City of San Rafael placed and referenced in this
Statement of Work.
City of San Rafael:
Signature: Representative for City of San Rafael
Name (Please print): , Date:
Note: Vology has accepted the ternis and conditions of the City of San Rafael
Professional Services Agreement. That document will take the place of the Vology
Master Service Provider Agreement as well as the Statement of Work Acceptance.
Once the City's PSA is signed by both Vology and the City, job scheduling and work
will commence.
Backup and Disaster Recovery Analysis 71
Vology Order# 510406
04-21-2015
VULOCY
APPENDIX A: CHANGE ORDER PROCESS
A Change Order Request and Approval form will be the vehicle for
communicating change. In the event that changes to the Statement of Work
(SOW) and/or hardware and software quotation are required, a Change Order
Request and Approval form will be initiated by Vology and presented to City of
San Rafael designated project leader and/or authorized representative for
review, acceptance and approval.
The Change Order Request and Approval form must describe the change, the
rationale for the change and the effect the change will have on the project. (e.g.
time estimate and estimated cost).
Vology will invoice City of San Rafael for any charges related to the investigation
of the change request if applicable. These charges will be detailed on the
Change Order Request and Approval form. The investigation will determine the
effect that the implementation of the Change Order will have on price, schedule
and other terms and conditions of the Agreement.
A written Change Order Request and Approval form must be signed by City of
San Rafael to authorize implementation of the change(s).
Any prerequisite preparation or environment requirements not completed, as set
forth in this SOW, will result in a Change Order Request and Approval form.
Backup and Disaster Recovery Analysis 12
Vology Order# 510406
04-21-2015
VULOCY
APPENDIX B: VOLOGY SERVICE PROVIDER
AGREEMENT
Note: Vology has accepted the terms and conditions of the City of San Rafael
Professional Services Agreement. That document will take the place of the Vology
Master Service Provider Agreement as well as the statement of work acceptance. Once
the City's PSA is signed by both Vology and the City, job scheduling and work will
commence.
Backup and Disaster Recovery Analysis 13
Vology Order# 510406
04-21-2015
VU"LOGy
APPENDIX C: COMPLETED SOW ACCEPTANCE
Backup and Disaster Recovery Analysis
Order# 510406
IM9V
City of San Rafael
City of San Rafael:
Approval of work completed:
• Signature an authorized
representative for: City of San Rafael ;
• Name (please print)
Date:
To be signed following the completion
of the engagement
Backup and Disaster Recovery Analysis 14
Vology Order# 510406
04-21-2015
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DESCRIBED PERSON OR ORGANIZATION ENDORSEMENT —
ADDITIONAL PROTECTED PERSONS
This endorsement changes your Commercial
General Liability Protection.
How Coverage Is Changed
The following is added to the Who Is
Protected Under This Agreement section.
This change adds certain protected persons
and limits their protection.
Described person or organization. The person or
organization shown in the Coverage
Summary as a described person or
organization is a protected person. But only
for covered injury or damage that results
from;
• premises you own, rent or lease; or
i your work.
We explain what we mean by your work in
the Products and completed work total limit
section.
Other Terms
All other terms of your policy remain the
same.
✓43356 Ed. 7-85 Endorsement
® 1985 The St. Paul Travelers Companies, Inc. All Rights Reserved
Page 1 of 1
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NON-CONTRIBUTORY OTHER INSURANCE ENDORSEMENT - FOR
DESCRIBED ADDITIONAL PROTECTED PERSONS
This endorsement changes your Commercial
General Liability Protection.
How Coverage Is Changed
The following is added to the Other
Insurance section. This change broadens
coverage for certain additional protected
persons.
If you've specifically agreed in a written
contract that this agreement must be primary
to and non-contributory with other insurance
issued directly to a described additional
protected person, we won't share with that
other insurance any damages incurred by
that described additional protected pi%Tn
for:
Name or description:
• bodily injury or property damage covered
/Prsonal
is agreement that happens after that
en contract was made; or
injury or advertising injury
ed by this agreement that's caused
offense committed after that written
act was made.
Described additional protected person
means any person or organization, other than
you, who:
• qualifies as a protected person under this
agreement; and
• is named or described below.
County of Orange & members of the board of supervisors, its elected & appointed
officials, officers, agents & employees
Child Support Services
1055 N. Hail St Ste 927
Santa Ana, CA 92701
Other Terms
All other terms of your policy remain the same.
Name of Insured Policy Number ZLP-13T78542-15--i3 Effective Date 01/22/15
VOLOGY, INC. Processing Date 02/11/15 14:36 001
G0435 Ed. 4-00 Endorsement
© 2000 The Travelers Indemnity Company. All rights reserved.
Page 1 of 1
Eric Davis
From:
Eric Davis
Sent:
Monday, June 29, 2015 11:35 AM
To:
'Jeff@Vology.com'
Cc:
Gus Bush
Subject:
Declaration Page
Attachments:
Vology Dec page.pdf
Jeff:
Thanks for sending the Declaration page and pointing out the reference to document 47150 on page 1 of the
Declaration.
Would you please arrange to send us the following additional two documents referenced on page 1 of the Declaration:
43356 07-85 Described Person or Organization —Additional Protected Person
G0435 04-00 Non -Contributory Other Insurance Endorsement
Thanks
&Z C'J.'Daaia
Deputy City Attorney II
City of San Rafael
P.O. Box 151560
San Rafael, CA 94915-1560
415-485-3080 (office)
415-485-3109 (fax)
eric. davisCcD,citvofsanrafael. orR
From: Jeff Smith fmailto:Jeff(6Vologv.coml
Sent: Monday, June 29, 2015 10:48 AM
To: Eric Davis; Gus Bush
Subject: Declaration Page
Eric,
Here is a declaration page that lists the 47150 form. It is on page 2 of the attached.
Let me know if this is what you need.
JEff
Jeff Smith I General Manager
t: 805-708-4290 f: 813-490-7090
e: ieff(d)vologv com
w: www.vologv com
From: Jeff Smith
Sent: Monday, June 29, 2015 9:38 AM
To: Eric Davis; 'Gus Bush'
Subject: Delegation of Authority Document - Vology
See attached
Jeff Smith I General Manager
t: 805-708-4290 f: 813-490-7090
e: ieff(cDvologv.com
w: www.voloay.com
in.
VOLOG-1 OP ID: L3
ACO�Q DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 06/17/2015
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
NAME: Barrett Brown
Brown & Brown of Florida, Inc.
PHONE FAX
I 813-226-1313
P. O. Box 173086
A/c No. E11:813-226-1300 (A/C. No):
Tampa, FL 33672
E �Rle ss: bbrown@bbtampa.com
Barrett Brown
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Travelers Prop Cas of Amer
25674
INSURED Vology, Inc.
INSURER B: Phoenix Insurance Company
25623
4027 Tampa Rd Ste 3900
INSURER c: St. Paul Fire & Marine Ins.Co.
24767
Oldsmar, FL 34677
I INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY 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
LTR
TYPE OF INSURANCE ADDL
INSn
SUBRI
wvn POLICY NUMBER
POLICY EFF POLICY EXP
(MM/DD/YYYYI (MMIDDIYYYYI
LIMITS
_
C
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE S
1,000,000
CLAIMS-MADE—kl OCCUR
ZLP13T78542
01/22/2015 01/22/20161 DAMAGE (oHEN tE:u -
PREMISES (Ea occurrence) S
1,000,000
_
1 MED EXP (Any one person) S
10,000
PERSONAL&ADV INJURY S
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE S
2,000,000
POLICY F JECT F] LOC
PRODUCTS -COMP/OPAGG $
2,000,000
OTHER:
S
AUTOMOBILE LIABILITY
A
COMBINED SINGLE LIMIT $
(Ea accident)
1,000,000
A
T ANY AUTO
BA2381X52A
01/22/2015 01/22/2016 BODILY INJURY (Per person) $
ALL OWNED
SCHEDULED
BODILY INJURY (Per accident) S
AUTOS
X
X
AUTOS
NON -OWNED
1 PROPERTY DAMAGE S
HIRED AUTOS
AUTOS
1 (Per accident)
S
UMBRELLA LIAB X OCCUR
EACH OCCURRENCE $
20,000,000
C X
EXCESS LIAB H CLAIMS -MADE
ZLP13T78542
01/22/2015 01/22/2016 1 AGGREGATE _ $
20,000,000
DED X RETENTIONS 10,000
$
WORKERS COMPENSATION
X I I PER ER H
AND EMPLOYERS' LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑
NIA,
UB1B54041114(FL)
STATUTE
12/24/2014 12/24/20151 E.L. EACH ACCIDENT S
1,000,000
OFFICER/MEMBER In N EXCLUDED?
