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HomeMy WebLinkAboutPW Master Services Agreement; Pakpour Consulting Group Land Development Engineering ServicesCity of San Rafael Alasler Consultant Services Agreement
City of San Rafael
MASTER CONSULTANT SERVICES AGREEMENT
for Land Development Engineering Services
THIS AGREEMENT is entered into oil IAOWIo4,1204etween the City of San Rafael,
a California municipal corporation ("City"), and Pakpour Consulting Group, Inc., ("Consultant").
RECITALS
A. The City wishes to contract for the provision of professional engineering design services, as
described in individual "Task Orders" to be issued by the City during the Term of this Agreement.
B. Consultant has the skill, experience, ability, background, certification and knowledge to
provide the services. Consultant qualifications have been reviewed and accepted by the City. Consultant
desires to perform such professional services under agreement with the City.
NOW, THEREFORE, in consideration of the terms and conditions contained in this Agreement,
the City and Consultant agree as follows:
AGREEMENT
1. Services. Subject to the terms and conditions set forth in this Agreement, Consultant shall
provide the professional engineering design services as requested and described in a Task Order issued
for such services by the City, and shall coordinate activities so the project that is the subject of each Task
Order is completed according to the City's requirements.
a. Task Orders. It is understood and agreed that each Task Order shall list the scope
of services to be perfonned, the schedule for performance, any special conditions, and the form,
amount, and conditions of compensation for services. A Task Order is effective only when
signed by Consultant and the City Manager and Public Works Director, or their authorized
representatives. The City shall designate a Project Manager who shall be frilly acquainted with
the project and have authority within the limits of City policy to render decisions promptly.
The City will cooperate with Consultant and provide reasonable access to the site. Upon
written request, the City shall provide all reasonably available infonnation including reports,
preliminary plans, maps, surveys, and other related information regarding its requirements for a
project that is the subject of a Task Order. Consultant may reasonably rely on the accuracy and
completeness of the information provided.
b. Performance. Consultant shall perform the services described in the Task Order.
The time of perfonnance of the services under this Agreement is important to the City, and all
time deadlines identified in the Task Order shall be strictly construed.
2. Compensation and Payment.
a. Compensation. As consideration for services, City agrees to pay Consultant, and
Consultant agrees to accept from City as full compensation for the services, a fee that does not
exceed the total budgeted amount detailed in each Task Order. Each Task Order may reflect
either a fixed fee amount or an hourly rate. The rates shall include all direct and indirect charges
Rev. May 15, 2019 Page 1 of 7
City of San Rafael Amster Consultant Services Agreement
to each Task Order, except as noted in the Task Order. Consultant may revise the hourly rate
schedule yearly, to take effect on the first day of January.
b. Payment. Consultant shall bill City monthly, and City agrees to pay the invoice
within 30 days of receipt. Each payment shall be for the invoiced amount, with no retention.
3. Term; Termination.
a. Term. This Agreement shall begin upon execution by both parties and remain in
effect for three (3) years thereafter.
b. Termination. Either party may terminate the Agreement by giving seven days
written notice to the other party. If City sends a termination notice, Consultant shall stop work at
the stage directed by the City, and shall deliver all drawings, specifications, and documentation
developed as of that time. Consultant shall accept as full payment either: (i) if the Task Order
indicated an hourly rate, payment based on the hours worked up to the time of termination; or (ii)
if the Task Order indicated a fixed fee, a pro -rata share of the total Agreement based on the
portion of work actually performed.
4. Professional Efforts; Responsible Personnel. Consultant shall perform all services
required under this Agreement in the manner and according to the standards observed by a competent Bay
Area practitioner of the profession in which Consultant is engaged. All products that Consultant delivers
to City shall conform to the standards of quality normally observed by a person practicing in Consultant's
profession. The City shall be the sole judge as to whether the product of the Consultant is satisfactory.
Consultant shall be liable and, upon demand, shall reimburse City for additional costs incurred by the
City as a result of Consultant's errors or omissions. Consultant makes no other warranty, express or
implied.
