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HomeMy WebLinkAboutPW Canal Neighborhood Parking After-StudyAGREEMENT FOR PROFESSIONAL SERVICES
FOR CANAL NEIGHBORHOOD PARKING AFTER -STUDY
This Agreement is made and entered into this 2 2 day of ik%-lCj U S � , 20Aq_, by
and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and WMTLOCK &
WEINBERGER TRANSPORTATION, INC. a California corporation, dba W -Trans (hereinafter
"CONTRACTOR").
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
PROJECT COORDINATION.
A. CITY'S Project Manager. The Director of Public Works 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. Mark Spencer is hereby designated as the PROJECT DIRECTOR
for CONTRACTOR. Should circumstances or conditions subsequent to the execution of this
Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONTRACTOR shall
notify the CITY within ten (10) business days of the substitution.
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties and/or provide services as follows:
All project management services detailed in the proposal dated July 29, 2019 attached hereto as
Exhibit "A" and incorporated herin by reference.
3. DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4.
4. COMPENSATION.
For the frill performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR as follows:
On a time and materials basis at the hourly rates and expense charges shown in Exhibit A, in a total
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contract amount not -to -exceed $10,000.00.
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 one (1) year commencing on the date of this
agreement. 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 up to one (1) year(s).
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.
8. 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 performance of its duties under this Agreement. CONTRACTOR shall ftilly 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
one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) 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 insurance, as required by the State of California, with statutory limits, and
employer's liability insurance with limits of no less than one million dollars ($1,000,000) per
accident for bodily injury or disease. 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 ofthis section above shall also meet the following requirements:
1. Except for professional liability insurance or worker's compensation
insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers,
agents, employees, and volunteers, as additional insureds (for both ongoing and completed
operations) under the policies.
2. The additional insured coverage under CONTRACTOR'S insurance policies
shall be "primary and noncontributory" 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 or worker's compensation
insurance, the insurance policies shall include, in their text or by endorsement, coverage for
contractual liability and personal injury.
4. By execution of this Agreement, CONTRACTOR hereby grants to
CITY a waiver of any right to subrogation which any insurer of CONTRACTOR may acquire
against CITY by virtue of the payment of any loss under such insurance. CONTRACTOR
agrees to obtain any endorsement that may be necessary to effect this waiver of subrogation, but
this provision applies regardless of whether or not CITY has received a waiver of subrogation
endorsement from the insurer.
5. Ifthe insurance is written on a Claims Made Form, then, following termination
of this Agreement, said insurance coverage shall survive for a period of not less than five years.
6. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
7. The limits of insurance required in this Agreement may be satisfied by a
combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall
contain or be endorsed to contain a provision that such coverage shall also apply on a primary and
noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement) before
CITY'S own insurance or self-insurance shall be called upon to protect it as a named insured.
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. No representation is made that the minimum
Insurance requirements of this agreement are sufficient to cover the obligations of the
CONTRACTOR under this agreement.
C. Deductibles and SIR's. Any deductibles or self-insured retentions in
CONTRACTOR's insurance policies must be declared to and approved by the PROJECT
MANAGER and City Attorney, and shall not reduce the limits of liability. Policies containing any
self-insured retention (SIR) provision shall provide or be endorsed to provide that the SIR may be
satisfied by either the named insured or CITY or other additional insured party. At CITY's option,
the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to
CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment of losses and
related investigations, claims administration, attorney's fees and defense expenses.
D. Proof of Insurance. CONTRACTOR shall provide to the PROJECT MANAGER
or CITY'S City Attorney all of the following: (1) Certificates of Insurance evidencing the insurance
coverage required in this Agreement; (2) a copy of the policy declaration page and/or endorsement
page listing all policy endorsements for the commercial general liability policy, and (3) excerpts of
policy language or specific endorsements evidencing the other insurance requirements set forth in this
Agreement. CITY reserves the right to obtain a full certified copy of any insurance policy and
endorsements from CONTRACTOR. Failure to exercise this right shall not constitute a waiver of
the right to exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT
MANAGER and the City Attorney.
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 willfiil 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, then, to the extent permitted by law including without limitation, Civil
Code sections 2782, 2782.6 and 2782.8, CONTRACTOR shall indemnify and hold harmless the
CITY and its officers, officials, and employees (collectively City Indemnitees) from and against
damages, liabilities or costs (including incidental damages. Court costs, reasonable attorney's fees
as may be determined by the Court, litigation expenses and fees of expert witnesses incurred in
connection therewith and costs of investigation) to the extent they are caused by the negligence,
recklessness, or willful misconduct of CONTRACTOR, or any subconsultants, or subcontractor
or anyone directly or indirectly employed by them, or anyone for whom they are legally liable
(collectively Liabilities). Such obligation to hold harmless and indemnify any indemnity shall not
apply to the extent that such Liabilities are caused in part by the negligence or willful misconduct
of such City Indemnitee.
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 fiill 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 perform all services under this Agreement in accordance with
these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify
and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities,
penalties, fines and all other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
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:
16. INDEPENDENT CONTRACTOR.
Bill Guerin
City of San Rafael
1400 Fifth Avenue
P.O. Box 151560
San Rafael, CA 94915-1560
Mark Spencer
W -Trans
505 17" Street, 2nd Floor
Oakland, CA 94612
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 ofthis 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. SURVIVAL OF TERMS.
Any terms of this Agreement that by their nature extend beyond the term (or termination) of
this Agreement shall remain in effect until fulfilled, and shall apply to both Parties' respective
successors and assigns.
23. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
24. COUNTERPARTS AND ELECTRONIC SIGNATURE.
This Agreement may be executed in any number of counterparts, each of which shall be
deemed an original, but all of which together shall constitute one document. Counterpart signature
pages may be delivered by telecopier, email or other means of electronic transmission.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month
and year first above written.
CITY OF SAN RAFAEL CONTRACTOR
JI SCHUTZ, Ci Mana er
ATTEST:
LINDSAY LARA, City Clerk
►.. L
Title: prnl dMf
[If Contractor is a corporation, add signature of second
corporate officer]
&a
By: /`� I 1 �(
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ti
APPROVED AS TO FORM: Name: � 'ecel-
V' -Title: 5,?,Q
LL. PF�
ROBERT F. EPSTEIN, C' Atto ey
Exhibit A
July 29, 2019
Ms. Lauren Davini
Traffic Engineer
City of San Rafael Public Works
111 Morphew Street
San Rafael, CA 94901
Proposal for Updates to East San Rafael Parking Study
Dear Ms. Davini;
W -Trans is pleased to provide this proposal to provided updates to the East San Rafael Parking Study. We propose
the following tasks to assist the City with implementation and evaluation of the Parking Study:
Tasks
1. Review before and after performance metrics. This includes parking surveys, citations numbers, sign changes,
parking time limit changes, notification strategy, warning period, etc.
2. Review and provide input to memos and staff reports to be prepared by City staff.
3. Attend meetings and make presentations (if requested) to subcommittees, City Council, stakeholder groups,
and City staff. The meetings will explain program purpose, results of the initial Fall 2018 post -implementation
parking surveys (summarized and presented in terms of results and trends), and recommended next steps.
Schedule
Work to begin upon receipt of written authorization to proceed.
Exclusions
Any item not specifically identified above, such as additional analysis or report preparation, is not assumed in this
proposal. W -Trans will respectfully request a contract amendment for any task that requires additional out -of -
scope effort.