A (Mandatary in NH)
UB1B54133 OTHER STATES 12/24/2014 12/24/2015 E.L. DISEASE - EA EMPLOYEE S
( )
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT S
1,000,000
C Property Section
1ZLP13T78542
01/22/2015 01/22/2016
See
Note
A Prof Liab
ZLP14P24191
01/22/2015 01/22/2016
Attached
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
CERTIFICATE HOLDER
City of San Rafael
PO Box 151560
San Rafael, CA 94915
ACORD 25 (2014/01)
SANRAFA
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
--
©1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NOTEPAD INSURED'SNAME Vology, Inc.
VOLOG-1
OP ID: L3
001 001-4027 Tampa Rd Ste 3900 & 3800 Oldsmar,FL 34677
BPP $10,000,000 BI/EE $20,000,000
002 001-4035 Tampa Rd Ste 6000& 6800 Oldsmar,FL 34677
BPP $1,000,000 BI/EE Included
003 001-1720 Capital Ave Ste 203 Sacramento, CA 95811
BPP $15,000 BI/EE Included
004 001-9417 Corporate Lake Dr Tampa, FL 33634
:BPP $250,000 BI/EE Included
005 001-5601 NW 72nd Ste 255 Oklahoma City OR 73132
BPP $15,000 BI/EE Included
006 001-225 Greenfield Pkwy Liverpool NY 13088
BPP $15,000 BI/EE Incl
007-2775 Northwoods Pkwy Norcross GA 30071- $50,000 BPP BI/EE Included
.008-8001 Irvine Center Dr #1070 Irvine CA 92618 -$75,000 BPP/BI/EE
'Included
009-1400 S Grand Ave Santa Ana CA 92705 $2,000,000 EDP
010-7499 E Paradise Lane Scottsdale AZ 85260 $450,000 BPP/BI/EE Included
Special Form A11 Risk 100% Coinsurance/Replacement cost
Ded $1,000 AOP/5% wind or $100,000 for Florida locations/BI ded 3 days AOP
Wind 96 Hours
Professional Liability - $20,000,000 Each Wrongful Act/$20,000,000
Aggregate/$50,000 deductible Third Party Liability each wrongful act
Named Insured: Vology Inc dba Vology Data Systems;
The Gaelic Trading Co dba Network Liquidators
VDS SUB LLC
Bayshore Technologies LLC
Vology Government Group LLC
.-._. ._PAGE 2
Date 06117/2015
rn
o� `J
POLICY INFORMATION
0
t
N
N
THIS IS NOT A BILL.
COPY
YOUR POLICY IS DIRECTLY BILLED. IF THIS IS A POLICY CHANGE,
THE ADDITIONAL OR RETURN PREMIUM WILL BE SHOWN ON
FUTURE INSTALLMENT BILLINGS.
a�q
TRAVELERS J
Checked by
Date- J �
Company: ST. PAUL FIRE & MARINE INSURANCE COMPANY ✓ .0 pc Kc -1 ffi
I
S
U dba: VOLOGY DATA SYSTEMS
R 4027 TAMPA ROAD
E SUITE 3900
D OLDSMAR FL 34677
GBROWN & BROWN—TAMPA
E P.O. BOX 173086
N TAMPA FL 33672
T
Policy
Number Description _^
Policy Inception/Effective Date: 01!22115
Policy Number.
ZLP-13T78542--15—I3
Agency Number: 0965495
Transaction Type:
RENEWAL OF POLICY
Transaction Number. 001
Processing Date: 02/11/15 14:36
Account Number: 10108538DA
13T78542 '"'S .,�ti 20Q0 !POLICY
13T78542 UMBRELLA EXCESS LIABILITY
13T78542 NEW YORK INSURANCE FEE
13T78542 EMRGY MGMT PREP & ASST TRUST FUND (EMPA)
13T78542 FL HIGH RISK EMERGENCY SURCHARGE
Surtax /
Amount Surcharge
$160,479.00
$33,689.00
$2.00
$4.00
$923.00
THE PREMIUM SHOWN DOES NOT INCLUDE A PREMIUM PAYMENT PLAN SERVICE CHARGE.
IF YOU SELECTED A PREMIUM PAYMENT PLAN YOUR PAYMENT SCHEDULE/BILL WILL SHOW THIS
CHARGE.
THIS POLICY IS ON A TEN PAY PAYMENT PLAN.
A PAYMENT SCHEDULE/BILL WILL FOLLOW SHORTLY.
PREMIUM COMM. SURTAX/
RATE SURCHARGE
------------------------------------------------------------------------------------
$194,168.00 15.0%
.0% $2.00
.0% $4.00
.0% $923.00
AGENT COPY
40793 Ed. 12-'90
m 1990 The Travelers Indemnity Company. All rights reserved.
Page 1
o POLICY FORM L15T jam( ! Yo TRI�I�IEr�ERS��
U6 Here's a list of all forms included in your
policy, on the date shown below. These
forms are listed in the same order as they PI VI I-1-14 i_�- 7577 2 ( --_�
appear in your policy. I - 2,2- - 15- -4-o I- _z —tio
Title Form
Number Edition Date
Disclosure Notice Terrorism Risk Insurance Act Of 2002
D0100,
01-08
o
Introduction - St. Paul Fire And Marine Insurance Company
40800"
05-87
o
Policy Form List
40705'
05-84
General Rules
40701'
08-03
Waiver Of Rights Of Recovery Endorsement - Commercial
43390"
10-93
4
General Liability
Notice Of Cancellation To Described Person Or Organization
D0147'
03-08
Endorsement
Arizona Required Endorsement
40760
07-14
California Required Endorsement C11eCk-odb/:
40769
12-12
T
Florida Required Endorsement ,,CC
40738
02-08
Georgia Required Endorsement G2ta:J_J
40518'
07-14
New York Required Endorsement
40544r
03-11
Oklahoma Required Endorsement
40740'
03-14
What To Do If You Have A Loss
40814'
08-03
n
Cap On Losses From Certified Acts Of Terrorism Endorsement
D0144'
01-08
o
Technology Premier Property Protection Coverage Summary
F0068'
05-02
0
Technology Premier Property Protection Scheduled
F0098'
01-98
o
Locations Coverage Summary
'
Technology Premier Property Protection Blanket Earnings And
F0096"
07-01
Expense Coverage Summary
Technology Premier Property Protection Additional Benefits
F0188'
07-01
Coverage Summary
Technology premier Property Protection
FO180(
07-01
e
TechnoLogy Premier Property Protection Blanket Earnings And
F017Y
07-01
Expense Endorsement
.�
Technology Premier Property Protection Boiler Coverage
F0095"
03-98
r
Endorsement
Premier Property Protection Blanket Earnings And Expense
F027)'
04-02
re
Unscheduled Locations Endorsement
Technology Premier Property Protection Flood Exclusion
F0279'
04-02
Endorsement
Lender's Loss Payable Endorsement
42325"
04-06
Windstorm Or Hail Percentage Deductible Endorsement
4276Y
03-94
®
Virus Or Bacteria Exclusion Endorsement
F0459r
03-07
Property Protection Deductible And Unintentional Errors And
F0423"'
07-05
Omissions Change Endorsement
i
Protection For Miscellaneous Property
42038'
02-83
Technology Commercial General Liability Protection Coverage
47151/
01-96
Summary
Technology Commercial General Liability Protection
47154
07-D1
Described Person or Organization -Additional Protected
43356'
07-85
Persons
Non -Contributory Other Insurance Endorsement - For
G0435
04-00
Described Additional Protected Persons
Asbestos Exclusion Endorsement
G0468
03-02
Name of Insured Policy Number ZLP-13'x78542-15-I3
Effective Date
01/22/15
VOLOGY, INC. Processing Date 02/11/15 14:36
001
140705 Ed. 5-84 - Form List
o 1984 The Travelers indemnity Company. All rights reserved.
