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HomeMy WebLinkAboutPW TAM Funding Agr. 2013-014; FY2013-14Meeting Date: November 4, 2013
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Public Works
Prepared by: 1000 City Manager Approval,-
Director of Public Works (RAL)
File No. 16.13.09
SUBJECT: RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AUTHORIZING THE DIRECTOR OF PUBLIC WORKS TO EXECUTE
FUNDING AGREEMENT #2013-014 BETWEEN THE TRANSPORTATION
AUTHORITY OF MARIN AND THE CITY OF SAN RAFAEL.) THEREBY
AUTHORIZING THE ALLOCATION OF $5229334 IN MEASURE A FUNDING
AND $438,315 IN MEASURE B FUNDING FOR FISCAL YEAR 2013-2014.
BACKGROUND: Marin County voters approved Measure A, a one-half cent transaction and use tax, on
November 2, 2004. On November 2,, 2010 voters approved Measure B, which increased the state Vehicle
Registration Fee (VRF) by $10. These measures authorize the Transportation Authority of Marin (TAM)
to administer Measure A and Measure B funds for public right-of-way, multi -modal transportation
projects identified by local agency public works directors and approved by their governing bodies.
On August 1, 2006, the San Rafael City Council approved the first funding agreement between the City
of San Rafael and TAM (#2007-012) by adopting Resolution #12174. Thus far, San Rafael has received
the following Measure A allocations via annual amendments to the original funding agreement or via
updated funding agreements:
• $467,893: FY 06-07 (original agreement)
• $533,660: FY 07-08
$503,904: FY 08-09
• $454!P934: FY 09-10
• $414,048: FY 10-11
• $424*253-. FY 11-12
$488,738: FY 12-13
File No.: 170 x 9-3-40
Council Meeting:
Disposition: Resolution 13634
FOR CITY CLERK ONLY
G C
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Paye: 2
For FY 13-14,, TAM has initiated funding agreement #2013-014 to replace an annual amendment process
which has grown cumbersome. Section 4 of the agreement states that "TAM hereby grants to the
recipient the sum of $960,649 as designated in Resolution No. 2013-014, approved June 27, 2013, which
is included in this Agreement. The total allocation. is $960,649: $522,334 from Measure A, $438,315
from Measure B.
ANALYSIS: Public Works has utilized past Measure A allocations for a variety of public right-of-way
capital projects. We plan to utilize the entire FY 13-14 allocation for our upcoming "Street Resurfacing
13-14" project (#11220). The $960,649 represents 64% of the overall project budget of $1,500,000.
FISCAL IMPACT: Funding agreement #2013-014 provides $960,649 in Measure A and Measure B
funds,, to be used for the project described above. Additional funding for the $1,500,000 project comes
from Construction Vehicle Impact fees ($316,612) and Gas Tax ($222,739).
OPTIONS: Council may choose to withhold authorization for the Director of Public Works to sign the
agreement. However, doing so will mean identifying $960,649 in alternative funds for the above -
referenced project. It is important to note that funding for the "Street Resurfacing 13-14" project was
authorized by Council on July 15, 2013 by its approval of the City's 5 -Year Capital Improvement
Program (Resolution # 13 575 ).
ACTION REQUIRED: Adopt resolution.
Enclosures: Resolution
Funding Agreement #2013-014
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL
AUTHORIZING
AGREEMENT / TRANSPORTATION AUTHORITY
MARIN
AND THE CITY OF
l 1 a THEREBY
` AUTHORIZING
ALLOCATION $5229334 IN MEASURE a FUNDING a $438,315 IN MEASURE M
FISCALFUNDING FOR 1 /
WHEREAS,onAugust i Rafael adopted`
i approved fundingagreement # between Rafael'and
i
WHEREAS, that agreement established terms for the use of annual funding allocations
for the maintenance of local roads and Infrastructure generated by Measure A, a one-half cent
transaction and use tax approved in the General Election held on November 2, 2004; and
WHEREAS, the San Rafael City Council subsequently authorized the execution of 6
amendments to the original funding agreement, through FY 12-13; and
WHEREAS, Marin voters approved Measure B on November 2, 2010, which increase
the i
State Vehicle Registration i; r i and
WHEREAS, Measures A and B authorize the Transportation authority of Marin to
distribute funds raised by the transportation and use tax and the VRF increase to local
jurisdictions for multi -modal, public right-of-way projects; and
WHEREAS, TAM has initiated an updated funding agreement that must be executed to
release San Rafael's FY 13-14 Measure A allocation of $522,334 and the City's Measure B
allocation of $438,315; and
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of San Rafael
authorizes the Director of Public Works to execute Funding Agreement #2013-014 between
TAM and the City,
1, ESTHER C. BEIRNE, City Clerk of the City of San Rafael,
foregoing resolution was duly i regularly introducedand adopted at
of the Council of said City held on the 4 th of November, 2013, by the following vote, to
AYES,- COUNCIL BCollin,1 1McCullough
ESTHER C. BEIRNE, Clio, Clerk
File No.: 16.13.09
TAM AGREEMENT #2013-0V
FUNDING AGREEMENT
BETWEEN
TRANSPORTATION AUTHORITY OF MARIN
AND
CITY OF SAN RAFAEL
T114 PROJECTS ANO PROGRAMS"4 00 Measure A Alocafion, Requests\14,00,02 FuMITVAgree rw0314,0002,03 Strategy 14. ,42.02.03.02 Sutstrazagy 1,ZFY 1314kSan RajaahFundkV AQrawponi. 2013 014.d" Page 1 of 6
the following purposes identified in the RECIPIENT's Measures A and B Allocation Reque
Form (Attached): I
Additional information on project scope is included in the Measures A and B Allocation Request
Form.
TAM hereby grants to the RECIPIENT the sum of $960,649.00 as designated in Resolution No.
2013-004, approved June 27,2013, which is included in this AGREEMENT by reference.
SECTION 6. COST ELIGIBILITY
Cost eligibility shall be determined by TAM's Expenditure Plan and Strategic Plan policies.
Funds may be used for any local transportation need identified by the RECIPIENT's Public
Works Director, including streets and roads projects, local transit projects, bicycle pedestrian
projects and other transportation uses, as approved by the RECIPIENT's governing board.
Where feasible, locally defined bicycle and pedestrian projects will be implemented in
conjunction with a related roadway improvement. This could include safety improvements,
pedestrian facilities including disabled access, or bicycle facilities such as bike lanes or signage.
9 0 to
RECIPIENT shall maintain a project or program budget. RECIPIENT shall carry out the project
and shall incur obligations against and make disbursements of the grant in conformity with
TAM's requirements and the budget.
RECIPIENT shall be responsible for the project and provide management of consultant and
contractor activities for which RECIPIENT contracts, including responsibility for schedule,
scope, and budget, consistent with TAM's resolution allocating the grant unless otherwise
agreed upon in writing.
RECIPIENT shall cooperate with TAM' s project management team and shall provide any
requested project information,
If any portion of grant funds is used for production of reports, acknowledgment of the TAM's role
shall be included in the documents, If any portion of grant funds is used for construction,
RECIPIENT shall, upon initiation of field work or at the earliest feasible time thereafter, install
and maintain a sign at the construction site identifying Measure A and/or Measure B Funds and
TAM (e.g., TAM and RECIPIENT's logos — "Your Measure A and/or Measure B Dollars at
Work"). For non -construction capital purchases funded by any portion of grant funds,
RECIPIENT shall affix permanent signage identifying TAM and Measure A and/or Measure B
Funds as a funding source. RECIPIENT shall demonstrate compliance with attribution and
TAU, PROACTS AND PROGRAMSI,14M Mem" A Alocatim. R*4tA9t9',!A,0Q,02 FLeXtlrgAoteiom#titski4.00O203 Stm4gy X14.00,02M.03.M Stbs&afty 12TY 13lkAxn RatasWitufkV Agmemot 2013 OU,& -t Page 2 of 7
signage requirements as an indispensable condition for authorization of Measures A and B
reimbursements for project expenses.
SECTION 10. PRESS RELEASES
RECIPIENT shall notify TAM in advance of any press releases about project and program
activities, particularly groundbreakings and ribbon cuttings, in connection to grant funds
expended from this AGREEMENT.
SECTION 11. COMPLIANCE WITH LAW
the performance of its obligations pursuant, to this AGREEMENT, RECIPIENT shall keep
'tself fully informed of the federal, state and local laws, ordinances and regulations in any
manner affecting the performance of this Agreement, and must at all times comply with such
laws, ordinances, and regulations as they may be amended from time to time.
! r!
IF IN
�41 J#ff InT
RECIPIENT shall undertake all environmental mitigation measures that may be identified as
commitments in applicable documents (such as environmental assessments, environmental
impact statements and reports, and memoranda of agreement) and comply with any conditions
imposed as a part of a finding of no significant impact or a record of decision; all such mitigation
measures are incorporated in this AGREEMENT by reference. Recipient shall be responsible
for obtaining all necessary environmental permits for performance of work.
SECTION 13. FINANCES
All costs charged to the project shall be supported by properly prepared and documented time
records, invoices, or vouchers evidencing in detail the nature and propriety of the charges and
the basis for the percentage charged to TAM.
All checks, payrolls, invoices, contracts, vouchers, journal entries, work orders, or other
accounting documents pertaining in whole or in part to the project shall be maintained by
RECIPIENT for a period of five (5) years after the later of project closeout or termination of
grant. Such project documents shall be clearly identified, readily accessible, and, to theextent
feasible, kept separate and apart from all other similar documents not pertaining to the project.
•
TAM shall remit payment to RECIPIENT upon written request by the RECIPIENT after the
execution of this AGREEMENT, Payment shall not exceed the schedule shown in the Measure
A Sales Tax Program Allocation Request Form - Fiscal Year Cash Flow Availability.•
RECIPIENT shall expend funds only on eligible expenses as follows: operating costs, direct
q1aff time (salary and benefits), consultants; right of way engineering and acquisition costs
(including permitting), and competitively bid construction contracts, Indirect costs (as de ined by
OMB Circular A-87) will not be considered an eligible expense. Funds shall also be expended
T04. FIROECTS AND RROGRAMS�14.00 h**6Wv A AIOCalton s\1 4,00 02 FL"UV AVraVMV4T6k14,0Q,02,03 SVUt*Qy 3114,0CC2.02.03,02 Sub"*V 3.ZFY 1314\Sor, RafaehFundlrV AVr"mwv 2013 014 ooc Page 3 of 7
according to the applicable provisions of the Expenditure Plans and of the Public Utilities Cod
Section 180000 et seq. i
TAM shall provide notice to RECIPIENT of any and all expenditures made by RECIPIENT which
are not in compliance with this AGREEMENT or the Expenditure Plans promptly after TAM
becomes aware of any such expenditures.
TAM reserves the right at any time to conduct or require a financial or performance audit of the
RECIPIENT'S compliance with this AGREEMENT. TAM will give advance notice of the
requirement. RECIPIENT shall permit TAM, or any of its duly authorized representatives, to
inspect all work, materials, payrolls, and other data and records with regard to the project, and
to audit the books, records, and accounts of the RECIPIENT and its contractors with regard to
the project.
SECTION 18. THIRD PARTY CONTRACT AUDITS
TAM reserves the right to request an audit of other third party contracts for any reason. If
RECIPIENT is subject to third party financial audit requirements imposed by another funding
source, copies of audits performed in fulfillment of such requirements shall be provided to the
TAM.
1 111000164* lii 1111 1 1w 70N40-111 I i i w w ff
RECIPIENT shall provide to TAM a Project Report as shown in Exhibit B. This report shall
include the total expenditures for the approved scope, revenues from all funding sources
applied for the approved scope of work. RECIPIENT shall provide supporting documentation
for expenditures and revenues from its accounting and financial management system.
RECIPIENT shall certify that the amounts sought are only for project elements included in the
Allocation Request Form
'44*11 Jill
TAM reserves the right to offset RECIPIENT payback of ineligible costs against future grant
approvals for this project or other projects in the Expenditure Plan for which RECIPIENT is the
sponsoring agency.
If the above items are not provided to TAM by the annual due date and/or such items are found
not to be in compliance with this AGREEMENT, Public Utilities Code Section 180000 et seq.,
the ballot measure or the Strategic Plan, TAM may withhold funds for future allocations from
RECIPIENT until RECIPIENT has corrected any noted deficiencies to TAM's satisfaction. Whilt
funds are being withheld, all interest on withheld funds shall be retained by TAM as an
administrative fee.
T'14 Page 4 of 7
i
TAM reserves the right to rescind its authorization of unneeded grant funds prior to, or at the
time of, PROJECT closeout. Funds are determined to be unneeded if they are uncommitted at
time of project closeout.
In general, termination of financial assistance under this AGREEMENT will not invalidat
obligations properly incurred by RECIPIENT before the termination date; to the extent thos
obligations cannot be canceled,
This AGREEMENT represents the entire AGREEMENT of the parties with respect to the subject
matter thereof. No representations, warranties, inducements or oral agreements have been
made by any of the parties except as expressly set forth herein, or in other contemporaneous
written agreements.
Except as otherwise provided herein, this AGREEMENT may not be changed, modified or
rescinded except in writing, signed by all parties hereto, and any attempt at oral modification of
this AGREEMENT shall be void and of no effect.
RECIPIENT performs the terms and conditions of this AGREEMENT as an entity independent
of TAM. None of RECIPIENT'S agents or employees shall be agents or employees of TAM.
SECTION 30. ASSIGNMENT
The AGREEMENT may not be assigned, transferred, hypothecated, or pledged by any party
without the express written consent of the other party.
SECTION 31. BINDING ON SUCCESSORS, ASSIGNEES OR TRANSFEREES
This AGREEMENT shall be binding upon the successor(s), assignee(s) or transferee(s) of TAM
or RECIPIENT as may be the case. This provision shall not be construed as an authorization to
assign, transfer, hypothecate or pledge this AGREEMENT other than as provided above.
SECTION 32. EXPENSES
Each party shall be solely responsible for and shall bear all of its own respective legal expenses
in connection with any dispute arising out of this AGREEMENT and the transactions hereby
contemplated. RECIPIENT may not use GRANT funds, or other TAM programmed funds, for
the aforementioned purpose.
Should any part of this AGREEMENT be declared unconstitutional, invalid, or beyond the
authority of either party to enter into or carry out, such decisions 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.
T:14. PROJECTS ANO P90GR"M\f4M Meivwe A Altotatim R*4uinWIA-00,02 Fun&V Agm~fttIAAII str*t lr,Orb. 00,01M 03.02 Su .21=FY 13iAgan Agr**mett 2NNA0!k&-t Page 6 of 7
SECTION 34. EXHIBITS
The following Exhibits are hereby made part of this AGREEMENT -
EXHIBIT A: Conditions on Local Infrastructure for All Modes
EXHIBIT B: Allocation Request Form
EXHIBIT C: Project Report (Sample Format)
EXHIBIT D: TAM Board Resolution 2013-04
RECIPIENT does hereby declare that all written statements, representations, covenants, an
materials submitted as a condition of this AGREEMENT are true and correct and does hereb
accept TAM's grant and agrees to all of the terms and conditions of this AGREEMENT. T
parties have executed this AGREEMENT as of the date first written above.
City of San Rafael:
Print Name
Print Title
By# � b _ � b et' i'=,E �_a fit,. _.�, ;.�:�r ^.' ...�:
City of San Rafael, *orne(y(,,,
Print Name
Transportation Authority of Marin
(TAM):
A,
By: /d/
/ 73
Dianne St6rltA�W #49i -A-4 hector
V.14. PROJECTS AN:) PROGRAMS14.00 Ma"wo A A"Oon RK.*s1*114.00.(r2 Rofto Agri 114.00.02.03 Suategy 31,14,00-M,02.03,02 SubstraloW 3.ZFY 13WSan Rai aeAFwsd4%V Aqua.. rpt 2013 014 4" Page 7 of 7
111pliq I 111liq rillror�m
1. Agree to the formula used in the allocation of the funds as reflected in the Expenditure
Plan, and agree to the use of the State Department of Finance Estimates of Population
figures (Report E-1 , updated each May) for California cities and counties for the biennial
update of the allocation formula.
9. Make available, upon request from TAM, Recipient's administrative officer or designate
staff to render a report or answer any and all inquiries in regards to its receipt, usag
and compliance audit findings of funds before the TAM Board.
T t14.: C IROGRAMSkiA,00 N%Aft" A AkocAflmi RequettskU.M.02 Pa Aat##nwftk14,00,02.03 Strateoy 3+ AAO.02,02,03,02 3 3,2W -Y 1314*)ftjt A Condbowdx Page I of 2
10. If after the close of ® third fiscal year, minimal or no funds have been expended on
projects, TAM reserves the right to withhold the fifth year's funds allocation until the
Recipient's allocation is drawn down.
11. Provide parcel land use information for the annual TAM transportation modeling update.
12. Provide evidence of Pavement Management System cercation in accordance with
section 2108.1 of the Streets and Highway Code. MTC requires ces and counties
submng pavement maintenance and rehabation projects for funding to ut lize a
Pavement Management Program.
T 1+ PROJECIS ANIU PiiWRAMS'04 W Measwe 4 NVr.Wion RaquvsW',,14X,02 Fw�aft AQrowwAs14,00,02-03 StMvVy JN144C'02,02 D3,02 SL6%tralWy 12TY 1314%YMA 4 UrMior,%,4ut Page 2 of 2
Transportation Authority of Marin
Measure A — Transportation Sales Tax
Measure B — Vehicle License Fee
Allocation Request Form
Fiscal Year of Allocation: 2013/14
Expenditure Plan: Local Roads and Related Infrastructures (Strategy 3.2 of Measure A and
Element 1.1 of Measure B)
Project Name: Local Infrastructure for All Modes
Implementing Agency: City of San Rafael
Scope of Work: As defined by the Expenditure Plan, eligible costs include street and road
projects, local transit projects, and bicycle and pedestrian projects. Where feasible, we will
implement locally defined bicycle and pedestrian projects in conjunction with related roadway
improvements. This could include safety improvements, pedestrian facilities with access for
individuals with disabilities, or bicycle infrastructure such as bike lanes or signage.
San Rafael will provide a Project Report for projects utilizing TAM funds within 60 working days
of the end of FY 13-14. The report will include a project description and an explanation of
project benefits. It will also identify the amount spent during the reporting year, including total
estimated project costs, project funding sources, and total expenditures.
Cost of Scope: The y budget for San Rafael
's dc is upcoming Street Resurfacing Project
i
is $1,500,000, funded as follows:
* $ 522,334: FY 13-14 Measure A
# $ 438,315: FY 1314 Measure B
• $ 316,612: FY 1112, 12-13 Construction Vehicle Impact Fees
• $ 127,660- FY 11-12, 12-13 Prop 42 allocation
►$ 95,079: FY 11-12 Gas Tax
• $1,500,000: Total
The list of streets for the resurfacing project will be a function of available funds and an analysis
of those roadway segments with a Pavement Condition Index (PCI) below 70. There are
currently 304 such segments in San Rafael- residential (230, 40.30 miles), arterials (41, 10.36
miles), collectors (33, 9.67 miles). We also consider areas of high maintenance in determining
the final list.
Strategic Plan Programmed Amount: $960,649: $522,334 (Meas. A) + $438,315 (Meas. B)
Requested Amount: $960,649
Other Funding: To be finalized (see Cost of Scope above)
Cash flow Availability (leave blank):
Project Delivery Schedule (include start & completion milestones).- 7/l/13-6/30/14
T-\14. PROJECTS AND PROGRAMS\14.00 Measure A Allocation Requests 4.00.2 Funding Agreements\14.00.02.03 Strategy
3\14.00.02.02.03.02 Substrategy 3.2 FY 1314\San Rafael\Exhibit B revised Oct 30 2013.doc Page 1 of 2
Environmental Clearance: The City of San Rafael is responsible for environmental clearance.