Budget
W -Trans will provide service on a time and materials basis at our current standard billing rates (attached). The
estimated maximum fee for the project is $10,000, as follows:
Labor $9,800; Mileage and Expenses $200; Total $10,000
This proposal will remain a firm offer for 90 days from the date of this letter. If you wish to initiate work please
send a purchase order for review and signature. Thank you for considering W -Trans for this project.
Sincerely,
/(.1 �
Mark Spencer, PE
Senior Principal
MS/SRA121-1.P1
Exhibit A
Fee Schedule
2019 Staff Billing Rates
Position
Senior Principal
Principal
Senior Engineer/Planner
Engineer/Planner
Associate Engineer/Planner
Billing Rate (per hour)
$255 -$325
$200 -$250
$180 -$205
$155 -$180
$130 -$155
Assistant Engineer/Planner $105-$120
Technician/Administrative $85-$100
Intern $30-$80
Field Technician $20-$40
2019 Expense Charges
Item Charge
Mileage $0.64/mile*
Services and Expenses 10% surcharge
These rates are valid for work initiated prior to December 31,
2019. Work initiated after January 1, 2020, and any subsequent
year may be billed at the revised rates established for that year.
* Mileage charge will be based on the IRS Standard Mileage Rate
(set at $0.58 effective January 1, 2019) plus 10 percent.
490 Mendocino Avenue, Suite 201 SANTA ROSA, CA 95401 707.542.9500
50517'h Street, 2111J Floor OAKLAND A94612 510444.2600
1276 Lincoln Avenue, Suite 204 SAN JOSS CA 95125 650 314 8313
w trans.com
WTRAN-1 OP 10:
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY(
nRfgimnia
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 have ADDITIONAL INSURED provisions or 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 707-782-9200 CONTACT Daniel Powers
NAME:
Don Ramatici Insurance, Inc. PHONE 707-782-9200 FAX707-782-9300
731A Southpoint Blvd (A/C, No, Ext): (A/C, No(:
Petaluma, CA 94954E-MAIL
Daniel Powers
ock
m, Inc
no Ave. Suite 201
CA 95401
INSURER F:
INSURER(S) AFFORDING COVERAGE
NAIC k
rravelersProp.CasualtyCo Amer.
25674 _
Jational Union Fire Ins. of PA
19445
-lartford Casualty
29424
4avigators Specialty Insur. Co
36056
rnVGRAr:CC r CDTICIr ATC NI IIIIIQCO• 20n CC\11CIr1L1 LI-RaOCO. nn'I
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 LIMITS SHOWN MAY HAVE BEEN
R_ EDUCED BY PAID CLAIMS.
San Rafael, CA 94901
_POLICIES.
INSR TYPE OF INSURANCE ADDL SUER; IN -RD WVDPOLICY NUMBER
,
POLICY EFF POLICY EXPLTR LIMITS
A X COMMERCIAL GENERAL LIABILITY
i
EACH OCCURRENCE I S
2,000,000
CLAIMS -MADE X OCCUR 6806KO30786
* X X
01/31/2019 01/31/2020
DAMAGE TO RENTED
FMISFC (Ea occurrencea�5
1,000,000
_ _
MED EXP An one person)5
10,000
PERSONAL & ADV INJURY S
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE S
4,000,000
4,000,000
POLICY LOC
PRODUCTS - COMP/OP AGG S
r ' OTHER
lEmp Ben.
2,000,000
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
1,000,000
_lEa accede S
X ANY AUTO X X BA61(076752
01/31/2019
01/31/2020
BODILY INJURY Perperson)5
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident S
Per a �tDAMAGE
AUTOS AUTOS ONED
ONLY Y
S
�
5
B UMBRELLA LIAB X OCCUR
EACH OCCURRENCE S
3,000,000
X EXCESS LIAB CLAIMS -MADE
t r -
EBU018299327
01/31/2019 01/31/2020rAGGREGATE S
3,000,000
DED RETENTIONS
C WORKERS COMPENSATION
X I PER OTH-
AND EMPLOYERS' LIABILITY
YIN 57WECAC7K9R
ANY PROPRIETOR/PARTNER/EXECUTIVE r- � !NIA X
01I31I2019 01/31/2020
I
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E.L.. EACH ACCIDENT S
1,000,000
_
OFFICER/MEMBER EXCLUDED? L
(Mandatory In NH)
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE_S
E.L. DISEASE -POLICY LIMIT S
_
1'000'000
D 'Professional X CM19DPL0851301V
01/31/201901/31/2020 Limit
5,000,000
Ded.
25,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required(
Please see holder notes.
WTrans project: SRA121-1 Canal Neighborhood Parking After -Study
Professional Liability: $5,000,000 per occurrence / $5,000,000 aggregate
CFRTIFIRATF I-Irll 111=0 f`AKIPCI I ATInKI
SANRAF6
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Ci of San Rafael
City
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1400 5th Avenue
San Rafael, CA 94901
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
HOLDER CODE SANRAF6
NOTEPAD: INSURED'SNAME Whitlock & Weinberger
RAN -1 PAGE 2
OP ID: CM Date 08/21/2019
It is agreed that the City of San Rafael, its officers, agents, employees
and volunteers are named as additional insureds on a primary and non-
contributory basis with regard to general liabilit}( pper form CGD381(09/15)
and with regard to auto liability per forms CAT420y02/15) & CAT474(02/16).
Waiver of subrogation applies to general liability per form CGD379
(01/16), to auto liability per form CAT420(02/15), to workers compensation
per form WC040306 and to professional liability per form NAVDPL10p1
(01/10).E11/09)liability is follow form over underlying coverages per
POLICY NO.: 680-6X030786-19-47
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that you agree in a
"written contract requiring insurance" to include as
an additional insured on this Coverage Part, but:
a. Only with respect to liability for "bodily injury",
"property damage" or "personal injury'; and
b. If, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" to which the "written contract
requiring insurance" applies, or in connection
with premises owned by or rented to you.
The person or organization does not qualify as an
additional insured:
c. With respect to the independent acts or
omissions of such person or organization; or
d. For "bodily injury", "property damage" or
"personal injury" for which such person or
organization has assumed liability in a
contract or agreement.
The insurance provided to such additional insured
is limited as follows:
e. This insurance does not apply on any basis to
any person or organization for which
coverage as an additional insured specifically
is added by another endorsement to this
Coverage Part.
f. This insurance does not apply to the
rendering of or failure to render any
"professional services".
g. In the event that the Limits of Insurance of the
Coverage Part shown in the Declarations
exceed the limits of liability required by the
"written contract requiring insurance", the
insurance provided to the additional insured
shall be limited to the limits of liability required
by that "written contract requiring insurance".
This endorsement does not increase the
limits of insurance described in Section III —
Limits Of Insurance.
h. This insurance does not apply to "bodily
injury" or "property damage" caused by "your
work" and included in the "products -
completed operations hazard" unless the
"written contract requiring insurance"
specifically requires you to provide such
coverage for that additional insured, and then
the insurance provided to the additional
insured applies only to such "bodily injury" or
"property damage" that occurs before the end
of the period of time for which the "written
contract requiring insurance" requires you to
provide such coverage or the end of the
policy period, whichever is earlier.