Page 1
Change OE Limits End't. - Each Premises General Total Limit
G0763-
11-06
Applies And Is Subject To All Premises General Total Limit
Unsolicited Communication Exclusion Endorsement
d069 a
08-04
Mobile Equipment Subject To Compulsory Or Financial
G071V
12-04
Responsibility Insurance Laws Or Scheduled Under Your
Auto...
Technology Personal Injury And Advertising Injury Limitation
G045V
07-01
Endorsement
Intercompany Products Lawsuits Exclusion Endorsement
471701"
04-91
Employee Benefit Plans Administration Liability Protection
435322
O1-96
-Claims-Made Coverage Summary
Employee Benefit Plans Administration Liability protection
43475'
01-96
-Claims-Made
Employment -Related Practices Exclusion Endorsement -
L0436/
09-01
Employee Benefit Plans Administration Liability
Technology Umbrella Excess Liability Protection Coverage
4727Y
07-01
Summary
Umbrella Excess Liability Protection Schedule Of Basic
47123,,
04-91
Insurance
Umbrella Excess Liability Protection Schedule Of Basic
47124
04-91
Insurance - Continued
Technology Umbrella Excess Liability Protection
4726V
07-01
Technology Personal Injury And Advertising Injury Limitation
E0192/
07-01
Endorsement -- Umbrella Excess'Liability
-Asbestos Exclusion Endorsement - Umbrella Excess Liability
E0199'
03-02
Unsolicited Communication Exclusion Endorsement.- Umbrella
E024(V
08-04
Excess Liability
Coverage Above Reduced And Exhausted Employers Liability
E015r
01-01
Basic Insurance Total Limits,F6r Nbn-C'oneurrent'•D-ates-Endt'r
Foreign Liability Limitation Endorsement Umbrella Excess
4722Sr
04-91
Liability
Mobile Equipment Subject To Compulsory Or Financial
E0273(
12-04
Responsibility insurance Laws Or Scheduled Under Your
Auto...-UEL
Control Of Property Exclusion Endorsement - Umbrella Excess
472le
03-96
Liability
Intercompany Products Lawsuits Exclusion Endorsement
472W
04-91
Umbrella Excess Liability
Excess Errors And Omissions Liability
47339'
02-92
Protection--Claims-MadeCoverage Summary
Excess Errors And Omissions Liability Protection -Claims -Made
4733$
02-92
40705 Ed. 5-84
Page 2 a 1984 The Travelers Indemnity Company. All rights reserved.
a
TRAVELERS!' WORKERS COMPENSATION
AND
ONE TONER SQUARE
HARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 00 01 (A)
POLICY NUMBER: (HJUB-1854133-9-14 )
LISTING OF ENDORSEMENTS
EXTENSION OF INFO PAGE
We agree that the following listed endorsements form a part of this policy on Its effective date.
WC
00
00
01
A
- 001
INFORMATION PAGE
WC
00
00
01
A
- 001
INFORMATION PAGE 2
WC
00
00
01
A
- 001
EXTENSION OF INFORMATION PAGE - SCHEDULE
WC
00
00
01
A
- 001
ENDORSEMENT LISTING
WC
04
03
17
00
- 001
ENDT AGRMNT LIMITING & RESTRICTING INS
WC
99
06
P5
00
- 001
WC AND EMPL LIAB INFO PAGE -OK AMEND ENDT
WC
00
01
14
00
- 001
PENDING LAW CHANGE TO TERRORISM RISK INS
WC
00
03
13
00
- 001
WAIVER OF OUR RIGHT TO RECOVER
WC
00
04
06
00
- 001
PREMIUM DISCOUNT ENDORSEMENT
WC
00
04
14
00
- 001
NOTIFICATION OF CHANGE IN OWNERSHIP ENDT
WC
00
04
22
A
- 001
TERRORISM -REAUTHORIZATION ACT DISCLOSURE
WC
42
01
01
00
- 001
TX PENDING LAW CHANGE TO TERRORISM RISK
WC
99
03
C3
00
- 001
SPECIAL PROVISIONS ENDT
WC
99
03
F3
00
- 001
CA LIMITS OF LIABILITY ENDT
WC
99
03
76
A
- 001
WAIVER OF OUR RIGHTS TO RECOVER -CA
WC
99
03
99
00
- 001
CA WORKERS' COMP NOTICE OF NON -RENEWAL
WC
00
04
21
C
- 001
CATASTROPHE (O/T CERT. ACTS OF TERR)ENDT
WC
99
04
09
00
- 001
PREMIUM DISCOUNT - SHORT FORM
WC
00
03
08
00 -
001
PARTNERS, OFFICERS AND OTHERS EXCL ENDT
WC
00
04
19
00
- 001
PREMIUM DUE DATE ENDORSEMENT
WC
04
03
01
B
- 001
POLICY AMENDATORY ENDORSEMENT -CALIFORNIA
WC
04
03
60
A -
001
CA -EMPLOYERS LIAB COV AMENDATORY ENDT
WC
04
04
22
00 -
001
CALIFORNIA SHORT -RATE CANCELATION ENDT
WC
04
06
01
A
- 001
CA CANCELATION ENDT
WC
31
03
08
00 -
001
NEW YORK LIMIT OF LIABILITY ENDORSEMENT
WC
31
03
19
G -
001
NY CONST CLASS PREM ADJUST PROG
WC
35
03
03
00 -
001
OK EMP LIAB INTENTIONAL TORT EXCL ENDT
WC
35
06
01
F -
001
OK CAN, NONRENEWAL AND CHANGE ENDT
WC
35
06
03
00 -
001
OK FRAUD WARNING ENDT
WC
42
03
01
G
- 001
TEXAS AMENDATORY ENDORSEMENT
WC
42
03
04
B
- 001
TX WAIVER OF OUR RIGHTS TO RECOVER
WC
42
04
07
00 -
001
TX AUDIT PREMIUM & RETRO PREM ENDT
WC
99
06
05
00
- 001
OK STATUTORY PROVISIONS ENDORSEMENT
DATE OF ISSUE: 12-24-14 ST ASSIGN: Page i of LAST
DI 1094
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TECHNOLOGY
COMMERCIAL GENERAL LIABILITY PROTECTION
This insuring agreement provides general
liability protection for your business. There
are, of course, limitations and exclusions
throughout this agreement that apply to that
protection. As a result, this agreement
should be read carefully to determine the
extent of the coverage provided to you and
other protected persons.
Table of Contents
Page
Exclusions - What This Agreement Won't
Cover
12
What This Agreement Covers
1
Aircraft.
12
Bodily injury and property damage
Auto.
13
liability.
1
Breach of contract.
13
Personal injury liability.
3
Contract liability.
13
Advertising injury liability.
3
Control of property.
16
Medical expenses.
4
Damage to your products or completed
Right and duty to defend a protected
work.
16
person.
4
Deliberately breaking the law.
17
Additional payments.
5
Employers liability.
17
Right to appeal a judgment against a
Employment-related practices.
17
protected person.
5
Expected or Intended bodily injury or
property damage.