Documentation will be provided in the Project Report,
Non -Motorized Travel Considerations:
Have the needs of non -motorized travelers been considered in the design of the project
and is the project consistent with Caltrans Deputy Directive 64? Yes
Is non -motorized travel impeded by this project? No
If yes, has a cross -facility, non -motorized access been included in the project? N/A
Has a parallel non -motorized facility been designed to accommodate non -motorized
travelers? No I
TA14. PROJECTS AND PROGRAMS\14,00 Measure A Allocation Requests\14.00.02 Funding Agreements�14,00.02.03 Strategy
3\14.00,02-02,03.02 Substrategy 3,2\FY 1314\San Rafael\Exhibit B revised Oct 30 2013.doc Page 2 of 2
City of San Rafael
Street Resurfacing 2012-2013
City Project No. 11203
Street
Section
I e
Allensby Ln
Bennie Banks Wy to Dunfries Te
Murry
Alta Vista Wy
Marina Court Dr to City Limits
Overlay
B St
Taylor St to Second St
Overlay
Bonnie Banks Wy
Lochinvar Rd to City Limits
Slurry
De La Guerra Rd
Del Ganado Rd to City Limits
Slurry
Del Ganado Road
Las Ovejas Ave to De La Guerra Rd
Overlay
Del Ganado Rd
Manuel T Freitas Pkwy to Las Ovejas Ave
Micro
Dunfries Te
Lochinvar Rd to end
Slurry
E St
4th St to Mission Ave
Overlay
Twelve Oak Hill Drive
Las Gallinas Avenue to Cedar Hill Dr
Overlay
Fowler Ct
17119 Fowler Ct to End
Slurry
Glenwood Dr
Lincoln Av to End
Overlay
Grand Avenue
Prospect Dr to Lincoln Ave
Overlay
Grand Ave
Lincoln Av to End
Slurry
Longwood Dr
Racquet Club Dr to City Limits
Overlay
Magnolia Av
Palm Av Deer Park Ave
Overlay
Marina Court Dr
Embarcadero Wy to City Limits
Overlay
Mission Ave
Embarcadero, Wy (Intersection only)
Overlay
Northgate Drive
Kohl's to Las Gallinas Ave
Overlay
Northgate Dr
Los Ranchitos Rd to Kohl's
Micro
Summit Av (wli city limits)
Pt San Pedro to End
Slurry
Tarrant Ct
San Pablo Av to End
Overlay
Wimbledon Wy
Longwood Dr to Longwood dr
Micro,
F -4-9:11911M
(due within 60 days of the end of each fiscal year)
MHME =*
Project locations and descriptions
(please provide digital photographs for each project)
Number of signs posted:
Attach a statement, signed by the City Public Works Director, certifying the reports compliance!
with the provisions of the funding Agreement
Attach the project worksheet template (sample follows) for each project included in the Project
Report.
7A14 PRO�ECTS AND St"tf#1#qy31NFY 1314'fXhibd CPro*JRep*A.d-,x Page 1 of 2
Local Roadway Project Report, Part I
Name of roadway:
Project limirs:
Jurisdiction:
Multi -Modal and Safety -Related Considerations
According to the Measures A and B Expenditure Plans, each local road project will be required to consider
the needs of all roadway users. Where feasible, locally defined bicycle and pedestrian projects will be
implemented at the time a roadway is improved. Improvements could include striping and signing for
bicycle lanes and bikeways, sidewalk improvements, curb ramps, and other accessibility and safety
improvements,
Please discuss, in the following three sections, considerations for multi -modal and safety-related
improvements as a part of the local road maintenance project.
1. Safety Improvements: Describe safety-related improvements considered as a part of the project (refer
to collision statistics, traffic volumes, roadway functional classification and other information, as
appropriate). Discuss whether these improvements are feasible and indicate if they could or could not be
included as a part of the project. If not, state why.
2. Pedestrian and Disabled Persons Facilities: Describe pedestrian and ADA -related improvements
considered as a part of the project (refer to pedestrian master plans, ADA transition plans, school and
transit access considerations, and other information, as appropriate), Discuss whether these improvements
are feasible and indicate if they could or could not be included as a part of the project. If not, state way.
3Bicycle Facilities: Describe bicycle -related improvements considered as a part of the project (refer to
bicycle master plans and other information, as appropriate). Discuss whether these improvements are
feasible and indicate if they could or could not be included as a part of the project. If not, state why.
T:14, 0'ROJf_CT9 AND PAOGPAUS�`4,00- Mout" A 06cidon RoqL*aW14.00,024 Fimw*v Agm#nwts14.00,0105 S#xttay TU,W.02,02M,02 Ubwat 12TY i314%ExhbA 0 PnIWA Page 2 of 2
RESOLUTION OF THE TRANSPORTATION AUTHORITY OF MARIN FOR THE
ALLOCATIONS OF $2y566,683 IN MEASURE A, STRATEGY 3.2, AND $2,153,823 IN
MEASURE
i B, ELMENT 1.1, FUNDS O BELVEDERE, O • ADr 1 FAIRFAX, MIL
VALLEY, l ar l ♦ ♦ ■R ♦ ! i ♦ R !
1 •
WHEREAS, The voters of Marin County approved the authorizations of Measure A and
Measure at the General Elections held on November 2, 2004 and November 10, 2010,
respectively, thereby authorizing that TAM be given the responsibility to administer the proceeds
from a one-half cent transaction and use tax (TST) and vehicle registration fee (VRF); and
and VRF proceeds will be used to pay for the programs and
projects outlined their respective Expenditure Plans; and
WHEREAS, TAM r
s developed Strategic Plans to provide guidance on implementing
"" Expenditure Plans;and
WHEREAS, The Measure A Strategic Plan programs TST funds over a 20 year period to
the four strategies listed in the Expenditure Plan, including Strategy 3.2, Local Infrastructure for
all Modes;and
WHEREAS, The Measure B Strategic Plan program VRF funds to three elements listed
Expenditure, ! ElementMaintenance of ! '" and
respectiveWHEREAS, Measure A funds for Strategy 3.2 and Measure B funds for Element 1. 1 are
programmed under the Strategic Plans to Marin County and the cities or towns of Belvedere,
Corte Madera, Fairfax, Larkspur, Mill Valley, Novato, Ross, San Anselmo, San Rafael,
Sausalito, and Tiburon for infrastructure improvement projects that are prioritized by the
` i ! ! and
WHEREAS, Measure A funds for Strategy 3.2 and Measure B funds for Element 1.1 can
be used for streetand road projects, i . projects, ! bicycle and pedestrian projects;
i
WHEREAS, Infrastructure improvement pro'ects funded with Measure A funds for
Strategy 3,2 and Measure 6 funds for Element 1.1 will be approved by the County's and Cities'
governing boards at public meetings, and
WHEREAS, The project sponsors are requesting TST funds from Strategy 3,2 and VRF
funds from Element 1.1 that have been accumulated for FY 13/14, and
TAOT AGRE EMENTM7.01 Resolutons\2011201. 3--WMeasures A and B Niocatforts Local Roads,docPage 1 of 3
WHEREAS, `hese allocations are consistent with the 2013 Measure A and Measure
Strategic Plan Updates; and
staffWHEREAS, There are sufficient funds in the Strategy 3.2 and Element 1.1 line items of
the TAM's approved FY 13/14 budget to cover the proposed action; and
WHEREAS, After reviewing the request in coordination with project sponsors, TAM
recommended allocating $2,566,683 in Measure A funds and $2,153,823 as requested; now,
therefore,
ii ` i it
RESOLVED, That the Transportation Authority of Mann hereby allocates a total of
$2,566,683 in Measure A funds and $2,153,823 in Measure B funds for eligible projects under
Strategy 3.2 and Element 1.1, respectively, for FY 13/14 in the following distributions: $48,623
($26,438 in Measure A & $22,185 tin Measure B) for the City of Belvedere, . 166,781 ( 90,684 &
$76,097) for the Town of Corte Madera, $138,339 ($75,219 & $63t 120) for the Town of Fairfax,
($151,016
i M126,724) for the City of Mill Valley, 1!♦• • ($48301
! i $
405,317) for
the City of Novato, $50,547 ($27,484 & $23,063) for the Town of Ross, $216,473 ($117,703 &
$98,770) for the Town of San Anselmo, $960,649 ($522,334 & $438,315) for the City of San
Rafael, $133,469 ($721571 & $60,898) for the City of Sausalito, $168,333 ($911528 & $76,805)
for the Town of Tiburon, and $1 V1,224 ($908,695 & $762,529) for the County of Marin; and be
it further
RESOLVED, That the Transportation Authority of Marin finds the allocations of these
funds to be 'in conformance with the priorities and funding levels established in the Measure A
and Measure B Expenditure Plans and the 2013 Measure A and Measure B Strategic Plan
Updates; and be it further
• ' Transportation Marin hereby
'i authorizes ' • •
expenditure (cash reimbursement) of funds for these activities to take place subject to the Fiscal
Year Cash Flow Distribution Schedule detailed in the attached Allocation Request Forms; and
.a it further
• as • condition authorization expenditure,
ii i♦ i Executiv w.
Director shall impose such terms and conditions as are necessary for the project sponsors t
comply with applicable law and adopted Authority policies and execute Funding Agreement
with the respective project sponsors to that effect, and be it further
RESOLVED, That as a condition of this authorization for expenditure, the referenced
project sponsors shall provide the Authority with any other information it may request regarding
the use of the funds hereby authorized.
TA07 A EMP " \0 . o to \2013'2013-034 Measures A and B Allocations Local Roads,doc Page 2 of 3
PASSED AND ADOPTED at a regular meeting of the Transportation Authority of Marin held on
the 27 th day of June 2013, by the following vote-,
WNW
ATTEST:
bianne teinhauser
Executive Director
Adams, Arnold, Condon (Alternate), Eklund (Alternate),
Fredericks, Greene, Hillmer, Kinsey, Kuhl, Moulton -Peters,
Phillips, Reed, Sears, Weiner
Alice Fredericks, Chair
Transportation Authority of Marin
TA07. AGREEMIENT8\07.0,11, Resolufions\2013\2013-04 Measurez A wvd B Allocations Local Rcads.doc' Page 3 of 3
TA M
lansportation Authority of Marin
January 3, 2014
Esther,
Enclosed is an original signed Funding Agreement 2013-014 for your records. I also emailed a pdf copy to
Nader Mansourian and Richard Landis for their- records. Richard will be submitting payment requests for
reimbursement. Thank you for obtaining the appropriate signatures for this agreement. Call if you have
questions.
Dave Chan
226-0821
Making the Most of Marin County Transportation Dollars
TAM AGREEMENT #2013-014
FUNDING AGREEMENT
BETWEEN
TRANSPORTATION AUTHORITY OF MARIN
AND
CITY OF SAN RAFAEL
This AGREEMENT is made this ,`> day of `:, ,L.� , 2013, by and between the
Transportation Authority of Marin, hereinafter referred to as 'IAM", a local public agency, and
the City of San Rafael, hereinafter referred to as "RECIPIENT", a local public agency.
SECTION 1. RECITALS
1. The voters of Marin County approved the authorization of Measures A and B, thereby
authorizing that TAM be given the responsibility to administer the proceeds from a one-half cent
transportation sales tax (TST) and a $10 increase in the vehicle registration fee (VRF),
respectively, to fund transportation -related projects and programs in Marin County.
2. The proceeds will be used to pay for the programs and projects outlined in the Measures
A and B Expenditure Plans and further guided by the Measures A and B Strategic Plans.
3. According to the Measure A TST Expenditure Plan, local streets and roads funds are
provided to local cities, towns, and Marin County (local agencies) to be used for any local
transportation need, including streets and roads projects, local transit projects, bicycle
pedestrian projects and other transportation uses.
4. According to the Measure B VRF Strategic Plan, thirty-five percent (35%) of funds will be
distributed to sponsors, under Element 1.1, for local streets maintenance and improvements.
5. Each project will be required to consider the needs of all roadway users and, where
feasible, locally defined bicycle and pedestrian projects will be implemented at the time a
roadway is improved.
6. Local priorities would be determined by each local agency's Public Works Director with
approval of their governing board in a public meeting.
SECTION 2. PURPOSE OF FUNDING AGREEMENT
This AGREEMENT is entered into by and between TAM and RECIPIENT to document the
funding conditions necessary for the RECIPIENT to comply with applicable law and TAM
policies. This AGREEMENT consists of additional documents stated in these sections as being
attached hereto and incorporated in the AGREEMENT by reference.
SECTION 3. PROJECT DEFINITION AND SCOPE
This AGREEMENT, approved through Resolution 2013-04 of TAM, in accordance with the
requirements of TAM's Measures A and B Expenditure Plans and Strategic Plans, is made for
i'.S NhUiL�T_r,N:,VRG(�:AAS.�.�P, Mr.a,�.e Ak;ce.ron ReG�ests. WC. Funa�ng Agrteme,i.s'.id Q�G..._S�ae�y ].'�.�C-0. �_G3.�: Su9s e�z9y ._r. »San N<faii-u �i�p A9 ec-nn �G ��.a we Page 1 of 7
the following purposes identified in the RECIPIENT's Measures A and B Allocation Request
Form (Attached):
Local Infrastructure for All Modes
Additional information on project scope is included in the Measures A and B Allocation Request
Form.
SECTION 4. GRANT
TAM hereby grants to the RECIPIENT the sum of $960,649.00 as designated in Resolution No.
2013-004, approved June 27, 2013, which is included in this AGREEMENT by reference.
SECTION 5. COST ELIGIBILITY
Cost eligibility shall be determined by TAM's Expenditure Plan and Strategic Plan policies.
Funds may be used for any local transportation need identified by the RECIPIENT's Public
Works Director, including streets and roads projects, local transit projects, bicycle pedestrian
projects and other transportation uses, as approved by the RECIPIENT's governing board.
Where feasible, locally defined bicycle and pedestrian projects will be implemented in
conjunction with a related roadway improvement. This could include safety improvements,
pedestrian facilities including disabled access, or bicycle facilities such as bike lanes or signage.
SECTION 6. BUDGET AND SCOPE
RECIPIENT shall maintain a project or program budget. RECIPIENT shall carry out the project
and shall incur obligations against and make disbursements of the grant in conformity with
TAM's requirements and the budget.
SECTION 7. PROJECT MANAGEMENT
RECIPIENT shall be responsible for the project and provide management of consultant and
contractor activities for which RECIPIENT contracts, including responsibility for schedule,
scope, and budget, consistent with TAM's resolution allocating the grant unless otherwise
agreed upon in writing.
SECTION 8. PROJECT OVERSIGHT
RECIPIENT shall cooperate with TAM's project management team and shall provide any
requested project information.
SECTION 9. ATTRIBUTION AND SIGNAGE
If any portion of grant funds is used for production of reports, acknowledgment of the TAM's role
shall be included in the documents. If any portion of grant funds is used for construction,
RECIPIENT shall, upon initiation of field work or at the earliest feasible time thereafter, install
and maintain a sign at the construction site identifying Measure A and/or Measure B Funds and
TAM (e.g., TAM and RECIPIENT's logos — "Your Measure A and/or Measure B Dollars at
Work"). For non -construction capital purchases funded by any portion of grant funds,
RECIPIENT shall affix permanent signage identifying TAM and Measure A and/or Measure B
Funds as a funding source. RECIPIENT shall demonstrate compliance with attribution and
T 11 PRCiEC'Sf.N0PR0.— +a 00 MeasureAAlo v 1eguesl5`14.0002FundingAg menl-4l 020351relegy3114000202o3025ubstr-gy32`F 1314\Seng alaoiAgreemc X13014do Page 2 of 7
signage requirements as an indispensable condition for authorization of Measures A and B
reimbursements for project expenses.
SECTION 10. PRESS RELEASES
RECIPIENT shall notify TAM in advance of any press releases about project and program
activities, particularly groundbreakings and ribbon cuttings, in connection to grant funds
expended from this AGREEMENT.
SECTION 11. COMPLIANCE WITH LAW
In the performance of its obligations pursuant to this AGREEMENT, RECIPIENT shall keep
itself fully informed of the federal, state and local laws, ordinances and regulations in any
manner affecting the performance of this Agreement, and must at all times comply with such
laws, ordinances, and regulations as they may be amended from time to time.
SECTION 12. ENVIRONMENTAL COMPLIANCE
RECIPIENT shall undertake all environmental mitigation measures that may be identified as
commitments in applicable documents (such as environmental assessments, environmental
impact statements and reports, and memoranda of agreement) and comply with any conditions
imposed as a part of a finding of no significant impact or a record of decision; all such mitigation
measures are incorporated in this AGREEMENT by reference. Recipient shall be responsible
for obtaining all necessary environmental permits for performance of work.
SECTION 13. FINANCES
All costs charged to the project shall be supported by properly prepared and documented time
records, invoices, or vouchers evidencing in detail the nature and propriety of the charges and
the basis for the percentage charged to TAM.
SECTION 14. RECORDS
All checks, payrolls, invoices, contracts, vouchers, journal entries, work orders, or other
accounting documents pertaining in whole or in part to the project shall be maintained by
RECIPIENT for a period of five (5) years after the later of project closeout or termination of
grant. Such project documents shall be clearly identified, readily accessible, and, to the extent
feasible, kept separate and apart from all other similar documents not pertaining to the project.
SECTION 15. PAYMENT
TAM shall remit payment to RECIPIENT upon written request by the RECIPIENT after the
execution of this AGREEMENT. Payment shall not exceed the schedule shown in the Measure
A Sales Tax Program Allocation Request Form - Fiscal Year Cash Flow Availability.
SECTION 16. ELIGIBLE EXPENSES
RECIPIENT shall expend funds only on eligible expenses as follows: operating costs, direct
staff time (salary and benefits), consultants; right of way engineering and acquisition costs
(including permitting), and competitively bid construction contracts. Indirect costs (as defined by
OMB Circular A-87) will not be considered an eligible expense. Funds shall also be expended
'. LiV - A N DI. 11R hM 511. Me..s k4 oca on Npquests +4202 F�x�aiiq Ag ends 1: OC 0, 03S,teyv3-12 C<11025 ra• ',.2'FY'3'41 Ralae Fw.. ry Agree-n....__a— Page 3 of 7
according to the applicable provisions of the Expenditure Plans and of the Public Utilities Code
Section 180000 et seq.
TAM shall provide notice to RECIPIENT of any and all expenditures made by RECIPIENT which
are not in compliance with this AGREEMENT or the Expenditure Plans promptly after TAM
becomes aware of any such expenditures.
SECTION 17. AUDITS
TAM reserves the right at any time to conduct or require a financial or performance audit of the
RECIPIENT'S compliance with this AGREEMENT. TAM will give advance notice of the
requirement. RECIPIENT shall permit TAM, or any of its duly authorized representatives, to
inspect all work, materials, payrolls, and other data and records with regard to the project, and
to audit the books, records, and accounts of the RECIPIENT and its contractors with regard to
the project.
SECTION 18. THIRD PARTY CONTRACT AUDITS
TAM reserves the right to request an audit of other third party contracts for any reason. If
RECIPIENT is subject to third party financial audit requirements imposed by another funding
source, copies of audits performed in fulfillment of such requirements shall be provided to the
TAM.
SECTION 19. CLOSEOUT PROCEDURES AND PROJECT REPORT
RECIPIENT shall provide to TAM a Project Report as shown in Exhibit B. This report shall
include the total expenditures for the approved scope, revenues from all funding sources
applied for the approved scope of work. RECIPIENT shall provide supporting documentation
for expenditures and revenues from its accounting and financial management system.
RECIPIENT shall certify that the amounts sought are only for project elements included in the
Allocation Request Form
SECTION 20. REPAYMENT OF INELIGIBLE COSTS
TAM reserves the right to offset RECIPIENT payback of ineligible costs against future grant
approvals for this project or other projects in the Expenditure Plan for which RECIPIENT is the
sponsoring agency.
SECTION 21. RIGHT TO WITHHOLD
If the above items are not provided to TAM by the annual due date and/or such items are found
not to be in compliance with this AGREEMENT, Public Utilities Code Section 180000 et seq.,
the ballot measure or the Strategic Plan, TAM may withhold funds for future allocations from
RECIPIENT until RECIPIENT has corrected any noted deficiencies to TAM's satisfaction. While
funds are being withheld, all interest on withheld funds shall be retained by TAM as an
administrative fee.