Consultant represents that it and its employees are fully qualified to perform the services under
this Agreement. Consultant represents and warrants to the City that Consultant has, and at all times during
the performance of this Agreement shall maintain, all licenses, permits, qualifications, and approvals that
are required for Consultant to practice Consultant's profession. Consultant shall assign only competent
personnel to perform services under this Agreement. If the City, in its sole discretion, at any time, desires
the removal of any person or persons assigned by Consultant to perform services under this Agreement,
Consultant shall remove any such person immediately upon receiving notice from the City.
Consultant shall, at its sole cost, expense, and liability; furnish all facilities and equipment that
may be required for furnishing services under this Agreement.
5. Independent Contractor. Consultant, its agents, employees and independent contractors are
and shall at all times remain, as to the City, wholly independent contractors. Neither the City nor any of
its officers or employees shall have any control over the manner by which the Consultant performs this
Agreement and shall only dictate the results of the performance. Consultant shall not represent that
Consultant, or its agents, employees or independent contractors, are agents or employees of the City.
Consultant is responsible for the payment of all taxes, workers' compensation insurance and
unemployment insurance. Consultant shall obtain no rights to retirement benefits or other benefits that
accrue to City's employees, and Consultant hereby waives any claim it may have to any such rights.
Except as the City may specify in writing, Consultant shall have no authority, express or implied,
to act on behalf of the City or to bind the City to any obligation.
Rev. May 15, 2019 Page 2 of 7
City of San Rafael Afaster Consultant Services Agreement
6. Interest of Consultant. Consultant (including principals, associates and professional
employees) covenants and represents that it does not now have any investment or interest in real property
and shall not acquire any interest, direct or indirect, in the geographical areas likely to be covered by this
Agreement, or any other source of income, interest in real property or investment that would be affected
in any manner or degree by the performance of Consultant's services under this Agreement. Consultant
further covenants and represents that, in the performance of its duties; no person having any such interest
shall perform any services under this Agreement.
If Consultant is determined to be a "Consultant" or a "designated employee" within the meaning
of the Political Reform Act, Consultant will comply with the requirements of that Act by submitting a
Statement of Economic Interest Form 700. (2 Cal. Code of Regs.§18701(a)(2).)
7. Accounting Records. The Consultant agrees to maintain all records and other evidence
pertaining to costs incurred and work performed under this Agreement and shall make them available at
the Consultant's office during the Agreement period and thereafter for a period of three years from the
date of receipt of final payment.
8. Ownership of Documents and Data. All data, maps, photographs, and other material
collected or prepared under this Agreement, and all documents of any type developed or obtained by
Consultant in the performance of this Agreement, shall become the property of the City. Any re -use of
designs without Consultant's written authorization will be at the City's risk.
9. Indemnification.
a. Except as otherwise provided in Paragraph B., Consultant 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
"Liabilities"), arising out of Consultant's performance of its obligations or conduct of its operations
under this Agreement. The Consultant'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 Consultant'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 Consultant's work or work product by the City or any of its directors,
officers or employees shall not relieve or reduce the Consultant's indemnification obligations. In
the event the City Indemnitees are made a party to any action, lawsuit, or other adversarial
proceeding arising from Consultant's performance of or operations under this Agreement,
Consultant 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 Consultant 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, Consultant 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,
Rev. May 15, 2019 Page 3 of 7
City of San Rafael A9aster Consultant Services flgreenient
or willful misconduct of Consultant, 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 tennination or completion of this Agreement for the full period
of time allowed by law.
10. Insurance. Consultant shall procure and maintain at its sole cost for the duration of this
Agreement the following insurance:
a. Minimum Scope of Insurance. Coverage shall be at least as broad as:
than:
(1) Insurance Services Office Commercial General Liability coverage
("occurrence" form CG 0001).
(2) Insurance Services Office form number CA 0001 covering Automobile
Liability, code 1 (any auto).
(3) Workers' Compensation insurance as required by the Labor Code of the
State of California and Employers Liability insurance.
(4) Errors and omissions/Professional liability insurance for all design
professionals such as architects, landscape architects or engineers.
Minimum Limits of Insurance. Consultant shall maintain policy limits of no less
(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) Automobile Liability: $1,000,000 combined single limit per accident for
bodily injury and property damage.
(3) Worker's Compensation and Employers Liability: If it employs any
person, Consultant 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. Consultant's worker's compensation
insurance shall be specifically endorsed to waive any right of subrogation against
the City.