2. The following is added to Paragraph 4.a. of
SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
The insurance provided to the additional insured
is excess over any valid and collectible other
insurance, whether primary, excess, contingent or
on any other basis, that is available to the
additional insured for a loss we cover. However, if
you specifically agree in the "written contract
requiring insurance" that this insurance provided
to the additional insured under this Coverage Part
must apply on a primary basis or a primary and
non-contributory basis, this insurance is primary
to other insurance available to the additional
insured which covers that person or organizations
as a named insured for such loss, and we will not
share with the other insurance, provided that:
(1) The 'bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed;
after you have signed that "written contract
requiring insurance". But this insurance provided
to the additional insured still is excess over valid
and collectible other insurance, whether primary,
excess, contingent or on any other basis, that is
available to the additional insured when that
person or organization is an additional insured
under any other insurance.
CG D3 81 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2
Includes the copyrighted material of Insurance Services Office, Inc., with its permission
COMMERCIAL GENERAL LIABILITY
3. The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
We waive any right of recovery we may have
against any person or organization because of
payments we make for "bodily injury", "property
damage" or "personal injury" arising out of "your
work" performed by you, or on your behalf, done
under a "written contract requiring insurance" with
that person or organization. We waive this right
only where you have agreed to do so as part of
the "written contract requiring insurance" with
such person or organization signed by you
before, and in effect when, the "bodily injury" or
"property damage" occurs, or the "personal injury"
offense is committed.
4. The following definition is added to the
DEFINITIONS Section:
"Written contract requiring insurance" means that
part of any written contract under which you are
required to include a person or organization as an
additional insured on this Coverage Part,
provided that the "bodily injury" and "property
damage" occurs and the "personal injury" is
caused by an offense committed:
a. After you have signed that written contract;
b. While that part of the written contract is in
effect; and
c. Before the end of the policy period.
Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 81 09 15
Includes the copyrighted material of Insurance Services Office, Inc., with its permission
POLICY NUMBER: BA -6K076752 -19 -GRP
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO COVERAGE PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. BLANKET ADDITIONAL INSURED
B. EMPLOYEE HIRED AUTO
C. EMPLOYEES AS INSURED
D. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
E. TRAILERS — INCREASED LOAD CAPACITY
F. HIRED AUTO PHYSICAL DAMAGE
G. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
A. BLANKET ADDITIONAL INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE:
Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an addi-
tional insured is an "insured" for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.
B. EMPLOYEE HIRED AUTO
H. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT—INCREASED LIMIT
1. WAIVER OF DEDUCTIBLE — GLASS
J. PERSONAL PROPERTY
K. AIRBAGS
L. AUTO LOAN LEASE GAP
M. BLANKET WAIVER OF SUBROGATION
performing duties related to the conduct of
your business.
2. The following replaces Paragraph b. in B.5.,
Other Insurance, of SECTION IV — BUSI-
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover-
age, the following are deemed to be cov-
ered "autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in
an "employee's" name, with your
permission, while performing duties
related to the conduct of your busi-
ness.
1. The following is added to Paragraph A.1., However, any "auto" that is leased, hired,
Who Is An Insured, of SECTION II — COV- rented or borrowed with a driver is not a
ERED AUTOS LIABILITY COVERAGE: covered "auto".
An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED
operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is
under a contract or agreement in an "em- An Insured, of SECTION II — COVERED AUTOS
ployee's" name, with your permission, while LIABILITY COVERAGE:
CA T4 20 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 3
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
Any "employee" of yours is an "insured" while us-
ing a covered "auto" you don't own, hire or borrow
in your business or your personal affairs.
D. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
1. The following replaces Paragraph A.2.a.(2) of
SECTION II — COVERED AUTOS LIABILITY
COVERAGE:
(2) Up to $3,000 for cost of bail bonds (in-
cluding bonds for related traffic law viola-
tions) required because of an "accident"
we cover. We do not have to furnish
these bonds.
2. The following replaces Paragraph A.2.a.(4) of
SECTION II — COVERED AUTOS LIABILITY
COVERAGE:
(4) All reasonable expenses incurred by the
"insured" at our request, including actual
loss of earnings up to $500 a day be-
cause of time off from work.
E. TRAILERS — INCREASED LOAD CAPACITY
The following replaces Paragraph C.1. of SEC-
TION I — COVERED AUTOS:
1. "Trailers" with a load capacity of 3,000
pounds or less designed primarily for travel
on public roads.
(2) An adjustment for depreciation and physical
condition will be made in determining actual
cash value in the event of a total "loss".
(3) If a repair or replacement results in better
than like kind or quality, we will not pay for the
amount of betterment.
(4) A deductible equal to the highest Physical
Damage deductible applicable to any owned
covered "auto".
(5) This Coverage Extension does not apply to:
(a) Any "auto" that is hired, rented or bor-
rowed with a driver; or
(b) Any "auto" that is hired, rented or bor-
rowed from your "employee".
G. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
The following replaces the first sentence in Para-
graph A.4.a., Transportation Expenses, of
SECTION III — PHYSICAL DAMAGE COVER-
AGE:
We will pay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
curred by you because of the total theft of a cov-
ered "auto" of the private passenger type.
H. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT— INCREASED LIMIT
F. HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b. of SECTION III — PHYSICAL
The following is added to Paragraph AA., Cover- DAMAGE COVERAGE is deleted.
age Extensions, of SECTION 111 — PHYSICAL I. WAIVER OF DEDUCTIBLE — GLASS
DAMAGE COVERAGE:
Hired Auto Physical Damage Coverage
If hired "autos" are covered "autos" for Covered
Autos Liability Coverage but not covered "autos"
for Physical Damage Coverage, and this policy
also provides Physical Damage Coverage for an
owned "auto", then the Physical Damage Cover-
age is extended to "autos" that you hire, rent or
borrow subject to the following:
(1) The most we will pay for "loss" to any one
"auto" that you hire, rent or borrow is the
lesser of:
(a) $50,000;
(b) The actual cash value of the damaged or
stolen property as of the time of the
"loss"; or
(c) The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality.
The following is added to Paragraph D., Deducti-
ble, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
No deductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.
J. PERSONAL PROPERTY
The following is added to Paragraph AA., Cover-
age Extensions, of SECTION III — PHYSICAL
DAMAGE COVERAGE:
Personal Property Coverage
We will pay up to $400 for "loss" to wearing ap-
parel and other personal property which is:
(1) Owned by an "insured"; and
(2) In or on your covered "auto".
This coverage only applies in the event of a total
theft of your covered "auto".
No deductibles apply to Personal Property cover-
age.
Page 2 of 3 © 2015 The Travelers Indemnity Company. All rights reserved. CA T4 20 02 15
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
K. AIRBAGS
The following is added to Paragraph B.3., Exclu-
sions, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
Exclusion 3.a. does not apply to 'loss" to one or
more airbags in a covered "auto" you own that in-
flate due to a cause other than a cause of 'loss"
set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto" is a covered "auto" for Compre-
hensive Coverage under this policy;
b. The airbags are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated.
We will pay up to a maximum of $1,000 for any
one 'loss".
COMMERCIAL AUTO
(2) Any:
(a) Overdue lease or loan payments at the
time of the 'loss';
(b) Financial penalties imposed under a
lease for excessive use, abnormal wear
and tear or high mileage;
(c) Security deposits not returned by the les-
sor;
(d) Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability
Insurance purchased with the loan or
lease; and
(e) Carry-over balances from previous loans
or leases.