_ I4 RRC—,TS ANCM S'40'.+A11O ,.,Rogues. ,21 -ling 11 e11-114 C0 C203 SYr 1t 3,14 . C2.02 C3 C2S al¢gY +2,1101-- R.1.e lFuna ng Ag,— =3 1114oc Page 4 of 7
SECTION 22. RESCISSION OF AUTHORIZATION OF FUNDS
TAM reserves the right to rescind its authorization of unneeded grant funds prior to, or at the
time of, PROJECT closeout. Funds are determined to be unneeded if they are uncommitted at
time of project closeout.
SECTION 23. TERMINATION FOR CAUSE
RECIPIENT agrees that, upon ten (10) working days written notice, TAM may suspend or
terminate all or part of the financial assistance provided herein for failure to correct a breach of
this AGREEMENT. Any failure to make reasonable progress, inconsistency with the
Expenditure Plans or Allocation Request Form, unauthorized use of grant funds as specified in
this AGREEMENT, or other violation of the AGREEMENT that significantly endangers
substantial performance of the project shall be deemed to be a breach of this AGREEMENT and
cause for termination. Upon mutual consent, RECIPIENT will repay TAM any unexpended
funds originally provided under this Agreement.
SECTION 24. CORRECTION OF BREACH
With respect to any breach, which is reasonably capable of being cured, RECIPIENT shall have
thirty (30) days from the date of notice of breach to initiate steps to cure. If RECIPIENT
diligently pursues cure, such RECIPIENT shall be allowed a reasonable time to cure or by a
time established in writing by TAM.
SECTION 25. LIABILITY
Neither TAM nor any officer or employee thereof, shall be responsible for any damage or liability
occurring by reason of anything done or omitted to be done by RECIPIENT under in connection
with any work, authority, or jurisdiction delegated to RECIPIENT under this AGREEMENT. It is
also understood and agreed that pursuant to Government Code Section 895.4, RECIPIENT
shall fully defend, indemnify and hold TAM harmless from any liability imposed for injury from
any liability imposed for injury (as defined by Government Code Section 810.8) occurring by
reason of anything done or omitted to be done by RECIPIENT under or in connection with any
work, or jurisdiction delegated to RECIPIENT under this AGREEMENT.
Neither RECIPIENT nor any officer or employee thereof, shall be responsible for any damage
or liability occurring by reason of anything done or omitted to be done by TAM under in
connection with any work, authority, or jurisdiction delegated to TAM under this
AGREEMENT. It is also understood and agreed that pursuant to Government Code Section
895.4, TAM shall fully defend, indemnify and hold RECIPIENT harmless from any liability
imposed for injury from any liability imposed for injury (as defined by Government Code
Section 810.8) occur in by reason of anything done or omitted to be done by TAM under or in
connection with any work, or jurisdiction delegated to TAM under this AGREEMENT.
In the event of concurrent negligence of RECIPIENT and TAM, the liability for any and all claims
for injuries or damages to persons and/or property shall be apportioned under the California
theory of comparative negligence as presently established or as may hereafter modified.
.-3—TSGN1 .'-11Saa(iC---a IA -.1—r ...re -1e — It, 14. X 02 �35•zle9Y 3144 C2 203C2S-1, gy32` 1314 S., .S,30-4— Page 5 of 7
SECTION 26. OBLIGATIONS
In general, termination of financial assistance under this AGREEMENT will not invalidate
obligations properly incurred by RECIPIENT before the termination date; to the extent those
obligations cannot be canceled.
SECTION 27. INTEGRATION
This AGREEMENT represents the entire AGREEMENT of the parties with respect to the subject
matter thereof. No representations, warranties, inducements or oral agreements have been
made by any of the parties except as expressly set forth herein, or in other contemporaneous
written agreements.
SECTION 28. AMENDMENT
Except as otherwise provided herein, this AGREEMENT may not be changed, modified or
rescinded except in writing, signed by all parties hereto, and any attempt at oral modification of
this AGREEMENT shall be void and of no effect.
SECTION 29. INDEPENDENT AGENCY
RECIPIENT performs the terms and conditions of this AGREEMENT as an entity independent
of TAM. None of RECIPIENT'S agents or employees shall be agents or employees of TAM.
SECTION 30. ASSIGNMENT
The AGREEMENT may not be assigned, transferred, hypothecated, or pledged by any party
without the express written consent of the other party.
SECTION 31. BINDING ON SUCCESSORS, ASSIGNEES OR TRANSFEREES
This AGREEMENT shall be binding upon the successor(s), assignee(s) or transferee(s) of TAM
or RECIPIENT as may be the case. This provision shall not be construed as an authorization to
assign, transfer, hypothecate or pledge this AGREEMENT other than as provided above.
SECTION 32. EXPENSES
Each party shall be solely responsible for and shall bear all of its own respective legal expenses
in connection with any dispute arising out of this AGREEMENT and the transactions hereby
contemplated. RECIPIENT may not use GRANT funds, or other TAM programmed funds, for
the aforementioned purpose.
SECTION 33. 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 decisions 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.
T'e 1--S1MD1RGG—S.�J W Mex—cA. o., r.Requests"G 0002 --' l a 002.035tlelegy314 X10020, Oa 025W-te 3.1131-1 Relxe lFuntl ng 11 r-1 20130'd— Page 601
SECTION 34. EXHIBITS
The following Exhibits are hereby made part of this AGREEMENT:
EXHIBIT A: Conditions on Local Infrastructure for All Modes
EXHIBIT B: Allocation Request Form
EXHIBIT C: Project Report (Sample Format)
EXHIBIT D: TAM Board Resolution 2013-04
SECTION 35. ACCEPTANCE OF GRANT
RECIPIENT does hereby declare that all written statements, representations, covenants, and
materials submitted as a condition of this AGREEMENT are true and correct and does hereby
accept TAM's grant and agrees to all of the terms and conditions of this AGREEMENT. The
parties have executed this AGREEMENT as of the date first written above.
City of San Rafael:
t
By: —z
Print Name
Print Title
Approved as to form (optional):
d
By:
City of San Rafael, # torney;�
Print Name^�(A,p �; .
Transportation Authority of Marin
(TAM):
By:
Dianne Steinlig6ser, 1E-)4- 0bG4 Director
FCuE�'S AkO PHCGk.1MS`a_,CA..e:ucP.H„ca.or+heques�s`�JC L12F.uwin9 �9 eeme�s �C CO G2035�ra�egy 3 1a pC 202 N G. 5—ra' 321 1314 -1aPage 7 of
Exhibit A
Conditions on Local Infrastructure for All Modes
Recipient agrees that it shall:
1. Agree to the formula used in the allocation of the funds as reflected in the Expenditure
Plan, and agree to the use of the State Department of Finance Estimates of Population
figures (Report E-1, updated each May) for California cities and counties for the biennial
update of the allocation formula.
2. Set up an appropriate system of interest bearing accounts and reporting for funds
received. The accounting system shall provide adequate internal controls and audit
trails to facilitate a periodic compliance audit for the funds which shall be maintained for
the duration of the Agreement plus five years after discharge.
3. Provide TAM with the number of maintained road miles within Recipient's jurisdiction
which shall be consistent with the miles reported to state and federal agencies and that
contained in the Recipient's pavement management system. Recipient shall provide
TAM with the number of maintained road miles biennially beginning in April 2005, even if
there were no changes in the number of miles.
4. In the event Recipient's expenditures in a fiscal year are less than the amount the
Recipient has received, provide an explanation of why the revenues exceeded
expenditures and how the Recipient plans to allocate the funds to future projects
5. Within 60 working days of the end of each fiscal year, provide a Project Report for
projects upon which funds were expended. The Project Report shall show the amount
spent in that reporting year, including the total estimated project costs, the total
expenditures to date, a brief description (including digital photographs) and location of
the projects, and the benefits to be realized from said project (see Project Report, Exhibit
C). The Report must also include a description and photograph of Measures A and B
signage and the number of signs posted.
6. As part of the Project Report, include a statement, signed by the Recipient's Public
Works Director, certifying the Report's compliance with the provisions of this
AGREEMENT. A resolution by the Recipient's governing board approving the project in
a public meeting should be attached to the Report.
7. Provide updated and accurate information (including digital photographs of the projects
before, during and after construction) for TAM's website, highlighting projects or
programs in which funds received by Recipient have been used.
8. Provide updated and accurate information on Recipient's website, in order to inform the
public, on how funds are being used in the Recipient's jurisdiction. Also provide a link on
the Recipient's website to TAM's website.
9. Make available, upon request from TAM, Recipient's administrative officer or designated
staff to render a report or answer any and all inquiries in regards to its receipt, usage
and compliance audit findings of funds before the TAM Board.
14—R jU"S AHf]PROGRAM Ii` .Mc--AI!Io-- 1,-- 1400.02 A--- 14 X 0202St, egy 3,1400020203025uos—,gy 32'. F 1314,E—IA—di.—dm Page 1 of 2
10. If after the close of the third fiscal year, minimal or no funds have been expended on
projects, TAM reserves the right to withhold the fifth year's funds allocation until the
Recipient's allocation is drawn down.
11. Provide parcel land use information for the annual TAM transportation modeling update.
12. Provide evidence of Pavement Management System certification in accordance with
section 2108.1 of the Streets and Highway Code. MTC requires cities and counties
submitting pavement maintenance and rehabilitation projects for funding to utilize a
Pavement Management Program.
11 ,c_E- 111_ c �,�a=� � I � o- .1 1—,- X �2; -9 A,r-1-114 W 02 C3 Stl-g1314 J CZ C_ 1,3 N S-, a,,1sr 3 < '314 F- A-- - - Page 2 of 2
Transportation Authority of Marin
Measure A — Transportation Sales Tax
Measure B — Vehicle License Fee
Allocation Request Form
Fiscal Year of Allocation: 2013/14
Expenditure Plan: Local Roads and Related Infrastructures (Strategy 3.2 of Measure A and
Element 1.1 of Measure B)
Project Name: Local Infrastructure for All Modes
Implementing Agency: City of San Rafael
Scope of Work: As defined by the Expenditure Plan, eligible costs include street and road
projects, local transit projects, and bicycle and pedestrian projects. Where feasible, we will
implement locally defined bicycle and pedestrian projects in conjunction with related roadway
improvements. This could include safety improvements, pedestrian facilities with access for
individuals with disabilities, or bicycle infrastructure such as bike lanes or signage.
San Rafael will provide a Project Report for projects utilizing TAM funds within 60 working days
of the end of FY 13-14. The report will include a project description and an explanation of
project benefits. It will also identify the amount spent during the reporting year, including total
estimated project costs, project funding sources, and total expenditures.
Cost of Scope: The preliminary budget for San Rafael's upcoming Street Resurfacing Project
is $1,500,000, funded as follows:
• $ 522,334: FY 13-14 Measure A
• $ 438,315: FY 13-14 Measure B
• $ 316,612: FY 11-12, 12-13 Construction Vehicle Impact Fees
• $ 127,660: FY 11-12, 12-13 Prop 42 allocation
• $ 95,079: FY 11-12 Gas Tax
•
$1,500,000: Total
The list of streets for the resurfacing project will be a function of available funds and an analysis
of those roadway segments with a Pavement Condition Index (PCI) below 70. There are
currently 304 such segments in San Rafael: residential (230, 40.30 miles), arterials (41, 10.36
miles), collectors (33, 9.67 miles). We also consider areas of high maintenance in determining
the final list.
Strategic Plan Programmed Amount: $960,649: $522,334 (Meas. A) + $438,315 (Meas. B)
Requested Amount: $960,649
Other Funding: To be finalized (see Cost of Scope above)
Cash flow Availability (leave blank):
Project Delivery Schedule (include start & completion milestones): 7/1/13-6/30/14
T:\14. PROJECTS AND PROGRAMS\14.00 Measure A Allocation Requests\14.00.02 Funding Agreements\14.00.02.03 Strategy
3\14.00.02.02.03.02 Substrategy 3.2\FY 1314\San Rafael\Exhibit B revised Oct 30 2013.doc Page 1 of 2
Environmental Clearance: The City of San Rafael is responsible for environmental clearance.
Documentation will be provided in the Project Report.
Non -Motorized Travel Considerations:
Have the needs of non -motorized travelers been considered in the design of the project
and is the project consistent with Caltrans Deputy Directive 64? Yes
Is non -motorized travel impeded by this project? No
If yes, has a cross -facility, non -motorized access been included in the project? N/A
Has a parallel non -motorized facility been designed to accommodate non -motorized
travelers? No
T:\14. PROJECTS AND PROGRAMS\14.00 Measure A Allocation Requests\14.00.02 Funding Agreements\14.00.02.03 Strategy
3\14.00.02.02.03.02 Substrategy 3.2\FY 1314\San Rafael\Exhibit B revised Oct 30 2013.doc Page 2 of 2
City of San Rafael
Street Resurfacing 2012-2013
City Project No. 11203
Street
Section
Type
Allensby Ln
Bonnie Banks Wy to Dunfries Te
Slurry
Alta Vista Wy
Marina Court Dr to City Limits
Overlay
B St
Taylor St to Second St
Overlay
Bonnie Banks Wy
Lochinvar Rd to City Limits
Slurry
De La Guerra Rd
Del Ganado Rd to City Limits
Slurry
Del Ganado Road
Las Ovejas Ave to De La Guerra Rd
Overlay
Del Ganado Rd
Manuel T Freitas Pkwy to Las Ovejas Ave
Micro
Dunfries Te
Lochinvar Rd to end
Slurry
E St
4th St to Mission Ave
Overlay
Twelve Oak Hill Drive
Las Gallinas Avenue to Cedar Hill Dr
Overlay
Fowler Ct
17/19 Fowler Ct to End
Slurry
Glenwood Dr
Lincoln Av to End
Overlay
Grand Avenue
Prospect Dr to Lincoln Ave
Overlay
Grand Ave
Lincoln Av to End
Slurry
Longwood Dr
Racquet Club Dr to City Limits
Overlay
Magnolia Av
Palm Av Deer Park Ave
Overlay
Marina Court Dr
Embarcadero Wy to City Limits
Overlay
Mission Ave
Embarcadero Wy (Intersection only)
Overlay
Northgate Drive
Kohl's to Las Gallinas Ave
Overlay
Northgate Dr
Los Ranchitos Rd to Kohl's
Micro
Summit Av (w/i city limits)
Pt San Pedro to End
SLurry
Tarrant Ct
San Pablo Av to End
Overlay
Wimbledon Wy
Longwood Dr to Longwood dr
Micro
EXHIBIT C
Project Report (sample format)
(due within 60 days of the end of each fiscal year)
Amount spent in this reporting year -
Total estimated project costs
Total expenditures to date
Project locations and descriptions
(please provide digital photographs for each project)
Benefits realized from project(s)
Measures A and B signage:
Number of signs posted:
Attach a statement, signed by the City Public Works Director, certifying the reports compliance
with the provisions of the funding Agreement
Attach a resolution by the Governing Board approving the project(s)
Attach the project worksheet template (sample follows) for each project included in the Project
Report.
4?H00.FC'SA-'PHOCrcR—S14XM11-1IAA'e—'neavests'ra xO'Funtl,, AgiaEm¢ns. x02 C35te.egy 314 00 0. 02 33 02 5uctl—gy 32'V`_a_—br Pr. — HOOrt— Page 1 oft
Local Roadway Project Report, Part I
Name of roadway:
Project limits:
Jurisdiction:
Description of maintenance project:
Roadway's Pavement Condition Index:
Date of last PC/ Evaluation:
Multi -Modal and Safety -Related Considerations
According to the Measures A and B Expenditure Plans, each local road project will be required to consider
the needs of all roadway users. Where feasible, locally defined bicycle and pedestrian projects will be
implemented at the time a roadway is improved. Improvements could include striping and signing for
bicycle lanes and bikeways, sidewalk improvements, curb ramps, and other accessibility and safety
improvements.
Please discuss, in the following three sections, considerations for multi -modal and safety-related
improvements as a part of the local road maintenance project.
1. Safety Improvements: Describe safety-related improvements considered as a part of the project (refer
to collision statistics, traffic volumes, roadway functional classification and other information, as
appropriate). Discuss whether these improvements are feasible and indicate if they could or could not be
included as a part of the project. If not, state why.
2. Pedestrian and Disabled Persons Facilities: Describe pedestrian and ADA -related improvements
considered as a part of the project (refer to pedestrian master plans, ADA transition plans, school and
transit access considerations, and other information, as appropriate). Discuss whether these improvements
are feasible and indicate if they could or could not be included as a part of the project. If not, state way.
3. Bicycle Facilities: Describe bicycle -related improvements considered as a part of the project (refer to
bicycle master plans and other information, as appropriate). Discuss whether these improvements are
feasible and indicate if they could or could not be included as a part of the project. If not, state why.
_4 PRCJEGS AND PROGRAMS'14XM111.11 A 10-1— 1 10002 FRn ,Agmemente 4.00 2035t,a gy 3';4O 02020302 S UGstra!e 3.2FY 1314 -h -C Protect Report— Page 2 of 2
Exhibit D
TAM RESOLUTION NO. 2013-04
RESOLUTION OF THE TRANSPORTATION AUTHORITY OF MARIN FOR THE
ALLOCATIONS OF $2,566,683 IN MEASURE A, STRATEGY 3.2, AND $2,153,823 IN
MEASURE B, ELMENT 1.1, FUNDS TO BELVEDERE, CORTE MADERA, FAIRFAX, MILL
VALLEY, NOVATO, ROSS, SAN ANSELMO, SAN RAFAEL, SAUSALITO, TIBURON, AND
MARIN COUNTY
WHEREAS, The voters of Marin County approved the authorizations of Measure A and
Measure at the General Elections held on November 2, 2004 and November 10, 2010,
respectively, thereby authorizing that TAM be given the responsibility to administer the proceeds
from a one-half cent transaction and use tax (TST) and vehicle registration fee (VRF); and
WHEREAS, The TST and VRF proceeds will be used to pay for the programs and
projects outlined their respective Expenditure Plans; and
WHEREAS, TAM has developed Strategic Plans to provide guidance on implementing
the Expenditure Plans; and
WHEREAS, The Measure A Strategic Plan programs TST funds over a 20 year period to
the four strategies listed in the Expenditure Plan, including Strategy 3.2, Local Infrastructure for
all Modes; and
WHEREAS, The Measure B Strategic Plan program VRF funds to three elements listed
in the Expenditure, including Element 1.1, Maintenance of Local Streets; and
WHEREAS, Measure A funds for Strategy 3.2 and Measure B funds for Element 1.1 are
programmed under the Strategic Plans to Marin County and the cities or towns of Belvedere,
Corte Madera, Fairfax, Larkspur, Mill Valley, Novato, Ross, San Anselmo, San Rafael,
Sausalito, and Tiburon for infrastructure improvement projects that are prioritized by the
respective Public Works Directors; and
WHEREAS, Measure A funds for Strategy 3.2 and Measure B funds for Element 1.1 can
be used for street and road projects, local transit projects, and bicycle and pedestrian projects;
and
WHEREAS, Infrastructure improvement projects funded with Measure A funds for
Strategy 3.2 and Measure B funds for Element 1.1 will be approved by the County's and Cities'
governing boards at public meetings, and
WHEREAS, The project sponsors are requesting TST funds from Strategy 3.2 and VRF
funds from Element 1.1 that have been accumulated for FY 13/14; and
T.\07. AGREEMENTS\07.01 Resoiut on s\2013\2G13-04 Measures A and B Avocations Local Roads. doo Page 1 of 3
WHEREAS, These allocations are consistent with the 2013 Measure A and Measure B
Strategic Plan Updates; and
WHEREAS, There are sufficient funds in the Strategy 3.2 and Element 1.1 line items of
the TAM's approved FY 13/14 budget to cover the proposed action; and
WHEREAS, After reviewing the request in coordination with project sponsors, TAM staff
recommended allocating $2,566,683 in Measure A funds and $2,153,823 as requested; now,
therefore, be it
RESOLVED, That the Transportation Authority of Marin hereby allocates a total of
$2,566,683 in Measure A funds and $2,153,823 in Measure B funds for eligible projects under
Strategy 3.2 and Element 1.1, respectively, for FY 13/14 in the following distributions: $48,623
($26,438 in Measure A & $22,185 in Measure B) for the City of Belvedere, $166,781 ($90,684 &
$76,097) for the Town of Corte Madera, $138,339 ($75,219 & $63,120) for the Town of Fairfax,
$277,740 ($151,016 & $126,724) for the City of Mill Valley, $888,328 ($483,011 & $405,317) for
the City of Novato, $50,547 ($27,484 & $23,063) for the Town of Ross, $216,473 ($117,703 &
$98,770) for the Town of San Anselmo, $960,649 ($522,334 & $438,315) for the City of San
Rafael, $133,469 ($72,571 & $60,898) for the City of Sausalito, $168,333 ($91,528 & $76,805)
for the Town of Tiburon, and $1,671,224 ($908,695 & $762,529) for the County of Marin; and be
it further
RESOLVED, That the Transportation Authority of Marin finds the allocations of these
funds to be in conformance with the priorities and funding levels established in the Measure A
and Measure B Expenditure Plans and the 2013 Measure A and Measure B Strategic Plan
Updates; and be it further
RESOLVED, That the Transportation Authority of Marin hereby authorizes the actual
expenditure (cash reimbursement) of funds for these activities to take place subject to the Fiscal
Year Cash Flow Distribution Schedule detailed in the attached Allocation Request Forms; and
be it further
RESOLVED, That as a condition of this authorization for expenditure, the Executive
Director shall impose such terms and conditions as are necessary for the project sponsors to
comply with applicable law and adopted Authority policies and execute Funding Agreements
with the respective project sponsors to that effect; and be it further
RESOLVED, That as a condition of this authorization for expenditure, the referenced
project sponsors shall provide the Authority with any other information it may request regarding
the use of the funds hereby authorized.