18
When This Agreement Covers
5
False material.
18
Bodily injury and property damage
Impaired property.
Intellectual property.
18
18
liability.
Personal injury liability.
6
6
Liquor liability.
19
Advertising Injury liability.
6
Material previously made known or
Medical expenses.
6
used.
Medical expenses of certain persons.
19
19
Agreement Covers
Where This A g
6
Mobile equipment.
Nuclear energy liability.
19
20
Pollution injury or damage.
21
Who Is Protected Under This Agreement
6
Pollution work loss, cost, or expense.
23
Individual.
6
Poor quality or performance.
24
Partnership or joint venture.
6
Product recall.
24
Limited liability company.
7
Unnamed partnership, joint venture, or
Corporation or other organization.
7
limited liability company.
24
Employees and volunteer workers.
7
Watercraft.
24
Real estate managers.
8
Workers compensation and other
Landlords.
8
benefits laws.
25
Equipment lessors.
8
Wrong price description.
25
Persons or organizations for your work
as required by written contract.
8
Other Insurance
25
Vendors of your products.
9
Primary or excess other insurance.
2.5
Operators of registered mobile
When this agreement is excess
equipment.
9
Insurance.
26
Unnamed subsidiaries.
9
Methods of sharing.
26
Newly acquired or formed
organizations.
10
Separation of protected persons.
10
LI its Of Coverage
10
What This Agreement Covers
General total limit.
10
Products and completed work total
limit.
11
Bodily Injury and property damage liability.
Personal injury each person limit.
12
We'll pay amounts any protected person Is
Advertising injury each person limit.
12
legally_ required to_,pll�y._ —Rama gib f r1�
Each event Ilmlt.
12
covered bodily injury or property damage
How the limits of coverage apply if a
that:'
total limit is left blank.
12
47150 Rev. 7-01 Insuring Agreement
® 2001 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 1 of 26
Employee includes a leased worker, other
than a leased temporary worker.
Leased worker means any person who:
o is hired from an employee leasing firm
under a contract or agreement between the
hirer and that firm; and
• Is performing duties related to the conduct
of the hirer's business.
Volunteer worker means any person who:
• isn't an employee or a leased temporary
worker;
• donates his or her work; and
• isn't paid a fee, salary, or other
compensation for that work.
Employee leasing firm means any person or
organization that hires out workers to others.
It includes any:
• employment agency, contractor, or service;
• labor leasing firm; or
• temporary help service.
Leased temporary worker means a leased
worker who is hired to:
• temporarily take the place of a permanent
employee on leave; or
• meet seasonal or short-term workload
conditions.
Controlled by means:
• owned, rented, leased, occupied, borrowed,
or used by;
• in the care, custody, or control of; or
• being physically controlled for any
purpose by.
Health care professional services includes:
• any dental, medical, mental, nursing,
surgical, x-ray, or other health care
professional service, including any advice,
instruction, food, or beverage provided
with such service;
• the dispensing of drugs or medical or
dental supplies and appliances; and
• the handling or treatment of corpses,
I
ncluding autopsies, organ donations, and
other postmortem procedures.
lease, or borrow from others, or own. They
may be persons or organizations.
But we won't apply this Real estate
managers section to your employees.
Instead, we'll apply the Employees and
volunteer workers section to them.
Landlords. Any landlord, lessor, manager, or
owner of a premises rented or leased to
you is a protected person only for the
ownership, maintenance, or use of that
premises while you rent or lease It.
However, no landlord, lessor, manager, or
owner is a protected person for injury or
damage that results from any of the
following work while being done by or for
such landlord, lessor, manager, or owner:
• Structural changes.
• New construction work.
• Demolition work.
But we won't apply this Landlords section to
your real estate managers. Instead, we'll
apply the Real estate managers section, or
the Employees and volunteer workers
section, whichever section is applicable, to
them.
Equipment lessors. Any lessor or owner of
equipment rented or leased to you is a
protected person only for your operation,
maintenance, or use of that equipment while
you rent or lease It.
However, no equipment lessor or owner is a
protected person for injury or damage that
results from its sole negligence.
r—
Persons or organizations for your work as
required by written contract. Any person or
organization that:
• is not otherwise a protected person under
this agreement; and
• you specifically agree in a written contract
to add as an additional protected person
under this agreement;
is a protected oerson, but only for covered
bodily Injury or property damage that results
from your work.
However, no such person or organization is
a protected person for bodily injury or
We explain the term premises damage in the property damage that results from their sole
Each event limit section. negligence.
Real estate managers. Your real estate
managers are protected persons only for
their management of premises that you rent,
47150 Rev. 7-01
Page 8 of 26 o 2001 The St. Paul Travelers Companies, Inc. All Rights Reserved
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Also, such person or organization Is a
protected person only for the lesser of:
• the limits of coverage required by the
written contract; or
• the limits of coverage available under this
agreement.
Additional protected person may also be
called an additional insured in that written
contract.
We explain the term your work in the
Products and completed work total limit
section.
,-Ie^ndors of your products. Any vendor of
your products is a protected person for
covered bodily injury or property damage
that results from your products, but only if:
• you specifically agree in a written contract
to add the vendor as an additional
protected person under this agreement;
• this agreement provides coverage for
those products; and
• those products are sold or distributed in
the normal course of the vendor's
business.
r
However, no vendor from whom you've
;acquired your products is a protected
Nor is any vendor a protected person for
odily injury or property damage that results
ro m:
�• any express warranty which Is made by
the vendor and you haven't authorized;
. any change made in the condition of any
of your products by the vendor;
,I• the repackaging of your products other
i than when the products are unpacked for
demonstration, inspection, testing, or
j replacement of parts ordered by you or
the manufacturer, and later repackaged In
J their original containers;
4 • any failure of the vendor to perform
normal or agreed upon servicing of your
j products which the vendor has sold or
9 distributed;
. the demonstration, installation, or servicing
of your products, which is done away
from the vendor's premises; or
• your products which have been labeled or
relabeled, or used as an ingredient, part,
or container in, on, or for anything else,
by or for the vendor.
Servicing includes any adjustment, assembly,
disposal, inspection, repair or test.
We explain the term your products in the
Products and completed work total limit
section.
Operators of registered mobile equipment. All
operators of registered mobile equipment are
protected persons for covered bodily injury
or property damage that results from their
driving of such equipment on a public street
or road with your permission.
Any person or organization legally
responsible for the driving conduct of those
operators is also a protected person for
such bodily injury or property damage. But
only if there's no valid and collectible other
insurance available to cover its liability for
the operators.
However, no operator or any other person or
organization is a protected person for:
• bodily injury to a fellow employee of the
person driving the equipment; or
• property damage to property controlled by
you or the employer of an operator who
is a protected person.
Registered mobile equipment means mobile
equipment that's registered in your name
under a motor vehicle registration law.
We explain the terms:
• controlled by in the Employees and
volunteer workers section;
• mobile equipment in the Mobile equipment
exclusion; and
• other insurance in the Other Insurance
section.
Unnamed subsidiaries. Any of your
subsidiaries, other than a partnership, joint
venture, or limited liability company, that
isn't shown in the Introduction as a named
Insured Is a protected person if you own
more than 50% of it on the beginning date
of this agreement.
However, no unnamed subsidiary is a
protected person for:
• bodily injury or property damage that
happened before you own more than 50%
of it;
• personal injury or advertising injury that
results from an offense that's committed
before you own more than 50% of it; or
• injury or damage that's covered by other
similar general liability insurance.
47150 Rev. 7-01 Insuring Agreement
o 2001 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 9 of 26
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Own more than 50% of means own more
than 50% of the outstanding voting
securities representing the present right to
vote for the election of directors of the
organization.
Newly acquired or formed organizations. Any
organization that you acquire or form while
this agreement is in effect that isn't a
partnership, joint venture, or limited liability
company is a protected person If you own
more than 50% of it.