M. BLANKET WAIVER OF SUBROGATION
L. AUTO LOAN LEASE GAP The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
The following is added to Paragraph AA., Cover- of SECTION IV — BUSINESS AUTO CONDI-
age Extensions, of SECTION III — PHYSICAL TIONS:
DAMAGE COVERAGE:
Auto Loan Lease Gap Coverage for Private
Passenger Type Vehicles
In the event of a total 'loss" to a covered "auto" of
the private passenger type shown in the Schedule
or Declarations for which Physical Damage Cov-
erage is provided, we will pay any unpaid amount
due on the lease or loan for such covered "auto"
less the following:
(1) The amount paid under the Physical Damage
Coverage Section of the policy for that "auto";
and
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
tent required of you by a written contract exe-
cuted prior to any "accident' or 'loss", pro-
vided that the "accident' or "loss" arises out of
the operations contemplated by such con-
tract. The waiver applies only to the person or
organization designated in such contract.
CA T4 20 02 15 ® 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 3
Includes copyrighted material of Insurance Services office, Inc. with its permission.
POLICY NUMBER: BA -6K076752 -19 -GRP
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
PROVISIONS
1. The following is added to Paragraph A.1.c., Who
Is An Insured, of SECTION II — COVERED
AUTOS LIABILITY COVERAGE:
This includes any person or organization who you
are required under a written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, to name
as an additional insured for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent of
that person's or organization's liability for the
conduct of another "insured".
2. The following is added to Paragraph B.5., Other
Insurance of SECTION IV — BUSINESS AUTO
CONDITIONS:
Regardless of the provisions of paragraph a. and
paragraph d. of this part 5. Other Insurance, this
insurance is primary to and non-contributory with
applicable other insurance under which an
additional insured person or organization is the
first named insured when the written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, requires
this insurance to be primary and non-contributory.
CA T4 74 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NO.: 680-6K030786-19-47
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ARCHITECTS, ENGINEERS AND SURVEYORS
COVERAGE XTEND ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general
coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of
this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Broadened Named Insured
B. Incidental Medical Malpractice
C. Reasonable Force — Bodily Injury Or Property
Damage
D. Non -Owned Watercraft — Increased To Up To 75
feet
E. Aircraft Chartered With Crew
F. Damage To Premises Rented To You
G. Malicious Prosecution — Exception To Knowing
Violation Of Rights Of Another Exclusion
H. Medical Payments — Increased Limit
I. Increased Supplementary Payments
J. Additional Insured — Owner, Manager Or Lessor
Of Premises
PROVISIONS
rim mil_101=1►1=[_91Z 1u 1=1171Z&-ill0401
1. The following is added to SECTION II —WHO
IS AN INSURED:
Any organization, other than a partnership or
joint venture, over which you maintain
ownership or majority interest on the effective
date of the policy qualifies as a Named
Insured. However, coverage for any such
additional organization will cease as of the
date during the policy period that you no
longer maintain ownership of, or majority
interest in, such organization.
B. INCIDENTAL MEDICAL MALPRACTICE
1. The following is added to the definition of
"occurrence" in the DEFINITIONS Section:
K. Additional Insured — Lessor Of Leased Equipment
L. Additional Insured — State Or Political
Subdivisions — Permits Relating To Premises
M. Additional Insured — State Or Political
Subdivisions — Permits Relating To Operations
N. Who Is An Insured — Newly Acquired Or Formed
Organizations
O. Knowledge And Notice Of Occurrence Or Offense
P. Unintentional Omission
Q. Waiver Of Transfer Of Rights Of Recovery
Against Others To Us When Required By Written
Contract
R. Amended Insured Contract Definition — Railroad
Easement
Unless you are in the business or occupation
of providing professional health care services,
"occurrence" also means an act or omission
committed in providing or failing to provide
first aid or "Good Samaritan services" to a
person.
2. The following is added to the DEFINITIONS
Section:
"Good Samaritan services" means any
emergency medical services for which no
compensation is demanded or received.
3. The following is added to Paragraph 2.a.(1) of
SECTION II —WHO IS AN INSURED:
Unless you are in the business or occupation
of providing professional health care services,
Paragraphs (1)(a), (b), (c) and (d) above
CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 6
COMMERCIAL GENERAL LIABILITY
does not apply to any "bodily injury" arising
out of any providing or failing to provide first
aid or "Good Samaritan services" by any of
your "employees", other than an employed
doctor. Any such "employees" providing or
failing to provide first aid or "Good Samaritan
services" during their work hours for you will
be deemed to be acting within the scope of
their employment by you or performing duties
related to the conduct of your business.
4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I —
COVERAGES — COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY in COVERAGES:
Sale of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the willful violation of a penal statute or
ordinance relating to the sale of
pharmaceuticals committed by, or with the
knowledge or consent of, the insured.
5. The following is added to Paragraph S. of
SECTION III — LIMITS OF INSURANCE:
For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions committed in the providing
or failing to provide first aid or "Good
Samaritan services" to any one person will be
considered one 'occurrence".
6. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises out of providing or
failing to provide first aid or "Good Samaritan
services" to any person to the extent not
subject to Paragraph 2.a.(1) of Section II —
Who Is An Insured.
C. REASONABLE FORCE — BODILY INJURY OR
PROPERTY DAMAGE
The following replaces Exclusion a., Expected Or
Intended Injury, in Paragraph 2. of SECTION I —
COVERAGES — COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE LIABILITY:
insured. This exclusion does not apply to
"bodily injury" or "property damage" resulting
from the use of reasonable force to protect
any person or property.
D. NON -OWNED WATERCRAFT — INCREASED
TO UP TO 75 FEET
1. The following replaces Paragraph (2) of
Exclusion g., Aircraft, Auto Or Watercraft,
in Paragraph 2. of SECTION I —
COVERAGES — COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY:
(2) A watercraft you do not own that is:
(a) Less than 75 feet long; and
(b) Not being used to carry any person or
property for a charge;
2. The following is added to Paragraph 2. of
SECTION II — WHO IS AN INSURED:
Any person or organization that, with your
express or implied consent, either uses or is
responsible for the use of a watercraft that
you do not own that is:
(a) Less than 75 feet long; and
(b) Not being used to carry any person or
property for a charge;
3. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to the insured for "bodily injury"
that arises out of the use of a watercraft that
you do not own that is:
(a) Less than 75 feet long; and
(b) Not being used to carry any person or
property for a charge.
E. AIRCRAFT CHARTERED WITH CREW
1. The following is added to Exclusion g.,
Aircraft, Auto Or Watercraft, in Paragraph
2. of SECTION I — COVERAGES —
COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY in
COVERAGES:
a. Expected Or Intended injury Or Damage This exclusion does not apply to an aircraft
that is:
"Bodily injury" or "property damage" expected
or intended from the standpoint of the (a) Chartered with crew to any insured;
Page 2 of 6 © 2016 The Travelers Indemnity Company. All rights reserved. CG D3 79 01 16
(b) Not owned by any insured; and
(c) Not being used to carry any person or
property for a charge.
2. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to the insured for use of an
aircraft that is:
(a) Chartered with crew to any insured;
(b) Not owned by any insured; and
(c) Not being used to carry any person or
property for a charge.