1'.C7. AGREEMENTS\07.01 Resoautcns�2C1-1UC12-04 Measures A and B Allocations Local Roads, doc Page 2 of 3
PASSED AND ADOPTED at a regular meeting of the Transportation Authority of Marin held on
the 27th day of June 2013, by the following vote:
AYES: Commissioners:
NOES: Commissioners:
ABSENT: Commissioners:
ATTEST:
Dianne Steinhauser
Executive Director
Adams, Arnold, Condon (Alternate), Eklund (Alternate),
Fredericks, Greene, Hillmer, Kinsey, Kuhl, Moulton -Peters,
Phillips, Reed, Sears, Weiner
Donnell, Rice
Alice Fredericks, Chair
Transportation Authority of Marin
T.%07. AGREEMENTS107.01 Resclutions'201312013-04 Measures A and 8 Aliccanons Local Rcsds.doc Page 3 of 3
RESOLUTION NO. 13634
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AUTHORIZING THE DIRECTOR OF PUBLIC WORKS TO EXECUTE FUNDING
AGREEMENT #2013-014 BETWEEN THE TRANSPORTATION AUTHORITY OF
MARIN AND THE CITY OF SAN RAFAEL, THEREBY AUTHORIZING THE
ALLOCATION OF $522,334 IN MEASURE A FUNDING AND $438,315 IN MEASURE, B
FUNDING FOR FISCAL YEAR 2013-2014.
WHEREAS, on August 1, 2006, the San Rafael City Council adopted Resolution
# 12174, which approved funding agreement #2007-012 between the City of San Rafael and
TAM; and
WHEREAS, that agreement established terms for the use of annual funding allocations
for the maintenance of local roads and infrastructure generated by Measure A, a one-half cent
transaction and use tax approved in the General Election held on November 2, 2004; and
WHEREAS, the San Rafael City Council subsequently authorized the execution of 6
amendments to the original funding agreement, through FY 12-13; and
WHEREAS, Marin voters approved Measure B on November 2, 2010, which increased
the State Vehicle Registration Fee (VRF) by $10; and
WHEREAS, Measures A and B authorize the Transportation Authority of Marin to
distribute funds raised by the transportation and use tax and the VRF increase to local
jurisdictions for multi -modal, public right-of-way projects; and
WHEREAS, TAM has initiated an updated funding agreement that must be executed to
release San Rafael's FY 13-14 Measure A allocation of $522,334 and the City's Measure B
allocation of $438,315; and
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of San Rafael
authorizes the Director of Public Works to execute Funding Agreement #2013-014 between
TAM and the City.
I, ESTHER C. BEIRNE, City Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a regular meeting
of the Council of said City held on the 4°i of November, 2013, by the following vote, to
wit:
AYES: COUNCIL MEMBERS: Colin, Connolly, Heller, McCullough & Mayor Phillips
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: None
ESTHER C. BEIRNE, City Clerk
File No.: 16.13.09
CAO Contract Log #A_� / COUNTY OF MARIN Dept. Contract Log #
PROFESSIONAL SERVICES CONTRACT
2012 - Edition 1
THIS CONTRACT is made and entered into this 1 st day of July, 2013, by and between the COUNTY OF MARIN,
hereinafter referred to as "County" and City of San Rafael, hereinafter referred to as "Contractor."
RECITALS:
WHEREAS, County desires to retain a person or firm to provide the following service: Multi -Cultural Senior Activities;
and
WHEREAS, Contractor warrants that it is qualified and competent to render the aforesaid services;
NOW, THEREFORE, for and in consideration of the Contract made, and the payments to be made by County, the parties
agree to the following:
1. SCOPE OF SERVICES:
Contractor agrees to provide all of the services described in Exhibit A attached hereto and by this reference made a part
hereof.
2. FURNISHED SERVICES:
The County agrees to:
A. Guarantee access to and make provisions for the Contractor to enter upon public and private lands as required
to perform their work.
B. Make available all pertinent data and records for review,
C. Provide general bid and Contract forms and special provisions format when needed.
3. FEES AND PAYMENT SCHEDULE:
The fees and payment schedule for furnishing services under this Contract shall be based on the rate schedule which is
attached hereto as Exhibit B and by this reference incorporated herein. Said fees shall remain in effect for the entire term
of the Contract. Contractor shall provide County with his/her/its Federal Tax I.D. number prior to submitting the first
invoice.
4. MAXIMUM COST TO COUNTY:
In no event will the cost to County for the services to be provided herein exceed the maximum sum of $8,332 including
direct non -salary expenses. As set forth in section 14 of this Contract, should the funding source for this Contract be
reduced, Contractor agrees that this maximum cost to County may be amended by written notice from County to reflect
that reduction.
5. TIME OF CONTRACT:
This Contract shall commence on July 1, 2013, and shall terminate on June 30, 2014. Certificate(s) of Insurance must
be current on day Contract commences and if scheduled to lapse prior to termination date, must be automatically updated
before final payment may be made to Contractor. The final invoice must be submitted within 30 days of completion of the
stated scope of services.
6. INSURANCE:
Commercial General Liability:
The Contractor shall maintain a commercial general liability insurance policy in the amount of $1,000,000 ($2,000,000
aggregate). The County shall be named as an additional insured on the commercial general liability policy.
Commercial Automobile Liability:
Where the services to be provided under this Contract involve or require the use of any type of vehicle by Contractor,
Contractor shall provide comprehensive business or commercial automobile liability coverage, including non -owned and
hired automobile liability, in the amount of $1,000,000.00.
Workers' -Co m Pensation:
The Contractor acknowledges the State of California requires every employer to be insured against liability for workers'
compensation or to undertake self-insurance in accordance with the provisions of the Labor Code. If Contractor has
employees, a copy of the certificate evidencing such insurance, a letter of self-insurance, or a copy of the Certificate of
Consent to Self -Insure shall be provided to County prior to commencement of work.
Errors and Omissions Professional Liability or Malpractice Insurance
Contractor may be required to carry errors and omissions, professional liability or malpractice insurance.
All policies shall remain in force through the life of this Contract and shall be payable on a "per occurrence" basis unless
County specifically consents to a "claims made" basis. The insurer shall supply County adequate proof of insurance and/or
a certificate of insurance evidencing coverages and limits prior to commencement of work. Should any of the required
insurance policies in this Contract be cancelled or non -renewed, it is the Contractor's duty to notify the County immediately
upon receipt of the notice of cancellation or non -renewal.
If Contractor does not carry a required insurance coverage and/or does not meet the required limits, the coverage limits
and deductibles shall be set forth on a waiver, Exhibit C, attached hereto.
Failure to provide and maintain the insurance required by this Contract will constitute a material breach of this Contract. In
addition to any other available remedies, County may suspend payment to the Contractor for any services provided during
any time that insurance was not in effect and until such time as the Contractor provides adequate evidence that Contractor
has obtained the required coverage.
7. ANTI DISCRIMINATION AND ANTI HARASSMENT:
Contractor and/or any subcontractor shall not unlawfully discriminate against or harass any individual including, but not
limited to, any employee or volunteer of the County of Marin based on race, color, religion, nationality, sex, sexual
orientation, age or condition of disability. Contractor and/or any subcontractor understands and agrees that Contractor
and/or any subcontractor is bound by and will comply with the anti discrimination and anti harassment mandates of all
Federal, State and local statutes, regulations and ordinances including, but not limited to, County of Marin Personnel
Management Regulation (PMR) 21.
B. SUBCONTRACTING:
The Contractor shall not subcontract nor assign any portion of the work required by this Contract without prior written
approval of the County except for any subcontract work identified herein. If Contractor hires a subcontractor under this
Contract, Contractor shall require subcontractor to provide and maintain insurance coverage(s) identical to what is required
of Contractor under this Contract and shall require subcontractor to name Contractor and County of Marin as an additional
insured under this Contract for general liability. It shall be Contractor's responsibility to collect and maintain current
evidence of insurance provided by its subcontractors and shall forward to the County evidence of same.
9. ASSIGNMENT:
The rights, responsibilities and duties under this Contract are personal to the Contractor and may not be transferred or
assigned without the express prior written consent of the County.
10. LICENSING AND PERMITS:
The Contractor shall maintain the appropriate licenses throughout the life of this Contract. Contractor shall also obtain any
and all permits which might be required by the work to be performed herein.
11. BOOKS OF RECORD AND AUDIT PROVISION:
Contractor shall maintain on a current basis complete books and records relating to this Contract. Such records shall
include, but not be limited to, documents supporting all bids, all income and all expenditures. The books and records shall
be original entry books with a general ledger itemizing all debits and credits for the work on this Contract. In addition,
Contractor shall maintain detailed payroll records including all subsistence, travel and field expenses, and canceled
checks, receipts and invoices for all items. These documents and records shall be retained for at least five years from the
completion of this Contract. Contractor will permit County to audit all books, accounts or records relating to this Contract or
all books, accounts or records of any business entities controlled by Contractor who participated in this Contract in any
way. Any audit may be conducted on Contractor's premises or, at County's option, Contractor shall provide all books and
records within a maximum of fifteen (15) days upon receipt of written notice from County. Contractor shall refund any
monies erroneously charged.
2
12. WORK PRODUCT/PRE-EXISTING WORK PRODUCT OF CONTRACTOR:
Any and all work product resulting from this Contract is commissioned by the County of Marin as a work for hire. The
County of Marin shall be considered, for all purposes, the author of the work product and shall have all rights of authorship
to the work, including, but not limited to, the exclusive right to use, publish, reproduce, copy and make derivative use of,
the work product or otherwise grant others limited rights to use the work product.
To the extent Contractor incorporates into the work product any pre-existing work product owned by Contractor, Contractor
hereby acknowledges and agrees that ownership of such work product shall be transferred to the County of Marin.
13. TERMINATION:
A. If the Contractor fails to provide in any manner the services required under this Contract or otherwise fails to
comply with the terms of this Contract or violates any ordinance, regulation or other law which applies to its
performance herein, the County may terminate this Contract by giving five (5) calendar days written notice to
the party involved.
B. The Contractor shall be excused for failure to perform services herein if such services are prevented by acts of
God, strikes, labor disputes or other forces over which the Contractor has no control.
C. Either party hereto may terminate this Contract for any reason by giving thirty (30) calendar days written notice
to the other parties. Notice of termination shall be by written notice to the other parties and be sent by
registered mail.
D. In the event of termination not the fault of the Contractor, the Contractor shall be paid for services performed to
the date of termination in accordance with the terms of this Contract so long as proof of required insurance is
provided for the periods covered in the Contract or Amendment(s).
14. APPROPRIATIONS:
The County's performance and obligation to pay under this Contract is contingent upon an annual appropriation by the
Marin County Board of Supervisors, the State of California or other third party. Should the funds not be appropriated
County may terminate this Contract with respect to those payments for which such funds are not appropriated. County will
give Contractor thirty (30) days' written notice of such termination. All obligations of County to make payments after the
termination date will cease.
Where the funding source for this Contract is contingent upon an annual appropriation or grant from the Marin County
Board of Supervisors, the State of California or other third party, County's performance and obligation to pay under this
Contract is limited by the availability of those funds. Should the funding source for this Contract be eliminated or reduced,
upon written notice to Contractor, County may reduce the Maximum Cost to County identified in section 4 to reflect that
elimination or reduction.
15. RELATIONSHIP BETWEEN THE PARTIES:
It is expressly understood that in the performance of the services herein, the Contractor, and the agents and employees
thereof, shall act in an independent capacity and as an independent Contractor and not as officers, employees or agents of
the County. Contractor shall be solely responsible to pay all required taxes, including but not limited to, all withholding
social security, and workers' compensation.
16. AMENDMENT:
This Contract may be amended or modified only by written Contract of all parties.
17. ASSIGNMENT OF PERSONNEL:
The Contractor shall not substitute any personnel for those specifically named in its proposal unless personnel with
substantially equal or better qualifications and experience are provided, acceptable to County, as is evidenced in writing.
18. JURISDICTION AND VENUE:
This Contract shall be construed in accordance with the laws of the State of California and the parties hereto agree that
venue shall be in Marin County, California.
19. INDEMNIFICATION:
Contractor agrees to indemnify, defend, and hold County, its employees, officers, and agents, harmless from any and all
liabilities including, but not limited to, litigation costs and attorney's fees arising from any and all claims and losses to
anyone who may be injured or damaged by reason of Contractor's negligence, recklessness or willful misconduct in the
performance of this Contract.
20. COMPLIANCE WITH APPLICABLE LAWS:
The Contractor shall comply with any and all Federal, State and local laws and resolutions: including, but not limited to the
County of Marin Nuclear Free Zone, Living Wage Ordinance, and Board of Supervisors Resolution #2005-97 prohibiting
the off -shoring of professional services involving employee/retiree medical and financial data affecting services covered by
this Contract. Copies of any of the above -referenced local laws and resolutions may be secured from the Contract
Manager referenced in section 21. In addition, the following NOTICES may apply:
Pursuant to California Franchise Tax Board regulations, County will automatically withhold 7% from all
payments made to vendors who are non-residents of California.
2. Contractor agrees to meet all applicable program access and physical accessibility requirements under
State and Federal laws as may apply to services, programs or activities for the benefit of the public.
3. For Contracts involving any State or Federal grant funds, Exhibit D must be attached. Exhibit D shall
consist of the printout results obtained by search of the System for Award Management at www.sam.gov.
Exhibit D - Debarment Certification
By signing and submitting this Contract, the Contractor is agreeing to abide by the debarment requirements as
set out below.
• The certification in this clause is a material representation of fact relied upon by County.
• The Contractor shall provide immediate written notice to County if at any time the Contractor learns that its
certification was erroneous or has become erroneous by reason of changed circumstances.
• Contractor certifies that none of its principals, affiliates, agents, representatives or contractors are excluded,
disqualified or ineligible for the award of contracts by any Federal agency and Contractor further certifies to the
best of its knowledge and belief, that it and its principals:
• Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded by any Federal Department or Agency;
• Have not been convicted within the preceding three -years of any of the offenses listed in 2 CFR
180.800(a) or had a civil judgment rendered against it for one of those offenses within that time period;
• Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or Local) with commission of any of the offenses listed in 2 CFR 180.800(a);
• Have not had one or more public transactions (Federal, State, or Local) terminated within the
preceding three -years for cause or default.
The Contractor agrees by signing this Contract that it will not knowingly enter into any subcontract or covered
transaction with a person who is proposed for debarment, debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction.
• The Contractor to this Contract and any subcontractor will provide a debarment certification that includes the
debarment clause as noted in preceding bullets above, without modification.
21. NOTICES:
This Contract shall be managed and administered on County's behalf by the Department Contract Manager named below.
All invoices shall be submitted and approved by this Department and all notices shall be given to County at the following
location:
Contract Manaqer: Lee Pullen, Mqr
Dept./Location: Department of Health and Human Services
Division of Social Services, Aging & Adult Services
Telephone No.: (415) 473-7118
Notices shall be given to Contractor at the following address(es):
Contractor: City of San Rafael
Carlene McCart, Director, Community Services Director
618 B Street
Address: San Rafael, CA 94901
Telephone No.: (415) 485-3333
Contractor:
Address:
Telephone No.:
22. ACKNOWLEDGEMENT OF EXHIBITS:
Check applicable Exhibits CONTRACTOR'S
INITIALS
EXHIBIT A.
EXHIBIT B.
EXHIBIT C.
EXHIBIT D.
EXHIBIT E.
OTHER REQUIRED
EXHIBITS (HHS USE
ONLY)
®
Scope of Services
d1 (/Vl
®
Fees and Payment
V1 VO
❑
Insurance Reduction/Waiver
Vel
®
Contractor's Debarment Certification
yivi�
❑
Subcontractor's Debarment Certification
�� fir✓"
®
®
®
Exhibit G: Audits/Non-Discrimination
Exhibit K: Aging & Adults Programs
Exhibit K1: Terms & Conditions
IN WITNESS WHEREOF, the parties have executed this Contract on the date first above written.
CONTRACTOR: APPROVED BY
COUNTY OF MARIN:
Name:.; t n':. r i tip` K!',
Title: ( c1` By:
C my Administrator
COUNTY COUNSEL REVIEW AND APPROVAL (required if template content has been modified)
County Counsel: Date:
EXHIBIT "A"
SCOPE OF SERVICES
MARIN COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF SOCIAL SERVICES
AGING AND ADULT SERVICES
July 1, 2013 - June 30, 2014
Provider: City of San Rafael
Program Name: Multi -cultural Senior Center Activities
Program Goal: Arrange or provide organized art, educational, health, recreational, social, and volunteer
opportunities for multicultural and older persons with Limited English Proficiency 60 years and older in order to
promote their wellness and enhance their quality of life.
Performance Objectives: At least 75% of clients will report "high" to "very high" satisfaction with the program.
Program Definition: Services designed to enable older individuals to attain and/or maintain physical and mental
well-being such as recreation, music, creative arts, physical activity, education, leadership development and
other supportive services not covered under other service categories. Development and provision of new
volunteer opportunities and services, and creation of additional services and programs to remedy gaps and
deficiencies in existing services. Entertainment costs such as tickets to shows or sporting events, meals,
lodging, rentals, transportation and gratuities are not allowable.
Minimum Units of Service Required and Contract Award:
Program: Multicultural Senior Center Activities
Unit of Service: One hour
Three Months (7/1/13 - 9/30/13)
Minimum number of hours: 250
Contract Award:
AAA Funding $2,083
Nine Months (10/1/13 - 6/30/14)
Minimum number of hours: 750
Contract Award:
AAA Funding $6,249
Geographic Area/Persons to be Served: Countywide. Services to target multicultural Limited English Proficient
older adults.
Service Provider shall have the capacity to conduct and comply, at a minimum, to the following:
Cooperate with Aging and Adult Services in its annual monitoring of the funded program.
Perform the activities in the agency's bid/proposal in response to the Request for Proposal for the contracted
service. However, Aging and Adult Services may negotiate, modify, or revise the scope of the service from the
original proposal in order to assure that all necessary service and program requirements are covered.
6
In the event the service levels specified in the bid/proposal are not attained, Aging and Adult Services will be
permitted to reduce the provider's contract award. The scope of service outlined in this exhibit reflects the
service level agreed upon between Aging and Adult Services and the contractor.
Agree not to use contract funds to pay the salary or expenses of any individual who is engaging in activities
designed to influence legislation or appropriations pending before the Congress.