However, no newly acquired or formed
organization is a protected person for:
• more than the remainder of the time this
agreement is in effect, beginning with the
date that you acquired or formed it;
• bodily injury or property damage that
happened before you acquired or formed
It;
• personal injury or advertising injury that
results from an offense committed before
you acquired or formed it; or
• Injury or damage that's covered by other
similar general liability insurance.
Separation of protected persons. We'll apply
this agreement separately to each protected
person.
However, all protected persons share the
limits of coverage shown in the Coverage
Summary. We explain how in the Limits Of
Coverage section.
Also, any right or duty specifically assigned
to the first named insured remains
unchanged. We explain those rights and
duties in the General Rules, which is a part
of your policy.
Limits Of Coverage
The limits of coverage shown in the
Coverage Summary and the information
contained in this section fix the most we'll
pay as damages and medical expenses,
regardless of the number of:
• protected persons;
• claims made or suits brought; or
• persons or organizations making claims or
bringing suits.
General total limit. This is the most we'll pay
for the combined total of:
• all covered bodily injury and property
damage that happens in a policy year;
• all covered personal injury that's caused
by all personal injury offenses committed
in a policy year;
• all covered advertising injury that's caused
by all advertising injury offenses
committed in a policy year; and
• all covered medical expenses that result
from all events that happen in a policy
year.
However, we won't apply this limit to bodily
injury or property damage that results from
your products or your completed work.
Instead, we'll apply the products and
completed work total limit to such bodily
Injury or property damage covered by this
agreement.
Policy year means the policy period shown
in the introduction, or the period of time
that this agreement is in effect, whichever
period is shorter. But when that period is
longer than one year, policy year means
each of the following perlods of time that
this agreement is in effect, starting with the
beginning date of this agreement:
• Each consecutive one-year period.
• Any period that remains after the last
consecutive one-year period.
However, if the original policy period shown
in the Introduction is extended for a period
of less than one year, we'll consider each
such extended period to be part of the last
policy year, regardless of the number of
extensions provided.
For example:
Your original policy period is two years
and nine months long. As a result, it has
three policy years, each one separate from
the other. The first is the first one-year
period, The second is the next one-year
period. And the third is the remaining
nine-month period.
During the third policy year you request,
and we provide, two separate extensions of
the policy period: a three-month extension,
and then a four-month extension. As a
result, the third policy year becomes
sixteen months long and is still subject to
the same limits of coverage that applies
when it was nine months long.
We explain the products and completed work
total limit, and the terms your products and
your completed work, in the Products and
completed work total limit section.
47150 Rev. 7-01
Page 10 of 26 a 2001 The St. Paul Travelers Companies, Inc. All Rights Reserved
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GENERAL RULES
This form contains various rules that apply to
your policy. It and the rest of your policy
should be read carefully to determine:
o the extent of the coverage provided by your
policy; and
• the rights and duties of you and any other
person or organization protected under your
policy.
Table of Contents Page Policy Period
Special Rights And Duties Of The First
Named Insured
Policy Period
Policy Changes
Premiums
Estimates.
Additional or return premium.
Your bill.
Our Right To inspect And Audit
Cancellation
By the first named insured.
By us.
Return premium.
Fraud And Misrepresentation
If you commit fraud or
misrepresentation.
If other persons or organizations
commit fraud or misrepresentation.
Unintentional errors or omissions.
Assignments And Transfers
Lawsuits Against Us
If your policy provides property or
other first -party protection.
If your policy provides liability
protection.
Recovering Damages From A Third Party
Appraisal Of A Covered Loss Amount In
Dispute Under Property Or Other First -
Party Protection
Bankruptcy Or Insolvency Of Any Person
Or Organization Protected Under
Liability Protection
How Statutory Or Regulatory Law Affects
Your Policy
Special Rights And Duties Of The First Named
Insured
Insuring agreements or endorsements in your
1 policy begin on your policy's effective date
1 at 12:01 a.m. at the address shown for you
1 in the Introduction of your policy. But if
2 your policy replaces a policy that ends at
2 noon, rather than •12:01 a.m., coverage under
2 your policy begins on your policy's
2 effective date at noon at such address.
3
3 Insuring agreements or endorsements added
3 to your policy after your policy's effective
3 date begin on their respective effective
3 dates at 12:01 a.m. at the address shown for
4 you in the Introduction of your policy.
4 Coverage under your policy ends on your
4 policy's expiration date at 12:01 a.m. at the
4 address shown for you in the Introduction
4 of your policy. But if all or part of your
5 policy is canceled for any reason before
that date, the canceled coverage will end on
5 the cancellation date at 12:01 a.m. at such
address.
5
5 Policy Changes
Your policy contains all of the agreements
5 between you and us concerning the coverage
provided by your policy and can be changed
only as described In this rule.
6
We can make changes in our standard
6 insurance policy forms from time to time.
Such changes must conform to applicable
law and may be filed with insurance
regulatory authorities for approval.
When more than one insured is named In the
Introduction of your policy, the first named
insured has special rights and duties. Those
rights and duties are explained in the
following General Rules:
• Cancellation.
• Policy Changes.
• Premiums.
If we make any such change, while your
policy is in effect, that:
• would broaden or extend the coverage
your policy provides; and
• can be legally added to your policy
without increasing your premium;
you'll automatically receive the benefit of
the broadened or extended coverage
beginning at:
• 12:01 a.m.; or
,
40701 Rev. 8-03 General Rules
Includes copyrighted material of Insurance Services Office, Inc, with its permission.
o 2003 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 1 of 6
+ noon, if coverage under your policy
otherwise begins at that time;
on the effective date of the change at the
address shown for you in the Introduction
of your policy.
If we make any such . change before your
policy begins and that change still applies to
a standard insurance policy form which:
• Is part of your policy when your policy
begins; or
* is made part of your policy after your
policy's effective date;
you'll automatically receive the benefit of
that broadened or extended coverage
beginning at the time and on the effective
date that form is, or is made, part of your
policy.
We don't have to provide any written notice,
or a written form that's made part of your
policy, for you to receive such benefits.
We can make other changes in your policy
and, with our consent, the first named
insured can make changes in your policy
too. But such changes can be made only
with a written form that:
. is made part of your policy; and
• is signed by us or one of our authorized
representatives.
Premiums
We compute the premium for your policy in
accordance with our rules and rates which
apply to your policy.
Estimates. All or part of your premium may
be based on estimates.
If estimates are used, your policy will
contain an endorsement, summary, or other
form that shows:
• we used estimates; and
• when and how we'll compute your actual
premium.
We'll compute your actual premium, when
complete information is available, at the end
of:
+ the policy period;
+ each one-year period that's part of the
policy period, if the policy period is
longer than one year, and
• any interim audit period that's shorter than
one year, if an interim audit period applies
during the policy period.
For each such period, we'll• compute your
actual premium in accordance with our rules
and rates which apply to your policy and for
that period.
If your actual premium is:
• more than the estimated premium you've
paid, you'll owe us the difference; or
• less than the estimated premium you've
paid, we'll return the difference;
except as described in the Additional or
return premium section.
You most keep accurate records of the
information we'll need to compute your
actual premium. Your agent or broker can
explain the type of records we'll need. The
first named Insured must mail, deliver, or
otherwise give to us a copy of those
records when we request them.
However, we don't have to request or use
any records to compute your actual premium
if we determine, in accordance with our
rules and rates which apply to your. policy,
that your premium based on estimates is
your actual premium.
Additional or return premium. We or your
agent or broker will tell the first named
insured about' any additional or return
premium for your policy.
However, we won't charge an additional
premium, or refund a return premium, for
any difference in premium of $15 or less
that results from:
• your actual premium being more or less
than the estimated premium you've paid;
or
• any change made in your policy, including
any cancellation of all or part of your
policy by you or us.
But we'll refund a return premium of $15 or
less for your policy if the first named
Insured requests that we do so. We'll apply
this rule for waiving additional or return
premiums separately each time your policy
is changed.