F. DAMAGE TO PREMISES RENTED TO YOU
1. The following replaces the last paragraph of
Paragraph 2., Exclusions, of SECTION 1 —
COVERAGES — COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY in COVERAGES:
Exclusions c. through n. do not apply to
damage to premises while rented to you, or
temporarily occupied by you with permission
of the owner, caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
A separate limit of insurance applies to such
damage to premises as described in
Paragraph 6. of Section III — Limits Of
Insurance. This insurance does not apply to
damage to premises while rented to you, or
temporarily occupied by you with permission
of the owner, caused by:
a. Rupture, bursting, or operation of
pressure relief devices;
b. Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from
water; or
c. Explosion of steam boilers, steam pipes,
steam engines, or steam turbines.
COMMERCIAL GENERAL LIABILITY
2. The following replaces Paragraph 6. of
SECTION III — LIMITS OF INSURANCE:
Subject to 5. above, the Damage To
Premises Rented To You Limit is the most we
will pay under Coverage A for damages
because of "property damage" to any one
premises while rented to you, or temporarily
occupied by you with permission of the
owner, caused by fire; explosion; lightning;
smoke resulting from such fire, explosion, or
lightning; or water. The Damage To Premises
Rented To You Limit will apply to all damage
proximately caused by the same
"occurrence", whether such damage results
from: fire; explosion; lightning; smoke
resulting from such fire, explosion, or
lightning; or water; or any combination of any
of these.
The Damage To Premises Rented To You
Limit will be the higher of:
a. $1,000,000; or
b. The amount shown on the Declarations of
this Coverage Part for Damage To
Premises Rented To You Limit.
3. The following replaces Paragraph a. of the
definition of "insured contract" in the
DEFINITIONS Section:
a. A contract for a lease of premises.
However, that portion of the contract for a
lease of premises that indemnifies any
person or organization for damage to
premises while rented to you, or
temporarily occupied by you with
permission of the owner, caused by:
(1) Fire;
(2) Explosion;
(3) Lightning;
(4) Smoke resulting from such fire,
explosion, or lightning; or
(5) Water,
is not an "insured contract';
4. The following replaces Paragraph 4.b.(1)(b)
of SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
(b) That is insurance for premises rented to
you, or temporarily occupied by you with
the permission of the owner;
CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 3 of 6
COMMERCIAL GENERAL LIABILITY
G. MALICIOUS PROSECUTION — EXCEPTION TO
KNOWING VIOLATION OF RIGHTS OF
ANOTHER EXCLUSION
The following is added to Exclusion a., Knowing
Violation Of Rights Of Another, in Paragraph 2.
of SECTION I — COVERAGES — COVERAGE B
PERSONAL AND ADVERTISING INJURY
LIABILITY:
This exclusion does not apply to "personal injury"
caused by malicious prosecution.
H. MEDICAL PAYMENTS — INCREASED LIMIT
The following replaces Paragraph 7. of SECTION
III — LIMITS OF INSURANCE:
7. Subject to S. above, the Medical Expense
Limit is the most we will pay under Coverage
C. for all medical expenses because of
"bodily injury" sustained by any one person,
and will be the higher of:
(a) $10,000; or
(b) The amount shown on the Declarations of
this Coverage Part for Medical Expense
Limit.
I. INCREASED SUPPLEMENTARY PAYMENTS
1. The following replaces Paragraph 1.b. of
SUPPLEMENTARY PAYMENTS —
COVERAGES A AND B of SECTION I —
COVERAGES:
b. Up to $2,500 for cost of bail bonds
required because of accidents or traffic
law violations arising out of the use of any
vehicle to which the Bodily Injury Liability
Coverage applies. We do not have to
furnish these bonds.
2. The following replaces Paragraph 1.d. of
SUPPLEMENTARY PAYMENTS —
COVERAGES A AND B of SECTION I —
COVERAGES:
d. All reasonable expenses incurred by the
insured at our request to assist us in the
investigation or defense of the claim or
"suit", including actual loss of earnings up
to $500 a day because of time off from
work.
J. ADDITIONAL INSURED — OWNER, MANAGER
OR LESSOR OF PREMISES
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is a premises
owner, manager or lessor and that you have
agreed in a written contract to name as an
additional insured on this Coverage Part is an
insured, but only with respect to liability for "bodily
injury", "property damage", "personal injury" or
"advertising injury" that:
a. Is "bodily injury" or "property damage" caused
by an 'occurrence" that takes place, or
"personal injury" caused by an offense that is
committed, after you have signed that
contract; and
b. Arises out of the ownership, maintenance or
use of that part of any premises leased to you
under that written contract.
The insurance provided to such premises owner,
manager or lessor is subject to the following
provisions:
a. The limits of insurance provided to such
premises owner, manager or lessor will be
the limits which you agreed to provide in the
written contract, or the limits shown on the
Declarations of this Coverage Part, whichever
are less.
b. The insurance provided to such premises
owner, manager or lessor does not apply to:
(1) 'Bodily injury" or "property damage"
caused by an 'occurrence" that takes
place, or "personal injury" caused by an
offense that is committed, after you
cease to be a tenant in that premises; or
(2) Structural alterations, new construction or
demolition operations performed by or on
behalf of such premises owner, manager
or lessor.
c. The insurance provided to such premises
owner, manager or lessor is excess over any
valid and collectible other insurance available
to such premises owner, manager or lessor,
unless you have agreed in a written contract
for this insurance to apply on a primary or
contributory basis.
K. ADDITIONAL INSURED — LESSOR OF LEASED
EQUIPMENT
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is an equipment
lessor and that you have agreed in a written
contract to name as an additional insured on this
Coverage Part is an insured, but only with respect
to liability for "bodily injury", "property damage",
"personal injury" or "advertising injury" that:
a. Is "bodily injury" or "property damage" caused
by an 'occurrence" that takes place, or
"personal injury" caused by an offense that is
Page 4 of 6 © 2016 The Travelers Indemnity Company. All rights reserved. CG D3 79 01 16
committed, after you have signed that written
contract; and
b. Is caused, in whole or in part, by acts or
omissions of you or any person or
organization performing operations on your
behalf, in the maintenance, operation or use
of equipment leased to you by such
equipment lessor.
The insurance provided to such equipment lessor
is subject to the following provisions:
a. The limits of insurance provided to such
equipment lessor will be the limits which you
agreed to provide in the written contract, or
the limits shown on the Declarations of this
Coverage Part, whichever are less; and
b. The insurance provided to such equipment
lessor does not apply:
(1) To any "bodily injury" or "property
damage" caused by an 'occurrence" that
takes place, or "personal injury" caused
by an offense that is committed, after the
equipment lease expires; or
(2) If the equipment is leased with an
operator.
c. The insurance provided to such equipment
lessor is excess over any valid and collectible
other insurance available to such equipment
lessor, unless you have agreed in a written
contract for this insurance to apply on a
primary or contributory basis.
L. ADDITIONAL INSURED — STATE OR
POLITICAL SUBDIVISIONS — PERMITS
RELATING T O PREMISES
The following is added to Paragraph 2. of
SECTION II — WHO IS AN INSURED:
Any state or political subdivision that has issued a
permit in connection with premises owned or
occupied by, or rented or loaned to, you, is an
insured, but only with respect to "bodily injury",
"property damage", "personal injury" or
"advertising injury" arising out of the existence,
ownership, use, maintenance, repair,
construction, erection or removal of advertising
signs, awnings, canopies, cellar entrances, coal
holes, driveways, manholes, marquees, hoist
away openings, sidewalk vaults, elevators, street
banners or decorations for which that state or
political subdivision has issued such permit.