(4) Errors and Omissions/Professional Liability: One million dollars
($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate. If
Consultant maintains higher limits than the minimum required by this contract,
the City requires and shall be entitled to coverage for the higher limits
maintained by the Consultant.
Rev. May 15, 2019 Page 4 of 7
City of San Rafael Alaster Consultant Services Agreement
C. Deductibles and Self -Insured Retention. Any deductibles or self-insured
retention must be declared to and approved by the City. At the option of the City, either: the
insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City, its
officers, officials, employees and volunteers; or Consultant shall procure a bond guaranteeing
payment of losses and related investigations, claim administration and defense expenses.
d. Other Insurance Requirements. The insurance coverage required of the Consultant
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 Consultant'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 Consultant'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, Consultant hereby grants to City a
waiver of any right to subrogation which any insurer of Consultant may acquire
against City by virtue of the payment of any loss under such insurance.
Consultant 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) If the insurance is written on a Claims Made Form, then, following
termination of this Agreement, said insurance coverage shall survive for a period of
not less than five years.
(6) The insurance policies shall provide for a retroactive date of placernent
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 narned 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
Rev. May 15, 2019 Page 5 of 7
City of San Rafael Blaster Consultant Services Agreement
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 Consultant under this agreement.
e. Acceptability of Insurers. Insurance is to be placed with insurers with a Best's
rating of no less than A: VII.
f. Verification of Coverage. Consultant shall furnish the City with certificates of
insurance and with original endorsements effecting coverage required by this clause. The
certificates and endorsements for each insurance policy are to be signed by a person authorized
by that insurer to bind coverage on its behalf. All certificates and endorsements are to be
received and approved by the City before work commences. The City reserves the right to
require complete certified copies of all required insurance policies, at any time.
11. Miscellaneous provisions.
a. Notice. Any notice to be given under this Agreement shall be given by enclosing
it in a sealed envelope, first-class postage prepaid, and depositing it in the United States mail,
addressed to the party at the following address. Notice shall be deemed received three business
days after mailing, or upon personal delivery.
CITY: City of San Rafael
Attn: Rafat Raie, City Traffic Engineer
1 i l Morphew Street
San Rafael, CA 94901
CONSULTANT: Pakpour Consulting Group, Inc.
Attn: Joubin Pakpour
5776 Stoneridge Mall Road, Suite 320
Pleasanton, CA 94588
b. Assignment. This Agreement contemplates the personal services of Consultant
and its employees and it is understood by both parties that a substantial inducement to City for
entering into this Agreement was, and is, the professional reputation and competence of
Consultant. Consultant shall not assign or otherwise transfer any rights or obligations under this
Agreement without the prior written consent of the City.
C. Business license. Consultant shall obtain a City business license before
beginning work under this Agreement.
d. Prohibited Interests. No officer or employee of the City shall have any direct
financial interest in this Agreement. This Agreement shall be voidable at the option of the City if
this provision is violated.
e. Governing Law; Litigation Expenses. California law shall govern this
Agreement. Any action to enforce or interpret this Agreement shall be brought in a court of
competent jurisdiction in the County of Marin, California.
f. Incorporation. The Preamble, the Recitals, Exhibits and all defined terms set
forth in both are incorporated into this Agreement by this reference. If there is a conflict between
Rev. May 15, 2019 Page 6 of 7
City of San Rafael Vaster Consultant Services Agreement
the body of this Agreement and an exhibit prepared by Consultant, the body of the Agreement
shall control.
g. Severability. Should any part of this Agreement be declared unconstitutional,
invalid, or beyond the authority of either party to enter into or carry out, such decision shall not
affect the validity of the remainder of this Agreement, which shall continue in full force and
effect; provided that, the remainder of this Agreement can, absent the excised portion, be
reasonably interpreted to give effect to the intentions of the parties.
h. Authorijy. All parties executing this Agreement represent and warrant that they
are authorized to do so.
i. Entire Agreement; Amendments. This Agreement is the entire Agreement
between the parties and supersedes all prior negotiations, representations, or agreements, whether
written or oral. This Agreement may be amended only by written agreement signed by both
parties.
j. Non -waiver. A party's waiver of any term shall not be deemed a continuing
waiver or a waiver of any other term.
k. Counterparts. This Agreement may be executed in counterparts.