Submit a detailed program budget within 15 days of receiving the budget template provided by the County. The
program budget must be submitted prior to issuance of the County Contract. All required elements in the
budget including, but not limited to, the agency's matches, project income, and in-kind contributions must be
identified. Indirect costs are limited to a maximum indirect cash cost of 8% of the direct cash costs, less Capital
Equipment.
Monthly invoice data must be submitted to Aging and Adult Services no later than the 10th working day of the
month for the prior month.
For Fiscal Year 13/14, a fiscal close-out is required for services provided from 7/1/2013 - 9/30/13 on 10/10/13.
A second fiscal close-out will be required for services provided between 10/1/13 - 6/30/14.
Prepare and submit, in a timely manner, monthly service unit data and other reports as requested. Submit
monthly service unit data report by the 10th working day of the month for the prior month. Enter data directly in
the GetCare/CARS or submit a manual paper report to Aging and Adult Services in order to comply with the
California Department of Aging, National Aging Program Information System and Aging and Adult Services
reporting requirements. This requirement does not apply to the Title V program, and specific data reporting
policies of this program must be followed. This requirement is also not applicable to the Home -Delivered Meal
Program Meal Production contractor.
Contractor's scope of service performance will be evaluated on a quarterly basis. Should the contractor fail to
meet performance targets, the County may request a plan of action to be submitted, outlining the contractor's
planned strategies and activities to meet contract obligations. The plan of action will be within 30 days of
receiving notification from the County.
Offer opportunity for clients to make voluntary contributions to the agency for services received. Contribution
request must include the following information, "There is no obligation to contribute. Contributions are voluntary,
and service will not be denied based on ability to make contributions." This requirement does not apply to the
Title V program. This requirement is also not applicable to the Home -Delivered Meal Program Meal Production
contractor.
Maintain a Client Grievance Policy and process which is approved by Aging and Adult Services prior to being
put into use. Revise the policy as necessary after the annual program monitoring to be in compliance with the
requirements of the California Department of Aging.
On an annual basis, agency staff that handle personal, sensitive, or confidential information must attend a
Security Awareness training conducted by the California Department of Aging. Maintain a log of attendees and
completion certificates for those staff attending. This requirement is not applicable to the Home -Delivered Meal
Program Meal Production contractor.
Written materials and promotional campaigns developed by the contractor specifically for the funded program
must be reviewed and approved by the County prior to their release. All other materials developed by the
contractor that are unrelated to the funded program would not be subject to the County's approval.
All publications and written materials developed by the program must include the following statement: "Funding
for this program, at least in part, is made available by the Older Americans Act, administered locally by the
Marin Department of Health and Human Services, Division of Social Services, Aging and Adult Services."
7
Attend all mandatory contractors' meetings scheduled by Aging and Adult Services.
Maintain an updated organizational emergency/disaster preparedness or continuity of operations plan
Minority Service Priority [pursuant to Older Americans Act Sec. 306.(a)(5)(A)(ii)] Provider must prioritize services
to low income minority individuals. In order to satisfy the service needs of this population, the provider will give
priority to minority persons when hiring new staff or recruiting new volunteers.
Services to lesbian, gay, bisexual, and transgender older adults: [pursuant to the Older Californians Equity and
Protection Act (AB 2920)]: Provider must ensure that programs and services are available to all older adults
regardless of sexual orientation and gender identity. Evaluation of outreach efforts to gay, lesbian, bisexual,
and transgender older adults will be included in Aging and Adult Services contract monitoring requirements.
Develop targeted outreach methods to locate individuals age 60 or older, especially the low-income,
geographically isolated, and minority elderly. Service to minority elders, at a minimum, should be in the same
proportion as represented in Marin's older population as reported in the most recent census information.
Program evaluations to be conducted annually using template approved by Aging and Adult Services.
Service Provider will comply with the following programmatic requirements as well as other conditions
established by the AAA specific to this funded program:
Services to be targeted to Limited English Proficient older adults speaking Marin's threshold languages,
Vietnamese and Spanish.
Culturally appropriate activities to be conducted by bilingual persons
0
EXHIBIT "B"
FEES AND PAYMENT SCHEDULE
B.1. BASE CONTRACT FEE: COUNTY shall pay CONTRACTOR during the term of this contract (July 1, 2013
through June 30, 2014. Contractor shall submit requests for payment. No costs incurred by CONTRACTOR
prior to the effective date of the contract should be included in the invoices, nor paid by the COUNTY.
B.2. CONSIDERATIONS:
In no event shall total compensation paid to Contractor under this provision exceed $8,332 without a written
amendment to this Agreement, approved by the County of Marin. Said sum to be payable as follows: subject to
the availability of funds, compliance with insurance requirements as hereinafter provided, and completion of the
contract services to County's satisfaction. Payment amount will be based upon receipt of contractor's financial
statement and request for funds, as expended. Payment will be made following County's receipt of a timely,
accurate and accepted invoice to be submitted no later than the 10th of the following month.
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EXHIBIT "G"
AUDITS, NON-DISCRIMINATION
AUDITS/RECORDS:
1.1 Contractor shall maintain books, records, files, documents and other evidence directly pertinent to all
work under this Agreement in accordance with accepted professional practices and accounting procedures and
according to statutory agreements for the applicable time mandated, and in no case less than seven (7) years
after the termination of the Agreement. County, or any of its duly authorized representatives, shall have access
to such books, records, files, documents and other evidence for purposes of inspection, evaluation, audit or
copying. Contractor will furnish County a certified copy of an Audit Report from an independent CPA firm by
October 31, for the report covering the County's fiscal year that ended the previous June 30. The Audit Report
will cover the County's fiscal year and include the independent CPA firm's review of each program operated by
Contractor, with review of both expenditures and revenues for each program.
1.2 Contractor will provide County with a letter from the chair of the Contractor's Board of Directors certifying
that the Board of Directors has reviewed the Audit Report.
2. NON-DISCRIMINATION IN THE PROVISION OF SERVICES:
2.1 Contractor and/or any permitted subcontractor shall not unlawfully discriminate against any individual
based upon race, religious creed, color, national origin, ancestry, medical condition, marital status, sex, sexual
orientation, age or condition of disability. Contractor and/or any permitted subcontractor understands and
agrees that Contractor and/or any permitted subcontractor is bound by and will comply with the
nondiscrimination mandates of all Federal, State and local statutes, regulations and ordinances. In the
performance of the terms of this Agreement, Contractor shall not discriminate against any employee or
applicant for employment, or against any applicant for or beneficiary of services, because of race, sex, sexual
orientation, HIV status, color, religion, ancestry, national origin, age, disability, or any other unlawful basis.
2.2 Contractor shall take affirmative action to ensure that applicants are employed and that employees are
treated fairly during employment without regard to their race, sex, sexual orientation, HIV status, color, religion,
ancestry, national origin, age, or disability. Such action shall include, but not be limited to, employment,
upgrading, demotion or transfer, recruitment or recruitment advertising, lay-off or termination, rates of pay or
other forms of compensation, and selection for training, including apprenticeship. Contractor shall post in
conspicuous places, available to employees and applicants for employment, notices setting forth Fair
Employment Practices outlined in this section. Contractor shall permit access to its records of employment,
employment advertisements, application forms, and other pertinent data and records by the State Fair
Employment Practice Commission, or any other agency of the State of California designated by the awarding
authority, for the purpose of investigation to ascertain compliance with the Fair Employment Practices section of
this Agreement.
2.3 Contractor shall develop and implement policies and procedures to ensure that all services provided
under this Agreement are rendered in a manner that conforms to all local, State and federal non-discrimination
statutes, regulations and ordinances, including but not limited to race, gender, national origin, disability or
medical condition such as a diagnosis of Acquired Immune Deficiency Syndrome (AIDS), or upon testing
positive for Human Immunodeficiency Virus (HIV), or all other applicable nondiscrimination provisions.
Contractor shall ensure that its staff is adequately trained regarding these non-discrimination provisions,
policies and procedures, including those that involve specific disease -related problems, issues and special
recovery needs.
10
3. Disaster Plan:
3.1 Contractor shall have in place, and shall provide to the County, its plan for the referral and/or treatment
of clients in the case of a disaster.
4. Drug -Free Workplace Requirements:
4.1 Contractor will comply with the requirements of the Drug -Free Workplace Act of 1990 and will provide a
drug-free workplace by taking the following actions:
Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or
use of a controlled substance is prohibited and specifying actions to be taken against employees for violations.
Establish a Drug -Free Awareness Program to inform employees about:
The danger of drug abuse in the workplace
The person's or organization's policy of maintaining a drug-free workplace
Any available counseling, rehabilitation and employee assistance programs, and,
Penalties that may be imposed upon employees for drug abuse violations
11
EXHIBIT "K"
AGING AND ADULT SERVICES PROGRAMS
1. Contractor's Compliance with Provisions of State Contract
Contractor acknowledges that this Agreement is a subcontract to an Agreement between the County and the
State (hereinafter "State Contract"). The State Contract requires that the County contractually obligate any of
its subcontractors to also comply with the terms and conditions of the State Contract. Contractor hereby agrees
to comply with the terms and conditions of the State Contract, a copy of which is attached hereto as Exhibit K-1.
In addition, funds available under this Contract are depending upon funding from the state. Lack of funding
from the State will result in termination of this Agreement.
In the event the State Contract requires the County to notify the State of a breach of privacy and/or security of
personally identifiable information (hereinafter "PII") and/or protected health information (hereinafter "PHI"),
Contractor shall immediately upon discovery of a breach of privacy and/or security of PII and/or PHI by
Contractor, notify County of such breach by telephone and email or facsimile. Contractor further agrees that it
shall notify County of any such breaches prior to the time the County is required to notify the State pursuant to
the State Contract.
In the event the State Contract requires the County to pay any costs associated with a breach of privacy and/or
security of PII and/or PHI, including but not limited to the costs of notification, Contractor shall pay on Count's
behalf any and all such costs arising out of a breach of privacy and/or security of PII and/or PHI by Contractor.
12
EXHIBIT "K.1"
STATE OF CALIFORNIA AREA PLAN TERMS AND CONDITIONS AND
TITLE V TERMS AND CONDITIONS
Contractor will receive a copy, and comply with the requirements, of the California Department of Aging Area
Plan Terms and Conditions (AP Scope of Work: Exhibits A, B, D and E) from the Area Agency on Aging or if
applicable, a copy of the Title V Terms and Conditions (TV Scope of Work: Exhibits A, B, D and E). This
document will be delivered upon completion of a fully executed contract by either the Marin County Board of
Supervisors (BOS) or the County Administrator's Office (CAO).
The Division of Social Services, Aging and Adult Services will maintain a hard copy of the Area Plan (AP)
Terms and Conditions and Title V (TV) Terms and Conditions in the Aging and Adult Services' State Contract
folders.
This is to confirm that the additional documents, Area Plan Terms and Conditions were sent to the provider as
part of the contract. Due to the size of the document a copy is not being made for each contract file. A hard
copy and electronic copy are available in the Program Office at the Marin County Area on Aging office.
Signaturona Title
13
✓.��r�lil p70, r
Date signed and docu�s maile
AMIL
CALIFORNIA JOINT POWERS
RISK MANAGEMENT AUTHORITY
Accredited saitb Excellence from the California Association of Joint Powers Authorities
Certificate Holder and
Additional Covered Party:
CERTIFICATE OF COVERAGE
County of Marin
c/o Department of Health & Human Services
10 North San Pedro Road, Suite 1012
San Rafael, CA 94903
Attention: Lee Pullen, Manager
This certifies that the coverage
Described herein has been issued to: City of San Rafael
Description of Activity: Multi -cultural senior center activities program providing organized art, educational, health,
recreational, social and volunteer opportunities for multicultural and older persons with limited English proficiency 60 year or older.
Date(s) of Activity: 7/1/2013-6/30/14
Location of Activity: Marin County
The following coverage is in effect and is provided through participation in a risk sharing joint powers authority: comprehensive
general liability, automobile liability, and public officials errors and omissions, as defined in the Memorandum of Coverage on file
with the entity and which will be made available upon request.
The coverage being provided is limited to the activity and the time period indicated herein and is subject to all the terms, conditions
and exclusions of the Memorandum of Coverage of the California Joint Powers Risk Management Authority.
Pursuant to Section II, subsection 8, relating to the definition of a covered party, the certificate holder named herein is only an
additional covered party for covered claims arising out of the activity described herein and is subject to the limits stated herein.
Coverage is in effect at this time and will not be cancelled, limited or allowed to expire at a date other than that indicated herein except
upon 30 days written notice to the certificate holder. ..
9/12/2013
Date
Foran C — Revised 03124/2010
Authorized
David J. Clovis, ARM, General Manager
Name and Title (Print or type)
3201 Doolan Road., Suite 285 • Livermore, CA 94551-7570 • Phone (925) 837-0667 • FAX (925) 290-1543
Certificate
Entity Providing Coverage
Excess Coverage
Date
California Joint Powers Risk Management Authority
$ 500,000
_-Expiration
6/30/2014
excess of
$ 500,000
The following coverage is in effect and is provided through participation in a risk sharing joint powers authority: comprehensive
general liability, automobile liability, and public officials errors and omissions, as defined in the Memorandum of Coverage on file
with the entity and which will be made available upon request.
The coverage being provided is limited to the activity and the time period indicated herein and is subject to all the terms, conditions
and exclusions of the Memorandum of Coverage of the California Joint Powers Risk Management Authority.
Pursuant to Section II, subsection 8, relating to the definition of a covered party, the certificate holder named herein is only an
additional covered party for covered claims arising out of the activity described herein and is subject to the limits stated herein.
Coverage is in effect at this time and will not be cancelled, limited or allowed to expire at a date other than that indicated herein except
upon 30 days written notice to the certificate holder. ..
9/12/2013
Date
Foran C — Revised 03124/2010
Authorized
David J. Clovis, ARM, General Manager
Name and Title (Print or type)
3201 Doolan Road., Suite 285 • Livermore, CA 94551-7570 • Phone (925) 837-0667 • FAX (925) 290-1543
CITY OF
OFFICE OF THE CITY ATTORNEY
Robert F Epstein, City Attorney
Lisa A. Goldfien, Assistant City Attorney
Eric T. Davis, Deputy City Attorney 11
Lee Pullen, Manager
Dept. of Health and Human Services
Division of Aging & Adult Services
10 N. San Pedro Road, Suite 1012
San Rafael, CA 94903
September 11, 2013
Re: City of San Rafael Self -Insurance, San Rafael Goldenaires
Dear Mr. Pullen:
MAYOR GARY O. PHILLIPS
VICE MAYOR BARBARA HELLER
COUNCILMEMBER KATE COLIN
COUNCILMEMBER DAMON CONNOLLY
ER ANDREW CUYUGAN MCCULLOUGH
The City of San Rafael, as permitted under State law, is self-insured for general liability,
including automobile liability, for the first $500,000. Accordingly, the City does not have a
commercially issued general liability insurance policy. Additionally, the City participates in a public
entity excess liability pool for additional liability coverage of $24,500,000 in excess of $500,000.
The pool, the California Joint Powers Risk Management Authority (CJPRMA) provides the City's
excess coverage under a Memorandum of Coverage, I have' requested that a Certificate of
Coverage be forwarded to you showing County of Marin, Department of Health & Human Services
as the additional insured. With respect to Worker's Compensation liability, the City is self-insured
for the first $750,000 and has a separate excess liability policy from Safety National Casualty
Corporation, as detailed on the enclosed memorandum of coverage.
Because it is a local governmental agency existing in the State of California and because it is
entitled to self -insure under the Government Code, the City assumes that this letter will satisfy the
insurance requirements of the Agreement between the County of Marin and the City of San Rafael—
San Rafael Goldenaires, for activity scheduling and implementation programs.
Please call the City Attorney's Office at 485-3080 should you have any questions regarding
insurance.
Very truly yours,
ERIC T. DAVIS
Deputy City Attorney Il
,Enclosure
cc: Carol Jacobs-Courtz, Senior Recreation Supervisor
1400 Fifth Avenue (P.O. Box 151560) San Rafael, CA 94915-1560
PHONE: (415) 485-3080 / FAX: (415) 485-3109 / EMAIL city.attorney@cityofsanrafael.oig
A member of the Tokio Marine Group
CERTIFICATE OF INSURANCE
1832 Schuetz Road
St Louis, MO 63146-3540
Telephone (888) 995-5300
(314) 995-5300
Fax (314) 995-3843
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON
THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICY LISTED BELOW.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
California Dept Of Industrial Relations
Office Of Self -Insurance Plans
2265 Watt Avenue, Suite #1
Sacramento, California 95825
Attn: Mr. Jon Wroten
This is to certify that the policy of insurance listed below has bee
force at this time. Notwithstanding any requirement, term or condi
respect to which this certificate may be issued or may pertai t
herein is subject to all the terms, exclusions and conditions
herein be canceled before expiration date thereof the
written notice to the above named certificate holder, bu i, to
liability of any kind upon the CORPORATION.k ^
NAME INSURED EMPLOYER: CITY OF
ADDRESS:
POLICY NUMBER:
TYPE OF INSURANCE:
LOCATION(S):
POLICY LIABILITY PERI
POLICY PAYROLL
REPORTING PERIOD:
1400 F
Self -Insured Retention Per Occurrence
Maximum Limit of Indemnity Per Occurrence
July 01, 2014
July 01, 2014
t, Winsured named below and is in
act or any other document with
-' rded by the policy described
�.` . any of the policy described
will end dor to mail sixty (60) days
:h nonce„8 11 impose no obligation or
%94901
and Employers' Liability Insurance
Employers' Liability Maximum Limit of Indemnity Per Occurrence and Aggregate
$ 1,000,000
Statutory
$ 2,000,000
SAFETY NATIONAL CASUALTY CORPORATION
By: Gene R. Maier
Senior Vice President of Workers' Compensation Underwriting
Date: June 20, 2013
1—t—h— 1Q 7f11'3 F 07 PM Fano 1 of 1
SAM Search Results
List of records matching your search for
Search Term : City*
State: CALIFORNIA
Functional Area: Entity Management
City: 618 B Street, San Rafael
Zip Code: 94901
Record Status: Active
ENTITY SAN RAFAEL, CITY OF Status -Active
DUNS: 198423832 +4:
CAGE Code: 4TB82 DoDAAC:
Has Active Exclusion?: No
Delinquent Federal Debt?: No
Address: 1400 5TH AVE
City: SAN RAFAEL
State/Province: CALIFORNIA
ZIP Code: 94901-1943
Country: UNITED STATES
1—t—h— 1Q 7f11'3 F 07 PM Fano 1 of 1
Lar
a, Gary
From: Lisa Goldfien [Lisa.Goldfien@Cityofsanrafae1.org]
Sent: Thursday, December 12, 2013 3:17 PM
To: Lara, Gary
Cc: Laraine Gittens; Eric Davis
Subject: RE: Professional Services Contract for Multicultural Senior Activities at Boro Center; Insurance
Dear Mr. Lara:
You will find the City's Memorandum of Coverage (i.e. insurance policy) with the California Joint Powers Risk Management
Association at the following link:
hLtp:/Iciprma.org/docs/library/memorandum-coverage/2013 2014 moc pdf
Please review Articles II(7) and (8.c), Article IV first paragraph, and Article VI (5. b) for information indicating that you are covered
as shown on the Certificate of Coverage you have received.
Please let me know if you require anything further.
Thank you,
Lisa A. Goldfien
Assistant City Attorney
City of San Rafael
1400 Fifth Avenue
San Rafael, CA 94901
Tel: (415) 485-3080
Fax: (415) 485-3109
email: lisa.goldfien@cityofsanrafael.org
CONFIDENTIALITY NOTICE:
This email and any attached files
are CONFIDENTIAL and PRIVILEGED,
intended only for the use of the
individual or entity named as the
recipient. If you have received this
email in error, please destroy it and
notify the sender by reply to
lisa.goldfien@cityofsanrafael.org
Thank you.