COMMERCIAL GENERAL LIABILITY
M. ADDITIONAL INSURED — STATE OR
POLITICAL SUBDIVISIONS — PERMITS
RELATING TO OPERATIONS
The following is added to Paragraph 2. of
SECTION II — WHO IS AN INSURED:
Any state or political subdivision that has issued a
permit with respect to operations performed by
you or on your behalf is an insured, but only with
respect to "bodily injury", "property damage",
"personal injury" or "advertising injury" arising out
of operations performed by you or on your behalf
for which that state or political subdivision has
issued such permit. However, no such state or
political subdivision is an insured for:
(1) 'Bodily injury", "property damage", "personal
injury" or "advertising injury" arising out of
operations performed for that state or political
subdivision; or
(2) 'Bodily injury" or "property damage" included
within the "products — completed operations
hazard".
N. WHO IS AN INSURED — NEWLY ACQUIRED
OR FORMED ORGANIZATIONS
The following replaces Paragraph 4.a. of
SECTION II — WHO IS AN INSURED:
a. Coverage under this provision is afforded
only:
(1) Until the 180th day after you acquire or
form the organization or the end of the
policy period, whichever is earlier, if you
do not report such organization in writing
to us within 180 days after you acquire or
form it; or
(2) Until the end of the policy period, when
that date is later than 180 days after you
acquire or form such organizations, if you
report such organization in writing to us
within 180 days after you acquire or form
it.
O. KNOWLEDGE AND NOTICE OF
OCCURRENCE OR OFFENSE
The following is added to Paragraph 2., Duties In
The Event of Occurrence, Offense, Claim Or
Suit, of SECTION IV — COMMERCIAL
GENERAL LIABILITY CONDITIONS:
e. The following provisions apply to Paragraph
a. above, but only for the purposes of the
insurance provided under this Coverage Part
to you or any insured listed in Paragraph 1. or
2. of Section II — Who Is An Insured:
CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 5 of 6
COMMERCIAL GENERAL LIABILITY
(1) Notice to us of such "occurrence" or of an
offense must be given as soon as
practicable only after the "occurrence" or
offense is known to you (if you are an
individual), any of your partners or
members who is an individual (if you are a
partnership or joint venture), any of your
managers who is an individual (if you are
a limited liability company), any of your
trustees who is an individual (if you are
a trust), any of your "executive officers" or
directors (if you are an organization other
than a partnership, joint venture, limited
liability company or trust), or any
"employee" (such as an insurance, loss
control or risk manager or administrator)
authorized by you to give notice of an
"occurrence" or offense.
Knowledge by any other "employee" of an
"occurrence" or offense does not imply
that you also have such knowledge.
(2) If you are a partnership, joint venture,
limited liability company or trust, and
none of your partners, joint venture
members, managers or trustees are
individuals, notice to us of such
"occurrence" or offense must be given as
soon as practicable only after the
"occurrence" or offense is known by:
(a) Any individual who is:
(i) A partner or member of any
partnership or joint venture;
(ii) A manager of any limited liability
company;
(iii) A trustee of any trust; or
(iv) An executive officer or director of
any other organization;
that is your partner, joint venture
member, manager or trustee; or
(b) Any "employee" authorized by such
partnership, joint venture, limited
liability company, trust or other
organization to give notice of an
"occurrence" or offense.
health insurer. This applies only if you
subsequently give notice to us of the
"occurrence" or offense as soon as
practicable after any of the persons
described in Paragraphs e. (1) or (2)
above discovers that the "occurrence" or
offense may result in sums to which the
insurance provided under the Coverage
Part may apply.
P. UNINTENTIONAL OMISSION
The following is added to Paragraph 6.,
Representations, of SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
The unintentional omission of, or unintentional
error in, any information provided by you which
we relied upon in issuing this policy will not
prejudice your rights under this insurance.
However, this provision does not affect our right
to collect additional premium or to exercise our
rights of cancellation or nonrenewal in
accordance with applicable insurance laws or
regulations.
Q. WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US WHEN
REQUIRED BY WRITTEN CONTRACT
The following is added to Paragraph 8., Transfer
of Rights of Recovery Against Others to Us, of
SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of premises owned or occupied by or rented
or loaned to you; ongoing operations performed
by you or on your behalf, done under a written
contract with that person or organization; "your
work"; or "your products". We waive this right
where you have agreed to do so as part of a
written contract signed by you prior to loss.
R. AMENDED INSURED CONTRACT DEFINITION
— RAILROAD EASEMENT
1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
(3) Notice to us of such "occurrence" or
offense will be deemed to be given as c. Any easement or license agreement;
soon as practicable if it is given in good 2. Paragraph f.(1) of the definition of "insured
faith as soon as practicable to your contract" in the DEFINITIONS Section is
workers' compensation, accident, or deleted.
Page 6 of 6 © 2016 The Travelers Indemnity Company. All rights reserved. CG D3 79 01 16
POLICY NUMBER: HA -6K076752 -19 -GRP
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO COVERAGE PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. BLANKET ADDITIONAL INSURED
B. EMPLOYEE HIRED AUTO
C. EMPLOYEES AS INSURED
D. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
E. TRAILERS — INCREASED LOAD CAPACITY
F. HIRED AUTO PHYSICAL DAMAGE
G. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
A. BLANKET ADDITIONAL INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE:
Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an addi-
tional insured is an "insured" for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.
B. EMPLOYEE HIRED AUTO
1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II — COV-
ERED AUTOS LIABILITY COVERAGE:
H. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT— INCREASED LIMIT
I. WAIVER OF DEDUCTIBLE — GLASS
J. PERSONAL PROPERTY
K. AIRBAGS
L. AUTO LOAN LEASE GAP
M. BLANKET WAIVER OF SUBROGATION
performing duties related to the conduct of
your business.
2. The following replaces Paragraph b. in B.5.,
Other Insurance, of SECTION IV — BUSI-
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover-
age, the following are deemed to be cov-
ered "autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in
an "employee's" name, with your
permission, while performing duties
related to the conduct of your busi-
ness.
However, any "auto" that is leased, hired,
rented or borrowed with a driver is not a
covered "auto".
An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED
operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is
under a contract or agreement in an "em- An Insured, of SECTION II — COVERED AUTOS
ployee's" name, with your permission, while LIABILITY COVERAGE:
CA T4 20 02 15 0 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 3
Includes copyrighted material of Insurance Services Office, Inc. with Its permission.
COMMERCIAL AUTO
Any "employee" of yours is an "insured" while us-
ing a covered "auto" you don't own, hire or borrow
in your business or your personal affairs.
D. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
1. The following replaces Paragraph A.2.a.(2) of
SECTION 11— COVERED AUTOS LIABILITY
COVERAGE:
(2) Up to $3,000 for cost of bail bonds (in-
cluding bonds for related traffic law viola-
tions) required because of an "accident"
we cover. We do not have to furnish
these bonds.
2. The following replaces Paragraph A -2.a.(4) of
SECTION 11— COVERED AUTOS LIABILITY
COVERAGE:
(4) All reasonable expenses incurred by the
"insured" at our request, including actual
loss of earnings up to $500 a day be-
cause of time off from work.
E. TRAILERS — INCREASED LOAD CAPACITY
The following replaces Paragraph C.I. of SEC-
TION I — COVERED AUTOS:
1. "Trailers" with a load capacity of 3,000
pounds or less designed primarily for travel
on public roads.