12. Signatures.
CITY OF SAN RAFAEL
By:�y'
JIM SCHUTZ, City Manager
ATTEST:
I-lvlz z�� �' -
A
LINDSAY LARA, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, Ci Attorney
Rev. May 15, 2019 Page 7 of 7
CONSULTANT
By: -
Name: 3o�brK �1ca,,�
Title:
[if Consultant is a corporation, add signature of second
corporate officer]
By: -
Name:
Title:
7
ACORO0
C" CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
8/13/2021
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
Dealey, Renton & Associates
P. O. Box 12675
Oakland CA 94604-2675
CONTACT
NAME: .IO Lusk
PHONE FAX
• 510-465-3090 ac No): 510-452-2193
ADDRESS: certificates@dealeyrenton.com
INSURERS AFFORDING COVERAGE NAIC #
Y
INSURER A: Travelers Property Casualty Company of America 25674
License#: 0020739
INSURED PAKPCON-01
Pakpour Consulting Group, Inc.
5776 Stoneridge Mall Rd., Ste. 320
INSURER B: The Travelers Indemnity Company of Connecticut 25682
INSURER C: National Casualty Company
INSURER D:
Pleasanton CA 94588
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1171371302 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
SUBR
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIOD/YYYY
LIMITS
B
X COMMERCIALGENERALLIABILITY
Y
Y
680OJ363655
4/12/2021
4/12/2022
EACH OCCURRENCE 52,000,000
CLAIMS -MADE 71OCCUR
DAMAGES (RENTED
PREMISES Ea occurrence) S1,000,000
MED EXP (Any one person) $10,000
X Contractual Liab
Included
PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $4,000,000
POLICY ] PES � LOC
PRODUCTS - COMP/OP AGG 54,000,000
5
OTHER:
B
AUTOMOBILE
LIABILITY
Y
Y
BA5R538863
4/12/2021
4/12/2022
COMBINED SINGLE LIMIT S1'000'000
Ea accident
BODILY INJURY (Per person) 5
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) S
X
HIREDX NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE S
Per accident
5
A
X
UMBRELtALIAB
X
OCCUR
Y
Y
CUP8E476035
4/12/2021
4/12/2022
EACH OCCURRENCE 51,000,000
AGGREGATE S1,000,000
EXCESS LIAR
CLAIMS -MADE
DED X RETENTIONS
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
UB2K987427
4/12/2021
4/12/2022
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $1,000,000
ANYPROPRIETORIPARTNER/EXECUTIVEF-1
OFFICERIMEMBER EXCLUDED?
NIA
E.L. DISEASE - EA EMPLOYEE S1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT S1,000.000
C
Professional Liability
JE00000359
4/12/2021
4/12/2022
Per Claim $2,000,000
Annual Aggregate $2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Umbrella Liability policy is a follow -form underlying General Liability/Auto Liability/Employers Liability.
RE: As -needed engineering and inspection services
City of San Rafael, its officers, agents, employees and volunteers are named as Additional Insured as respects General and Auto Liability as required per
written contract or agreement.
CERTIFICATE HOLDER CANCELLATION 30 Dav Notice of Cancellation
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of San Rafael
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Iman Kayani
AUTHORQED REPRESENTATIVE
111 Morphew Street
San Rafael CA 94901
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Policy # 680OJ363655
COMMERCIAL GENERAL LIABILITY
c. Method Of Sharing
If all of the other insurance permits contribution
by equal shares, we will follow this method also.
Under this approach each insurer contributes
equal amounts until it has paid its applicable
limit of insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will contribute
by limits. Under this method, each insurer's
share is based on the ratio of its applicable limit
of insurance to the total applicable limits of
insurance of all insurers.
d. Primary And Non -Contributory Insurance If
Required By Written Contract
If you specifically agree in a written contract or
agreement that the insurance afforded to an
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 that is available to such insured
which covers such insured as a named insured,
and we will not share with that other insurance,
provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal and advertising injury" for
which coverage is sought is caused by an
offense that is committed;
subsequent to the signing of that contract or
agreement by you.
Premium Anriit
a. We will compute all premiums for this Coverage
Part in accordance with our rules and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only. At
the close of each audit period we will compute
the earned premium for that period and send
notice to the first Named Insured. The due date
for audit and retrospective premiums is the date
shown as the due date on the bill. If the sum of
the advance and audit premiums paid for the
policy period is greater than the earned
premium, we will return the excess to the first
Named Insured.