From: Lara, Gary [mailto:GLara@marincounty.org]
Sent: Thursday, December 12, 2013 3:00 PM
To: Laraine Gittens
Cc: Carol Jacobs-Courtz; Lisa Goldfien; Eric Davis
Subject: RE: Professional Services Contract for Multicultural Senior Activities at Boro Center; Insurance
Hello Ms. Gitten:
I appreciate you sending these documents; however, I regret to inform you that we have already received these
particular documents.
What the County of Marin needs to complete the documentation is what is referred to as the "Additional Insured"
certificate. This is required by the County of Marin and serves the purpose as an endorsement on your General
Liability policy.
12/13/2013
Memorandum of Coverage
Rl* sk Management, Authorl' ty
3201 DooboDood Suite 285-Dvnonmn-CA- 9455i - Phone (Y25)D37'0667- Fax (Y25)290'l54]
TABLE OF CONTENTS
1) SECTION I
Coverages....................................................................................
2) SECTION II
Definitions..........................................................
3) SECTION III
Defense and Settlement .......................................
4) SECTION IV
The Authority's Limit of Coverage ......................
5) SECTION V
Coverage Period and Territory ............................
6) SECTION VI
Exclusions............................................................
7) SECTION VII
Conditions............................................................
8) ENDORSEMENTS ............................................
H
..........10
13
.............13
.....................................22
.......................... Attached
3201 Doolan Road, Suite 285 — Livermore — CA- 94551 —Phone (925)837-0667 — Fax (925) 290-1543
CALIFORNIA JOINT POWERS RISK MANAGEMENT AUTHORITY
MEMORANDUM OF COVERAGE
PROGRAM YEAR: 2013-2014
This coverage document shall be in effect from July 1, 2013 through June 30, 2014.
In consideration of the payment of the deposit premium, the Authority agrees with the
covered parties as follows:
SECTION I - COVERAGES
The Authority will pay up to the limit of coverage those sums for ultimate net loss in
excess of the retained limit that the covered parties become legally obligated to pay as
damages because of bodily injury, property damage, personal injury, public officials
errors and omissions or employment practices liability as those terms are herein defined
and to which this agreement applies, caused by an occurrence during the coverage period,
except as otherwise excluded.
This Memorandum of Coverage does not provide insurance, but instead provides for
pooled self-insurance. This Memorandum is a negotiated agreement among the members
of the Authority and none of the parties to the Memorandum is entitled to rely on any
contract interpretation principles that require interpretation of ambiguous language
against the drafter of such agreement. This Memorandum shall be applied according to
the principles of contract law, giving full effect to the intent of the members of the
Authority, acting through the Board of Directors in adopting this Memorandum. As the
Authority is not an insurer, it has no obligation to issue reservation of rights letters, nor
does it have an obligation to provide "Cumis" counsel to a covered party in disputed
coverage situations under California Civil Code section 2860. Finally, failure to provide
notice to a covered party of any coverage dispute shall not operate to waive any of the
provisions of this Memorandum.
SECTION II - DEFINITIONS
1) Aircraft means a vehicle designed for the transport of persons or property
principally in the air.
2) Airport means an area of land or water used or intended to be used for the landing
and taking off of aircraft; including an appurtenant area used or intended to be used
for airport buildings or other airport facilities or right of way; and airport buildings
and facilities located in any of these areas, "Airport'' includes a heliport.
Memorandum of Coverage
Effective: 07/01,L2013
I
3) Authori shall mean the California Joint Powers Risk Management Authority
created by the JPA Agreement.
4) Automobile means a land motor vehicle, trailer or semi -trailer.
5) Bodily iniury means bodily injury, sickness, disease or emotional distress
sustained by a person, including death resulting from any of these at any time.
Bodily injury includes damages claimed by any person or organization for care, loss
of services or death resulting at any time from the bodily injury.
6) Care, Custody or Control Hazard includes all property damage to: (1) property
that the covered party rents or occupies; (2) premises the covered parry sells, gives
away or abandons, if the property damage arises out of any part of those premises;
(3) property loaned to the covered party; and (4) personal property in the care,
custody or control of the covered party.
7) Covered Indemnity Contract means that part of any contract or agreement
pertaining to the covered parry's routine governmental operations under which the
covered parry assumes the tort liability of another party to pay for bodily injury or
property damage to a third person or organization. This definition applies only to
liability that would be imposed by law in the absence of any contract or agreement,
arising out of an occurrence to which this Agreement applies.
8) Covered party_ means:
(a) A member entity of the California Joint Powers Risk Management Authority.
This includes all entities named in its declarations page, including any and all
commissions, agencies, districts, authorities, boards (including the governing
board) or similar entities coming under the entity's direction or control, or for
which the entity's board members sit as the governing body, except a hospital
board or commission, regardless of how such body is denominated.
(b) A member of a joint powers authority that is a member entity herein, which
participates in said jpa's liability program. This includes all entities named in
its declarations page, including any and all commissions, agencies, districts,
authorities, boards (including the governing board) or similar entities coming
under the entity's direction or control, or for which the entity's board
members sit as the governing body, except a hospital board or commission,
regardless of how such body is denominated.
(c) Any person or entity identified as a covered party holding a certificate of
coverage duly issued by the Authority, for occurrences during the coverage
period identified in the certificate of coverage; if a particular activity is
identified in the certificate of coverage, the person or entity is a covered party
only for occurrences arising out of the described activity.
Memorandum of Coverage
E,1Jecti vc: 07/0112013
2
(d) Any person who is an official, employee or volunteer of a person or entity
covered by (a), (b), or (c) herein, whether or not compensated, while acting in
an official capacity for or on behalf of such person or entity, including while
acting on any outside board at the direction of such person or entity, except a
hospital board or commission, regardless of how such body is denominated.
Covered party shall not include any person whose conduct is not within the
course and scope of his or her employment or office with the covered party at
the time of the act or acts that give rise to liability.
(e) With respect to any automobile owned or leased by a covered party
(described in (a), (b) or (c) above), or loaned to or hired for use by or on
behalf of the covered party, any person while using such automobile, and any
person or organization legally responsible for the use thereof, provided the
actual use is with the express permission of the covered party, but this
protection does not apply to:
1) Any person or organization, or any agent or employee thereof, operating
an automobile sales agency, repair shop, service station, storage garage
or public parking place, with respect to an occurrence arising out of the
operation thereof; or
2) The owner or any lessee, other than the covered party, of any
automobile hired by or loaned to the covered party or to any agent or
employee of such owner or lessee.
This agreement does not provide uninsured or underinsured motorist
coverage.
(f) Notwithstanding sections (d) and (e) above, the defense and indemnity
coverage afforded by this agreement to a past or present official, employee or
volunteer of a member entity (described in (a) or (b) above) is not broader
than the member entity's duty to defend and indemnify its official, employee
or volunteer pursuant to California Government Code sections 815 to 815.3,
825 to 825.6, and 995 to 996.6, inclusive and any amendments thereof. If the
member entity which employs the official, employee or volunteer is not
obligated under the Government Code to provide a defense, or to provide
indemnity, for a claim, or if said member entity refuses to provide such
defense and/or indemnity to said official, employee or volunteer, then this
agreement shall not provide for any such defense or indemnity coverage to
said official, employee or volunteer. All immunities, defenses, rights and
privileges afforded to a member entity under Government Code sections 815
to 815.3, 825 to 825.6, and 995 to 996.6, inclusive and any amendments
thereof, shall be afforded to the Authority to bar any defense or indemnity
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L ffective: 01-101/7013
3
coverage under this agreement to that member entity's official, employee or
volunteer.
(g) No person or entity is a covered party with respect to the conduct of any
current or past partnership, joint venture or joint powers authority unless all
members are covered parties under (a) or (b) herein. However, for any
person (1) who is an official, employee, or volunteer of an entity covered by
(a) or (b) herein, (2) who participates in the activities of any partnership, joint
venture or joint powers authority (or any separate agency or entity created
under any joint powers agreement by the named entity), and (3) who is acting
for or on behalf of an entity covered by (a) or (b) herein at the time of the
occurrence, then coverage is afforded by this agreement. Such coverage will
be in excess of and shall not contribute with any collectible insurance or other
coverage provided to the other joint powers authority, agency or entity.
(9) Dam means any artificial barrier, together with appurtenant works, which does or
may impound or divert water, and which either (a) is 25 feet or more in height from
the natural bed of the stream or watercourse at the downstream toe of the barrier, or
from the lowest elevation of the outside limit of the barrier, if it is not across a
stream, channel or watercourse, to the maximum possible water storage elevation;
or (b) has an impounding capacity of 50 acre-feet or more.
Any such barrier which is not in excess of 6 feet in height, regardless of storage
capacity, or which has a storage capacity not in excess of 15 acre-feet, regardless of
height, shall not be considered a dam.
No obstruction in a canal used to raise or lower water therein or divert water
therefrom, no levee, including but not limited to a levee on the bed of a natural lake
the primary purpose of which levee is to control floodwater, no railroad fill or
structure, and no road or highway fill or structure, no circular tank constructed of
steel or concrete or both, no tank elevated above the ground, and no barrier which is
not across a stream charnel, watercourse, or natural drainage area and which has
the principal purpose of impounding water for agricultural use shall be considered a
dam.
No obstruction in the channel of a stream or watercourse which is 15 feet or less in
height from the lowest elevation of the obstruction and which has the single
purpose of spreading water within the bed of the stream or watercourse upstream
from the construction for percolation underground shall be considered a dam.
The levee of an island adjacent to tidal waters in the Sacramento -San Joaquin
Delta, as defined in California Water Code section 12220, even when used to
impound water, shall not be considered a dam and the impoundment shall not be
considered a reservoir if the maximum possible water storage elevation of the
A4emorancfum of Coverage
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4
impounded water does not exceed four feet above mean seal level, as established by
the United States Geological Survey 1929 datum.
No noneircular tank, constructed of steel or concrete, or both, that is constructed in
a county of the third class by a public agency, under the supervision of a civil
engineer registered in the state, that does not exceed 75 acre feet in capacity or 30
feet in height, and no barrier that is not across a stream channel, watercourse, or
natural drainage area and that has the principal use as a sewage sludge drying
facility shall be considered a dam.
Nor shall any impoundment constructed and utilized to hold treated water from a
sewage treatment plant be considered a dam. Nor shall any wastewater treatment or
storage pond exempted from state regulation and supervision by California Water
Code section 6025.5 be considered a dam.
10) Damages means compensation in money recovered by a party for loss or detriment
it has suffered through the acts of a covered party. Damages include (1) attorney
fees not based on contract awarded against the covered party, (2) interest on
judgments, or (3) costs, for which the covered party is liable either by adjudication
or by compromise with the written consent of the Authority, if the fees, interest or
costs arise from an occurrence to which this coverage applies. Damages also
include reasonable attorney fees and necessary litigation expenses incurred by or for
a party other than the covered party, which are assumed by the covered party in a
covered indemnity contract where such attorney fees or costs are attributable to a
claim for damages covered by this Memorandum.
Damages with respect to employment practices liability shall not include those
sums owed by a covered party as contract damages, any wages, salary, or benefit
owed for work actually performed, or (whether prospective or retrospective)
resulting from promotion or reinstatement, or any damages owing under an express
contract of employment or an express obligation to make severance payments in the
event of termination of employment.
Damages with respect to employment practices liability also shall not include
amounts awarded under a labor grievance or arbitration pursuant to a collective
bargaining agreement, nor sums paid pursuant to any judgment or agreement,
whether injunctive or otherwise, to undertake actions to correct past discriminatory
or unlawful conduct or to establish practices or procedures designed to eliminate or
prevent future discriminatory or other unlawful conduct, or any non -monetary
relief.
11) Defense costs means all fees and expenses incurred by any covered party; caused
by and relating to the adjustment, investigation, defense or litigation of a claim to
which this coverage applies, including attorney fees. Defense costs shall include
adjusting expenses of a third party claims administrator which are specifically
identifiable with a claim subject to this coverage.
,'Memorandum of Coverage
Efjeca ve: 07,101/2013
5
Defense costs shall not include:
(a) the office expenses, salaries of employees or officials, or expenses of the
covered party or the Authority;
(b) any fee or expense relating to coverage issues or disputes between the
Authority and any covered party; or
(c) attorney fees, interest on judgments, or costs awarded to a prevailing plaintiff
against the covered party.
12) Discrimination means an act or failure to act with respect to any present or former
employee or applicant for employment with regard to compensation, terms,
conditions, privileges or opportunities of employment because of race, color,
religion, age, sex, disability, pregnancy, national origin, sexual orientation, or other
protected category or characteristic established pursuant to any applicable federal,
state or local statute or ordinance.
13) Employee means a person whose labor or services is engaged and directed by a
covered party described in definition 8 (a), (b) or (c) above. This includes part-
time, seasonal, and temporary labor or services, as well as any person employed in a
supervisory, managerial or confidential position. Employee shall not include an
independent contractor, volunteer or agent, and shall not include any person
performing work pursuant to a court order in lieu of a fine or jail sentence.
14) Employment Practices Liability means liability arising from discrimination,
sexual harassment, and/or wrongful termination claimed by an employee, former
employee or applicant for employment of a covered party.
15) Limit of coverage shall be the amount of coverage stated in the declaration page or
certificate of coverage for each covered party per occurrence, subject to any lower
sublimit stated in this Memorandum. For each occurrence, there shall be only one
limit of coverage regardless of the number of claimants or covered parties against
whom a claim is made. If the covered parties have different limits of coverage, the
highest limit for any party found liable by a final judgment will apply.
16) Marina means facilities which include floating docks, boat berthing spaces, marine
fueling operations, marine repair facilities, storage facilities for boats and other
related marine materials, and other related facilities in which berthing spaces are
leased or rented to members of the public for berthing of their private boats. Marina
includes all of such facilities beyond locking gates, fences or barriers barring access
to non -lessees and within waterways enclosed by any breakwater or similar
structure, and any repair and storage facilities wherever located.
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17) Medical malpractice means the rendering of or failure to render any of the
following services:
(a) medical, surgical, dental, psychiatric, psychological counseling, x-ray or
nursing service or treatment or the furnishing of food or beverages in
connection therewith; or any services provided by a health care provider as
defined in section 6146 (c), (2), (3) of the California Business and
Professions Code.
(b) furnishing or dispensing of drugs or medical, dental or surgical supplies or
appliances.
Medical malpractice does not include first aid administered by employees, nor does
it include advice or services rendered by a 911 emergency dispatcher.
18) Member Entity means a signatory to the JPA Agreement creating the California
Joint Powers Risk Management Authority.
19) Nuclear material means source material, special nuclear material, or byproduct
material. "Source material', "special nuclear material", and "byproduct material"
have the meanings given to them by the Atomic Energy Act of 1954 or in any law
amendatory thereof.
20) Occurrence means:
(a) with respect to bodily injury or property damage: an accident, including
continuous or repeated exposure to substantially the same generally harmful
conditions, which results in bodily injury or property damage neither
expected nor intended from the standpoint of the covered party. Property
damage that is loss of use of tangible property that is not physically injured
shall be deemed to occur at the time of the occurrence that caused it.
(b) with respect to personal injury, public of errors and omissions liability
and employment practices liability, respectively: an offense described in the
definitions of those terms in this coverage agreement.
21) Personal injury means injury, other than bodily injury, arising out of one or more
of the following offenses:
(a) false arrest, detention or imprisonment, or malicious prosecution;
(b) wrongful entry into, or eviction of a person from, a room, dwelling or
premises that the person occupies;
(c) publication or utterance of material that slanders or libels a person or
organization or disparages a person's or organizations goods, products or
'Venorandum of Coverage
,&ctive: 07101/2013
services, or oral or written publication of material that violates a person's
right of privacy.
(d) discrimination or violation of civil rights.
(e) injury resulting from the use of reasonable force for the purpose of protecting
persons or property.
22) Pollutants means any solid, liquid, gaseous or thermal irritant or contaminant,
including smoke, vapor, soot, fumes, acids, alkalis, chemicals, airborne particles or
fibers, asbestos, lead and waste. Waste includes material to be recycled,
reconditioned or reclaimed. The term pollutants as used herein does not mean
potable water, agricultural water, water furnished to commercial users or water used
for fire suppression.
23) Property damage means:
(a) physical injury to tangible property, including all resulting loss of use of that
property; or
(b) loss of use of tangible property that is not physically injured or destroyed.
24) Public officials errors and omissions means any actual or alleged misstatement or
misleading statement or act or omission by any covered party (individually or
collectively) arising in the course and scope of their duties with the covered party
or claimed against them solely by reason of their being or having been public
officials or employees, and which results in damage neither expected nor intended
from the standpoint of the covered party.
25) Retained limit means the amount, identified in the applicable declaration or
certificate of coverage, of ultimate net loss which the member entity must incur or
become liable for before the Authority is obligated to make any payment, subject to
the following:
(a) For each occurrence, there shall be only one retained limit regardless of the
number of claimants or covered parties against whom a claim is made. If the
covered parties have different retained limits, the lowest retained limit of any
party found liable will apply. Payment of the retained limit shall be
apportioned among the covered parties in accordance with their proportionate
shares of liability.
(b) If the payment is for a settlement, the retained limit shall be apportioned
among the covered parties, in accordance with the respective parties' agreed
upon or court -determined share of liability. In the event that the
apportionment requires court determination, the covered parties will pay all
costs of the California Joint Powers Risk Management Authority in seeking
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Effective: 07/01/2013
8
adjudication or by compromise with the written consent of the Authority, arising
from an occurrence to which this coverage applies. However, ultimate net loss
does not include defense expenses incurred by the Authority after the Authority
assumes control of the negotiation, investigation, defense, appeal or settlement of
any claim or proceeding. Ultimate net loss also does not include attorneys fees or
costs awarded to the prevailing party in a suit except where such attorneys fees or
costs are attributable to a claim for compensatory damages covered by this
Memorandum.
28) Wrongful termination means termination of an employment relationship in a
manner which is against the law and wrongful or in breach of an implied agreement
to continue employment.
SECTION III - DEFENSE AND SETTLEMENT
The Authority shall have no duty to assume charge of investigation or defense of any
claim. However, the Authority, at its own expense, shall have the right to assume the
control of the negotiation, investigation, defense, appeal or settlement of any claim which
the Authority determines, in its sole discretion, to have a reasonable possibility of
resulting in an ultimate net loss in excess of the applicable retained limit. The covered
party shall fully cooperate in all matters pertaining to such claim or proceeding.
If the Authority assumes the control of the handling of a claim, the covered parties shall
be obligated to pay at the direction of the Authority any sum necessary for the settlement
of a claim, or to satisfy liability imposed by law, up to the applicable retained limit.
No claim shall be settled for an amount in excess of the retained limit without the prior
written consent of the Authority and the Authority shall not be required to contribute to
any settlement to which it has not consented.
SECTION IV - THE AUTHORITY'S LIMIT OF COVERAGE
The limit of coverage is the most the Authority will pay for ultimate net loss arising out of
any occurrence, and the amount payable for ultimate net loss under this agreement shall
be reduced by the amount of the retained limit. (For example, if the covered party has a
$40,000,000 limit of coverage and a $500,000 retained limit, the Authority will pay not
more than $39,500,000 after exhaustion of the retained limit.) For each occurrence, there
shall be only one limit of coverage regardless of the number of claimants or covered
parties against whom a claim is made. The limit of coverage for an additional covered
party (including its officials, employees and volunteers) shall be the limit stated in its
additional covered party certificate, regardless of the limit that applies to the member
entity.
Where this Agreement, or an endorsement or declaration, lists a "sublimit," that sublimit
operates as the limit of coverage. (For example, if the covered party has a $2,000,000
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Elfeclive: 07/01!2013
10
sublimit and a $1,000,000 retained limit, the Authority will pay not more than $1,000,000
after exhaustion of the retained limit.)
Should it appear to the Board of Directors that the total exposure for all claims in a
program year may exceed a general aggregate limit for Pool D, the aggregate limit will be
prorated between the member entities, on the basis of the member entities' respective
premium contributions for the program year at issue. For purposes of determining
whether the aggregate limit has been exhausted, the Board retains full discretion
regarding placement of reserves, and payment of claims in order to equitably allocate the
general aggregate limit. Once the general aggregate limit for such claims occurring
during a program year has been exhausted, the Authority will have no further obligation
to pay for covered ultimate net loss for such claims within Pool D, but this will not limit
coverage which may be available within Pools B or C.