In any event, your policy premium won't be
less than the minimum policy premium we're
allowed to charge in accordance with our
rules and rates which apply to your policy.
Your Lill. The first named insured:
. will be the one we'll bill for all premiums
for your policy;
40701 Rev. 8-03
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Page 2 of 6 e 2003 The St. Paul Travelers Companies, Inc. All Rights Reserved
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• is responsible for paying all premiums for
your policy when due: and
• will be the one to whom we'll pay any
return premium for your policy.
The due date for each premium owed us for
Your policy is the date shown as the due
date on your bill for that premium.
If the first named insured is also the first
named insured under:
• any other policy with us; or
• any policy with any of our affiliated
insurance companies;
we may bill, under one statement, the
premium for:
• your policy; and
• any or all of those other policies;
regardless of their type, what they cover, 04
their policy periods.
If we bill the premium for such policies
under one statement:
• we may adjust your bill under that
statement to reflect the total of any
additional or return premium for any or al
of those policies;
• we'll apply any partial payment of the
minimum premium due under your bill
proportionately to each of those policies
unless the first named insured requests at
the time of such payment that we apply i
differently, and
• for any of those policies with a return
premium, the first named insured may
request that we refund such premium with
a separate payment.
Our Right To Inspect And Audit
You must allow us to inspect your property
and operations during normal business hours
while your policy is in effect.
However, we aren't required to:
• make any such inspection, or
• guarantee that your property or operations
are safe, or conform to any code, law,
regulation, or standard;
except as required by any applicable state
or municipal code, law, regulation, or
standard for the certification of boilers,
pressure vessels, or elevators.
This rule also applies to any person or
organization that makes insurance
Inspections, surveys, reports, or
recommendations for us.
You also must allow us to examine, audit,
and make copies of your financial books
and records that relate to the coverage
provided by your policy at any time up to
three years after your policy ends.
Cancellation
By the first named insured The first named
Insured can cancel all or part of your policy
at any time before your policy's expiration
date with an advance notice of cancellation
to us or one of our authorized
representatives.
To cancel, the first named insured:
• must deliver to us or one of our
authorized representatives; or
• must mail to us, If such delivery isn't
possible;
your policy, or the part of your policy to be
canceled, and must provide the date the
cancellation will be effective.
By us. We can cancel all or part of your
policy at any time before your policy's
expiration date.
If we cancel, the first named insured:
• Is responsible for receiving the
cancellation notice from us for you; and
• will be the one to whom we'll mail or
deliver the cancellation notice.
Also, we'll mail or deliver the cancellation
notice to the first named insured at least:
• 10 days, if we're canceling for
nonpayment of premium; or
• 30 days, if we're canceling for any other
reason;
before the date the cancellation will be
effective.
If the cancellation notice is mailed, proof
of mailing to the first named insured's last
mailing address known to us will be
considered proof that the first named
insured received such notice.
Return premium. We'll compute, in
accordance with our rules and rates which
apply to your policy, the cancellation return
premium, if any, on a pro rata basis. But
for a cancellation by the first named
40701 Rev. 8-03 General Rules
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
0 2003 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 3 of 6
insured, we may compute any such premium
on less than a pro rata basis.
As soon as possible, we'll refund any
cancellation return premium, except as
described in the Additional or return
premium section of the Premiums section,
to the first named insured.
However, the cancellation will be effective
regardless of whether or not we've made or
offered such a refund.
Fraud And Misrepresentation
If you commit fraud or misrepresentation. if,
before or after a loss, you:
• hide any important information from us;
• mislead, lie to, or defraud us; or
• attempt any such actions;
about any matter concerning the coverage
provided by your policy, we can consider
your policy to be void for you and all other
persons and organizations protected under
your policy.
We'll consider such fraud or
misrepresentation committed by any of the
following to also be committed by. you:
• Your spouse if you're an individual.
• Any of your partners or co -venturers, or
their spouses. If you're a partnership or
joint venture.
• Any of your members or managers if
you're a limited liability company.
• Any of your trustees if you're a trust.
• Any of your shareholders if you're a
professional association.
• Any of your appointed or elected officials
if you're a public entity or tribal
government.
• Any of your directors or executive
officers ifyou're a corporation or an
other organization.
If outer persons or organizations commit fraud
or misrepresentation. If, before or after a
loss, any person or organization protected
under your policy, other than you and the
persons and organizations described in the
last paragraph of the if you commit fraud or
misrepresentation section:
• hides any Important information from us;
• misleads, ties to, or defrauds us; or
• attempts any such actions;
about any matter concerning the coverage
provided by your policy, we can consider
your policy to be void for only that person
or organization.
We'll consider such fraud or
misrepresentation committed by any of the
following to also be committed by any such
organization protected under your policy:
• Any of its partners or co -venturers if that
organization is a partnership or joint
venture.
• Any of its members or managers if that
organization Is a limited liability company.
• Any of Its trustees if that organization Is
a trust.
• Any of Its shareholders If that
organization is a professional association.
• Any of its appointed or elected officials
if that organization is a public entity or
tribal government.
• Any of'its directors or executive officers
if that organization is a corporation or an
other organization.
Unintentional errors or emissions. We won't
consider errors or omissions that are
unintended by:
•.-ya u;•. ,and-- .
• all other persons and organizations
protected under your policy that are
described in the last paragraph of the If
you commit fraud or misrepresentation
section and commit such errors or
omissions;
to be fraud or misrepresentation as
described in that section.
Also, we won't consider errors or omissions
that are unintended by:
• all other persons and organizations
protected under your policy; and
• all persons and organizations described In
the last paragraph of the If other persons
or organizations commit fraud or
misrepresentation section;
that commit such errors or omissions to be
fraud or misrepresentation as, described in
that section.
Assignments And Transfers
Neither you nor any other person or
organization protected under your policy can
assign, transfer, or otherwise turn over, your
interest In it without consent from us in a
written form that's made part of your
policy.
40701 Rev. 8-03
Includes copyrighted material of insurance Services Office, Inc. with its permission.
Page 4 of 6 e 2003 The St. Paul Travelers Companies, inc. All Rights Reserved
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However, if you're an individual named
insured and you die:
• your legal representatives will have your
rights and duties under your policy, but
only while acting within the scope of their
duties as your legal representatives; and
• until such legal representatives are
appointed, any person or organization that
properly has temporary custody of your
property will have your rights and duties
concerning that property under your policy.
Lawsuits Against Us
No person or organization can sue us to
recover under your policy unless all of your
policy's terms have been fully complied
with.
If your policy provides property or other first—
party protection. Any suit to recover on a
loss under any property or other first -party
protection provided by your policy must
begin within two years after the date on
which the direct physical loss or damage
occurred to the property that's required to
sustain such loss or damage for the loss to
be covered under that protection.
If your policy provides liability protection. No
person or organization can sue us to recover
on a loss under any liability protection
provided by your policy until the amount of
the liability of a person or organization
protected for that loss under your policy
has been finally decided either by a
judgment or by a written agreement signed
by:
• us;
• the person or organization protected under
your policy; and
• the person or organization making a claim
or bringing a suit for the loss.
Once liability has been so determined, that
person or organization making the claim or
bringing the suit may be able to recover
under your policy, up to the limit of
coverage that applies. But such person or
organization can't sue us directly or join us
In a suit against that person or organization
protected under your policy until liability has
been so determined.
Recovering Damages From A Third Party
You or other persons or organizations
protected under your policy may also be
able to recover from others all or part of
any loss for which we make a payment.
Any such right of recovery, and the
proceeds of any settlement or judgment that
may result from the exercise of that right,
belongs to us.
For that reason, you and all other persons
and organizations that:
• are protected under your policy; and
• are, or may be, involved In a toss for
which we make, or may make, a payment;
must do all that's possible after the loss to:
• preserve for us any such right of recovery
or any such proceeds; and
• cooperate with us in any attempt to
exercise any such right of recovery.