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance upon
your representations.
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
. Separation Of Insureds
Except with respect to the Limits of Insurance, and
any rights or duties specifically assigned in this
Coverage Part to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom claim
is made or "suit" is brought.
8. Transfer Of Rights Of Recovery Against Others
To Us
If the insured has rights to recover all or part of any
payment we have made under this Coverage Part,
those rights are transferred to us. The insured must
do nothing after loss to impair them. At our request,
the insured will bring "suit" or transfer those rights
to us and help us enforce them.
9. When We Do Not Renew
If we decide not to renew this Coverage Part, we will
mail or deliver to the first Named Insured shown in
the Declarations written notice of the nonrenewal
not less than 30 days before the expiration date.
If notice is mailed, proof of mailing will be sufficient
proof of notice.
SECTION V — DEFINITIONS
1. "Advertisement" means a notice that is broadcast or
published to the general public or specific market
segments about your goods, products or services
for the purpose of attracting customers or
supporters. For the purposes of this definition:
c. The first Named Insured must keep records of a. Notices that are published include material
the information we need for premium placed on the Internet or on similar electronic
computation, and send us copies at such times means of communication; and
as we may request. b. Regarding websites, only that part of a website
6. Representations that is about your goods, products or services
By accepting this policy, you agree: for the purposes of attracting customers or
supporters is considered an advertisement.
Page 16 of 21 O 2017 The Travelers Indemnity Company. All rights reserved. CG T1 00 02 19
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # 680OJ363655
occupational therapist or occupational
therapy assistant, physical therapist or
speech-language pathologist; or
(b) First aid or "Good Samaritan services"
by any of your "employees" or "volunteer
workers", other than an employed or
volunteer doctor. Any such "employees"
or "volunteer workers" 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.
3. The following replaces the last sentence of
Paragraph 5. of SECTION III — LIMITS OF
INSURANCE:
For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions committed in providing or
failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to any one person will be deemed
to be one "occurrence".
4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I —
COVERAGES — COVERAGE A — BODILY
INJURY AND PROPERTY DAMAGE
LIABILITY:
Sale Of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the 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 the DEFINITIONS
Section:
"Incidental medical services" means:
a. Medical, surgical, dental, laboratory, x-
ray or nursing service or treatment,
advice or instruction, or the related
furnishing of food or beverages; or
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances.
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,
COMMERCIAL GENERAL LIABILITY
that is available to any of your "employees"
for "bodily injury" that arises out of providing
or failing to provide "incidental medical
services" to any person to the extent not
subject to Paragraph 2.a.(1) of Section II —
Who Is An Insured.
K. MEDICAL PAYMENTS — INCREASED LIMIT
The following replaces Paragraph 7. of
SECTION III — LIMITS OF INSURANCE:
7. Subject to Paragraph 5. 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 in the Declarations of
this Coverage Part for Medical Expense
Limit.
L. AMENDMENT OF EXCESS INSURANCE
CONDITION — PROFESSIONAL LIABILITY
The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any of the other
insurance, whether primary, excess, contingent
or on any other basis, that is Professional
Liability or similar coverage, to the extent the
loss is not subject to the professional services
exclusion of coverage A or coverage t3.
M. BLANKET WAIVER OF SUBROGATION —
WHEN REQUIRED BY WRITTEN CONTRACT
OR AGREEMENT
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
If the insured has agreed in a written contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person
or organization, but only for payments we make
because of:
a. "Bodily injury" or "property damage" that
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the signing of that contract or
agreement.
CG D3 79 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 6
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # BA5R538863
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following replaces Paragraph A.5., Transfer of required of you by a written contract executed
Rights Of Recovery Against Others To Us, of the prior to any "accident" or 'loss", provided that the
CONDITIONS Section: "accident' or 'loss" arises out of the operations
5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap-
ers To Us plies only to the person or organization desig-
We waive any right of recovery we may have nated in such contract.
against any person or organization to the extent
CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy: BA513538863
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following is added to Paragraph c. in A.1., Who
Is An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE in the BUSINESS AUTO
COVERAGE FORM and Paragraph e. in A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE in the MOTOR CARRIER
COVERAGE FORM, whichever Coverage Form is
part of your policy:
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".