EPL Sublimit
A sublimit applies to employment practices liability. For any claims arising out of
employment practices liability, the limit of coverage will be $8,000,000 per occurrence.
All allegations by an employee or former employee or applicant for employment in the
same claim shall be considered as one occurrence for the purpose of the limit of
coverage. All claims by all employees or former employees or applicants for employment
arising from the same act, policy, or course of conduct by a covered party shall be
considered as one occurrence for the purpose of the limit of coverage. All claims which
allege employment practices liability for occurrences extending to a duration of more
than one coverage period shall be treated as a single occurrence arising during the first
coverage period when the occurrence begins.
This sublimit for employment practices liability will further be subject to an annual
aggregate limit, so that the $8,000,000 limit of coverage is the most the Authority will pay
for all ultimate net loss arising out of employment practices liability for any covered party
(inclusive of its employees, commissions, agencies, districts, authorities or boards), as
defined in Section II(8)(a) or (b) for any coverage year.
Subsidence Sublimit
For bodily injury, property damage or personal injury arising out of the subsidence of
land or earth, the sublimit will be $5,000,000 per occurrence.
Fungal Pathogens Sublimit/Aureuate Limit
A sublimit applies to any loss, cost or expense directly or indirectly arising out of or
related to exposure to "fungal pathogens," whether or not there is another cause of loss
that may have contributed concurrently or in any sequence to the loss. The sublimit will
be $10,000,000 per occurrence, subject also to a $5,000,000 annual aggregate collectively
in Pool D only, for all covered parties. The designated general aggregate limit of
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Effeeli ve: 0 710 1/2 0 1 3
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$5,000,000 is the most the Authority will pay from Pool D because of such claims for all
covered parties, combined, in any program year.
"Fungal pathogens" as used herein, shall mean any fungus or mycota or any byproduct or
type of infestation produced by such fungus or mycota, including, but not limited to,
mold, mildew, mycotoxins, spores or any biogenic aerosols.
Sexual Abuse — Daycare Operations Sublimit/Aggrevte Limit
A sublimit applies to "sexual abuse" arising out of daycare operations. The sublimit will
be $10,000,000 per occurrence, subject also to a $5,000,000 annual aggregate collectively
in Pool D only, for all covered parties. The designated general aggregate limit of
$5,000,000 is the most the Authority will pay from Pool D because of such claims for all
covered parties, combined, in any program year. All claims based on or arising out of
"sexual abuse" as respects daycare operations by the covered party's employee and/or
volunteer, or more than one of the covered party's employees and/or volunteers acting in
concert, will be considered as arising out of one occurrence regardless of:
(1) the number of persons sexually abused;
(2) the number of locations where the sexual abuse occurred;
(3) the number of acts of sexual abuse; or
(4) the period of time over which the sexual abuse took place.
An occurrence which extends to a duration of more than one coverage period shall be
treated as a single occurrence arising during the first coverage period when the occurrence
began.
As used herein, "sexual abuse" means any actual or alleged criminal sexual conduct of a
person or persons acting in concert, which causes physical and/or mental injuries.
"Sexual abuse" includes sexual molestation, sexual assault, sexual exploitation or sexual
injury.
Terrorism Sublimit/Aggregate Limit
A sublimit applies to any loss, cost or expense directly or indirectly arising out of any act
or multiple, related acts of terrorism, regardless of any other cause or event contributing
concurrently or in sequence to the loss. The sublimit will be $10,000,000 per occurrence,
subject also to a $5,000,000 annual aggregate collectively in Pool D, only, for all covered
parties. The designated general aggregate limit of $5,000,000 is the most the Authority
will pay from Pool D because of such claims for all covered parties, combined, in any
prograin year
As used in this sublimit, "terrorism" shall mean any activity that:
,Memorandum ofCoverage
EQJecrive: 07101201 3
12
(1) is declared by any authorized governmental official to be or to involve
"terrorism," terrorist activity or acts of terrorism; or,
(2) includes, involves or is associated with the use or threatened use of force,
violence or harm to human life, tangible or intangible property, the
environment, natural resources, or the infrastructure or includes, involves
or is associated with, in whole or in part, the use or threatened use of, or
release or threatened release of, any biological, chemical, radioactive or
nuclear agents, materials, devices or weapons, and
(3) is intended, in whole or in part, to (i) intimidate, coerce, or frighten a
civilian population; or (ii) disrupt or interfere with any segment of a local,
national or global economy; or (iii) influence, disrupt or interfere with any
government related operations, activities or policies; or (iv) promote,
further or express opposition to any political, ideological, racial, ethnic,
social or religious cause or objective.
Airports, Pollution, and Property of a Covered Party Sublimits/AgreSate Limits
Exclusions 2 (Airports), 27 (Pollution) and 29 (Property of a Covered Party) contain
additional sublimits/aggregate limits.
SECTION V - COVERAGE PERIOD AND TERRITORY
This agreement applies to bodily injury, personal injury, property damage, public
officials errors and omissions and employment practices liability which occurs anywhere
in the world during the coverage period identified in the applicable declaration or
certificate of coverage.
SECTION VI - EXCLUSIONS
(Captions provided for the exclusions are descriptive only and do not serve to either
expand or limit coverage.)
This agreement does not apply to:
1) Aircraft
Claims arising out of the ownership, operation, use, maintenance or entrustment to
others of any aircraft by a covered party. "Ownership, operation, use or
maintenance" as used herein does not include static displays of aircraft in a park or
museum setting.
2) Airports
Claims arising out of ownership, maintenance, management, supervision or the
condition of any airport. However, this exclusion does not apply to public officials
errors and omissions or employment practices liability coverage arising from the
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13
ownership, maintenance, management, supervision or the condition of any airport.
Notwithstanding what is stated in the applicable declarations, public officials errors
and omissions coverage described in this exception will be subject to a sublimit of
$5,000,000.
3) Airshows
Claims arising out of any air show sponsored or controlled by the covered party.
4) Bid Specifications/Cost Overruns
(a) Claims arising out of estimates of probable cost or cost estimates being
exceeded or faulty preparation of bid specifications or plans including
architectural plans.
(b) Mechanic's lien claims, stop notice claims, change order claims, or similar
claims by contractors for the value of services or materials provided; this
exclusion extends to such claims however denominated, including claims of
breach of oral or written contract, third -party beneficiary claims, quantum
meruit claims, and/or open account claims.
5) Contractual Obligations
Claims arising out of:
(a) a failure to perform or breach of a contractual obligation; or
(b) bodily injury or property damage for which the covered parry is obligated to
pay damages by reason of the assumption of liability in a contract or
agreement. This exclusion does not apply to liability for damages:
1) assumed in a contract or agreement that is a covered indemnity
contract, provided the bodily injury or property damage occurs
subsequent to the execution of the contract or agreement; or
2) that the covered party would have in the absence of the contract or
agreement.
Notwithstanding this exclusion, the General Manager (or Board President or Vice
President, in the absence of the General Manager) is granted authority to approve
settlements involving promises to indemnify a co-defendant as part of the
settlement. Any funds recovered from a co-defendant under such an agreement
must be applied to ultimate net loss in addition to the retained limit before
CJPRMA coverage is triggered.
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Ef fecu ve: 07101112013
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6) Damages Other Than Money
Ultimate net loss arising out of relief, or redress, in any form other than money
damages.
7) Dams
Claims arising out of partial or complete structural failure of a dam owned or
operated by a covered party.
8) Defamation
Claims arising out of oral or written publication of material, if done by or at the
direction of the covered parry with knowledge of its falsity.
9) Employment Liability
Bodily injury to:
(a) an employee of the covered party arising out of and in the course of:
1) employment by the covered parry; or
2) performing duties related to the conduct of the covered party's
business.
(b) the spouse, child, unborn child or fetus, parent, brother or sister of the
employee as a consequence of paragraph (a) above.
This exclusion applies to any obligation to share damages with or repay someone
else who must pay damages because of the injury except under a covered indemnity
contract.
This exclusion applies whether the covered party may be liable as an employer or
in any other capacity.
10) Employment Practices — Labor Disputes
Under employment practices liability, to any potential or actual liability arising out
of a lockout, strike, picket line, replacement or other similar action in connection
with labor disputes or labor negotiations.
1 1) Employment Practices — Workers' Adjustment and Retraining
Under emplovment practices liability, to any liability arising out of the Workers'
Adjustment and Retraining Notification Act, Public Law 100-379 (1988), or any
amendment thereto, or any similar federal, state or local law.
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12) Elected Officials — Employees - Restitution
Claims by any covered party against its own past or present elected or appointed
officials, employees or volunteers, where such claim seeks damages or restitution
payable to the covered party.
13) Employee Benefit Plans
Benefits payable under any employee benefit plan (whether the plan is voluntarily
established by the covered party or mandated by statute) because of unlawful
discrimination.
This exclusion applies whether the covered party may be liable as an employer or
in any other capacity.
14) Employment Benefits
Any obligation under any workers' compensation, unemployment compensation or
disability benefits law or any similar law.
This exclusion applies whether the covered party may be liable as an employer or
in any other capacity.
15) ERISA
Claims arising out of the Employee Retirement Income Security Act of 1974 or any
law amendatory thereof, or any similar law or liability arising out of fiduciary
activities as respects employee benefits plans.
16) Failure to Supply
Claims arising out of the failure to supply or provide an adequate supply of gas,
water, electricity, storm drainage or sewage capacity when such failure is a result of
the inadequacy of the covered party s facilities to supply or produce sufficient gas,
water, electricity, storm drainage or sewage capacity to meet the demand. This
exclusion does not apply if the failure to supply results from direct and immediate
accidental damage to tangible property owned or used by any covered party to
procure, produce, process or transmit the gas, water, electricity, storm drainage or
sewage.
17) Fines, Penalties, Punitive Damages
Fines, assessments, penalties, restitution, disgorgement, exemplary or punitive
damages. This exclusion applies whether the fine, assessment, penalty, restitution,
disgorgement, exemplary or punitive damage is awarded by a court or by an
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Effective: 07101,12013
16
administrative or regulatory agency. "Restitution" and "disgorgement" as used
herein refer to the order of a court or administrative agency for the return of a
specific item of property or a specific sum of money, because such item of property
or sum of money was not lawfully or rightfully acquired by the covered parry.
18) Firing Ranges
Claims arising out of the private use of a firing range owned, operated or
maintained by a covered party where such private use is sanctioned by the covered
party, except where such use is by a covered individual as defined in definition (8)
(d). This exclusion does not apply to such private use where all of the following
conditions are met:
(a) A qualified range master is present at all times while the firing range is being
utilized;
(b) The firing range is only provided for the additional use of law enforcement
divisions of other public agencies, and police academies, herein defined as
California P.O.S.T. (Peace Officers Standards & Training) Certified Basic
Academies;
(c) Any agency using the firing range has provided an indemnification agreement
which assumes full responsibility by the user agency for all liability arising
out of their activities; and
(d) The user agency has provided liability coverage in an amount of not less than
$1,000,000 and has also provided a certificate of coverage which names the
CJPRMA member as an additional covered party.
19) Hospitals
Claims arising out of ownership, maintenance, management, supervision or the
condition of any hospital.
20) Intentional Conduct
Claims for injury or damages caused by intentional conduct done by the covered
party with willful and conscious disregard of the rights or safety of others, or with
malice. However, where the covered parly did not authorize, ratify, participate in,
consent to, or have knowledge of such conduct by its past or present employee,
elected or appointed official, or volunteer, and the claim against the covered party
is based solely on its vicarious liability arising from its relationship with such
employee, official or volunteer, this exclusion does not apply to said covered party.
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21) Jumping/Propellin2 Activities
Claims arising out of bungee jumping or propelling activities sponsored, controlled
or authorized by a covered party.
22) Land Use
Claims arising out of or in connection with land use regulation, land use planning,
the principles of eminent domain, condemnation proceedings or inverse
condemnation by whatever name called, and whether or not liability accrues
directly against any covered party by virtue of any agreement entered into by or on
behalf of any covered party.
23) Marinas
Claims arising out of-
(a)
f
(a) or connected with property damage to private vessels or craft while present at
or in a marina owned, operated or controlled by a covered party whether or
not the vessel or craft is docked, moored or underway; or
(b) bodily injury or property damage occurring on, in or about any boat owned or
operated by the covered party (whether such vessel is being operated or has
broken away from any dock or mooring) while present at or in a marina
owned, operated or controlled by a covered party.
24) Medical Malpractice
Claims arising out of any professional medical malpractice (1) committed by a
doctor, osteopath, chiropractor, dentist or veterinarian, or (2) committed by any
health care provider (as defined in Business & Professions Code Section 6146(c)
(2)) working for any hospital or hospital operated out-patient, in-patient or other
clinic at the time of the occurrence giving rise to the loss. This exclusion shall not
apply, however, to any injury arising out of emergency medical services rendered or
which should have been rendered to any person or persons during the coverage
period by any duly certified emergency medical technician, paramedic, or nurse
who is employed by or acting on behalf of any member entity to provide such
services, but is not employed at a hospital, clinic or nursing home facility.
25) Multi Passenger Vehicles
Claims arising out of the ownership, operation, maintenance or use of any vehicle
(1) with over 30 passengers seats or carrying over 30 passengers and (2) which is
owned, operated, maintained or used by any transit authority, transit system or
public transportation system owned or operated by or on behalf of the covered
party.
Memorandum of'Coverage
g ective. 07,/01/2013
18
26) Nuclear Material
Claims arising out of the hazardous properties of nuclear material.
27) Pollution
Claims which would not have occurred in whole or in part but for the actual,
alleged or threatened discharge, dispersal, seepage, migration, release or escape of
pollutants at any time.
(a) This exclusion does not apply to fire fighting activities, including training
burns, or intentional demolition or burns for the purpose of limiting a fire, or
the discharge of pollutants for the purpose of controlling a fire; or to police
use of mace, oleoresin capsicum (O.C.), pepper gas or tear gas; or to weed
abatement or tree spraying.
(b) This exclusion does not apply to claims arising from sudden and accidental
sewer backups. Notwithstanding what is stated in the applicable declarations,
the limit of coverage for claims described in this exception will be subject to
a sublimit of $5,000,000.
(c) This exclusion does not apply to claims arising from the sudden and
accidental discharge, dispersal, release, or escape of chlorine and other
chemicals (gas, liquid or solid) which are being used or being prepared for
use in fresh or wastewater treatment or in water used in swimming pools,
wading pools or decorative fountains. Notwithstanding what is stated in the
applicable declarations, the limit of coverage for claims described in this
exception will be subject to a sublimit of $5,000,000.
(d) This exclusion does not apply to claims arising from materials being collected
as part of any drop-off or curbside recycling program implemented and
operated by the covered party; if the materials have not been stored by the
covered party or parties for a continuous period exceeding ninety (90) days.
Notwithstanding what is stated in the applicable declarations, the limit of
coverage for claims described in this exception will be subject to a sublimit
of $5,000,000.
(e) This exclusion does not apply to sudden and accidental discharges of
pollutants occurring during the transportation or deposit of materials as part
of garbage collection activities. However, the exclusion does apply after
pollutants have been deposited at a landfill or garbage dump.
(f) This exclusion does not apply to bodily injury or property damage arising
from activities of the covered party to test for, monitor, clean up, remove,
contain, treat, detoxify or neutralize pollutants, but this exception will not
Memorandum ofCoverage
Effective: 071011,1013
19
apply to bodily injury or property damage caused by pollutants on or arising
from premises, equipment or locations under the control of the covered party.
(g) This exclusion does not apply to sudden and accidental discharges of
pollutants from premises owned or controlled by a Covered Party as
described in Definition 8(a) or (b) if the discharge is discovered within ten
(10) days of the occurrence and reported to the Authority within thirty (3 0)
days of discovery. Notwithstanding what is stated in the applicable
declarations, the limit of coverage for claims described in this exception will
be subject to a sublimit of $5,000,000.
As used in paragraphs (b), (c), (e) and (g) above, "sudden" means abrupt or
immediate, and occurring within a period not exceeding twenty-four (24) hours;
"accidental" means causing harm neither expected nor intended by a covered party.
Notwithstanding what is stated in the applicable declarations, any liability arising
out of the actual, alleged or threatened exposure to asbestos or lead, which is
covered by an exception within this exclusion, shall be subject to a sublimit of
$5,000,000.
28) Pollution Clean Up
Any loss, cost or expense, including defense costs, arising out of any:
(a) request, demand or order that any covered party or others test for, monitor,
clean up, remove, contain, treat, detoxify or neutralize, or in any way respond
to, or assess the effects of pollutants; or
(b) claim or suit by or on behalf of a governmental authority for damages
because of testing for, monitoring, cleaning up, removing, containing,
treating, detoxifying or neutralizing, or in any way responding to, or assessing
the effects of pollutants.
29) Property of a Covered Party
Property damage to:
(a) property owned by the covered party;
(b) property rented to or leased to the covered party where it has assumed
liability for damage to or destruction of such property, unless the covered
party would have been liable in the absence of such assumption of liability;
or
(c) aircraft or watercraft in the covered party's care, custody or control.
A4emorandum of Coverage
Ef)ective: 07/0112013
20
Notwithstanding what is stated in the applicable declarations, the limit of coverage
for any property damage not excluded by the language of this exclusion, but which
is described in the care, custody or control hazard, shall be subject to a general
aggregate limit within Pool D only. The designated general aggregate limit of
$5,000,000 is the most the Authority will pay from Pool D for all ultimate net loss
described in the care, custody or control hazard for all covered parties, combined,
in any program year.
30) Public Officials Errors & Omissions — Fiduciary Liability
Under public officials errors and omissions coverage, claims (including emotional
distress claims) arising from the covered party's activities in a fiduciary capacity
including but not limited to those with respect to: (a) property, including related
operations, in which the covered party is acting in a fiduciary or representative
capacity; (b) a pension, welfare, profit sharing, mutual or investment trust fund or
trust, benefit plan or similar activity in a fiduciary capacity; (c) the issuance,
management of proceeds or repayment of bonds, notes or other debt instruments by
any insured or any agent acting on behalf of such insured; or (d) the purchase,
transfer or sale of any securities by any insured or agent acting on behalf of such
insured.
31) Public Officials Errors & Omissions — Bodily Injury or Property Damage
Under public officials errors and omissions coverage, bodily injury, personal
injury, or physical injury to tangible property, including all resulting loss of use of
that property.
32) Racing Contests
Claims arising out of automobile or motorcycle drag racing, speed racing, or similar
speed contests sponsored, controlled or participated in by a covered parry.
33) Reasonable Accommodation
Any expense or cost incurred by a covered party arising from reasonable
accommodation of any disabled person, including any employee.
34) Refunds/Restitution
Refund or restitution of taxes, fees or assessments.
35) Reimbursement of Money
Claims for refund, reimbursement or repayment of any monies to which a covered
party was not legally entitled.
Afemorandum of Coverage
ffecti vc: 07/01/2013
21
36) Transit Authorities
Claims arising out of the operation of vehicles by or on behalf of any transit
authority, transit system, or public transportation system owned or operated by a
covered party, unless the vehicles are owned or leased by the covered party and
driven, maintained, and supervised by employees of the covered party. However,
this exclusion does not apply to public officials errors and omissions coverage
arising from the operation of any transit authority, transit system, or public
transportation system.
37) Tumbling Devices
Claims arising out of the ownership, maintenance or use of any trampoline or any
other rebound tumbling device.
38) Uninsured/Underinsured Motorists
Uninsured or underinsured motorist coverage.
39) Watercraft
For any motorized watercraft owned, operated, rented, or loaned to a covered party,
to (1) bodily injury or property damage arising out of the use of watercraft unless
such use is by an entity employee acting within the course and scope of
employment; and (2) to watercraft being used to carry persons or property for a
charge. Charge, as used herein, includes any payment or fee, including a donation.
Use includes operation and loading or unloading. Use does not include static
displays of watercraft.