However, before any loss, you or any other
person or organization protected under your
policy may waive its right of recovery for
the loss without our consent.
If we exercise our right of recovery under
your policy and we recover more than we've
paid, the excess amount will belong to the
person or organization protected under your
policy that had the loss. But we'll first
deduct our recovery expenses from any such
amount recovered by us.
Appraisal Of A Covered Loss Amount In Dispute
Under Property Or Other First—Party Protection
If your policy provides property or other
first -party protection and you and we can't
agree on the amount of a loss covered
under that protection, the following
procedure will be used to settle the dispute:
1. Either you or we will make a written
demand for an appraisal of the covered
loss amount in dispute.
2. Within 30 days of the demand, you and
we will each select a competent and
Impartial appraiser and notify the other
of the selection.
3. The appraisers will satect a competent
and impartial umpire. If they can't agree
on an umpire, either of them may
request that the selection be made by a
judge of a court having jurisdiction.
4. The appraisers will each state separately
their appraisal of the covered loss
amount in dispute. If they can't agree
on that amount, they'll submit their
40701 Rev. B-03 General Rules
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
0 2003 The St. Paul Travelers Companies, Inc. All Rights Reserved Page 5 of 6
appraisals to the urriplre. The umpire's
agreement to one of those appraisals
will be binding.
5. You'll pay the fees of your appraiser.
We'll pay the fees of our appraiser.
Other costs of the appraisal, including
the fees of the umpire, will be shared
equally by you and us.
Bankruptcy Or Insolvency Of Any Person Or
Organization Protected Under Liability Protection
If your policy provides liability protection,
the bankruptcy or insolvency of:
« any person or organization protected under
that liability protection; or
. any estate of that person;
won't relieve us of our obligations under
such liability protection.
However, if such liability protection contains
an exclusion or other coverage limitation for
loss that results from such bankruptcy or
insolvency, this rule doesn't change or
eliminate that exclusion or other coverage
limitation.
How Statutory Or Regulatory Law Affects Your
Policy
Any part of your policy that conflicts with
any requirement of statutory or regulatory
law which applies is automatically changed
to conform to that law.
40701 Rev. 8-03
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Page 6 of 6 0 2003 The St. Paul Travelers Companies, Inc. All Rights Reserved
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CALIFORNIA REQUIRED ENDORSEMENT
This endorsement changes your policy to
comply with, or otherwise respond to,
California law.
Therefore, each change made by this
endorsement applies only to the extent:
• required by California statutory or
regulatory law; or
• specifically described in the part of this
endorsement which makes that change.
Table of Contents Page
Cancellation 1
Premiums 3
Fraud And Misrepresentation 4
Appraisal Of A Covered Property Loss
Amount In Dispute Under Property Or
Other First -Party Protection 4
Registered Domestic Partner 4
Property Protection - Actual Cash Value 4
Property Protection - Replacement Cost 4
Other Terms 5
Cancellation
The Cancellation section of the General
Rules is replaced by, the following.
You can cancel this policy in whole or In
part at any time.
How you can cancel. To cancel this policy or
any of its insuring agreements, you must
deliver the policy, or the part you want
canceled, to us or to any of our authorized
agents. If this isn't possible, notify us by
mail and include the date you want the
policy or individual insuring agreement
canceled. You'll get a refund for the unused
premium, less a charge for early
cancellation.
How we can cancel pollcles in effect 60 days
or less. if your policy has been in effect
60 days or less, and is not a renewal or
continuous policy, we can cancel for any
reason during this period. If we do, we'll
mail or deliver a notice of cancellation to
the first named insured. If we're canceling
because of nonpayment of premium or
because we discovered that any person
insured by this policy has committed fraud
either in obtaining this policy or in
submitting a claim under this policy, we'll
As a result, if the address shown for you in
the Introduction of your policy is outside
California, each change that's made to comply
with California statutory or regulatory law
applies only if, and to the extent, your policy
provides coverage for:
• a loss of or to, or that results from,
property in California; or
• a loss that results from your operations
In, or which affect, California;
and such statutory or regulatory law applies
to such coverage.
/ send notice at least 10 days before
coverage will end. If we're canceling for
any other reason we'll send notice at least
30 days before coverage will and. The
notice will state the reason for cancellation.
How we can cancel policies in effect more than
60 days. If your policy has been in effect
more than 60 days, or is a continuous or
renewal policy, we can cancel only for the
following reasons:
1. Nonpayment of premium. We can cancel
If the first named insured fails to pay
any premium or premium installment
when due. This includes any Installment
of premium that was from a previous
policy we issued that was due during the
current policy period.
2. Fraud or misrepresentation. We can
cancel If we discover that any person
insured by this policy has committed
fraud or made a material
misrepresentation, either In obtaining this
policy or In submitting a claim under this
policy.
3. Conviction of a crime. We can cancel if
you are convicted of a crime that
increases any hazard you're Insured
against.
4. Negligent acts. We can cancel if we
discover that you have committed a
willful or extremely negligent act or
omission that increases any hazard you're
Insured against.
5. Failure to follow loss control
requirements. We may cancel if you or
your representative fail to follow
reasonable loss control requirements that
you agreed to follow in order for us to
issue your policy or give you certain
premium rates.
140769 Rev. 12-12 Endorsement
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
0 2012 The Travelers Indemnity Company. All rights reserved. Page 1 of 5
6 Determination by the insurance
Commissioner. We can cancel this policy
if the Commissioner Of insurance
determines that continuing this policy
would put us in violation of California
insurance laws, or jeopardize our being
solvent. We can also cancel if the
Insurance Commissioner determines that
any loss of or change In our reinsurance
affecting this policy would threaten our
financial position.
7. Change in the risk. We can cancel if,
after we have issued or renewed your
policy, a change occurs In the risk we're
protecting that Increases the hazard we're
insuring against. But this doesn't apply
to a change that was expected or
foreseen by us when we issued your
policy. Nor does this apply if:
• the insured is an educational, religious,
or other non-profit organization, as
described in Section 676.10(a) of the
California Insurance code; and
• the change In risk Involves one or
more losses caused by a hate crime,
as described in Section 676.10(c) of the
California Insurance Code, committed
against the person or property of the
insured.
if we cancel for nonpayment of premium -:or
fraud or misrepresentation as described
above, we'll mail a cancellation notice at
least 10 days before coverage will end. if
we cancel for any other reason, we'll mail
or deliver the notice to the first named
insured and the agent who sold this policy
at least 30 days before coverage will end.
The notice will state the exact reason for
cancellation.
Special cancellation rule for certain residential
property►. If your policy covers:
• real property that is primarily used for
residential purposes and consisting of
not more than four dwelling units; and
4 tenants' household personal property in
a residential unit;
that has been in effect for at least 60 days,
then the following applies: .
We may not cancel this policy solely
because the first named Insured has:
• accepted an offer of earthquake
However, we'll cancel this policy If the first
named insured has accepted a new or
renewal policy issued by the CEA that
includes an earthquake policy premium
surcharge but fails to pay the earthquake
policy premium surcharge authorized by the
CEA.
Nor will we cancel such coverage solely
because corrosive soil conditions exist on
the premises. This applies only If coverage
is subject to Commercial Property Coverage
Part - Causes -Of Loss - Special Form, which
excludes loss or damage caused by or
resulting from corrosive soil conditions.
Unused premium. If this policy is cancelled,
we'll send the first named Insured a refund
of any unused premium. If we cancel, the
refund will be figured on a pro rata basis. If
the first named Insured cancels, the refund
may be less than pro rata if we made a
loan to you for the purpose of payment of
premiums for this policy. The cancellation
will be effective even If we have not made
or offered a refund.