CA T4 37 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.
TRAVELERS, WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 ( A) —
POLICY NUMBER: uB2K987427
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
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.
The additional premium for this endorsement shall be % of the California workers' compensation pre-
mium.
Schedule
Person or Organization
Job Description
Any Person or organization for which the insured has agreed by written contract executed prior to
loss to furnish this waiver.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise
stated.
(The information below is required only when this endorsement is issued subsequent to preparation of
the policy.) 4; ;
Insurance Company Countersigned by
Travelers Property Casualty Company of America
DATE OF ISSUE: 8/13/2021
Page 1 of 1
POLICY NUMBER: 680OJ363655
COMMERCIAL GENERAL LIABILITY
ISSUED DATE: 8/13/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization (s):
Any person or organization that you agree in a written contract to include as an additional
insured on this Coverage Part for "bodily injury" or "property damage" included in the "products -
completed operations hazard", provided that such contract was signed and executed by you
before, and is in effect when, the bodily injury or property damage occurs.
Location And Description Of Completed Operations
Any project to which an applicable contract described in the Name of Additional
Insured Person(s) or Organization(s) section of this Schedule applies.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II — Who Is An Insured is amended to in-
clude as an additional insured the person(s) or or-
ganization(s) shown in the Schedule, but only with
respect to liability for "bodily injury" or "property dam-
age" caused, in whole or in part, by "your work" at the
location designated and described in the schedule of
this endorsement performed for that additional in-
sured and included in the "products -completed opera-
tions hazard".
CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER 680OJ363655 ISSUED DATE: 8/13/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Names of Additional Insured Person(s) or Organization (s):
Any person or organization that you agree in a written contract, on this Coverage Part, provided
that such written contract was signed and executed by you before, and is in effect when the
"bodily injury" or "property damage" occurs or the "personal injury' or "advertising injury' offense
is committed.
Location of Covered Operations:
Any project to which an applicable written contract with the described in the Name of
Additional Insured Person(s) or Organization(s) section of this Schedule applies.
(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.)
A. Section II — Who Is An Insured is amended to in-
clude as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury', "property
damage", "personal injury' or "advertising injury'
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to "bodily injury' or
"property damage" occurring, or "personal injury'
or "advertising injury" arising out of an offense
committed, after:
1. All work, including materials, parts or equip-
ment furnished in connection with such work,
on the project (other than service, mainte-
nance or repairs) to be performed by or on
behalf of the additional insured(s) at the loca-
tion of the covered operations has been com-
pleted; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization
other than another contractor or subcontrac-
tor engaged in performing operations for a
principal as a part of the same project.
CG D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
RAFq�!
1
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C`�rYK'ITH
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: Iman Kayani for RR Extension: 3352
Contractor Name: Pakpour Consulting Group, Inc.
Contractor's Contact: Joubin Pakpour Contact's Email: JPakpour@pcgengr.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
Click here to
❑
enter a date.
b. Email contract (in Word) and attachments to City
11/22/2020
Attorney c/o Laraine.Gittens@cityofsanrafael.org
❑
2
City Attorney
a. Review, revise, and comment on draft agreement
Click here to
and return to Project Manager
enter- a date.
❑
b. Confirm insurance requirements, create Job on
Click here to
PINS, send PINS insurance notice to contractor
enter a date.
❑
3
Department Director
Approval of final agreement form to send to
Click or tap
❑
contractor
to enter a
Project Manager
date.
4
Forward three (3) originals of final agreement to
8/10/2021
❑x IKK
contractor for their signature
5
Project Manager
When necessary, contractor -signed agreement
❑X N/A
agendized for City Council approval *
*City Council approval required for Professional Services
N IKK
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $175,000
Click here to
Date of City Council approval
enter a date.
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
6
Project Manager
Forward signed original agreements to City
8/18/2021
IKK
Attorney with printed copy of this routing form
7
City Attorney
Review and approve hard copy of signed
agreement
Review and approve insurance in PINS, and bonds
/
8
City Attorney
(for Public Works Contracts)
19/
9
City Manager/ Mayor
Agreement executed by City Council authorized
officials
Z�
L
10
City Clerk
Attest signatures, retains original agreement and
r%
kav
forwards copies to Project Manager