40) Willful Violation of Statute
Claims arising out of the willful violation of a statute or ordinance committed by
the covered party or with its consent.
SECTION VII - CONDITIONS
1) Covered party's Duties in the Event of Occurrence, Claim or Suit
(a) The covered party shall notify the Authority within 30 days upon receipt of
notice of a claim, or the setting of a reserve on any claim or suit including
multiple claims or suits arising out of one occurrence, such claim or reserve
amounting to fifty percent or more of the retained limit; Title 42 USC 1983
cases in which a complaint has been served and the plaintiff is represented by
legal counsel or with reserves of twenty-five percent or more of the retained
limit; or regardless of reserve, any claim involving:
Memorandum of Coverage
Effective: 0 7/0 /12 0 1 3
22
I ) one or more fatalities;
2) loss of a limb;
3) loss of use of any sensory organ;
4) quadriplegia or paraplegia;
5) third degree burns involving ten percent or more of the body;
6) serious facial disfigurement;
7) paralysis; or
8) closed head injuries.
Written notice containing particulars sufficient to identify the covered party
and also reasonably obtainable information with respect to the time, place and
circumstances thereof, and the names and addresses of the covered party and
of available witnesses, shall be given by or for the covered party to the
Authority or any of its authorized agents as soon as possible.
(b) The covered party shall notify the Authority within 30 days upon receipt of
lawsuit containing allegations involving employment practices liability.
Where any lawsuit is reported after the 30 day period as required by this
provision, all defense costs incurred prior to the date of late reporting will not
constitute covered ultimate net loss eroding the self insurance retention. The
covered parties shall cooperate in an early review of employment practices
liability claims or suits with counsel appointed by the Authority at the
expense of the Authority.
(c) If claim is made or suit is brought against the covered party and such claim or
suit falls within the description in paragraph (a) above, the covered party
shall be obligated to forward to the Authority every demand, notice, summons
or other process received by it or its representative.
(d) The covered party shall cooperate with the Authority and upon its request
assist in making settlements, in the conduct of suits and in enforcing any right
of contribution or indemnity against any person or organization who may be
liable to the covered party because of bodily injury, personal injury, property
damage or public officials errors and omissions with respect to which
coverage is afforded under this Agreement; and the covered party shall attend
hearings and trials and assist in securing and giving evidence and obtaining
the attendance of witnesses.
(e) The Authority shall be entitled to complete access to the covered party's
claim file, the defense attorney's complete file, and all investigation material
and reports, including all evaluations and information on negotiations. The
covered party shall be responsible to report on the progress of the litigation
and any significant developments at least quarterly to the Authority, and to
provide the Authority with simultaneous copies of all correspondence
provided to the covered party by its defense attorneys andor agents.
Memorandum of Coverage
Effective: 0710112013
23
2) Action Against Authority/Subrogation
(a) No action shall lie against the Authority with respect to the coverages and
related provisions defined in the Memorandum of Coverage (Memorandum)
for the Automobile/General Liability Program unless, as a condition precedent
thereto, there shall have been full compliance with all of the terms of the
Memorandum, nor until the amount of the covered party's obligation to pay
shall have been finally determined either by judgment against the covered
parry after actual trial or by written agreement of the covered party, the
claimant and the Authority. Any person or organization or the representative
thereof who has secured such judgment or written agreement shall thereafter
be entitled to recover under said Memorandum to the extent of the coverage
afforded by said Memorandum. No person or entity shall have any right
under said Memorandum to join the Authority as a party to any action against
the covered party to determine the covered party's liability, nor shall the
Authority be impleaded by the covered party or its legal representative.
(b) The Authority shall be subrogated to the extent of any payment hereunder
(including all ultimate net loss incurred) to all the covered party's rights of
recovery thereof, and the covered party shall do nothing after loss to
prejudice such right and shall do everything necessary to secure such right.
Any amount so recovered shall be apportioned as follows:
1) The Authority shall be reimbursed first to the extent of its actual
payment thereunder. If any balance then remains unpaid, it shall be
applied to reimburse the covered party.
2) The expenses of all such recovery proceedings shall be apportioned in
the ratio of respective recoveries. If there is no recovery in proceedings
conducted by the Authority, it shall bear the expenses thereof.
3) Bankruptcy or Insolvency
Bankruptcy or insolvency of the covered party shall not relieve the Authority of any
of its obligations hereunder.
4) Other Coverage
If insurance or any other coverage with any insurer, joint powers authority or other
source respectively is available to the covered party covering a loss also covered
hereunder (whether on primary, excess or contingent basis), the coverage hereunder
shall be in excess of, and shall not contribute with, such other insurance or
coverage. This coverage shall be in excess of, and shall not contribute with, any
insurance or coverage designed to cover the operator of an automobile or
watercraft. This coverage shall be in excess of, and shall not contribute with, any
insurance or coverage which names a covered party herein as an additional covered
AWenorandum of Coverage
Effective: 07/01/2013
24
party or additional insured party, where coverage is extended to a loss also covered
hereunder.
This "other coverage" paragraph shall not operate to increase the covered party's
retained limit or the Authority's limit of coverage under this Memorandum because
of any coverage afforded to the covered party by the Employment Risk
Management Authority.
5) Severability of Interests
The term covered party is used severally and not collectively, but the inclusion
herein of more than one covered party shall not operate to increase the limits of the
Authority's liability or the retained limit applicable per occurrence.
6) Accumulation of Limits
An occurrence which extends to a duration of more than one coverage period shall
be treated as a single occurrence arising during the first coverage period when the
occurrence begins.
7) Termination
This Agreement may be terminated at any time in accordance with the Bylaws of
the Authority.
8) Changes
Notice to any agent or knowledge possessed by any agent of the Authority or by any
other person shall not affect a waiver or a change in any part of this Memorandum
of Coverage, nor shall the terms of this Memorandum of Coverage be waived or
changed, except by endorsement issued to form a part of this Memorandum of
Coverage.
9) Reduction of Limits
In the event of reduction or exhaustion of the retained limit applicable to the
covered party by reason of losses paid thereunder, this coverage shall (a) in the
event of reduction pay the excess of the reduced underlying retained limit, or (b) in
the event of exhaustion continue in force as underlying coverage. In no event shall
the coverage apply until the retained limit is exhausted through the payment of
defense costs, judgments and/or settlements to which the Authority has agreed.
10) Coverage Disputes
The General Manager shall make the initial determination whether to deny coverage
on all or part of a claim, or to reserve the Authority's right to deny coverage on all
or part of a claim, if a loss subsequently exceeds the retained limit.
Memorandum ofCovera�fe
E/fecti ve: 07/01/2013
25
A decision by the General Manager to deny coverage can be appealed to the Board
of Directors. Notice of such appeal shall be submitted in writing within thirty (30)
calendar days of the date of the General Manager's written notice of decision.
The appeal shall be considered by the Board of Directors at the next regular or
special meeting following receipt of the written appeal; if the appeal is received too
late for inclusion in the agenda packet, it can be postponed to the next following
Board meeting. The General Manger and the covered party will have the right to
submit written materials and present oral argument to the Board, subject to
reasonable time constraints.
Within sixty (60) days following any denial of coverage by the Board, the covered
party may request, in writing, that the Authority initiate a declaratory relief action in
Superior Court for a determination of the coverage matter. The declaratory relief
action shall be initiated in the County of the Authority's home office, unless the
Authority and covered party agree on a different venue.
Any determination by the Executive Committee, and by the Board of Directors if
the matter is appealed to the Board of Directors, whether a Covered Party has
breached parts (1)(a) or (b) of these Conditions concerning notice of a claim, and
any determination whether the Authority has been prejudiced by that breach, so that
this coverage does not apply, comes within the sole discretion of the Executive
Committee and Board of Directors, respectively. Such determinations shall be
conclusive, final and binding and shall not be the subject of any further review,
whether by declaratory relief action or otherwise.
Rlemorandum of Coverage
Effective: 07/01;2013
26
CALIFORNIA JOINT POWERS RISK MANAGEMENT
AUTHORITY
PROGRAM YEAR 2013-2014
ENDORSEMENT NO. 1
Exclusions number 25 (Multi -Passenger Vehicles) and 36 (Transit Authorities), set forth
in Section VI of the Memorandum of Coverage, are hereby modified by exempting
therefrom the member entity listed below:
The school bus system operated by the Esparto Unified School District (YCPARMIA).
This endorsement is issued to:
I. The Yolo County Public Agency Risk Management Insurance Authority
(YCPARMIA)
This endorsement forms a part of the Memorandum of Coverage for the program year
indicated above.
Effective date: July 1, 2013
i -
July 1, 2013
Date General Manager
CALIFORNIA JOINT POWERS RISK MANAGEMENT
AUTHORITY
PROGRAM YEAR 2013-2014
ENDORSEMENT NO. 2
Exclusion number 39 (Watercraft), set forth in Section VI of the Memorandum of
Coverage, is hereby modified by exempting therefrom The City of Lodi, subject to the
following conditions:
1) The exemption is applicable to the pontoon boats utilized for the City's
camera safari tours.
2) Everyone on the boats is required to wear Coast Guard approved floatation
devices.
3) A Coast Guard "Masters Limited" certification must be completed.
This endorsement is issued to: The City of Lodi
This endorsement for►ns a part of the Memorandum of Coverage for the program year
indicated above.
Effective date: July 1, 2013
July 1, 2013
Date General Manager
CALIFORNIA JOINT POWERS RISK MANAGEMENT
AUTHORITY
PROGRAM YEAR 2013-2014
ENDORSEMENT NO.3
With respect to any claims arising out of the ownership, maintenance, management,
supervision or the condition of port facilities owned or controlled by the parties named
below, there shall be no coverage in "Pool C" or "Pool D." Coverage in "Pool B" shall
be excess of, and shall not contribute with, any insurance or coverage provided to the
parties listed below by the insurer/coverage provider for any contractor (whether public or
private) under contract to operate or service the port facilities. But coverage in "Pool B"
shall not be excess of any insurance or coverage provided by or through the California
Association of Port Authorities, the U.S. Ports & Terminal Operators Risk Purchasing
Group, and shall instead apply (in excess of YCPARMIA's coverage) to satisfy part of
the $1 million Self Insured Retention under CAPA coverage.
This endorsement is issued to: The Yolo County Public Agency Risk Management
Insurance Authority (YCPARMIA), and its member, the City of West Sacramento.
This endorsement forms a part of the Memorandum of Coverage for the program year
indicated above.
Effective date: July 1, 2013
July 1, 2013
Date General Manager
CALIFORNIA JOINT POWERS RISK MANAGEMENT AUTHORITY
PROGRAM YEAR 2013-2014
ENDORSEMENT NO.4
With respect to bodily injury or property damage arising out of, and caused by, a "Special
Event," the Retained Limit stated in the Declarations Page is amended to $25,000.
For purposes of this Endorsement, "Special Event" means an event described below for
which a third party ("Event Sponsor"), by written contract (including by permit
agreement executed by the Event Sponsor), agrees to use facilities of the Covered Party
for a specified period of time and activity, and agrees by the contract to indemnify and
hold harmless the Covered Party from risk of loss arising from the event.
The indemnity and hold harmless agreement must provide that the Event Sponsor "agrees
to indemnify and hold harmless [covered party] and its agents and employees from and
against any injury, damage, claims, actions or suits arising out of the [Special Event],
including those caused by negligence of the parties being indemnified and/or any
dangerous condition of property of the parties being indemnified, and further agrees to
defend and indemnify [covered party] from and against any injury, damage, claims,
actions or suits arising out of or connected with the [special event]."
"Special event" includes:
1. Aerobics — Jazzercize demonstrations
2. Animal Acts/Shows (not Zoos or Circuses)
3. Antique Shows
4. Art Festivals
5. Art Shows
6. Auctions
7. Automobile Shows
S. Awards Presentations
9. Ballets
10. Banquets
11. Bazaars
12. Beauty Pageants
13. Bingo/Casino games
14. Block Parties, including those with Street Closures
15. Boat Shows
16. Body Building Contests
17. Business Meetings
18. Business Shows
19. Carnivals (not including mechanized rides)
20. Casino and Lounge Shows
21. Charity benefits, auctions and sales; fund raisers
22. Civic clubs and group meetings
23. Community Fairs
24. Concerts with total attendance of less than 1500
25. Consumer Shows
26. Conventions in Buildings
27. Craft Shows
28. Dance Shows/Recitals
29. Dances and Parties (except with Rap or Heavy Metal)
30. Debutante Balls
31. Dinncr Theater
32. Dog Shows
33. Drill Team exhibitions
34. Eductational exhibitions
35. Electornics Conventions
36. Ethnic Fairs or Celebrations
37. Evangelistic meetings
38. Expositions
39. Farmers' Markets
40. Fashion Shows
41. Fishing Shows or contests
42. Flea Markets
43. Flower Shows
44. Food concessions
45. Garden Shows
46. Graduations
47. Harvest Festivals
48. Holiday Shows
49. Home Shows
50. Horse Shows
51. Housing Shows
52. Instructional Classes
53. Job Fairs
54. Ladies Club events
55. Lectures
56. Livestock Shows
57. Luncheon Meetings
58. Mobile Home Shows
59. Musicals
60. Night Club Shows
61. Operas
62. Organized Sight Seeing Tours
5
63. Pageants
64. Parties with total attendance of less than 500
65. Picnics
66. Plays
67. Political Rallies
68. Proms
69. Quinceaneras
70. RV Shows
71. Religious Assemblies
72. Reunions
73. Rummage Sales
74. Scavenger Hunts
75. Scouting Jamborees
76. Seminars
77. Sidewalk Sales
78. Soap Box Derbies
79. Social Receptions or Gatherings
80. Speaking Engagements
81. Sporting events if non-professional, non-league, non -contact (bicycle races/rallies,
equestrian events, golf, gymnastics, tennis, handball or racquetball, roller skating,
handball, marathons, fun runs, l OK races, gymnastic competitions, ice skating
shows, ski events)
82. Sporting events if non-professional, non-league, limited contact (baseball or
softball, soccer, roller hockey, basketball)
83. Street Fairs
84. Swap Meets
85. Symphony Concerts
86. Teleconferences
87. Telethons
88. Theatrical Stage Performances
89. Trade Shows
90. Union Meetings
91, Vacation Shows
92. Voter Registration
93. Walk a Thons
94. Weddings and Receptions
"Special Event" does not include:
1. Aircraft/aviation events (static displays are not excluded)
2. All terrain boarding
3. Ballooning or balloon rides
4. Base jumping
5. Bouldering
6. Bungee Jumping
6
7. Carnival rides
8. Circuses
9. Concerts over 6 hours
10. Diving
11. Football (except passing camps with no contact drills)
12. Hang gliding/ parachuting/ parasailing
13. Jousting
14. Kayaking, rafting or canoeing in greater than Class 3 rapids
15. Lacrosse and Rugby
16. Mechanical amusement rides or services
17. Motorized sporting equipment including speed or demolition events
18. Mosh Pits
19. Mountain Biking
20. Parades
21. Power Boat Racing
22. Professional Sporting Activities: games, racing, or contest of a professional nature
23. Pyrotechnics or explosives
24. Rap or Heavy Metal concerts
25. Raves
26. Rock Climbing
27. Rodeo or Roping Events
28. Scuba Diving
29. Sporting events if part of a league
30. Sporting events if non-professional, full contact (football, ice hockey, rugby,
boxing, wrestling, contact karate, contact martial arts)
31. Tractor or Truck Pulls
32. Trampolines
33. Zoos
Exclusion for participants. This endorsement does not apply to "bodily injury" or
"property damage" to any person while practicing for or participating in any sports or
athletic contest or exhibition, or while performing in any concert, show, or theatrical
event.
Exclusion for Sale alcohol. This endorsement does not apply to "bodily injury" or
"property damage" arising from or caused, in whole or in part, by the Covered Party or
Event Sponsor furnishing alcoholic beverages for which consumers are specifically
charged by a third party vendor or caterer.
This Endorsement does not apply to liability arising from Public Officials Errors and
Omissions.
This Endorsement does not eliminate the operation of any Exclusion in the Memorandum
of Coverage.
This endorsement does not provide drop down coverage or reduce the retained limit under
the reinsurance program.
This Endorsement forms a part of the Memorandum of Coverage for the program year
indicated above.
Effective date: July 1, 2013
July 1, 2013
Date General Manager
CALIFORNIA JOINT POWERS RISK MANAGEMENT AUTHORITY
PROGRAM YEAR 2013-2014
ENDORSEMENT NO.5
With respect to any claims arising out of the ownership, maintenance, management,
supervision or the condition of port facilities owned or controlled by the party named
below, there shall be no coverage.
This endorsement is issued to: The City of Richmond
This Endorsement forms a part of the Memorandum of Coverage for the program year
indicated above.
Effective date: July 1, 2013
July 1, 2013
Date General Manager
SOLUTION OF THE CITY COUNCIL of THE CITY of SAN RAFAEL
AUTHORIZING THE DIRECTOR of PUBLIC WORKS To EXECUTE FUNDING
AGREEMENT #2013-014 BETWEEN THE TRANSPORTATION AUTHORITY of
MARIN AND THE CITY of SAN RAFAEL, THEREBY AUTHORIZING THF
ALLOCATION OF $522,334 IN MEASURE A. FUNDING AND $438,315 IN MEASURE II
FUNDING FOR FISCAL YEAR 2013-2014,
WHEREAS, on August 1, 2006, the San Rafael City Council adopted Resolution
12174, which approved funding agreement #2007-012 between the City of San Rafael and
`TAM; and
WHEREAS, that agreement established terms for the use of annual funding allocations
for the maintenance of local roads and infrastructure generated by Measure A, a one-half cent
transaction and use tax approved in the General Election held on November 2, 2004; and
WHEREAS, the San Rafael City Council subsequently authorized the execution of 6'
amendments to the original funding agreement, through FY 12-13; and
WHEREAS, Marin voters approved Measure B on November 2, 2410, which increased
the State Vehicle Registration Fee (VRF) by $10; and
WHEREAS, Measures A and B authorize the Transportation Authority of Marin to
distribute funds raised by the transportation and use tax and the VR.F increase to local
jurisdictions for multi -modal, public right-of-way projects; and
WHEREAS, TAM has initiated an updated funding agreement that must be executed to
release San R.afael's FY 13-14 Measure A allocation of $522,334 and the City's Measure B
al location of $43 8,315; and
NOW, THEREFORE, IIF IT RESOLVED that the City Council of the City of San Rafael
authorizes the Director of Public Works to execute Funding Agreement #2013-014 between
TAM and the City.
I, ESTHER C. REI E, City Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a. regular meeting
of the Council of said City held on the 4`h of November, 2013, by the following vote, to
wit:
AYES: COUNCIL MEMBERS: Collin, Connolly, Heller, McCullough &Mayor Phillips
t
liq I iiiii I 111�� I iq���111 I illi�ill 1� 11111`11 1 i 11 ii��
File No,: 16,13.09
CITY OF SAN RAFAEL
1 1 I'll III IMPUSA
INSTRUCTIONS: USE THIS FORM WITH EACH SUBMITTAL OF A CONTRACT, AGREEMENT,
ORDINANCE OR RESOLUTION BEFORE APPROVAL BY COUNCIL / AGENCY.
SRRA / SRCC AGENDA ITEM NO. 2, d
DATE OF MEETING: 11/4/13
FROM: Richard Landis
DATE: 10/24/13
111101411111 Ill
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AUTHORIZING THE DIRECTOR
OF PUBLIC WORKS TO EXECUTE FUNDING AGREEMENT #2013-014 BETWEEN THE
TRANSPORTATION AUTHORITY OF MARIN AND THE CITY OF SAN RAFAEL, THEREBY
AUTHORIZING THE ALLOCATION OF $522,334 IN MEASURE A FUNDING AND $438,315 IN
MEASURE T FUNDING FOR FISCAL YEAR 2013-2014.
Department Head (signature)
*** *** *** *** *** *** *** *** *** *** *** *** *** *** *** ***
(LOWER HALF OF FORM FOR APPROVALS ONLY)
APPROVED AS COUNCIL 1 AGENCY
AGENDA ITEM:
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City Attorney (signature-)� T