Nonrenewal. If we decide not to renew or
continue this policy, we'll mail a notice to
the first named insured at least 60 days but
not more than 120 days before the end of
the policy period. The notice will show the
"'reason- fb'r• nonrenewal:-•
But we won't refuse to renew or continue
this policy because of losses caused by a
hate crime, as described in Section 676.10(c)
of the California Insurance Code, committed
against the person or property of the
Insured if the insured is an educational,
religious, or other non-profit organization, as
described in Section 676.10(a) of the
California Insurance Code.
If state law requires us to give additional
notices or changes our notice requirements,
we will provide such additional notices or
changes as needed.
If we offer to renew or continue your
policy and you don't accept, the policy will
expire at the end of the policy period. If
we offer to renew your policy, and you fail
to pay the required premium when due, we'll
consider this to mean that you don't accept
our offer.
coverage; or If we fail to send proper notice of
• cancelled or did not renew a policy nonrenewal and you obtain other insurance,
Issued by the California Earthquake this policy will end on the date the other
Authority (CEA) that included an insurance takes effect.
earthquake policy premium surcharge.
40769 Rev. 12-12
Includes copyrighted material of Insurance Services Office, inc. with its permission.
Page 2 of 5 o 2012 The Travelers Indemnity Company. All rights reserved.
POLICY CHANGE ENDORSEMENT -
FOR CERTAIN TYPES OF CHANGES ONLY
This endorsement summarizes certain changes
to your policy. All other terms of your
policy not affected by these changes remain
the same.
How Your Policy Is Changed
The following item(s):
Insured's Name
Policy Number
Effective/Expiration Date
Payment Plan
Additional Interested Parties
Lim its/Exposures
Covered Property/Location Description
Rates
insured's Mailing Address
Company
Insured's Legal Status/ Bus. of Insured
Premium Determination
® Coverage Forms and Endorsements
Deductibles
Classification/Class Codes
Underlying Insurance
is (are) changed to read: (See also back page and additional page(s) if applicable)
GENERAL LIABILITY
-----------------
Form G0435 has been added to your policy.
Premium Change Which Is Due Now
® No change To be adjusted at audit
Additional premium Returned premium
If issued after the date your policy Policy issued to:
begins, these spaces must be VOLOGY, INC.
completed and our representative must
sign below.
Authorized representative
Endorsement takes effect: 07/17/15
Policy number: ZLP-13T78542-15-I3
Processing date: 07/21/15 17:13 004
D0061 Ed. 11-98 Policy Change Endorsement
© 1998 The Travelers Indemnity Company. All rights reserved. Page 1
NON-CONTRIBUTORY OTHER INSURANCE ENDORSEMENT - FOR
DESCRIBED ADDITIONAL PROTECTED PERSONS
This endorsement changes your Commercial
General Liability Protection.
How Coverage Is Changed
The following is added to the Other
Insurance section. This change broadens
coverage for certain additional protected
persons.
If you've specifically agreed in a written
contract that this agreement must be primary
to and non-contributory with other insurance
issued directly to a described additional
protected person, we won't share with that
other insurance any damages incurred by
that described additional protected person
for:
Name or description:
City of San Rafael
PO Box 151560
San Rafael, CA 94915
Other Terms
• bodily injury or property damage covered
by this agreement that happens after that
written contract was made; or
• personal injury or advertising injury
covered by this agreement that's caused
by an offense committed after that written
contract was made.
Described additional protected person
means any person or organization, other than
you, who:
• qualifies as a protected person under this
agreement; and
• is named or described below.
All other terms of your policy remain the same.
Name of Insured Policy Number ZLP-13T78542-15-I3 Effective Date 07/17/15
vOLOGY, INC. Processing Date 07/21/15 17:13 004
G0435 Ed. 4-00 Endorsement
© 2000 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
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POLICY COVER SHEET
Job Name: XP3321D
File Number: 06170
Business Center /
Original Business Unit:
Policy Number:
Name of Insured:
Agency Number:
Department or Expense Center:
Underwriter:
Data Entry Person:
Date and Time:
Print Date and Time: 07/21/15 21:02
TECHNOLOGY
ZLP-13T78542-15-13
VOLOGY, INC.
0965495
001
CustAcct#3992409219
632951 Underwriting Team:
MIDWINTER,MICHELE
07/21/15 17:13 004
Special Instructions
Policy Commencement Date: 01/22/15
This policy is on a premium payment plan.
Contract documents not added through DSF for Inland Marine
coverage need to be manually typed and assembled.
THIS POLICY CONTAINS FORMS SELECTED THROUGH DOCUMENT SELECT
POL9R 11 85
POLICY CHANGE ENDORSEMENT -
FOR CERTAIN TYPES OF CHANGES ONLY
This endorsement summarizes certain changes
to your policy. All other terms of your
policy not affected by these changes remain
the same.
How Your Policy Is Changed
The following item(s):
❑
insured's Name
insured's Mailing Address
Policy Number
Company
Effective/Expiration Date
insured's Legal Status/ Bus. of Insured
Payment Plan
Premium Determination
Additional Interested Parties
®
Coverage Forms and Endorsements
Limits/Exposures
F-]
Deductibles
❑
Covered Property/Location Description
F-]
Classification/Class Codes
Rates
❑
Underlying Insurance
is
(are) changed to read: (See also back page
and
additional page(s) if applicable)
GENERAL LIABILITY
-•----------------
Form G0435 has been added to your policy.
Premium Change Which Is Due Now
® No change ❑ To be adjusted at audit
Additional premium Returned premium
If issued after the date your policy Policy issued to:
begins, these spaces must be VOLOGY, INC.
completed and our representative must
sign below.
Authorized representative
Endorsement takes effect: 07/17/15
Policy number: ZLP-13T78542-15-I3
Processing date: 07/21/15 17:13 004
D0061 Ed. 11-98 Policy Change Endorsement
© 1998 The Travelers Indemnity Company. All rights reserved. Page 1
NON-CONTRIBUTORY OTHER INSURANCE ENOI
DESCRIBED ADDITIONAL PROTECTED PERSONS
This endorsement changes your Commercial
General Liability Protection.
How Coverage Is Changed
The following is added to the Other
Insurance section. This change broadens
coverage for certain additional protected
persons.
If you've specifically agreed in a written
contract that this agreement must be primary
to and non-contributory with other insurance
issued directly to a described additional
protected person, we won't share with that
other insurance any damages incurred by
that described additional protected person
for:
Name or description:
City of San Rafael
PO Box 151560
San Rafael, CA 94915
Other Terms
- FOR
• bodily injury or property damage covered
by this agreement that happens after that
written contract was made; or
• personal injury or advertising injury
covered by this agreement that's caused
by an offense committed after that written
contract was made.
Described additional protected person
means any person or organization, other than
you, who:
• qualifies as a protected person under this
agreement; and
• is named or described below.
All other terms of your policy remain the same.
Name of Insured Policy Number ZLP-13T78542-15-I3 Effective Date 07/17/15
VOLOGY, INC. Processing Date 07/21/15 17:13 004
G0435 Ed. 4-00 Endorsement
o 2000 The Travelers Indemnity Company. All rights reserved. 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 fiont of your
contract as you circulate it for review and signatures. Please use this form for all professional
services aLFreements/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
v %
agreement.
2
Contracting Department
Forward final agreement to contractor for
their signature. Obtain at least two signed6�
y/�S
originals from contractor.
3
Contracting Department
Agendize contractor -signed agreement for
Cotmcil approval, if Council approval
necessary (as defined by City Attorney/City
Ordinance*).
4
City Attorney
Review and approve form of agreement;
U K cs d, -.,-rd
bonds, and insurance certificates and
/�- o K 4-1- A
endorsements.
i So.".,C. ctrz-- -�
-
5
City Manager / Mayor / or
Department Head
Agreement executed by Council authorized
official.
i
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to the
contracting department.
To be completed by Contracting Department:
Project Manager: Gus Bush Project Name: Backup and Recovery Planning_
Agendized for City Council Meeting of (if necessary):
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.