F. HIRED AUTO PHYSICAL DAMAGE
The following is added to Paragraph AA., Cover-
age Extensions, of SECTION III — PHYSICAL
DAMAGE COVERAGE:
Hired Auto Physical Damage Coverage
If hired "autos" are covered "autos" for Covered
Autos Liability Coverage but not covered "autos"
for Physical Damage Coverage, and this policy
also provides Physical Damage Coverage for an
owned "auto", then the Physical Damage Cover-
age is extended to "autos" that you hire, rent or
borrow subject to the following:
(1) The most we will pay for "loss" to any one
"auto" that you hire, rent or borrow is the
lesser of:
(a) $50,000;
(2) An adjustment for depreciation and physical
condition will be made in determining actual
cash value in the event of a total "loss".
(3) If a repair or replacement results in better
than like kind or quality, we will not pay for the
amount of betterment.
(4) A deductible equal to the highest Physical
Damage deductible applicable to any owned
covered "auto".
(5) This Coverage Extension does not apply to:
(a) Any "auto" that is hired, rented or bor-
rowed with a driver; or
(b) Any "auto" that is hired, rented or bor-
rowed from your "employee".
G. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
The following replaces the first sentence in Para-
graph A.4.a., Transportation Expenses, of
SECTION III — PHYSICAL DAMAGE COVER-
AGE:
We will pay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
curred by you because of the total theft of a cov-
ered "auto" of the private passenger type.
H. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT— INCREASED LIMIT
Paragraph C.1.b. of SECTION III — PHYSICAL
DAMAGE COVERAGE is deleted.
I. WAIVER OF DEDUCTIBLE — GLASS
The following is added to Paragraph D., Deducti-
ble, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
No deductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.
J. PERSONAL PROPERTY
The following is added to Paragraph AA., Cover-
age Extensions, of SECTION III — PHYSICAL
DAMAGE COVERAGE:
Personal Property Coverage
We will pay up to $400 for "loss" to wearing ap-
parel and other personal property which is:
(b) The actual cash value of the damaged or (1) Owned by an "insured"; and
stolen property as of the time of the (2) In or on your covered "auto".
"loss"; or This coverage only applies in the event of a total
(c) The cost of repairing or replacing the theft of your covered "auto".
damaged or stolen property with other No deductibles apply to Personal Property cover -
property of like kind and quality. age.
Page 2 of 3 © 2015 The Travelers Indemnity Company. All rights reserved. CA T4 20 02 15
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
K. AIRBAGS
The following is added to Paragraph B.3., Exclu-
sions, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
Exclusion 3.a. does not apply to 'loss" to one or
more airbags in a covered "auto" you own that in-
flate due to a cause other than a cause of 'loss"
set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto" is a covered "auto" for Compre-
hensive Coverage under this policy;
b. The airbags are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated.
We will pay up to a maximum of $1,000 for any
one 'loss".
L. AUTO LOAN LEASE GAP
The following is added to Paragraph AA., Cover-
age Extensions, of SECTION III — PHYSICAL
DAMAGE COVERAGE:
Auto Loan Lease Gap Coverage for Private
Passenger Type Vehicles
In the event of a total 'loss" to a covered "auto" of
the private passenger type shown in the Schedule
or Declarations for which Physical Damage Cov-
erage is provided, we will pay any unpaid amount
due on the lease or loan for such covered "auto"
less the following:
(1) The amount paid under the Physical Damage
Coverage Section of the policy for that "auto';
and
COMMERCIAL AUTO
(2) Any:
(a) Overdue lease or loan payments at the
time of the 'loss";
(b) Financial penalties imposed under a
lease for excessive use, abnormal wear
and tear or high mileage;
(c) Security deposits not returned by the les-
sor;
(d) Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability
Insurance purchased with the loan or
lease; and
(e) Carry-over balances from previous loans
or leases.
M. BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — BUSINESS AUTO CONDI-
TIONS:
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
tent required of you by a written contract exe-
cuted prior to any "accident' or 'loss", pro-
vided that the "accident' or "loss" arises out of
the operations contemplated by such con-
tract. The waiver applies only to the person or
organization designated in such contract.
CA T4 20 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 3
Includes copyrighted material of Insurance Services Office, Inc. with Its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 57 WEC AC7K9R Endorsement Number:
Effective Date: 01/31/19 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: WHITLOCK & WEINBERGER TRANSPORTATION, INC
490 MENDOCINO AVE STE 201
SANTA ROSA CA 95401
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due
on such remuneration.
SCHEDULE
Person or Organization
Job Description
Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights
from us
Countersigned by
Authorized Representative
Form WC 04 03 06 (1) Printed in U.S.A.
Process Date: 02/01/19 Policy Expiration Date: 01/31/20
POLICY NUMBER: CMI9DPL085130IV
F. Other Insurance
Such insurance as is provided by this policy shall be excess of any other valid and collectible
insurance, unless such other insurance is written specifically excess of this insurance by
reference in such other policy to the policy number in this policy's Declarations. This policy
will not be subject to the terms and conditions of any other insurance. In the event the
Insured is also provided insurance by another insurance policy issued for a specific project
or projects, this policy will not respond until the limit of liability of such other insurance has
been exhausted, regardless if such other insurance is primary, pro -rata, contributory, excess,
self-insured, umbrella, contingent or otherwise.
G. Subrogation
In the event of any payment for claims under this policy, the Company will be
subrogated in the amount of such payment to all the Insured's rights of recovery against
any person or organization. The Insured will execute and deliver instruments and papers
and do whatever else is necessary to secure such rights. The Insured will do nothing to
prejudice such rights. The Company hereby waives subrogation rights against any
Insured under this policy, and also against the Insured's client to the extent that the
Insured had, prior to the claim or potential claim a written agreement to waive such
rights.
H. Changes
Notice to any agent of the Company or knowledge possessed by any such agent or by
any other person will not effect a waiver or a change in any part of this policy, and will not
prevent or preclude the Company from asserting or invoking any right or provision of this
policy. None of the provisions of this policy will be waived, changed or modified except by
a written endorsement issued by the Company to form a part of this policy.
I. Cancellation/Nonrenewal
1. This policy may be cancelled by the Named Insured by returning it to the Company.
The Named Insured may also cancel this policy by giving written notice to the
Company stating at what future date cancellation is to be effective.
2. The Company may cancel or non -renew this policy by sending written notice to the
Named Insured at the address last known to the Company. The Company will
provide written notice at least 60 days before cancellation or non -renewal is to be
effective. However, if the Company cancels this policy because the Insured has
failed to pay a premium when due, this policy may be canceled by the Company by
mailing to the Named Insured written notice stating when, not less than 10 days
thereafter, such cancellation will be effective. The time of surrender of the policy or
the effective date and hour of cancellation stated in the notice will become the end of
the policy period. Delivery of such written notice either by the Named Insured or by
the Company will be equivalent to mailing.
NAV DPL 1001 (01 10)
Prime Express"'
Commercial Excess Liability Policy With CrisisResponse°
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what
is and is not covered.
Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations and any
other person or organization qualifying as a Named Insured under this policy. The words "we," "us" and "our" refer
to the company providing this insurance.
The word Insured means any person or organization qualifying as such under Section VII. Definitions.
Except for headings, words that appear in bold print have special meaning. See Section VII. Definitions.
In consideration of the payment of the premium and in reliance upon the statements in the Declarations, we agree to
provide coverage as follows:
I. INSURING AGREEMENT - COMMERCIAL EXCESS LIABILITY
A. We will pay on behalf of the Insured those sums in excess of the Retained Limit that the Insured becomes legally
obligated to pay as damages by reason of liability imposed by law because of Bodily Injury, Property Damage or
Personal Injury and Advertising Injury to which this insurance applies or because of Bodily Injury or Property
Damage to which this insurance applies assumed by the Insured under an Insured Contract. Coverage under
this policy will follow the terms, definitions, conditions and exclusions of Scheduled Underlying Insurance, subject
to the Policy Period, Limits of Insurance, premium and all other terms, definitions, conditions and exclusions of this
policy. Provided, however, that coverage provided by this policy will not be broader than the coverage provided by
the policy listed in Scheduled Underlying Insurance.
The amount we will pay for damages is limited as described in Section IV. Limits of Insurance.
B. This policy applies, only if:
1. the Bodily Injury or Property Damage is caused by an Occurrence that takes place anywhere, and the
Bodily Injury or Property Damage occurs during the Policy Period; and
2. the Personal Injury and Advertising Injury is caused by an Occurrence that takes place anywhere arising
out of your business, but only if the Occurrence was committed during the Policy Period.
C. 1. This policy applies to Bodily Injury or Property Damage, only if prior to the Policy Period, no Insured listed
under subparagraphs 2a., 2b., 2c. or 2e. of Paragraph N.. of Section VII, no executive officer or director listed
under subparagraph 2d. of Paragraph N. of Section VII. and no employee authorized by you to give or receive
notice of an Occurrence, claim or Suit, knew that the Bodily Injury or Property Damage had occurred, in
Mole or in part. If such an Insured, or authorized employee knew, prior to the Policy Period, that the Bodily
Injury or Property Damage had occurred, then any continuation, change or resumption of such Bodily Injury
or Property Damage during or after the Policy Period will be deemed to have been known prior to the Policy
Period.
2. Bodily Injury or Property Damage which occurs during the Policy Period and was not, prior to the Policy
Period, known to have occurred by any Insured listed under subparagraphs 2a., 2b., 2c. or 2e. of Paragraph
N. of Section VII., any executive officer or director listed under subparagraph 2d. of Paragraph N. of Section
VII. or any employee authorized by you to give or receive notice of an Occurrence or claim, includes any
continuation, change or resumption of that Bodily Injury or Property Damage after the end of the Policy
Period.
90269 (11/09) Page 1 of 26
AH 2711 02001
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
EDULE OF UNDERLYING INSURANCE
Issued to: WHITLOCK & WEINBERGER TRANSPORTATION INC DBA W -TRA Policy Number: EBU 018299327
NS
By: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA.
$1,000,000
TYPE OF POLICY
INSURER, POLICY NO.
57WE CZ U 5856
OR COVERAGE
AND POLICY PERIOD
LIMITS
GENERAL LIABILITY
Travelers Property
$2,000,000
$1,000,000
Casualty Co of Amer
PER OCCURRENCE
680-6K030786-19
$4,000,000
Defense Expenses are
01/31/19
GENERAL AGGREGATE
EMPLOYEE BENEFITS LIABILITY Travelers Property
01/31/20
$4,000,000
PER EMPLOYEE
680-6K030786-19
PRODUCTS & COMPLETED OPS.
01/31/19
AGGREGATE
AGGREGATE
$4,000,000
PER PROJECT GENERAL AGGREGATE
$4,000,000
PER LOCATION GENERAL AGGREGATE
$12,000,000
PER LOCATION AGGREGATE CAP
Defense Expenses are
in addition to the limit
AUTO LIABILITY Travelers Property $1,000,000
Casualty Co of Amer COMBINED SINGLE LIMIT
BA -61(076752-19
01/31/19
01/31/20
Defense Expenses are
in addition to the limit
EMPLOYERS LIABILITY Hartford Casualty
$1,000,000
Insurance Company
BODILY INJURY BY ACCIDENT
57WE CZ U 5856
$1,000,000
12/31/19
BODILY INJURY BY DISEASE(EACH
12/31/20
EMPLOYEE)
$1,000,000
BODILY INJURY BY
DISEASE(POLICY LIMITS)
Defense Expenses are
in addition to the limit
EMPLOYEE BENEFITS LIABILITY Travelers Property
$2,000,000
Casualty Co of Amer
PER EMPLOYEE
680-6K030786-19
$2,000,000
01/31/19
AGGREGATE
01/31/20
Defense Expenses are
in addition to the limit
UNDSCH (5/99)
AH 0006
SCHEDULE OF UNDERLYING INSURANCE
Issued to: WHITLOCK & WEINBERGER TRANSPORTATION INC DBA W -TRA Policy Number: EBU 018299327
NS
By: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA.
TYPE OF POLICY
OR COVERAGE
UNDSCH (5/99)
AH0006
INSURER, POLICY NO.
AND POLICY PERIOD LIMITS
AUTHORIZED REPRESENTATIVE
Transmittal
Date: August 5, 2019
111�
Trr
AWA=Trans
Project: SRA121-1
To: Ms. Lauren Davini, PE
City of San Rafael
Public Works Department
111 Morphew Street
San Rafael, CA 94901
(415) 485-3361
Transmitted:
From: Corinne Rasmussen
crasmussen@w-trans.com
Three (3) wet -signed copies of the Professional Services Agreement covering the Canal Neighborhood Parking
After -Study; and
Insurance Certificate covering the project
PUBLIC WORKS
AUG 0 9 2019
CIN OF SAN RAFAEL
490 Mendocino Avenue, Suite 201 Santa Rosa, CA 95401 707.542.9500 w-trans.com
SANTA ROSA • OAKLAND • SAN JOSE
WITH Pd
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Public Works
Project Manager: Lauren Davini Extension: 3361
Contractor Name: W -Trans
Contractor's Contact: Mark Spencer Contact's Email: mspencer@w-trans.com
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step
RESPONSIBLE
DESCRIPTION
COMPLETED
REVIEWER
DEPARTMENT
DATE
Check/Initial
1
Project Manager
a. Email PINS Introductory Notice to Contractor
7/31/2019
❑
LD
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
❑X
2
City Attorney
a. Review, revise, and comment on draft agreement
8/1/2019
❑x LG
and return to Project Manager
8/1/2019
❑x LG
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
Approval of final agreement form to send to
8/2/2019
❑x -LD-
_
3
Department Director
contractor
4
Project Manager
Forward three (3) originals of final agreement to
8/3/2019
❑X
contractor for their signature
5
Project Manager
When necessary, contractor -signed agreement
D N/A
agendized for City Council approval *
*City Council approval required for Professional Services
❑
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $175,000
Click here to
PRINT
Project Manager
Date of City Council approval
CONTINUE ROUTING PROCESS WITH HARD COPY
enter a date.
6
Forward signed original agreements to City
8/19/19
LD
City Attorney
Attorney with printed copy of this routing form
7
Review and approve hard copy of signed
�/Z /11
City Attorney
agreement
j
8
Review and approve insurance in PINS, and bonds
(for Public Works Contracts)
!
9
City Manager/ Mayor
Agreement executed by City Council authorized
official
10
City Clerk
Attest signatures, retains original agreement and
�y
forwards copies to Project Manager